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Home My WebLink About27175-ZFORM NO. 4 TOI~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28433 Date: 05/16/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 25 PIPING PLOVER LANE GREENPORT (HOUSE NO.) (STREET) {HAMLET) County Tax Map No. 473889 Section 35 Block 1 Lot 25 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 23, 2001 Dursuant to which Building Permit No. 27175-Z dated MARCH 27, 2001 was issued, and conforms to all of the requiremenss of the applicable provisions of the law. The occupancy for which this certificate is issued is SINGLE FAMILY DWELLING (UNIT $25) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH ~ 4 SEASON ROOM AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, (OWNER) of the aforesaid building. INC. S~I~LK COUIq~f DEPART~ OF }~L~J~T~{ AI~PROVl~L C10-97-11 05/10/02 ELEC~RIC~L CERTIFIC3%TE NO. N-576941 11/27/01 PLUMBERS CERTIFICATION DA'£~ 02/14/02 HARTCORN PLUMB.&HEAT.INC. Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PEP34IT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27175 Z Date MARCH 27, 2001 Permission is hereby granted to: LA/~DING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATT. 2 CAR GAP~AGE, COVERED FRONT PORCH & 4 SEASONS ROOM AS APPLIED FOR & TO DEC & TRUSTEES #25FULL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated MARCH Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 025 23, 2001 and approved by the Fee $ 806.20 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD 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: ho For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and mmsual natural or topographic fbatures. 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. Bo 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 a 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 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. Photocopy of Ce~ificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~_~ I~ 5'~~ Date. Old or Pre-existing Building: __ ! S~ect S ~'~ Block Health Dept. Approval: Planning Board Approval: Request for: Date of Permit. '7'/,,' Temporary Certificate (check one) Hamlet Ex" Filed Map._ '3 ! ~.") [0 ! __ Applicant: Lot: Underwriters Approval: Final Certificate: ~ (check one) Fee Submitted: $ Applicant Signature Dennis M. Wilhelm Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: (please p{-int) Plumber: Hartcorn Plmg. & Htg., Inc (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ day o f ~; _~_ l/~/~ ,20 D/~ Notary Public, County VIRGINIA M. GOCINSKI Notary Public, State of New Yon~ No. 4873841 Qualified in Suffo k County term expires October 20, ~,v-- THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~/%~ c ~~ BUREAU OF ELECTRICITY ! 40 FULTON STREET, NEW YORK, NY 10038 NCJ\;E~?iR 27,20(~1 ,;.r: , ! ::2 N 576941 ?ECONIC LANDINg, ~'~r~IN RD, RT. 25~ C_TTAGE # 25, ~ : ,-.. in the following location' [] ~asement ~ 1st Fl. [] 2nd FI. N6VEHBER O2,2~I Section 35 Block i Lot (;AR i I 1 I F 1 20C CB 1 X 1 2/f~ 1 1/*~ MODULAR HOUSE- ! N.Y. STATE APPROVAL # 19-12444-1 ~tFG. AVIS A~RICA'-i SERIAL # 653~1-1 4 TON A/C--i MOTORSI1-4 H.P.,i--F H.P. -PANELBOARDS: i-1 CIR. 4 <<< Continued On Page 2 >>> I P*r GENERAL I~NAGER COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 '" ~-" :~{~C~ ! ' N 576941 ~ ' ; - Applica~on No. on file ' ' *: ' ' THIS CERTIFIES THAT only the elec~cal equipment as desc~bed below and introduced by the ~plicant named on the above applica~on number is in the premises of P.,CONIC I~DING, 1.