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44569-Z
�� gtlFFO(�'oy Town of Southold 7/7/2020 a t . P.O.Box 1179 co 53095 Main Rd 58� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41230 Date: 7/7/2020 THIS CERTIFIES that the building ALTERATION Location of Property: 2460 Shipyard Ln Unit 6E, East Marion SCTM#: 473889 Sec/Block/Lot: 38.2-2-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/30/2019 pursuant to which Building Permit No. 44569 dated 1/3/2020 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: interior alterations to an existing unit(6E,)as applied for. The certificate is issued to Hirt,Richard&Sovey,Dean of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44569 6/23/2020 PLUMBERS CERTIFICATION DATED 6/29/2020 h r*Z4apA4,ck Plumbing tri d ignature 1 TOWN OF SOUTHOLD o�avFFot,r�oG. BUILDING DEPARTMENT a 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#: 44569 Date: 1/3/2020 Permission is hereby granted to: Hirt, Richard 3390 S Ocean Blvd #303 Palm Beach, FL 33480 To: interior alterations to an existing unit as applied for. At premises located at: 2460 Shipyard Ln Unit 6E, East Marion SCTM #473889 Sec/Block/Lot# 38.2-2-15 Pursuant to application dated 12/30/2019 and approved by the Building Inspector. To expire on 7/4/2021. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $373.60 CO -ALTERATION TO DWELLING $50.00 To $423.60 Building Inspector Form No.6 TOWN OF SOOTHOLD 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 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 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./ %2 13 New Construction: I Old or Pre-existing Building: V (check one) Location of Property: a T(o S 1.i l to u j House No. Street Hamlet Owner or Owners of Property: > i C aIK j 1I 19 Suffolk County Tax Map No 1000, Section Block Lot 1 S Subdivision /� Filed Map. Lot: Permit No. `7 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ L Applicant Sig atur Arif so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. ox 117 Southoldd,,NY 11971-0959 sean.devlinCa)- y• town.southold.n us �° a C®U 9� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Richard Hirt Address: 2460 Shipyard Ln Unit 6E city:East Marion st: NY zip: 11939 Building Permit#: 44569 Section- 3$.2 Block- 2 Lot- 15 WAS EXAMINED AND FOUND TO BE'IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor. DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New X Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 14 Ceiling Fixtures 1 Bath Exhaust Fan 1 Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 6 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures $ CO2 Detectors Sub Panel A/C Blower Range Recpt 30A Ceiling Fan Combo Smoke/CO 1 Transformer UC Lights 9puck Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 3 4'LED Exit Fixtures Pump Other Equipment- Micro, DW, Fridge, Mini Fridge Notes Renovation of Kitchen and Living Room Inspector Signature: Date: June 23, 2020 S Devlin-Cert Electrical Compliance Form As !j,.%i,;'.tnti. -''rig�•r i' •r•'` Yr �' r•c . 4 Telephone(631)765.1802 Fax M 117f CO-5M P.O.Box 1179 Southold,NY 119714969 'i:2D BUMDING DEPARTMENT JUL — 2 2020 TOWN OF SOUTHOLD BUT-TPWG DEPT. CERTIFICATION Date; diat LqI Building Permit No, yi Owner:-" (Please print) Plumber: .�r��eJL� flung (Please print);. , I certify that the solder used'in the water supply system contains less than 2/10 of I% lead, (.Plumbers Signature) Sworn to before me this day of S —,'20 Natary Public Sta eHALONE "•''r Registration#01CHf New York ' 'Quqlifietl'1n S 6287Cou1 Q6 No Public, 11 COUri - l 9mmissaon lrzpires Aug. 20tYZ ' ':: --1. OF SOGlyolo 1 569 • 4c) g,1/ Y� �i "bN * # TOWN OF SOUTHOLD BUILDING DE T. Vx, l r `ycourm��' 765-1802 & INSPECTION - [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND _ [ ] INSULATION/CAULKING [ ] FRAMING /`STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ]= FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT'PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ] CODE VIOLATION [ ] PRE C/O REMARKS:., DATE Z �L- 20 INSPECTOR Of SOUjyo� H l 5 &o VA� # TOWN OF SOUTHOLD BUILDIN&.PT. `y�ourm ' 765-1802 INSPECTILON [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND = [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE &`CHIMNEY f ] -FIRE SAFETY INSPECTION [ ] FIRE,RESISTANT CONSTRUCTION [ ] =FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: DATE 6 20 ANSPECTOR ` v`��� �aUF SOblyo * # TOWN OF SOUTHOLD BUILDING DEPT. ��coor,y ' 765-1802 _ INSPECTION [ ] FOUNDATION IST [ ] RO GH PL13G. [ ] FOUNDATION 2ND [ ]a SULATIOWCAULKING [ ] FRAMING/STRAPPING [ FINAL 'FIREPLACE & CHIMNEY [ '] FIRE SAFETY INSPECTION [ ] "'FIRE RESISTANT CONSTRUCTION { ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) = [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI