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HomeMy WebLinkAbout51339-Z TOWN OF SOUTHOLD 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#: 51339 Date: 10/31/2024 Permission is hereby granted to: Sheebeest Southold LLC c/o Shari Hymes Southold, NY 11971 To: legalize "as built" HVAC as applied for. Premises Located at: 1854 N Bayview Rd, Southold, NY 11971 SCTM# 70.-12-39.3 Pursuant to application dated 09/17/2024 and approved by the Building Inspector. To expire on 10/31/2026. Contractors: Required Inspections: Fees: As Built Alteration $500.00 ELECTRIC -Residential $200.00 CO-RESIDENTIAL $100.00 Total $800.00 Building Inspector iFldC IOF TOWN OF SOUTHOLD—BUILDING DEPARTMENT A c Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 "r Telephone (631) 765-1802 Fax (631) 765-9502 htt s://www.soutlioldtownny.gov Date Received v APPLICATION FOR BUILDING PERMIT For Office Use Only 5� g p �PERMIT NO, Building Inspector. � Applications and forms must be filled out in their entirety. Incomplete UMDINO DPPT applications will not be accepted. Where the Applicant is not the owner,an h r ` , Y"OTT g Ownees`Authorizatlon form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: ,. SCTM#1000- C) Project Address: Phone#: 3 i 3-7 9-619�'f Email: SH zI S{-(�, mac.~►-v�c,l 1.(o�.n Mailing Address: 3 -7(.s C I S (k y CONTACT PERSON: Name: es V, i Mailing Address: 7 �� l,� z �S (� ��{ ( (GI -71 Phone#: 3Ir Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address:. Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address:. Phone#: Email:. DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Add ion ❑Alteration ❑Repai ❑DernoIiti n Estimated Cost of Project: ❑Other "-" 1 C $ Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? ❑Yes ONO 1 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? ❑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 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 buildingisI for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New Yor w State Penal Law, Application Submitted By(print name): r , —1 cf ❑Authorized Agent ❑Owner Signature of Applicant: .Cp � Date: CON 1= D.BUNCH STATE OF NEW YORK) Notary Public State of New York SS: No.01 BU6185050 Qualified in Suffolk County COUNTY OF ) CoM ission Expires April 14,2 do 5�Gt r` ►" � ' being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contra t) 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 '�L_-() , 10 7)� 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.. Owner's Signature Date Print Owner's Name 2 fFOC ILDING DEPARTMENT- Electrical Inspector D2 TOWN of SOUTHOLD YN�o� wn Hall Annex. 54 Main Road - PO Box 1179,9 Southold New York 11 71-0959 5kyl Telephone ( 31) 765-1 '0 - FAX (6 1) 7 -950 amesh southoldtownn . orr wand sautholdtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date:. 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: . igGMe5 %J, — o14 Li. Address: , Cross Street: C Phone No.: _ 3-7 - 6 Bldg.Permit #: i email: Tax Map District: 1000 Section. Block: =Ot- BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 7-1 Square Footage. Circle All That Apply: Is job ready for inspection?: El YES NO Rough In Final Do you need a Temp Certificate?: YES Lj 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 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION SCHDS REF# RI0-12-0036 SURVEY OF PROPERTY AT BA YVIEW TOWN OF SOUTHOLD �Q SUFFOLK COUNTY, N. 1000-70-12-39.3 SCALE: 1=50' FEBRUARY 20, 2004 JANUARY 6, 2005(Ro-islons) SEPTSUBER 9, 2OD5(Loe. wetlands Rags, revise prop. hous NOV. 9, 2005(REVISIONS) FEB.MAR 2, 2006 (ADDITIONAL LATH) MARCH 22 2006 (ABOITSC]tidS) MAY 18, 2006(REVISIONS) veooeiro SEPT. 5, 20116 REV1S14NS) of-ts-ts OCT. 13, 2006 IREPLOT HSL) DEC. 19, 2006 FRENCH DRAIN, CONTOUR, FILL CALC.) OCT. 17, 2007 REPLOT HSE-) OCT. 30. 