HomeMy WebLinkAbout42365-Z N
��o�gUFWI,�Cp� Town of Southold 5/3/2018
e
P.O.Box 1179
v,. 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39625 Date: 5/3/2018
THIS CERTIFIES that the building DECK
Location of Property: 50 CR 48, Peconic
SCTM#: 473889 Sec/Block/Lot: 69.-4-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/2/2018 pursuant to which Building Permit No. 42365 dated 2/13/2018
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:
DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Szczotka,Nancy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au e Signature
°�SiifFol,��oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • 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#: 42365 Date: 2/13/2018
Permission is hereby granted to:
Szczotka, Nancy
PO BOX 294
Peconic, NY 11958
To: construct a deck addition to a single family dwelling as applied for.
At premises located at:
50 CR 48, Peconic
SCTM # 473889
Sec/Block/Lot# 69.4-13
Pursuant to application dated 2/2/2018 and approved by the Building Inspector.
To expire on 8/15/2019.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $352.00
CO -ADDITION TO DWELLING $50.00
Total: $402.00
Building Inspector
Form No.6
TOWN OF SOUTHOLD
_BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Phis 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:
I. 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
I. 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.
New Construction: �( Old or Pre-existing Building _ (check one)
Location of Property: 14�+
House No. 9treet Hamlet
Owner or Owners of Property: _ A rz_&c-,f
Suffolk County Tax Map No 1000, Section Block �� Lot 113
Subdivision Filed Map Lot:
Permit No. Date of Permit. Applicant
Health Dept. Approval: _ Underwriters Approval
Planning Board Approval-
Request for- Temporary Certificate Final Certificate _ (check one)
Fee Submitted. $
Ap plicant Sig tlure
V /
a0f so
# * TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ /FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F - UNDATION 2ND [ ] INSULATION
[ FRAMIN /STRAPPING [v /FINAL
P"
[ ] FIREPLACE & CHIMNEY -[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE 1 INSPECTOR
FIELD INSPECTION REPORT DATE OINTMENTS
i ig o
FOUNDATION(1ST)
H
--------------------------------
'FOUNDATION(2ND)
r
ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y-. H
STATE ENERGY CODE
t
0
FINAL
ADDITIONAL COMMENTS
O
e Z
m
X
d
TOWN OF SOUTHOLD
BUILDING PERMIT APPLICATION-CHE KLIST
BUILDING DEPARTMENT
TOWN HALL Do you have or need the following,before applying?
SOUTHOLD,NY 11971 Board of Health
TEL: (631) 765-1802 4 sets of Building Plans
FAX: (631) 765-9502 Planning Board approval
SoutholdTown.NorthFork.net Survey b PERMIT NO. 2 S� Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Examined - Flood Permit
'20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved / L 3 20 -
' Mail to: IaA(til,{
Disapproved a/c Po X
&
FDIC
Phone: /Z—3 7S'—69 gS
Expiration 20 r
® Lid
DBuilding Inspector
FEB 2 2018 LICATION FOR BUILDING PERMIT
BUILD1K(;D % Date /.30 , 20
TOWN OF SOUTHOLD 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 ektension 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 demolitiori as herein described. The
applicant 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.
e
(Signature f app scant nA L * i Ca , if a corporation)
(Mailing address of applicant)
State whether applicant is wner, ssee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises o'
(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.
i
1. Location of land on which proposed work
work will bye/done: i
I X 0 ;
House Number Stre t i
County Tax Map No. 1000 Section
77'
block Lot
1
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
b. Intended use and occupancy- S
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
S. 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 Rear Depth
Height Number of Stories
•TRACY Dimensions of same structure with alterations or additions: Front Rear _
Depth hf Height Number.'1,8tories
8. Dimensions of entire new construction: Front Rear / Depth
; Height Number of Stories
Rear 1�3.l6 De th(W �7'l. j') �•
9. Size of lot: Front / P
i'
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated A —(f
j
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lbt-be te-graded? YES -.-NO---_. Will exeess fill be removed from premises? YES - NO
14. Names of Owner of premises Q �zc�i&- Addr�ess D13.-z hone No.T1(0 �3-7S- 69g-L/
Name of Archi 7ie11&1-f rmOA Ad��,f,e'�,�'IL)/-1
"�' '+1' hone No v�vn-l�3t-47�-97
Name of Contractor TSPdaressnu►r►� Phone No.
145"
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.
j b. Is this property within 300 feet of a tidal wetland? * YES NO_,y
i * 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.
i
STATE OF NEW YORK)
I
SS:----
COUNTY
S.COUNTY OF til
being duly sworn, deposes and says that(s)he is the applicant
(Name of indiv dual signing contract) above named,
(S)He is the
(Contractor,Agent, Corporate Officer, etc.)
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.
Swor to before me s VICKI L BERRY
day of ", �_ftbiic-State of New Y rk
:.;.NQ:01.BE6 70081
01 a` 'ified:in,Stiffo
Notary Public omrl1IS510�3E �'Ire$ — Sign ture of ppl ant
Scott A. Russell (D5
ST�O>]EZI��1 WA'7C']E K
SUPERVISOR
I\\l[Al�A G]EI\\I[]E1�r]F
SOUTHOLD TOWN HALL-P.O.Box 117953095 Main Road-SOUTHOLD,NEWYORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
J {CHECK ALL THAT APPLY) {
Yes No
` dFIA. Clearing, grubbing, grading oT stripping of land which affects more
than 5,000 square feet of ground surface.
