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HomeMy WebLinkAbout27636-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPD~NCY No: Z-28961 Date: 10/04/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 69 KINGFISHER I2~NE 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 MAY 10, 2001 pursuant to which Building Permit No. 27636-Z dated JULY 6, 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 #69) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. SUFFOLK CO[~%~l~f DEP~NT OF ~tF~%L~{ APPROVAL C10-97-11 05/28/02 ELE~-i~IC~%L CERTIFICA~ NO. 1057168 07/01/02 PLUMBERS CERTIFICATION DA'i'mU 05/17/02 HARTCORN PLUMB.&HEATING Autr~Drized 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 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27636 Z Date JULY 6, 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 GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. UNIT #69 CRAWL at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated MAY Building Inspector to expire on JANUARY 69 KINGFISHER LJ~NE GREENPORT Block 0001 Lot No. 025 10, 2001 and approved by the 6, 2003. Fee $ 636.30 AuthoriZed Signature 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 ill by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, aod tmusual 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 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 applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co 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 - $100.00 3. Photocopy of Certificate of 0ccupancy - $ 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: House~N?.- Owner or Owners of Property: ~c'~C.~-i.l ~, (2_ Suffolk County'Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: (check one) skeet/ - ' - Hamlet :g Block I Lot Date of Permit. 1o - Loo Request for: Temporary Certificate Fee Submitted: $ ,~..,~ '~' Filed Map. Lot: __ Applicant: Underwriters Approval: Final Certificate: / (check one) ~--~O ~,~ 8a} ~ it Applicant SignaturcDennis M. Wilhelm FINAL INSPECTION REPORT Sidney B. Bowne & Son Consulting Engineers 235 E. Jericho Tpke., Mineola, NY 11501 PECONIC LANDING TOWN OF SOUTHOLD BUILD1NG PERMIT NO.: ZT~ 3,~ ~ 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: Gino N. Aiello, P.E. Dated: BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY '1 0038 CERTIFIES THAT Upon the application of upon premises owned by E.F. MALONEY COTTAGE 69 PECONIC LANDING P.O. BOX 6070 MAIN ST RTE 25 MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944 Located at MAIN ST RTE 25 GREENPO[xT, VILL, iqY i 1944 Application Number: 1057168 Certificate Number: 1057168 Section: Block: Lot: 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, At~ached 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 1st Day of July, 2002. ~Name QTY Rat__~e Rating Type Circuit Additional Charges modular house N.Y.State approval # 19-13 ~mfg Avis America serial # 633101 Appliances and Accessories Air Conditioner ~ a 42,000 RTU Furnace 1 0 Gas Wiring and Devices Receptacle 1 0 General Purpose Switch 1 0 General Purpose Fixture 3 0 Incandescent Service ~1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb ~ Meters: 1 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. Town ltall, 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 Building Permit No. Owner: ~0.f.0ll ~t. ~011~fl C/ 01easg l~fint) 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. Swom to before me this ~ ~ day of_ ~f~, 20 ~'-'-~ / Notary Public, County (Plumbers Signature) VIRGINIA M. GOCINSKI Notary Public, State of New York i'<, 4873~41 Qualified ;~) Suffolk COUnty Te~'l~ expires October 20, June 6, 2002 Mr. Michacl J. Vcrity Code Enforcement Officer Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage g69 Code Certificafion~ 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 ~t69 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; Frank P. Laughlin, Pg. Senior Vice President cc: Dennis M. Wilhelm, RLS Al Broszeit, E&F Walsh Bob Ellis, O/iq March 14, 2002 To: E. F. Walsh Developers Peconic Landing 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 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: 0 .'HLD IIqsPECTfON REPORT )UNDATION (IS~)' )UI~ATION (2ND) )g~t FRAI4K & PLUI~ING {SU~ATION I~R N. STATE ENERGY CODE FINAL DATK ...... ~- COI. II~NTS .' AD. D[TIONAL BUII~DING~DEPARTMENT ,TO~N HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined .i~ ,20. ~./' Approved~/ ~ ,20. ~Zz Disapprov~o ~ PERMIT NO. Dt. JI~I.)IINIJ I"]~t%IVIII AFFLI(JAII(3N CHIiCK.LI:5. Do you have or need ~e follo~g, before applying Bo~d of He~ 3 sets ofBuil~g PI~ S~ey. Septic Fo~ N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Ifispect 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 sets of plans, accurate plot plan to scale. Fee according to. sched..ule. 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 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 pen'nit 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 othe~r 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 ~uthorized.inspe. cto[s On premises and in building for necessary inspections. · ' ' ' (Signature of applic*tnt or name, if a c6rporation) (Mailing address of applicant)t State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder omo/eL " NameofownerofpremisesCPct3fl(C ldlar~,'llO 01" I (as on:the tax roll or latest deed) If apl~l'~3rn, h is a corpor~on~ signature of duly authorized Officer ~' (]~an~ ~nd title ofcorporate~officer5 . Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which p~ro~oosed work will be doric.: /20 T.IT. ' ; House Number Street Hamlet I County Tax Map No. 1000 Section (~ Subdivision (Name) Block / · Filed Map No. 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 Repair Removal Demolition Fee 4. Estimated Cost ~,.~ ~/~. l~Of). ~0 5. Ifdwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed ocdupancy, 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 ~ Number of Stories .... ). Size of lot: Front fi~/~ Rear I0. Date of Purchase A//iq Name of Former Owner l 1. Zone or use district in which premises are situated Number of Stories Rear Depth Depth . t2. Does proposed construction violate any zoning law, ordinance or regulation: !3. Will lot be re-graded .¢~.5 __Will excess fill be removed from premises: YES NO Name of Architect ~. Address .. ~tl ' Phone No~ Name of Contractor ~ tltl~[ F ttlOk.~l Address It Phone No. ~ 5. Is this property within 100 feet ora 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. Od ~t 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: :0UNTY OF~74h"/c~4/~ ) f.A~f/'JTa,t~ b~/~-,~Z~OF.57C~ 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.) f said 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. worn to before me this .,/, ~ ~ day of /¢//t~ ¢~q/ 20~? Nota~ ~ic Signature of Applfeant t