HomeMy WebLinkAbout27679-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28541
Date: 06/27/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 49 CARDINAL LANE GREENPORT
(HOUSE NO.) (STREET) {HAMLET)
Co~nty Tax ~ap No. 473889 Section 35 Block 1 Lot 25
~ubdivision Filed Map 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. 27679-Z dated JI/NE 12, 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 #49) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH & EXPANDED LIVING ROOM AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
~UFFOLK COUNT~ DEPARTI~ElqT OF BF~J~T~ APPRO%rAL C10-97-11 05/28/02
ELRC~r~ICAL CERTIFICA~ NO. 1054443 05/22/02
pL~q~BERS CERTIFICATION DA'£~U 05/17/02 HARTCORiq 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 UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27679 Z Date JUNE 12, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE, COVERED PORCH AND EXP. L/R AS APPLIED FOR UNIT # 49 CRAWL
at premises located at
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector.
1205 MAIN RD GREENPORT
Block
9, 2001
0001 Lot No. 025
and approved by the
Fee $ 568.50
Authori ze~l 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 property with accurate location of all buildings, property lines, streets, m~d uousual 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 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.
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
Date.
New Construction:
Location of Property:
House No.~._.D
Owner or Owners of Property:
Old or Pre-existing Building:
Street t
O/
(check one)
/Hamldt -
,5:ftC.
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ,,,g ?(~ 7~]-~
Itealth Dept. Approval:
Planning Board Approval:
Date of Permit.
7. 6- 2.000
Request for: Temporary Certificate
Fee Submitted: $ ,,2_~ ~
Block
Filed Map.
Applicant:
Underwriters Approval:
Lot .~'
Lot:
Final Certificate: I,~ (check one)
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: ~//7/02_
/ !
Building Permit No.
Owne : L. L0
Oleas~ l~rint)
Plumber:Hartcorn Plmcj & Htq, Inc
(please print)
I certify that the solder used in the ~vater supply system contains less than 2/10 of 1%
lead.
Sworn to before me this _30
day of_ /~ , 20 vd2~
Notary Public, County
'~ignature)
VIRGINIA M, GOCINSKI
Nota~/Public, State of New
NO. 4873841
TermQUalified in Suffolk Co[int~__
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.: ,3Z~
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. Aiell'o, 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
REMARKS:
May 31, 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 #49 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 #49 has been constructed in compliance with all applicable laws, codes and ordinances.
Very tnfly your;
BARTON & ASSOC TES, LP
Frank P. Laughlin, RA
Senior Vice President
cc: Dennis M. Wilhelm, RLS
A1 Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & Associates, L.P.
BARION & Associates, Inc.
Thomas C. Ballon, IlL AIA
5120 Butler Pike, Suite
Plymouth Meeting. PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.barlonpallners.com
PHILADELPHIA
CII[(AGO
BALTIMORE/
WASHINGTON
officers
MAYOR
DAVID E KAPELL
(631 ) 477 - 3000
TRUSTEES
WILLIAM J MILLSIII
GEORGEW HUBBARD
GAILF HORTON
BRADLEYB BURNS
236THIRD STREET
GREENPORT, NEW YORKII944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631) 477-0248/2385
Fax: (631) 477-1877
March 14, 2002
To:
E. F. Walsh
Developers Peconic Landing
From:
Village of Greenport
Utilities Department
Re: Peconlc 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/js
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 RT 25
MILLER PLACE, NY 11764, GREENPORT, VILL, NY 1 I944
Located at MAIN RD RT 25 COTTAGE #49 GREENPORT, VILL, NY 11944
Application Number: 1054443 Certificate Number: 1054443
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS37
Described as a ResJdenQal 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 with the National Electrical Code and the detail of the installation, as set forth below, was
found be in therewith the 22n of 2002.
to
compliance
Day
on
Name QTY Rate Rating Circuit Type
Additional Charges
modular house- N.Y.State approval # 19-1
~mfg - avis america - serial # 670901
Wiring and Devices
Receptacle 1 0 General Purpose
Fixture 1 0 Incandescent
Switch 1 0 General Purpose
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
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.
}U~DATION (IST)
)U11DATION (2ND)
)U~H FP, AHK &
PLUMBING
ISULATIONPER N. ¥.
ST. ATE ENERGY
CODE
FINAL
.AI)DITIONA~. COHHEI~S:
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Exam/ned.
Approved ~'//
Disapproved a/c
· PERMIT NO.
,20.
,20
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survel
Septic Form
N.¥.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
~r
APPLICATION FOR BUILDING PERMIT
INSTRbCTIONS
Date ,20
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 street~ 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 throughmit 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 Occupan
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building D. 'epartrnent 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
Kegulations, for the conatruction 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 code, and regulations, and to admit
authorized inspectors On premises and in building for necessary inspections.
(Signature of applic~nt or name, if a corporation)
~Mailing a~dre-ss of applicar~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name ofownerofpremises (~COiIt'C. ~t~tl~'tlD
/ (as on:the tax roll or latest deed)
If apl~I}e%.n~is a corporq~ion, signature of duly authorized officer
X ':. '
/ (~ ~d title ofco~orate~o~cer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which p, foposed work will be doric:
120& 2J ' "
House Number , Street
Hamlet
County Tax Map No. 1000 Section Q~" Block. /
Subdivision ..' Filed Map No.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy., i.
b. Intended use and occupancy t~c~,Sj
/
3. Nature of work (check which applicable): New Building X Addition. Alteration
Repair Removal Demolition Other Work
4. Estimated Cost ~, 700, 000. tgO
5. If dwelling, 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 of existing structures, if any: Front
Height, Number of Stories
Rear
.Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height. Number of Stories ·
g. Diruensions of entire new construction: Front ~'7 Rear .Depth
Height ~.,q! Number of Stories .
7. Size of lot: Front /~//~ Rear ~. .Depth
tO. Date of Purchase ~//~ Name of Former Owner
Zone or use district in which premises are situated
Does proposed construction violate any zoning law, ordinance or regulation:
!3. Will lot be re-graded /~x~ --Will excess fiI1 be removed from premises:t- YES
.4. Names of Owner of,PJi~mises~Address Ot'l ,~t Phone
Name of Architect ~)tlt"F~/I /;[*x~r_..., . Address. ti .Phone No~
Name ofContrac!or ~ tltlt~ 1¢ _~l~l,3J'l Address ti Phone No.
5. Is this property within 100 feet ora tidal wetland? *YES NO
· I7 YES, SOUTHOLD TOWN TRUSTEES PE~LMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. ~/'/ fi,/6.
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:
:ou r¥ owT Ff4/& )
/~9,4"/,070,6Q5 /,C/~-,.5'Z/O/'".5'ZJ'~' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above narued,
g)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;
~at 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 __
Notary ,16u~ic
~dN~Yo~
~4~
Signature of Appli/cant "