HomeMy WebLinkAbout27173-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28311
Date: 05/10/02
TIIIS CERTIFIES that the building NEW DWELLING
Location of Property: 40 SANDPIPER LANE GREENPORT
(HOUSE NO.) (STREET) (E~MLET)
County Tax ~ap 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 FEBRUARY 20, 2001 pursuant to which
Building permit No. 27173-Z dated NLARCH 26, 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 #40) WITH ATTACHED TWO CAR GARAGE,
COVERED FRONT PORCH, EXPANDED LIVING ROOM & OUTSIDE DECK AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SUFI~DLK CO~lqTY DEPAR~T~ OF BIFAL~{ APPRO~-~J~ C10-97-11 05/10/02
EI~TRICAL CERTIFICAI~ NO. 1037274 03/06/02
PLUMBERS CERTIFICATION DATED 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
COMPLETION OF THE WORK AUTHORIZED)
UNTIL FULL
PERMIT NO. 27173 Z Date MARCH 26, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GARAGE, COVERED FRONT PORCH & EXPANDED LIVING ROOM AS APPLIED FOR #40 FULL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated FEBRUARY
Building Inspector.
MAIN RD GREENPORT
Block 0001 Lot No. 025
20, 2001 and approved by the
Fee $ 640.40
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. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying tha~ 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. Subnfit Planning Board Approval of completed site plan requiremems.
Bo
For existing buildings (prior to April 9, 1957) non-conformin~ uses, or buildings and "pr*-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
featurea.
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,
Swimnfing 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 o~ Property: q0
House No.
Owner or Owners of Property: e'~raxl, l Lq_
Suffolk County Tax Map No 1000, Section
Subdivision
Date. __
Old or Pre-existing Building:
Sdedt
~ ~ Block
(check one)
Hamlet
£
Filed Map. __
Lot:
Pemfit No. Date of Permit.
Health Dept. Approval: '"~' ~o ' Leo
Planning Board Approval: [~..
Request for: Temporary Certificate
Fee Submitted: $ J..~ ""
_ Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
Oennis M. Wilhelm
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
MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN RD RTE 25
MILLER PLACE, NY 11764, COTTAGE # 40
GREENPORT, VILL, NY 11944
Located at MAIN RD RTE 25 COTTAGE # 40 GREENPORT, VILL, NY 11944
Application Number: 1037274 Certificate Number: 1037274
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:
Basement, Detached Garage, Outside, CORRECTED CERTIFICATE
was inspected in accordance with the National Electrical Code and the detail of the installation, as set for[h below, was
found to be in compliance therewith on the 6th Day of Ma~ch, 2002.
Name QTY Rate Rating Circuit T~pe
Additional Charges
MODULAR HOUSE
Appliances and Accessories
Air Conditioner 1 3.5TON
Wiring and Devices
Outlet 5 Fixture
Switch 1 General Purpose
Fixture 5 Incandescent
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 CB 200
~ Meters: 1
seal
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.
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YOI K BOAI D OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 1OO38
CERTIFIES THAT
Upon the application of upon premises owned by
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN RD RTE 25
MILLER PLACE, NY 11764, COTTAGE # 40
GREENPORT, VILL, NY 11944
Located at MAIN RD RTE 25 COTTAGE # 40 GREENPORT, VILL, NY 11944
Application Number: 1037274 Certificate Number: 1037274
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:
Basement, Detached Garage, Outside,
CORRECTED CERTIFICATE
was inspected in acc~rdance With the Nati~na~ E~ectrica~ c~de and the detai~ ~f the insta~Iati~n~ as set f~rth be~~w' was
found to be in compliance therewith on the 6th Day of March, :2002.
Name QT~ Rate Rating Circuit Type
Additional Charges
MODULAR HOUSE
Appliances and Accessories
Air Conditioner 1 3.5TON
Wiring and Devices
Outlet 5 Fixture
~ Switch 1 General Purpose
Fixture 5 Incandescent
i Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 CB 200
Meters: 1
seal
1 of 1
lhis certificate may not be altered in any way an0 is Yalidated only by tl~e presence of a raised seal at the location indicated.
April 02, 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 menlioned 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. 40 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 Broszei~, E&F Walsh
Bob Ellis, O/N
BARTON & Associates, LP.
BARTON & Associates, Inc.
Thomas C. Barton, 111, AIA
5120 Butler Pike. Suite 200
Plymouth Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.bar tonpar tners.com
PHILA DELPIIIA
CHICAGO
WASHINGTON
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 8OUTHOLD
CERTIFICATION
Building Pe~rmit N~.
