HomeMy WebLinkAbout49257-Z �og�FFOt�E,� Town of Southold 10/21/2023
a P.O.Box 1179
y T� 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44684 Date: 10/21/2023
THIS CERTIFIES that the building GENERATOR
Location of Property: 925 McCann Ln, Greenport
SCTM#: 473889 Sec/Block/Lot: 33.-3-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/13/2023 pursuant to which Building Permit No. 49257 dated 5/16/2023
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:
accessory generator as applied for.
Maintain 36 inches from shrubs at all times.
The certificate is issued to Sieban,Edward
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49257 10/11/2023
PLUMBERS CERTIFICATION DATED
tori Signature
s TOWN OF SOUTHOLD
�O�g�fFO(
BUILDING DEPARTMENT
y 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#: 49257 Date: 5/16/2023
Permission is hereby granted to:
Sieban, Edward
925 McCann Ln
Greenport, NY 11944
To: install generator as applied for. Must maintain a minimum setback of 5' from lot lines.
At premises located at:
925 McCann Ln, Greenport
SCTM #473889
Sec/Block/Lot# 33.-3-29
Pursuant to application dated 4/13/2023 and approved by the Building Inspector.
To expire on 11/14/2024.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $235.00
Building Inspector
3
pf SOUryol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlina-town.southold.ny.us
Southold,NY 11971-0959
Q�y�OUNTV,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Edward Sieban -
Address: 925 McCann Ln city:Greenport st: NY zip: 11944
Building Permit* 49257 Section: 33 Block: 3 Lot: 29
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: DAK Electric License No: 5120ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Surrey X Attic Generator X
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 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch X UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 1 OkW Generac Generator w/ 100A Generator Panel
Notes: Generator
Inspector Signature: Date: October 11, 2023
S.Devlin-Cert Electrical Compliance Form
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SOUIyO� -
�_ TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAU_L,�KING
[ ] FRAMING /STRAPPING [ FINAL 6.."O '�6-�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
t T
DATE I 'JO ANSPECTOR
OF 50U1y�� 'Y 2L—7 g ers—
# * TOWN OF SOUTHOLD BUILDIN DEPT.
WON, 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: lit 1�
DATE ® t ti 222 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
-S1r�
FOUNDATION (1ST) _
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FOUNDATION (2ND) �
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE ..�
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FINAL
ADDITIONAL COMMENTS VJ
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a o,Qgl1FF LO TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959
��o aoa Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtownnygov
Date Received
APPLICATION FOR BUILDING PERMIT
Office Use Only (�PERMIT NO.
�L51or
Building Inspector: APR 1' 3 20911 !
iI � f j ,..
Applications and,forms must.befilledout in their,entirety..lncomplete, i-.ufLD I N'G 0E'
applications will not be accepted. W6M the.Applicant is not the ovuner,ah �f{I{�{®l ��l{�'�` °
Owner's Authorization form(Page 21 shall lie completed.
Date:
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OWNERM OF°PROPERTY:
Name: - ,. ' SUM#1000-
--- - s - - M- 5----- 3m--- ---- ---- ..-
ProjeetAddress: 11'jiJ
P.,hone#: Email:
Mailing,d, ress:
C ONTI4CT,PERSON:
Name: e .. .._.�
Mailing Address:
Phone 9: _� . � - Email: T ���. C�lIM
DESIGN PROFESSIONAL INFORMATION:..
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INF.ORMATION:•
Name:
Mailing Address: 33SQ, r-
Phone#: Email: clam
X31- �5-
DESCRIPTION OF,PROPOSED CONSTRUCTIOIN '
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cos of Project:
D@Dther 10 KW G-QAJ 41 40
Will the lot be re-graded? ❑Yes l Will excess fill be removed from premises? ❑Yes)PNo
1 '
P
` PROPERTY INFORMATION
Existing use of property: Intended use of propert y V
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect t
this property? E]Yes RNo IF YES,PROVIDE A COPY.
The&mer/oritrictor,design'professional n responsible for
drairtageArt,.storm,vrater-issuesaip ed by
Chapter236 of Hie
S HEREBY MADE to the tiuildmg
' - ' '' -
Ottinancep therown of Southold Suffulk� untyiNew-Yer an at prapplicable liii,ord'jiW�,_
ork'egu-Ia' prs.fortliecops--b
;6ctIoLn-46iiidQ
s
addfions;alterations or for removal or;demolihon as herein dei6nbid.The,ao�lc�pt,agMestoOMplywith all appiicable laws;ordianc6s,6611ding
mrsg code'and regyratonand dnit a"mpnspecbws an premises and in bul ding(s).fof necessary
inspections ja se
_sfaterrients maw herein a
pt le asaL_CJa3sAnfrAeme_a_ribf�Plklp"qt#�210AS
, _in
Application Submitted (print name): ftuth6rized Agent DOwner
Signature of Applicant- Date., Z'-
STATE OF NEW YORK)
SS1_
F 5U'-v" - )
Ste'C� . vGl k— _being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing cbdract)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 filet rewith.
Sworn before me this
day of 202�'-S
Notary P lic
BETSY A.PERKINS
PROPERTY OWNER AUTHORIZATION otary Public,State of New York
No.01PE6130636
(Where the applicant is not the owner) Qualified in Suffolk Cour
Commission Expires July 18,. b ZJ�
Paraskevi Parliaros residing at 191235 McCann Lane
Greenport, NY do hereby authorize to apply on
my beha the Town of So Id Building Department for approval as described herein.
e 2/5/2023
Owner's Signature Date
Paraskevi Parliaros
Print Owner's Name
2
gOFFO(k BUILDING DEPARTMENT- Electrical Inspector
cOGy� TOWN OF SOUTHOLD
C2 Town Hall Annex- 54375 Main Road - PO Box 1179
o • A? Southold, New York 11971-0959
y p� Telephone (631) 765-1802 - FAX (631) 765-9502
��'�. ' �a rogerr(@southoldtownny.gov — seand(@-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4/12/2023
Company Name: Dak Electric
Electrician's Name: Dave King
License No.: 5120 Elec. email:jgaffga@jtechss.com
Elec. Phone No: 631-375-2737 ❑1 request an email copy of Certificate of Compliance
Elec. Address.: PO# 1050 Mattituck NY 11952
JOB SITE INFORMATION '(All Information Required)
Name: Paraskevi Parliaros
Address: 925 McCann Ln Greenport NY 11944
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1060 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
install 10 KW Generator
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 0 YES❑NO Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES R&/ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Recoririect❑Service Recorirtect❑Uriderground❑Overhead
# Underground Laterals 1 R2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
r ¢¢Qt BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
21
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
�7 � � rogerr southoldtownny.gov — seand(a-southoldtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 4/12/2023
Company Name: Dak Electric
Electrician's Name: Dave King
License No.: 5120 Elec. email:jgaffga@jtechss.com
Elec. Phone No: 631-375-2737 ❑I request an email copy of Certificate of Compliance
Elec. Address.: PO# 1050 Mattituck NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Paraskevi Parliaros
Address: 925 McCann Ln Greenport NY 11944
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1060 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
install 10 KW Generator
Square Footage:
Circle All That Apply:
Is job ready for inspection?: Z YES ❑ NO ❑Rough In E] Final
Do you need a Temp Certificate?: ❑ YES n NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A , #Meters Old Meter#
❑New Service[]Fire Reconnect[]Flood Reconnect[]Service Reconnect[]Underground[]Overhead
# Underground Laterals 0 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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