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Home My WebLink About37916-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/30/2013 CERTIFICATE OF OCCUPANCY No: 36207 Date: 4/30/2013 THIS CERTII0'IES that the building OTHER Location of Property: 19855 Route 25, Orient, SCTM #: 473889 Subdivision: Sec/Block/Lot: 17.-1-ll.4 Filed Map No. conforms substantially to the Application for Building Permit heretofore 4/8/2013 pursuant to which Building Permit No. 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: Lot No. ~ed hi this officed dated 37916 dated 4/8/2013 hot water heater, boiler and generator as applied for. The certificate is issued to Thompson, Lucy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37916 4/30/13 'x 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 Cf: 37918 Permission is hereby granted to: Thompson, Lucy 11 Harrison Ave Date: 4/8/2013 Red Bank, NJ 07701 To: hot water heater, boiler and generator. At premises located at: 19855 Route 25, Orient SCTM Cf 473889 Sec/Block/Lot Cf 17.-1-11.4 Pursuant to application dated To expire on 4/812014. Fees: 418/2013 and approved by the Building Inspector. CO - ACCESSORY BUILDING ELECTRIC FURNACE/BOILER - RESIDENTIAL Total: $50.00 $85.00 $200.00 $335.00 Building Inspector 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: For new building or new use: 1. Final my of property with accurate location of all buildings, property lines, streets, and unusual namrat 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 0fFire Underwriters. 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 residanees and similar buildings and installations, a certificate of Code Compliance'from architect or engineer responsible for the building; 6. Submit Planning Board Apfnoval of completed site plan requirements. 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 features. 2 A properly ¢gmpleted application and consent to inspect signed by the applicanL If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50~00, Accessory building $5000, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building $10000 3 Copy of' Certificate of Occupancy - $:25 d Updated Certilicate of Occupancy $50 00 5 Temporary Certificate of Occupancy - Residential $15.00, Commercial $1500 ][)ate 3/14/2013 New Constmction: X Old or Pre-existing Building: Location of Property: 19855 Route 25, Orient, NY 11957 (check one) Hamlet House No. Street Owner or Owners of Pr~>perty: _Estate et' Lucy G Thompson Suffolk County Tax Map No 1000, Section 17 Block 1 Subdivision Filed Map. Permit No. Date of Permit. Applicant: Lot 1~1_.4 Lot: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate ........ Final Certificate: Fee Submiued $ 50.00 x (check one) Apphcant Stgnatm William Gesell, Fxecutor 11 Harrison Ave Red Bank, NJ 07701 732-616-9005 (cell) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roger.richertt~,town.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION issued To: Estate of Lucy Thompson Address: 19855 Main Rd City: Orient St: NY Zip: 11957 Building Pc~nit #: 37916 S~ion: 17 Block: I Lot: 11.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commedcal Outdoor 1st Flcor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lcck Other Equipment: Ceiling Fixtures [~1~1[~ HID Fixtures Wall Fixtures M Smoke De~ectors Recessed Fixtures CO De{ectors Fluorescent Fixture U Pumps Emergency Fixtures Time Clocks Exit Fixtures I I TVSS electrical survey whole house, to include service panel, generator, mechanical systems. No defects found Inspector Signature: Date: April 30 2013 Electdcal_Certificate.xls Examined Approved Disapproved a/c qfc, 20/3 Expiration _ ~'¢ 20]Z/- Building Inspector Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: J~ APPLICATION FOR BUILDING PERMIT Date q - ~ ,20 I~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot mid of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within l 8 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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, or 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 inspect,ors-ouaor~mises ~,,d in b,,ilding for necessary inspections. !! - l} ~ ! ,, (Signature of applicant or narfle, ifa corporation) '" I , // 5 -- r7 7' ---- '-~ (Mailing address of applicant) r_) '7 '~0/ State wheih~i: ~ppli~ant i-~-o4;fiEf~ I~g§E~; agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ,~Tf:iT'~ £)~,~' Lc/C)/ G.T/4oprP ulO (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) [ "7 ~' / ~- / I, i.~ Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost ~4[~5t If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work /~)?o ~ ~-rhe/¢~(Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height_ Number of Stories Rear Dimensions of same structure with alterations or additions: Front Number of Stories Rear Depth Depth. Height 8. Dimensions of entire new construction: Front Height 9. Size of lot: Front 10. Date of Purchase Number of Stories Rear Name of Former Owner Depth Rear Depth ll. Zone or use district in which premises are situated [DiSTL~dF /b1~(.3 ~f077~ 1'7 ~3LOC,~ I ~7~/Io( 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO Address Phone No. Address Phone No Address Phone No. 14. Names of Owner of premises Name of Architect Name of Contractor 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 f~et or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this properly? * YES NO "fi,( · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF /A) ]/-L~ /~34 Q/, C~' L~ S~ c._ 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 th~s application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be Town Hail Annex 54375 Mafm Road P.O. Box 1179 Sou~old, NY 11971-0959 Telephone (~1) 765-1802 re er ri-- '-'~ (~1) 765t-,95Q2. g . cnert~,~own.sou~nolo.ny. Lr~ BI. III~T')ING DEI)ARTMENT TOWN OF SOUTHOIJ~ APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ,.