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Home My WebLink About30842-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31214 Date: 10/13/05 THIS CERTIFIES that the building FIREPLACE Location of Pretty: 79 MALLARD I~/qE 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 DECEMBER l0t 2004 pursuant to which Building Permit No. 30842-Z dated DECEMBER 10~ 2004 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 INSTALLATION OF NEW GAS FIREPLACE IN UNIT %79 AS APPLIED FOR & AS PER CERTIFICATION OF FRANK W. UELLENDAHLt ARCHITECT DATED 10/12/05. The certificate is issued to PECONIC LANDING AT SOUTHOLD (OWNER) of the aforesaid building. SUFFOLK COUNT"fDBPARTMENTOFWRALTHAPPROVAL N/A ELBcr~ICAL c~KTIFICATE NO. 97362C PLU~EP,~ c~TIFICATION DA'£~u3 N/A 04/04/05 Rev. 1/81 nature Form No. 6 TOWN OF SOUTIiOLD 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 Department with the following: 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 form). 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 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. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2.~ A properly completed application and 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. 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. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commereial $15.00 Old or Pre-existing Building: ~ (check one) Street Hamlet New Construction: Location of Property: 7 ~ House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. 30 0OC/c~'~' Health Dept. Approval: Date of Permit. Filed Map. Lot: Applicant: ~-~ {,4v~b /AJX~/,~oM Underwriters Approve: 9 73 &~ Planning Board Approval: Request for: Temporary Certificate Fee Subm/tted: $ ~ G-( 0 0 Final Certificate: V/''' (check one) Issue Date 4/412005 Electrical Inspection Certificate Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631) 286-6642 Application 97362C Issued To: Mr. Malteoni Street: 79 Mallard Lane Village: Greenport Zip: Section: Block: Lot: 11944 Town: Southold Contractor: Elec Tec Inc. Lic.# 4814-E Was examined and found to be in compliance with the National Electrical Code. [] Commercial [] NV Defects [~j Pool [] 1st Floor [] Indoor [~ Basement ~ Hot Tub [~ Residential [] Dat. Garage [] Attic [] 2nd Floor [] Outdoor [~ Addition [~ Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector []/ Bldg. Permit: Other Equipment Switch for Gas Fireplace President Rough InspeclJon: Inspector: Final Inspection: 03/31/2005 InspecLor: John Mc Mahon Ill This certificate must not be altered in any manner. Inspectom may be identified by their credentials. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30842 Z Date DECEMBER 10, 2004 Permission is hereby granted to: PECONIC LANDING-UNIT 79 1500 BRECKNOCK ROAD GREENPORT,NY 11971 for : INSTALLATION OF GAS FIREPLACE TO MANUFACTURERS SPECIFICATIONS at premises located at County Tax Map No. 473889 Section 035 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 1205 MAIN RD GREENPORT Block 0001 Lot No. 025 10, 2004 and approved by the 10, 2006. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 Frank W. Uellendahl Architect 1~ ~x ~16, Gr~npa~, NY 11~,, ~el: ~1AT'L~4 f~: 6~1.477.~ emaihfu~lend@c~c~;~lineone~ October 12, 2005 Clients: Mr. and Mrs. Mc~teoni Peconic Landing 79 Mallard Lane Greenport, NY 11944 BUILDING PGCtMIT # 3084.~-Z Gas Fireplace Installation in Co~tage # 79 a~ Peconic Landing, C,-reenpor~ FINAL INSPC-CTION The o~uners of the above mentioned residence at Peconic Landing were issued a building permit for the installation of a 36" Top Vented Direct Vent Gas Fireplace, Type HEAT-N-GLO 6000TIC~a In their living loom. The General Contractor island Installation hired PlCC)NE ENERGY SYSTEMS LLC from Holts~411e to perform the installation of the fireplace as ~uell as the vent system. PlCONE installed DVP-series direct vent components and a vertical termination approved for the selected fireplace model. The pipe is tested and listed as an approved component al: the fireplace. I performed the final inspectlan of ~he above referenced fireplace installation. All work was executed according to N~S codes and the manufacturer's spedficatians. I heret~ state that the information provided above is true to the best of my knowledge. Copg: Building Department Island Installation Frank W. Uellendahl Flrchitect PO ~ox 316, G~npo~, NY 119~, tel: 631.477.