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Home My WebLink About41572-Z ��O�gUFFOIg� Town of Southold 7/10/2019 a P.O.Box 1179 y ? 53095 Main Rd Southold,New York 11971 „,�pl �a0tjs- CERTIFICATE OF OCCUPANCY No: 40488 Date: 7/10/2019 THIS CERTIFIES that the building COMMERCIAL REPAIRS Location of Property: 7850 Route 25, East Marion SCTM#: 473889 See/Block/Lot: 31.-6-17.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/26/2017 pursuant to which Building-Permit No. 41572 dated 4/26/2017 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: repair to an existingbuilding uildin as applied for. (Rear Building) The certificate is issued to 7850 Main Rd LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 6/26/2019 41572 PLUMBERS CERTIFICATION DATED ut o e Signature A �o�guFFut��aTOWN OF SOUTHOLD �y BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • 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) r Permit#: 41572 Date: 4/26/2017 Permission is hereby granted to: 7850 Main Rd LLC C/O Samuel Glass 62 Nichols Ct Ste 302 Hempstead, NY 11550 To: Repair Commercial Buildings, (Main Building, Cottage & Rear Building); Gas Lines, Gas Heater, Water Heater, Piping & Washer/Dryer Hookup, as applied for. Replaces BP# 36448 r At premises located at: 7850 Route 25, East Marion SCTM #473889 Sec/Block/Lot# 31.-6-17.2 Pursuant to application dated 4/26/2017 and approved by the Building Inspector. To expire on 10/26/2018. Fees: PERMIT RENEWAL $125.00 Total: $125.00 f ilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT H i TOWN CLERK'S OFFICE oy ® 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 #: 36448 Date: 6/6/2011 Permission is hereby granted to: 7850 Main Road, LLC 62 Nichols Ct Hempstead, NY 11550 To: Repair Commercial Buildings, _ Rear Building); Gas Lines, Gas Heater, Water Heater, Piping & Washer/Dryer Hookup, as applied for. At premises located at: 7850 Route 25, East Marion SCTM #473889 Sec/Block/Lot# 31.-6-17.2 Pursuant to application dated 5/31/2011 and approved by the Building Inspector. To expire on 12/5/2012. Fees: CO-COMMERCIAL $50.00 NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00 Total: $300.00 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: 0\60 ®/V House No. Street Hamlet Owner or Owners of Property: M6 0R6 � _T> � Suffolk County Tax Map No 1000, Section (9 ✓ f I ®� Block (9 , �0-0 Lot f 7 e-off Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (c eck e) Fee Submitted: $ Applicant Signature _ rj? so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® �� roger.richert(-town.southoId.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: 7850 Main Road LLC ( The Blue Inn) Address: 7850 Route 25 city,East Marion st: New York zip: 11939 Budding Permit# 41572 Section: 31 Block: 6 Lot: 17.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893-ME SITE DETAILS Office Use Only Residential Indoor X Basement X Service Only Commerical X Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GAS GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt 4 Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt 2-2QA Emergency FixtureTime Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS" Notes: Electrical Repairs in Basement - 4- Single Use Recepticles, 2- Gas Dryers, 2- Washing Machines, 1- Gas Hot Water Heater. Inspector Signature: Date: June 26, 2019 a 0-Cert Electrical Compliance Form As apf 50Ur TOWN OF,SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] 916ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ( ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Lv,4 ` is RAlVjy;e4 DATE N INSPECTOR / I �o�aoF souTyOlo # TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATI0N [ ] FRAMING /STRAPPING [ FINAL AVW7 r,,IA 4 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING RE A S: c4e—("ool CPA hn - DATE INSPECTOR OE SOUTy�� * # TOWN OF SOUTHOLD BUILDING DEPT. co ��' 765-1802 INSPECTION sz [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR ' �1 � r 1 • STATE ENERGY • r IMMAMPA Weil IL�p � ,► , Igv� � I i �Fe TO A•,F,�"� BUILDING PERMIT APPLICATION CHECKLIST JE WT�}IE : `T Do you have or need the following,before applying? TOWI� 4W V° F Board of Health HE e SOUTHOLD, NY 119711 �,� 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 9 Flood Permit Examined .- 20 1 I Single&Separate Storm-Water Assessment Foran Contact: Approved r ,20 I I Mail to: Disapu, r� c // Phone: L �- — 70 ,20 �--- Expiration � - loeBuilding Inspector LICATION FOR BUILDING PERMIT Date o � , 20INSTRUCTIONS etely 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 pennit 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 den ' i i as lie in described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing de, a regulati is, and to admit authorized inspectors on premises and in building for necessary inspections. yle o i ant or nai if a coe roi a o ) lv' li ' g ddresca �� State whether applicant is owner, lessee, agent, architect, engineer, gener con ctor, elect -cian, ember or builder ow o� Name of owner emi es ��b A ld l OT� �l (As on the tax roll or latest deed) If applicant is