HomeMy WebLinkAbout27704-ZFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29045
Date: 1t/01/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 98 THOMPSON BLVD. GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Subdivision Filed ~4ap No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 6, 2001 pursuant to which
Building Permit No. 27704-Z dated SEPTEMBER 5, 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 #98) WITH ATTACHED TWO CAR GARAGE &
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC kANDING AT SOUTHOLD, INC,
(OWNER)
of the aforesaid building.
SUFFOLK COUICTY DEPART~gCf OF H]~J~T}{ APPROVAL C10-97-11
EI.EC~ERICAL CERTIFICA~ NO.
PLNMBEI~S C~TIFICATION
05/28/02
1038591 08/16/02
05/17/02 HARTCORN PLUMB. & HEATING
Authored Signa~e
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. 27704 Z Date SEPTEMBER 5, 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
GA2RAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #98 CRAWL
at premises located at 1205 MAIN RD
County Tax Map No. 473889 Section 035
pursuant to application dated AUGUST
Building Inspector.
GREENPORT
Block 0001 Lot No. 025
6, 2001 and approved by the
Fee $ 755.10
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 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. Subn:fit 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 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, Altemtious to dwelling $25.00,
Swimming pool $25.00, Aecessoty 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 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:
House No.
Owner or Owners of Property: c~C.t~kl lc_
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Itealth Dept. Approval:
Planning Board Approval:
Old or Pre-existing Building:
]Sireet -
~ ,~' Block
Date of Permit.
'7'/o '
12. ~~ 2_000
Request for: Temporary Certificate
Fee Submitted: $
(check one)
Hamlet
Lot
Filed Map.
Lot:
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
0onnis 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
Plumber: Hartcorn Plmg & Htg, Inc
(please print)
Date: ~ ~//"7/~,~
-/ /
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this ~ a
day of .~dT/~ , 20 ~--
Notary Public, County
(Plumbers Signature)
FINAL INSPECTION REPORT
Sidney B. Bownc & Son
Cnnsulting Engineers
235 E. Jericho Tpke., Mineola, NY ll50l
PECONIC LANDING
TOWN OF SOUTItOLD
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.
By: __
Dated:
BARTON,q~Associates
June 6, 2002
Mr. Michael J. Verity
Code Enforeemem Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971 - 1179
PECONIC LANDING PROJECTS.
Re: Cottage #98 Code Certification.
Deal' l~4ike:
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 #98 has been constructed in compliance xvith 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
PressurePressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
~8 ~/~I~. ~.'~ ~ ~.~
REMARKS:
O~'C e F S
March 14, 2002
To:
E. F. Walsh
Developers Peconic Landing
From:
Village of Greenport
Utilities Department
Re: Pecoaic 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 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
Located at
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN ROAD / ROUTE 25
1007 route 25 A CO'II'AGE # 98
MILLER PLACE, NY 11764, SOUTHOLD, NY 11971
MAIN ROAD / ROUTE 25 CO'FI'AGE # 98 SOUTHOLD, NY 11971
Application Number: 1038591
Certificate Number: 1038591
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:
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 i6th Day of August, 2002.
Nome QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-14
mfg Avis America serial # 647001
Appliances and Accessories
Air Conditioner I 0 42,000 BTU
Furnace i 0 Gas
Wiring and Devices
Receptacle 1 0
Switch I 0
Fixture 3 0
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: I 200 cb
Meters: 1
General Purpose
General Purpose
Incandescent
seal
I of 1
This certificate may not be altered in any wa}, and is validated only by the presence of a raised seal at the location indicated.
~ INSPgC?ION P~PORT - DA~
)I~DATION
)I~II)ATION (21,TD)
. PLYING
~ULA~ION PER
CODE
ADDITIONAL CO~I~S:
~IUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Approved ~/~ ,20
Disapproved a/c
. PERMIT NO,
Do you havo or hood ~e follo~g, before appl~g
Bo~d of Heal~
3 sets of Buil~g Plans
S~cy
S~ptic Fo~
N.Y.S.D.E.C.
Tm~tees
Contact:
Mail to:
Phone:
Building In~lJ'ector ~'
APPLICATION FOR BUILDING PERMIT
Date ,20
iNSTRUCTIONS
a. This applicahon MUST be completely filled in by typewriter or in ink and submitted to t~e B~ }lilding 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 Permit.
d. Upon approval oft-his application, the Building Insp0ctor will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughodt 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. 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, ho.using code, and regulations, and to admit
authorized inspe.cto[s ?n premises and in building for necessary inspections:
(Signature of applicant or name, if a corporation)
~(Mailing a~dre-ss of applicar~) ' -
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Nameofownerofpremises (D/~CO/b'C. LOtltJ[/lt? 0l"'
/ (as on:the tax roll or latest deed)
/ (~arr~ and title or corporatetofficer~ /M~/~, ':'
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which p~'oposed work will be done;
120,5' :
House Number ,- Street · '
Hamlet
County Tax Map No. 1000 Section (.~.~' Block /
Subdivision ' Filed Map No.
(Nme)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy., ii '
b. Intended useandoccupancy ~e~JJodf~
/ Id
3. Nature of work (check which applicable): New Bui ing X Addition
Repair Removal Demolition Other Work
4. Estimated Cost_/~d~,
5. If dwelling, number ofdwelling units
If garage, number of cars
Fee
Alteration
(Description)
(to be paid on filing this application)
Number of dwelling units on each floor
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front
Height. Number of Stodes
Rear
.Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height ._
Dimensions of entire new construction: Front
Height
Size of lot: Front Rear
Number of Stories
[ 0. Date of Purchase
Number of Stories .
Name of Former Owner
Rear
.Depth
.Depth
t I. 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 Will excess fill be removed fi.om premises: YES
ti ' .Phone No~
I~ Phone No. (_ ~,,_BI )/--/'7'7- Z//tO /
5. Is this property within 100 feet of a tidal wetland? *YES NO
· 1Y YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ~D
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0// ff,/e..
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:
/~fi-V'/Jfd Z/25 /'b/Z~,~Z/0/-.ff/¥~' being duly sworn, deposes and says that (s)he is the applicant
(Name of indiv/dual signing contract) above named,
S)He is the
(Contractor, Agent, Corporate Officer, etc.)
fsaid owner or owners, and is duly authorized to perform or have performcd the said work and to make and file this application;
~at all statements contained in this application arc true to thc best of his knowledge and belief; and that the work will be
erformed in the manner set forth in thc application filed therewith.
worn to before me this
Notary ,Pul~'iic
~ pub~, ~at~ ef New Yor~
Signature of Applicant t