The URL can be used to link to this page

Home My WebLink About27160-ZFORM NO. 4 T0~[ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28412 Date: 05/15/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 33 SANDPIPER LANE (HOUSE NO.) County Tax Map No. 473889 Section 35 Subdivision GREENPORT (STREET) (HAMLET) Block 1 Lot 25 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. 27160-Z dated NL~RCH 21, 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 #33) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH & 4 SEASON ROOM AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. SI/FFOLK COI~NT~f DEPART~T OF }~%LTH AioPROVAL C10-97-11 05/15/02 ELEC~i~ICAL CERTIFI~-ATE NO. N576916 11/27/01 PLUMBERS CERTIFICATION D~£'~U~ 02/14/02 HARTCORN PLUMB.&HEAT.INC. ~~Ath'or~gnature 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. 27160 Z Date MARCH 21, 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 OF DEC & TRUSTEES #33 FULL 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 $ 902.60 ~/d SYlg~ture 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: Ao 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 water supply and sewerage-disposal (S-9 form). 3. Approx;al of electrical installatinn 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 re~onsible for the building. 6. Submit Planning Board Approval o f completed site plan requiremeats. For existing buildings (prior to.April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of propen*y showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent t0 inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co 1. Certifieate of Occupancy - New dwelling $25.00, Additions to dwellhag $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: Date. Old or Pre-existing Building: Street I' ~ ,~' Block House No. Owner or Owners of Property: e'~C~ki %C Suffolk County Tax Map No 1000, Section Subdivision Date of Permit. ~]a~] lot '7' b' LDo,, i9.. -"-{-. Zaoo Permit No. ~ ? ! (a 0 ~- Health Dept. Approval: Planning Board Approval: Filed Map. __ Applicant: Underwriters Approval: Final Certificate: Request for: Temporary Certificate Fee Submitted: $ (check one) Hamlet / Lot Lot: ~'~' (check one) Applicant Signature Dennis M. 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. Owner: (please pri/nt) 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 J~_,d~'~ , 20 d-~'-- ~_- Notary Public,. Count5' VIRGINIA M. GOCINSKI Notary Public, State of New York No. 4873841 QualifieO m Suffolk Court_ term expires October 20, ~o z..- THE NEW YORK BOARD OF FIRE UNDERWRITERS 1~55B BUREAU OF ELECTRICITY [--- 40 FULTON ~TREET, NEW YORK, NY 10038 NO'v~..i.IBER 2'7,2~I "" ' ' ":' ~l ~'? Date Application No. on 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 @$OUTHOLD, HAIN ROAO ROUTE 25, COTT;. ~ :; ~;~'?:kJ_iO/GREENP~gPi'~ NY in the following location; [] Basement ~ 1st Fl. was examined on NOVEHBER 02,2c'~i SWITCHES 2 7 [] 2nd Ft. GJ~' "-" Section Block and found to be in comptiance with the NaHonal Electrical Code. Lot ? ?* FIXTURES RANGES COOIINGDECKS OVENS J DISH WASHERS EXHAUST FANS FLUORESCENT OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS .J TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERViCS DISCONNECT S E O~'IER APPARATUS: MODULAR HOUSE-! N.Y. STATE APPROVAL # 19-12450-1 MFG, AVIS AHERICA- ! SERIAL ~ 648201-1 § TON A/C-i G.F.C.I:-I E.F. HALONEY P.O.BOX 6070 HILLER PLACE, NY, 11764 This certificate mull not be altered In any manner; return to the office of the Boord R A. W.G. NO. OF Hi-LEG OF CC COND. C E 1/¢7 LIC. #2291E Per GENERAL MANAGER , be i,~l~lfled hy their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT RE 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.: --~.~ 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: ~ ,A~R~ TQN~I: ~Ass, ~oc~t,es April 04, 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 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. 