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HomeMy WebLinkAbout27665-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28554 Date: 06/27/02 T~tIS CERTIFIES that the building NEW DWELLING Location of Property: 117 THOMPSON BLXrD. GREENPORT (HOUSE NO.) (STREET) (F2~MLET) County Tax ~ap 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 9, 2001 pursuant to which Building Permit No. 27665-Z dated MAY 9, 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 #117) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH AND EXPA/qDED LIVING ROOM AS APPLIED FOR. Ge certificate is issued to PECONIC LANDING AT SOUTHOLD, (OWNER) of the aforesaid building. INC. SUFFOI~ CO~%~lTf DEPART~]~/qT OF ~{F~Ja~{ APPR0%L~_L C10-97-11 05/28/02 E~4~C~RIC_~L CERTIFICATE NO. 1038763 05/30/02 PLUMBEP. S CERTIFICATION DATED 05/17/02 HARTCORN PLUMB.&HEAT.INC. 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. 27665 Z Date MAY 9, 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 GARAGE, COVERED FRONT PORCH AND EXPANDED LIVING ROOM AS APPLIED FOR UNIT#117 CRAWL at premises located at 117 County Tax Map No. 473889 Section 035 pursuant to application dated MAY Building Inspector to expire on NOVEMBER THOMPSON BLVD. GREENPORT Block 0001 Lot No. 025 9, 2001 and approved by the 9, 2002. Fee $ 568.50 ORIGINAL Rev. 5/8/02 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 sub~mtted 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 topograph/c features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fern0. 3. Approx~al of electrical installation from Board of Fire Underwriters. 4. Sworn statement fxom 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 Apprgval 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 completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Impector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certifreate 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 ofOccupancy on Pre-existing Building - $100.00 3. Photocopy of Ceaificate of 0eeupancy - $ 0.25 4. Updated Certificate ofOcoupancy - $50.00 5. Temporary Certificate ofOcoupancy - Residential $15.00, Commercial $15.00 Date. ~/ l'~/ ~ New Construction: / Location of~ Property: / / 7 ~. House No. Owner or Owners of Property: c'~c_.a'~ lc_ Suffolk County'Tax Map No 1000, Section Subdivision Permit No.~~__,o__ Date of Permit. Health Dept. Approval: '-/' lo ' ~ oo ~ Planning Board Approval: [ -).. - t,{., 7_ Request for: Temporary Certificate Fee Submitted: $ ,~.~ "" Old or Pre-exi~ting Building: Block (check one) Hamlet Lot 2-f~' Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: ~ (check one) Applicant Signature Dennis M. 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. ~ 7 Owner: PO. CO~II'L. C61ea firim) Plumber: Hartcorn Plmg 8, HtcJe (please print) Inc Date: I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers' Signature) Sworn to before me this ))-- day of_ /~Tr , 20 02-- Notary Pugli~ County VIRGINIA M. GOCINSKI Nota~/Public, State of New Yolk No. 4873841 Qualified in Suffolk Counht term ex0ires October 20, '9Olb,l--- 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 E.f. MALONEY * PECONIC LANDING P.O. BOX 6070 MAIN ROAD / ROUTE 25 MILLER PLACE, NY 11764, COTTAGE # 117 $OUTHOLD, NY 11971 MAIN ROAD / ROUTE 25 COTTAGE # 117 SOUTHOLD, NY 11971 Application Number: 1038763 Certificate Number: 1038763 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: 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 30th Day of May, 2002. Name QTY Rate Rating Circuit Type Additional Charges modular house- N.Y.State approval Cf 19-1 mfg- Avis America-serial # 687201 Appliances and Accessories Air Conditioner ! 0 42,000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle 1 0 Switch I 0 Fixture 3 0 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 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. May 31, 2002 Mr. Michael J. Verity Code Enforcement Officer Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 gEz PECONIC LANDING PROJECTS. Re: Cottage #117 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 # 117 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP Frank P. Laughlin, RA Senior Vice President cc: Dennis M. Wilhelm, RLS Al Broszeit, E&F Walsh Bob Ellis, O/N 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.: //7 Z7/,ez *,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: Officers MAYOR I)AVID E KAPELL (6g I ) 47%3000 TRUSTEES WILLIAM J MII.LSIll GEORGEW HUBBARD GAll. F HDRqON 236 THIRD STREET GREENPOR1, NEW YORK 11944 CLERK / TREASURER CHRISTIE HALLOCK Tel (631 ) 477-0248/2385 Fax: (631) 477-1877 March 14, 2002 To~ 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 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: FIELD INSPECTION REPORT FOUNDATION (2ND) PLUMB~G mSULATIONsTATE ENERGyPERcoDEN' Y. FIN~ ~o~o~ co~s ,, '-"~JILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Exardned Approved ~/~ Disapproved a/c PERMIT NO. Do you have or need the followmg, befbre applying Board of Health 3 sets of Buildkng Plans Survey. Check Septic Form N.Y.S.D.E.C. Mail to: Phone: Building Ir~pector c~ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS / ,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 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 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 throughofit 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 IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinane* 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, ordinance% building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature ofappli~nt or name, ifa corporation) ~Mai~ing ~'~dress of applica~} ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I (as on:the tax roi1 or Iatest deed) If ap~l~ra.n)~ is a corpora, Con, signature of duly authorized officer ':. / (N'an~ ~nd title ofco~oratelofficer~ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which p~-oposed work will be done: House Number Street Hamlet //7 County Tax Map No. I000 Section (~' Block / Subdivision ..' Filed Map No. (Name) z. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. In[ended use and occupancy / d 3. Nature of work (check which applicable): New Bull lng X Addition Repair _ Removal Demolition Other Work Alteration 4. stimated Cost &_3, 70 . 19OO. Dr9 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, commerciaI 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 o£entire new construction: Front Height ). Sizeo£Iot: Front 0. Date of Purchase Number of Stories Rear Name of Former Owner Number of Stories Rear .Depth , /~/7 / .Depth 1. 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 fiI1 be removed from premises: YES 4. Names of Owner of~Ji~mises~Address-- fM ~;/~ PhoneNo. f~(:~// Name of Architect ~Address t l .Phone No~ Name of Contractor ~' tlad F i17~ I,,Sh Address I~ Phone No, (_ ~31) ~'7"7- 4//10 / 5. Is this property within 100 feet o£a tidal wetland? *YES NO · ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED survey, to scale, with accurate foundation plan and distances to property lines. 0t'/ /c,t~ 6. Provide 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~P"P~/,~ ) /q~2,4 ¥/77~ ~ /,t/~,~'XJO/QS~K/~- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, 3)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 ali statements contained in this application are tree 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 __, -- Notary .15ub'~i c pATR~CIA A. 81~LI,MAN ~l~,~y publm~, 81~e of N ~w Yo r~ NO. 47~1709 ' ' / Signature of Applicant CUSTOMER: ROBIN, COTTAGE #117 GENERAL NOTES 302t0 RECEIVED REVISIONS 20,]9 UV 1696 BUILDERS COPY