~4 ~x: 631.477.~97 en~ihfuell~nd~g~online.net November 19, 2004 Mr. and Mrs. Matteoni Peconk Landing 79 Mallard Lane Gr~npon, NY 11944 BUILDING PERMIT # Gas Fireplace installation in Cottage # 79 at Peconic Landing, Greenport FRAMING INSPECTION - GAS FIREPL,qCE The owner of the above mentioned cottage is requesting permission to odd a ~6" Top Vented Direct Vent Gas Fireplace, Type HERT-N-GLO 6000TPfl(I in their living room. I inspected the framing on November 19 and found that the work was done according to code. The flaming t.uas executed in accordance with the manufacturer's speclfkations. I hereby state that the information provided above is true to the best of my knowledge. Copg: Building Department Island Installation 6000TRXI 36" TOP/REAR VENTED DIRECT VENT GAS FIREPLACE 50-7/8 17-114 23-15/32 2-I/8 __ I54.21 1174.4] 28-1/2 09104 2-1/2 1611 ,~__5 [126,9} ~ 22 ~9] HEAT-N-GLO · (952)985.6000 · www. heatnglo.com A-3 6000TRXI 36" TOP/REAR VENTED DIRECT VENT GAS FIREPLACE I /22 1182861 ~.] F22)1~- ~ ~1,. [~l '~"~/~/80 [2~32] ' ~14-11~ / ~ n ~ / · ~ , ~[~al / 4°~H/ / 12~1 2-118 ~ 3~I [917] ~'1 2-1~ [~.2]f ',, ~ 1611 ~ .. 6-7g ~ ~ 326.9 ] [174.41 SPECIFICATIONS 09/04 HEAT-N-GLO · (952)985-6000 · www. heatnglo.com A-3 , I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Ex m ed/U/O , :o o'/ ^pproved 07,2o ¢ Disapproved a/c Expiration t~//0,20 ~ PERMIT NO. ~03~oL~''- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ., 20 ~C I 0 200,{ INSTRUCTIONS i ~ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 ~t~-o'f pians, accurate ploLRl~n,m 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 throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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. OCCUPANCY OR ( ignat. e of applicant or name, ifa corporation) USE I$ UNLAWFUL WITHOUT CERTIFICATE ( ai, g address of applicant) P N Y ~ R$CERT1FICAT~ APPR VE A N TED S~e ~P!p~cL~ is owner, lessee, agent~t, engineer, general c~oR~r~9~or, ~e~PI~Clfln, plumber or builder DATE: [~tO!°( B.P.# 30~5 ~ N~eofowner of praises 0~ 765.180~ ~ ~M 2 ~PO ~O~ THE (As on the t~gb[~~d)Oi~s: If applic~t is a co~oration, signa~e of duly au~orized officer 1. FOUN0 .... .~d*RED (Name and title of corporate officer) Builders License No. ~2- o° 35/O - Plumbers License No. Electricians License No. Other Trade's License No. 2. Rgtlr ri Mii , ~LUMBING 3. IHSL_~ ,01~ ,; 4. FINAL - "' "'R~JGTION MUST BE- C'~! :. :TE r,.)R G.O. ALL SOL RUCTION SHALL MEET THE rEQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE F,O,~ , DESIGN OR CONSTRUCTION ER,E~',,~P~..(.; . House Number Street County Tax Map No. 1000 Section ~3 ~ Subdivision (Name) Hamlet ~ Filed Map No. Lot 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. 3. Nature of work.(check which applicable): New Building Repair Removal Demolition 4. Estimated Cost r OQO 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (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. 7. Dimensions of existing structures, if any: Front .~,2'Z-[' Rear l-~'/c~'' Depth Height, Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Sizeoflot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11: Zone or use district in which premises are situated t~t~,l 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~ 13. Will lot be re-graded? YES__ NO v"' Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name o f Contractor"Z'-5/~h2~,,~ Address 7? ~,1,4'd,~C.44~ Phone No. ~/- ~/77~ oz(,,t~ Address Phone No Address /2¢S"~/"~,..,/,+JtC~J,q~ PhoneNo.~o 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ~ . ~ ~ ~: .... * IF YES, D.E.C. PERMITS MAY BE REQUIRED· ~, ~,~,~ 16. Provzde survey, to scale, w~th accurate foundatmn plan and &stances to prope~rty hnes. ] 7. If elevatmn at any pomt on property ]s at 10 feet or'berow,'mu~t pr0~id pograph]cal data on survey, · STATE OF NEW YORK) SS: COUNTY-OF ~c~t~/:. ) ~ ~ (r°'~ ~ ~/I ~ ~ 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.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before fi-re this Olla[lfled in ~emmlssloa ~1~ /Signature of Applicant