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Home My WebLink About45199-Z Town'of Southold 9/16/2020 P.O.Box 1179 o ,S 53095 Main Rd y Southold,New York 11971 I CERTIFICATE OF OCCUPANCY No: 41447 Date: 9/16/2020 THIS CERTIFIES that the building WINDOWS Location of Property: 5650 N Bayview Rd, Southold SCTM#: 473889 See/Block/Lot: 79.-2-8 Subdivision: Filed Map No. Lot No. conforms substantially'to the Application for Building Permit heretofore filed in this office dated 8/31/2020 pursuant to which Building Permit No. 45199 dated 9/14/2020 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"window replacement and electric service as applied for. The certificate is issued to Farron,Debra of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45199 9/15/2020 PLUMBERS CERTIFICATION DATED Aut 0 ' d ignature IY I "s�FFntx ' TOWN OF SOUTHOLD BUILDING DEPARTMENT y z ' TOWN CLERK'S OFFICE oy . o� ti 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#: 45199 Date: 9/14/2020 Permission is hereby granted to: Farron, Debra 50 Battery PI Apt 5E New York, NY 10280 To: legalize an "as built" window replacement as applied for. At premises located at: 5650 N Bayview Rd, Southold SCTM # 473889 Sec/Block/Lot# 79.-2-8 Pursuant to application dated 8/31/2020 and approved by the Building Inspector. To expire on 3/16/2022. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector a-1 Sine-- Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 1 765-1802 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'x$100.00 3. Copy of Certificate of Occupancy-$.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: S6� VyUr"�k ,e w LC! �U u iw I e, �1 y I/gr 7 House No. Street Hamlet Owner or Owners of Property: �r✓b r�G�.1—t�� Suffolk County Tax Map No 1000, Section_ 1 Block Lot Subdivision Filed Map. Lot: ermit No. 0 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ A wicant Signature ®�oF sovPy®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 ®lac®wn� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Debra Farron Address: 5650 N Bayview Rd city Southold st: NY zip: 11971 Building Permit#: 45199 Section: 79 Block: 2 Lot: 8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Glens Electric License No: 4770ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment, 40 Circuit Panel - 32 Used Notes: Service Inspector Signature: ,�-- l Date: September 15, 2020 p 9 S.Devlin-Cert Electrical Compliance Form.xls souryO� S S U AJ . � 5 # TOWN-OF SOUTHOLD BUILDING DEPt. coorm��'' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND" - [ ] -INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: en . l //i 14 to :�2 4!r--,&m DATE INSPECTOR �. r a a Wiz. �t.��. r.� �• 1'�� :r, S �Y .El . 1 PL Ji x s►.a ' s r .Y- i 3 i FIELD INSPECTION REPORT DATE CO1kIlYtENTS FOUNDATION(1ST) FOUNDATION(2ND) � y ' ROUGH FRAMING PLUMBING K. INSOLATION PER N.Y. STATE ENERGY CODE FINAL ADD .10NAL C91 MEN`TS- OR 4J , Ojj z /V - l V yV l J 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 , t 4 sets of Building Plans TEL:(631)765-1802 - } �Planning Board'approval FAX:(631)765-9502 ( I Survey. Southoldtownny.gov PERMIT NO. l9 check " Septic Form 1 Trustees f C.O.Application Flood Permit Examined -a 20 _ Single&Separate Truss Identification Form Storm-Water Assessment Form f Contact: Approved ,20_ i ','Mail to: Disapproved a/c Phone'-- s I i g Insp AUG 3 1 2020 _ APPLICA R BUILDING PER)YIIT Date ,20 131TI DING P� r. INSTRUCTIONS Iro aftfiid-al plication-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 avvailable for inspIction 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. •:t ' f.Every building permit shall expire if 1he: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,theuilding 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 Penrut pursuant to-the Building Zone Ordinance of the Town of Soathold,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. (Signature of applicant or name,if a corporation) _ 1 _ i (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder 4 Name of owner of premises , (As on•th'e 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 which proposed wgrlc will be done: ,5-b sm YJ I a4uJ�Fac d6 a rV1'L(� House Number Street Hamlet County Tax Map No. 1000 Section 1 Block Lot i Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intende use and occupancy ofproposed construction: a. Existing use and occupancy t ✓Z I (� V'� f / �;t' l I— b. Intended use and occupancy 3 Nature of work(check which applicable):New Building Addition Al eration Repair Removal Demolition Other Work -VJ 120-0tJ\1 fcpN� 4. Estimated CostFee (Description) GS 6O _ (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. tories8. 