HomeMy WebLinkAbout27664-ZFORM NO. 4
T0~rN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-28411
Date: 05/15/02
T~IS CERTIFIES that the building NEW DWELLING
~ocation of Property: 17 OSPREY LAiqE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
CoLulty Tax ~ap No. 473889 Section 35 Block 1 ~Dt 25
Subdivision 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 Pe~it No. 27664-Z dated MAY 9, 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 #17) WITH ATTACHED TWO CAR GAP~AGE & COVERED
FRONT PORCH AS APPLIED FOR.
· ~ne certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SBF~DLK CO~l~f DEPAR~NT OF ~A3~{ APPROVAL C10-97-11 05/10/02
ELEC~IC3%L CERTIFIC-A~ NO. 1037682 03/07/02
PLUMBERS CERTIFICATION D~i'~3 02/14/02 HARTCORN PLUNB.&HEAT.INC.
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. 27664 Z Date MAY 9, 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
GARAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #17 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 $ 522.60
Authori ed Sig//n~ure
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 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. Appro,)al 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.
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 0ccupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction: /
Location of Property: /.7
House No.
Owner or Owners of Property: e'~C..~ki t~
Suffolk County Tax Map No 1000, Section
Date.
Old or Pre~existing Building:
strut /
~ ,.~ Block
(check one)
Hamlet
Lot 2.f~'
Subdivision
Permit No.c.~"~ {s/t t./~:
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Feb Submitted: $
Filed Map.
.5] ~f / o I __ Applicant:
Underwriters Approval:
Lot:
Final Certificate: / (check one)
Applicant Signature
O0nnis M. Will~lm
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FUITON 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 25
MILLER PLACE, NY 11764, COTTAGE Ct 17
GREENPORT, VILL, NY 11944
Located at MAIN RD RT 25 COTTAGE Ct 17 GREENPORT, VILL, NY 1 '1944
Application Number: '1037682 Certificate Number: 1037682
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:
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.
Name QTY Rate Rating Circuit Type
Additional Charges
MODULAR HOUSE
Appliances and Accessories
Air Conditioner 1 3TON
~ M°t°rs
1 3
1 F
I Panels
1 60 1
Wiring and Devices
~1 Outlet 1 Fixture
Receptacle 1 General Purpose
Switch 1 General Purpose
Fixture 1 Incandescent
Service
1 Phase 3W Service Rating 200 Amperes
. . seal
Servtce Disconnect: 1 200 CB
Meters: 1
1 of 1
This certificate may not be altered in any way and is validated only by the presence Gl' 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 Pe?it No.
Owner: "fff..Ollif~ Ltlfl~t/tO
(please priht)
Plumber:Hartcorn Plmg. & Htg., Inc
(please print)
# ,7
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 Y/f~d~ ,20
Notary Publi6, County
VIRGINIA M. GOCINSKI
Nota~ Publlo, State of New Yon~
No. 487~841
Q~llfled in ~k Cou~
re~ e~8 ~r 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.: / 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 LAND1NG 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. 17 have been constructed 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
BARTON & Associates, L.P.
BARTON & Asseeiat~,s, Inc.
Thomas C. Barton, Ill, AIA
5120 But]er Pike, Suite
['lymouth Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.bartonpartnels.com
CHI(AGO
BALIIMORE/
WASHING'ION
Officers
MAYOR
DAVID E KAPELL
