HomeMy WebLinkAbout41448-Z o'SpWFOL tipG� Town of Southold
9/1/2017
a -
. , P.O.Box 1179
w' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39190 Date: 9/1/2017
THIS CERTIFIES that the building GENERATOR
Location of Property: 6200 Indian Neck Ln.,Peconic
SCTM#: 473889 Sec/Block/Lot: 86.-7-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/21/2017 pursuant to which Building Permit No. 41448 dated 3/21/2017
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 Beaney,Bruce&Barbara
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41448 8/24/2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
oSu��c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o� • o� 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#: 41448 Date: 3/21/2017
Permission is hereby granted to:
Beaney, Bruce
6200 Indian Neck Ln
Peconic, NY 11958
To: Install an accessory Generator with electrical permit as applied for.
Replaces BP# 37969
At premises located at:
6200 Indian Neck Ln., Peconic
SCTM # 473889
Sec/Block/Lot# 86.-7-1
Pursuant to application dated 3/21/2017 and approved by the Building Inspector.
To expire on 9/20/2018.
Fees:
PERMIT RENEWAL $50.00
Total: $50.00
ok
ing Inspector
Q�SUFFOL�coTOWN OF SOUTHOLD
BUILDING DEPARTMENT
c i TOWN CLERK'S OFFICE
o • 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#: 37969 Date: 4/24/2013
Permission is hereby granted to:
Beaney, Bruce & Beaney, Barbara
Fruit Ledge Rd
Brookville, NY 11545
To: install an accessory Generator with electrical permit as applied for
At premises located at:
6200 Indian Neck Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-7-1
Pursuant to application dated 4/15/2013 and approved by the Building Inspector.
To expire on 4/24/2014.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CO -ACCESSORY BUILDING $50.00
Total: $235.00
V
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:
Ar 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 2110 of I% lead.
S. 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.
r
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 egmpleted 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.
--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-550.00,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 $15.00
Date. l S
New Construction: Old or Pre-existing,,Building: (check one)
Location of Property: ���1,A_0 OVA L*
House No. Street Hamlet
�j c
Owner or Owners of Property:_�JP"CCCG 2 RqA�& R4 R'NQc.(
Suffolk County Tax Map No 1000, Section D$(, .U a Block 6-7,U b Lot �o I . LTD
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: '' Underwriter's Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted= $
Applicant Signature
oF so�ryol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 �Q roger.riche rt(a)-town.southold.ny.us
Southold,NY 11971-0959
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Bruce Beaney
Address: 6200 Indian Neck Lane city:Peconic st: New York zip: 11958
Building Permit#: 41448 Section: 86 Block: 7 Lot: 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: GJS Electric License No: 4839-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 El
Other Equipment: 20KW Standby Generator with 2- Auto Transfer Switches.
Notes:
Inspector Signature: Date: August 24, 2017
0-Cert Electrical Compliance Form.xls
J - i
SO�lyolo
ourm,��'
1 -
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) "
REMARKS:
-�� ec
DATE �7 f INSPECTO
OF S(*TJTROLD BUILDING PERMIT APPLICATION CHECKLIST
31NG T, '�PARTMENT Do you have or need the following,before applying?
