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HomeMy WebLinkAbout27642-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29051 Date: 11/02/02 T~IS CERTIFIES that the building NEW DWELLING I~catlon of Property: 106 THOMPSON BOULEVARD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 35 Block 1 GREENPORT (H3~MLET) Lot 25 Su]m~ivlsion Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 2001 pursuant to which Building Permit No. 27642-Z dated SEPTEMBER 14, 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 #106) WITH ATTACHED TWO CAR GAR3~GE AND COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, (OWNER) of the aforesaid building. INC. S~3FFOLK CO~T"f DEPAR~ OF ]~F~%_L~{ APPROVAL C10-97-11 05/28/02 ELEC~fRIC3%L CERTIFICA~ NO. 1038721 08/30/02 PLUMBERS CERTIFICATION DA'£~a3 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. 27642 Z Date SEPTEMBER 14, 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 #106 (CRAWL) at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated JULY Building Inspector to expire on MARCH 106 THOMPSON BOULEVARD GREENPORT Block 0001 Lot No. 025 30, 2001 and approved by the 14, 2003. Fee $ 636.30 Authoriz~~ Signa~re 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 submitted to the Building Department with the following: For new building or new use: 1. Final survey of property with accurate location of all buildingg, property lines, streets, and unusual natural or topographic £eatures. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approx3al 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 comple!ed application and a consent t6 inspect signed by the applicant. If a Certificate of Oecupancy 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 Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certifreate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: · 10~ ' House No.- Owner or Owners of Property: ' ~'~[c7~'kl tr,_ Suffolk County Tax Map No 1000, Section Subdivision Date. Old or Pre-existing Building: S .5' Block I (check one) Hamlet / Lot Filed Map. Lot: Permit No. Date of Permit. Health Dept. Approval: "~ ' ~o ' /..aa Planning Board Approval: 1 2. ~ ~ Request for: Temporary Certificate Fee Submitted: $ ,.~--~ '~ Applicant: Underwriters Approval: Final Certificate: c_o .)q051 (check one) Applicant Signature O0nnis ~d. 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 SOUTI-IOLD CERTIFICATION Date: Building Permit No. Owner: ~O. LOII~L ~O{l{l~tlCl (Pleasd ~r/nt) Pluraber: Hartcorn Plmq & Htg, (please print) ThC 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 tg.~-~ Notary Public, County (Plumbers Signature) V RGIN A M GO¢IN,.~(J Notary Pub/k;, ,.q!ate of New Yolk No. 487'3841 Qualified in Suffolk County Te~'m explre~ O~tober 20 .... June 6,2002 Mr. Michael J. Verity Code Enforcement O~icer Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage #106 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 Collage #106 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP Frank P. Laughlin, PA. Senior Vice President cc: Dennis M. Wilhelm, RLS A1 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 1£. F. Walsi~ Developers Peconic l.anding From: Village of Greenport Utilities Department Re: Peconic Landing Sewerage System 'Fo 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 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.: /O ~' Z '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. By: Dated: Gino N. Aiello, P.E. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 30038 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 # 106 MILLER PLACE, NY 11764, SOUTHOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 CO'l-rAGE # 106 SOUTHOLD, NY 11971 Application Number: 1038721 Certificate Number: 1038721 Section: 35 Block: I 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 30th Day of August, 2002. Name QTY Rate Ratin~ Circuit Type Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial # 672801 ~ Appliances and Accessories Air Conditioner 1 0 42,000 BTU Furnace I 0 Gas Wiring and Devices Receptacle I 0 General Purpose Switch 1 0 General Purpose Fixture 3 0 Incandescent Service 1 Phase 3W Service 200 Amperes Rating 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. , INSPECTION I~PORT - DATE -~" .:'A. COMI4ENTS ~UNDATION (~ST) ~U~H FRA~ & PLUMBING [SU~&I~ION ~a N. Y. STATE ENgR~Y CODE BUII,,DING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 ^pproved ,20 a/ Disapproved aJc t . PERMIT NO. Do you have or need the follo',~xg, 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: 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 onYremises, 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 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, housing code, and regulations, and to admit authorizedinspe.ctors on premises and in building for necessar7 inspections. (Signature of applicant o~' name, if a corporation) {Mailing a~dre-ss of applicad) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises Ql~('t~/b'C.. LlgtlJ'~D az"'~l, Ll~l(J/i /. (as on;the tax roll or latest deed) If apl~l~.nh is a corpor~jon, signature of duly authorized (~fficer X' ". / (~ ~d title ofco~orate~officer5 Builders License No. Plumbers License No, Electricians License No. Other Trade s License No. Location of land on which p3-oposed work will be done.: 120C 2J ' ' House Number , Street Hamlet County Tax Map No. 1000 Section Q~_~' Block / Subdivision ' Filed Map No. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. , b. Intended use and occupancy ~r~ ES; / 3. Nature of work (check which applicable): New Building X Addition Repair Removal Demolition Other Work 4. Estimated Cost ~ 700, 0OO. O~ 5. If dwelling, number of dwelling units If garage, number of cars Fee Alteration (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 g. Dimensions of entire new construction: Front Height ~ ). Size of lot: Front /I]//~ Rear 10. Date of Purchase 3/]~ Number of Stories Name of Former Owner Number of Stories Rear .Depth / Depth [ 1. Zone or use district in which premises are situated t 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 o f j~jiqmises~Address Or'/ ~t'/~ Phone No.~ Name of Architect _ .. . Address. ti ' .Phone No~ Name of Contractor Ir r~ad F .'l_l;Al~fl Address I~ Phone No. t(.~[~7~t~- 5. Is this property within I00 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOW2q TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Oh 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. ;TATE OF NEW YOPJ() SS: ) /~:7,4V'/77d ~ ~~ b~ing duly sworn, deposes and says that (s)he is ~e applicant · ~ame of indi~dual si~ing con~act) 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 ali 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 ,/, ,~ Notary ,~ub'[ic ~#ly PUI~X ~la~ o~ New YO~ Signature of Appl//cant ~ ¸%.