~IN RD RT. 25, COTTAGE ~ 25, GRL:::~: in the following loc~on; ~ Basement ~ 1st FI. ~ 2nd FI. G~ 7 ~ Section ~5 Block 1 ~t was examined on and found to be in compl~nce with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES INCANDESCE OUTLETS DRYERS FURNACE MOTORS AMT. K.W. OIL H.P. GAS H.P. SERVICE DISCONNECT NO. OF ^M.. r~PE ~'3,~'~ ~ 2W ~ 3W 3 S 3W 3 R ~W OTHER APPARATUS: FIXTURES FUTURE APPLIANCE FEEDERS AMT. NO. A.W.G. S RANGES MT, K.W. SPECIAl. REC'PT, AMT. AMP. V I EXHAUST FANS AMT. H.P. DIMMERS AMT. WATTS UNIT HEATERS MULTI-OUTLET SYSTEMS ' ' NO. OF FEET C PER · OF CC+ COND. NO. OF HI-LEG NO. OF NEUTRALS OF NEUTRAl* E. F. P,O,BOX 6070 MILLER PLACE, NY, 11764 Per 1 ~ENERAL MANAGER This cectlflcale must not be altered In any manner; return to the office o! the Board If incorrect· Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, THE NEW YORK BOARD OF FIRE UNDERWRITERS " BUREAU OF ELECTRICITY ~ 40 FULTON STREET, NEW YORK, NY 10038 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of in the following locatlon~ [] Basement [~ 1st FL [] 2nd Fl. r~A~, ~i :'~ Section -~ Black ~ Lot '~'~ AMT. AMP. TYPE EGUIP* I e 2W 1 g 3W 3 e aw $ I 4w ~. -~). ~-E , X 1 HODU~R HOUSE- i N.Y. STATE APFROV~ ~ 19-12443-1 ~G. AVIS 4 TON A/C-1 HOTORS~i-4 H.P ,!-F RANGES SPECIALREC'PT AML AMP. E R v I C NO. OFCC COND· A.W,G. ~R~ OFCC. COND. EXHAUSTFANS AMT. H.P. DIMMERS AMT. WA~S NO. OF HI-LEG A- W. ~. NO` OF NEUTRALS A.W.G. OF HI-LEG OF NEUTRAL 1/0 -PANELBOARDS, 1 - 1 CI~. 6ta Per. GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if Incorrect· Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 ~3¢~558 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 -- NOVEMBER 27,20~1 .~:'~ ¢~: ~< N 5;'6912 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of PECONIC LANDING, HAIN ROAD ROUTE 25~ CLTTAGE 25, G~:,{ :~,'~ . h~ locati ' Base en 1st Fl. [] 2nd Fl. YA~. ' "" Section '35 Block Lot in the following ~ ~R t ~ was examined on and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS OUTLETS RECEPTACLES FLUORESCENT OTHER WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO, OF CC COND. OF CC, COND+ NO, OF NEUTRAL~ OF NEUTRAL E.F. ~LONEY P.O.BOX 6(~7~ HILLER PLACE, NY, 11764 GENERAL MANAGER 11 This cedlflcate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIPICATE MUST NOT BE ALTERED IN ANY MANNER FINAL INSPECTION REPORT Sidney B. Bowne & Son Consulting Engineers 235 E. Jericho Tpke., Mineola, NY t 1501 PECONIC LANDING TOWN OF SOUTHOLD BUILDING PERMIT NO.: COTTAGE NO.: ~ ~-~ In accordance with the Agreement between the Town of Southold and Sidney B. Bowne & Son, LLP, Consulting Engineers, dated January 14, 2000, for professional engineering services relating to the above project, we have completed the final inspection for the subject premises. In addition, we have reviewed inspection reports and other relevant material for conformance to the