HomeMy WebLinkAbout27640-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29055
Date: 11/01/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 112 THOMPSON BLVD.
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 35 Block 1
Subdivision
Filed Map No. Lot No. __
GREENPORT
(HAMLET)
Lot 25
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 30, 2001 pursuant to which
Building Permit No. 27640-Z dated SEPTEMBER 8, 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 #112) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LA/~DING AT SOUTHOLD, INC.
( OWNER )
of the aforesaid building.
SUFFOLK COL~%~I~f DEPART~TT OF H]~LTH APPRO~I~L C10-97-11 05/28/02
ELECTRICAL CERTIFICATE NO. 1038742 07/24/02
PLUMBERS CERTIFICATION D~£~D 05/17/02 H3LRTCORN PLUMB.&HEATING
Aut ~<~r'i z ed Signature
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. 27640 Z Date SEPTEMBER 8, 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
GARAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #112 CP~AWL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated JULY
Building Inspector.
MAIN RD
Block
30, 2001
GREENPORT
0001 Lot No. 025
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 Deparhnent with the following:
A. For new building or new use: I. 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 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Acourate 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 Ocoupancy
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, Aherations 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 ofOcoupanoy - $ 0.25
4. Updated Certificate ofOcoupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction: ~
Location of. Property:
Owner or Owners of Property: ' ~asl4 ~, C
Suffolk County Tax Map No 1000, Section
House No.
Old or Pre-exiating Building: (check one)
' I Street t ' Hamlet
~ ,.~ Block I Lot E,l~
Subdivision
Filed Map. Lot:
Permit No. Date of Permit.
Health Dept. Approval: -'/- ~ - /.. aa e,
Planning Board Approval: I ~ - ~'~., 7.. a O~
Request for: Temporary Certificate
Fee Submitted: $ ,~.-.~ ~
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
~enni$ ~. 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
Building Permit No.
Owner: ~P.(~II~L ~fltl~?fl 0
(pleas~ ~rint)
Plumber: Hartcorn Plmg & atg,
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' /~ , 20 ff~---
Notary Public, County
(Plumbers Signature)
VIRGINIA M. GOCINSKI
No{ary Public, State of New York
No. 4873841
Qualified in Suffolk Courlty
renm expires October 20,-
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
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN ROAD / ROUTE 25
MILLER PLACE, NY 11764, COTTAGE # 112
SOUTHOLD, NY 11971
Located at MAIN ROAD / ROUTE 25 COTTAGE # 112 SOUTHOLD, NY 11971
Application Number: 1038742 Certificate Number: 1038742
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS1
Described as a Residential occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Attached Garage, Outside,
was inspected in accordance with the National [lectdcal Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 24th Day of July, 2002.
Additional Charges
modular house N.Y.State approval # 19-14
mfg Avis America serial # 671501
Appliances and Accessories
Air Conditioner 1 0 42,000 BTIJ
Furnace 1 0 Gas
and Devices
Wiring
Receptacle 1 0 General Purpose
Switch 1 0 General Purpose
Fixture 3 0 Incandescent
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
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.
FINAl. INSPECTION REPORT
Sidney I3. Bownc & Son
Consulting Engineers
235 E. Jericho Tpke., Mineola, NY 11501
PECONIC LANDING
TOWN OF SOIJTItOLD
BUILDING PERMIT NO.:
COTTAGE NO.: ?[2_
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. Aie'l~o, 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 #112 Code Ceflification.
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 #112 has been constructed in compliance with all applicable laws, codes and ordinances.
Ve~ truly your;
BARTON & ASSOCIATES, LP
Frank P. Laughlin, RA ~
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszeit, E&F Walsh
Bob Ellis, OIN
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
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
~ XNSPRCTXON REPORT
}lrNDAT ION ( IS'I)'
~It FRAME &
PLUM~ING
I~ILATXON FERN. Y.