(631)477
TRUSTEES
WILLIAM J MILLSIII
GEORGE W. HUBBARD
GAILF. HORTON
BRADLEYB BURNS
236 THIRD STREET
GREENPORT, NEW YORK I [944
CLERK/TREASURER
CHRISTIE HALLOCK
Te1:(631)477-0248/2385
Pmx:(631)477 1877
March 14, 2002
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
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
17 9/26/01 OK OK .~, ~
REMARKS:
COTTAGE SCHEDULE
Feb. 4 - Feb. 9
Cottage# I 1 I 2 I 3 I 4 I 5 I 6 I 7 I 8 I 9 10 11 12 13 14I 15 16
Model I Corchau9 IHermitage2 I Hermitage21OysterP0ndI Corchaug IHermitage2 IHermitage2 Corchaug IHermitage2 OyserPond Hermtage2 Corchaug Corchaug Hermitage20ysterPond Corchaug
Excavation 4/19 4/19 4/19 4/23 4/23 I 4/23 4/24 4/18 4/18 4/16 4/13 4/13 4/17 4/17 4/12
4/12
Footer 5/9 5/9 5/10 5/11 5/12 5/15 5/16 5/17 5/18 5/18 4/16 4/16 I 4/26 4/27 4/15 4/16
Foundation 5/10-CF 5/11-CR 5/12-CR 5/14-CR 5/15-CR 5/16-CR 5/17-CR 5/18CR 5/19CR 5/21CR 4/28-CR 4/17-CRJ 4/27-CR 5/1-CR 4/17-Crawl 4/25-FB
R,,, ,~,~1,~ ....... ,~,~ .... $,29 o,, S, 22 ,-,, 22 ~2~ 5~30 $,3 ,~,3 S,'3 SS 417 4,25 5/9
Sanitary Sieve 5/30 5/30 5/30 5/30 5/30 5230 5/30 5/30 5/30 5/30 5/8 5/8 5/10 5/10 5/10 5/9 5/9
Damp Proofing I ~ i ~ [ ] i -- i I x I
Serial# 6561i6562i6565i6595 ~566;6567i6568 6569 6570~6596 6564 6545 6553 6580 6542 6540 6597
Sills,Plates ' 5/17 5/17 6/1 c-~? 5/~ 5/29 I 615 6/5 6/5 I 6/11 4/30 ~/27 5i~:2
Delivered ' I i 5/12 i 5/12 4/27 5/8
Trusses Order ] 5/23 5/24 5/29 6/14 5/3~ J 5~31 5/30 6/5 ' 6/5 ' 6/14 5/29 5/15 j 5/22i 6/6 5/3 5/8 6/19
5/1S 5/S 5/1S ! 6/11'S ~ 5/1S 5/1T 5/1S 5/1T 5/1T 5/11-S 5/lS 5/1S 5/1S 5/1T 4/18-S 4/18-S
Trusses Del. 5/25 5/30 6/1 ' 6/18-S ' 6/7- S 6/14- T 6/7-S 6/6 6/7- 6/18 i 6/4 5/15 ; 5/21 6/11 5/4 5/9 6/-T
Cottage Set 5/31 5/31 6J5 ~6/18 6/6 6/7 6/8 6/12 ~6/12 6/19 6/5 5/16 5/22 6/13 5/4 5/8
Garage 6/1 6/1 6/5 6/18 6/18 6/7 6/12 6/12 6/19 6/19 5/30 5/16 5/24 6/13 5/4 5/8
Trusses Set 6/1-H 6/1-H 6/6-H 6/20-R 6/21-H 6/21-H ' 6/15-R 6/19-R 6/25-H 6/25-H 6/4-R 5/18-R 5-/29-R 6/14-R 5/7-R 5/10-R 6/26-R
Sheeting 6/4 - H 6/4 - H 6/6 -H 6/21 - R 6/21- H 6/22- H 6/15- R 6/19- R 6/25 - H 6/25- H 6/5 - R 5/19 - R 5/30 - R 6/15- R 5/8 - R 5/11-R 6/26 ~ R
Chimmney / FP ] 6/4 6/4 ' 6/25-FP 6/25 7/5 7/5 7/5 7/2 7/2 7/2 7/3 6/12 6/12 7Fl 0 5/10 5/16 -FP 7/10
Extra Room N/A NIA 4 Season ; N/A N/A N/A N/A N/A NiA N/A N-)A i NIA N/A N/A I N/A Porch ~e
Shingles Del. 6/4 6/4 6/7 6/19 6/19 6/19 6/14 6/14 6/14 6/14 6/12 6/12 6/12 , 6/20 5/4 6/7 ~7
Shingled.__ 6/13 6/14 6/11 6/22 , 6/28 7/ 7/2 7/5 7/5 6/28 6/24 6/28 6/27 6/21 5/14 5/15 7/13
Sided 8/6 - T i 8/6 - T 8/7 - T 8/7 - T 8/8 - T 8/8 - T 8/9 - T 8/9 - T 8/10 - T 8/11 - T 8/12 -T ! 8/13-T 8/13-T 8/14-T 8~15-T 8/16-T 8/17-T
HVAC-HEAT 7/31J 7/31 7/31 8/2 8/2 8/2 8/15 7/20 7/19 7/18 7/1 ¢/2 7/6 7/16 7/12 7/18 7~/16
Electric-Rough 6/22 6/22 6/21 6/21 6/25 6/25 6/26 6/26 7/2 7/2 6/5 6/6 6/6 6/19 5/30 5/31 ,: 713
Plumbing Rough 5/30 5/30 5/30 5/30 5/30 5/30 5/30 5/30 5/30 5/30 5/8 5/8 5/10 5/10 5/10 6/12
Gas Piping 9/5 9/11 9/12 9/20 9/20 I 9/20 9/20 9/20 9/20 9/24 7/24 9/4 8/29 7/20 7/19 7/20
Garage Slab 5129 5/29 5/30 5/30 5/30 6/8 6/8 6/4 6/4 6/4 6/9 6/9 6/9 5/15 5/17 G+B - 6/1
Garage Door D-1-OPS/22 S 8/-20 S 8/20 S 8/20 D-1-OP8/20 S 8/20 B-1-OP8/22 D-1-OP8/22 D-l-OP8/22 D-lOP 8/22 S D-1-OP S D1OP-8/1; S- 8/13 'D-2-OP8/13
Sheet Rock 8/4 8/7 8/3 8/2 8/2 8//1 8/5 7/29 7/28 7/22 6/19 6/19 6/22 6/25 6/16 6/16
Spackle 8/24 8/26 8~22 8/15 8/14 8/13 8/17 8/16 8/10 8/7 6~30 6/30 7/28 7/27 6/27 6/26
Trim 8/6 8/7 8/6 8/2 8/2 8/1 8/5 7/29 7/28 7~22 6/19 6/15 7/23 7/17 6/11 6/12
