HomeMy WebLinkAbout27680-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28591
Date: 97/12/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 50 CARDINAL LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax [4ap 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 MAY 10, 2001 pursuant to which
Building Pexlnit No. 27680-Z dated JLTNE 10, 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 #50) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH ~uND EXPANDED LIVING ROOM AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SUFFOLK COUiFrY DEPARTMENT OF }IEALTH APPROVAL C10-97-11 05/28/02
ELECTRICAL CERTIFICATE NO. 1054448 05/22/02
PLUMBERS CERTIFICATION D~£m 05/17/02 HARTCORN PLUMB.&HEAT.INC.
Aut~5orized 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. 27680 Z Date JUNE 10, 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 FRONT PORCH AND EXP. L/R AS APPLIED FOR UNIT# 50 FULL
at premises located at 1205 MAIN RD
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector.
GREENPORT
Block 0001 Lot No. 025
10, 2001 and approved by the
Fee $ 998.10
Autho~i zed ~gnature
COPY
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 ail buildings, property lioes, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 foma).
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.
Old or Pre-existin~/uilding:
Street /
Block
New Construction:
Location of Property:
House N~
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Date of Permit.
7- 2000
12-4.. moa
Permit No. ~ ')~a~0'~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,2~_~ ~
(check one)
/ - Halrnlet
Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: V' (check one)
A~icant ~i ~nfi'~"r;
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: ~'/I ~/I~_
/ ~
Building Permit No.
Owner: ~0~. f.~f-Lfl0~tl 0
(~leas~ l~rint)
Plumber: Hartcorn Plmg & Htg,
(please print)
lead.
I certify that the solder used in the water supply system contains less than 2/10 of 1%
(Plumbers'Signature)
Sworn to before me this
day of'_
Notary Pul~ic, ..~ ~ County
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.
By:
Dated:
Gino i'47~iello, P.E.
May31,2002
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 #50 Code Cetlificafion.
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 #50 has been consmicted in compliance with all applicable laws, codes and ordinances.
Very tmly your;
BARTON & ASSOCIATES, LP
Frank P. Laughlin, RA
Senior Vice President
ce: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & Associates, L.P.
BARTON & Associates, Inc.
Thomas C. Barton, 111. AIA
5120 Butler Pike, Suite 2(X)
Plymouth Meeting, PA 194624230
Tel. 610.940.5825
Fax 610.940.5830
www.bartonparmers.com
PHII. ADELPHIA
CHICAGO
BALTIMORE/
WASHINGTON
Officers
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
Village of Greenport
Utilities Department
To Whom It May Concem:
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
PressurePressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
50 ~/~/~ o,c. .~~
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 RT 25
MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944
Located at MAIN RD RT 25 COTTAGE #50 GREENPORT, VILL, NY 11944
Application Number: 1054448 Certificate Number: 1054448
Section: 35 Block: 1 Lot: 25SAME Building Permit: BDC: NS37
Described as a Residential occupancy, wherein the premises electrical system consisting
electrical devices and described below, located in/on the
wiring,
premises
at:
Basement, 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 to be in therewith the 22u of 2002.
compliance
on
Day
May,
Name QTY Rate Rating Circuit Type
Additional Charges
~ modular house-N.Y, state approval # 19-1
mfg. avis america;
Wiring and Devices
Receptacle I 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
CORJ?ECTED CERII£/ TE
seal
1 of 1
This certificate may not be altered in any wa), and is validated only by the presence of a raised seal at the location indicated.
)ln~DAT ION (IST)
PLI]M~ING
CODE
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined &~f
Approved
Disapproved a/c
. PER.MIT NO.
,20 ~/
, o/
Do you have or nccd ~c follo~g, before apply~g
Bo~d of H~al~
3 sets of Buil~g PI~
S~ey
Check
Septic Fora
N.Y.S.D.E.C.
Trustees
Contact:
Mall to:
Phone:
~r
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRUCTIONS
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. sched, ule.
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 b* commenced before issuance o£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 throughotit the work.
e. No building shall be occupied or used in whole or lC'par; for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to thc Building D. epartment 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
R.cgulations, for thc 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 code, and regulations, and to admit
authorized inspe.ctors 9n premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
'" dox dj ,los'~
<Mailing a~dre-sS of applica~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber er builder
I
Name ofownerofpremises ~COII,'C. Z~'tlJ,'tlO
/. (as on:the tax roll or latest deed)
If ap~c"~~'~~uly authorized officer
~ (~/ar~kndtitleofcorporate~officer~ ~ ';,
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which l~.ro¢osed work will be doric:
House Number , Street ·
H~amlet i
County Tax Map No. 1000 Section Q~,~' Block
Subdivision ..' Filed Map No.
(Name) "
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 n, E,S~
!
Nature of work (check which applicable): New Building
Repair Removal Demolition
4, Estimated Cost ~t 700, 0OO. O0
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition
.Other Work
Alteration
(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. .. Number of Stories
g. Dimensions of entire new construction: Front q-~"/ Rear .Depth q7
Height ,2.¢! Number of Stories ,
Size of lot: Front ]~,/j~ Rear .Depth
Date of Purchase pj)j~ · Name of Former Owner
il,
[2.
Zone or use district in which premises are situated
Does proposed construction violate any zoning law, ordinance or regulation: /I//~
'3. Will lot be re-graded Will excess fill be removed from premises: YES
4 NN2;sjfA~O~'h~;;jf(p~%~.~~ddfreesS; Ot~ ~'~'1~ Phone No.~
¢! ' .Phone No~
N~e of Con,actor ¢ ~a~ ¢ ?lJ~l~h .Address ¢~ Phone No. ( ¢~1_) ~ ~lfl ]
5. ls this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. O~
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:
: 0 UN T Y 0 F~,~'P"',~/,~ )
' f~"/'fJ70 ~ /'t/~-,D'Z/O,f-Sff'~' 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.)
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.
worn to before me this
--' Notary ,l~u[dic
Signature of Applicant r
"-'"i
Jl