HomeMy WebLinkAbout27646-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28548 Date: 06/27/02
THIS C~EIFIBS t~at the building NEW DWELLING
Location of Property: 80 MALLARD LAI~E GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 8, 2001 pursuant to which
Building Permit No. 27646-Z dated J~3NE 14, 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 #80) WITH ATTACHED TWO CAR GARAGE ~TD
COVERED FRONT PORCH AS APPLIED FOR.
The certificate is issued to PECONIC LANDING AT SOUTHOLD~
( OWNER )
of the aforesaid building.
INC.
SDFFOI~K COUNT~ DEPARTMENT OF ~ALTH A~PROVAL C10-97-11 05/28/02
ELECTRICAL CERTIFICATE NO. 1036427 05/31/02
PLUMBERS CERTIFICATION D;~r~ 05/17/02 BURT'S RELIABLE, 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.
27646 Z Date JUNE 14, 2001
Permission
is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GAP~AGE & COVERED PORCH AS APPLIED FOR UNIT #80 CRAWL
at premises located at
County Tax Map No. 473889 Section 035
pursuant to application dated JUNE
Building Inspector.
1205 MAIN RD
Block
8, 2001
GREENPORT
0001 Lot No. 025
and approved by the
Fee $ 636.30
Authori~d 'Sig~ure
ORIGINAL
Rev. 2/19/98
Form No. §
TOWN OF SOUTHOLD
BU1LDING 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 witb the following:
AD
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 fom~).
3. Approval of electrical installation 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 cortificate
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 "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 Occupancy on Pre-existing Building - $100.00
3. Photocopy of CerQficate 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 o~ Property: ~0
House No.
Owner or Owners of Property: c'~C4xl4
Suffolk County Tax Map No 1000, Section
Date.
Old or Pre-existing Building:
lu l l oJ
/ §t~'eet
~ g Block
(check one)
Hamlet
Subdivision
Permit No. ,~'~10~ [~"~ DateofPermit.
Health Dept. Approval: '-/'
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,.~-..~
Filed Map._
Applicant:
UnderwfitersApproval:
Final Certificate:
Lot:
(check one)
Applicant Sigtmture
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: ~/17 /O~L
Building Permit No.
Owner: ~0.~1~. LfliI~II(I
Oleas~ ~rint)
(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~'~.~ h
dayof ~'q~k_k~ __, 20(~
Notary Public, ~t'~l ~County
4A~Cy i. ~STER
Public, State of New Yo~
~940985-Suffolk Coun~ _
ion
(P l~.~ignature)
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 1OO38
CERTIFIES THAT
Upon the application of
upon premises owned by
E.F. MALONEY
P.O. BOX 6070
MILLER PLACE, NY 11764,
* PACONIC LANDING
MAIN ST-RT 25-COTTAGE 80
GREENPORT, VILL, NY 11944
Located at
MAIN ST-RT 25-COTTAGE 80 GREENPORT, VILL, NY 11944
Application Number: 1036427
Certificate Number: 1036427
Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11
Described as a Co~m~crcial occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Atxached Garage, Outside,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 31st Day of May, 2002.
Name Q.TY Rate Rating Circuit Type
Additional Charges
modular house N.Y. State approval # 19-1
mfg Avis America serial # 663510
Appliances and Accessories
Air Conditioner 1 0 42,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle I 0
Switch 1 0
Fixture 3 0
Service
I Phase 3W Service Rating 200 Amperes
Service Disconnect: I 200 cb
Meters: l
General Purpose
General Purpose
Incandescent
seal
I of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
BARTON,RrAssociates
May 31, 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 #80 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 #80 has been conslxucted 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
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.: i~O
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.
Dated:
officers
236 THIRD STREET
GREENPORT. NEW YORK 11944
CLERK/TREASURER
CHRISTIE HALLOCK
Tel (631) 477-0248~g85
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
WSOs
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:
I SPECTION REPORT DA~i'K ...... ~ COI~IKI~S
,~-~DATION ( I ST)
'i~'gATION ( 2ND )
~IFRAI~&
.I'LUI~iNG
[SULA.TION PKR N. Y.
CODE
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Exam/ned
· PERMIT NO.
,20 O/
,20 O/
Do you ~ve or n~cd ~c follo~g, before appl~g
Bo~d of Heal~
3 sc~ ofBuil~g PI~
S~ey.
~ --~ Check
Sep6c
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
~or
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. schedule.
b. Plot plan showing 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 commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspoctor 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.
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 appli¢i]nt or name, if a corporation)
#,///*7/
,~Mailing address of applican~
State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
/ . (as on:the tax roll or latest deed)
If apt[lj~'a, nh is a corpora~on~ signature of duly authorized officer
Z ':'
/ (~al~ find title ofcorporatelofficer5
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Lo~2(~ofland on which~.p3~d work will be done;
House Number Street
Hamlet /
County Tax Map No. 1000 Section ~ Block
Subdivision ' Filed Map No.
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy.,
b. lntended useandoccupancy Tela't~c0/lCf.,
Nature of work (check which applicable): New Building.
Repair Removal Demolition
Estimated Cost
If dwelling, number of dwelling u.nits
If garage, number of cars ~
X Addition Alteration
Other Work
Fee //~( (Description)
to be paid on filing this application)
Number of dwelling units on each floor
d
If business, commercial or mixe 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 ~ Rear
Height ~¢ Number of Stories
Size of lot: Front t~t/~ Rear .Depth
Date of Purchase /~/A Name of Former Owner
Number of Stories
.Depth
t 1. Zone or use district in which premises are situated
! 2. Does proposed construction violate any zoning law, ordinance or regulation:
/
/
'3. Will lot be re-graded ~/~_~ Will excess fill be removed from premises: YES
4. NamesofOwnerofparqmises~k,~J~Address O(/ ~J{} PhoneNo.~/)~(~,~Z~'
Name of Architect ~Address
Phone
No~
Name of Contractor ~~gltl~l J~ ' .~/Ot],.~~ Addres~ 0t Phone No. (.j~[0_4~2~2~-
5. Is this property within 100 feet ora tidal wetland? *YES NO
· ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
survey, to scale, with accurate foundation plan and distances to property lines. OJ
6.
Provide
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 OP-~Y~'f'4//~ )
~n/4~/77a/J'25 klft:~.l.J/.),~".5',/f~' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
-Y)He is the
(Contractor, Agent, Corporate Officer, etc.)
fsaid owner or owners, and is dui3' 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 manner set forth in the application filed therewith.
worn to before ,,me this
Notary F;u~ic
~~N~Yo~
~4~1~
' ' / Signature of Applicant r