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Home My WebLink About27687-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29047 Date: 11/02/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 102 THOMPSON BOULEVARD 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 SEPTEMBER 5, 2001 pursuant to which Building Permit No. 27687-Z dated SEPTEMBER 18, 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 ~102) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. S~3F~)LK ~DL~ DEpAR~ OF H]~_L%~{ APPROVAL C10-97-11 05/28/02 ELECk£~fCAL CERTIPICATH NO. 1038597 08/16/02 PLU~4BERS CERTIFICATION D~r~ 05/17/02 HARTCORig 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. 27687 Z Date SEPTEMBER 18, 2001 Permission is hereby granted to: L2LNDING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR G~RAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #102 CPJ~WL at prentises located at~ 1205 MAIN RD County Tax Map No. 473889 Section 035 Block pursuant to application dated SEPTEMBER 5, 2001 Building Inspector. GREENPORT 0001 Lot No. 025 and approved by the Fee $ 707.70 Aut hori z~'d Sign~ure 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 tilled in by typewriter or ink and submitted to tbe 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, aim 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 req~nsible 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. Ifa C~rtificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co 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 Ocoupancy on Pre--existing Building - $100.00 3. Photocopy of Certificate of Ocoupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate ofOcoupancy - Residential $15.00, Commercial $15.00 New Construction: Location of_ Property: House No. Owner or Owners of Property: ' ~c~eel.~ ~,C_ Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: - I Street t ' ~ ,~ Block (check one) Hamlet Filed Map. Permit No. Date of Permit. Health Dept. Approval: '"{' lt, ' Z. oo 6 Planning Board Approval: 1 ').. - "'~., 7_ a Oo Request for: Temporary Certificate Fe~ Submitted: $ ,¢--,_~ '~ Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature Dennis M. Wilhelm Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1807 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: ~O.(.OQ~L Lflil~llO (b ¢a ;/,vino 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 ~'~ of ~ff , 20 d).z:-- day Notary Public, County (Plumbers Signature) VIRGINIA M, GOCINSKI Notary Pu~l~, State of New York ~,~r,~ ~x~res Ootober 20, -"' ~_.~.-~ FINAL INSPECTION REPORT Sidney B. Bowne & Son Consulting Engineers 235 E. Jericho Tpke., Mineola, NY 11501 PECONIC LANDING TOWN OF SOUTHOLD BUILDING PERMIT NO.: £74 -7 COTTAGE NO.: /d2 ~ 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: 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 #102 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 #102 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP Frank P Laughl~~ 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 Pressure Pressure COTTAGE # DATE APPROVED BY Test Test 5.0 PSI 50 PSI REMARKS: March 14, 2002 To: E. F. Walsh l)evelopers Peconic Landing Village of Greenpor~ 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 CEm~TIFICATE 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 8 PECONIC LANDING P.O. BOX 6070 MAIN ROAD / ROUTE 25 1007 route 25 A COTTAGE # 102 MILLER PLACE, NY 11764, SOUTHOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 COTTAGE # 102 SOUTHOLD, NY 11971 Application Number: 1038597 Certificate Number: 1038597 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 wKh the National Electrical Code and the detail of the insta,ation, as set forth below, was found to be in compliance therewith on the 16th Day of August, 2002. Name QTY Rate Ra~:ing Circuit Type Additional Charges modular house N.Y.State approval # 19-15 mfg Avis America serial # 683701 Appliances and Accessories Air Conditioner 1 0 48,000 BTU Furnace I 0 Gas Wiring and Devices Receptacle 1 0 General Purpose Switch 1 0 General Purpose Fixture 3 0 Incandescent Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 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. ~ ][NS.PECTION PJ~PORT )UHDATION ( )UCIt FP, AI~ & PLUM~ING ~SDL~TIOH l)'gE lq. Y. STATE ENERGY CODE FINAL BUILDIN. G DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ¢/ff ,20 Approved ~///~ ,20 Disapproved a/c Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: ~or APPLICATION FOR BUILDING PERMIT " Date ,20 XNSTmJC rXO S 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 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 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 Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the consmaction of buildings, additions, or alterations or for removal or demolition as herein described. Thc applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. - (Signature of applicant or name, if a corporation) ~(Maiiing a~dress of applicar(t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofownerofpremises Q'~{20/I,'C., ~(~tlJ/tlO' ! (as on:the tax roll or latest deed) If apt~lj~.nh is a corpora~on~ signature of duly authorized officer J[ rf. ':. / (iX/an~ md title of corporate officer~ Builders License No. Plumbers License No. ~lectricians License No. Dther Trade's License No. 1. Location of land on which p, foposed work will be doxie: /20 2,3 '. :' House Number . Street · Hamlet County Tax Map No. 1000 Section Q,~_~' Block / Subdivision ' Filed Map No. (Name) 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 / 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~, 700e 0OO. O~ 5. If dwelling, number ofdwelling 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 of existing structures, if any: Front Height. Number of Stodes Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth. Height 2. Dimensions ofentlre new construction: Front Height ,2.~/ ). Size oflot: Front 10. Date of Purchase '7" Number of Stories . Rear Name of Former Owner Number of Stories Rear Depth t 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 /Pa,5 __Will excess fill be removed from premises: YES · 4. Names of Owner ofpji~mises~AA, ddress ~d ,Ct' Phone No Name of Architect [/~t~"rt~/i ,¢[~r.t~,,., . Address. ti ' Phone No~ Name of Contractor ~ t~a~ I¢ 1I)~O[3h Address 0 Phone No. (_ (oBI) 4/7'7- 4//O / 5. Is this property within 100 feet cfa tidal wetland7 *YES NO · I:F YES, SOUTHOLD TOW'N TRUSTEES PERMITS MAY BE REQUIP, JBD 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/ ]c 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"~¢/,~ ) ffi-'¢'/7/~//Z~ kb/zC--J'XJO/t-.5'/¥wc' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) 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; aat all statements contained in this application are true to the best of bls knowledge and belief; and that the work wiI1 be erformed in the manner set forth in the application filed therewith. worn to before me this Notary ,l~u~ic ' / Signature of Appl~/cant ®® ®®