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HomeMy WebLinkAbout45718-Z �O�gUFFU1,f�oG Town of Southold 2/16/2021 P.O.Box 1179 0 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41817 Date: 2/16/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1395 Sleepy Hollow Ln, Southold SCTM#: 473889 Sec/Block/Lot: 78.4-10.20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/12/2021 pursuant to which Building Permit No. 45718 dated 1/25/2021 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: "as built"'alterations to an existing one family dwelling as applied for. The certificate is issued to Hutson,J Milton&Giambalvo,Joan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45718 2/8/2021 PLUMBERS CERTIFICATION DATED 1/11/2021 ton Hutson s tho ' d Signature �o�Suffall _ TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y x 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#: 45718 Date: 1/25/2021 Permission is hereby granted to: Hutson, J Milton & Giambalvo, Joan 1330 1 st Ave Apt 406 New York, NY 10021 To: as bit" alterations to an existing dwelling as applied for. At premises located at: 1395 Sleepy Hollow Ln, Southold SCTM #473889 Sec/Block/Lot# 78.-1-10.20 Pursuant to application dated 1/12/2021 and approved by the Building Inspector. To expire on 7/27/2022. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $862.40 CO-ALTERATION TO DWELLING $50.00 Total: $912.40 Building Inspector oF so���®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® �� roper.richert(a)town.southold.ny.us ®l�C®UNTI,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Milton Hutson Address: 1395 Sleepy Hollow Ln City: Southold St: New York Zip: 11971 Building Permit* 45718 Section: 78 Block- 1 Lot: 10.2 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 Service Only Commerical Outdoor 1 st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 6 Smoke Detectors Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures 3 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt 30a Emergency Fixtures Time Clocks Disconnect Switches 12 Twist Lock Exit Fixtures TVSS Other Equipment. "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS" Notes: Renovation of 3-bathrooms and laundry room. 3-bath fans t { Inspector Signature: Date: February 8 2021 81-Cert Electrical Compliance Form As 6 %qso Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 ro P.O.Box 1179 Southold,NY 11971-0959 '� y BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: E Building Permit No._ Owner: �--�V rZ2, h) (Please print) Plumber: ---I\). . (Please print) I certify that the solder used in the water supply system contains Iess than 2/10 of 1% lead. '�&//iv Signa e) Sworn to before me this If day of 200�14 - 7Nory Public, Fl .,County BETSyA.PERKINS Notary Public,State of NewYOtk, No.01PE6130636 Qualified in Suffolk County Commission Expires July 18' SOplyolo cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1502 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION lVe [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) REMARKS: DATE ��� INSPECTOR ��OF SOUIyo # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ NSULATION/CAU�LjKING [ ] FRAMING /STRAPPING [ ] FINALi Jj 1�► • [ ] -FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 0/) c� 40�gvk i> IA(e , �✓ DATE INSPECTOR Nigel Robert Williamson Architect P.O. Box 1758 Southold, NY 11971 Phone 631.834.9740 February 9, 2021 Mr. John J. Jarski, Senior Bldg. Inspector Town of Southold Bldg. &Zoning Division 54375 Main Road P.O. Box 1179 Southold,NY 11971 Re: Hutson& Giambalvo residence 1395 Sleepy Hollow Ln., Southold. 