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HomeMy WebLinkAbout42200-Z Town of Southold 2/6/2018 P.O. Box 1179 53095 Main Rd ?) Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39495 Date: 2/6/2018 THIS CERTIFIES that the building GENERATOR Location of Property: 3290 Alvahs Ln., Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.4-7.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/20/2017 pursuant to which Building Permit No. 42200 dated 12/1/2017 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 Simon,Howard&Lorraine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42200 01-18-2018 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD N BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY 1*6 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#: 42200 Date: 12/1/2017 Permission is hereby granted to: Simon, Howard 3290 Alvahs Ln Cutchogue, NY 11935 To: install a generator as applied for. At premises located at: 3290 Alvahs Ln., Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-4-7.3 Pursuant to application dated 11/20/2017 and approved by the Building Inspector. To expire on 6/2/2019. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CO -RESIDENTIAL $50.00 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% 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 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 Property: 32go 4(y((ks Lp, ctu- VC k House No. LL JJ Street Hamlet Owner or Owners of Property: 14©�a-fU In" Suffolk County Tax Map No 1000, Section �� � Block Lot Subdivision Filed Map. Lot: Permit No. a42 DO Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for- Temporary Certificate Final Certificate: eck one) Fee Submitted: $ Appli ant Signature SOUjyQlo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 G �. � �o roger.richert(aD-town.southold.ny.us Southold,NY 11971-0959 Q �y"Oum,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Simon Address: 3290 Alvahs Lane city Cutchogue st: New York zip: 11935 Building Permit#: 42200 Section: 102 Block: 4 Lot: 7.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Allegretta Electric License No: 35591-ME SITE DETAILS Office Use Only Residential X Indoor 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: 22KW Back-up Generator. Notes: Inspector Signature: S j Date: January 18, 2018 0-Cert Electrical Compliance Form.xls OF SO(/lyo� 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) RE ARKS: DATE - INSPECTOR� FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) o C y ------------------------------------ C FOUNDATION (2ND) tali z 0 ROUGH FRAMING& PLUMBING y (n :J S W r INSULATION PER N. Y. H STATE ENERGY CODE FINAL ADDITIPNAL COMMENTS " O 1 I - cem l z 10 �ro z l � e 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 ��D�� Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees D r�- IF:>�� r/(� C.O.Application_j D _ c Flood Permit Examined ,20 Single&Separate_ i� NOV 2 0 -_)17% Storm-Water Assessment Form Approved le� 20 Contact: -� lbixii-t6' ocJ(1 1�Y11 Disapproved a/c TOi -ij OF SO 73OLD n �/ Phone: y,t L Expiration 120 n In ctor APPLICATION FOR BUILDING PERMIT Date , 20 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. (Signature o applicant or name, if a corporation) (Mailing address of applican ) 35— State whether applicant iowner,'lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises t(cla P I Q(Id L T G�6'C�� VI Io J ✓� (���� (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: � 2-C,19 vet A ',� ccl� 0,� House Number Street Hamlet � . County Tax Map No. 1000 Section ' Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and cupancy of proposed construction: a. Existing use and occupancy i b. Intended use and occupancy v^PSw of wkdA a (-� 7� i 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work it Kil L::2 & ( escri on) 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 G 0 ctName of Former Owner J '`-l-c rte' 11. Zone or use district in which premises are situated IL e, St� 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO ti Will excess fill be removed from premises? YES NO l/ 14. Names of Owner of premises 9%0,7d 1 ZdNt311�' SA dr ss 2U'/U 144,5P one No. 1�, 77`(' Z 71 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 5'-F4(I<-) L ,j,;c Cj cV., ',A being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the u, �Le q— (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 before me this oCyll— day of 20 TRACEY L. DWYER - 1 Notary Public C,STATE OF NE N0.01 DW6306900 Sijn'_atuAr1of Applicant QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,261�b KI-EI " LLEC� PcTTAELI CTIQAC . CSM �o�'Of So�,jyo Town Hall Annex 