Paint 10/22 10/19 10/17 10/15 10/12 10/10 10/8 10/5 10/3 10/1 9/5 9/4 8/28 8/24 8/15 8/15
Elect. Comp, 11/21 11/21 12/12 11/26 11/26 11/27 11/27 11/28 11/28 11/29 11/29 11/29 11/28 11/19 11/19 11/19
Ceramic Tile 10/11 7/16
Carpet 10/29 12/27 10/25 10/25 10/26 11/15 11/15
Wood Flooring 12/18
Appliances 12/14 12/14 11/27 11/27 11/27 11/27 11/27 ¢:~' "~
)UNDATION
}U~ I~RAMg &
PLDI~IN~
IS'UL~i~IOI~ PER N. ~.
ST_A~E El~gll~/
CODE
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined ~
Approved
Disapproved a~c
PERMIT NO.
.)
1~, LJ LLI.)I~ (J IYP.,Iq..~I t AJ~FLIGA lION CHECK.LIS.
Do you have or need the following, before apply/ng
Board of Health
3 sets of Building Plans
Sm'veX
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
BuiMfn~'~ector
APPLICATION FOR BUILDING PERMIT
INSTRVCTIO S
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"premises, relationship to adjoining premises or public streeti or
areas, and waterways. :
c. The work covered by this application may not be commenced before issuance of Bu'ilding 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 throughotit 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.~partment for the issuance cfa 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
author/zed inspeytors 9n premises and in building for necessary inspections,
(Signature of applic~fnt or name, if a corporation)
(~Iing address of applicant~/
State whether applicant/~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name of owner of premises
(~s on;the tax roll or latest deed)
If apl~lj~.nh is a corpora~on~ signature of duly authorized officer
Jr ',
/ (~arr~ ~[nd title ofco~oratelofficerJ
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No,
l. Location of land on which llroposed work will be done:
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 useandoccupancy /~t'~tlCe
3. Nature of work (check which applicable): New Building
Repair RemovaI Demolition
4. Estimated Cost ~ '700 OtDO. OO Fee
5. If dwelling, number ofdwelling units
If garage, number of cars 1
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Addition Alteration
Other Work
~/~( (Description)
to be paid on filing this application)
Number of dwelling units on each floor
7. 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.
~. Dimensions of entire,new construction: Front ~-/
Height ,2.~r Number of Stories
p.I/t~ Name of Former Owner
Date
of Purchase
t 1. Zone or use district in which premises are situated
Number of Stories
Rear Depth ¢*7
!
Depth
/
[2.
Does
proposed construction violate any zoning law, ordinance or regulation: A/~)
3. Will lot be re-graded ¢.~ Will excess fill be removed from premises: YES ~
- 4. Names o f Owner o f p~mises~~bAddress O(I ~]8 Phone No. ~
Name of Architect ~~ . Address ~l Phone No (~ II~)'C~i/D
Name of Contracto~~]~i'~--- 'Address ~ ~hone $o.~
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. O/~ jrw/¢..
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:
f.4V'/77~ ~ /4ft:~-..~'.,t_J0/-'_574/.~' 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;
~at 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.
Notary ,~u~ic
NO. 47~17~
' / Signature of Appl~ant ;'
(I~[AIaOa~I
, WL
FOYER
THIS DRAWING WAS EXTRACTED
FROM APPROVED PLANS ~'ND CR
,APPROVED ~ :'STEMS DR,-v,MN~S
*1
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ASSEMBLY DISCRIP~CN DRAWING
~U]LDER
PRODUCTION
Released for
Production
DATE.At~ ~ ~, .4. Z[i8'i
659701
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