HomeMy WebLinkAbout27635-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28594
Date: 07/12/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 76 MALLARD LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Su]0division 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. 27635-Z dated JUNE 21, 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 #76) 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.
SI/FP%)LK CO~ DEPAR~ITT OF ~TH ;%PI~ROVAL C10-97-11 05/28/02
EIxEt-£~ICAL CERTIFICATE NO. 1059070 06/14/02
PLUMBERS CERTIFICATION D~r~u 05/17/02 BURTS RELIABLE INC.
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING D~PARTM~NT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27635 Z Date JUNE 21, 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
GAP~AGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #76 FULL
at premises located at 76 MALLARD LJ~NE 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 21, 2002.
Fee $ 1,156.80
ORIGINAL
Rev. 5/8/02
Form No. ~
TOWN OF ~OUTHOLD
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:
An
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 elcctrical 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 residenees 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 property lines, streets, building and unusual natural or topographic
features.
2. A properly comple!ed application and a consent t0 inspect signed by the applicant. If a Certificate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Co
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 Ocoupancy - $ 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:
Owner or Owners of Property: e'~ic_..tr}4 la_
Suffolk County Tax Map No 1000, Section
Date. ~/1""]/0,2...__
t I
"/ Old or Pre-existing Building: (check one)
House No. Hamlet
Subdivision
Permit No. c~O ')~~DateofPermit.
Health Dept. Approval:
Planning Board Approval: [
Request for: Temporary Certificate
Fee Submitted: $ ,,~,_~
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Lot:
(check one)
Applicant Signature
Oennis M. Wilhelm
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
Building Permit No.
Owner:
Plumber: '~,.~,,L--~ ~
(please print)
Date:
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this~' ~'t:~(3~'~
day of ~x~ (~ , 20~
'Not~ Public--County
NANCY A. PESTER
~a~ Public, State of New York
~o. 4940985-Suffolk Coun~
~,:~mission Expires Aug. 15,
(P[t~-~ignature)
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~
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:
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 #76 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 nfour knowledge, information and believe that
Cottage #76 has been consl~ucted 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
A1 Broszeit, E&F Walsh
Bob Ellis, O/N
Officers
236 THIRD S'I REET
GREENPORT, NEW YORK 11944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 477-0248/2385
Fax: (631)477 1877
March 14, 2002
To~
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~s
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
76 ~/~/~Z O~. ~ ~
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 COTTAGE 76 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: 1059070 Certificate Number: 1059070
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a Residential 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 [lectdcal Code and the detail of the installation, as set forth below,
found to be in compliance therewith on the 14th Day of June, 2002.
Name QTY Rate Rating Circuit Type ,
Additional Charges i
m6dular house N.Y.State approval #19-137 I
mfg Avis America serial # 662901
Appliances and Accessories
Air Conditioner 1 0 42,000 BTU
Fumace 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 Discom~ect: 1 200 cb
M~ters: 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.
)IrlqDATION ( IST)'
ST_ATE ENERGY
CODE
~Ij~LDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Disapproved a~e
PERMIT NO.
.~.U,LL,L~' t'~,14_Ml! AF~LICAIlt)N C~I]fCK_LIS
Do you have or need the following, before applying
Board of Health
; 3 sets of Building Plato
Sm-vey.
Check
Septic Form
N.Y.S.D.E.C.
.. ' Trustees
Contact:
Mail tO'.' '
Buildin~ Irt~pector
Phone:
APPLICATION FOR BUILDING PER_MIT
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. schedule.
b. Plot plan showing location of lot and of buildings on'~remises, 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 Insp$ctor 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 iD'part 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
Kegulations, for the consiruction 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
authorized inspe.ctors 9n premises and in building for necessary inspections. ,
(Signature of applic~int or name, ia a- corPoration)
(Mailing address of apPlicant~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
1
Narne ofownerofpremises ~)eC./9~t'E. ~t~Jt'[lO ~'
! (as on:the tax roi1 or latest deed)
If ap~l',l~.n3 is a corpora~ion~ signature of duly authorized Officer
/ C~arr~ ~'ld title ofc°rp°rate~omcer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which paroposed work will be do~i%'
/20,5 ' :
House Number Street ·
Hamlet /
County Tax Map No. 1000 Section ~.~' Block / Lot:r ,~',~,,,oz:_...,,.~q~ 7~
Subdivision Filed Map No. I~,o a~, n _ t~O~
(Name) - - -
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
3. Nature of work (check which applicable): New Building X Addition Alteration
Repair Removal Demolition Other Work
~.. Estimated Cost ~.~ 700 OOO. OO Fee
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, commerciaI or mixed occupancy, Specify nature and extent of each type of use.
