HomeMy WebLinkAbout27682-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28626
Date: 07/26/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 64 EGRET LANE GREENPORT
(HOUSE NO.) (STREET) (PIAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Subdivision Filed~ap No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 9, 2001 pursuant to which
Building Permit No. 27682-Z dated JUNE 10, 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 #64) WITH ATTACHED TWO CAR GAR3tGE, COVERED
FRONT PORCH & EXPANDED LIVING ROOM.
T~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
( OWNER )
of the aforesaid building.
SUFFOLK COIIN=I"f DEPARTMENT OF ~IF~%LT~ APPROVAL C10-97-11 05/28/02
ELEL-£RIC_AL CERTIFICATE NO. 1059074 06/14/02
PLUMBEP~S CERTIFICATION D;~£~u 05/17/02 ~IARTCORN PLUMB.&HEATING
Auth~r~ zed Sig~ture
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
COMPLETION OF THE WORK AUTHORIZED)
FULL
PERMIT NO. 27682 Z Date JUNE 10, 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 AND COVERED FRONT PORCH AS APPLIED FOR UNIT#64 CRAWL
at premises located at
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector to expire on DECEMBER
64 EGRET LANE GREENPORT
Block 0001 Lot No. 025
9, 2001 and approved by the
10, 2002.
Fee $ 522.60
Authori z e d~/S ignature -~
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 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 eloctrical 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. Commemial 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.
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 t0 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.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25,00,
Swirm'ning 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 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:
Date.
/ /
~" Old or Pre-existing Building: (check one)
Hons . street ' - Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.(~gg ~
Health Dept. Approval:
Planning Board Approval:
Oateofec t. t,],oloI
-/' lo'
Request for: Temporary Certificate
Fee Submitted: $ ff--~ '~
Block
Lot
Filed Map.
_ Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
0ennis 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
Building Permit No.
Owner: ~t%(.,OII~L ~11il ~11 f/
~leas~ l~rint)
Plumber: Hartcorn Plmg & Htgt 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 ,,~z;~ , 20~'~
Notary Public, County
(Plumbers Signature)
VIRGINIA M. ~
VIRGINIA M. GOCINSKI
Nota~, Public, State of New York
~to, 4873841
C'aw.,d m Suffolk Oourrl~ ~/
er4are~ October ZO, ,.., ~/' ~
FINAL INSPECTION REPORT
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke., Mineota, NY 11501
PECONIC LANDING
TOWN OF SOUTHOLD
BUILD1NG PERMIT NO.:
COTTAGE NO.: ~" ~Z'
27 g2
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:
'/ Gino N. Aiello, P.E.
Dated: 7/~'/~ Z--
BARTON,P~Associates
June 3, 2002
Mr. Michael J. Verity
Code Enforcement OiTlcer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage #64 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 g64 has been constructed in compliance with all applicable laws, codes and ordinances.
Very truly your;
BARTON & ASSOCIATES, LP
'~~Frank P. Lau'~R~
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O,rN
236 I'HIRD STREET
GRE[!NPORT, NEW YORK 11944
CLERK / TREASURER
CHRISTIE HALLOCK
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
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 am 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 Tpkc, Mineola, N.Y. 11501
PECONIC LANDING
TOWN OF SOUTHOLD
GAS WATER
Pressure Pressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
64 ~/8~ O,~. ~ ~
REMARKS:
BY THIS CERTIFICATE OF COMPLIANCE THE ~
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 1 0038
CERTIFIES THAT ,,
I
I Upon the application of upon premises owned by ', ,'
E.F. MALONEY COTTAGE 64 PECONIC LANDING I
P.O. BOX 6070 MAIN ST RT 25 i i i
I MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944
MAIN ST RT 25 GREENPORT, VILL, NY 11944 I
Located
at
Application Number: 1059074 Certificate Number: 1059074 I
Section: 35 Block: 1 Lot: 25 Building Permit: hDC: NS11
D~scribed 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 witln the National Electrical Code and the detaU of tine installation, as set forth below, was
found to be in compliance therewith on the 14th Day of June, 2002. '
Name QTY Rate Ratin~ Circuit Tx~pe II
Additional Charges i
modular house N.5 .~ tare approval # 19-13
mfg Avis America serial # 667201 '. I,
Appliances and Accessories ' I
Air Conditioner I 0 42,000 BTU ' I
Furnace 1 0 Gas
Wiring and Devices I
Receptacle I 0 GeneralPurpose , I
Switch 1 0 General Purpose
Fixm~c 3 0 Incandescent ,
Set'~ ice
I Phase 3W Serxice Rating 200 Amperes ' I '
Ser~ ice Dtscoxmect: l 200 cb
Meters: I
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. .
'
3 ~ I I I I J I I I I ] I I I I ! I I I I J~l I I I /I ,
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~o I ~ I I L I I ~ , I I~ 81/ I'J ~ II [ I L I /I
~ I~tSPRCTION REPORT
)IrlIDATIOtt (
]t]GH FRAI~ &
PLI]li~IItG
CODE
DATE a , Col~'lEt~ S
.'BUIL-~ING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Approved
Disapproved ~/c
~ PERMIT NO.
,20
,20 o/
Do you have 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:
uildi~'g/~pector
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. sehed, ule.
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 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 ip'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
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
a;uthorized inspe.ctors On premises and in bujlding for necessary inspections.
(Signature of applicant or name, if a corporation)
~Vlailing address of applicant)/
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
O q/e t
Name of owner of premises YW'Odt'f_.
/. (as on:the tax roi1 or latest deed)
If ap~ehnl~~/~ si~uly authorized officer
]' (Iqa~ find title of corporatetofficer5' ~ fi' ' :'
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which p, o os~ work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section (,~'
Subdivision
(Name)
Block /
..' Filed Map No.
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ,,
pp&Jp
b. Intended use and occupancy
X Addition Alteration
Other Work
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
If dwelling, number of dwelling units
If garage, number of cars
4. Estimated Cost ~ 7190 01019.00
5.
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
Roar
Depth. Height
t O. Date of Purchase ]~]1~
Dimensions of entire new construction: Front
Height 26/ Number of Stories
',,//,4
Size of lot: Front Rear
,/
Number of Stories
Rear .Depth ' q7
Depth
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: /dO
/_~ premises:
! 3, Will lot be re-graded Will excess fill be removed from YES
I~ ~ Phone No. ~g~.l~
· ~¢ .Phone No~/~
Phone No. ~
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUtR~D
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0fl ff,~]~___
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:
ffl¥/JTdg/"~ [4~-,D'ZIOF~5'./~' being duly sworn, deposes and says that (s)he is the applicant
(Name 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.
Notary
~111~¥ puIlll~ ~ of New York
' ' / Signature of Appl~ant r ~
CUSTOMER: FROMM/MOTLEY, COTTAGE #64
CO~I:RED PORCH
REVERSED PI.A~/~ ~
6672O!
GENERAL NOTES
Released for
cP.roduc, tion
SNOW LOAD
BECHANICAL ROOM DETAILS
NOTES:
TYVEK HOUSE I~RAp
9'-0' CEIUNGS
ROOF INSTALLED ON SITE
ALL blNDOW HEADERS TO BE 7'-7"
CRA~I_SPACE ACCESS SUPPLIED & INSTALLED ON-SITE BY BUILDER
OMIT ALL EXTERIOR SIDING
7/0 WINDOW~ T/O
ATTIC ACCESS BY BUILDER
RECEIVED
AUG - ~ 2001
PS.F