Owner:
(please'l~rint)
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
(Plumbers Signature)
VIRGINIA M. GOCINSKI
Notary Public, State of New York
No. 4873841
Qualified in Suffolk Cour[ty
term expires October 20, _//~>~
05/09/2002 14:29 6~1~6990@0 CMA~L~S ~ CUDD¥ ~g ~i/01
CHARLES R. CUDDY
Altorney at Law
445 ~g Avenue
Pdverhcad, NY 11901
M-ill-s Adck~s~:
PO ~BOX 1547
P~verh~ad, NT 11901
Tel: (63 I) 369-8200
Fa:c (651)
e~ma~l: cr~d~,f~¢a~link.net
May 9, 2002
VIA FAC~iMZLE- 765-9502
lV~chael Verity
Southold Town Building Department
Main Road
Southold, NY 11971
Re: Peconic Landing at Southold, Inc. - Certificates of Occupancy
Dear Mr. Verity:
This is V~Tkten to confirm my statements to you that Peconic Landing at Southold, Inc..has ~,l!y
complied with all of thc requirements for issuance of certificates of occupancy for Units 1 through
45. In particular, and with respect to certificates of occupancy for Ur~ts 26, 32, 40 and 41, Peconic
Landing at Southold, Inc. agrees to hold harmless and indemnify the Town of Southold, the Southold
Town Building Department and its agents and employees with respect to any loss or damage that
occurs to any of them as a result of issuance of the specified four certificates of occupancy.
PcconicLanding at Southold, Inc. is confident that, basedupon all the representations and insp~tions
that have been completed, it is appr.opriate that at least the four ceaificates be issued. It is my
undm-standing that upon receipt of this letter you will arrange forthwith to have those certificates
issued and advise me by telephone so that I may pick them up.
Thankyou.
CKC:JlVlL
Very truly yours~
Attorney for Peconic Landing at Southold, Inc.
loshua Horton, Southold Town Supervisor - vtafax 765-1825
William G. Thompson, President, Peeonic Landing at Southold, Inc, - via.fax 537-7307
Officers
MAYOR
DAVID E KAPELL
(631)477-30~
TRUSTEES
WILLIAM J MILLS 111
GEORGE W. HUBBARD
GAlL F HORTON
BRADLEYB BURNS
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK / TREASURER
CHRIS'fIE HALLOCK
Tel: (631) 47%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.: C/CD
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:
/ Gino N Aiello,"~P.E.
Dated:
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
40 9/19/01 OK OK
TESTWELL
CORPORATE HSADQUART~RS: 47 HUDSON STRE-=T. OSSINING. NY 10582 PHONS: (914) 762-9000 FAX: (914) 762-9638
V, REDDY KANCHARLA, P.E., DIRECTOR
(NYE LIC NO. 068162)
DaCe: 26-Mar 2001 Contractor: E&F/WALSH BUILDING COMpAny
Producer~ NIC~DLIA
REPORT OF CONCRETE INSPECTION AIqD TESTING
il
Cubic yds I Design I Batch I Design i BaCch I Previous yardage:I 96.0 I 1467.5
I I I I I Yards Insp Design 1~I 0.0 I 640
Cement I I I { I Yards Insp Design 2:I 0.0 I o.o
Fine agg I I I I I Total yards to ~ate:l 96.0 I 1531.5
Flyash I I I I I Name Start Finish Lunch Tota
Wacer gals f I I I IPlant Inspector 1:
Percenc passI 130 I 50 I 30 I 16 I 08 I 04 i 3/8 i 1/2 i 3/4 i 1.0 i 1.5 i F.M. i Percenc moist Total Cylinders
LOC2;C74Ty CTR FTG/G.7~F.4-F.6/GRID G7.5 F4.2&3'HIGH PIERS~-8.9.FS,9&E8 Name: R.S}~ESHTA
SEE ATTACHED FOR STEEL R~INFORCEME~ INSPE~ION RE,RT.
~l-id NO Class S!mp Air Dnsty Temp ~l-id No Ciasa Slmp Air Dnsty Temp ~l-id NO Class Slmp Air Dns~y Temp
43 ~ 3000 4.5 N/A 143 64
AlT reports are [he confidential property of clients, and informa[ion contained may not be published or ~eproduced, pending our written approval.