. TOWN HALL Board of Health
SOUTHOLD, NY 11971 i `' 4 sets of Building Plans
TEL: (631) 765-1802 `-► Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined W4 ,20_0 Single&Separate
Storm-Water Assessment Form
Contact:
Approved ,20Mail to:
Disapproved a/c
Phone:
Expiration lA z ,20fLJL
� } Ir
V Building Inspector
r ' ' ICATION FOR BUILDING PERMIT
! 4PR 15 2013
Date J 3 , 20
BLDG DEPT. INSTRUCTIONS
V,,/N OF SOUTHOLD
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 nd regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
CL
0 f i\ ' P fi j
j'! f,I fr F �pmj �r(_ j�(Signature of a plicant or na e,if a corporation)
Com_+-'fRa q¢ ,. 'LP--• �OV ' ~� �J
@@ 4� ailing ad ress o applicant)
DATE; 4/2,W(, ) B P # t7 04
;
State whether applicant is owner, lessee, agent, architect, engineer, general contracto electrician, plu be or builder
rEE BY
'NOTIFY BUILDING DEPARTMENT AT
�65-1802 8 AM TO 4 PM FOR THE
OLLeO_I�I�ING INSPECTIONS-
Name of owner of premises Y�C,tL� ���� E .qDAIIQN-TWO REQUIRED
(As on the tax roll or latest )POURED CONCRETE
If applicant is a corporation, signature of duly authorized officer 2 ROUGH-FRAMING,PLUMBING,
STRAPPING, ELECTRICAL&CAULKING
(Name and title of corporate officer 3 INSULATION
� � ) h FINAL-CONSTRUCTION &ELECTRICAL
Builders License No. MUST BE COMPLETE FOR C 0
Plumbers License No. EISCTRC ALL CONSTRUCTION SHALL MEET THE
Electricians License No. h �� �"' YORK STATE. NOT RESPONSIBLE FOR REQUIREMENTS OF THE CODES OF NEW
" �" `'�'
Other Trade's License No. `s �' � dE' `� DESIGN OR CONSTRUCTION'ERRORS.
1. Location of land on w ich propos d work will be done:
��
House Number Street Hamlet
County Tax Map No. 1000 Section [b a , 0-6 Block ®- . 0 0 Lot 06
i
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
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work— GF fJ j;5 P-AT-0 k
S -7
�r���i� 2�Ec.�(Description)
4. Estimated Cost "15 00, '� 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 01 Depth
Height Number of Stories
9. Size of lot: Front ,66 Rear Depth 13 2-9
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 K Will excess fill be removed from premises? YES NO
14. Names of Owner of premises 1301-1Address4m'9'ly/M &"-Phone No. ��J'^� g4'31
Name of Architect Address Phone No
Name of Contractor�� K V-1 Address fpb Phone No.(317U
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, CONNIE D. BUNCIA
Notary Public, State of Nov York
(S)He is the No. 01 BU6185050
(Contractor, Agent, Corporate Officer, etc.) uaii�iea in suTTaK coomy �/I
Commission Expires April 14,�b
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 iii the application filed therewith.
Sworn to before me thi�s/� r
day of Y 1Vrl 1 20 L�3
Notary Public Signature of Applicant
r
_ pF SO�Ty�lo
Town Hall Annex l Telephone(631)765-1802
54375 Main Road �, �,��;;ax(631)765- 512
P.O.Box 1179 G • �� roger.richert(a, own.southo d.ny.us
Southold,NY 11971-0959 eoU ^a
C.`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD,
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: C_t_c:cj lite.
Name:
License No.: 14-S M (-
Address: V�-[N PQ' M..A.TT'(—JV C A-)
Phone No.: 3( 3.Q g 45'<
JOBSITE INFORMATION: (*Indicates required information)
*Name: ��t,�cc': I'C–A XX&- J(
*Address: 5. �n .t, p Oeck
*Cross Street: $5
*Phone No.: 9..-IL31
Permit No.:
Tax-Map District: 1000 Section: 0A G.0 0 Block: 6-7,66 Lot:®o t ,60
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(�,15AIRR PR`6 R
(Please Circle All That Apply)
*Is job ready for inspection: ff�)/ NO Rough In Final
*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 Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION 6)
n
82-Request for Inspection Form '�
Southold Town Building Department
atiq �t�'�a� P.O.Box 1179 Permit#: 37969
53095 Main Rd
Southold,New York 11971
Permit Date: 4/24/2013
r dlo (631)765-1802 Expiration Date: 4/24/2014
Parcel ID: 86.-7-1
BUILDING PERMIT RENEWAL LETTER
Dated: 1/9/2017
Applicant: Beaney, Bruce&Beaney,Barbara
Location: 6200 Indian,Neck Ln, Peconic
Work Description: GENERATOR
install an accessory Generator with electrical permit as applied for
A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Beaney, Bruce&Beaney,Barbara
Address: Fruit Ledge Rd
Brookville,NY 11545
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
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