HomeMy WebLinkAbout27678-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28592
Date: 07/11/02
T~IS CERTIFIES t~at the building NEW DWELLING
Location of Property: 54 CHICKADEE LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~ap 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 Pez~t No. 27678-Z dated JLrNE 11, 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 (LrNIT #54) WITH ATTACHED TWO CAR GAl{AGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SUF~DLK COI~9~f DEPART~NT OF ~F~%L~{ AI~PRO~-AL C10-97-11 05/28/02
EI~C~RIC3%L CERTIFICA~ NO. 1054434 06/28/02
PLUMBERS CERTIFICATION DA'r~ 05/17/02 HARTCOP~N PLUMB.&HEAT.INC.
Aut hoz~ed SignatUre
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27678 Z Date JUNE 11, 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
GARAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #54 CRAWL
at premises located at 54 CHICKADEE LJkNE GREENPORT
County Tax Map No. 473889 Section 035 Block 0001 Lot No. 025
pursuant to application dated MAY 10, 2001 and approved by the
Building Inspector to expire on DECEMBER 11, 2002.
Fee $ 522.60
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF $OUTHOLD
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 Depart~nent with the following:
AD
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 fom0.
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 fi-om architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
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, Altemtious 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 of0ccupaney - $ 0.25
4. Updated Certificat~ofOccupancy- $50.00
5. Tcraporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of_Property: __
Owner or Owners of Property: c"~Ca'~ ~,C_
Suffolk County Tax Map No 1000, Section
Date.
~ _ Old or Pre-existing Building:
~ ~' Block
I
(check one)
Hamlet
Lot Z~''~
Subdivision
Permit No. ~") ~ ~ ~ '~ __ Date of Permit.
Health Dept. Approval: "~ ' 1o ' LDo a,
Planning Board Approval: [~_ -~'4~ 7_000
Request for: Temporary Certificate
Fee Submitted: $ ff-_~ ~'
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Lot:
(check one)
Applicant Signature
Dennis M. Wilhelm
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
Building Permit No.
Owner:
~leas~ l~rint)
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 ~//,¢z~, , 20 ,~2.-~
Notary Public, ~ County
(Plumbers Signature)
VIRGINIA M. OOClN.ql~l
To Qua',!fiej m Su~,olk GOUFitv
rm, expires OctO3er 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 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. Aiello, P.E.
Dated:
June 3, 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 #54 Code Cetffiicafion.
Dear Mike:
In reference to lhe 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
Collage #54 has been constructed in compliance with all applicable laws, codes and ordinances.
Very truly your;
BARTON & ASSOCIATES, LP
Frank P. Laughlin, RA
Senior Vice President
cc: Dennis M. Wilhelm, IlLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
officers
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK / TREASURER
CHRIS'FiE HALLOCK
Tel: (631) 477-0248/2385
}:ax: (631) 477-1877
March 14, 2002
to~
E. F. Walsh
Developers Peconic Landing
From:
Village of Greenport
Utilities Department
Re: Peconic 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
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
54 ~/~/~ '~ E)./~. ~ c~
REMARKS:
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY
CERTIFIES THAT
Upon the application of upon premises owned by
E.F. MALONEY * PECONIC LANDING
MAIN RD RT 25
P.O.
BOX
6070
MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944
Located at MAIN RD RT 25 GREENPORT. \/ILL, N,r' 11944
Application Number: 1054434 Certificate Number: 1054434
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
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, Al~ached Garage, Outside,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
foun0 to be in compliance therewith on the 28th Day of June, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-14
Avis America serial # 679401
mfg
Appliances and Accessories
Furnace 1 0 Gas
Air Conditioner 1 0 36,000 BTU
Wiring and Devices
Receptacle 1 0 General Purpose
Switch 1 0 General Purpose
Fixture 3 0 Incandescent
Service
1 Phase 3W Service 200
Rating
Amperes
Service Disconnect: 1 200 cb
~ Meters: 1
I of 1
lhis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
~'ELB I~NSPgCTION REPORT ' DATE ~:,~.~ == ~ COI~IENTS
)UNDATION (IST)
I~TION I~ER N. Y.
STATE ENERGY
CODE
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO. _
,20 O____/
Approved ~/// , 20
0/'
Disapproved aYe
Do you have or need ~c follo~g, before applying
Bo~d of Heal~
3 scm ofBuil~g Pi~
S~cy
Septic Fo~
N.Y.S.D.E.C.
.. ' Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTR~JCTIONS
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 streeti 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 throughotk the work.
e. No building shall be occupied or used in whole or ip'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. ¢partment 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
authorizedinspe?to[s ?n premises and in building for necessary inspectiOns.
(Signature of applic~nt or name, if a corporation)
{Mailing a~dre~s of applicar~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
/
t~ ~as o~:the t~ roll or latest deed)
If ap~l~ is ~o¢or~on~ si~ature of duly authohzed Officer
/ (~ ~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~;oposed work will be doffer
/20,X 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., ,
b. Intended use and occupancy "~'~e,S]J0?l(~
!
3. Nature of work (check which applicable): New Building ~ Addition
Repair Removal Demolition Other Work
4. Estimated Cost ~, 700, 000. lOtO
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
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 of existing structures, if any: Front
Height Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth. Height
Dimensions o f entire new construction: Front
Height
Size of lot: Front Rear
~ 0. Date of Purchase
Number of Stories
Name of Former Owner
Number of Stories
Rear Depth
/
Depth
[ 1. Zone or use district in which premises are situated
[2. Does proposed cqnstruction violate any zoning law, ordinance or regulation: . A]/~
!3. Will lot be re-graded /~ __Will. excess fill be removed from premises: YES O
.4. Names of Owner o fpJi~tmises~Address Otl ~t'/~ Phone No. ~
Name of Architect ~)tll"/'tl/I ~1,~4~. , . Address. ti ' .Phone No~
Name of Contractor ~ taat] 1~' II#l[,.~h Address p Phone No. ~ ~/) /-*,/'7'7- /-//O ]
5. Is this property within 100 feet of a tidal wetland? *YES NO
· ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLrLRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0t~ ff~/g.
7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
SS:
f~Y'/27~ ~ ~0~ being duly Sworn, deposes and says that (s)h~ is ~e applicant .
~ame of indi~duaI si~ing con,act) 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;
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 of Appl~/cant ~'
COVERED PO~CH
- TYVEK HOUSE WRAP
- ROOF INSTALLED ON SITE
- ALL ~NDOW HEADERS TO DE 7'-7'
- CRA~-SPACE ACCESS SURPUEO & INSTALLED ON-SII~ DY BUILDER
- SHlPLOOSE BIFOLD DOORS
ATllC ACCESS BY BUILDER
CUSTOMER: UNSOLD, COTTAGE #54 .~~
(szt tee tcP maTe)
II
A~8_Y ~ D~WIN~
SEE SHEETS 3 & 4 FOR HURRICANE STRAPPING DETAIL.
MECHANICAL ROOM DETAILS
Released for
DATE. ~'~
GENERAL NOTES SNOW LOAD:
RECEIVED
SEP z 5 2001
REVISIONS ~ SERIES PECONIC LANDING
j~ Ut)DEL OYSTER POND
RANCH
I~1 ~/iT/e~ I~l 6~ I
2059 UV 1696 ~I ..~.s. I~l~, .-I1