HomeMy WebLinkAbout27632-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28547 Date: 06/27/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 77 MALLARD 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 JUNE 10, 2001 pursuant to which
Building Pez~it No. 27632-Z dated JULY 3, 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 #77) WITH ATTACHED TWO CAR GARAGE,
COVERED FRONT PORCH, & FOUR SEASONS ROOM AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNT~ DEPARTI~ENT OF }~ALTH ~-PPRO~-AL C10-97-11 05/28/02
ELEc'f~iCAL CERTIFICATE NO. 1056521 06/03/02
PL~BERS CERTIFICATION DAT~3 05/17/02 BURT'S RELIABLE, INC.
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.
27632 Z Date JULY 3, 2001
Permission
is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED TO CAR
GAP~AGE, COVERED FRONT PORCH, 4 SEASON ROOM & FULL CELLAR UNIT #77
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated JUNE
Building Inspector.
MAIN RD
Block
10, 2001
GREENPORT
0001 Lot No. 025
and approved by the
Fee $ 1,246.80
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 nnusual natural 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.
Bo
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 tO inspect signed by the applicant. Ifa C~rtifieate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writ'rog 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 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:
Date.
77
House No.
Old or Pre-existing Building:
~ X Block
Owner or Owners of Property: _ ~'~_..c2xIa ~ C_
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~:'7)~ 3 ~9"-~--' Date of Permit.
Health Dept. Approval: "~ '
Planning Board Approval: [
Request for: Temporary Certificate
Fee Submitted: $ ,~..~
(check one)
Hamlet
Lot
Filed Map.
Lot:
co-'a:
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Sigmature
D0nnis 1~1. 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
Date:
Building Permit No.
Owner: ~O. COft~L LO(ltl?IlO
(pleas~ l~rint)
Plumber:-'"~ o c~r/45
(please print)
77
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this:~D44h
dayof ~C}.L/ , 20{~)&
Notary Publi L Ol County
;,;ANCY A. PESTER
~y Public, State of New York
q n
,. 4098,,5-Suffolk Cou ty~.
~i* E,:~ires Aug. 15,
- (l'~Signature)
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 1OO38 .-1
CERTIFIES THAT
Upon the application of upon premises owned by
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN ST+RT 25-COTTAGE 77
MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944
Located at MAIN ST+R'[ 25-COTTAGE 77 GREENPORT, VILL, NY 11944
Application Number: 1056521 Certificate Number: 1056521
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a Corn.mercia] occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the
premises
at:
Basement, First Floor, Attached Garage, Outside,
was inspecte0 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 3rd Day of June, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house - N.Y.State approval # 19-
rnfg Avis America serial # 662301
Appliances and Accessories
Fmx~ace 1 0 Gas
Air Conditioner 1 0 48,000 BTU'
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 la
1 of 1 la
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
May 31, 2002
Mr. Michael J. Verity
Code Enforcemem Offiecr
Southold Town Hall
53095 Main Road
P.O. Box 1179
$outhold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage #77 Code Cerdlicafion.
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 #77 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
cc: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
BARTON & Associales, L.P.
BARTON & Associates, Inc.
Ihom~q C. Barlon, IlL AIA
5120 Butler Pike, Suite 200
Plymouth Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.583(}
PHILADELPHIA
( HICAGO
BALTIMORE/
WASHINIr;TON
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
7
27~3~ ~
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.
By:
Dated:
Gino N. Aiello, P.E.
Officers
MAYOR
DAVID E KAPELI.