2007 (ORYWELLS) SEPT. it.. 2006(SPOT EL_S) OCT. 6.2008(REMSIDNS) APRIL 20,2010(CERTIFICATIONS) OCT. 7. 2011 REPLOT H .) JUNE 1, 2112((NEW SANITARY SYSTEM DESIGN) JUNE 15, 2012 SAMTARY REVISION) JULY 14, 2012 NEW SANITARY SYSTEM DESIGN) AUGUST 17, 2012(REMSED BURRDESCRIPTION) MARCH 17, 2015{PROPOSED MARCH 20, 2015 (REu1S[OI ? O DRIVE MAY 6, 2016 (FINAL) � d n 003 oc ._ c I aqI o E� ,a, 6 1 m z = IZ Y o 4 r 1r-- n 1 SEP71C LOCA77ONS _' ro A 8 � 1° � JUN -3 2016 ST 42' 58' eNo 1• Ae BUILDING DEFT. LP7 60' 81` 1 \ TOWN OF SOUTHOLD _ e 11 dy 69 4 ` L)? FF LP3 60' 77' ET a.a \\ l LP4 58' 73' , - LP5 67' 82' ' � i ry \ i xar , a N\ 1 to 91 r4- PLF - tiF OLF 7EST HOLE DATA ? 19a9 >5 �� ULr ELB3' -_ LOAMY SAND -- MEDIUM 70 COARSEN S' SAND SW � k`i" —— ^ PINAR, -------- 0, 14111` SANDY CLAY GRAOMD TO CLAYEY SAND SC vsttrivu AVG WAR?IN CLAYEY SAND SC WATER IN BROM 800 CH a. WATER IN GREY CLAYEY SAND SC _e 13' WAR?W NEDIUM TO COARSE SAND SP 19, FLOOD ZONE LINES FROM FIRM 36103CO166 H SEPT 25, 2009 ELEVATIONS REFERENCED TO N.G.V.D. CERTIFIED TO: I am familiar with the STANDARDS FOR APPROVAL DAMD C. PAGE AND CONS77?UCT7ON OF SUBSURFACE SEWAGE BARBARA SHINN DISPOSAL SYSTEMS FOR SINGLE FAMILY REStDENCBS of r, STEWART TITLE INSURANCE COMPANY `�`^ and will abide by the conditions set forth therein and on the �� �.�:��4 -, permit to construct. •' The location of wells and cesspools shown hereon are from field observations and or from data obtained from others. f ANY AL7ERA77ON OR ADDIVOV To 7HIS SURWY 15 A 1R(OY,A.77aV < OF CION 7209 CF INE NCW YORK STATE EDUCATION LAW h REBAR EXCEPT AS M S€CTTON 72109- &SON 2. ALL CERTIFICATIONS = � N0. HEREON ARE VALID PM THIS MAP AND COTES THEREOF ONLY IF � = WETLANDS FLAG PECONI�UR) YOR P.C. SAIO MAP I C , AR IME IMPRESSEDS THE SURVETT WHOSE SIGNATURE APPEARS HEREON = DRY WELL (631) 765-5020 FAX (631) 765-1 . AREA=63,302 SO. FT. 1=LATH SET = PROPOSED CONTOUR P.O. BOX 909 TO TIE LINES A=WETLAND FLAG SOUTHOLD, N.Y. T 11971 04-1 W(A '.E/lbl NI/r tArr S/ 9 1fJ1Al CNARRt3F C" J M Mat IN$TAt lI H Mork� I I In;tellNUor Inelnxllrx; I I II II� III II III — Nll,l,e H -r f 15383015, M lhw stria 250Py►f, For Outdopr Use Only r• Unit SuPair 2Wi30V 'PH 6pNt A UTILISATION L'EXTE-RIEUR 4 (:nmprnlltnr 2081230V 1PH �` 60Ht 16.3 Rt A 10.0 LRA Fat, M01W 20Nl230V 1 PH Oft 0.1 F Mim"111m COW11 U 1 HP ��Y'16.9A MAX FUSL ON MAX CKT,BKR, (HACR TYPE Per NEC) •3M V C, fUBiBtE MAX (UiSJONCTEUR MAX•)36 COURANTcowom • To U VD, G U8 IN � C �• CERTIFIED TO CMBTD• Intertek c22.2rw23e I tr Inuertioll Itslnd Compsny tt00 Buaty Street,Davidson,NC,28036 \ ©WARNING HAZARDOUS VOLTAGEI Disconnect am oloctric power including remoto disconnects betoro servichig. Insuro that Oil motor capacitors have discharged cover m wturud voltago. Control panto Must In pin it whoa syfltom is operated. 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