The URL can be used to link to this page

Home My WebLink About35186-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34205 Date: 02/23/10 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 895 HIGHLAIqD RD CUTCHOGUE (HOUSE NO.) (STREET) (HA24LET) County Tax ~ap NO. 473889 Section 102 Block 8 I&)t 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 2009 pursuant to which Building Permit NO. 35186-Z date~ DECEMBER 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 SHED AS APPLIED FOR. The certificate is issued to EDWARD & LINDA FASZCZEWSKI ( OWNER ) of the aforesaid building. SUF~OLKCOUNTYDEPART~TOFHEALTHAPPROVAL R~OrKICAL CERTIFICATE NO. PLU~ERS ~KTIFICATION DA'r~u~ N/A N/A N/A 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 BI. DG. D£PI. ~a rtm en}0~t~t~lll~ll~wing: For new building or new use: 1. Final survey of property with accurate location of all 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 o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 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. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey &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. Co New Construction: ~ Old or Pre-existing Building: Location of Property: ~ ~'O''~ '~O_.~_.~Z) ~ House No. Street Hamlet ~Owner or Owners of Propexty' ~ ~ ~ ~ ' Suffolk County Tax Map No 1000, Section ~ O.~ Block ~ ~ Lot 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. ~/0 (check one) Date of Permit~4/t:~ Subdivision Permit N o ...~..~.~ ~' Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ !~t~_,6 , ' ~,~ Filed Map. Lot: Underwriters Approval: Final Certificate: ~ (check one) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35186 Z Date DECEMBER 1, 2009 Permission is hereby granted to: EDWARD & LINDA FASZCZEWSKI 895 HIGHLAND RD CUTCHOGUE,NY 11935 for : AS BUILT 8'X16' ACCY SHED IN THE REQUIRED REAR YARD 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 [ ] INS/JJLATION ~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION REMARKS: DATE 1'~ ~'-~:~ IiqsFECTIoN REPORT DATE , , FOUNDATION (1ST) FOUNDATION (2ND) · ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved i ' -) I Disapproved a/c Expiration 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. 0/r~ ~X'--'~ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mailto: Phone: Building Inspector 'LICATION FOR BUILDING PERMIT Date ,20 O INSTRUCTIONS ~tely filled in by typewriter or in ink and submitted to the Building Inspector with sets of ,lans, 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 wi/ting, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 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 tapplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. _ (S'}gnatur~e 7:}f apical_ or na, me, ifa corporation) ~ .... t'~(~( ~4 aih ng"'ad'd/e$~ f applicant) State whether applicant is_owneb 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 License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: ges . House Number Street CountyTax Map No. 1000 Section /Ocpq, Block Subdivision Hamlet ~ Lot Filed Map No. Lot State existing use and occupancy of premises and inter~ded use and occupancy' of proposed constructto a. Existing use and occupancy 4. Estimated Cost ~ dO0, t/t7 5. If dwelling, number of dwelling units If garage, number of cars _ .