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Home My WebLink About37916-Z �oSdEco Town of Southold Annex 4/30/2013 �o Gy P.O.Box 1179 cm� 54375 Main Road x Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36207 Date: 4/30/2013 THIS CERTIFIES that the building OTHER Location of Property: 19855 Route 25, Orient, SCTM#: 473889 Sec/Block/Lot: 17.-1-11'.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/8/2013 pursuant to which Building Permit No. 37916 dated 4/8/2013 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: hot water heater, boiler and generator as applied for. The certificate is issued to Thompson,Lucy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37916 4/30/13 PLUMBERS CERTIFICATION DATED AuthcWed Signatu o�SUF��co TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 37916 Date: 4/8/2013 Permission is hereby granted to: Thompson, Lucy 11 Harrison Ave Red Bank, NJ 07701 To: hot water heater, boiler and generator. At premises located at: 19855 Route 25, Orient, SCTM # 473889 Sec/Block/Lot# 17.-1-11.4 Pursuant to application dated 4/8/2013 and approved by the Building Inspector. To expire on 4/8/2014. Fees: CO -ACCESSORY BUILDING $50.00 ELECTRIC $85.00 FURNACEBOILER-RESIDENTIAL $200.00 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 2110 of 1%lead. . 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliauce-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 Eflmpleted 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. 3/14/2013 New Construction: X Old or Pre-existing Building: ' (check one) Location of Property: 19855 Route 25, Orient, NY 11957 House No. Street Hamlet Owner or Owners of Property. Estate of Lucy G Thompson Suffolk County Tax Map No 1000,Section 17 Block 1 Lot 11.4 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for. Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 50.00 LAze,_ Applicant Signature l William Gesell, Executor 11 Harrison Ave Red Bank, NJ 07701 732-616-9005(cell) Town Hall Annex p�QSUFFOtkeQ�'� Telephone(631) 765-1802 54375 Main Road o Fax (631) 765-9502 h P.O. Box 1179 • Southold, NY 11971-0959 ��j�! �,�p� roger.richert(c-town.southold.nV.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Estate of Lucy Thompson Address: 19855 Main Rd City: Orient St: NY Zip: 11957 Building Permit#: 37916 Section: 17 Block: 1 Lot: 11.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential x Indoor x Basement x Service Only Commerical Outdoor x 1 st Floor x Pool New Renovation 2nd Floor x Hot Tub Addition Survey x 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 Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: electrical survey whole house, to include service panel, generator, mechanical systems.No defects found Notes: Inspector Signature: Date: April 30 2013 Electrical Certificate.xls Septic Form N.Y.S.D.E.C. .t.. Trustees Flood Permit Examined 20_ 3-719 tip Storm-Water Assessment Form Contact: Approved ( 20 Mail to: Disapproved a/c 14fi,P4 SO s(J Phone:rg g 2 le)Expiration ,20J_4- Building Inspector APPLICATION FOR BUILDING PERMIT // // Date `7 — ,20 13 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 authorize I eeters-e Me ing for necessary inspections. (Signature of applicant or na e,if a corporation) APR — 4 2013 AJJ BLDG. DEPT. (Mailing address of applicant) 6 7 70/ _ TOWN,OF SOUTHOLD State whether applicant is owner,ssee agent, architect, engineer, general contractor, electrician,plumber or builder aOP�k- Name of owner of premises E S i-t+TZF OF LOCI 6; I / 6HP S UN (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer J / (Name and title of corporate officer) I r J r Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work /sJ T-V lj-1 elfE�(Description) 4. Estimated Cost 1 Fee 'odd (To be paid on filing this application) 5. If dwelling,number of dwelling units r 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 rD►s-1-AA0-T S&:,770AI f 7 SLOCk, I 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 NOC * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY l OF W i L1__!`R-14 TT, 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 narfnrmarl in tha mannar cat forth in tha nnnlir.ntinn filarl tharawitlh S. �jl�o` � o Town Hall Annex Telephone(631)765-1802 54375 Main Road 9g U P.O.Box 1179 roger.dchert0w%so%rthotd nv us Southold,NY 1197I-0959 o a ]BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: l S � -G��p� Date: '/7' --� —/ Company Name: Name: License No.: Address: 6 �t�-itJK /CJ�o 7 , Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: —ST14 7 A) *Address: l A e(�) AJ IV *Cross Street: *Phone No.: -3 o- 10 (r — yUD S Permit No.: 37� q L Tax-Map District: 1000 Section: I ,l Block: / Lot: ` *BRIEF DESCRIPTION OF WORK(Please Print Clearly) _ 'f��L l Al S 10ZZ'-F1d A) d)eL_T7,0 EZ 7Z) 6 i5T C, (Please Circle All That Apply) *Is job ready for inspection: rhs)/ NO. Rough in Final o you need a Temp Certificate: YES Ico Temp Information(If_needed) 'Service Size: Q 1.P_hase 3Phase 10Q 150 200 300 350 . 