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HomeMy WebLinkAbout35533-ZFORM NO. 4 TOWN OF SOL~fHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34361 Date: 05/20/10 ·"HIS u~TIFIES that the building ELECTRIC UPGPOkDE Location of Property: 825 DOGWOOD LA (HOUSE NO.) (STREET) County Ta~ Map No. 473889 Section 54 Block 5 Subdivision Filed Map NO. __ Lot No. __ S0UTHOLD Lot 33 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5, 2010 purs%~%nt ~o which Building Perntit No. 35533-Z dated MAY 6, 2010 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 ELECTRIC UPGRADE FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VIRGINIA & KEVIN COTTON (OWNER) of the aforesaid building. SUFFOLK C~)U~FTY DEPAR~T OF }{~AL~"~ APPROVAL N/A ELEctrICAL c~KTIFICATE NO. 35533 05/07/10 I~LU~ERS CERTIFICATION Dkr~u3 N/A Authorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Undenvriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requiromems. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic featuros. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state thc reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00. Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00. Accessory building $25.00, Additions to accessory building $25.00~ Businesses $50.00. 2. Certificate of Occupancy on Pro-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00. Commercial $15.00 Date. New Construction: Old or Pro-existing Building: Location of Property: ~ .~ 05 L~© ~_~ 4 House No. Street Owner or Owners oferoperty: ~X~it~] F'xl tgt. ~ ]~QL,~F~ Suffolk County Tax Map No 1000, Section ~ ~ Block (check one) Hamlet Subdivision PermitNo. ~-~¢'~ Dateofeermit. ~/~/lZ) Filed Map. Applicant: Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Sub,~-:-~a. $ f~)/~ (check one) ApPlicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35533 Z Date MAY 6, 2010 Permission is hereby granted to: VIRGINIA & KEVIN COTTON 48 DEER LANE WANTAGH,NY 11793 for : ELECTRIC UPGR3~DE FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 054 pursuant to application dated MAY Building Inspector to expire on NOVEMBER 825 DOGWOOD LA SOUTHOLD Block 0005 Lot No. 033 5, 2010 and approved by the 6, 2011. Fee $ 85.00 Authorized Signature ORIGINAL Rev. 5/8/02 Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 · (63~) 7~5- ~0 ro,qer.nchert('~,{~wn.souJ~iol~d.ny.us REQUESTED BY: Company Name: Name: BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Date: License No.: Address: ,~-,~ Phone No.: JOBSITE INFORMATION: (*Indicates/required information) *Cross Street: ~- ~ ¢ ~z~ / *Phone No.: '/~[~ ~ ~ Permit No.: '-~ ~-~' -~-~ Tax Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Print Cleady) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Y~ES NO YES / NO Block: ~"'~/-'~$~ 5 Lot:_ Rough In ~ww~,af~3r4~tN~F(~ needed] ~ *Service Size: 1 Phase 3Phase 150 200 300 350 400 Other *New Service: Re,connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Town Hall Annex 54373 Main Road ILO. Box 1179 Soulhold, NY 11971-0959 Telephone (631) 763-1802 Fax (631) 765-9502 ro.qer, richert~,town.southo d ny us I~,UII,I)IN(; 1)EPAI/TMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRIClAL COMPLIANCE SITE LOCATION Issued To: K&V Cotton Address: 825 Dogwood Rd. City: Southold St: NY Zip: 11971 Building Permit #: Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: B.J.Electric License No: 2670 SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commedcal Outdoor 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 100a over head service Ceiling Fixtures r-----I~[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures ~ I CO Detectors Fluorescent Fixtur(~ Pumps Emergency Fixture Time Clocks Exit Fixtures ~ TVSS Notes: Inspector Signature: Date: May 7 2010 81-Cert Electrical Compliance Form