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HomeMy WebLinkAbout44970-Z gUEOFI� �p Town of Southold 10/11/2020 P.O.Box 1179 0 C* ? 53095 Main Rd 04%0 �atit Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41533 Date: 10/11/2020 THIS CERTIFIES that the building HVAC Location of Property: 2155 Long Creek Dr, Southold SCTM#: 473889 Sec/Block/Lot: 55.-7-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/30/2020 pursuant to which Building Permit No. 44970 dated 7/10/2020 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"central air conditioning as applied for. The certificate is issued to Colbert,John&Wendy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44970 10/2/2020 PLUMBERS CERTIFICATION DATED horized Signature tf TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o SOUTHOLD, NY �,y'J1p1 � .Fa�fs4 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#: 44970 Date: 7/10/2020 Permission is hereby granted to: Colbert, John &Wendy 1 Lincoln Ave Old Greenwich, CT 06870 To: legalize "as built" AC unit as applied for. At premises located at: 2155 Long Creek Dr, Southold SCTM # 473889 Sec/Block/Lot# 55.-7-7 Pursuant to application dated 6/30/2020 and approved by the Building Inspector. To expire on 1/9/2022. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -RESIDENTIAL $50.00 Total: $450.00 Bu ding Inspector 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 Iocation 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 sliall 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 Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. � /Z 9q-) New Construction: Old or Pre-existing Building: (check one){r Location of Property: 2 �j ) b(/�G ek 1f S6040W House No. J Street Hamlet Owner or Owners of Property: (Z(keA - i Suffolk County Tax Map No 1000, Section S� Block Lot 7- Subdivision f, ! Filed Map. Lot: Permit No. —F ` Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ Sb ()�g Applicant Signature sov��®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlin(-town.southold.ny.us Southold,NY 11971-0959 sa° BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To- John Colbert Address: 2155 Long Creek Dr city Southold st: NY zip: 11971 Building Permit#. 44970 Section: 55 Block. 7 Lot 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect 1 Switches 2 4'LED Exit Fixtures Pump Other Equipment. Notes " AS BUILT, NO VISUAL DEFECTS " HVAC Inspector Signature: � t Date: October 2, 2020 S Devlin-Cert Electrical Compliance Form.xls TOWN Oi'SOUTi IOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEP%RTNTENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTI IOLD,N) 11971 4 sets of Building Plans TEL: (631)765-1802 PlannmgBoardapproval PAX:{631)765-95[12 Survey— Soil urvey Soil(holdtownnl. nv PERMIT NO. Check Septic Form N Y S.D E.0 Trustees C O.Application Flood Permit 20 � Single&Separate Truss identification Form J Storm-Water Assessment Form n o Contact: J't 4 Af C0110VZ? Appioved �" 20 15� - � Nail to:-1Aei"-0_LU 0E Disappro�ed arc-- in a 64 L11-i� -X r © / 0 —}— Phone:�Ld�'sU-iyt tr �o E�pu.ruoil _l _�_�__ .2n�� --Pi Building Inspector APPLICATION FOR BUILDING PERIVIIT 1 Date .20 7c4t.L -3 71 INSTRUCTIONS a This apphration,MUST be completely filled in by typewt iter of to ink and submitted to the Building Inspector w,:h 4 1tiftt ,aplot pian to scale Fee according to schedule. m f p af��i on,�howmg location of lot and of buildings on prenvses,relationship to adjoining premises or public streets or areas,and wateiways c_The wot lk covered by this application may not be commenced before issuance of Building Permit r'T l,d'!UPom`appaio%,al of this application,the Building Inspector will issue a Building Permit to the applicant Such a permit l shall be kt pr on the'pich ises available for inspection throughout the work. c No huildinR slhall be occupied or used to whole or in pall,for any purpose what so ever until the Building Inspector issues a C'UtifiCNIV 01Occupancy I Ever, budding permit shall expire if the wak authorized has not commenced within 12 months after the date of issuance of has not been completed within IS months from such date If no zoning amendments or other regulations affecting the ptoperty havo been enacted in the interim,the Butlomg Inspector may authorize,in writing,the extension of tine permit for an addition six niontht Thereafter,a new permit shall be required APPLICATION iS HEREBY MADE to the Building Department foi the issuance of a Building Permit pars umt to the Building Zone Oidin,ice of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Rc,ulattons,['or the construction of buildmas,additions,of alterations or for removal of demolition as herein described The applicant agrees to Comply with all apphcable laws,oidinances,building code,hot n code,and regulations,and to admit autiho'ized inspecloi,on premises and in building for necessary inspections (Signature of applicant or name,if a corporation) (Mailing address of applicant) D / P-7 State whether al�tcant is V mer, lessee,agent,architect,engineer,genet al contractor,eleetiician,plumber or builder Name of owner of premises, To L Vt (As di die tax roll or latest deed) Ifapplicant is"I Co .