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Home My WebLink About49527-Z 21• OS�fFUt�c `� Town of Southold 8/11/2023 y� P.O.Box 1179 y int 53095 Main Rd 101 ,fj0l �aojl;: Southold,New York 11971 r CERTIFICATE OF OCCUPANCY No: 44425 Date: 8/10/2023 THIS CERTIFIES that the building ACCESSORY Location of Property: 1615 Woodcliff Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-6-17.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/22/2023 pursuant to which Building Permit No. 49527 dated 7/28/2023 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 Siemerling,Arthur of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49527 8/7/2023 PLUMBERS CERTIFICATION DATED Aut1fori e Signatur �� FGj/ TOWN OF SOUTHOLD �SUFFQ1Mcoy BUILDING DEPARTMENT Ham TOWN CLERK'S OFFICE Way • ��, SOUTHOLD, NY 0 dol � ya�;i 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#: 49527 Date: 7/28/2023 Permission is hereby granted to: Siemerling, Arthur 1615 Woodcliff Dr Mattituck, NY 11952 To: legalize "as built" generator as applied for. At premises located at: 1615 Woodcliff Dr, Mattituck SCTM #473889 Sec/Block/Lot# 107:-6-17.3 Pursuant to application dated 6/22/2023 and approved by the,Building Inspector. To expire on 1/26/2025. Fees: AS BUILT-ACCESSORY $200.00 ELECTRIC $170.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $420.00 Building Inspector so�ryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �o Jamesh(a-southoldtownny.gov Southold,NY 11971-0959 cou BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Eastate of Arther F. Siemerling Address: 1615 Woodcliff Drive city:Mattituck st: New York zip: 11952 Building Permit#: 49527 section: 107 Block: 6 Lot: 17.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: 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 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 Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 14 kw genarator with 60 amp breaker, 1 14 space sub panel ats 10 spaces used Notes: AS BUILT GENARATOR Inspector Signature: Date: August 7, 2023 1615 woodcliff dr oP soujyo� # # TOWN OF SOUTHOLD BUILDING DEPT. �yco 631-765-1802 INSPECTION fiS- hu- [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ✓'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR # *qf so TOWN OF SOUTHOLD BUILDING DEPT. courm,��`` 631-765.1802 INSPECTION [ ]' FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: &JAM GaevlCkr-A-40d— DATE ()y �' INSPECTOR AAO-J =pp�ASufFQCKCOp TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT r ' •- � lily I � For Office Use Only ; --' U V ti PERMIT NO. 6J— Building Inspector: JUN 2 2 2023 Applications and forms must be filled out in their entirety.Incomplete -applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNERS)OF PROPERTY:- Name: �f� a ® � CTM#1000- Pr ject 000-Project Address: Phone#: �j _ r- FL ail: --_ 1___ �_ _._o_t_ ___�.-______ _►J _.__-_� __rC� _ CA.14 --_-- Mailing Address: CONTACT ERSON: Name: ---------�-' -'�-� -`��.--- —�--- __ G(_�1_�N1 Cly --------------___-_-__-------------------------------------------- Mailing Address: --_ ---- --------------------------- ------- --- ---- _- - ----- ------------— ---– Phone#: -S:mail 2j E —mail— . - _ _ -6. _ DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure E2Addition ❑Alts ration ❑Repa'r ❑Demolition Estimated Cost of Project: ther � l9'P�1 $ Will the lot be re-graded? ❑YesY,o Will excess fill be removed from premises? ❑Yes L N0 1 PROPERTY INFORMATION Existing use of property: Intended use of property_ - -- - e — Zone or u e district in which premises is situated. Are there any covenants and restrictions with respect to - ql0 this property? ❑Yeslo IF YES,YES, PROVIDE A COPY.. fCheck Box After Reading: The owner /contractor/design professional is responsible for all drainage and storm water issues as provided by h,pter.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 applicable laws,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. 0 Application Submitted By(prin me): I L �`�, C(1/\ Authorized Agent ❑Owner ___ `_____ Signature of Applicant: Date:_— Z� Z3 .