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Home My WebLink About37879-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 6/13/2013 CERTIFICATE OF OCCUPANCY No: 36297 Date: 6/13/2013 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building GENERATOR 395 Uhl Ln, Orient, Sec/Block/Lot: 15.-5-24.10 Filed Map No. conforms substantially to the Application for Building Permit heretofore 3/22/2013 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 Lot No. filed in this officed dated 37879 dated 3/22/2013 which this certificate is issued is: accessory generator as applied for. The certificate is issued to Lindeman Jr, Herman & Lindeman, Irene (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37879 6/12/13 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 #: 37879 Permission is hereby granted to: To: Lindeman Jr, Herman & Lindeman, Irene 395 Uhl Ln Orient, NY 11957 install a generator as applied for Date: 3/22/2013 At premises located at: 395 Uhl Ln SCTM # 473889 SeclBIock/Lot # 15.-5-24.10 Pursuant to application dated 3/22/2013 To expire on 3/22/2014. Fees: and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS $100.00 CO - ACCESSORY BUILDING $50.00 Total: $150.00 Building Inspector 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: 1. Final survey of prol~rty with accUrateiocation of all buildings, property line~5, streets, and unusual natura} or topographic features. 2. Final Approval from Health Dgpt. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board 0fFire Underwriters. 4. Sw. om statement from plumlscr certifying that the solder used in system contains less than 2/10 of 1% lead.. 5. Commercial building, industrial building, mUltiple re~ideneas 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 requirements. 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 features. 2_ A properly .c~gmpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $:25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Location of mroperty-'y---'~ Ho~us~E~o.r~. _ . /~/~/ .~-~ - Owner or Owners ofPr~pe~' ,~_~..~,/~ff'/a Suffolk County Tax Map No 1000, Section Subdivision Date of Permit. Street Block Filed Map. Applicant: Underwritem Approval: Final· Certificate: ~ 5-'/% 7q Henlth Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submilted: $ ~.-{~).~z:9'/~_,~' (check one) Hamlet Lot (cheek one) 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 roRer.richert(~.town.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Herman Lindeman Address: 395 Uhl Lane City: Orient St: NY Zip: 11957 Building Permit #: 37879 Section: 15 Block: 5 Lot: 24.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Sage Electric License No: SITE DETAILS Office Use Only Residential ~ Ind°°r F~ Basement ~ Se~'iceOelY~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures ~ HlDFixtures ~ Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke De~ectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 10kw standby generator and transfer switch Date: June 12 2013 ElectricaLCer~ificate.xls 54375 Mein Road P.O, Box 1179 Southold, NY 119'/1-0959 Telephone (631) BI. III :nll'qG, DBtPAR'IIHENT TOI~I OF $OUTHOLD APPLICAT[ON [::OR ELECTR[CAL [NSPECT]ON REQUESTED BY: Company Name: Date: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: ./~//.~_~..,~r_ ~._~, ,~ / ,'~/~.L.2) ~/7) ~),,4._.J . *Cross Street: 5V'~gF'-Ag_ '~-~'~/'h ~__ ~" " *Phone No.: _ /o.:.-.-.-.-.-.-.-.-.~_'- ~o<'~ 3.(7~/~ . Pe... No.: Tax.Map District: 1000 *BRIEE DESCRIPIION OF WORK (Please Print Cleady) /0 (Please Circle All That Apply) *Is job ready for inspection: *Do-you need a Temp Certificate: Temp Info.iiation (If needed) *Service Size: 1 Phase 3Phase 100 ;'New Service: Re-connect Underground Additienal Information: YES / NO Rough In YES / NO Final 150 200 300 350 .400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82;Request for Inspecaon Fom] TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ [ ] FRAMING/STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESlSTANTCONSTRUCTION [ [ ] ELECTRICAL (ROUGH) REMARKS: [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION J~] ELECTRICAL (FINAL) DATE INSPECTOR~ TOWN OF SOt THOLI) BUILDING DEPARTMENT TOWN HALL SOUTHOLI), NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTo~vn. North Fo rk.net Examined Disapproved a/c _ __ Expiration '~.)9: 2(/ !q I'ERMITNO. ~7~ '79 !II.DING PERMIT APPLICATION CHECKI.IS 1 I3o ~ ou have or need th~fm~,~a~-ng, before appl~ ing? [3oard of Health i sets of Buildiag Plans Planniag Board approval Checl< %eptic Form N.Y.S.D.E.C. C.O. Application Ilood Permit Single & Separate Mail to: Phone: Building Inspect(n' APPLICATION FOR BUILI)ING PERMIT Date .20 1NSI RI (TN)NS a. This application M['S 1 be ¢omplelel> filled in ILx I.x pcxxrhcr o~ in ink and submitted to the Building Inspector xxith 4 sets of plans, acct,'a~c [Mol plan m scale. Fcc ilCCol'dhlg to schcd,lc. b. Plol plan shoxx ing locmion of lei and of buildings on premises, relationship