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