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HomeMy WebLinkAbout27652-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28543 Date: 06/27/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 52 CARDINAL LANE GREENPORT (HOUSE NO.) (STREET) (HAMLET} County Tax Map No. 473889 Section 35 Block 1 Lot 25 Su]~division 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 Pemit No. 27652-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 #52) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, ( OWNER ) of the aforesaid building. INC. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-97-11 05/28/02 ELRC'~RIC3%L C~RTIFICATH NO. 1054456 05/22/02 PLUMBERS CERTIFICATION DA'£mO 05/17/02 H3LRTCORN PLUMB.&HEAT.INC. Aut ho~'f'z ed- Signature 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 LTNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27652 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 #52 CPJkWL at premises located at County Tax Map No. 473889 Section 035 Block pursuant to application dated JULY 26, 2001 Building Inspector to expire on MARCH 14, 52 CARDINAL LANE GREENPORT 0001 Lot No. 025 and approved by the 2003. Fee $ 636.30 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 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 of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certif,fing 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 o f 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. New Construction: Date. Location of Property: House ,NoD Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Filed Map. Applicant: _ Underwriters Approval: Subdivision Permit No. ~ Date of Permit. Health Dept. Approval: '7- ~:~' Planning Board Approval: ~2 - 4- Request for: Temporary Certificate Final Certificate: Fee Submitted: (check one) Lot: (check one) Apphcant,~gnature Town Hall, 53095 Main Road P.O. Box 1179 $outhold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: ~l[f~0a~. (Pleas~ l~rint) Plulnber: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 o£ ,////'/~2~7 , 20 ,/ Notary Public, County ~ure) 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 * PECONiC LANDING E.F. MALONEY P.O. BOX 6070 MAIN RD RT 25 MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944 Located at MAIN RD rt 25 COTTAGE #52 GREENPOR'i', VILL, NY 1 'i944 Application Number: 1054456 Certificate Number: 1054456 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS37 Described as a Residential occupancy, wherein the premises electrical system consisting 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. Name QTY Rate Rating Circuit Tvoe Additional Charges modular house- N.Y. state approval # 19- mfg - avis america, serial # 671101 Wiring and Devices Receptacle I 0 General Purpose Fixture 1 0 Incandescent Switch 1 0 General Purpose Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 cb Meters: 1 ,-,,i, ECTED CERTIFICATE] seal 1 o£ ! This cerUficate 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.: ~"Z 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: Gino N. Aiello, P.E. Dated: ~//z~;/~¢ "~ May 31, 2002 Mr. Michael J. Ve~ty Code Enforcement Officer Southold Town H~I 53095M a inRoad P.O. Box 1179 Southold, NYl1971-1179 PECONIC LANDING PROJECTS. Re: Cottage #52 Code Certification. Dear Mike: In reference to the above mentioned project we, Barton & Associates, LLP (Axchitects of Record for said project), hereby certify that to the best of our knowledge, information and believe that Cottage #52 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, BARTON & Ass~iates, Inc. Thumas C. Bari{m, IlL AIA 5120 Butler Pike, SuBe Plymouth Meeting, PA 19462-1230 Fei. 610.940.5825 Fax 610.940.5830 www.bar tonpar t nets.eom PHILADELPHIA CHICAGO BALTIMORE/ WASHINGTON O. ff i c e l's MAYOR DAVID E KAPELL (631 ) 477-300Q TRUSTEES WILLIAMI MILLS]II GEORGE W. HUBBARD (}Alt. F HORION BRAI)I.EY B BURNS 236 THIRD STREET GREENPORT. NEW YORK 11944 CLERK / TREASURER CHRISTiE HALLOCK Tel: (631 ) 497 0248~385 Fax: (631) 477 1877 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 WS~s INSPECTION TEST GAS AND WATER SERVICE Sidney B. Bownc & 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: l~ IhSPECTIO~ REPORT DATE ,gI~DATION ( ~'h'DATION ( ~1~ ) ~UCH FRAI4E & [SULATION P~R N. Y. STA~ ~NERCY CODE ' BUII',DINQ DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~/~/~ ,20 O/ Approved '~//y ,20 ~)/ Disapproved a/c · PERMIT NO. Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey '.: ~'"~ D 5 ~-'2,-~ Check , . Septic Form 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 scts of plans, accurate plot plan to scale. Fee according to. sched.,tile. b, Plot plan showing location of lot and of buildings on premises, 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 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 lc'part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEP,.EBY 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, ordinanoes~ building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of appli~nt or name, if a corporation) ,{Mailing a~dre-ss of applican{) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I Name ofownerofpremises Q'~O/lt~. ~dPtlJ~'/lt? ! (as on:the t~ roll or latest deed) If ap~l~fih is a co¢or~on~ si~ature of duly authohzed ~ (~ ~d title ofco~orate~officer~ Builders License No, Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which p,,roposed work will be doric: House Number . Street Hamlet County Tax Map No, 1000 Section Q~' Block Subdivision ..' Filed Map No. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Addition Alteration Other Work a. Existing use and occupancy., b. Intended use and occupancy ne~5] / Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ 700. 0OO. O0 5. If dwelling, number of dwelling units If garage, number of cars Fee (Description) (to be paid on filing this application) Number ofdwelling units on each floor 6. If business, commercial or mixed 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 5. Dimensions of entire new construction: Front. Height 2.6/ Number of Stories . ). Size of lot: Front Rear 10. Date of Purchase J~]~ Name of Former Owner '7 · Number of Stories Rear / .Depth .Deptb t I. Zone or use district in which premises are situated t 2. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded yP,,~ Will excess fill be removed from premises: YES .4. ii~iSoO~f~!el;!~iddr~!ii- O~ P'?/~ Phone No.~ t I Phone ti i=hone No. [ ¢cg~.)/--/~'7- /-./)~ / 5. Is this property within 100 feet of a tidal wetland? *YES NO · lY YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ~D survey, to scale, with accurate foundation plan and distances to property lines. DA ff,t~ 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: :OUNr¥ oPg.'Ff //< ) ~V'/77~ ~ [~./~-.~'ZlOfi".5'ff'~' being duly sworn, deposes and says that (s)he is the 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 w/II be erformed in the manner set forth in the application filed therewith. worn to before me this -- Notary ~ul~ic ' ' / Signature ofA. ppl//cant / z