41 Telephone(631)765-1802 _ 54375 Main Roadin 9 y � pax{631)761 P.O.Box 1179 G roger.dcherta_l0WnsoU o .ny.US 1 Southold,NY 1197I-09591 � UIVT'I, BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: I Company Name: \J. A ` rCQ iacb6cal Name: License No.: — _ E Address: Phone No.: — _ X030 f JOBSITE INFORMATION: (*Indicates required information) *Name: y\= si rnOn *Address: G� AIV h.5 ► r� n �' - y`�_ *Cross Street: *Phone No.: a O — 4 Ln L4 — 4 O az� Permit No.: Tax Map District: 1000 Section:—JjLL��L _ Block: nL4 Lot: 7,3 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) ` a V-w (Please Circle,Ali That Apply) Is job ready for inspection: YES/ 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 82-Request for Inspection Form VSZv L V O 0_n LL�--- __ N/F.wDRE1 C. O 1NDREw T GONRKOLB -90 � Box 1D6 WELL 0 N/G ANDREW'C AND ANDRE.'T FONRKOl.B TTITUCK,NY L P O BOX 106 O Z ZS �� •' UAMT CK,N Y. M#IODO-102-04-D05 5 d� ua VACANT LAND TNN1000-102-O4-D05.4 N/F RICHARD REINNART - 11535 LWN ROAD M rmuCK,NY 11952 1 1 706.9 ' S 49'04 29'E 8v T PIPE ' N 49'04'29'W 637.20' — — — — S 49•9429"E-69:78r EL 34 34 PA 0 C AP 1000-102-04-06.2 TEST HOLE WELL O _PR_ -- _ SED LOT_ -TWO I� 9 LOT AREA = 233,405 S.F. / �' --`-�_ ---- __ �' PART OF TAX M/ P PGC %32 \ OR 5.358 ACRES // / — ———� 3 4.0- COVEREDEL 34 � G ENTRY / / / C14 ----------------- _ ��O / \ ��i /� ,\ =—r��y—R��� i El 24 �tO V Zw $ SEPTIC O tl� / -- \\ Wit' / \ / -= - - y TANK 5�. �-p \ L---- __..= / / --- \ i Z i' _ y. CESSPOOL W \ VACANT LAND Q ``�\ // / 'LO$ `' ----_ T \\ \\\ \ --. - / // / '- `\ EL 22 o / \ \\ Et 2s ———' / _�1(y Ar 40 1 66 �•-'''''t I LOT OR E2 0278E MATTfi11CiC.N.Y. 11952 -\ I"'D '/ �.'�� / .►• ! 1 \ LLI o F EL \ Q11-\ \ \ 5^E 1,..• / res Q \\\� 'pile• 4 \ ` \ S57-49 57 49 Q 2�_ T / ——————�F \ \\�/- ------__ a---TREELINEOki ----- pill EL 24 �.rc.� / so`SM 47'C1 ____ _ //�,�°`%•� Z2796.r ----- ---_— — -- �' \ \ , opt d PROPOSED PROPERTY LINES \ \ 3 SEP� J 713 89.60 �£ ? 5645'04 \ — '! ���• 28— //N N X\ "PC,�-4 EL 26 — / \ IN .--50.0'' ————— / FORMERLY \ SP N O �1�.r / — —— EL 2T—— TM#1000-102-04-07.1 CESSPOOL `� / oY / -- — i 0 0 I\\ — � \ 1 / 55.38 0 / ———————— I�3a ——' 24.6 LOT AREA = 40,000 S.F. W i6 / \ 45,p4.. 8% // // � _ _ ----- OR 0.9918 ACRES \\Q l 04- N43'09'19 61.0 60 i / / —— FRAME u) STONE DR / \O \ ——' �' // / — -------- GARAGE N NEMYq / o '�E` / // / 25.7 \\�J2 /� // // ,'_`� •r Q \\ 150'FROM CESSPOOLS \ (R N N00 FRAME RESIDENCE \ — N U 7FIC i _ (,� Z O h WELL '0 PROPOSED stroe'�o'1E j \ WELL J4.lO' N4T08'40'1Y 53.95' ————— o ' --------- -- N 47' '40"qM (PROPO ED) 0. 0' PoLE / _---- m N 47m o '08'40"W um D o PIPE PROPOSE$AOPERr POLE PDIF M L 4 79.78' _ D POLE EXISTING DRHHACE PIPE y "°`E o` -' N 47'08'40"W • / SIItlAC71A�E ALVAH ' S= 5G (,5 � tea.) LA N E NO WELLS OR CESSPOOLS WITHIN 150' OPPOSITE THIS SUBDIVISION ON ALVAH'S LANE F1R57 FLOOR TYPICAL SANITARY DESIGN EL 3e.o V Allegretta Electrical Corp. HAMPTON BAYS,NY 11946 150 A East Montauk Highway Date Invoice# Hampton Bays, NY 11946 Business#631-723-3030 10/5/2017 13712 Fax#631-723-3330 Bill To Job Location Howard Simon 3290 Alvahs Lane Cutchogue, NY 11935 COMPLY WITH LL CODES OF NEW YORK STATE & TOWN CODE AS REQUIRED ANC CONDITIONS C T Date of Service nux _n T��n�nl TR IiTI s 10/5/2017 Fn V Descrilptilon P N/'."" Totlil DATE: I 7TWO ENERACGENERATOR C I` �-:. '5,868.00 TOTAL CONTRACT=$9,780.00 E IvNLnV' i FEE:NOTIFY BUILR 0 EPOSIT TO ORDER:$5,868.00WITHOU CEPTIrIC.765-180 9 AFOR DEPOSIT DUE ATINSTALLATION=$3,423.00OF OCC PANFOLLO NG IS: DUE AT START UP=$489.001. FOU ATIOEQUIR D FOR OURED CONCRETE 2. ROU - FRAMING & PLUMB KW GENERAC GENERATOR*ELECTRICAL INSPECTION 3. INSUL kTION LUDED* 4. FINAL - CONSTRUCTION MUSEstimate to provide and install(1)22 kW Generac Generator with(1) BEC(MPLETE FOR C.O. 200A weatherproof transfer switch. ALL CO TRUCTION SHALL ME pp��j�for to be placed near H frame with transfer switch mounted on H arl��ivith existing meter pan. REQUIREENTS OF THE CODES rN�EWcudes all materials. YORK S ATE. NOT RESPONSIB Wir OR DESIGN R CONSTRUCTION Esupply by others ction is required additional$250*CUSTOMER REQUESTED E ECTRICAL INSPECTION-REFLECTED IN PRICE" *Concrete mounting pad included INSPECTION REQUIRED `Not responsible for unforeseen underground obstacles' 'V.Allegretta Electrical Corp is only responsible for electrical permits if customer chooses to have generator inspected,and Generac Generator code for generator placement.Consult your local building code authority for necessary setbacks and requirements' Total $5,868.00 Pleas submit payment Payments/Credits $0.00 upon receipt. Thank you. Balance Due $5,868.00