HomeMy WebLinkAbout46935-Z 0�0 coG Town of Southold 10/23/2021
a y� P.O.Box 1179
N z 53095 Main Rd
�4, �ao� ' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42464 Date: 10/23/2021
THIS CERTIFIES that the building HVAC
Location of Property: 45 Bay Water Ave., Southold
SCTM#: 473889 Sec/Block/Lot: 75.-4-26
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/27/2021 pursuant to which Building Permit No. 46935 dated 10/7/2021
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"HVAC system as applied for.
The certificate is issued to Florie,Michael
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46935 10/18/2021
PLUMBERS CERTIFICATION DATED
r
t ori Signature
�gpFFDi TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C, x 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#: 46935 Date: 10/7/2021
Permission is hereby granted to:
Florie, Michael
6A Saturn Blvd
Hauppauge, NY 11788
To: legalize "as built" HVAC system as applied for.
At premises located at:
45 Bay Water Ave., Southold
SCTM #473889
Sec/Block/Lot# 75.4-26
Pursuant to application dated 9/27/2021 and approved by the Building Inspector.
To expire on 4/8/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ALTERATION TO DWELLING $50.00
Total: $450.00
Building Inspector
®��oF sovly®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 c • Q sean.devlin(a)-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Michael Florie
Address: 45 Bay Water Ave city,Southold st: NY zip: 11971
Building Permit#: 46935 Section: 75 Block: 4 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 Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes, " AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: Date: October 18, 2021
S.Devlin-Cert Electrical Compliance Form
Of SOI/TyO �� �
# # -TOWN OF SOUTHOLD BUILDING DEPT.
Y _
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ]- ROUGH PLBG.
[ ] FOUNDATION 2ND [ - ] INSULATION/CAUL-KING
[ ]
-FRAMING/STRAPPING [ ] FINAL
[ ] =FIREPLACE & CHIMNEY [ ]- FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION -
[ ] ELECTRICAL (ROUGH) U
LECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O
REMARKS:
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(IST) H
------------------------------------
1
FOUNDATION(2ND)
z
ROUGH FRAMING&
PLUMBING y 1
INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONA_ L COMMENTS
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'o��gpFFO(,t�OGy TOWN OF SOUTHOLD—BUILDING DEPARTMENT
w Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
1 ol� Telephone(631) 765-1802 Fax (6,31) 765-9502 https://www.southoldtomm.jzov
Date Received
APPLICATION FOR BUILDING PERMIT
` For Office Use Only
PERMIT NO. Building Inspector: D
- SEP 2 1 2021
Applications and-forms must be filled out in their entirety.Incomplete
-applications will not"be accepted.''Where the,Ap"plicant is pot the owner;an BUILDING DEPT.
Owner's Authorization form(Page 2)shall•be-completed. TOWN OF SOUTHOLD
Date: Z
OWNER(S)' F PROPERTY: "
Name: —� SCTM #1000-
_.....y_. ____ _w____ ._ _ _ _. .___ _ _-_--- -.-__- _._ ._.__._75_---- -
Project Address:
-------- �--- - - --W_ �Ph-- --- - - 4A -
Phone#: �' _ Email:
-M - //OI�=L..6.2�E __ u���++ c' ✓�I—
Mailing Address:____
CONTACT PERSON:= - °•
Name__.-_.(�tiJ AfL_ ------ -------------- -.--------___ __ ._____--.___--.--- �- --- - -
Mailing Address:
Phone#: Email:
- DESIGN PROFESSIONAL,INFORMATIONc
Name:
Mailing Address:
Phone#: Email:
'CONTRACTOR INFORMATION:- v
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION,OF PROPOSED CONSTRUCTION,` =
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
XOther /4-;/Z
Will the lot be re-graded? ❑Yes Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property
mss-•- --�1'���-. -- -- - :-- mss,�evT•-�-L.-- ------
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
-- --------- -------------------------------- ------ --- --
this property? ❑Yes 9;+r6'1F 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,ihe 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 buildings)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): ❑Authorized Agent lizowner
Signature of Applicant:
STATE OF NEW YORK)
SS:
COUNTY OF SW
N} )
I ' � )Gbig 2I Eug,- ,F being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the l,� Lone-&
(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
5day of G(-;fib1CR, 20
NotaryPublic
TPACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION NO.01DW6306900
QUALIFIED IN SUFFOLK COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,20059
I, M j Gh xe� Roem- 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
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BUILDING DEPARTMENT- Electrical Inspector
C0Gy TOWN OF SOUTHOLD
C/3 Town Hall Annex - 54375 Main Road - PO Box 1179
"* s Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a,southoldtownny.gov seand(cx�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: qJ �
Address:
Cross Street:
Phone No.:
Bldg.Permit#: (o-q �j email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLU E SQUARE FOOTAGE (Please Print Clearly):
99
Square Footage:
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 PhF—]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? M Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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 y Mfi fo Generator
Combo Cooktop _ . _ . .` Transfer•
AC AH Hood Service
`Amps 'Have Used
Special: _
Comments
APPR VED AS!I!D
DATE:. .D B.P.# � c�
FEE:- BY:
NOTIFYBUILDING DEPARTMENT AT
765-1802' 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRU-( TION MUST
BE COMPLETE FC—= C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITHALL CODES OF
NEW YORK STATE & TOWN CODE
AS REQUIRED AND CONDITIONS OF
S�IITHOLD TOWN ZBA
SGAP-- �BOARD
S9afif#etfN �STEES
OCCUPANCYOR
JSE IS UNLAWFUL
NITHOUT CERTIFICA
OCCUPANCY
ELECTRICAL
INSPECTION REQUIRED
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