HomeMy WebLinkAbout27698-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPA/qCY
No: Z-28628
Date: 07/26/02
TIIIS CERTIFIES that the building NEW DWELLING
Location of property: 84 MALLARD LAiqE 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 J]3NE 7~ 2001 pnrsnunt to which
Building Permit No. 27698-Z dated JULY 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 #84)WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH AIqD FOUR SEASON ROOM AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SU~LK COD~TI"f DBPARTI~ OF B~TI~ APPRO%Ln~L C10-97-11 05/28/02
ELBt'£~IC/~L ~TIFIC~%~ NO. 1064853 07/12/02
PLUMBERS CERTIFICATION D~3 05/17/02 BURTS RELIABLE INC.
AuthOrized Sig~at r~e
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. 27698 Z Date JULY 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, COVERED FRONT PORCH & 4 SEASON ROOM AS APPLIED FOR UNIT #84 FULL
at premises located at
County Tax Map No. 473889 Section 035
pursuant to application dated JUNE
Building Inspector to expire on JANUARY
84 MALLARD LANE
GREENPORT
Block 0001 Lot No. 025
7, 2001 and approved by the
20, 2003.
Fee $ 1,383.00
Authori ze~L-~tgnatu~
COPY
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDEXTH DEPARTMENT
TOW~ 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 unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approx~al 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 fi.om 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 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 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: Honse~N~.__
Owner or Owners of Property: ~c~-;'~cNx~.I [ c_
Suffolk County Tax Map No 1000, Section
Date.
Old or Pre-existing Building:
/4t l l cu
I Street
/I 7/OX
(check one)
Hamlet
Lot 24'*
Subdivision
eermitNo. _,,~") t~ q~'-~;
Health Dept. Approval: "ir. ~ ® /-
Planning Board Approval: [ "Z. - t~{
Request for: Temporary Certificate
Fee Submitted: $ ,~-.~' ""
Filed Map.
DateofPennit. ~') !2-0! O] Applicant:
Underwriters Approval:
Final Certificate:
Lot:
(check one)
Applicant Signature
Dennis I~. 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:
(~leas~ firint)
Plumber: ~,a c--¢ ~ ~-~, ~/~___
(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
dayof ~'//all , 20 O.~x
Notary Public, [ ty
NANCY A. PESTER
Notary Public, State of New York
No. 4940985-Suffo k County _
Commission Expires Aug. 15, ~-~l,O,~l
ature)~-w- ~
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. 27698 Z Date JULY 20, 2001
Permission is hereby granted to:
for :
PECONIC LANDING AT SOUTHOLD, I
PO BOX 430
SOUTHOLD,NY 11971
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE, COVERED FRONT PORCH & 4 SEASON ROOM AS APPLIED FOR UNIT #84 FULL
at premises located at
County Tax Map No. 473889 Section 035
pursuant to application dated JUNE
Building Inspector to expire on JANUARY
84 MALLARD LANE
GREENPORT
Block 0001 Lot No. 025
7, 2001 and approved bythe
20, 2003.
Fee $ 1,383.00
ORIGINAL
Rev. 5/8/02
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 477-0248/2385
Fax: (631) 477-1877
March 14, 2002
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/js
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
Located at
E.F. MALONEY PECONIC LANDING *
P.O. BOX 6070 MAIN STREET ROUTE 25
MILLER PLACE, NY 11764, COTTAGE 84
GREENPORT, VILL, NY 11944
MAIN STREET ROUTE 25 COTTAGE 84 GREENPORT, VILL, NY 11944
Application Number: 1064853
Certificate Number: 1064853
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS37
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 forth below, was
found to be in compliance therewith on the ]2th Day of July, 2002.
N~me OTY Rat___~e Ratine Circuit Type
Additional Charges
MODULAR HOME
Wiring and Devices
Outlet 3
Receptacle ~
Switch 1
Fixture 3
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 CB
Meters: 1
Fixture
General Purpose
General Purpose
Incandescent
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.
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 #84 Code Certification.
Dear Mike:
In reference to the above mentioned project we, Barton & Associates, LLP (Architects of Record
for said proje~), hereby certify that to the best of our knowledge, information and believe that
Cottage #84 has been constructed in compliance with all applicable laws, codes and ordinances.
Very truly your;
BARTON & ASSOCIATES, LP
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszeil, E&F Walsh
Bob Ellis, O/N
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.: B t't[
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.
INSPECTION TEST
GAS AND WATER SERVICE
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke, Mincola, N.Y. 11501
PECONIC LANDING
TOWN OF SOUTHOLD
GAS WATER
Pressure Pressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
REMARKS:
~ INSPKCTION P~EPORT
)U~ATION
(~s~)'
)U~H F1/A14E &
PLU~4BING
~S0~,ATION PER N. Y.
CODE
FINAL
_~. _ ~.~ _~
,, ADDITIONAL C~:NTS ~
. ~ UIL.15ING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO.
Examined [/~"1~ ., 20
Disapproved a/c
Do you have or need the following, before applying
Board of Health
3 sets of Building Plato
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
~uilding m~p'trctor
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"premises, 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 Inspector will issue a Building Permit go the applicant. Such a permit
shall be kept on the premises available for inspection throughotit the work.
e. No building shall be occupied or used in whole or i.n'part for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
APPLICATION IS HEKEBY MADB to the Building D. eparh,,ent 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 conslruction of buildings, additions, or alterations or for removal or demolition as herein described, Thc
applicant agrees to comply with all applicable laws, ordinances, building code, ho.us.lng cgde, and regulations, and to admit
authorized inspectors On prem./ses and in building for necessary inspections; ' -'
Z A,
(Signature of applicant or name, if a corporation)
~(Mailing a~dre-ss of applicar~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises (~('13/It~ Lo'dj[ilO' OC' ~O'T]I, IJ
I (as on:the tax roll or latest deed)
If aplJl~.nh is a corporafition~ signature of duly authorized Officer
I ".
I
/' (~a~ ~nd title of corporate officerJ ,
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which p~oposed work will be doric:
120,. i'
House Number ,, Street -
Hamlet
County Tax Map No. I000 Section Q,fl~' Block /
Subdivision ' Filed Map No.
ame)
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
Repair Removal Demolition Other Work
4. Estimated Cost ~,
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Alteration
(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 Dep~
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height.
Dimensions of entire new construction: Front ~.~-
Height ~..¢ Number of Stories
Size of lot: Front/~/!~ Rear
Date of Purchase ~]~ Name of Former Owner
Number of Stories
Rear .Depth
.Depth
[ 1. Zone or use district in which premises are situated
[2. Does proposed construction violate any zoning law, ordinance or regulation:
!3. Will lot be re-~'aded /P~ Will excess fill be removed from premises: YES
.4. Names of Owner ofpji~:mises~~ddress C)~ ;Ct'/~ Phone No. ~~-
Name of Architect ~/~tl['rtHi ~%~.~.. Address_ ti ' .Phone
Name of Contrac!or ~ tlt~r~ 1~ /_1~ I~S~ Address t~ Phone No.
5. Is this property within 100 feet cfa tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Of/
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:
:ou, rr¥ )
f,~/?~ Z/25 /4./~,/J0/-.5'/,"~c' being duly sworn, deposes and says that (s)he is the applicant
[Name of individual signing contract) 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.
worn to before me this --
~ day of ,~//~ ¢~¥ 20ff2/
~ Notary ,Put/lie
' / Signature of Appl//¢ant t