HomeMy WebLinkAbout27639-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28625
Date: 07/26/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 63 EGRET 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 ttki$ office dated SEPTEMBER 10, 2001 pursuant to which
Building Permit No. 27639-Z dated SEPTEMBER 14, 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 (%rNIT #63) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
~uF~OI~ C~)~ DEPART~IT OF ~{F~%~{ AP~I~O~%L C10-97-11 05/28/02
ELR~-£RIC3%L C~i~TIFI~TIE NO. 1055108 07/05/02
PLUMBER~ CERTIFICATION DA'£~u 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. 27639 Z
Date SEPTEMBER 14, 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
GAPJ~GE & COVERED FRONT PORCH AS APPLIED FOR UNIT #63 CRAWL
at premises located at 63 EGRET LANE
County Tax Map No. 473889 Section 035
pursuant to application dated SEPTEMBER
Building Inspector to expire on MARCH
GREENPORT
Block 0001 Lot No. 025
10, 2001 and approved by the
14, 2003.
Fee $ 636.30
ORIGINAL
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 Depart~nent 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 elecLrical 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 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 Ir~pector shall state the reasons therefor in writing to the applicant.
Co
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 Preexisting 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:
Owner or Owners of Property: C'~C..o'g ~,¢
Suffolk County Tax Map No 1000, Section
House No.
Date.
Old or Pre-existing Building:
/Street
$
I
(check one)
Hamlet
Lot 2~
Subdivision
Permit No. o'~ '7 (~ ~ ~"~-" Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fe~ Submitted: $
Filed Map.
Applicant:
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:
Building Permit No.
Owner: ~O. COII~L ~fllllt~O
(pleasd ~fint)
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 , 20 ~z'
Notary Public, County
(Plumbers Signature)
VIRGINIA M. GOCINSKI
Notary Public, State of New Yolk
NO. 4873841
Qualified in Suffolk COurlt~
Testa expires October 20
MAYOR
[)AVI[) E KAPELL
(631 ) 477
CLERK / TREASURER
CHRIS~IE HALLOCK
~lcl (631 ) 477-0248/2385
Fax: (63]) 477 1877
March 14, 2002
To:
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
J'une 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 #63 Code Certification.
DearMike:
In reference to ~he 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
Cotlage #63 has been constructed La compliance with all applicable laws, codes and ordinances.
Ve~ truly your;
BARTON & Assg~IATES, LP
Frank P. Laughlin, RA
Senior Vice President
cc: Dennis M. Wilhelm, IlLS
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
TOV~qN OF SOUTHOLD
BUILDING PERMIT NO.:
COTTAGENO.: ~--~ ~
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.
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
E.F. MALONEY
P.O. BOX 6070
MILLER PLACE, NY 11764,
' PECONIC LANDING
MAIN RD ROUTE 25 COTTAGE # 63
GREENPORT, NY 11944
Located at MAIN RD ROUTE 25 COTTAGE 63 GREENPORT, NY 11944
Application Number: 1055108
Certificate Number: 1055108
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:
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 5th Day of July, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval Cf 19-15
mfg Avis America serial Cf 679701
and Accessories
Air Conditioner 1 0 42,000 BTU
Furnace I 0 Gas
Wiring and Devices
Receptacle I 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
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.
)IIIIDATION (IST)
)U~lt FRAHE &
PI,MING
i~UI~TIOI~ PER N. Y.
STATIi ENERGY
CODE
ADDITIOHALC(~T$:
-BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Approved. ~, 20 O//
Disapproved a/c ·
PERMIT NO.
Do you have or need ~e follo~g, before applying
Bo~d of Hcal~
3 sets of Buil~g PI~
S~y.
Ch~k
Septic Fo~
N.Y.S.D.E.C.
T~stees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRbCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to, sche~.ule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streeti or
areas, and waterways. :
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Insp$ctor will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughotit the work.
e. No building shall be occupied or used in whole or iD'part for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
APPLICATION IS HEKEBY MADE to the Building D.~partment 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
P, egulations, 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 premises and in building for necessary inspections.
(Signature of applicant 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
I
Nameofownerofpremises ~(~'Oll,~ Lt~tlJ~'/lt~ 0'/"~J~ItTI(~
/. !as on:the tax roll or latest deed)
If ap~lj~'a.nh is a corporation, signature of duly authorized officer
X IX ':'
[ (i',/an~ ~.nd title ofcorporatelofficer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which p~/oposed work will be dofie.:
KI': ' '
House Number Street ·
Hamlet
County Tax Map No. 1000 Section Q,,~,~' Block /
Subdivision ' Filed Map No.
-.. (Name) :'
2. 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
/
3. Nature of work (cheek which applicable): New Building ~ Addition Alteration
Repair Removal Demolition Other Work
Estimated Cost ~ 700..
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, commerciaI 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 f entire new construction: Front
Height 2(/
Size of lot: Front Rear
10. Date of Purchase ;/~
Number of Stories
Rear Depth
/
Number of Stories
Name of Former Owner
Depth
~ 1. Zone or use district in which premises are situated
[ 2. Does proposed construction violate any zoning law, ordinance or regulation: A//{)
! 3. Will lot be re-graded /~.5 __ WiI1 excess fill be removed from premises: YESO
· 4. Names of Owner of.pA~mises~Address 0// ~'/~ Phone No. ~
Name of Architect ~)tlt"rfltl/,],s&t~.. . Address ti ' phone No~
Name of Contractor ~: nnel 1¢ U)~ ]~h Address t~ Phone No. (. ~,.BI ) ~7'7- 4//() ]
5. Is this property within 100 feet of a tidal wetland? *YES. NO
· 17 YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Oh /r,/~
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:
30UNTY OF~FFz~//~, )
f~t¥//7~ Z/'25 ~0~ being duly sworn, deposes and says that (s)he is ~e applicant ,
~ame of individual si~ing conXact) above named,
$)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;
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 16u~ic
Signature of Applicant /