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HomeMy WebLinkAbout27237-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28427 Date: 05/16/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 16 OSPREY I2~NE GREENPORT (HOUSE NO.) (STREET) (F~AMLET) 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 APRIL 10, 2001 pursuant to which Building Permit No. 27237-Z dated APRIL 13, 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 #16) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. · ~ne certificate is issued to PECONIC 12~NDING AT SOUTHOLD~ ( OWNER ) of the aforesaid building. INC, SUFFOLK COUI~"f DEPART~T OF ~TH APPROV;%L C10-97-11 05/10/02 ELEC~RIC3%L CERTIFICJ%TH NO. 1037681 03/07/02 PLUMBERS CERTIFICATION DA'£~M 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. 27237 Z Date APRIL 13, 2001 Permission is hereby granted to: LANDING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GAR3tGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #16 FULL CELLAR at premises located at 1205 MAIN RD County Tax Map No. 473889 Section 035 pursuant to application dated APRIL Building Inspector. GREENPORT Block 0001 Lot No. 025 10, 2001 and approved by the Fee $ 746.20 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 in by typewriter or ink and submitted to the Building Department witb 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 supply and sewerage-disposal (S-9 form). 3. Approval o f 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. 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 applicam. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in 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 of Occupancy - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate ofOcoupancy - Residential $15.00, Commercial $15.00 Date. Old or Pre--existing Building: House No. Street / Owner or Owners ofProperty: ¢-~C~g~C_ {,.~MO,d~ ~a.'~- Suffolk County Tax Map No 1000, Section ~ ~,~ Date of Permit. t//I 3/Ol Block New Construction: Location of Property: Filed Map. Subdivision Permit No. o~ ~ 3 9~ Health Dept. Approval: Plmming Board Approval: 12. Zoo,:,' Request for: Temporary Certificate Fee Submitted: $ ,,~-_~ '"" _ Applicant: Underwriters Approval: (check one) Hamlet Lot 2,f" Final Certificate: (check one) CO -~ ..~ t~,,9-"2 Applicant Signature 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 Permit No. (please pnlnt) Hartcorn Plmg. & Htg., Inc Plumber: (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 ~ dayo , 20 d2---- Notary Public, County (Plumbers Signature) %/IRGIN~A M. GOC NSKI Notary Public, State of New York No. 4873841 Qualified in Suffolk Count~ Term expires October 20, -- ~ 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 I Pressure COTTAGE # DATE APPROVED BY Test Test 5.0 PSI 50 PSI 16 9/27/01 OK OK REMARKS: 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: April 04, 2002 Mr. Michael J. Verity Code Enforcement Officer Southoid Town Hall 53095 Main 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. 16 have 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 Broszeit, E&F Walsh Bob Ellis, O/N BARTON & Associates, L.P. I~ARTON & Associates. Inc. rhomas C. Barton, Ill, AIA 5120 Butler Pike, Suite 200 Plymouth Meeting, PA 19462-1230 'lei. 610.940.5825 Fax 610.940.5830 www.bar tonparmers.com PHILADELPHIA CHICAGO BALTIMORE/ WASglINGTON Officers MAYOR DAVID E KAPELL (631 ) 477-3000 TRUSTEES WILLIAM J. MILLS II1 GEORGE W HUBBARD GAlL F HOWFON 236 THIRD STREET GREENPORT~ NEW YORK 11944 CLERK / TREASURER CHRISTIE HALLOCK Tel: (631) 477-0248/2385 Fax: (63 l) 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 FIELD INSPECTION ~PORT DA~ i,! COInErS FOUNDATION (IST) FOUNDATION (2ND) ROUGH FRANE & II INSliLATION PER N. Y. CODE II BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Exam/ned~/-~ ,20 ~'~ Approve~/3 ,20 fi/" Disapprove~t a/c Building inspector DULL, I~II~ILJ FgKNI. II At'PLILtATION CHECKLIS' Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S~D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTR~JCTIONS ,20 OI 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 pict 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 co~nenced 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 throughodt 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 aptplicant or name, if a corporation) /(Mailing address of applic~{nI) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nmneofownerofpremises(~r0tl[CJ ~::~ag'/IO t:tF QSoLITJ'I/IIJ / (as on:the tax roll or latest deed) Ifkap~licar~ is a corporatip2~,~tlaature of duly authorized officer '~ ' (Name and title ~Sfcorporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which.proposed work will be doric: /2t 5 'g. House Number Street County Tax Map No. 1000 Section k2~3' Block Subdivision ' Filed Map No. (Name) :. Hamlet / 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 Repair Removal Demolition. Addition Alteration 4. Estimated Cost 5. If dwelling, number of dwelling units garage, number of cars Other Work Fee ,4,//~ (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. 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 3. Dimensions of entir~ new construction: Front ~,2., Height ~,¢ Number of Stories / ). Size of lot: Front /I///~ Rear [0. Date of Purchase ~/~ Name of Former Owner ! 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: 3. Will lot be re-graded /e~ Will excess fill be removed from premises: 4. Names of Owner ofp_remises~~lLAddress (~/.) Name of Architect ~0lT0tl ~5. Address ~ ~ Name of Contractor Eotld ~' tlJo~ Address ~ / YES Phone No. .Phone Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO · IF .YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) :OUNTY O F~'t Ft~/~S)S: J being duly sworn, deposes and says~ ,t to~ ~ - ~ that (s)he is ~e applicant ~ame of indi~dual si~ing con,act) above named, $)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; aat all statements contained in this application are tree 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 J Signature of Applicant