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HomeMy WebLinkAbout27644-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29044 Date: 11/01/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 97 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 AUGUST 14, 2001 pursuant to which Building Permit No. 27644-Z dated SEPTEMBER 4, 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 #97) WITH ATTACHED TWO CAR GA/~AGE ~ COVERED FRONT PORCH AS APPLIED FOR. l~ne certificate is issued to PECONIC LANDING AT SOUTHOLD,INC. (OWNER) of the aforesaid building. S~/FI~DLK COBlqTY DEPART~/~T OF HF~%L~{ AI~PRO~q%L C10-97-11 05/28/02 ELRC'~RICAL CERTIFICATE NO. 1038587 08/16/02 PLUMBERS CERTIFICATION DA'r~o 05/17/02 HARTCORN PLUMB.&HEATING ure Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL~ COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27644 Z Date SEPTEMBER 4, 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 GAR3kGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #97 CPJkWL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated AUGUST Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 025 14, 2001 and approved by the Fee $ 636.30 COPY 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 submitted to the Building Depart~nent with the following: For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unnsual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 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 from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo 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 completed applicatinn 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 Ce~ificate 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: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ~'~ Old or Pre-existing Building: House No~ ' t S~reet Date. ~~.~_ (check one) Block Hamlet Subdivision Filed Map. Lot: Permit No. Date of Permit. Health Dept. Approval: '-~ ' Planning Board Approval: [ Request for: Temporary Certificate Fee Submitted: $ Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature 0ennis 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. (151easd l~rint) t 97 Plumber: Hartcorn plmg & Htg, Inc (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 y~ ,20 dl2-- Notary Public, County ~lumbers'Signature) 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.: c~7 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. Aiefl6, 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 #97 Code Ceffification. 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 #97 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, RLS Al Broszeit, E&F Walsh Bob Ellis, O/N BARTON & Assl~ciates. L.P. BAR FON & Assoclates. Inc. 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: O ic rs March 14, 2002 To: E. F. Walsb Developers Pcconic 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 1OO38 CERTIFIES THAT Upon the application of upon premises owned by E.F. MALONEY * PECONIC LANDING P.O. BOX 6070 MAIN ROAD / ROUTE 25 1007 route 25 A COTTAGE# 97 MILLER PLACE, NY 11764, SOUTHOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 Co']rAGE# 97 SOUTHOLD, NY 11971 Application Number: 1038587 Certificate Number: 1038587 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 as a Residential occupancy, wherein the premises electrical system consisting Described electrical devices and wiring, described below, located in/on the premises at: Floor, Attached Garage, Outside, First was inspected in accordance with the Nationol [lectrical Code and the _d~el~il of the installation, as set forth below, was found to be in compliance therewith on the 10th Day of August, 2002. Na!!!~ QTY Rate Rating Circuit T~y,p~ Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial# 673601 Appliances and Accessories Air Conditioner 1 0 42,000 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 ch 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. gLD ]:NSPECTION RgPORT ,I]I~)ATION (IST) ~t FRAI~ & PLI]I~ING CODE . B'UILDING DEPARTMENT TOWN HALL SOUTIIOLD, NY 11971 TEL: 765-1802 Exam/ned Approved Disapproved . PERMIT NO. ,20 tgf ,20 O/ Do you have or need the follovdng, before applying Board of Health 3 sets of Building Plans, Survey. Septic Form N.Y.S.D.E.C. Contact: Mail to: Phone: ~r 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 pict plan to scale. Fee according to. sohe~ple. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets 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 Insp,ctor will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throuDhofit the work. e. No building shall be occupied or used in whole or i.npart 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 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 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.inspe~cto[s 9n premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) ~(Maiiing a~dre-ss ofapplicar~) ' - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I Name of owner of premises ~(t:la[C. Zatl/'flO Or''OI2oT]K/,~ i. (as or,:the tax roll or latest deed) If apl~lj~raFhis a corpor~on~ signature of duly authorized officer X ':' / (~arr~ find title ofco~orate'officed Builders License No. Plumbers License No. Electricians License No. Other Trade's License No, Location of land on which pi-oposed work will be done..' 120 'ff. 2J. ' House Number . Street Hamlet County Tax Map No. 1000 Section (.~' Block 2. 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 fffPS;O/Otl(~ / 3, Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost tr~ 700: 000. ~0 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 o f existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Dimensions of entire new construction: Front ~ Height 2.,¢ Number of Stories Size of lot: Front /I//~ Rear [0. Date of Purchase ~']~ Name o£Former Owner Number of Stories Rear .Depth / .Depth [ 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 Name of Architect [/~ al-rtltl /,t~t,~c_,. , . Address. tl ' Phone No~ Name of Contractor ~: tiao] ~ llJt~,3h Address tt Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO · ~ YES, SOUTHOLD TOWN TRUSTEES PER.MITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. ON 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~/t~, ) f.,~¥/'PlO .Z~ I~/~-~OF~'/~' being duly sworn, deposes and says that (s)he is ~e applic~t ~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; ~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. Signature o f Appl;i/cant ~ rT i