HomeMy WebLinkAbout27694-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28419
Date: 05/16/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 3 TANAGER LANE 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 MAY 9, 2001 pursuant to which
Building Permit No. 27694-Z dated MAY 11, 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 #3) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH AND 4 SEASON ROOM AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUlqT"f DEPARTMENT OF }IKALTH ;kPPRO%q~L C10-97-11 05/10/02
HLEC'~RICAL CERTIFICATE NO. 1037239 03/06/02
PLUMBERS CERTIFICATION DA'r~u 02/14/02 HARTCORN PLUNB.&HEAT.INC
~'/rized~S~lLature
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. 27694 Z Date MAY 11, 2001
Permission is hereby granted to:
L/LNDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #3 CRAWL
at premises located at 1205 MAIN RD
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector.
GREENPORT
Block 0001 Lot No. 025
9, 2001 and approved by the
Fee $ 707.70
Author~ S~re
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 subnfitted to the Building Department with the following:
For new building or new use:
1. Final survey of property with accurate locatioo 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 fomQ.
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% Icad.
5. Commercial building, industrial building, .mulliple 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
fcatures.
2. A properly completed application and a consent to inspect signed by the applicam. If a Certificate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Fees
1. Certifioate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious 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 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 County Tax Map No 1000, Section
Subdivision
Permit No. ~"~ ~ ~ ~.-Z~ Date of Permit.
'-f'
12. -"-{- 7.00o
Date.
Health Dept. Approval:
Planning Board Approval:
Request for:
Old or Pre-existing Building:
StreAt
cf/q/
(check one)
Block
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Hamlet
Lot:
Temporary Certificate
(check one)
Fee Submitted: $
Applicant Signature
Donnis M. 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.: 3
In accordance xvith 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 reviexv, we have no objection to the issuance of a Certificate of Occupancy for the
subject cottage.
By:
Dated:
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
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN RD RTE 25
MILLER PLACE, NY 11764, COTTAGE # 3
GREENPORT, VILL, NY 11944
Located at MAIN RD RTE 25 COTTAGE # 3 GREENPORT, VILL, NY 11944
Application Number: 1037239 Certificate Number: 1037239
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS37
Described as a Residential occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
Attached Garage' Outside' CORRECTED CFRTIFJCATE
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 6th Day of Ma~ch, 2002.
Name QTY Rat._..~e Rating Circuit Type
Additional Charges
MODULAR HOUSE
Appliances and Accessories
Air Conditioner I 5 TON
Motors
t F
Panels
1 60 1
Wiring and Devices
Outlet 1 Fixmre
Receptacle I General Purpose
Switch I General Purpose
Fixture I Incandescent
Service
I Phase 3W Sexwice Rating 200 Amperes
Service Disconnect: 1 CB 200 seal
Meters: I
1 of 1
This certificate may not be aRered in any way and is validated only by the presence or a raised seal at the location indicated.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephone (63l) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: ~///~//~.
/
Building Permit No.
Owner: )~13/ti~. [.t3t~ltO
' (please l~rint)
Plumber: Hartcorn Plmg. & Htg., Inc
(please print)
lead.
I certify that the solder used in the water supply system contains less than 2/10 of 1%
Sworn to before me this
day of .~/~/{~ , 20
Notary Public,/~ County
VIRGINIA M. GOOINSKI
Notary Public, State of New Yo~k
No. 4873841
Qualified in Suffolk ~ - 3-
~-erm expires October 20, ~
Officers
MAYOR
DAVID E KAPEkL
~6311477-300o
TRUSTEES
WILLIAM J. NIILLS [1[
GEORGEW HUBBARD
GML F HORTON
236 THIRD STREET
GREENPORT. NEW YORK 11944
CLERK/TREASURER
CHRISTIE HALLOCK
Tel (631 } 477-0248~385
Fax: t631 ~ 477-1877
March 14. 2002
To:
E. F. Walsh
Developers Peconic Landing
From:
Village of Greenport
Utilities Department
To Whom It May Concern:
Re: Peconic Landing Sewerage System
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
April 04, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Sonthold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 1197 I- 1179
PECONIC LANDING PROJECTS.
Re: Cottage Code Certification.
Dear Mike:
In reference to the above mentioned project xve, Barton & Associates, LLP (Architects of Record
for said project), hereby cert~, that to the best of our knowledge, information and believe that
Cottage Unit No. 03 have been constructed in compliance x~Sth all applicable laws, codes and
ordinances.
Vet3, 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
BARI(IN 8, As,,ociates. L.P.
BS. RTON & As~ociate~. Inc.
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 PS][
3 10/2/01 OK OK
REMARKS:
)FI~OA~ ION (IST)
~UI~ATION
LU
· BUI&DING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined
^pproved
Disapproved aJc /
,20 O//
,20
PERMIT NO.
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey.
· toq -*--- Check
Septic Form
N.Y.S.D.E.C.
· ' Trustees
Contact:
Mail to:
Phone:
Building IntlSector v
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 seal*. Fee according to. sohe~ple.
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 throughodt 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 Department 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 conslruction 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 applicant or name, if a corporation)
/(Mailing address of applicant(
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name of owner of premises
/(as on:the tax roll or latest deed)
If applicant/is a corporal,ion, ~lanature of duly authorized officer
(Sam~l~~ o~ficer)
.
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which l~roposed work will be done;
.'
House Number Street
County Tax Map No. 1000 Section ~ Block
Subdivision ' Filed Map No.
(Name)
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~,~ 700, 0019.00
5. If dwelling, number of dwelling units
If garage, number of cars
X Addition Alteration
Other Work
Fee P~//i~ (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. Number of Stories
~. Dimensions ofe~3tire new construction: Front ~ Rear
Height 26/ Number of Stories'
~. Size of lot: Front Rear Depth
10. Date of Purchase /I/]~ Name of Former Owner
Depth..
L 1. Zone or use district in which premises are situated
L2. Does proposed construction violate any zoning law, ordinance or regulation: dO
[3. Will lot be re-graded q Will excess fill be removed from premises: YES
.4. Names o f Owner of,l~qm~.ises~Address ~ ~J~ Phone No. ~
Name of Architect (~1//0~ Pt&.~t~,. , _ Address t¢ Phone No~
Name of Contractor ~' a/Id ~' _~'./~]~h Address u Phone No. ~. (~BI.) gd'77-/--g/lO ]
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines, el
7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
.¢. / SS:
.OUNTY or-)t/f/:~,~
I[!
,n - being duly swo, , deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
S)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 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.
Signatu~ of Applican[
i