HomeMy WebLinkAbout27650-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28445 Date: 05/16/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 8 TANAGER LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Su]~dlvision FiledMap NO. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 9, 2001 pursuant to which
Building Per, nit No. 27650-Z dated MAY 18, 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 $8) 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.
SL~F~LK COl31q~f DEPART~T OF ~{F2%LTH ia_PPROVAL C10-97-11 05/10/02
E~xEt-£~ICAL CERTIFICATE NO~ 1037258 03/06/02
PLUMBERS CERTIFICATION DA'r~U 02/14/02 PLARTCORN 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. 27650 Z Date MAY 18, 2001
Permission is hereby granted to:
LA/NDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GAP_AGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT # 8 CRAWL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector.
MAIN RD GREENPORT
Block 0001 Lot No. 025
9, 2001 and approved by the
Fee $ 636.30
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SoIYrHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and suNnitted 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. 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. 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 Inspector shall state the reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwalling $25.00, Alterations to dwelling $25,00,
Swimming pool $25.00, Accessory building $25.00, Additions lo 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: ~ Old or Pre-existing Building:
Location of Propet~y: .~)
House No. Street
Owner or Owners of Property: %C-~'14 ~, C.
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~,"-] .t,
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ J-.~ '" ' '
Date of Permit.~.~/I ~'/a I
'7' lo' t. oo,
~ (check one)
Hamlet
Block [ Lot Z ~
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
0ennis M. Wilt~lm
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 # 8
GREENPORT,
VILL.
NY 11944
Located
MAIN RD RTE 25 COTTAGE # 8 GREENPORT, VILL, NY 11944
at
Application Number: 1037258 Certificate Number: 1037258
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:
^ achedGarage, O.tside, CORRECIED 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 6~ Day of March, 2002,
Name QTY Rathe Rating Circuit Type
Additional Charges
Appliances and Accessories
Air Conditioner 1 3.5 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.
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 SOUTHOLD
CERTIFICATION
Building Permit No.
Owner:
(please priht)
Hart:corn Plmcj. & HtcJ.,
Plumber:
In¢
(please print)
lead.
I certify that the solder used in the water supply system contains less than 2/10 of 1%
Sworn to before me this ~
day of ~c~ , 20~,,2.[___
VIRGINIA M. GOClNSKI
Notary Public, State of New York
No. 4873841
Qualified in Suffolk County
Tern3 expires October 20 ~/u v
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.: ~
/ 5-0
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. Aiello, P.E.
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), bemby certify that to the best of our knowledge, information and believe that
Cottage Unit No. 08 have been constxucted in compliance with all applicable laws, codes and
ordinances.
Very tnfly your;
BARTON & ASSOCIATES, LP
Frank P. Laf '~RA
Senior Vice President
cc: Dennis M. Wilhelm, RLS
A1 Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & Associates, L.P.
BARTON & Associates, inc.
Thomas C. Barton, Ilk AIA
5120 Butler Pike, Suite 200
Plymouth Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.bar tonpar triers.corn
PIIILADELPHIA
CHICAGO
BALTIMIr) RE/
WASIIINGTON
Offi£e~s
MAYOR
DAVID E KAPELL
(631)477-3~0
TRUSTEES
WILLIAM J MILLS III
GEORGE W. HUBBARD
GAll. F HORTON
BRADLEYB BURNS
236 THIRD STREET
GREENPORT. NEW YORK 11944
CLERK/TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 477-0248/2385
Fax: (63~) 477-1877
March 14, 2002
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
8 9/28/01 OK OK ~~
REMARKS:
~ INSPECTIONRi~PORT' DAT~
Col, fi, ffltT S
,ITIIDATION ( I ST)'
(2NI))
~II~ll FRAME &
PLIIMI;ING
ISULATIONI~R N. Y.
b'T. ATli~B~gGY
COD~
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Disapproved a& /
. PERMIT NO.
,20. ~/
~ULI~I~IINU l".~,tq['¢_ll AFFLIIJAIION CI4_t~CKLI5.
Do you have or need the following, be£ore applying
Board of Heakh
3 sets of Building Plans
Survey
.: 9qt S-o-'z- Check
Septic Form
N.Y.S.D.E.C.
· ' Trustees
Contact:
Mail to:
Phone:
Bu//klin'g~ector
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 adjoining premises or public streetg 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.npart 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 inspe.ctors On premises and in building for necessary inspections.
(Signature of applicatnt or name. if a c~rporation)
(Mailing address of applicar~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electr/cian, plumber or builder
Nameofownerofpremises ~_I'D_/)~C Zt~lO~'/I. /~T (~Ilt/T~OIJ
/(as on.:the tax-roi1 or latest deed)
If apt~l,~.anh is a co~ora,~ion, signature of duly authorized o. fficer
/ (N~an~ ~nd title ofcorporatelofficer~ .
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which,~rooosed work will be doric:
ET- · :'
House Number Street
Hamlet
County Tax Map No. 1000 Section ~ Block /
Subdivision ,.' Filed Map No.
(Name)
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
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
4. Estimated Cost ~, 7/~, DOD.
5. If dwelling, number of dwelling units [ Number of dwelling units on each floor
If garage, number of cars
6. if business, commercial or mixed Occupancy, specify nature and extent of each type of use.
Alteration
(Description)
· (to be paid on filing this application)
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. Number of Stories
g. Dimensions of entire new construction: Front ~)~ Rear
Height '~'l Number of Stories /
L Size of lot: Front fi~//q Rear Depth
t0. Date of Purchase d]~ Name of Former Owner
' I
[ 1. Zone or use district in which premises are situated
Depth
L
[2. Does proposed construction violate any zoning law, ordinance or regulation: A/O
13. Will lot be re'gradedzt~P-'~% Will excess fill be removed from premises: YES
--~ ' '~:]e P hen e No. f_~C~~J~- /
.4, Names of Owner ofp~ ~mises~Address
Name of Architect ~Address~ " iPhone No~oj~~
NameofContractor ~' /lfld F [~?.k~l · Addres~ II Phone No. /~0z~Z~&~-
5. Is this property within 100 feet of a tidal wetland? *YES NO
· [F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ~D
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 011
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
SS:
.-out'fY )
f~¥/DO/J~ /'t/~D".,iJo,/"-5',(/~~' 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 true 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.
' ' / Signature 0fAppl]cant r