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Home My WebLink About46720-Z o�uFF Town of Southold 2/4/2022 P.O.Box 1179 N x 53095 Main Rd 4,� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42416 Date: 10/9/2021 THIS CERTIFIES that the building OTHER Location of Property: 300 Marion Pl,East Marion SCTM#: 473889 Sec/Block/Lot: 31.-8-12.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/12/2021 pursuant to which Building Permit No. 46720 dated 8/23/2021 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"boiler and central air conditioning to existing single-family dwelling as applied for. Corrected 2/4/2022 to add"as built"central air conditioning only. The certificate is issued to Rann,Adam&Mastromarino,Maria of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46720 8/30/2021 PLUMBERS CERTIFICATION DATED e Au ori e i 0ature �g�FF01 Town of Southold 10/9/2021 O j P.O.Box 1179 C' - r� 53095 Main Rd y'�,Ol Paola! ' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42416 Date: 10/9/2021 THIS CERTIFIES that the building OTHER Location of Property: 300 Marion Pl,East Marion SCTM#: 473889 See/Block/Lot: 31.-8-12.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/12/2021 pursuant to which Building Permit No. 46720 dated 8/23/2021 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"boiler in existing single-family dwellingas g_pplied for. The certificate is issued to Rann,Adam&Mastromarino,Maria of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46720 8/30/2021 PLUMBERS CERTIFICATION DATED h ize Si ature �4�SUF�o TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 46720 Date: 8/23/2021 Permission is hereby granted to: Rann, Adam 25 Ascan Ave Forest Hills, NY 11375 To: legalize "as built' boiler in existing single-family dwelling as applied for. At premises located at: 300 Marion PI, East Marion SCTM # 473889 Sec/Block/Lot# 31.-8-12.10 Pursuant to application dated 8/12/2021 and approved by the Building Inspector. To expire on 2/22/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 it spector l ®��oF so��®� Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® sean.deviinC@-town.southold.ny.us Southold,NY 11971-0959 COUN N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Adam Rann Address: 300 Marion PI city,East Marion st: NY zip: 11939 Building Permit#• 46720 Section: 31 Block: 8 Lot- 12.1 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 Service Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 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 Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump 11 Other Equipment: Notes- " AS BUILT NO VISUAL DEFECTS " HVAC Inspector Signature: Date: August 30, 2021 S Devlin-Cert Electrical Compliance Form pf SOUTyO� 7-So 4"7- 00# # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourm,N�'' 765.1802 INSPECT-ION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) kA ELECTRICAL (FINAL) [ ] CODE VIOLATION irl PRE C/O REMARKS: ✓`G�� I'AA/ T/Z ( Com. fA)J� DATE INSPECTOR - FIELD,INSPECTION REPORT 'DATE COMMENDS FOUNDATION(IST) H ------------------- FOUNDATION `--FOUNDATION(2ND) ROUGH FRAMING& H PLUMBING INSULATION.PER N.Y. y STATE ENERGY CODE �. FINAL : ADDITIONAX. G S O � a TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 hltps://www.southoldtommy.gov Date Received APPLICATION FOR BUILDING PERMIT C E U V Irm-p-, For Office Use Only d/ PERMIT NO. Building inspector: A U G 2 2021 -7- S�' ibe filled butifi_their'-'entirkV. Old BUILDTING DEIvr. ica i sv j tloh,�� all, C Date: NE Name: #10oo- �C., LoT,?,i, Project Address: Phone#: Email: A-r)c. -)LA".,J Mailing Address: e,,� L) PERS Nam e: Mailing Address: c:3- \k�' Phone#: "?o Email: tz 0 R M 10 ot S 100�O r0 Name: Mailing Address: Phone#: ail: I N 0 ATION-, RM Name: --- Mailing Address: Phone#: li-V STRUCT, `j ON [I New Structure ElAddition DAlterat'on DRepair ElDemolition Estimated Cost of Project: OX r 00ther $ Will the lot be re-graded? E]Yes 2�No Will excess fill be removed from premises? E]Yes