400 Other New Service: Re-connect Underground Number of Meters Change of Service f % tverhead ` Additional Information: PAYMENT DUE WITH APPLICATION_ - T(ON B2=11equest for Inspection Form es 1 i CONSENT TO INSPECTION Estate of Lucy G Thomp s on the undersigned,do(es) hereby state: Owner(s)Name(s) . That the undersigned(is) (are)the owner(s)of-the premises in the Town of Southold, located at 19855 Route 25, Orient, NY 11957 which is.shown and designated on the Suffolk County Tax Map as District 1000; Section 17 , Block 1 . Lot 11 .4 . That the undersigned (has)(have)filed, or cause to.be filed, an application in the Southold Town Building Inspector's Office for-the following: Certificate :of Occupancy on pre-existing building That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to.enter upon the above described property, including any and all buildings located thereon,.to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises complywith all-of the laws,ordinances, rules arid'regulations-of the Town of Southold. The undersigned, in consenting to such inspections,-do(es) so with the knowledge and understanding that any information obtained.in the conduct of such inspections may be used in.subsequent prosecutions for violations of the laws,ordinances,rules or t regulations of the Town of Southold. Dated: 4/2/2 013 $ /( (Signature) William Gesell, Executor - (Print Name) -(Signature) (Print Name) April 2, 2013 Town of Southold Building Department 53095 Route 25 Southold, New York 11971 Attn: Mike Verity Mike, Enclosed are the applications and fees you requested. Lori Filen will be available for inspections. Please advise if you need anything more to complete the "CO" process. Sincerely, illi W i am Gesel Executor 11 Harrison Ave. Red Bank, NJ 07701 732-616-9005 (cell) 732-758-8012 (home) Verity, Mike From: billgeselll@gmail.com Sent: Thursday, March 14, 2013 2:04 PM To: Verity, Mike Subject: [New Sender - ] -Information on boiler and hot water heater- CO information Lucy Thompson 19855 Main Rd., Orient Mike, Information on boiler and hot water heater. Will submit CO application, as you requested, for boiler, hot water heater and generator. Please advise if you need any further information. Will have Ed King change dryer vent next week. Dryer will not be used until after vent pipe changed. Bill Gesell 732-616-9005 1 March 14, 2013 Town of Southold � � � � � �n Building Department U 53095 Route 25 P.O. Box 1179 MAR 18 2013 Southold, New York 11971 Attn: Mike Verity BLDG, DEPT. TOWN OF SOUTHOLD Mike, Enclosing application and fee for a Certificate of Occupancy to include the generator, hot water heater and oil fired boiler installed in 2005. Sent you information for each of these items in separate emails today. If you need any additional information to complete the CO process please advise. If you need to re-inspect I will be in Orient on March 25-28. Give me a call (732-616-9005) and I will meet you at house. Thanks for your attention to this matter. Sincerely, William G sell Executor 11 Harrison Ave. Red Bank, NJ 07701 732-616-9005(cell) ARDIAN FrA� by Generac Power Systems,Inc. Installation and Owner's Manual Air-cooled, Prepackaged U Automatic Standby Generators (' ® � US O4389-3 6 kW NG 7 kW LP LISTED 04 - 2 kW NG, 12 kW LP) 04390-3 (13 kW NG, 15 kW LP) s Pit.- G7 cc.- x I' o�t+�r� o �►� l� Y 1 l� t� Gua►RolA11��d � ® Not intended for use as Primary Power in place of utility or in life-support applications. -A A- DEADLY EXHAUST FUMES. OUTDOOR INSTALLATION ONLYH ■ e CO M MAN®E R POWER SYSTEMS 22355 County Road 48, Suite 15, Cutchogue NY 11935 Mrs. Lucy Thompson October 14, 2005 11.0. Box 365 Orient,'N`.Y. 11957 Ref: Generator Quotation Dear Mrs. Thompson, We are pleased to submit our quotation to furnish and install the following generator. Our quotation includes all required labor and material for a complete and operational electrical system. We exclude fuel installation. 1) One 7KW Generac generator with one automatic transfer switch. For the sum of: $4,184.00 plus tax. Lead Time Stock PLEASE NOTE THE FOLLOWING: l This quotation is valid for 30 days. ?) We exclude, fuel installation. '� (= r puy struAfte,is as follows 1/3 down contract signing 1/3 on delivery and P3 on . , nq.this quotlign acceptable please sign and date below and return to our office i` t " self-address d stamped envelope. h. 6, T1U ( DATE �� z� oSGENERA"1Ult fyou a airy quott p x se don't hesitate to call our office. Vol i '^ k�er 'Truly urs (631) 765-6400 - Fax 16311 765-6401 www,commanderelectric.com