HomeMy WebLinkAbout27438-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Sou~hold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28441
Date: 05/16/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 37 SANDPIPER 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 23, 2001 pursuant to which
Building Peri,it No. 27438-Z dated 0q3NE 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 #37) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH AND 4 SEASON ROOM AS APPLIED FOR.
T~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFI~LK COI~N~Y DEPART~T OF ~F~%L~{ A~PROVi~L C10-97-11 05/10/02
ELEC~q~IC~ CERTIFICATE NO. N-576895 11/27/01
PLUMBERS CERTIFICATION D~£~ 02/14/02 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. 27438 Z
Date JUNE 11, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GARAGE & SEASON ROOM AS APPLIED FOR & TO CONDITIONS DEC & TRUSTEES #37 FULL
at premises located at 1205 MAIN RD GREENPORT
County Tax Map No. 473889 Section 035 Block 0001 Lot No. 025
pursuant to application dated MAY 23, 2001 and approved by the
Building Inspector.
Fee $ 1,383.00
Aut horiz~ Sign~ure
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 locatiou 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 fi.om plumber certifying that the solder used in system ccntains 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 Boai'd Approval of completed site plan requirements2
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 prope~y 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 Inspeetor shall 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 - $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
Old or Pre-existing Building:
Str~etl
Permit No. ~_ ~'~ Date of Permit.
Health Dept. Approval: "'{- ~ · t~oo
Planning Board Approval: [ 'L - ~'~
Request for: Temporary Certificate
Fee Submitted: $ .~--~ ~
(check one)
Block
Hamlet
Lot E ~
Filed Map.
Lot:
Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
0ennis 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
Date:
Building Permit No.
' (~lCase pfifit)
Plumber:Hartcorn Plmg & 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 , 20
-~/
Notary Public, County
~~ture)
VIRGINIA M. GOCINSK!
Notary Public, State of New York
No 4873841
Qualifleu m Suffolk Coun~-.
term expires October 20, "~
THE NEW YORK BOARD OF FIRE UNDERWRITERS l
l~J~J558
BUREAU OF ELECTRICITY
I 40 FULTON STREET, NEW YORK, NY 10038
NC)VE~.IB~R 27,20Y~_~ * ': _ ~' '._'..', i'; 5? £,S95
Date Application No. on file
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
COTTAGE # 37, RT, 25 MAIN ROADF GREENPORT, NY
in the following location; [] Basement ~ Ist Fl. [] 2nd FI. GAR. ' .... Section 35 Block [ Lot 25
NOVEmbER O6, ?~3'1
was examined on and found to be in compliance with the National Electrical Code.
OUTLETS RECEPTACLES SWITCHES INC OE~CENT OTHER
7 2
DRYERS I FURNACE MOTORSI FUTURE APPLIANCE FEEDERS
AMT. K.W. OIL H.P. GAS., H~.~. AMT. NO. A.W.a.
SERVICE DISCONNECT INO. OFI S
1 [~-~ CB MET1RE X
AMT. AMP. TYPE EeUIP. I e 2W I ~1 SW 3 e SW 3 e AW
OTHER APPARATUS:
1,1ODULAR HOUSE--1
N.Y. STATE APPROVAL # 19-13409-1
HFG. AVIS AMERICA-1
SERIAL # 661301-1
5 TON A/C-i
HOTORS:i-5 H.P.,1-F H.P.
RANGES
SPECIAL RECTT
AMT. AMP.
E R
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET
AMT. AMPS. TRANS. NO. OF FEET
I C
NO. OF HI-LEG OF HI-LEG
EXHAUST FANS
AMT. H.P.
DIMMERS
AMT. WAITS
2/:" 1 2/9
<<< Continued on Page 2 >>>
Pe
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may roe identified by their credentials.
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ 40 FULTON STREET, NEW YORK, NY 10038
~OVF,,HBER 2'?, 20~:[ ' "-'~ :~' ~
Date Application No. on J~le '"
THIS CERTIFIES THAT
only the electrical equipmet~t as described below and introduced by the applicant named on the above application number is in the premLses
_¢TTAGE # 37, RT. 25 HAIN ROAD. ~REENPORT, NY
in the following location''-[] Basement ~ 1st Fl. [] 2nd Fl. GA~ ' ' ' Section 35 Block
FIXTURE
OUTLETS
RECEPTACLES SWITCHES INCANDE$CE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
I FLUORESCE~ OTHER AMT. K.W. AMr. K.W. AMT. K.W. , MT. K.W AMT. H.P.
DRYERSIFURNACE MOTORS FUTUREAPPLIANCEFEEDERSJSPECIALREC'PT. TIMECLOCKE BELL
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS,
OTHER APPARATUS:
MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET AMr. WA.S
P.O.BOX 607~
HIIJ~ER PLACE, NY, 11764
Per 1 ~ENERAL MANAGER
This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by Ihelr credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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
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.
Gino N. Aiello, P.E.