(631)477 30(}(I
TRUSTEES
WILLIAM l MILLS 111
GEORGE W HUBBABD
GA[I.F HORI'ON
BRADREYB BURNS
236 I'HIRD STREET
GREISNPORT, NEW YORK i 1944
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
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
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
77 ~/~/~- ~.~:~. ~ ~
REMARKS:
Cotta~]e # 74 75 76 77 78 79 80 81 82 83 I 84 85 86 87 88 89
Model ~ermitage 11 Hermitage 11 Corchaug Corchaug Hermitage 11 Corchaug Corchaug Hermitage 11Oyster PondHermitage 11!Hermitage 11 ~ermitage 11 Corchaug Hermitage 11Hermitage 11Oyster Pond
Excavation 6/19 6/18 6/15 6~27 6/15 6/12 6/25 6/25 8/24
Footer 6~20 6/19 6/18 6~29 6/16 6/22 6/13 6/26 6/27 7/26 7/16 7/18 7/28 7/26 7/21 8/28
Foundation 6/22 CR 6/20 CR 6/21- FB 6~28 FB 6/19 FB 6/23 FB 6/14 CR 6/27 CR 6/29 FB 7/27- CR 7/20-FB 7/20-FB 7/31 - FB 7/31 - FB 7/23- CR 8/30- CR
Rat Slab 6/25 6~25 7/25 7/25 OK OK 7/12 8/2 I 7/31 9/11
SanitarySleve 6/24 6/25 6/25 6~25 6/25 6/25 6/27 7/10 . _7/10 7/25 7/25 7/25 7/21 8/21 [ 7/25 7/25
Damp Proofing 6/26 7/7 6/22 6/29 7/5 7/23 7/23 I 8/2 8/2
Serial# 6614 6616 6629 6623 6632 6631 6635 6637 6598 6638 6634 6624 i 6682 6944 6649 6650
Sills,Plates 6/29 6/25 7/9 7/9 7/9 7/10 6/27 7/10 __ 7/10 8/1 8/1 I 8/1 __8/14 8/14 8/14 9/11 __
Delivered '7/17 '7/18 7/9 7/10 7/6 7/11 *7/2 7/11 *7/24 '7/24 ! *7/25 8/29 2/28-shade 7/25 8/19
]'russes Order 7/5 7/5 6/29- S 6/29- S 6/29- S 6/29- S 6/29- S 6/29- S 6/29- S 7/5 7/5 7/5 8/20 7/5 8/20
rrusees Del, 7/25 7/ 7/11 - S 7/11 7/14 7/14 7/14 7/14 7/8 8/6 8/7 8/6 8/28 8/9 9/1
Cottage Set 7/31 7/31 7/11 7/18 7/11 I 7/18 7/19 7/19 7/18 8/10 8/1 8/8 8/28 3/4 8/14 9/12
Garage SR SL-M 7/11 - SR SL-M 7/12 - SR SL-M FR FR FR FL FR SR SL 3/4 - SR SL-M SL
Trusses Set 8/14 -H 8/14-H 7/1 I-H 7/19-H 7/12-H 7/31-R 7/16-H 7/27-H 7/27- H 8/16 -H 8/17 -H 8/20 - H 10/3- H 3/7 - R 8/21 - H 10/5-H
Sheeting 8/14-H 8/14-H 7/12-H 7/19-H 7/12-H 8/1 - R 7/16-H 7/23-H 7/23-H 8/16 -H 8/17 -H 8/20- H 10/3- H 3/7 - R 8/21 - H 10/5-H
Chimney/FP 8/28 8/28 8/14-FP 8/14-FP FP n/a-8/14 n/a-7/30 9/10-FP 11/7 8/28-FP 11/7-FP 10/18-FP 10/18 FP 9/10 10/18
Extra Room none none none 4 season G/S/Porch none none None None i 4 Season 4 season 4 season 4 Season G/Screen P None None
Shingles Del. 7/27 7/27 7/13 7/24 7/24 7/26 7/15 7/23 7/21 8/16 8/16 8/16 10/4 3/8 8/17 10/10
Shingled 8/16 8/17 7/14 7/25 7/25 7/28 7/19 7/25 7/23 8/21 8/22 8/23 10/8 3/8 8/23 10/12
Sided 8/23-A 8/24-A 8/25-T 8/28-T 8/29-T 8/30-T 8/31-T 9/3-T 9/4-T 9/5-T 9/6-T 9/7 [ Comp-T 3/18 10/22-T 10/15-T
HVAC-HEAT 9/17 9/16 Complete_ Complete Complete Complete 9/10 9/12 Complete 9/20 Complete~ Complete Complete 9/25 10/23
Electric-Rough 8/17 8/1 8/15 8/14 8/13 8/13 8/10 8/9 8/8 8/8 i 8/27 8/24 10/22 3/19 8/23 10/22
Plumbing Rough 2/21/02 2/21/02 2/8 2/8 2/8 2/15 10/25 10/25 ! 2/8 10/24 2/8 2/8 2/8 3/21 i 2/15
Gas Piping 2/21/02 2/21/02 2/8 _ 2/8 2_/8 2/15 2/15 2/15/02 2/8/02 2/15/02 2/8/02 2/8 2/8 3/25 I 2/15
Garage Slab 8/27 8/27 B-31 B-31 - 8/6 B-30 - 8/6 B-30 8/8 8/8 B-30 - 8/8 9/26 9/26 9/26 9/26 9/26 I 9/26 9/26
GarageDoor D-I~OP D-1-OP S D-2-OP 11151OP-2CL 11/6-S 11/6D-1-OF11/6D--~--~-P D-1-OP S S ...... S D-1-OP D-2-OP I S S
SheetRock 9/12 9/13 9/14 9/15 9/16 9/17 9/17 10/11 10/12 10/13 10/14 10/15 11/1 3/28 :~ 10/2 10/22
Spackle 9/8 9/10 9/10 9/10 9/12 9/15 , 9/13 9/13 9/14 10/17 10/13 11/4 11/6 10/15 10/23
Trim 9/4 9/5 8/21 8/22 8/22 ~ 8/23 8/24 8/24 8/25 8/27 8/28 8/29 10/18 10/14 10/14
Paint
Elect. Comp.
