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HomeMy WebLinkAbout27637-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28595 Date: 07/12/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 86 MALLARD LA/~E GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 35 Block 1 Lot 25 Suk~ivislon Filed Map No. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 2001 pursuant to which Building Pex~nit No. 27637 Z dated JULY 31, 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 #86) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH AND FOUR SEASON ROOM AS APPLIED FOR. · ~ne certificate is issued to PECONIC LANDING AT SOUTHOLD, (OWNER) of the aforesaid building, INC. SUFFOLK CO~DEPART~9~TOF}~ALTHAPPROV~L C10-97-11 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~U3 o5/28/o2 1057149 06/07/02 05/17/02 BURTS RELIABLE, INC. 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, 27637 Z Date JULY 31, 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 AND 4 SEASON ROOM UNIT #86 FULL at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated JUNE Building Inspector to expire on JANUARY 86 MALLARD LANE GREENPORT Block 0001 Lot No. 025 29, 2001 and approved by the 31, 2003. Fee $ 1,246.80 Aut hori z~'c~ Signature COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 76~-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 fora0. 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. B. F~r existing bui~dings (pri~r t~ Apri~ 9~ ~957) n~n~c~nf~rming uses~ ~r bui~dings and "pre-e~Asting~~ ~and uses: 1. Accurate survey of property showing all property lines, streets, building and unnsual 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 shah 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, 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: Old or Pre-existing Building: Location of Property: Honse~No~. /'~/~S{/E J Owner or Owners of Property: c~C,0'14 i ¢ ~::}~O ~,J t, Suffolk County Tax Map No 1000, Section ~,~' Subdivision PermJtNo. C~ 7(a 3 7"~ DateofPermit. Health Dept. Approval: ~ ' lo Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,ff-.-~' '~ (check one) Hamlet Block I ~t ~ ~ Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: ~ (check one) Applicant SignatureD0nnis M. 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 Date: Building Permit No. Owner: ~leas~ l~rint) Plumber: ~-'~-~ {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 of ~v[ a,, , 200_~, Notary Public, ,~[J~?k-D [ ~ Co~ty NANCY A. PESTER Nota~ Public, State of New York No. 4940985-Suffolk Coun~ Commission Expires i,.,~ t~ (Pl~ignature) FINAL INSPECTION REPORT Sidney B. Bowne & Son Consulting Engineers 235 E. Jericho Tpke., Mineola, NY 11501 PECONIC LANDlNG TOWN OF SOUTHOLD BUILDING PERMIT NO.: COTTAGE NO.: d~d 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: 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 #86 Code Certification. Dear Mike: In reference to the above mentioned project we, Barton & Associates, LLP (Archilects of Record for said project), hereby certify that to the best of our knowledge, information and believe that Cottage #86 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP FrankP. Laughlin, PA Senior VicePresident cc: Dennis M. Wilhelm, ILLS A1 Broszeit, E&F Waish Bob Ellis, O/N Officers 236 THIRD STREET GREINPORT, NEW YORK 11944 CLERK / TREASURER CltRISTIE 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 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 am 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 Tpkc, 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: BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT .=1 Upon the application of upon premises owned by E.f. MALONEY COTTAGE #86 PECONIC LANDING P.O. BOX 6070 MAIN ST & RTE 25 MILLER PLACE, NY 11764, GREENPORT, VILL, NY 11944 Located at MAIN ST & RTE 25 GREENPORT, VILL, NY 11944 .-I Application Number: 1057149 Certificate Number: 1057149 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 forth below, was found to be in compliance therewith on the 7th Day of June, 2002. Name QTY Rate Rating Cirg~it Type Additional Charges modular house N.Y.State approval # 19-13 mfg Avis America serial # 66821 Appliances and Accessories Air Conditioner 1 0 48,000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle I 0 General Purpose Switch 1 0 General Purpose Fixture 3 0 Incandescent Service Phase 3W Service Rating 200 Amperes Service Disconnect: I 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. 3gl J)INSPgCTIOI~ P, gPORT BUILDING DEPARTMENT TOWN HALL SOUT'I-IOLD, NY 11971 TEL: 765-1802 . PERMIT NO. £xarmned '7/f ,20 Approved ~,/~ / , 20 Disapproved Do you have or need ~c follo~g, before apply~g Bo~d of 3 SeB of Bulldog Plans S~ey Septic Fo~ ' ' N,Y.S.D.E.C. .. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ,20 INSTR',UCTIONS 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 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 Inspoctor will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughofit the work. e. No building shall be occupied or used in whole or iFpart 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. eparanent 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, ordinanees~ building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa-,-7 inspections. (Signature of applicant or name, if a corporation) ,(Maiiing a~dre-ss of applica~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I Name o£ owner of premises I (as on;the tax roll or latest deed) If apl~l~ga~,h is a corpora~on~ signature of duly authorized Officer " ~' (~arnj and title ofco~oratelofficer~ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which ploposed work will be do~ic: Il.T: 2J " " House Number Street Hamlet County Tax Map No. 1000 Section Q.~ Block / Subdivision .. Filed Map No. · (Name) 1 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 ~'ge,~Jtl~/K~ / Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ 700. 000. 5. If dwelling, number of dwelling units If garage, number of cars ~'ee (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 ). Sizeoflot: Front I 0. Date of Purchase Dimensions o f entire new construction: Front Height Number of Stories Rear Name of Former Owner · . Number of Stories Rear · / Depth t 1. Zone or use district in which premises are situated t2. Does proposed construction violate any zoning law, ordinance or regulation: !3. Will lot be re-graded /~ --Will excess fill be removed from premises: YES .4. Names of Owner ofp/i~mises~~ddress ON ,K[/~. Phone No. ~ Name of Architect ~-Address tI ' phone No~ Name of Contractor ~ tltwi Y: 11)~ I~ Addres~ t~ Phone No, 5. Is this property within 100 feet cfa tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLqRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0~/ ff~ 7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey. ;rATE OF NEW YORK) :ornery o F FF4',fi s)s: f,4V'/']70 ~ /'t/~--.~Z/0,,t"-q'./(~' being duly sworn, deposes and says that (s)he is the applicant · (Name of individual signing contract) above named, $)He is the (Contractor, Agent, Corporate Officer, etc.) fsaid owner or owners, and is duly authorized to perform or have performed thc 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 k T~otar~',PuMic ~479170~ Signature of Applj/cant t