7. Dimensions o f existing structures, if any: Front
Height. Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height
Number of Stories
). Sizeoflot: Front
10. Date of Purchase
Dimensions of entire new construction: Front ~'¢~, Rear
Height 2.0~ Number of Stories , !
t' fi~//q Rear .Depth
/~//q Name of Former Owner
[ 1. Zone or use district in which premises are situated
.Depth
[ 2. Does proposed construction violate any zoning law, ordinance or regulation: 40
,3. Will lot be re-graded ~ Will excess fill be removed from premises: YES (~
- 4. Names of Owner °~Pr[ :mises~,~_Address Oh/ F~/~ Phone No. f_~,~- /
Name of Architect ~Address. ~t Phone No~1/1~,~/1~
Name of Contractor ~ ~t'~./_~1 , Address t' Phone No. ~
5. Is this property within 100 feet of a tidal wetland? *YES NO
· II~ YES, SOUTHOLD TO~V~N TRUSTEES PERMITS MA~ BE REQLr[RED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. O~ft/e
7. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
SS: '
f~/2/0/J~ ~/~.D-~O ~-~/~ ~" being duly sworn, deposes and says that (s)he is the applicant
CName of individual signing contract) above named,
$)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 ofhls knowledge and belief', and that the work will be
erformed in the manner set forth in the application filed therewith.
NO. 4791~
/' ' / Signature o f Abpl//~ant r
7' 10'
~B~EAKFAST
BED~3OM ~2
DEN
15'-I1' 12,.10~
]USTOMER: ANDERSON, COTTAGE #76
J
(2) I/2' x 24' x 17'-O'
GENERAL NOTES NO' fi5
4" DIA. HOLE IN FLOOR FOR BUILDERS DRYER VENT ! - TYVEK HOUSE WRAP
RAISE VANITY & WC. FLANGE 1/4" ABO~ WONDERBOARD FOR BUILDERS TILE, SH RLOOSE W.C. I 9'-0" CEILING
OMITALL TUBSRANGE & HOoDSFIO~RS- ~NSTALL(5) WALLSDuCT- -PROVIDEINSTALLS/4"MICROWAVEX 12" PLYWOOD BACKING BETWEEN STUDS S6" A.F.F FOR BUILDERS HANDICAPPED GRAB BARS. - ROOF SUPPLIED & INSTALLED ON SITE BY BUILDER.
HOMERUN A PHONE LINE FROM SMOKE DETECTOR TO COil ENOUGH TO REACH PANEL BOX. DOUBLE TOP PLATE ALL EXTERIOR WALLS
COIL ENOUGH OUCT TO REACH REAR OF HOUSE
OMIT FLOORING FOR BUILDERS CARPET. INCLUDING END WALLS) & MARRIAGE WALL
PFIODUC~ON PAG~ INDEX
PAGE CONTENTS DWG NO
NON-S1O. WINDOW RO.'S
(2) 2452 : 5'-1 3/4" x 5'-5 1/4"
)REFER. WALL ELEVATION
(4) FASTENERS INT0 ~ ~
WALL STUD / ~'~
**NO FASTENERS THROUGH
COMPRESSION STRIP OR TOP PLATES
HURRICANE STRAPPING DETAIL
WINDOW HEADERS TO BE
(6) FASll~NERS ~
.~- 2x6 STUD
(2x4 STUD @ MW)
**NO FASTENERS THROUGH
DECKING OR BOTTOM PLATE
HURSIOAI~S'IlqAPFqI~D~I'AL
RELEASED FOR
PROOUCTION
DATE: 6/12/01 BY:
WINDOW HEADER. DETAI
MARRIAGE WALL t6' O.C.
AVIS,PA. 17721
REVISIONS
CHORCHAUG
RANCH
FLOOR PLAN
E & F WALSH
so rT2194 TOT 1745 LlV
PECONIC LANDING
RECEIVED
JUN 1 9 2001
IHIS DRAWING WAS EXTRACTED
FROM APPROVED ~ ~ OR
~D SYSTEMS DRAWINGS,
Released fur
Product.io, n,,nn:~
06 290 I