WNo -kd MpWry K Existing use of property:C Intended use of property: �-I'L Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? E]YesE]No IF YES, PROVIDE A COPY. -0 Ch6ck-B6iAft&`R6d1` htrick/deiig-h pipfe"s-'s'Iddal is res ponsi te fdF a1jI water issuesas`oi6irided -"g:..Theowqei 77-7 .Chapter 236of the T6,xnC-od&,APPLICATION IS HEREE1Y.MA0t- 'ifibbuildi6j;pd0#trnerit-f&thijssdahce-df a,86ildhighrihit purtuantto't6'e'duildingZp)i6,-t el6i46 6FSbiiiholdi�Suffolk;,CquntyNeW.Yorl(apd, otherappica IeAawi,-6rdihinc6§*.R6] Iitions;f&'thd'cdnstr0ctIqh,o auditions alterations or for iertiovel or=deiinolition ashere'in described Thea �'1'icant a'reel o-i-compywan,a!,appic�4e,!a��s,--c!rdjnpn;ps;building,cdde,-,"-- -r-'-"U'J'at-i'o""nsa'-nd'-'tt-)'gidmit,iitthbeiiiidiki�pectors;oq'oremisesarfdin 'uilding(s)for-necessaNins=gioect(6m.falie-- atemeinsm6e, erehi*e-,-, s Z bursiu IS a las rhi d6nieatior,' aht t6 ar P U W, Application Submitted By(print name): 47)4w-., CLA-" vJ ElAuthorized Agent CQ owner Signature of Applicant: Date: e2- STATE OF NEW YORK) COUNTY OF am Eaon being duly sworn, deposes and says that(s he is the applicant (Name of individual signing contract)above named, (S)he is the D W n-C �— (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 AQ1 J4 J Notary Public 0 TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY (Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,2C JU 1, 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 BUILDING DEPARTMENT- Electrical Inspector Gy TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 co o Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 r_ogerr(a-southoldtownny.gov — seandC@-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: • 2(,. 2 c�Z , Company Name: In V,A �: Uw r-j- - Name: License No.: email: Phone No: ❑I request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: AnA-r.• �'Z ,4KQ Address: '3oo Cross Street: Phone No.: 2U I • `1 I o •5 Bldg.Permit #: email: Tax Map District: 1000 Section: Block: p Lot: �. BRIEF DESCRIPTION OF WORK (Please Print Clearly) 14 c Check 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 ❑ Service Reconnect ❑ Underground [:]Overhead # Underground Laterals ❑1 02 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION '100 01 Electrical Inspection Form 2020.xlsx U" O�OSufFOZA � BUILDING DEPARTMENT- Electrical Inspector hy. yam► TOWN OF SOUTHOLD C Town Hall Annex - 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 .fj O Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrCa)_southoldtownny.-gov - seand(d)-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: • 7(,. 2vZ , Company Name: v'^ G7 UV4 r� - Name: License No.: email: Phone No: ❑I request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: /-nA „„ 12 A-I � y Address: -3ov Cross Street: Phone No.: 2u I o • 3� 1 Bldg.Permit#: k4ko'7-Ao email: Tax Map District: 1000 Section: Block: p Lot: (Z. t BRIEF DESCRIPTION OF WORK (Please Print Clearly) � 1�vt4c Check 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 ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION FO 'q 0 0 a � Electrical Inspection Form 2020.xlsx okl� �1- � A-�� 1 S� � D� DIV. . PEERLESS r BOILER No. STEAM W-30 MIN. RELIEF . 129 VALVE C COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE' AS REQUIRED AND CONDITIONS OF APPRO ED AS NO ED `,T T^, � DATE: B.P. S ' PI-AN�JI�IG BOARD FEE: B`✓- IC71 ( TEES NOTIFY BUILDINJ 7,;-:aARTMENT AT �1rY P;r 765-1802 8 AM TL: nt,i FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TVvJ REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMiPw & PLUMBING OCCUPANCY OR 3. INSULATION USE IS UNLAWFUL 4. FINAL - CON'STF .' �' MUST �J BE COMPLETE " ALL CONSTRUCT! ALL MEET THE NITHOUT CERTIFICP S OF THENEVY YORKIREMENSTATET NOT RESPONDSIBLLEF FOR )F OCCUPANCY DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED �s AV R 2001 60 a ' . 0 Awl A^404 AW MEMO. 440 40 AW1 XNAW MO 4040 s r V 5 Us 15 4V OP o2 v mow �Mr �AMr �Mru► f�, �� M &OWNS ;; �A r 1 ; , )w A ��