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HomeMy WebLinkAbout27690-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29039 Date: 11/01/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 48 CARDINAL I~ANE 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 SEPTEMBER 5, 2001 pursuant to which Building Per,tlr No. 27690-Z dated SEPTEMBER 18, 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 ONE FAMILY DWELLING (UNIT #48) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH & 4 SEASONS ROOM AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. SI/FFOLK C0LSkwl~f DEPAR~lqT OF ~I ia~PPROVAL C10-97-11 05/28/02 ELE~-f~IC3%L CERTIFICATH NO. 1054438 05/22/02 PLUMBERS CERTIFICATION DA'£~U 05/17/02 PLARTCORN PLUMB.&HEATING Aq~h~ri z ed Si~ature 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. 27690 Z Date SEPTEMBER 18, 2001 Permission is hereby granted to: LAN-DING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GAR3~GE, COVERED FRONT PORCH AND 4 SEASONS ROOM AS APPLIED FOR UNIT#48 FULL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated SEPTEMBER Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 025 5, 2001 and approved by the Fee $ 1,383.00 Authori ~e~d 'SignatUre COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 76~-!802 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, amd unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 for~n). 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 certificate 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. Co 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. CertificateofOccupancyonPre-existingBuilding~ $100.00 '~ 3. Photocopy of Certificate 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 of Property: Hous~ No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: _ (check one) Street t ~a~et Subdivision Filed Map. Lot: Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ?x.'~ ~ Date of Permit. 7- 2000 /2- AOoO __ Applicant: Underwriters Approval: Final Certificate: / (check one) Applicant - co e ? 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: Owner: i/t[1)hl(~ ~f,l~}~llO (please p/tint) Plumber: Hartcorn Plmg & Htg, Inc (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 day of ,~/ , 20 Notary Public, County VIRGINIA M. GOCINSKI Notary Public, State of New York No. 4873841 Qualtfiecl in Suffo k Cour~ rolm expires October 20 ~? 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 Southotd 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. By: .- '~. Gino N. Aiello, P.E. Dated: May 31, 2002 Mr. Michael J. VeriW Code Enforcement Officer Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage g4.8 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/t48 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP Senior Vice President cc: Dennis M. Wilhelm, RLS Al Broszeit, E&F Walsh Bob Ellis, O/N BARTON & Associates, L.P. BAR'ION & Associates, Inc, Thomas C. Barton, 111, AIA 5120 Butler Pike. Stlite 200 PI)mouth Meeting, PA 19462-1230 IcL 610.940.5825 Fax 610.940.5830 www.bar tonpar tners.com PHILADELPHIA CHICAGO BALTIMORE/ WASHINGTON 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 48 %~/~//a~ ~- ~../~'. .~ ~ REMARKS: March 14.2002 To: 12. F. Walsh Developers Peconic Landing From: Village of Greenport Utilities Department To Whom It May Concern: Re: Peconic Landing Sewerage System Thc Village of Grcenport 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 )I]Ifl)AT ION (21,1D) PLUmBInG ISUL~TIOI~ PER lq'. Y. DATE STATE EI~ERGY CODE .' A~DITIOI~AL BUILDII~G DEPARTMEN'I~ TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Disapproved a/c/ ,20 o/' ,20 ~//. PERMIT NO. Do you havo or need ~o follo~g, before appl~ng Bo~d of Heal~ 3 se~ of Buil~g Plans S~ey Check Septic Fo~ N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Buildir/§In~t~ct~ APPLICATION FOR BUILDING PERMIT Date ,20 INSTR~JCTIOI~S 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 streetg 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 Insp,ctor 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 i.n'part for any purpose what-so-ever until a Certificate of Occupai~ is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building D. epartment for the issuance cfa Building Permit pursuant to the Building Zone Ordinance oft. he Town of Southold, Suffolk County, New York, and other appIicable 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspe~to[s On premises and in build¢Ig for necessary inspections. (Signature of applicant or name, if a corporation) ~(Mafling a~dress of applicar/t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I Name ofownerofpremises (~(_Oth'C. ZtTtlJ,','ll? ! (as on:the tax roll or latest deed) If aplllj~his a corporq,Con, signature of duly authorized officer X .. t,4, ':' / (l',,fan¢ ~,.d title ofcorporate~officer~ Builders License No. Plumbers License No. Electricians License No. Other Trade s License No. Location of land on which ptIoposed work will be doric..' /2 0,Y f. 7:.: ,2,..X ' House Number . Street ' Hamlet County Tax Map No. 1000 Section Q~' Block / Lot:"/,""~'"¢,,.¢~ ¢~ Subdivision .. Filed Map No. I,,~,o~._._~l~ _ 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 ¢c~,5] /l(t~ / 3. Nature of work (check which applicable): New Building ){ Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost ~ 700,. 0019. DO 5. Ifdwelling, number of dwelling units If garage, number of cars Fee (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 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 3. Dimensions of entire new construction: Front Height ). Size oflot: Front . Number of Stories 10. Date of Purchase 2.6/ Number of Stories / · "/q/,~ Depth Rear Name of Former Owner Depth ~ 1. Zone or use district in which premises are situated 12. Does proposed cqnstruction violate any zoning law, ordinance or regulation: :3. Will lot be re-graded /~ __ Will excess fill be removed from premises: ti ' Phone No~ tm Phone No. 5. Is this property within 100 feet cfa tidal wetland? *YES NO · WYES, SOUTHOLD TOVFN' TRUSTEES PERMITS MAY BE REQUIR_ED 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) SS: :OtrNTy ) f~"/'/77t~ ,t. Q5 /'t/~X. JD/--57/¥~' being duly sworn, deposes and says that (s)he is ihe applicant (Name 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; 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. Signature o f Appl//cant /