~-')/.L-b. //~/c{ ~-S~/~/-- ~'~//~://~ Date: ? ' Name: Name: NO.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: ~ 000 Section: · '~ Block: *BRIEF DESCRIPTION OF WORK (Please Print Cleady) / Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If. needed) *Sauce Size: *New Service: Re-connect Additienal Information: /Y~y_E~ NO Rough In ~_.~ YES/~ 3Phase ~100 ~ 150 200 300 350 · 400 Other Underground Number of Meters Change of Service~ overhea~ PAYMENT DUE WITH APPLICATION" ..... ( ),b;I,N IOINSPL( td)N Estate of Lucy G Thompson the undersigt~cd, do(es) hereby ()wne~s} ~ That the undersigne~J (is) tare) the ownerls) of the premises in the Town Souihold, iocatedat 19855 Route 25, Orient, NY 11957 which is shown ~d designated <3~ the Suflbtk (~unty Trax Map ~ District 1000, Section 17 , Block 1 h>l 11.4 I hal the undorsigm~ (hasi (have) filed, ox cause to be file2, mi application in thc Southold Town ' ' · .......... Braiding 1 tspector s ()ffitx; for the followhlt~: Certificate of Occupancy on pre-existing building i'ha! the unclcrs~gncd do(e.0 hereby give consent 1o ~hc Building Inspec~or.'4 of thc ]own of Southotd to entel upon the above described propeay, including any aad all buildin?s local~l thereon, ic~ conduct such inspections as they may deem nccessmry wid~ r<:sp<ct to thc a~h~csaid applicalio ~, im:tuding insp~tions to detemfine fl~a~ said premises (xm~ply ~ilh all of the laws, <)~dinanc~s, rules and rcKolations of the Town of Southold. ii~c mdersigncd, m a)nsc:~tml~ to sud! inspections, do(es) so with t}~e knowle, dgc and understanding that any inRm~m/lon obtained in lhe (xmduct of such inspections may be tts~t in ~; lbsequent prosex:utJons fi~r violations or,he taws, ordinanc~es, niles or ]egu/atlons ~ the '['ow',~ of South,}Id. 4/2/2013 (S~gnatt re William Gosell, Executor (Print Name) '(Signaiure) (l~rint Name) Town of Southold Building Department 53095 Route 25 Southold, New York 11971 Attn: Mike Verity April 2, 20:~3 Mike, Enclosed are the applications and fees you requested. Lori Filen will be available for inspections. Please advise if you need anythin§ more to complete the "CO" process. Sincerely, ~Villiam Gesel Executor 11 Harrison Ave. Red Bank, NJ 07701 732-616-9005 (cell) 732-758-8012 (home) Verity, Mike From: Sent: To: Subject: billg eselll@g mail.com Thursday, March 14, 20~i3 2:04 PM Verity, Mike [New Sender - ] - Information on boiler and hot water heater - CO information Lucy Thompson 19855 Main Rd., Orient Mike, Information on boiler and hot water heater. Will submit CO application, as you requested, for boiler, hot water heater and generator. Please advise if you need any further information. Will have Ed King change dryer vent next week. Dryer will not be used until after vent pipe changed. Bill Gesell 732-616-9005 Town of Southold Building Department 53095 Route 25 P,O. Box 1179 Southold, New York 11971 Attn: Mike Verity Mike, March 14, 2013 Enclosing application and fee for a Certificate of Occupancy to include the generator, hot water heater and oil fired boiler installed in 2005. Sent you information for each of these items in separate emails today. If you need any additional information to complete the CO process please advise. If you need to re-inspect I will be in Orient on March 25-28. Give me a call (732-616-9005) and I will meet you at house. Thanks for your attention to this matter. Sincerely, Wi~sell Executor 11 Harrison Ave. Red Bank, NJ 07701 732-616-9005(ce11) by Genera( Power Systems, Inc. GUAR Installation and Owner's Manual c( us LISTED Air-cooled, Prepackaged Automatic Standby Generators ~ ~1r'~389-3 {6 kiN NG~ =7 kW LP) '~ ~ ~'~ 0445§-3 (12 kW NG, 12 kW LP) 04390-3 (13 kW NG, 15 kW LP) Not intended for use as Primary Power in place of utility or in life-support applications. DEADLY EXHAUST FUMES. OUTDOOR INSTALLATION ONLY!! COMMANDER PowER s,sTms 22355 County Road 48, Suite 15, Cutcho(lue NY 11935 Mrs. Lucy Thompson P.O. Box 365 Orient, N.Y. 11957 October 14, 2005 Ret': Gcnel'ato~ Quotation Dear Mrs. Thompson, Wc are pleased Io submit our quotation to furnish and install thc fbllowing generator. Out' quotation includc~, all ,'¢quircd labor and matcriut lbra complete ami operational electrical system. Wc exclude fi.icl installation. l ) ()nc 7KW Generac generator with one automatic translm switch. For thc sum of: $4,184.00 plus tax. Lead Time Stock PLEASE NOTE TIlE FOLLOWING: This quotation is valid tbr 30 days. We ex'~clud~, fuel mstallahon. (~lr ~y stru~re is as fifllows 1/3 down contract signing 1/3 on delivery and 1.. 3 on ~l~6~n~ th~s quota~iqn acceptable pleas~ sig~ and da~e belo~ and return to our o~hce sell~address~stampcd envelope. in th~ se ! ~ t lmu~a~~~'t hesitate to cull our office. (63q) 765-6400- Fax (631) 765-6401 www commanderelectric.com