rpor 'gnature of duly authorized officer (Ne rad title of corporate officer) Builders L c se No. Plumbers License No. 5 Electricians License No. Other Trade's License No. 1. Location of land on which ropose�bwork will be done: / House Number Street Hamlet County Tax Map No. 1000 Section 31 Block Lot 7 l� 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 o� q U/f/( 1 1/y/1/ ' tn/ 9 %s T 4-ki`eok�r b. Intended use and occupancy XS 3. Nature of work heck which applicable): New Building Addition Alteration Repair � Removal Demolition Other Work (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. ////1/ 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 L 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✓ Will excess fill be removed from premises? YES NO p ��o Al T 004) &SsI,� CT 14. Names of Owner of remises Phone N 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 adcuraie foundation plan and distances to property lines. 17. If elevation at any point "o property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and;restricti'ons with respect to this property? * YES NO, 1` 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,(S)He is the /,/j # /�/l�r ,�//a1/�f 1% (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said wor ake and file this application; that all statements contained in this application are true to the best of his knowledge a eIief; Mddtlat the work will be performed in the manner set forth in the application filed therewith. Swore o before me this / da of 20 QCli1 A. N M gnature of Applicant C�gpOpt��ty M�/COmMlaelM E*fM$9pL 10.21IJ �: ' BUILDING DEPARTMENT- Electrical Inspector ' ' TOWN OF SOUTHOLD Tow II Annex - 54375 Main Road - PO Box 1179 JUN 1 0 2019 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert@town.southold.ny.us 9°0JVN:OF 9OUT r1l;L-.'1:i APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: ('oS Name: UY0 S � 3 mail: License No.: y /_ Address: Phone No.: 3 JOB SITE INFORMATION: (all Information Required) Name: i (&e. - - Address: Cross Street: Phone No.: Bid Permit#: 1.1 I J a email: tin � -G�c -�-P�,�b1�� g' Lot: 17, Tax Map District: 1000 Section: I Block: BRIEF DESCRIPTION F WORK(PI ass Print CI arty S Circle All That Apply= Final Is job ready for inspection?: _ YES ! NO Rough In Do you need a Temp Certificate?: YES / NO Issued On Temp information: (Ail information required) Service Size 1 Ph 3 Ph Size: = # Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form As � v Southold Town Building Department �p��Fwc,�ioG P.O.Box 1179 Permit#: 36448 53095 Main Rd ., Southold,New York 11971 Permit Date: 6/6/2011 (631)765-1802 Expiration Date: 12/5/2012 Parcel ID: 31.-6-17.2 BUILDING PERMIT RENEWAL LETTER Dated: 3/30/2017 Applicant: Samuel Glass Location: 7850 Route 25, East Marion Work Description: COMMERCIAL REPAIRS Repair Commercial Buildings, (Main Building, Cottage&Rear Building); Gas Lines, Gas Heater, Water Heater, Piping & Washer/Dryer Hookup, as applied for. A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: 7850 Main Road, LLC Address: 62 Nichols Ct Hempstead,NY 11550 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. pF SO(/T�QI Town Hall Annex 411 Telephone(631)765-1802 54375 Main Road y � Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 'Q BUILDING DEPARTMENT July 25, 2018 TOWN OF SOUTHOLD 7850 Main Rd LLC C/O Samuel Glass 62 Nichols Ct, Suite 302 Hempstead, NY 11550 Re: 7850 Route 25, East Marion TO WHOM IT MAY CONCERN: The Fo llowing Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Electrical Underwriters Certificate A fee of$50.00. - Final Health Department Approval. Plumbers Solder Certificate. (AII permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 41572 - Repairs e SUFFOLK COUNTY DEPARTMENT OF CONSUMER AFFAIRS HOME IMPROVEMENT CONTRACTOR tdLICENSE WILLIAM L DARRELL This certifies that the BUSINESS NAME ' bearer is duly CONSTRUCTION IN MOTION licensed by the licensed ty by he UcemA NumhAr paz-A ` �ebto7XeGUlrpa 18382-H 04/01/1990 CONN'SSIONEN EUPIRAPON BATE '04/01/2012 v d 6 A&6 C�" A T N O R T H F O R K Plumber ELECTRICAL INSPECT �=�� iTlTlll. I®N REQUIRED Rear Building: Repair Gas line LN°NW,�t�r"` PL YS NI 'N) QT URII IN R e i e Gas s Heater ALL PLUAiI G p p SING I6 49TE &-WAT9A`L'ONg9,fXEED TESTING BEFORE Ci99gING COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES Cottage: AS REQUIRED Replace water Heater OLD TOWN Z SOUTHOL PLANNING BOARD Repairs to Piping SO TOWN EES ffi N. S.DEC Main Building: APPROVED AS NOTED Add washer/ Dryer hookup DAT B.P.# 3 FEE. v BY NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE Electrician FOLLOWING INSPECTIONS: 1 FOUNDATION-TWO REQUIRED FOR POURED CONCRETE WiringSmoke Detectors for all 29 guest rooms 2 ROUGH-FRAMING,PLUMBING, g STRAPPING, ELECTRICAL 9 CAULKING 3. INSULATION 4 FINAL-CONSTRUCTION&ELECTRICAL 0TEL-5 ��o' 0� r a 7 L MUST BE COMPLETE FOR C.O. �- ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSISM FOR DESIGN OR CONSTRUCTION ERRORS. 7850 Main Road, East Marion, NY 11939 • Phone- 631-477-2800 Fax. 631-477-1272 E-Mail-frontdesk@theblueinn.com www.TheBluelnn.com