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HomeMy WebLinkAbout27645-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28596 Date: 07/12/02 T~IS CERTIFIES that the building NEW DWELLING I~catlon of Property: 99 THOMPSON BLVD. GREENPORT (HOUSE NO.) (STREET) {HAMLET) County Tax Map No. 473889 Section 35 Block 1 Lot 25 Subdivision FiledMap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 6, 2001 pursuant to which Building Pez~t No. 27645-Z dated AUGUST 27, 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 #99) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH & SUNROOM AS APPLIED FOR. · ~%e certificate is issued to PECONIC LANDING AT SOUTHOLD, ( OWNER ) of the aforesaid building. INC. SUFFOLK COUNTY DEPART~ENT OF ~LT~ APPROVAL C10-97-11 E~C~£~IC~J~ C~TIFICA~q~ 1~0. PLIR~BERS CERTIFICATION 05/28/02 1038593 06/17/02 05/17/02 HARTCORN PLUMB. &HEAT. 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. 27645 Z Date AUGUST 27, 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 GARAGE, COVERED FRONT PORCH & SUNROOM AS APPLIED FOR UNIT # 99 CRAWL at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY 99 THOMPSON BLVD. GREENPORT Block 0001 Lot No. 025 6, 2001 and approved by the 27, 2003. Fee $ 696.30 COPY Rev. 5/8/02 Form No. 6 TOWN OF $OUTHOLD 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 fora0. 3. Approx;al of electrical installation from Board o f Fire Underwriters. 4. Sworn statement fi.om plumber certif54ng 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 completed application and a consent to inspect signed by the applicant. If a C~rtificate 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, 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 Cedificate of 0coupaney - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certillcate of Occupancy- Residential $15.00, Commercial $15.00 New Construction: Location of_Property: · 99 ~ House No. Owner or Owners of Property: ¢-~¢.7~ Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: $ 5' 81o k (¢h~k one) Hamlet Lot £f Subdivision Pe. it No. oq %q 5 Health Dept. Approval: Planning Board Approval: Date of Permit. '7' t,, - Request for: Temporary Certificate Fee Submitted: $ Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot: (check one) Applicant Signature 0ennis M. Wilhelm June 6,2002 Mr. Michael J. Verity Code Enforcemant Officer Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 - 1179 PECONIC LANDING PROJECTS. Re: Cottage #99 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//99 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: Dermis M. Wilhelm, RLS Al Broszeit, E&F Walsh Bob Ellis, O/N 5120 Bullet Pike. Suite 2011 TRUSTEES WILLIAMJ MILLS]II GEORGEW HLIBBARD GAI[.F HORTON BRAI)I.[~Y B BURNS 236 THIRD S I'REE'F GREI~NPORT, 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 Concem: 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 Pressure Pressure COTTAGE # DATE APPROVED BY Test Test 5.0 PSI 50 PSI 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.: ~'~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. Aiello, P.E. Dated: 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: ~-/[ 7/~2. / / Building Permit No. (~leas¢ l~rint) 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 ~d~ day of , 20 ~9~--~ Notary Public, County ~ature) ,,,t,~, uDlic, State of New ',/'off( No, 4873841 Oua~ifled in Suffolk Cou~lty term expires Omo~ 20, '"'~ 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 MILLER PLACE, NY 11764, COTTAGE # 99 SOUTHOLD, NY 11971 MAIN ROAD / ROUTE 25 COTTAGE # 99 SOUTHOLD, NY 11971 Application Number: 1038593 Certificate Number: 1038593 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 ]Tth Day of June, 2002. Name QTY Rate Ratine Circuit Type Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial # 674101 Appliances and Accessories Air Conditioner 1 0 48,000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle 1 0 Switch I 0 Fixture 3 0 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 General Purpose General Purpose Incandescent 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. ~ ~NSP]~CTION REPORT COHI4~NTS ,UNDATION ({ST) ~W~ATION l~R ~_AT~ ~NER~ CODE BUI. LDING DEPARTMENT SOUTHOLD, NY 11971 TEL: 765-1802 Examined , Approved 7 Disapproved aJc' PERMIT NO. Do you have or need the following, before applying Board of Health 3 sets of Building Plato Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: ~r APPLICATION FOR BUILDING PERMIT INSTR".UCTION. S Date . ,20 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 Permit. d. Upon approval of this application, the Building Imp.eetor will issue a Building Permit ~o 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 0ccupan 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 Kegulations, for the consUmction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws ordinanccs~ building code, housing code, and regulations, and to admit authorized inspe?tors On premises and in building for necessary inspections. · ' ' ·. (Signature of' applicant o~' narn~, if a corporation) ~(Mafling a~dre~s of applicant) ' -- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I Nameofownerofpremises Q'~0~t'O.[C. ~12/io][~0 Ot"~loT~fJll / (as on:the tax roll or latest deed) If apl~lj~n. 3 is a co~or~on~ si~ature of duly authorized ~fficer / ~ ~d title ofco~oraie/omcery . Builders License No. [:'lumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which pfi'oposed work will be doric: House Number ,, Street County Tax Map No. 1000 Section Subdivision ¢qame) ,. H~amlet Block ' Filed Map No. a. Existing use and occupancy,,al" "' b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removai Demolition State existing use and occupancy of premises and intended use and occupancy of proposed construction: 4. Estimated Cost ~¢~/ 700, Fee Addition Alteration If dwelling, number of dwelling units garage, number of cars Other Work (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 Dimensions of entire new construction: Front . k.~f~ Rear Height 2_,q Number of Stories. . / Size of lot: Front /~/f~ Rear .Depth l 0. Date of Purchase ~J/~ Name of Former Owner ·. Number of Stories Depth [ 1. 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 from premises: YES .4. Names of Owner of,oJi~mises~Address Or'/ ~t'/e Phone No. ~)~~- / Name of Architect ~/~t:ll-'rt~/i ~1,%,,/~... . Address II ' Phone No~ Name of Contractor ~ tlttc~ [~ ~l]'t~ I~h Address' i~ ~hone No. (_ ¢~1) 4/77- 4/ID ] 5. Is this property within 100 feet of a tidal wetland? *YES NO · I;F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide sun, ey, to scale, with accurate foundation plan and distances to property lines, 0/'/ 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 OF~,'c'P'"~:~'.~ ) /(0,4V'/2/0//'25 /4?tff,-%ZlO/r'-5'/(wc' 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 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 wilI be erformed in the manner set forth in the application filed therewith. worn to before me this __ N~ 4~917~ Signature of Appl//cant II