HomeMy WebLinkAbout40409-Z r0 'fcp'; Town of Southold 2/2/2016
'' P.O. Box 1179
(:)€ x 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: . 38078 Date: 2/2/2016
THIS CERTIFIES that the building OTHER
Location of Property: E End Rd, Fishers island
SCTM#: 473889 Sec/Block/Lot: 4.-7-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/19/2016 pursuant to which Building Permit No. 40409 dated 1/19/2016
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:
gas heating system for an existing guest cottage as applied for.
The certificate is issued to Claflin, John&Claflin II,Richard
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40409 12/3/2015
PLUMBERS CERTIFICATION DATED
Aut ,vt gnature
TOWN OF SOUTHOLD
;• BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
V •
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#: 40409 Date: 1/19/2016
Permission is hereby granted to:
Claflin, John
C/O Lynn A Foster
424 Brazilian Ave
Palm Beach, FL 33480
To: oil to gas conversion in guest cottage as applied for.
At premises located at:
E End Rd, Fishers island
SCTM # 473889
Sec/Block/Lot# 4.-7-6
Pursuant to application dated 1/19/2016 and approved by the Building Inspector.
To expire on 7/20/2017.
Fees:
ALTERATION OF ACCESSORY BUILDINGS $100.00
CO -ACCESSORY BUILDING $50.00
ELECTRIC $90.00
Total: $240.00
':uildi nspector
''
�•,�O��QF SO�ly�
/
Town Hall Annex : Telephone(631)765-1802
54375 Main Road r _ Fax(631)765-9502
P.OBox 1179 A" ��
Southold,NY 11971-0959
y �o roger.richert(a�town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Claflin
Address: 16981 East End Road City: Fishers Island St: New York Zip: 06390
Building Permit#. 39795&4 Q8, v-/-
Section. 4 Block: 7 Lot: 6
11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: Connected Systems LLC License No: 45453-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat GAS 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 4 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Install 2 New Gas Boilers, 1- In Guest House, 1- In Main House, To Include
4-Air Handlers.Building Permit#40218 for Main House,Building Permit#39765 for Guest House.
Notes:
Inspector Signature: � Date: December 3, 2015
Electrical 81 Compliance Form.xls
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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- 40409' 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502Survey
SoutholdTown.NorthFork.net PERMIT NO.-'
O Check
Septic Form
N.Y.S.D.E.C. .
Trustees,
•
C.O Application
Flood Permit
Examined / . ,20 Single&Separate
._ Storm-Water Assessment Form
2-1-- / Contact:
Approved L v ,20 Mail to: 1
Disapproved a/ •
Phone:?�j>� r" -0— S-0
Expiration R ,20 `v
lr--- ---- _ --- I ,- i7 I r (_'1 • • g lnspecto • • - - i _
I LJ APPLICATION FOR BUILDING PERMIT
fI l _i Date ' / 201
��, MAY 2 2015 INSTRUCTIONS
_ — .t..a Thi4 application MU T be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
Setsr,bliPlaii0cCurate pint plan- scale.Fee according to schedule.,,:' . :Tr. ...... ._. ' • '
1-'r i i b:Isl'Ot ptaYi showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
'-------alai,and waterways. , . ... .,
c.The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval ofthis application;,the;Building•Inspector will issue a.Buildi_ngPermit,to the applicant Sucha;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,Boilding 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'regiilatioris 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.Thereafei,"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,arid!other applicable:Lavis,OrdinancesCr
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,andregulations;and,to admit
authorized inspectors on premises and in building for necessary inspections.' - , ,
-,./ 6".ex
(Signature of applicant or name,if a corporation)
. , !O•'R-ax'i532/ Fi.s. ei'5 �5�4 ivy() k3�0
•, , , (Mailing address of applicant),
Statete/whether applicant is owner,lessee,agent,architect,engineer,general contractor,/ � electrician;plumber or builder
d /e,/�vr h//1S c 017 t4.-t //2f,.i L;.li .4Ai0/ i 7""o G+(c. .
J
Name of owner of premises Lei/71 os ,
(As on,the tax Toll or latest deed)
Ifapplicantis a corporatiiogn,signature of duly authorized officer ,
r
11 u•14L! s (-7 IC0/.,/(7() Owit f
(Name and title of corporate officer)
Builders License No.
