HomeMy WebLinkAbout27652-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28543
Date: 06/27/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 52 CARDINAL LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET}
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Su]~division 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 Pemit No. 27652-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 #52) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
( OWNER )
of the aforesaid building.
INC.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-97-11 05/28/02
ELRC'~RIC3%L C~RTIFICATH NO. 1054456 05/22/02
PLUMBERS CERTIFICATION DA'£mO 05/17/02 H3LRTCORN PLUMB.&HEAT.INC.
Aut ho~'f'z ed- Signature
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 LTNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27652 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 #52 CPJkWL
at premises located at
County Tax Map No. 473889 Section 035 Block
pursuant to application dated JULY 26, 2001
Building Inspector to expire on MARCH 14,
52 CARDINAL LANE
GREENPORT
0001 Lot No. 025
and approved by the
2003.
Fee $ 636.30
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. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certif,fing 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 o f 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.
New Construction:
Date.
Location of Property:
House ,NoD
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Block
Filed Map.
Applicant:
_ Underwriters Approval:
Subdivision
Permit No. ~ Date of Permit.
Health Dept. Approval: '7- ~:~'
Planning Board Approval: ~2 - 4-
Request for: Temporary Certificate
Final Certificate:
Fee Submitted:
(check one)
Lot:
(check one)
Apphcant,~gnature
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: ~l[f~0a~.
(Pleas~ l~rint)
Plulnber: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 o£ ,////'/~2~7 , 20
,/
Notary Public, County
~ure)
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
* PECONiC LANDING
E.F.
MALONEY
P.O. BOX 6070 MAIN RD RT 25
MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944
Located at MAIN RD rt 25 COTTAGE #52 GREENPOR'i', VILL, NY 1 'i944
Application Number: 1054456 Certificate Number: 1054456
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS37
Described as a Residential occupancy, wherein the premises electrical system consisting
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.
Name QTY Rate Rating Circuit Tvoe
Additional Charges
modular house- N.Y. state approval # 19-
mfg - avis america, serial # 671101
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 cb
Meters: 1
,-,,i, ECTED CERTIFICATE]
seal
1 o£ !
This cerUficate 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.: ~"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:
Gino N. Aiello, P.E.
Dated: ~//z~;/~¢ "~
May 31, 2002
Mr. Michael J. Ve~ty
Code Enforcement Officer
Southold Town H~I
53095M a inRoad
P.O. Box 1179
Southold, NYl1971-1179
PECONIC LANDING PROJECTS.
Re: Cottage #52 Code Certification.
Dear Mike:
In reference to the above mentioned project we, Barton & Associates, LLP (Axchitects of Record
for said project), hereby certify that to the best of our knowledge, information and believe that
Cottage #52 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,
BARTON & Ass~iates, Inc.
Thumas C. Bari{m, IlL AIA
5120 Butler Pike, SuBe
Plymouth Meeting, PA 19462-1230
Fei. 610.940.5825
Fax 610.940.5830
www.bar tonpar t nets.eom
PHILADELPHIA
CHICAGO
BALTIMORE/
WASHINGTON
O. ff i c e l's
MAYOR
DAVID E KAPELL
(631 ) 477-300Q
TRUSTEES
WILLIAMI MILLS]II
GEORGE W. HUBBARD
(}Alt. F HORION
BRAI)I.EY B BURNS
236 THIRD STREET
GREENPORT. NEW YORK 11944
CLERK / TREASURER
CHRISTiE HALLOCK
Tel: (631 ) 497 0248~385
Fax: (631) 477 1877
March 14, 2002
To:
E. F. Walsh
Developers Peconic Landing
From:
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~s
INSPECTION TEST
GAS AND WATER SERVICE
Sidney B. Bownc & 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:
l~ IhSPECTIO~ REPORT
DATE
,gI~DATION (
~'h'DATION ( ~1~ )
~UCH FRAI4E &
[SULATION P~R N. Y.
STA~ ~NERCY
CODE
' BUII',DINQ DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined ~/~/~ ,20 O/
Approved '~//y ,20 ~)/
Disapproved a/c
· PERMIT NO.
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey
'.: ~'"~ D 5 ~-'2,-~ Check
, . Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
~or
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
scts of plans, accurate plot plan to scale. Fee according to. sched.,tile.
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 throughotit the work.
e. No building shall be occupied or used in whole or lc'part for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
APPLICATION IS HEP,.EBY 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, ordinanoes~ building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of appli~nt or name, if a corporation)
,{Mailing a~dre-ss of applican{) -
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name ofownerofpremises Q'~O/lt~. ~dPtlJ~'/lt?
! (as on:the t~ roll or latest deed)
If ap~l~fih is a co¢or~on~ si~ature of duly authohzed
~ (~ ~d title ofco~orate~officer~
Builders License No,
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which p,,roposed work will be doric:
House Number . Street
Hamlet
County Tax Map No, 1000 Section Q~' Block
Subdivision ..' Filed Map No.
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
Addition Alteration
Other Work
a. Existing use and occupancy.,
b. Intended use and occupancy ne~5]
/
Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ 700. 0OO. O0
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
(Description)
(to be paid on filing this application)
Number ofdwelling 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
5. Dimensions of entire new construction: Front.
Height 2.6/ Number of Stories .
). Size of lot: Front Rear
10. Date of Purchase J~]~ Name of Former Owner
'7
· Number of Stories
Rear
/
.Depth
.Deptb
t I. Zone or use district in which premises are situated
t 2. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be re-graded yP,,~ Will excess fill be removed from premises: YES
.4. ii~iSoO~f~!el;!~iddr~!ii- O~ P'?/~ Phone No.~
t I Phone
ti i=hone No. [ ¢cg~.)/--/~'7- /-./)~ /
5. Is this property within 100 feet of a tidal wetland? *YES NO
· lY YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ~D
survey, to scale, with accurate foundation plan and distances to property lines. DA ff,t~
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:
:OUNr¥ oPg.'Ff //< )
~V'/77~ ~ [~./~-.~'ZlOfi".5'ff'~' 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 w/II be
erformed in the manner set forth in the application filed therewith.
worn to before me this --
Notary ~ul~ic
' ' / Signature ofA. ppl//cant /
z