HomeMy WebLinkAbout27688-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28976
Date: 10/09/02
T~IS CERTIFIES t~at the building NEW DWELLING
Location of Property: 94 THOMPSON BBLVD. GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County T~ Map No. 473889 Section 35 Block 1 Lot 25
Su]~divlsion Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 3, 2001 pursuant to which
Buildin~ permit No. 27688-Z dated SEPTEMBER 18, 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 #94) WITH ATTACHED TWO CAR GAR3kGE,
COVERED FRONT PORCH & 4 SEASONS ROOM.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
S~PF~LK CO[~T~ DEPAR~ OF ~]~ALT~{ ~-PPHO~-~J~ C10-97-11 05/28/02
EI~E~-~fCAL CERTIFIC3%~ NO. 103574 07/05/02
PLUMBERS CERTIFICATION D~U 05/17/02 BURTS RELIABLE, INC.
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEP/LRTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27688 Z
Date SEPTEMBER 18, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,N-Y 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE /MN-D COVERED FRONT PORCH AS APPLIED FOR UNIT #94 FULL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated AUGUST
Building Inspector.
MAIN RD GREENPORT
Block 0001 Lot No. 025
3, 2001 and approved by the
Fee $ 1,324.50
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 unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approx?al o f 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 unusual 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 shall state the reasons therefor in writing to the applicant.
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 of0ccupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Constrnction:
Location of. Property:
Owner or Owners of Property: c~C. txl4 ~.c
Suffolk County Tax Map No 1000, Section
Subdivision
Date.
Old or Pre-existin~ Building: .
House No. ' Str[et t
~ ~ Bilk
(check one)
Hamlet
Ex'"
Filed Map.
Lot;
Perm/t No. Date of Permit.
Health Dept. Approval: '"/' lo ' / oo ,'.
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,.~-..~'
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicaut Signature
Dennis M. Wilhelm
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
Building Permit No.
Owner:
~leas~ I~rint)
Plumber: ~ 0 c-~L~
(please print)
Date:
7 'l
9J
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this ~70~' h
day of ~V~ fl C/ , 20~~
Notary Public, ~ta~Ol~'x County
NANCY A PES~R
~a~ Public, State of N~ Yo~
.... ~940985.Su~ k Coun
June 6, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
RE2
PECONIC LANDING PROJECTS.
Re: Cottage #94 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 #94 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, RLS
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
Pressure Pressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
REMARKS:
March 14, 2002
'Fo:
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
.~ 'INS~CTION REPORT - DATE
Cot,lt~h~ S
)UIqDATION
)UI~I)ATION ,(2ND)
HJ~ll 1FRAI~ &
PI~UI~IIqG
ISU~AI'ION PER lq. Y.
ST_ATE ENERG~
CODE
. ~ . ' A, DDITIONAL Cr~4NRI~$: ,
BUILDI..NG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined
Approved
Disapproved a/
PERMIT NO.
,20 off
,20 O//
Do you have or need ~e following, before applying
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTR~JCTIONS
Date ,20__
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 Inspoctor will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughotlt the work.
e. No building shall be occupied or used in whole or irrpart 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,~partment 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. Thc
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspecto{s On premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
~Maiiing a~dress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
!
Nameofowner ofpremises ~P~('O/I[C., ~OtlJ,'tlO
/. !as on:the tax roll or latest deed)
If apl~l~.n~ is a corporgCon~ signature of duly authorized qfficer
! (Narn~ and title ofcorporatelofficer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which p~roposed work will be done.:
/20 , '
House Number Street ' '
Hamlet
County Tax Map No. 1000 Section Q~_~' Block [
Subdivision ..' Filed Map No.
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 t~c~,S$ fl£~
/
3. Nature of work (check which applicable): New Building X Addition Alteration
Repair RemovaI Demolition Other Work
Estimated Cost ~, 700, 000. DO
Fee
If dwelling, number of dwelling units
Jf garage, number of cars
(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
g. Dimensions of entire new construction: Front ~
Height ,?.6/ Number of Stories
A Size of lot: Front Rear
10. Date of Purchase PJ]/~ Name of Former Owner
-!
Number of Stories
· Rear
/
Depth
.Depth
t 1. Zone or use district in which premises are situated
/ 2. Does proposed construction violate any zoning taw, ordinance or regulation:
!3. Will lot be re-graded T1/P,~ __Will, excess fill be removed from premises: YES
.4. Names of Owner ofp)iqmises~~ddress Or'/ ~t'/~ Phone No.~
Name of Architect ~t~t"/~/I ~,5St~. , · Address. t! ' .Phone No~
Name ofContractor~ aa~[ 1:: t/)al~h Address I~ PhoneNo.
5. Is this property within 100 feet of a tidal wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE P,.EQLrIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Off
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:
:otrt. rY }
f,4'-/,r]-]~ ~ ktJ~_,.~ZJO,r'".5'/C/~'' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
g)He is the
(Contractor, Agent, Corporate Officer, etc.)
fsaid 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 th. is 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 '
WL
~NING RCK)M ~
B~-AKFAST
J P~ION PAGE INDEX J
NON-STD. W~NDOW RO.'S
(2) 24-52 = 5'1 3/4" x 5'-5 1/4"
REFEP,. WALL ELEVATION
(4) FASTEN[RS INT0 ~
**N0 FASIENERS THROUGH
COMPRESSION STRIP OR TOP PLA'ES
J-~JRRICANE Sll:IAPP~IG DL~TAI
gLO' CEtUNC
- ROO~ SUPPUE0 & INSTALLED 0N SITE BY BUILDER.
- REHAU ~ND0W R.O'S MATCH ANDERSEN
REHAU PATIO DOORS
DOUBLE TOP PLATE ALL EXTERIOR WALLS
INCLUDINC EN~ WALLS) ~ MARRIAGE WALL
~ND0W HDR. HEIGHT TO BE 7LT'R~-2x6
FASTEN[RS~ ~ (2,~ SmD ~
(~)
/4' DE CKINO
~E ~ ~AIL
* ~ ~[D Fm
~N
(570) 755- $700
PECONIC LANDING
CHORCHAUO
FLOOR PLAN
WINDOW HEADER DETAI_L
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