Loading...
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 '