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sAfFa u O Town of Southold 8/11/2015 � : P.O. Box 1179 w;,Zil �? 53095 Main Rd r✓ os f: Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37712 Date: 8/11/2015 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 345 Breakwater Rd, Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-3-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/30/2015 pursuant to which Building Permit No. 39925 dated 7/7/2015 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"deck addition to an existing one family dwelling as applied for. The certificate is issued to Trojanowski, Richard&Trojanowski,Pamela of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED I . 4t-8.—Milr" C;/' t•orize0 Sign. re i TOWN OF SOUTHOLD g3IF®t it" BUILDING DEPARTMENT TOWN CLERK'S OFFICE °®```MEQ .. SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39925 Date: 7/7/2015 Permission is hereby granted to: Trojanowski, Richard &Trojanowski, Pamela Breakwater Rd PO BOX 967 Mattituck, NY 11952 To: "As built" deck addition to existing single-family dwelling as applied for. Additional certification will be required. At premises located at: 345 Breakwater Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 113.-3-5 Pursuant to application dated 6/30/2015 and approved by the Building Inspector. To expire on 1/5/2017. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $535.20 CO -ADDITION TO DWELLING $50.00 Total: $585.20 Build' • _ nspector Form No.6 TOWN OF SOUTHOLD r _ BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 of 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. B. 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,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. )IA-1/1 New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: 54.5 B v e&K vJ a+ C itA a U(i -4K 1 L i(5-Z House No.mr� Street Hamlet Owner or Owners of Property: I�I`dk..10-A- C m c- - PO V ' l - Troj a v oW Sk-6 Suffolk County Tax Map No 1000, Section I l 3 , 0 0 Block 0 . 0 0 Lot ©O - (7U 5 Subdivision Filed Map. Lot: Permit No. Date of Permit. (oa. '(i(i Applicant: Kate_ ro h--. Health Dept.Approval: Underwriters Approval: Planning Board Approval: _ Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ Applicant S'gnature I as- 61_3 Jeffrey Sands Architect June 30, 2015 RE: Trojanowski -345 Breakwater Road, Mattituck, NY- Deck footings Dear Town of Southold Building Department This letter is to confirm that upon inspection of the deck framing and sub grade support structure at this residence it is in my opinion that the construction followed the plans and meets New York State Residential Building Codes. Sincerely, 0 f 1 / eZ,,,_ Jeffrey Sands Architect - - 7- - r: Di 1 it-i) ,12-,' ' 9 '' ' _--\h, hi Jim 3 0 201g 0 r_______— i rLpc uPr 6 Evergreen Lane. East Quogue. New York 11942 phone-631-375-5997. fax. 631-576-8916 email— 3 7 7 r''��„,,,,,,,,,,,, ��F SObTyO ; „`o to cf, ks:st. Ai TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU PLUMBING [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: c- CC I/O '-- b ( • • 'DATE ---r, INSPECTOR il ' 14."