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HomeMy WebLinkAbout27701-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29042 Date: 11/01/02 T~IS CEi~TIFIES that the building NEW DWELLING Location of Property: 95 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 JUNE 19, 2001 pursuant to which Building Permit No. 27701-Z dated JULY 17, 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 #95) 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. INC. SUFFOLK COUN~f DBPARTI~E~Ff OF H~J~T~ APPROVAL C10-97-11 05/28/0~ ELECTRIC_AL CERTIFICATE NO. 1038576 08/27/02 PLUMBERS CERTIFICATION I)AT~ 05/17/02 PLARTCORN PLUMB.&HEATING Aut hominid S igna~'~re 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. 27701 Z Date JULY 17, 2001 Permission is hereby granted to: LANDING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE D~TD COVERED FRONT PORCH AS APPLIED FOR I/NIT #95 CRAWL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated JUNE Building Inspector. MAIN RD Block 19, 2001 GREENPORT 0001 Lot No. 025 and approved bythe Fee $ 707.70 Authori zedVS ignat~e COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN 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 fern0. 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 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 ofprope~ 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 Iuspeetor 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 of Occupancy - $ 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: Owner or Owners of Property: ~¢~r~ ~,C_ Suffolk County Tax Map No 1000, Section House No. Date. Old or Pre-existing Building: Strt:et Block c57//7 / 2.002_ / / (check one) Hamlet Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Health Dept. Approval: '-{ - /~ · ~. a o c, Planning Board Approval: [ ~ - ~{ .. ZaOO Request for: Temporary Certificate Fde Submitted: $ ,~--,~' '~ Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature Dennis M. W~lhelm 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 SOIJ'I'flOLD CERTIFICATION Date: Building Permit No. Owner: ~)0_ f. OQl'& Lfl~;tl0 (Pleas~ ~rint) Plumber: Hartcorn PLmg & 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 ~' ~ day of /~-~// , 20 d2~- Notary Public, County (Plumbers Signature) VIRGINIA M. GOCINSKI NO~ty Public, ~tate of New Yfftg No. 4873841 Qt~llified in Suffolk County Tem~ expires O~tober 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: 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 PECON[C LANDING PROJECTS. Re: Cottage #95 Code Cetliflcalion. 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 #95 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 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 I Pressure Pressure COTTAGE # DATE APPROVED BY Test Test 5.0 PSI 50 PSI REMARKS: March 14. ,~00~ To: E. F. \Valsh De,.'dopers Peconic Landing From: Village of Greenport Utilities Department To x,~.q~o~n 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 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 1007 route 25 A COTTAGE # 95 MILLER PLACE, NY 11764, SOUTHOLD, NY 11971 MAIN ROAD / ROUTE 25 COVTAGE # 95 SOUTHOLD, NY 1197': Application Number: 1038576 Certificate Number: 1038576 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 27th Day of August, 2002. QTY R~se R0.ting (?~rcuit Type ~dditional Charges modular house N.Y.State approval # 19-I mfg Avis America serial # 665401 Appliances and Accessories Air Conditioner Wiring aad Devices Receptacle Switch Fixture I 0 48,000 BTU I 0 Gas I 0 I 0 3 0 General Purpose General Purpose Incandescent Phase 3W Service Rating 200 Amperes ;ervice Disconnect: Meters: I I 200 cb seal I of ! This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. )UI~AT ION ( IST)' PLUNBING ISuhATION I)ER N. Y. ST-ATE E)II~G~ CODE DATE .'ADDITIONAL 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , {; b. Intended useandoccupancy ~S]O]0f/['~ 3. Nature of work (check which applicable): New Building ~ Addition Repair Removal Demolition Other Work 4. Estimated Cost /'4 700.. ~)OO. I00 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 Height. Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height. Number of Stories ~. Dimensions of entire new construction: Front c.~,2, Rear .Depth Height 2-(/ Number of Stories' [ ). Size of lot: Front Rear .Depth I0. Date of Purchase ~]~ Name of Former Owner '7 l I. Zone or use district in which premises are situated L2. Does proposed construction violate any zoning law, ordinance or regulation: :3. Will lot be re-graded __Will excess fill be removed from premises: YES Name of Contractor ~: tlt~c~ 1~ _t_l./al~h Address 5. Is this property within 1 O0 feet of a tidal wetland? *YES NO · · 17 YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0// 7. If elevation at any point on property is at I0 feet or below, must provide topographical data on surwey. ;TATE OF NEW YORK) SS: :OUNTY OF~,'~'P'",~,,~ ) /~,~"f'/JTd ~ /,t/~'/-J0,t-.57(/wc'' being duly sworn, deposes and says that (s)he is ~e applicant ~ame of indihdual 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; mt all statements contained in this application are true to the best of his knowledge and belief; and that the work v,511 be erformed in the manner set forth in the application filed therewith. ' / Signature of AppLi/cant BU_ILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined '7//"-'-/ ,20 ~ / Approved ~/f~7 ,20 ~// c' Disapproved a/ PERMIT NO. t>~J.l~J.l'q,,J rm~vlil ~'~.I~AIIUP~ ~lb. Do you have or need ~e follo~g, before apply~g Bo~d of ~.~ 3 se~ of B~l~g PI~ S~ey ~O~-~ Check Septic Fo~ N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building L~pector ~' APPLICATION FOR BUILDING PERMIT Date ,20 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'~ramises, 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 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 IS HEREBY MADE to the Building D. epartment for the issuance cfa 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, hocsing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) {Mailing a~dre-ss of applicarA) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder / Name of owner of premises I (as on:the tax roll or latest deed) If ap~lj~.a:nh is a corpora~¢on~ signature of duly authorized Officer ~ ¢,~arr~ ~nd title ofcorporatetofficer~ . Builders License No. Plumbers License No. Electricians LicenseNo. Other Trade% License No. 1. Location of land on which ploposed work will be doric: IRO,..T " :' House Number - Street ' · Hamlet County Tax Map No. 1000 Section Q.~' Block / Subdivision ..' Filed Map No. ,. ¢T e) .LNO~I=I Z 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. 27701 Z Date JULY 17, 2001 Permission is hereby granted to: LANDING AT PECONIC PO BOX 430 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR UNIT #95 CP~AWL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated JUNE Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 025 19, 2001 and approved by the Fee $ 707.70 Authori~d Signa~'ure ORIGINAL Rev. 2/19/98