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Home My WebLink About31367-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-~1286 Date: 11/18/05 THIS CERTIFIES that the building ALTERATION Location of Property: 83 MALLARD LANE 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 AUGUST 9, 2005 pursuant to which Building Permit No. 31367-Z dated AUGUST 15, 2005 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 WINDOW REPLACEMENT TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF FRANK W. UELLENDARL, ARCHITECT DATED 11/?/2005. The certificate is issued to PECONIC LA/qDING AT SOUTHOLD (OWNER) of the aforesaid building. SumFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELEt-rKICAL CERTIFICATE NO. PLU~HRS CERTIFICATION N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEIAMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31367 Z Date AUGUST 15, 2005 Permission is hereby granted to: PECONIC LANDING 83 MALLARD LA GREENPORT,NY 11971 for : MINOR WINDOW REPLACEMENT TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1205 County Tax Map No. 473889 Section 035 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY MAIN RD GREENPORT Block 0001 Lot No. 025 9, 2005 and approved by the 15, 2007. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY NOV I 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: 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. 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 consent to inspect signed by the applicant. Ifa 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 dweiling $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. Certifieate 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, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: Location of Property: /.~kS~,~ .,z~,,,,.~//(..~ ~ff_p,,.~ ~ House No. Street Owner or Owners of Property: ,"~/4"~:'~-./,~ ~g,/',,~,~,.'~.x.~' Suffolk County Tax Map No 1000, Section ~:~'~ Block (check one) ~;;;;~~a-a ml et Lot t92,.~ Subdivision Permit No. .~? ,~,~ .~ Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Filed Map. Lot: ~,/t'~;t,/~'~'- Applicant: .,~2~p/..2~ Underwriters Approval: Final Certificate: VL~/~fpplicant 51gnatnre L._ . ~ | . Fra W. Uel l dal lArchitect November 6, 2005 Phyllis Durban 83 Nallard Lane Greenjxxt, NY 119d4 Window Installation in the Durban Residence At Peconlc Landing, 83 Nallard Lane BUILDII~; PERIqlT # 31367-Z Window Installation to Cottage # 83 at PecOntc Landing, Gmenport During my regular site visits at the above referenced project I Inspected the framing of the proposed windows opening. The contractor installed a continuous double 2x10 header across the two window openings of 2'-10" R.O, each, whirl1 IS in conformance wit~ the architect's speclflcaUons. I he'eby sl3te t~ the Information provided above Is tree to the best of my knowledge. Prank Uellendahl ~ Copy: Building Del:artment Phyllis Durban TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~J~'IG~ ........ [ ] FRAMING / STRAPPING [,-"]"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: / · -¢ DATE INSPECTOR UO~O~dSNI NOIJ. O~ISNI ,qJ.:".'IVS :"tll.-I [ 1VNId [ ] ONIddVU,,LS / NOI,LV"II'ISNI [ ] ONZ: NOI,LYO~:I [ ] '081d HOI'IOU [ ] .I.SI. NOIJ,VQNnOd [ ] NOI.LO:IdSNI ~:08 I.'S9Z. 'IDS(] ONIO'llng 010H/IIOS dO NMOJ. · DURBAN RESIDENCE AT PECONIC LANDING FEE: , YZ). .'~//b~~'-'~ NOT~FY BUiLDiNG ,.,~:,~TMENT AT 765-1802 8AM '"' , ~,~ FuR THE FOLLOWING 1. FOUNDATION - ~:,',- FEC,J ~ED FOR POURED CONCRETE 2, ROUGH - FRAMING & 3. INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ REQUIREME~S OFTHE CODES OF YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ALL CONSTRUCTION SHALL MEEq~ THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 0 C~_ 0 n ~ ]HI 01 i'13/L'SA'OX3 O33LtJ1 SI $1t~1 ~ ~ 3BllI01~IS 3NO i'll0 gllI1B 01 ~ 3HI YB ]I~0N3TSI '/~ ~ ~ illt3o'0~ 310S 3.i ~ ~ ONg/SN~ 1W '/I~1 IH0~ilo~D WSO]:I Jt30411 O3DIIO~ 3~? S~0tI¥/LTI[3 01~ SI~W ~)O1J ]W IJ 'k--- 'k- < XW X W IHOI3H TllS lil~ ONIISJX3 HOIV~I Ol IPrgl3H ;W30V3H I~'IELI$ INSP~,,CTION REPORT DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING i ' (.