HomeMy WebLinkAbout27689-ZFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28550
Date: 06/27/02
TIIIS CERTIFIES that the building NEW DWELLING
Location of Property: 87 MALLARD LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~4ap No. 473889 Section 35 Block 1 Lot 25
Su]~division Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JIILY 1, 2001 pursuant to which
Building Permit No. 27689-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 #87) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
S~3FFOLK COLS~I~f DEPi~RTI~ENT OF HF~_L~ APPRO~i~_L C10-97-11 05/28/02
ELEC'~RIC~J~ CERTIFICA~q~ NO. 1038558 05/30/02
PLI~4BERS CERTIFICATION D;~r~u 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)
PEP=MIT NO.
27689 Z Date JULY 31, 2001
Permission
is hereby granted to:
L~LNDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE A_ND COVERED FRONT PORCH AS APPLIED FOR UNIT #87 FULL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated JULY
Building Inspector.
MAIN RD GREENPORT
Block 0001 Lot No. 025
1, 2001 and approved by the
Fee $ 1,324.50
Authori ~ed Sign~ure
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 sub~nitted 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. Approval o f electrical installatien from Board of Fire Underwriters.
4. Sworn statement fi.om 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.
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 temple!ed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy
is denied, the Building luspeetor shall state the reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swiraraing 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 ofCePdficate of0ccupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate ofOcoupancy - Residential $15.00, Commercial $15.00
87
House NO.
New Construction:
Location of_ Property:
Date.
Old or Pre-existing Building:
Owner or Owners of Property: li"~er~4 ~,C_
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. o~
Health Dept. Approval:
Planning Board Approval:
I I
(check one)
Date of Permit.
I 'L -"'[., Z a oo
Request for: Temporary Certificate
Fe~ Submitted: $
Block [
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Hamlet
Lot
Lot:
(check one)
Applicant Signature
Dennis 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. o~ '7 ~ ~ ~ -
~leas; l~rint)
Plumber: ~°c~(5 ~ '~--
(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 thisc~[D~-~
dayof ~X/~Ctl; , 200=~,
No Public, U¢4 o County
NANCY A. PESTER
--fy Public, State of New York
No. 4940985-Suffolk County_
..:ommission Expires Aug,. 1!5, o~:2~:~o
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 8 PECONIC LANDING
P.O. BOX 6070 MAIN ROAD ! RT. 25
MILLER PLACE, NY 11764, COTTAGE # 87
SOUTHOLD. NY 11971
MAIN ROAD / RT. 25 COTTAGE # 8? SOUTHOLD. NY 11971
Located
at
Application Number: 1038558 Certificate Number: 1038558
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 Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 30t~ Day of May, 2002.
Additional Charges
modular house- N.Y. State approval # 19-
mfg - Avis America - serial # 694402
Appliances and Accessories
Aix Conditioner 1 0 48,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0 General Purpose
Switch I 0 General Purpose
Fixture 3 0 Incandescent
Service
1 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.
May 31, 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 #87 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 our knowledge, information and believe that
Cottage #87 has been consh-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
Al Broszeit, E&F Walsh
Bob Ellis, O,rN
BARTON & Associates, L.P.
BARTON & Associates. Inc.
Thomas C. Barton. Ill, AIA
5120 Butler Pike, Suite 2Pd}
Plymouth Meeting, PA 19462-1230
Tel. 610.940.5825
Fax 610.940.5830
www.bar tonparmers.com
I'Hl LADELPH IA
CHICAGO
BALTIMORE/
WASHINGTON
Officers
MAYOR
DAVID E KAPELL
(631 ) 477-3000
TRUSTEES
WILLIAM J. MILLS IB
GEORGE W. HUBBARD
GAll. F. HORTON
BRADLEYI~ BURNS
236 THIRD STREET
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
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
PressurePressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
8~ ~/,./~ ~,~. //~ ff~
REMARKS:
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.: ~?
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:
~ nn ® n ~
:I5
~ o
INSPECTION RgPORT DATE ..... _~ COHI~IENTS
7~ o~
)HNDATION (IST)
)UNDATION (2ND)
i~III. ATION IrgE It'. ¥.
ST. ATE Ea~'ROY
CODE
TOWN HALL
SOUTItOLD, NY 11971
TEL: 765-1802
Approved
Disapproved a/c /
, ,20
,20 O/
PERMIT NO.
Do you have or need &e follo~g, before appl~ng
Bo~d of Hcal~
3 sc~ of B~ld~g Plans
S~ey
~ , Septic Fo~
N.Y.S.D.E.C.
.. ' Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date ., 20
INSTRUCTIONS
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 streetg 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 I. nsp~ctor will issue a Building Permit ~o 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 i.n'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. epa~l~nent for the issuance cfa 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 consa'uction 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 cgde, and regulations, and to admit
authorized.inspe~ctors On premises and in building for necessary inspections.
(Signature of applicant or name, ifa corporation)
,(Mailing a~dre-ss of apPlicad) -
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Nameofownerofpremises ~0~[~ ~,tl~[tlt~ Or" O~tl~ltTld
t. (as o~:the tax roll or latest deed)
If ap~l~phis a co¢or~on~ si~ature of duly authohzed ~fficer
[ (~ ~d title ofco~orate~officer~ ,
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which pfoposed work will be done.:
House Number . Street
Hamlet
County Tax Map No. 1000 Section Q~' Block /
Subdivision ' Filed Map No.
(Nme)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
X Addition Alteration
Other Work
a, Existing use and occupancy., .,.
b. Intended use and occupancy n~E,S] tl(~.
!t
Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost fda,. 700t COO. ~1~
5. If dwelIing, 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
(5. 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.
¢. Size of lot: Front
10. Date of Purchase
Dimensions of entire new construction: Front
Height 20t
'/~. f~ Rear
·. Number of Stories
Rear Depth .¢~
!
Number of Stories
Name of Former Owner
.Depth
t I. Zone or use district in which premises are situated
[2. Does proposed construction violate any zoning law, ordinance or regulation: yl0
!B. Will lot be re-graded /~5 Will excess fill be removed from premises: YES Q
.4. Names of Owner o fpJi~mises~Address OB ~t'/d Phone No. ff~~- /
Name ofArch/tect ~Address ti ' _Phone No~
Name of Contractor ~ taad ~ tl½~l~l~ Address' I~ Phone No. [ ~_g~.) /-/7'7- /-,//(0 ]
5. Is this property within 100 feet cfa tidal wetland? *YES NO
· ZF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUI}U~D
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/ fi,/0_.
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 o Ff4'/4. )
fA[¥/7~//'25 /4fzff,.5'.,(JO/r--5',('~'' 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 ~"~/t4
- Notary ,~u~ic
Signature of Applicant