HomeMy WebLinkAbout46637-Z S�FFatKcpGy� Town of Southold 9/2/2021
P.O.Box 1179
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_ 53095 Main Rd
'y. �o�¢ Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42325 Date: 9/2/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 1000 Sound View Rd, Orient
SCTM#: 473889 Sec/Block/Lot: 15.-3-26
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/19/2021 pursuant to which Building Permit No. 46637 dated 7/28/2021
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:
accessory generator at existing single family dwelling as applied for.
The certificate is issued to Mollo,Nicole
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46637 8/11/2021
PLUMBERS CERTIFICATION DATED
0 V T Autho d Si ature
o�S��Fa TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 46637 Date: 7/28/2021
Permission is hereby granted to:
Mollo, Nicole
1000 Sound View Rd
Orient, NY 11957
To: Legalize as built generator at existing single family dwelling as applied for.
At premises located at:
1000 Sound View Rd, Orient
SCTM #473889
Sec/Block/Lot# 15.-3-26
Pursuant to application dated 7/19/2021 and approved by the Building Inspector.
To expire on 1/27/2023.
Fees:
AS BUILT-ACCESSORY $200.00
ELECTRIC $170.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $420.00
Building Inspector
OF 50(/��,®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.deviine-town.southold.n us
Southold,NY 11971-0959 y'
®lyC®UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Nicole Mollo
Address: 1000 Sound View Rd city-Orient st: NY zip: 11957
Building Permit# 46637 section: 15 Block- 3 Lot 26
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 Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel X A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 7
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment gkW Generac Generator w/ 10 Circuit Generac Sub Panel
Notes, AS BUILT NO VISUAL DEFECTS " Generator
Inspector Signature: C Date: August 11, 2021
S.Devlin-Cert Electrical Compliance Form
f
SOU),�0
# f TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPE
CTION
[ ] FOUNDATION TST [ ] 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:
DATE 01INSPECTOR
FIELD INSPECTION REPORT 'DATE COMMENDS'7,1
y.yy
FOUNDATION(IST) J
----------- --------------�------- ;• Y �n
FOUZiDATION (2ND)
�O
C>
ROUGH FRAMING& a
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONA,0411' T ° a
?� .2.I Z I G
UJ o
z
o�suFFot too TOWN OF SOUTHOLD—BUILDING DEPARTMENT
H Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
goy �ao� Telephone(631) 765-1802 Fax(631) 765-9502 haps://www.southoldtowm.gov
f
Date Received
APPLICATION FOR BUILDING PERMIT
I LIP.
For Office Use Only
1
PERMIT NO. Building Inspector:
� JUL 19 2021
Applications and forms must be filled out in their entirety. Incomplete. I'LTILT. ING D PT,
applications will not be accepted.,-Where the Applicant is n6t the owner,an TDA
Owner's Auth`orkation form(Page 2)shall be completed.
Date:
OWNER(S)'OF PROPERTY:
Name: � SCTM#1000-
Project Address: ` c
Phone#: Email:
- -- -,�=i %
3 --- _S ----- ------ --
Mailing Address: O r'
CONTACT PERSON: e
Name: r'
Mailing Address: IZt n C
Phone#:, .-v-w -`� _�_.J_4____ Email:
DESIGN PROFESSIONAL INFORMATION: '
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: r
a r
Name:Mailing Address: 14 _9
Phone#` (o Email:
DESCRIP,_TION OF PROPOSED CONSTRUCTION'
RNew Stru re Addition ❑Alteration ❑Re air El D molitl Estimated Cost of Project:
❑Other GE N r A $ 10
Will the lot be re-grade es - - Will excess fill be removed from premises? ❑Yes NNo
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 ONO 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 complywith,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): 1 � J
[�&Authorized Agent ❑Owner
Signature of Applicant: J Date:
STATE OF NEW YORK)
S:
COUNTY OF �' )
\ �. �� ' being duly sworn, deposes and says that(s)he is the applicant
(Name of indi ' ual signing contract)above named,
(S)he is the
(Contractor,Age t, 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
dayof U \ 202—L
Notary Publ'
TRAGEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.olDW6306900
PROPERTY OWNER AUTHORIZATION OUALIFIED IN SUFFOLK COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,2P2-1_
I, IV 1co LE —� � residing at � l�� �amDy )mow ��
OFEKIT NJC-1 1 iq L� do hereby authorize �t-I1 ,) � j/- (IDu to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
1 L� 2�(
Owner's Signature Date
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
C= "` Town Hall Annex - 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
'� rogerr(a southoldtownny.gov - seand(D-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: tS�
Company Name:
Name:
License No.: 5 1 ,2 2 rl email: o ,4.p,�
Phone No: �2 �a �I request an email copy of Certificate of Compliance
Address.: -7326°S /r4,C/ RL e-2 V€G-,eo
JOB SITE INFORMATION (All Information Required)
Name: K I co L(ff (91^
Address: 0 0 0 O
Cross Street: D U N)��/ ) -�--
Phone No.: L4, 3
Bldg.Permit#: l'oL-2" email: l CSv[P,'-V1r0J p
Tax Map District: 1000 Section: Block: Lot: 1
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Qs
ey"s ,gyp 'Q'J TCC- qa 7-a4-"le, £r.
