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HomeMy WebLinkAbout27698-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/qCY No: Z-28628 Date: 07/26/02 TIIIS CERTIFIES that the building NEW DWELLING Location of property: 84 MALLARD LAiqE 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 J]3NE 7~ 2001 pnrsnunt to which Building Permit No. 27698-Z dated JULY 20, 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 #84)WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH AIqD FOUR SEASON ROOM AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, (OWNER) of the aforesaid building. INC. SU~LK COD~TI"f DBPARTI~ OF B~TI~ APPRO%Ln~L C10-97-11 05/28/02 ELBt'£~IC/~L ~TIFIC~%~ NO. 1064853 07/12/02 PLUMBERS CERTIFICATION D~3 05/17/02 BURTS RELIABLE INC. AuthOrized Sig~at r~e 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. 27698 Z Date JULY 20, 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, COVERED FRONT PORCH & 4 SEASON ROOM AS APPLIED FOR UNIT #84 FULL at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated JUNE Building Inspector to expire on JANUARY 84 MALLARD LANE GREENPORT Block 0001 Lot No. 025 7, 2001 and approved by the 20, 2003. Fee $ 1,383.00 Authori ze~L-~tgnatu~ COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDEXTH DEPARTMENT TOW~ 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 unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approx~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 fi.om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 comple)ed 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 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 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: Honse~N~.__ Owner or Owners of Property: ~c~-;'~cNx~.I [ c_ Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: /4t l l cu I Street /I 7/OX (check one) Hamlet Lot 24'* Subdivision eermitNo. _,,~") t~ q~'-~; Health Dept. Approval: "ir. ~ ® /- Planning Board Approval: [ "Z. - t~{ Request for: Temporary Certificate Fee Submitted: $ ,~-.~' "" Filed Map. DateofPennit. ~') !2-0! O] Applicant: Underwriters Approval: Final Certificate: Lot: (check one) Applicant Signature Dennis I~. Wilhelm 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 Building Permit No. Owner: (~leas~ firint) Plumber: ~,a c--¢ ~ ~-~, ~/~___ (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 dayof ~'//all , 20 O.~x Notary Public, [ ty NANCY A. PESTER Notary Public, State of New York No. 4940985-Suffo k County _ Commission Expires Aug. 15, ~-~l,O,~l ature)~-w- ~ 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. 27698 Z Date JULY 20, 2001 Permission is hereby granted to: for : PECONIC LANDING AT SOUTHOLD, I PO BOX 430 SOUTHOLD,NY 11971 CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE, COVERED FRONT PORCH & 4 SEASON ROOM AS APPLIED FOR UNIT #84 FULL at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated JUNE Building Inspector to expire on JANUARY 84 MALLARD LANE GREENPORT Block 0001 Lot No. 025 7, 2001 and approved bythe 20, 2003. Fee $ 1,383.00 ORIGINAL Rev. 5/8/02 CLERK / TREASURER CHRISTIE HALLOCK Tel: (631 ) 477-0248/2385 Fax: (631) 477-1877 March 14, 2002 E. F. Walsh Developers Peconic Landing From: 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 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 Located at E.F. MALONEY PECONIC LANDING * P.O. BOX 6070 MAIN STREET ROUTE 25 MILLER PLACE, NY 11764, COTTAGE 84 GREENPORT, VILL, NY 11944 MAIN STREET ROUTE 25 COTTAGE 84 GREENPORT, VILL, NY 11944 Application Number: 1064853 Certificate Number: 1064853 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: Basement, 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 ]2th Day of July, 2002. N~me OTY Rat___~e Ratine Circuit Type Additional Charges MODULAR HOME Wiring and Devices Outlet 3 Receptacle ~ Switch 1 Fixture 3 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 CB Meters: 1 Fixture General Purpose General Purpose Incandescent 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. June 6, 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 #84 Code Certification. Dear Mike: In reference to the above mentioned project we, Barton & Associates, LLP (Architects of Record for said proje~), hereby certify that to the best of our knowledge, information and believe that Cottage #84 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 Broszeil, E&F Walsh Bob Ellis, O/N 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.: B t't[ 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, Mincola, N.Y. 11501 PECONIC LANDING TOWN OF SOUTHOLD GAS WATER Pressure Pressure COTTAGE # DATE APPROVED BY Test Test 5.0 PSI 50 PSI REMARKS: ~ INSPKCTION P~EPORT )U~ATION (~s~)' )U~H F1/A14E & PLU~4BING ~S0~,ATION PER N. Y. CODE FINAL _~. _ ~.~ _~ ,, ADDITIONAL C~:NTS ~ . ~ UIL.15ING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 PERMIT NO. Examined [/~"1~ ., 20 Disapproved a/c Do you have or need the following, before applying Board of Health 3 sets of Building Plato Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: ~uilding m~p'trctor 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"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 go 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.n'part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEKEBY MADB to the Building D. eparh,,ent 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 conslruction of buildings, additions, or alterations or for removal or demolition as herein described, Thc applicant agrees to comply with all applicable laws, ordinances, building code, ho.us.lng cgde, and regulations, and to admit authorized inspectors On prem./ses and in building for necessary inspections; ' -' Z A, (Signature of applicant or name, if a corporation) ~(Mailing a~dre-ss of applicar~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (~('13/It~ Lo'dj[ilO' OC' ~O'T]I, IJ I (as on:the tax roll or latest deed) If aplJl~.nh is a corporafition~ signature of duly authorized Officer I ". I /' (~a~ ~nd title of corporate officerJ , Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which p~oposed work will be doric: 120,. i' House Number ,, Street - Hamlet County Tax Map No. I000 Section Q,fl~' Block / Subdivision ' Filed Map No. ame) 2. 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 X Addition Repair Removal Demolition Other Work 4. Estimated Cost ~, 5. If dwelling, number of dwelling units If garage, number of cars Fee Alteration (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 o f existing structures, if any: Front Height. Number of Stories Rear Dep~ Dimensions of same structure with alterations or additions: Front Rear Depth Height. Dimensions of entire new construction: Front ~.~- Height ~..¢ Number of Stories Size of lot: Front/~/!~ Rear Date of Purchase ~]~ Name of Former Owner Number of Stories Rear .Depth .Depth [ 1. Zone or use district in which premises are situated [2. Does proposed construction violate any zoning law, ordinance or regulation: !3. Will lot be re-~'aded /P~ Will excess fill be removed from premises: YES .4. Names of Owner ofpji~:mises~~ddress C)~ ;Ct'/~ Phone No. ~~- Name of Architect ~/~tl['rtHi ~%~.~.. Address_ ti ' .Phone Name of Contrac!or ~ tlt~r~ 1~ /_1~ I~S~ Address t~ Phone No. 5. Is this property within 100 feet cfa 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. Of/ 7~ If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) SS: :ou, rr¥ ) f,~/?~ Z/25 /4./~,/J0/-.5'/,"~c' 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 ,~//~ ¢~¥ 20ff2/ ~ Notary ,Put/lie ' / Signature of Appl//¢ant t