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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, /