(\ Jeffrey Sands Architect June 30, 2015 RE: Trojanowski -345 Breakwater Road, Mattituck, NY— Deck footings Dear Town of Southold Building Department This letter is to confirm that upon inspection of the deck framing and sub grade support structure at this residence it is in my opinion that the construction followed the plans and meets New York State Residential Building Codes. Sincerely, la/7/74 Jeffrey Sands Architect • ' —,\\ i LJ) --------- \ , 1 ` \ l ; \ � 3 p 2015 � `, \___ L ________-__I ,,,Ni up( 1 6 Evergreen Lane. East Quogue. New York 11942 phone-631-375-5997. fax. 631-576-8916 email— . . FIELD 31`TSPILC1 QN MOAT DATg C _ ,1 S +� �.,1� _._.. X41, %A - "a • FOUNDATION(1ST) . Z% • FOUNDt.TIOI�T(2ND) -.�-r-® �.c • . � y ROUGH FRANlINCF& • . •. H PLUMBING • . • • . i.... • . • • • m !.., ., \ . • tl INSULATION*Pm N.Y. • STATE EI*IERGY CODE • . , • .•�. . '4* It.- MI.111111111114 I I ' I/1 10 &2II'ea„...••'4 .. . . /374''/\ • . • • FINAL AIe Ts 2^ yG� r *14,C �, ° z a m . M . r \ i_ i .. • .. .. it 1 - r 1 -v. • -- Fi .> 1 ♦ T •. Z • • . , , ... . - -, 7 . "1 . 1- i lm . ... . i •, _.. _.--. -.. .arm . • • y Vt A . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health ``"" SOUTHOLD,NY 11971 4 sets of Building Plans Z: TEL: (631) 765-1802 Planning Board approval — FAX: (631) 765-9502 �� ,'JS Survey V SoutholdTown.NorthFork.net PERMIT NO. d� Check _ Septic Form N.Y.S.D.E.C. -.--'__ Trustees C.O.Application P/ 77/ Flood Permit Examined 7 ,20 / 7 Single&Separate Storm-Water Assessment Form — - Contact: )41-E' P��Approved 7 7 ,20 l5 Mail to: diqg Disapproved a/c ----F0/Anti- 4" 'Atio-R ��n Phone: LO 9 2_0/ - ' MeV Expiration 1 ,207 A, /Vi I-4� l Z __ - - - — , _1LL 63/-830 — (°& o53 r [i1 , 'Win. pector I 11�; BM 2 9 2015 L PPLICATION FOR BUILDING PERMIT Date ,-)----LA VIe- 2G , 20 1-S-' — ri cc r,r-f r 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 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 applicant agrees to comply with all applicable laws, ordinances, building code, housingcode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. t / `0 (Signature of applicA t .r name,if a corporation) 6,92o az,A /, I 1 4 it9S2_ (Mailing address of applicant) % State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,ph,.. ei`or builder \c-ra e sfoCre, 0 r-o k eiv-- , 0, s 01 e-,5r- /� /p ^ .- .,- Name of owner of premises ' C \ t G�LL11( C� (,, -vvb V Ol,WIL C OL ' j1qo ay\ 0u SK..1 (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. 1. Location of land on which proposed work will be done: J � A �`I� - .BrcO w heh.-- C 3 6 A r� House Number Street Hamlet County Tax Map No. 1000 Section /13 o 00 Block V , O U Lot 0 0 , 00 5 4 s Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy eS;d b. Intended use and occupancy '(C o-r ckCK ) c S l v-r L- DeGK n 3. Nature of work (check which applicable):New Building AdditioA-S O 1-tiAlteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 43 OO Fee 5g5d 1-1OO -f-So 1,673 5, 0(/3xi3 (To be paid on filing this application) ,C90 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 36 , 5 Rear 3 G , j Depth Z g-° 3 Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front t 7�° 'l o Rear if(c 6 (0 a- Depth 10. Date of Purchase 1 13 H 8 Name of Former Owner TO li.Cr LA-5 11. Zone or use district in which premises are situated r LVD 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO .r� 13. Will lot be re-graded? YES NO) Will excess fill be removed from premises?YES NO glk 14. Names of Owner of premises-T-OJ G 11)0 UJ Ski. Address 3'f P(ea.kvr-Fo VPhone No. Io 31 `g 3 -`7(0O Name of Architect J FF S A NrD S Address (, EV CreeN LAI Phone No (o 31- 3`7S S797 Name of Contractor Address €'VST Giko vim— Phone No. 