HomeMy WebLinkAbout27683-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildin9 Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~lqCY
No: Z~28624
Date: 07/26/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 62 EGRET LAMB GREENPORT
(HOUSE NO.) (STREET) (PIAMLET)
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 JUNE 20, 2001 pursuant to which
Building PeZl~it No. 27683-Z dated JULy 20, 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 #62) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH & FOUR SEASONS ROOM.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
S~TF~)LK COOI~ DEPAR~ OF ~L~ ~PRO%rAL C10-97 11 05/28/02
EJ~EC~IC3~L CERTIFI~ NO. 10555111 06/07/02
pLUMBERS CERTIFICATION DA-I-~3 05/17/02 HARTCORN PLUMB.&NEATING
Au~o~ized Signature
Rev. 1/81
FORM NO. 3
TOWN OF gOUTHOLD
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. 27683 Z Date JULY 20, 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
GAR3tGE, COVERED FRONT PORCH AND EXP. L/R AS APPLIED FOR UNIT# 62 CRAWL
at premises located at 62 EGRET LANE
County Tax Map No. 473889 Section 035
pursuant to application dated JUNE
Building Inspector to ex~ire on JANUARY
GREENPORT
Block 0001 Lot No. 025
20, 2001 and approved by the
20, 2003.
Fee $ 568.50
Authori zest~ S ignatu~-
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 foll~)wing:
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 of Fire Underwriters.
4. Sworn statement fi.om 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 fi.om 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. 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 applieant.
C. Fees 1. ~ertificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Aecessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Oecupancy on Pre-existing Btdlding - $100.00
3. Photocopy of Ce~ificate 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 Building:
/Sireet
Date.
· !
(check one)
Hamlet
Owner or Owners of Property:
Suffolk County'Tax Map No 1000, Section
Subdivision
Permit No. ~,9 '-) ~ ,q ~ Date of Perrait.
Block I Lot
Filed Map. Lot:
Applicant:
Health Dept. Approval: '"/' /o '/.ooa
Planning Board Approval: 1 ').. - ~'{
Request for: Temporary Certificate
Fee Submitted: $ ,.~.~ ~'
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
~0nnis M. tNiIhelm
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
Building Ptrmit No.
Owner:
~leas~ 3tint)
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 ~ ~
day of ,~_cz~, 20 dd-~
/
Notary Public, County
(Plumbers Signature)
VIRGINIA M, GOCINSKI
Notary Publ~, State of New Yc~k
Qual No. 4873841
if~ed in Suffolk County
r~nn ~ Octotmr 20, ~
Officers
MAYOR
[)AVID E KAPEL[.
(631} 477
TRUSTEES
WILLIAMJ MILl,SIll
GEORGE W HUBRARD
GAll. 1 HORTON
BRA[)[ EY B RURNS
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK / TREASURER
CHRISTIE H ALLOCK
Tel: (631 ) 477-0248/2385
Fax: (631) 477 1877
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.
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
W$/js
June 3, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage g62 Code Certification.
Dear MAke:
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 g62 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
A1 Broszeit, E&F Walsh
Bob Ellis, O/N
FINAL INSPECTION REPORT
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke., Mineola, NY 11501
PECONIC LANDING
TOWN OF SOUTItOLD
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 ora Certificate of Occupancy for the
subject cottage.
INSPECTION TEST
GAS AND WATER SERVICE
Sidney B. Bowne & Son
Consulting Engineers
255 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
E.F. MALONEY
P.O. BOX 6070
MILLER PLACE, NY 11764,
Located at
Application Number: 1055111
Section: 35 Block: 1
Described as a Residential
* PECONI LANDING
MAIN RD ROUTE 25 COTTAGE 62
GREENPORT, NY 11944
MAIN RD ROUTE 25 COTTAGE 62 GREENPORT, NY 11944
Certificate Number: 1055111
lot: 25 Building Permit: BDC: NS11
occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Amached 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 OTY Rate Rating Circuit Type
Additional Charges
modular house N.Y. State approval # 19-13
mfg Avis America serial # 665901
Appliances and Accessories
Air Conditioner I 0 42..000 BTU
Furnace I 0 Gas
Wiring and Devices
Receptacle 1 0
Switch 1 0
Fixture 3
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: I 200 cb
Meters: 1
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.
