HomeMy WebLinkAbout27665-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28554
Date: 06/27/02
T~tIS CERTIFIES that the building NEW DWELLING
Location of Property: 117 THOMPSON BLXrD. GREENPORT
(HOUSE NO.) (STREET) (F2~MLET)
County Tax ~ap 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 MAY 9, 2001 pursuant to which
Building Permit No. 27665-Z dated MAY 9, 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 #117) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH AND EXPA/qDED LIVING ROOM AS APPLIED FOR.
Ge certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SUFFOI~ CO~%~lTf DEPART~]~/qT OF ~{F~Ja~{ APPR0%L~_L C10-97-11 05/28/02
E~4~C~RIC_~L CERTIFICATE NO. 1038763 05/30/02
PLUMBEP. S CERTIFICATION DATED 05/17/02 HARTCORN PLUMB.&HEAT.INC.
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. 27665 Z Date MAY 9, 2001
Permission is hereby granted to:
PECONIC LANDING AT SOUTHOLD, I
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED GARAGE,
COVERED FRONT PORCH AND EXPANDED LIVING ROOM AS APPLIED FOR UNIT#117 CRAWL
at premises located at 117
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector to expire on NOVEMBER
THOMPSON BLVD. GREENPORT
Block 0001 Lot No. 025
9, 2001 and approved by the
9, 2002.
Fee $ 568.50
ORIGINAL
Rev. 5/8/02
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 sub~mtted to the Building Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topograph/c features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fern0.
3. Approx~al of electrical installation from Board of Fire Underwriters.
4. Sworn statement fxom 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 Apprgval 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. 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 Impector shall state the reasons therefor in writing to the applicant.
C. Fees 1. Certifreate 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 ofOccupancy on Pre-existing Building - $100.00
3. Photocopy of Ceaificate of 0eeupancy - $ 0.25
4. Updated Certificate ofOcoupancy - $50.00
5. Temporary Certificate ofOcoupancy - Residential $15.00, Commercial $15.00
Date. ~/ l'~/ ~
New Construction: /
Location of~ Property: / / 7
~. House No.
Owner or Owners of Property: c'~c_.a'~ lc_
Suffolk County'Tax Map No 1000, Section
Subdivision
Permit No.~~__,o__ Date of Permit.
Health Dept. Approval: '-/' lo ' ~ oo ~
Planning Board Approval: [ -).. - t,{., 7_
Request for: Temporary Certificate
Fee Submitted: $ ,~.~ ""
Old or Pre-exi~ting Building:
Block
(check one)
Hamlet
Lot 2-f~'
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: ~ (check one)
Applicant Signature
Dennis 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
Building Permit No. ~ 7
Owner: PO. CO~II'L.
C61ea firim)
Plumber: Hartcorn Plmg 8, HtcJe
(please print)
Inc
Date:
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers' Signature)
Sworn to before me this ))--
day of_ /~Tr , 20 02--
Notary Pugli~ County
VIRGINIA M. GOCINSKI
Nota~/Public, State of New Yolk
No. 4873841
Qualified in Suffolk Counht
term ex0ires October 20, '9Olb,l---
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 # 117
$OUTHOLD, NY 11971
MAIN ROAD / ROUTE 25 COTTAGE # 117 SOUTHOLD, NY 11971
Application Number: 1038763
Certificate Number: 1038763
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 30th Day of May, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
modular house- N.Y.State approval Cf 19-1
mfg- Avis America-serial # 687201
Appliances and Accessories
Air Conditioner ! 0 42,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0
Switch I 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
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.
May 31, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
gEz
PECONIC LANDING PROJECTS.
Re: Cottage #117 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 # 117 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
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.: //7
Z7/,ez
*,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:
Officers
MAYOR
I)AVID E KAPELL
(6g I ) 47%3000
TRUSTEES
WILLIAM J MII.LSIll
GEORGEW HUBBARD
GAll. F HDRqON
236 THIRD STREET
GREENPOR1, NEW YORK 11944
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
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:
FIELD INSPECTION REPORT
FOUNDATION (2ND)
PLUMB~G
mSULATIONsTATE ENERGyPERcoDEN' Y.
FIN~
~o~o~ co~s ,,
'-"~JILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Exardned
Approved ~/~
Disapproved a/c
PERMIT NO.
Do you have or need the followmg, befbre applying
Board of Health
3 sets of Buildkng Plans
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Mail to:
Phone:
Building Ir~pector c~
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
/ ,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"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 Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughofit 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 IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinane* 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, ordinance% building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature ofappli~nt or name, ifa corporation)
~Mai~ing ~'~dress of applica~} '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
(as on:the tax roi1 or Iatest deed)
If ap~l~ra.n)~ is a corpora, Con, signature of duly authorized officer
':.
/ (N'an~ ~nd title ofco~oratelofficer~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which p~-oposed work will be done:
House Number Street
Hamlet
//7
County Tax Map No. I000 Section (~' Block /
Subdivision ..' Filed Map No.
(Name)
z. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. In[ended use and occupancy
/ d
3. Nature of work (check which applicable): New Bull lng X Addition
Repair _ Removal Demolition Other Work
Alteration
4. stimated Cost &_3, 70 . 19OO. Dr9
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, commerciaI 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 o£entire new construction: Front
Height
). Sizeo£Iot: Front
0. Date of Purchase
Number of Stories
Rear
Name of Former Owner
Number of Stories
Rear .Depth , /~/7
/
.Depth
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 fiI1 be removed from premises: YES
4. Names of Owner of~Ji~mises~Address-- fM ~;/~ PhoneNo. f~(:~//
Name of Architect ~Address t l .Phone No~
Name of Contractor ~' tlad F i17~ I,,Sh Address I~ Phone No, (_ ~31) ~'7"7- 4//10 /
5. Is this property within 100 feet o£a tidal wetland? *YES NO
· ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
survey, to scale, with accurate foundation plan and distances to property lines. 0t'/ /c,t~
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 OF~P"P~/,~ )
/q~2,4 ¥/77~ ~ /,t/~,~'XJO/QS~K/~- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
3)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;
~at ali statements contained in this application are tree 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 __,
-- Notary .15ub'~i c
pATR~CIA A. 81~LI,MAN
~l~,~y publm~, 81~e of N ~w Yo r~
NO. 47~1709
' ' / Signature of Applicant
CUSTOMER: ROBIN, COTTAGE #117
GENERAL NOTES
302t0
RECEIVED
REVISIONS
20,]9 UV 1696
BUILDERS COPY