HomeMy WebLinkAbout27172-ZFORM NO. 4
TO~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-28413 Date: 05/15/02
THIS CERTIFIES that the building NEW DWELLING
Location of ProDerty: 36 SANDPIPER LANE GREENPORT
(HOUSE NO.) (STREET) (~LAMLET)
County Tax Map No. 473889 Section 35 Block 1 ~t 25
Subdivision Filed Map No. -- Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 20, 2001 pursuant to which
Building Permit No. 27172-Z dated MARCH 26, 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 #36) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD,
(OWNER)
of the aforesaid building.
INC.
SUFFOLK COUNtrY DEPARTMENT OF H]~%LTH APPROVAL C10-97-11 05/10/02
ELEC~ICAL CERTIFIC_ATH NO. N577014 11/27/01
PLUMBERS CERTIFICATION D~r~u3 02/14/02 HARTCORN PLUMB.&HEAT.INC.
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. 27172 Z Date MARCH 26, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GAPJkGE & FRONT PORCH AS APPLIED FOR & TO CONDITIONS OF DEC & TRUSTEES #36 CRAWL
at premises located at 1205
County Tax Map No. 473889 Section 035
pursuant to application dated FEBRUARY
Building Inspector.
MAIN RD GREENPORT
Block 0001 Lot No. 025
20, 2001 and approved by the
Fee $ 478.40
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:
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
topographic features.
2. Final Approval from Health Dept. of writer supply and sewerage-disposal (S-9 form).
3. Approgal of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I0 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 "pr~-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. Ifa Certificate of Occupancy
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, 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: ~C..~l~
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building: (check one)
S[re~t Ha~et
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Subrrdtted: $
c0-a, g t/i3
Filed Map.
DateofPermit. ,.~ ],,~G[t~! Applicant:
"'/' /o ' l. oo ~ Underwriters Approval:
-'-{- Zoo,:,
Final Certificate:
Lot:
(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 DEPARTMENrl'
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
iplease p~int)
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 _, /
Notary Public, .County
~re)
VIRGINIA M. GOCINSKI
Notary Public, State of New York
Quali No, 4873841
'tied in Suffolk Coanl~
Te~m expires October 2~0,
THE NEW YORK BOARD OF FIRE UNDERWRITERS wc.~ ~
1.~(~558
BUREAU OF ELECTRICITY
~-- 40 FULTON NEW NY 10038
STREET,
YORK,
NOVEMBER 27,2(~Di '""'. ..', "'. N ~77~1~
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 itt the premises of
[~ECONIC LANDING @SOUTHOLD, MAIN ROAD/ ROUTE # 25, ... : -.,~ i:.)~,, 'OL"~HOLD/ GRE~NPORT,
~ '~'~ ' '~: 1 25
in the following location; [] Basement ~ 1st Fl. [] 2nd FI. L*~, ~ Section J -~ Block - Lot
NOVEmbER O5,2~O1
was examined on and found to be in compliance with the National Electrical Code.
F~X~URE I SECE. ,-,E=I ~wT"--- I FIXTURES I MTRANGS.S.-Kw COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
SERVICE DISCONNECT I NO. DEl S R V I C
1 2~3 CB 1 ' X 1 n,, o~ 2/~.~cc co~=. o; ,,-~=~ i 1/O°~
OTHER APPARATUS:
I.K)DULAR HOUSE- 1
N.Y. STATE APPROVAL # 19-12438-1
M~G. AVIS AMERICA- 1
SERIAL ~ 3503~1--1
3.5 TON A/C-!
HOTORS:!-3.5 H.P.,1-F H.P.
-PANELBOARDS, 1- 1 CIR. 60
~-<< Contin~led on Page 2
GENERAL
MANAGER
/'er
[Thll certlficole muat not be cfllered In c~ny m<~lne~; return fo the office o! the Bo~3rd If incorrect. Inspectors m(3y ~e Id®nflfled by their credenflols.
COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~G~. 2
1 ~_:~_ '__", 58
BUREAU OF ELECTRICITY
~ 40 FULTON STREET, NEW YORK, NY 10038
" ' ' ' .~.: N 577.@14
Date '~O~']'{'~-}~R ;: '-/ ' 2~ L 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
PECONIC LANDING @SOUTHOI,D, HAIN ROAD/' ROUTE # 25, .:' .,:, ~ .~:. ~OUTHOLD/ (,REENEORY, NY
in the following location; [] Basement E~ tst Fl. [] 2nd FI. G]a~
NOVEMBER O~ ,2~1
was examined on and found to be in compliance with the National Electrical Code.
FIXTURE I I I FIXTURES I RANGES ICO0~'N~ D~C,<Sl OVENS I DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANOESCI ~ FLUOI~ESCENT OTHER MT. K,W, AMT, K.W. AMT. K,W, ,MT, K.W. AMT. H.P.
/
DRYERS I FURNACE MOTORS FUTURE APPLIANCE FEEOERS SPECIALREC'PT. TIME CLOCKS I ,a;l/ I UNIT HEATERS MULTI-OUTLET DIMMERS
"MT'S.v,c~£,,SCO..ECT ~!o.o,~~'w' o,, ..,..,,, ..,. ,,MT. .o. s'"w'~' ~"MT' ,,.,.R
AMT. AM'. IYn EaUIP. 1'2W 1IaW 3'3W 3'4W O'O~R~eCONO' OF~kl~O~lO. ,O. OFHI-LEG O~'~2~ NO. OFNEUTRALS OFA~iEW~i.~XL
E.F. HALONEY
P. O. BO]( 6070
MILLER PLACE, NY, 11764
This certificate must not hi altered In any manner; return fo the office of the Board If Incorrect, Inlpector$ may be Identified by their 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.: --~
27/77
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 revie~ved 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: .~G ~no g~l~el~
~ARTQ~N~ ~A5. ~s~.', ~t~es,
April 04, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Rail
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. 36 have been constructed in compliance with all applicable laws, codes and
ordinances.
Very tndy your;
BARTON & ASSOCI~ATES, LP
Frank P. Laughlin, RA
Senior Vice President
cc: Dennis M. Wilhelm, IlLS
Al Broszeit, E&F Walsh
Bob Ellis, O/N
TRUSTEES
WILLIAM J MII_LS Ill
GEORGE W HUBBARD
GA[L F HORTON
236 THIRD STREET
GREENPORT, NEW YORK 11944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel (63 D 477-024812385
Fax 163 U 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
w$/js
INSPECTION TEST
GAS AND WATER SERVICE
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke, Mineola, N.Y. 11501
PECONIC LANDING
TOWN OF SOUTHOLD
GAS WATER
Pressure Pressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
36 9/13/01 OK OK
REMARKS:
lmml ~ Li~ORPORATE HEADQUARTERS: 47 HUDSON STREET. OSSINiNG. NY 10562 PHONE: ;'914) 767.-9000 FAX: ',914) 762-9638
;ESl-WELL V, REDDY KANCHARLA, P,E,, DIRECTOR
-8c~'rc~,Es :NC (NY$ LIC NO. 068162)
~ETIREMENT LIVING SERVICES Lab no: NF~001
Rep no: 40
i00 ALLYN STREET Set code: FN
~{ART~ORD, CT 06103 Weather: CLOt/DY
,'4R. DENNIS WI~HEL~ Air temp: 42F
Date: 02-Apr 2001 Contracnor: E&F/WALSH BUILDING COMPANY
Produce~: SUFFOLK CEMENT PRODUCTS
Cement brand:
Fzne agg;
Coarse ag~:
Coarse agg;
Class
?~ne agg
Coarse agg
FIyash
WaTer gals
Admix oz. I I
Admzx oz. I I
Fe.c , pa.sl loo 8o i,oi 08i
Psne agg- I I I I I I
Coarse agg. I I I I I I
Coarse agg. I I I I ) [
Coarse agg. I { I I { I
i
Yards Insp Design
Professional Eng:
Cyl-id No Class Simp Azr Dnst%' Temp Cyl id No Class Simp Air Dnsty Temp
96.0 i 1878.0
0.3 [ 0.0
96.0 [ 2043.0
Start FiDish LUnch To~al
07:00 17:00 Y 9.50
07:00 16;00 Y 8.50
I
)
i
Reinforcing steel
Name: R.S~I{ESHTA
