HomeMy WebLinkAbout27697-ZFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: z-28443 Date: 05/16/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 44 SANDPIPER LANE GREENPORT
(HOUSE NO,) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
subdivision Filed ~ap NO. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 9, 2001 pursuant to which
Building Permit No. 27697-Z dated MAY 15, 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 #44) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH ~ 4 SEASON ROOM AS APPLIED FOR.
The certificate is issued to PECONIC L~NDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SBFf~DLK CO~3N=I"f DEPAR~I~T OF ~I~{ APPROVAL C10-97-11 05/10/02
ELRt-r~IC3%L CERTIFICA~ NO. 1037282 03/06/02
PLUMBERS CERTIFICATION DA'£~ 02/14/02 HARTCORN.PLUNB.&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. 27697 Z Date MAY 15, 2001
Permission is hereby granted to:
PECONIC LANDING AT SOUTHOLD, I
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GAP~AGE, COVERED FRONT PORCH & 4 SEASON ROOM AS APPLIED FOR(UNIT# 44 FULL)
at premises located at
County Tax Map NO. 473889 Section 035
pursuant to application dated MAY
Building Inspector to expire on NOVEMBER
44 SAMDPIPER LA_NE
GREENPORT
Block 0001 Lot No. 025
9, 2001 and approved by the
15, 2002.
Fee $ 1,383.00
ORIGINAL
Rev. 5/8/02
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 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 enmpleted application and a ennsent 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.
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. 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:
Old or Pre-existing Building:
Date.
House No. Str&t!
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~/~q -/..~
Health Dept. Approval:
Planning Board Approval:
DateofPermit. 5 l§l
Request for: Temporary Certificate
Fee Submitted: $ ,~...~
co $ ff
Block
Filed Map.
Applicant:
UnderwfitersApproval:
Final Certificate:
z/ doz
! t
(check one)
Hamlet
Lot:
(check one)
Applicant Signature
Dennis M. Wilhelm
Town Hall, 53095 Main Road
P.O. Box 1179
$outhold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No.
Owner:
(please l~rint)
Plumber: Hartcorn Plmg. & Htg., Inc
(please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this ~
day of //~ , 20 ~r,~ ~
Notary Public, County
VIRGINIA M. GOCINSKI
Nota~, Public, State of New York
No. 4873841
Qualified in Suffolk County
term oxp res October 20,
FINAL INSPECTION REPORT
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke., Mineola, NY 11501
PECONIC LANDING
TOWN OF SOUTHOLD
BUILDING PERMIT NO.:
COTTAGE NO.: 9' ct/
7 z
In accordance with the Agreement between the Town of Southold and Sidney B. Bowne & Son,
LLP, Consulting Engineers, dated January 14, 2000, for professional engineering services
relating to the above project, we have completed the final inspection for the subject premises.
In addition, we have reviewed inspection reports and other relevant material for conformance to
the requirements of the Town Building Department for a Certificate of Occupancy.
Based on this review, we have no objection to the issuance of a Certificate of Occupancy for the
subject cottage.
By:
Dated:
Gino N. Aiello, P.E.
April 04, 2002
M~. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage Code Ce~ificafion.
Dear Mike:
In reference to the above mentioned project we, Barton & Associates, LLP (Architects of Record
for said project), hereby certify that to the best of our knowledge, information and believe that
Cottage Unit No. 44 have been constructed in compliance with all applicable laws, codes and
ordinances.
Very truly your;
BARTON & ASSOCIATES, LP
Frank P. Laughlin, RA
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & As$ociates~ L.P.
BARTON & Associates, Inc.
