HomeMy WebLinkAbout27629-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28702 Date: 08/13/02
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 81 MALLARD LANE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 35 Block 1
Subdivision
Filed Map No. __ Lot No. __
GREENPORT
Lot 25
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed i~ this office dated MAY 29, 2001 pursuant to w~ich
Building Pe~it No. 27629-Z dated JUNE 27, 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 #81) WITH ATTACHED TWO CAR GARAGE AND
COVERED FRONT PORCH AS APPLIED FOR.
T~ne certificate is issued to PECONIC LANDING AT SOUTHOLD,
( OWNER )
of the aforesaid building.
INC.
SUFFOLK COUN~"f DEPARTMENT OF ~]~ALT~ APPROVAL C10-97-11 05/28/02
ELECTRICAL CERTIFICATE NO. 1036415 06/17/02
PLL~4BERS CERTIFICATION DA~q~D 08/17/02 B%rRTS RELI~d~LE, 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)
PE~IT NO. 27629 Z Date JUNE 27, 2001
Permission is hereby granted to:
PECONIC LANDING AT SOUTHOLD, I
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GARAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #81 CRAWL
at premises located at 81 MALLARD LANE
County Tax Map No. 473889 Section 035 Block
pursuant to application dated MAY 29, 2001
Building Inspector to expire on DECEMBER 27,
GREENPORT
0001 Lot No. 025
and approved by the
2002.
Fee $ 707.70
AuthoriJ~d Sign~nure
ORIGINAL
Rev. 5/8/02
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 water supply and sewerage-disposal (S-9 fom0.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swom statement from pluraber certifying that the solder used in system coutains 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 responsible for the building.
6. Submit Planniag Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
l. Accurate survey of properly 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 o f Occupancy
is denied, the Building Inspector shall state the reasons therefor ia writing to the applicant.
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 - $I00.00
3. Photocopy of Certificate ofOecupaney - $ 0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate ofOcoupancy - Residential $15.00, Commemial $15.00
New Coustmction:
Location of Property: 8
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Date.
Old or Pre-existing Building:
(check one)
Hamlet
Lot 2~~''
Subdivision
Filed Map.
Lot:
Permit No. Date of Permit.
Health Dept. Approval: ~ ' ~ ° /..
Planning Board Approval: l ~ - ~'{
Request for: Temporary Certificate
Fee Submitted: $ ,~ ~'
__ Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
DO,his
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
Building Permit No.
Owner: ~0 (.OIII'L ~fltl~?tl f/
(31easd hint)
Plumber: ~2> u ~{5 Y~t~, ;a Jo ['a-
(.please print)
L~dr~ 4- 8/
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this
dayof ~/~ftlt , 20C'~
Notary Public,~L~?r:>l &/_County
NANCY A. 'PESTER%
~,'y Public, State of New York
,o, 49~O985-Suffolk County _
'-issi, n !~×t~ires Au~.
(Pier'Signature)
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. Aiello, P.E.
Dated:
BARTONX~Asmciates
June 6, 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 #81 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 #81 has been constructed in compliance with 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 Bmszeit, E&F Walsh
Bob Ellis, O/N
Officers
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,
Willian~ 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
REMARKS:
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
E.F. MALONEY * PECONIC LANDING
P.O. BOX 6070 MAIN STREET / ROUTE # 25
MILLER PLACE, NY 11764, COTTAGE # 81
GREENPORT, ny 11944
Located at MAIN STREET / ROUTE # 25 COTTAGE # 81 GREENPORT, VILL, ny 11944
Application Number: 1036415 Certificate Number: 1036415
Section: 35 Block: 1 Lot: 25 Building Permit: hDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Attached Garage, Outside,
was inspected in accordance with the Natienal Electrical Code and the detail of the instafladon, as set forth below, was
found to be in compliance therewith on the lTth Day of June, 2002.
Name QTY Ral~e Rating Circuit T,4)c
Additional Charges
modular hpusc N.Y.State approval # 19-13
mfg Avis America serial # 663701
Appliances and Accessories
Air Conditioner I 0 48,000 BTU
Furnace 1 0 Gas
1 0
Wiring and Devices
Receptacle I 0 General Purpose
Switch 1 0 General Purpose
Fixture 3 0 Incandescent
Service
I Phase 3W Service Rating 200 Amperes
Service Disconnect: I 200 cb
Meters: I
seal
t of
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
i AD~I'rZONAL co, rotaTE: I..i
ISULATION PER N.
STATE ENERG~
CODE
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined ~t~'~ ,20
,2o
Disapprov~/~/a/c
PERMIT NO.
t~ u I.I~DI.N~J plalq, tvl. l I. Ai~PLI~A 1. ION UHh(2KLI. b.
Do you have or need the followiag, before applying
Board of Health
3 sets of Building Plans
Survey.
Check
Septic Form
N.Y.$.D.E.C.
· ' Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRUCTIONS
a. This ·application MUST be completely filled in by grpewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to. schefl..ule.
b. Plot plan showing location of lot and of 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 perrmt.
d. Upon approval of this application, the Building Insp0ctor 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 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 of applicant or name, if a corporation)
x 4 ,o. cS .r o,J //07/
- "(Mailing address of applicant~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Ow/eL
Name of owner of premises '-]'/gf/'JtI/F.
.~as on:the tax ~'~I1 or latest deed)
If apl~l'/t~,his a corpora3ion~ signature of duly authorized Officer
g ".
/ (~ar~ ~nd title of corporatetofficer~ .
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which g, roposed work will be doric:
/2x: , :'
House Number Street
Hamlet
County Tax Map No. I000 Section
Subdivision
(Name)
Block /
..' Filed Map No.
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
Repair Removal Demolition
Fee
4. Estimated Cost faf 70~ ~Ot'), OO
5. If dwelling, number of dwelling units
If garage, number of cars ,~.
Addition Alteration
Other Work
(Description)
(to be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear
Height. Number of Stories
.Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height.
2. Dimensions of entire new construction: Front k.~.
Height ,,~( Number of Stories
). Size of lot: Front /~///~ Rear
tO. Date of Purchase 41~ Name of Former Owner
Number of Stories
Rear .Depth ...d4t~
/ ''
Depth
1. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation: dO
3. Will lot be re-graded lflq; Will excess fill be removed from premises: YES (~
·:' ~1 Phone No~
I~ Phone No. ~
5. Is this property within 100 feet of a tidal wetland? *YES NO
· I~' YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLrI2rkED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at an.,,' point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
SS:
:OUNTY OF-X-rFfa'/4. )
f/4 V',r'P/~/-Q5 ~/~D',~JOF~' being duly sworn, deposes and says that (s)he is the applicant
0X/amc of individual signing contract) above named,
S)He is the
(Contractor, Agent, Corporate Officer, etc.)
fsaid 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 trae 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 me this
NO. 47~17~
Signature of Applj~cant