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HomeMy WebLinkAbout37789-Z ' Town of Southold Annex 5/13/2013 P.O.Box 1179 54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36235 Date: 5/13/2013 THIS CERTIFIES that the building OTHER Location of Property: 500 Goose Creek Ln, Southold, SCTM#: 473889 Sec/Block/Lot: 79.-1-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/4/2013 pursuant to which Building Permit No. 37789 dated 2/6/2013 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: ACCESSORY GENERATOR AS APPLIED FOR The certificate is issued to Mallgraf,Robert&Mallgraf,Phyllis (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37789 03-10-2013 PLUMBERS CERTIFICATION DATED Authorized Signature ��,- TOWN OF SOUTHOLD o�SUFFo���O BUILDING DEPARTMENT G y 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 #: 37789 Date: 2/6/2013 Permission is hereby granted to: Mallgraf, Robert & Mallgraf, Phyllis 500 Goose Creek Ln PO BOX 371 Southold, NY 11971 To: install a accessory generator as applied for At premises located at: 500 Goose Creek Ln, Southold SCTM # 473889 Sec/Block/Lot# 79.-1-4 Pursuant to application dated 2/4/2013 and approved by the Building Inspector. To expire on 8/8/2014. Fees: ALTERATION OF ACCESSORY BUILDINGS $100.00 CO -ACCESSORY BUILDING $50.00 ELECTRIC $85.00 Total: $235.00 Building Inspector Form No.6 TOWN OF SOUTHOLD. .U ` BUILDING DEPARTMENT (ra� 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-digposal(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 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 e.pmpleted 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 Pfe-existing Building:' (check one) Location of Property: 529C7 tom.C�pS e- Ce Ft-l1,'. L_4�4 F T e Z Housd No. Street 'Hamlet Owner or Owners of Property: 1=RT C. -�- `F t_!_ L S l l l }L L Li 2.R-F Suffolk County Tax Map No 1000, Section Block / Lot 41 Subdivision �/�-�j� — Filed Map. n — Lot: Permit No. 3� ( -�- t Date of Permit. '�' Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary, Certificate Final Certificate: ✓ (check one) Fee Submitted: $ 750 Applicant Signature SUEF0j/( Town Hall Annex 0� OGy Telephone(631) 765-1802 54375 Main Road z Fax(631) 765-9502 P.O. Box 1179 0 • Southold, NY 11971-0959 'y4j�l �a0� roper.richertCcDtown.southol d.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: R&P Mallgraf Address: 500 Goose Creek Lane City:Southold St: NY Zip: 11971 Building Permit#: 37789 Section: 79 Block: 1 Lot: 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Peconic Electric License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X 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 Fixtures Time Clocks Disconnect rl Switches Twist Lock Exit Fixtures TVSS Other EquipMent: 10kw generator with transfer switch Notes: Inspector Signature: Date: April 10 2013 Electrical Certificate.xls FIELD INSPEON REPORT DATE COMMENTS FOUNDAMN(IST) 00 ci • FOUNDATION(ZND) ROUGH FRAMING& y PLUMBING • Q • cam, W INSULATION PEA N.Y. H STATE ENERGY CODE . . . Or c FINAL ADDITIONAL COMMENTS ZAt m rt 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 /at 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 b 20 Single&°Separate Storm-Water Assessment Form Contact: Approved 120 f3 Mail to: Disapproved a/c 4Phone: Expiration 6 ,20 4 r� i1 rt Building Inspector n l� 11 LICATION FOR BUILDING PERMIT FEB - 4 2013 • S' , aLDc.DEFT. - INSTRUCTIONS Date 20 TOkNN OF sOUTHOLD a. on e 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 wort: 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 wort: authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months froni'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 sik months. Thereafter, a new permit shall be required. e 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 of applicant or name, if a corporation) P. 13oX 3�1 , 5OgvOCI-D, 1Y ii47 ( ail �addiXk" nteC.S° ii 1 �a64 31YNN 1eal� Ia J .k, u State whether applicant is owner, essee, agent, arcl4itect, engineer, general coiftlactor, electrician, lurnhei.or builder Naive of owner of premises I& C 4j-L(�-IfAF - it , on the tax roll or' -' l = V ' If applicant is a corporation, sighAt,41e'o d ) �rfyot0M officer ll AlAIR 91 a (Name and title of corp ice ) LG � Builders License No. Ig, :O T CERTIFIC A T� l Plumbers License No. ��ral ; . ° 1�' �, 4. s �.. Electricians License No. 5 "` r``c� E� C Other Trade's License No. 1. Location of land on which proposed work will be done: tA ��o Coo®�� CR E�<< �-�rir �` d c�•-r--�a i r� . House Number Street ELECTRICAL Hamlet County Tax Map No. 1000 Section �� Block Lot Subdivision tq D N F 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 kr=_-5i.,DE11KC r b. Intended use and occupancy eE s r p F_ NCF- 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work jAl 7—, -L I_ &,-/Y rp&A -r-o 2 (Description) 4. Estimated Costp0©. 