Plumbers License No. ,) (p.,3 0 - /Y) p
Electricians License No. -
•Other Trade's License'No. "
1. Location of land on which pyoposed work will be doe: J /
f(�,�f � r<tiLT/Y?C/14, — 6 1,t .7�Shlir4- 1---S/
House Number Street Hamlet �l
County Tax Map No. 1000 Section�� Block 070 C) . Lot ( 0 0 0
Subdivision Filed Map No Lot
2. State existing use and occupancy of premises and intended use andfoccupancy of proposed construction.
a. Existing-use and occupancy 514 t{ F--�iu
,vt f iy ll c. eIt/1,9 //�D /L'metal lIP1
b. Intended use and occupancy �jf/15 /� Fa,,, ly ,ew
r e/%.1Sj 7-c, I Pit tCc,c.,ill
, 3. Nature of work(check which applicable):New Building Addition Alteration / !n
Repair Removal ' Demolition Other Work Coil v7'S;ci v>` ti a 4.15 -C-02,i 0;14-0[Y 54...
(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 ?1O5 , YAM
9. Size of lot:Front Rear Depth
. I
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-grilled?YES NO ''Will excess fill be removed from premises?YES' NO .
14..Narries of Owner of premises .Adtdress Phone No.
Name ofArchitect Address. Phone No
Name of Contractor Address. .. Phone No.•. ..
15 a.Is thisproperty 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. •• f i
b.Is-this propertyywithin 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,PROVIDEA COPY. -
STATE OF NEW YORK)
c SS:
COUNTY OE )
74)teks 6, em Bio • " i being duly sworn,deposes and says that(p�2te is the applicant
(Name of individual signing contract)_ above named, f
Ole is the �.�lJ e t7�
(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.
Sworlr to before me this .9 Aiii. ,
/ day of •,‘ L 20/5
... idit 17e(‘,"e €2
Mary Pub1� Signature of•pplicant
s'
•
ar, 7,5•0,1 ~O ;
Town Hall Annex * • *; Telephone(631)765-1802
54375 Main Road ; N (631}76595
P.O.Box 1179 Q �� roger.richertownsoutnoltl.ny.us
Southold,NY 11971-0959 `, c V°•'4'10,1
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: JAG ) Z ./itc Date: G'(, 61, )5
Company Name: r Onne2 (f AS4,r O L� ;
• Name: TaZOR
License No.:
1-45L453 — mE f _
Address: 15-63 ��"�6� P64- �OC"t ,Su} 0,O koi Ltj 4 . CT Q 4 3i 1
Phone No.: 869 O ' q3u- )iJI3
JOBSITE INFORMATION: (*Indicates required information)
*Name: jb h r, Lynn ) 4 /•
*Address: I Co 9 e ) _Eryt Qort.4lt- lj / A ISkM0
*Cross Street: C(a l„ Poi n1- e0Q�,(
*Phone No.: 060-_J 1/3` , r?07 S
Permit No.: 3c12q.
Tax.Map District: 1000 Section: 00140.0 Block: O70 0 Lot: Q0(c 000
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) I r ray 3cts Io
1AL hoiA - -
(Please Circle All That Apply)
*Is job ready for inspection: d / NO Rough In
*Do you need a TempCertificate: YES
YES/�
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
--
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82-Request for Inspection Form i`q—15
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Bunch, Connie
From: Torn and Wendy Ravino <toms_plumbing@yahoo corn>
Sent: Wednesday,January 13, 2016 4:02 PM
To: Bunch, Connie
Subject: Pending permit application and CO for Foster/Claflin Guest House Heating
Hello Connie,
Re: Tax number Section: 00400, Block: 0700, Lot 6000, Guest House on property of John Claflin &
Richard Claflin, II
Application signed for by Jerome
The description of Heating appliances for conversion of heating from oil to LP gas is as follows:
New Boiler Triangle Tube Prestige Trimax Excellence PTE 110 LP
1 New Air,Handler First Company FCI8HBXHWTXV410
Can we please get a permit and CO on this conversion.
Is there anyway to have it noted on the CO that this is for the Guest House?
I also have one other question when you issue a CO, is only one issued, or is one send to us and to
• the owner?
Thank you for all of your assistance today.
Sincerely,
Tom Ravino
Plumbers Licence.no. 2630-MP
Tom's Plumbing and Heating
P. O. Box 534
Fishers Island, NY 06390
860 460 8950