HomeMy WebLinkAbout50297-Z �o\OS�EFOL�IpGy Town of Southold 2/16/2024
a P.O.Box 1179
0
co �. 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44987 Date: 2/15/2024
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1000 Ninth St, Greenport
SCTM#: 473889 Sec/Block/Lot: 46.-1-31.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/10/2024 pursuant to which Building Permit No. 50297 dated 2/5/2024
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"alterations(hot water heater and laundry closet)to existing single family dwelling,as applied for. (Unit J66)
The certificate is issued to Driftwood Cove Owners Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50297 2/6/2024
PLUMBERS CERTIFICATION DATED
Author' e gnature
�SUFFot o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x. 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#: 50297 1 Date: 2/5/2024
Permission is hereby granted to:
Driftwood Cove Owners Inc
c/o John King
PO BOX 1186
Westhampton Beach, NY 11978
To: Unit J66- Legalize the installation of an "as built" hot water heater, "as built" washer
and "as built" dryer to an existing dwelling unit as applied for per manufacturers
specifications. Additional certification may be required.
At premises located at:
1000 Ninth St, Greenport
SCTM #473889
Sec/Block/Lot# 46.-1-31.1
Pursuant to application dated 1/10/2024 and approved by the Building Inspector.
To expire on 8/6/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00
CO-RESIDENTIAL $100.00
ELECTRIC $200.00
Total: $800.00
Building Inspector
hO��OF 50(/T�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
4iJNT`I,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Driftwood Cove Owners Inc.
Address: 1000 Ninth St city:Greenport st: NY zip: 11944
Building Permit* 50297 section: 46 Block: 1 Lot: 31.1
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 1st Floor Pool
New Renovation 2nd Floor X 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 1 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 30A Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 120A Arc Fault Breaker, 23013reaker
Notes: Laundry Closet
Inspector Signature: Date: February 6, 2024
S. Devlin-Cert Electrical Compliance Form
Hof SOUIyy Grle e Y,-e fj C �� ( �Q
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V TOWN OF SOUTHOLD BUILDING DEPT.
°`ycouim �4 631-765-1802
I
a INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] 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 [ ] RENTAL
REMARKS:
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DATE /02-/9= :3 INSPECTOR
hO��OF SOUIyo� 2 / C 1, o
* # TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm,��' 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
REMARKe. 5t S
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DATEQ-'�Z INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST)
-------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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o�gtlFFUlk�Od TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
mo o• �ao� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT r
For Office Use Only
PERMIT NO. J Q-I r7 Building Inspector: r
JAN 1 0 2024
Applications and forms must be filled out in their entirety."Incomplete °
applications will not be accepted. Where the'Applicant is,not'_the own_er,an, � ,p
Ownee'--Authorization form'(Page`2)shall,be completed - � a 's,
ownx fa
Date: I 2oZt{
�OWNER(S)'OF•PROPERTY:` -. .- - :.r - = - ;
Name: SCTM#1000- 4 6 — 1 — 31 e 1
Project Address: GIf.e oC t i
Phone#: I �S�s oZ Email- a ;e cr S 'T@ Vv+O:. • c DVV--7
Mailing Address: �� S� �t o(,� (f A Ll
= _
CONTACT PERSON: '
r.- f
Name:
Mailing Address: 'Po N`A (1 G U
Phone#: ( / G Email:
�-'er�1Gt J� Yl^a,- I c o
DESIGN PROFESSIONAL',INFORMATION:
Name:
Mailing Address:
Phone#: Email:
,CONTRACTOR INFORMATION:
Name: C _
Mailing Address: 3U� SSS c e--c-,,, off-s �,, � k- yqq
Phone#: loll 1 �SSZ- Email: � �
DESCRIPTION'OF PROPOSED,CONSTRUCTION-,", '_:., 71
-
❑New Structure ❑Addition VAlteration °Repair ❑Demolition Estimated Cost of Project:
[]other / $
Will the lot be re-graded? ❑YeslyNo Will excess fill be removed from premises? ❑Yes VNO
1
FO MATION
- -- ,PROPERTY IN R
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? ❑Yeslo IF YES, PROVIDE A COPY.
