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HomeMy WebLinkAbout27655-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28542 Date: 06/27/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 51 CARDINAL LANE 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 JULY 26, 2001 pursuant to which Building Permit No. 27655-Z dated SEPTEMBER 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 ~51) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. ~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. SUFFOLK CO%~%w~Y DEPART~T OF ~{]~ALT~t APPROVAL C10-97-11 05/28/02 Hr.R~-rKICAL CERTIFIC_A~ NO. 1054450 05/22/02 PLUMBERS CERTIFICATION D~u 05/17/02 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. 27655 Z Date SEPTEMBER 14, 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 GAP~AGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #51 CRAWL at premises County Tax Map No. 473889 Section 035 pursuant to application dated JULY Building Inspector to expire on MARCH located at 51 CARDINAL LA_NE GREENPORT Block 0001 Lot No. 025 26, 2001 and approved by the 14, 2003. Fee $ 636.30 ' Authori z'e~"Signat~ 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 rise: 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 fora0. 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, 2. Certificate of Occupancy on Pre-existing Building - $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 Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Date. New Construction: t~ Old or Pre-existing_Buildlng: Location of Property: k.~[ ( House ~o.), Street ~ OwnerorOwnersofUroperty:--{OJ'Iqf/tC, LOtl(~}'/lO 0"~ k~t~/J~'~; Suffolk County Tax Map No 1000, Section ~.~ Block / / (check one) Lot 2t~' Subdivision Permit No..~2Q(a S S ~ Health Dept. Approval: Planning Board Approval: Date of Permit. 7- -zrx o /2- q- 2oao Request for: Temporary Certificate Fee Submitted: $ 2~ ' Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot: (check one) 3,p~ii~afit gigli~u r 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 TOV/N OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner:_ P,f,..O~ll'~. ~Oll~fl0 (Pleas~ l~rint) Plumber:Hartcorn Plmq & Htq, 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 Notary Public,~ County (Plumbers Signature) 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, * PECONIC LANDING MAIN RD RT 25 GREENPORT, VILL, NY 11944 Located at MAIN RD Rr 25 COTTAGE #51 GREENPORT, VILL. NY 11944 Application Number: 1054450 Certificate Number: 1054450 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS37 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 National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 22n Day of May, 2002. Nature QTY Rate Rating Circuit Type Additional Charges modular house- n,y. state approval#19-1424 mfg- avis america, serial #671201 Wiring and Devices Receptacle I 0 Fixture 1 0 Switch 1 0 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 General Purpose Incandescent General Purpose CORRECTED CERTIFICATE 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. 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. By: Dated: ~' Gino N. Aiello, P.E. )~ ~ & PLUI~BI~G 1SULATION PER N. Y. STATE ENERGY/ CODE -'ADDITIONAL BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 PERMIT NO. Exa ed ,200/ Disapproved afc Do you have or need the follow/rig, 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 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 of buildings on'~remises, 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 Permit. 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 i¢'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 inspe.ctors On premises and in building for necessary inspections. (Signature of applicant o~ name, if a corporation) {Mailing a~dr~ss of applicar~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder / Nameofownerofpremises Q~6Otb'C.. /,O/IJ[tlO Or'~.OT]lf2]i i. (as on:the tax roll or latest deed) If ap~l,~..nh is a corpora~ion~ signature of duly authorized officer f (~an~ ~nd title ofcorporatelofficer~ Builders LicenseNo. Plurnbers LicenseNo. Electricians License No. Other Trade's License No. Location of land on which p%oposed work will be done: /20,X t F. 2J ' " House Number Street ' Hamlet County Tax Map No. 1000 Section Q.~ Block [ Subdivision .. Filed Map No. · ame) " )I a. Existing use and occupancy b. Intended use and occupancy t~ca,S} / 3. Nature of work (check which applicable): New Building Repair Removal Demolition State existing use and occupancy of premises and intended use and occupancy of proposed construction: 4. Estimated Cost_ ~ 700; 000. D~ 5. If dwelling, number of dwelling units If garage, number of cars .... Addition Alteration Other Work ~'ee (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 ixtent 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 3. Dimensions of entire new construction: Front Height ). Sizeoflot: Front 2_6/ Number of Stories , 'i [ 0. Date of Purchase ,y.. Rear Name of Former Owner Number of Stories Rear Depth / Depth t l, Zone or use district in which premises are situated [2. Does proposed construction violate any zoning law, ordinance or regulation: iA//) '.3. Will lot be re-graded /e,~ _ Will excess fill be removed from premises: YES Name of Architect ~Address t! ' Phone Name of Contractor L" tltld F I12~ I~}') Address' , }>hone No. (_ G~) ~/'7'7- 4-,//10 } 5. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED survey, to scale, with accurate foundation plan and distances to property lines. Or'/ fr,/P_, 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: f~ V'/'}Td X,'25 .~/t~',(dO/"~;/¥~- being duly sworn, deposes and says that (s)he is hhe applicant (Name of individual signing contract) above named, $)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; tat 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. Notary,~u~ic PA'T~L~ A. Signature of Applicant t gLOOM II