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Home My WebLink About27641-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29049 Date: 11/02/02 TI{IS CERTIFIES that the building NEW DWELLING Location of Property: 104 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 JULY 27, 2001 pursuant to which Building Permit No. 27641-Z dated SEPTEMBER 7, 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 FANILY DWELLING (UNIT #104) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. ~e certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. SUFFOLK COU~TYDEPARTMENT OF~IEALTI~APPROVAL C10-97-11 ELEt-rKICAL CERTIFICATE NO. 1038600 PLUMBERS CERTIFICATION DA£mU 05/17/02 HARTCORN PLUMB. 05/28/02 07/1S/02 & HEATING Aut~frized Sig ature 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. 27641 Z Date SEPTEMBER 7, 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 AS APPLIED FOR (UNIT #104) (CRAWL) at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated JULY Building Inspector to expire on MARCH 104 THOMPSON BOULEVARD GREENPORT Block 0001 Lot No. 025 27, 2001 and approved by the 7, 2003. Fee $ 636.30 ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FoR CERTIFICATE OF OCCUPANCY This application xnust be filled in by typewriter or ink and submitted to the Building Depart~nent with the following: For new building or new use: 1. Final survey of property with accurate location of all buildings, properly lines, streets, and unnsual natural or topograph/c features. 2. Final Approval from Health Dept. of water snpply and sewerage-disposal (S-9 form). 3. Appro~)al of eleetrical iustallation from Board o f 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 Platming 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 comple3ed 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 Oecupancyon Pre-existing Building - $100.00 3. Photocopy of Certificate of0ceupancy - $ 0.25 4. Updated Certificate ofOecupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: '~ Location of Property: Owner or Owners of Property:: ~'~Qxl4 ~, ¢ Suffolk County Tax Map No 1000, Section H eN6~. Date. Old or Pre-existing Building: - I Street t - ~ ,.~ Block (cheek one) Hamlet Lot 2~'~ Subdivision Filed Map. Permit No. Date of Permit. Health Dept. Approval: "~ Planning Board Approval: l ').. _c.{ Request for: Temporary Certificate Fee 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) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: ~,rCO~I'L [a~l~tl O ~leasd l~rint) Phtrnber: Hart:corn Plmq & Ht:q~ In¢ (please print) ("¢"¢"aCe ¢ /04// I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ¢;¢ day of /~--~ _, 20 ~ Notary Public, County ~ture) fled/n ~ffolk Courl~ .×plros O~ober 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 MILLER PLACE, NY 11764, COTTAGE # 104 SOUTHHOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 COTTAGE # 104 SOUTHHOLD, NY 11971 Applicatien Number: 1038600 Certificate Number: 1038600 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting 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 15th Day of July, 2002. QTY Rathe Rating Circuit Type Name Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial # 672701 Appliances and Accessories Air Conditioner 1 0 42,000 BTU Furnace 1 0 Gas and Devices Wiring Receptacle I 0 General Purpose Switch 1 0 General Purpose Fixture 3 0 Incandescent Service 1 Phase 3W Service Rating 200 Panperes Service Disconnect: 1 200 cb Meters: 1 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 Sidney B. Bowne & Son Consulting Engineers 235 E. Jericho Tpke., Mineola, NY 11501 PECONIC LANDING TOWN OF SOUTHOLD BUILDING PERMIT NO.: COTTAGE NO.: /~ <~ In accordancc 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. Date~d: . ~_~ June 6, 2002 Mr. Michael J. Verity Code Enforcement Officer Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 REz PECONIC LANDING PROJECTS. Re: Cottage//104 Code Certification. Dear Mike: In reference to lhe above mentioned project we, Barton & Associates, LLP (Architects of Record for said project), hereby certify that to lhe best of our knowledge, information and believe that Cottage # 104 has been conslmcted in compliance ;vith all applicable laws, codes and ordinances. Very truly your; Frank P. Lauglflin, 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 Pressure Pressure COTTAGE # DATE APPROVED BY Test Test 5.0 PSI 50 PSI REMARKS: March 14, 2002 To; E. F. Walsh l)cvclopers Peconic l.anding Village of Grecnport 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 .'gLD INSPgCTION P~PORT - ~ATE )~NDATION illlqDATION (2h'D) COI~IEI~ S )U~lt FILaR~E & PLUHBIItG i$,m~.TION PER N. Y. ~rA'I'R EI~I~RGY CODE 'ADDITIONAL BUILDING DEPARTMENT TOWN Il'ALL ~OUTHOLD, NY 11971 TEL: 765-1802 PERMIT NO. Do you have or need the following, before applying Board of Health 3 sets of Building Plans .') 2-"'){o c,~ \--"~ ' CheckSurvey Septic Form N.Y.S.D.E.C. .. ' Trustees Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to tM 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 Inspector will issue a Building Permit To the applicant. Such a permit shall be kept on the premises available for inspection througho~it 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, ordinanees~ building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections; (Signature of appliq~nt or name, if a corporation) ~Maifing a~dress of applica~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor electrician, plumber or builder tgttJ I Nameofownerofpremises ~(Oth'C. ~tlrJ//IO 0I"'K.~,0TII(JII / (as on:the tax roll or latest deed) :f apl~l~. 3 is a corpora3ion~ signature of duly authorized officer X ':' [ (~arr~ m~d title ofcorporate~officer~ ~uilders License No. )lumbers License No. Electricians License No. )ther Trade's License No. Location of land on which p,[oposed work will be doric.: House Number Street ' ' · Hamlet County Tax Map No. 1000 Section (.~' Block [ Subdivision ' Filed Map No. Lo ......... ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy., ~ b. Intended useandoccupancy fffc~S]dOtl(~ / 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair Removal Demolition Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (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. Number of Stories Dimensions of entire new construction: Front k_~ ,2, Rear .Depth q_~7) Height 2.(/ Number of Stories , / ). Size of lot: Front /~///J Rear .Depth t0. Date of Purchase At/~ Name of Former Owner [ 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 /p,,,,~ Will excess fiI1 be removed from premises: YES 4I'~;~cAr°Cn~aCt°rk/~t~oaT~ ~~dd~rr~sames ofOwn, teer;Of.pji~m~s_e~_~ll~Address Or'/ [~t'/~ PhoneNo. ~ ti ' Phone No~O~.~ ~l ~Phone No. (_. 5. Is this property within 100 feet of a tidal wetland? *YES NO ' · IF.YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE R.EQUIRED survey, to scale, with accurate foundation plan and distances to property lines. ~ 6. Provide 7. If elevation at any point on property is at l 0 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) SS: :OUNTY OF'~,a"f,~,,~ ) f~V'/)/~ ~ /4/z~D"Z/O/-.5'A/~' being duly sworn, deposes and says that (s)he is ~e applic~t ~ame of indi~dual si~ing conWact) 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 wiI1 be erformed in the manner set forth in the application filed therewith. Signature of Applicant . f