HomeMy WebLinkAbout27245-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold,
CERTIFICATE OF OCCUPANCY
No: Z-28468 Date: 05/29/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 15 OSPREY LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 35 Block 1 Lot 25
Sutx~ivision Filed Map NO. Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 10, 2001 pursuant to which
Building Permit No. 27245-Z dated APRIL 17, 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 #15) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH & EXPANDED LIVING ROOM AS APPLIED FOR.
T~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
~uF~)I~f CIOL~F~Y DEPAR~ OF B~{ APPROVAL C10-97-11 05/10/02
E~C~RIC~ C~TIFICAT~ NO. 1037735 03/07/02
PLUMBERS CEI{TIFICATION D~£~3 02/14/02 HARTCORN PLUMB.&HEAT.INC.
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27245 Z Date APRIL 17, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE, COVERED FRONT PORCH & EXPANDED LIVING ROOM AS APPLIED FOR #15 CRAWL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated APRIL
Building Inspector.
MAIN RD GREENPORT
Block 0001 Lot No. 025
10, 2001 and approved by the
Fee $ 354.00
COPY
Rev. 2/19/98
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 subnfitled to the Buildiug Depart~nent with the following:
For new building or new nsc:
1. Final survey ofprope~l.y with aceurate location of all buildings, property lines, streets, and unusual natural or
topograpbJc 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 thm~ 2/10 of 1% lead.
5. Commercial building, industrial building,.multiple residences and similar buildings and installations, a certificat,
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
t. Accurate survey of property showing all property lines, streets, building and unusual natural or topograplfic
features.
2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupanc3
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
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. Photocopy of Certificate of Oecupancy - $ 0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate ofOcoupancy ~ Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
House No.
Owner or Owners of Property: r-~C.,,a'}~
Suffolk County Tax Map No 1000, Section
Subdivision
Old or Pre-existing Building: (check one)
' St]ect I Hamlet
S' mock I Lot £
Filed Map. Ix)t:
Permit No. Date of Permit.
Itealtb Dept. Approval: "'/' lo * Z.
Planning Board Approval: ~ ~- - ~{
Request for: Temporary Certificate
Fcc Sublnit~cd: $ r~-~ ""
Applicant:
Underwriters Approval:
Final Certificate: ~ (check one)
Applicant Signature
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 RT 26
MILLER PLACE, NY 11764, COTTAGE # 15
GREENPORT, VILL, NY 11944
Located at MAIN RD RT 25 COTTAGE # 15 GREENPORT, VILL, NY 11944
Application Number: 1037735 Certificate Number: 1037735
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NSli
Described as a Residential occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
Attached Garage, 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 7th Day of March, 2002.
Nam~e QTY Rate Rating Circuit Type
Additional Charges
MODULAR HOUSE
Appliances and Accessories
Air Conditioner 1 3TON
Motors
I 3
1 F
Panels
1 60 1
Wiring and Devices
Outlet 1 Fixture
Receptacle 1 General Purpose
Switch I General Purpose
Fixture 1 Incandescent
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 CB seal
Meters: 1
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
Date:
Building Permit No.
Owner: ~fhtl~C ~ttll~/lO
(please l~r~nt)
Plumber: Hartcorn Plmg. & Htg., 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 f
dayof /)~Ig/'~~//, 20,~~)-SL ~-
No~y Public, County
(Plumbers Signature)
VIRGINIA M. GOClNSKI
Notary Public, State of New York
No. 4873841
Quaiilied in Suffolk County
Teton expires October 20, ~
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.:
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: ~'-t,~ 7/~ 2_-
April 04, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southnid, 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 pmjec0, hereby certify that to the best of our knowledge, information and believe that
Cottage Unit No. 15 have been construcwd in compliance with all applicable laws, codes and
ordinances.
Very truly your;
Frank P. Laughlin, RA
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
Officers
MAYOR
DAVID E KAPELL
(631)477-3000
TRUSTEES
WILLIAM J MILLSllI
GEORGE W. HUBBARD
GAlL F HORTON
BRADLEYB BURNS
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK/TREASURER
CHRISTIEHALLOCK
Te1:(631)477-0248/2385
Fax:(63])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
15 9/27/01 OK OK ~--~~
REMARKS:
INSULATION PER N. Y.
STATE ENERGY
CODE
BUII~DINGDEPARTMENT
TOWN HALL
SOUTItOLD, NY 11971
TEL: 765-1802
Disapproved aJc
Do you have or need the following, before applying
Board of Health
3 sets of Building Ham.
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Buildin~ l~ector ~'
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date
INSTR~JCTIONS
,2o01
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 ofbu. ildings on'~remises, relationship to adjoining premises or public st~eeti or
areas, and waterways. :
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval &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 tkroughofit the work.
e. No building shall be occupied or used in whole or i¢'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 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 d~molition as herein described. The
applicant agrees to comply with all applicable laws, ordinances~ building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signhrure of ~ppli~ant ~r-name, ifa corporation)
- /(IV~ailing ~-ddress ofappli~an0
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name o£ownerofpremises ¢~(Dt~t'E ~0~'/10
I (as on:the tax roll or latest deed)
If car~o tide"of "ti~ ° f ~lt~Y ;uth°rized ?fficer
Y(Name and corporate officer) .
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which p~oposed work will be dolie:
126,5 r_.T. 25 '
House Number Street
Hamlet
County Tax Map No. 1000 Section (~q.,~ Block
Subdivision ' Filed Map No.
CName)
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 t f.,-5 / C)e,/1C~.
Nature of work (check which applicable): New Building
Repair RemovaI Demolition
4. Estimated Cost ~, 7OD; O00.~)D
5. If dwelling, number of dwelling units
if garage, number of cars
X Addition Alteration.
Other Work
(Description)
(to 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 , , , Number of Stories
5. Dimensions of entire n~w construction: Front k~'] Rear .Depth
Height .2¢ Number of Stories !
). Size of lot: Front A//~ Rear .Depth
10. Date of Purchase /~]/~ Name of Former Owner
l 1. Zone or use district in which premises are situated
[2. Does proposed construction violate any zoning law, ordinance or regulation:
'.3. Will lot be re-graded //>hq, ' Will excess fill be removed from premises: YES (~
.4. Names of Owner o~r rmises~Address [~/} ~'?/[~ Phone No. ff~l~z~
Name of Architect ~~ Address ti Phone No~
Name of Contractor f, ~ i~ ~_t~I,~J1 Address ti Phone No. (. (oBI) ~'7'7- gdl~ ]
5. I$ this property within 100 Ceet of a tidal wetland? *YES NO
o.' ~ YES, SOUTHOLD. TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. ¢/]r~/e'
7. if elevation at any point on property is at I0 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK) ' '
:OU'NTY s:
IAJl/ii ~ tv/ ¢ .'7-/30 m~U::~,c) being duly sworn, deposes and says that (s)he is the applicant
(Name of indiv/duaI signing contract) above named,
S)He is the
(Contractor, Agent, Corporate Officer, etc.)
f said owner or owners, and is duly authorized to perfoma or have performed the said work and to make and file this application;
aat ali 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.
worn to before me this
ay of jq/]f}f--?/tt 20 ¢/