HomeMy WebLinkAbout27631-ZFORM 5[0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28963
Date: 10/04/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 75 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 MAY 23, 2001 pursuant to which
Building Permit No. 27631-Z dated JUNE 20, 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 #75) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SUFFOLK COU~FrY DEPARTMENT OF H]L%LTH APPROVAL C10-97-11 05/28/02
ELECTRICAL CERTIFICATE NO. 1071690 08/28/02
PLUMBERS CERTIFICATION DA-r~u 05/17/02 HARTCORN PLUMB.&HEATING
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)
PERMIT NO. 27631 Z Date JUNE 20, 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 #75 CP~AWL.
at premises located at 75 KING FISHER LANE GREENPORT
County Tax Map No. 473889 Section 035 Block 0001 Lot No. 025
pursuant to application dated MAY 23, 2001 and approved by the
Building Inspector to expire on DECEMBER 20, 2003.
Fee $ 707.70
Authori~d Sign~fture
COPY
Rev. 5/8/02
CO.~
Form No. 6
TOWN OF SOIYI'HOLD
BUII~D1NG DEPARTMENT
TOWN HALL
76S-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 uansnal natoral 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.
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 properly 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 Certificate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applieanL
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations 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 0ecupaney - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construotion: ~
Location of Property:
Owner or Owners of Property: ~'~c...a'16 w._
Suffolk County Tax Map No 1000, Section
'7O
House No.
Date. ~.~//~/~)~.~
/
Old or Pre-existing Building: (check one)
8t{&t Ha~et
~ ~ Block
Subdivision
Filed Map. Lot:
Permit No. Date of Permit.
Health Dept. Approval: '-~' ~o ' ~.oo e,
Planning Board Approval: l ").. - ~'~ ,,, 7_~,Oo
Request for: Temporary Certificate
Fee Submitted: $ ,,~.~ '~'
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
D0nnis rd. Wilhelm
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephoae (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
CERTIFICATION
Date: %~'fl "//02-
/ t
Building Permit No.
Owner:
Olea ;
Hartcorn Plmg & Htg,
Plumber:
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 /~, 20 ~9.~f
Notary Public, County
(Plumbers Signature)
VIRGINIA M. GOClNSKI
Notary Public, State ~ New York
NO. 4873841
Qualified in Suffolk County
T~-m expir.x~q October 20, _ ~?o_~ _-4.~
BY THIS CERTIFICATE OF COMPLIANCE THE .,-1
.--'1
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 RTE 25-COTTAGE 75
1007 route 25 A GREENPORT, VILL, NY 11944
MILLER PLACE, NY 11764,
Located at MAIN RD RTE 25-COTTAGE 75 GREENPORT, VILL, NY 11944
Application Number: 1071690 Certificate Number: 1071690
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, Second Floor, Attached Garage, Outside,
was inspected in accordance with the Nationa~ Bectdcal Code and the detail of the insta,ation, as set forth below, was
found to be in compliance therewith on the 28th Day of August, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-1
mfg Avis America serial # 661601
Appliances and Accessories
Air Conditioner 1 0 48,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0 General Purpose
Switch 1 0 General Purpose
Fixture 3 0 Incandescent
Service
Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
Meters: 1 I~
seal F~
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. ~
FINAL INSPECTION REPORT
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke., Mineola, NY 1 t50l
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: ~;~/~/~.~
June 6, 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 #75 Code Certification.
DearMike:
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 #75 has been constructed in compliance with all applicable laws, codes and ordinances.
Very truly your;
Frank P. Lauglthn, RA
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
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:
.. Est 1838 .
236 THIRD S l REI~I'
GRI{ENPOI{'I, NEW YORK 11944
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
)UHDATION
FRAME &
PLUMBII~IG
i~ON I~R N. Y.
ST_Alql KNER(;'Y
CODE
I*IIqAL
ADDITIONAL
'BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-184)2
Exam/ned ~.
Approved
Disapproved ~cc -
,20
,20 _.o/
PERMIT NO.
b UILI.)tlNI, J l'gtq. Ml I AIJI~LI(-;A liON CHkiC!(,LI5.
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey
/ 7.- Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Building I~cior
APPLICATION FOR BUILDING PERMIT
Date
INSTR~JCTIONS
,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'~remises, relationship to adjoining premises or public streeti or
areas, and waterways. : ·
c. The ~vork 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 throughmit the work.
e. No building shall be occupied or used in whole or iTtpart 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 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~to[s On premises and in building for necessary inspections,
(Signature-of applicant or name, if a corporation)
/(Mailing address of applica6t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor electrician, plumber or builder
i
Name of owner of premises
(as on:the tax roll or latest deed)
If aplll~4n, his a corporazCon, signature of duly authorized Officer
'Ii e. .,,
~ (N~ ~d title ofco~oratc~officer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade s License No.