to ac[joining premises or public sweets or areas, and walcl'xx iix s. c. The work co~crcd bx this applicalion ma5 aot be commenced bclbre issuance el' Building Pemfit. d. Upon approxal el'this application, thc Bnilding lnspcclor xx ill issue a Building Permit to the applicanl. Such a pcrmil shall be kept on lbo premises ax ;tilable for inspection throughott~ thc xx orl,. e. No building shall be occupied or used in whole or in part Ibr an> purpose ~xhat so ever until the Building Inspector issues a Ce~ificalc of Occupant). f. Every building permit shall expire il'thc work attthorizcd has nol commenced within 12 monlbs a~er the date of issuance or has nol been completed xvitbin 18 months from such date. If no zoning amendments or otber regtdations aflbcting tho properW have been cnacled in the interim, the Building Inspector ma> aulhorize, in xwiling, the extension of the permit tbr an addition six monlhs. Thereafter. a new pcrmil shall be required APPLICAqlON IS I IEREBYMADE to the Building l)cpartmenl lbr the issuance ora Building Permit pursuant to thc Building Zone Ordinance of the t ownof Sot, hold. Suflblk Connt5. Nc;x York. and other applicable Lax;s. Ordinances or Regulations, for the constraction of buildings, additions, or ahcralions or Ibr removal or demolition as herein described. I be applicant agrees to tempi5 xxith all applicable laxx s, ordinances, building code. housing code, and regulations, and to admit authorized inspeclors on premisc~ and in buildiag tbr necessaU inspections. (Signatm e of applicant or name. ifa corporationl APPROVED ;:,$ N0 ED j~ld~s::o,( a~p ~c a n t ) State whether applicant is o~ ncr, lessee, agora, architect, engineer, general contr~r, // / If applicant is a corporation, signatm-c oF&d5 authorized otticcr (Name and title el'corporate el:ricer) Builders License No. Plumbers License Electricians License No. Other Trade's License No. "'~ : BUILDING DEP,~:,:.iM_.; io02 8 AM TO 4 PM FOR THE : L. OWING INb~I-u/iONS: ~ POU~ED CON~E-~-F ~ ~AP~ING ELEOT~lOAL ~ OAULK!k ~ !~SU~TION ~AL - CONSTRUCTION & ELECTriCAL ' '~' ,:dST BE COMPLETE FOR C0. : ~ ,'~ :' ?ONSTRUCTION SHALL MEET THE .,UIREMENTS OF THE CODES OF NEW ,< STATE NOT RESPONSIBLE FOR ~[GN OR CONSTRUCTION ERRORS Location of hind on which prqpo,sgd xx. orl: will be done: House Number Street County Tax Map No. 1000 Section / ~ Block Hamlel / Lot Subdivision I'ilcd Map No. I,ot 2. State existing nse and occupancy of premises and intended ese and occupancyc).f,,pr~posed construction: a. Existing use and occupancy b. Intended use and occupanc 3. Nature of work (check which applicable): Ney, Baildine Repair Removal Estimated Cost If dwelling, number of dwelling units If gara~e, number of cars Addition Alteration Demolilion Other Work (Description) (Fo be paid on filing this application) Number of dwelling units on each floor 6. Il'business, commercial or mixed occupancy, specil~ nature and extent of each type el'use. 7. Dimensions of existing structures, il'any: Front Hei§ht Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: l:'rout Height Number of Stories Rear Depth Size of lot: Front Rear Depth 10. Date of Purchase Nallle o1' [;OFmer ()v,,ner 1 I. Zone or use district in xvhich premises are situated 12. Docs proposed construction violate any zoning laxx. ordinance or regulation? YES NO 1,3. Will lot be re-graded? YES NO Will excess fill bc removed fi'om premises? YES NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phol~.e No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? '"'YES * IF YES. SOUTHOLD TOWN TRUSTEES & D.E.C. P~RMITS Iv~E REQUiRF. D. b. Is this property within 300 feet cfa tidal wetland? * Y~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate tbundation plan and distances to property lines. 17. Il' elevation at any point on propcrt) is at 10 feet or beloxx, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to t~ s p'opets? * YES __ · IF YES, PROVIDE A COPY. NO S IAFE OF NEW YORK) SS: ('OUN I'Y OF ) being dui) sx,~ora, deposes and says that (s)hc is the applicant (Name of individual signing contracl) above named. CONNIE D. BUNCH ( 5.; )1 lc is th e Notary Publ c. State of New York No. 0!-hUG! ~r''ofiO (Colltractol'. Agent, Col'poi'ate ()l'l]cet'~ etc.) Qua fled in Suffolk county rq commission Expires Apri 14, of said owner or owners, and is duly authorized to perform or haxe pertbrmed thc said work and to make and file this application; that all statements contained in this application arc true to the best of his knowledge and belief: and that the work will be performed in the manner set forth in thc application filed therewith. Sxxom[i '~t° beforeday~ofme tlffs{¥~ Notary Public ~-- ~LI~I~OLK ~. H~ALTH l:~ql~lr, AlqI~OV~L H. S NO. , O~~ Suppl~ The 9~a~ ~on have been fac~lities for this loc"' and found inspected by this department · ,~ , chie Services CONfOrM TO T~ ~[JFFObK CO. DEPT. OF ~JFFOLK SERVICES DATE H. S. I~EF NO, APPROVED: ERJFFOLK CO TAX MAP DIST SECT BLOCK OWNERS ADDRESS