HomeMy WebLinkAbout17918-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20749 Date MAY 21, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 30170 CABOTS WOODS RD. (PVT RD. #28) PECONIC, NY
House No. Street Hamlet
County Tax Map No. 1004 Section 73 Block 4 Lot 2.2
Subdivision Fiied Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 13, 1989 pursuant to whack
Building Permit No. 17918-Z dated MARCH 14, 1989
was issued, and conforms to all o€ the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to RICHARD & SOPHIA GREENFIELIJ
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-53-MARCH 2, 1992
UNDERWRITERS CERTIFICATE NO. PENDING - MAY 5, 1992
PLUMBERS CERTIFICATION DATED MAY 20, 1992-WALTER MARCZEWSRI, JR
'C/ ~t~ 4.t.~
Bui ing Inspector
Rev. 1/81
rosaz xo. s
rowN of sourHOl,a
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
fThilS PERMIT MUST BE KEPT ON ThiE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No 017918 Z Date ~ - pq
llll ~?4~rG.vl........~ 19.R..d
Permission ~s hereby granted to•
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t0 C.4.~'-"a:tihF.i 4s1.......44e...!Mk...nW~!~?`-i~1... ! ....7 S.T'~~~'.^~: ~.3... 0:'. :
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ct premises located~at~ra:~ Y V...~c2;c.a~ c~...`..(?VP...o~1.4..
Caunty Tax Map No 7000 Section BI«k ....Cl't......... Lat No
pursuant to oppbcabon dated ...~..S3S.zl,S.~.. 1 ~ I9. ~ q , and approved by the
building Inspector.
Fee ~ 3: 7
Building Inspector
Rev 6/30/80
Form No. 6
TOWN OF SOUTHOLD
2 O ~ BUILDTOWNDHALLTMENT
765-1802
BLDG DFPT
TOWN OF SOUTHOLb
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typecariter OP, ink and submitted to the building
inspector with the following: 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 an system contains
less than~2/10 of 19 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 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.
C. 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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Resident~~i/ga~jl,L$15.00, ColmmCe~rcial $15.00
Date .YYI':~!~ ~~Y
New Constr~c~ Old Or Pre-existin Building...~,,~~r`... .
r bb
Location of Property ~Fl'`~oT`-'
.............~T'~..-~ ...........~~'..n~rC............
House No. Street//,., ~ J Hamlet
lnwer or Owners of Property~«'t~i.'~"?~ . ~ ~:-!.~a"'~.
e^!r!~'`.'~'
county Tax Map No 1000, Section.. T.3 ........Block..~............Lot...~.~.~
ubdivision ...Filged Nap....... ot........
'ermit No. ~~~g ~ ....Date Of Permit. ~~~~8.1.....Applicanl~"'0'~~ .~7!~:`-':~.
[ealth Dept. Approval~~..~~....~............UnderwriYCrs Approval r.~.I.~LI~........
Tanning Board Approval
:e quest for: Tempoyr~ar~y Certificate........././F~~~--~--6crticate...~....
'ee Submitted: /
C' O ~ 1 ~ioA.~.rr~
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FOUIIDATIO:f ~ (1st)
- -
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FOUNDATIOt1 (2nd) _ m
2. iq F ~ -
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0
P.OUGH FRAME &
PLUMBING ao
D-~f .
3 ~ .a
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I1d5ULATI0P3 PER N. Y.
STATE ENERGY
CODE ~ _
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ca
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FI;JAL ~ 1
ADDITIOf1AL COMMENTS: x
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TEL. 7G5-1802
~pS~FFQ(,t Cp`? TOCVN Or SOJTIIOLID
t`•' L~,~'
.ryT ~'t OFFICE OF AUILDIi•IG iNSPECTOR
o , ~3, m P O. BOti 728
~ N'k' TOWN H,1LL
"O~JC'' SOUTFiOLD. N.Y. 11971
•~l ~
C E R T I F I C A T I O N
Date ~J ~ /
Suildi.^.g Per{{mi''t No.
