HomeMy WebLinkAbout27186-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28414
Date: 05/15/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 38 SANDPIPER LANE
{HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Subdivision
Filed Map No. Lot No.
GREENPORT
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 23, 2001 pursuant to which
Building Permit No. 27186-Z dated MARCH 28, 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 %38) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH & 4 SEASON ROOM AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SUFFOLK CO[FA~i~f DEPART~T OF I~TH APPROVAL C10-97-11 05/10/02
ELEC'~RIC~ CERTIFICATH NO. N576893 11/29/01
PLUMBERS CERTIFICATION DA'r~D 02/14/02 HARTCORN PLUMB.&HEAT.INC.
Auth6rized Signature
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. 27186 Z Date MARCH 28, 2001
Permission is hereby granted to:
LA/qDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATT. 2 CAR GARAGE,
COVERED FRONT PORCH & 4 SEASONS ROOM AS APPLIED FOR TO DEC & TRUSTEES #38 FULL
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 $ 949.00
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 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.
B. For ex~sting 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 t(> 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 Occupancy- $ 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.
Owner or Owners of Property: c-~C.~14 ~c
Suffolk County Tax Map No 1000, Section
Date.
Old or Pre-existing Building:
stlre&-
~ ~ Block
(check one)
Hamlet
Lot
Subdivision
Permit No. ~ 9]
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fe~ Submitted: $ ,.~--~
Filed Map.
Date of Permit. oq/,,,o~/t9 I Applicant:
Underwriters Approval:
Final Certificate:
Lot:
(check one)
Applicant Signature
Dennis M.
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.
Owner: ¢O..fJ)[l;(. &n~)llO
(please p~int)
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.
~(t;~re)
Sworn to before me this ~
day of~/,///~~/~ , 20 ~-
Notary Public, County
VIRGINIA M. GOCINSKI
Notary Public, State of New Yerk
No 4873841
Qualifie~ m Suffolk County
term expires October 20
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ . ~ [* ,. , 2!,~1 40 FULTON STREET, NEW YORK, NY 10038
Date Application No. on file
THIS CERTIFIES THAT
only the electdcal eqttipment as desc~bed below and introduced by the applicant named on the above application number is in the premises of
COT'?AC,~f ~ ?~ ~T i'~ [£%IN ROAD, GREENPORT NY
~.~,,~ ~ ~ L--] GAR..'~ ", *:~ 1 2~. =*
in the following locati~1l~~ a~gment,3~ 1st Fl. __ 2nd FI. Section Block Lot
was examined on and fottnd to be in compliance with the National Electrical Code.
EIXTURE SWITCHES I~C NDESC~ ~:LUOR~SC~T orNER
OUTLETS
DRYERS FURNACE MOTORS I FUTURE APPLIANCE FEEDERS SPECIAL REC'PT
AMT. K.w. ot H.P. GAS! H~P. I AMT. NO. A.W., AMT. AMP.
SERVICE DISCONNECT I NO. OFI S E R
METER
2 ~. L 1
HODULAR HOUSE- l
N.Y, STATE APPROVAL # 19--1274&-I
t-~Fg. AVIS ~P~ERICA SERIAL # 6539e1-I
$ TON
MOTORS:i'"5 H,P. ,i-F H.P.
PANELBOARDS
OFCC, COND.
TIME CLOCKS ELL UNIT HEATERS MULTI*OUTLET
AMT. AMPS. ~NS. NO. OF FEET
C
NO. OF HI-LEG OF HI-LE~
EXHAUST FANS
AMT. H.P.
DIMMERS
AMT. WATTS
NO. OF NEUTRALS OF NEUTRAL
~.F.C.I:-I
Per. GENERAL MANAGER
ThlE ceffificote must not be oltered In ony monner; return to the office of the Boord if Incorrect. Inspectors moy be identified by their credenflols.
COPY FOR BUILDING DEPARTMENT THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
· ~]!)V~.~I'.I~[~R 2_q, 2(~0! 40 FULTON STREET, NEW YORK, NY 10038
CO'PTAE-E ~ 3{~ RT, 25 ~,LAI. I,1 ROAD, GREENPORT, N the following Iocaaan: ~ Basement
FIXTURE J EECEPTACLESj SWiTCHEe I FIXTURES RANGES ICOOKINGDECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ~ INCANDESCEH1 FLUORESCENT al'HER MT, K.W. AMT. K,W. AMT. K.W. ~,MT. K.W. AMT, H.P.
/
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDER~ iPECIAL REC'PT TIME CLOCKS I J UNIT HEATERS J MULTI-OUTLET DIMMERS
! ' BELL ~ I SYSTEMS
A~MT. K,W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT, AMP. AMT. AMPS. TRANS. H.P, ' NO, OF FEET AMT. WAITS
~ERVlCE DISCONNECT
OTHER APPARATUS:
E, F.
