HomeMy WebLinkAbout27616-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPD~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28545
Date: 06/27/02
TI{IS CERTIFIES that the building NEW DWELLING
Location of Property: 71 KINGFISHER L~/qE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
Cowry Ta~ Map No. 473889 Section 35 Block 1 Lot 25
Sulx~ivision Filed Map No. __ LOt No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J~3NE 10, 2001 pursuant to which
Building Permit No. 27616-Z dated JwJLY 5, 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 #71) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COI~T"f DEPARTI~T OF EF~%LT~{ APPROVAL C10-97-11 05/28/02
ELRt-f~ICAL C~TIFICA~q~ NO. 1056522 06/03/02
PLUMBERS CERTIFICATION D~£~u3 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. 27616 Z Date JULY 5, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GAR3%GE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #71 CP~AWL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated JUNE
Building Inspector.
MAIN RD GREENPORT
Block 0001 Lot No. 025
10, 2001 and approved by the
Fee $ 522.60
Authorf zed J~ure
ORIGINAL
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:
AD
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 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.
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. Aceurate 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 C~rtificate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
1. Cert~ate ~f ~ceupancy - New dwe~ing $25.~ Additi~ns t~ dwe~ing $25.~ A~temti~ns t~ dwe~Iing $25.~
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 0ccupaney - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction: Old or Pre-existing Building:
Location of_Property: Honse Nr'fo/
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section ~ ,~'
Subdivision
Block l
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Permit No.o~ ~6 1 ~"Z~ _ Date of Pennit.
Health Dept. Approval: '~r.
Planning Board Approval:
Request for: Temporary Certificate
Feb Submitted: $ ,.q-.._~ ~'
(check one)
Haralet
/
Lot Ea'"'
(check one)
Applicant Signature
Dennis M. Wilhelm
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 * PECONiC LANDING
P.O. BOX 6070 MAIN RD+RT 25-COTTAGE 71
MILLER PLACE, NY 11764, GREENPORT, VlLL, NY 11944
Located at MAIN RD+RT 25-COTTAGE 71 (3REENPOR'F, VILL, NY i 1944
Application Number: 1056522 Certificate Number: 1056522
Section: 35 Block: 1 Lot: 26 Building Permit: BDC: NS11
Described as a Commercial occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
Ffl.st Floor, Attached Garage, Outside,
was inspected in accordance with the National [lectrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 3rd Day of June, 2002.
Name OTY Rate Rating Circuit Type
Additional Charges
modular house - N.Y.State approval # 19-
~ mfg Avis America serial # 659201
Appliances and Accessories
Furnace 1 0 Gas
AFL' Conditioner 1 0 36,000 BTU
Wiring and Devices
Receptacle 1 0 General Purpose
Switch 1 0 General Purpose
Fixtm'e 3 0 Incandescent
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
Meters: 1
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.
May 31, 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 #71 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 #71 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
BARTON & A~,~:iates, L.P,
BARTON & Assoriates, Inc.
Thumas C. Barton, Ill, AIA
5120 Butler Pike, Suite 200
Plymouth Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.bartoupar t ners.com
PIt ILADELPH IA
CHICAGO
BALTIMORE/
WASHINGTON
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOW-N OF SOUTHOLD
CERTIFICATION
Date: ~-~/I '7/0~.
/ I
Building Permit No.
Owner: PO.f.~I'L ~llll~fl 0
~leas~ l~rint)
Plumber: Hartcorn Plmg & Htg, Inc
(please print)
lead.
I certify that the solder used in the water supply system contains less than 2/10 of 1%
(Plumbers Signature)
Sworn to before me this -~ z--
day of , 20 Oz._
~ot~ eu ic,~~ County
~Y UP,C, 8late of New yolk
No. 4873841
Qualified in Suffolk Co~
Te~rn 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.:
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. Aie~fl~o, P.E.
Dated:
Officers
MAYOR
[)AVID E KAPELI.
(631 ) 477 3000
TRUSTEES
WILLIAM J MILLS [11
GEORGE W HUBBARI)
GAII. F HORION
BRAI)LEY B BURNS
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK/TREASURER
CHRISTIE HALLOCK
Te1:(631)477-0248~385
1~x:(631)477 1877
March 14, 2002
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
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:
05/31/02 };RI 14:20 FAX 16109405830 BARTON & ASSOC [~]006
Ma.v 31. 2002
Mr. Michael J. Vexity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold. NY 11971-1179
PECONIC LANDING PROJECTS,
Re: Cottage #71 Code Certification.
Dear Mike:
In refcmn~ to the above mentioned project we, ~Barton & Associates~ LLP (Architects of Re¢o'~rrd
for said project), hereby certify that to the best of our knowledge, infomtation aad believe tlutt
Cottage #71 has been constructed in compliance with all applicable laws, codes and ordinances.
Very truly yotur;
BARTON & ASSOCIATES. LP
Frank P. Lat~ghlin~ RA
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis. O/N
~ I}ISPEC~ION REPORT DA~E CO}ll4RWrS
]$ULATIOI~ PER
STATE KI~ERGY
CODE
.',ADDITIONA~ COI~gl~S:
BUILDINID DEPARTMENT
TOWN HALL
SOU'THOLD, NY 11971
TEL: 765-1802
Exam/ned ,~~_ ,200/
Disapprove(f~c ~/
PERMIT NO.
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:
Building Ii~pector"
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTR~JCTIONS
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. sched, ule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets 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 Permi~t to 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 ip'part for any purpose what-so-ever until a Ce~ificate 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
~uthorized inspeytors On premises and in building for necessary inspections. ~.
(Signature' of applicant or name, if a corporation)
(tglailing address of applicant)/
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~_pt'tw}~C
/(as on.:the tax roll or latest deed)
If apl~lj~.anhis a corpora~ion~ signature of duly authorized 9ffleer
X t,4, ".
] (N~m'q~ ~nd title ofcorporate~officer~ ,
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No,
1. Location of land on which ~r~. ~ work wiI1 be doric:
12.0<5 ·
House Number Street
County Tax Map No, 1000 Section
Subdivision
(Name)
Hamlet /
Block
- Filed Map No.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: '
Addition Alteration
Other Work
a. Existing use and occupancy ~i
b. Intended use and occupancy ~t}._qit]oflt'~.
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~
5. If dwelling, number of 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.
Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
.Depth
Rear
Depth Height
~. Dimensions of entire new construction: Front
Height a9 ~ Number of Stories
}, Size of lot: Front t~/,q Rear
10. Date of Purchase h/Ih Name of Former Owner
Number of Stories
Rear .Depth
Depth
t i. Zone or use district in which premises are situated
t2. 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 ofpf~mises'~~Address 0O ~',/~ Phone No. f~~'
Name of Architect J~(l~- . Address. ~1 _Phone
Name of Contractor ~ tltln[ 1~ '[U~)J[~}~-~--- Address ~1 Phone
5. Is this property within 100 feet ora tidal wetland? *YES NO
· lY YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ~D
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)
SS:
;OUNTY OF'~fftg/'/~, )
f.d V'/?Td ,t,.,'~ /,t/~--,% tJO/-'.5'/C/~' being duly sworn, deposes and says that (s)he is/he applicant ·
(Name of individual 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 tree 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 '/. ~
._~=_~__ day o f /~/t~[ ¢~ 20~3/
Notary ,~'u~ic
~~N~YO~
' ' / Signature of Appl~ant r