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HomeMy WebLinkAbout27919-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28979 Date: 10/09/02 T~tIS CERTIFIES that the building NEW DWELLING Location of Property: 113 THOMPSON BLVD. GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 1 Lot 25 Sul)division Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 15, 2001 pursuant to which Building Pex~nlt No. 27919-Z dated NOVEMBER 19, 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 #113) WITH ATTACHED TWO CAR GAi~AGE A2~D COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, (OWNER) of the aforesaid building. INC. SUF~%)LK COL~q~f DBPART~NT OF ~t APPRO%~kL C10-97-11 05/28/02 ELRL-f~IC_AL CERTIFICA~ NO. 1038744 07/24/02 PLUMBERS CERTIFICATION D~f~u3 05/17/02 KARTCORN PLUMB.&HEATING Aut~h6rized S~nature 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) PEP=MIT NO. 27919 Z Date NOVEMBER 19, 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 GAP~AGE AND COVERED FRONT PORCH AS APPLIED FOR (UNIT #113 CP=AWL) at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 113 THOMAS BLVD. GREENPORT Block 0001 Lot No. 025 15, 2001 and approved by the 19, 2003. Fee $ 636.30 ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF $OUTHOLD 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: A. For new building or new use: 1. Final survey of property with accurate locatiou of all buildings, property lines, streets, and uuusual natural or topograpkic 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 fi.om 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 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. Co Fees 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 - $I00.00 3. Photocopy of Certificate of 0ccupaney - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy ~ Residential $15.00, Commercial $15.00 New Construction: Location of_ Property: //3 House No. Owner or Owners of Property: c-~C4Xl4 ~,C~ Suffolk County Tax Map No 1000, Section Subdivision Date. Old or Pre-existing Building: ' I Street t ' ~ ~q' Block (check one) Hamlet Lot 2~ Filed Map. Permit No. Date of Permit. Health Dept. Approval: '"/' ~ - /.. Planning Board Approval: [ ~, - ~{ Request for: Temporary Certificate Fee Submitted: $ ,,q-,~ ~' Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature D0nnis 1,3. 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 Date: Building Permit No. Owner: ~)O. LOII~L Lfltl~tl O 61e= int) Plumber: Hartcorn Plmg & Htg, Inc (please print) t certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~9 day Notary Public, County (Plumbers Signature) VIRGINIA M. GOCINSKI Notary Public, State of New York No. 4873841 Qualifmd n Suffolk Count~ renn e~tres October 20, _ ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS I~UREAU 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 # 113 SOUTNOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 COTTAGE # 113 SOUTHOLD, NY 11971 Application Number: 1038744 Certificate Number: 1038744 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 24th Day of July, 2002. Name QTY Rate Rating Circuit Type Additional Charges modular house N.Y.State approval # 19-14 mfg Avis America serial # 671601 Appliances and Accessories Air Conditioner 1 0 42,000 BTU Furnace 1 0 Gas Wiring and Devices 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 B. Bowne & Son Consulting Engineers 235 E. Jericho Tpke., Mineola, NY 11501 PECONIC LANDING TOWN OF SOUTHOLD BUILDING PERMIT NO.: COTTAGE NO.: //3 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 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 #113 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 the best of our knowledge, information and believe that Cottage # 113 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP 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: Est 1838 icl (631) 477 0248/2385 March 14, 2002 To: E. F. Walsh Developers Peconic Landing From: Village of Greenport Utilities Department To Whom It May Concern: Re: Peconic Landing Sewerage System 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 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 ~N~ON PER N. Y. ~_ATE CODE , , .*A~DTTrONAL ~S: Bc :~DLNG DEPARTMENT T'OWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined O' /'7 ,20 ~/ Approved ~4.~J', / f ,20 O/ Disapproved a/c PERMIT NO. Do you have or ne:d ~e follo~, before applying Boud 3 se~ of Building PI~s S~ey Check Septic Fo~ N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Buildin&gfispector fi/ 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, sched, ule. b. Plot plan showing location of lot and of buildings on 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 Pen-nit. 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 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 ail applicable laws, ordinances~ building code, housing code, and regulations, and to admit authorized inspe.cto[s On premises and in building for necessary inspections. (Signature cf applicant or name, if a corporation) ,(Mailing a~dre-ss of apPlieav~) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder O tt; ~t p ,( " Name ofownerofpremises ~EOtlt'C_. ZfltlJ'tlO /. (as or,:the tax roll or latest deed) If ap~e'?~~ si~uly authorized officer /' (N'am~findtitie0feorporatetofficer5' /,4,~ ':. Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which pfi'oposed work will be doJe.: House Number Street Hamlet County Tax Map No. 1000 Section (.,~_W 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 t~eSJ fl~r~ / 3. Nature of work (check which applicable): New Building X Addition Repair Removal Demolition Other Work 4. Estimated Cost ~ 700.. 0OO. DO 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 Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height g. Dimensions of entire new construction: Front Height 2,¢/. Number of Stories ). Size of' lot: Front /~/t~ l~.ear . tO. Date of Purchase At]~ Name of Former Owner "/" _Depth · Rear Number of Stories Rear .Depth / Depth. t I. Zone or use district in which premises are situated t2. 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 o f Owner o f?~i~mises~k~_~!~Address Or'/ ~t'/8 Name of Architect ~Address ti ° Name of Contractor ~' tlad [: tl]~kSh Addres~ Phone No. [~,~1) 76~* ¢2/~'0 .Phone No~ Phone No. (_ ¢,_gl )/-/'Z'7-/4'/~) / 5. Is this property within 100 feet cfa tidal wetland? *YES NO · ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLrlXED survey, to scale, with accurate foundation plan and distances to property lines. Ot~ 6. Provide 7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) SS: ,,"~4¥F/Td ~ ~0~ being duly sworn, deposes and says that (s)he is ~e applicant ~ame of individual si~ing conWact) above named, $)He is the (Contractor, Agent, Corporate Officer, etc.) fsaid oxvner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; ~at 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. ' / Signature of Applicant t NOTES: - TYVEK HOUSE V4~AP - 9'-0* C61LINGS - ALL WINDOW HEADERS ARE TO B£ MOUN1ED 7"-7" EXCI~PT e KITCHEN; KITCHEN WINDOW TO BE MOUNTED 6'-g' TO ALLOW FOR SOF~qT O~/ER KiTCH/N S~lK - ROOF INSTAU.J~ ON SHE - HURRICANE STRAPPING 110 MPH CUSTONIER: ~.l..('"t'~ ~)~'~COTTAG£ , ' \'"~GEN ER AL%TES~ SNOW LOAD ~0# P.S.F. ~,.._,,.,,,,. ~,,,~, ~,,,.,~,,,,~,~., , GA~BAG~ RECEIVE]~ JUl z u 2001 BUILDERS COPY