HomeMy WebLinkAbout27674-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
CERTIFICATE OF OCCUPANCY
No: Z-28621
Date: 07/26/02
T}{IS CERTIFIES that the building NEW DWELLING
Location of Property: 57 CHICKADEE LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Sulxiivision 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. 27674-Z dated JUNE 15, 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 #57) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LAA~DING AT SOUTHOLD,
{ OWNER )
of the aforesaid building.
INC.
SUFFOLK COL~I~f DEPART~T OF ~{E~J~I AI~PRO~ C10-97-11 05/28/02
ELEC~TRIC3%L C~TIFICAT~ NO. 1054606 06/07/02
PLUMBERS CERTIFICATION DATED 05/17/02 HARTCORN 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. 27674 Z Date JUNE 15, 2001
Permission is hereby granted to:
LANDING AT PECONIC
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# 57 CP~AWL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector.
MAIN RD GREENPORT
Block 0001 Lot No. 025
10, 2001 and approved by the
Fee $ 522.60
Authorized S~nature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF 8OUTtlOLD
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 Depamnent 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. Approoal 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accm'ate survey of property showing all property lines, streets, building and unnsual 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
New Construotion:
Location of_ Property:
Owner or Owners of Property: c~C~'ki lc_
Suffolk County'Tax Map No 1000, Section
Fees
1. Certificate of Occupancy - New dweiling $25.00, Additions to dwelliag $25.00, Alterations to dweiling $25.00,
Sw'muning pool $25.00, Accessory building $25.00, Additious to accessory building $25.00, Businesses $50.00.
2. Ce~ficate of Occupancy on Pr~exi,~d~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
Date. ~/17/ 20~.2.
/ t
Old or Pre-existing Building: (check one) .-..-
Street Hamlet
Block t
House No.
Subdivision
Permit No. ~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Filed Map.
Date of Permit.~ ! 15 ! b I Applicant:
~o ' &Oo ~, Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
Oennis 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: t~-/17/ ~ f~
Building Permit No.
Owner: PO.~.OtdL ~llll~il~l
~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 _ ~ v
day of /.~/~,~/zZ~. , 20 ~'~ /
Notary Public, County
VIRGINIA M, GOCIN8~I
Notary Pub!k;. ~ of NeW~
June 3, 2002
Mr. Michael~ Veri~
CodeEnfo~ementOfficer
Southold Town H~I
53095MninRoad
P.O. Box 1179
Southold, NYl1971-1179
PECONIC LANDING PROJECTS.
Re: Cottage #57 Code Certification.
Deur Mike:
In reference to the above mentioned project we, Ba~ton & Associates, LLP (Architects of Record
for said project), hereby certify that to the best of our knowledge, information and believe that
Cottage #57 has been conslructed 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, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
officers
TRUSTEES
WILLIAM J MILLS 111
GEORGE W HUBBARD
GAILF I4ORION
BRA[3LEY B BURNS
236 THIRD STREET
GRliENPORT. NEW YORK 11944
CLERK/TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 477 -0248/2385
Fax: (631) 477-1877
March 14, 2002
ro~
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
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.: ~' 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 ora Certificate of Occupancy for the
subject cottage.
Gino N. Aiello, P.E.
Dated: "'~7/~ "fi/t9 ~_,
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:
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
Located at
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN STREET / ROUTE 25
MILLER PLACE, NY 11764, COTTAGE #57
GREENPORT, NY 11944
MAIN STREET / ROUTE 25 COTTAGE #57 GREENPORT, NY 11944
Application Number: 1054606
Certificate Number: 1054606
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, A~ached Garage, Attic,
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 7~ Day of June, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-14
mfg Avis America serial # 674801
Appliances and Accessories
Air Conditioner I 0 36,000 BTU
Furnace I 0 Gas
Wiring and Devices
Receptacle 1 0
Switch I 0
Fixture 3 0
Service
Phase 3W Service Rating 200 Amperes
lervice Disconnect: 1 200 cb
Meters: 1
General Purpose
GeneralPurpose
Incandescent
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.
)I~DAT ION ( IST)'
)UNDATION (2ND)
FRAME &
FLUM~ING
ISULATIOH FEll. H.
STATE ENERGY
CODE
' ADDITIONAL CC~ERTS:
BUILDING DEPARTMENT
TOWN HALL
SOUTItOLD, NY 11971
TEL: 765-1802
Exam/ned
Approved
Disapproved
PERMIT NO.
Do you haw or n~ed ~o follo~g, before apply~g
Bo~d of Heal~
3 sets ofBuil~g Pi~
S~ey
Check
Septic Fo~
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Building Inspector --
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 street~ or
areas, and waterways. : ·
c. The work covered by this application may not be commenced before issuance of Buildlng 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 througho~it 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 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
Regulat/ons, 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~sing code, and regulations, and to admit
authorized inspectors On premises and in building for necessar7 inspections. ·
(Signature of applicant or name, if a corporation)
~Maiiing ~'~dr&s of applicar/t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name ofownerofpremises ~('O/It'C. ~Otld/tlO 0l"' ~.~tlT~lOl~l
! (as on:the tax roi1 or latest deed)
If apl~lj~.nh is a corporat~ion~ signature of duly authorized officer
X r:', ':.
[ (b/arr~ ~d title of corporate officer5
Builders License No.
Plumbers License No.
Electricians LicenseNo.
Other Trade's License No.
Location of land on which p~roposed work will be doric:
House Number · Street
Hamlet
County Tax Map No. 1000 Section (~' Block /
Subdivision ' Filed Map No.
a. Existing use and occupancy ..,
b. Intended use and occupancy 'Ke, sJdollc~
/ .
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:
X Addition
Other Work
Alteration
4. Estimated Cost ~, 700,, 000. O~
5. If dwelling, number of dwelling units
If garage, number of cars
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 .
Dimensions of entire new construction: Front ~/
Height . ~"¢t Number of Stories .. . /
Size of lot: Front /I//~ Rear .Depth
Date of Purchase At]~ Name of Former Owner
"/"
Number of Stories
Rear Depth
[ 1. Zone or use district in which premises are situated
t2. Does proposed cqnstruction violate any zoning law, ordinance or regulation: d/')
:3. Will lot be re-graded /P~5 __Will excess fill be removed from premises: YES O
ti ' Phone No~
t~ Phone No. ~
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IY YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
survey, to scale, with accurate foundation plan and distances to property lines. Or'/
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:
/(Ot4"[/')/~ ~ /'t/~--~Z/0/".5',C'w~' being duly sworn, deposes and says that (s)he is the applicant
[Name of individual signing contract) above named,
$)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 will be
erformed in the manner set forth in the application filed therewith.
worn to before me this
~ day of ~//~l~tqf 20ff2/
-- Notary ,~u~i¢
' / Signature of Applfcant ~