Loading...
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 �ro FOUNDATION(IST) H ------------------------------------ 1 FOUNDATION(2ND) z ROUGH FRAMING& PLUMBING y 1 INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONA_ L COMMENTS n•. c� W ~ o z �y {x . d M '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 iii.,•� .�� 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 TF' n FA G TUP11 - CO 'C'A 1V ' GQDMA N A NU : - ' 5151 SA IV FELIPE,PE, STE 500 ;d ss -HOUSTON,. TX 77056 a; MODEL GS 04211 �� w SERI r A"C,V 0 L TS_ A� Q. �, T #G—E --eHA SE . , RTZA91 G'E FIA . � iuS � AMPS, w INs 19l M� 2 I' Ids A �� ;> ,WE VEIAY FUS CIRCUIT-BREAKER 40 E QR AO :SIR IIRUUITAMpS ? , . culr: �REAKER .�.- .. FA i 2�s 'OR y'n F .A 1, WORKING ORKING PR�ESLA. 19�• � H .w P .• 114FACTOFlyii®LQINSURE LRA ' 1764 t a �N' C�AN PjL �OM pFtRG GIiARGE,O iA araLLAtlpN cHATRpF �ESRQ , N o�ly NEL IU )PRS° FQ LIQR . P 300 IJ RE r �3?8ifi - !'1Q ��° PQ - I,ou,p CST ER OtPAFto tzlAbe QM° Air � » r0hter v . $. SPE Z aEIV, .1BE �; vj Oro Too 00 y,X00