HomeMy WebLinkAbout27690-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29039
Date: 11/01/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 48 CARDINAL I~ANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map 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 SEPTEMBER 5, 2001 pursuant to which
Building Per,tlr No. 27690-Z dated SEPTEMBER 18, 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 ONE FAMILY DWELLING (UNIT #48) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH & 4 SEASONS ROOM AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SI/FFOLK C0LSkwl~f DEPAR~lqT OF ~I ia~PPROVAL C10-97-11 05/28/02
ELE~-f~IC3%L CERTIFICATH NO. 1054438 05/22/02
PLUMBERS CERTIFICATION DA'£~U 05/17/02 PLARTCORN PLUMB.&HEATING
Aq~h~ri z ed Si~ature
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. 27690 Z
Date SEPTEMBER 18, 2001
Permission is hereby granted to:
LAN-DING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GAR3~GE, COVERED FRONT PORCH AND 4 SEASONS ROOM AS APPLIED FOR UNIT#48 FULL
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
5, 2001 and approved by the
Fee $ 1,383.00
Authori ~e~d 'SignatUre
COPY
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
76~-!802
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, amd unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 for~n).
3. Approval 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 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. CertificateofOccupancyonPre-existingBuilding~ $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:
Hous~ No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building: _ (check one)
Street t ~a~et
Subdivision
Filed Map. Lot:
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ?x.'~ ~
Date of Permit.
7- 2000
/2- AOoO
__ Applicant:
Underwriters Approval:
Final Certificate: / (check one)
Applicant -
co e ?
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:
Owner: i/t[1)hl(~ ~f,l~}~llO
(please p/tint)
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
VIRGINIA M. GOCINSKI
Notary Public, State of New York
No. 4873841
Qualtfiecl in Suffo k Cour~
rolm expires 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.:
In accordance with the Agreement between the Town of Southotd 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:
May 31, 2002
Mr. Michael J. VeriW
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage g4.8 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/t48 has been constructed in compliance with all applicable laws, codes and ordinances.
Very truly your;
BARTON & ASSOCIATES, LP
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & Associates, L.P.
BAR'ION & Associates, Inc,
Thomas C. Barton, 111, AIA
5120 Butler Pike. Stlite 200
PI)mouth Meeting, PA 19462-1230
IcL 610.940.5825
Fax 610.940.5830
www.bar tonpar tners.com
PHILADELPHIA
CHICAGO
BALTIMORE/
WASHINGTON
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
48 %~/~//a~ ~- ~../~'. .~ ~
REMARKS:
March 14.2002
To:
12. F. Walsh
Developers Peconic Landing
From:
Village of Greenport
Utilities Department
To Whom It May Concern:
Re: Peconic Landing Sewerage System
Thc Village of Grcenport 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
)I]Ifl)AT ION (21,1D)
PLUmBInG
ISUL~TIOI~ PER lq'. Y.
DATE
STATE EI~ERGY
CODE
.' A~DITIOI~AL
BUILDII~G DEPARTMEN'I~
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined
Disapproved a/c/
,20 o/'
,20 ~//.
PERMIT NO.
Do you havo or need ~o follo~g, before appl~ng
Bo~d of Heal~
3 se~ of Buil~g Plans
S~ey
Check
Septic Fo~
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Buildir/§In~t~ct~
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTR~JCTIOI~S
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 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 Insp,ctor 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 i.n'part for any purpose what-so-ever until a Certificate of Occupai~
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 oft. he Town of Southold, Suffolk County, New York, and other appIicable 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspe~to[s On premises and in build¢Ig for necessary inspections.
(Signature of applicant or name, if a corporation)
~(Mafling a~dress of applicar/t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name ofownerofpremises (~(_Oth'C. ZtTtlJ,','ll?
! (as on:the tax roll or latest deed)
If aplllj~his a corporq,Con, signature of duly authorized officer
X .. t,4, ':'
/ (l',,fan¢ ~,.d title ofcorporate~officer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade s License No.
Location of land on which ptIoposed work will be doric..'
/2 0,Y f. 7:.: ,2,..X '
House Number . Street '
Hamlet
County Tax Map No. 1000 Section Q~' Block / Lot:"/,""~'"¢,,.¢~ ¢~
Subdivision .. Filed Map No. I,,~,o~._._~l~ _
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 ¢c~,5] /l(t~
/
3. Nature of work (check which applicable): New Building ){ Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost ~ 700,. 0019. DO
5. Ifdwelling, number of dwelling units
If garage, number of cars
Fee
(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 o f existing structures, if any: Front
Height_ Number of Stories
Rear
_Depth
Dimensions of same structure with alterations or additions; Front
Rear
Depth. Height
3. Dimensions of entire new construction: Front
Height
). Size oflot: Front
. Number of Stories
10. Date of Purchase
2.6/ Number of Stories /
· "/q/,~ Depth
Rear
Name of Former Owner
Depth
~ 1. Zone or use district in which premises are situated
12. Does proposed cqnstruction violate any zoning law, ordinance or regulation:
:3. Will lot be re-graded /~ __ Will excess fill be removed from premises:
ti ' Phone No~
tm Phone No.
5. Is this property within 100 feet cfa tidal wetland? *YES NO
· WYES, SOUTHOLD TOVFN' TRUSTEES PERMITS MAY BE REQUIR_ED
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:
:OtrNTy )
f~"/'/77t~ ,t. Q5 /'t/~X. JD/--57/¥~' being duly sworn, deposes and says that (s)he is ihe applicant
(Name of individual signing contract) above named,
S)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;
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.
Signature o f Appl//cant /