- . STATE OF NEW YORK) SS: OUNTY OF ) S being duly sworn, deposes and says that(s)he is the applicant (Name of indi 'd al signin[gg contract)above named, (S)he is the 11/c (Cont tor,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 ��}�►� , 20 '2 � Notary Public PROPERTY OWNER AUTHORIZATION Ji / w (Where the applicant is not the owner) i I, residing at �Ooktlm do hereby authorize c(, �aVj C1 M(A►v to apply on my behalf to the Town of Southold Building Department for approval as described herein. Own is Signature Date (�d1 C, K 6W-S 1 Print Owner's Name 2 YrX.X.'�,. � _osfF04 BUILDING DEPARTMENT.- Electrical Inspector Kwn 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 rogerrCaD-southoldtownny.gov — seand(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali Information Required) Date:AXVIC, 2A 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) F i Name: 6 Address: ` Cross Street: Phone No.: LQ3 Bldg.Permit#: ��-7 email:i C, Gid d�S AM Tax Map District: 1000 Section: 16 Block. Lot: f BRIEF DE CRIPT ON OF WORK INCLUDE SQUARE FOOTA E (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: e�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 servicer-1 Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 FJ2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD ti Town Hall Annex - 54375 Main Road - PO Box 1179 � Southold, New York 11971-0959 Y; 4�, ::> Telephone (631) 765-1802 - FAX (631) 765-9502 � ''' rogerrp_southoldtownn .gov - seand(aD_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date:, ° , AXI.1 2A 7V__? 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: Address: Cross Street: Phone No.: _ � �- � °- '� �' , BIdg.Permit#: ��-� email: � `�� S Tax Map District: 1000 Section: Block: Lot: 6 :V-2 BRIEF DE CRI_PTION OF WORK INCLUDE SQUARE FOOTAGE (Please Print Clearly): 1GCAN 4 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 1-11 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? Y N Additional Information: PAYMENT DUE WITH APPLICATION l y Kkk1 bp vtmP 6tf-ak4-+" 14 5� At 5 I� LO ed CI FOP— I 1.7 /r Ar AIA_r n i ' ytwl ZAP IF 3Ly x?N 9Y d J r i jw}} {y'• ; i D R eaira+ JNAUTHORRED ALMATION OR ADDITION �' F 7;�) ✓ 1 FO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE E EDUCATION LAW. r i= COPIES OF THIS SURVEY MAP NOT BEARING .`T;�+lj a 4,fe:.t"' THE tA'D SU'VZYG2+S 1N:.D SEAL OR ASSIft}�yvw r�F.Y. + EMBOSSED SEA.51,'.*,L N:T BE CONSIDERED {{ es = ib i.52 r TO BE A VALID T:U:COPi. ; J A' / 7•x'3 : GUARANTE_:S :NDW A7'D SHALL RUN � ONLY TO TVI! F:,. M.THE 55F.YEY ---•- .. r "ji3,�. t�.7$r w' � M1.,,? >r.;�.%:f' �Yj� ; IS-rRE,A:T:. A.r 0,Y i,�:�A:FTO THE � '� `!� e i`4 v EtS.�'CX»'i'1i' TITLE CCIf'h,^'. G''•v AGc:CY A I 4 St� i.� - a�4 �la+. �'yI7,� LENDM:G ri�Si+h:I..:.L.a+_U Ii.L:OPL_AND y� TO IRE ASS,CNzES OP uZ 4bxrZKG INSTI- �� TUTio� Gi A2ANTEES A.Cc NOT TRANSFERASL£ TO O-,,ADDITIONAL lNSTLTUTIONS OR SUYSEQtlEAT OWNERS. - ----- • -•--- - -� _._.._._._ - -� .��;.:rM•.-rf�'�,* •� 7�=rte f .« - - (�� _ _-_—'ar7 y"'f"i:fr%=;'11 -r-:J!ti• `jos«'`• �I=:.� �.Q. »"'Cl --- ---—•f`� t` 1'y'!` :F:f._°4;[^(. ,,,,�C,'i" �'�X:` BCXtYI:: y 0• jai, ! "< Y a'.M 14fy!, T• 4• '•, s t p n AP R VED AS NOTE DATE: B.P. FEE: r BY. I/ NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION.- TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRU('- )N MUST BE COMPLETE ALL CONSTRUCT,,,.. 3F-ALL MEET THE REQUIREMENTS OF THE CODES OF NEVI' YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF so6HotroWRP9=G BOARD SOUTHO RUSTEES �IY.SrDE6— -JCC.UPANCY OR JSE IS UNL AWFUL NITH0UTfIC, FAT OF'OC°GItPANCly ELECTRICAL INSPECTION REQUIRED i Guardian w zi .J f 'u y .f .� �till '�71'1t ! '•� � .•, `� { �,,�:;.a;,: ,:•rte Y v ` ,.c'y'" 'T;Y.:;a`{`=,h+;�Z� 1er,,�'. �. " _y,' � _` +-�'�K�e:.�«`� �'�.�' `- ! :�� + a t_ ds_}:�a.� ;�,� r.7 L a.-'.-�. Rw��,.-.-�U.,, `� f +e•`.) /�p�� .�t �,._,;t='�.. "�}+ ��`i:;'�. 'r,. +k'-;n},r .!� .;,`�.. ~l� . Lis.:, �....-3 ., .,�w.� a�. f� •yM,s, , 1... i+rJ'.ta�'�' .1.L _��-.'`✓wary:"' f�`'� ��3 .•;F-`.�j��+� .�A'`�l�^) � ��. �i: 1'-.^�ati`�`=�i�'.� t�f�t:..l '�y ti.�"�i�1`. i�� ,r�.�� ..-9..I4 -�I��,� - � �. �y,�,�:�`-., ,t�W;�;L t� �.,� �7 � $': AR. 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