HomeMy WebLinkAbout27696-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28422
Date: 05/16/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 7 TANAGER 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 MAY 9, 2001 pursuant to which
Building Permit No. 27696-Z dated MAY 16, 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 #7) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
S%~FFOLK COI3I~l~f DEPAR~T OF ~L~-L~{ APPROVAL C10-97-11 05/10/02
ELECTRICAL CERTIFICA~ NO. 1037254 03/06/02
PLUMBERS CERTIFICATION D~£~ 02/14/02 HARTCORN PLUMB.&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. 27696 Z Date MAY 16, 2001
Permission is hereby granted to:
PECONIC LANDING AT SOUTHOLD, I
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #7 CP~AWL
at premises located at 7
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector to expire on NOVEMBER
TANAGER LANE
GREENPORT
Block 0001 Lot No. 025
9, 2001 and approved by the
16, 2002.
Fee $ 707.70
Authorized /S i~t ure
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 filled in by typewriter or ink and submitted to the 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 supply and sewerage-disposal (S-9 form).
3. Approx3al 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.
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 Iuspeetor shall state the reasons therefor in writing to the applicant.
Fees
1. Certificate o£ Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additious to ae~esso~ building $25.00, Businesses $$0.00.
2. C~rtificate of Occupancy on Pr¢~existing Building - $100.00
3. Photocopy of Certificate of 0c~upancy - $ 0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporar~ Certificate ofOcaupancy - Residential $15.00, Commercial $15,00
New Construction:
Location of Property:
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
· / Old or Pre-existing Building:
House No. Street t
Date of Permit.
"/' lo ·
PermitNo. ~9~76 q 6 ~'_~
Health Dept. Approval:
Planning Board Approval:
(check one)
Block
Request for: Temporary Certificate
Fe~ Submitted: $ J.-~ ~
FiledMap.
Applicant:
Underwriters Approval:
Hamlet
Lot g.l~'
Final Certificate:
(check one)
Applicant Signature
O0nni$ I~. gtilhalm
E~Y 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
Located at
Application Number: 1037254
Section: 35 Block: 1
Described as a Residential
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN RD RTE 25
MILLER PLACE, NY 11764, COTTAGE # 7
GREENPORT, VILL, NY 11944
MAIN RD RTE 25 COTTAGE # 7 GREENPORT, VILL, NY 11944
Certificate Number: 1037254
Lot: 25 Building Permit: BDC: NS11
occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Attached Garage, Outside,
CORRECTED CERTiF;CATE
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
Nanle
Additional Charges
MODULAR HOUSE
Appliances and Accessories
Air Conditioner
Motors
Panels
6th Day of March, 2002,
QTY. Rate Rating; Circuit Type
4TON
4
F
60
Wiring and Devices
Fixture 1
Receptacle 1
Outlet 1
Switch 1
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1
Meters: 1
Incandescent
General Purpose
Fixture
General Purpose
CB 200 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.
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 SOUTFIOLD
CERTIFICATION
Building Permit No.
Owner: )o._CO/It'C LCttt~l[O
(please pti[it)
Hartcorn Plmg. & Htg.,
Plumber:
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 of :~:~ , 20 d)~
Notary Publfc, County
VIRGINIA M. GOCINSKI
Notary Public, State of New Yon~
No. 4873841
Qualified in Suffolk County
Term expires October 20, _ ,~,o~
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.: 7'
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:
April 04, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
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 lmowledge, information and believe that
Cottage Unit No. 07 have been constructed in compliance with all applicable laws, codes and
ordinances.
Very truly your;
BARTON & ASSOCIATES, LP
Senior Vice President
cc: Dennis M. wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & Associates, L.P.
BARTON & Associates. Inc.
Thomas C. Barton, IlL AIA
5120 Butler Pike, Suite 200
Plymouth Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.bar tonpar tners.com
PHILADELPHIA
CHICAGO
BALI'IMORE/
WASHINGTON
MAYOR
DAVID E KAPELL
(631)477-3000
TRUSTEES
WILLIAM JMILLSIII
GEORGE W. HUBBARD
GAILF. HOR2ON
BRADLEYB BURNS
236THIRD STREET
GREENPORT, NEW YORKII944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631) 47%0248/2385
Fax: (631) 477-1877
March 14, 2002
To:
E. F. Walsh
Developers Peconic Landing
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
~ INSPgO'iION P~PORT 0AT~ d~.~-3' OI~I~NTS '~
)DN~ATION (IS~)
)~]~ &
~L~MBING
I~US~TION l~E N. Y.
~A~E ENgI~GY
CODE
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Exam/ned ,20 O//
Approved ,20 ~/
Disapproved
PERMIT NO.
~LJLL,121iN~ ~'1:~tl At~FLICAIION CkI. ECKLI5.
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey
-''2- Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Building inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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 adj0ining 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 throughofit the work.
e. No building shall be occupied or used in whole or ip'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 Towu 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 inspe.cto[s On premises and in building for necessary inspections.
(Signature of applicant or name, ifa corporation)
(Mailing address of applicant) !
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OIIJ
Name of owner of premises ~P_~)tll'~_. /,4MJ,~/IO O~"~5OJ~Oli
! (as on:the tax roll or latest deed)
If apt~lj~. ~ is a corpor~'on~ signature of duly authorized officer
II ':.
/ (~arr~ and title ofcorporatelofficer~ .
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which~/r.~d work will be dolie.:
/2.t9 5 :
House Number Street
H '7
County Tax Map No. 1000 Section
Subdivision
Block
..' Filed Map No.
7
(Name)
L
0 ~'
~ 0
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