HomeMy WebLinkAbout27655-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28542 Date: 06/27/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 51 CARDINAL LANE 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 JULY 26, 2001 pursuant to which
Building Permit No. 27655-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 ~51) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK CO%~%w~Y DEPART~T OF ~{]~ALT~t APPROVAL C10-97-11 05/28/02
Hr.R~-rKICAL CERTIFIC_A~ NO. 1054450 05/22/02
PLUMBERS CERTIFICATION D~u 05/17/02 HARTCORN 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. 27655 Z
Date SEPTEMBER 14, 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 AS APPLIED FOR UNIT #51 CRAWL
at premises
County Tax Map No. 473889 Section 035
pursuant to application dated JULY
Building Inspector to expire on MARCH
located at 51 CARDINAL LA_NE GREENPORT
Block 0001 Lot No. 025
26, 2001 and approved by the
14, 2003.
Fee $ 636.30
' Authori z'e~"Signat~
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 rise: 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 fora0.
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,
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
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
Date.
New Construction: t~ Old or Pre-existing_Buildlng:
Location of Property: k.~[ (
House ~o.), Street ~
OwnerorOwnersofUroperty:--{OJ'Iqf/tC, LOtl(~}'/lO 0"~ k~t~/J~'~;
Suffolk County Tax Map No 1000, Section ~.~ Block
/ /
(check one)
Lot 2t~'
Subdivision
Permit No..~2Q(a S S ~
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
7- -zrx o
/2- q- 2oao
Request for: Temporary Certificate
Fee Submitted: $ 2~ '
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Lot:
(check one)
3,p~ii~afit gigli~u r 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
TOV/N OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No.
Owner:_ P,f,..O~ll'~. ~Oll~fl0
(Pleas~ l~rint)
Plumber:Hartcorn Plmq & Htq, 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
Notary Public,~ County
(Plumbers Signature)
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 1OO38
CERTIFIES THAT
Upon the application of
upon premises owned by
E.F. MALONEY
P.O. BOX 6070
MILLER PLACE, NY 11764,
* PECONIC LANDING
MAIN RD RT 25
GREENPORT, VILL, NY 11944
Located at
MAIN RD Rr 25 COTTAGE #51 GREENPORT, VILL. NY 11944
Application Number: 1054450
Certificate Number: 1054450
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 with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 22n Day of May, 2002.
Nature QTY Rate Rating Circuit Type
Additional Charges
modular house- n,y. state approval#19-1424
mfg- avis america, serial #671201
Wiring and Devices
Receptacle I 0
Fixture 1 0
Switch 1 0
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
Meters: 1
General Purpose
Incandescent
General Purpose
CORRECTED CERTIFICATE
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.
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 N. Aiello, P.E.
)~ ~ &
PLUI~BI~G
1SULATION PER N. Y.
STATE ENERGY/
CODE
-'ADDITIONAL
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO.
Exa ed ,200/
Disapproved afc
Do you have or need the follow/rig, before applying
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTR~JCTIONS
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'~remises, 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 Insp0ctor 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 i¢'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 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
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 code, and regulations, and to admit
authorized inspe.ctors On premises and in building for necessary inspections.
(Signature of applicant o~ name, if a corporation)
{Mailing a~dr~ss of applicar~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
/
Nameofownerofpremises Q~6Otb'C.. /,O/IJ[tlO Or'~.OT]lf2]i
i. (as on:the tax roll or latest deed)
If ap~l,~..nh is a corpora~ion~ signature of duly authorized officer
f (~an~ ~nd title ofcorporatelofficer~
Builders LicenseNo.
Plurnbers LicenseNo.
Electricians License No.
Other Trade's License No.
Location of land on which p%oposed work will be done:
/20,X t F. 2J ' "
House Number Street '
Hamlet
County Tax Map No. 1000 Section Q.~ Block [
Subdivision .. Filed Map No.
· ame) " )I
a. Existing use and occupancy
b. Intended use and occupancy t~ca,S}
/
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
4. Estimated Cost_ ~ 700; 000. D~
5. If dwelling, number of dwelling units
If garage, number of cars ....
Addition Alteration
Other Work
~'ee
(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 ixtent 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
3. Dimensions of entire new construction: Front
Height
). Sizeoflot: Front
2_6/ Number of Stories ,
'i
[ 0. Date of Purchase
,y..
Rear
Name of Former Owner
Number of Stories
Rear Depth
/
Depth
t l, Zone or use district in which premises are situated
[2. Does proposed construction violate any zoning law, ordinance or regulation: iA//)
'.3. Will lot be re-graded /e,~ _ Will excess fill be removed from premises: YES
Name of Architect ~Address t! ' Phone
Name of Contractor L" tltld F I12~ I~}') Address' , }>hone No. (_ G~) ~/'7'7- 4-,//10 }
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
survey, to scale, with accurate foundation plan and distances to property lines. Or'/ fr,/P_,
6,
Provide
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:
f~ V'/'}Td X,'25 .~/t~',(dO/"~;/¥~- being duly sworn, deposes and says that (s)he is hhe applicant
(Name of individual signing contract) above named,
$)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;
tat 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.
Notary,~u~ic
PA'T~L~ A.
Signature of Applicant t
gLOOM
II