HomeMy WebLinkAbout27182-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28434 Date: 05/16/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 27 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 Permit No. 27182-Z dated MA~RCN 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 #27) WITH ATTACHED TWO CAR GAP~AGE, COVERED
FRONT PORCH & EXPANDED LIVING ROOM AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
S~/F~DLK CO[~N~T"f DEPAR~ENT OF B]L~L~{ ~PPRO~-~J~ C10-97-11 05/10/02
ELECTRICAL CERTIFICATE NO. N-576935 11/27/01
PLUMBERS CERTIFICATION DA'£~U 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. 27182 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 ATT. 2 CAR GARAGE,
COVERED FRONT PORCH & EXPANDED LIVING ROOM AS APPLIED FOR TO DEC & TRUSTEES #27
at premises located at 1205 MAIN RD
County Tax Map No. 473889 Section 035
pursuant to application dated MARCH
Building Inspector.
GREENPORT
Block 0001 Lot No. 025
23, 2001 and approved by the
Fee $ 354.00
Authored Sig4fat 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:
A. 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. Approx~al of 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Acourate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and a ennsent t0 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.
C. 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. Ce~rtificate of Occupancy on Pre-existing Building - $100.00
3. Photocopy ofCertifiente ofOcoupancy - $ 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:
House No.
Old or Pre-existing Building:
Istrdet
(check one)
Hamlet
Owner or Owners of Property: ¢-~C~14 to_
Suffolk County Tax Map No 1000, Section
Subdivision
PermitNo. ,~"") Ig.,,Q.,,~ DateofPermJt. )a lol
Block I Lot
Filed Map. Lot:
Applicant:
Health Dept. Approval: '-{ ' ~ · 7..
Planning Board Approval: l ').. - ~
Request for: Temporary Certificate
Fee Submitted: $ .,~ '"'"
Underwriters Approval:
Final Certificate:
co:, ff
(check one)
Applicant Signature
Dennis M. Wilhelm
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 SOUI'HOLD
CERTIFICATION
Date:
Building Permit No.
Owner:
(please'print)
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 ///~,/;~' , 2~
Notary Public, County
(Plumbers Signature)
VIRGINIA M. GOCINSKI
Notary Public, State of New Yon~
No 4873841
Qualiliecl in Suffolk County
Term expires October 20, ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
I~'~ 55~ BUREAU OF ELECTRICITY
~-- 40 FULTON STREET, NEW YORK, NY 10038
Date Appllcatlon No. on file
THiS CERTIFIES THAT
only the elect~cal equipment as desc~bed below a~d i~od~ced by the applicant named on the above appHca~on number is in the premises of
P'~i?OSrC I~,I~*ING, ~[&IN ROAD-ROUT~ 25, COATTAGE ~ 27 ',,:~q',~tT: ;&
in the following IocaMon' ~ Basement ~ 1st Fl. ~ 2nd Fl. G~. ., Section 35 Block 1 ~t
was examined on .... and found to be in compliance with the National Elect~cal Code.
SERVICE DISCONNECT I NO. OFI S
2~ CB MET~RE X
OTHER APPARATUS:
HODb%AAR HOUSE- 1
N.Y. STATE APPROVPJ., # 19'-12449-1
HFG AVIS AMERICA-1
SERIAL 654101-1
3,5 TON A/C-1
I1OTORS:i-3,5 H.P,,i-F H.P.
RANGES
SPECIAL REC'FL
AMT. AMP.
E R
V I C
OFCC. COND
EXHAUST FANS
AMT. H.P.
DIMMERS
AMT. WATTS
NO OF HI-LEG
OF HI-LEG
NO OF NEUTBALS
Of NEUTRAL
-FANELBOARDS: 1--I CIR. 60
<<< Contillued on Page 2
GENERAL
MANAGER
This cerflflcofe must not be olfered in (]ny manrter; return to the office of the 8oorcl It incorrect. Inspectors may be identified by their credenfiols.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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.: 2'7
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 C6rtificate 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 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. 27 have been consU'ucted 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, ILLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & Associates. L.P.
BARTON & Associates, Inc.