Owner_ ~/C/'~~~ ~ Sf3y~
/ca ~,~~"~it1 ~C%~
r/~(~please prgi~n~t) /
Plu.:.ner /,~eG`~(~(e /NC+/~~`~'~CIfSIG/ ~2
(please print)
I certify that the solder used ~n the water supply system
contains less than 2/10 of 10 lend. ,
K//~i ~
(plumbo 's sig .ture)
Sworn to before me this
`f~ day of
19~. / N ary Publ.~c
County
27otarj I~uhlic,~ '
,lO~YCE M. WILK#~S
~q~y?~lb,lt~ ®vrWek
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6
NOTES AND OUTLINE SPECIFICATIONS
GREENFIELD RESIDENCE
CABOT'S WOODS
PECONIC, N.Y.11958
NOTES
GENERAL
1. P11 'pork shall be done in accordance with the Ne~~ Pork Sta g.
Lni`orm Fire Pre~'ention a;id gilding Code, ve~~ Yc,r}: SL~,r_e
Energy Conservation Code and all regulations of local
ao~~erning authorities.
2. Contractor shall verify all dimensions and conditions at Liic
site prior to construction, and shall report and
discrepancies to the Architect before proceeding caith the work.
3. Dimensions shown on Plans are to studs of parti'Ci.ons and
walls and center-lzne openings, except as noted.
4. Contractor shall obtain all required approvals, permits,
certificate of occupancy, inspection approvals for caork
performed from agencies having jurisdiction.
5, A11 materials shall be installed in strict accordance with
manufacturers' requirements and specifications.
6, All anterior finishes shall conform to Part 772 of the New
York State Uniform Fare Prevention and Building Code.
Fare Extinguishers with cabinets are to be provided in
accordance with N.F.P.A. 10 latest edition and local
fare prevention requaremen~s.
g, Drawings are not to be scaled. Written dimensions
supercede scaled dimensions.
g, Any variations from details and plans shall be subn:atted
to the Architect prior to construction thereof, for approval.
`~tfcREO Agcy/
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Op NE'N
NOTES AND OUTLINE SPECIFICATIONS
GREENFIELD RESIDENCE
CABOT'S WOODS
PECONIC, N.Y. 11958
NOTES
CONCRETE
1. All concrete shall be 3,000 PSI strength after twenty-
ezght (28) days.
2. Aggregates shall be as per ACI recommendation for
normal weight concrete.
3. Portland cement shall conform to the latest edztion of the
ASTM CISO.
MASONRY
1. Mortar shall be in conformance with applicable ASTM
standards.
2. Block shall be 8"X 8"X 16" regular concrete masonry
unit (3,OOOp.s.z. min.).
3. Vertical reinforcing shall be #5 re-bar at 16"o.c. with
concrete filled cell.
4. Horizontal reinforcing (dura-wall) shall be every
other course.
STEEL
1. Structural steel shall be new, clean and stazght and
shall conform to the latest edztion of the ASTM A36.
2. A11 structural steel work shall comply with the
specification for the design, fabrication and construction
of structural steel for buildings of the American
Institute of Steel Construction, latest edition.
NOTES AND OUTLINE SPECIFICATIONS
GREENFIELD RESIDENCE
CABOT'S WOODS
PECONIC, N.Y. 11958
3. Unless otherwise noted cr sncciLred, pro:>ide 8"x8"x3/8" base
plate and standard govern-r~_nC anchor Cor structural ste~l
bearing on concrete or masonry, if an}.
4. Provrde 5" bearrng (each side) minimum for all steel lintels.
CARPENTRY
1. All structural lumber (girders, beams, headers) shall be
Douglas Fir having a mrn_mum fiber stress of 1500 psr
with 19~ M.C.
2. Framing lumber shall be nem-fir with a minimum frber stress
of 1200 psi with 19o M.C
3. Unless otherwise noted, all door openings shall 'nave
(2) 2"x6" headers.
