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HomeMy WebLinkAbout27916-ZFORM NO. 4 TOW~q OF SOUTHOLD BUILDING DEPA~{TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~NCY No: Z-29046 Date: 11/02/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 101 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 NOVEMBER 15, 2001 pursuant to which Building Permit No. 27916-Z dated NOVEMBER 19, 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 #101) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, (OWNER) of the aforesaid building. INC. S[~FFOLK COU~I~fDEP~T OF ~L~L~{~PRO~L~_L C10-97 11 ELEC~ICAL CHRTIFICA~ NO. PLUMBERS CERTIFICATION DAT~U 05/28/02 1038595 08/30/02 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. 27916 Z Date NOVEMBER 19, 2001 Permission is hereby granted to: for : PECONIC LANDING AT SOUTHOLD, I PO BOX 430 SOUTHOLD,NY 11971 CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GAP~AGE & COVERED FRONT PORCH AS APPLIED FOR (UNIT #101 FULL) at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated NOVEMBER Building Inspector to ex~ire on MAY 101 THOMPSON BLVD. GREENPORT Block 0001 Lot No. 025 15, 2001 and approved by the 19, 2003. Fee $ 938.10 ORIGINAL Rev. 5/8/02 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 sub~rdtted to the Building Departlnent with the following: For new building or new use: 1. Final survey of property with accurate locatiou of all buildings, property liues, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval 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. gl¸ 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, Alterations to dwelling $25,00, Swinuning 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 Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commemial $15.00 New Construction: / Location of Property: /0/ House No. Owner or Owners of Property: c~C~l~ lc_ Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: - I Street t ' ~ .~ Block (check one) Hamlet Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit._ lo. Lo<=" Request for: Temporary Certificate Fee Submitted: $ ,~-..._~ '~ Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot: (check one) Applicant Sigmature Dennis M. Wilhelm Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 119714)959 Fax (631) 765~1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: ~O.f~L LllII J?tl 0 (~leas~ l~rint) Plumber: Hartcorn Piing & Htg, Inc (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swom to before me this dayof ~ff_~ff , 20~. Notary Public, County ~l~~ture) VIRGINIA M. GOCINSKI 3Jo~ ~rv Public, State of New Yolk No. 4873841 !~' ,~:fied In Suffolk Co~Jnty ~xp~,'os October 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 E.F. MALONEY * PECONIC LANDING P.O. BOX 6070 MAIN ROAD / ROUTE 25 1007 route 25 A COTTAGE @ 101 MILLER PLACE, NY 11764, SOUTHOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 COTTAGE @ 101 SOUTHOLD, NY 11971 Number: 1038595 Certificate Number: 1038595 Application Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and described below, located in/on the at: wiring, premises 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 30th Day of August, 2002. Name QTY Rate Rating C_ ir~;uit Twe Additional Charges modular house N.Y.State approval # 19-15 mfg Avis America serial # 686801 Appliances and Accessories Air Conditioner I 0 36,000 BTU Furnace I 0 Gas and Devices Wiring Receptacle 1 0 General Purpose Switch i 0 General Purpose Fixture 3 0 Incandescent Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: i 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 Consulting Engineers 2t5F JcrichnTpkc.,Mineola. NY 11501 PECONIC I,ANDING TOWN OF SOUTHOLD BUILDING PERMIT NO.: COTTAGE NO.: /O / In accordance with the Agreemcnt between thc Town of Southold and Sidney B. Bowne & Son, LLP, Consulting Engineers, dated January 14, 2000, for professional engineering services rclating to thc above project, we have completed the final inspection for the subject prenfises. In addition, we have reviewed~n.~,,:c~,~ri' ' r :?r,s~ :nd oilier relevant material for cohfc thc 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 subj oct cottage. Gino N. Aiello, P.E. 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 #101 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 #101 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 Broszei~, 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 ,o, ~/,~/o~ ~.~. ~ ~ REMARKS: officers March 14, 2002 To: E. F. Walsh Developers Peconic Landing Village of Greenport I ltilities Department Re: Peconic Landing Sewerage System To Whom It May Concern: The Village of Greenport is allowing Pcconic 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 scwerage being delivered is acceptable to the Village seweragc system. Respectfully, William Swiskcy Utilities Foreman WS/js INSPECTION REPORT ~m~DATIOI/ ( FRAME & . PLUH~ II~G tI~SULAI'IO]R PER STATE CODE DATE ~_~./~ BUILDING DEPARTMENT TO'WN'HALL SOUTHOLD, NY 11971 TEL: 765~1802 Examined .~eu-, /7 ,20 ~/ Approved ~4.,~'- / 7 _, 20. O/ Disapproved a/c PERMIT NO. Do you have or need the following, before applying Board of Health "' 3 se~s of Building Plans Survey. Check Septic Form N.Y.S.D~E.C. ., ' Trustees Coutact: Mail to: Phone: Building Ingpector ~/ APPLICATION FOR BUILDING PERMIT Date 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. schedule. b, Plot plan showing location of lot and of buildings on'~remises, relationship to adjoining premises er public streetJ or areas, and waterways. :, c. The work covered by this application may not be commenced before issuance of Buildlng Permit. 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 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 Tow~ of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the consWaction 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 On premises and in building for necessary inspections. , (Signature of applicant or name, if a corporation) ~Mailing a~dre-si of applicar~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ('~C_D/D'C. ~l~'d~/~/~ O'["~OT]l~]i / (as on:the tax roi1 or latest deed) If ap~l~h ~ ~o¢or~on~ si~ature of duly authorized officer / (~ ~d title of co.orated°filter5 . Builders LicenseNo. Plumbers License No. Electricians LicenseNo. 0therTrade'sLicenseNo. Location of land on which p,,[oposed work will be doric.: House Number Street Hamlet / County Tax Map No. 1000 Section (-3~' Block_ / Subdivision ..' Filed Map No. a. Existing use and occupancy 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 ~ 700. 0OO. DO 5. If dwelling, 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 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 Height 2.(/ Number of Stories Size of lot: Front Rear Date of Purchase 3/]~ Name of Forrner Owner '7" Number of Stories Rear Depth Depth 11. 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 ~P~.~ __ Will excess fill be removed from premises: YES O .4. Names of ©wner of.p~iqmises~~ddress Or? Ft'/~. Phone No. ~~j~?- / Name of Architect [/~t~Tt)/I ~.~'.C;. , . Address. ti ' Phone No~ Name of Contractor ~ tlnc] I¢ 117t11~) Address 1~ Phone No. (_ ecg I) 6/'7'7. ~)t9 / 5. Is this property within 100 feet of a tidal wetland? *YES NO · rF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Dh 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 ) f.~"/,')7~ ~ /4,/~---~Z)Of'~'ff'~5" being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, 3)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. ~1~ pub~ B~Ie d New Yo~ ' / Signature of Applicant BEDROOM ~2 WJ.C I oll ft- RECEIVED PHONE SOFRTj GENEF~\L NOTES ~LOA~ 3(~P.S.F. PERMIT SET LEGEND BUILDERS COPY