HomeMy WebLinkAbout27176-ZFORM NO. 4
TOWi~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28432
Date: 05/16/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 24 PIPING PLOVER 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 MARCH 23, 2001 pursuant to which
Building Pemit No. 27176-Z dated FUtRCH 27, 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 #24) WITH ATTACHED TWO CAR GAI~AGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SUFFOLK COUNTSf DHPARRR~EIqT OF HEALTH APPROVAL C10-97 11 05/10/02
ELECTRICAL CERTIFICATE NO. 1041504 03/26/02
PLUMBERS CERTIFICATION D~£~3 02/14/02 H3tRTCORN PLUMB.&HEAT.INC.
~i~/z ~ d s~/i~nat ute
Rev. 1/81
PORM 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. 27176 Z Date MARCH 27, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GAP, AGE AND COVERED FRONT PORCH AS APPLIED FOR ( UNIT #24 FULL CELLAR )
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated MARCH
Building Inspector.
MAIN RD GREENPORT
Block 0001 Lot No. 025
23, 2001 and approved by the
Fee $ 863.60
Autho~-~ed Sig~ture
ORIGINAL
Rev. 2/19/98
Form No, ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or mk and submitted to the Buildiug Departinenl with the following:
For new building or new use:
1. Fiual survey of properly 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 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:
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
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial
Date.
New Coustmction: /
Location of Property: ~ q_
House No.
Owner or Owners of Property: _c~
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building;
'l Strget
(check one)
Hamlet
Lot
Subdivision
Permit No. ~ t '~ 0'7~ __ Date of Permit.~
Hcaltb Dept. Approval: '-/' 1o ' Loo
Planning Board Approval: I~
Request for: Temporary Certificate
Fee Submitted: $ .ff-.~ '~
Filed Map. _.
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicanl Signature
· =-'1 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 25
~ MILLER PLACE, NY 11764, COTTAGE # 24
~ GREENPORT, VlLL, NY 11944
E Located at MAIN RD RT 25 COTTAGE # 24 GREENPORT, VILL, NY 11944
~ Application Number: 1041504 Certificate Number: 1041504
~ Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
~ Described as a Residential occupancy, wherein the premises electrical system consisting
~ electrical devices and described below, located in/on the at:
wiring,
premises
Firs, Floor, Outside, CORRECTED CERTIFICATE
R 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 26th Day of March, 2002.
~_ Name QTY Rate Rating Circuit Type
~ Additional Charges
~ MODULAR HOUSE
[~ Appliances and Accessories
~ Air Conditioner I 4TON
~ Motors
RR 1 4
B 1 F
~ Panels
~ 1 60 1
~ Wiring and Devices
Outlet 1 Fixture
Receptacle 1 General Purpose
~ Switch 1 General Purpose
~ Fixture 1 Incandescent
~ Service
B 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
Building Permit No.
Owner: ~)~(.0II~L /~tl~'/[0
(please p~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
day of , 20
Notary Public, County
~ure)
VIRGINIA M. GOCINSKi
Notary Public, State of New York
No 4873841
Qualified in Suffolk Counls,
Term expires Oc ober 20, Z~_ ,2.~
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 C~rtificate of Occupancy for the
subject cottage.
By:
Dated:
Gino N. A~lo, P.E.
April 04, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
SouLhold, 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 projec0, hereby certify that to the best of our knowledge, information and believe that
Cottage Unit No. 24 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.
BAR'[ ON & Associates,
Thomas C. Barton, III, AIA
5120 Butler Pike~ Suite 200
Plymuuth Meeting. PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.har tonpar tners.com
PHILADELPHIA
( HICAGO
BALTIMORE/
WASHINGTON
Of'~£ers
MAYOR
DAVID E KAPELL
(631 ) 477~3000
TRUSTEES
WILLIAM J MILLS III
GEORGE W HUBBARD
GAll, F HORTON
BRAI)LEYB BURNS
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK/TREASURER
CHRISTIE 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
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
; 5.0PSI 50 PSI
24 9/25/01 OK OK
REMARKS:
uJ
0
FIELD INSPECTION I~PORT - DATE
~t~I0~ (,S~) II
FO~ATION (2~)
· ADDITIONAL CG~4EITrS:
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD NY 11971
TEL: 765-1802
Approved ~
Disapproved
Buildin~ I~i>ector
BUILDING PERMIT APPLICATION 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!
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 sched~ale.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street~ 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 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 consmmtion 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 ofa~plicant or name, ifa corporation)
/ (Mailing address of~pplic/ant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor.
I
ameo ownero premises
/ (as on:~e tax roll or latest deed)
If applica~t is a corp~signature of duly. authqrized officer
(Name and t~le of corporate officer)
Builders LicenseNo.
electrician, plumber or builder
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which l~roposed work will be done:
/2tXS' · KU. 2.~ '
House Number Street
Hamlet
¸.2¢
County Tax Map No. 1000 Section ~'~ Block ] Lot
Subdivision ..' Filed Map No. Lot
ame) ,
State existing use and occupancy of premises and intended use and occupangy of proposed construction:
a. Existing use and occupancy ,
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~, 700:000
5. If dwelling, number of dwelling units
If garage, number of cars
1// Addition Alteration
Other Work
Fee /¢/~ (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.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
.Depth
Dimensions of same structure with alterations or additions: Front
Rear
[0. Date of Purchase
/
Depth_ Height
Dimensions of entire new construction: Front
,2.q Number of Stories
Height
Size of lot: Front Rear
Name of Former Owner
[ 1. Zone or use district in which premises are situated
Number of Stories
Rear Depth ~/~
/
Depth
.2. Does proposed construction violate any zoning law, ordinance or regulation:
.3. Will lot be re-graded ¢~,.~ Will excess fill be removed from premises: YES
/
NO
Phone No. ~
~hone No~
~'hone No. ((~,:~,') q77- q/O~
.4. Names of Owner ofpremises~Address
Name of Architect (,~alT~(I /q,~x0c. Address
Name of Contractor £anv] t: ult~J611 Address
5. Is this property within 100 feet of a tidal wetland? *YES
· JIF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or} ff/~.
7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
:OUNTY 0 F ~'t,t FP~/,/LS)S:
~ t lit a/T/ ~- ~ ~ 0 rkl p-~o ri 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.)
fsaid ovmer or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
mt 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 thi.~_
c:~,=7( day of [f~ ~d~ 20 t9 I
' , Notary Pub'[' c~
Pub.c, ~tate of New
' NO: 4791709