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HomeMy WebLinkAbout27653-ZFORM NO. 4 TOW~ OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N,Y. CERTIFICATE OF OCCUPANCY No: Z-29041 Date: 11/01/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 93 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 JULY 13, 2001 pursuant to which Building Permit No. 27653-Z dated AUGUST 7, 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 #93) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH AND 4 SEASONS ROOM. The certificate is issued to PECONIC LANDING AT SOUTHOLD, (OWNER) of the aforesaid building. INC. SI/FFOLK CO~ DEPART~qT OF ~ALT~{ APPRO%rAL C10-97-11 05/28/02 ELEC'~RIC~J~ CERTIFICATE NO. 1038589 08/27/02 PLUMBERS CERTIFICATION DATED 05/17/02 BURTS RELIABLE, INC. Autb~ized Sign%~ture 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. 27653 Z Date AUGUST 7, 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 PORCH AS APPLIED FOR UNIT # 93 CRAWL 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 13, 2001 and approved by the Fee $ 636.30 ORIGINAL Rev. 2/19/98 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 subtmtted to the Building Department with tile 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, indmtrial building, .multiple residences and similar buildings and installations, a certificate of Code Compliance fxom 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 un.ual natural or topographic features. 2. A properly completed application and a consent t0 i~spect signed by the applicant. If a Certifieate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimraing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Cm'tificate of Oceupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of0ccupancy ~ $ 0,25 4. Updated Certificate of Occupancy - $50.00 5. Teraporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location o£ Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Date of Permit. Health Dept. Approval: ~ ' Planning Board Approval: l Request for: Temporary Certificate Fee Subm/tted: $ .,~._~ '~ Date. / Old or Pre-exi.sting Building: (check one) '~gtre-ei -- t Ha~et Bilk I ~t Fil~ Map Lot: Applimnt: Undemfiters Approval: Final Certificate: (check one) Applicant Signature 0ennis M. Wilhelm r~ BY THIS CERTIFICATE OF COMPLIANCE THE la NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY r~ 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by la E.F. MALONEY * PECONiC LANDING P.O, BOX 6070 MAIN ROAD / ROUTE 25 la MILLER PLACE, NY 11764, COTTAGE # 93 la SOUTHOLD, NY 11971 MAIN ROAD / ROUTE 25 COTTAGE # 94 SOUTHOLD, NY 11971 Located at Application Number: 1038574 Certificate Number: 1038574 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of Bm-- 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 la found to be in compliance therewith on the 5th Day of July, 2002. QTY Rate Rating Circuit Type Name Additional Charges modular house N.Y.State approval # 19-14 mfg Avis Americe serial # 672601 Appliances and Accessories Air Conditioner 1 0 60,000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle 1 0 General Purpose Switch 1 0 General Purpose ~ Fixture 3 0 Incandescent la Service ~ 1 Phase 3W Service Rating 200 Amperes ~ Service Disconnect: 1 200 cb g_ Meters: 1 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. 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 P.O. BOX 6070 1007 route 25 A MILLER PLACE, NY 11764, * PECONIC LANDING MAIN ROAD / ROUTE COTTAGE # 93 SOUTHOLD, NY 11971 MAIN ROAD / ROUTE-COTTAGE 93 SOUTHOLD, NY 11971 Application Number: 1038589 Certificate Number: 1038589 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 2?th Day of August, 2002. Name QTY Rate Rating Circuit Tvve Additional Charges modular house N.Y.State approval g 19-1 mfg Avis America serial # 669501 Appliances and Accessories Air Conditioner 1 0 48,000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle 1 0 Switch 1 0 Fixture 3 0 General Purpose General Purpose Incandescent Phase 3W Service Rating 200 Amperes Disconnect: 1 I 200 cb 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. FINAL INSPECTION REPORT Sidney B. Bowne & Son Consulting Engineers 235 E. Jericho Tpkc., Mineola, NY 11501 PECONIC LANDING TOWN OF SOUTHOLD BUILDING PERMIT NO.: ~ '7 ~'5'"~' '~' 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 report,,; 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: Dat~: Gino N. Aiello, P.E. 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:_ ~.COII~L ~lcasd 3rint) Plumber: ~le~e 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 ~O day of ~0~ , 20 Notary Public, _,~ ["4P~ [~ County NANCY A. PESTE~ ~O~a~ Pub c, State o ,, '~c 49~no~ ~ . f New Y0~ .... ~ls~on Expires Aug. 15, ~gnature) June 6, 2002 Mx. 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 #93 Code Cel~ification. 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 lmowlodge, information and believe that Cottage #93 has been constructed 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, IlLS Al Broszeit, E&F Walsh Bob Ellis, O/N 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 COTTAGE # DATE Pressure Pressure APPROVED BY Test Test 5.0 PSI 50 PSI REMARKS: O//[C 0 rS Est 1838 March 14, 2002 To: E. F. Walsh Developers Peconic l,anding From: Village of Greenport Utilities Deparlment To Whom It May Concern: Re: Peconic Landing Sewerage System Thc 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 145 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 ~[ FRAI~ & PLOI~gING i~01.ATION I~R N. STATE ENERGY CODE BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ,20.__ Approved ,20 Disapproved aJc PERMIT NO... o/ Do you have or need the following, before applying Board of Health 3 sets of Building Plans Check Septic Form N.Y.S.D,E.C. Trustees Contact: Mail to: Phone: Buildin'g I~i~ector f 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 Pen-nit. d. Upon approval of this application, the Building Inspector 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 ip'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 ofapplic~nt or name, ifa corporation) ~(Maiiing a~dre'ss of apPlicar(t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises (D~EO/It'C. ~t~.J[~o' t~l"kS~J~(7/i ! (as on:the t~ roll or latest deed) If ap~l~} ~ ~o~or~on~ si~ature of duly authohzed ~fficer / (~ ~d title ofcomorate~officer~ , Builders LicenseNo. Plumbers License No. Electhcians License No. Other Trade's License No. Location of land on which p,[oposed work will be dori~,: 120,X £1': " : House Number Street ' ' Hamlet / County Tax Map No. 1000 Section Q~' 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 fffc~,S] tl(t~ / 3. Nature of work (check which applicable): New Building X Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost ~, 700, ~)O~)o D~ 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. 3. Dimensions of entire new construction: Front ~ Height 2.,¢/ Number of Stories ). Size of lot: Front /~t/t~ Rear .. 10. Date of Purchase N]i~ Name of Former Owner Number of Stories Rear .Depth / .Depth [ 1. Zone or use district in which premises are situated t2. Does proposed co.nstruction violate any zoning law, ordinance or regulation: 4/') !3. Will lot be re-graded __Will excess fill be removed from premises: YES 5. Is this property within 100 feet of a tidal wetland? *YES NO · 1~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0/'/ fi, 8, 7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) SS: :OUNTY OF--~FF~/,~, ) f~¥/'~0/J~ ~0~ being duly sworn, deposes and says that (s)he is ~e applicant ~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; aat 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 LZJ