1. Location of land on which pr~vosed work will be done:
/,?.OcS i'
House Number . Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block /
· Fileci 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 /p~Sit],ottt'~_
Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition Alteration
Other Work
4. Estimated Cost ~a,~t 7DO.. O1~_. C}t')
5. It' 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, 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.
5. Dimensions of entire n~w construction: Front ~.~.
Height ~.¢ Number of Storie~ .
7. Size of lot: Front ,~/~ Rear
t0. Date of Purchase ,V//~ Name of Former Owner
-!
[ I. Zone or use district in which premises are situated
Number of Stories
Rear Depth
/
Depth
[2. Does proposed construction violate any zoning law, ordinance or regulation:
.4. Names of Owner of p,~ rmises~Address O/l/ ~/~ Phone No. ff~~'
Name of Architect ~02~d/l .I[~.q,~C,. . Ad&ess H ' Phone No~
Name of Contractor ~ ~a~ ~_'(~]&h Address ~l Phone No. ~
5. Is this prope~ within i 00 feet of a tidal wetl~d? *YES NO
· 2 YES, SOUTHOLD TO~ TRUSTEES PE~ITS MAY BE ~Q~D
6. Provide su~ey, to scale, with accurate foundation pl~ and dist~ces to prope~y lines. O~
7. If elevation at any point on prope~y is at 10 feet or below, must provide topo~aphical data on su~ey.
;TATE OF NEW YORK)
SS:
~fl 5tF/7~/./~ ~/~-,.~Z/O 2"5ff ~' being duly sworn, deposes and says tht (s)he is ~e applic~t ·
~ame of individual si~ing con~act) 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.
ture of Appl/eant
T- /2: Tm 0~ tmO0~, ~O.=
21'-4 I/2'
BREAKFAST
TWO CAR GARAGE
W.L
®
4'-I1'
~_19'-3 N.L
42' HiGH HALF-WAIJ. - w/v,~ c~
NOTES:
6'0=
TYVEK HOUSE WRAP
9'-0" CEILINGS
SEE SHEETS 5 & 5 FOR HURRICANE
STRAPPING DETAILS.
- ROOF INSTALLED ON-SITE
7-D WINDOWS THROUGHOUT
SIDING SUPPLIED AND INSTALLED ON SiTE BY OTHERS
- CRAWL SPACE ACCESS ON SITE BY OTHERS.
REVERSE LAYOUT
3'-0 1/2'
W.L
LMNG ROOH
Released for
Production
CUSTOMER: UNSOLD, COTTAGE #75,.~
1. INSTALL ALL BATH ACCESSORIES.
2.
5, ALL ELECT CONNECTIONS, PH & TV TO BE RUN TO ATTIC FOR HOME RUN ON SITE BY OTHERS.
5.
6. ALL ELECTRICAL CONNECTIONS BETWEEN BOXES ARE TO BE IN ATTIC
7. RUN WIRE TO ATTIC FOR ON SITE CONNECTION
GENERAL
8.
9.
DATF iVED
3/4"
JUL - 2 ZO
WINDOW HDR. DETAIL
PL,A~ DE'rAIL
CONTENTS
PRODUCTK~N PAGE INDEX
OW(; NO.
LABEL LOCATION
TYP. HEADER HEIGHT = 7'-7'
THIS DRAWING WAS EXTRACTED
FROM APPROVED PLANS AND OR
APPROVED SYSTEMS DRAWINGS.
NOTES SNOW LOAD: #30 P.S.F.
COIL PHONE WiRE IN ATTIC FOR BLDRS. DRY CONTACT SMOKE DET. TO BE RUN TO PANEL BOX ON-SITE.
_ 66160 1
KEY PLAN
HENRY ST.
~{RICA'S HOUE BUILDER (717) 753-3700
DE\/ICI~klC ICHK'DI SERIES 2000
% ~LVlOlUI~O [ BY: j ~/ HERMITAGE il
I.... R NCH
~ ~ I DRAW~NO "A" & "B' FLOOR PLAN
BUILDER E ~ g WALSH CHK;D~y; REFERNo 6~7601
~ I1~[I 6/2~/o* Is%tH 66~eo, /