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Home My WebLink About38155-Z yFpt Town of Southold Annex 11/21/2013 P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36618 Date: 11/21/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 715 Ships Dr, Southold, SCTM 473889 Sec/Block/Lot: 79.-3-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/27/2013 pursuant to which Building Permit No. 38155 dated 7/3/2013 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: accessory generator as applied for. The certificate is issued to Anderson, Frank & Anderson, Florence (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38155 11/19/13 PLUMBERS CERTIFICATION DATED 4 AUtho ized Signature 4i~fm TOWN OF SOUTHOLD BUILDING DEPARTMENT a TOWN CLERK'S OFFICE a~ 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 38155 Date: 7/3/2013 Permission is hereby granted to: Anderson, Frank & Anderson, Florence 715 Ships Dr Southold, NY 11971 To: install an accessory Generator as applied for At premises located at: 715 Ships Dr, Southold SCTM # 473889 Sec/Block/Lot # 79.-3-32 Pursuant to application dated 6/27/2013 and approved by the Building Inspector. To expire on 112/2015. Fees: ACCESSORY $100.00 CO - ACCESSORY BUILDING $50.00 ELECTRIC $85.00 Total: $235.00 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 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 Underwriters. 4. Swom 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 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 completed 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 I. 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 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. 7 - 1 3 New Construction: Old or Pre-existing Building: Nool (check one) Location of Property: ns / House No. Street / Hamlet Owner or Owners of Property: e, n n4iro „ Suffolk County Tax Map No 1000, Section -7/q Block Lot 3o2 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board' Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ plicant Si PkIffre pF SOUryolo Town Hall Annex yy yy Telephone (631) 765-1802 54375 Main Road T T Fax (631) 765-9502 P Box 1171 ~ - Q roper. richert(a)town.southold.ny.us Southold, , NY 11971 - 0959 Mum" BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Florence Anderson Address: 715 Ships or City: Southold St: NY Zip: 11971 Building Permit 38155 Section: 79 Block: 3 Lot: 32 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: RJ Corazzini Electric License No: 33419-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment 20KW standby generator with 100a automatic transfer switch Notes: Inspector Signature: Date: Nov 19 2013 81-Cert Electrical Compliance Form.xls PTELD RVBOltr D CONIIVIENTB OQ FOUNDATION (IST) l11 FOUNDATION (AND) . x ~o ROUGE FRAMING & l~ PLUMBING c~ INI3ULATION PERN. Y. STATE MN MGSY CODE a FINAL ADDTPIONAL COMMENTS O 5 TOWN'OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 C Survey SoutholdTown.NorthFork.net PERMIT NO. 5 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application z Flood Permit Examined / ,20--/ Single & Separate Storm-Water Assessment Form Contact: Approved_ '200 ail to: Disapproved a/c Phone: &=5/ 23N-,z66.A Expiration 1 , 20 FL ( [ MIL= Building Inspector JUN 2 7 2013 LJ APPLICATION FOR BUILDING PERMIT sLOC DEPT Date 20 rOtN!, Er SOl MmD 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 and 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 18 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 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, 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 inspectors on premises and in building for necessary inspections. G I J Q 'L, j (Signature of applicant or name, if a corporation) APPROVELi AS ailing address of applican DATE B. P. 3 ~S State whether applicant is owner, lessee, agent, architect, engineer, generp6pntrac or, elec6Ycia _ 15be or builder NOTIFY BUILDING DEF;: T FOLLOWING II P CTION^° Name of owner of premises / 4 S tgaDAT ,yyy~,hE; -u (As on the tax roll o21 ONCRE! I- If applicant is a corporation, signature of duly authorized officer MING. PLUMB STRAPPING, ELECTRICAL L,dING 3. INSULATION (Name and title of corporate officer) 4, FINAL - CONSTRUCTION ~'-`CTRICAL Builders License No. r"uST BE COMPLETE FOF Plumbers License No. A R1I~`" ti' ! THE Electricians License No.