HomeMy WebLinkAbout27234-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28313 Date: 05/15/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 21 ORIOLE 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 APRIL 10, 2001 pursuant to which
Building Permit No. 27234-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 #21) WITH ATTACHED TWO CAR GARAGE &
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK CO~ DEPAR~TT OF ~TH APPROVAL C10-97-11 05/10/02
EL~C~ICAL CERTIFICATE NO. N576900 11/27/01
PLUMBERS CERTIFICATION D~r~u 02/14/02 HARTCORN PLLrMB.&HEAT.INC.
Au"oho ri z ed,S ignature
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. 27234 Z Date APRIL 13, 2001
Permission is hereby granted to:
for :
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT # 21 CRAWL SPACE
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated APRIL
Building Inspector.
MAIN RD
Block
10, 2001
GREENPORT
0001 Lot No. 025
and approved bY the
Fee $ 399.20
Authorf, z~d Signa~f~e
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 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. Appro4'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.
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 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 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 Occupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Location of Property: ~/
House No.
Owner or Owners of Property: ~¢'~CJ~'14 [c
Suffolk County Tax Map No 1000, Section
New Construction:
Subdivision
Pertnit No.o~"]o~ .~ t./ .~-
Health Dept. Approval:
Planning Board Approval:
Old or Pre,-existiag/~uilding: (check one) .---
Shtect / Hamlet
Date of Permit.
5' mock
Filed Map. Lot:
_ Applicant:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,,~.-~
Co 31_3
2J
Final Certificate:
(check one)
Applicant Signature
Dennis M. Wi[helm
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: 't)~CO/~;f~ Lotll~O ~l~L~e ~ ~l
~le~e ~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.
(Plumbers'Signature)
Sworn to before me this ff'~
dayof ~/~ggt~4~ ,20~92~
Notary Public, County
VIRGINIA M. GOC/NSKI
Notary Public, State of New York
No. 4873841
Qualified in Suffolk Counh4
Term expires October 20, ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ 40 FULTON STREET, NEW YORK, NY 10038
Date Application No. on file
THIS CERTIFIES THAT
only the elect~cal equipment as desc~bed below and i~oduc~d by the applicant named on the above applicadon number is in the prem~es of
Pi~CC~IC ~DIN~, RT 25 I4A:[I~ ROAD, COTTAGE ~ 21, gR; '"
in the fol~wing Ioc~on: ~ Basement ~ 1st FL ~ 2nd FI. GAR
NOVEI~'ER 02,2~1
was examined on and found to be in compliance with the National Elect~cal Code.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES FLUORESCENT OTHER
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT. TIMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS:
3.5 TON A/C-1
HODUI.AR HOUSE- 1
N,Y. S'rATE APPROVAL # i9-12749-1
.MFG AVIS AMERICA,~1
SERIAL # 654601-I
IqOTORS=I-3.5 H~P.,1-F H.F,
-PANELBOARDS: 1-1 CIR, 6~
<<< C~o]~tintled on Page 2 >>>
GENERAL MANAGER
~lscedlflcate mullnolbe alteredln any manner;retumtolh® office of~e Soardlflncorrect. lnspeclor$ may beidentllled bytheircredentials.
DOPY FOR BUILDING DEPARTMENT. COPY OF CERTIFICATE MUST NOT RE ALTERED IN ANY MANNER
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1~,>~.~-~ BUREAU OF ELECTRICITY
F- 40 FULTON STREET, NEW YORK, NY 10038
App~on
No.
THIS CERTIFIES THAT
PECONtC !~NDZNG~ RT 25 i~IN RO~, COTTAGE ~ 21, GR;": }r'~ I~i~
in the fol~wing loc~on; ~ B~ement 1st FL ~ 2nd FL uAR ,.~ SecHon 35 Block ~ ~t
was examined on and found to be in compl~nce w~h the Na~nal Elec~cal Code.
FIGURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ~CIAL REC'~. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
SERVICE DISCONNECT NO. OI S E R V I C E
P.O.BOX 6070
This c~ffiflcat~ mu~t not be altered In any manner; ream to the office of ~e B~rd If Incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER
85/89/2882 14:29 g313599880 CHARLES R CUDD¥ PAGE 01/81
CHARLES P.. CUDDY
Attorney at Law
445 Gr~ug Avenue
P~ve~head, NY 11901
PO Box 1547
Riv~h~ad, !',~Y 11901
VIA FACSimiLE-
Michael Verity
Southold Town Building Depa~ur~ent
Main Road
Sou~old, NY 11971
May 9,2002
Tel: (65 I} 369-g200
;flax; ([631) 369-9080
em.il: cr~aa~'(~eara~li~.uet
Re: Peconic Landing at Southold, Inc.. - Certificates of Occupancy
Dear Mr. Verity;
This is written to confam my statements to you that Peconic Landing at Southold, Iac..has fully
complied with all of thc requir~me~s for issuance of certificates of occupancy for Units 1 throuih
45. Irt particular, and with respect to certificates oi occupancy for Units 25, 32, 40 and 41, Peconic
Lading at Southold, Inc. agrees to hold harmless and indemnify the Town of Southold, the Southold
Town Building Department and its agents and employes with respect to any loss or dmnage that
occurs ~o any of them as a resuk o£issuance of the specified four cert/~cates of occupancy.
