HomeMy WebLinkAbout27703-ZFORM NO. 4
TOW~q OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,
CERTIFICATE OF OCCUPANCY
No: Z-29043
Date: 11/01/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 96 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 AUGUST 6, 2001 pursuant to which
Building Pez~kit No. 27703-Z dated AUGUST 24, 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 FANILY DWELLING (UNIT #96) 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.
SDFI~DLK C~)Ul~Wl"f DEPARTI~qT OF IIF~%LTH Ai~PROVAL C10-97-11
ELI~t-£~ICAL CERTIFIC3%E NO. 1038578
PLUMBERS CERTIFICATION D~£~U3 05/15/02 HARTCORN PLUMB.
05/28/02
08/02/02
& HEATING
~~or'ize~ure
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27703 Z Date AUGUST 24, 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
GAR3tGE AiqD COVERED FRONT PORCH AS APPLIED FOR UNIT #96 CRAWL
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
6, 2001 and approved by the
Fee $ 755.10
~e/d 'S ig~/~e
COPY
Rev. 2/19/98
Form No. 6
TOWN OF SOIfI'HOLD
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:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streels, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approoal 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. 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.
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 - $I00.00
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: .q6
House No.
Owner or Owners of Property: c"~C..trl4 lc_
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building: _ (check one)
~ street- I ' Hamlet
~ ,~ Block I Lot 2. a'~
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
lo -
Request for: Temporary Certificate
Fee Submitted: $ ,,~.~
Filed Map.
__ Applicant: __
Underwriters Approval:
Final Certificate:
Lot:
(check one)
Applicant Signature
Dennis M. Wilhelm
Town Itall, 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: t~//"7/~ ~2~
Building Permit No.
Owner: P0.C0~fC LOil1~Oq
(please print)
Hartcorn plm9 & Htg,
Plumber:
Inc
(please prin0
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this ~fl ~
day of ~//~, 20~
Notary Public, County
(Plumbers Signature)
VIRGINIA M.
,..~,re~ October ~0,
FINAL INSPECTION REPORT
Stdn%, B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke., Mineola, NY 115(11
PECONIC LANDING
TOWN OF' SOIJTHOLD
BUILDING PERMIT NO.:
COTTAGE NO.: ~
Z77o3
In accordance with the Agreement between the Town of Southold and Sidney B. Bowne & Son,
LLP, Consulting Engineers, dated Januao, 14, 2000, for professional engineering services
relating to the above project, we have completed the final inspection for the subject premises.
h~ additiou, wc have reviewed inspection repm!s and other relevant material for contbrmance 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:
June 6, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 1197 l- 1179
PECONIC LANDING PROJECTS.
Re: Cottage #96 Code Certifleation.
Dear Mike:
In reference to the above mentioned project we, Barton & Associates, LLP (Architects of Record
for said project), he,by certify that to the best of out knowledge, information and believe that
Cotlage #96 has been constructed in compliance with all applicable laws, codes and ordinances.
Very Lruly your;
BARTON & ASSOCIATES, LP
P. Lau~RA
Senior Vice President
cc: Dennis M. WiLhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
INSPECTION TEST
GAS AND WATER SERVICE
Sitlney 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:
Tst 1838
March 14, 2002
To:
F~. F. Walsh
Developers Pcconic Landing
Village of Greenpon
Utilities Department
To V,q~om 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 1-45 arc 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
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN ROAD / ROUTE 25
MILLER PLACE, NY 11764, COTTAGE # 96
SOUTHOLD, NY 11971
Located at MAIN ROAD / ROUTE 25 COTTAGE # 96 SOUTHOLD, NY 11971
Application Number: 1038578 Certificate Number: 1038578
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 at:
premises
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 be in therewith the 2nd August, 2002.
to
compliance
Day
on
o[
Name OTY Rate RatJn~ Circuit Type
~ Additional Charges
modular house N.Y.State approval # 19-14
~mfg Avis America serial # 674201
~ Appliances and Accessories
Air Conditioner 1 0 42,000 BTU
~ Furnace 1 0 Gas
Wiring and Devices
~ Receptacle 1 0 General Purpose
Switch I 0 General Purpose
~ Fixture 3 0 Incandescent
i Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
Meters: 1
seal
1 of 1
This certificate may not be altered in any way anO is validateO only by the presence of a raiseO seal at the location indicated.
