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Home My WebLink About38653-Z._ ,..>rt� �y�iPO(,tc Town of Southold Annex 2/4/2014 1 � , P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36754 Date: 2/4/2014 THIS CERTIFIES that the building GENERATOR Location of Property: SCTM #: 473889 Subdivision: 13350 New Suffolk Ave, Cutchogue, Sec/Block/Lot: 116.-6-19.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/15/2014 pursuant to which Building Permit No. 38653 dated 1/29/2014 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 McGowan, Jacqueline & McGowan, Michael (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38653 1/31/14 PLUMBERS CERTIFICATION DATED Authorized Signature (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 38653 Date: 1/29/2014 Permission is hereby granted to: McGowan, Jacqueline & McGowan, Michael PO BOX 1359 ue, NY 11935 To: install an accessory Generator as applied for; flood permit included At premises located at: 13350 New Suffolk Ave, Cutchogue SCTM # 473889 Sec/Block/Lot # 116.-6-19.2 Pursuant to application dated 1/15/2014 and approved by the Building Inspector. To expire on 7/31/2015. Fees: ACCESSORY TOWN OF SOUTHOLD Y" BUILDING DEPARTMENT Flood Permit TOWN CLERK'S OFFICE 'a SOUTHOLD, NY Total: $335.00 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 #: 38653 Date: 1/29/2014 Permission is hereby granted to: McGowan, Jacqueline & McGowan, Michael PO BOX 1359 ue, NY 11935 To: install an accessory Generator as applied for; flood permit included At premises located at: 13350 New Suffolk Ave, Cutchogue SCTM # 473889 Sec/Block/Lot # 116.-6-19.2 Pursuant to application dated 1/15/2014 and approved by the Building Inspector. To expire on 7/31/2015. Fees: ACCESSORY $100.00 ELECTRIC $85.00 Flood Permit $100.00 CO - ACCESSORY BUILDING $50.00 Total: $335.00 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. 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 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 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 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 Pre-existing Building: (check one) Location of PropeSAFF-011t !+" House No. Street Hamlet Owner or Owners of Property: e ( Ca-�.-. Suffolk County Tax Map No 1000, Section _ i i !n Block Lot. 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: $ .o -e) App ' ant Signature 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 roper. riche rt(a)town.soLitho Id. ny. us CERTIFICATE OF ELFCTRICIOI rnMPI Ien1r1= SITE LOCATION Issued To: McGowan Address: 13350 New Suffolk Ave City: Cutchogue St: NY Zip: 11935 Building Permit #: 38653 Section: 116 Block: 6 Lot: 19.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Doroski Electric Inc License No: 2941-e JI 1 t Ur- 1 AILD Office Use Only Residential X Indoor Basement Commerical Outdoor X 1st Floor New Renovation 2nd Floor Addition Survey Attic INVENTORY Service Only Pool Hot Tub Garage 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 FixtureTime Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 11 KW standby generator with 200a auto transfer switch Notes: Inspector Signature: Date: Jan 31 2014 tv 81 -Cert Electrical Compliance Form.xls pF SOUI,�o6 TOWN OF SOUTHOLD BUILDING DEPT. 0 4.4-11 . 765-1802 INSPECTION [ ]FOUNDATION 1ST [ )ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING/STRAPPING [ ]FINAL [ ]FIREPLACE &CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) � ELECTRICAL (FINAL) REMARKS: DATE 1111 l INSPECTOR FIELD INSPECTIONREPORT FOUNDATION (1ST) DATE COMMENTS FOUNDATION (2ND) Y ROUGH FRAA INN & PLUMBING y INSULATION PER N. Y. STATE ENERGY CODE 1 4 ' FINAL iJ t ADDITIONAL COMMENTS ` Z . rn r f �yy Iml 1E` TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. 3,9� 3 ` Examined C 20 1 Approved 20_& Disapproved a/c Expiration 20_1S Do you have or need the following, before applying? Board of Health 4 sets of Building Plans_ Planning Board approval Survey Check I SepticForm N.Y.S.D.E.C. Trustees Flood Permit Storm -Water Assessment Form Contact: Mail to: Phone: Building Inspector PPLICATION FOR BUILDING PERMIT Date l- (y , 20 Fy INSTRUCTIONS I a. This applicatiu 1V� ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets oTplans, 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. -- bov6 e k. G`ccAW!"",C. k ►v C., ( ignature of applicant or name, if a corporation) O• �� 7 8 1 C," u c to • (Mailing addrR of applic nt) r i--fcc,(� ► .V1. State whether applicant is owner, lessee, agent, architect, engineer, general contractor,AFTFhQiV;,;AWIPbt builder Name of owner of premises DATE `� B. P. #.amu M FEE: ,�6'. BY I� t C Gnw a64 NOTIFY BUILDING D (As on the tax roll or latest 4; )802 8 AM TO 4 PiVi FGF? i If applicant is a corporation, signature of duly authorized officer FOLLOWING INSPECTIONO: E r1 ® Z'ON L 1. FOUNDATION - TWO FEQUiF:��O t .` _ FOR POURED CONCRETE (Name and title :of cOrj7orate off4 t `�'e ,t, . ' 1 2. ROUGH - FRAMING, PLUMBING, V'r`.4'71E N STRAPPING, ELECTRICAL & CAULKING Builders License No. Plumbers License No. _ Electricians License No._ Other Trade's License No. .2gciI-F 3. INSULATION 4. FINAL - CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE CODES OF h FV YORK STATE. NOT RESFONS'^';_F "7', Location of land on whichropo�sed work will be done: DESIGN OR CONSTRUCIlk; , .4\,,i ! 