HomeMy WebLinkAbout27686-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~iqTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28544 Date: 06/27/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 56 CHICKADEE 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 JULY 2, 2001 pursuant to which
Building Permit No. 27686-Z dated AUGUST 2, 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 ~56) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
~e certificate is issued to PECONIC LANDING AT SOUTHOLD,
of the aforesaid building.
INC.
SUF~DLK CO~ DEPAR~T OF ~{ APPROVAL C10-97-11 05/28/02
ELRt-r~IC3%L C~TIFICA~ NO. 1059077 06/14/02
PLUF~BERS ~TIFICATION DA'r~3 05/17/02 HARTCORN PLUMB,&HEAT.INC.
Authorized S~nature
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)
PERiMIT NO. 27686 Z Date AUGUST 2, 2001
Permission is hereby granted to:
PECONIC LANDING AT SOUTHOLD, I
PO BOX 430
SOUTHOLD,NY 11971
~or :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #56 CRAWL
at premises located at 56 CHICKADEE I2kNE
County Tax Map No. 473889 Section 035
pursuant to application dated JULY
Building Inspector to expire on FEBRUARY
GREENPORT
Block 0001 Lot No. 025
2, 2001 and approved bythe
2, 2003.
Fee $ 522.60
Authori zed ' gnat u~L'~
COPY
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ItALL
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:
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 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.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed appliuation and a consent t0 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.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate ofOccupancyon Pre-exi~g 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.
Old or Pre-existing B~uilding:
Street
Owner or Owners of Property:
Suffolk County'Tax Map No 1000, Section
Subdivision
Permit No. ~?~1~'_~ ~ DateofPermit.
Health Dept. Approval: "~r.
Planning Board Approval: [ ~ - ~{. 7.0,00
Request for: Temporary Certificate
Fee Submitted: $ ,.~,~ '~'
Date.
I
(check one)
Block
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Hamlet
Lot
Lot:
(check one)
Applicaut Signature
0ennis 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
Date:
Building Permit No.
Owner:__ ~tt.t~L LOtfltl~l}O
(Pleas; ~rint)
Plumber:Hart:corn plmq & Hi:q,
lac
(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 2//~c/ _, 20
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY I I
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
E.F. MALONEY
P.O. BOX 6070
MILLER PI.ACE, NY 11764,
COTTAGE 56 PECONIC LANDING
MAIN ST RT 25
GREENPORT, VILL, NY 11944
Located at
MAIN ST RT 25 GREENPORT, VILL, NY 11944
A~plication Number: 1059077
Certificate Number: 1059077
S~ction: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a ]~esidential 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 14th Day of June, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-13
mfg Avis America serial # 667001
Appliances and Accessories
Air Conditioner 1 0 36,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0
Switch 1 0
Fixlm c 3 0
Service
1 Phase 3W Service Rating 200 Amperes
Service Discotmect: 1 200 cb
Melcrs: ]
General Purpose
General Purpose
Incandescent
seal
! of !
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:
officET$
MAYOR
DAVID E KAPELL
(631)477 3000
TRUSTEES
WILLIAMJ MILLSIII
GEORGEW HUBBARD
GAlL F. HORTON
BBADLEY B BURNS
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 47%0248/2385
Fax: (631) 477-1877
RECEIVED
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.
The sewerage being delivered is acceptable to the Village sewerage system.
Respectfully,
William Swiskey
Utilities Foreman
WS/js
May 31, 2002
Mr. Micltael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971 - 1179
PECONIC LANDING PROJECTS.
Re: Cottage #56 Code Certification.
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, infom~ation and believe that
Cotlage #56 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
Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
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:
)UNDATION (IST)'
FRAME &
· PLUMBING
STATE
CODE
..... ,~.~ . ,,_, . A~DITIONAL .COMH~ S:. , . .~
BU"ILDIi~G DEPARTMENT
TO ~,VN H-ALL
SOUTHOLD, NY 11971
TEL: 765-1802
, PERMIT NO.
Examined ~}ff~/ ,20.
Disapproved a/c /
Do you have or need thc following, before apPlying
Board of Health
', ii 3 sets of Building Plans
Survey.
, . Septic Form
N.Y.S.D.E.C.
.. ' Trustees
Contact:
Mail to:
Phone:
~or
APPLICATION FOR BUILDING PERMIT
INSTR'UCTIONS
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. 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 be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit lo the applicant. Such a permit
shall be kept on the premises available for inspection throughotit the work.
¢. 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 HER.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 altemtinns 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 or name, if a corporation)
~(MaiHng a~dre-ss of applica~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(as on:the tax roll or latest deed)
If apl~lj~'.anhis a corpor~ion~ signature of duly authorized officer
X ':.
/ (;i~an~ ~ud title of ¢orporatelofficer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of lmad on which pxoposed work will be doric.:
/2o,x t/,1:. 2J ' '
House Number ,~ Street '
Hamlet
County Tax Map No. 1000 Section (~' .Block
Subdivision :. Filed Map No.
, me)
a. Existing use and occupancy.,
b. Intended use and occupancy
/ d
3. Nature of work (check which applicable): New Buil lng
Repair Removal Demolition
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
4. Estimated Cost ~ 700~ DO0. O0
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
Fee
(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 . Number of Stories
~. Dimensions of entire new construction: Front .q,~)/ Rear .Depth
Height 2.,q / Number of Stories . /
7. Size of lot: Frontj~//t~ Rear .Depth
[0. Date of Purchase . p~]~ Name of Former Owner
-/
L 1. Zone or use district in which premises are situated
L 2. Does proposed construction violate any zoning law, ordinance or regulation:
!3. Will lot be re-graded __Will excess fill be removed from premises: YES
~ 4. Names o f Owner o fpjiermises~~ddress Or'/ ~t']~ Phone No. ~
Name of Architect ~tll"~tltl ~l.~qt~... . Address. ti ' Phone
Name of Contractor ~: tlt~ I~ ii2-~q]~ Address , t' Phone No.
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ~D
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. DB
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:
/~,4 V'/~Tt~ ,c/'~ P~/~--,~Z20 z~-Sff'~' being duly sworn, deposes and says that (s)he is ~e applicant .
~ame of individual si~ing conWact) above named,
S)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;
~at all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erforrned in the manner set forth in the application filed therewith.
worn to before me this
I~lly Pul~ ~e of Naw Yor~
ture of Applicant ~
GENERAL NOTES
8~ ALL T~ &
NOTES:
- TYVEK HOUS~ ~AP
- 9'-0' CEIIJNGS
- ALL WINDOW HEADE}~S ARE TO ~ U~N~ 7-7'
~T ~ KIT~; KIT~ ~NDOW TO BE M~N~
6'-9' TO A~OW FOR S~T O~ KIT~ SNK
- ROOF ~N~A~ ~ ~
- HUR~CANE ~APPING 110 MPH
- ~1~ ~FO~ D~
RECEIVED
JUN 2 1 2001
DCOW LOAD: 30~ P.~.F.
(3) ~ - P~OVIOE ~/4' x 1~' PL'f'~:)OO BACKING ~ 53'UD$ ~' A.F.F. F~ B3.JILDE:]~ HA.N~
205g UV 1696
LA~ L~X::A'~ ON
DATA 13'~_A~ CCC I~]..E~ pANIC. COVE~
BUILDERS COPY