requirements of the Town Building Department for a Certificate of Occupancy. Based on this review, we have no objection to the issuance of a Certificate of Occupancy for the subject cottage. By: Gino N. Aiello, P.E. Dated: April 04, 2002 Mr. Michael J. Verity Code Enforcement Officer Southold Town Ball 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage Code Certification. Dear Mike: In reference to the above mentioned project we, Barton & Associates, LLP (Architects of Record for said project), hereby certify that to the best of our knowledge, information and believe that Cottage Unit No. 25 have been constructed m compliance with all applicable laws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP Frank P. Laughlin, RA Senior Vice President cc: Dennis M. Wilhelm, RLS A1 Broszeit, E&F Walsh Bob Ellis, O/N BARTON & Associates, L.I'* BARTON & Associates, Inc. Thomas C. Barton, Ill, AIA 5120 Butler Pike, Suite 200 Plymnuth Meeting, PA 19462-1230 Tel. 610.940.5825 Fax 610.940.5830 I'HILADELPHIA CHICAGO BALTIMORE/ WASHINGTON Officers MAYOR DAVID E KAPELL (631 ) g77- TRUSTEES WILLIAM J MILLSlll GEORGE W. HUBBARD GAILF HORTON BRADLEY B BURNS 236 THIRD STREET GREENPORT, NEW YORK 11944 CLERK/TREASURER CHRISTIE HALLOCK Tel: (631)47%0248//385 Fax: (631) 477d877 March 14, 2002 To~ E. F. Walsh Developers Peconic Landing From: Village of Greenport Utilities Department Re: Peconic Landing Sewerage System To Whom It May Concern: The Village of Greenport is allowing Peconic Landing to deliver its sewerage to the Village Sewerage System on a conditional basis until the pump facilities are complete and certified, at which time the Village will accept total responsibility for the lift station and related appuntages. Presently units 1-45 are allowed to discharge into the Village's system. The sewerage being delivered is acceptable to the Village sewerage system. Respectfully, William Swiskey Utilities Foreman WS/js INSPECTION TEST GAS AND WATER SERVICE Sidney B. Bowne & Son Consulting Engineers 235 E. Jericho Tpke, Mineola, N.Y. 11501 PECONIC LANDING TOWN OF SOUTHOLD GAS WATER Pressure Pressure COTTAGE # DATE APPROVED BY Test Test 5.0 PSI 50 PSI 25 9/26/01 OK OK REMARKS: COTTAGE SCHEDULE Feb. 4 - Feb. 9 ~.ottage # 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 Model Hermita,~e 2 Hermitage 2 Hermita,~e 2 Corchau~ Oyster Pond Hermita,~e 2 Hermitage 2 Corchau,~ O},ster Pond Oyster Pond Hermita,<:JeHermita,~e 2 Hermitage Corchau~ Hermitage 2 Hermita,~e 2 Hermitage2 Excavation 4/16 4/13 4/5 Done 4/9 4/13 3/25 3~25 4/3 4/2 4/4 4/11 3/4 3/9 3/10 3/10 5/1 Footer 4/25 4/24 4/10 4/20 4/24 4/~-5 4/4 4/4 4/6 4/5 4/9 4/18 3/20 3/14 3/14 3/15 5/7 Foundation 4/26-CR 4/25-CR 4/11-CR 4/24- CR 4/26- CR 4/17-FB 4/5-CR 4/6-CR 4/7-CR 4/9-CR 4/9-CR i 4/20-CR 3/21-Craw13/15-Crawl 3/15-F/B 3/19-F/B 5/8- FB Rat Slab 4/26 4/25 RT-4/19 5/1 5/1 5/1 RT-4/19 4/27 4/25 4/25 4/27I 4/27 Porch-4/25 -- Sanitary Sieve 5/9 5/10 -5/8 5/9 5/10 "- 5/4 5/10 5/11 5/1 5/1 5/1 5/1 4/26 5/3 4/26 4/26 4/26 Damp Proofing 4/24 i 3/20/01 3/26/01 3/26 Serial # 6555 6576 6501 6546 6547 6548 6531 6530 6535 6541 6537 6538 6480 6483 6481 6482 6501 Sills,Plates 4/30 4/30 4/11 5/21 4/30 5/21 4/26 4/27 4/27 4/27 4/26 5/8 3/21 