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HomeMy WebLinkAbout45926-Z fat/( �o�oSu coGy, Town of Southold 6/21/2021 P.O.Box 1179 C* _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42103 Date: 6/21/2021 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 270 Knoll Cir.,East Marion SCTM#: 473889 See/Block/Lot: 37.-5-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/27/1989 pursuant to which Building Permit No. 45926 dated 3/15/2021 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: reconstruction of a single family dwelling with unfinished basement and front and side stoops as applied for. The certificate is issued to Lagoon Lodge LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45926 6/16/2021 PLUMBERS CERTIFICATION DATED 6/11/2021 C ries E T o t r 0 d Signature o�oSUFFat�,cTOWN OF SOUTHOLD o aye BUILDING DEPARTMENT y x 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#: 45926 Date: 3/15/2021 Permission is hereby granted to: Lagoon Lodge LLC 1604 Bryan Ave Ocean, NJ 07712 To: Reconstruct and alter existing one family dwelling as applied for. Replaces BP# 18707. At premises located at: 270 Knoll Cir., East Marion SCTM #473889 Sec/Block/Lot# 37.-5-14 Pursuant to application dated 3/15/2021 and approved by the Building Inspector. To expire on 9/14/2022. Fees: PERMIT RENEWAL $137.33 Total: $137.33 BuilTing Inspector FORM NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) �. N 2 7 0 7 2Date .......A1........... .. Permission is hereby granted to: . .L ...... ........................ ....,3c��,...... `.....fid......................... ..... . r.........!L?.... :..... to ..1�s .4s? st,c ...f... .... ,t... .. ...I...a... �...... ..................................................................................... ... ..................e......... at premises !orated at ..a. .. ......... M ...... -Cil -.......... f �.......'.'.1. '."?..... ................. I:o,R.A�.... ....... ....... ................. ................................................................................ �.... Q. ... . ................................................................................................... County Tax Map No. 1000 Section o 3.7....... Block ......q.C..... Lot No. ..... .......... pursuant to application dated ..l— .C; .....L77.............. 19�l , and approved by the Building Inspector. Fee $..�. :. ��. .. ... ..................... ............. Bw ding Inspector Rev. 6/30/80 of sov��®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlinCa�town.southold.n us Southold,NY 11971-0959 y' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. Lagoon Lodge LLC Address: 270 Knoll Circle city:East Marion st: NY zip: 11939 Building Permit#: 45926 Section. 37 Block: 5 Lot: 14 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 X Service Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Surrey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 34 Ceding Fixtures 5 Bath Exhaust Fan 2 Service 3 ph Hot Water GFCI Recpt 5 Wall Fixtures 4 Smoke Detectors 3 Main Panel 150A A/C Condenser 1 Single Recpt Recessed Fixtures 13 CO2 Detectors Sub Panel A/C Blower 1 Range Recpt Ceiling Fan 4 Combo Smoke/CO t� Transformer UC Lights 1 Q' Dryer Recpt 30A Emergency Fixture Time Clocks Disconnect ri