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Home My WebLink About27611-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29058 Date: 11/06/02 THIS CERTIFIES t~zat the building NEW DWELLING Location of Property: 114 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 MAY 23, 2001 pursuant to which Building Permit No. 27611-Z dated JULY 7, 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 #114) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH AND EXPA~NDED LIVING ROOM AS APPLIED FOR. · ~ne certificate is issued to PECONIC LANDING AT SOUTHOLD (OWNER) of the aforesaid building. SUFI~3LI~ C~DLI~F~Y DEPART~ENT OF ~IEALTH A~PRO~-AL C10-97-11 05/28/01 ELRt-i~IC~%L CERTIFICATE NO. 1038749 07/01/02 PLUMBERS CERTIFICATION DA'£~O 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. 27611 Z Date JULY 7, 2001 Permission is hereby granted to: PECONIC I2~NDING AT SOUTHOLD PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH & EXPANDED LIVING ROOM AS APPLIED FOR #114 (FULL) at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated MAY Building Inspector to expire on JANUARY 114 THOMPSON BLVD. GREENPORT Block 0001 Lot No. 025 23, 2001 and approved by the 7, 2003. Fee $ 998.10 AuthoriZed Signature COPY Rev. 5/8/02 TOWN OF SOIYFHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION Foil CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and sublnitlcd to tile Building Department with tile following: A. For new building or new use: 1. 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. Approx~al 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 installation, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Apprgval 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 temple)ed application and a consent tO inspect signed by the applicant. If a C~rtificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co 1. Certificate ofOecupancy - 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 Ocoupancy on Pre-existing Building - $100.00 3. Photocopy of Ce~tficate of 0ccupaney - $ 0.25 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: / Location of Property: /J4- selqo - ,,-- Hou . Owner or Owners of Property: c'~C_.¢14 ~,¢ Suffolk County'Tax Map No 1000, Section Old or Pre-existing Building: Block -I / (check one) Hamlet Lot E,f~ Subdivision Filed Map. Permit No. Date of Penmt. Health Dept. Approval: "~' ~o ° l.. o o c~ Planning Board Approval: I '~. - t..,{ .. 7_ o O~ Request for: Temporary Certificate Fee Submitted: $ fl..~ '~' ___ Applicant: Underwriters Approval: Pinal Certificate: (check one) Applicant S/gm/lure Dennis M. Wilhelm Town ttall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-180~ BUILDING DEPARTMENT TOVv-N OF SOUTHOLD CERTIFICATION Date: ~///7/~2~ Building Permit No. Owner: (pleas~ l~rint) Plumber: Hartcorn Plmg 8, Htg, 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 .3 d day of , 20 g-~- Notary Public, County (Plumbers Signature) VIRGINIA M. GOCINSKI Nota~ Public, State of New No. 4873841 Qualified in Suffolk County Term expires October 20,_ ~' 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.: 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~, P.E. Dated: /° //2~/~'~- 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 Application Number: 1038749 Section: 35 Block: 1 Described as a Residential E.F. MALONEY * PECONIC LANDING P.O. BOX 6070 MAIN ROAD / ROUTE 25 MILLER PLACE, NY 11764, COTTAGE # 114 SOUTHOLD, NY 11971 MAIN ROAD / ROUTE 25 COTTAGE # 114 SOUTHOLD, NY 11971 Certificate Number: 1038749 Lot: 25 Building Permit: BDC: NS11 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 ~dditional Charges pproval # 19-15 Avis America serial # 674901 Appliances and Accessories Air Conditioner Furnace Wiring and Devices Receptacle 1st Day of July, 2002. QTY Rate Rating Circuit Type 1 0 36,000 BTU 1 0 Gas 1 0 1 0 3 0 General Purpose General Purpose Incandescent Phase 3W Service Rating 200 Amperes Disconnect: &ters: 1 1 200 cb 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 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: O/j~l'C o r S March 14.2002 To: IL F. Walsh l)evelopers Peconie l.anding Village of Grcenport 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 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 I ltililies Forenmn WS/js IFIEl.l~ INSPECTION REPORT [ DATE [ COMMENTS FOUNDATION (1ST) FO~DATION (2ND) STATE ENERGY CODE F~ ~DITION~ COMMENTS DU!LD~IMG DEPA.P. TMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ,20 Approved __, 20 Disapproved a/c PERMIT NO. 2..:% i/-Z Phone: Buildin'g Inspector .4~F?L!CATIO>' FOR BI'TI DLh-G PER.MTf INS IRUCTIO.N'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 ofbuildings on'~rcmiscs, relationship to adjoining premises or public strect~ or ireas, and waterways. c. The work covered by this application may not be cor~nenced 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 ;hall be kept on the premises avai!able for inspection throughodt 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 s issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~,¢gulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described, Thc ~pplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit mthor/.~ed inspectors on prom(scs and in building for necessam.' inspections. (Signature of applicant or name, if a corporation) ,{Mailing a~dr¢is of applicant) >tare 'bother applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder / x~ame of owner of premises _k'~dO tl,'C ~ &ti d,'/lO ! (as on:the tax roll or latest deed) f aplllj~nJ~ is a corporation, signature of duly authorized officer / (l'dan~ ~nd title ofco~orate officer5 3uilders License No. 'lumbers License No. !lecmcians License No. )thor Trade's License No. Location of land on which p~'oposed work will be done: House Number Strcel Hamlet County Tax Map No. 1000 Section Q.~' Block / Subdivision ' Filed Map No. ,;. oc~,[e extsu:~e, use an~ occupancy of premises and intended use and occupancy of proposed constructionz . a. ~xisting use and occupancy b. Intended use and occupancy ¢'}¢e, hJdOt'/C~ / 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair Removal Demolition Other Work 4 Sstimated Cost 700; 0OO. 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 '~'¢t Number of Stories ). Size of lot: Front _~ Rear [0. Date of Purchase ]~J/~ Name of Former Owner Number of Stories Rear .Depth / Depth [ 1. Zone or use district in which premises are situated t2. Does proposed construct/on 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 ofp~mises~.~.~Address Name of Architect [/~t~¢tltl ~,%*,tbr:- , . Address_ Name of Contractor ~ tint'] 1¢ i1.1~ ~3~ Address ti ' Phone No~.~/~- t~ 'Phone No. ~ ¢~1) 4/~"7- /¥/fT) / 5. Is this property within 100 feet ora tidal wetland? *YES NO · I:F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE P,.EQU'2KED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. OR /¢~/6 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: :OUNTY OF'~F,~/?N ) /~2,4"//T/¢ Z/'Z> /'b/~,.~X, JOfr'~'/¥~' 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; ~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 Applj/cant /