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Home My WebLink About46816-Z ,��suFf kms;. Town of Southold 2/26/2022 4 P.O.Box 1179 o s 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42814 Date: 2/26/2022 THIS CERTIFIES that the building GENERATOR Location of Property: 145 Greenfields Ln, Southold SCTM#: 473889 Sec/Block/Lot: 59.-4-5.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/8/2021 pursuant to which Building Permit No. 46816 dated 9/14/2021 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 as applied for. The certificate is issued to Falkowski, Carol of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46816 /30/2021 PLUMBERS CERTIFICATION DATED th riz ignature �osuffo TOWN OF SOUTHOLD ap a 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#: 46816 Date: 9/14/2021 Permission is hereby granted to: Falkowski, Carol 145 Greenfields Ln Southold, NY 11971 To: Install generator at existing single family dwelling as applied for. At premises located at: 145 Greenfields Ln, Southold SCTM #473889 Sec/Block/Lot# 59.-4-5.4 Pursuant to application dated 9/8/2021 and approved by the Building Inspector. To expire on 3/16/2023. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CO-ADDITION TO DWELLING $50.00 Total: $235.00 Building Inspector SOUrgol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(c-town.southold.ny.us Southold,NY 11971-0959 'QlyCOU �A BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Carol Falkowski Address: 145 Greenfields Ln city,Southold st: NY zip: 11971 Building Permit#: 46816 Section: 59 Block: 4 Lot: 5.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Anything Electric & ContractincL.icense No: 5220ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey 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 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: 22kW Generator w/ 100A Overcurrent Protection on Generator , 200A Whole House Transfer Switch Notes: Generator Inspector Signature: Date: September 30, 2021 S.Devlin-Cert Electrical Compliance Form 50Glyo� # # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 : - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] -FOUNDATION 2ND = [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION' [ ] FIRE RESISTANT"PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: . e4 N` Oro DATE INSPECTOR FIELD:INSPECTION REPORT DATE CONI S co FOUNDATION(1ST) FOU 'DA-TION(2ND) : .. ..ROUGII FRAIYIIN :,& y' P DUMBING' f INSULATION.PER N.Y. H STATE'I NtRGY CODE ' FINAL, . . i ••• •.ADDbNAIy GO1V �YTS , ' . . Gam- `.. °i 0 Cl z i ` OM 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 hiips://www.southoldtowm.gov Date Received APPLICATION FOR BUILDING PERMIT D For Office Use Only L PERMIT NO. Building Inspector: SEP 8 2021 PIidat �ta "I[ i f ' d6tklhth6ir,�' ' n�qip I BURZING DE PT. p' cati, I" h 6,W d'r4 i form ihil 1,bi,t6rholot n ris e: Date: 67 --2-/ R 0 Nam SCTM# 1000- Project Address: Phone#: Email: Mailing Address: N J T- !4� P�RS6 Name: Mailing Address: Phone#: Email: 'DESIGN'PRO 10 Name: Mailing Address: Phone#: Name: -7/ Mailing Address: Phone#: Email: I ES `PKOPOSO�i6l` D INST El New Structure ElAddition ElAlteration ORepair El Demolition Estimated Cost of Project: 11 Clther-4� I JQ, 1�w (2eiieAiq-7- () K $ q" ' he lot be re-graded? E]Yes $No Will excess fill be removed from premises? F-1Yes PROPERTY