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 1\07'2' ��r/'"Address SicS0N �/d • te( PTione No. 6 Lib_3 3 -1659 of 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) COUNTY OF5JfT UK /� t Z.i h r PA- ro-Ir ro n being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the L&( —r (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 tefore me thi day of �U 202-6 TRACEY L. DWYER 2 r otary Public NOTARY PUBLIC,STATE OF NEW"ig re-of Applicant No.01 DW6306900 QUALIFIED IN SUFFOLK COUNTI( COMMISSION EXPIRES JUNE 30,21) 7 10TRUG l�lUG Its PARTI P�"1ENT, --:Edk' M, 1" , ry � tO p `-1 � V � � � J�'1�1 A{�'�I III�I�p9j�LS�1 , G- 1Iraj Y1 I � J TOWN T•Tumn H,AI AI n n,ex iMai'A i1RO:��d - IP0 ,0ox -11179 AUG 1 8 2020sou'lihoW, Nviv York 140,71-0959, r � - -7c e-Ie �-io,( .,31) 760JA,►O - FAX (631), 765-155012 , , Q_.I' _ I, W"�J I :( LI ,��E� 1 I ,I', I f~�� f l C7110Il ELECTRICIAN IIS FORMA I I II0N R .10:. - -- N"r,n Add re i 1 USI c.� ' No .T"^ — �T 'ins= - 018 SITE E I NFOR-MAT[ON IIA27 A- ys Add ;L..7 08 t] - $1 ��1 - k l i }�: Loi:; BRIEF DESCRIPTMG'+;I OF S _'.Ate` = -^- r _�•`�- - --- i"' I� ,C[rcite- All That Apply-. � 1 sitab resa d y •f•®r inTaF ction ►SES� N Re,u - h fru tina l - I'mu,G*d on, �°�tTI�N ��If�i�ri��l:gn: _ �e��.l,��l,'��fn':,:►�.� rr=e�u;r :l -- --- -_ -- - - - - ---- --- 11' Pe+ Scni:r=ei' - Fire Recr�E-inert= Pv,3d ,Pc,."0rinn!nct _,LSI'n naicA RKt7mm,ctf I 117rulf'r, ��r '.rwl►�l1ns , 11 �j��' 1� 1 2 H Fru mi c, Pala �."1cfk 'done on��r�ai a �` _�' tip I Irif��l'�ir il,�rrn' --__ — --= �OSUfF��.CO BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 CD CIO - Southold, New York 11971-0959 y� �p� I Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(aD_southoldtownny.gov seand( southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Ci LCeV`S r G Name: License No.: email: Address: Phone No.: JOB SITE 1NFORMATIOo _ (A�I_�nformapen Required) Name: _ Address: e D d Cross Street: Phone No.: ' Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: W 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 Seniice? Y N Additional Information: PAYMENT'DUE WITH APPLICATION r I ction Form As Request fonspenspe PERMIT# Address: Switches Outlets G FI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator 4 ' Combo Cooktop Transfer AC AH Mini Special: Comments. ILI ki ,6 3000 ° $CAP WOO ,094 N 0 �b 01 .' 6► .�•;Q . • 0 0�3° SAN NOTES' 7 moi . ■s MONUMENT SUBDIVISION MAP FILED IN THE OFFICE , OF THE CLERK OF SUFF049 COUNTY ON AUG,S1 1!Q t AS MAP NO. 4682• � Z II - SN*Wa REVISIONS YOUNIS YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK AL.DEN W. YOUNG HOWARD W. YOUNG PROFK801014AL 1ENGINKPIV AND LAND sU"VI ymr LAND •tfRV►YQP, N V n 61r Nt), j0m4g N r .i 1 Il`.. Nt;i, 4ait03 SURVEY FOR: KEVIN GIL13ERT a '+GEAGIANNA GIL13ERT LOT NO. 14 "SAIJAIRE ESTATES" AT MATTITUGK t;tJA"ANTKiVD to. IawH of SOUTHOLD I SUFFOLK CO., N.Y. By � scAt. :��t�40� °aT�'0CT. 15, 19,1a 1-623 Oy 04cs\ e foo Seri 5NMED APP9, vcl�) DATE-5 -2-01 FEE: -�Wkl) - .- AT MOTIF' -; -THE P:,A FOR oa FOLLO'.nJIN• -QUIRED TjVC) FOUND,'�',!"'N \ FOR POURED CohCRE tE 17 /�i S 2. pOUCH - FRANIING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE CONNIPLETE i=GR C 0. ALL CONSTRUCTION THE ON SHALL MEET REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR ,k)ctY(LSIGN OR CONSTRUCTION ERRORS. 00 —woo Sen. A cl-" CyLi) v Seel, e's woo VcMe-rIZ„ CC, p Ly WITH ALL C007--8 OF &I-OVIN GORES WFC MURK STP,-TF- OF cc o UPANCY OR AS,REQUIRE UjNLjl Soo— 70\NN ZB UNLAWFUL "'100 ARD � Z) LD7 PLkwNGBO sou7HO UK IS ERTI IFICATE 70%NlRusnEs V�,lTHOUT CSOUTNO OF- OCCUPANCY