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Home My WebLink About35788-ZFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34723 Date: 12/02/10 THIS CERTIFIES that the building DECK Location of Property: 1205 MAIN RD (ROUSE NO.) (STREET) County Tax Map No. 473889 Section 35 Block 1 subdivision Filed Map NO. __ Lot No. __ GREENPORT Lot 25 {HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 2010 purs,,a-t to which Building Permit No. 35788-Z dated AUGUST 18, 2010 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 TO AN EXISTING ONE FAMILY DWELLING (UNIT 3) AS APPLIED FOR. The certificate is issued to PECONIC LANDING @ SOUTROLD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL u~KTIFICATE NO. I~L~ERS tU~KTIFICATION DA'~'~U N/A N/A N/A 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. 35788 Z Date AUGUST 18, 2010 Permission is hereby granted to: PECONIC LANDING 1500 BRECKNOCK ROAD GREENPORT,NY 11971 for : CONSTRUCTION OF A DECK ADDITION (12'X17') TO UNIT #3 AS APPLIED FOR at premises located at 1205 MAIN RD County Tax Map No. 473889 Section 035 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY GREENPORT Block 0001 Lot NO. 025 10, 2010 and approved by the 18, 2012. Fee $ 200.00 /~ri~~ature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be flied 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 ustural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage.disposal (8_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. Commeroial building, industrial building, multiple residences and similar buildings and installations, a certificate · of Code Compliance from arehitect or engineer responsible for the building. 6. Submit'PI.arming Board Approval of completed site plan requirements. B'. Fo~ existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey 0f pr0perty showing all property lines, streets, building and unusual nstural or topographic features. · 2. A properly completed application and consent to iuspect signed by the applicant, if a Certificate of Occupancy is . denied, the Building Inspector shah state thc 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 PO01 $50.00, Accessory building $50 00, Additions to accessory building $50.00, Buslncsses $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, Comtnercial $15.00 New Construction: Old or Pre-existing Building: . (check one) Loeltion of Property: \~'~2) ~ k~c'k 0~C'x ~2>6t ~ ~(~CCJF House No. ' ' Street ' '~Iamlet · Suffolk County Tax Map No 1000, Section ~ 5 Block I Lot c~ b~-' 8ubdiyision Lot: Permit No. · _~f)57 ~N(~ Date of Permit. Health Dept. Approval: Planning Board Approval: Filed Map. Applicant:. Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (checkone) TOWN OF SO~ ~-UIL-~NG DEPT, NSPECTION DATION '1ST [ ] ROUGH PLBG. ] F/OU~DATION/2ND [ ] INSULATION F~ING / ST~NG [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FmEnESSTJHT~ [ ] FIRE SAm..- m ~' INSPECTION REMARKS: ~/~ ~ - TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FRAMING / STRAPPING .[~j"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT COtiSTRUCTI~ [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~ INSPECTOR TOWN OF SOIYl~OLD BU1LDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (6~1) 765-9502 SoutholdTown.NorthFork.net / Approved ~////~, 20 / Disapproved a/c Expiration ~)/~ ,20 j.~ AUG BLDG. DEPT. PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you hav~ or n~nt the following, I~.for~ applying?. Board of Heatth 4 sets of Building Plans Planning Board approval Survey. Cheek Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Phone:~ ! Building Inspector ,ICATION FOR BUll,DING PERMIT INSTRUCTIONS ,20 [(,3 . This appIt01#1&i ~ll~,,~ o,-.,~;~ filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of ams, 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 sUcets 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 promises available for inspectien 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 Oucupancy. f. Every building permit shall expire if the work authorized has not cemmunc~d within 12 months atter the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the proptaly have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thareal~r, a new penuit shall be required. APPLICATION IS HEREBY MADE to the Building Dgpartmem 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, ordinene~, building c~le, housing c~le, and regulations, and to admit authorized inspectors on premises and in building for n~cessary insp~Jons. