HomeMy WebLinkAbout27637-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28595 Date: 07/12/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 86 MALLARD LA/~E GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~ap No. 473889 Section 35 Block 1 Lot 25
Suk~ivislon Filed Map No. -- Lot NO. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 29, 2001 pursuant to which
Building Pex~nit No. 27637 Z dated JULY 31, 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 #86) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH AND FOUR SEASON ROOM AS APPLIED FOR.
· ~ne certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building,
INC.
SUFFOLK CO~DEPART~9~TOF}~ALTHAPPROV~L C10-97-11
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'r~U3
o5/28/o2
1057149 06/07/02
05/17/02 BURTS 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, 27637 Z Date JULY 31, 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 AND 4 SEASON ROOM UNIT #86 FULL
at premises located at
County Tax Map No. 473889 Section 035
pursuant to application dated JUNE
Building Inspector to expire on JANUARY
86 MALLARD LANE GREENPORT
Block 0001 Lot No. 025
29, 2001 and approved by the
31, 2003.
Fee $ 1,246.80
Aut hori z~'c~ Signature
COPY
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
76~-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 unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fora0.
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.
B. F~r existing bui~dings (pri~r t~ Apri~ 9~ ~957) n~n~c~nf~rming uses~ ~r bui~dings and "pre-e~Asting~~ ~and uses:
1. Accurate survey of property showing all property lines, streets, building and unnsual 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 shah state the reasons therefor in writing to the applicant.
C. 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: Old or Pre-existing Building:
Location of Property: Honse~No~. /'~/~S{/E J
Owner or Owners of Property: c~C,0'14 i ¢ ~::}~O ~,J t,
Suffolk County Tax Map No 1000, Section ~,~'
Subdivision
PermJtNo. C~ 7(a 3 7"~ DateofPermit.
Health Dept. Approval: ~ ' lo
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,ff-.-~' '~
(check one)
Hamlet
Block I ~t ~ ~
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: ~ (check one)
Applicant SignatureD0nnis 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
Date:
Building Permit No.
Owner:
~leas~ l~rint)
Plumber: ~-'~-~
{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 ~v[ a,, , 200_~,
Notary Public, ,~[J~?k-D [ ~ Co~ty
NANCY A. PESTER
Nota~ Public, State of New York
No. 4940985-Suffolk Coun~
Commission Expires i,.,~ t~
(Pl~ignature)
FINAL INSPECTION REPORT
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke., Mineola, NY 11501
PECONIC LANDlNG
TOWN OF SOUTHOLD
BUILDING PERMIT NO.:
COTTAGE NO.: d~d
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 #86 Code Certification.
Dear Mike:
In reference to the above mentioned project we, Barton & Associates, LLP (Archilects of Record
for said project), hereby certify that to the best of our knowledge, information and believe that
Cottage #86 has been constructed in compliance with all applicable laws, codes and ordinances.
Very truly your;
BARTON & ASSOCIATES, LP
FrankP. Laughlin, PA
Senior VicePresident
cc: Dennis M. Wilhelm, ILLS
A1 Broszeit, E&F Waish
Bob Ellis, O/N
Officers
236 THIRD STREET
GREINPORT, NEW YORK 11944
CLERK / TREASURER
CltRISTIE 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 am 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 Tpkc, 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:
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT .=1
Upon the application of upon premises owned by
E.f. MALONEY COTTAGE #86 PECONIC LANDING
P.O. BOX 6070 MAIN ST & RTE 25
MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944
Located at MAIN ST & RTE 25 GREENPORT, VILL, NY 11944 .-I
Application Number: 1057149 Certificate Number: 1057149
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 forth below, was
found to be in compliance therewith on the 7th Day of June, 2002.
Name QTY Rate Rating Cirg~it Type
Additional Charges
modular house N.Y.State approval # 19-13
mfg Avis America serial # 66821
Appliances and Accessories
Air Conditioner 1 0 48,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle I 0 General Purpose
Switch 1 0 General Purpose
Fixture 3 0 Incandescent
Service
Phase 3W Service Rating 200 Amperes
Service Disconnect: I 200 cb
Meters: 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.
3gl J)INSPgCTIOI~ P, gPORT
BUILDING DEPARTMENT
TOWN HALL
SOUT'I-IOLD, NY 11971
TEL: 765-1802
. PERMIT NO.
£xarmned '7/f ,20
Approved ~,/~ / , 20
Disapproved
Do you have or need ~c follo~g, before apply~g
Bo~d of
3 SeB of Bulldog Plans
S~ey
Septic Fo~
' ' N,Y.S.D.E.C.
.. Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTR',UCTIONS
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, sche~.ule.
b. Plot plan showing location of lot and of buildings on premises, 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 Inspoctor 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 iFpart 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. eparanent 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, ordinanees~ building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessa-,-7 inspections.
(Signature of applicant or name, if a corporation)
,(Maiiing a~dre-ss of applica~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name o£ owner of premises
I (as on;the tax roll or latest deed)
If apl~l~ga~,h is a corpora~on~ signature of duly authorized Officer
"
~' (~arnj and title ofco~oratelofficer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which ploposed work will be do~ic:
Il.T: 2J " "
House Number Street
Hamlet
County Tax Map No. 1000 Section Q.~ Block /
Subdivision .. Filed Map No.
· (Name) 1
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 ~'ge,~Jtl~/K~
/
Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ 700. 000.
5. If dwelling, number of dwelling units
If garage, number of cars
~'ee
(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
). Sizeoflot: Front
I 0. Date of Purchase
Dimensions o f entire new construction: Front
Height
Number of Stories
Rear
Name of Former Owner
· . Number of Stories
Rear
· /
Depth
t 1. Zone or use district in which premises are situated
t2. Does proposed construction violate any zoning law, ordinance or regulation:
!3. Will lot be re-graded /~ --Will excess fill be removed from premises: YES
.4. Names of Owner ofp/i~mises~~ddress ON ,K[/~. Phone No. ~
Name of Architect ~-Address tI ' phone No~
Name of Contractor ~ tltwi Y: 11)~ I~ Addres~ t~ Phone No,
5. Is this property within 100 feet cfa tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLqRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0~/ ff~
7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey.
;rATE OF NEW YORK)
:ornery o F FF4',fi s)s:
f,4V'/']70 ~ /'t/~--.~Z/0,,t"-q'./(~' being duly sworn, deposes and says that (s)he is the applicant ·
(Name 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 thc said work and to make and file this application;
~at 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
k T~otar~',PuMic
~479170~
Signature of Applj/cant t