33 have been conslructed in compliance ,~4th all applicable [aws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP Frank P. Laughlin, RA Senior Vice President cc: Dennis M. Wilhelm, IlLS Al Broszeit, E&F Walsh Bob Ellis, O/lq 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 33 9/18/01 OK OK ,~ ~ TESTWELL CORPORATE HEADQUARTERS: 47 HUDSON STREET. OSSINING, NY 10562 PHONE: (914) 762-9000 FAX: (914) 762-9638 V. REDDY KANCHARLA, P.E., DIRECTOR (NYS tIC NO. 06816?.) RETIREMENT LIVING SERVICES Pro]act: PECTIC [JLNDING FEATHER HILL, SOU~OLD, NY L~b no: NFH001 Rep no: 29 Ser code: FN Weather: CLEVER Air tamp: 43F 11971-0430 Date: 19 Mar-2001 Contractor: E&F/WALSH BUILDING COMP;~Y Producer: NIC~gLIA Cement brand: Fine agg: Coarse agg: Coarse agg: R£F~ST OF C~DNCRETE INSPECTION Al%q3 TESTING I I I I I Cubic yds I Design } Batch I Design i Batch I Previous yardage:I 96.0 I ~0~9 0 I I I I I Yards Insp Deszgn 1:1 0.0 Cement I J I I I Yards Insp Design 2:I 0.0 I 0.0 Ftne agg I I I I I Total yards to date:I 96.0 I 1107.5 Coarse agg I I I I I I I Fly,ah I I I I I Name Start Finzsh Lunch Water gals I I I I IPlant Inspector 1: [ I [ I [Plant Inspector Admix OZ. I I IField Inspector 1: R.SHRESBTA 07:00 15:]0 Y 8 00 Admxx oz. I [ [Field Inspector 2: [ I [ Professional Eng= Perce~t passI 100 i 50 i l0 i 16 ~ 08 I 04 [ ]/8 [ 1/2 I ]/4 [ 1,0 I 1.5 i F .... 99. I I I I I I I I I I I I Coarse agg. [ I I I I I I I I I I I Coa=s. agg. I I I [ I I I I I I I I Coarse agg. I I I I I { I I I [ I I bocatzon: 1)FOOTINGS F~DB ~.m, SEMSNT WA,LL~ OF COTTAGE #]],SET31A-D F.M. i Percent moist i Total Cylinders I I Reinforcing steel Name: R. SHP~SRTA Start: 07:00 Finish: 15:30 Total: 'Cyl-zd NO Class Slmp Air Dnsty Tamp Cfi-id NO Class Sl~ Air Dnsty Temp Cfi=id NO Class Simp Azr Dnsty Tamp 31 4 3000 4.5 4.6 14] 62 12 4 3000 4 0 4.7 143 67 CYL-NO C~D~ DAY CitES LO~D PSI 31 A Good 7 3000 56900 2010 ~2 A Good 7 3000 111200 3930 8 50 All reports are ~e confidential propedy of clients, and information contained may no[ be published or reproduced, pending our written approval. FIRLD INSPECTION REPORT ' DATE ..... ~:~,' COI~ENTS LU TOW~ OF tiOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~ 2"7/. 20 tg/e Approved__~ ~'~'/ , 20 O/t Disapproved a/c 'Ea tIT NO..3 7 /&0 Building Im[p'ector o- BUILDING PERMIT APPLICATIONf CHECK. LIS' Do you have or need the following, before applying Board of Health 3 sets of Building Plans Sur,'ey_ Check Septic Form N.¥.S.D.E.C. Trustees Contact: Ix{ail to: Phone: 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 scale. Fee according to schedple. b. Plot plan shoxving location of lot and of buildings on premises, relationship to adjoining premises or public streeti or areas, and waterways. c. The work covered by this application may not be eor~nenced 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 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 ~? applicant or name, if a corporation) O. & d o.I //qTI /(Mailing address of applictnt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ! Name of owner o f premises ~ED/I ! (as on:the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade s License No. Location of land on which p, o osed work will be done; House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block ] Lot L~?3 · Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 4. Estimated Cost 0~, 700 1901") 5. If dwelling, number of dwelling units If garage, number of cars a. Existing use and occupancy . b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition X Addition Alteration Other Work Fee ~////~ (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 Number of Stories ~. Dimensions of entij'e new construction: Front q..~,2., Rear Height ,2~/' Number of Stories ] / ). Size of lot: Front At//q Rear .Depth 10. Date of Purchase fif~ Name of Former Owner [ 1. Zone or use district in which premises are situated /_ 2. Does proposed construction violate any zoning law, ordinance or regulation: ,5/0 · 3. Will lot be re-graded }/[:(5 Will excess fill be removed from premises: 4. Names of Owner of l~remises~.}-.OT,BfltIl'/lOl~Address~ Name of Architect (Dtll'I-t)~ /q,Mtt~. Address' Name ofContractor~'fltleJ /: ~tltl~A[ I Address' 5. Is this property within 100 feet cfa tidal wetland. *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLrlRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. O1 7. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey. YES phone No. ff_ff~~ffo.~ .Phone Phone No. ;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 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 ma,~ner set forth in the application filed therewith. /I worn to before mj~lthis Notary Public /- ~' -~ gignat~re "o[t~l~h;a~(t PETER M. COLEMAN NOTARY PUBLIC, Stale of New Yor~ No. 52-5758570 Qualified in SuffoJk County ~mrnilllo~ Expire~ /'~ardl 80~ .NoIm~igClO~d ~0=1Q~SY~q3U ®® ~- o OZ u.0 ~ T ~-0 o~ J I O~ ~0 II OZ "-0 O0 OZ ~0 .¢ O~ .0%6