Check BOX'Aftel.Readlri The owwner/contractor/,design uprofessiorial is'responslble for all,drainage'and storm water issues'as,proviiled by;-'_
pter M of the.Town dode:''APPuCATION IS HEREBY MADE to the Building Department'for the,issuance of a.Bullding'Pernri t pursuant to the Building zone,,
c a
`Ordinance:oi.the Town`of southold;3uffoik,:.County;New York and other applicablel'aws,,ordinances or Regulations,for the:construction otauildings
Ladditions,alterations or for remova(or"demolition as herein described:The applicant agrees to comply with all applicable laws;ordinances building code;: r
housing code and regulations and to admit authorised inspectors on premises,and.in building(i)for necessary,mspections.False statements made,herein are
punlshable:as a Class A misdemeanor,pursuant to Section 210A5 of the New York State Penataaw -.{ _ 7 '
Application Submitted-By(print name): S ❑Authorized Agent [Owner
Signature of Applicant: Date: I 1 J U 12f
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
No.01BU6185050
SS: Qualified in Suffolk County
COUNTY OF ) Commission Expires April 14,2n)—
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
p ,,''AA
l day of 20� Cm P.—J C \ n� —
Notary Public
PROPERTY OWNER AUTHORIZATION!
(Where the applicant is not the owner)
e C residing at
►�� �(ol do hereby authorize to apply on
my behalf the Town f Southold Building Department for approval as described herein..
1110I7c!
Owner's Signature —�Date
Print Owner's Name
2
DECEQWE
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BUILDING DEPARTMENT-Electrical Inspector 2024
FtTt
► � TOWN OF SOUTHOLD
o Town Hall Annex-,54375 Main Road =t ? ;;BFgx;1.1T9,
- Southold, New York 11971-0959
gyp`' Telephone (631) 765-1802 - FAX (631) 765-9502
1 " ja mesh(cDsoutholdtownny_gov- seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: e-�,( 4
Address: -w. ` � `-q
Cross Street:
Phone No.: a
Bldg.Permit#: -��� "� _ email: Z. e(\OCIC 6eS
Tax Map District: 1000 Section: (o Block: Lot: 3 I .
BRIEF DES RIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
`� 11
F 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 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 R2 R H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION,
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PLATING
CERTIFIED
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LISTED
• TEST pRESSURE 300 P.S.I. WATER OTER
WORKING PRESSURE'M P.S' 608H
MWEL NUMBER 04
R .- 045Dv M
E61 - 40
SERIAL 0322116953
n► a BER
NUM YEAR WEEK
met 5
a pRODUDT082342
NUMBER MQpEL Cp�
Step ATER H�`�R
,� -His 19g2 Y
d 90,E b
►nnot
during
NOW-
AMERI AN WA ER HEATER COMpA
1100 E ST FAI VIEW AVENUE N Y
JOHNSON CITY, TN 37601
TESTED TO WITHSTAND 40 G.. . F
INTERNAL HEAT TRAPS IN TALLED
C ..................................
APACITY 40 U-S.GALLONS PHASE 1
3 LIMITED 6603580 VOLTSA.C, 208 240
WARRANTY
INNER TANK 6 YEAR ELEMENT 3380 4500
PAID 6 YEAR LOWERL T 3380 4500
RAE STANDARD INSULATED TO CTOTAL
ONNECTED 3380 4500
WATTS
66033v4
RNING
Electrical Shock Hazard
Disconnect power before servicing.
Replace all arts and panels before o
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operating. in death or
Failure to do so can result
electrical shock.
• from Polder SuPPIy -_
To reduce the risk of electric shock disconnect
°fig temperature-limiting device.
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