Thomas C. Barton, IlL AIA
5120 Batler Pike, Stlile 200
Plymot~th Meeting, PA 19462-1230
Tel. 6 HL940.5825
Fax 610.940.5830
www.bar tonpar tners.com
PHILADELPHIA
CHICAGO
BAL3[IMORE/
WASHINGTON
Officers
MAYOR
DAVID E KAPELL
(631 ) 47%3000
TRUSTEES
WILLIAM J MILLS III
GEORGE W. HUBBARD
GAlL F HORTON
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK / TREASURER
CHRIS'IIE HALLOCK
Tel: (631 ) 477-0248/2385
Fax: (63~) 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
INSPECTION TEST
GAS AND WATER SERVICE
Sidney B. Bowne & Son
Consulting Engineers
235 Eo 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
27 9/21/01 OK OK ~ ~
REMARKS:
COTTAGE SCHEDULE
Feb. 4 - Feb. 9
Cottage# 18 19 20 21 22 23 I 24 25 26 27 28 29 30 31 32 33 34
Model Hermita,~e2 Hermitage2 Hermitage2 Corchau~ O~'sterPond Hermita,qe21Hermita,qe2 Corchau~ IOysterPe~d O¥~rPoed Hermit~e Hermita,~e2 Hermita,~e Corchau,9 ~Herrnita,~e2 Hermita,~e2 ~ermitage2
Excavation 4/16 4/13 4/5 Done 4/9 4/1~ 3/25 3/2~ 4/3 4/2 4/4 4/11 3/4 3/9 3/10 3/10 5/1
Footer 4,25 4,24 4,10 4,20 4~ ~46/2. 4~ 4,15[ 4,4. 4'4 ~ 4,6 4/5 4,9 4,18 3,20 3,14 3,14 3'15 5/7
Foundation 4/26-CR 4/25-CR 4/11-CP~ ¢/24-CR 4/17-FB ~ 4/5-CR 4/6-CR 4/7-CR 419,CR 4/9-CR 4/20-CR 3/21-Craw13/15-Crawl 3/15-F~-B 3/19-FIB 5/8- FB
Rat Slab 4/26 4/25 RT-4/19 5/1 5/1 5/1 I RT-4/19 4/27 4/25 4/25 4/27 4/27 Porch-4/25
Sanitary Sieve 5/9 5/10 5/8 5/9~ 5/10 5/47 5/10 5/11 5/1 511 5/1 5/1 4/26 5/3 4/26- 4/26 4/26
Damp Proofing 6576 -- 4/24 -- 3/20/01 3/26/01 3/26_
Serial # 6555 6501 6546 6547 6548 6531 6~30 6535 6541 6537 6538 6480 6483 6481 6482 6501~
Sills. Plates 4/30 ~/30 4/11 5/21 4/30 5/21 4/26 4/27 4/27 4/27 4/26 5/8 3/21 3/20 ~ 3/16 3/21 5/17
Delivered 5/22 ~/5 4/11 5/4 5/4 5/7 5/1 5/1 4/17 5/8 5/3 6/8 . 3/27 3/~8~ 4/2 4/2-4/3 6/2
Trusses Order 5/1 S ~8S 4/5-T 4/27S 5/1 5/1S~ ~ 4/18-S 4/18-S 4/18-T 4tt8-S 4/18-T 4/~8-S ~ 6/2-S
Trusses Del~ 5/21 ~/6 4/12- T ~ 5/15 S 5/14 5/15 S J_ 4/27-S 4/27-S 4/25 4/25 4/26-T 5/10 4/5-~ 4/5-T ~4/13-T 4/13-T 6/7
Cottage Set~ 5/30 ~/6 4,12 ~ ~6_- 5/17 5/17 ~ 5/1 5/1 5/2 5/9 5/3 5/15 3/28 3/28 ~ 4/9 4/11 6/27
Garage 5/30 ~/6 4/12-F ~ 5/16_ 5,17 ~-~ 5/1 5/2 5/9 5/2 5/15 3/28-FL-M 3/29-FR ~ 4/10-FR 6/27
5/14- R 5/9- H 4/19-H 7/5- R
~ ~H~ 5/17-H ~~ 5/3-R 5/9-H _
TrussesSet ~ 5/31- R ~- H 5/~0-R 4/8-H 4/9-H 4/19-H
