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HomeMy WebLinkAbout27704-ZFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29045 Date: 1t/01/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 98 THOMPSON BLVD. GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 1 Lot 25 Subdivision Filed ~4ap No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 6, 2001 pursuant to which Building Permit No. 27704-Z dated SEPTEMBER 5, 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 #98) WITH ATTACHED TWO CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC kANDING AT SOUTHOLD, INC, (OWNER) of the aforesaid building. SUFFOLK COUICTY DEPART~gCf OF H]~J~T}{ APPROVAL C10-97-11 EI.EC~ERICAL CERTIFICA~ NO. PLNMBEI~S C~TIFICATION 05/28/02 1038591 08/16/02 05/17/02 HARTCORN PLUMB. & HEATING Authored Signa~e 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. 27704 Z Date SEPTEMBER 5, 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 GA2RAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #98 CRAWL at premises located at 1205 MAIN RD County Tax Map No. 473889 Section 035 pursuant to application dated AUGUST Building Inspector. GREENPORT Block 0001 Lot No. 025 6, 2001 and approved by the Fee $ 755.10 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 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. 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. Subn:fit 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 completed 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Altemtious to dwelling $25.00, Swimming pool $25.00, Aecessoty 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: Location of~Property: House No. Owner or Owners of Property: c~C.t~kl lc_ Suffolk County Tax Map No 1000, Section Subdivision Permit No. Itealth Dept. Approval: Planning Board Approval: Old or Pre-existing Building: ]Sireet - ~ ,~' Block Date of Permit. '7'/o ' 12. ~~ 2_000 Request for: Temporary Certificate Fee Submitted: $ (check one) Hamlet Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature 0onnis 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 Plumber: Hartcorn Plmg & Htg, Inc (please print) Date: ~ ~//"7/~,~ -/ / I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ a day of .~dT/~ , 20 ~-- Notary Public, County (Plumbers Signature) FINAL INSPECTION REPORT Sidney B. Bownc & Son Cnnsulting Engineers 235 E. Jericho Tpke., Mineola, NY ll50l PECONIC LANDING TOWN OF SOUTItOLD 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. By: __ Dated: BARTON,q~Associates June 6, 2002 Mr. Michael J. Verity Code Enforeemem Officer Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 - 1179 PECONIC LANDING PROJECTS. Re: Cottage #98 Code Certification. Deal' l~4ike: 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 #98 has been constructed in compliance xvith 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 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 ~/~I~. ~.'~ ~ ~.~ REMARKS: O~'C e F S March 14, 2002 To: E. F. Walsh Developers Peconic Landing From: Village of Greenport Utilities Department Re: Pecoaic 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 10038 CERTIFIES THAT Upon the application of upon premises owned by Located at E.F. MALONEY * PECONIC LANDING P.O. BOX 6070 MAIN ROAD / ROUTE 25 1007 route 25 A CO'II'AGE # 98 MILLER PLACE, NY 11764, SOUTHOLD, NY 11971 MAIN ROAD / ROUTE 25 CO'FI'AGE # 98 SOUTHOLD, NY 11971 Application Number: 1038591 Certificate Number: 1038591 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: 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 i6th Day of August, 2002. Nome QTY Rate Rating Circuit Type Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial # 647001 Appliances and Accessories Air Conditioner I 0 42,000 BTU Furnace i 0 Gas Wiring and Devices Receptacle 1 0 Switch I 0 Fixture 3 0 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: I 200 cb Meters: 1 General Purpose General Purpose Incandescent seal I of 1 This certificate may not be altered in any wa}, and is validated only by the presence of a raised seal at the location indicated. ~ INSPgC?ION P~PORT - DA~ )I~DATION )I~II)ATION (21,TD) . PLYING ~ULA~ION PER CODE ADDITIONAL CO~I~S: ~IUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Approved ~/~ ,20 Disapproved a/c . PERMIT NO, Do you havo or hood ~e follo~g, before appl~g Bo~d of Heal~ 3 sets of Buil~g Plans S~cy S~ptic Fo~ N.Y.S.D.E.C. Tm~tees Contact: Mail to: Phone: Building In~lJ'ector ~' APPLICATION FOR BUILDING PERMIT Date ,20 iNSTRUCTIONS a. This applicahon MUST be completely filled in by typewriter or in ink and submitted to t~e B~ }lilding 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 Permit. d. Upon approval oft-his application, the Building Insp0ctor will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughodt 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, ho.using code, and regulations, and to admit authorized inspe.cto[s ?n 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 I Nameofownerofpremises (D/~CO/b'C. LOtltJ[/lt? 0l"' / (as on:the tax roll or latest deed) / (~arr~ and title or corporatetofficer~ /M~/~, ':' Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which p~'oposed work will be done; 120,5' : House Number ,- Street · ' Hamlet County Tax Map No. 1000 Section (.~.~' Block / Subdivision ' Filed Map No. (Nme) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy., ii ' b. Intended useandoccupancy ~e~JJodf~ / Id 3. Nature of work (check which applicable): New Bui ing X Addition Repair Removal Demolition Other Work 4. Estimated Cost_/~d~, 5. If dwelling, number ofdwelling units If garage, number of cars Fee Alteration (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 of use. Dimensions of existing structures, if any: Front Height. Number of Stodes Rear .Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height ._ Dimensions of entire new construction: Front Height Size of lot: Front Rear Number of Stories [ 0. Date of Purchase Number of Stories . Name of Former Owner Rear .Depth .Depth t I. Zone or use district in which premises are situated [2. Does proposed construction violate any zoning law, ordinance or regulation: ! 3. Will lot be re-graded Will excess fill be removed fi.om premises: YES ti ' .Phone No~ I~ Phone No. (_ ~,,_BI )/--/'7'7- Z//tO / 5. Is this property within 100 feet of a tidal wetland? *YES NO · 1Y YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ~D 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0// ff,/e.. 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: /~fi-V'/Jfd Z/25 /'b/Z~,~Z/0/-.ff/¥~' being duly sworn, deposes and says that (s)he is the applicant (Name of indiv/dual 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 performcd the said work and to make and file this application; ~at all statements contained in this application arc true to thc best of his knowledge and belief; and that the work will be erformed in the manner set forth in thc application filed therewith. worn to before me this Notary ,Pul~'iic ~ pub~, ~at~ ef New Yor~ Signature of Applicant t