HomeMy WebLinkAbout27653-ZFORM NO. 4
TOW~ OF SOUTHOLD
BUILDING DEPA~RTMENT
Office of the Building Inspector
Town Hall
Southold, N,Y.
CERTIFICATE OF OCCUPANCY
No: Z-29041
Date: 11/01/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 93 THOMPSON BLVD, 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 JULY 13, 2001 pursuant to which
Building Permit No. 27653-Z dated AUGUST 7, 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 #93) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH AND 4 SEASONS ROOM.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SI/FFOLK CO~ DEPART~qT OF ~ALT~{ APPRO%rAL C10-97-11 05/28/02
ELEC'~RIC~J~ CERTIFICATE NO. 1038589 08/27/02
PLUMBERS CERTIFICATION DATED 05/17/02 BURTS RELIABLE, INC.
Autb~ized Sign%~ture
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. 27653 Z Date AUGUST 7, 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 PORCH AS APPLIED FOR UNIT # 93 CRAWL
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
13, 2001 and approved by the
Fee $ 636.30
ORIGINAL
Rev. 2/19/98
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 subtmtted to the Building Department with tile 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, indmtrial building, .multiple residences and similar buildings and installations, a certificate
of Code Compliance fxom 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 un.ual natural or topographic
features.
2. A properly completed application and a consent t0 i~spect signed by the applicant. If a Certifieate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Co
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimraing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Cm'tificate of Oceupancy on Pre-existing Building - $100.00
3. Photocopy of Certificate of0ccupancy ~ $ 0,25
4. Updated Certificate of Occupancy - $50.00
5. Teraporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location o£ Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. Date of Permit.
Health Dept. Approval: ~ '
Planning Board Approval: l
Request for: Temporary Certificate
Fee Subm/tted: $ .,~._~ '~
Date.
/
Old or Pre-exi.sting Building: (check one)
'~gtre-ei -- t Ha~et
Bilk I ~t
Fil~ Map Lot:
Applimnt:
Undemfiters Approval:
Final Certificate:
(check one)
Applicant Signature
0ennis M. Wilhelm
r~
BY THIS CERTIFICATE OF COMPLIANCE THE la
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY r~
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by la
E.F. MALONEY * PECONiC LANDING
P.O, BOX 6070 MAIN ROAD / ROUTE 25 la
MILLER PLACE, NY 11764, COTTAGE # 93 la
SOUTHOLD, NY 11971
MAIN ROAD / ROUTE 25 COTTAGE # 94 SOUTHOLD, NY 11971
Located
at
Application Number: 1038574 Certificate Number: 1038574
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting of Bm--
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 la
found to be in compliance therewith on the 5th Day of July, 2002.
QTY Rate Rating Circuit Type
Name
Additional Charges
modular house N.Y.State approval # 19-14
mfg Avis Americe serial # 672601
Appliances and Accessories
Air Conditioner 1 0 60,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0 General Purpose
Switch 1 0 General Purpose
~ Fixture 3 0 Incandescent
la Service
~ 1 Phase 3W Service Rating 200 Amperes
~ Service Disconnect: 1 200 cb
g_ Meters: 1
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.
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
P.O. BOX 6070
1007 route 25 A
MILLER PLACE, NY 11764,
* PECONIC LANDING
MAIN ROAD / ROUTE
COTTAGE # 93
SOUTHOLD, NY 11971
MAIN ROAD / ROUTE-COTTAGE 93 SOUTHOLD, NY 11971
Application Number: 1038589
Certificate Number: 1038589
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 2?th Day of August, 2002.
Name QTY Rate Rating Circuit Tvve
Additional Charges
modular house N.Y.State approval g 19-1
mfg Avis America serial # 669501
Appliances and Accessories
Air Conditioner 1 0 48,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0
Switch 1 0
Fixture 3 0
General Purpose
General Purpose
Incandescent
Phase 3W Service Rating 200 Amperes
Disconnect:
1
I 200 cb
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.
FINAL INSPECTION REPORT
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpkc., Mineola, NY 11501
PECONIC LANDING
TOWN OF SOUTHOLD
BUILDING PERMIT NO.: ~ '7 ~'5'"~' '~'
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 report,,; 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:
Dat~:
Gino N. Aiello, P.E.
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:_ ~.COII~L
~lcasd 3rint)
Plumber:
~le~e 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 ~O
day of ~0~ , 20
Notary Public, _,~ ["4P~ [~ County
NANCY A. PESTE~
~O~a~ Pub c, State o ,,
'~c 49~no~ ~ . f New Y0~
.... ~ls~on Expires Aug. 15,
~gnature)
June 6, 2002
Mx. 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 #93 Code Cel~ification.
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 lmowlodge, information and believe that
Cottage #93 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, IlLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
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
COTTAGE # DATE Pressure Pressure APPROVED BY
Test Test
5.0 PSI 50 PSI
REMARKS:
O//[C 0 rS
Est 1838
March 14, 2002
To:
E. F. Walsh
Developers Peconic l,anding
From:
Village of Greenport
Utilities Deparlment
To Whom It May Concern:
Re: Peconic Landing Sewerage System
Thc 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 145 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
~[ FRAI~ &
PLOI~gING
i~01.ATION I~R N.
STATE ENERGY
CODE
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined ,20.__
Approved ,20
Disapproved aJc
PERMIT NO...
o/
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Check
Septic Form
N.Y.S.D,E.C.
Trustees
Contact:
Mail to:
Phone:
Buildin'g I~i~ector f
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 Pen-nit.
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 throughofit 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 Occupan
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 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
authorized inspectors On premises and in building for necessary inspections.
(Signature ofapplic~nt or name, ifa corporation)
~(Maiiing a~dre'ss of apPlicar(t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises (D~EO/It'C. ~t~.J[~o' t~l"kS~J~(7/i
! (as on:the t~ roll or latest deed)
If ap~l~} ~ ~o~or~on~ si~ature of duly authohzed ~fficer
/ (~ ~d title ofcomorate~officer~ ,
Builders LicenseNo.
Plumbers License No.
Electhcians License No.
Other Trade's License No.
Location of land on which p,[oposed work will be dori~,:
120,X £1': " :
House Number Street ' '
Hamlet /
County Tax Map No. 1000 Section Q~' 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 fffc~,S] tl(t~
/
3. Nature of work (check which applicable): New Building X Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost ~, 700, ~)O~)o D~
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.
3. Dimensions of entire new construction: Front ~
Height 2.,¢/ Number of Stories
). Size of lot: Front /~t/t~ Rear ..
10. Date of Purchase N]i~ Name of Former Owner
Number of Stories
Rear .Depth
/
.Depth
[ 1. Zone or use district in which premises are situated
t2. Does proposed co.nstruction violate any zoning law, ordinance or regulation: 4/')
!3. Will lot be re-graded __Will excess fill be removed from premises: YES
5. Is this property within 100 feet of a tidal wetland? *YES NO
· 1~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0/'/ fi, 8,
7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
SS:
:OUNTY OF--~FF~/,~, )
f~¥/'~0/J~ ~0~ being duly sworn, deposes and says that (s)he is ~e applicant
~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;
aat 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
LZJ