HomeMy WebLinkAbout27174-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28438
Date: 05/16/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 31 SANDPIPER LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax )~ap NO. 473889 Section 35 Block 1 Lot 25
Sut~ivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 20, 2001 pursuant to which
Building Pe~it No. 27174-Z dated 5~RCH 27, 2001
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 SINGLE FAMILY DWELLING (UNIT #31) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
· ~ne certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SI/FFOLK COUlqT"f DEPART~NT OF ~t~%h~{ APPROVAL C10-97-11 05/10/02
EI~C~rRIC~%L CERTIFICATE NO. N-576922 11/27/01
PLI]MB~ CERTIFICATION DATBD 02/14/02 HARTCORN PLUNB.&HEAT.INC.
Rev. 1/81
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. 27174 Z Date MARCH 27, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A NEW SINGLE F~MILY DWELLING WITH ATT. 2 CAR GAR.
& COVERED FRONT PORCH AS APPLIED FOR & TO CONDITIONS OF DEC & TRUSTEES #31CP~AWL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated FEBRUARY
Building Inspector.
MAIN RD
Block
20, 2001
GREENPORT
0001 Lot No. 025
and approved by the
Fee $ 399.20
Author//z~d Sig~ure
ORIGINAL
Rev. 2/19/98
~orm 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:
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. Appro. 9al 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. S~bmit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 195'0 non-conforming rises, or buildings and "pr~-existing" land uses:
1. Accurate survey of prope~'~y 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 Iraspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additious to dwelling $25.00, Alteratious 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 Certificate 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:
Date.
Old or Pre-existing Building:
Str&t I
House No.
Owner or Owners of Property: _e"'~C,~l,l it'_
Suffolk County Tax Map No 1000, Section
Subdivision
Date of Permit.
'7' 1.'
Temporary Certificate
/ '
(check one)
Block i
Filed Map. _
Applicant:
Underwriters Approval: __
PermitNo. 2~ I'~q.~
Health Dept. Approval:
Planning Board Approval:
Request for:
Final Certificate:
Hamlet
Lot
Lot:
(check one)
Fee Subrmtted: $
Applicant Signature
Dennis M. Will~lrn
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMEN"F
TOWN OF SOUTHOLD
CERTIFICATION
/ t
Building Permit No.
Owner: ~Jt(.~/I it'.
(please p~nt)
Plumber: Hartcorn Plmg. & Htq., Inc
(please print)
lead.
I certify that the solder used in the water supply system contains less than 2/10 of 1%
(Plumbers'Signature)
Sworn to before me this
dayof ~//x'~.~ , 20fix-
Notary Public, County
VIRGINIA M. GOCINSKI
Nota~ Public, State Of New ¥o~
No 4873841
Ouafifled in Suffolk Cou~v
rein eXpires October 20, ~,~ 2~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~- 40 FULTON STREET, NEW YORK, NY 10030
~' *'~'" '" ~ ~:"'>J' ',I ' 576922
THIS CERTIFIES THAT
..... N._ LANDING ~SOUTHOLD~ I~IN RO~ ROUTE 25, COT' ~':f.~ . ~.~:~ ~,u/GREENPOR~., ~
in the following Ioc~ion' ~ Basement ~ 1st Fl. ~ 2nd Fl. ~, N ' Secaon Block ~t
N~'~I~ER 02,2¢01
=~vT.=~L.E~rEs RECEPTACLES SWITCHES
AMT, K.W. 0~[ ~.
SERVICE DISCONNECT I NO. OF~
140D~ HOUSE- i
N.Y. STATE ~PROV~ ~ 19-12453-I
I~G. AUIS ~RICA-I
SERIP~ ~ 648~1-I
3.5 TON A/C-1
FIXTURES
FUTURE APPLIANCE FEEDERS
S
RANGES
MT. K,W.
SPECIAL REC'PT,
AMT. AMP.
R
COOKING DECKS OVENS DISH WASHERS
AMT. K,W. AMT. K.W. ~ MT. K.W,
V I
2/0
EXHAUST FANS
DIMMERS
AMT, WAH$
C
E.F. HkLONEY
P.O.BOX 607{)
HILLER PLACE, NY,
11764
This certificate must not be altered In any manner; return to the office of the Board if Incorrect. Inspectors may De identified by their credentials.