Pcconic Landing at Southold, Inc. is cord~dent thaL basedupon all the representations ~nd inspections
that have been completed, it is appropriate that at least thc four certificates be issued. It is my
understanding that upon receipt of this letter you will arrange forthwith to have those certifi~tes
issued and advise me by telephone so that I may pick them up.
Thank you.
CRC:JiV~
Very truly yours,
Charles R. Cuddy ~./
.:~ttorney for Peconic Landing at Southold, Inc.
lo~.hua Horton, Southold Town Supennsor - vlafax 76.%1823
William G. Thompson, President, Peeonic Landing at Southold, Inc. - viafctr 557-7307
April 02, 2OO2
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 Celtificalion.
Dear Mike:
In reference to the above mentioned project we, Barton & Associates, LLP (Architects of Record
for said project), bereby certify that to the best of our knowledge, information and believe that
Cottage Unit No. 21 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.
BARTON & Associates, Inc.
Officers
MAYOR
DAVID E KAPELL
(631) 477-3000
TRUSTEES
WILLIAM J MILLS 111
GEORGE W. HUBBARD
GAlE F HORTON
BRADLEYB BURNS
236 THIRD STREET
GREENPORT. NEW YORK 11944
CLERK / TREASURER
CHRIS~IE HALLOCK
Tel: (631 ) 477-0248/2385
Fax: (631) 477-1877
March 14, 2002
To~
E. F. Walsh
Developers Peconic Landing
From:
Village of Greenport
Utilities Department
To Whom It May Concern:
Re: Peconic Landing Sewerage System
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
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.: ~- I
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. Aie'~o, P.E.
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
21 9/24/01 OK OK
ILl
FIELD INSPECTION REPORT DATE
:~, COI~ENTS
FOUNDATION (IST)
II
INSULATION PER N. Y.
STATE ENER~'Y Il Ii
CODE II II
il
II
Ii
II
II II · /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 7654802
Approved . . 20 ~:~l'
Disapproved a/c
Buildin~ In p~e~cto~r
BUILDING PEK/vlIT APPLI(~ATION CHECKLISt
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
.200/
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 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 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 Department 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 ~f apl~licani or name, ifa corporation)
/(Mailing address of applicar~) '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises k1~.(O,'}[c Zon~'/I/O OF
(as on:the tax roll or latest deed)
/pplica~t is a corporatiofij,~ture of duly authorized officer
(Name and title 6'f corporate officer) .
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which llroposed work will be done:
I,,7.0¥ ff. 75
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
Block /
.. Filed Map No.
Lot
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
4. Estimated Cost_~z~ 700,. 000- 00
5. If dwelling, number of dwelling units
If garage, number of cars
a. Existing use and occupancy ,
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair Removal. Demolition
X Addition Alteration
Other Work
Fee_ A]//q (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.
Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
.Depth
Rear
Depth Height
g. Dimensions of entir0 new construction: Front ~,~,2.,
Height ~, Number of Stories
.t
~. Size of lot: Front /~/r0 Rear
10. Date of Purchase ~///~ Name of Former Owner
Number of Stories
Rear
!
.Depth
__Depth
l 1. Zone or use district in which premises are situated
'. 2. Does proposed construction violate any zoning law, ordinance or regulation: ;0
'.3. Will lot be re-graded __~.~% __Will excess fill be removed from premises: YES (~
em~.qe~ t~O ' '
. .NamesofOwnerofp:,mises Address Phone o.m m'
Name of Architect ~c~r"tYI ~.~.*,,/l~. . -Address /)t~ F~/~ Phone No~
Name of Contracto~~--~ Address "' 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. P~'ovide survey, to scale, with accurate foundation plan and distances to lines. On/f:,
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
:oum'¥ os:
~! [[ t~v~'l ~" 7,4/d]'7'1/°~d it} being duly sworn, deposes and says that (s)he is the applicant
(Name of indiv/dual signing contract) above named,
S)He is the
(Contractor, Agent, Corporate Officer, etc.)
f said 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.
worn to before me this .^
~ day of ~C~} 20/--)/
Notary Pu~i~/
No.~731709