Dated:
April 04, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Ball
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage 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 Unit No. 37 have been consu'ucted in compliance ~Sth 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, ES~F Walsh
Bob Ellis. O/N
TRUSTEES
WILLIAM J MILLS Ill
GEORGE W HUBBARD
GAlL [-. HORTON
BRADLEYB BURNS
236 THIRD STREET
GREENPORT. NEW YORK 11944
CLERK/TREASURER
CHRISTIE HALLOCK
Tel (631)477-0248D385
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
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
37 9/19/01 OK OK ~ ~
REMARKS:
BUILDING DEPARTMENT
TOWN'HALL
SOUTHOLD, NY 11971
TEL: 765-1802
· PERMIT NO.
Examined ~. // ,20 ~/
Approvcd%~.~// ,20 ~/
Disapprovgl/~/c
L: MAY 23
you have or need ~e follo~g, before applying
Bo~d of Heal~
3 se~ of Bulldog PI~
Check
Septic Fo~
N.Y.S.D.E.C.
T~tees
Mail to:
Phone:
Buildin~ I~pector ~'
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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 &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 oft. his 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 iFpart 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 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 applicant or name, if a corporation)
t~Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises (q0~ t'l~l_ ?C
/
on:the tax roi1 or latest
If ap~n~D~uly authorized officer
~' 0x/ar~andtitleofcorporate~officer5' ~ ':.
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which ptroposed work will be done.:
/2.¢3' /(1:'.
House Number Street
County Tax Map No. 1000 Section ~ Block l
Subdivision ' Filed Map No.
(Name) ..
Hamlet
Lot' :q'?~C ..:..:?,'~,,,t (37
2. State existing use and occupancy of premises and intended use and occupancy ofproposed construction: '
a. Existing useandoccupancy ,
b. Intended useandoccupancy /~&it~,/l('~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
X
Addition Alteration
Other Work
/ (Description)
Estimated Cost ~ "'/0~. ~)~O. O ~) Fee ' ~ ~to
t - ' be paid on filing this application)
If dwelling, number of dwelling un~its . / Number of dwelling units on each floor
If garage, number of cars I ~
If business, commercial or mixed 6ccupancy, specify nature and extent of each type of use.
',,. Dimensions of existing structures, if any: Front
Height, Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front
Rear
). Size of lot: Front
[0. Date of Purchase
Depth Height_
Dimensions of entire new construction: Front
Height 2(/ Number of Stories
/ /l~/lq- Rear
~t/~ Name of Former Owner
Number of Stories
Rear Depth
/
Depth
[ 1. Zone or use district in which premises are situated
!2. Does proposed construction violate any zoning law, ordinance or regulation:
re-graded Will excess fill be removed from premises: YES
Will
lot
be
Name of Architect ' ' . . Address If phone No~
Name of Contracto~~ Addres~ _- It Phone No.
5. Is this property within 100 feet cfa tidal wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQU'IS~D
survey, to scale, with accurate foundation plan and distances to property lines. 19//
6.
Provide
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on su~,ey.
;TATE OF NEW YORK)
SS:
f/4¥/JTd ~ /,t./~-.D",6tO/r'.5'/('~- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
5)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 w/ll be
erformed in the manner set forth in the application filed therewith.
/~ ' / Signature of Appl~ant
CUSTOMER: CUNNIFF, CO-Fi'AGE ~/37 GENERAL
1. - .4,' DIA..H0{~ IN Fi.~ F~ ~I.Dt~$ DRY~ 'q~NT 9.
~. - ~qRAC:~ BOX & ~ ~'0~ BUILOE:]L~ FAN/LIOHI'
~ ALL. '(I.IBS &: ~..IO~:~S (3) WALLS - PROVIDE: '~/4' x 15" PLYWOOD BACKING J~E"rw~:E:N STUDS ~6' A.FF 'FOR BUILJ)E'~S I.~ANDICAPP~-D G~AB BARS 10.
- 11.
4. - RAISE: CABfN~'S 1/4" A~OVE: WONDI~BOARD FOR BUILD~'R'S
5. - SHIPLOOS~ W.C. : .RAI~ F1.AN(~ 1/4', RAIS CAB 1/-4' ABOVE: WONBL'"'RBOARD FOR BUILDE~$ TILI~ 15.
6, - ME:~RILAT MODULAR ~EL~,/1NG UNI"r~ FOR '"BUILT-IN" BOOK SHE:LVE~ 14, -
NOTES
- ~ HOUSE WRAP
- 9'-0' CFtUNGS
- ALL WINDOW HEADERS ARE TO BE MOUNTED 7'-7'
EXCEPT ~ KITCHEN; KITCHE~ ~NDOW TO BE ~OUNI'ED
6'-g' TO ALLOW FOiV SOFFIT OVE~ KITCHEN SINK
o ROOF INb~'AIIKn ON SITE
- HUI:,'RICANE STRAPPING IlO UPH
- RE~IAU ~NDO1NS
RECEIVED
MAY k-' ~uUl
RECEIVED
SNOW LOAD: 30'.~ P.S.F.
LABEl. LO(~A'I10N
DATA PLAl~: ON KI ~(~. PANE:I.
BUILDERS COPY
HENRY ST.
AVYS, pA. 1~,-"7~
REVIS-'ION$ 2000
FUR FLOOR PLAN
2060