Check All That Apply:
Is job ready for inspection?: YES ONO ❑Rough In r�Final
Do you need a Temp Certificate?: ❑YES ❑NO Issued On
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: 2,p-o A # Meters Old Meter# _
❑New Service ❑ Service Reconnect F] Underground ❑Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame [:]Pole Work done on Service? QY ❑N
Additional Information: '
PAYMENT DUE WITH APPLICATION
2�
Electrical Inspection Form 2020 xlsx
BUILDING DEPARTMENT- Electrical Inspector
�F TOWN OF SOUTHOLD
I o Town Hall Annex - 54375 Main Road - PO Box 1179
r Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(@.southoldtownny.gov - seandC@southoldtownnV.gov
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:
Address: GCi �pC�,„✓-
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPT ON OF ORK (Please Print Cierly)
S\ ��
Check All That Apply:
Is job ready for inspection?: ❑YES ONO -, ❑Rough In ❑Final
Do you need a Temp Certificate?: DYES ONO 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 01 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
PERMIT# Address:
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC I AH Hood Service
Amps Have Used
Special: —
Comments v V�
CERTIFIED TO:MARCARET MCO UADE
LOTAREA;13,563 SOFT. 0.311 ACRE QEORGE MCQI/ADE
CNASEBANK
8LUEWATER ABSTRACT,WQ A BW-2302-S
J09N0:2000.175
MAP NO.2M
FILED:NOVEMBER 21,1957 �:. •��
REVISIONS:
Mme, ROAD/
"�• """moi �•FNEY1
'4 57830Sp.
E 100,p0. LICENSE N0:050363
HANDS ON SURVEYING
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tAD XP � �
FLANDERS,NEW YORK
�$ S85'ST40'6 15$T6' 11901
TEL'(63W69.8312-FAX.(531}369.8313
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SURVEY OF
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LOT 75 LOT 74 ORIENT BY THE SEA
SU80MSIONMAP 0 'ORIENT.BY TNESEA-SECTION TWO' SECTION ONE n m outs
FiLEOIN THE OFFICE 2B,CUM 1 A3��34MYOF SUFFOLK ON 44 =SI TUA TE AT _ ~
OR&N T P01NT
SUFFOLK COUNTY,NEW YORK sy.
iM.DIST !SB OT28 ,1' R _lioas��
• 15 8 0 1S JO 45 60 75 90 105 120 135
SCALE 1'n 30' DATE SEPTEMBER 3,2008 C/3 IN~Y'Y
OCCUPANCY OR
APPROVED AS!TD USE IS UNLAWFUL
DATE: 6-X B.P.# 6,312WITHOUT CERTIFICATE
FEE:4 X ov BY: F OCCUPANCY
NOTIFY BUILDING DEPARTMENT
765-1802 8 AM TO 4 PM FOR
FOLLOWING INSPECTIONS;
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH FRAMING & PLUMBIN,,;
3. INSULATION
4. FINAL - CONSTRUCTION-MUST
BE COMPLETE FOR C.O. C=O(VPLY WITH AE
ALL C`-� r
ALL CONSTRUCTION SHALL MEET TNF NEW yC S of-
REQUIREMENTS
OF THE CODES OF NE', OUIR�S F� R"< AND CONDITIONS OF
STATE & TOWN CODES
YORK STATE. NOT RESPONSIBL� =0>;, D
DESIGN OR CONSTRUCTION ERRORS. S0UTHOLDTOWNZBA
SOUTHOLD-"OWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
Additional N•Y.S.DEC
Certification
May Be Required.
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