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HomeMy WebLinkAbout45481-Z �O�g�FFQ(k 1o�' Town of Southold 12/21/2020 y� P.O.Box 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41703 Date: 12/21/2020 THIS CERTIFIES that the building GENERATOR Location of Property: 24850 Route 25, Orient SCTM#: 473889 Sec/Block/Lot: 18.-6-5.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/10/2020 pursuant to which Building Permit No. 45481 dated 11/23/2020 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: accessory generator as applied for. The certificate is issued to Stevenson,Thomas&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45481 12/8/2020 PLUMBERS CERTIFICATION DATED -�I-N �)�� Authorize Signature S��Fnc�r TOWN OF SOUTHOLD BUILDING DEPARTMENT c A TOWN CLERK'S OFFICE o • 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#: 45481 Date: 11/23/2020 Permission is hereby granted to: Stevenson, Thomas 24850 Route 25 Orient, NY 11957 To: install generator as applied for. At premises located at: 24850 Route 25, Orient SCTM # 473889 Sec/Block/Lot# 18.-6-5.1 Pursuant to application dated 11/10/2020 and approved by the Building Inspector. To expire on 5/25/2022. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $235.00 kileing I ector o��pF SO(/l�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 0� ® i0 sea n.devlin(c�town.south old.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. Thomas Stevenson Address: 24850 Route 25 city,Orient st: NY zip: 11957 Budding Permit# 45481 Section: 18 Block 6 Lot: 5.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Shore Power Elec. Cont. License No. 42536ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Generator X New X 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 Transfer SwitchUC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED El Exit Fixtures F1 Pump Other Equipment: 22kWGenerac Generator w/ 200A Whole House Transfer Switch Notes* Generator Inspector Signature: �� Date: December 8, 2020 S.Devlin-Cert Electrical Compliance Form As i 55 Z � pE SOGIy�� # # TOWN OF SOUTHOLD BUILDING DEPT. Ioo765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]- ROUGH PLBG. [ ] 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: NOAjAite C211 AIUMIAV� - g- 0A DATE INSPECTOR TOWN OF SOUTHOLD–BUILDING DEPARTMENT Ca Gy= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �y�• aQ�� Telephone(631) 765-1802 Fax(631) 765-9502 hgps://www.southoldtomm..gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only � PERMIT NO. q6q�J— Building Inspector:_ ector. ' �t, - NOV 1 0 2020 Applications-and forms must be`filled out iri their entirety.,)ricomplete' applications"will',not,be accepted. Wher`e,thd�Applicant isnot the owner;an 4 awneei'Authorizattdri form_ (Page 2)'shall be completed: '� � ° ' 0 v �7�r4�iy riT IOLD Date: Rooto O1IVNER(5)OF'PROPERTY: Name: SCTM#1000- Physical Address: — - ,*iJN—R-0AJ 046,15N_ -=N Y 1/75- Phone /95Phone# Mailing Address: CONTACT PERSON: ' Name: Mailing Address: �-� AJa� W E<<N = o - �.� -9,-Cr-c.As 111 r.—/_L _3!� �0,3/—SAX_6 73 C1. Email L� Phone#: -, DESIGNrPROFESSIONAL INFORMATION: ; Name: C Mailing Address: _ Phone#:4. 3tF— ttpAc� Email:k� wCRI�/eGTh?+�c.-GoK CONTRACTOR INFORMATION: Name: Mali ftg Address: Phone Email.-.#_�e3.1-395^�toot�n /a, amER�leC-7Ric - DE CRIPTION OF-PROPOSED CONSTRUCTION_ El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: %Otherso-F oUKw Sht Y g,FVLR&� $ ��84> • �o Will the lot be re-graded? ❑Yes E4AIO Will excess fill be removed from premises? ❑Yes ANo 1 PROPERTY11NIFORMATION Existing use of property: Intended use of property: e- -- -br �- Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes WNo IF YES, PROVIDE A COPY. ❑,Che&,Box After Reading:11 owner/contract f/deign professional is responsible for all drainagiand`storm water issues as proidded by Chapter 236 of the Town Code: APPLICATION IS HEREBY MADE to the Building Department�for_the issuance of a BuildingaPermifpursuant to the Building Zone, Ordinance of thaTowri of Southold;suffolk;`County,New York and other'applicable laws,Ordinances or Regula"tions;fog the construction`of'buildings; additions;aiteration's or for removal ordemolitiorias herein desciibed.`The-applicant agrees to'comply With all'applicable laws,�ordiiiances;building coder' housing code and regulations',and to admit authorized inspectors on premises and in buildiing(s)for necessaryinspections.False statements,rriade herein are =punishebl"e as"aClass A misdemeanor pursuant to section 230:45 of the Neuf York State Penal Application Submitted By(pri name : /.pu,ji-fS RS(Authorized Agent ❑Owner Signature of Applicant: Date: lr—Q-24 ZO STATE OF NEW YORK) IVY COUNTY OF LacA4.S Dr-S ,y`!S being duly sworn,deposes and says that Ohe is the applicant (Name of individual signing contract) )aabove named, As 4)he is the sig7 (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/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of / V tw V- . 209-0 Notary Public q',f blee$1210 Of rwyw 0'o01640594kSd/oikc PROPERTY OWNER AUTHORIZATION _Cama�Exsioo Expires MarcA 20� (Where the applicant�is not the owner) Ptd A 4P os 440, residing atAgjT0 H i�(RJ., Qgf:&i4 j Iy /�QS7 do hereby authorize koas to apply on my be a f tote own of Southold Bu ilding Department for approval as described herein. 006-<V� /I-?- Owner' ignature Date Print Owner's Name 2 + q�FFftt � BUILDING DEPARTMENT-Electrical Inspector ,:S QG TOWN OF SOUTHOLD 01*4 Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631),765-9502 „roaerrCa�southoldtownny.gov sea nd0-southoldtownny-gov. ~ ` •- -- - APPLICATION FOR ELECTRICAL- INSPECTION. ELECTRICIAN INFORMATION (All Information Required)' Date: 8-020 Company Name:- S ho AE ._Pa wm G/P_c Ai C,+1 C°o w7�RACokq .Z_ ',!C• - - Name: N i r h-aLts D '�M�C0 License No.: df A 536 M E email: N ir,K@ SIIoRe co�RE c i s . co/►� Address: wr—f v 9A-A-u#4;*-A, C Rmoacchaz 14 117.5* Phone No.: JOB SITE INFORMATION (All Information Required) Name: - Address: �Lt S,j`o /�/�tiw a,g,cl OAS,eW •j / _ S 7_ Cross Street: Phone No.: 3/-3a 3 Bldg.Permit#: L4 ex(20 email: A Tax Map-District: 100 Section: I_ __ _---Block: (o ,_ Lot: S. BRIEF DESCRIPTION OF WORK (Please Print Clearly) ,4//i4ou a.� ,KW E1JElekC .G`ENP_RAfoR 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 Lateral's 1 2 H Frame - Pole Work done-on Service? 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