']❑ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous-area. '
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ ] E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
- ❑❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOPI Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
�C If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT- (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. �`' 1�tr0 Date
I Distract I` p.
NAME 64 � —a � Ia
:prwi Section Block Lot
"**FOR BUILDING DEPARTMENT USE ONLY **"*
Contact Information: —16 " 375—� 1 S�
— — — — — — — Relephone Numbed — — —
Re
— — — Reviewed By:
/
Date: �-` ,
Property Address/Location of Construction Work: — — — — — — — — — — — — — — — —
'/ Approved for processing Building Permit.
/MDQ-- 69' ?—�3 Stormwater Management Control Plan Not Required. I
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.) �
FORM # SMCP-TOS MAY 2014
.���SUFFDCk G
Town Hall Annex �� y�`'� Telephone(631-1802
54375 Main Road 1 —< Fax(631) 734-9502
P. O. Box 1179 0 ){
Southold, NY 11971-0959
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: ) �3o I('V -
Owner. 1�1CVI
Location of Property:
Please take notice that the (check applicable line):
New-residential structure
Addition to existing residential structure-s.
: Rehabilitation to an existing residential structure
to be constructedor performed at the subject property reference above will atilize
(check applicable line):
?� Truss type construction (TT) �, �
Pre-engineered wood construction:(PW)
Timber construction (TC)
in the following iocation(s) (check applicable line):
X Floor framing, includi..ng girders and beams (F)
X Roof framing (R)
Floor and roof framing (FR)
Signature:
Name (person submitting this form): " J`J,4j:6JGv SzL��rY 4—
Capacity(check applicable line):
Q Owner
Owner representative
TrussResRegI5.docx Effective 1112015
6" DIAMETER
.EFLECTIVE PRED - -- -- - ---- _ - -
i[vTOhit ROMA! ALPHANUMERIC
--•-- •• --••-- _ __ _---- ..._._ -----•-DESIGNAT-IO'N-OF CONST RUCTION
(PMS) #187 TYPE BASED ON SECTION 602 OF
THE BUILDING CODE OF NEM
YORK STATE
2" MIN. REFLECTIVE
WHITE
1/2" STROKE
�_, ,• .._ ..- :•DErstGN��`YYt7N�c9�-STfzbL"t`ttttt�t ' ._ _._.�._�_--------- ------_'�.� ---
CONJPONENTSTHEI.T ARIVOF.
TRUSS CONSTRUCTION
-F" FLOOR FR/AM(NG,•INCiUDING
GIRDERS'IAF(!�BEAMS:•„ ;
-R" ROOF FRAIP(NG
"FR" FLOOR AND ROOF OIZAMII 6
TRUSS USS [I.. B\I I I RQM I-C -S1
PLIAIEEWTH 19.2L.0 �-P�RFTWSgqe-
EW/RETRUSSIDEN-nFIGN]IONSIGN
DATE03(00005 -
-,
NEW CORK STATE DEPARTMENT *OF STATE
DIVISION OF CODE ENFORCEM* SIT
AND ADMINISTRATION
�eNxa�Gc,�:
SURVEY OF PROPERTY
SITUATE
PECONIC
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
�� O S.C. -TAX No. 1000-69-04-13
ATL SCALE 1"=50'
2015
APRIL 21, 201JUARY �
5 REVISEDPROP SED HOUSE
AUGUST 8, 20115 FOUNDATION LOCATION
�Owr� Fo ►�°}� s IP �y y APRIL 9. 2016 CORRECT SEPTIC SVEY
YS. TIE DIST.
7: AREA = 61,540 sq. ff.
0� `pQ CERTIFIED TO: 1.413 ac.
0, NANCY SZCZOTKA
N. ULSTER SAVINGS BANK, ITS SUCCESSORS AND/OR ASSIGNS
FIDELITY NATIONAL TITLE INSURANCE COMPANY
TITLE No. F15-7404-204679—SUFF
o SEPTIC SYSTEM TIE DISTANCES
COVER HOUSE CORNER A' HOUSE CORNER'S'
SEPTIC TANK 18' 28.5'
O ' ryw• yyj/ v � OUTLET COVER
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,ITY.S Lic. No. 50467
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION LA OF THE NEW YORK STATE
EDUCATIONathan Orwin III
N LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THLand Surveyor
E LAID SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE DOPY.
CER IFICAMONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED,AND ON HIS BEHALF TO THE
TITLE COMPANY,GOVERNMENTAL AGENCY AND Title Surveys —Subdivisions — Site Plans — Construction Layout
LENDING INSTITLIRON LISTED HEREON,AND
TO THE ASSIGNEES OF THE LENDING INSTI—
TUTION.CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. BOX 16
Jamesport, New York 11947 Jamesport, New York 11947
155UE5/ REV15101,15
EXISTING
WINDOW
WELL
NOTE: ALIGN EDGE OF DECK WITH
EDGE OF EXISTING WINDOW WELL
e
EXISTING
WINDOW WELL
MOVE EXISTING STEPS I -0 r
0 4.