~ ~ ,L~oRPOR~TE HEADQUARTERS: 47 HUDSON STREET, OSSINING. NY10562 PHONE: (914) 762-9000 FAX: (9141762-9638
TESTVVELL V. REDDY KANCHARLA, P.E., DIRECTOR
~sc~mRI55.~x'c. (NY$ LIC NO. 068162)
RETIREMENT LIVING SERVICES
lQ0 ALLYN STREET
~AETFORD, C~ 06103
HE, DE~4IS WILHELM
Lab no: NFH001
Rep no: 34
Ssr code: ~N
Weather: SNOW
Air ~emp: 33F
Date: 26-Mar-2001 Contractor: E&F/WALSH BUILDING COMP;%N~
Producer: NICOLIA
Cement brand:
Fine agg:
Coarse agg:
Coarse agg:
REPORT OF CONCRETE INSPECTION AND TESTING
Class i PSI i PSI
I
Water gals
'
:Percent pass
Fane agg. I I I I J I
Coarse agg. I I I I I
Coarse agg. I
previous yardage:I 96.0 I 1467.5
Yards Insp Design 2:I 0.0 I 0.0
Total yards to date=I 96.0 I 1531.5
Name Start Fimish L%LnCh ?c~al
Pla~t Inspector 1:
Blanc Inspector 2:
Field Inspector 1: R.SHRESHTA
07:00 15:30 Y ~.00
Field Inspector
Professional Eng:
Cyl~id No Class Slmp Air Dnsty Temp
43 4 3000 4.5 N/A 143 64
44 4 3000 4.0 N/A 1~3 SI
Cyl-id NO Class Slmp Air Dnsty Temp
C~L-NO CO,rD DAY CiJ%SS L~D~%D PSI
43 A Good 7 3000 81250 2870
43 B Good 28 3000 111450 3940
43 C C~30d 28 3000 110550 3910
43 D Good 28 3000 114350 4040
44 A Good ? 3000 75800 2680
44 B Good 28 3000 117400 4150
Cyl-id NO Class simp Air Dnsty Temp
Specifications: ASTM C31/C39/C94
II
LLJ
~cNS{]Y.ATION PER N.
STA'I'E ENERGY
CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Exan'~ned~, 20 ~_~_
Approved~, 20 ~
Disapproved a/c
BUILDING PERMIT APPLICATION CHECKLIS'
Do you have or need the following, before applying
Board of Health
; 3 sets of Building Plans
Smvey
PE IT NO. ,.2.:'7/73 check
Septic Form
· . ,,* ~ ,,~t~ N.Y.S.D.E.C.
~ ~ ~tt.-,'ff Trustees _
/-'7 ~....3~_t"~_ _ .~.~, ~'- Contact:
(,/"_..~5~_~ ,~ ./fi3 Mail to:
~ . Phone:
Building Irispector ~'
APPLICATION FOR BUILDING PERMIT
Date ., 20
INSTR~JCTIONS
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 J[o schedule.
b. Plot plan showing location of lot and of buildings on'~remises, 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 throughodt 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 at~'ees 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 oi'applicant or name, ifa corporation)
! (Mailing address of appliCant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
/
Name of owner of premises
(as on:the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized Officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done;
/Jr. ,as_
House Number Street
I~amlet ! '
County Tax Map No. 1000 Section
Subdivision
(Name)
Block / Lot q(~ _
· Filed Map No. Lot
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
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition Alteration
Other Work
4. Estimated Cost ~ 700.. 1900
5. If dwelling, number of dwelling units
If garage, number of cars
(Description)
Fee
~ (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
Roar
Depth Height
Number of Stories
3. Dimensions of entire new construction: Front
~./-.// Number of Stories
Height
#
). Size of lot: Front fl//~ ' Rear
10. Date of Purchase At//q Name of Former Owner
./,
Rear .Depth ~7
_Depth
[ 1. Zone or use district in which premises are situated
proposed construction violate any zoning law, ordinance or regulation: ~/~
[2.
Does
3. Will lot be re-graded ¢¢~ Will excess fill be removed from
premises:
4. Names of Owner of Rremises~ff~2~Address'
Name of Architect (,[St~[FO/1 /~l~Ot;. Address
Name ofContractorEa&] F /lJOJ&h Address
Phone No. ~
.Phone No~t~-~
Phone No. ~
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOVq2q TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 190
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 )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
$)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;
aat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erforrned in the manner set forth in the application filed therewith.
1
worn to before/f/ne this
fpo~~ of %~aO,7 200t
Notary Public
PETER M. COLEMAN
NOTARy PUBLIC, Stole of New York
No. 52-5758570
Qualified in Suffolk C~n~
ignature of Applicant