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HomeMy WebLinkAbout46514-Z o�OgUF6�L�cpG Town of Southold 7/27/2021 P.O.Box 1179 o • 53095 Main Rd 1 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42189 Date: 7/27/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 3200 Peconic Ln.,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-3-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/30/2021 pursuant to which Building Permit No. 46514 dated 6/30/2021 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: "as built"electric heat,wiring and window replacements as applied for. The certificate is issued to Lopez,Fausto of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46514 7/7/2021 PLUMBERS CERTIFICATION DATED Aut ri ed S' tore �SUFFot,r�o, TOWN OF SOUTHOLD BUILDING DEPARTMENT g TOWN CLERK'S OFFICE W�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#: 46514 Date: 6/30/2021 Permission is hereby granted to: Lopez, Fausto 3200 Peconic Ln Peconic, NY 11958 To: As built electric heat and wiring. At premises located at: // 3200 Peconic Ln., Peconic 1 �1 ( �M ���t -Al- SCTM #473889 Ort> Sec/Block/Lot# 74.-3-14 Pursuant to application dated 6/30/2021 and approved by the Building Inspector. To expire on 12/30/2022. Fees: ELECTRIC $185.00 Total: $185.00 - Buil Inspector ®��OF SOU�y®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® Q sean.devlin0-)town.southold.ny.us Southold,NY 11971-0959 ®lac®UNTI,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Fausto Lopez Address: 3200 Peconic Ln city,Peconic st: NY zip: 11958 Building Permit#: 46514 Section. 74 Block: 3 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 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heaters 5 Duplec Recpt Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors 5 Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO 3 Transformer UC Lights Dryer Recpt 30A Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures 11 Pump Other Equipment. 8' Baseboard Heaters -5 , W/D Notes: " AS BUILT NO VISUAL DEFECTS " Added Outlets for W/D, New Smokes and Heaters In Each Room II July 7 2021 Inspector Signature: l Date: S.Devlin-Cert Electrical Compliance Form As q SOUlyolo # TOWN OF SOUTHOLD BUILDING DEPT. cou7.65-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [a ] 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: u P � ff � DATE /24 INSPECTOR -� o�gtlfFO(KCG, TOWN OF SOUTHOLD—BUILDING DEPARTMENT ro y2` Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 y of Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only 'ja'a 't' PERMIT N0. Building Inspector. \ 2N 6 NAP Applications and'formse,must be filled'out in-theirrentirety. applications infill not be accepted. UWher'e'the'Applicant is not the owner,an' - . Owners Authorization form(Page_24shall be,completed. -,• Date; OWNER(S),OF,PROPERTY:. Name: r—' �- / SJCTM # 1000-d—a(xs o F—© � - 3 - Project f Address-31., '� r (c, Lane- eC',o✓i.[c_ /fl v Phone#: c, 3 _ 4 _ 8 n Email: Mailing Address; �� �tt✓� d� +�� or Iv !L �f CONTACT-PERSON::, _ *3 Name: \� Mailing Address: 3 lO A! /� / --3( Phone#: q,Lt Email: i a 6(A �® l0ki 0 0<P_ DESIGN PROFESSIONALINFORMATION: � Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ` ❑New Structure ❑Addition [--]Alteration ❑Repair ❑Demolition Estimated Cost of Project: IXOther_ Wmdo w R_ ��c� �.dl $ Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes L1 No Ac,,6 Ce_ Aio rcl./Ul AWS w ryf.