� atlon,signature ofduly authorized officei (lane and title of corporate officer) BL61Ceiti I_tccnse No Plumbers License No Electricians License No Othet Tradc's Licensc No I Location of It nd on which prop sed wort:well be one 1-1011se Number J Streel Hamlet i Couniv Tae M,ilm No 1000 Section J Block Lot f Subdivision Filed Map No. Lot 2. State existing use and occupancy of premi n intendeduse and occupancy o proposed construction: a. Existing use and occupancy pfd b. Intended use and occupancy 3. Nature of work(check which applicable):New Building_ Addition Alteration Repair Removal Demolition Other Work�2,r'1;/l��r/s G(/ 't�./STAL/� �-IIT-``�r(``Des r 4. Estiinated Cost Fee (To be paid on filing this application) 5. If dwelling,cumber of dwelling units Number of dwelling units on each floor If garage,n ber of cars 6. If business,corn tercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of exist' g structures,if any:Front Rear Depth Height Number of Stories Dimensions of same s cture with alterations or additions:Front Rear Depth Height Number of Stories 8. Dimensions of entire new co struction:Front Rear Depth Height Number of Stories 9. Size of lot:Front Rear Depth 10.Date of Put chase Name of Former Owner 11.Zone or use district in which premises a situated 12 Does proposed construction violate any zo ing law,ordinance or regulation?YES_NO 13.Will lot be re-graded?YES_NO Wil excess fill be removed from premises?YES_NO_ 14.Names of Owner of pi emises Address Phone No. Name of Architect ddress Phone No Name of Contractor. 1 dress Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a eshwater wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PE I ITS 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 dista es to property lines. 17.If elevation at any point on property is at 10 feet or below,must provi c 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 ) 3-6 h lan being duly swam,deposes and says that(s)he is the applicant (Name of individual signing(3ontract) boveenamed, (S)He is the (0 WN pC 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 tite work will be performed in the manner set forth in the application filed therewith. Sworn to before me this y day of f7C414 f- 2&0 P tic Signature of Applicant Cne f # TOWN OF SOUTHOLD BUILDING DEP p`ccourm ' 765-1802 - .-INSPECTION ' ,- , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 0 I..-- DATE -J( INSPECTOR ��� �OSUEfOt�-moo BUILDING DEPARTMENT- Electrical Inspector �O G� TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road,- PO Box 1179 N •'; - Southold, New York 11971-0959 y a� Telephone (631) 765-1802 - FAX,(631) 765-9502 rogerr{cr�syuthold townny.gov -- seand@southoldtownny- ov APPLICATION FOR ELECTRICAL INSPECTION! ELECTRICIAN INFORMATION (All Infor-ma-tion Required) Date: ; Company Name: A Name: License No_: email: Address: Phone No.: JOB SITE INFORMATION (AH information Required) Name: �a{�f'N C 0 L FV F Address: Cross Street: Phone No-: Bldg-Permit#: email: - WOO- - 'Block:lF: ----- -- --T-ax Map-Dfstdct:----- -----S�etton. ---- ----- - B - � Lot � -- BRIEF,DESCRIPTION O WORK(Please Print Clearly) COR I P2co, 0UsL-y---!N5 o r -- Circle All That Apply: Is job readyfor inspection?: �` 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: NS Zoo — PAYMENT DUE WITH APPLICATION Request for Inspection Form.xls � 4 � ��� �YG-( l� Bunch, Connie From: Bunch, Connie Sent: Thursday,July 02, 2020 7:45 AM To: johnjcolbert@gmail.com' Subject: Air conditioner Good Morning, RE:2155 Long Creek Drive,Southold Thank you for submitting the permit application for the air conditioner. The only item missing is the specs for the air conditioner or you can take a picture of the sticker on the unit and email it back to me. If you have any questions you can call me at 631-765-1802 or email. Best Regards, Connie Bunch Southold Town Building Dept. Bunch, Connie From: John Colbert <johnjcolbert@gmail.com> Sent: Thursday,July 02, 2020 9:57 AM To: Bunch, Connie Subject: Re:Air conditioner Attachments: 20180203_095226jpg; 20180203_095212jpg; 20180203_100107jpg Hi Connie, I was able to find some pictures of the unit from when we first bought the house 2 years ago. It seems that the unit was manufactured in Jan, 2000, so has been in place for roughly 20 years. Attached are three pictures of the unit. One is fuzzy, but the plate with the model number, mfg'd date, etc. seems pretty clear. Please let me know if these work for the purpose of the permit? Thanks again for your help. Hopefully the office shuts down soon so you can get a start on your holiday weekend? Please confirm your receipt of this email. John Colbert mobile 1-203-536-8511 On Thu, Jul 2, 2020 at 8:23 AM Bunch, Connie<Connie.Bunch n,town.southold.ny.us>wrote: Yes not a problem or you can look it up on line and print out the unit and mail it in. From:John Colbert[mailto:iohnicolbert@gmail.coml Sent:Thursday,July 02,2020 8:01 AM To: Bunch,Connie<Connie.Bunch@town.southold.nv.us> Subject: Re:Air conditioner Hi Connie, Thanks for your follow-up. We were just at the house yesterday,but will now be away for some weeks. Can I come back at a later date? Thanks in advance. John Colbert i On Thu, Jul 2, 2020, 7:44 AM Bunch, Connie<Connie.Bunch@town.southold.ny.us>wrote: Good Morning, RE: 2155 Long Creek Drive, Southold Thank you for submitting the permit application for the air conditioner. The only item missing is the specs for the air conditioner or you can take a picture of the sticker on the unit and email it back to me. If you have any questions you can call me at 631-765-1802 or email. Best Regards, Connie Bunch Southold Town Building Dept. 2 r � k66L APPROVED AS NOTED DATE: B.P.# FEE: D DE OCCUPANCY OR NOTIFY BUILDING DEPARTMENT AT 765-1802 8 A TO 4 PM FOR THE USE IS, UNLAWFUL FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED WITHOUT CERTIFICATE 2. ROUGHOUR pFOR D M a PLUMBING OF OCCUPANCY 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETF FOR G.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 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