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Home My WebLink About27681-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28551 Date: 06/27/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 89 THOMPSON BLVD. (~OUSE NO.) County Tax~4ap 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 JULY 15, 2001 pursuant to which Building Permit No. 27681-Z dated AUGUST 30, 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 #89) 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. SIIFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-97-11 05/28/02 ELEC~I~RICAL CERTIFICATE NO. 1038570 05/30/02 PLUMBERS CERTIFICATION DA'~U 05/17/02 BURT'S RELIABLE, INC. Au ~o/r i z~d/S~na/t u r e 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. 27681 Z Date AUGUST 30, 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 AND COVERED FRONT PORCH AS APPLIED FOR UNIT # 89 CPJtWL at premises located at 89 THOMPSON BLVD. GREENPORT County Tax Map No. 473889 Section 035 Block 0001 Lot No. 025 pursuant to application dated JULY 15, 2001 and approved by the Building Inspector to expire on FEBRUARY 30, 2003. Fee $ 522.60 COPY Rev. 5/8/02 Form No. 6 TOXVN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FoR CERTIFICATE OF OCCUPANCY This application znust be filled in by typewriter or ink aud sublnitted to the Building Department with the following: A. For new building or new use: I. Final survey of propelxy with accurate location of all buildings, property lines, streets, and nnnsual natural or topographic features. 2. Final Approval fi.om Health Dept. of water supply and sewerage-disposal (S-9 fom0. 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 fi.om 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 Certifrcate of Occupancy is denied, the Building Inspeetor 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 ofOecupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: LoBation of_Property: Owner or Owners of Property: c'~C.0'l,l },r_ Suffolk County Tax Map No 1000, Section Date. ,~/! 7/{~.. Old or Pre-exist~g Building: (check one) House No. S~ect - I H~et ~ ~ Block I ~t Z~ Subdivision Permit No. ~ "') (_,, 8 /"~ Health Dept. Approval: Planning Board Approval: Date of Permit. '7' l,, · Loo Request for: Temporary Certificate Fee Submitted: $ ,,~.~' '~ Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot: (check one) Applicant Signature 0onnis M. Wilhelm 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 Date: I '1 Building Permit No. Owner:_ ~O.f..O~L (please l~rint) Plumber: (please p~t) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this~-~-FE day o f ~v/t'~...~ , 2002__ Notary Public, ~ L.I ~4-'"o J ~"\ County ~x'ANCY A. PESTER ,~a~ Public, State of New York o..4~40985-Suffolk Coun~ _ ~mlsslon Expires Aug. 15,~ (Plum~.~ignature) 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 #89 Code Certification. Dear Mike: In reference to thc 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 tlmt Cottage #89 has been constructed in compliance with all applicable laws, codes and ordinances. Very truly your; Frank P. Laughlin~ RA Senior Vice President cc: Denais M. Wilhelm, RLS Al Broszeit, 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.: COZT^G~ ~O.: ,~ ? · '2 7d~l ~ 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('~l~. Aiello, P.E. 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 ROAD / ROUTE 25 MILLER PLACE, NY 11764, CO'VrAGE # 89 SOUTH HOLD, NY 11971 Located at MAIN ROAD / ROUTE 25 COTTAGE # 89 SOUTH HOLD, NY 11971 Application Number: 1038570 Certificate Number: 1038570 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Resideetiai occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: First Floor, Attached Garage, Attic, 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 lgth Day of July, 2002. Name QTY '~ate Ratinu Circuit _Type Additional Charges MODULAR HOUSE NY STATE APPROVAL # 19-13949 MFG. AVIS AMERICA SERIAL #665001 7/24/01 ~ Appliances and Accessories Air Conditioner I 36000 BTU ~ Furnace 1 Gas Wiring and Devices Receptacle I General Purpose Switch I General Purpose Fixture 3 Incandescent ~ Service I Phase 3W Service Rating 200 Amperes Sen'ice Disconnect: 1 200 CB Meters: I CORRECTED E I of ICERTi?.C,(i This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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~ATION (IST)' B~G DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 · PERMIT NO. Examined ~?~ Approved Disapproved a/c ,2o. ,20 .SULL,.LJ.L~' ~fJ~K!VIJ. I ,~PLICAi'ION C~C~IS. Do you ~ve or need ~e follo~g, before appl~g Bo~d of He~ 3 se~ ofB~l~g PI~ S~ey. Check Septic Fora N.Y.S.D.E.C. T~tee~ Contact: Buildin~ ~kl~l~ector ~' Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ,20 INSTR~JCTIONS 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 throughodt 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 Oceupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department 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. ifa conporation) ~Mailing a~dreSs of applica~t) - - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ('-]O~E'O/b'~. Zt~flJ//IO I (as on;the tax roll or latest deed) If apl~ljt~, h is a corporahion~ signature o f duly authorized officer ! (Nan title ofoorporatdof icer , Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which p,t:oposed work will be doric: /2o,x /(f. " " House Number · Street Hamlet County Tax Map No. 1000 Section (~,~' Block Subdivision ..' Filed Map No. a. Existing use and occupancy., ~i b. ntended use and oocup cy 7es;obaC 3. Nature of work (check which applicable): New Building Repair Removal Demolition State existing use and occupancy of premises and intended use and occupancy of proposed construction: Addition Alteration Other Work Fee (Description) a. Estimated Cost ~ 700,. OOI9. DO 5. Ifdwelling, number of dwelling units If garage, number of cars (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 o f existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth. Height. tO. Date of Purchase ;/~ Dimensions of entire new construction: Front Height 2.6/ Number of Stories Size of lot: Front Rear Name of Former Owner Number of Stories Rear / Depth Depth t 1. Zone or use district in which premises are situated [2. Does proposed construction violate an>' zoning law, ordinance or regulation: :3. Will lot be re-graded 5 Will excess fill be removed from premises: YES .4. Names of Owner of,pfi~;mises~_,~l~Address 011--~ff;/~ . Name ofA.rchitect ~titi'/'tltl (.LSgg~- . - Address Name of Contractor i~ flat] 1~ ~l/l~l~h Address Phone No. phone Phone No. 5. Is this property within 100 feet ora tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. ~1// ]t:~ ~ 7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey. ;TAT£ OF NEW YORK) SS: :OUNTY OF-~,~".,g',~//~ ) f,g"//27~ Z/"Z> /,C/ff-,~./.J0/r'.5'/(/~c'' being duly sworn, deposes and says that (s)he is the applicant ('Nme of individual signing contract) above named, $)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; ~at 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 N0.4791~09 Signature of Applicant r