~heeting _ ~ 5/31- R [6/7- H 5/1- R ~H 5/18- H 5/30- H 5/4 5/7 5/10-H 5115- R 5/10- H 5/12- R 4/8-H 4/9-H 4/23-H 4/23-H 7/5- R
ChimmneylFP ~ 6/5 ~_ 7,3 5/7 ~ 6/14 - 6/25-FPJ 5/3-FP 5/9-FP 5/10 6/1 FP 6/3 6/1 FP 4/27-FP 4/23 i 4/24-FP 6"4/27-FP 7/16-FP
Extra R~ N/A ~ N/A ~ I N/A_ _- N/A - 4 Seas~ S.Porch 4 Seasons Exp. Liv. Exp. Liv. N/A 4 Seasons N/A Porch ~ns 4 Seasons Screened P
Shing~esDel.! 6/7 ~ 6/7 4/19 I 6/7 6/7 6/7_ ~ 5/2 5/2 5/3 5111 5/3 5/24 4/11 4/11 ~_ 4/19 4/19 7/10
Shingled 6/18 T 6/18 5/4 I 6/21 6/22 6/12 ~ 5/8 5~9 5/11 5/17 5/11 5/29 4/17~ 4/14 ~ 4/23 4/25 7/16
Sided 8/23-T 8/24-T 8/27-T ~8/27-T_ 8/29-T 8/30-T ~ 8/30-T 8/31-T 8/31-T 8/23-T 8/24-T 8/25-T 5/14- T- 8/2 - T 7/12- T 7/15- T 7/23- T
FIVAC-HEAT _ 7/16 7/16 6/18 ~6/13_ 6,13 7/20 ~ 6/21 6/25 5/31 6/4 6/4 6/5 4/27 4/27~ 6/5 6/11 7/22
Electric-Rough 6/7-- 6/20 5/17 ~_ 6/5_ 6/1 6/4 ~ 5/11 5/11 5/14 5/14 5/23 5/28 5/7 5/~-- 5/8 5/8 6/25
Plumbing Rough 5/9 5~10 5/8 ~5/4_ 6/28 5/4 ~- ~ 5/1 5/1 6/25 8/15 5/1 5/16 5/3~ 5/8 5/7 8/6
6/29 6/28 6/25 6/26 7/26 |
Gas Piping 7/17 ¢/9 7/20 ~ 7/11_ 6/28 8/28 ~ 7/2 7/2 6/27 8/24 8/25
Garage Slab 5/15 6/15 6/4 ~ n ~5/1~5 6/1 G-5~ 4~7 4/27 G4/27-B6/1 4/27 4/27 4/27 5/1 5/9I 5/2 G-5/2-B-5/9 B&G 7/lC~
Garage Door D-1-OP D-1-OP S . D-1-OP S S ~_D-2-~P--8/6 D-2-0P~/6 S-8/6 S-8/6 D-1-OP-8/6 D-l-~P-8/6 6/5 - ~ 6/-S ~/5-D-2-OP 6/-S D-1-OP-7/2C
Sheet Rock 6/22 6/22 6/12 8/7 Completed 8/1~ 5/22 5/27 5/29 6/5 6/5 6/6 5/8 -- ~/9 ~ 5/8 5/15 7/18
Spackle 6/28 6/3-0 6/28 8/22 -6/25 8/23 6/14 6/15 6/20 6/21 6/18 6/28 7/16 Completed I Completed Completed 7/20
]'rim 6/25 6/22 5/17 8/9 6/13 8/15 F 7/12 5/24 5/23 5/29 5/29 5/29 4/30 5/2 l- 5/4 -5/8 7/18
Paint 8/29 8/15 8/28 8/27 8/15 8/16 8/15 8/15 8/17 -- 8/20 8/22 8/24 8/15 7/2 ~ 7/3 ¥/6 8/2
'Elect. Comp. 11/15 11/15 11,15 10/24 10/24 10/25~L 10/25_ 1~)/26 10,26 10/29 10/29 10/30 10/30 10/19 ~ 10/19 10/18 10/18-
Ce~ic Tile 7/11 7/11 ~ 7/11 7~11 7/11 7/11 7/11 7/3 7/3 7/3 ~/29
Carpet -- 11/§ 11/7 12/5~11/15 12/5 12/6 12/6 12/7 12/7 10/22 10/23t 10,24 10~24 10124
¢VoodF~looring -- 12/11~12/20 l 12/~2 12/7 12/5 11/23 10/17-- 10/18 10/19 10/19 10/20
Appliances 12/14 12/14 12/19~~ 12/19 12/19 12/19 12/4- 12/4 12/4 12/4 12/4 12/7 Hold~
~ IaSPECTION KgPORT ~ DA~I~ ;,~,cD COI~EI~S
)UNDATION
)U~H FRAI~E &
PLUM~ING
~S~ATION PER N. Y.
