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Home My WebLink About35185-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34204 Rte: 02/23/10 THIS C~RTIFIES that the building ACCY SCREENED GAZEBO Location of Property: 895 HIGHLA/qD RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 102 Block 8 Subdivision Filed Map No. Lot No. CUTCHOGUE Lot 2 (HAJ~LET) conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTE~ER 29, 2009 purs,,~nt to which Building ~r~t No. 35185-Z dat~ DECE~ER 1, 2009 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is "AS BUILT" ACCESSORY SCREENED GAZEBO AS APPLIED FOR. The certificate is issued to EDWARD & LINDA FASZCZEWSKI ( OWNER ) of the aforesaid building. SuffOLK COUNTY DEPARTMENT OF H]~ALTH APPRO%5~L ~,RC-rKICAL CERTIFICATE NO. PLIERS u~KTIFICATION DA'r~u N/A N/A N/A rized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP/ This application must be filled in by typewriter or ink and submitted to the Building BLDG. DEPT. ~artm ~ntT0~lgg [l~ ~ltl~ving: For new building or new use: 1. Final survey of property with accurate location of alt buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% Icad. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date..,~.-./.,~ New Construction: ~ Old or Pre-existing Building: (check one) Location of Property: ~ ~"~ ,-~,~_.,~) ~ ~/.~'/~/t~g. ff House No. Street Hamlet ;Owner or Owners of Property: Suffolk County Tax Map No 1000, Section / ~;~ Block ~ Lot Subdivision Filed Map. Lot: Permit No.,~]~5~---~ Date ofeermit.//~A/~? Applicant: ' / / Underwriters Approva~//,~) Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $~ Final Certificate: b~ (check one) Fisher Engineering Services, P.C. PO Box 30 · Oakdale ° New York 11769 Phone: (631) 563-9028 February 8, 2010 Town of Southold Building Department Subject: Wind Load Strapping Certification Faszczewski Residence - Gazebo 895 Highland Rd., Cutchogue, New York 11935 Permit No. 351852 Dear Building Department: This letter report is written at your request to summarize the windload strapping requirement for the gazebo at the above referenced residence. The windload requirement for this area is 120 mph. The rafter to wall and wall to foundation strapping and connections are adequate to resist the required wind load as designed. It was a pleasure to perform this evaluation for you and please feel free to call if you have any questions or comments about the content of this letter report. Since, rely, q vWilliam G. lXt~fer, P.E. Licensed Professional Engineer BLDG. DEPT. TOWN OF SOUTHOL§ Architectural Design · Residential · Light Commercial Additions · Extensions · Conversions Construction Estimates / Oversight · Expediting · Inspections FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII23ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35185 Z Date DECEMBER 1, 2009 Permission is hereby granted to: EDWARD & LINDA FASZCZEWSKI 895 HIGHLAND RD CUTCHOGUE,NY 11935 for : AS BUILT ACCY SCREEN GAZEBO PER APPROVED PLANS AS APPLIED FOR at premises located at 895 HIGHLAND RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0008 Lot No. 002 pursuant to application dated SEPTEMBER 29, 2009 and approved by the Building Inspector to expire on JUNE 1, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ] INSULaTiON [ '~:~AL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ilARKS: ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE ~-~J~D n~s~,~Cno~ WORT [ DATE '~,~ rO~A~O~ (2~) . aOUGH ~G & PL~G ~S~ATION PER N. Y. STATE E~R~ CODE ~D~ON~ COUNTS TOWN OF SOUTHOLD o BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved / ,. Disapproved a/c ,20" ,20 (f Expiration d" / ,20/' /' PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20 