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HomeMy WebLinkAbout27692-ZFORM NO. zt TOWN OF SOUTHOLD BUILDING DEPANTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29053 Date: 11/01/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 110 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 AUGUST 3, 2001 pursuant to which Building Permit No. 27692-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 #110) WITH ATTACHED TWO CAN GAP~AGE & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~L~LT~APPROVAL C10-97-11 ELECT~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAT~ 05/28/02 1038736 07/15/02 05/17/02 ~LARTCORN PLUMB. & HEATING Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 27692 Z Date SEPTEMBER 18, 2001 Permission is hereby granted to: LANDING AT PECONIC PO BOX 430 SOUTHOLD,N~f 11971 for : CONSTRUCTION OF A SINGLE F;~4ILY DWELLING WITH ATTACHED 2 CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #110 FULL at premises located at 1205 MAIN RD County Tax Map No. 473889 Section 035 pursuant to application dated AUGUST Building Inspector. GREENPORT Block 0001 Lot No. 025 3, 2001 and approved by the Fee $ 1,324.50 Authori~ Slgna~re 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 filled in by typewriter or ink and subnfitted to the Building Department with the following: For new building or uew use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Itealth 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 fi:om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud uses: 1. Accurate sttrvey 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. 1. Certificate o f Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Aherations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancyon 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, Commercial $15.00 New Construction: / Location o~Property: ilJJ~ House No. Owner or Owners of Property: ~C,¢'lfDa:._ Suffolk County Tax Map No 1000, Section Subdivisinn Old or Pre-existing Building: "I Street (check one) Haralet - Filed Map. Lot: Permit No. Date of Permit. HealthDept. Approval: '~ ' lo ' L oo e, Planning Board Approval: | ~ - ~'{ Request for: Temporary Certificate Fee Submitted: $ ,~--~ ~' Applicant: Undenvriters Approval: Final Certificate: (check one) Applicant Si~mmture Dennis M. Wilhelm Town Hall, 53095 Main Road P.O. Box 1179 $outhold, 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.(.O~L [4111tt~flO ~leas~ l~rint) Plumber: Hartcorn Plmcj 8, HLq, 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 day of .)~'~ , 20 Notary Public, County (Plumbers Sign~-Fure) VIRGiNiA M. GOCINSKI Notary Public, State of New QU ~ No. 4873841 mined in Suffol ~ff~ October ~oC, °unty~, FINAL INSPECTION REPORT Sidncy B. Bownc & Son Consulting Engineers 235 E. Jericho Tpke., Mineola, NY 11501 PECONIC LANDING TOWN OF SOUTItOLD BUILDING PERMIT NO.: COTTAGE NO.: ]lo 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 add/lion, 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. Dated: BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDEI WI ITEI S 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 # 110 SOUTHHOLD, NY 11971 MAIN ROAD / ROUTE 25 CO'I-FAGE # 110 S©UTHHOLD, NY 11971 Application Number: 1038736 Certificate Number: 1038736 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: 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 ]Sth Day of July, 2002. Name OTY Rate Rating Circuit Type Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial # 672901 Appfiances and Accessories Air Conditioner I 0 -~8,000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle I 0 Switch 1 0 Fixture 3 0 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: ! 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. June 6, 2002 Mr. Michael J. Verity Code Enforcement Officer Southoid Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage #110 Code Certification. DearMike: 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 #110 has been constructed in compliance with all applicable laws, codes and orclimmces. Very truly your; BARTON & ASSOCIATES, LP Frank P. Lau'~'~RA Senior Vice President cc: Dennis M. Wilhelm, RLS Al Bmszeit, 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 Developers Peconic Landing From: Village of Grcenport Utilities Department Re: Peconic Landing Sewerage System To Whom It May Concern: Thc 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 thc 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 INSPECTION P~PORT ~ATE )UI~ATION (IST) )UI~ATIOS (2ND) COHHEI~TS )U~t FRAME & PL~BIl~G {~ULATIOlf I~R H. Y. STATE ENER(IY CODE FINAL ADDITIOI~AL BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 . PERMIT NO. ,20 o/ ~isappreved a/c Do you have or need the following, before applying Board of Health 3 sets of Buildthg Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector" APPLICATION FOR BUILDING PERMIT INStRtSCttOtSS Date ,20 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 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 Insp0ctor 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,¢'part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEILEBY MADE to the Building D. epartment for the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Count~, 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, hoesing code, and regulations, and to admit authorized.inspectors On premises and in building for necessary inspections: (Signature of applicant or name, if a corporation) ~(Mailing a~dr~sS of applicar~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises Q~('tO/I,'C_. LO'tl~'tlO /. (as on:the tax roll or latest deed) If ap~s a co¢o~n~ si~ature of duly authorized officer ~ (~ ~d title of co.orate'officer5 Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which pt[oposed work will be doric: I(F. " 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 nE,.~] ~(P- / w mldm Nature of work (check which applicable): Ne B ' ' Repair. Removal Demolition 4. Estimated Cost ~ 7OO; OOO. ~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Oiher 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 alterat OhS or additions; Front Rear 10. Date of Purchase Depth Height Dimensions of entire new construction: Front Height Size of lot: Front Rear Number of Stories Name of Former Owner Number of Stories Rear .Depth / .Depth t i. 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 /~,~.~ , Will excess fill be removed from premises: YES .4. Names of Owner of pji~'~mises~~ddress Or'/ ~t'/~ Phone No. f~j~~ Name of Architect ~Address d ' .Phone Name of Contractor L~ and F II~l~fl Address I~ PhoneNo. 5. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLrn~ED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. (~fl f:,/~. 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: ;OUNT¥ ) /(~ "/'.r]Tt~ Z/~ h.-/~-.~XJO/r--~/¥ ~c'' 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; mt all statements contained in this application are trae 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 ' / Signature of Appl//cant ~ Ii 3OV~lV$ ~V3 OMi