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HomeMy WebLinkAbout27646-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28548 Date: 06/27/02 THIS C~EIFIBS t~at the building NEW DWELLING Location of Property: 80 MALLARD LAI~E 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 8, 2001 pursuant to which Building Permit No. 27646-Z dated J~3NE 14, 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 #80) WITH ATTACHED TWO CAR GARAGE ~TD COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD~ ( OWNER ) of the aforesaid building. INC. SDFFOI~K COUNT~ DEPARTMENT OF ~ALTH A~PROVAL C10-97-11 05/28/02 ELECTRICAL CERTIFICATE NO. 1036427 05/31/02 PLUMBERS CERTIFICATION D;~r~ 05/17/02 BURT'S 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. 27646 Z Date JUNE 14, 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 GAP~AGE & COVERED PORCH AS APPLIED FOR UNIT #80 CRAWL at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated JUNE Building Inspector. 1205 MAIN RD Block 8, 2001 GREENPORT 0001 Lot No. 025 and approved by the Fee $ 636.30 Authori~d 'Sig~ure ORIGINAL Rev. 2/19/98 Form No. § TOWN OF SOUTHOLD BU1LDING 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 witb the following: AD 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 fom~). 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 cortificate 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: 1. 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. 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 CerQficate 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 o~ Property: ~0 House No. Owner or Owners of Property: c'~C4xl4 Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: lu l l oJ / §t~'eet ~ g Block (check one) Hamlet Subdivision Permit No. ,~'~10~ [~"~ DateofPermit. Health Dept. Approval: '-/' Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,.~-..~ Filed Map._ Applicant: UnderwfitersApproval: Final Certificate: Lot: (check one) Applicant Sigtmture Dennis M. Wilhelm 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: ~/17 /O~L Building Permit No. Owner: ~0.~1~. LfliI~II(I Oleas~ ~rint) (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~'~.~ h dayof ~'q~k_k~ __, 20(~ Notary Public, ~t'~l ~County 4A~Cy i. ~STER Public, State of New Yo~ ~940985-Suffolk Coun~ _ ion (P l~.~ignature) 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 E.F. MALONEY P.O. BOX 6070 MILLER PLACE, NY 11764, * PACONIC LANDING MAIN ST-RT 25-COTTAGE 80 GREENPORT, VILL, NY 11944 Located at MAIN ST-RT 25-COTTAGE 80 GREENPORT, VILL, NY 11944 Application Number: 1036427 Certificate Number: 1036427 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Co~m~crcial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Atxached 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 31st Day of May, 2002. Name Q.TY Rate Rating Circuit Type Additional Charges modular house N.Y. State approval # 19-1 mfg Avis America serial # 663510 Appliances and Accessories Air Conditioner 1 0 42,000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle I 0 Switch 1 0 Fixture 3 0 Service I Phase 3W Service Rating 200 Amperes Service Disconnect: I 200 cb Meters: l General Purpose General Purpose Incandescent 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. BARTON,RrAssociates May 31, 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 #80 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 #80 has been conslxucted 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 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.: i~O 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. Dated: officers 236 THIRD STREET GREENPORT. NEW YORK 11944 CLERK/TREASURER CHRISTIE HALLOCK Tel (631) 477-0248~g85 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, William Swiskey Utilities Foreman WSOs 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: I SPECTION REPORT DA~i'K ...... ~ COI~IKI~S ,~-~DATION ( I ST) 'i~'gATION ( 2ND ) ~IFRAI~& .I'LUI~iNG [SULA.TION PKR N. Y. CODE BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Exam/ned · PERMIT NO. ,20 O/ ,20 O/ Do you ~ve or n~cd ~c follo~g, before appl~g Bo~d of Heal~ 3 sc~ ofBuil~g PI~ S~ey. ~ --~ Check Sep6c N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: ~or 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 streeti 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 Inspoctor 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 i'9'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 appli¢i]nt or name, if a corporation) #,///*7/ ,~Mailing address of applican~ State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises / . (as on:the tax roll or latest deed) If apt[lj~'a, nh is a corpora~on~ signature of duly authorized officer Z ':' / (~al~ find title ofcorporatelofficer5 Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Lo~2(~ofland on which~.p3~d work will be done; House Number Street Hamlet / County Tax Map No. 1000 Section ~ Block Subdivision ' Filed Map No. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy., b. lntended useandoccupancy Tela't~c0/lCf., Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost If dwelling, number of dwelling u.nits If garage, number of cars ~ X Addition Alteration Other Work Fee //~( (Description) to be paid on filing this application) Number of dwelling units on each floor d If business, commercial or mixe 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, Dimensions of entire new construction: Front ~ Rear Height ~¢ Number of Stories Size of lot: Front t~t/~ Rear .Depth Date of Purchase /~/A Name of Former Owner Number of Stories .Depth t 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 ~/~_~ Will excess fill be removed from premises: YES 4. NamesofOwnerofparqmises~k,~J~Address O(/ ~J{} PhoneNo.~/)~(~,~Z~' Name of Architect ~Address Phone No~ Name of Contractor ~~gltl~l J~ ' .~/Ot],.~~ Addres~ 0t Phone No. (.j~[0_4~2~2~- 5. Is this property within 100 feet ora tidal wetland? *YES NO · ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED survey, to scale, with accurate foundation plan and distances to property lines. OJ 6. Provide 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: :OUNTY OP-~Y~'f'4//~ ) ~n/4~/77a/J'25 klft:~.l.J/.),~".5',/f~' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, -Y)He is the (Contractor, Agent, Corporate Officer, etc.) fsaid owner or owners, and is dui3' 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 Notary F;u~ic ~~N~Yo~ ~4~1~ ' ' / Signature of Applicant r