HomeMy WebLinkAbout27644-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29044
Date: 11/01/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 97 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 14, 2001 pursuant to which
Building Permit No. 27644-Z dated SEPTEMBER 4, 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 #97) WITH ATTACHED TWO CAR GA/~AGE ~
COVERED FRONT PORCH AS APPLIED FOR.
l~ne certificate is issued to PECONIC LANDING AT SOUTHOLD,INC.
(OWNER)
of the aforesaid building.
S~/FI~DLK COBlqTY DEPART~/~T OF HF~%L~{ AI~PRO~q%L C10-97-11 05/28/02
ELRC'~RICAL CERTIFICATE NO. 1038587 08/16/02
PLUMBERS CERTIFICATION DA'r~o 05/17/02 HARTCORN PLUMB.&HEATING
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.
27644 Z Date SEPTEMBER 4, 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
GAR3kGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #97 CPJkWL
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
14, 2001 and approved by the
Fee $ 636.30
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 Depart~nent with the following:
For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unnsual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 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, 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 applicatinn 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.
Co
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 Ce~ificate 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:
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
~'~ Old or Pre-existing Building:
House No~ ' t S~reet
Date. ~~.~_
(check one)
Block
Hamlet
Subdivision
Filed Map.
Lot:
Permit No. Date of Permit.
Health Dept. Approval: '-~ '
Planning Board Approval: [
Request for: Temporary Certificate
Fee Submitted: $
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
0ennis 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.
(151easd l~rint)
t 97
Plumber: Hartcorn plmg & Htg, Inc
(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 y~ ,20 dl2--
Notary Public, County
~lumbers'Signature)
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.: c~7
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. Aiefl6, 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 #97 Code Ceffification.
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 #97 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
BARTON & Assl~ciates. L.P.
BAR FON & Assoclates. Inc.
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:
O ic rs
March 14, 2002
To:
E. F. Walsb
Developers Pcconic 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 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
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 1OO38
CERTIFIES THAT
Upon the application of upon premises owned by
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN ROAD / ROUTE 25
1007 route 25 A COTTAGE# 97
MILLER PLACE, NY 11764, SOUTHOLD, NY 11971
Located at MAIN ROAD / ROUTE 25 Co']rAGE# 97 SOUTHOLD, NY 11971
Application Number: 1038587 Certificate Number: 1038587
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
as a Residential occupancy, wherein the premises electrical system consisting
Described
electrical devices and wiring, described below, located in/on the premises at:
Floor, Attached Garage, Outside,
First
was inspected in accordance with the Nationol [lectrical Code and the _d~el~il of the installation, as set forth below, was
found to be in compliance therewith on the 10th Day of August, 2002.
Na!!!~ QTY Rate Rating Circuit T~y,p~
Additional Charges
modular house N.Y.State approval # 19-14
mfg Avis America serial# 673601
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
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: I 200 ch
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.
gLD ]:NSPECTION RgPORT
,I]I~)ATION (IST)
~t FRAI~ &
PLI]I~ING
CODE
. B'UILDING DEPARTMENT
TOWN HALL
SOUTIIOLD, NY 11971
TEL: 765-1802
Exam/ned
Approved
Disapproved
. PERMIT NO.
,20 tgf
,20 O/
Do you have or need the follovdng, before applying
Board of Health
3 sets of Building Plans,
Survey.
Septic Form
N.Y.S.D.E.C.
Contact:
Mail to:
Phone:
~r
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 pict plan to scale. Fee according to. sohe~ple.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets 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 Insp,ctor will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throuDhofit the work.
e. No building shall be occupied or used in whole or i.npart 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 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 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.inspe~cto[s 9n premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
~(Maiiing a~dre-ss ofapplicar~) ' -
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name of owner of premises ~(t:la[C. Zatl/'flO Or''OI2oT]K/,~
i. (as or,:the tax roll or latest deed)
If apl~lj~raFhis a corpor~on~ signature of duly authorized officer
X ':'
/ (~arr~ find title ofco~orate'officed
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No,
Location of land on which pi-oposed work will be done..'
120 'ff. 2J. '
House Number . Street
Hamlet
County Tax Map No. 1000 Section (.~' Block
2. 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 fffPS;O/Otl(~
/
3, Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost tr~ 700: 000. ~0
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 o f existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height
Dimensions of entire new construction: Front ~
Height 2.,¢ Number of Stories
Size of lot: Front /I//~ Rear
[0. Date of Purchase ~']~ Name o£Former Owner
Number of Stories
Rear .Depth
/
.Depth
[ 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
Name of Architect [/~ al-rtltl /,t~t,~c_,. , . Address. tl ' Phone No~
Name of Contractor ~: tiao] ~ llJt~,3h Address tt Phone No.
5. Is this property within 100 feet of a tidal wetland? *YES NO
· ~ YES, SOUTHOLD TOWN TRUSTEES PER.MITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. ON
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~/t~, )
f.,~¥/'PlO .Z~ I~/~-~OF~'/~' being duly sworn, deposes and says that (s)he is ~e applic~t
~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;
~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.
Signature o f Appl;i/cant ~
rT i