Ceramic Tile 10/8-- 10/8 10/8 --11/19 10/8 10/8 10/1~~ 10/8 I I 10/25 10/22 13-Nov
Carpet
Wood Flooring
A~ppliances ~ .
/
r
~ ~NSPECTION R~PORT DATR COl~flll~S
~A~O~ ( ~
~ION ( 2ND )
)UGH FRAME &
PLUM~ING
~SULATION P~R N.
¢
BUilDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Disapproved~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.S.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 phm 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 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 throughodt the work.
e. No building shall be occupied or used in whole or ip'part for any purpose what-so-ever until a Certificate of Occupaa
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 consm~etion 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
authorizedinspe.cto[s on premises and in building for necessary inspections.
(Signature of applilant or name, if a corporation)
(~VIailing address of applicant~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
ff lL "
I
Name of owner of premises q~),~f'/~/h'C ~/~J~O alT' (~TflOK~
!. (as on:the tax roll or latest deed)
If apI~l~, ,~is a corpor~ion, signature of duly authorized officer
/ 0x~an~ mad title ofcorporate~officer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Tradds License No.
1. Location of land on which p,~o_posed work will be doric:
2_.,5 ' "
House Number . Street
Hamlet
County Tax Map No. 1000 Section ~_~ Block / ~o_,~a ~.~.~-~,~
Lot::'" ~'.~ -~',~ .~'~,~ ~ 77
Subdivision Filed 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
Nature of work (check which applicable): New Building. )~ Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost ~ 7Oq _tOOt'). OO
5. IfdwelIing, 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 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
Size of lot; Front
[0. Date of Purchase
g. Dimensions of entire new construction: Front
Height 2~t
'/ ~//~ Rear
).
[ 1, Zone or use district in which premises are situated
Number of Stories
Name of Former Owner
Number of Stories
Rear
/
.Depth
.Depth _..~'O
[2. Does proposed construction violate any zoning law, ordinance or regulation: /I/tO
!3. Will lot be re-graded ¢ Will excess fill be removed from premise~: YES (~
.4. Names of Owner of,p)iqmises~Address fY) ~',/~ PhoneNo f6B]I
Name of Architect ~Address ,t Phone No~
Name of Contractor ~' O. tld ~' ffJ~}i,S/1 Address- ~t ~hone No. ~
5. Is this property within 100 feet of a tidal wetland? *YES NO
· 12: YES, SOUTHOLD.TOWN TRUSTEES PERMITS MAY BE REQUIRED
property t~/*
6. Provide survey, to scale, with accurate foundation plan and distances to lines.
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:
:OUNTY OF'~KF'74/,~ )
/,,4¥/71~¢/225 /4./~-,_%.,(J~/r-.57-~.~' being duly sworn, fleposes and says that (s)he is ~e applicant · ·
(Name of individual signing contract) above named,
S)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;
tat 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
Signature of Appl;i/eant t
CUSTOMER: SPOONER, COTTAGE
GE N ER A L
N O~ES
SNOW LOAD:
P S.F.
RECEIVED
t4AY Z 9 2001
BU, DE-RS COPY
2194 TOT 1743 LIV
PECOfllC LANDING
RAN~q
l~r FLR FLOOR PLAN
2&