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises /~;O~Z~r~-~I ~?~. (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 Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 S~tion ~' Block / Subdivision Fil~l Map No. Lot ~-~-' Lot 3. Nature of work (cheek which applicable): New Building. Repair Removal 4. Estimated Cost ~ ~e ~ 5. If dwelling, number of dwelling units · If garaoe, number of ears 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 Addition ~//~ Alteration Demolition Other Work Fee ~ ~C~, ~ (Description) (To be paid on filing this application) Numbe~ of dwelling units on e~a~h floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions ofe~istindg structures, if any: Front ~'.~e Rear ~'Z t Height ~Z f-~ Number of st°ties / Dimensions of same structure with alterations or additions: Front _~,.~ r Depth ~-r Height: ~ ' ~' '--~9 ~ Number of S~odes Depth ~'/' ( Rear, ~/ / 8. Dimensions of entire new construction: Front Height. Number of Stories 9. Size of lot: From Rear Depth 10. Date ofPumhase ~.,/.~r' ~'/O N~e of Fo~er~er 11. Zone or u~ dis~ct in which premiss ~ sima~ ~ ' 12. ~s pmpo~ ~n~tioa vioh~ ~y zonhg law, o~ce or mgu!~ion? ~S NO 13. Will lot ~ ~-~? ~S~ NO ~Will exc~ fill ~ ~ov~ ~m p~i~s? ~S ~ NO 14. N~es offer of~t~s ~E ~ Ad~s ~M~F ~ Phone No. N~e ofAmhit~t ~/~ ~//~/ Ad~s~ ~ Phone No N~e ofCon~or g~/~ . Add,ss ~[ M.~ff4V~. ~One No. ~t. 15 a. Is ~is pro~ wi~in 1~ f~ of a t~ w~l~d or a freshwater w~l~d? *~S NO * IF ~S, SO--OLD TO~ ~US~ES & D.E,C. PE~S ~Y B~Q~D. b. Is ~is pm~ wi~in 3~ f~t of a till w~l~d?* ~S NO V * IF ~S, D.E.C. PE~ ~Y BE ~Q~D. 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 do~ 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~ ~'-'j"~/~ ~/[,~t//~'/q t~1~/4 [ being duly sworn, depOses and says tlmt (s)he is the applicant (Name of individual signing contract) above named, CONNIE O. BUNCH Public, 8rate of New York No. (~uallfled in :$uITolg G0unt/ (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14, 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 statemants contained in this application are flue 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. Swum to before me this 1( ~/t~ day of~20 Notary Public i/~/ ~ign~ture'o f Applicant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A /~] ~ / ~* STORM-WATERt GRADING, DRAINAGE AND EROSION CONTROL pLAN DIsblCt S~tlOfl BlOck Lot CERTIFIED BY A DESIGN PROFESSIONAl. IN THE STATE OF NEW YORK. SCOPE OFWORK - PROPOSED CONSTRUuI1ON ITI~M # / WORKASSE.SSMEJ'~ Yes No a. What is the Total Ama of the Project Parcels? IW/ti this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed Construction) (s.F. / Acres) (This item will include all run-off created by site b, What is the Total Area of Land Clearing clearing and/or censtruction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? impervious surfaces.) (s.F., ~) 2Does the Site Plan and/or Survey Show Ail Proposed PROV~)E BK[F~ PROJ~J~T DE,SCPJ]:q]ON (pm,~Ada~P,g.=~,N.ded) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and -- ~;)L~g:~7...~-~) ~)~.-~_.~ Slopes Controlling Surface Water Flow. ~ ~;3<[...q'77',,~ ,~,CPE**?,J~" 3 Does the Site Plan and/or Survey desc~pe the eroston and sediment control practices that wilt he used to control site erosion and storm water discharges. This ~ ~-~"O ~[ ~" '~'--S ~ ?/,J ~=~ item must be maintained throughout the Entire Construction Peded. 4 Will this Project Require any Land Filling, Grading or~ Excavation where there is a change to the Natural I I ,/ Existing Grade involving more than 200 Cubic Yards ..Y_ of Matedst within any Parcel? 5 Will this Application Require Land Disturbing Activities r~.~.~.