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HomeMy WebLinkAbout27638-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~2gCY No: Z-28716 Date: 08/20/02 T~IS CEI{TIFIES that the building NEW DWELLING Location of Property: 91 THOMPSON BLVD. (HOUSE NO.) County Tax Map No. 473889 Section 35 Subdivision GREENPORT (STREET) (HAMLET) Block 1 Lot 25 Filed Map No. Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 2001 pursuant to which Building Permit No. 27638-Z dated JI3LY 12, 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 #91) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH ~ 4 SEASON ROOM AS APPLIED FOR. The certificate is issued to PECONIC LAigDING AT SOUTHOLD, (OWNER) of the aforesaid building. INC. SUFFOLK COUIqTY DEPARTMENT OF }IE~LT~ APPROVA~ C10-97-11 05/10/02 ELECTRICAL CERTIFICATE NO. 1038572 06/17/02 PLUMBERS CERTIFICATION D~r~ 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. 27638 Z Date JULY 12, 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 GA/~AGE, COVERED PORCH AND 4 SEASON ROOM AS APPLIED FOR UNIT #91 CRAWL at premises located at 1205 Cou/~ty Tax Map No. 473889 Section 035 pursuant to application dated J73NE Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 025 10, 2001 and approved by the Fee $ 696.30 COPY Rev. 2/19/98 I~'orm 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 Depart]nent with the following: A. For new building or new use: l. 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. Approx~al 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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. C. Fees 1. Certifrcate of Occupancy - New dwelling $25.00, Additious 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 of0ccupaney - $ 0.25 4. Updated Certificate ofOcoupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: ~'~ Location o~ Property: 9 ] House No. Owner or Owners of Property: %C..o'~4 ~,C~ Suffolk County Tax Map No 1000, Section Date. ~.~/17 / ~) ~2. / Old or Pre-existing Building: (check one) · I Street- - t Hamlet ~ ~ Block [ Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Health Dept. Approval: '"~- Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .~...~ ~' Applicant: Underwriters Approval: Final Certificate: (check one) Applicant S~gnature Dennis [4. Wilhelm BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 1OO38 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 # 91 SOUTHOLD, NY 11971 MAIN ROAD / ROUTE 25 COTTAGE # 91 SOUTHOLD, NY 11971 Application Number: 1038572 Certificate Number: 1038572 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 17th Day of Ju~e, 2002. Name QTY Rate Ratin~ Circmt Type Additional Charges modular house N.Y.State approval # 19-13 mfg Avis America serial # 668401 Appliances and Accessories Air Conditioner 1 0 48,000 BTU Furnace I 0 Gas Wiring and Devices Receptacle I 0 Switch I 0 Fixture 3 0 Service I Phase 3W Sclc, ice Rating 200 Amperes Service Disconnect: I 200 cb Meters: I 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. Town Hail, 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: ~O.f.~l~L /flO. J~fl 0 (pleas~ l~rint) Plumber: {~'~ ~o r-~/45 '~,~/a_~ (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_ ~. (3~1, , 20 ~..~, Notary Public,~ rff'-?C~ I '~x County NANCY A. PESTER Notary Public, State of New York No. 4940985-Suffolk Coun~,.~zlO,~ Commission Expires Aug. 1§, 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. By: Dated: // Gino N. Alello, P.E. BARTON,~Associates June 6, 2002 Mr. Michael J. Verity Code Enforcement Officer Soutbold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage #91 Code Certification. Dear Mike: In reference to the above mentioned project we, Barton & Associates, LLP (Arclfitects of Record for said project), hereby cert/fy that to the best of our knowledge, information and believe that Cottage #91 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; BARTON & ASSOCIATES, LP Frank P. Laughlin, ltA Senior Vice President cc: Dennis M. Wilhelm, RLS Al Broszeit, E&F Walsh Bob Ellis, O/N March 14. 2002 To: E. F. Walsh Developers Peconic Landing From: Village of Oreenport Utilities Department To Whom It May Concern: Re: Peconic Landing Sewerage System Thc Village of Greenport is allowing Peconic Landing to deliver its sewerage to the Village Sewerage System on a conditional basis until the pump facilities am 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 ICOTTAGE # DATE Pressure Pressure APPROVED BY Test Test 5.0 PSI 50 PSI REMARKS: )DNDATION (IST)' )~iDATION (2ND) )U~lt FRAMg & · PLDI~ING I~TIONPER N. Y. ~T_ATE ENER~ CODE .' ADDITIONAL C('fl4~'~TS: BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Exammed --~/~" ,20 O/ PERMIT NO. H ,~u'~ ~ i"~.I~lVL~ l ~kl'l'l.iL.~ 1 iUlN ~.~il~l.~.~lb. Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey Check Septic Form N.¥.S.D.E.C, Trustees Contact: Mail to: Phone: Buildin~ Inspector 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 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 ippart for any purpose what-so-ever until a Certificate of Occupar~ ts issued by the Building Inspector. APPLICATION IS HEKEBY 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 o~ name, if a corporation) ~(Maiiing a~drc-ss of applicaai) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder / Nameofownerofpremises ~O/h'C. ZO~2'tl. Ol"'~iJ4(/Id I (as on:the tax roll or latest deed) If apl~l~, his a corpora~k>n~ signature of duly authorized officer ':' ~' (':lqar~ find titl~ ofco~oratetofficer~ Builders License No. Plumbers LicenseNo. Electricians License No. Other Trade s License No. Location of land on which p. roposed work will be done: /20,5' . '. " House Number Street Hamlet County Tax Map No. 1000 Section (,~' Block / Subdivision ..' Filed Map No. ,. ame) )I 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 ~S~ tl(~ 3. Nature of work (check which applicab/le): New Building ~ Addition Alteration Repair Removal Demolition Other Work -¢. Estimated Cost /~, '700. DO0. 5. If dwelling, number of dwelling units If garage, number of cars 5, Fee (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 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 Height ~ ). Size of lot: Front [ 0. Date of Purchase ~,, ,2.. Rear .Depth Number of Stories . Rear .Depth Name of Former Owner [ 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 /~5 __. Will excess fill be removed from premises: YES .4. Names o f Dy/nor o f.pJi~'tmises~Address 10t'/ r//~ Phone No.~ Name ofA. rchitect [/~"/'tl/I ~-[%~.C.., . Address. t! ' Phone No~ Name of Contractor ~ tl~t~ 1~ IIJltl~} Address I~ ~hone No. 5. Is this property within 100 feet ora tidal wetland? *YES NO · I~' YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 0t'/ 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: :OLrNTY OF~fP'-gY/~., ) f~9?d ~ /;t/~-,D'Z/O/"-5'/d'~' being duly 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.) f said owner or owners, and is'duly authorized to perform or have performed the said work and to make and file this application; aat 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 applieation filed therewith. Signature o f Appl//cant "