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HomeMy WebLinkAbout27640-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29055 Date: 11/01/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 112 THOMPSON BLVD. (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 35 Block 1 Subdivision Filed Map No. Lot No. __ GREENPORT (HAMLET) Lot 25 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 2001 pursuant to which Building Permit No. 27640-Z dated SEPTEMBER 8, 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 #112) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LA/~DING AT SOUTHOLD, INC. ( OWNER ) of the aforesaid building. SUFFOLK COL~%~I~f DEPART~TT OF H]~LTH APPRO~I~L C10-97-11 05/28/02 ELECTRICAL CERTIFICATE NO. 1038742 07/24/02 PLUMBERS CERTIFICATION D~£~D 05/17/02 H3LRTCORN PLUMB.&HEATING Aut ~<~r'i z ed Signature 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 FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27640 Z Date SEPTEMBER 8, 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 & COVERED FRONT PORCH AS APPLIED FOR UNIT #112 CP~AWL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated JULY Building Inspector. MAIN RD Block 30, 2001 GREENPORT 0001 Lot No. 025 and approved by the Fee $ 636.30 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 submitted to the Building Deparhnent with the following: A. For new building or new use: I. 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 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 from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Acourate 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. If a C~rtificate of Ocoupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of 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 Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate ofOcoupanoy - $ 0.25 4. Updated Certificate ofOcoupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: ~ Location of. Property: Owner or Owners of Property: ' ~asl4 ~, C Suffolk County Tax Map No 1000, Section House No. Old or Pre-exiating Building: (check one) ' I Street t ' Hamlet ~ ,.~ Block I Lot E,l~ Subdivision Filed Map. Lot: Permit No. Date of Permit. Health Dept. Approval: -'/- ~ - /.. aa e, Planning Board Approval: I ~ - ~'~., 7.. a O~ Request for: Temporary Certificate Fee Submitted: $ ,~.-.~ ~ Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature ~enni$ ~. 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: ~P.(~II~L ~fltl~?fl 0 (pleas~ ~rint) Plumber: Hartcorn Plmg & atg, 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 ff~--- Notary Public, County (Plumbers Signature) VIRGINIA M. GOCINSKI No{ary Public, State of New York No. 4873841 Qualified in Suffolk Courlty renm expires October 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 # 112 SOUTHOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 COTTAGE # 112 SOUTHOLD, NY 11971 Application Number: 1038742 Certificate Number: 1038742 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS1 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 [lectdcal Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 24th Day of July, 2002. Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial # 671501 Appliances and Accessories Air Conditioner 1 0 42,000 BTIJ Furnace 1 0 Gas and Devices Wiring 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 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 I3. Bownc & Son Consulting Engineers 235 E. Jericho Tpke., Mineola, NY 11501 PECONIC LANDING TOWN OF SOIJTItOLD BUILDING PERMIT NO.: COTTAGE NO.: ?[2_ 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. Aie'l~o, P.E. Dated: 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 #112 Code Ceflification. 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 #112 has been constructed in compliance with all applicable laws, codes and ordinances. Ve~ truly your; BARTON & ASSOCIATES, LP Frank P. Laughlin, RA ~ Senior Vice President cc: Dennis M. Wilhelm, RLS Al Broszeit, E&F Walsh Bob Ellis, OIN 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 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 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 ~ XNSPRCTXON REPORT }lrNDAT ION ( IS'I)' ~It FRAME & PLUM~ING I~ILATXON FERN. Y. CODE · ' A~DXTIONAL BUILDING DEPARTMENT TOWN HALL SOU~THOLD, NY 11971 TEL: 765-1802 Approved Disapproved afc . PERMIT NO. ,20 o/' ,20. sS/ 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: Building Inspector APPLICATION FOR BUILDING PERMIT Date .., 20 INSTR~JCTIOI~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'~premises, relationship to adjoining premises or public streetg 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 Inspoctor 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 in'part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION tS 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 inspectors on premises and in building for necessary inspections. (Signature of applie~nt o~- name, if a corporation) (Mai~ing a~dre~s of applicar~) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Dtt;J~ 1 Name of owner of premises / (as on:the tax roll or latest deed) If aptllj~..nh is a corpora~ion~ signature of duly authorized 9fficer X ". I (~arr~ md title ofcorporate~offioer~ . Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which p~/oposed work will be doric; /20,X £1: ' ; House Number Street ' Hamlet County Tax Map No. 1000 Section Q~ Block Subdivision ' Filed Map No. C ame) State existing use and occupancy of premises and intended use and occupancy of proposed constructidn: Addition Alteration Other Work a. Existing use and occupancy., ~ b. Intended use and occupancy r~c~,SidOtlC~ / Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ 700, ~)OO. ~ 5. If dwelling, number of dwelling 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 Depth. Height ~. Dimensions of entire new construction: Front Height 2..~/t Number of Stories / Size of lot: Front A//t~ Rear Depth 10. Date of Purchase 4]~ Name of Former Owner Number of Stories Rear Depth Phone No. ~~.~ Phone No~ ~Phone No. (. ~1) 0"7'7- ~]~ / 11. Zone or use district in which premises are situated 12. 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,P/i~mises~~ll~Address Ot~ Name of Architect ~)tll'/~/I ~.~,e,t~.. . Address Name of Contractor ~ t~a~ 1~' l.t~tl'}cS~ Address- 5. Is this property within 100 feet of a tidal wetland? *YES NO · · YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. Or'/ ff;/~,_ 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: f~V',O7~ ~ ~{)~ being duly sworn, deposes and says ~at (s)he is ~e applic~t ~ame of individual si~ing con~act) above named, $)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 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 __ ~ day of Signature of AppliCant FRONT I1' W.L ~qO,I4B REVERSE LAYOJT pl CUSTOMER: UNSOLD, COTTACE #112 GENERAL NOTES 2 5 6 52' 4' 54200 TOTAL BTU L088 4" DIA HOLE IN FLOOR FOR BUILDERS DRYER VENT I ALL TUBS & SHOWERS (3) WALLS PROVIDE 5/4" x ]2" PLYWOOD BACKING BETWEEN STUDS 36" A.F F FOR BUILDERS HANDICAPPED CRAB BARSI OMIT RANGE HOOD INSTALL DUCT INSTALL MICROWAVE HOMERUN A PHONE LINE FROM SMOKE DETECTOR NTH COIL ENOUGH TO REACH PANEL BOX. CO~[ ENOUGH DUCT TO REACH REAR OF HOUSE TI 1 1 1 1 1 , 2x4 PAI:K ~ DETAIL FOil MECHANICAL R~L PAGE ~W RO.L~ (2) 2452 = 5'-1 5/4' x 5'-5 1/4" WINDOW HEADER DETAIL ALL WINDOW HEADERS TO~ TYVEK HOUSE N~AP 9' 0" CEILING ROOF SUPPLIED & INSTALLED ON SITE BY BUILDER 7-0 WINDOWS THROUGHOUT ATTrC ACCESS ON SITE BY OTHERS CRAWL SPACE ACCESS BY OTHERS REVISIONS E & F WALSH SQ rT2194 TOT 1743 LIV THIS DRAWING WAS EXTRACTED FROM APPROVED PLANS AND OR APPROVED SYSTEMS DRAWINGS, RECEIVED SEP --5 Zuu] Released for' Production DATE: ~L~j~} 671501