HomeMy WebLinkAbout27615-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28701 Date: 08/13/02
THIS CERTIFIES t~at the building NEW DWELLING
Location of Property: 70 KINGFISHER LANE
(HOUSE NO.)
County Tax Map No. 473889 Section 35
Sutxiivision
GREENPORT
(STREET) (HAMLET)
Block 1 Lot 25
Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 10, 2001 pursuant to which
Building Pez~ult No. 27615-Z dated JvJLY 6, 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 #70) WITH ATTACHED TWO CAR GARAGE ~
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUIFI~f DEPARTMENT OF HEALTH APPROVAL C10-97-11 05/28/02
ELEC~fRIC3%L CERTIFIC3%~ NO. 1059072 06/14/02
PLUMBERS CERTIFICATION DA'£~3 05/17/02 HARTCORN PLDMB.&HEATING
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEP~LRTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27615 Z Date JULY 6, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE F~LMILY DWELLING WITH ATTACHED 2 CAR
GAR3~GE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #70 CRAWL SPACE
at premises located at
County Tax Map No. 473889 Section 035
pursuant to application dated JUNE
Building Inspector.
1205 MAIN RD GREENPORT
Block
10, 2001
0001 Lot No. 025
and approved by the
Fee $ 522.60
Authori z e ~S/~~
COPY
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:
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 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.
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 appY~cation 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.
C. Fees
Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Altemtious to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. CertificateofOccupancyonPre-existiagBuilding- $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
Date.
Old or Pre-existing Building:
House No. S~redt7 '
Owner or Owners of Property: e~C4xI~lc ~¢~NO,,J~. ,~."C
Suffolk County T~ Map No 1000, S~tion ~ ~
Subdivision
Block
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
New Construction:
Location ot~ Property:
Permit No. Date of Permit.
Health Dept. Approval: ~r.
Planning Board Approval: 1 ')..
Request for: Temporary Certificate
Fe~ Submitted: $ ,~ ~'
?oI
I !
(check one)
Hamlet
Lot 2~
Lot:
(check one)
Applicant Signature
Dennis M. Wilhelm
Town Hall, 53095 Main Road
P.O. Box 1179
$outhold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No.
Owner: ~t~.~il~L Lllll~?tl C/
(~lcas~ 3rint)
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 ~ 0
day of ,~/'~/~/ , 20
Notary Publi6, County
(Plumbers Signature)
NOta~IRGIN. IA M. GOCINSK
Pubt~c, State of New York
No, !~ 73841
Qualified in Suffolk County
Term expires OctOber 20. ~
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.: 7~
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.
Gino N. Aiello, P.E.
Dated:
INSPECTION TEST
GAS AND WATER SERVICE
Sidney B. Bowne & Son
Consulting Engineers
;~35 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:
officers
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 477 -0248£23 $ 5
I.ax (63I)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 slation 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
June 6, 2002
Mr. Michael J. Veery
Code Enforcement Officer
Southold Town Hall
53095M a inRoad
P.O. Box 1179
Southold, NYl1971-1179
PECONIC LANDING PROJECTS.
Re: Cottage #70 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 ofnnr knowledge, information and believe that
Cottage #70 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, IlLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERSiI
BUREAU OF ELECTRICITYI I
40 FULTON STREET ~ NEW YORK, NY 10038
I
CERTIFIES THAT
I
E.F. MALONEY COTTAGE 70 PECONIC LANDING
P.O. BOX 6070 MAIN ST RT 25
MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944
Located at MAIN ST RT 25 GREENPORT. VILL, NY 11944
Application Number: 1059072 Certificate Number: 1059072 . '
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a Residentia! occupancy, wherein the premises electrical system consistin~l of
electrical devices and wiring, described below, located in/on the premises at:
I
First Floor, Attached Garage, Outside,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, wbs
found to be in compliance therewith on the 14th Day of lune, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-13
~mfg Avis America serial # 663301
i Appliances and Accessories
Ai~ Conditioner 1 0 36,000 BTU
Furnace 1 0 Gas I
Wiring and Devices
Receptacle 1 0 General Purpose i:
Switch 1 0 General Purpose ! I
~ Fixture 1 0 Incandescent
Service I
1 Phase ~ '7 Service Rating 200 Amperes i I
I Service Discomlect: 1 200 cb
i Meters: 1 I
I
I I
1 of 1 ,i
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. '
)UNDA~ION (IST)
DA'3L~J~
)gGH ~RAME &
PLUI~BING
iff~TION PER N. Y.
