HomeMy WebLinkAbout27237-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28427
Date: 05/16/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 16 OSPREY I2~NE GREENPORT
(HOUSE NO.) (STREET) (F~AMLET)
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 APRIL 10, 2001 pursuant to which
Building Permit No. 27237-Z dated APRIL 13, 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 #16) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
· ~ne certificate is issued to PECONIC 12~NDING AT SOUTHOLD~
( OWNER )
of the aforesaid building.
INC,
SUFFOLK COUI~"f DEPART~T OF ~TH APPROV;%L C10-97-11 05/10/02
ELEC~RIC3%L CERTIFICJ%TH NO. 1037681 03/07/02
PLUMBERS CERTIFICATION DA'£~M 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. 27237 Z Date APRIL 13, 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
GAR3tGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #16 FULL CELLAR
at premises located at 1205 MAIN RD
County Tax Map No. 473889 Section 035
pursuant to application dated APRIL
Building Inspector.
GREENPORT
Block 0001 Lot No. 025
10, 2001 and approved by the
Fee $ 746.20
ORIGINAL
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 submitted to the Building Department witb 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 o f 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. 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 applicam. 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 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- $I00.00
3. Photocopy of Certificate of Occupancy - $ 0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate ofOcoupancy - Residential $15.00, Commercial $15.00
Date.
Old or Pre--existing Building:
House No. Street /
Owner or Owners ofProperty: ¢-~C~g~C_ {,.~MO,d~ ~a.'~-
Suffolk County Tax Map No 1000, Section ~ ~,~
Date of Permit. t//I 3/Ol
Block
New Construction:
Location of Property:
Filed Map.
Subdivision
Permit No. o~ ~ 3 9~
Health Dept. Approval:
Plmming Board Approval:
12. Zoo,:,'
Request for: Temporary Certificate
Fee Submitted: $ ,,~-_~ '""
_ Applicant:
Underwriters Approval:
(check one)
Hamlet
Lot 2,f"
Final Certificate:
(check one)
CO -~ ..~ t~,,9-"2 Applicant Signature
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.
(please pnlnt)
Hartcorn Plmg. & Htg., Inc
Plumber:
(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 ~
dayo , 20 d2----
Notary Public, County
(Plumbers Signature)
%/IRGIN~A M. GOC NSKI
Notary Public, State of New York
No. 4873841
Qualified in Suffolk Count~
Term expires October 20, -- ~
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 I Pressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
16 9/27/01 OK OK
REMARKS:
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:
April 04, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southoid 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 knowledge, information and believe that
Cottage Unit No. 16 have been constructed in compliance with all applicable laws, codes and
ordinances.
Very truly your;
BARTON & ASSOCIATES, LP
Frank P. Laughlin, RA
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & Associates, L.P.
I~ARTON & Associates. Inc.
rhomas C. Barton, Ill, AIA
5120 Butler Pike, Suite 200
Plymouth Meeting, PA 19462-1230
'lei. 610.940.5825
Fax 610.940.5830
www.bar tonparmers.com
PHILADELPHIA
CHICAGO
BALTIMORE/
WASglINGTON
Officers
MAYOR
DAVID E KAPELL
(631 ) 477-3000
TRUSTEES
WILLIAM J. MILLS II1
GEORGE W HUBBARD
GAlL F HOWFON
236 THIRD STREET
GREENPORT~ NEW YORK 11944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631) 477-0248/2385
Fax: (63 l) 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
FIELD INSPECTION ~PORT DA~ i,! COInErS
FOUNDATION (IST)
FOUNDATION (2ND)
ROUGH FRANE &
II
INSliLATION PER N. Y.
CODE II
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Exam/ned~/-~ ,20 ~'~
Approve~/3 ,20 fi/"
Disapprove~t a/c
Building inspector
DULL, I~II~ILJ FgKNI. II At'PLILtATION CHECKLIS'
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S~D.E.C.
Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date
INSTR~JCTIONS
,20 OI
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 pict 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 streeti or
areas, and waterways.
c. The work covered by this application may not be co~nenced 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 throughodt the work. ·
e. No building shall be occupied or used in whole or in'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 demolition 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.'
· ' (Signature of aptplicant or name, if a corporation)
/(Mailing address of applic~{nI)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nmneofownerofpremises(~r0tl[CJ ~::~ag'/IO t:tF QSoLITJ'I/IIJ
/ (as on:the tax roll or latest deed)
Ifkap~licar~ is a corporatip2~,~tlaature of duly authorized officer
'~ ' (Name and title ~Sfcorporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which.proposed work will be doric:
/2t 5 'g.
House Number Street
County Tax Map No. 1000 Section k2~3' Block
Subdivision ' Filed Map No.
(Name) :.
Hamlet /
Lot
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 X
Repair Removal Demolition.
Addition Alteration
4. Estimated Cost
5.
If dwelling, number of dwelling units
garage, number of cars
Other Work
Fee ,4,//~ (Description)
// ' (to be paid on filing this application)
Number of dwelling units on each floor
5. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front
Height Number of Stories
Rear .Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height
3. Dimensions of entir~ new construction: Front ~,2.,
Height ~,¢ Number of Stories /
). Size of lot: Front /I///~ Rear
[0. Date of Purchase ~/~ Name of Former Owner
! 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:
3. Will lot be re-graded /e~ Will excess fill be removed from premises:
4. Names of Owner ofp_remises~~lLAddress (~/.)
Name of Architect ~0lT0tl ~5. Address ~ ~
Name of Contractor Eotld ~' tlJo~ Address ~ /
YES
Phone No.
.Phone
Phone No.
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IF .YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
:OUNTY O F~'t Ft~/~S)S:
J being duly sworn, deposes and says~ ,t to~ ~ - ~ that (s)he is ~e applicant
~ame of indi~dual si~ing con,act) above named,
$)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;
aat all statements contained in this application are tree 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
J
Signature of Applicant