HomeMy WebLinkAbout27684-ZFORM N0~ 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28593 Date: 07/12/02
T~IE CERTIFIES that the building NEW DWELLING
Location of Property: 60 EGRET LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Su]~division FiledMap No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J~3LY 25, 2001 pursuant to which
Building Pe~Tait NO. 27684-Z dated AUGUST 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 #60) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH AND EXP~RFDED LIVING ROOM AS APPLIED FOR.
The certificate is issued to PECONIC I2kNDING AT SOUTHOLD,
( OWNER )
of the aforesaid building.
INC.
E~)F~)LK CO[~qT~f DEPi%RTb~T OF ~L~_LT~{ ~-PPRO~-~J~ C10-97-11 05/28/02
BI~IClkL ~TIFIC_A~ NO. 1055116 05/31/02
PLUMBERS CERTIFICATION Dkr~a3 05/17/02 HARTCORN PLUMB.&HEAT.INC.
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. 27684 Z Date AUGUST 15, 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, COVERED FRONT PORCH AND EXP. L/R AS APPLIED FOR UNIT #60 CRAWL
at premises located at 60 EGRET LANE GREENPORT
County Tax Map No. 473889 Section 035 Block 0001 Lot No. 025
pursuant to application dated JULY 25, 2001 and approved by the
Building Inspector to expire on FEBRUARY 15, 2003.
Fee $ 568.50
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 subm/tted to the Building Departxnent 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 (8-9 form).
3. Approval o f 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. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and a censent t0 inspcct 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, 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 Oceupanoy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00
New Coustmction:
Location of Property:
House No.
Owner or Owners of Property: e'~C. txl4 ~C
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~ '-) {~ ~"~2T
Health Dept. Approval:
Planning Board Approval:
Old or Pre-existing Building:
~ ~ Block
Date of Permit.
Zoo°
Request for: Temporary Certificate
Fe~ Submitted $ ,,~ ~'
Date.
/
(check one)
Hamlet
Lot 2a
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: ~ (check one)
Applicant SignatureD0nnis M. Wilhelm
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.: ~, e9
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:
Gino N. Aiello, P.E.
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 SOUTttOLD
CERTIFICATION
Date:
Building Permit No.
Owner: PC. (,0~ ~ f~ ¢ile~ ~ ~rint)
Plumber: Hartcorn Plmcj & Hi:rJr 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 o£' /~,J/~ ~z~ , 20 dY--
Notary Public, County
(Plumbers Signature)
,y ottc, State of New Yolk
NO. 4873841
Oualifi~ in Suffolk C~
T~ expires ~O~r 20, ~
June 3, 2002
Mr. Michael J. VefiW
Code Enforcement Officer
Southold Town H~I
53095Ma inRoad
P.O. Box 1179
Southold, NYl1971-1179
PECONIC LANDING PROJECTS.
Re: Cottage g60 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 g60 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
236 'I HIRD 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
Re: Peconic Landing Sewerage System
To Whom It May Concem:
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
PECON1C 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
E.F. MALONEY
P.O. BOX 6070
MILLER PLACE, NY 11764,
* PECONIC LANDING
MAIN RD / ROUTE 25 COOTAGE 60
GREENPORT, NY 11944
Located at
MAIN RD / ROUTE 25 COTTAGE 60 GREENPORT, NY 11944
Application Number: 1055116
Certificate Number: 1055116
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
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 31st Day of May, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y. State approval # 19-1
mfg Avis America serial # 669101
Appliances and Accessories
Air Conditioner 1 0 36,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0
Switch 1 0
Fixture 3 0
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
Meters: 1
General Purpose
General Purpose
Incandescent
seal
I 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.
']~hl) I~SPECTIONREPORT - DATE
)IINDATION (IST)'
)UNDATION (2ND)
COffl'IENTS
)U~lt FRAME &
PLUHBING
ISI/LATION PER N. Y.
STATE ENERGY
CODE
BrdiLplNG DEPA.RTMENT
TOWN HALL
SOUTHOLD~ NY
TEL: 765-1502
Exam/ned
^pproved
Disapproved a~c
PERMIT NO..
Do you have or need ~e follo~g, before apply~g
Bo~d of HeM~
"' ~ 3 seB of B~l~g PI~
S~e7
Septic Fo~
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Buil ' ctor
APPLICATION FOR BUILDING PERMIT
" Date ,20
I STRtJCTIOr S
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"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 $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[rpart 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. epartmcnt 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, hogsing code, and regulations, and to admit
authorizedinspe.ctors On premises and in building for necessar7 inspections. '
(Signature of applic~nt or name, if a corporation)
~(Maifing a~dress 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~l~c"~, h is a corpora, gon~ signature of duly authorized officer
.:,
[ (l'~ar~ ~nd title o£corporatelofficer~
Builders License No.
Plumbers LicenseNo.
Electricians LicenseNo.
Other Trade's License No.
Location of land on which p/ioposed work will be dogie:
/20,X I(1:. " "
House Number .- Street ·
Hamlet
County Tax Map No. 1000 Section (,~' Block
Subdivision ' Filed Map No.
,. .':'t
a. Existing use and occupancy.,
b. Intended use and occupancy rgcoS;O]OllC~
/ ld
3. Nature of work (check which applicable): New Bui lng
Repair Removal Demolition
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
4. Estimated Cost ~
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 o f 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
5. Dimensions of entire new construction: Front k.,W/ Rear .Depth
Height ~'¢t Number of Stories . [
). Size of lot: Front/q/~ Rear Depth
'..-~
t0. Date of Purchase /~]~ Name of Former Owner
,-/--
[ 1. 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 ofl~)i~mises~Address O/1 r~t'/{~
Name of Architect ~Address tl ' .Phone No~
Name of Contractor ~: tlat~ 1¢ II)A~ Address I~ Phone No.
5. Is this property within I00 fect of a tidal wetland? *YES NO
· I~ YES, SOUTHOLD TOWN TRUSTEES PER/vlITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/ fr;/8,
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:
;OUNTY OF~,~'P~¢2/,~ )
fflV'/Tl~/J~ ~t/l~-~XJ/,)/--~/~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) 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 bls knowledge and belief; and that the work will be
erformed in the manner set forth in the application filed therewith.
Signature of Applicant "
COVERED
NOTES:
- 9'-0' CEILINGS
- ROOF INSTALLED ON SITE
869101
GENERAL NOTES
- S~.l~ SHC£TS 3 & 4 FOR HU~RIDAN£ STRAPPING DETAIL.
Released. for.
MECHANICAL ROOM DETAILS
1141S DRAW~N~ WAS 19<IRAC~D
~OM APPROVED PLANS At,D ~
~O ~S ~N~,
~ L~''~'~'-''''~'~'' ~ ...,,,¥.,~. '-
sERIES
J PECONIC LANDING
SNOW LOAD:_SQ# P.S.F