P.O.BOX 6~7~.~
HILLER Pk~K~E~ NY,
11764
GENERAL MANAGER
This certlflcole must not be altered In any manner; return to the office of the Board If incorrect. Inspectors may be identified by their credentials,
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.: ._~e~>
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 LANDiNG PROJECTS.
Re: Cottage Code Cetlificafion.
Dear MAke:
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. 38 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
A1 Broszeit, E&F Walsh
Bob Ellis, Of N
Officers
MAYOR
DAVID E KAPELL
(631) 4??-3000
TRUSTEES
WILLIAM J MILLS Iil
GEORGE W. HUBBARD
GAll. F HORTON
BRADLEYB BURNS
236 THIRD STREET
GREENPORT. NEW YORK 11944
CLERK/TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 477-0248/2385
Fax: (631) 47%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
5.0 PSI 50 PSI
38 9/19/01 OK OK
REMARKS:
COTTAGE SCHEDULE
Feb.25 - March 1
Model Hermitage 2 Hermitage Hermitage 2 Hermitage 2 Hermitage 2 Oyster Pond Hermitage 2 Corchaug Hermitage 2
Excavation 4/5 3/23 6/13 4/6 5/1 3/16 3/17 6/11 5/3 5/2 4/5
Footer 4/9 3/29 6/14 4/12 4/30 3/23 3/30 6/12 5/4 5/3 4/9
Foundation- 4/10-FIB 4/2-CR. 6/15FB 4/13-FB 5/2-FB 3/26-F/8- 4/2-F/B 6/13-CR 5/5-FB 5/4-~=B 4/10-CR |
Rat Slab -- 7/24~ 4/21 6/2~ ~ 7/23 --
Damp Proofing 4/4/01 6/22 4/23 5/7 3/29/01 4)9/01 5/10 5/9
Serial # 6495 I 6503 6613 -- 6539 6548 6484 6502 6839 6900 65~1 ~504 ~
Sills,Plates-- 4/28 4/16 - 6/25 5/8 5/17 4/9 4/11 6/25 10/15 5/17 4/12
Delivered 44/~58 --4/11 6/22 5'8 5/23 4,10 4,11 12/1~ 1,20,02 6,11 4/10
Trusses Del. 5/4 4/20 '6/28 - S- 5110 5/30 4/19-T - 4/13 2/18/02 2/18/02 6/14 4/13
Cottage Set 5/8 4/17 6/28~ 5/10 6/5 4/11 4/18 1/22/02 1/22/02 6/ 4/19
Garage 5/8 4/18-FR 6/28 5/10-5/14 6/5 4/12-SL-M 4/19- FL-M 1/22/02 1/22/02 6/26 4/19- FR
Trusses Set 5/14 ~ H 4/25-H 7/2 -R -- 5/14 - H 6/7 -R 4/25-H 4/19-M 1/29-H 1/29-H 7/3~1 4/24-M
Sheeting 5/15-H-4/25-H7/2-R5115-H6/7-P, 4/26-H4124-MlI29-H1129-H713-H 5/2-M
Chimmney/FP 5/18-FP 5/3-FP 7/16 -- 6/19-FP 6/29-FP 4/30 5/3-FP 2/6 2/6 7/16 5/7-FP
Extra Room 4 Seasons Porch 4Season 4 Seasons 4 Season Exp. Liv. 4 Seasons Non~ Exp Liv. 4 Season 4 Seasons
ShinglesDel. 511741247/26/76/74/19~/242/2/022/2/027/2 4/9
Shin-- gled 6/4 4/27 7/10~ 6/11 6/2~ 4/28 4/26 2/7/02 2/4/02 7/9 5/2
Sided 7/21- T~ 7/22 - T 7/22 - T 7/23 - T 7/23 - T 7/24 - T 7/23- T 2/9 _ 2/7 7/26 - T 7/27 - T
HVAC-HEAT 7/24 4/27 8/26 6~25 8/25 6/11 6/15 2/20 2/22 8/27 5/17
Electric-Rough 5/22 5/15 7/16 5/22 6/11 5/9 5/16 2/8 2/5/02 7/16 5/16
Plumbing _ 6/8 6/11 7/31 4/27 6/11 7/5 5/16 6/21 6/22 8/~ 5/30
Gas Piping 8/25 8/15 8/25~ 7/6 8/2~ 7/5 7/9 -- 8/27 7/11
Garage Slab G+B-5/31 7/20 B&G-7/19 B+G-5/31 6/9B- G6/1 G5/1-B5/30 G5/9-B5130 7/23 6/1 6/1 5/17
Garage Door 7/10- S ~D-2-OP8/3 D_2.OP-- 7/5-S D-1-OP8/3 7/5- S D-2-OP8/3 S D-1-OP S D-2-OP 7/10
Sheet Rock 6/12 J_5/22 7/28__ 6/14 7/16 5/21 5/31 --2/7 2/6 7/23 5/31
Spackle Completed_ CompLeted 8/2 6/27 7/30 Completed CompLeted 8/12 Completed
Trim 6/4 5/14 7/24 5~30 7/14 5/10 5/15 2/7 2/6 7/19 5/16
Paint 7/13 7/14 8/21 8/15 8~22 7/16 7/18 8/15 8/15
Elect. Comp. 10/17 ~10/1710/171011810/18 ~10/3010/30~ 10/31 10/31
Ceramic Tile 7/3 7/3 7/9 7/3 7/9 7/5 7/5 7/11 7/11
Carpet~ 10/29 10/30 10/31 11/8 11126 11/26 11125 Hold Hold
Wood Flooring ! 10/22 10/22 10/23 10/23 10/24 10/24 11/26 Hold Hold
Appliances~ 12/14 I 12/7 - 12/7 12/7 12/7 12/7 12/7 Hold i Hold 12/14
~IELD ~NSPECTION RgPORT '
~OUNDATION ({ST)
~OUNDATION (2ND)
ROUGH FP, A~ &
PLUMBING
XNSULATIONPER N.