4. Provide galvanized structural metal "Teco" connectors
at all butt connections of structural members.
5. Brace all freestanding walls as required.
6. Plywood subfloor shall be 32/16 3/4"th. tongue and groove
A-C interior APA with exterior glue.
7. Insulation shall be Fiberglass (unbacked) by Owens-Corning
or approved equal, as follows:
a. 10" above existing ceiling Insulation.
b. 6" between studs at perimeter caalls.
8. Gypsum Board shall be 1/2" th., taped and spackled in
compliance with SA-216 "Application and finishing of
Gypsum Board" by Gypsum Association. All outside
corners to have metal corner beads.
9. Interior walls to receive one (1) coat sealer and two (2)
coats flat latex paint, Ben3amin Pioore or approved equal.
Color to be selected.
10. Interior woodwork shall receive two (2) coats clear
polyurethane, satin finish, by Benaamin Moore or approved
equal.
NOTES AND Oi7TLZNE SPECIFICATIONS
GREENFIELD RESIDENCE
CABOT'S WOODS
PECONIC, N.Y. 11958
VII___- _r3 I .C.
a. 1,11 wor: shall comply pith all applicable codes, rules and
regulations and landlord lesion criteria
b Insulate all ductwork with ;/4" lb/cu. ft density foil
faced fiberglass blanket
c Ductwork and accessories shall be fabricated and rnstallcd
in accordance with latest edition of SMACNA.
d All penetrations through fire rated walls or ceilings shall
have fire rate dampers
e. Fire dampers shall be L'. L. appro~'ed and installed per
manufacturers requirements Approved installation fire
damper shall be Ruskin, Air balance or other appzoved.
f. Provide night setback control for entire building.
g. Automatic controls for cool~na ct•cle furnished with A/C
unit. Power wiring to unit Electrical Contractor.
Thermostat field wiring b}' H.V A.C. Contractor.
h. Contractor shall install Vibration insulators on air
handling unit supports.
i. Contractor shall insulate all liquid and suction pipzng with
1" thick fiberglass pipe insulation with butt and
longitudinal joints sealed with vapor barrier cape. Joints
shall be insulated with premolded fittings IZestcne).
Contractor shall insulate all accessories that may sweat.
Do not hang mechanical equipment from metal neck.
NOTES AND OUTLINE SPECIFICATIONS
GREENFIELD RESIDENCE
CABOT'S WOODS
PECONIC, N.Y. 11958
PLUD]BI G
1. Furni=_- all labor, material, equipment, plant,toois and
services necessary and recu~r~d Lor proper and complete
installation of all Plumbing system and related «.aork, to
include, but not limited to, pater sanely and drstributron
G1pln~, drainage piprng, pl u,T~bing L!ltureS, vale«,s, traps,
o.aste and vent piping, including all their respective
edonnections, devices, appu?-t~.nances, within the building
line o' the premises. Plumbi-~g `ir,t~res to include, but
not be _imited to, lavatcries, sinks, water heat«>_rs, etc.
2. All c°k shall conform to tt~e T.:ew York State Uniform
Fire :revent?on and Building Code and the Suffolk County
Depar~-rent of Health Services.
3. Hot and Cold water piping shall be type L copper tubing (ANSI
H23.1i with solder type fittings and points made with 95/5
soft retal solder. Below grcurd piping to be type K copper
tubing
4. Sanitar+ server piping shall be cast iron or galvanized
iron ith cast iron drainage fittings. Vent pipe 2" and
smaller shall be galvanized ircn pipe.
5. Farnis~ and install Bathrcom fir.tures, fittings, and
accesscries as selected by Oc,ner
ELECTRIC ;L
1. Furnis: all labor, materials, equipment, plant, tools and
services necessary and required for proper and complete
installation of all electrical systems and related work to
include, but not limited to, wiring, lighting, services,
feeders, distribution and protection equipment, connections
of appliances, grounding, and including all connections and
devices within the scope of work shown on the applicable
drawi-~gs and as normally specified in this type of pro3ect.
