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HomeMy WebLinkAbout27671-ZFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28622 Date: 07/26/02 T}{IS CERTIFIES tt~mt the building NEW DWELLING Location of Property: 58 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. 27671-Z dated JTrNE 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 #58) WITH ATTACHED TWO CAR GARAGE A/CD COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, ( OWNER ) of the aforesaid building. INC. ~U~)LK C~)~ DEPART~T OF ~{ APPROV/kL C10-97-11 05/28/02 ELECTRICAL u~TIFICATE NO. 1054595 06/07/02 9LL~4BERS c~I{TIFICATION DIkr~a3 05/17/02 }{ARTCORN PLUMB.&HEATING Author~ Signatu~ 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. 27671 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 GAPJkGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT # 58 CRAWL 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 Authoriz~ Signa~re ORIGINAL Rev. 2/19/98 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: 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. Appro~)al of electrical installation from Board o f Fire Underwriters. 4. Sworn statement fxom plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial build'mg,.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: I. 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 1. Certifieate of Occupancy - New dwelling $25.00, Additions 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 ofOccupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of Oeeupanoy - $ 0.25 4. Updated Certifieate of Occupancy- $50.00 5. Temporary Certificate ofOcenpancy - Residential $15.00, Commercial $15.00 Date. Old or Pre-existiI~ ,Building: Street Date of Permit. /~, / t 5!6] New Construction: ation of_Pro ,e y: House No. Owner or Owners of Property: Suffolk County'Tax Map No 1O00, Section Subdivision Permit No. ~'~ ~ '"1 ] ~-~ __ i I (check one) Block [ Lot Hamlet Filed Map. Lot: _ Applicant: Health Dept. Approval: ~r. ~ o L Planning Board Approval: l ')_ - c.{ Request for: Temporary Certificate Fee Submitted: $ ,,~-.-.~ '~ Underwriters Approval: Final Certificate: (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 Date: 417/02. Building Permit No. Owner: ~O. COtl~L [llllA?fl ~/ (~leas~ l~rint) Plumber: Har~:corn Plm~t & Ht:gr, 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 ~(9 day o£ , 20 ~.~f Notary Public, County (Plumbers Signature) VIRGINIA M. GOCINSKI Notary Pubqc Statoof NewYo~ ,~qo, ,,873841 ~.~.lif~,d !n SIJffOJk C01111~ J,'~Z~ Oclober 20, ~/.-~ ~, ,AcRT ,O,N, & ,A,ss, o,c~t ~es, June 3, 2002 Mr. Michael J. Verity Code Enforcement Officer South~d Town H~I 53095M a inRoad P.O. Box 1179 Southold, NYl1971-1179 PECONIC LANDING PROJECTS. Re: Cottage #58 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, information and believe that Cottage #58 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, RLS Al Broszeit, E&F Walsh Bob Ellis, O/N Officers MAYOR DAVID E. KAPELL (631)477-3000 TRUSTEES WILLIAM J MILLS III GEORGEW HUBBARD GAlL F HORTON BRAI)LEY B BURNS 236 THIRD STREET GREENPORT, NEW YORK 11944 CLERK/TREASURER CHRISTIE HALLOCK Tel: (631 ) 477-0248/2385 Fax: (631) 477-1877 March 14, 2002 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/js FINAL INSPECTION REPORT Sidney B. Bowne & Son Consulting Engineers 235 E. Jericho Tpke., Mineola, NY 11501 PECONIC LANDING TOWN OF SOIJTHOLD 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: 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 58 GREENPORT, NY 11944 MAIN STREET/ROUTE 25 COTTAGE 58 GREEr4PORT, NY 1 'i 944 Application Number: 1054595 Certificate Number: 1054595 Section: 25 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, 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 ?th Day of June, 2002. Name QTY Rate~ Additional Charges modular house N.Y.approval # 19-13969 mfg Avis America serial # 670701 Appliances and Accessories Air Conditioner 1 0 Furnace I 0 Wiring and Devices Receptacle 1 0 Switch 1 0 Fixture 3 0 Service Phase 3W Service Rating 200 Amperes t: Meters: 1 Rating Cimuit Type 36,000 BTU Gas 1 200 cb General Purpose General Purpose 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, INSPECTION P~PORT - 1lATE )UNDATION (iST) )UClt FRAHE & PLUI, fllING {~TION PER N. Y. STATE ENERGY CODE BU/~LDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Disapprov~a/c PERMIT NO. o~u.,~.~'~w r~,~dvil t ~i-'LI~,A 1 lOIN C~ECi~L, IS. Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey Septic Form 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 ~ypewriter 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 onyremises, 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 ~o 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 D, 'epartment for the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk CounW~ 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, hocsing code, and regulations, and to admit authorized inspectors On premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) '(Maiiing ~ddrdss o£ applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder / Nameofownerofpremises (~t'O~,'~ /.~'.d[,qD' Ot"'~ltJT'~tJJd ! (as on:the tax roll or latest deed) If apl~lj~h.n,~ is a corpora, Con~ signature of duly authorized officer ] (}qarr~ ~md title of corporate officerJ Builders License No. Plumbers License No, Electricians License No. 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 r]~eS]o/OltC~ / Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ 700. 000. 01~ 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 5. Dimensions of entire new construction: Front k~7, Height ~_,¢ Number of Stories ). Size of lot: Front A]//~ Rear DateofPurohase NameofFo merOw er '7'' Number of Stories Rear Depth ¢7, / Depth t I. Zone or use district in which premises are situated [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 of Owner o fp~tmises~Address ~/l ~ff;/8_ Phone No.~ Name ofA.rchitect [/~O.~Tt~/~ /-[*~M~.. ~ Address ti ' Phone No~ NameofContractor~ aa~ ~ ~.B~ Address- I' 'PhoneNo. CG,..gl) ~7'7-/JlO] 5. Is this property within I00 feet of a tidal wetland? *YES NO · I~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLrI1KED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/ 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 ) f~V/?/~ Z, Q5 /4/~Z20,r'5'/¥'~" being duly sworn, deposes and says that (s)he is the applicant CName of indiv/dual 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 will be erformed in the manner set forth in the application filed therewith. worn to before me this -- Notary ,PuMic ~k~?~ ' / Signature of Applicant / THIS DRAWING WAS EXIRACTED FROM APPROVED PLANS AND OR APPROVED SYSTEMS DRAWINC-*S. COVERED PORCH NOTE~ TYVEK HOUSE ~?RAP 9' O" CEILINGS ROOF INSTALLED ON SITE ALL ~NDOW HEADERS TO DE 7L7'' CRAWLSPACE ACCESS SUPPLIED & INSTALLED ON-SITE BY BUILDER SHIPLOOSE BIFOLD DOORS ATTIC ACCESS 8Y BUILDER CUSTOMER: JAGGER, COTTAGE #58 5,9' (sA m~ To~ ~T~) PAi~ m=n Released for 'production DATE:'~[ MECHANICAL ROOM DETAILS 5%10- 670701 2x4 PACK FLOOR 0 MECHANICAL ROOM RECEI' AUG 2 U GENERAL NOTES suow LOAD: 50# P.S.F 'ED