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT SE ALTERED iN ANY MANNER.
APR -
March 29, 2001
Michael J. Verity
Code Enforcement Officer
Southhold Town Hall
53095 Main Road
P,O. Box 1179
Southhold, NY 11971-1179
PECONIC LANDING
Concrete Foundations
Dear Mike:
In reference to our conversation at our meeting yesterday in regards to the
loading of the foundation walls of the cottages and your requirement of not
loading these walls for 28 days, we offer the following:
The concrete pours are being collected and tested for the verification of the
design mix (3000#) and tested with a break at seven, fourteen and twenty
eight days. It's our experience that the design load is generally at 75% at
seven days and exceeding design loads after fourteen days.
We request the option of our monitoring these test results in order to allow
the loading at the earliest date possible. We will submit to you, on a
periodical basis, a report indicating our direction to the contractor.
We have started this process on cottage nos. 30 and $t, as the test results
have exceeded the required design loads in less than twenty-eight days.
I trust this is in compliance with our conversation and your direction. Please
contact us if more information is needed.
BARTON & Associates, L.P.
BARTON & Agsoeiates, lnc.
Thomas C. Barton, III, A1A
$120 Butler Pike, Sui~ 2~
Very truly yours;
d~TON ~
~ior Vic0-
kSSOCIATES, LP
esident
CC:
Dennis M. Wilhelm, RLS
Emil Canaan, E&F Walsh
A1 Broszeit, E & F Walsh
Bob Ellis, O/N
FINAL INSPECTION REPORT
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke., Mineola, NY 11501
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:
Dated:
Gino N. AieIlo, P.E.
April 04, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Soutbold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage Code Cettiflcation.
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. 31 have been constructed in 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
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BARI'{)N & Associates, L.P.
BARTON & Associates, Inc.
Thomas C. Barton. IH, AIA
5120 Butler Pike, Suite 200
Plymotlth Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
PHILADEI~PHIA
( HICAGO
BALTIMORE/
WASHINGTON
Officers
MAYOR
DAVID E KAPELL
(631) 477-3000
TRUSTEES
WILLIAM J MILLS 111
GEORGE W HUBBARD
GAIL F HORTON
BRADLEYB BURNS
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631)477-0248/2385
Fax: (63 D 477-1877
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
31 9/13/01 OK OK
REMARKS:
TESTWELL
14:59 FAX 7629638 TEST~ELL LABORATORIES {~002/002
CQRPORATI~ HEAD(~UARTERS: 4? HUDSON STREET, OS$1NING, N.Y. 10§62 (914)762-9000 FAX(O14)7G2.9~
V, REDDY KANCHARt_~, I~.E., DiRECt,
(NY$ MC. NO.
Sl'~. EL REINFORCEMENT INSPECI~[ON_REPORT
CLIENT:
PRO~ECT:
FIELD ENGINEER:
on ~//~/Z~// the above referenced project site was visited to inspect the placement of
steel reinforcement, concrete placement and the concrete form work.
Reported to: ~7~(~J/A/.> ~__~l~,c.,~ -' Of: j~_/~ F //~/~/-~//'~.~
Ti~e following plans, spedfications~ submittals, etc.., were revised:
(Drawing No., date or last re,[sion date, signed/sealed/approved by, etc.)
The specific location of inspected work areas induded:
(indicate floor level, column lines, ref.
The inspected steel reinforcem~;~;~lacemen~/was not ) in compliance with the project
specifications~ailable('{ mn~act / shop ) drawings. Contract drawings revised at the
project sit~were~J/were no't-)~approved by the N, Y. C. Department of Buildings,
(Not
/7/
The concrete form work ~(Was/~qas not ) cleaned of all debds and/< prepared/f not prepared )
