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Home My WebLink About27669-ZFORM NO. 4 TOWI~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29040 Date: 11/01/02 T~tIS CERTIFIES that the building NEW DWELLING Location of Property: 90 THOMPSON BLVD. 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 JUNE 10, 2001 pursuant to which Building Pez~it No. 27669-Z dated JULY 11, 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 #90) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH AND EXPANDED LIVING ROOM AS APPLIED FOR. T~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. ( OWNER ) of the aforesaid building. 05/28/02 SI/FFOLKCOUI~I"fDEpi~RT~]T OF~{A~PROVAL C10-97 11 ELE~-£~ICAL CERTIFICATE NO. 1038571 06/17/02 PL~q~BERS CERTIFICATION D~£~ 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. 27669 Z Date JULY 11, 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 GAP~AGE, COVERED FRONT PORCH AND EXP. L/R AS APPLIED FOR UNIT #90 CRAWL at premises located at County Tax Map No. 473889 Section 035 Block pursuant to application dated JUNE 10, 2001 Building Inspector to expire on JANUARY 11, 90 THOMPSON BLVD. GREENPORT 0001 Lot NO. 025 and approved by the 2003. Fee $ 568.50 Authori z~'d S ignat ~:e COPY Rev. 5/8/02 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 Depart~nent with the following: A. For new building or new use: 1. Fiual survey of properly with accurate localiou of all buildings, property lines, streets, and umlsual 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. SubnCt Planning Board Approval of completed site plan requirements. B. 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 corapleted 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. 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 buildLng $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certifieate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: J Location of Property: _ ?0 House No. Owner or Owners of Property: c'~c.~a'gi t. c_ ~::~ O ~,J ~ Suffolk County Tax Map No 1000, Section __~ ,.~ Subdivision Permit No. Date of Permit. Health Dept. Approval: '-{ ' 1o ' L Planning Board Approval: [ ').. - ~{ Request for: Temporary Certificate Date.__ 1 Old or Pre-e,xisting Building: (check one) f Street t Hanflet Block [ ~t Filed Map. Lot: Appli~nt: Unde~dters Approval: Fee Subrmtted: $ ,~...~ ~' Final Certificate: (check one) Applicant Signature Oa~nis 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. Owner:_ 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~-3¼ day of ~..40. x/ , 200~ -/ Notaryrublic, 5UI~J~C,I.~, County NANCY A. PESTER Notary Public, State of New York ~ No. 4940985-Suffolk County~ ~ ,ommission Exp res Aug 15,oq'~9 ~ (pl~b~ignature) 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.: cfi'~9 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. Aiel~, P.E. 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: 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 * PECONIC LANDING P.O. BOX 6070 MAIN ROAD / ROUTE 25 MILLER PLACE, NY 11764, COTTAGE # 90 SOUTHOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 COTTAGE # 90 SOUTHOLD, NY 11971 Application Number: 1038571 Certificate Number: 1038571 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and described below, located in/on the at: wiring, premises 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 Day of ]7th June, 2002. Name QTY Rate Rating Circuit Type Additional Charges modular house N.Y.State approval # 19-13 ~ mfg Avis America serial # 668301 i Appliances and Accessories Air Conditioner 1 0 42,000 BTU 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, ~ II~SPECTION P~POET DA~L']~ .,- .,.. )ImDATIOH ( 2h-D ) )U~ FRAI~ & PLDMBING STAT~ EIIERCY CODE ., :',ADDITIONAL -BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Exam/ned Approved 7/// Disapproved a/c PERMIT NO. ,2o O/ ,20 ~// Do you have or need the fo[lo'~4ng, before applying Board of Heakh 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.B.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ,20 XNSTmJCTIO S 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 oflot 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 Inspqctor will issue a Building Permit to 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 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 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 authorized inspectors on premises and in building for necessary inspections. (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 /. !as on;the tax roi1 or latest deed) If apl~l~n&is a corporaJ~ion~ signature of duly authorized officer X tf ':. / (~ar~ i~'J.d title ofcorporate~officer~ Builders License No. Plumbers License No. Electricians License No. Other Trade s License No. Location of land on which proposed work will be doric..' /20 £r:. 2J ' · House Number . Street ' Hamlet County Tax Map No. 1000 Subdivision ame) Section 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, t~eS] II(P_ Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work a. Estimated Cost ~ 700. 000. D0 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 If business, commercial or mixed occupancy, specify nature and extent of each type o fuse. 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. . Number of Stories Dimensions of entire new construction: Front Height ~ 7. Size of lot: Front tO. Date of Purchase ~,,~/ Rear Number of Stories ./ Rear .Depth Name of Former Owner [ 1. Zone or use district in which premises are situated .Depth .¢7 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 ofpji~mises~Address OIl ,~tJ~ Phone Name of Architect ~)tl[~/I ~.q-qt',C.. , · Address. ti Phone No~ Name of Contractor ~: atl~., F (1#11,3h Address I~ ~Phone No. [ ¢31)/-/77- 4/~ tO / 5. Is this property within 100 feet ora tidal wetland? *YES NO · I:F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED survey, to scale, with accurate foundation plan and distances to property lines. OB fr,/E, 6. Provide 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: :OUNTY OP-~P"ft:~t~. ) f~"//}~0/-Q5 /,tfff--~Z]O/r-~',(/~' 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.) fsaid 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 Notary,1~ut~ic No. 4~17~ Signature o f Appl;i/cant ~