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HomeMy WebLinkAbout30528-ZFORM NO. 4 TO~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~NCY No: Z-30622 Date: 12/09/04 T/~IS CERTIFIES that the building ADDITION Location of Property: 106 THOMPSON BLVD. GREENPORT (HOUSE NO.) (STREET) (}LAMLET) 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 J-JLY 27, 2004 pursuant to which Building Permit No. 30528-Z dated J~JLY 29, 2004 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 ADDITION & ALTERATION TO EXISTING DWELLING UNIT #106 AS APPLIED FOR. The certificate is issued to PECONIC LANqDING INC. (O~;ER) of the aforesaid building. SUFFOLK COUAYI"f DEPART~4ENT OF ~RALTH /%PPROVI%L N/A ELECTI~ICAL CERTIFICATE NO. 93116C 11/04/04 PLUMBERS CERTIFICATION DA'£mu N/A Rev. 1/81 /~/t~gnature ¢ DATE 07/29/2004 ROLL SEC TAXABLE TOTAL RES SITE TOTAL COM SITE ACCT NO 17 1======== ====== ASSESSMENT DATA =========== 1 **CURRENT** RES PERCENT 1 ILAND 64,800 **TAXABLE** ITOTAL 2,161,972 COUNTY 2,082,961 **PRIOR** TOWN 2,082,961 ILAND 64,800 SCHOOL 2,161,972 ITOTAL 2,161,198 ==DIMENSIONS ===1======= SALES INFORMATION ================================== ACRES 145.01 IBOOK 11954 SALE DATE 03/16/99 SALE PRICE 8,531,000 IPAGE 591 PR OWNER LBV PROPERTIES =======TOTAL EXEMPTIONS 6 =============1== TOTAL SPECIAL DISTRICTS 3 ===== CODE AMOUNT PCT IN IT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE 41854 100,280 04 IFD031 41834 81,090 04 49 IWW020 41121 17,388 04 ISW011 41131 57,753 04 1 F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC 75.10- 03-050 F6=GO TO INVENTORY F9=GO TO XREF 473889 SOUTHOLD NYSRPS ASSESSMENT INQUIRY SCHOOL GREENPORT SCHOOL PRCLS 642 HEALTH BLDG -CO-OP 35.-1-25 1205 MAIN RD = OWNER & MAILING INFO PECONIC LANDING AT SOUTHOLD INC 1500 BRECKNOCK ROAD GREEN PORT NY 11971 ===I=MISC IRS-SS 1 1 1 BANK F4=PREV EXEMPT/SPEC F10=GO TO MENU 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. 30528 Z Date JULY 29, 2004 Permission is hereby 9ranted to: for : LANDING AT PECONIC 1500 BRECKNOCK ROAD GREENPORT,NY 11971 ADDITION/ALTERATION TO I/NIT #106 AS APPLIED FOR at premises located at 1205 MAIN RD GREENPORT County Tax Map No. 473889 Section 035 Block 0001 Lot No. 025 pursuant to application dated JULY 27, 2004 and approved by the Building Inspector to expire on JANUARY 29.~_2~06. Fee $ 150.00 .. COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOVCN 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: Ao 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 aud sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Under~,riters. 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. 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 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. 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. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. .4d~g~-g~_ Or g ~_~70~-- New ~ns~ction: Old or Pre-exist~g Building: ~ . (ch~k one) ~cationofPro~: /~ ~/~ ~0 ~~~ [ Ho~e No. Strut H~ O~erorO~sofProp~y: ~ ~-~ ~~ ~ ~~dO~/C ~~ Suffo~ Co~ T~ Map No 1000, S~tion ~ Bilk ~/ ~t ~ ~ ~ Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .~, -- Filed Map. ~O~Z~:~-~---~ DateofPermit. Z/Z~/~ Applicant: Underwriters Approval: Final Certificate: (check one) c  t~/ Appliet~ignature Issue Date 11/5/04 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 93116C East Patchogue, New York 11772 (631) 286-6642 Issued To: Mr. & Mrs. Sedat Street: 106 Thompson Blvd Village: Greenport Zip: 11944 Section: Block: Lot: Town: Southhold Contractor: Shore Power Electric Contracting Lic. # 31697-ME Was examined and found to be in compliance with the National Electrical Code. [] Commercial [] NVDefects ~ Pool [] lstFIoor [] Indoor [] Basement E~]HotTub [] Residential [] Det. Garage [] Attic [] 2nd Floor [] Outdoor ~] Addition [] Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 3 6 4 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: Other Equipment Sunroom Hugo S~Surdi President Rough Inspection: 10/21/2004 Inspector: John Mc Mahon III Final Inspection: 11/04/2004 Inspector: John Mc Mahon III This certificate must not be altered in any manner, inspectors may be identified by their credentials. Frank W. Uellendahl Architect PO Box m6, Greenport, NY 11944, tel: 6514T/~6:Z4 fax: 6~1.477.2997 em~ll=fuellend@optonllne.net November 1,2004 Clients: Ed and Dorothy Sedat Peconic Landing 106 Thompson Boulevard Greenport. NY 11944 I 2004 BUILDING PERMIT # 305~8-Z Conservatory Addition to Cottage # 106 at Peconic Landing, Greenport INSULATION INSPECTION Al: the request of the contractor of the above referenced addition I inspected the insulation in the crawl space (R-30), walls (R-I 9) and ceiling (A-30) and found that the work was done according to the architect's specifications. I hereby state that the information provided above is true to the best of my knowledge. ~Fmnk U~ll~ndahl 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F/OUNDATION 2ND [ ] INSULATION [ ,/] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~ DATE INSPECTORf~ ~,~~/ 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[i ;ROAU~ID~GTION 2ND [[ ~~NALATION [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMAR~ DATE INSPECTOR FIELD INSPECTION REPORT I DArTE I COMMENTS ...................................... i ,l, PL~G ~S~A~ON P~ N. Y. STA~ ENER~ CODE II/~ ~ ~ ~ F~ ~0~ CO~S PERMIT NO. ~t~ TOWN (~F SOIITHOLD BU1LDIN'; DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ / Examined 9/~ ,20 Expiration ,~//~ ? ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Plamaing Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact; 7 e, ,2oo,b APPLICATION FOR BUILDING PERMIT -., Date INSTRUCTIONS 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 adjoi~fing premises or public streets 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 throughout the work. e. No builffmg shall be occupied or used in whole or in pap' for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every buikYmg permit shall expire if the work authorized h~}'nct commenced within 12 months after the date of issuance or hgs not been completed within 18 months from such date. If no zon/ng amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, thc extension of the permit for an addition.six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ord'mance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildmgs~ additions, or alterations or for removal o1' demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances~ building code, hou~code, and/~iegulations, and to admit authorized inspectors on premises and in building for necessaO inspections. /~/~ ~,9~nature of"a~ppli~ant or name, if a corporation) (Mailing addr}ss of applicant) State whether applicant is oxvner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofox~mer of premises ~ ~/;E~,~7",~t/~'~' ,.~'~";~..~7- (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. d.~-~7'~:~ /4J'tO~,~t Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block t/' ,. Filed Map N6:' Lot '~-~' ~ Lot 2..State existing use and occupancy of premises and intended~ use and occupancy of proposed constru~.tior~: a. Existing use and occupancy ,~-~:=~/g~J"~/9 (_~ b. Intended use and occupancy 3. Nature of work (check which applicable): Nexv Building Repair Removal Demolition 4. Estimated Cost 1~ ~)~ 0"~. ~ 5. If dwelling, number ofd~velling units If garage, number of cars Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ~,,~ / Rear Height ~, ~.~¢~ # Number of StOries- -/ Dimensions of same structure with alterations or additions: Front Depth ~'7, [ /! Height q- ~.Z~-~ ~t Number of Stories 8. Dimensions of entire new construction: Front 2~,2~ ! Rear Height ~/~_ ~ d Number of Stories Depth 5//! Rear ~2/ / Depth /~'. !; 9. Size of lot: Front Rear Depth 10. Date of Purchase ~00~ Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO , 13. Will lot be re-~aded? YES__ NO ~ Will excess fill be removed ~om premises? YES NO__ 14. Names of Owner of ~mises~g~q ~Ad~ess~/¢~ Nme of Architect ~ff ~//~ / Address ~ g/~ Name of Contractor ~ ~d/~ Address ~ q~ ~a~ Phone No. ~3/. ~. 37~7 15 a. Is this prope~y within 100 feet of a tid~ wetl~d or a ~eshwater ~vetland? *YES__NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE ~QUIRED. b. Is this prope~y wit~n 300 feet ora tidal wetland? * YES__ NO * IF YES, D.E.C. PE~S MAY BE ~QUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or beloxv, must provide topographical data on survey. STATE OF NEW YORK) · SS: COUNTY OF~ ~;~,/../~" //~/~ /.d'~'/.Z~-',,4d~t~/'~ ' being~uly 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.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sxvo,qa to before me this{\ ,d-?/' , dayof \L~ ~ ~ Notary Public LYNDA M. 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IlU ft.,,,..-- " ~" ~ CONSERVATORY ADDITION :2 ~ TO UNIT ~ 106 3 HERMITAGE II " ~ ~ '" ~ ~ 106 ~ PECONIC ~ LANDING ~ ~ ROUTE 25 ~ ~ GREEN PORT, NY ii1 ~ ~ " ~ ARCHITECT ;J FRANK UEUINOAfIL ~ i ~ P,O,BOX JI6 -', :2 GREENPORT, NY 119H ~ ~ TEL: 6J1-477 8624 '" = FAX: 5J1-477 2997 ~ " '" '0\, -< OWNER '..--" = ~ EO AND 1XIROTHEE SEOAT z 106 THC~PSON 8L1IJ ~ ~ GREENPORT, NY 119H ~ ., TEL: 631-471 4931 .. '" eo !S ~ ~ " z = '3 IS< 5 g; ~ ~ ~ ~ 8 tt ~ = ~ !:! ~ ~ 0 0 ~ ..;~ O<::~ DATE: 07/26/2004 ~~ SCAlE: Nl'.j N ~'1i -~ '"'~ LOCATION PLAN ~~ PHOTOS ~'" ~~ oW<:, NN,lE ~~ A - 1 DWG. NO g~ '""- .~ ~ ~ o . ,"~ i o rl "., / / \\ / / ,~ o ( / \ , \/ X " " , \ , \ , I " i , .: J--/ , ,,--, : I I 3/ :,' / J I .,- .. " " I, /, / , -(>/ " I... ./ , ...'~', ( I .:' / 0\ '" ',' ,l! " .. 0' , .: ! '" / ' --__~' ,0 , f \ t:J: I '{J \ I 0,: 0 j " /....~ 1//' , " To' " " f ',.r__'-/' I _'/ I I" I _~... 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