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HomeMy WebLinkAbout27677-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28670 Date: 08/12/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 55 CHICKADEE 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 MAY 10, 2001 pursuant to which Building Permit No. 27677-z dated JUNE 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 (UNIT #55) WITH ATTACHED TWO CAR GARAGE ~ COVERED FRONT PORCH AS APPLIED FOR. Tlxe certificate is issued to PECONIC LJ%NDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. SUFFOLK COU~I"f DBPAR~ OF B~JXLTH APPROVi~L C10-97-11 05/28/02 BLRC~r~IC~%L CERTIFICATE NO. 1054433 06/07/02 PLUMBERS C~RTIFICATION D~r~u3 05/17/02 PL~RTCORN PLUMB.&HEATING 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. 27677 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 FD~MILY DWELLING WITH ATTACHED 2 CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT # 55 CP~AWL at premises located at 55 CHICKADEE LANE 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 Aut ho~r i ~e~ Signa~e COPY 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 o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system comains 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. Aeenrate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent t0 inspect signed by the applicant If a Cgrtifieate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writ'rog to the applicant. C. Fees 1. Certificate of Occupancy - New dwelliag $25.00, Additious 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 New Construction: Location of_ ProPerty: ~,~ House No. Owner or Owners of Property: c'~C.~kl lc_ Suffolk County'Tax Map No 1000, Section Subdivision Date. ~/! 7/2Z70 fL I ! Old or Pre-existing Building: (check one) Slxeet H~et ~ ~ Block I ~t Z ~ Filed Map. Lot: Permit No. Date of Permit. Health Dept. Approval: '-~- /~ - /..oo Planning Board Approval: | ').. - ~ Request for: Temporary Certificate Fee Submitted: $ ,,q-.~ "" Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature 0ennis M. Wilhelm June 3, 2002 Mr. Michael J. Verity Code Enforcement Ofl'~cer Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage #55 Code Cetliticafion. 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 Imowledge, information and believe that Cottage #55 has been conslmcted in compliance with all applicable laws, codes and ordinances. Very truly your; B ToN ^sso i^ s, Frank P. Laughlin, RA Senior Vice President cc: Dems M. Wilhelm, RLS Al Broszeit, E&F Walsh Bob Ellis, O,rN Town Hail, 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: Building Permit No. Owner: PO. fJ)O.~. Ltl&o (Pleas~ print) 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 ~ o day of .~r~/~-/ , 20 e;2-~ / Notary Public, County (Plumbers Signature) Officers 2~6 TItIRD STREET (;REtSNI~O]{'[', NEW YORK 11944 CLERK / TREASURER CHRISTIE HALLOCK Tel: (631 ) 477-0248/2385 [:ax (631 ) 477-1877 March 14, 2002 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 am 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 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.: .~'~'~ 27d7"7 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. A~llo, 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: INSPECTION REPORT )UNDATION (IST) ~IqDATION (2ND) ~ FRAHE & PLYING STATE ENERGY CODE F~ B. UILDtNG DEPARTMENT TOW15I HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved igc . PERMIT NO. ,20 ~/ ,20 ~/ Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey . Check Septic Form N.Y.S.D.E.C. Tr~tees Contact: Mail to: Phone: Buildin~'~sPector ff APPLICATION FOR BUILDING PERMIT " Date . ,20 INSTR~JCTIO1NS 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 oh"premises, relationship to adjoining premises or public strcet~ 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 Insp$ctor will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughofit 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 Department 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, ho.using code, and regulations, and to admit authorized inspectors 9n premises and in building for necessary inspections. (Signature of appliqtnt or name, if a corporation) ,(Mailing a~dre-ss of applica~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder / Nameofownerofpremises ("~/'~tlt~ L~tlJ/tlD O~"~./JT/I(/'~ I. !as on/the tax roi1 or latest deed) If apl~l,j~.a% is a corporafi, ion~ signature of duly authorized officer ! (Narr~ and title of co,orate officerJ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which p~roposed work will be doric: /2o fF.: 2J ' i' House Number Street Hamlet County Tax Map No. 1000 Section (.~' Block / _Lot:-¥ ~..,l~!e~,~ .~.~ Subdivision ' Filed Map No. a. Existing use and occupancy., ~ b. Intended use and occupancy ?~s;dea(~ / 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 Fee Addition Alteration If dwelIing, number of dwelling units If garage, number of cars Other Work (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 of entire new construction: Front Height 7. Sizeoflot: Front t 0. Date of Purchase Number of Stories . Rear Name of Former Owner Number of Stories Rear Depth / Depth t 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: !3. Will lot be re-graded /~5 Will excess fill be removed from premises: YES .4. Names of Owner ofpA~mises~Address ~)// ,~'/~ Phone No. f_~,~Z~ Name of Architect ~Address tl ' Phone Name of Contractor ~' tlad [:: 117~1~1'1 Address' I~ ]?hone No. (. ¢31)/--/'7'7-/--./1~/ 5. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PEPdVlITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0t~ 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: :OUNTY or,- Ff4,/< ) f/~V',,~ ~ /4,,/z~--,~Z20./-'.5',/(',~c''being duly sworn, deposes and says that (s)he is the applicant . CName 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; aat 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 Nomry,~u~ic Signature of Applicant z