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 NeNE 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_ g Depth '-+- �o Height /( ' Number of Stories / Dimensions of same structure with alterations or additions: Front _5a m F Rear No CN.4.vc�r Depth Height Number of Stories 8. Dimensions of entire new construction: Front Ne ew.4NGr _Rear Depth, Height Number of Stories 9. Size of lot: Front Rear 7S� Depth �o 10. Date of Purchase .��5�3 Name of Former Owner _5A-YR F= ..qN12 ycv Lktg a 11. Zone or use district in which premises are situated s-,r.r V C-Ni i-A L 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V 13. Will lot be re-graded? YES NO ./Will excess fill be removed from premises? YES NO R'm 5 E(2 r C -1- 14. Names of Owner of premises o#,y w LI s 73, rgFj aL aRQAddress 6&- ©�oasr-CQ_1.#mF Phone No. (-3 t- 7 Z t8 7 Name of Architect /�o/Vp Address Phone No Name of Contractor P.Eeprg i c- C L Ee7-t-',!e Address S��;u A�nP�oiY, nlT�/Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V'_ 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 f * 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. BUNCH Notary Public, State of New York OI BU6185050 (S)He is the Ai5ad in Sufso (Contractor, Agent, Corporate Officer, etc.) Comr'''.'issicn Expires April 14,2_ 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. Sw q before me th 4 - day of 0/� s rwp Notary Public Signature of Applicant Town 1W Annex , Telephoue.(631)765-1802 54375 Main Road .mac�G3u.76 , 02 P.O.Box 1179 + rages d2hedt(v 4n,soutlrot�i ny us. Soirtlsold,NY 119714959 ot BUILDING DEPART TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: k0BE RE C � LL 1S /3 Ll- (x2�F Date: Company Name: e E Name: License No.: Address: S©� 6 oosE E_ Phone No.: JOBSITE (NFORMATION: (*Indicates required information) *Name: LR013EI?T Se/ J1q4YL_1_15 13 �R�LG2RF *Address: 522C) &<0616 P *Cross Street: _ f'!!2Ttf PA-k'(9�-•t TJ2 i V1F r *Phone No.: I_ �S, t Permit No.: Y S - Tax Map District: _ 1000 Section.— Block: _ Lot:_ Cam_ *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Y(cF r(Please Circle All That A.PPIA Is job ready for inspection: YES Rough In Final Vo•you.need a Temp Certificate: YES NO _ Temp Information(f needed) *Service Size: I Phase 3Phase 100 150 200 300 360 400 Other *New Service: Re-wrinect- Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Page 1 of 1 Subj: Inspection for Electrical Date: 5/11/2013 11:44:37 A.M. Eastern Daylight Time From: rich@peconicelectric.com To: Boardroomrcm@aol.com CC: sara@peconicelectric.com, steve@peconicelectric.com Hi Bob, I called the town to inspect the work and provide you with a certificate. If you would, please follow up with them so you receive the certificate for your C of O. Thank you, If we can be of further assistance, please let us know 1 Rich Rich Wright — Principal Peconic Electric PO Box 13 Southampton, NY, 11969 North Fork: 631.298.7700 Shelter Island: 631.765.5556 H a m pto ns:631.288.6098 Fax:631.849.4612 Email: Rich@peconicelectric.com www.peconicelectric.com Peconic Electric Saturday, May 11, 2013 AOL: BoardroomRCM i .o i - i; l i O fr-,b �s�M sari �.G �' I t • t OF qz AF APPP"; AReg T wr r I� LUMPS _ tie ra - N . sl its:: �► L Ord 0. Section of tl 7208 N Nm rak ai j Edyesflpn Lett< she land sun eyp h1ked '�" bossed seal shall not ba tronaid�e� to be a valid hue copy V, ""t' Guerantees.tnda aced hereon a6n nth onty tolhe Denson lorwlwm Ina survey prepared.and(In hls,behalfto th.,. M!? -ortiPany.gbvemmental agency ena lentlm9 mstdution Ilsted hereon and 4 to the assignees of the Iendinp hall.i tution.Guarantees are not transfarapl, to eddttional institutions of 1 I 02' CA .N tea ' ;, :. . 0 N lid-. DD e LAMPC. ° Si C4410 Fp LAND`SV . LAW E .� " N1,p►fc l :'. Oat • r T� - ,S