ON —r [ ] PRE CI /O REMARKS: 1 256L, �IA�` ?p IDd AA DATE INSPECTOR ,\ OF 50UTho� V SAI W y , TOWN OF SOUTHOLD BUILDING DEPTL O • io `ycOUHn 0�' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ., [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ]' FIREPLACE & CHIMNEY [ "] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) = ELECTRICAL (FINAL//)" [ ] CODE VIOLATION [ ] PRE C/O �.S'�' _F to arde� REMARKS: DATE Z Z.4 INSPECTOR 5z - FIELD INSPECTION REPORT I -DATE COMMENTS *d FOUNDATION (ISS y -------------------------------------- C FOUNDATION (2ND) � z ' O H ROUGH FRAMING& PLUMBING y l 91 INSULATION PER N.Y. y STATE ENERGY CODE (� I Vim' a I� - FINAL ADDITIONAL COM ENTS ®" Tf d ➢ d z -2n rn ro H - � O z x • d h 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 yy) b / Survey Southoldtownny.gov PERMIT NO. l Check Septic Form NY.SDEC Trustees C O Application Flood Permit Examined 20 Single&Separate Truss Identification Form z Storm-Water Assessment Form Contact: Approved 20 Mail to Disapproved Phone Expiration 20 Building Inspector APPLICATION-FOR BUILDING PERMIT DEC 3 0 2019 — Date l� �� 20 l`l INSTRUCTIONS a This'application MUST UST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans accurate plot lilan 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 Upori 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 buildmg 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 writmg,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 herem 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 (3A,C�61utJ 11�6wies T&j (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether appli antis er,lessee,.agent architect,engineer,gene 1 contractor,electrician,plumber or builder LQ Name of owner of premises l G 0.. �'�'t Q T �►'� fl (As on the ax roll or latest deed) If plic isatJo ,signature of duly authorized officer (Name and title,6cote officer Builders License No. & /+ Plumbers License No. Electricians License No. Other Trade's License No. 1.-_Location of laTid on whicho osed work willbe d ne: pp 11 Shtm ! � a &d pNe � 6 -s�f' �c�cc2 to Vy House Number Street Hamlet County Tax Map No. 1000 Section S Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended ule and occupa cy of propose construction: a. Existing use and occupancy A I'V0 6 P-86 i(Ae)K c e C ea K-3 6, b. Intended use and occupancy_6 L.y! 3. Nature of work(check which applicable):New Building Addition Alteration V 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 r 6. If business,commercial or mixed occupancy,specify naturerr and extent of each type of use. 7. Dimensions of existing structures,if any:Front P- Rear `C P— Depth r- a`-T Height Number of Stories ,r Dimensions of same structure with alterat ons or additions: Front `C Rear Ll-P'rL Depth S( Height a Number of Stories a 8. Dimensions of entire new construction: r 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 12.Does proposed construction violate any zon�in law,ordinance or regulation?YES NO 13.Will lot be re-graded?YES NO `� Will excess fill be removed from'p"remises?YES NO 14.Names of Owner of premises Q�e�i � Address o`Q20 4tP�'4hone No.,5'1& 6 5-0- Name of Architect Address Phone No Name of Contractor a.ek Address POnT"nofft" hone No. (62f- 87 - '7eD 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. CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS. No.01 BU6185050 COUNTY OF______) Qualified in Suffolk County Commission Expires April 14,2 01'D 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 performed in the manner set forth in the application filed therewith Swo to before me this �fl day of 2019t 1/� nL &4�-PL - -- Notary Public Signature of ppli BUILDING DEPARTMENT - Electrical Inspector �p� C TOWN OF SOUTHOLD , _ Town Hall Annex - 54375 Main Road - PO Box 1 179 °o ® Southold, New York 11971-0959 ; 4: Telephone (631) 765-1802 - FAX (631)'765-19502 �(c roger.richert(a town.south old.nV.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED'BY:"--" "" '- Daae. 0-// 7 -0-o- - Company Name: Name: 2. C'D v License No.: _ email: S L y 0- /Vc) , C Address: I�o ©r�- o Lf;�' Phone No.: 1-5—Z G JOB SITE INFORMATION: (All Information Required) Name: Address: o aj-�> Z-A Cross Street: Phone No.: Bldg.Permit# �t ,s'to g email: Tax Map District: 1000 Section: 3g , D Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) " Zrr_12"_C .-.J o11gZ7o� Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES NO ) Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # 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 I� P� q Request for Inspection Form-As PERMIT# Address: Switches.pp Outlets d�� GFI's III Surface I Sconces H H's UC Lis 19P Fans Fridge '. HW Exhaust Oven ( °� Dryer Smokes DW ' Service Carbon Micro Generator Combo' s Cooktop Transfer AC AH Mini I Special: Comments