Switches 27 4'LED 4 Exit Fixtures Pump Other Equipment: Hood, Fridge, Oven, DW, 150A Panel 30 Circuit- 27 Used Notes* " AS BUILT NO VISUAL DEFECTS " Two Story House w/ Basement Inspector Signature: c , Date: June 15, 2021 S.Devlin-Cert Electrical Compliance Form.xls S 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD jUN 1 1 2021 CERTIFICATION Date: d Building Permit No. 4L 2' eaKL42j,1 A&>/V, (Pleas print) Plumber: �'/LN/ � YA (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. (Plumbers ature) Sworn to before me this W day of QVI 2 Q--eJ Notary Public, 'M-N�—coul4ty SARAH VINDIGNI NOTARY PUBLIC-STATE OF NEW YORK No.01VI6212159 Qualffied In Suffolk Cw* MY COMMISft Expins Octft 13,M).-I L � t�07n�s THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 NOVEMBER 19,199th ��3H5?J�)I1/3t� Fd 1t;:15°i s, M Date ' Application No.on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of GRANT LENNOX, 298 KNObb CIRCLE, EAST MARION, NM1�. in the following location, El Basement [�] 1st Ft. R 2nd Fl. ATTIC/011T Section Block Lot was examined on NOVEMBER 12' 1.990 and found to be in compliance with the requirements of this Board. 3 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS x� RECEPTACLES SWITCHES j OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT K W AMT KW AMT KW AMT KW AMT H P Ck 35 49 43 35 1 t-2 F F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS e SYSTEMS AMT K W OIL H P GAS H P AMT NO AWG AMT AMP AMT AMPS TRANS. AMT H P NO.OF FEET AMT WATTS 2 2 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP TYPE METER ,•2W ,9 3W 3 0 3W 3,0'4W NO OF CC COND A W G NO.OF HI-LEG AWG NO OF NEUTRALS A WG EQUIP• PER.0- OF CC COND i OF HI-LEG OF NEUTRAL I 1 5 0 C13 .1 xTJ OTHER APPARATUS: ?1J0Tt_'>R5.1 1.a0 ELEC pJLyR HEATERS '1 AryERS• , (-4,5 R ,Y . >w a� w SA.LVATORE C. PRATO ITC. 1049E W[GGINS LANE R.R. BOX 208 GENERAL MANAGER GREENPORT, NY, 11994 1 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 15 COPY FOR BUILDING DEPARTMENT. THIS COPT OF CERTIFICATE MIDST NOT BE ALTERED ON ANY MANNER. �D V�� ��v 765-180 ' BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [FRAMING ( ] FINAL REMARKS: -A-will 1A i DATE INSPECTOR 765-18®2 BUILDING DEPT. INSPECTION [FOUNDATION 1ST [ ] ROUGH PLBG. [ mrFOUNDATION 2ND [ ] INSULATION [ ] FRAMING ] FINAL REMARKS: v -4 azdim CL-od e DATE ' INSPECTOR /' '� 1 e70 ;' 70-1802 BUILDING DEPT. INSPECTION [ FQJ NDATION 1ST [ ] ROUGH PLBG. [ -FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( ] FINAL REMARKS: (X DATE �s119e INSPECTOR �j 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( ] FIN/►L REM KS• .o- Ir DATE INSPECTO / Q 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [Vj FRAMING [ ] FINAL REMARKS: T DATE CP �� � INSPECTOR 765.1802 � BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [/] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE � ,D INSPECTOR 9& q�q �aOF SOUTyO - * # TOWN OF SOUTHOLD- BUILDING DEPT. ao °`ycouhm�� 765-1802 INSPECTION ' [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ],JNSULATIOWCAULKING [ ] FRAMING/STRAPPING ] FINAL [ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O MARKS: flvm6#w �o�d�•� - � ✓ �vl a� w �rv�. - H o4ml� AW qb< I Q, s;r-i sAlit,- DATE Yq 1104INSPECTOR pF SOblyo� # TOWNOF OUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION,2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION f `] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) V [� ELECTRICAL (FINAL) [ ] CODE VIGLATION [ ] PRE="C/O REMARKS: �� [- QlZ4s- '� <n' p� DATE INSPECTOR �- .. OE SObTyOlo /1 "7 # f T N OF SOUTHOLD BUILDING DEPT. °`ycourity��'' 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 rl PRE C/O REMARKS: t �I � 6sdvre c� cJas-e got r DATE S! INSPECTOR 4 y - yaw .0 �y a. - Nail Sm + 44 E A � ' aY p „ x 1 0 ?021 rrc yrs b r � r 3 �v, � x �4 3 � iw r a �d. y pp t F a \ y : yy\/�/\\� \yyy\, ����� r\�\�%yv� � » � � � \� \\��»�y�k : ��«f+�,z »r z e• : � �2>»:« ° . d y?<t» ���2 d� d? � � « - . »y.\/y .. »� »§ : » , <��d»w : � : � < ./\\?�/\\ : v: w<,�». . � © «»+yy w w � . � . . ««< . � . .ww © . >� � , . . <?. . . . : y:.. . . ^�© � .�y>2�r . . ;��. � : . . \ 2d2���?` /\\ �2/��� : � ^ � \ . \ � < d � : \ � �© � . . \ ; /\. . ` 2 �\ \ �� \�: \�/ : . <� .y . � � <»d �, >� : . : .� ..�� � ^ ? ƒm^. ./� � ��� � ��` u. li :. ,� � A k R �t �� . � Ilia ' {�`;W t �Y; If,��� '� rt i ` � '�U... a a'` -- ' t g � � 2 �� e � �� d �� � - ... �, � - �x ��� �. v� � � �. o � ,� 4� �A }r, Y�€S:m hp ., :�,, `� ,,_. �� .4�::` . _ � . �� �. � � Wim.. � � � Y��C ` d"r. 1 cc M �C H Ln N W ;R UJ unN m W w ..J w _ �f s � l 1 + Z I t a 'p �N . CCO SST �Y q � � � a 3t� IN r„— J ................... � �K. n- fir• y ' e ' _ R �r• c a � . • M � Y X. x r. i f ,. � � • �I' ' � r r FAMAS �i '� - ✓1 r: ,� �r � '.A i" 1/ sem J l / ` ' i �I��"i�/1'� , ' �, ,,�:ter • ti �. i_ • _ S • i 11it � r. r 1' v % ., •_ • BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . FORMN0: 1 SURVEY . . . . . . • . . . TOWN OF SOUTH OLD CHECK • • . BUILDING DEPARTMENT SEPTIC FORM . . . . _ • . . . _ . _ TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY y TEL.: 765-1802 CALL . • . . . . . . . . . . . . . . MAIL TO : Examined . .�-:�• ., 19 . Permit No. 1.$.1.4. .z1. Disapproveda/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • � i • • • • • • . • - _` (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . •O)e-C.. . . . . . ., 19 INSTRUCTIONS 4 a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building ert Inspector will issued a Building Permit to the applicant. Such p :ii 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, buil code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins ec ns. • . igna ire of applican or me, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises • ! '•%� (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other-Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . House Number Street Hamlet • . County Tax Map No. 1000 Section . . . . .��. . . . . . . . . . . Block . . . . . . ... • . . • . • • . • • Lot . . . , • , , • • , , , • . Subdivision .��'�/ �f �J2r� s�d��S �7� Filed Map No. � ��.�. . . . . Lot . . . . . . / (Name) . . . �. . '_'. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . .g—e,s • • • • • • . . • • . • • . . . • . b. Intended use and occupancy . . . . . . . . S.z. . . . K. .e.�. . .-T. , , , . . . . . . . ._.;;. . .d-. . . . . . . . . .' ;. . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . . . . . . . Alteration .,X , Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . ... . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . , , • , • Z © (Descriplion) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . 0. . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage, number of cars . .!upf.7.4. • . . . , . , , , , , , • _ 6. If business, commercial or mixed occupancy, specify nature and extent of each•tyype•of use . . . . . . • . . • • • . . • 7. Dimensions of existing structures, if any: Front . . . .23�� . . . . . Rear .za . , , , , . Depth Height . . . . . . . . . . . . . . . Number of Stones . . . /.!�? • • Dimensions of sam structure with alterations or additions: Front . �3: . • • • . . Rear z ,, • . Depth . . :?, Sf�. :.�: . . . . . . Height . . . .�. . . . . . . . . . . . Number of Stories . ./.��. t . . . . . . . : . . b Dimensions of entire new construction: FronRear .?3�.-`�'L. . . • • • . Depth Height 2.�, . . . . . . . Number of Stories . . . . . .1 12 . 9. Size of lot: Front . . .7-.° Rear . • ' ; ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:63 . . . . . . . . . . . . . . . . Depth 10. Date of Purchase . . .A` 2.. .. . Name of Former Owner 1 i , 7.one or use district in which premises are situated . . • . :, U 12. Does proposed construction violate any zoning law, ordinance or regulation:• N�?`. ! ,n�`, , /��azrJjr�• •G• j3. Will lot be regraded . Will excess fill be re ed from premises: Yes NN 14. Name of Owner of,premises 1V L¢ a1hdyc Address Sys , , , Phone No. p!-�3Z- 8��� Name of Architect . . . . . :tom/�, , . , , , . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . Name of Contractor . . . . . . . . . ..sed , , . Address • . Phone No. • . . . . . . . • • . . . . . • 15. Is this property located within 300 feet of a tidal wetland? *Yes No . . . . *If yes, Southold Town Trustees Permit may be re-qu,,ired. PLOT DIAGRAM s Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether anterior or corner lot. )TATE OF NEW YORK, S.S �0UN'TY OF . . . . . . . . . . . . . . . . . . • • • • • • • • • • • • . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) cove named, isis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.). . • • • • • • • • • • f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication: that all statements contained in this application are true to the best of his knowledge and belief;and that the ,ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . . . . . . . . .day of. . . . . .O,G� . . . . . . . . .. 19 � otary Public, . . . . . .V:4.m/. .R: . . .01:Alt . . . . . County HELEN K.DEVOE `. `(. :: . . NNUARY PUBLIC,Stag of Nlw Y'k . . . . . . . . . No 4707078,SMIkIountyq. . (Signature of applicant) Term,Expires 6uO 30,IM IV 4 TRUSTEES SCOTT'L. HARRIS Supervisor John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. Town Hall, 53095 Main Road John L. Bednoski, Jr. P.O. Box 1179 John B. Tuthill Southold,New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone(516) 765-1800 Januar., John H. Geidemann lip Box 416 JAN 3 East Marion, NY 11939 Ep., L) 8L Re: App. No. 10-6-89-37-5-14 /Lennox WIV C)G.p S T%to Dear Mr. Geideman: The following action was taken by the Board of Town Trustees during its regular meeting held on January 25, 1990 regarding the above matter: WHEREAS, John H. Geideman on behalf of Grant H. Lennox applied to the Southold Town