~--~ / Encompassing an Area in Excess of Five Thousand -- (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running thruugh the D / Site? Is this project within the Trustees jurisdiction __ General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or Submissk3n of a SWPPP is required for all Construction activities involving so~l Beach? disturbances of one (1) or mom acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes ~ are part of a larger common plan that will ultimatsiy disturb one er more acres of land; which Exceed Fifteen (15) feet of Verficat Rise to including Construction activities ~nvolving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. SWPPP's Shall meet ~ Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious for Stem] water Discharges from Consbuction acflvRy - Permit No. GP-~-I 0-001.) Surfaces be Sloped to Direct Storm-Watar Run-Off 1. The SWPPP shall be prepared prior to the submiltal of the NOL The NOI shall pa into and/or in the direction of a Town dght-of-way? -- submitted to the Department prior to the commencement of construction activity. 2. The SWPPP shaft desc~be the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required, post-c~nstructio~ sfoffa water management practices that will be used and/or Removal of Vegetation and/or the ConstnJctlon of any constmctsd to reduce the pollutants in storm wate~ discharges and tu assure Item Within the Town Right-of-Way or Road ShoulderL~J -- CONNIE D. BUNCH STATE OF NEW YORK, ~ ~:~',,-, ~, L.~ NotalY Public. State of New yol,~ ~ COUN'I~/OF ......~._.~..[...r....~....~.~ ....... SS NO. 01BU6185050 . Qualifle~ in Suffolk Count~ / ~ . (Name of k~divldual signing Document) And that he/she is therec[ .............................. ('c~';;;~i;;;~';~i;'d;,;~'~;/Sifi~;,';'t;] ................................................................ Owner and]or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and tile this appllcadon; 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 thc manoer set fo~,h in the application bled herewi~ ~ Sworn to before me this; //// ...... ....................... Notary Public: ....... ~.......: ........... -.-..-i~'!!iii i.......i.ii' . ........ '~U~ '~'~,~; .......................... FORM - 06/10 To~ ltall Almcx 54375 Main Road P.O. P, ox 117!1 Soufhold, NY 11971-0959 'l'elephonc (631) 765-1802 Fax (631) 765-9502 B1 !ILl)lNG 1)lqPARTMI~;NT TOWN OF $OUTHOLD October 14, 2010 Frank Uellendahl PO Box 316 Greenport, NY 11944 RE: Peconic Landing, Wayne & Carol Wright, 3 Tanager Lane, Greenport TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involvin~l plumbing after 4/'1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-'1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35788-Z deck I£W STORMWATE~R DF'TI~NTION ,I,. BIOF'IL'rI~ATION LON~ ISLAND SOUND I I OOUI'~ TO'~ F OUT OLD ~ PROPOSED ~ WOOD DECK LIVING ROOM ~ PECONIC ~ ~ lANDING KITCHEN ~ ~ 5 TANAGER LN ~: ' L ~ ~ V ~ ~ ~CHIECT .... P.O.~X 316 ~ ~' ~''~ h ,~, ,f 1 ~ ~ '' ' ' I ~ ,~' h~'r' ~ ~ 631-477 862~ ' RETPJ WATER RUNOFF PUF S~ TO CHAPTER 236 {' ' ~T~N CODE. ~T, ~ 119. SUN ROOM ~~Zs NO=SD NOTIFY ~dlLOING DEP~ MF~.~ AT I H~ 4W 1~ ~ FOLLOWING INSPECTIONS 1. FOUNDATION- TWO REQUIRED ~ : FOR POURED CONCRETE 4 FINAL - CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C O ALL CONSTRUCTION SHALL ~4FET THE REQUIREMENTS OF THE CO,L cS OF NEW PROPOSED DECK ~o.,=,=~ .OT,,~,o~,,~,~o, '~ DESIGNORCONSlRUOTiONERRO~. ~ SCN~ = 10~-35-01-25 T~ 0F ~OB PROPOSED BENCH su~o~ coup, N~ YORK ~ ~: 1/c=r-o' , , ~ ~ PARTIAL 17'-0" 12" 12" AUGUST 11, 2010 19'-0" . F~NK W. UELLENDAHL, ARCHITECT - P.O.BOX 316 - GREENPORT, NY 11944 PROPOSED ~ WOOD DECK LIVING ROOM 8'-~o' . ~ 3 TANAGER LN ~ GREENPORT, NY ~ _ ~ ~ KITCHEN ~ ARCHITECT ' ~ ~K ~E~L ~ ~ P.O.~X 316 ~ ~ ~ G~EN~T, ~ 119~ BBR SUN ~$$~ ~~ J ~ OWNERS .........., ' 5/4'X6' TIMBERTECH DECKING ~ , ~ ~.k ~I , ~ ' ~ ON 2X4 TRT'D F. ING ~ j , AND 4X4 TRT'D POST BOLTED TO DECK F~ING ~ : ] [ I . ,/ : ~ ,~ ~L ~ ~ 4X4 TRT'D POST EMBEDDED ~ ~ IN CONCRgE FOOTING ~ ~ ~ ~ PRO~ ~X4 TRT'D POST DA~: , ~ ON DIA CONC. FOOTING .... SECTION . ,~'-4'+ 15'-8' j'-o"j'-o~ SEC~ON DECK F~ING P~N ~ ~' ~ A-2