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HomeMy WebLinkAbout27629-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28702 Date: 08/13/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 81 MALLARD LANE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 35 Block 1 Subdivision Filed Map No. __ Lot No. __ GREENPORT Lot 25 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed i~ this office dated MAY 29, 2001 pursuant to w~ich Building Pe~it No. 27629-Z dated JUNE 27, 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 #81) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. T~ne certificate is issued to PECONIC LANDING AT SOUTHOLD, ( OWNER ) of the aforesaid building. INC. SUFFOLK COUN~"f DEPARTMENT OF ~]~ALT~ APPROVAL C10-97-11 05/28/02 ELECTRICAL CERTIFICATE NO. 1036415 06/17/02 PLL~4BERS CERTIFICATION DA~q~D 08/17/02 B%rRTS RELI~d~LE, 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) PE~IT NO. 27629 Z Date JUNE 27, 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 2 CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR UNIT #81 CRAWL at premises located at 81 MALLARD LANE County Tax Map No. 473889 Section 035 Block pursuant to application dated MAY 29, 2001 Building Inspector to expire on DECEMBER 27, GREENPORT 0001 Lot No. 025 and approved by the 2002. Fee $ 707.70 AuthoriJ~d Sign~nure 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 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 fom0. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swom statement from pluraber certifying that the solder used in system coutains 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 Planniag 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: l. Accurate survey of properly showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent t0 inspect signed by the applicant. If a Certificate o f Occupancy is denied, the Building Inspector shall state the reasons therefor ia writing to the applicant. 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 - $I00.00 3. Photocopy of Certificate ofOecupaney - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate ofOcoupancy - Residential $15.00, Commemial $15.00 New Coustmction: Location of Property: 8 House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: (check one) Hamlet Lot 2~~'' Subdivision Filed Map. Lot: Permit No. Date of Permit. Health Dept. Approval: ~ ' ~ ° /.. Planning Board Approval: l ~ - ~'{ Request for: Temporary Certificate Fee Submitted: $ ,~ ~' __ Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature DO,his 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. Owner: ~0 (.OIII'L ~fltl~?tl f/ (31easd hint) Plumber: ~2> u ~{5 Y~t~, ;a Jo ['a- (.please print) L~dr~ 4- 8/ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this dayof ~/~ftlt , 20C'~ Notary Public,~L~?r:>l &/_County NANCY A. 'PESTER% ~,'y Public, State of New York ,o, 49~O985-Suffolk County _ '-issi, n !~×t~ires Au~. (Pier'Signature) 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. Gino N. Aiello, P.E. Dated: BARTONX~Asmciates June 6, 2002 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 #81 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 #81 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 Bmszeit, E&F Walsh Bob Ellis, O/N Officers March 14, 2002 To: E. F. Walsh Developers Peconic Landing From: Village 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, Willian~ 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: 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 STREET / ROUTE # 25 MILLER PLACE, NY 11764, COTTAGE # 81 GREENPORT, ny 11944 Located at MAIN STREET / ROUTE # 25 COTTAGE # 81 GREENPORT, VILL, ny 11944 Application Number: 1036415 Certificate Number: 1036415 Section: 35 Block: 1 Lot: 25 Building Permit: hDC: 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 Natienal Electrical Code and the detail of the instafladon, as set forth below, was found to be in compliance therewith on the lTth Day of June, 2002. Name QTY Ral~e Rating Circuit T,4)c Additional Charges modular hpusc N.Y.State approval # 19-13 mfg Avis America serial # 663701 Appliances and Accessories Air Conditioner I 0 48,000 BTU Furnace 1 0 Gas 1 0 Wiring and Devices Receptacle I 0 General Purpose Switch 1 0 General Purpose Fixture 3 0 Incandescent Service I Phase 3W Service Rating 200 Amperes Service Disconnect: I 200 cb Meters: I seal t 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. i AD~I'rZONAL co, rotaTE: I..i ISULATION PER N. STATE ENERG~ CODE BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~t~'~ ,20 ,2o Disapprov~/~/a/c PERMIT NO. t~ u I.I~DI.N~J plalq, tvl. l I. Ai~PLI~A 1. ION UHh(2KLI. b. Do you have or need the followiag, before applying Board of Health 3 sets of Building Plans Survey. Check Septic Form N.Y.$.D.E.C. · ' Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This ·application MUST be completely filled in by grpewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to. schefl..ule. 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 perrmt. d. Upon approval of this application, the Building Insp0ctor 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 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 D. epartment 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 inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) x 4 ,o. cS .r o,J //07/ - "(Mailing address of applicant~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ow/eL Name of owner of premises '-]'/gf/'JtI/F. .~as on:the tax ~'~I1 or latest deed) If apl~l'/t~,his a corpora3ion~ signature of duly authorized Officer g ". / (~ar~ ~nd title of corporatetofficer~ . Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which g, roposed work will be doric: /2x: , :' House Number Street Hamlet County Tax Map No. I000 Section Subdivision (Name) Block / ..' Filed Map No. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Fee 4. Estimated Cost faf 70~ ~Ot'), OO 5. If dwelling, number of dwelling units If garage, number of cars ,~. Addition Alteration Other Work (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 Rear Height. Number of Stories .Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height. 2. Dimensions of entire new construction: Front k.~. Height ,,~( Number of Stories ). Size of lot: Front /~///~ Rear tO. Date of Purchase 41~ Name of Former Owner Number of Stories Rear .Depth ...d4t~ / '' Depth 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: dO 3. Will lot be re-graded lflq; Will excess fill be removed from premises: YES (~ ·:' ~1 Phone No~ I~ Phone No. ~ 5. Is this property within 100 feet of a tidal wetland? *YES NO · I~' YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLrI2rkED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at an.,,' point on property is at 10 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) SS: :OUNTY OF-X-rFfa'/4. ) f/4 V',r'P/~/-Q5 ~/~D',~JOF~' being duly sworn, deposes and says that (s)he is the applicant 0X/amc of individual signing contract) above named, S)He is the (Contractor, Agent, Corporate Officer, etc.) fsaid 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 trae 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 NO. 47~17~ Signature of Applj~cant