HomeMy WebLinkAbout27643-ZFORM NO. 4
TOW/q OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28977
Date: 10/09/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 100 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 23, 2001 pursuant to which
Building Permit No. 27643-Z dated AUGUST 25, 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 #100) WITH ATTACHED TWO CAR GARAGE A~fD
COVERED FRONT PORCH AS APPLIED FOR.
l~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUlCl"I DEPARTMENT OF ~¢ALT~ APPROVAL C10-97-11 05/28/02
HLE~-r~ICAL CERTIFICATE NO. 1038594 07/05/02
PLUMBERS CERTIFICATION D~£mu 05/17/02 HARTCORN PLUMB.&HEATING
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. 27643 Z Date AUGUST 25, 2001
Permission is hereby granted to:
for :
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT # 100 CP~AWL
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
23, 2001 and approved by the
Fee $ 636.30
Aut hoz~i Zed Signature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FoR CERTIFICATE OF OCCUPANCY
This application nmst be filled in by typewriter or ink and sub~nitted to tile Building DeparUnent with tile following:
For new building or new use:
1. Final snrvey ofprope~.y with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water sopply and sewerage-disposal (8-9 fora0.
3. Appro'cal 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.
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.
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 of Occupancy - $ 0.25
4. Updated Certificate of Ocoupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location o[ Property:
Owner or Owners of Property: c'~C.~'l~ ~.c
Suffolk County Tax Map No 1000, Section
Subdivision
~ Old or Pre--ex, isting Building: (check one)
House No. ' I Street - ' -/ _ Hamlet
3 5' mcck I 7 T'
FileA Map. Lot:
Permit No. Date of Permit.
Health Dept. Approval: "~ ' 1o ' /..oD c,
Platming Board Approval: [ ").. ~ t,{., ~.aOo
Request for: Temporary Certificate
Fee Submitted: $ ,~-,~ "'"'
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
Dennis g. Wilhelm
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.: d',OO__
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. A~-f~lo, 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 #100 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 #100 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
CHICA(;O
TAMPA
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 PS1
100 ~/2~;/~/.. O,IC. ~ ~
REMARKS:
March 14, 2002
To:
E. F. Walsh
Developers Pcconic Landing
Village of Greenport
Utilities Department
Re: Peconic Landing Sewerage System
To Whom It May Concern:
The Village of Gmenport 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
MILLER PLACE, NY 11764, COTTAGE # 100
SOUTHOLD, NY 11971
MAIN ROAD / ROUTE 25 COTTAGE # 100 SOUTHOLD, NY 11971
Application Number: 1038594
Certificate Number: 1038594
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 5th Day of 1uly, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-14
mfg Avis America serial # 670201
Appliances and Accessories
Air Conditioner 1 0 42000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0
Switch 1 0
Fixture 3 0
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
Meters: 1
General Purpose
General Purpose
Incandescent
seal
I 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.
INSPECTION REPORT
DATE
( IS?)'
.FLUH~ING
;SULAT~OH I'KR N- Y.
STATK ENERCY
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Approved d/..~'$-' ,20 O__~.~
Disapproved ~'c
· PERMIT NO.
Do you have or nccd the following, before apply/rig
Board of Health
il 3 sets of Building Plans
Survey
'! 9'q(* t-["~ Z 'Z'"' Check
. . Septic 'Form
N.Y.S.D.B.C.
· ' Trustees
Contact:
Mail to:
Phone:
Building Inflictor f
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 plot plan to scale. Fee according to. schedule.
b. Plot plan showing location of lot and of buildings oh"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 Insp0ctor 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 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 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, ho¢~ing code, and regulations, and to admit
authorized inspefto~:s On premises and in building for necessary inspections.
(Signature of appli~m o~ name, if
{Mailing a~dre-ss of applicar~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
/
Name of owner of premises
! (as on:the tax roll or latest deed)
If api{I~.an,~ is a corpor~on, signature of duly authorized officer
/ (~an~ ~nd title ofcorporate~officer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which p, roposed work will be done:
/2t ,5' ]ff.,Z,:. - "
House Number Street
Hamlet /
County Tax Map No. 1000 Section Q,~' Block /
Subdivision ' Filed Map No.
,. (Name)
a. Existing use and occupancy,~ t
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. lfdwelling, 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 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
g, Dimensions o f entire new construction: Front
Height
). Size of lot: Front
10. Date of Purchase
Number of Stories .
Rear
Name of Former Owner
[ 1. Zone or use district in which premises are situated
Number of Stories
Rear .Depth
!
.Depth
__Will excess fill be removed from premises: YES
12. Does proposed co. nstruction violate any zoning law, ordinance or regulation:
!3. Will lot be re-graded ee~
T
5. Is this property within 100 feet cfa tidal wetland? *YES
Phone No. ~
Phone No~
~Phone No. (. 031) ~77- elto ]
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/
7. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
SS:
:OUNTY Ob'~F~//~ )
ffl-V'/'J'/~/d25 /4.'/z~.5'Z/O/r".5;(/~''' being duly sworn, deposes and says that (s)he is f. he applicant
(Name of individual 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 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.
worn to before me this --
day of ~'?t4~- ~-p~q/
Notary ,Public
Signature of Applicant t
iE