STATE ENER~-~
CODE
ADDITIONAL
BUILBING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
. PERMIT NO.
Do you have or need ~e follo~g, before applying
Bo~d of Heal~
3 se~ of Build~g Plans
S~ey
Septic Fo~
N,Y.S,D.E,C,
T~stees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTR~JCTIONS
Date ., 20
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, hceurate 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 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 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. ~partment for the issuance cfa 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
~uthorized.inspe.ctors ~n premises and in building for necessa~ inspections.
40;%,.,.°
(Signature o£ applica(at or name, it' a corporation)
/(Mailing address of applic/ant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricim:, plumber or builder
/
Name of owner of premises ~'/PFtlIIt'C
/(as on:the tax roll or latest deed)
If apl~l,~, h is a corpora~ion~ signature of duly authorized officer
[ ~ ~d title ofco~oratdofficer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which p~roposed work will be doric..'
House Number Street '
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block [
..' Filed Map No.
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 t
3. Nature of work (check which applicable): New Building X Addition Alteration
Repair Removal Demolition Other Work
Estimated Cost.
Fee
If dwelling, number o f dwelling units
If garage, number of cars
(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,
.Depth
Dimensions of same structure with alterations or additions: Front
Rear
). Sizeoflot: Front
l 0. Date of Purchase
Depth Height,
Dimensions of entire new construction: Front
Height ~
Number of Stories
A///~ Rear
t 1. Zone or use district in which premises are situated
Name of Former Owner
Number of Stories
Rear .Depth , q7
!
.Depth ..
t2. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be re-graded
Will excess fill be removed from premises: YES (~
Phone No.~
Phone No~
Phone No. (. ~l_)
NO
,4. Names of Owner ofp~mises ._~~ltl[ Address
Name of Architect koo.~'rt)/~' b[,r,,,..qt~. . Ad&ess
Name of Contractor ~ ~on~. ,~" I111I[,..q}[ Addres~
5. Is this property within 100 feet ora tidal wetland? *YES _.
· ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
f,d "/'/778 Z/'25 /4 f~, J'.,tJ0 ,,~'.57~'w~' being duly sworn, ~eposes and says tha~ (s)he is ~he applicant .
(Name of individual signing contract) 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 ti'tis application;
~at 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.
/' ' / Signature of Ai~plj~ant '
®
REVERSED
CUSIOM£R: $2C701KOWSKI, COTTAGE #70 ' ·
NOTES:
- ROOF INSTALLED ON
- ALL WlNDOW HEADERS TO BE 7'-7"
- ALL EXTERIO~ WALLS TO HAVE DDL. TOP PLATES.
- HURRICANE STRAPPING FOR 110 MPH
- CRA~_SPACE ACC[SS SUPPLIED & INSYALLED OH-SITE DY BUILDER
- SHIPLOOSE BIFOED DOORS
- OMIT ALL EXTERIOR S~DIND
- 7/D ~NDOWS T/O
ASSEMBLY OlSC~l:qION
LABEL LOCAl]ON
- SEE SHEETS 3 & 4 FOR HURRICANE STRAPPING DETAIL.
5'_10#
2x4 PACK FLOOR
0 MECHANICAL ROOM
MECHANICAL ROOM DETAILS
COVERED PORCH
GARAGE PANEL "D"
Released for
Production
DATE .
663301
GENERAL NOTES SNOW LOAD: 30# PSF
2039 UV 1696
GARAGE PANEL "C' .--
HENRY ST.
A~S PA. 17721
570) 755-3700
PECONIC LANDING