HomeMy WebLinkAbout49589-Z ��o`pSUFFo4-00"- Town of Southold 12/20/2023
P.O.Box 1179
0
53095 Main Rd
oy p� SS Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44832 Date: 12/20/2023
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 2080 Town Harbor Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 65.-1-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/7/2023 pursuant to which Building Permit No. 49589 dated 8/16/2023
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:
"as built"mini-split unit in the existing accessory garage as applied fo
The certificate is issued to May,John&Wels,Richard
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49589 8/17/2023
PLUMBERS CERTIFICATION DATED
A o iz S gnature
o�SUF o;�,cD TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
"o • 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#: 49589 Date: 8/16/2023
Permission is hereby granted to:
May, John
2080 Town Harbor Ln
Southold, NY 11971
To: legalize "as built" mini-split unit in the existing accessory garage as applied for.
At premises located at:
2080 Town Harbor Ln, Southold
SCTM #473889
Sec/Block/Lot# 65.-1-16
Pursuant to application dated 8/7/2023 and approved by the Building Inspector.
To expire on 2/14/2025.
Fees:
AS BUILT-ACCESSORY $200.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $250.00
Building Inspector
pF SO!/ryQl
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin4-town.southold.ny.us
Southold,NY 11971-0959 Q
�yOWN,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: John May
Address: 2080 Town Harbor Ln city:Southold st: NY zip: 11971
Building Permit* 49589 Section: 65' Block: 1 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT 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 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 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: Fulitsu Minisplit w/ One Blower Head
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: Date: August 17, 2023
S. Devlin-Cent Electrical Compliance Form
/ ��oE SOUIyo 1 E;e 12.0 8 1 " wln
# # TOWN OF SOUTHOLD BUILDING DEPT.
coulm, 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) -ta ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: ����r'�-�t►' 1��,� �; � `
DATE Z!; INSPECTOR --�
?IELD INSPECTION REPORT DATE COMMENTS
lA
FOUNDATION (1ST) a
------------------------------------ v,
FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING �' y
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INSULATION PER N.Y.
STATE ENERGY CODE
I E-1
FINAL
ADDITIONAL COMMENTS
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O��gUFfO(�coG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y� x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy�o ao�� Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
p EOM E `
For Office Use Only
PERMIT NO. Building Inspector: AUG 7 2023
Applications and.forms must'be filled out in their entirety.Incomplete Building Department
applications will not be accepted. Where the Applicant is not the owner,an TOWn of Southold
Owner's Authorization form(Page-2)shall be completed.
Date: 7 Zi�2
OWNER(S)OF PROPERTY:
Name: SCTM #100064
-
Project Address:
Phone#: j Email:
( . . . ..
Mailing Address:
.. Z__.._ _...-
CONTACT PERSON:
Name:
Mailing Address: "
Phone#: Email:. -
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
'Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other -8c.,i N— uul $
Will the lot be re-graded? ❑Yes o- Will excess fill'be removed from premises? ❑Yes No
1
—•a
E"
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? ❑YesTNo IF YES, PROVIDE A COPY.
❑ CheckttBox Afterrweading: The.owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter1236;bf tl}e`ToL in0de.dPPU&T10N li 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,
hobsing code and regulations anJ,to admit authorized.inspectors on premises and•in building(s)for necessary.inspections.False statements made herein are.
punishable as a,Class A misdemeanor.purs_yanttto Section 210.45 of the New York.State Penal Law.
Application Submitted By(print na e): 3 []Authorized Agent Owner
Signature of Applicant: �9 i Date: 74 Z3;
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No,01BU6185050
SS: Qualifiedin Suffolk County
COUNTY OF
Commission Expires April 14,2�L'
Sv¢�L( )
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
day of "2:aL , 200
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
i
Owner's Signature Date
r
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
ca ►2-T Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(aDsoutholdtownny gov seand(D_southoldtownny.gov
APPLICATION FOR.ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: JC7
Company Name: ' S( ,,b e E /C; _Arojiv5l l ec 77�c-
Electrician's Name: -t Cel 5
License No.: e'�� ("3 - Elec. email:
Elec. Phone No: 1 -1(vs 4 ( l [::]1 request an email copy of Certificate of Compliance
Elec. Address.: j so I�ce6 %) t- L 7c G,G,e-
JOB SITE INFORMATION (All Information Required)
Name: W
Address: 'ZcV > t0td4 u e—
Cross Street: TeP( fie.
Phone No.: p (o
BIdg.Permit#: S email: 12 A-? 5,-2 42
Tax Map District: 1000 Section:(¢j� Block. Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly).
k_;C A r
Square Footage-
Is
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 Ph❑3 Ph Size: A #Meters Old Meter#
❑New ServiceO Fire Reconnect F-1 Flood Reconnect QService Reconnect❑Underground QOverhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE.WITH APPLICATION 1 �C 10-0
�� � 3
BUILDING DEPARTMENT- Electrical Inspector
Orin: TOWN OF SOUTHOLD
�� sL Town Hall Annex - 54375 Main Road - PO Box 1179
r Co ►2-- ' Southold, New York 11971-0959
�y� apt Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cDsoutholdtownny qov seand(cr7southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (AII Information Required) Date: g)(7
Company Name: ��� ti J [� e- n d_WP/e Pjrp f ec C
Electrician's Name: 5
License No.: ('3 - Elec. email:
Elec. Phone No: t (os' I L( ( l ❑1 request an email copy of Certificate of Compliance
Elec. Address.: 550 `b eel � f• C -r�
JOB SITE INFORMATION (All Information Required)
Name: In . W 1
Address: ZcVa tO b,i Cross' Street'. T,2P( C A-"el
Phone No.: OC7 (o a ? �y
5�f email: �Q p?�/��
Bldg.Permit #: LyV
Tax Map District: 1000 Section:�& Block: I Lot:
BRIEF DESCRIPTION OF
OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly).
Square Footage. O�
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES [�j NO Issued On
Temp Infokmation: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
New Service[]Fire ReconnectOFlood Reconnect❑Service Reconnect❑Underground Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION pec is
Ifs 1
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APPIRQVED AS NOTED
DA B.P.#
FEE cd� BY:
NOTIFY BUILDING DEPARTMENT AT
631 765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO,REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRA iING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
r +
Jt PflNING BOARD
SO 1THI OLD TOWN TRUSTEES
�. ;;jrAl ; Y OR
JSE IS UNLAWFUL
.11THOUT CERTIFICATL7
OCCUPANCY
ELECTRICAL
INSPECTION REQUIRE®
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