Trustees for a permit under the provisions of the Wetland ordinance of the Town of Southold, application dated December 4, 1989 and, WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on January 25,1990 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, -WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT RESOLVED that John H. Geideman ON BEHALF OF Grant H. Lennox BE AND HEREBY IS GRANTED--PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct a 651 bulkhead ten (10) feet back from existing, adjacent bulkheads (as explained in Alternative #2) . Property fronts Spring Pond at 296 Knoll Circle, East Marion, NY. This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid, if applicable, and permit issued within six months of the date of "this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: This permit could be reconsidered as a Type I action should you request to amend your permit to Alternative #4. Very truly yours, A John M. Bredemeyer, III President Board of Town Trustees JMB: jb cc: Bldg. Dept. Conservation Advisory Council file h BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York,11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Name: License No.: email: Phone No: ❑I request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) / Name: LQ 00 4 �,®� G' / mean 441-1.1414V Address: Vvio l CI rca /� .Cross Street: Phone No.: 702-62® Bldg.Permit#: email: eAH c ap low iI e o w Tax Map District: 1000 Section: Block: Lot: - If BRIEF DESCRIPTION OF WORK (Please Print Clearly) Check All That Apply: Is job ready for inspection?: [AYES ❑NO ❑Rough In [Final Do you need a Temp Certificate?: ❑YES []NO Issued On Temp Information: (All information required) Service Size ❑l Ph ❑3 Ph Size: A - #Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead ----#-Underground-L-aterals--❑1—❑2---❑H-Frame-❑Pole----- Work done-on-Service?❑Y---❑N ------ Additional Information: PAYMENT DUE WITH APPLICATION \ 0CLp Electrical Inspection Form 2020.xlsx �\ �� � K/ j J PERMIT# Address: ' Switches Outlets GFI's � - i. Surface � "�.�. _ _ �..�. -- .4 __... �._;<.-.:. :�;_;._ ��_ :_ ;._ ., �.._ . �. .' - .:. „ J=.� •�. _ .,. . '_, �• ., Sconces H H'sf UC US Fans Fridge HW Exhaust ,� 1 Oven Dryer Smokes � � � _.Service" Carbon• -_�-.-�.,__.� _...�__._._,._. -._.._ ._.v_�__.Micro__._,_-_._ .__� _._._..a._. ,.__m_________ _____ _ ,Gerterator - •�:i°- ° ^F Combo x; _.: Cooktoo ;r ° Transfer �• : ��::� �-���, AC AH Special: Comments 3{`V `�rl �( •Hyl u' T � j JAN 6 19g 1 � ^ BLDG v'DE .� TOWN OF SOUI-HOLD RODERICK VAN TUYL, P.C. 218 FRONT STREET GREENPORT, NEW YORK 11944 516-477-0170 TO Victor Lessard DATE January 12, 1990 Southold Town Building Dept . Town Hall SUBJECT Grant Lennox Southold, NY 11971 Dear Mr. Lessard: Enclosed is a revised print of the property survey we made for Grant Lennox at Gardiners Bay Estates . We had previously miscalculated the distances from the house to the easterly property line . The map has been revised to show the correct dimensions . Copies of the map have been sent to Mr . Lennox, and he asked us to forward one directly to you. Sorry for the error and inconvenience . Sincerely, Colin Van Tuyl CVT: sjz cc : Grant Lennox i Item{t.11-5N72:D Wheeler Group Inc 1982 FOLD AT(—)TO FIT DRAWING BOARD ENVELOPE p EW10P .O l A R bI.