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Home My WebLink About27667-ZFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28978 Date: 10/09/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 109 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 t~is office dated MAY 9, 2001 pursuant to which Building permit No. 27667-Z dated J~/NE 1, 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 #109) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. T~e certificate is issued to PECONIC L~-NDING AT SOUTHOLD INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALT~ APPROVi~_L C10-97-11 05/28/02 EI~ECTRIC~J~ CE~TIFIC3%T~ NO. 1038733 07/15/02 PLBMB~ C~TIFIC~ATION DA'f~3 05/17/02 HA~RTCORN PLL~4B.&HEATING Rev. 1/81 FORM NO. 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. 27667 Z Date JUNE 1, 2001 Permission is hereby granted to: LANDING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #109 CRAWL at premises located at 1205 MAIN RD County Tax Map No. 473889 Section 035 pursuant to application dated MAY Building Inspector. GREENPORT Block 0001 Lot No. 025 9, 2001 and approved by the Fee $ 522.60 COPY Rev. 2/19/98 Form No. 6 TOV~ OF SOUTHOLD B[~[LDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FoR CERTIFICATE OF OCCIJPANCY This application must be filled in by typewriter or ink and subtmtted to tile Building Department with tile following: Ao For new building or new use: Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features~ 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonu). 3. Approval of electrical installation from Board of Fire Underwriters.I 4. Swom statement from plmber 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 requiremeflts. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of prope~y showing all property lines, streets, building and unnsual natural or topographic features. 2. A properly comple)ed appfication and a consent t0 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, Swinmfing 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 0ccupaney - $ 0.25 Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy ~ Residential $15.00, Commercial $15.00 New Construction: ~' Location of Property: _ . House No. Old or Preexisting Building: ' I Street t Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision . (check one) Hamlet Block Filed Map. PerraJt No. Date of Permit. Health Dept. Approval: ~ - ~ · ff..aa ,', Planning Board Approval: | "~ - c.{., 7,,000 Request for: Temporary Certificate _ Fee Submitted: $ ,~--~ ~ _ Applicant: Underwriters Approval: Final Certificate: coe 7F (check one) Applicant Signature 0ennis M. W~lhelm 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: (Pleas~ l~rint) Plumber: H~rtcorn Plm (please print) ThC Date: I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /P~ day of ~ff', 20 ~-- Notary Public, County VIRGINIAM. GOGIN,.~ Nola~t Public, State of New Tern', exp4,~ uc~oBer 20,. , ~!~',~NIA M. GOCINSKI '~ , , ~ State of New YOlk · ;,~,:, ,, ~%fffolkCourf~z./ 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.: /O9 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 ora Certificate of Occupancy for the subject cottage. By: June 6, 2002 Mr. Michael J. Verity Code Enforcement Officer Southold Town Hall 53095 Main Road P,O. Box 1179 Southold, NY 11971-1179 gEz PECONIC LANDING PROJECTS. Re: Cottage #109 Code Cefliflcation. 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 #109 has been constxucted in compliance with all applicable laws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP Frank P. Laughlin, RA Senior Vice President cc: Derails 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 '['o: E. F. Walsh Developers Peconic Landing From: Village of Greenport 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 tolal 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 # 109 SOUTHHOLD, NY 11971 MAIN ROAD / ROUTE 25 CO]I'AGE # 109 SOUTHHOLD, NY 11971 Application Number: 1038733 Certificate Number: 1038733 Section: 35 Block: I Lot: 25 Building Permit: BDC: NS11 Described as a Resideutial 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 15th Day of July, 2002. Name QTY Rate Rating Circuit Type Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial # 679501 Appliances and Accessories Air Conditioner 1 0 36,000 BTU Furnace I 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 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. )IYNDATION DAT~ ~JL~TION PIeR N. Y. ~?ATI~ ENERGY CODE TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved a/c . PERMIT NO. ,20 ,20 ~J Do you have or need the following, before applying Board of Health 2' 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees · Contact: Mail to: Phone: ~r APPLICATION FOR BUILDING PERMIT Date ,20 INSTR~JCTIONS 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 streetfi 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 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 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 authorized.inspe.cto[s ?n premises and in building for necessary inspections; (Signature of appli~nt or name, if a corporation) ~Maifing a~dras of applicar~) ' - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I Name ofownerofpremises Q~O~t'Otlt'C. ~d'tlt~[,'lO I (as on:the tax roll or latest deed) If apl~lj~".anJ~is a corpora~ion~ signature of duly authorized Officer / (~ar~ ~d title ofcorporatelofficer~ Builders License No. Plmnbers License No. ElectficiansLicenseNo. Other Trade's License No. 1. Location of land on which p~roposed work will be done: /20, " House Number Street ' H~amlet County Tax Map No. 1000 Subdivision ame) Section (~' / Block · Filed Map No. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy., ;: Addition Alteration Other Work b. Intended use and occupancy / Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~, 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 Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Rear l O. Date of Purchase Depth Height. Dimensions of entire new construction: Front . Height . ,2(/ Number of Stories '1 Size of lot: Front Rear Name of Former Owner [ 1. Zone or use district in which premises are situated Number of Stories Rear .Depth / .Depth / [2. Does proposed cqnstruction violate any zoning law, ordinance or regulation: . 13. WilI lot be re-graded Will excess fill be removed from premises: YES .4. Names o f Owner of.pfi~mises~Address t)ll ]~[/~. Phone No.~ Name of Architect ~)til'~tl ~O,~'~.C.. ~. . Ad&ess tI Phone Name of Contractor ~: tlnt~ 1~ Il/gl I~h Address II Phone No. (_ ~,~1_)/-/'7'7. ~/~ / 5. Is this property within 100 feet of a tidal wetland? *YES NO · 1~' YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Of/ 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: ~'OU'NTY OF"~f'f,::~.,~ ) f,4¥.rf70/,Q5 /4/z~/.JO/"D-/¥~' 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.) 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 will be erformed in the manner set forth in the application filed therewith. Notary ,l~u~ic ' / Signature of Appl~ant r ii II ilii