HomeMy WebLinkAbout27623-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28546
Date: 06/27/02
TI{IS CERTIFIES that the building NEW DWELLING
Location of Property: 72 KINGFISHER LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~4ap No. 473889 Section 35 Block 1 Lot 25
Su]~division Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JI/NE 1, 2001 putrsua/lt to which
Building Pex~tit No. 27623-Z dated JUNE 29, 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 #72) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH AND EXPANDED LIVING ROOM AS APPLIED FOR.
The certificate is issued to PECONIC IJ~NDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COLR%~i~f DEPAR%~gT OF H]F~L~ APPRO~-AL C10-97-11 05/28/02
ELE~IC_AL CERTIFICAT~ NO. 1057154 06/07/02
PLUMBERS CERTIFICATION DATED 05/17/02 HARTCORN PLUMB.&HEAT.INC.
Auth~ized Si~6ature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PEP24IT NO. 27623 Z Date JUNE 29, 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, COVERED FRONT PORCH & EXPANDED L/R AS APPLIED FOR UNIT#72 CRAWL SPACE
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated JUNE
Building Inspector.
MAIN RD
Block
1, 2001
GREENPORT
0001 Lot No. 025
and approved by the
Fee $ 568.50
~z/e'd S i~/~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:
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 o f electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system comains 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 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.
C. Fees
1. Certificate of Occupancy - New dweiling $25.00, Additions to dwelling $25.00, Ahemtions 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 Pre-existing 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:
Old or Pre-existing yuildiag:
Owner or Owners of Property: c~C. trl, l ~,c_ ~:~MO*,d~-
Suffolk County Tax Map No 1000, Section ~ ,~'
Subdivision
Permit No. ,Q.~Q(,
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,~-.~' '""
Date.
Date of Perrait.
'7'/o' tloo
,~.".U &a,,a q-14,o~..I3
Block [
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
/
(check one)
Hamlet
Lot
Lot:
(check one)
Applicant Signature
0ennis M. Wilhelm
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 #72 Code Certification.
Deur 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 #72 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
ce: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & Associates, L.P.
BARTON & Associates, Inc.
Thomas C. Barton, 111. AIA
5120 Butler Pike, Suite
P]ymouth Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.bar tonpar tners.com
PHILADELPHIA
CHICAGO
BALTIMORE/
WASHING fON
MAYOR
DAVID E KAPELL
t631) 47%3000
TRUSTEES
WILLIAM J. MILLS III
GEORGE W. HUBBARD
GAlL F HORTON
BRADLEY B BURNS
236 THIRD STREET
GREENPORT, NEW YORK 1 [944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631)477-0248/2385
Fax: (631) 477-1877
March 14, 2002
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
WS/js
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: ~//7/~2~
Building Permit No.
Owner: P0. f.~{[ ~ fj ~l%~a~ ~rint)
Plurnber: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.
(Plumbers Signature)
Sworn to before me this
day of_
Notary PubliC,
~,20
County
~otaVlRGINIA M. GOCINSKI
n/Public. State of New YO~
NO, 4873841
Qualified In Suffolk Courlty, . _
Te*m explre~ Ootober 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.
By:
Gino N. Aiello, P.E.
Dated:
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
72 ~'/'~ ~ ~.r~. ~ ~
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,
COTTAGE 72 PECONIC LANDING
MAIN RD RT 25
GREENPORT, VILL, NY 11944
Located at
MAIN RD RT 25 GREENPORT, VILL, NY 11944
Application Number: 1057154
Certificate Number: 1057154
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 7th Day of Jtme, 2O02.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-13
mfg Avis America serial # 663601
Appliances and Accessories
Air Conditioner 1 0 42,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0
Switch I 0
Fixture 3 0
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.
INSPgCTI I RgPORT - DATE Con, liltS
)I/I~ATION ( IST)'
(2t )
)U~It FRAME &
· PLUM~IND
ISI~ATION PER N. ~.
~O~E
.BUILpING~DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO.
Do you have or need ~e follo~g, before apply~g
Bo~d of Heal~
3 sets ofBuild~g Pla~
S~ey
Septic Fo~
N.Y.S.D.E.C.
T~tees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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, accurate plot plan to scale. Fee according to. schedule.
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 Inspoctor will issue a Building Permit.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 inPart 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 a tees to comply with all applicable laws, ordinances~ building code, housing code, and regulations, and to admit
authorized inspe.ctors 9n premises and in building for necessary inspections.
(Signature of apl~icant or narhe, ii' a corporation)
' (l'~ailing address of applicant) /
State whether applicant is owner,, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
a/o l_
t
Name ofownerofpremises ~d~pCO/llf_ ~tl/ItJ;'//D ay. (StlJ,7'.~)/;
/(as on:the tax roi1 or latest deed)
If apl~l~h..nh is a corpora3ion, si,g~ature of duly authorized officer
/[ t.4a', ':'
/ (N'arq~ md title ofcorporaterofficer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on whicharo~o.,o osed work will be doric:
/205 I F. :'
House Number Street ·
Hamlet
County Tax Map No. 1000 Section (~,,.~
Subdivision
(Name)
Block /
· Filed Map No.
2. State existing use and occupancy ofpremises and intended use and occupancy of proposed construction:
a. Existing use and occupancy. "/ ~ ~
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building )[ Addition
Repair Removal Demolition Other Work
4. Estimated Cost ~
5. If dwelling, number ofdwelling units
If garage, number of cars
Fee
Alteration
(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 of entire new construction: Front
Height 2~ Number of Stories
!
Size of lot: Front P]/~ Rear
Date of Purchase /~]/~ Name of Former Owner
Number of Stories
:/
Rear .Depth
.Depth
[ 1. Zone or use district in which premises are situated
[2. Does proposed construction violate any zoning law, ordinance or regulation: JO
re-graded 4~.~ Will excess fill be removed from premises: YES N~
[3.
Will
lot
be
Name of Architect ~O/T't~/I ~E.~~Address , Phone
Name of Contracto~~,'~ Address' ,-~ 7 ~hone No.
5. Is this property within 100 feet of a tidal wetland? *YES NO
· 12: 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)
SS:
f ~ 5" /TI~ ff"~ ~-.J'XJ{)/'--5'/(~ being duly swom, ~deposes and says that (s)he is ~ne applicant .
(Name of individual signing contract) above named,
5)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;
~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.
worn to before me this __
~_. ~ day of ~/t~{~ 20d)/
- Notary ,i~ut~Iic
Signature of Appl/cant r
WI, IOOW 1-13fl. DE'L~L
COVERED PORCH
CUSTOMER: MORSE, COTTAGE #72
NOTES:
- TYVEK HOUSE 1//RAp
- gLO' CEILINGS
- ROOf' INSTALLED ON SITE
- ALL WINDOW HEADERS TO BE 7'-7" (EXCEPT KITCHEN)
- ALL EXTERIOR WALLS TO HAVE DBL. TOP PLATES,
- HURRICANE STRAPPING FOR 110 MPH
~ ORAWLSPACE ACCESS SUPPLIED & INSTALLED ON-SITE BY BUILDER
- 70 WINDOWS
SEE SHEETS 3 & it FOR HURRICANE STRAPPING DEIAIL
GENERAL NOTES
RECEIVED
JUN 2 ~ ZOO1
2x4 PAO( FLO0~
0 MECHANICAL ROOM
MECHANICAL ROOM DETAILS
Released for
Production
DATE
it, I
663601
SNOW LOAD:
SER~ES I P£CONI¢ LAN~IO
-~T o~sTEr POND