2. All cvor:: shall conform with the requirements of the New York
State Uniform Fire Prevention and Building Code and the
National Electric Code NFPA 70 Latest edition (NEC), and
all local codes and ordinances having jurisdiction.
3. All service conduit shall be rigid galvanized steel_
4. Electrical Contractor shall coordinate electrical service
facilities and make arrangements with Owner for service
connections. All connections to Owner's services facilities
snall comply with Owner's and LILCO's requirements.
New York State Department of Environmental Conservat(on
Regulatory Affairs Unit
Bldg. 40, SUNY, Rm. 219
Stony Brook, NY 11794 ~E ~
I~ y Thomas G Jorling
(516) 751-7900 I Commissloner
MAR 1 '5 1989
el~aG oeaT
TO\MM1' CF SOUTHOLD '
November 12, 1987
Richard & Sophia Greenfield
P.0. Box 1505
Southold, NY 11971
Re: Tidal Wetlands Notification
Letter Of Approval
Cabots Woods
Dear Mr. & Mrs. Greenfield:
On December 5, 1985 we issued to you the referenced approval based
1 upon the VanTuyl survey submitted with your application.
It is my understanding that you are now applying to the Town of Southold
for a variance from the 100 ft, bluff setback requuirement. Please be
advised that our jurisdiction is to the top of the bluff. Therefore, we
have no authority to set forth any setback distance from the bluff.
At some time in the future we will be administering the Coastal Erosion
Hazard Act and will then be in a position to require setbacks consistent
with those regulations, but until then have no requirements.
If I can be of any further assistance, please let me know.
Sincerely,
/n f riGCGc.:~
Michael J. Fiscina
Senior Environmental Analyst
MJF:jf
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BOAR? OF HE.ILTH
~ 3 SETS OF PLdNS
O ° V ~ U l'1 15 j ~ FORM NO.1 SURVEY .........0 <<:
TOWN OFSOUTHOLD CHECK K•.
BUILDING DEPARTMENT SEPTIC FOR*1 ...4~cK•.~`.'~Z-°~.~,.
TOWN HALL pp
SOUTHOLD, N Y 11971 NOTIFY ~.62 V.
BLDG. OePT. `
TOWN OFSOUTFIOLD TEL. 765-1802 CALL !'1cC~'/U~/`
4 h1AIL T0: ~ 7GS `
Examinud .~'1~~-t• . 19 ~ l Q ~ ckf
~,,n Q.t.~n. , 19~~ Fermtt No ~ ~ 1 r ~ l° o , Ls~'d n /
Approved . ! r.1
Disapproved a/c .
i
.../t'?.
(Buddmg Inspector)
APPLICATION FOR BUILDING PERMIT /~q
INSTRUCTIONS
a Tlus apphcahon must be completely filled m by typewnter or m ink and submitted to the Building Inspector, with
sets of plans, accurate plot plan to scale Fee according to schedule
b. Plot plan showing location of lot and of buddmgs on premises, relationship to adlommg premises or public stye,
or areas, and giving a detmled descnprion of layout of property must be drawn on the diagram which is part of this app
ca4on.
c. The `vork covered by this apphcatton may not be commenced before issuance of Building Permit
d. Upon approval of this application, the Buildme Inspector will issued a Buddmg Permtt to the applicant Such pens
shall be kept on the premises available for inspection throughout the work.
e. No bwlding shall be occupied or used in whale o: in part for any purpose whatever until a Certificate of Occupan~
shall Stave been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the tssuance of a Buddmg Permit pursuant to t1
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Rc,ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbe
Tlie applicant agrees to comply with all applicable laws, ordinances, building cod , housing code, and regulations, and
admit authonzed inspector on premises and m building for necessary mspechon
~ <~-E'er..... .
ai ~ (LSi~riat~tre~gi a~p~yC«
car na e, if a corporation)
(Mailing address of applicant) ~/yS~
State whether a lpp scant is owner, lessee, agent, architect, engineer, general contractor, electncian, plumber or butlde
~ GrJ/~.~f?-
.
