HomeMy WebLinkAbout27162-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28439 Date: 05/16/02
TMIS CERTIFIES that the building NEW DWELLING
Location of Property: 34 SANDPIPER LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
Cottnty Tax Map No. 473889 Section 35 Block 1 Lot 25
~k~bdivision FiledMap No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 20, 2001 pursua_~t to which
Building Permit No. 27162-Z dated MARCH 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 #34) WITH ATTACHED TWO CAR GARAGE, COVERED
FRONT PORCH AND REAR SCREEN PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LA/~DING AT SOUTMOLD,
( OWNER )
of the aforesaid building.
INC.
SI~FFOI~K COt~%~l"f BEPAR~/~T OF }I~{ APpRO~-AL C10-97-11 05/10/02
ELR~-f~IC3%L C~TIFIC3%~ NO. N-577011 11/27/01
PLUMBERS CERTIFICATION DA'rF~3 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. 27162 Z Date MARCH 21, 2001
Permission is hereby granted
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GARAGE & SCREEN PORCH AS APPLIED FOR & TO CONDITIONS OF DEC & TRUSTEES #34 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
Author~/~ed 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 iii 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 water supply and sewerage-disposal (S-9 form).
3. Approval of electrical instafiation from Board o f 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 fzom architect or engineer responsible for the building.
6.. Submit Planning Board A~proval of completed site plan requh'ements.
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 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 Ocoupancy on Pre-existing Building ~ $100.00
3. Photocopy of Certificate ofOcoupaney - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Next Construction:
Location of. Property:
House ~-~o.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ,~'~ } {~ ~
Health Dept. Approval:
Planning Board Approval:
Old or Pre-existing Building:
Str&t !
Date of Permit.
'?' to' Zoo
Date.
Request for: Temporary Certificate
Fee Submitted: $
/ /
(check one)
Hamlet
Block [ Lot
Filed Map. __ Lot:
co*
3! -9- III') I 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
Date:
Building P.ermit Ny.
Owner:
- (~le~se pti{tO
Plumber: Hartcorn
Inc
(please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
' (piumferi4Signature)
Sworn to before me this ~'~
dayof , 20(~y-~
Notary Public, County
VIRGINIA M. GOCINSKI
Notary Public. State of New York
No 4873841
Qualihotl In Suffolk Co_un~/
1-e~rn expiro~ October 20, ~ ~-
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAC-E :'
1(~558 BUREAU OF ELECTRICITY
~ 40 FULTON ETREET, NEW YORK, NY 10038
NOV~[BER 27,2~1 ~ · ~ N' 577~I1
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
PECONIC LANDING, MAIN ROAD / ROUTE # 25, COTTAGE # _.:. ...P~7:~:,.:~"!. NY
in the following location; ~asement ~.~ 1st Fl. [] 2nd Fl. GM/ ~'., " Section 35 Block I Lot 25
NOVEHBER O5,2~1
was examined on and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES ,NCaNDESC;NI FIXTURES ~MT~ANG~SW.
OUTLETS SWITCHES FLUORESCENT OTHER
DRYERS IFURNACE MOTORS I FUTURE APPLIANCE FEEDERS SPECIALREC'PT.
AMT. K.W.I OIL H.P. GAS H.P. I AMT. NO. A.W.G. i AMT. AMP.
SERVICE DISCONNEC1 NO. O; S E R
A
MT. AMP. ~PE ~, ] e 2W I e 3W 3 e 3W 3 ~ 4W
OTHER APPARATUS:
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTL
SYSTEMS
AMT. AMPS. TRANS. NO. OF FEET
V I C E
EXHAUSTFANS
AMT. H.P.
DIMMERS
AMT. WA~$
NO. OF CC COND. A.W G. A.W.G. A.W.G.
NO. OF HI-LEG
NO. OF NEUTRALS
E.F. MALONEY
P.O.BOX
MIT,LER PLACE, NY,
1.1764
GENERAL MANAGER
.Per
Thil certificate mult not be altered In any manner; return to the office of the Board If incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTtFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA, E :
10~O5 5~
BUREAU OF ELECTRICITY
[~ 40 FULTON STREET, NEW YORK, NY 10038
Date Application No. on file
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the abo~e applicaMon number is in the premises of
PECONIC LANDING, ~{/LIN ROAD / ROUTE # 25, COTTAGE # ' ;:~,~?~,;T. NY
in the following location. [] Basement [] 1st FI. [] 2nd FI.
N~VEHBER O5,20¢1 .... Section 35 Block 1 Lot 25
GAR
was examined on and found to be in compliance with the NaMonal Electrical Code.