33 S O NC,- SN:Uk4 AN. CtAc. c!o kQ e House Number Street Hamlet County Tax Map No. 1000 Section 11 � Block ( Lot_ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy f I Vw Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work_ 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Depth 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_ 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. Rear NO 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 ) (Name of individual signing contract) above named (S)He is the being duly sworn, deposes and says that (s)heE tDILAcant ' Notary OOP Public, State of Neew York No. 01NA1ti m (Contractor, Agent, Corporate Officer, etc.) Commisalon 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 t4,,before me this 5 �1 day of nt\Lk 0, 20 Notary Public /4 Signature of Applicant 01/15/2014 !0:56 631765662 SOUTHOLD TRUSTEES PGE 01/01 1-1� �Q� sQ(J%,'y,� Town Hall Annex John Sredamayer, President ��`�► Y� b43713 kklain Ra�ad Michael J. Domino, Vice President Yui P.O. 0Lox li 1179 James F. King Southold, New York 11971.09139 Charles J. Sanders Telephone (631) 7654899 +� Fax (681) 783.8941 BOARD OF TOWN TitUSMES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 94s . Date: Imury 1.4.2014 THIS CERTIFIES that the installationhof ationar�aelterator on top of a 4J: At 13350 New Suffol". yenge. C=boszue,york Sui%Ik County Tax Map # 11,b 6-19; Conforms to the application for an Administrative Amendment heretofore filed in this Office Dated Se i er 27. ;12 3 pursuant to which Trustees Adraiiadstrative Amendment to Wetland hermit s#J�L] Dated October 16, 2013, wis ,issued and conforms to all of the requirements and condition,: of the applicable provisions of law. The project for which this certificate is being issued is i!or the ingtailation of a stationary grgr 3wr on t a +/-4' ' sla The certificate is issued to yIN 1VAN owner of the aforesaid property. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 0 roger. riche rttO 16n31)Sout765-5o? d.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOJ D APPLICATION FOR ELECTRICAL. INSPECTION REQUESTED BY: .....�a,� d%-6 L<;- Date: Com an Name: p Y �o�ros 4:�ec�c�.c tMt Name: �� % License No.. �ct CA 1 _ a r Address: 1-6 ox Z 8 Phone No.: y 7-<;Z !a JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: 6 31 -134 :J'J 4 I -- Tax Map District: 1000_ Section: Bleck: Lot: 1 , *BRIEF DESCRIPTION OF WORK (Please Print Clearly) kw C., N&.�Ak\ L>rt'i trJ M euw1IJJ e0.43 t,�t oo be a -- A _ , y —7"A D%It \e V 0 #J J. (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certrncate: Temp Information (if needed) *Service Size: 1 Phase 3Phase 100 YES 100 Rough In YES /(9 150 200 300 350 400 Final Other *New Service: Re -connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 9a - C'- � 82 -Request for Inspection Form ! . Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 roper.richert(a�townlso-t - d.nv.us ^D._ i^._�y � .... .. (� ' BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: --)6�a Date: Company Name:C_ Name: ti �►c Name: License No.: ,Z Q `f _ 1` Address: �, v x 7 8I Phone No.: C &I T&'i 7Sa23 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: Lois MC owgJ 133S-0 s.2 'inAAk A,4 C % %own_ \6143s-14 _73q -7z,?-,3, 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ii kw - ,2oo /Ay-" f dy�►�� Sw;�c� Block: Lot: (Please Circle All That Apply) *Is job ready for inspection: (a/ NO Rough InFina *Do you need a Temp Certificate: YES / NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re -connect Und urmi Iul b r 0� ate Change of Service Overhead Additional Information: DUE H APPLICATION I JAN 13 20 ;rgOLD 82 -Request for Inspection Form Tnl --- SURVEY OF PROPERTY STI'UATE: CUTCHOGUE TOWN: SOUTHOLD SUFFOLK COUNTY, NEW YORK `L,=FOLK COUNTY TAX = 1000-116-b-19 1000 - IIe6l 6 20. a*WV YED: Gb - 26 - Oe CERTHgw 1Y}. A.NDR PJ.McGOWANh. LOLS McGOWAN Note ARBA -315 5- OR 21 -I ALRES TD T _IIL= A._T N H16N WAIER MARK AS DF is DATE O� TN 5 AI EV " � p� [[[///NIIVII Z 1 I ' PRORER'Y _ C'i EMIR -Y YV.IFI\ `zMA FL - 7D ZIN.I`_ AE (_Lb) A5 A=DA FL70D Il—RATE -- -!D MAT PA- D POGRA Irv-ORMA'.ON RC==REN�EV I t. TO 15 J(JASTST AND bE1 — RM 90 AS SHCO0 "A FLOOD MAP fL-FC: EN.'.CJ "A 1 /moo T.COVE MD TED — -O JAI.M -VD'2q 1 6RA.'�- L SGALC '=3O' C 3C 6C 9C _ ^� TIDAL WETLANDS �\ r ac \� o O,- 9� 1 /moo _yam of 1 o N W - E S JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fu 369-8287 REF-AHp s eMMOS102-230B.pro • V 1 s G O �i'o •� o,.� _<D( (s' 2aa4j tom- �osl rW4 p 5' + oc-.les 4r o r e.L�r- p�rO�Kt' �Mto�C 1 W C• • (A f '7 r' SOL %;L - h � �. of i (f'1 L �oc., �►� I /33so nhgj st�'fv.lk Ay • _yam of N86°43'05 68.35' 1 } N7S °44'28� '" ^ W j S88°14 13"W I pN, Ki IIS,g 4'- } 55.91 oz o rc CIO0 N W - E S JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. 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