HomeMy WebLinkAbout27691-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29054
Date: 11/02/02
TIIIS CERTIFIES that the building NEW DWELLING
I~cation of Property: 111 THOMPSON BLVD. GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Su]~divislon Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 11, 2001 pursuant to which
Building Permit No. 27691 Z dated SEPTEMBER 18, 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 #111) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LJ~NDING AT SOUTHOLD,
{OWNER)
of the aforesaid building.
INC.
SIJF~)LK COOlqT"f DEPART~%~T OF ~A3u~{ APPROVAL C10-97-11 05/28/02
ELEC~RIC-~L C~TIFICA~ NO. 1038738 07/24/02
PLUMBERS CERTIFICATION DA'I'~3 05/17/02 F-~RTCORN PLUMB.&HEATING
Aut~f6ri z ed Sigq~at ure
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. 27691 Z
Date SEPTEMBER 18, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE
AND COVERED FRONT PORCH AS APPLIED FOR UNIT #111 FULL
at prer~ises located at 1205 MAIN RD GREENPORT
County Tax Map No. 473889 Section 035 Block 0001 Lot No. 025
pursuant to application dated SEPTEMBER 11, 2001 and approved by the
Building Inspector.
Fee $ 1,324.50
ORIGINAL
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. 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 of 1% lead.
5. Commercial building, industrial building, .multiple residences and similar buildings and installations, a certificate
of Code Compliance fi-om 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 C~rtificate of Occupancy
is denied, the Building Inspector shah 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 - $I00.00
3. Photocopy of Certificate of Occupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate ofOcoupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property: ]II
House No.
Owner or Owners of Property: ' ['~q.o'}4 ~,¢
Suffolk County Tax Map No 1000, Section
Subdivision
Date.
Old or Pre-existing Building:
- I Street t '
/
(check one)
Hamlet
Lot
Filed Map.
Permit No. Date of Permit._
Health Dept. Approval:
Planning Board Approval: I ').. -""{ -, 7_000
Request for: Temporary Certificate
Fee Submitted: $ ,.~-.~'
Applicant:
Underwriters Approval:
Final Certificate:
(chock one)
Applicant Sigmature
Dennis M. Wilhelm
FINAL INSPECTION REPORT
Sidocy B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpkc., Mineola, NY 1150t
PECONIC LANDING
TOWN OF SOUTHOLD
BUILDING PERMIT NO.:
COTTAGE NO.: J/[
II1 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 ora Certificate of Occupancy for the
subject cottage.
By:
Oino N. Aiello, P.E.
Dated:
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.
Owner: ~0.f.,011~L Lfl~l~?fl 0
(~leas~ l~rint)
Plumber: Hart:corn Plmg& Htg,
Inc
(please print)
(tffl o e t:k III
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 ff/~z/' , 20
/
Notaw Public, County
'~ature)
VIRGINIA M. GOCINSKI
Notary Public, State of New
No. 4873841
Qualified in Suffolk Courtly
r~ e~101res October 20, o
June 6, 2002
Mr. Michael J. Veri~
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage #111 Code Certification.
Dear Mike:
In reference to the above mentioned project we, Barton & Associates, LLP (Architects of Record
for said project), hereby certify tthat to the best of our knowledge, information and believe that
Cottage #111 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
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:
March 14, 2002
To:
E. F. Walsh
Developers Peconic l.anding
FrO m:
Village of Grccnport
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
cerlified, 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
~ INSPECTION RgPORT - DA~E
)ln~I)AT ION ( IST)'
)~I)ATION (2ND)
FRAME &
PLUMBING
ISULATION PIeR N.
STATE ENERGY
CODE
FINAL
ADDITIONAL
-BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
ExaroJ. ned ,20
Approved ~//r ~, , 20
Disapproved
PERMIT NO.
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:
APPLICATION FOR BUILDING PERMIT
INSTRbCTIONS
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. Plot plan showing location of lot and of buildings on'~remises, 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 pen-nit
shall be kept on the premises available for inspection throughofit 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 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 inspectors on premises and in building for necessary inspections.
(Signature of applic~nt or name, if a corporation)
~(Maifing a~dre~$ of apPlicar~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name ofowner ofpremises ("~('/3/h'~, LI2/IJ,'tlD
I (as on:the tax roll or latest deed)
If apt~lj~'.an~ is a co~or~on~ si~ature of duly authorized officer
/ (N~ ~d title ofco~oratetof~cerf
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which p1'oposed work will be doric:
120 fT: 2J "
House Number , Street '
Hamlet
County Tax Map No. 1000 Section Q~' Block /
Subdivision ' Filed Map No.
a. Existing use and occupancy.,
b. Intended use and occupancy ~1 e~S]
3. Nature of work (check which applicable): New Building X
Repair Removal. Demolition
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
4. Estimated Cost ~, 700, OOO. D~
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
Depth. Height
~. Dimensions of entire new construction: Front M,~?,.
Height ~.('/ Number of Stories
). Size of lot: Front Rear
10. Date of Purchase i~]~ Name of Former Owner
Number of Stories
Rear Depth .¢,~
/
Depth
l I. Zone or use district in which premises are situated
[2, Does proposed construction violate any zoning law, ordinance or regulation: iA///')
!3. Will lot be re-graded /~5 Will excess fill be removed from premises: YES Q
Name ofA.rchitect [/~'ZtT't~tl ~],~t,t',~.. . Address ~1 ' .Phone No~
Name of Contractor ~: tla~ ~ i,~]~,..~ ..... Address- t' Phone No. (_ 6~1) ~'7'7,-/--./fed /
5. Is this property within 100 feet of a tidal wetland? *YES NO
· 1F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
survey, to scale, with accurate foundation plan and distances to property lines. Or'/
6.
Provide
7. If elevatlon at any point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
SS:
:OUNTY OF~t'f'f,~','~ )
f,4V'/?/~/~ ~0~ being duly sworn, deposes and says that (s)he is ~e applicant
~ame of individual si~ing con2act) 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;
tat 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 of Appl//cant
N011~S:
- ~ HOUSE ~
- 9'-0' CE:lUNGS
- ALL ~4NOOW HE~)ERS ~ TO BE MO~NT~O 7'-7'
EXCEPT e KITCI-IEN; KITCHEN MNDOW TO BE UOUNITr. D
6'-9' TO ALLOW FOR SO,TIT OVER }(~T~EN SINK
- ROOF INSTALLED ON SI'IE
- HURRICANE S]I~PPINO 110 IdPH
- GARAG~ ~ ~S AI~ TO BE.
O $'-6 I/2" AF.F.
TT
DOOR
3/0
GARBAGE
RECEIVED
JUL 2 3 2001
SNOW LOAD: :~ P.S.F.