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Home My WebLink About27633-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28964 Date: 10/03/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 79 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 in this office dated MAY 20, 2001 pursuant to which Building Permit No. 27633-Z dated JUNE 23, 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 #79) WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. ~ne certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. ~u-Fi~LK CO~I"f DEPAR~I~T OF H]~AL~{ AP~ROVi%L C10-97-11 05/28/02 EI~Et-£~IC~ C~TIFIC_A~ NO. 1071691 08/28/02 PLU~4BERS CERTIFICATION D~rKD 05/17/02 BURTS RELIABLE, INC. 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) PERMIT NO. 27633 Z Date JUNE 23, 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 #79 CRAWL SPACE at premises located at 79 MALLARD LANE GREENPORT County Tax Map No. 473889 Section 035 Block 0001 Lot No. 025 pursuant to application dated MAY 20, 2001 and approved by the Building Inspector to expire on DECEMBER 23, 2002. Fee $ 636.30 ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF $OUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FoR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and subtnitted to the Building Department with the following: For ucw building or new use: I. Final survey of properly with accurate location of all buildings, property lines, streets, and unusuul natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9/¥nn). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statemcot 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: l. 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 Inspector shall state the reasons therefor in writing to the applicant. I. 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 ofOcoupancy - Residential $15.00, Conunercial $15.00 New Construction: Location ot~ Property: 7q House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: oll g I Street ~ ~q' Block / (cheek one) Hamlet not 2,¢ Subdivision Filed Map. Permit No. Date of Pemfit. Health Dept. Approval: "-~' 1o 'Loo Planning Board Approval: [ ~ ~ ~ Request for: Temporary Certificate Fee Submitted: $ ,ff--.~ "~ Applicant: Underwriters Approval: Final Certificate: (check one) Al)l)licant Signature Dennis M. W~ihelrn 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 Date: Building Permit No. Owner: Plumber: ~,,c~k /~,',~/,e._ .-~-~C. (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 IX/[ (~ ! j , 20~ Notary mublic~9~ I ~ County t~l ..CY Amh°ESTER · at]lic, State of New York q~40985-Suffolk County_ J~un Expires Aug. 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 F.F. MALONEY * PECONIC LANDING P.O. BOX 6070 MAIN ST RTE 25-COTTAGE 79 1007 route 25 A GREENPORT, VILL, NY 11944 MILLER PLACE, NY 11764, MAIN ST RTE 25-COTTAGE 79 GREENPORT, VILL, NY 11944 Application Number: 1071691 Certificate Number: 1071691 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS37 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, 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 28th Day of August, 2002. Name QT~ Rate Rating Circuit Type Additional Charges modular house N.Y.State approval # 19-13 mfg Avis America serial # 663101 Appliances and Accessories Air Conditioner I 0 42,000 BTU Furnace 1 0 Gas Wiring and Devices Receptzcle I 0 Switch 1 0 Fixture 3 0 Service 1 Phase 3W Service Rating 200 Amperes Service Discormect: I 200 cb Meters: I GeneralPurpose seal I 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.: 7~ In accordance xvith 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. Dated: 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: Coflage #79 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 a~d believe that Cottage #79 has been consl~ucted in compliance with all applicable laws, codes and ordinances. Ve~ truly your; BARTON & ASSOCIATES, LP Senior Vice President cc: Dermis 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 REMARKS: March 14. 2002 To: E. F. Walsh Developers Peconic Landing From: Village of Greenport Utilities Department To Xgq~om It May Concem: Re: Peconic Landing Sewerage System Thc Village of Gmenport 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 I~PORT - DATE ~I~ATIO~ (2N~) C0HI~NTS PLb~SING [SUI~TION l'gR STATE ENI~RCY CODE '~ v~ v%~ ~v~lziv~.%~ · BUILDING DEPARTi'VlENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined f~ ,20 Disapproved~Tc · PERMIT NO. ~UIb.UI. NtJ t'~:F, IVIIi .c~'LI(gP,.I'ION CHIiCK. LtS. Do you have or need the following, before applying Board of Health 3 sets of Building Plans SurveX Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: l~uilding tnspector 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 on'~remises, 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 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, housing code, and regulations, and to admit authorized.inspectors On premises and in building for necessary inspections· (Signature of appli~nt or name, if a corporation) /'(Mailing address of applical{t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~)~f./)tlt'~ / (as on:the tax roll or latest deed) If apl~l~, h is a corporaJ~ion, signature of duly authorized Officer ! (N'arr~ md title ofeorporatdoffieer~ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Locatiqn of land on which l~roposed work will be done: 121>5 ' House Number · Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block · Filed Map No. 2. State existing use and occupancy of premises and intended use and occupancy o£ proposed construction: Addition .&Iteration Other Work a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~ 700 OOO. 5. If dwelling, number ofdwelling 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. ,?. 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 of entire new construction: Front Height 2r~/' Number of Stories ). Size of lot: Front /~,/,,~ Rear I0. Date of Purchase /~ffq Name of Former Owner Number of Stories KSZ Rear .D pth ,50 Depth t 1. Zone or use district in which premises are situated i2. Does proposed construction violate an)' zoning law, ordinance or regulation: ,4/0 t · 3. Will lot be re-graded ~/1~5 Will excess fill be removed from premises: YES · 4. Names o f Owner o f P,r/Imises~Address O0 ~"td Phone No. ~)~Z~.~' Name of~Architect t/.J/~t~d/l /4.~,,r, dl(;: Address '2 _Phone Name of contractor ~ ~2oc] F tll.lyal'l Address It Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. ~)~ff 7. [f etevation at any point on property is at 10 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) SS: t(0/-4¥/)7~ ~ /,t,/t~'Z]~,~'-~'/(',~' being duly sworn, deposes and says tha~ (s)he is the applicant (Name of individual signing contract) above named, S)He ~s the (Contractor, Agent, Corporate Officer, etc.) f said owner or owners, and ts dui)' 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 will be erformed in the manner set forth in the application filed therewith. worn to before me this ~ day of /~/,t4¢/~ 20~/ Notary .l~ub'l'ic Signature of Applfcant r