FIXTURES
FIXTURE RECEPTACLES SWITCHES AN
7 21 6
A.OT YER .w. I FUE~pA. CE M;AOjORSH.p.
SERVICE DISCONNECT o. OFI S
dETE1R X
AMT. AMP. IYPE GULP, I e 2W I e 3W 3 e 3W 3 e 4W NO. OFpECRC~COND.
i 2~ CB
OTHER APPARATUS:
HODU.~,~R HOUSE- 1
FUTURE APPLIANCE FEEDERS
AMT. NO. A.W.G.
RANGES
MT. K.W.
SPECIAL REC'PT.
AMT. AMP.
R
OFCC. COND
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLI
SYSTEMS
AMT. AMPS. TRANS. NO. OF FEET
V I
NO. OF HI-LE~
EXHAUST FANS
AMT, H.P.
DIMMERS
AMT. WATTS
1/0
N.Y. STATE APPROVAL # 19-13410-1
MFG, AVIS AMERICA-i
SERIAL # 66090].-1
4 TON A/C-1
MOTORS:l-4 H.P.,1-F H,P.
-P~ELBOARDSt 1-i CIR. 60
G.F.C.I:-I ~LL
<<< Continued on Page 2 >>>
GENERAL MANAGER
Per
This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors 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.: -~ $'/
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. Ai~l'o, P.E.
BARTON,qrAssociates
April04, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 IMam 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. 34 have been conslrocted in compliance with all applicable laws, codes and
ordinsnces.
Very truly your;
BARTON & ASSOCIATES, LP
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Broszei~, E&F Walsh
Bob Ellis, O/N
B X, RION & Associates. Inc.
Thomas C. Barton. Ill. AIA
PI)month/~leeting, P~t 19462-1230
fei. 610,940.5825
CHICS. GO
TRUSTEES
GEORGE W. HUBBARD
GA[LF. HORTON
BRADLEYB BURNS
230 THIRD STREET
GREENPORT, NEV~ '~ ORK 11944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel. (63 I~ 477-024812385
Fax ~631~477-1877
March 14, 2002
To:
E. F. Walsh
Developers Peeonic 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 sexverage to the
Village Sewerage System on a conditional basis until the pump facilities are complete and
certified, at which time the Village ~vill 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 ~ystem.
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
34 9/17/01 OK OK ~ ~
REMARKS:
,~_=-L~_
FOU~)ATION (2ND) :..'
ROUGH FRAME
PLUI~
Ilq~JI. ATION PER N. Y.
$'F_ATE KNgRCY
COD~
FINAL
.ADDITIONALC(I~I~I'$:
TOWN OF-SO UT?OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined ~
Approved ~
Disapproved a/c
PERMIT NO. ~ 7/~,~.~;:;
BUILDING PERMIT APPLIC-ATIO~,/CHECK_LIS'
Do you have or need thc following, before applying
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
,20. ~! ' · Mail to:
Phone:
Date ,20
INSTRUCTIONS
a. 'Ehis 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 sched~ule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streed 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 i[rpart for any purpose what-so-ever until a Certificate of Occupan
~s 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 o f 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 corporation, signature of duly authorized qfficer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which llroposed work will be doric.:
House Number Street
County Tax Map No. 1000 Section (,~ Block
Subdivision
Hamlet
(Name)
Lot
Filed Map No. 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 X Addition
Repair Removal Demolition Other Work
4. Estimated Cost ~ 709.
5. If dwelling, number of dwelling units
If garage, number of cars
Alteration
Fee A//~ (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
5. DimensionSHeight of,~re
3. Size of lot: Front
10. Date of Purchase
new construction: Front ~
Number of Stories
.Depth
Number of Stories
Rear
Rear .Depth
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: gO
· 3. Will lot be re-graded deb Will excess fill be removed from premises:
/
4. Names of Owner ofp_remises t~. ]. OT,Sllor]lOtC] Address
Name of Architect (~AT0fl /q3St~. Address
Name ofContractor~"an~ f gffI-L~h Addres~
Phone No. ~
~hone No~
Phone No. ~
5. Is this property within 100 feet of a tidal wetland? *YES NO
· ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIREI~
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0ti
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 )
being duly sworn, deposes and says that (s)he is the applicant
(Name of indix4dual 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 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 forth in the application filed therewith.
worn to before ~e this
Notary Public
PETER M. COLEMAN
NOTARY FUBL1C,
No. 52-57fi8570
Qualified in Suffolk County
Commi~do~ Expim~ March 30,
200 1
/ Signature ofAppffcant '