REPORT
)UNDATION (IST)~
)~I~ATION (2ND)
~UClt ~RAHE &
PLUH~I~G
W~ULATION PER N. ¥.
STAT~ ~¢RCY
CODE
DATE ..... :,, COHI4~NTS
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO.
Exam/ned
Disapproved a/c / '
I~ULL,IH.LNkJ i'qr,.k4.kVlll /-LFFI.,Ik~.A_I lOiN (.;kl.J~14..L15.
Do you have or need the 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:
Building Inspector ~'
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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~ P16t 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 to 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 in'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
author/zed inspectors on premises and in building for necessary inspections.
(Signature of appli~nt or name, if a corporation)
*(Mailing a~dress of applicad)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Nameofownerofpremises (~(Oth'C. ~O'tlJ[tlO Ol?'~,~OJT]I(]/~
/ (as on:the tax roll or latest deed)
If ap~l~9~ is a co~or~on, si~ature of duly authorized officer
[ (~ ~d title ofco~oratetofficer~ .
Builders License No.
Plmnbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which paroposed work will be doric:
House Number Street
Hamlet
County Tax Map No. 1000 Section Q.~' Block [
Subdivision ' Filed Map No.
(Name) 'f
a. Existing use and occupancy
b. Intended use and occupancy
/
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
4. Estimated Cost ~
5. IfdwelIing, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
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_
~. Sizeoflot; Front
I0. Date of Purchase
Dimensions of entire new construction: Front
Height 26/
' [ i~.//~ Rear
Number of Stories
.Depth
Rear
Depth
Number of Stories
Name of Former Owner
[ 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-graded /P~. Will excess fill be removed from premises: YES
t I Phone No~l~
Name of Contractor ~ tat~c~ 1¢ ll]~ I~h Address I~ ~hone No. (..
5. Is this property within 100 feet ora 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. 0¢ /c~/&
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:
:OUNTY OF~KP~/?.~ )
/(¢,4'-/'/?/~ ~ /,t./~D'~/JO/r_5'X:/~'' 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;
~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.
-- ~NotaryYub'lic
Signature of Applicant t
CUSTOMER: COTTAGE #96
! 1. - HOMERUN A PHONE LINE FROM SMOKE DETECTOR TO CO~L ENOUGH TO REACH PANEL BOX.
2. S/L W.C. AND RAISE FLANGE 3/4" AVIS 1/2" WONDERBOARD AND B~DR. 1/4" TILE
5. - RAISE VANITY CABINET 3/4'
1/4' I
NOTES:
l~VEK HOUSE WRAP
9'-0" CEILINGS
ALL WINDOW HEADERS TO BE 7'-7",
ROOF INSTALLED ON SIE BY BUILDER
DOUBLE TOP PLATE ALL EXTERIOR WALLS
SEE SHEETS 3-6 FOR HURRICANE STRAPPING DETAILS
SHIPLOOSE (13) FLR. REGISTERS ~ (1) R.A.O, FOR BUILDER TO CUT OUT FLR, & INSTALL
GENERAL NOTES
r
SNOW LOAD: # 30 P.S,F.
THIS IS A REVERSED PLANI!
THiS DRAW1N('
FROM APPRO\
APPROVED
DATE: 8/20/01 BY: ~
TOP PLATE
MARRIAGE WALL
REVISIONS c~ SERIES
NG
SO. FT.TOTAL 2484 SC,,.L~ N
FLOOR JST. _ 2 · I0 ~°Ff2 ~ 16' O.C.
(570) 753-3700
PECONIC LANDING
HERMITAGE
RANCH
MOOULES A/B FLOOR PLAN
NAS cXI'RACTED
~ PLANS AND OR
[EMS DRAWINGS.
Released for
Production
dATE "