STATE ENERGY
CODE
.ADDITIOI~LCO~t~.IiTS:
'IOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined ~,~, 20
Approved 20
Disapproved
No. 22 7/g ' 7-.
BUILDING PERMIT.APPLICATION CHECKLIS
Do you have or need the following, before applyin~
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S,D.E.C.
Trustees
Contact:
Buildir/g I~ector '~
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRUCTIONS
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 eommanced before issuance of Building Permit.
d. Upon approval of this al3plieation, 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 construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinanees~ building cOde, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of apl~licant or name, if a corporation)
O x deO- ao o/o1, /Od//q7/
- / (Mailing address ofa~pli~nt)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ('-~¢.(nO ,'C ~)~g
/ (as on:the tax roll or latest deed)
,2~f appli]ant is a co~-ltqr, abion, signaLure of duly authorized Officer
(Name an'd title of Ucorporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on whichRroposed work will be doric.:
House Number Street
County Tax Map No. 1000 Section (,~' Block / Lot (_B~
Subdivision Lot
Filed Map No.
2. State existing use, and occupancy of premises and intended use and occupancy of proposed construction:
4. Estimated Cost_~4 700, 000.0(1
5, If dwelling, number of dwelling units
If garage, number of cars
a. Existing use and occupancy
b. Intended use and occupancy ~o5;C~(tl?_
Nature of work (check which applicable): New Building_
Repair Removal Demolition
X Addition Alteration
Other Work
(Description)
Fee _
(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.
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.
g. Dimensions of entire new construction: Front
Height ,,2..~. Number of Stories__
). Size of lot: Front fl/A Rear
10. Date of Purchase N/~ Name of Former Owner
Number of Stories
Rear
/
Depth
Depth
~ 1. Zone or use district in which premises are situated
! 2. Does proposed construction violate any zoning law, ordinance or regulation: _ JO
/
[3. Will lot be re-graded CP,% . __, Will excess fill be removed from premises: YES
4. Names of Owner ofprqmises~_~ll~z~Address Phone No. ~
Name of Architect ¢:~a~'Y'~a~ . Address ~Phone No~
Name of Contracto~,~'l~~'- Address' Phone No. (.
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUI2R~D
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 0F'~'~ I¢"/~1,~ ~S:
[4Jttl I~rrl ~'. Thotal¢_..c~q being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
$)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 arc 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.
Not~ry Pub'I1(~/
Signature of Applicant
[] []
5'O'
I
OPTIONAL BASEMENT ACCESS
NOTES:
TYVEK HOUSE WRAP
9'-0" CEILINGS
ALL W1NDOW HEADERS TO BE MOUNTED AGAINST WALL TOP PLATE.
ROOF INSTALLEO ON SITE
NOTES: ~
TYVEK HOUSE WRAP
- 9'-0' CEILINGS
- ALL WINDOW HEAD~RS ARE TO BE kIOUNT[D AGNNST WALL TOP PLATE
.....
REVtS/ONS P[CONIC LANOING
CUSTOMER:
P~CCIONE, COTTAGE #38 GENERAL NOTES
NOTS.
- 7Y~K HOUSE ~RAP
9LO" CE~UNGS
ALL ~NDOW HEADERS ARE TO BE MOUNTE~ 7'-7"
- ROOF INSTAll FF) ON SITE
-HURRICANE ST~AFPING 110 MPH
-CROWN T/O E~C£PT CLOSETS, LAUNDRY & MECH
- REHAU WINDOWS THROUGHOUT
- RIFOLD DOORS ARE SHIPPED LOOSE
SNOW LOAD: 30~ P
REVISIONS
2060
BUILDERS COPY
2000
RANCM
1ST FLR F~OOR pLAN