\ a vVkl PROPERTY INFORMATION Existing use of property:n� I Q �-� (/i Intended use of property: Zone or use district in which premises is situated: 41 Are there any covenants and restrictions with respect to this property? ❑Yes 16No IF YES, PROVIDE A COPY. Check BOX After Readlrlg:roThe owner/contractor/design professional is responsible for all draina a and storm water issues provided by e g„ Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are punishable,as,a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. ' Application Submitted By(pr' name): �p 2/Authorized Agent ❑Owner Signature of Applicant- ( ,C�✓2C�` Date: J Ld m e- 2_�j a.0 STATE OF NEW YORK) SS: _ COUNTY OF WAS I —T 4-- o being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contra t above named, (S)he is the (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 rd day of �u , 20 o_1 1�totary PubUC ::_.4._._ __ BAR 'Notary Public,State of NewRYork i PROPERTY OWNER AUTHORIZA�IOI�Quafifld in 0 Westchester � mission xpires Januar 31,2 _ r (Where the applicant is not the owner January 31 26 I, (1 .!D„�c►� residing at �?2 6S �'la �✓ 2� do hereby authorize `ri``�� vf0a�r�e.�__ to apply on my behalf to the Town of Sou ,old Building Department for approval as described herein. Twner's S'i ature o Date t l Print Owner's ffame 2 BUILDING DEPARTMENT- Electrical Inspector ;,',�CU,� TOWN OF SOUTHOLD 'k® Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 o o'� t ' Telephone (631) 765-1802 - FAX (631) 765-9502 �� rogerrCa�southoldtownny.gov seand(a�southoldtownny.gov APPLICATION FOR ELECTRICAL-INSPECTION- ELECTRICIA{N INFORMATION (Au Information Required) -Date: �, Company Name: ui . Name: -- - License No.: email, Address: . r' 'Phone No : SITE-INFORM�4TION -Aii i f6rm'aq tion-Re uired - (• - �b _ - - Address: Cross Street: (�1-_ Phone BIdg.Perrnit#: email: ,� @ o T6x-Map.District:_. 1000 -_.Section: _ _ _Block: _ _ 3. Lot: / - BRIEF DESCRIPTION-OF WORK (Please Print Clearly) 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 Form.xls V vl� PERMIT# Address: Switches Outlets GFI's Surface Sconces , H H's UC Lts Fans Fridge HW Exhaust Oven Dryer'c? Smokes DW, Service .Carbon Micro Generator . Combo Cooktop Transfer AC AH Mini --Special:- Comments(' -Special:-Comments` �`-��- � - Yl`fit �r C enc. a,wr _A0 r-- l�(/ Ul ►Vl (� f SSS Lk e, IVP/ V! oa c� q ��� 3 i� � � �t�s C�1-�i, �P-v►/o � sc,��aa�� � 9 THE EXISTENCE OF RIGHTS OF WAY UNAUTHORIZED ALTERATION OR ADDITION ORAWN NM CNECKEO NN DATE OCT 2020 ORAP>ING k J08 NO,20-951 AND/OR EASEMENTS OF RECORD IF TO THIS SURVEY IS A VIOLATION OF ANY, NOT SHOWN ARE NOT SECTION 7209 OF THE NEW YORK STATE GUARANTEED EDUCATION LAW Area- 24 63� s.f. COPIES OF THIS SURVEY MAP SNOTEA BEARING THE LAND SURVEYOR'S INKED SEAL OR 1 PremlSeS knOWn O5; EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY # 3200 Peconic Lane, Peconic GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. GUARANTEES ARE NOT TRANSFERABLE oaX\�Doal ®� � ti s 5ti 1°� >t •i2.�" oo Oy �o �h Vat �'A 'TOL ° hS 5s /0/ 2m { Certified to: BANYAN TITLE AGENCY, INC, (BANYAN 7877-20) Survey of Described Property CALIBER HOME LOANS INC„ ITS SUCCESSORS AND/OR ASSIGNS situate at FAUSTO LOPEZ Peconic Town of Southold Michael W. Minto, L.s.P.C. Suffolk County, New York LICENSED PROFESSIONAL LAND SURVEYOR District 1000 Section 74 Block 3 Lot 14 NEW YORK STATE LICENSE NUMBER 050871 87 Woodview Lane Scale 1"= 40' Surveyed October 15, 2020 Centereaeh, N.Y. 11720 GRAPHIC SCALE PHONE/FAX: (631) 580-1202-9714 'T�r CELLULAR- (631) 766-9714 40 o so so ao Iso r�' EMAIL mikemintolspc®gmall.com ( IN FEET ) 1 inch = 40 it rte, p oa I S y - ' i r i i I ' - I -- I .+' vo �I 0 I V � 20 F� 3 ' rt • � i TM - closed cco�cs C_ I 6