___ b. Intended use and occupancy .,~'l'tg.igx, OG~ Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor ~-------' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. x' 7. Dimensions of existing structures, if any: Front /~ t Rear / ~ t Depth Heighre~ ~,K q ~ Number of Stories I Dimensions of entire new construction: Front / ~' Heigh~¢ ~'m',*K _¢/q~t Number of Stories Dimensions of same structure with alterations or additions: Front Depth ~ Height ~ Number of Stories Rear / -- Rear Depth Rear .Depth 9. Sizeoflot: Front 10. Date of Purchase / Name of Former Owner I I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO X 13. Will lot be re-graded? YES NO __ Address Address // Address 14. Names of Owner of premises Name of Architect / / Name of Contractor 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__NO * 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. Will excess fill be removed from premises? YES__ NO Phone N~.~/- 75 ~t- ~ m ~l~, Phone No / / Phone 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 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BuNGli (S)He is the Notary.P, ubl~.c~,.S~.~N? ¥or~ (Contractor, Agent, Corporate Officer, etc.) Commission Exoires of said owner or owners, and is duly authorized to perform or have performed 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. Notary Public ~~aat/o f~t~rant ~ ....lO Town of Southold Sed~mentation & Storm.Water Run-off AssESSMENT'FORM' Erosion, $.C.TJd~ . F , ~ · · ~m~ ,T^T~O ':- -,o~,,, 1 2 3 4 5 6 9 7 ~ me ~ P~ ~ ~'~ ~ P~ ~ ~ I~ ~ & ~on? ~ Hem ~l~e ~ p~s~ 6~ ~.~ 6u~ wat~ ~[~ P~ R~I~ ~ ~d ~, ~ ~ ~ ~em th~ ~ · ~ ~ ~e Na~ml ~sflng Grade I~ ~ ~ ~ ~Y~ ~ ~ ~ a~ Pa~ Is ~ a NaOmi W~ ~me ~ ~ ~S~? Is ~is P~ln ~e T~te~ ~s~ m ~in ~e H~ (1~) ~eet of a weua~ ~ Be~? ~1~ ~em ~ Site ~pamUon on ~sU~ Grade Slo~ ~1~ ~ F~n (15) [~t ~ Ve~l ~se to One Hu~r~ (1~') of H~I ~? ~11 ~ve~ys. Pang ~as*~ o~er Impe~s Su~s ~ ~o~ to Dk~ Stoa-Wa[er RunOff into an~o; in ~e di~ of a T~ ~ht~y? ~11 ~s P~e~ R~m~ Pla~mest o( MatedaL R~va( bf V~etatJon a~br ~e ~s~ of any Item ~in ~e T~ ~ght~[-Way or R~¢ ~ ~? ~ls item will NOT include ~e'ln~J~flon of Ddve~y.~ro~s.) Will this Project ~quim SRe Prepamflo, ~in ~e O~e Hund~ (1~) Year Fl~dpla[n of any Wat~ume? NOTE: If Any Answer to QuesUons One th[ough.NIne Ts At~swerad with a Check Mark Tn'the Be](, a Storm-Water, Grading, Drainage & Erosion ContrOl Plan IS. Required and Must be SubmR~ed.fcr Review Prior. to Issust~ce of Any Building Pe~mdU "-- -- -- -- -- yes No EXEMPTIONt · ' Does_this pfo~e~t meet Ihe minimum standards for =lasslficatlo~ as an Agricultural Note: if yo~ Answered Yes to this Question, a Storm-Water, Gradlag, Drainage & Er°sl°n C°tltt°l Plan Is NOT Requtredl" COUNTY O~ .~..