for concrete placement. ~
IF NOT IN COMPLIANCE ~/~
1. Not in compliance due to;
2. Mr. of was notified of the ~bove.
3 Above noncompliance condition ( was / was not ) corrected during this inspection.
If yes, explain:
COTTAGE SCHEDULE
Feb. 4 - Feb. 9
Cottage# I 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,(] I Oyster Pond Hermitage 2Hermita,~e 2Corchau~ Oyster PondOyster PondHermita,~e Hermita,ge 2Hermita,~e ~rchal~ Hermita,~e 2 Hermitage 2 IHermitage2
Excavation i 4/16 4/13 4/5 Do_n~_ 4/9 4/13 3~25 3/25 4/3 4/2 4/4 4/11 3/4 3/9 3/10 . 3/10 C 5/1
Footer 4/25 4/24 4/10 ~_ 4/24 ~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 4/20-CR 3/21-Craw13/15-Crawl 3/15-F/Bi~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 4~27 4~27 Porch4/25) ~-- --
Sanitary Sieve 5/9 5/10 5/8 5/9 J~/10 5/4 5/10 5/11 5/1 5/1 5/1 5/1 4/26 5/3 4/26 4~626
Damp Proofing~T 4/24 __ -- __3--/20101 3/26/01 ~ 3~26
Serial# 6555 6576 6501 6546 16547 6548 6531 6530 6535 6541 6537 6538 6480 6483 6481 6482 6501
Sills,Plates 4/30 4/30 4/11 5/21T 4/30 5/21 4/26 4/2~ 4/27 4/27 4/26 5/8 3/21 3/20 3/16 3/21~ 5/17
Delivered 5/22 6/5 4/11 5/4 T 5/4 5/7 5/1 5/1 4/17 5/8 5/3 5/8 3/27 3128 4/2 4/2-4/3 ~ 6/2
I'russesOrder 5/1 S~ 6/8S~ 4/5-T - 4/27Si 5/1 5/1 S 4/18-S 4/18-S 4/18-T 4/18-S 4/18-T 4/18-S ~ --T~_ 6/2-s
Trusses Del. 5/21 6/6 4/12- T 5/15S 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 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 3/28-FL~M 3/29-FR 4/9-FR 4/10-FR 6/27
trusses Se~t 5/31- R 6/7- H 4/30-R 5~ ~| 5/17 - H 5/22- H 5/3-R 5/3-R 5/9- H 5/14- R 5/9 -~ 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-~1- 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
Ch mmney / FP
6/5 7/3 5/7 6/14 6/14 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 7/16-FP
ExtraRoom N/A N/A N/A N/A __ N/A 4Seas-ohs S.Porch 4Seasons Exp--.Liv. Exp. Liv. N/A 4Seasons N/A Porch 4Season~ 4Season~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
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
ISided 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-H~EAT 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
Plumbin~g 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-2-0P-8/6 D-2-OP-8/6S-8/6 S-8/6 D-1-OP-8/~D-l-OP-8/6 6/5 - S 6/-S 6/5-D-2-OP 6/-S D-l-OP-7/20
SheetRock 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/~ 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 8/15 8/16 ~/15 8/15 8/17 ~/20 8/22 8/24 8/15 7/2 7/3 ~ I 8/2
Elect. Comp. 11/15- 11/15- 11/15 10/24 10/24__ 10/25 10/25__10/2~ 10/26 -' ~0/29 10/29 10/30 10/30 10/19 10/19 ~ ~ 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 ~1/7 12/~) 11/15 12/5 12/6 12/6 12/7 12/7 10/22 10/23 10/24 10/241 10/24
WoodFIooring __ 12/11 t2/20 12/12~ 12/7 12/5 11/23 10/17 10/18 10/19 10/19 ~ 10/20
Appliances 12/14 12/14 12/19 12/19 12/19 I 12/19 12/19 12/4 12/4 12/4 12/4 12/4 12/7J Hold
[IEI~D INSPECTION REPORT
FOUNDATION (IST)
~oUNDATION (2ND)
ROUGH FRAI4E &
PLI~ING
IN$~F~A?ION PER N. Y.
STATE ENgR~-'Y
CODE
DATE
0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined ~,,~2~7 , 20. O/
Approved ~ 2-'7., 20 O/
Disapproved a/c
PERMIT NO.
BUILDING PERMIT APPLICATION CHECK_LIS'
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey.
Check
Septic Form
N.Y.S.D.E.C.
/h · ' ~ Trustees
/ ;.. ~/~...~.s~ ~ Contact:
! ~.t~ - ~ Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTR~JCTIONS
Date ,20
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate 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 street~ 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 throughofit the work.
e. No building shall be occupied or used in whole or i'9 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 D. epartment 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, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessar7 inspections.