~ /lf -itgE OF NEW Other Trade's License No. OR ORS. 1. Location of land on which proposed work will be done: as sl '05 z ~D, House Number Stre t c~ Hamlet County Tax Map No. 1000 Section 7/ Block --3 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premyses andnlendefl use and occupancy of proposed construction: a. Existing use and occupancy 7 b. Intended use and occupancy.S ,`et,, 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Sys Ve,J (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 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_ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 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 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) 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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to Wore me this Win dayof~ 20 l ry Ol 96 YDrk Notary Public gyp Sion Fxoires lu1v 8. ZO f ~Q tare of Applicant ,of SWryo Town Hall Annex 54375 Main Road 41 Telephone (6316)) 765-1802 P.O. Box 1179 ' C roaer.richert la7Ffown (631) 0. nv us Southold, NY 11971-0959 ~ ~~~IIIIIY,AN i . BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. 46k/l T Date: ~-'2 7 3 Company Name: Z E/`~ ~ L Name: License No.: Address: 3so -Oe.cX."e-l G Phone No.: -L-a-31) cl_ 2-Co .7 JOBSITE INFORMATION: (*Indicates required information) *Name: lD./ii~P o~rc~ *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section. 79 Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) '1/l~? y/ ~^r fn/~c ? ~ i (Please Circle All That Apply) *Is job ready for inspection: YES O Rough in Final *Do you need a Temp Certificate: YES NO j Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 .400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION i / aP~ 7pS' t/3 82-Request for Inspecdon Form 12t c, 0 36,1t 1 ~ ~ , ~ 1 Z • ~ _ - - ~ 1. ' ~Y • ~ . . . C PIZ w LOT • it q i 553'214 so S, IM * of 36.~ ~e u: ,<Ol. Lt1 _w1,. °o 0 ~ . -4 X. w V ` 0 ~ ev NOT F. M N LOT NUMBERS S140WR SLEFER TO "MAP cri _ OF SAYVIEW WOODS ESTATES." Ft LED IN TUE SUFFOLK COUNTY CLERK'S _Z OFFICE AS MAP t32 SSZO I It j .36.0 - rI.62.40140MtV. - 168.06 ~ SCALD • ~4-0'= ( LOT 13 0 = MONUMENT j O = IRON PIPE MAP _ of PRO PF RTY A s TACKED STAKE i SURVEYED FOR ',,,aA*;"'°"',L tAw- AS .,1. E A `ER • FRANK A S 0 ocl!IrS OF TE SITUATE AT uoSAtSHAUr-,tt S O TO RE A VA.ID I c A, SURVEYED OCT. 4 , 1`172 ~ GUARANTC c ,(r:,i.,a.... .f•-O: SHALL TOWN of souzuoLD,N.Y. ONLY TO EH. 5 :aL V" -w THE= i ( f U ! L & .v V -i y \ IS PRE: A.ED. A'-C O' Has C-•'AtT TO tt inn COM?Ant, ;:)V:a'tijN,AL A' 1 iED H. ON, ETNDMG INS'.Tl.T1ON l:5 • _ T],/~ TO THE ASSEGNEES Of THE L11"IX INS TUTiON. GUARANTEES ARE NOT T_ - T OR E A SURVEYORS iOADDIIOfAf~TINTIONSC NPOKT,NEW YORK \ OWNERS. dtiIt~ KvJ a F,A (LEPNfR- ~SUR; V'i L r. iL k r L pF+'N vAL.E= r - - - e KOHLER CC1 A s .c o ss., E 3 S C 9 5L ~ Fc i 5 C S i51 5 L• ON P - r. ,d6 S C DIMENSKKRINT wnanesn c ~ ADV-8424 ~D 4 3 2~ g 7 2 C_CIE n . IJCTUP[ C:<LPI TOOL yE P n DE - A IED NTP JC -aRE - 3 vI'r i. +._C DOOa -N T -LRV rC J0SF _ 1} _ SELV DW. - I r I ~_r ~iA - x - ,E'. LE D.G' >c c A GAAV EL EF~ AT IF,, P hI5Np Ell 4L_ av4. i n I - $ FT C M J _ v TAI-" -m Q zA: ACCEPTABLE V iI-A N A MES A" OP 11_ I o _-EJGUGF. _ E}HAjzT NOT D_.,. 'LAY A.E A`, 'AT.GC C.. _'IS A OTNEE A1EA9 W'-E PEO'LE COVG9 E6 ATE. ILL, 'NE PEARES- WINDOW "ENT. JDo° 'I'AIIAe STRJCTURE _ OEE"I' 5 PEE' ~FCM THE E%HAJ= 'ND OF -.E SET. e'. SCT HAS APOP ER C'FSET FROV S-9 UCTURE. NOTE- .1 WIN WS DDORE VM1 AJJACEO' WAS. .]LOSE] -5 ALE I) _FE - E~Q~IP7D D >NIE FROM A $'AJ. ~LRE IS DF E,CENT ON STATE 'I,' C FUR A AVD 01FLA SIM Led hTA rcE, ARE AT LEA FFF3CM AN -A N~~ .COAL CODES. NIA 3) s'ANCAADS EFHANST _ND OF SET. C THE A- I ON A%' "SE OF TI WEE: BAR, ER AN: 3 IYCE _ C2 GEAVLL BASE L CA E- TO RREVb%- m " 'IONARY COMBUSTION LEAINES CRASS & WEEDS PEOM GLOWING 'DS CLOSE 'PE SET. ARE GA REP 5 T A T E S THIS 8i NO A ANT$ . CHRUEC RR OTHEA CDME o%18SES ALLOWS) DI ANCE SPOOL? BE IT LEAST 5 FEET GRAVEL AREA. fMNIVUM E FT, FROM EXHAUST EN3~. FROG A COMBUSTIBLE STRUCTURE. 2: FOR NSTA_LATI ONS NEAR PONCOMBJST E_E - SENSI,- E F_ANTS PA- IO F JPKI'JRE, ETC, ARE AT LEAST 8 FE_' 'ROV STRNC_'JPE, A MINIV,V D:STANCE O% I8' EN"ALSTV END OF SET. AEOpaED TO EtiSJRE PROPE'n 6ENEAAtOP COG_ NG. Ipl RE=EA TC OWNERS MANJ PL POP GTHFR INSTALLATION CONS-RA ITS III NO PLAITS, SHRUBS. OR OTHER COMBUSTIBLES ALLOWED 'A T9~N A 18 OF AG INTAKE. 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