�I! (/T/t/- "0&CIO
w tfR iNEW DECK 64o
DECKING TO BE DETERMINED r��O...1_t?li' *:,
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10`-0" 22.0' 00 m p SEPTIC NQLA r�F •2
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A NEW DECK PLAN 4 I —0 I N _-�
cn 33.8' 1 ; °.-
cn 24.7' 4 , -: r
75 ! m WELL w ,ted �r i
1 STORY FRAME w
HOUSE & GARAGE _
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BASEMENT'4'-102 54.1' 33.8'
O WIND WELL �Sr
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_ ASEMENT
3"x 8" FLUSH LEDGER BOARD W/(2)Z" LAG BOLTS @ 1 G"OC O c 115W mm WINDOW WELL
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\O NOTE:ALIGN EDGE OF (:)._,—CESSPOOL
m m DECK WITH EDGE OF PROPOSED
2 x 2 x I D REINFORCE U W r Z EXISTING WINDOW WELL
POURED CONCRETE O I p z
= PADS @MIN 3'0" BELOV W p m NEW DECK CESSPOOL
GRADE, WITH 8"DIA. I (D-4 OOL
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THESE PLANS ARE AN INSTRUMENT OF SERVICE
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�'v/'► u I Z I ARCHITECT.
Q' k, INFRINGEMENTS WILL E PROSECUTED
_ Li I J ` L _ L =1-1m ROW OF TREES O O 2ol8 ALL RIGHTS RESERVED
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=N - - -- I , - ---- --69 = - 51TE PLAN
L — — J I 50 COUNTY RTE 48, PECONIC, NY 1 1958 IT IS A VIOLATION OF THE LAW FOR ANY PERSON,
1 UNLESS ACTING UNDER THE DIRECTION OF A
I LICENSED ARCHITECT,TO ALTER ANY ITEM ON
FOUND
BASED ON SURVEY BY NATHAN TAPT CORWIN III THIS DRAWING IN ANY WAY.ANY AUTHORIZED
STAKE sooP 1586 MAIN ROAD, JAMESPORT, NY I 1947 ALTERATION MUST BE NOTED SEALED,AND
01-0"------- i _3' 10'-0"
- ---- - --.- - - -
NE DECK FOUNDTION PLAN II = I I-OII DOWN SCTM No. 1000-G9-04- 13 DESCRIBED IN ACCORDANCE WITH THE LAW.
4 DATED 03-01 -201 G
A \
�o AREA = G 1 ,540 SF = 1 .413 ACRES
I
23''
/20 SETBACK LINE
PROPOSED TOWN OF SOUTHOLD ZONE A-C
PRE-FABRICATED ZONE 2 ti ks` 1 6
y I STORAGE BARN D RA 1 N AG E CA LC U LAT I O N S
20-.- - PLANS To Be PROVIDED ZONE 1 : 993.5 SF x 0. 17 = I G9.4 CF REQD.
5/4" PORCH DECKING � � �o I BY MANUFACTURER PROVIDE ( I ) 8' DIA x 40D DRYWELL = 190. I CF
�\ c
rn
PROVIDE METAL STRAPS TO DECKI NG MATERIAL TO BE xj CLIENT(OWNER
CONNECT POST, GIRDER AND SELECTED O � �� ZONE 2: 639.0 SF X O. 17 = I OS.G CF REQD.
5/4"xl O"AZEKTRIM JOISTS CONTINUOUS ALUMINUM m PROVIDE ( 1 ) G' DIA x 3'G"D DRYWELL — 147.8 CF NANCY
FLASHING —
SZCZOTKA
_ - 0 - LOT COVE(SAG E•
•
N 2"x8" P.T. G"O.C. �—
@ I EXISTING HOUSE (INCLUDING GARAGE): 2,077.8 SF PROJECT TITLE
GRADE m PROPOSED STORAGE BARN: 1 ,G35.G SF
--y
I
8" DIA. SONOTUBE (2)2"x8" P.T. BEAM PROPOSED DECK: 359.0 SF STORAGE BARN
`� & DECK ADDITION
O
L T_J TOTAL : 4,072.4 SF STATE RTE 8, PECONIC, NY
50 4
C0 G"XG" P.T. POST EXISTING POUNDAT
v O
v 4,072.4 / G 1 ,540 SF = G.G%
METAL STORAGE
CONTAINER
FOUND CONC. DRAWINGTITLE
10.3'
MON. 0.4'W.
21 RAIL ROAD MON. S 470 0 1 '20" W 143. 10 SITE PLAN
DECK PLAN
SITE PLAN
JAN. 30, 2018 S"'LNOTED
I I III _ 1 tt LONG ISLAND RAIL ROAD (M .T .A. ) EXISTING EXCEPT AS NOTED DRAWING NO. aft
NEW DECK SECTION A 2 — I —0 o „ -_ ,
1 30 ell