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. 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) SS: COUNTY OF ) Kate_- c r a^UC being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing cdntract) \above named, COME D. NCH (S)He is the 6 ) PSS aok ary R ®�, o ',. YO rk ,#I4 (Contractor,Agent, orporate Officer, etc.) l fled Gil , •1k Cunt j OommisaCnn gxpires `'.114,2.12i 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 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 therewith. SAyoyin to before me this day of ln.Ar-& 20 ) brrlr N_e I/ ! NotaryPublic Signature of A l icant g p;� i } -"NJ _--, TOWN OF SOUTHOLD PROPERTY RECORD CARD _ 5'% /t� o0 - //3 - 3-� OWNER STREET c.5 LI_ VILLAGE DIST. SUB. LOT 0:,-(_,,,-(--:( C. 14TH, �«,� k i 6 - �6 w oe c�nor\ 1M P i T r �-, .f'^ r v c ,� J€sa . FORMER OWNER / N E ACR. L),�t I I/I,5 irr4-1 i_e VI ).'-- (el H_ I I !_ c i/aI=/ 5 W TYPE OF BUILDING P.---r.2---,;___114,--s%(OUn/S i wry RES0 ' SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS . , 1,---i) 3 0 D IBM .;"/////, / Sea /r, 3 i i it sem' <-, n f7 ,- -," . .3 / 0 —1", 0 2/7-I -�;'.,'-- \ 0.," :.?„ ft',i `� //: __ , ..4" /, ) i /Co o JcioU S o o (/rs-6 1 / T c9w / , 9.G rI c . / 3 r' i) -7%a U - <� 0l O .._5-g--6,..) ,5-736://rd /3 L 7a_3G y , 5'a/.� .38;Goo. PiL-SKauRIS 1- IAF 7 D, HONE/-f? 14//= I" /e /f�� ,57z,) Finfiffili ✓"`/o' ,Fo 't - i3 / f / Lr �'A' ° fir/ 13f11/- 1) ��\a,,n, f(Jn/ f_ C `�/c.S"a ®. _ .5F00 `""4:, '?6 g7 '/7S�a/d 45,f .SdCJ / Y, JP _ fa /i0 'a 170u1JX 1Ytvi f' / %�J 371. / 6 ,Q,/7 /o C ' Z '0'a`� /a r o.L9. ///7//6 // • /6 7a bed-11S746Le<'es , � S 1 •e,, :?6,o � 12 '' 4 ////7 6 ,e. /a9 • iQ(f./ ScYeea, pd re i 4_1/ f C'. •2Qo ✓ i MU '_ Tillable - - - FRONTAGE ON WATER Woodland FRONTAGE ON ROAD /71, Cd/(?` a u _ 1Aeadowl DEPTH louse Plot BULKHEAD Total — c -----.. ..„,..s.,....„.,,,: ' -`' COLOR tRif! 1? TRIM G,,' /-// i c. rjr' 1.1-;,-,,,,,,;,:r,sou _ ''-::7-;:.•,, x.,„" "sa 30l ;„tru ..,::,y 461 T � s::: ....<:. 8 — +.-64 �y.. �;Y,a^.cam - apt s�, .1 `44..*'., a ., V _ i0. • J • Ext�rason u y 8 3r? 2 4 ' Extension Extension +� Io� 7..`)76-'/2/+- I ry 47/ o c 7.,161 0 --- 7,9 0 Foundation Bath Dinette Porch Basement a ` Floors /-1K. Porch Ext. Walls Oo p p c/.7✓ni,.Interior Finish US C„ L r, C.) LR. Breezeway j Fire Place Heat DR. Garage yl) a I d" _ 7 / �, et) , Type Roof G/764T Rooms 1st Floor BR. Patios e�e`y' o ,y� = / 4 �a Recreation Room Rooms 2nd Floor FIN. B 0. B. as/ ��� FF oAdr i a, ,.n, /00 Dormer AID f E l"-'iu Driveway Total I 9 i 7 7 K&E 17 5153 5-73 40588• ur* TITLE NO. 75-S-72416 Z \jii / O oar°•s - / no vg or Peder Mesk ¢®rrn 11 29 0 154 O 1.3.9C11/4r1 -� 7 0 1 '3 20 (/// o' 039 I' a jo_ C: a- a \ \ W vO. gam ,k\ t>43 \\ "— a _ 1\ �8 . als- ` \ -17g0 7 N _ _ -O- Few, • -Am \ bol id'nCO 9 __--- 1 1 � , N �� \\ , 187• ®1 271.341 a, 1\ N, \,\ 7 - _ - 5.81°54 W. Z CO CIE0 ZDs c...