INFORMATION. Existing use of property: Intended use of property: -- -_--- A=L-- Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes []No 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.tfi6 issuance of a Building Permit pursuant fo the Building Zone _- Ordinance of the Town of Southold,Suffolk,County,New York and other applicable,Uws,Ordinances or Regulations,forthe construction of buildings, "additions,alteration's'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 m buildings)for necessary mspectIons.False statements: made herein are punishable as a Class A rmsdemeanor pursuant to Section 210 'of the New York State Penal Law: Application Submitted By(Kint name): &Ao L �, 54 L�oAJ X Xj ❑Authorized Agent Owner Signature of App Signplic _ Date: - 91--/ --___ --- STATE OF NEW YORK) COUNTY OF SJTA7TJ' I �) COZR61 L • f G,t [W WS k i being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Q W n (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 -FIN ZL:day of P,I��T-P,(Ul {� , 202 jjJd(� t ry Public RACFy I.,- l?WVER NOTARY PUBLIC,.::;"q';=Or NEW YOFA NO.01 C:�•:;�;::•,.;x;70 PROPERTY OWNER AUTWORIZATI®I�UAUFIr=o IN:, _,: aouNrl, (Where the applicant is not the owneROMMISSION EXPIRES jiNE 30,zo—o"— I, 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 2 3 TOWN OF SOUTHOLD '` Town Hall Annex- 54375 Main Road -PO Box.1179 �= G I Southold, New York 44971-0959 ' F Telephone (631) 765-1802- FAX (631) 765-9502 ro err southoldtownny.gov-- seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date:.----7 Company Name: ;C f Cc��tw.r ;s✓ c Name: e6✓- //r-c-/-J License No.: M T -, 5-'Z Z 0 email: 'y-/C N Phone No: 3l y3.3-Y1,;1,r uest an email copy of Certificate of Compliance Address.: . �.j'Za i�/-r: /44-e- go/f,ce-A/A 1v i/7/6 JOE SITE INFORMATION (AII Information Required) Name: 4 0Z"J i Address: e,c/P e/ d S Z'< -e- So clf-/-A'/d Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot:_. BRIEF DESCRIPTION OF WORK(Please Print Clearly) J Ge-ti e_ Check All That Apply: Is job ready for inspection?: E3'�ES ❑NO ❑Rough In E30einal Do you need a Temp Certificate?: ❑YES10 Issued On Temp Information: (Ail 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❑foie Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION G � Electrical Inspection Form 2020.xisx SURVEYED FOR: CAROL FALKOWSKI LOCATED AT: SOUTHOLD T/O SOUTHOLD , SUFF. CO . N.Y. LOT:4 MAP OF: "GREENFIELD AT. SOUTHOLD" FILED : 11 /10/1975 MAP# 613 M \ SCALE 1 "=30' ArIv \ e�3p. S . C.T. M . 1000-59-4-5 .4 °�� `C"Voll� 1a ' \ Pugh O�5 3 \ NOTE: p.2 e\3 ELEVATIONS IN NAV88 DATUM Vol 3 OPEN e�36 9 Vol 5• �\� \ \ 2 \ O"' vo o e`36 6 Ol ""'SII . \ \ \ v S \ vs to too 0 4�6ap,GFtE OFA`( 32 I r 2 5 S. \ 'C LO � Vic--' 0 �t l \` `•-� 1�sty 1 11p,M� Oval\ r' , 00 ` tac � \ °v° a ®�6 6 oR.�•N\ \ \ �60� \ —34' \ G 1, \ ^ o e\ 6. 4 � �. � e- lic \ �Is � m� \�N all h LP �Zg IS F LI SOIL TESTING00-1 TEST HOLE \ �, �v e`361 G� 6, 12/20/2019 0.01 BROWN LOAM(OL) 5 BROWN CLAY(CL) 3.0' dol BROWN CLAYEY(SC) "r4 P, SAND 5.0' 4.- J BROWN FINE TO COARSE SAND,WITH (SW) 10% FINE TO COARSE GRAVEL 12.0' PALE BROWN FINE FINAL SURVEY TO COARSE SAND, (SW) 7-28-2021 10% FINE TO COARSE GRAVEL,SOME COBBLE 20.0' FILE NO. 54097 NO WATER ENCOUNTERED WILLIAM R.SIMMONS III,L.S.P.C. 128 CARLETON AVE.EAST ISLIP,N.Y.11730 PH. 631 581-1688 FX.631 581-1691 DATE:12/2212019 SCALE:1"=30' DRAWN BY:WRS N I