~,,0 ,,'Jot INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDmONAL COMMENTS TOWN OF SOUTHO~D BUILDING DEPARTMENT ~ 971 ~:. www. northfork.net/Southold/ PERMIT NO. ExamiRed Approved Disapproved a/¢ Expiration ~///~"" ,201)7 BUILDING PEKMIT APPLICATION CHECKLIST Do you have or need the following, b~fore applying7 Board of Health 4 set~ of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~ bf~.d~Ad~. ~uilding Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. Tiffs application MUST be completely filled in by typewriter or in ink and submi ~tt~t to thc 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 premisis or public streets or areas, and waterways. c. Thc work covered by this application may not bc commenced before issuance of Building l%,~it. d. Upon approval of this application, thc Building Inspeptor will issue a Buildingpermit to the applicant. Such a permit shall be kept on the premises available for inspection throughout thc work. e. No building shall bc occupied or used in whole or in pan,for any purpose what so cvcr until thc Building Inspector issues a Certificate of Occupancy. f. 'Every building permit shall expire if thc work authorized has not'*commanced within 12 months after thc date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting thc property have been enacted in the interim, thc Building Inspector may authorize, in writing, thc extension of thc permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HF. aREBY MADE to thc Building Department for thc issuance Of a Building Permit pursuant to the Building Zone Ordinance of thc Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additiom, or alterations or for removal.~r demolition as herein described. The applicant agrees to comply with all applicable laws, ordinanccs, building code, houst'~ ~qde, and regg[ations, and to admit authorized inspectors on premises and in building for necessary inspections. -// ~t/. . t////~ ~ im~ture of aoolicant (~gnatur fapplican orname, ifa corporation) (Mailing addm§s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /-~ Pg, l~r'~&l,~ ,,~. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders LicenseNo. ~'f:~?-~---~ Lc/~F'~z Plumbers License No. Electricians License No. ' Other Trade's License No. County Tax Map No. 1000 Section Subdivision (Nme) Location of land on which proposed work will be done: Ho~e N~b~ S~e~ w H~et t~ Fil~ Map No. ~ 5 0,~ ~, ~,'~ ~" r State existing use and occupancy of premises and int~ded use and !ccupancy of proposed construction: a. Existing use and occupancy ~-~'e~,/-~77,,a2 C b. Intended use and occupancy 3. Nature of work (cheek which applicable): New Building Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars / Number of dwelling units on each floor Addition Alteration v/ Other Work (Description) (To be paid on filing this application) 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~'~-/ Height a-,~r Number of Stodes / Rear ~Z< Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimansions of antire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase ~//~'t/~f-O~-'° Name of Former Owner 11. Zone or use district in which premises are situated ,: t/YE) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO v//WiH excess fill be removed from premises? YES__ NO/(-/,,'9 14. Names ofOwner ofpremises ,~. a~,~,~'~ Address~t~,~'~.~ Phone No. ~:~/, Name Of Architect r"-~O/~j/( 4;'~7.(.E'~;./Z;~AZ-Y/_. Address/~7~/~/~,.~i~/t~'/- Phone No ~;$/. Name of Contractor /__~-r,.~/g,~: z~',,:~,,~ Address ?~'~tt~./'t'~'ff~-~,~ PhoneNo. ~/. ~.~ 7~,'~ 15 a. Is this pwperty 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 w/thin300 feet of a tidal wetland? .* YES NO__ * IF YES, D.E.C. PERMiTs' MAy BE REQUIRED. 16: Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at'l 0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUN OF ~"~'~ ~4.*/~' ~;-/~'~.. 4~--AU Z2>,,~ ~/' ~,, ' ~ng d~y swo~ d~oses ~d ~ys ~t (s)he is ~e a~lic~t ~e of infidel sing con~) above ~, (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. Notary p,,bllc, State Of NlwTtd No., 01D06095328, Suffoll CgptdY Tom F..Gim ,luly 7, 2Q .~. 2o f /~~licant