Thomas C. Barton, IlL AIA
~120 Butler Pike, Suite 200
I'lymoulh Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.bar tonpar tners.cam
PHILADELPHIA
BALTIMORE/
WASHINGTON
MAYOR
DAVID E KAPELL
{631 )
TRUSTEES
WILLIAM J MILLSIII
GEORGE W. HUBBARD
GAILF HORTON
BRADLEYB BURNS
236THIRD STREET
GREENPORT. NEW YORKII944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 477-0248/2385
Fax: (631) 477-[877
March 14, 2002
To~
E. F. Walsh
Developers Peconic Landing
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 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
44 9/20/01 OK OK ~
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, COTTAGE # 44
GREENPORT, VILL, NY 11944
Located at MAIN RD RTE 25 COTTAGE # 44 GREENPORT, VILL, NY 11944
Application Number: 1037282 Certificate Number: 1037282
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, Attached Garage, Outside,
was inspected in accordance with the National Electrical Cod~Rt~ ~iT~__¢ ¢~ ~/ltTol~F~l~l below, was
found to be in compliance therewith on the 6th Day of March, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
MODULAR HOUSE
Appliances and Accessories
Air Conditioner 1 4 TON
Motors
1 4
1 F
Panels
1 60 1
Wiring and Devices
Outlet 6 Fixmre
Switch 1 General Purpose
Fixture 6 Incandescent
Receptacle I GFCI
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 CB 200 seal
Meters: 1
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.
INSPECTION REPORT ' DATE
)~NDATION (IST)
COMMENTS
FRAME &
FLUMBING
~b~ATION PER N. Y.
b~ATE ENERGY
CODE
BUILDING DEPART1VIENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Disapproved a/c
PERMIT NO.
kJIDI)IIN~' t'I2,KIVII 1 AfFLIq.:A t'ION (21i.I~(2KLI$
Do you have or nccd thc following, before applying
Board of Health
3 sets of Building Plans
SurvcM
Check
Septic Form
N.Y.S.D.E,C.
Trustees
Contact:
Mail to:
Phone:
ltV. r
TOW ~ OF
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20
a. This application MUST be completely filled in by ty~pewriter 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 adjoining premises or public streets or
areas, and waterways.
c The work covered by this application may not be coz:nmenced 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 inpart for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Cotmty, New York, and other applicable Laws, Ordinances or
Regulations. for the construction of buildings, additions, or alterations or for removal Or demolition as hereto described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
author/zed inspectors on premises and in building for necessary inspections.
($ign~ture~of'~ppl~c~m or name, if ~ corporation)
(Mailing address of apphca~n~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name o f owner o f premises t-~t'_~tllC
1
(as on;the tax roll or latest deed)
If ap~~)~uly authorized officer
~' (~an~ and title of corporatc~0fficer~' /A, ~
Builders LicenseNo.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which ~o¢osed work will be doric:
"
House N~bcr S~ect
County Tax Map No, 1000 Section
Subdivision
(Name)
Block /
..' Filed Map No.
Hamlet
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 ~t~St'dt~t'/~.,
\
3. Nature of work (check Which applicable): New Building
Repair Removal Demolition
4, Estimated Cost ~, 700.
5. If dwelling, number of dwelling
If garage, number of cars
Addition Alteration
Other Work
Fee
(Description)
(to be paid on filing this application)
Number of dwelling units on each floor
I
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
Dimensions of same structure with alterations or additions: Front
Rear
l 0. Date of Purchase
Depth Height
Dimensions of entire new construction: Front
Height _ 2 ¢
Size of lot: Front
'Number of Stories
Rear
Number of Stories
'/
Depth
Depth
Name of Former OWner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation:
:3. Will lot be re-graded ¢~ Will excess fill be removed from premises: YES
Name of Architect (~'~tl ~Address " .Phone
Name of Contracto~~h · Address' ,, Phone No.
5. Is this property within 100 feet of a tidal wetland? *YES NO
· W YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUltU~D
survey, to scale, with accurate foundation plan and distances to property lines. 0/1 ffi]~
6.
Provide
7. If elevation at any poim on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
;OUNTY O F'-~/c"~:9//~,, S)S:
f,4"////O//25 /</~--.~X/0/".57('~' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) 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 al/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
Notary ,PuMic
ture of Appl&ant
RE,
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