HomeMy WebLinkAbout27693-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28418
Date: 05/16/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 2 TA/~AGER I~LNE
(HOUSE NO.) (STREET) (H/~MLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Subdivision
Filed Map NO. Lot No.
GREENPORT
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAy 9, 2001 pursuant to which
Building Perm/t No. 27693-Z dated MAY 11, 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 #2) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
Tg~e certificate is issued to PECONIC LAi~DING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SI/FFOLK COI~Y DEPART%WENT OF BEALTH APPRO~-AL C10-97-11 05/10/02
ELEC"~RIC3%L CERTIFICATH NO. 1037202 05/23/02
PLUMBERS CERTIFICATION DAT~ 02/14/02 HA2~TCORN PLUMB.&HEAT.INC.
~~o~ri~ature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27693 Z Date MAY 11, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GAR3%GE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #2 CRAWL
at premises located at 1205 MAIN RD
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector.
GREENPORT
Block 0001 Lot No. 025
9, 2001 and approved by the
Fee $ 707.70
Authorized ~ignatu~
COPY
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BU]ULDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and sublrfitted to tile Building Department 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 suppty and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board o f 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. Acourate 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 C~rtificate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Co
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.
Certificate of Occupancy on Pre-existing Building - $100.00
3. Photocopy of Certificate of Ocoupancy - $ 0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
House No.
Owner or Owners of Property: c'~C.~l,I ~,C_
Suffolk County Tax Map No 1000, Section
Subdivision
New construction:
Location of Property:
Date.
Old or Pre-existing Building:
Streett
PermitNo..o~ ? ~ DateofPermit.
Health Dept. Approval: '-~r.
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ J...~
Block
(check one)
Hamlet
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
Dennis M. Wilhelm
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 1OO38
CERTIFIES THAT
Upon the application of upon premises owned by
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN RD RTE 25
MILLER PLACE, NY 11764, COTTAGE # 2
GREENPORT, VILL, NY 11944
Located at MAIN RD RTE 25 COTTAGE # 2 GREENPORT, VILL, NY 11944
Application Number: 1037202 Certificate Number: 1037202
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
^.ached G age, Outside, CORRECTED CERTIFICATE
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 23rd Day of May, :2002.
Name QTY Rate Rating Circuit Type
Additional Charges
MODULAR HOUSE
Appliances and Accessories
Air Conditioner 1 4 TON
Wiring and Devices
Outlet 1 Fixture
Receptacle 1 General Purpose
Switch 1 General Purpose
Fixture 1 Incandescent
~ Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 CB 200
Meters: 1
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
By THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
E.F. MALONEY * PECONiC LANDING
P.O. BOX 6070 MAIN RD RTE 25
MILLER PLACE, NY 11764, COTTAGE # 2
GREENPORT, VILL, NY 11944
Located at MAIN RD RTE 25 COTTAGE # 2 GREENPORT, VILL, NY 11944
Application Number: 1037202 Certificate Number: 1037202
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a Residcnda] occupancy, wherein the premises electrical system consisting
electrical devices and described located in/on the
wiring,
below,
premises
at:
Attached Garage, Outside,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the Day of May,
23rd
2002.
Name QTY Rate Rating Circuit Type
Additional Charges
MODULAR HOUSE
Appliances and Accessories
Air Conditioner 1 4 TON
~ Wiring and Devices
Outlet 1 Fixture
Receptacle 1 General Purpose
Switch 1 General Purpose
Fixture 1 Incandescent
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 CB 200
Meters: 1
I of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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.: 2
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.
Gino N. Aiello, P.E.
Dated:
MAYOR
DAVID E KAPELL
(631)477 3000
TRUSTEES
WILLIAM J MILLSIII
GEORGE W. HUBBARD
GAIL F HORTON
BRADLEYB BURNS
236THIRDSTREET
GREENPORT, NEW YORKII944
CLERK/TREASURER
CHRISTIE HALLOCK
Te1:(631)477 0248/2385
Fax:(631)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
2 10/3/01 OK OK
REMARKS:
~1)~ INSPECTION P~PORT
DATg
COI~ffi~S
FRAME &
PLUIiBING
~SlILATION FER lq. ¥.'
CODE
B, IJtLDtNG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined ~//~-~' ,20 O f
Approved ~"// ,20 ~gt~
Disapproved a/c
PERMIT NO.
Do you have or need the following, before applying
Board of Health
:' 3 sets of Building Plans
Survey
- z.- Check
Septic Form
N.Y.S.D.E.C.
.. ' Trustees
Contact:
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 o.f buildings Oh"premises, relationship to adjoining premise~s Or public streeti or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Bi2ilding Perrmt.
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 mpart 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
~uthofized inspe5tors On premises and in building for necessary inspections.
(Signature ofa~plicaht or name, ifa corporation)
9.0. ,,07/
· (,fvl~lling address ofapplicant~ -
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises '-~P/'Dth~ ~tltlC/?/it7 ~l'
./(as on.;the tax roll or latest deed)
If a~p,~ant ~s a, c.o~orat~ature of duly authorized officer
/~ (Name and title {~fco'rporate'-officer)
Builders License No.
Plumbers License No.
Electricians LicenseNo.
Other Trade's License No.
1. Location of land on which p3oposed work will be doriC:
House Number Street
Hamlet !
County Tax Map No. 1000 Section (~
Subdivision
Block
· Filed Map No.
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
l
Nature of work (check which applicable): New Building
Repair Removal Demolition
Estimated Cost 6.-'~, 700, 1900.00
If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
Fee _ A/f//} (Description)
o be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions o f existing structures, if any: Front
Height. Number of Stories
Rear
__Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth. Height
5. Dimensions ofe}atire new construction: Front
Height _~¢ . Numberof Stories
). Size of lot: Front /~/~ Rear
I0. Date of Purchase A~]A Name of Former Owner
L 1. Zone or use district in which premises are situated
Number of Stories
Rear Depth ~/~
] '!
Depth
L
2. Does proposed construction violate any zoning law, ordinance or regulation: N0
3. Will lot be re-graded _3//.~ Will excess fill be removed from premises:t YES t(~
Name of Architect ~L~~Address. ~' .Phone No~
Name of Contractor/~' and Ia llrg~Ic~l Address , Phone No. (_ ~,.gl) 4/7'7-/-g/E) ]
5. Is this property within 100 feet of a tidal wetland? *YES NO
· · YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. ~)(1 ]::;/~
7. If elevation at an>' point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
;OUNTY O F~/¢'/~//(-S)s:
(Afl [(IQ r'}'t ~- ""/-JhOO'/p,_%Ofl being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing ~ontract) above named,
'3)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 ~vill be
erformed in the manner set forth in the application filed therewith.
worn to before me this.,.
or /r/,qi'd/.L
,,
Notary Public
PAT~CIA & SP~M, Af-I
~ Public, Stat~ o~ N-'