HomeMy WebLinkAbout27624-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-28627
Date: 07/26/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 73 KINGFISHER 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 this office dated JI/NE 10, 2001 pursuant to which
Building Petit No. 27624-Z dated JULY 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 #73) WITH ATTACHED TWO CAR GARAGE,
COVERED FRONT PORCH AND EXPA/~DED LIVING ROOM AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTEOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUN~TY DEPARTMENT OF H]~%LTH APPROVAL C10-97-11
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'r~
05/28/02
1059071 06/17/02
05/17/02 FJLRTCORiq PLUbIB.&HEATING
Aut~rized Si~ature
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. 27624 Z Date JULY 6, 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
GARAGE, COVERED FRONT PORCH & EXPANDED L/R AS APPLIED FOR UNIT #73 FULL
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 $ 998.10
Auth~ized Signature
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. Approx/al of electrical installation from Board of Fire Underwriters.
4. Swom 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, bnilding and unusual natural or topographic
feamres.
2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy
is denied, the Building Iuspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00 Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swbmning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $I00.00
3. Photocopy of Certificate of Occupancy - $ 0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate ofOcoupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of_ Property:
Date.
House No.
Old or Pre-existing Building:
S~creet
~ ,~ Block
Owner or Owners of Property: _["~[~1~ ~,c_
Suffolk County Tax Map No 1000, Section
Subdivision
i /
_ (check one)
Hamlet
Ex"
Permit No. ~'~ ~, ,~ ~t _ ~
Health Dept. Approval: "~-
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,ff-,~
Filed Map. __
DateofPermit. ~ } ~ !O [ Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
0ennis M. Wilhelm
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 119714)959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No.
Owner: ~O. CO~L ~OIl J?fl E/
~leas~ l~rint)
Plumber: Hartcorn Plmg & Htg,
/nc
(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 ~3~
day of./~ , 20 ~--
Notary Public, County
'~Plumbers S~gnature)
VIRGINIA M. GOCINSKI
Nola~y ~ul~c, State of New Yod~
Ho. 4873841
Qoaiif; ~ ~ Suffolk COU~ -~
T~ e~ ~r 20, ~
236 lltIRI) STREET
GREENI~ORI. NEW YORK 11944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel (631 ) 477-024812385
[:ax (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 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
June 6, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Soothold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage #73 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 #73 has been constructed in compliance with ail 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,qq
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 3
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: '7/'~ ~r//~ ~
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
PressurePressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
73 ~/~/o ~ ~,~. .~~
REMARKS:
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 1 0038
CERTIFIES THAT
Upon the application of upon premises owned by
E.F. MALONEY COTTAGE 73 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: 1059071 Certificate Number: 1059071
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a P,.csidenfia] occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
Basement, 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 therewith the ITth of June, 2002.
compliance
Day
on
Name QTY Rate Rating Circuit Type
~ Additional Charges
modular house N.Y.State approval # 19-13
mfg Avis America serial # 665301
~ Appliances and Accessories
Air Conditioner 1 0 42,000 BTU
~ Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0 General Purpose
Switch 1 0 General Purpose
Fixture 3 0 Incandescent
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
Meters: 1
seal
I of 1
~LD INSPECTION P~KPORT · DATE
)UNDATION (IS~)'
.).,~ ATION. (2ND)
f
)UOH FEAI~ &
PLUIfl~ING
ISU~ATION PER N. Y.
STATE ENEllG~
CODE
· 'ADDITIONAL CO~T$: . ' '
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Disapprove~c
PERMIT NO.
Do you have or need the following, before applying
Board of Health
; 3 sets of Building Plans
Survey.
Check
Septic Form
N.Y.$.D.E.C.
· ' Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTRbCTIONS
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 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 throughofit the work.
e. No building shall be occupied or used in whole or ippart 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 of a Building Permit pursuant to the
Building Zone Ordinance 0fthe 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 On premises and in building for necessary inspections.
(Signature of appl/cant or name, if a corporation)
' /(Iqailing address ofapPlicat[t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~,~rt~t'E tand{//O OT ~.~JlOd
! (as on:the tax roll or latest deed)
If apl~l~. ~is a corpora~ion~ signature of duly authorized Officer
/ (~an~ mad title ofcorporate~officerJ .
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be doric:
gT. . "
House Number Street
Hamlet
County Tax Map No. 1000 Section q.~.,~ Block ]
Subdivision ..' Filed Map No.
(Nme)
2. State existing use and occupancy of premises and intended use and occupancy o£proposed construction:
a. Existing use and occupancy '
b. Intended use and occupancy
Nature of work (check which applicable): New Building X Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost ~ '~1[~. ~. 0_~)
5. 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 occul~aney, 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
P~ear
Depth. Height
Number of Stories
Dimensions of entire new construction: Front
Height .,~L/ Number of Stories
Size of lot: Front Rear
Date of Purchase 3//~ Name of Former Owner
'V''
Rear .Depth
.Depth
l 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: A/O
!3. Will lot be re-graded /!~,5 Will excess fill be removed from premises: YES O
.4. Names of Owner o f ~mises~Address 0/~ P'~i/~ Phone No. ff~O~~.~' /
Name of Architect ,]~tlQ'~/I ~ .~[~~Address ti .Phone $o~
Name of Contracto~~'~i-'~ Xddress- ~ Phone No./(.,~d.~2J~-
5. Is this property within 100 feet cfa tidal wetland? *YES NO
· 1F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
SS:
:OUNTY OF~'/~/,~ )
~,~ ¥/']7d/.,~ /4,/~--D".,/J0 fi"'-5'/¥~" being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
S)He is the
(Contractor, Agent, Corporate Officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
mt all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erformed in the manner set forth in the application filed therewith.
worn to before me this
-- Notary ,l:;u~ic
~lllmmm~ pIlllr,, ~ ~f N~ Yofl(
Signature of Applicant t
SEE SHEETS 3 & 4 FOR HURRICANE STRAPPING DETAIL
PROD~CT~}N PAG~ NDE)
A~MBLy ~
CUSTOMER: ENGEL, COTTAGE #73
eEDnCX~ ~
~RED PORCH
NOI~E$:
- TYVEK HOUSE WRAP
- gLO" CEILINGS
- ROOF INSTALLED ON SIRE
- ALL WlNDOW HEADERS TO 8E 7L7"
- ALL EXTERIOR WALLS TO HAVE DBL, TOP PLATES.
- HURRICANE STRAPPING FOR 110 MPH
7D ~INDOWS
./4
GENERAL NOTES
665301
GARA~GE PANEL "D' · I~'
SARAGE PANEL 'C" --
Releas,
Production
OATI~: JtJ~, ~ ~~
RECEIVED
JUL - 3 2001
SNOW LOAD: 30# P.S.F.
m ~ABED F-OR
DATE: 6/25/01 BY: AKW
REVISIONS ~c~'J~1 SERIES PECONIC LANDING
UODEL OYSTER POND
ORAMNG FLOOR P~N
,.~": . .....~. /~m ~ %~'