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HomeMy WebLinkAbout27647-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28469 Date: 05/29/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 42 SANDPIPER LANE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 35 Block 1 subdivision Filed Map No. __ Lot 25 Lot No. GREENPORT (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 4, 2001 pursuant to which Building Permit No. 27647-Z dated SEPTEMBER 14, 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 #42) 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 COUIFEY DEPARTMENT OF HEALTH APPRO%rAL C10-97-11 05/10/02 ELE~-£RICAL CERTIFICATE NO. 1056313 05/30/02 PLUMBERS CERTIFICATION D~r~u 02/14/02 HARTCORN PLUNB.&HEAT.INC. Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27647 Z Date SEPTEMBER 14, 2001 Permission is hereby granted to: LAI~DING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT # 42 CRAWL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated SEPTEMBER Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 025 4, 2001 and approved by the Fee $ 636.30 AuEhorized Signature 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 propeIly with accurate location of all buildings, property lines, strccts, 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 sit~: 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. Co 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: HousfN~n Owner or Owners of Property: ~e~C.~'B Suffolk County Tax Map No 1000, Section Old or Pre--existing Building: _ ~tileet 3 ~' Block (check one) Hamlet Lot £a Subdivision __ _ Filed Map. I.ot: Permit No. _ _ Date of Permit. Applicant: llealth Dept. Approval: "~ ' g - Loo c, Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Subnfitted: $ ,~ (check one) .,\pl~licanl .% gnatul c Town Hall, 53095 Main Road P.O. Box 1179 Southold, Ne',.., York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building P~mfit No. __ Owner'. ~)~.(.011;(. /,Oriel'ti0 (please prlint) 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 (P'iumbers S{gnatu~-re) VIRGINIA M. GOCINSKt Notary Public, State of New York NO 4873841 Qualified in Suffolk Oour~y Teml expires October 20, ~ SEP - ~ 2001 Il II 'ON ×~ ~T~U~ ~T^N [JN ~p~nT ~nl Tnn~-~n ~ 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 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 Certification. Dear Mike: In reference to the above mentioned 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. 42 have been constructed in compliance with ail applicable laws, codes and ordinances. Veu 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, LP. BARTON & Associates~ Inc. Thomas C. Barton. IlL AIA 5120 Butler Pike~ Suite 200 Plymouth Meeting. PA 19462-1230 Tel. 610.940.5825 Fax 610.940.5830 www,hartonpar tners.com PHILA D ELI'HIA CHICAGO BALTIMORE/ WASHINGTON officers MAYOR DAVID E KAPELE (631) 47%3000 TRUSTEES WILLIAM J MILLS III GEORGE W. HUBBARD GAlL F HORTON BRADLEYB BURNS 236 THIRD STREET GREENPORT. NEW YORK 11944 CLERK / TREASURER CHRISTIE 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 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~s 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 42 ~,t/2 F~ ~O Z. o. r~ /~ o~ REMARKS: 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 RTE 25 MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944 Located at MAIN RD RTE 25 COTTAGE # 42 GREENPORT, ViLL, NY 11944 Application Number: 1056313 Certificate Number: 1056313 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS37 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: First Floor, Attached Garage, Outside, was inspected in accordance wKh the National £1ectdcal Code and the detail of the insta,atiem as set forth below, was found to be in compliance therewith on the 30th Day of May, 2002. Name QTY Rate Rating Circuit Type Additional Charges LIC NUMBER # 2219-E COTTAGE # 42 Appliances and Accessories Furnace 1 Air Conditioner 1 4 Motors 1 F 1 3.5 Panels 1 60 1 Wiring and Devices Outlet 3 Fixture Receptacle 1 General Purpose Switch 2 General Purpose Fixture 3 Incandescent Service seal I Phase 3W Service Rating 200 Amperes Continued on Next Page 1 of 2 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 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 RTE 25 MILLER PLACE, NY 11764, GREENPORT, VlLL, NY 11944 Located at MAIN RD RTE 25 COT'rAGE # 42 GREENPORT, VILL, NY 11944 Application Number: 1056313 Certificate Number: 1056313 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS37 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Attached Garage, Outside, was inspected in accordance wKh the National £1ectdcal Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 30th Day of May, 2002. Name QTY Rate Rating Circuit Type Service Disconnect: 1 200 CB Meters: 1 seal 2 of 2 I~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~= ]~ I~SP]~CTIO~ REPORT ~A~E ..... ~' COH~4E~S ~UNDATION (IST) ISULAT~Olq PER lq. Y. STA'I'E ENERGY CODE 'BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Disapproved . PERMIT NO. DLJLL, I~LtNI. J F.P.,tq_M_I 1 AYFLIUAIJ. ON UbiECI~UIS. Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey '~"~ ~ u[.'--] -- Z.~ Check Septic Form N.Y.S;D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ,20__ INSTRtlCTIONS 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'~remises, relationship to adjdning premises or public streetg 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 cfa 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 cod, e, and regulations, and to admit authorized inspe.ctors On premises and in building for necessary inspections, (Signature of appligant or name, if a corporation) / (Mailing address of applica~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Gm(eL " / (as on:the tax roll or latest deed) If ap~lj~.n3 is a corporaz~ion, signature of duly authorized Qfficer t,< ,f. ". ! /' (~arr~ mad title of corporate offioer~ , Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which p~oposed work will be doric.' House Number Street Hamlet County Tax Map No. 1000 Subdivision (Name) Section Block · Filed Map No. 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 1 3. Nature of work (check which applicable): New Building )~ Addition Alteration Repair Removal Demolition Other Work Estimated Cost ~3; 7~)Q OOO. OO Fee If dwelling, number of dwelling units If garage, number of cars (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. 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 2. Dimensions of entire new construction: Front Height 2¢, ). Size oflot: Front Rear 10. Date of Purchase Number of Stories ] Name of Fonmer 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: !3. Will lot be re-graded _)/f,~ Will excess fill be removed from premises: YES 4. Names o f Owner o f,Pt~qmi~s, es~L_~LAddress ~t/ ,%/~ Name of Architect 2~1~2(1~, . Address ~ Phone Name of Contractor/~' Clad k 'flt]./~~ Address- ~ ~hone No. 5?Is this property within 100 feet of a tidal wetland? *YES NO · I:F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 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) SS: :OUNT¥ oP-¢ 'Fr"4'Z_ ) f/~ V',O/t/,O'~ /4,/Z~D',/J0zQSY¥ ~" being duly sworn, Ceposes and says that(s)he is ~e applicant ~ame of individual si~ing conWact) 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; mt 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 ,, ,, No. 4~17~ Signature of Appl~ant " ~O£M