`R 1 "..O / LJ� d. r Q 7p �Z 0 Tx 3 7— 5— i¢ �1 MAR 15 1990 sL p�Ov ?'--Lt o/(c� /(/,/ ��/ 7/ TOWN_OF O / ,Zg�a� AV, f�aS O Ulmi/�-c �n de po-of-�-//a•7 FA�- Jo� f QGe- �49 � 4- Are u) IS d V � I c JUN 1 0 2021 171 ktiq/ f ONdl . ep �o d x-40 `-7® Z l let. 1 �. �• LA4:;oo w LODGE PMD REVIS OW ' SH4NIIW& PI�Q-PWFP DEC K, MAP_1211990 -(TWO SHEETS) T6x Map Va+aZLJ r k oS t'3� _S ( ` c�fJ' v 1n �7o Ile �' s. t3vilch � 4°08, hii�f't1 •1 � 9 ` 3.39 1$O.7Q. "La 2 sty 5uvyxy d-a+eco goon D`" (3R `fan Tuyl ,P.C. ��•� Am 2nd¢d Jan.S, f 990 •s , •�= �$3' 3" P . t of �YQPOS2cl Drc k QwgHI?I•q to bQ tQhuIl$ holdin axk"thig GU N& Connor: a;% per 5ur ve y p ii Lata exi3-f7ng CootTeInt, QxcQpt v-¢visinq nort�-i u.Ysll as sh6wn). Ra-Lain all usabfc Portions 1-14" P L O T PLAN �as->r �✓la�-cam , Z - � 2 i i Ix 4-L z.o`-c haat Ma�r�o�, ��i2�� 59 p �cvufh�ld F �Y MAP) cp PR do IL VA i i 4 `OAC f Cj O r i '�-ODIC, � C �' ,7.5-- NO- --_-__--_•-- LO l 7�_. lV �Sc•n�� � � ... ;J�_t ! �-/i,. .,.. -.�-J_t�,;,,^f_t t 1`�- - - - ~j! _..�.�`- -- � �. "• t to � � a -- --- � -- •— r is� t''`}�..,r�•' !' r j' ';C: >� _'N , �l W l -Q�Cj i� ,� I .t_- �r ••r'a I,,,a t •"> ,-- a y� \ •- s - ,v ` ` L F_�� ,r�fy ` ��A t�_ ✓ p. ' ! I�/ti� 37 �� ( ., _ — -- ��of >�1,�, rin _j r` - i ti .01 rip I ( 3•a n 2w 4 _ 1 � s z 5 �? 30 - LAMD �` } 6` V%1 t rFTa+-?'estrsY el^ere*ion or steel ion ---� {.^tio:n c�rn.eev IS r!Vi^se'tlC+51 of �J Ssauord 72("� of the New York SUM,d - F',lucatiori Law. i AT !, t� C7 eV 4 f �.f�1�i`S ��i r`' ;AP21L 4, 1990 i ir��s� `r'+(?0 j E mels tc afi psis Mans r!D not l2 rin !. i —— -` r J`'= tt• 1ho land sumeyor'a inked sea!w BUL(l� >=ia C7 ''� GQU_ •n,. embwead seal shall not be considonA i a! � to be a vilid true copy.�� ?i i vrATE? ¢ E1/, Guarew,E Q Mowed her M€!sail nn,14 , 1 '�- g to Harrperson flor whom th®:^z+nroq' f :' ':''_1 t--' i.:y DF.,., i2 '- ?rr It preparac',and on V43his behalf to � �" _ ! n Cr �j4. s 3!t!e cc�rnl± ny,go��ernsnantal a Remy ansf ;� i lending ine.itution listed hamon wd L i \ to the se6g,was el the lad ding inrt!- _\ turion.Gdvrartses nre not tranaiorahle v 5q a. \ % toadditlola;institutions orsubmuerd t 1 Oci i 'r _ �ts;: 1 MAY VA BLDG. DEPT. TOWN OF SOUTHOLD --r/ 33 7 S7- C7. 9 MAP r J E P Syn e a o _ CCh HiQ 1 � _ ru �� ! �. !! t - • _.„�,t'�:�;.t•`5:.--�° 1 N�� �J�W ` � 1 . f : s ( �1 r" I j7 ��L�O� � ,� R1 6:'Rte, nvt iY Jt4`e .�P�S.0��s �:1.,! �. f�L_.��1'„'* � .a 1• �y,t tss� ' ^/' `-_ � „ 1 f ` �i � t '� ,1 !t' t s•�1 �'�t'_ hp�'jtY¢r '1 r"°a tits ' m 51._1 - v! 71'"+ 1 1"!A-aP PA }-XIn . t�ia�d'« 31-J 14, ?:a,A T CN iL v:Al�E¢�M Ir \� �'�� ../'� � �'l�'`� I'"1 f�°-} f/"" ,f .y /, 1 ?'•� J a it r"' ����_��_� __ EAC'- P—0- 16 1990 161990 c_.. in '.i i i VIC V AN 12�"1e j ATH � !•P - .s. ' '°' i'" ¢` •� tea' : - t AM 4f 32 av I ma Dom I b 1 a S` OOP I'D 10Wbel ! LAI s-vl g:zEA gty OF rl JUN -1 0 2021 w DweYKV Shy of z T-7 v,i r `F?F, 1��A 570 tnt ?�, '� N.J. Z ®g P11.✓f - - PO Box 579 C-aftnpoft,NY 119" 517-5596 r ! • f ' WQIMMOM ® F FIZOUT t 570th ® 0 10 L\° 1 - qua is c aulze P - ` i 1 4 sa 14 11 Ile, �e�6 _1�e _j sla At 4VN w'+'.�[x+nom wn•y 4..a �. .ww.. �..+ao.s. metre. wo q.u.r... ..�-.-_ .wrt. � r�.�.. 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