(Signature of al~plicant or name, if a corporation)
' /(Mailing address o f app'licaffD
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
/
Name of owner of premises ¢8(/?tl [E /O,'li'/]O
t (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 ~,Io.
Electricians License No.
Other Trade's License No.
Location of land on which p,~posed work will be doric:
1,20 Y R5 '
House Number Street
Hamlet '
County Tax Map No. 1000 Section
Subdivision
ame)
Block / Lot (~/
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 r~ e.$;gotlCe. /
Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost 03/ 70~, OOt9
5. Ifdwelling, number ofdwelling units
If garage, number of cars
X Addition Alteration
Other Work
Fee .N'//~ (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 ~_~,g.
Height. 2¢ Number of Stories
/
Size of lot: Front A///~ Rear
Date of Purchase ~//~ Name of Former Owner
Number of Stories
Rear Depth
/
YES
Phone No.
.Phone
Phone No.
Depth
[ 1. Zone or use district in which premises are situated
proposed construction violate any zoning law, ordinance or regulation: gO
~2.
Does
3. Will lot be re-graded /~.5 Will excess fill be removed from
premises:
4. Names of Owner of p_remises~5~/ Address
Name of Architect ~5Ol'/~tl /~St~'. ~Address~
Name of Contractor £atloJ £ ttltelI,Sh Address
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
survey, to scale, with accurate foundation plan and distances to property lines. I~0 tr~]~
6.
Provide
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OFNEW YORK)
SS:
)OUNTY OF )
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.)
fsaid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
all statements contained in this application are mae 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~{ais
Notary Public
PETER M. COLEMAN
NOTARY PUBLIC, State of New York
No. 52-5758570
(~ua[ifled in Suffolk County
~ommi~ton Expire* Mereh 30, ~-oo~_,~
ature of A~6plicant
THIS DNAWtNG WAS EXTRACTED
FROM APPROVED PLANS AND OR
A~ PROVED SYSTEMS DRAWINGS.
19' 1"
MAD I bR BEDROOM
W[C
WL
HAD-
BEDROOM ¢2
DEN
4-SEASON
ROOM
2452
BREAKFAST
NOOK
~- ~ ~.IVING ROOM
HW
DINING ROOMd:,= = = = i
, ' KITCHEN
PANBJZED GARAGE
BBL LAYER OF 5/8" TYPE-X
GYPBBM APPLIED TO CEILING FOR
1 HR RATED CEILING (BY BUILDER)
GARAGE WALL HEIGHT = 10' 9 5/8" TOP OF B0~0M TOP PLATE
9x¢ 'SPF ¢2 GARA(GE WALLS = [2" OC
~ARAOE WlNB0W ,~EAOER MDGBT = 8' 7"
DOUBLE 70P PLATE WALL~ S/L TOP PLATE
HVAC
LEDGEND
LS TOTAL)
NOTE:
I i VEl, HOUSE WRAP
9' 0" CEILING
CJuIOMER HILLS,
~' )EIMiERAL NUTL.b
~REFER. WALL ELEVA]ION
PRODUC]ION PAGE INDEX
CONTENTS DWG NO
NON-STD. WINDOW R.O.'S
{2) :4B~ = 5' 1 5/4" x 3-5
D0dELE TOP PLA~--
~*NO FASTDiERS THROUGH
COMPREEBION STRIP OR TCIP PLATES
HURRICANE STRAPPING DETAIL
(6) , A~TEN~R¢ ~
BOTTOM PLATE
(6) FASTENERS ~ 2x10 PERIMETER
Released for
Production
DATE: 11, 8
' WINDOW HEADER. DETAIL
**NO :ASTENERS THROIJGh
DECKING OR BOTTOM PLATE
HURRICANE STRAPPING DETAIL
RELEASED FOR
PRODUCTION
ROOF SUPPLIED & INSTSLLED ON 'SITE :, Bb LDER !
REHAIJ WI',IDOW R i3"-~ MATD~ ~r,IDEPSE i
- PEBAU PATIO DOORS
- DOUBLE TOP PLATE ALL E <TERIOR WALE }UILBER E & F W$LSH
CNICLUEilNG END WALLS) a MARRIAGE 'v~-_L
219,~ TOT 1745 LIV
SE=lEE
MODEL I'~ m ORIC'L ~ IJ G
NTS