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HomeMy WebLinkAbout46716-Z ' �o�OS�Ffat`t p_ Town of Southold 8/30/2021 y� P.O.Box 1179 0 "' ; 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42309 Date: 8/30/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 775 Mill Creek Dr, Southold SCTM#: 473889 Sec/Block/Lot: 135.-3-35.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/14/2021 pursuant to which Building Permit No. 46716 dated 8/20/2021 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"windows replacement, central air conditioning, and outdoor shower stall to existing single family dwelling as applied for. The certificate is issued to Erhardt,Leila&Sacher,Pamela of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46717 8/25/2021 PLUMBERS CERTIFICATION DATED 8/24/2021 a Erhardt /16t)oriz ignature gOWjt� 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#: 46716 Date: 8/20/2021 Permission is hereby granted to: Erhardt, Leila 27 William St Port Jeff Station, NY 11776 To: Legalize as-built windows, AC and outdoor shower at existing single family dwelling as applied for and with Trustees #9962A At premises located at: 775 Mill Creek Dr, Southold SCTM # 473889 Sec/Block/Lot# 135.-3-35.1 Pursuant to application dated 7/14/2021 and approved by the Building Inspector. To expire on 2/19/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ADDITION TO DWELLING $50.00 Total: $450.00 Building Inspector Town Hall Annex _� ® Telephone(631)765-1802 54375 Main Road '" .a 4 Fax(631)765-9502 P.O.Box 1179 x'° Southold,NY 11971-0959 ® - sean.devline-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Leila Erhardt Address: 775 Mill Creek Dr City Southold st: NY zip: 11971 Building Permit* 46717 Section 135 Block: 3 Lot 35.1 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 X Commerical Outdoor X 1 st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 21 Ceding Fixtures 7 Bath Exhaust Fan 1 Service 3 ph Hot Water Oil GFCI Recpt 3 Wall Fixtures Smoke Detectors 2 Main Panel 100A A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors 1 Sub Panel A/C Blower 1 Range Recpt Elec Ceiling Fan Combo Smoke/CO 1 Transformer UC Lights Dryer Recpt 30A Emergency Fixtures Time Clocks Disconnect Switches 11 4'LED 1 Exit Fixtures Pump Other Equipment. Fridge, Elec. Oven, W/D, DW Notes: " AS BUILT NO VISUAL DEFECTS " One Story House Wiring Inspector Signature: Date: August 25, 2021 S.Devlin-Cert Electrical Compliance Form pr.S0�/�yo . Town Hall Annex Telephone(631)765-1802 54375 Main Road t Fax(631)765-9502 P.O.Box 11791 Southold,NY 11971-0959 • }: BUILDING DEPARTMENT TOWN OF SOUTHOLD CERT.IFIGAT.IQN Date:i Ll Building Permit No. ` v Owner: �--e[ t Gl ,VL (Please print) Plumber: (Please print) I certify that the solder used in the water supply system contains less than 2110 of 1% lead. l Swom to before me this q+hYn-e�� � day ofS+ 20 2-J Notary Public, J u� dl Nunty TRACEY L.DWYER NOTARY PUBLIC, 00 STATE EW YORK N QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 a`�- o�aOF SOUTyO I 1Y 1 -7 7� w, - # TOWN F SOUTHOLD BUILDI DEPT' cou765-1802 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: I t`T aka 27i ¢ DATE —611,5-194 INSPECTOR FIELD INSPECTION REPORT 'DATEONTS' FOUNDATION(1ST) ---------- .............. . ----- all FOUNDATION•(2ND) ROUGH FRAMING& ' PLUMBING: INSULATION PER N.Y. STATE ENERGY CODE r Q FINAL' Lo Z $ ZJ � S�FFO( TOWN OF SOUTHOLD—BUILDING DEPARTMENT H Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtowm.go Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only J'!' 1 PERMIT NO. Building Inspector: JUL 1 4 2021 Applications and forms must be filled out in their entirety,. Incomplete applications will not be accepted. Where the Applicant is not t the owner,an L -1—IT ;ING DEQ• Owner's Authorization form(Page 2)shall be completed. 7— Date: Date: OWNER(S).OF PROPERTY: Name: SCTM#1000- �-c��ach e� L C r ��' _------ --------_ - --_-_----- - -- ---------- ------.. _---------- Project Address: -1 7_5_'D-^ Phone#: (o'.J `� 07 � Email: r:5 _ e;t7 Mailing Address` _C47L------ - -- -- CONTACT PERSON: Name: Mailing Address_ 776 f`1.�_ �f; 4�,_�('�. � 1-1g7_J_-_ Phone#: (���•- S33g"g"7'77 Email: C� ._ o_rr?.-� -6a -fie_ -- r�� DESIGN PROFESSIONAL INFORMATION; F Name: -' Mailing Address: Phone#: Email: CONTRACTOR'INFORMATION: = Name: - ------- -- ----- --------- ---- -- Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION_ El New Structur ❑A dition ❑' teration ❑Re air ❑De olition Estimated Cost of Project: ❑Other S T�(G'� dlil $ ---- —- ----- —----- Will the lot be re-graded?feR4s El No Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION_ Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to ___.__.______�______...�____. _.___._____________..—• -- this property? ❑Yes (]No IF YES, PROVIDE A COPY. ❑'Check Box After Reading: The owner/contractor/design professional is responsible'for all drainage and storm water issues as provided by 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(print name): Y,94.e�l� �- S ,l ❑Authorized Agent ❑Owner Signature of Applicant: _ Date:� -`•—__________.___.��.^___.______. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)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 day of 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 Glenn Goldsmith,President *OF SU(/l�o Town Hall Annex A.Nicholas Krupski,Vice President ,`O l0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino G • Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 OOUNT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9962A Date of Receipt of Application: July 30, 2021 Applicant: Leila Erhardt& Pamela Sacher SCTM#: 1000-135-3-35.1 Project Location: 775 Mill Creek Drive, Southold Date of Resolution/Issuance: August 18, 2021 Date of Expiration: August 18, 2023 Reviewed by: Michael J. Domino, Trustee Project Description: As-built 8'x3'9" outdoor shower. Findings: The project meets all the requirements:-for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Pamela Sacher, received on July 30, 2021, and stamped approved on August 18, 2021. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President O��QF so Town Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino G • Telephone(631) 765-1892 Greg Williams 'Q Fax(631) 765-6641 NV,Nc� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1852C Date: August 18, 2021 THIS CERTIFIES that the "as-built" 8'x3'9"outdoor shower; At 775 Mill Creek Drive, Southold Suffolk County Tax Map#1000-135-3-35.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 30, 2021 pursuant to which-Trustees Administrative Permit#9962A Dated August 18, 2021,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this-certificate is being issued is for the"as-built" 8'x3'9" outdoor shower. The certificate is issued to Leila Erhardt&Pamela Sacher owners of the aforesaid property. Authorized Signature 1`;n BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD - Town Hall Annex- 54375 MainRoad - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(aD_southoldtownny.gov - seand(@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION ()NII InforINa o'�i Required) e Date: 7/1 Company Name: I a�1� Cci.�+ U-`-e-CA-V-1 C Name: C;1"alct E76-CIVIer License No.: �4f,_- L45(d- email: V-C)n roris cue. Corr' Phone No:6;3J-`744-j,9(,Zq [ I request an email copy of Certificate of Compliance Address.: (o-i e> f7e�cx ttG 25A �t k�er Pty-C( W k 1-764 JOB SITE INFORMATION (All Information Required) Name: Fn'rr►elQ GCLC�jci"` �_e_l"I E_rW 0k, I-�- Address: -1`75; M! Cross Street: j PhoneNo.: Bldg.Permit#: email: Tax Map District: 1000 Section: I `� Block: fit: �5 f BRIEF DESCRIPTION OF WORK (Please Print Clearly) -c c.' r� o Check All That Apply: Is job ready for inspection?: EKES ❑NO ❑Rough In ❑Final Do you need a Temp Certificate?: DYES La�//N O Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 02 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx � oG/} (�ctis� f6 c�Got9" j EAST E�.E' ND ROt � CT R C hVC, , (631)744.6669_ 286 Harrison Ave. Miller Place,NY 11764 www.RONSEEE.com August 9,2021 775 Mill Creek Lane Inspection Report cherylsealthedealCa� mai!com rss am ar ontonline net Item#1 Not An Electrical Issue Item#2 Not An Electrical Issue Item#3 Not An Electrical ' Issue Item#4 Replaced Ten 2Prong Outlets With 3Prong Outlets Item#5 Installed A GFl Circuit Breaker On The Breaker That Controls The Washer&Dryer Item#6 Changed Some Breakers InIhe Panel,I used The Spots Of The Two Spare Breakers And Eliminated Some Twin Breakers According To The Panel Cover Name Plate The Current Breaker Count'Vithin Code,With Room For TWo,More Circuits Item#7 Not An Electrical Issue Item#8 Supplied&Installed Splice Box Cover Item#9 Installed GFI Outlet In The Bathroom Item#10 Replaced Outside Duplex Outlet With An Outdoor GFI Outlet Item's#11 through Item#15 Not An Electrical-issue Thank you, Ron Sacher,President Ron's East End Electric,Inc. Suffolk License#4860 ME 0 Ike aN M ® ,6N p k x' a -N 68,024,4o-f8w-=" .- - 9 / ( 0 Mou a Q SURVEY OF PROPERTY T SOUTHOLD <. TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. APRIL 6, 1968 AREA 11,106 sq, ft. to tie line �� 1, Me 40 0 ANY ALTERATION OR ADDITION TO THIS SURVEY I$ A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION T209•-SUBDIVISION Z. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF OM—Y IF SAID MAP OR COPIES DEAR THE IMPRESSED SEAL OF THE.SURVEYOR S. LIC. 1V0. 49618 WHOSE SIGNATURE APPEARS HEREOF ADDITIONALLY TO COMPLY W1 SAID LAW THE TERAS "ALTERED BY" PECoN1C Rs?7 P.C. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY (516) 765 - 5020 F'y1 ROUGHTM DATE E NOT IN CERMUANCE yTHNTHE LAW.S SUCH AS 0ISPECTED4A BOA' VEa 12300 TTRAVELERLER STREET SOUTHOL®q N.Y. 11971 OCCUPANCY OR APPROVED AS NOTED USE IS UNLAWFUL DATE: B.P.# WITHOUT CERTIFICATE FEE: BY: OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1:, FOUNDATION -­TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST COMPLY WITH ALL CODES OF BE COMPLETE FOR C.O. NEW YORK STATE & TOWN CODES ALL CONSTRUCTION SHALL MEET THE AS REQUIRED AND CONDITIONS OF REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR -SOUTH OLD TOWN ZBA - DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC Additional Certirication May Be Required. 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