O '~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for a'~ addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to thek Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ ( ignature of ap~icalii[or name, ifa corporation) ....... ('--M a l:~in--g~ d~r,e s~/o f apl~lic a~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders LicenseNo. Plumbers LicenseNo. ElectficiansLicenseNo. Other Trade's License No. Location oflgnd on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section \ C)]~ Block ~'- Subdivision Filed Map No. /v, ff /lf'X.." Lot ~ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed, construction: a. Existing use and occupancy '~_.. ~. ~ 1) ¢'. ~ r b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. 5. Estimated Cost ~,~'p ~5'~P, I~O Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor ~ If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~ Dimensions of existing structures, if any: Front r/~ '2 Height / ~ f Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth ~ Height Dimensions of entire new construction: Front ?.~! 2 r! Height ,/~. t Number of Stories Number of Stories .Depth /,~ Rear Rear /,5-/ m// Depth Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES__ 14. Names of Owner of premises Name of Architect Name of Contractor NO NO /~ Will excess fill be removed from premises? YES__ · ~-~/~'~'~- 1~ Address ---~ ~,~ Phone ,, t' Address /7 Phone No // Address /! Phone No. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO/~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF 5k-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perlbrm or have perlbrmed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this/ , ~ 3C1~4'~ dayof ~ 2005 Notary Public Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCA N: $.C.T.M. · THE FO ,LLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF R STO,".,",-.".';~'i =~; GRADING; DRAINAGE AND EROSION CONTROL PLAN C=r[; ;riEl) BY A DESIGN PR~rc~SIONAL IN THE STATE OF NEW YO~. Item Number:. (NOTE: A Check Mark (~) for each Question Is Required for a Complete Application) Yes N~o Will ~his Project Retain AIl Storrn-Watar Run-Off Geoeratad by a Two (2') inch Rainfall on Site? (This Item will include afl run-off created by site cleadng and/or construction activities as well as all Site Improvements and the permanent creation of Impervious surracas.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling SurFace WalarFlowi Wlll this Project Require any Land Filling, Grading or Excavation where there is a change to the Nateml Existing Grade thvolving mom than 200 Cubic Yards of Matedal within any Parcel? ~'-.~- Will this ApplicatJen Require Land Distulbing Activities Encompassing an Area in Excess of ~ ,,~ Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? is this Pmjast within the Trustees Jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fiiteen (15) feet of Vedicel Rise to One Hundred (100'] of Horizontal Distance? L~U ~fill Driveways, Parking Areas or other Impervious Su~aces be Sloped to Direct Storm-Water Run-Off r=~ into and/or in the direction of a Tow~ right-of-way? ~ /%__ Will this Project Require the Placement of Material, Removal of Vegelation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder A~ea? /-\ (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparatten within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl EXEMPTION: Yes No Does this project meet the minimum standards for class ficefion as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm.Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl X'x/ STATE OF NEW YORK, -- oou y ......... That I ................................................................................. be/n~ duly sworn, deposes ~nd says (hat he/she is rJ~e appI;cant for Pennir~ (Name of individual $ignie~ Document) And that he/she is the Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to make and file this application; that all statemen~ contained in this application are true to the best of his knowledge and belief;, and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; .... :...~.....~.~..:' .................. day of ~..~...~ ........ FORM - 06/07 ,5 lC'" HEALTH DEPARTMENT-OATA FOR APPROVe4. TO CONSTRUCT .A,N_._N~ .* R SOU"C~_? WATtR, 'P"I~T-ETZ'~PUa'IC.o--~-- -- TAX MAP ~ST I~ S[CTI~ ~ l~ ~ L ' ~ SURVEY FOR MARC H. LEVEY 8, BEVERLY LEVEY LOT 5, "HIGHLAND ESTATES" AT CUTCHOGUE TOWN OF SOUTHOLO SUFFOLK COUNTY, NEW YORK APR. 20,1987 DEC. II t 1986 dUlY ~'1,1~81 OATE: dUlY I?, 1~81. SCALE: I"sSO~ ' NO. 61' 41Z ' YOUNG e, YOUNG 400.OSTRANOE" AVENUE O,STAKE ALOEN W. YOUNG, PROFESSIONAL ENGINEER FILED IN THE ~ICE OF ~E CLERK OF ~UFF~K II ~ I AND LAND SURVEYOR N.Y.S. UCENSE NO. IZ845 '"'"'"'"'""""""'"' II HOWARD W. YOUNG, ~ND SURV.[YOR P, CONC. 18" DIA. PIERS PIER FOOTINGS (TYP.) INSTALL PIERS TO 26" BELOW GRADE 6°x6' PT, POST (SEE DETAIL ) BRICK PAVERS OVER 4" 15'-2"- GAZEBO FSUNSATIBN SCALD 1/4" = 1'-0' ROOF LATTICE __ SCREEN DOOR PANELS FRBNT ELEVATTBN PLAN #8 PINE PAINTED TIMBERLINE 85 YR ASPRALT ROOF SHINGLES 15# FELT l'xl8' PRIMED PINE FASCIA 2 1/2' CROWN MOULDING 6x6 ACQ COLUMNS l'x8' PRIMED PINE PANELS 5/8' SIDING GRADE SCREEN 15'-2" SCREEN ~'-10 SCREEN SCREEN (8) 2x8 ACQ GIRDER 6x6 pOSTS 14'-4' J---L :2) 2xB ACQ GIRDER 2050 6" 6' 6 -15'-2' 6x6 ACQ CDLUHNS 2x4 DF 16' O.C -- T-il1 SIDING GAZEBB FLEER PLAN SCALE: 1/4' = l'-O' ROOF LATTICE #2 PINE PAINTED TIMBERLINE 25 YR ASPHALT ROOF SHINGLES DVER 15# FELT l'xlD' PRIMED PINE FASCIA 8 1/2' CROWN MOULDING ACQ COLUMNS l'x8' PRIMED PINE SCREEN PANELS 5/8° SIDING GRADE CO REAR ELEVATIFIN 12' USE IS UNLA'h'F'UL MEET THE REQUIFiEMF.~,JTb O"THE OF OCCUPANCY (,ODL~ Oi N ........... rE z 8x6 RR z 2x6 RR GAZEBO RDBF SCALE, 1/4' = 1'-0' PLAN 765-1802 BANt TG FOR POURED 2, ROUGH - FRAMI BE COMPLE'F~ ALL CONSTHUGTIC YORK STATE, NO~ ~-~ CSO0-1 1/4 x 20GA PURSUANT TO C OF THE TOWN "-,I / ~ UNDERV, iRtTERS CERTIF/CAI t REQUIRED RIDGE TO RAFTER CERTG!CATION OF N ~ AILINM & CONNECTIONS REQUIRED. CUPBLA~ COPPER ROOF RIDGE 2x4 RR 16' O,C, 3/4" SIGN BOARD SIDING 2x4 DF 16' D,C, LATTICE PAINTED TIMBERLINE 25 YR ASPHALT ROOF SHINGLES OVER 15# FELT 3/4 COX PLYWOBD lx6 T&G PAINTED FIR 1 1/4 x 20 GAUGE HURRICANE STRAPS --ISIMPSDN CS20) 16'O,C,ITYP.) RAFTER TO POST l'xlG' PRIMED PINE FASCIA P I/B' CROWN MOULDING WAL FAMING T M~ 6x6 ACQ COLUMNS SCREEN PANELS 5/8' SIDING 8x6 ACQ SCREEN SILL 8x4 16" O,C SECTIBN A-A SCALE~ 1/4' = l'-O" BRICK PAVERS CONC, 12' DIA. PIERS PIER FOOTINGS (TYP,) INSTALL PIERS TD 36" BELOW GRADE CORNER POST CONNECTIONS POST TO GIRDER CONNECTIONS CLIMATIC ¢ GEOGRAPHIC DESIGN CEITERIA - TADLE P-,301.2(I) GROUND Fasb~5~ 505Mit SUBJECT TO DAMAGE DY WINTEP. IC'~SMIEm ~OOD AlE P~ING 5NOW Wmnd D~IGN ~TH~- FROST LIND TE~ITE DECAY DEDIGN UNDULY- H~A~5 IND~ 5~ed CATEGO~ TEMP LOAD (mFh) lNG D~H ~QUI~ 5ER 2o Ps~ 12o c 5EVE~ 3'-0" MOD. TO 5UGMT TO I I de0 NA P~5 599 HEA~ MODE~TE ~M, CODE AN ALY,.51.5 CATEGORY OCCUPANCY ReSldenbal R3 P-,EFEEENCE STANDARD5 I ~Sldenbal Code o'~ New York 5tale 2007 Wood Prame Cons~rucbon Manual Al= ~ ?A-200 Chma~e Zone: I ID De~jree Days: 5750 DESIGN LOAD5 Decl~: 40 Fsf Attics: 20 Fsf Rooms (other than slccpm0 rooms): 40 Faf 51eepIn~J Rooms: 30 5[a~rm: 40 Han~rads: 200 ~ ~of: 20 FSf (~round 5now 1Dad) DEAD LOAD5: I 0 ~f REV, DATE ITEM NO, tS i',~OTEO ~ESPON$1BLE FOR ~JER RUNOFF tAPTER 236 ~DE, $ ~ ~ o o z ~NZZ