HomeMy WebLinkAbout27918-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA~RTME~
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28553 Date: 06/27/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: ~ 108 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 NOVEMBER 15, 2001 pursuant to which
Building Perrait No. 27918-Z dated NOVEMBER 19, 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 #108) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUF~DI~K COUI~ DEPART~NT OF ~RA3~TH APPRO~L~L C10-97-11 05/28/02
EI~'~RICAL C~TIFICA~]~ NO. 1038727 05/31/02
PLDq~BERS CERTIFICATION D;~l'~o 05/17/02 KARTCORN PLUMB.&HEAT.INC.
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. 27918 Z Date NOVEMBER 19, 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
GAP~AGE AND COVERED FRONT PORCH AS APPLIED FOR (UNIT 108 CRAWL)
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated NOVEMBER
Building Inspector.
MAIN RD
Block
15, 2001
GREENPORT
0001 Lot No. 025
and approved by the
Fee $ 522.60
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:
A. For new building or new use: 1. Final survey of property with accurate Iocatiou 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. Approval of elcctrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 9f 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. Acottrate 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 Ocenpancy on Pre-existing Building - $100.00
3. Photocopy of Certificate ofOcoupancy - $ 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:
Suffolk Co~ty T~ Map No 1000, S~tion
Date.
Old or Pre-exis~.~g Building:
Street t
3 ,.~ Blook I
(check one)
Hamlet
Lot
Subdivision
Permit No.,,,0 ") ~
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
'7' lo'
Request for: Temporary Certificate
Fee Submitted: $ ,.~-.-~' ""
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Final Certificate: ~ (check one)
Applicant SignatureDennis 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
TOWel OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No.
Owner: P0.f..0tlI'£ Logltt'illO
(pleas~ ~fint)
/o8
Plumber: Hartcorn Piing & 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' .~,5/'dr~.~ , 20
/ --
Notary Public, County
~Plmnbers Signat~6']
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.: /O~>
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:
Gino N. Aiello'~ P.E.
Dated:
June 6, 2002
Mr. Michael J. Ve~ty
Code Enforcement Officer
Southold Town Hall
53095M a inRoad
P.O. Box 1179
Southold, NYl1971-1179
REz
PECONIC LANDING PROJECTS.
Re: Cottage #108 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 #108 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
A1 Broszeit, E&F Walsh
Bob Ellis, O/N
officers
236 THIRD STREET
GRI~IiNPORT, NEW YORK I 1944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 477 0248~2385
Fax (631) 477-1877
March 14, 2002
To:
E. F. Walsh
Developers Peconic 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
Located at
E.f. MALONEY 8 PECONIC LANDING
P.O. BOX 6070 MAIN ROAD / ROUTE 25
MILLER PLACE, NY 11764, COTTAGE # 108
SOUTHOLD, NY 11971
MAIN ROAD / ROUTE 25 COTTAGE # 108 SOUTHOLD, NY 11971
Application Number: 1038727
Certificate Number: 1038727
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 31st Day of May, 2002.
Name QTY Rate Rating .CircuitType
Additional Charges
modular house N.Y. State approval # 19-1
mfg - Avis America serial # 687101
Appliances and Accessories
Air Conditioner I 0 36,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0
Sw4tch 1 0
Fixture 3 0
General Pu~pose
General Purpose
Incandescent
Phase 3W Service Rating 200 Amperes
;ervice Disconnect:
Meters: I
1 200 cb
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.
R~POET ' DATE
COMM~I~S
lOUVre FRAI~ &
- PLUI'~
[I~o~A~.~IOH PER Il'. Y.
CODE
- i IL'DiNG DEPARTMEN'I~
TOWN HALL
SOUT OLD,
TEL: 765-1802
Disapproved a/c
PERMIT NO.
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Stave3(
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Buildin~ I~ctor ff
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRVCTIO .NS
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. sched~ule. "
b. Plot plan showing location of lot and of buildings on premises, 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 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 thzoughotit the work.
e. No building shall be occupied or used in whole or i¢'part for any purpose what-so-ever until a Certificate of Occuparf
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department 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, ordinanees~ building code, housing code, and regulations, and to admit
authorized inspe.ctors 9n premises and in building for necessary inspections:
(Signature of applicant or name, if a corporation)
~(Maifing a~dress of applicafi)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Nameofownerofpremises Q'~.OIb'C. L.ilo~/At20r"~OJT~Oll
/ (as on:the tax roi1 or latest deed)
/ (N'm'q~ ~nd title of corporate'officerS' MW. ':'
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which p/ol~osed work will be done:
120,.,w . "
House Number Street ·
Hamlet
County Tax Map No. 1000 Section
Subdivision ..' Filed Map No.
a. Existing use and occupancy ·
b. Intended use and occupancy rffeSjdO{l(~
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:
a. Estimated Cost ~ 700: 000. O0
5. If dwelling, 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
10. Date of Purchase ~]/~
Depth Height.
Dimensions of entire new construction: Front
Height ~ Number of Stories,
Size of lot; Front Rear Depth
Name of Former Owner
Number of Stories
Rear
Depth q7
l 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 Will excess fill be removed from premises: YES
Name of Architect tLIt:l/'Ftl/I /-'[~.*-~C,. , . Address. ti ' Phone
Name of Contractor ~: rlac] I~ IHt} ~h Address t~ Phone No. [ ¢31 ) ~/'7'7- </It0 /
5. Is this property within 1 O0 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
survey, to scale, with accurate foundation plan and distances to property lines. (~t'/ ff,/~.
6~
Provide
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 OP"~'t'ffP~/,/~ )
f/4V'/770 Z/~ .~t/~-D'./J/~/r-.5'.(/~'' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
$)He is the
(Contractor, Agent, Corporate Officer, etc.)
fsaid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
mt all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erformed in the manner set forth in the application filed therewith.
Notary ,15uiMic
' / Signature of Appljcant f
CO~R£D p~RCH
REVERSE LAYOUT
CUSTOMER:HEUS, COTTAGE #108
1. 4' ~^ H(]l~ IN FIO(~R FOR BUILDERS DRYER ~T
6
THIS DRAV/ING WAS EXTRACTED
FP.O¢ 4 APPROVED PLANS AND ~
A, ,-lt~{,.~VEL) SYSH=M$ DRAWINGS.
NO1ESL
- TYVEK HOUSE WRAP
- ALL B~NDOW HEADERS ARE TO BE MOUNTED T-7"
EX_C?T · KITCHEN KITCHEN V~NDOW TO BE ~OUNTED
6 °g TO ALLOW FOR SOFRT OVER KITCHEN ~NK
A88B4BLY ~
- SEE SHEETS 3 & 4 FOR HURRICANE STRAPPING DETAIL
MECHANICAL ROOM DETAILS
Released for
Pr '
DATE: ~)U~t'/j.q~
68710
SNOW LOAD: 30J
HENRY ST.
A'vlS PA. 17721
(570 755-5700
PECONIC LAN~NG
2039 UV 1696