3/20 3/16 3/21 5/17 Oelivered 5/22 6/5 4/11 5/4 5/4 5/7 5/1 5/1 4/17 I 5/8 i 5/3 5/8 ~ 3/27 3/28 4/2 4/2-4/3 6/2 TrussesOrder 5/1 S 6/~S 4/5-T 4/27S 5/1 5/1 S 4/18-S 4/18-S 4/18-TI. 4/18-S I 4/18-T 4/18-S ---- 6/2-S Trusses Del. 5/21 6/6 4/12- T 5/15 S 5/14 5/15 S 4/27-S 4/27-S 4/25 4/25 4/26-T 5/10 4/5-T 4/5-T 4/13-T 4/13-T 6/7 Cottage Set 5/30 6/6 4/12 5/16 5/17 5/17 5/1 5/1 5/2 5/9 5/3 5/15 I 3/28 3/28 4/9 4/11 6/27 Garage 5/30 6/6 4/12-F 5/16 5/17 5/17 5/1 5/1 5/2 5/9 5/2 5/15 13/28-FL-M 3/29-FR 4/9-FR 4/10-FR 6/27 Trusses Set 5/31- R 6/:7- H 4/30-R 5/21- H 5/17 - H 5/22- H 5/3-R 5/3-R 5/9- H 5/14- R 5/9 - H 5/10-R 4/8-H 4/9-H -4/19-H 4/19-H 7/5- R Sheeting 5/31- R 6/7- H 5/1- R 5/29- H 5/18 - H 5/30 - H 5/4 5/7 5/10-H 5/15 - R 5/10 - H 5/12 - R 4/8-H 4/9~H 4/23-H 4/23-H 7/5- R Chimmney/FP 6/5 7/3 5/7 6/14 ~)-14 6/25- FP 5/3- FP 5/9- FP 5/10 6/1 FP 6/3 6/1 FP 4/27~FP 4/23 4/24-FP 6"4/27-FP 7/16-FP Extra Room N/A N/A N/A N/A N/A 4 Seasons S.Porch 4Seasons Exp. Liv. Exp. Liv. N/A 4 Seasons N/A Porch 4 Seasons 4 Seasons Screened P Shingles Del. 6/7 6/7 4/19 6/7 6/7 6/7 5/2 5/2 5/3 5/11 5/3 5/24 4/11 4/11 4/19 4/19 7/10 Shingled 6/18 6/18 5/4 6/21 6/22 6/12 5/8 5/9 5/11 5/17 5/11 5/29 4/17 4/14 4/23 4/25 7/16 Sided 8/23-T 8/24-T 8/27-T 8/27-T 8/29-T 8/30-T 8/30-T 8/31-T 8/31 -T 8/23-T 8/24-T 8/25-T 5/14- T 8/2 - T 7/12- T 7/15- T 7/23- T HVAC-HEAT 7/16 7/16 6/18 6/13 6/13 7/20 6/21 6/25 5/31 6/4 6/4 6/5 4/27 4/27 6/5 6/11 7/22 Electric-Rough 6/7 6/20 5/17 6/5 6/1 6/4 5/11 5/11 5/14 5/14 5/23 5/28 5/7 5/7 5/8 5/8 6/25 Plumbing Rough 5/9 5/10 5/8 5/4 6/28 5/4 6/29 5/1 5/1 6/25 8/15 5/1 5/16 5/3 5/8 5/7 8/6 Gas Piping 7/17 7/9 7/20 7/11 6/28 8/28 7/2 6/29 6/28 6/25 6/26 7/26 7/2 6/27 8/24 8/25 Garage Slab 5/15 5/15 6/4 5/1 6/1 G-5/1-B-6/1 4/27 4/27 G4/27-B6/1 4/27 4/27 4/27 5/1 5/9 5/2 G-5/2-B-5/9 B&G 7/19 Garage Door D-1-OP D-1-OP S ~ D-1-OP S S D-2-OP-8/6 D-2-OP-8/6 S-8/6 S-8/6 D-1-0P-8/6 D-1-0P-8/6 6/5 - S 6/-S 6/5-D-2-OP 6/-S D-l-OP-7/20 Sheet Rock 6/22 6/22 6/12 8/7 Completed 8/13 5/22 5/27 5/29 6/5 6/5 6/6 5/8 5/9 5/8 5/15 7/18 Spackle 6/28 6/30 6/28 8/22 6/25 8/23 6/14 6/15 6/20 6/21 6/18 6/28 7/16 Completed Completed Completed 7/20 Trim 6/25 6/22 5/17 8/9 6/13 8/15 7/12 5/24 5/23 5/29 5/29 5/29 4/30 5/2 5/4 5/8 7/18 Paint 8/29 8/15 - 8/28 8/27 ~15 8/16 8/15 8/15 8/17 I 8/20 8/22 8/24 8/15 7/2 7/3 7/6 8/2 Elect. Comp. 11/15 11/15 11/15 10/24 10/24 10/25 10/25 10/26 10/26 10/29 10/29 10/30 10/30 10/19 10/19 10/18 10/18 Ceramic Tile 7/11 7/11 7/11 7/11 7/11 7/11 7/11 7/3 7/3 7/3 7/29 Carpet - 11/8 11/7 ' 12/5 11/15 12/5 12/6 12/6 12/7 12/7 10/22 10/23 10/24 1~-24 10/24 INoodFIooring -- 12/'~'1 12/20 12/12 12/7 12/5 I -- 11/23 10/17 10/18 10/19, 10/19 10/20 ~.ppliances 1 2/14 1 2/14 1 2/19 12/19 12/19 1 2/19 12/19 I 12/4 1 2/4 12/4 -1~4 1 2/4 I 1 2/7 Hold FOUNDATION (IST) ~om'mA'r ~os (2~m) ROUGIt FRAHE & PLD1438ING INIIIILAIION PER N. STATE ENERGY CODE FINAL 1 BUILDING DEPART~ ~E~,~T SOUTHOLD~ ~ TEL: 765-1802 z7 2o Examined t' ~'--~ Approved ~ Disapproved ,Mail to: Phone: BUILDING PERMIT APPLICATION CHECK.LIS' Do you have or need the follow/rig, before applying Board of Health 3 sets of Building Plans 7/7 S ey Check Septic Forru N.Y.S.D.E.C. Trustees Contact: Building Ifispector ~' APPLICATION FOR BUILDING PERMIT Date ,20 INSTRLICTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, ~/ccurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on'~remises, relationship to adjoining premises or public streeti 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 throughotit the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance cfa Building Permit pursuant to the Building Zone Ordinance &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, housing code, and regulations, and to admit . authorized inspectors on premises and in building for necessary inspections. (Signature of al~plicant or name, if a corporation) - /(Mailing address of app icatnt) ' State whether applicant is owner, lesse~e, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises~/9OCDt~lC ~II~IlCl O't- .%O0~O,a ! (as on:the tax roll or latest deed) If applic~tnt is a corp~a,fio~, 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 doric.: /203 House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Q~ Block / Lot - ~ "Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occup, ancy ¢~[iproposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building X Addition Alteration Repair Removal Estimated Cost ~3t 700:00t9 If dwelling, number of dwelling units If garage, number of cars Demolition Other Work Fee /~///~ (Description) // (to be paid on filing this application) Number of dwelling units on each floor 5. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Rear Depth. Height Dimensions of entire new construction: Front Size of lot: Front A///q Rear O2- Number of Stories Number of Stories Rear .Depth .Depth 10. Date of Purchase Name of Former Owner L 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: ¢0 .3. Will lot be re-graded t/&5 Will excess fill be removed from premises: / t 4. Names of Owner of premises~j,~*~lT&~/Address Name of Architect Address Name of Contractor Address YES Phone No. f ~O}) Z~'~- 6//~0 .Phone No_~.~~=_~' Phone No. ~ 5. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. O~/ p'/O, 7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) ..- SS: ;OUNTY OF--D,-t f t~I/O ~J(Name f individual signingc°ntral I II ~oV~'~O~'[:P'~:~ tl ct)above narnedbeing, duly sworn,_ deposes and says that (s)he is the applicant S)He is the (Contractor, Agent, Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; ~at all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. worn to before me this. ,~ ~dayof ~gt~c.~ 20 O ] ~/ - Notary Pu~5~c/ , .. , Pubt~, 8t~e o~ N~, York NO. 4791'b Term ~r;,es: l'3/~ ii Ii CUSTOMER: FEELEY, 4' DIA..OLE ir~ FLOOR FOR BUILDERS DRYER ~NT COTTAGE ./J25 GENERAL I NOTES BRACE BOX & WIRE FO~ BUILDERS FAN/LIGHT NOTES: SNOW LOAD: - ALL WINDOW HEADERS ARE TO BE MOUNTED 7'-?". - ROOF INSTALLED ON-SITE - CRAWL SPACE ACCESS SUPPLIED ~ INSTALLED ON-SITE BY BUILDER - HURRICANE STRAPPING, 110 MPH - 2x8 CEILING 16" O,C, CEIUNO JOIST - WIRE SHELVES IN ALL CLOSETS - CROWN T/O, EXCEPT CLOSETS, LAUNDRY, & MECH ROOM - 9'-0" CEILING - TYVEK HOUSE WRAP RECET rED HAR 3 0 2001 30~ P,S.E, BUILDERS COPY REVISIONS HENRY ST, AMS, PA, 17721 (B70) 753-B7DO PECONIC LANDING CHORCHAUG RANCH 1ST FLR FLOOR PLAN E & F WALSH · 2194 TOT 1743 LIV