Start: 07:00 Finish: 17:00 Total: 10.00
Cyl-id NO Class Slmp Air Dnsty Temp
NOTE: LOCI:B/W~LL/COTTAGE#41
56 4 3000 4.0 N/A 163 62
57 4 8000 3.5 4.0 143 56
58 3 3000 4.5 5.0 143 55
59 4 3000 50 5.0 143 54
60 3 3000 4.0 4.5 143 54
56 A C~3od 7 3000 80150 2840
57 A Good 7 3000 87850 3110
58 A GOod 7 3000 72800 2580
3000 58150 2060
3000 74250 2630
Specifications: ASTM C31/C39/C94
FIgLD INSPECTION REPORT
FOUNDATION (IST)
I~UNDAT ION (2ND)
ROUGH FRAHE &
PLUIiBING
DATE ........ i-~ COI~IgRTS
..... ~-----. :--,.: .......................................
IIqSULITION PER N. Y.
STATE ENER~'Y
CODE
.ADDITIONAL
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD~ NY 11971
TEL: 765-1802
Exanlmedt~~,~[~ ,20
^pproved ~'~ , 20
Disapproved aJc
Do you have or need the following, before applying
P ,mIT No. 2
Board of Health
3 sets of Building Pla~s
Survey_
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Buildir~g Ins~5~ctor U
Phone:
APPLICATION FOR BUILDING PERMIT
INSTRtlCTIONS
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 permit
shall be kept on the premises available for inspection throughotit the work.
e. No building shall be occupied or used in whole or i'9'part for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
?d)PLICATION IS HEREBY MADE to the Building Department 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, ifa corporation)
/(Mailing address of applicant) /
;rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
/
,larneofownerofpremises ¢Orf)/h'O_ La~YlO
! (as on:the tax roll or latest deed)
applicant is a corporation, signature of duly authorized 9fficer
(Name and title of corporate officer)
uildersLicenseNo.
lumbers License No.
lectricians License No.
ther Trade's License No.
Location of land on which pgoposed work will be doric:
/zo,x gr. 2,5 '
House Number Street
County Tax M'ap No. 1000 Section
Subdivision
Hamlet /
.Block / Lot
:. Filed Map No. Lot
(Name)
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 ~Px[JOYlCP_
I
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ 700, ~
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work
(Description)
(to be paid on filing this application)
Number of dwelling units on each floor
5. 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.~ Number of Stories
}. Sizeoflot: Front
tO. Date of Purchase
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: //D
Will lot be re-graded /e,5 Will excess fill be removed from premises:
3.
4. Names of Owner o~r~remises~~2~Address
Name. ofArchitect~Ot'~TO/I Oad f'tS~,t'~'oT~-.5 Address~
Name ofContractor~'o~ ~ t_~hq],~h Address
5. Is this property within 100 fe~t of a tidal wetland? *YES NO
','ES
Phone No. ~
YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at I0 feet or below, must provide topographica! data on survey.
;TATE OF NEW YORK)
SS:
;OUNTY OF )
being duly sworn, 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 rnako and file this application;
aat 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 fo~h in the application filed therewith.
!
worn to befor¢~e this
,~D'7'~'¢of /~.~yr~..20o1
Notary Public
PETER M. COLEMAN
,~O?ARY PUBLIC, State of N*w Y~
No. 5~-~758570
~ualifi~ in Suffolk ~un~
Signature of Applicant
Il
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