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Home My WebLink About44188-Z �o�g�FFU(,fc Town of Southold 10/1/2019 3 P.O.Box 1179 0 C* T 53095 Main Rd y,�,0 app Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40737 Date: 10/1/2019 THIS CERTIFIES that the building HVAC Location of Property: 21695 Soundview Ave., Southold SCTM#: 473889 Sec/Block/Lot: 135.4-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fled in this office dated 9/16/2019 pursuant to which Building Permit No. 44188 dated 9/18/2019 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: "as built"HVAC and Air Handler as applied for. The certificate is issued to Murphy,Rachel of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44188 9/24/2019 PLUMBERS CERTIFICATION DATED ut o ed ignature TOWN OF SOUTHOLD BUILDING DEPARTMENT z TOWN CLERK'S OFFICE �y • , SOUTHOLD, NY 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#: 44188 Date: 9/18/2019 Permission is hereby granted to: Murphy, Rachel 11220 Soundview Ave Southold, NY 11971 To: leghalize an "as built" HVAC and Air Handler as applied for. At premises located at: 21695 Soundview Ave., Southold SCTM # 473889 Sec/Block/Lot# 135.-1-7 Pursuant to application dated 9/16/2019 and approved by the Building Inspector. To expire on 3/19/2021. Fees: ELECTRIC $170.00 AS BUILT- SIN E FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATIO TO DWE G $50.00 otal: $620.00' Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY inc,* This application must be filled in by typewriter or ink and submitted to the Building Department with the follow A. For new building or new use: lines, streets, and unusual natural or 1_ Final survey of property with accurate location of all buildings, property topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). iters. 3. Approval of electrical installation from Board of Fire Underwrof 4. Sworn statement from plumber certifying multat h le�esid reser idences and siin tmilar buildings andinsta110ations,oa certificate 5_ Commercial building, industrial building, p of Code Compliance from architect or engineer responsible for the building. 6_ Submit Planning Board Approval of completed site plan requirements. uses, or buildings and ng" land B. For existing buildings (prior to April 9,a 957) on-loneso stmt ets building and unusual atu al or topographic uses: pogtopographic1_ Accurate survey of property showing property features. 2_ A properly completed applicatio ndatethe teas ns therefor in writing to the applicant.Certificate of Occupancy is denied, the Building Inspector shall C. Fees to 1. Certificate of Occupancy-New dwelling$5$50 00,Additions dwelling accessory bolding$50.00,Businesses$50-00- Swimming $0 00. Swimming pool$50.00,Accessory building 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. New Construction: Old or Pre-existing Building: / (check one) Location of Property: Street Hamlet House No. r— Owner or Owners of Property: _ j Block � Lot Suffolk County Tax Map No 1000, Section Filed Map. Lot: Subdivision Permit No. Date of Permit. Applicant: Underwriters Approval: Health Dept. Approval: Planning Board Approval: Final Certificate: Request for: Temporary Certificate 44cantgna heck one) Fee Submitted: $ �0 re ®�aOF SOUK,®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G ® iQ roger.riche rtCcD-town.south old.ny.us Southold,NY 11971-0959 ®lyC®UN N,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Rachel Levin Murphy Address: 21695 Soundview Ave City: Southold St: New York Zip: 11971 Building Permit#. 44188 Section- 135 Block 1 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 2 Range Recpt Fluorescent Fixture 'Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock 11 Exit Fixtures TVSS R - 11 11 Other Equipment* "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS" Notes- Existing meter and main electrical panel to house and second meter and main electrical panel to detached garage, 2-existing air conditioner condensers and 2-air handlers Inspector Signature: Date: September 24 2019 81-Cert Electrical Compliance Form As 1� TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502q Surve Yg I� y Southoldtownn ov PERMIT NO. Check Septic Form N Y.S.D.E C. _ i�, y' t-•�l Trustees C.O.Application E t; € 1 Flood Permit Examined 20 � Single&Separate SEP'RJ 16 2019 Truss Identification Form Storm-Water Assessment Form UxrA7Z Tf �R:l-fjlll� ��;�!I,�1 Contact: - Approved _,20 TR �; '1� OtY�ISI- Moik Disapproved a/c Phone: / qu'WcaJ Expiration 120 But mg Ins ector ( (Y/U _ APPLICATION FOR BUILDING PERMIT �' q Y O 5- / Date , 20 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,hou ' co e, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) 11�z.0 sou 1 Ayc-- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises �8Lam Rofow (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. 1. Location of land on whic proposed work will be done: �� Q�ys� �00 outoo ave- House Number Street Hamlet County Tax Map No. 1000 Section Iss' Block , �' , _ Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy fyj- m (:�J we , b. Intended use and occupanc Sa YYZSZ_J 3. Nature of work(check which applicable): New Building tion Alteration Repair Removal Demolition Other Work -haC Air 0L0� (De=nrW-f]::L n) Estimated Cost Fee �in Ac. 6 .(To be paid on filing this application) 5. f dwelling, number of dwelling units Number of dwelling,units on each floor I arage, number of cars 6. If bu 'ness,'commercial,or mixed occupa y, specify nature and extent of each type of use. 7. Dimenst ns of existing strictures, if y: Front Rear Depth Height N ber of Stories Dimensions f same struct re with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of enti w construction: Front Rear Depth Height Number of Stories 9. Size of lot: Fro t Rear Depth 10. Date of P rchase Name of Former Owner 11. Z e or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO 14. Names of Owner of remises U Add1ss Phone No. Name of Architect MtAddresAkNlo-AA -54MD416 Phone No 01 -63 Name of Contractor s-c0 Address Phone No. 6!�- 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 NOj,_ * 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 �(}) 1 l,U PAIA being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contr ct) above named, (S)He is the �(}�A'••Q (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 me this f(p day of j05A, 201 ovii Notary Public TRAGEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK Signature of Applicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2-ij9�— �u�Falk BUILDING DEPARTMENT- Electrical Inspector O TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 a° 1� Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 , c roger.richertcDtown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: - - - Date: - Company Name: Name: License No.: email: Address: 1 Phone No.: JOB SITE INFORMATION: (All Information Required) Name: Address: HA"0 Cross Street: Phone No.:No.: Bldg.Permit#: email: Fax Map District: 1000 Section: 134 Block: Lot: BRIEF DESCRIPTION OF WO (Please int��C�learl ) l/A C Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect - Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION o 1 �1 Request for Inspection Form-As (1 C/ AP ROVED AS NOTED CopLY WITH ALL CODES 01: B � OFD ATE: NF-W YATE &TOWN CODES AS REQUIRED F ;� BY:.�NO �°BUI' D DL-P,ar� ENT SOU? BA 765-1802 8AM TO 4PU FOR THE S THOLD TOWN PLANNING BOARD FOLLOWING INSPECTIONS: SOUTH TOWNtRUSTEES FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Nm.YSs.DEC 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR CO. ALL CONSTRUCTION SHALL MEET THEOR REQUIREMENTS OF THE CODES OF NEIN/ ~ YORK STATE. NOT RESPONSIBLE FOR jQE IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. °,,AdTHOUT CER 16FIC � ELECTRICALINsp=oN REQUIRED OF OCCUPANCY q.r .r, • . f y t1 i"�..x[�.rta ..< .,..ir �P'rd13±7' .,(.. yX.:�ti�.�tr t t -• «`�_I' �;. 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