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HomeMy WebLinkAbout27627-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28715 Date: 08/20/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 78 MALIJ~RD LANE GREENPORT (HOUSE NO.) (STREET) (HAMLET) Co%~ty T~ ~ap NO. 473889 Sestion 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 g~3NE 10, 2001 pursuant to which Building Pe~it No. 27627-Z dated ~-JLY 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 #78) WITH ATTACHED TWO CAR GARAGE~ COVERED FRONT PORCH AND LrNHEATED COVERED REAR PORCH. The certificate is issued to PECONIC LANDING AT SOUTHOLD~ (OWNER) of the aforesaid building. INC, S~3FFOLK CO~DEPAR~NT OF ~{~%L~APPRO%L~/~ C10-97-11 05/28/02 ELEC~ICL~L CERTIFICA~q~ NO. 1036435 06/17/02 PL~R~BERS CERTIFICATION DATED 05/17/02 BURTS RELIABLE, INC. A~zed 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. 27627 Z Date JULY 6, 2001 Permission is hereby granted to: LANDING AT PECONIC 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 #78 FULL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated JUNE Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 025 10, 2001 and approved by the Fee $ 1,324.50 Autnorize~ 'Signa re COPY Rev. 2/19/98 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: For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and nnusual 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 unnsual natural or topographic fenturea. 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 ofOecupancy - 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 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: House NO. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: S/fleet (check one) Hamlet 2x Subdivision Filed Map. Lot: Permit No. Date of Permit. Health Dept. Approval: '-{' ~, -/.. o o a Planning Board Approval: { ~ - ~{ ~ 7_ o Oe~ Request for: Temporary Certificate Fee Submitted: $ ff-..~ ~' 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 * PACONIC LANDING P.O. BOX 6070 MAIN ST/RT 25/COTTAGE 78 MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944 Located at MAIN ST/RT 25/COTTAGE 78 GREENPORT, VILL, NY 11944 Application Number: 1036435 Certificate Number: 1036435 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: Basement, First Floor, Attached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set foah below, was found to be in compliance therewith on the 17th Day of June, 2002. Name (~TY Rate Rating Circuit Type Additional Charges modular house N.Y.State approval # 19-13 mfg Avis America serial # 663201 Appliances and Accessories Air Conditioner 1 0 48,000 BTU Furnace I 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 l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~r~r-~r-~r~r~r-~r~r~r-~c~r~r~r-~r~r.~r-~r~r.~c~-]~~~~~ [] 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: ~//7/~.. / Building Permit No. (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 thisbe)q h (Pl~9~ers Signature) dayof ~X~CL~] , 20~,'~ Notary eublic~Ll~)~',l ~ County ~ ~Ai'/Cy A.~ESTER ~cy Public, State of New York . .,, ,940985-Suffolk County · ?tn -;~;on Expres Aug 15, 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.: 7~ 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. Aieqlo, P.E. Jnne6,2~2 Mr. Michael J. Verity Code Enforcement Officer South#Id Town Hall 53095 Main Road P.O. Box 1179 South#Id, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage #78 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#ur knowledge, information and believe that Cottage 078 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; Frank P. Laughlin, RA Senior Vice President cc: Dennis M. Wilhein~, RLS Al Broszeit, E&F Walsh Bob Ellis, O/N 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 BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined .~.~ ,20 O/ Approved Y.~ , 20 ~f~ Disapprovec~'ff~c f~/ PERMIT NO. Do you have or n~d ~e follow~g, before applyin~ Bo~d of H~I~ 3 se~ of Buil~g PI~ S~ey. Check Septic Fo~ N.Y.S.D.E.C. .. ' T~stces Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20 INSTR~JCTIONS 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 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 Inspgotor 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~'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. epartrnent 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 authorizedinspectors On premises and in building for necessary inspections, (Signature of applil~ant or name, if a corporation) (~vlail~-ng address of applicant)~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder " / Nameofownerofpremises JPJ'/)/I~'~ ;t'/tl~'/ID ~r l. (as on:the tax roll or latest deed) If apl~lje'.an,~ is a corpor~on~ signature of duly authorized officer / (~/an~ ~nd title ofeorporatdofficerJ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on whichp,l'opo:o osed work will be dorie: House Number Strcct · ' Hamlet / County Tax Map No. 1000 Section (~"~ Block / Subdivision ' Filed Map No. . (Name) 2. 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 t~,&' t)O/l¢~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ 700; OO/'). CO 5. If dwelling, 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 of existing structures, if any: Front Height Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height. Dimensions of entire new construction: Front ~, Height 2 ~/ Number of Stories · Size of lot: Front Rear Number of Stories Rear / Depth .Depth [ 0. Date of Purchase Name of Former Owner [ 1. Zone or use district in which premises are situated L2. Does proposed construction violate any zoning law, ordinance or regulation: !3. Will lot be re-graded tJ~ ql Will excess fill be removed from premises: YES 4. Names of Ov~ ner of pr~'nises~Address ~ ~'[~ Phone $o.~ Name of Architect k~'O/'r.0~Address, tt ' .Phone No~ Name of Contractor ~" tlatJ ~ 't_~J~l]&]~ Address ti Phone No. 5. Is this property within 100 feet cfa tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIKBD 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: ~,4V'/]70/f25 /'t/t~-~Z}0/"5~'~' being duly sworn, deposes and says that (s)he is ~e applicmt ~ame of indi~dual si~ing con.act) 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. Signature of Applicant t 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: ~ INSP~C?ION I~PORT ' DATE " ':~'