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Home My WebLink About27634-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29059 Date: 11/06/02 THIS CERTIFIES that the building NEW DWELLING I~)cation of Property: 115 THOMPSON BLXrD. (HOUSE NO.) (STREET) (HA24LET) County Taxx Map No. 473889 Section 35 Block 1 Lot 25 Subdivision Filed Map No. Lot No. GREENPORT conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 2001 pursuant to which Building Pez~nlt No. 27634-Z dated JLrNE 14, 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 #115) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD (OWNER) of the aforesaid building. suFFOLK COUNT"f DEPARTMENT OF ~EALTH APPROVAL C10-97-11 05/28/01 ELBt-r~ICAL CERTIFICATE NO. 1038753 07/24/02 PLUMBERS CERTIFICATION DATmU 05/17/02 PECONIC LANDING INC. Signature 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) PEP34IT NO. 27634 Z Date JUNE 14, 2001 Permission is hereby granted to: PECONIC LANDING AT SOUTHOLD PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GAP-AGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #115 CRAWL at premises located at 115 THOMPSON BLVD. County Tax Map No. 473889 Section 035 Block pursuant to application dated MAY 23, 2001 Building Inspector to expire on DECEMBER 14, GREENPORT 0001 Lot No. 025 and approved by the 2002. Fee $ 636.30 ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWH 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 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 build'mg, 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. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly comple)ed application and a consent to Lnspect signed by the applicant. If a Certificate of Occupancy 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, 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 - $100.00 3. Photocopy of Certificate of0ccupancy - $ 0,25 4. Updated Certificat~ of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location o~ Property: House No. Owner or Owners of Property: ~C.~fi Suffolk County Tax Map No 1000, Section Subdivision Date. Old or Pre-existing Building: ' I Street t ' ~ ~' Block (check one) Hamlet / Filed Map. Permit No. Date of Permit. Health Dept. Approval: "~ ' ~ ° /..oo e, Planning Board Approval: [ ~ - ~{ ~ ~. o Oo Request for: Temporary Certificate Fee Submitted: $ ,,:L~ '~' Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature Oennis 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 SOUTHOLD CERTIFICATION Date: ~,~fl 7/0 ~ / / Building Permit No. Owner: ~O.C, OG~L Lfltl~tlCl (~lcasd l~rint) Hartcorn Plmg & Htg, Plumber: (please print) Inc 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 ~t~e) ~Y u,bllc. State of New yod~ :~u 4873841 Quatm~,:: ~r~ Suffolk ~ Term 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 # 115 SOUTHOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 COTTAGE # 115 SOUTHOLD, NY 11971 Application Number: 1038753 Certificate Number: 1038753 Section: 35 Block: 1 Lot: 25 Building Permit: BbC: 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 Avis America serial # 671801 mfg 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 I 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.: //5- 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. Gino N. Aiello, P.E. Dated: J~e6,2~2 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 #115 Code Certification. 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 gl 15 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 115 2 /~/~ '~ 0 , /i~. ~ ~ REMARKS: March 14, 2002 To: E. F. Walsh l)eveIopers Peconic Landing From: Villagc of Greenport Utilities Department To Whom It May Concern: Re: Peconic Landing Sewerage System 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 )U~It FRAI~ & lff~I~TION PER N. Y. CODR i¥ .'ADDITIONAL ~tqTS: BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 PERMIT NO. ^pproved ,,_0 O/ Disapproved a/c Do you have or need ~e follo~g, before appl~ng Bo~d of Hcal~ 3 sets ofBuil~g PI~ S~ey. , . Sepac Fo~ Centact: 'Mail Phone: Bm d~,,~ rasp ctor f APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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 pr&raises or public street~ or areas, and waterways. : ¢. The work covered by this application may not be commenced 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 shall be kept on the premises available for inspection throughotit the work. e. No building shall be occupied or used in whole or ip'part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION ISiHEKEBY MADE to the Building Department 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 inspecto[s On premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (l~Iaili~g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownero£premises .~(.Od,'6. ]..t~fl~'/lO I~/" ~U~Oll ' /. (as on.:the tax roll or latest deed) If apl~l~:n. J~is a corpora,~ion~ signature of duly authorized officer ]' (b/an~ and title ofc0rporate officer~ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which ~r~Tp. ,~s~ work will be doric /20,7 . House Number Street County Tax Map No. 1000 Section Subdivision Block / ,.~u,_~.a a ~,~-~q .~ ~ ' Filed Map No. ~c,;: ':~'~I~te~ · { : :', ,, (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Addition Alteration Other Work a. Existing use and occupancy., ~ Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~ 7'i~O; OOO. 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 5. Dimensions ofen~r,eipew construction: Front ~2~ Height dy Number of Stories ~. Size of lot: Front /~t/~ Rear t0. Date of Purchase A//~ Name of Former Owner [ 1. Zone or use district in which premises are situated Number of Stories Rear .Depth / .Depth / [ 2. Does proposed construction violate any zoning law, ordinance or regulation: /_~ premises: ! 3. Will lot be re-graded Will excess' fill be removed from YES .4. Names of Owner o fl?~mises~Address ~/l ~?/~ Phone No. ~~2,~ Name of Architect l,~)o/-r'tl/i ~,.~ot~,. i. . Address_ - tt ~ Phone No~ Name of Contractor ~: I~dd ~' tll~.'q]l Address ti ~hone No. ~ 5, Is this property within 100 feet of a tidal wetland? *YES NO · I2: YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQ~D 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 19// 7. If elevation at any point on prot~erty is at I 0 feet or below, must provide topographical data on survey. ;TATE OF NEW YOP. X) SS: ~'OLrNTY OF~A"F~2/,/~ ) ~ ~ ~0~ being duly sworn, deposes and says ~at (s)he is ~e applic~t .. ~ame of individual si~ing con~act) 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; aat 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 ,- -t/,-r,¥;-/-/ Notary l~uMic pAT~CU~ A. 8pELLUAN I~1111~ ptjble, ~1~ of New York Signature of Appl~ant ~ CUSTOMER: UNSOLD, COTTAGE //115 GENERAL N 54200 TOTAL ~ LO~8 DER 4" DIA HOLE IN FLOOR FOR BUILDERS DRYER VENT ALL TUBS & SHOWERS (3) WALLS PROVIDE 3/4" x 12" PLYWOOD BACKING BETWEEN STUDS 36" AFF FOR BU;LDERS HANDICAPPED CRA8 BARS. OMIT RANGE HOOD INSTALL DUCT INSTALL MICROWAVE TYVEK HOUSE WRAP gLO" CEILING ROOF SUPPLIED &: INSTALLED ON SITE BY BLDR DOUBLE TOP PLATE Ali EXTERIOR WALLS INCLUDING END WALLS) & MARRIAGE WALL CRAWL SPACE ACCESS BY BUILDER ATTIC ACCESS BY BUILOER NC)N-STD. WINOOW RO.'S (2) 2452 = 5'-1 3/4" x 5' S ?/4' (~)REPER WALL ELEVATION ALL WINDOW HE~ TO BE 7'-7 .f ~AL ROOM DETAL 2x4 PACK FLFL DE]AL FOR MECHAMOAL Rkt REVISIONS BUILD[R E & E WALSH sQ r~2194 TOT 1745 LIV. FLOOR JST. 2 x lo SPFi2 _~) 16' O.C. CEILING dST. ~O 16' O.C 17721 THIS DRAVvlNG WAS EXTRACTED FROM APPROVED PLANS AND OR APPROVED SYSTEMS DRAWINGS. Released for Production DATE:A 2J 0 RECEIVEL SEP - 7 2001 671801