RI{PORT - DATE
)UNDATION (IST)
)~TDATION (2ND)
PLUHBING
ISULATION PKR N. Y.
STAT~ ENER6'Y
(:ODE
EI~ILDI~G DEPARTMENT
ALL
SOUTHOLD~ NY 11~71
TEL: 765-1802
PERMIT NO.
/
Exam/ned 7J~;l)9 ,20 O/"
Approved ,"_ r~7/~'~0 ,20 0/
Disapproved a/c --
Do you hava or need the following, before applying
Board of Health
3 sets of Building Plans
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Bmldtng Inspector
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRUCTIONS
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~sche~.ule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streeti 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.ector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughodt 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 Occuparf
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
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, housing code, and regulations, and to admit
authorized inspectors On pram/scs and in building for necessary inspections. ·
(Signature ofappli~nt or name, ifa corporation)
,(Mailing ~ddress of applica~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
!
Name ofownerofpremises ~rO~[C ~On~,',qO 0~"
I. !as on;the tax roll or latest deed)
If apl~l~e".anhis a corpor~on~ signature of duly authorized officer
X ':'
~ ~ ~d title ofco~oratdofficer~
Builders License No.
Plumbers LicenseNo.
Electricians License No.
Other Trade's License No.
1. Location of land on which p,[oposed work will be doric:
/20, ' :'
House Number Street '. '
Hamlet
County Tax Map No. 1000 Section Q,,~* Block /
Subdivision ..' Filed Map No.
...
a. Existing use and occupancy ,
b. Intended use and occupancy
3. Nature of work (check which applicable): New Bu'ld'ng
Repair Removal Demolition
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
Fee
4, Estimated CosL ~ 70q. 000. 0~0
Addition Alteration
If dwelling, 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 o£ entire new construction: Front ~7,/
Height ,,~(/ Number of Stories
Size of lot: Front Rear.
10. Date of Purchase ~]]~ Name of Former Owner
, Number of Stories
Rear Depth
/
.Depth
.¢,7
[ 1. Zone or use district in which premises are situated
[2. Does proposed construction violate any zoning law, ordinance or regulation: all)
,
!3. Will lot be re-graded '5 __ Will excess fill be removed from premises: YES{~
.4. Names o f Owner o f.p, li~mises~Address Or'/ ~t'/~ Phone No. ~~22~
Name of Architect [/~tlt'/'tl/I /4~e~C- . . Address. ti ' Phone No~
Name of Contractor ~ taae} ~ iI#l 1~3~1 Address t~ Phone No. ~
5. Is this property within 100 feet of a tidal wetland? *YES NO
· ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE tLEQUIRED
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:
/(9fl¥~7~/.~ /4/'~'Z/O/~-,~/(~-~' being duly sworn, d~oses and says that (s)he is ~e applicant ·
~ame of individual si~ing con,act) 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 wiI1 be
erformed in the manner set forth in the application filed therewith.
worn to before me this
Signature of Appl]cam r
REVERSE LAYOUT
"CUSTOMER: MIHALIK, COTTAGE #62
I'W'° D
COVERED PORCH
66590 1
/.:Released for
·
DATE~
GENERAL NOTES
:¸5
NO~ES:
~K HOUSE WRAp
gLO" C[IUNGS
ROOE INSTALLEO ON SI~E
ALL ~NDOW HEADERS TO BE 7'-7" (EXCEPT KITCHEN W1NDOW)
ALL £XTERIOR WALLS TO HAVE DBU TOP PLATES.
HURRICANE STRAPPING FOR 110 MPH
MECHANICAL ROOM DETAILS
RECEIVED
SNOW LOAD: _~_0t P.SF
REVISIONS ~ SERIES PECONIC LANDING