HomeMy WebLinkAbout27627-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28715
Date: 08/20/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 78 MALIJ~RD LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
Co%~ty T~ ~ap NO. 473889 Sestion 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 g~3NE 10, 2001 pursuant to which
Building Pe~it No. 27627-Z dated ~-JLY 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 #78) WITH ATTACHED TWO CAR GARAGE~ COVERED
FRONT PORCH AND LrNHEATED COVERED REAR PORCH.
The certificate is issued to PECONIC LANDING AT SOUTHOLD~
(OWNER)
of the aforesaid building.
INC,
S~3FFOLK CO~DEPAR~NT OF ~{~%L~APPRO%L~/~ C10-97-11 05/28/02
ELEC~ICL~L CERTIFICA~q~ NO. 1036435 06/17/02
PL~R~BERS CERTIFICATION DATED 05/17/02 BURTS RELIABLE, INC.
A~zed Signature
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. 27627 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 AS APPLIED FOR UNIT #78 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 $ 1,324.50
Autnorize~ 'Signa re
COPY
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:
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 unnsual natural or topographic
fenturea.
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 applicant.
Co
Fees
1. Certificate ofOecupancy - 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:
House NO.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Date.
Old or Pre-existing Building:
S/fleet
(check one)
Hamlet
2x
Subdivision
Filed Map.
Lot:
Permit No. Date of Permit.
Health Dept. Approval: '-{' ~, -/.. o o a
Planning Board Approval: { ~ - ~{ ~ 7_ o Oe~
Request for: Temporary Certificate
Fee Submitted: $ ff-..~ ~'
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
Dennis M. Wilhelm
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 * PACONIC LANDING
P.O. BOX 6070 MAIN ST/RT 25/COTTAGE 78
MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944
Located at MAIN ST/RT 25/COTTAGE 78 GREENPORT, VILL, NY 11944
Application Number: 1036435 Certificate Number: 1036435
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:
Basement, First Floor, Attached Garage, Outside,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set foah below, was
found to be in compliance therewith on the 17th Day of June, 2002.
Name (~TY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-13
mfg Avis America serial # 663201
Appliances and Accessories
Air Conditioner 1 0 48,000 BTU
Furnace I 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
1 of l
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
~r~r-~r-~r~r~r-~r~r~r-~c~r~r~r-~r~r.~r-~r~r.~c~-]~~~~~ []
Town Hall~ 53095 Main Road
P.O. Box 1179
$outhold, New York 11971-0959
Fax (631) 765-1823
Telephone (631.) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: ~//7/~..
/
Building Permit No.
(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 thisbe)q h
(Pl~9~ers Signature)
dayof ~X~CL~] , 20~,'~
Notary eublic~Ll~)~',l ~ County
~ ~Ai'/Cy A.~ESTER
~cy Public, State of New York
. .,, ,940985-Suffolk County
· ?tn -;~;on Expres Aug 15,
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.
By:
Dated:
Gino N. Aieqlo, P.E.
Jnne6,2~2
Mr. Michael J. Verity
Code Enforcement Officer
South#Id Town Hall
53095 Main Road
P.O. Box 1179
South#Id, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage #78 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#ur knowledge, information and believe that
Cottage 078 has been constructed in compliance with all applicable laws, codes and ordinances.
Very truly your;
Frank P. Laughlin, RA
Senior Vice President
cc: Dennis M. Wilhein~, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
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
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined .~.~ ,20 O/
Approved Y.~ , 20 ~f~
Disapprovec~'ff~c f~/
PERMIT NO.
Do you have or n~d ~e follow~g, before applyin~
Bo~d of H~I~
3 se~ of Buil~g PI~
S~ey.
Check
Septic Fo~
N.Y.S.D.E.C.
.. ' T~stces
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
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 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 Inspgotor 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 i~'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. epartrnent 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 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
authorizedinspectors On premises and in building for necessary inspections,
(Signature of applil~ant or name, if a corporation)
(~vlail~-ng address of applicant)~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
"
/
Nameofownerofpremises JPJ'/)/I~'~ ;t'/tl~'/ID ~r
l. (as on:the tax roll or latest deed)
If apl~lje'.an,~ is a corpor~on~ signature of duly authorized officer
/ (~/an~ ~nd title ofeorporatdofficerJ
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on whichp,l'opo:o osed work will be dorie:
House Number Strcct · '
Hamlet /
County Tax Map No. 1000 Section (~"~ Block /
Subdivision ' Filed Map No.
. (Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
Addition Alteration
Other Work
a. Existing use and occupancy.,
b. Intended use and occupancy t~,&' t)O/l¢~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ 700; OO/'). CO
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, 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.
Dimensions of entire new construction: Front ~,
Height 2 ~/ Number of Stories
·
Size of lot: Front Rear
Number of Stories
Rear
/
Depth
.Depth
[ 0. Date of Purchase
Name of Former Owner
[ 1. Zone or use district in which premises are situated
L2. Does proposed construction violate any zoning law, ordinance or regulation:
!3. Will lot be re-graded tJ~ ql Will excess fill be removed from premises: YES
4. Names of Ov~ ner of pr~'nises~Address ~ ~'[~ Phone $o.~
Name of Architect k~'O/'r.0~Address, tt ' .Phone No~
Name of Contractor ~" tlatJ ~ 't_~J~l]&]~ Address ti Phone No.
5. Is this property within 100 feet cfa tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIKBD
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:
~,4V'/]70/f25 /'t/t~-~Z}0/"5~'~' being duly sworn, deposes and says that (s)he is ~e applicmt
~ame of indi~dual 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.
Signature of Applicant t
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:
~ INSP~C?ION I~PORT ' DATE " ':~'