HomeMy WebLinkAbout39432-Z Apt. 256 wb ' FF44, Town of Southold 4/14/2016
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Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38231 Date: 4/14/2016
THIS CERTIFIES that the building MULTIPLE RESIDENCE
Location of Property: 1205 Route 25, Greenport
SCTM#: 473889 Sec/Block/Lot: 35.-1-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/5/2014 pursuant to which Building Permit No. 39432 dated 12/19/2014
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:
Apt. 256 - multiple residence as applied for.
The certificate is issued to Peconic Lndng @ Southold
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-13-0009 2/19/2016
ELECTRICAL CERTIFICATE NO. 39432 3/31/2016
PLUMBERS CERTIFICATION DATED 3/31/2016 An I. y Cincotta.
Authorized Signature
TOWN OF SOUTHOLD
'$•;1:e elai:'*' BUILDING DEPARTMENT
4 :42;i,i,
TOWN CLERKS OFFICE
SOUTHOLD, NY
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BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 39432 Date: 12/19/2014
Permission is hereby granted to:
Peconic Lndng @ Southold
1500 Brecknock Rd
Greenport, NY 11944
To:
Construct a three story apartment building addition to an existing community center as
per Planning and ZBA as applied for
At premises located at:
1205 Route 25, Greenport
SCTM #473889
Sec/Block/Lot# 35.-1-25
Pursuant to application dated 11/5/2014 and approved by the Building Inspector.
To expire on 6/19/2016.
Fees:
NEW COMMERCIAL, ALTERATION OR ADDITIONS $34,886.00
CO -COMMERCIAL $50.00
Total: $34,936.00
$
Bu lung Inspect r
C1/4A," I do
Form No.6
TOWN OF SOUTHOLD
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:
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.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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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,Commercial$15.00
Date. 3
New Construction: Old or Pre-existing Building: (check one)
Location of Property: t 160(1-4 - 1:A(.0(-.6 0 Poo /LElf- -97f-1 NY I
House No. Street Hamlet
Owner or Owners of Property P *Pi C.- 1_6001 \ Al 46 vi
Suffolk County Tax Map No 1000,Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Sel s a_ Date of Permit. ) ) lq Applicant 9>"`e:_t4___tva -tL I ...L.C.frf9A4.-11)4-)
Health Dept. Approval: Underwriters Approval:
Planning Board Approval- '4/' 5_
Request for: Temporary Certificate Final Certificate _ (check one)
Fee Submitted: $ 17
,
41.7
Applicant Signature
uP ApiNam
;4,1277.,2.7,,,74,
ifl'J qf'
Town Hall Annex __ Telephone(631)765-1802
1 1 I 114E');
54375 Main Road Fax(631)765-9502
P.O.Box 1179 'cl) 4.7.
Southold,NY 11971-0959 ragerricheratown.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
Issued To: Peconic Landing
Address: SITE LOCATION
City: Greenport St: New York Zip: 11944
1Building Permit#: 39432 Section' 35 Block: 1 Lot: 25
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor DBA: Denco NY Corp. License No: 4827-ME
SITE DETAILS
Office Use Only
,......_ 1— _
Residential Indoor X Basement X Service Only
_ -
Commerical X Outdoor X 1st Floor X Pool
New
X Renovation 2nd Floor X Hot Tub
_ -
Addition Survey Attic X Garage X
INVENTORY _
Service 1 ph Heat Duplec Recpt li Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
1 _
Main Panel / A/C Condenser Single Recpt I Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt I Fluorescent Fixture Pumps
- - .
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
- ,
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: This certificate issued under building permit#39432 certifies that the electrical
wiring and equipment in this building have been inspected during and after completion of construction. Both the electrical wiring
Notes: and equipment comply with the electrical codes in affect at the time of construction.
Detailed plans and drawings for this building are on file at the Southold Building Department.
This building is a three story residential apartment building with basement parking area.
"1
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Inspector Signature: _
Date: March 31, 2016
Electrical 81 Compliance Form(1).xls
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BUILDING DEPARTMENT
TOWN OF SOU OLD
CERTIFICATION
Date: 3)3 111 (0
Building Permit No. 3
Owner:130. A
(Please print)
Plumber:14d 1 h r
(14ase print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
/-
(Flu /biers Signature)
2
Sworn to before me this 217,511
day of .6.1?rfCh
(C/Lit,,b1,114-- /kJ'
c, m ti_
Notary Pubic, V-01.1,1-- County
NOT,
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FAX: (631) 765-9502Survey
SoutholdTown.NorthFork.net PERMIT NO. Ar- Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:
Expiration 20
Building Inspector
APPLICATION FOR BUILDING PE' I T
Date
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 streets 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.
ekA)
iva5ofQ
(Signature of applicant or name,if a corporation)
-E- %E iSTtti 175 --rotovAl PJQ
;nit-- I 'MT NY /415g4
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
trUkt.- Co NTO-7,57-1 /Caiv_s_-pic71100 ,APPtoiPcbeq.
Name of owner of premises FE Lopm L-tki oi AT u-1- p
(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 License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
, • ,
b. Intended use and occupancy SAr r-'rfsavg
3. Nature of work(check which applicable): New Building / Addition / Alteration
Repair Removal Demolition Other Work
ii s(7 °°'
(Description)
4. Estimated Cost l• 4,410 (LN/ Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units I Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Ai/A
7. Dimensions of existing structures, if any: Front N/ Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front N/A Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories 5 57-De SoftrEpp of mocipfb bAitAbE
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO X
13. Will lot be re-graded?YES X NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises PW1Lt,/km Address/5Z) PX,RtArvoc,g 12,D Phone No. 19g)- /7"7 - OO
Name of Architect PIZrJ6EA-s-TA kr.) Address PS flFT4AvlNyI1PhoneNo _ 9LI3I
Name of Contractor tgivrsir.A..1--no,/ Address kfivt;57- treNitmrM/Phane No. , 6S - 291-1e10
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. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO '
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF/410vtot )
N W EL'50 1-J being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the C.PAi1qAt_77:4
(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.