CODE
· ' A~DXTIONAL
BUILDING DEPARTMENT
TOWN HALL
SOU~THOLD, NY 11971
TEL: 765-1802
Approved
Disapproved afc
. PERMIT NO.
,20 o/'
,20. sS/
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:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date .., 20
INSTR~JCTIOI~S
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'~premises, relationship to adjoining premises or public streetg 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 Inspoctor 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 in'part for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
APPLICATION tS 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, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applie~nt o~- name, if a corporation)
(Mai~ing a~dre~s of applicar~) -
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Dtt;J~
1
Name of owner of premises
/ (as on:the tax roll or latest deed)
If aptllj~..nh is a corpora~ion~ signature of duly authorized 9fficer
X ".
I (~arr~ md title ofcorporate~offioer~ .
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 doric;
/20,X £1: ' ;
House Number Street '
Hamlet
County Tax Map No. 1000 Section Q~ Block
Subdivision ' Filed Map No.
C ame)
State existing use and occupancy of premises and intended use and occupancy of proposed constructidn:
Addition Alteration
Other Work
a. Existing use and occupancy., ~
b. Intended use and occupancy r~c~,SidOtlC~
/
Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ 700, ~)OO. ~
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 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
Height 2..~/t Number of Stories /
Size
of
lot: Front A//t~ Rear Depth
10. Date of Purchase 4]~ Name of Former Owner
Number of Stories
Rear Depth
Phone No. ~~.~
Phone No~
~Phone No. (. ~1) 0"7'7- ~]~ /
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation:
!3. Will lot be re-graded__ Will excess fill be removed from premises: YES
.4. Names of Owner of,P/i~mises~~ll~Address Ot~
Name of Architect ~)tll'/~/I ~.~,e,t~.. . Address
Name of Contractor ~ t~a~ 1~' l.t~tl'}cS~ Address-
5. Is this property within 100 feet of a tidal wetland? *YES NO
· · YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/ ff;/~,_
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:
f~V',O7~ ~ ~{)~ being duly sworn, deposes and says ~at (s)he is ~e applic~t
~ame of individual si~ing con~act) above named,
$)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;
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.
worn to before me this
__ ~ day of
Signature of AppliCant
FRONT
I1'
W.L
~qO,I4B
REVERSE LAYOJT pl
CUSTOMER: UNSOLD, COTTACE #112 GENERAL NOTES
2
5
6
52' 4'
54200 TOTAL BTU L088
4" DIA HOLE IN FLOOR FOR BUILDERS DRYER VENT
I
ALL TUBS & SHOWERS (3) WALLS PROVIDE 5/4" x ]2" PLYWOOD BACKING BETWEEN STUDS 36" A.F F FOR BUILDERS HANDICAPPED CRAB BARSI
OMIT RANGE HOOD INSTALL DUCT INSTALL MICROWAVE
HOMERUN A PHONE LINE FROM SMOKE DETECTOR NTH COIL ENOUGH TO REACH PANEL BOX.
CO~[ ENOUGH DUCT TO REACH REAR OF HOUSE
TI 1 1 1 1 1 ,
2x4 PAI:K ~ DETAIL
FOil MECHANICAL R~L
PAGE
~W RO.L~
(2) 2452 = 5'-1 5/4' x 5'-5 1/4"
WINDOW HEADER DETAIL
ALL WINDOW HEADERS TO~
TYVEK HOUSE N~AP
9' 0" CEILING
ROOF SUPPLIED & INSTALLED ON SITE BY BUILDER
7-0 WINDOWS THROUGHOUT
ATTrC ACCESS ON SITE BY OTHERS
CRAWL SPACE ACCESS BY OTHERS
REVISIONS
E & F WALSH
SQ rT2194 TOT 1743 LIV
THIS DRAWING WAS EXTRACTED
FROM APPROVED PLANS AND OR
APPROVED SYSTEMS DRAWINGS,
RECEIVED
SEP --5 Zuu]
Released for'
Production
DATE: ~L~j~}
671501