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HomeMy WebLinkAbout27702-ZFORM NO. 4 TO~J OF SOUTHOLD BUILDING DEP~LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-28965 Date: 10/04/02 T~IS ~RTIFIES that the building NEW DWELLING Location of Property: 83 MALLARD LANE (HOUSE NO.) (STREET) County Tax ~ap No. 473889 Section 35 Block 1 subdivision Filed Map No. Lot 25 Lot No. GRE~NPORT (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11, 2001 pursuant to which Building Permit No. 27702-Z dated JULy 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 #83) WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH AND 4 SEASON ROOM AS APPLIED FOR. The certificate is issued to PECONIC LANDING AT SOUTHOLD, INC. (OWNER) of the aforesaid building. SUFFOLK COUN~"f DHPARTI~E~T OF ~%LT~ APPR0%5~L C10-97-11 05/28/02 ELECTRICAL CERTIFICATE NO. 1071693 08/29/02 PLUMBERS CERTIFICATION D;~£~U3 05/17/02 BURTS RELIABLE INC. Aut ho~/z ed S igna~ure Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL PERMIT NO. 27702 Z Date JULY 27, 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 C~LR GA/~AGE, COVERED FRONT PORCH & 4 SEASON ROOM AS APPLIED FOR UNIT# 83 CRAWL at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated JUNE Building Inspector. MAIN RD GREENPORT Block 0001 Lot No. 025 11, 2001 and approved by the Fee $ 766.20 Authori zed~'S[ignat~Te COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FoR CERTIFICATE OF OCCUPA3tCY 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: I. 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 form). 3. Appro',)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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Acouratc 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 hi writing to the applicant. 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 ofOcoupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location ot~Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: ~ ~' Block (check one) Hamlet Lot 2,1~ Subdivision Filed Map. Lot: Permit No. Date of Permit. Health Dept. Approval: ~ ' lo ' /..oo a Planning Board Approval: [ '~ - t~{ 4 7,000 Request for: Temporary Certificate _ Fee Submitted: $ ,,~..-~ "" Applicant: __ Underwriters Approval: Final Certificate: (check one) Applicant Signature 0ennis 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: Building Permit No. Owner: 'lumbe : 01eas~ l~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 dayof bv'~ Ckl i , Notary mublic,~LI ~?c~_] K County NANCY A. PEST~ ~'~otary Public, State of New York No, 4~40985-Suffolk Count~. "ommission Expires Aug. 15, 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.: d~0 Z77o 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. Aiello, P.E. BARTON,~rAssociates June 6, 2002 Mr. Michael J. Verity Code Enforcement Officer Sunthold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-1179 PECONIC LANDING PROJECTS. Re: Cottage #83 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 #83 has been constmcled 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 Est 1838 March 14, 2002 To: E. F. Walsh Developers Peconic Landing From: Village of Greenport Utilities Department To Whom It Ma), Concern: Re: Peconic Landing Sewerage Systent 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 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 ST-RT 25-COTTAGE 83 1007 route 25 A GREENPORT, VILL, NY 11944 MILLER PLACE, NY 11764, 25-COTTAGE 63 GREENPORT, VILL, NY 11944 Located at MAIN ST-RT Application Number: 1071693 Certificate Number: 1071693 Section: 35 Block: 1 Lot: 25 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting 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 29th Day of August, 2002. Name QTY Rate Rating Circuit Type Additional Charges modular house N.Y. State approval Ct 19-13 mfg Avis America serial Ct 663801 Appliances and Accessories Air Conditioner I 0 60,000 BTU Furnace 1 0 Gas Wiring and Devices Receptacle 1 0 General Purpose Sxvitch I 0 General Purpose Fixture 3 0 Incandescent Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: I 200 cb Meters: I 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. )IYNDATION ( I ST)' ~U~H FRAME & PLUffBING BLfILDI~NG DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 £xamme~ Approved Disapproved a/e · PERMIT NO. Do you have or need ~ follo~g, before appl~g Bo~d of He~ 3 se~ of Buil~g Plan S~ey , . Septic Fora N.Y.S.D.E.C. ., ' Trustees Contact: Mail to: Phone: ' Buildin'gl~pector fi,/ 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'~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 Fo 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 i3Tpart 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, hocsing code, and regulations, and to admit authorized.inspeytors On premises and in building for necessary inspections. (Signature of appli~nt or name, if a corporation) ~(Mailing a~dress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 1 Nameofownerofpremises ~t'Otb~ ~t~tlJ//lO OF'~2117~lold / (as on:the tax roll or latest deed) If apI~lj~.nJ~ is a corporakion~ signature of duly authorized Officer x ". / (N/an~ ~nd title ofcorporate~officer5 Builders LicenseNo. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which p,[oposed work will be dogie; /20 ' · House Number . Street Hamlet / County Tax Map No. 1000 Subdivision (Name) Section Block _ / ..' Filed Map No. · Jl a. Existing use and occupancy., b. Intended use and occupancy / 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: 4. Estimated Cost ~, 700: 0OO. Ol0 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work' Fee (Description) (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commerciaI or mixed 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. t 0. Date of Purchase Dimensions of entire new construction: Front Height ~ Number of Stories . Size of lot: Front Rear Depth Name of Former Owner Number of Stories t I. Zone or use district in which premises are situated L2. Does proposed construction violate any zoning law, ordinance or regulation: :3. Will lot be re-graded y~S Will excess fill be removed from premises: YES .4. Names o f Owner o f JOJiqmises..~..[.Sj~l/./]/~Address- Or'/ . ~'/8 Phone No. f~~z~' Name of Architect [/~)tlt'/'t'Jtl ~,S&~C... . Address ti ' .Phone No~.~~l~ Name of Contractor i~ ~a~ I~ .ilj~l~ Address t~ 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. Or'/ 7. If elevation at an3' point on property is at 10 feet or below, must provide topographical data on surx,ey. ;TATE OF NEW YOP. X) SS: /(:9/4V','TId,o~ ~0~ being duly sworn, d~oses and says that (s)he is ~e applicant ~ame of indi~dual si~ing con,act) 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; 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 application filed therewith. worn to before me this ,_ ~===~ day of /fd, 54~/~f~ Notary ,t~uMic IMIi~ Publl~ ~ of New Yor~ ' ' / Signature of Applicant * J ®®