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HomeMy WebLinkAbout27643-ZFORM NO. 4 TOW/q OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28977 Date: 10/09/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 100 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 23, 2001 pursuant to which Building Permit No. 27643-Z dated AUGUST 25, 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 #100) WITH ATTACHED TWO CAR GARAGE A~fD COVERED FRONT PORCH AS APPLIED FOR. l~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. SUFFOLK COUlCl"I DEPARTMENT OF ~¢ALT~ APPROVAL C10-97-11 05/28/02 HLE~-r~ICAL CERTIFICATE NO. 1038594 07/05/02 PLUMBERS CERTIFICATION D~£mu 05/17/02 HARTCORN PLUMB.&HEATING 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. 27643 Z Date AUGUST 25, 2001 Permission is hereby granted to: for : LANDING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT # 100 CP~AWL 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 23, 2001 and approved by the Fee $ 636.30 Aut hoz~i Zed Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FoR CERTIFICATE OF OCCUPANCY This application nmst be filled in by typewriter or ink and sub~nitted to tile Building DeparUnent with tile following: For new building or new use: 1. Final snrvey ofprope~.y with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water sopply and sewerage-disposal (8-9 fora0. 3. Appro'cal 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. 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. 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 Certificate of Occupancy - $ 0.25 4. Updated Certificate of Ocoupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location o[ Property: Owner or Owners of Property: c'~C.~'l~ ~.c Suffolk County Tax Map No 1000, Section Subdivision ~ Old or Pre--ex, isting Building: (check one) House No. ' I Street - ' -/ _ Hamlet 3 5' mcck I 7 T' FileA Map. Lot: Permit No. Date of Permit. Health Dept. Approval: "~ ' 1o ' /..oD c, Platming Board Approval: [ ").. ~ t,{., ~.aOo Request for: Temporary Certificate Fee Submitted: $ ,~-,~ "'"' Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature Dennis g. Wilhelm 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.: d',OO__ 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. A~-f~lo, 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 #100 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 #100 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 CHICA(;O TAMPA 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 PS1 100 ~/2~;/~/.. O,IC. ~ ~ REMARKS: March 14, 2002 To: E. F. Walsh Developers Pcconic Landing Village of Greenport Utilities Department Re: Peconic Landing Sewerage System To Whom It May Concern: The Village of Gmenport 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 MILLER PLACE, NY 11764, COTTAGE # 100 SOUTHOLD, NY 11971 MAIN ROAD / ROUTE 25 COTTAGE # 100 SOUTHOLD, NY 11971 Application Number: 1038594 Certificate Number: 1038594 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 5th Day of 1uly, 2002. Name QTY Rate Rating Circuit Type Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial # 670201 Appliances and Accessories Air Conditioner 1 0 42000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle 1 0 Switch 1 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 I 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. INSPECTION REPORT DATE ( IS?)' .FLUH~ING ;SULAT~OH I'KR N- Y. STATK ENERCY BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Approved d/..~'$-' ,20 O__~.~ Disapproved ~'c · PERMIT NO. Do you have or nccd the following, before apply/rig Board of Health il 3 sets of Building Plans Survey '! 9'q(* t-["~ Z 'Z'"' Check . . Septic 'Form N.Y.S.D.B.C. · ' Trustees Contact: Mail to: Phone: Building Inflictor f 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 plot plan to scale. Fee according to. schedule. b. Plot plan showing location of lot and of buildings oh"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 Insp0ctor 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 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 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, ho¢~ing code, and regulations, and to admit authorized inspefto~:s On premises and in building for necessary inspections. (Signature of appli~m o~ name, if {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 roll or latest deed) If api{I~.an,~ is a corpor~on, signature of duly authorized officer / (~an~ ~nd title ofcorporate~officer~ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which p, roposed work will be done: /2t ,5' ]ff.,Z,:. - " House Number Street Hamlet / County Tax Map No. 1000 Section Q,~' Block / Subdivision ' Filed Map No. ,. (Name) a. Existing use and occupancy,~ t b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition State existing use and occupancy of premises and intended use and occupancy of proposed construction: 4. Estimated Cost ~ 5. lfdwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work 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 g, Dimensions o f entire new construction: Front Height ). Size of lot: Front 10. Date of Purchase Number of Stories . Rear Name of Former Owner [ 1. Zone or use district in which premises are situated Number of Stories Rear .Depth ! .Depth __Will excess fill be removed from premises: YES 12. Does proposed co. nstruction violate any zoning law, ordinance or regulation: !3. Will lot be re-graded ee~ T 5. Is this property within 100 feet cfa tidal wetland? *YES Phone No. ~ Phone No~ ~Phone No. (. 031) ~77- elto ] · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/ 7. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) SS: :OUNTY Ob'~F~//~ ) ffl-V'/'J'/~/d25 /4.'/z~.5'Z/O/r".5;(/~''' being duly sworn, deposes and says that (s)he is f. he 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; ~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. worn to before me this -- day of ~'?t4~- ~-p~q/ Notary ,Public Signature of Applicant t iE