~....:4~ ............. SS [~t~.. .......................................................... -. bei~ duly SWorn, deposes and says dx,at hefshe isthc applicant for Pen. nih That (~a,~ ~ ~d~,~ s~ ~x~en~ CONNIE D. BUNCH . Notary ~blic.State of New York · , · ._ ~.~mlm85~; ........................ And that he/she ts. mc .................................................; ............... :**"'". .......... ;'~'~t~':'"*' '~liialiflod i~{gfif~lk ~0un~ 0., · (ov,~-, c~a~x, sont. e.x,r0~ . '~ommissi0n Expires April 14.20 Owner and/or representa~avc of thc Owner of Owner's, and ~s duly authorized to pcdorm or have performed thc sa-& work and to make and file this appli~fion; that all statements contained in this appficafion are tree to the best of his knowledge and bellefi and forth in thc application filed herewith. thatSworn thetowork before willme be(~' ~, this; performed in the manner set ~/"'~~ ............... .. Notary Public: ...... ~ ~ ..r~)---~ ..---,'-~- "-'""~"~"~'~'* ................... FORM - 06107 HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT II S'LIIr CO. TAX MAP Ol~TlUgg SrCTION wL BLm;A -.,L.-- ~ HIg[K AK NO 0W[LLINI WITHIN I00 FEI[T OF THIS PROP~'RTY SURVEY FOR MARC H. LEVEY B BEVERLY LEVEY LOT 5, "HIGHLAND ESTATES" AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK #UN~UTHORIZrO ALTERATION OR ADDITION APR. 20~ Ig~T DEC. II ~ 1986 JULY 21 ~ ~81 DATE: JULY IT, 1981 SCALE; I" · .~0' NO. 81- 41E ' GUARANTEED TO: ALOEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 1284.% -.. YOUNG e, YOUNG I.IIO#U#E#T O,STAK~ ALDEN W. ~UNG, ROFESSIONAL lNG Nt~OWlIION'N&P fiLED IH THE OFFICE OF THE CLERK OF IUFF~K AND LAND SURVE )R ~ .Y.S. UCEN..E N HOWARO W. YOUNG. LANO 5URV.~YOR I~ C~ KLI~Ij.~I~.~A~I~ C~.~O~(.~)IH~N.~I~ N.Y.S. LICENSE N0.45893 400.OSTRANOER AVENUE RIVERHEAO, NEW YORK /(~6 - /~-2oz TOWN OF SOUTHOLD PROPERTY.-RC-CORD CARD /~.../~ DWNER STREET ~' ~ VILLAGE DIST. t/'S'~B~ LOT ~ FOYER OWNER N E ACR. , ~2o ES. ~ S~S. VL. ~ FARM CO~. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE R~RKS illable FRONTAGE ON WATER t~land FRONTAGE ON ROAD I ~ ~ ~eadowl~d ~ ~ DEPTH ~ V ~ 0 V mouse Plot ,q~ (~00 (~ 7Z~ BULKH~D ora I COLOR TRIM Extension ~.P0rch Breezeway Garage Foundation Basement Ext. Walls F,, /I Beth Floors Interior Finish Fire Place , / Heat Type Roof ~ k. Rooms ]st Floor Recreation Room Rooms 2nd Floor Dormer Driveway /g inette LR. DR. BR. FIN. B ? I COLOR TRIM Ix4 GABLE VENT TRII'fl COMPOSITION SHINGLES Ix4 RAKE TRIM Ix4 FASCIA IXl I? O00R (SEE DETAIL) OPTIONAL 2'-,5" POOR ('SEE DETAIL) LEFT .SIDE ELEVATION 8LO" X 8~-O" GRAE)E FOUNDATION SYSTEM / ~.ALE, a,/s,,--~,-o,, FRONT ELEVATION MINI-BARN 8'-0" HIDE ALL DEPTHS MINI-BARN OPTIONAL GAt~LE VENT REFER TO MF®R'S SPECS FOR ROUGH OPENIN® RI®HT SIDE ELEVATION 8'-0" X 8'-0" 4 ®RADE 4x4 PRESSURE TREATED FOUNE~ATION STSTEP1 ~ALE, ~/s,,=,,-o,' REAR ELEVATION MINI-BARN 6'-0" HIDE ALL DEPTH~ .5(..,ALE, B/~"= I'-O" MINI-BARN BOTTOM TRUSS LAYOUT I 5/4' 2x6 TRUSS I0 I/2" TOP ¥4" 2x4 NAILER 5' I0 I/4" 5-0 GUSSET PLATES TRUSS DETAIL.5 Ndrr TO 8'-O" I,N, IDE ALL DEPTHS MINI-BAI~ NOTE, AS OPTION USE PRE ENGINEERED TRU,SSES LEFT SIDE FRAMIN~ ELEVATION ~A~, ~/~,":,'-o" 8'-0" X 8'-0" MINI-BARN FLOOR FRAMIN~ PLAN 5(.,ALE, :~1~"=1'-0" 8'-0" X 8'-0" MINI-BARN FRONT FRAMIN® ELEVATION ~E, ~/e,'=r-o" 8'-0" HIDE ALL DEPTHS MINI-BARN RICHT SIDE FRAMIN® ELEVATION 8'-0" X 8'-0" ROOF SHEATHIN~ LA"fOUT.scAL.