. . . . .
Name of owner of premises ~Gh'~'~ V ~f . ~~'.€~!v~/LC.
L"~ . .
(as on the tax roll or latest deed)
[f applicant is a corporation, signature of duly authonzed officer
(Name and title of corporate officer)
Builder's License No
Plumber's License No . .
Electrician's License No
Outer Trade's License No. .
I Location of land on which proposed work will be done .~~`~O~`S ~ildOe(J ~g con , /t/.Y,
Q~~o~r.dwXe, .~,o : ~ ~•6 S`io ~ • r?esr ~IF,L°y ~ .
Ilouse Number Streets Hamlet ' wnze,
County Tai hfap No 1000 Section Block , ,
• ~ Lot Z
///I
Subdivision . ~~'Sa~ - WO~d1 Flied hiap No Lot . Z: G~•.... .
(Name) -
State e~tsUng use and occupancy of premises and intended use and occupancy of proposed construction
a. Existing use and occupancy ~~s: • .~/'.CC•eCi.OT.. ~_K~...... .
b. Intended use and occupancy ......~y. ~~S •~~.'r SinyLe ~,¢sr icy /LRJ' ~~P.~es
3 Nature of work (check which applicable) New Liudding ? Addihon Alteration .
Repair Removal Demolition .Other Wotk .
~ ~scnphon
~ZC'O~ DUO, o 0
4. Estimated Cost - .Fee . , ,
f~~ y ~ (to be pail on filing this apphcaaion)
5. If dwelling, number oC dwelling units . R'W F-~+r+-C Number of dweltmg units on each floor .
IC garage. number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each Type of use /,U~ ~ , , , , , , , , ,
7. Dimensions of e~ctsting structures, if any Front l~I~F?, ,Rear Depth .
Hci,ltt Number of Stones .
Dimensions of same structure with alterations or additions. Front Rear , , , , .
Depth . . IIcight , ~ Number of Stones .
.
8. Dimensions of entire neS,v co struction Front Rear . Depth , ~fa~'! , , , , , ,
Height 3,~'. fO. R?F'?~-.~~~im~ber of Stones
9. Size of Iot Front ~ Rear . ~ ` . • . • . • , pth ..~df:; ,
Dc
10. Date of Purchase ....~~y.L~a~ . ...Name of Former Owner ...~?4f~j9.rt/!, , .
11. Zone or use district m w idt premises are situated !'9.'t - mss'.. ~
. . .
12. Does proposed construction violate any zoning law, ordinance or regulation ...!U~ .
13. Will lot be regraded yv Wffl excess fill be removed from prem,,lsc~: Yes
I4. Name of Owner of premises F`',":`,~':. ?i?C~'!yF~,'uAAddressA• ~~.C~?-~. ~¢~O!r«: PhonLi l~o..76.~
.~~F:
Name of Architect ~~~aul~c.Y!'~i! : ~~?-Q."!'~..... Address ~t!taQn/N4 Y a23'K . Phorn~-hFv
Name of Contractor .....Address ......Phone No , .
IS.Is this property located with in 300 feet of a tidal wetland? *YES.?..NO....
*If pes, Southold Town Trustees Permit may he required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunenstons fn
property fines. Give street and block number or descnption according to deed, and show street names and indicate wheti
intenor or comer lot. f
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STATE OF \LW YORE, S S
COUNTY OF . .
, , . being duly sworn, deposes and says that he is the apphca
(Name of mdrvidua] signing contract)
above named
lie istfte
. . .
(Contractor,agcnt,corporatc ofCiccr,etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file t
apphcaUOn, that a!! statements contained in [his applicyuon are true to the best of his knowledge and belief, and that t
work will be perforned in tfte manner set forth m the apphcahon filed therewith.
Sworn to before me ilia
Nota Public, l County
rY
HELEN K Df L'OE ~ r
NOTARY PU9LIC, Stair of New York ~ o .
No 4707878, S,~hd~ Cuon
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