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HomeMy WebLinkAbout27651-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28623 Date: 07/26/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 61 EGRET LANE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 1 Lot 25 GREENPORT Subdivision Filed~4ap No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 2001 pursuant to which Building Permit NO. 27651-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 #61) 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. SuFFOI~K CO~lqT~f DEPART~T OF ~ALTH APPRO%rAL C10-97-11 05/28/02 ELEC~£~ICAL CERTIFICATE NO. 1055113 07/05/02 PL~q~BERS CEi~TIFICATION DA'r~U3 05/17/02 HARTCORN PLUMB.&HEATING 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 COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27651 Z FULL Date SEPTEMBER 14, 2001 Permission is hereby granted to: PECONIC LJ~NDING AT SOUTHOLD, I PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #61 CRAWL at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated JULY Building Inspector to expire on M3LRCH Fee $ 636.30 61 EGRET LANE GREENPORT Block 0001 Lot No. 025 13, 2001 and approved by the 14, 2003. ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ItALL 765-1802 APPLICATION FoR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Depamnent 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. Appro~)al 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 natnsal or topographic feature~. 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 I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swhnming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on ?re-exiatiag Building - $100.00 3. Photocopy ofCegdficate of0ccupaney - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of_Prope~y: . .¢ / House No. Owner or Owners of Property: c-~C..o'la },ri Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: ~reet __ Date of Permit. el.l~/l~] Permit No. ~ ~{. 5 1 -'~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,,~...~ Date. (cheek one) Hamlet Block [ ~t Filed Map. Lot: 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 10038 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 ROUTE 25 COTTAGE 61 GREENPORT, NY 11944 Located at MAIN RD ROUTE 25 COTTAGE 61 GREENPORT, NY 11944 Application Number: 1055113 Certificate Number: 1055113 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 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 5th Day of July, 2002. Name QTY Rate Additional Charges modular house N.Y.State approval # 19-13 mfg Avis America serial # 669201 Appliances and Accessories Air Cnnditioner I 0 Furnace 1 0 Wiring and Devices Receptacle 1 0 Switch 1 0 Fixture 3 0 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 Meters: 1 Rating Circuit Type 32,000 BTU Gas General Purpose General Purpose Incandescent 200 cb seal 1 of l This certificate may not be altered in any way and is validated only by the presence ota raised seal at the location indicated. 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 Pe~xnit No. ~leas~ l~rint) Plumber:Hart:corn Plmcj & 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 o£' ,A~' ,20 ~','~ Notary PubliG, County (Plumbers'Signature) VIRGINIA M. GOClNSKI Notaly Public, State of New Yo~k No. 4873841 Qualified in Suffolk County Term expires October 20, June 3, 2002 Mr. Michael J. Verity Code Enforcement Officer Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage g61 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 g61 has 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, IlLS Al Broszeit, E&F Walsh Bob Ellis, O/N OJ ic rs 236 TIRRD STREET GREI{NPOR'I, NEW YORK 11944 CLERK / TREASURER CHRISTIE HALLOCK Tel: (631) 477-0248/2385 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/js 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. 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 REMARKS: REPORT ~I~ATION ~U~ll FRA14g & . FLUHBII~G I~0LATIOR FEll STATE ENERGY CODE · BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Approved ,20 ~/ Disapproved a/c PERMIT NO. 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 ,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. sche~.ule. 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 lnsp,ctor 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 inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) {Mailing a~dre~s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder D tn X]~ ll,. Name of owner of premises / (as on;the tax roi1 or latest deed) If aplil~.nh is a corpora~ion~ signature of duly authorized qfficer X t,,<rf ". [ (~an~ find title ofcorporatetofficer5 Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which pxoposed work will be dorie: House Number Street ' ' ' Hamlet County Tax Map No. 1000 Section Q~.N' Block / Subdivision ' Filed Map No. 6;/ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing useand occupancy . b. Intended use and occupancy / d Nature of work (check which applicable): New Bull ing Repair Removal Demolition 4. Estimated Cost ~ 700, 0OO. Or9 5. If dwelling, number of dwelling units If garage, number of cars X Addition Alteration Other Work (Description) Fee (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commerciaI 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. 2. Dimensions of entire new construction: Front ~,~/2., Rear Height ,,~.,¢! Number of Stories .... / ). Size of lot: Front A///~ Rear Depth 10. Date of Purchase /I/]/~ Name of Former Owner -! ·. Number of Stories Depth [ 1. Zone or use district in which premises are situated 12. Does proposed co,nstruction violate any zoning law, ordinance or regulation: & ' © 13. Will lot be re-graded Will excess fill be removed from premises: YES .4. qm~ses ... . ti ' .Phone No~ ~ I~ Phone No. (_ ~l.) ~/'T'7- 4.//O ] 5. Is this property within 100 feet of a tidal wetland? *YES NO · ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ~D · 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/ 7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) :or.ri, trY oF, s)s: /~/~Y',r}Td ~ /4/'t~-,D'/.J~/-.5'~,~' 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; ~at 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. worn to before me this Notary ~uMic Signature of Applj/cant