STAT~
CODE
ADDITIONAL C_.O~ENTS:
BLr/LDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined ¢~ ,20.
Approved ., 20__
Disapproved
PERMIT NO.
~OLt~Pa'qo i-'l:KlV~il AI't'.t,I(JAI'ION (,HECK.LIS.
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey.
, . Septic Form
N.Y.S.D.E.C.
. ' Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTR~JCTIONS
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'3remises, 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 throughotit 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 Oecupan
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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
authorizedinspe.ctors On premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
(~/ailing address of apPfican~
State whether applicant is 0wner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises~)~(.~/I,~ ~t~/If~'/[O ~r Sl~O~l~[i
/(as on:the tax roll or latest deed)
If apl~lj~.nh isa co~or~on~ signature of duly authorized officer
X ':'
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which ~o¢osed work will be doric:
25 "
House Number Street
/
County Tax Map No. 1000 Section (fl(~ 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 use and occupancy
Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost _f,,x~ 7~0, I~OO. OO Fee
5. If dwelling, number of dwelling units
If garage, number of cars
6. If business, commercial or mixed 6ccupanCy, specify nature
X Addition Alteration
Other Work
/~///~ (Description)
! (to be paid on filing this application)
Number of dwelling units on each floor
and extent of each type of use.
7. Dimensions o f existing structures, if any: Front
Height_ Number of Stodes
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Rear
10. Date of Purchase
Depth. Height
Dimensions of enti~ew construction: Front
Height Number of Stories
Size oflot: Front Rear
4]~1 Name of Former Owner
Number of Stories
Rear Depth
.Depth
t 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 /~. S Will excess fiI1 be removed from premises: YES
.4. Names of Owner of 2r rmises~Address /~/] /-'~'/e
Name of Architect t~'O.tTh/I ~Address ,f _Phone No~
Name of Contracto~]~-'-~ Xddres~ ,t Phone No.
5. Is this property within 100 feet of a tidal wetland?.*YES NO
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0J
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:
:OUNTY OF~P"F~/',.~. )
ffi-V'/YY0 ~ /'~/~..~,6t0/--5*.~f~ being duly sworn, deposes and says that (s)he is the applicant
CName 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 ,l~uMic
' / Signature of Appl/eant
I 2~'.~' ~_ooR p(L~NONTENTS ~lr/~ i~_1
__ ~ ~*'-~'i - SEE SHEETS 3 & ~ FOR HURRICANE S~APPING DETAIL.
. - ~ ~ - ~ ~A~
~ ~'~' ~ ~.~
~ ' ' ~ ~ "~ ~ ' ~ "" ~' ~ - ~ FROM ~PRO~'~D PEANS ~D OR
' · ~,"~ ] ~ ~ ~ ~ ~ ~,~ ~ ~ ~ " k ' '
- ~~:.. : ~ I , . ~ - " , '
;: ~'-~1~' I~~- "'" ~ ~,~ ~ . m ..... JL___/__I
~ ~ - TYVEK HOUSE ~AP p,~iee~ed ~0¢ IN~R(OR WA~S 2x 4 ~ ~ 15~ 0 C
y ) I - 9'-0" CEILINGS p¢odgOtlO~ TOP PLA~ DOUBE
.... ALL ~NDOW HEADERS TO BE 7L7" DALE. &;' ~
CUSTOMER: BENNET, COTTAGE ~27~-~ /~~ GENERAL NOTES s.ow LOAD: ~0~ PSF. UO~EL OYSER, A.c~OND
/
GARAGE PANEL "C" ]!'-IqI'-~ ~,l'