~, ~/~,,,:,~'-o" '~ 8'-0" X 8'-0" MINI-BARN 2x4 END JOIST OPTIONAl_ -- 2x4 RIH JOIST OPTIONAL 2-5 O00R FLOOR PLAN SC, ALE, B/~5"= I'-0" 8'-0" X 8'-0" MINI-BARN 5(.,ALE, ~/¢"=1'-O" MINI-BARN PEAR FR.A,,I'4'IN~ ELEVATION ~AL~, ~/~":r-o" 8'-0" HIDE ALL DEPTHS MINI-BARN 2x4 ~OTTOM PLATE 4x4 PRESSLRE TREATEE) FOUNOATION STSTEi'd SEC, TION "A-A" e(-.,ALE, ~/¢"= I'--O" 8'-0" HIDE ALL DEPTHS MINI-BARN UNDERWRITERS CERTIFiCAte: ~,3~,.~ ~~ R~QUIRED ALL CONSTRU0;FI0i~ SHALL MEET Ti-IE REQUIITEMEF!TS OF THE (30ruES OF i SE\"v' ',' ,i-i;( ST,qT!E. OCCU?ANCY Cx tJS5 IS UNLAW II-IOUT CER OF OCCUPANt AP?BO!lED AS NOT'- ;OLLOWING INTOECTIONS: I. FOUNDATION - ]WO REQUIR FOR POURED CGhlCRETE 2 ROUGN - FRAMING & PLUM:-, 3 INSULATION 4, FINAL - CONCTRIJCTION BE COMPLETE FOR C.O. ALL CONSTI~UCTION SHALL REQUIREMENTS OF THE COBET, YORK Sq~TE, NOT RESPONSe% DESIGN OR CONSTRUCTION E CERTIFICATION 0~ NAILING & CONNECTIL REQUIRED. COMPOSITION SHINGLES Ix4 FASCIA Ix4 FASCIA OPTIONAL hllNDOh, 1×4 TRINI ~ CORNERS -- ELEVATION HINI-BARN OPTIONAL 2'-8" POOR (SEE DETAIL) 4'xS' GROOVED SIDING / 'E FRAMIN5 ELEVATION WAL~, a/s,,:re" MINI-BARN RISHT SIDE ELEVATION 56ALE, B/¢"= I'-0" 8'-0" x IO'-O" MINI-BARN 8'-0" 2-0" JOINT BEThEEN SHEETS AT ROOF St-IEATHIN~ LAYOUT WALE, ~/¢"--r-o" 8'-0" x I0'-0" HINI-BARN '1 TRUSS 2x4 TOP PLATE LEFT SIDE ELEVATION 8'-0" x 12'-0" MINI-BARN FIELD ~.0, LEFT SIDE FRAMIN® ELEVATION WALE, ~/~,"=l'-O" 8'-O" x 12'-O" MINI-BARN =RAMIN~ PLAN wAu;, ~/s"=r-o" IO'-O" MINI-BARN 2x4 PRESSURE TREATED FLOOR JOISTS ¢ IS" ~"~ D/4" pLYh!( OD SHEATHING~ OPTIONAL NNPO~ _OCR PLAN uO" x IO'-O" ~OALE, ~/¢"= I '-0" MINI-BARN RI®HT SIDE FRAMIN~ ELEVATION 8'-0" X IOLO'' MINI-BARN OPTIONAL ~11' OPTIONAL 2' D" DOOR FLOOR PLAN 56ALE, D/¢"=I'-O" 8'-0" x 12'-0" MINI-BARN FLOOR FRAMIN¢ PLAN SCALE, D/8,"= I'-O" MINI-BARN DOOR DOOR DOOR POOR EXTERIOR DOOR TRIP[ DOOR PANELS 'Pr'PIOAL FRONT DOOR C, ONSTRUSTION DETAILS ALL SIZE5 60HPOSITION SHINGLES Ix4 FASCIA OPTIONAL ~INDO,a OPTIONAL 2 '-b" DOOR (SEE DETAIL) RI®HT SIDE ELEVATION ~C, ALE: D/~,"= I'.-O" 5'-0" x 12'-0" MINI-BARN COMPOSITION SHINGLES Ix4 FASCIA 24" OC 2x4 TOP PLA%F 2x4 HEA~ER 2x4 STdDS 8 24" ROOF SHEATHING ROOF SHEATHIN® ROOF 54-1EATHIN¢ LAYOUT SC, AL5 ~,/5"= I '-0" 8'-0" X 12'-0" MINI-BARN 2x4 BOTTOM PLA]]] BEGIN STUP SPACING @ 24" 0 O FROH THIS CORNER 2x4 END JOIST 2x4 PRESSURE TREATED FLOOR JOISTS ¢ -- TRUSS 2x4 TOP PLATE 2x4 STUDS ¢ 24" O C 2x4 BOTTOi"f PLATE TRFATED R[~ JOIST 2x4 RI~ JOIST --2x4 DOOR SUPPORT BOARDS MC.ALE, D/¢"=I'-O" MINI-BARN RICHT SIDE FP. AI'41N¢ ELEVATION WAL~, ~/~,"=,'-o" ¢'-0" x 12'-0" MINI-BARN APPLIED TO POOR PANEL TO BUILDING EXTERIOR DOOR TRllvf DOOR PANEL FRONT SIDE OPTIONAL TYPIC, AL 2'-6" DOOR C, ONSTRUGTION DETAILS ALL SIZES MINI-BARN [ Sheet No,