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HomeMy WebLinkAbout27689-ZFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28550 Date: 06/27/02 TIIIS CERTIFIES that the building NEW DWELLING Location of Property: 87 MALLARD LANE GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 35 Block 1 Lot 25 Su]~division Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JIILY 1, 2001 pursuant to which Building Permit No. 27689-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 #87) 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. S~3FFOLK COLS~I~f DEPi~RTI~ENT OF HF~_L~ APPRO~i~_L C10-97-11 05/28/02 ELEC'~RIC~J~ CERTIFICA~q~ NO. 1038558 05/30/02 PLI~4BERS CERTIFICATION D;~r~u 05/17/02 BURT'S 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) PEP=MIT NO. 27689 Z Date JULY 31, 2001 Permission is hereby granted to: L~LNDING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE A_ND COVERED FRONT PORCH AS APPLIED FOR UNIT #87 FULL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated JULY Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 025 1, 2001 and approved by the Fee $ 1,324.50 Authori ~ed Sign~ure ORIGINAL 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 sub~nitted 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. Approval o f electrical installatien from Board of Fire Underwriters. 4. Sworn statement fi.om 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. 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 temple!ed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building luspeetor shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swiraraing 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 ofCePdficate of0ccupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate ofOcoupancy - Residential $15.00, Commercial $15.00 87 House NO. New Construction: Location of_ Property: Date. Old or Pre-existing Building: Owner or Owners of Property: li"~er~4 ~,C_ Suffolk County Tax Map No 1000, Section Subdivision Permit No. o~ Health Dept. Approval: Planning Board Approval: I I (check one) Date of Permit. I 'L -"'[., Z a oo Request for: Temporary Certificate Fe~ Submitted: $ Block [ Filed Map. Applicant: Underwriters Approval: Final Certificate: Hamlet Lot Lot: (check one) Applicant Signature Dennis 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 Building Permit No. o~ '7 ~ ~ ~ - ~leas; l~rint) Plumber: ~°c~(5 ~ '~-- (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 thisc~[D~-~ dayof ~X/~Ctl; , 200=~, No Public, U¢4 o County NANCY A. PESTER --fy Public, State of New York No. 4940985-Suffolk County_ ..:ommission Expires Aug,. 1!5, o~:2~:~o 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 8 PECONIC LANDING P.O. BOX 6070 MAIN ROAD ! RT. 25 MILLER PLACE, NY 11764, COTTAGE # 87 SOUTHOLD. NY 11971 MAIN ROAD / RT. 25 COTTAGE # 8? SOUTHOLD. NY 11971 Located at Application Number: 1038558 Certificate Number: 1038558 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting 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 30t~ Day of May, 2002. Additional Charges modular house- N.Y. State approval # 19- mfg - Avis America - serial # 694402 Appliances and Accessories Aix Conditioner 1 0 48,000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle 1 0 General Purpose Switch I 0 General Purpose Fixture 3 0 Incandescent Service 1 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. May 31, 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 #87 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 #87 has been consh-ucted 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, RLS Al Broszeit, E&F Walsh Bob Ellis, O,rN BARTON & Associates, L.P. BARTON & Associates. Inc. Thomas C. Barton. Ill, AIA 5120 Butler Pike, Suite 2Pd} Plymouth Meeting, PA 19462-1230 Tel. 610.940.5825 Fax 610.940.5830 www.bar tonparmers.com I'Hl LADELPH IA CHICAGO BALTIMORE/ WASHINGTON Officers MAYOR DAVID E KAPELL (631 ) 477-3000 TRUSTEES WILLIAM J. MILLS IB GEORGE W. HUBBARD GAll. F. HORTON BRADLEYI~ BURNS 236 THIRD STREET GREENPORT, 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 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 PressurePressure COTTAGE # DATE APPROVED BY Test Test 5.0 PSI 50 PSI 8~ ~/,./~ ~,~. //~ ff~ REMARKS: 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. Gino N. Aiello, P.E. Dated: ~ nn ® n ~ :I5 ~ o INSPECTION RgPORT DATE ..... _~ COHI~IENTS 7~ o~ )HNDATION (IST) )UNDATION (2ND) i~III. ATION IrgE It'. ¥. ST. ATE Ea~'ROY CODE TOWN HALL SOUTItOLD, NY 11971 TEL: 765-1802 Approved Disapproved a/c / , ,20 ,20 O/ PERMIT NO. Do you have or need &e follo~g, before appl~ng Bo~d of Hcal~ 3 sc~ of B~ld~g Plans S~ey ~ , Septic Fo~ N.Y.S.D.E.C. .. ' Trustees Contact: Mail to: Phone: 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, schedule, b, Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streetg 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 I. nsp~ctor will issue a Building Permit ~o 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 i.n'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. epa~l~nent for the issuance cfa 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 consa'uction 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 cgde, and regulations, and to admit authorized.inspe~ctors On premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) ,(Mailing a~dre-ss of apPlicad) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I Nameofownerofpremises ~0~[~ ~,tl~[tlt~ Or" O~tl~ltTld t. (as o~:the tax roll or latest deed) If ap~l~phis a co¢or~on~ si~ature of duly authohzed ~fficer [ (~ ~d title ofco~orate~officer~ , Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which pfoposed work will be done.: House Number . Street Hamlet County Tax Map No. 1000 Section Q~' Block / Subdivision ' Filed Map No. (Nme) State existing use and occupancy of premises and intended use and occupancy of proposed construction: X Addition Alteration Other Work a, Existing use and occupancy., .,. b. Intended use and occupancy n~E,S] tl(~. !t Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost fda,. 700t COO. ~1~ 5. If dwelIing, 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 (5. 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. ¢. Size of lot: Front 10. Date of Purchase Dimensions of entire new construction: Front Height 20t '/~. f~ Rear ·. Number of Stories Rear Depth .¢~ ! Number of Stories Name of Former Owner .Depth t I. Zone or use district in which premises are situated [2. Does proposed construction violate any zoning law, ordinance or regulation: yl0 !B. Will lot be re-graded /~5 Will excess fill be removed from premises: YES Q .4. Names of Owner o fpJi~mises~Address OB ~t'/d Phone No. ff~~- / Name ofArch/tect ~Address ti ' _Phone No~ Name of Contractor ~ taad ~ tl½~l~l~ Address' I~ Phone No. [ ~_g~.) /-/7'7- /-,//(0 ] 5. Is this property within 100 feet cfa tidal wetland? *YES NO · ZF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUI}U~D 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/ fi,/0_. 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: :OUNTY o Ff4'/4. ) fA[¥/7~//'25 /4fzff,.5'.,(JO/r--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.) 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 ~"~/t4 - Notary ,~u~ic Signature of Applicant