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Home My WebLink About46643-Z ��Osul Town of Southold 12/7/2021 P.O.Box 1179 z 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42582 Date: 12/7/2021 THIS CERTIFIES that the building GENERATOR Location of Property: 30 Summer Ln., Southold SCTM#: 473889 Sec/Block/Lot: 78.-9-34.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/23/2021 pursuant to which Building Permit No. 46643 dated 8/2/2021 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"accessory generator as applied for. The certificate is issued to Gibbs,Kim of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46643 8/4/;,021 PLUMBERS CERTIFICATION DATED Au ori ed S gn tore TOWN OF SOUTHOLD ��o�SUFfOiK 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#: 46643 Date: 8/2/2021 Permission is hereby granted to: Gibbs, Kim 30 Summer Ln Southold, NY 11971 To: Legalize as-built generator at existing single family dwelling as applied for. At premises located at: 30 Summer Ln., Southold SCTM #473889 Sec/Block/Lot# 78.-9-34.3 Pursuant to application dated 7/23/2021 and approved by the Building Inspector. To expire on 2/1/2023. Fees: AS BUILT-ACCESSORY $200.00 ELECTRIC $170.00 CO-ADDITION TO DWELLING $50.00 Total: $420.00 Building Inspector o��pF SO�lyol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlinO-town.southold.nv.us Southold,NY 11971-0959 � a BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Kim Gibbs Address: 30 Summer Ln city:Southold st: NY zip: 11971 Building Permit#: 46643 Section: 78 Block: 9 Lot: 34.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Tucker Electric License No: 4926ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Generator X INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 20kW Briggs & Stratton Generator w/200A Whole House Transfer Switch Notes: " AS BUILT NO VISUAL DEFECTS " Generator Inspector Signature: ��1i` Date: August 4, 2021 S.Devlin-Cert Electrical Compliance Form FIELD:]NSPECTION REPORT DATE Co S ,X FOUNDATION (IST) H ,: : •FOU�IDATXON(2ND) • .: : . . • 7. l ROUGH FRAMING:$i .• : : H PLUMBING: 777. INSULATION.PER N.Y. STATE'ENERGY Cob , FINAL. .. ••: .ADDZTIO A�GOMI�E�T� :;:.., .' .. '..; '" ,• . ; Xlz .PSufFo�'roo 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 hl�2s://www.southoldtoymu.gov 1# � Date Received APPLICATION FOR BUILDING PERMIT nn For Office Use Only i PERMIT N0. J Building Inspector: JUL 2 3 2021 t. Applications and forms must be fill6d'out i'ii their 6nfirety. Incomplete r applications will-not be accepted. Where the Applicant is not the owner,.an,. TOF .:Owner's Authorization form(Page 2)shall be completed. Date: -13 — .a! - OWNER(S)OF PROPERTY: Name: SCTM#1000- , Physical Address: __._. Phone#: Email: 1� ►, k b _ y.�-.-,� -- Mailing Address: V CONTACT PERSON: Name: Mailing Address: 3 0 Phone#: Email: IL DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: . Name: _ _-.- -.. ._oma. .. .- o•.. _-L�.a_d__n._._ ._ __.________ .__ _. _ _ _______ -___-._------...�__�.__.___._._.�.�..__.__._..._. __-_._ Mailing Address:'_-e \�+.__1_I_93 -- Phone#: Email: DESCRIPTION;OF PROPOSED CONSTRUCTION New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes ZNo 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. El 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 applicablelaws,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): IC , G b s ❑Authorized Agent Owner Signature of Applicant: ------Date: STATE OF NEW YORK) S. COUNTY OF k ► '� ��Q`o 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 r- day of Jul 202-1 tary Public NOTARY LI PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION NO.01DW6306900 QUALIFIED IN SUFFOLK COUNTY (Where the applicant is not the owner) COMMISSION EXPIRES JUNE30,2PQ-6-1,� I, residing at do hereby authorize to apply on my bha to the Tow of Southold Building Department for approval as described herein. Owner's Signa ure Date �A IPS ( Print Owner's Name v� 2 J i.5o_ FFZ4� BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(c southoldtownny.gov - seand(a outholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: / vC_/�-e� /= c Name: K )L q ho/Z License No.: qU email: Phone No: /'- (Q3/-y�7g- ?8ol 01 request an email copy of Certificate of Compliance Address.: . J-6- 6al N //c/' 3,5 JOB SITE INFORMATION (All Information Required) Name: 'l Address: -'Y_gwALO^-f— Cross Street: Phone No.: �_ `lqb kLk,3 Bldg.Permit email: k,_('b, Tax Map District: 1000 Section: 7t Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) k r 0141 r Check All That Apply: Is job ready for inspection?-. ❑YES ONO ❑Rough In Z/Final Do you need a Temp Certificate?: ❑YES '�TNO 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 GG _I Electrical Inspection Form 2020.xlsx ��I �ZCp�� I r'anS�.L� �r.✓I � �, ,O 00 b CO I � a a -lop Jrc N ?So . 3 a2 `' v Ss SAO. STI S0 l0a e 1O'gT .t; ow'�► a 00' 4 0 T �iS��ZoAP o � u6 0 q$7p .40 Al ? �'�l,�t+gdl/�/rs+ os.•�"r..sfoo '1ao'�• K + FWQL,oyo--Pa v O• + °j Cti 0 L � ll + / / 00,ok noNNc 00' N. v a�a•N U SCF �\/ ��// P,s � ': Gi . MON �e� ,p } C t ks ?e OR? R o _ .i a• r,qAq 23S.w .� .•• . � -� ,y GA m b �g4, Wgoo m Asa, �9TF •: q^b a APPR VEDAS NOTED O C C U PAN CY OR DATE: a B.P.# USE IS UNLAWFUL FEE: '--V-06Y: WITHOUT CERTIFICATE NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE OF OCCUPANCY FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION.,MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW COMPLY WI T H ALL COD'Es � = YORK STATE. NOT RESPONSIBLE FOR NEW YORK ST;TE & TOWN COL DESIGN OR CONSTRUCTION ERRORS. AS REQUIRED ND CONDITIONS 01 SOUTHOLD TOWN ZBA SOUTHOLD TOWN PLANNING BOARD Additional SOUTHOLD TOWN TRUSTEES Certification N.Y.S.DEC May Be Required. 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