Loading...
HomeMy WebLinkAbout27693-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28418 Date: 05/16/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 2 TA/~AGER I~LNE (HOUSE NO.) (STREET) (H/~MLET) County Tax Map No. 473889 Section 35 Block 1 Lot 25 Subdivision Filed Map NO. Lot No. GREENPORT conforms substantially to the Application for Building Permit heretofore filed in this office dated MAy 9, 2001 pursuant to which Building Perm/t No. 27693-Z dated MAY 11, 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 #2) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. Tg~e certificate is issued to PECONIC LAi~DING AT SOUTHOLD, (OWNER) of the aforesaid building. INC. SI/FFOLK COI~Y DEPART%WENT OF BEALTH APPRO~-AL C10-97-11 05/10/02 ELEC"~RIC3%L CERTIFICATH NO. 1037202 05/23/02 PLUMBERS CERTIFICATION DAT~ 02/14/02 HA2~TCORN PLUMB.&HEAT.INC. ~~o~ri~ature 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) PERMIT NO. 27693 Z Date MAY 11, 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 GAR3%GE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #2 CRAWL at premises located at 1205 MAIN RD County Tax Map No. 473889 Section 035 pursuant to application dated MAY Building Inspector. GREENPORT Block 0001 Lot No. 025 9, 2001 and approved by the Fee $ 707.70 Authorized ~ignatu~ COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BU]ULDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and sublrfitted to tile Building Department with the following: 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 suppty and sewerage-disposal (S-9 form). 3. Approval of electrical installation 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 from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Acourate 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 C~rtificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co 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. Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of Ocoupancy - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 House No. Owner or Owners of Property: c'~C.~l,I ~,C_ Suffolk County Tax Map No 1000, Section Subdivision New construction: Location of Property: Date. Old or Pre-existing Building: Streett PermitNo..o~ ? ~ DateofPermit. Health Dept. Approval: '-~r. Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ J...~ Block (check one) Hamlet Filed Map. Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature Dennis M. Wilhelm 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 * PECONIC LANDING P.O. BOX 6070 MAIN RD RTE 25 MILLER PLACE, NY 11764, COTTAGE # 2 GREENPORT, VILL, NY 11944 Located at MAIN RD RTE 25 COTTAGE # 2 GREENPORT, VILL, NY 11944 Application Number: 1037202 Certificate Number: 1037202 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: ^.ached G age, Outside, CORRECTED CERTIFICATE 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 23rd Day of May, :2002. Name QTY Rate Rating Circuit Type Additional Charges MODULAR HOUSE Appliances and Accessories Air Conditioner 1 4 TON Wiring and Devices Outlet 1 Fixture Receptacle 1 General Purpose Switch 1 General Purpose Fixture 1 Incandescent ~ Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 CB 200 Meters: 1 seal 1 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. 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 RD RTE 25 MILLER PLACE, NY 11764, COTTAGE # 2 GREENPORT, VILL, NY 11944 Located at MAIN RD RTE 25 COTTAGE # 2 GREENPORT, VILL, NY 11944 Application Number: 1037202 Certificate Number: 1037202 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Residcnda] occupancy, wherein the premises electrical system consisting electrical devices and described located in/on the wiring, below, premises at: Attached 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 Day of May, 23rd 2002. Name QTY Rate Rating Circuit Type Additional Charges MODULAR HOUSE Appliances and Accessories Air Conditioner 1 4 TON ~ Wiring and Devices Outlet 1 Fixture Receptacle 1 General Purpose Switch 1 General Purpose Fixture 1 Incandescent Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 CB 200 Meters: 1 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. 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.: 2 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: MAYOR DAVID E KAPELL (631)477 3000 TRUSTEES WILLIAM J MILLSIII GEORGE W. HUBBARD GAIL F HORTON BRADLEYB BURNS 236THIRDSTREET GREENPORT, NEW YORKII944 CLERK/TREASURER CHRISTIE HALLOCK Te1:(631)477 0248/2385 Fax:(631)477-1877 March 14, 2002 To: E. F. Walsh Developers Peconic 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 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 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 2 10/3/01 OK OK REMARKS: ~1)~ INSPECTION P~PORT DATg COI~ffi~S FRAME & PLUIiBING ~SlILATION FER lq. ¥.' CODE B, IJtLDtNG DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~//~-~' ,20 O f Approved ~"// ,20 ~gt~ Disapproved a/c PERMIT NO. Do you have or need the following, before applying Board of Health :' 3 sets of Building Plans Survey - z.- Check Septic Form N.Y.S.D.E.C. .. ' Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT INSTR~JCTIONS Date ,20 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 o.f buildings Oh"premises, relationship to adjoining premise~s Or public streeti or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Bi2ilding Perrmt. 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 throughotit the work. e. No building shall be occupied or used in whole or mpart 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 ~uthofized inspe5tors On premises and in building for necessary inspections. (Signature ofa~plicaht or name, ifa corporation) 9.0. ,,07/ · (,fvl~lling address ofapplicant~ - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises '-~P/'Dth~ ~tltlC/?/it7 ~l' ./(as on.;the tax roll or latest deed) If a~p,~ant ~s a, c.o~orat~ature of duly authorized officer /~ (Name and title {~fco'rporate'-officer) Builders License No. Plumbers License No. Electricians LicenseNo. Other Trade's License No. 1. Location of land on which p3oposed work will be doriC: House Number Street Hamlet ! County Tax Map No. 1000 Section (~ Subdivision 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 l Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost 6.-'~, 700, 1900.00 If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee _ A/f//} (Description) o 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 o f existing structures, if any: Front Height. Number of Stories Rear __Depth Dimensions of same structure with alterations or additions: Front Rear Depth. Height 5. Dimensions ofe}atire new construction: Front Height _~¢ . Numberof Stories ). Size of lot: Front /~/~ Rear I0. Date of Purchase A~]A Name of Former Owner L 1. Zone or use district in which premises are situated Number of Stories Rear Depth ~/~ ] '! Depth L 2. Does proposed construction violate any zoning law, ordinance or regulation: N0 3. Will lot be re-graded _3//.~ Will excess fill be removed from premises:t YES t(~ Name of Architect ~L~~Address. ~' .Phone No~ Name of Contractor/~' and Ia llrg~Ic~l Address , Phone No. (_ ~,.gl) 4/7'7-/-g/E) ] 5. Is this property within 100 feet of a tidal wetland? *YES NO · · YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. ~)(1 ]::;/~ 7. If elevation at an>' point on property is at 10 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) ;OUNTY O F~/¢'/~//(-S)s: (Afl [(IQ r'}'t ~- ""/-JhOO'/p,_%Ofl being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing ~ontract) above named, '3)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 ~vill be erformed in the manner set forth in the application filed therewith. worn to before me this.,. or /r/,qi'd/.L ,, Notary Public PAT~CIA & SP~M, Af-I ~ Public, Stat~ o~ N-'