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HomeMy WebLinkAbout44816-Z VZZr Town of Southold 6/25/2020 P.O.Box 1179 a " o - o ` 53095 Main Rd Southold,New York-11971 CERTIFICATE OF OCCUPANCY No: 41208 Date: 6/25/2020 THIS CERTIFIES that the building OTHER Location of Property: 645 Wavecrest Ln, Mattituck SCTM#: 473889 Sec/Block/Lot: 100.4-41 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/10/2020 pursuant to which Building Permit No. 44816 dated 5/28/2020 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"air conditioner as applied for. The certificate is issued to Bryan Jr,Robert&Lee,Jennifer of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 20-66804 4/28/2020 PLUMBERS CERTIFICATION DATED A o ' ignature �goFFut,��oTOWN OF SOUTHOLD Sao �y BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 44816 Date: 5/28/2020 Permission is hereby granted to: Bryan Jr, Robert & Lee, Jennifer 632 11th Ave S Jacksonville Beach, FL 32250 To: legalize "as built" AC unit as applied for. At premises located at: 645 Wavecrest Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 100.-1-41- Pursuant to application dated 3/10/2020 and approved by the Building Inspector. To expire on 11/27/2021. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 I_- uilding Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN FALL 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 / z New Construction: Old or Pre-existing Building: (check one)M j Location of Property: C,) eL ✓ e,�t `'k 't, l ` House No. 99 Street Hamlet Owner or Owners of Propert� Suffolk County Tax Map No 1000, Section Block Lot Subdivision l` Filed Map. Lot: Permit No. `(a Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ " ✓� Applicant Signature Certificate of Compliance ................................ ..................................... .................................................................................... ......... CERTIFIED ELECTRICAL INSPECTIONS, INC. 188 PARK AVENUE AMITYVILLE, NY 11701 P: (631) 598-5610 .... ..................................................................................................................................................................... CERTIFIES THAT Upon the application of Upon premises owned by Robert Bryan Robert Bryan 645 Wavecrest Lane 645 Wavecrest Lane Mattituck, NY 11952 Mattituck, NY 11952 Located at: 645 Wavecrest Lane, Mattituck, NY 11952 Application Number#: 20-66804 Certificate#: 20-66804 Electrical License#: Section: 100 Block: 1 Lot: 41 Building Permit#: Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Air Conditioning Equipment(4 Units) A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 28th day of April 2020 Name QTY Disconnect Switch -60 Amp, 240V 1 AC Condenser-30 Amp, 220V 2 Electrical Inspector,.Anthony Giordano _ `�•°t�R".........- . �•�_ This certificate is not valid unless raised seal is present. 3 �, __ '.. �vim• .' � 1 APR 2 8 2020 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) 765-9502 Survey South oldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D E C. Trustees C.O.Application x Flood Permit Examined 20 �U Single&Separate Truss Identification Form Storm-Water Assessment Form 6 Contact: Approved—qRy—20 02 Mail to: Disappioved a/c Phone: Expiration 20 -ao I��� - _ ---` BuAinPctorspe .= {,APPLICATION FOR BUILDING PERMIT Date 2020 [/ MAR 1 0 � 1 O , 20 Z� INSTRUCTIONS a.This applicatio'�U5-`I-`be;;,completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,aceuratt 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. (Z ,f(Sign�ireof aplpl�Lnt;� i oSname,if a corporation) G 3 (Mailing address of applicant) 32 7 y d State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /z, s 4 c-r I- P r y 4 v,.- (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. Lation of land on which propos%d wo1rk will be done: C House Number Street Hamlet County Tax Map No. 1000 Section Block Lot "l 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 b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ,r ,.� (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 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. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 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 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 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 ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH (S)He is the Notary Public,State of New York (Contractor, Agent, Corporate Officer, etc.) No.01BU6186050 Qualified In Suffolk County Commission Expires April 14,2Da-.D 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. Swor to before me th' J day of C�A 20c)-0 -72 Notary Public Signature of Applicant g�JfFo(,I-co BUILDING DEPARTMENT- Electrical Inspector 0 Gy TOWN OF SOUTHOLD ZZI Town Hall Annex - 54375 Main Road - PO Box 1179 0 CIO - Southold, New York 11971-0959 -14p, p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a"southoldtownny.gov sea nd(a).southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION (All Information Required) Name: 9 ( 1 6 -1 Address: Luzi v.e- C r C `� u Cross Street: S 4 Z' , a Phone No.: _)_ - '3 - Co Bldg.Permit#: j email: Tax Map District: 1E0' Section: Block: Lot: BRIEF DESCRIPTION ,9F WORK (Please Print Clearly) tit V%. , c y r 1` 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 Request for Inspection Formals r e � ^ ` A 2020 "74 lifv{v:�-^5��,(•�(lyi�ii'yf r)�f�,';. •~V1, 'Y)A 4;+L+;..f LG Life's Good �„j°::F}J V.^�,.=•���f�.-"5:.�.�ti'i"Vis .Zq..w APPROVED ASNOTED J - DATE: B.P.# l P ` r < t h FEE: BY =�3. BUILDINGr, 765-1802 8 AM `cPARTMENT AT . 4 t LLOWINGINSPECTIONS: TO 4 PM F E INSPE OR TH FOUNDATION TVv0 REQUIRE 'f'znxr R POURED U D rr RED CONC,,FTE r #fit FRAMING E LU ULATION MBING f=4,.• L� CONSTRUCTION, COMP E RU MUST ��.3 : . ,Z. LET OR C.O. w,�.�,_;::���•gip:,��-��.�^'= TIO ,;.,tom{ •. .':, NSTRUC N SHALL MEET THE OF THE CODES F NE TATE. NOT R 0 RESP Thr OR CONSTRUCTION LE FOR STRUCTION ERRORS. Y WITH ®RSTATE `gp�e AL CO�i� 1'\ !1T L, V 1 E & TO COC' ED AND STEES Spy r'�'rawss� ' Read this owner's manual thoroughly before operating the appliance and ` �•,,.,. 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