- Mary pow or fOrmer6Y Mary co I 0- 1 w R - • +r. i i • NECK ROAD 1 11 NOTE:[gl :: MONUMENT ®* k C.I .. S — ���,tzD w yoG®� tar . lug, "- „�/ 4 • 45893 �', AND SURie REVISIONS YOUNG & YOUNG OCT. 16, 1980 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W.YOUNG ' PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR. N.Y.S. LIC. N0, 12845 N Y.S. LIC. NO. 45893 SURVEY FOR: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION DOUGLAS HUNTER a FLORENCE A. HUNTER 7209 OF THE NEW YORK STATE EDUCATION v LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. AT GUARANTEED TO: ' MATTITUCK HOME TITLE DIVISION OF • GUARANTEES INDICATED HEREON SHALL RUN �p CHICAGO TI TLE INSURANCE CO. ONLY TO THE PERSON FOR WHOM THE ' TOWN OF SOUTHOLD RIVERHEAD SAVINGS BANK SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED BY / � HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y. /.IV-V `' - " LENDING INSTITUTION. GUARANTEES ARE -/ -- - , NOT TRANSFERABLE TO ADDITIONAL SCALE: 0 01 40I DATE: fl�� fl �q �.y� NO. .y B 7•.,. INSTITUTIONS OR SUBSEQUENT OWNERS. . APRIL 3y 6 E ' 0,c-Rce_ _ __ __ __ , EXISTI \ G H C S E ; _ _____TION________.___ - - _-_ !ELEVAOF STOOP WITHINI d`� I^(0 1116d ,5-10 , I7-o I 26", OF GRADE_-_ - __, APP-.0 ED AS NOTED DATE: _-58.P.# /V.25 a ' Ce.r'f/-OCa- / m L I1 I - - Z— , ZI-a- 1�E - - ■ FEE: S35, bEY: - - r v,1rr�e_d 11 I I I I NOTIFY BUILDING DEPARTMENT AT r 4X4 ACQ POSTS THRU 765-1802 8 AM TO 4 PM FOR THE .M I I I I c I I I BOLTED TO ACQ GIRDERS FOLLOWING INSPECTIONS: I I `i' 1. FOUNDATION - TWO REQUIRED I I `� i _i SITTING ON, RECESSED INTO FOR POURED CONCRETE PROJECT I- IF - 71 N I I- I I LA I LA12 FOOTINGS 36" 2. ROUGH - FRAMING & PLuMBING I LE -I_ 1 - - _ 1L _EL ll - - _ u_ _Lai 3. INSULATION BACK DECK _-_T E - ] Z - J BELOW GRADE 4. FINAL - CONSTRUCTION MUST _ _ _� • BE COMPLETE FCS O. AND STOOP ] REQUIREMEf,TSALL CON:: TOF THP r�=,F MEETION SHALL F n THEAND r , I H n n ni rn -� - - -n - - ft - i p� I J I L— _I I I L I- YORK STATE. NOT RESPONSIBLE FOR PLAN - - i1- - - -# - - - 1-I- - - -11- - - 1-t - I I T DESIGN OR LONSTRUCTION ERRORS. U ( I PROJECT o I I I I CO t=,tY WITH ALL CODESOF TROJAN OWSKI CY NEW YORK STATE & T01WN1 CODE u> AS MIMED Ai AD CO DITOONS OF RESIDENCE co 7 345 BREAKWATER RD x N ....,. ,.. MATTITUCK, NEW YORK . r 1 , .!a� a �- `1i if.liv i,fi n' 114$kill r.s: . . . ARCHITECT - X 28 AC 2-2X8 It ACQ JEFFREY SANDS L Ca_i i I ARCHITECT LIE -IT - _ - _ _ - _ _ _ _ _ --=='- _11 I ,s „% 6 EVERGREEN LANE 2- X8 ACCT - - - IT - - 2-2X8�ACQ T- it '' '` �� ®'-`� EAST QUOGUE, NY 11942 USES N, W. PHONE 631.375.5997 ��� FAX 631.576.8916 INIT AUT CERTW CATS SEAL ,,r.�"_ �"",_,.. GALVANIZED TECO'S F OC S �� ,;'G•%'-` L..'-.. ."?0,;;\' AT ALL JOIST ENDS R ', � mid- ,.',c-.� .7. If L ;` 91 I. ccoo RETAIN STORM WATER RUNOFF N PURSUANT TO CHAPTER 236 �L., ', �'n , Ca I C.) N OF THE TOWN CODE. \\,(5),, --, r.: opo `��` F / �rf'� !d -� -I r- rL • L -U- _ _ _ _U _ - -ULDJLL _ _ JJ_ _ _ LL _ _ IJ r 3-2X8 ACQ 3-2X8 ACQ ELEVATION OF DECK D1 5-104" 5-102" 8" 5'-31" 12'-9" 1 . 2 WITHIN OF GRADE SCALE "=1'-0" 6-6-2015 2