1000-78-1-10.20 Dear Mr. Jarski: Upon visual inspection and a conversation with the home owner regarding the plumbing and fixtures of the three as-built bathroom at the above address I have discerned no visible defects. I trust that everything is in order. If additio al i ormation is required please do not hesitate to contact me. I thank you for your ssi ance in this matter. Your's faithfully, N gel Robert Williamson R.A. w FEB 1 0 2021 i_„ {R5l!iiy,{' ,, 'FIELD INSPECTION REPORT DATE COMMENTS k, FOUNDATION(IST) ------------------------------- FOUNDATION (2ND) ROUGHTRAMING& y G; PLUMBING 3 F�r F INSULATION PER N.Y. STATE ENERGY CODE F; I 1w 4m CA6' as Via• �- FINAL ILDITIONAL COMMENTS 0 o r. X F, 9-1 F; =a o�°SUFFo1KooG' TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631)765-9502 hllps://www.southoldtowmy.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ^ �-' " 'w ✓ � ; PERMIT NO. Building Inspector: 3 JAN 1 2 2021 Applications and f6rms must.be filled out in their entirety.Incomplete - application's"will,not be accepted.,'Where'the Applicant is not the owner,an'Y A'{ Owner's-Authorization'form(Page-2)shall be completed: Date: ra00 2,021 •OWNER(S)-OF,'PROPERTY:_ Name: Mr. Milton Hutson SCTM#1000- 78 - 001 - 10.20 Project Address: 1395 Sleepy Hollow Lane, Southold, N.Y. 11971 Phone#: 917.584.0346 Email: Hutson hutsonob.com Mailing Address: .CONTACT PERSON".,', Name: Nigel_Robert Williamson R.A. Mailing Address: P.O. Box 1758`, Southold, N.Y. 11971 Phone#: 631.834.9740 Email: niel_arch itect h_o_ tmai1.com _9 DESIGN PROFESSIONAL INFORMATION: _ Name: Nigel Robert Williamson R.A. Mailing Address: P.O. Box 1758,Southold, N.Y. 1.1971 Phone#: 6_31.834.9740 Email: nigel_architect@hotmail.com CONTRACTOR INFORMATION: Name: N/A Mailing Address: Phone#: Email: ,,DESCRIPTION-,OF PROPOSED''CONSTRUCTION - - - ❑NewStructure ❑Addition ❑Alteration ❑Repair MDemolition Estimated Cost of Project: E Othe r As-built interior alterations to stair,Baths 1,2,3&Guest Rm Remove Kitchenette&HanicapRamp $ Will the lot be re-graded? ❑Yes MNo Will excess fill be removed from premises? ❑Yes MNo 1 4 PROPE - RTY I'NFORMA 10 _.,ng Existing use of property: Sin le Family..Dwe_�_llin Intended use of property: Sin9le Family Dwelling_ __ _ . _ _ _ .._. ! ,_9r ___. _..._ _..µ _ .. . ._--- . Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. f r all d rai sa e,,and storm water issues'es'v rovided b . ®xC�leCk BbX`�1'fter;Reading-,°The owner/contractor/design professional is responsible o d n g p„ Ehapter 236 of the„Town;Code: APPLICATION'IS=HEREBYMADE tosttie,Building bepartment,fir theaissuance qf.a Building P,er►nitpursuant to'ttier-Building"Z n6,' r'inane 'of-the Town3of Southold suffolk�Coun`",>New,York`and other a 4�kalile laws;Ordinances;or Regulations,forthe constructioiidof,tiuildings,' `, ;`" a d of 3_ lition as'herein"described:Tlie a "�licanY'a iees'to com 1 4witKall a'plic'able'laws;or'di'nances;building;code;,,;,�,� additions,alterations'or`for'iemaval o demo PP g P 1!, pP , x., =housin`code"and're uiations,an-d t-'ad"`autliorized inspectoFs`on premises and'in buildings}fo ,necessary inspections:Falsg statements,made Fieiein are e ion 210:45 of the New Yo k state>Penal'Law:' ,f£y;; punisa�Class hableas` yAmisdemeanor,putsuant`toS ct 3 - - Application Submitted By(print name): Nigel Robert Williamson BAuthorized Agent DOwner Signature of Applicant: Date: 1) J9-1 202.1 STATE OF NEW YORK) SS: COUNTY OF ) Nigel Robert Williamson being duly sworn, deposes and says that Ae is the applicant (Name of individual signing contract)above named, (Ohe is the Agent (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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this Il day of J�jV X1 ,20-ZL Notary Public DA`OD.1.S I NOTARY PUBLIC,STATtn Jr NEW YORK PROPERTY OWNER AUTHORIZATION Registration s GF,jjk o552585 unty Qualified in S++;'}Ik County (Where the applicant is not the owner) Commission Expires February 13, I, Milton Hutson residingat 137s SLC-Op LL>L3 C S U do hereby authorize Nigel Robert Williamson to apply on my beh If own of Sout Id Building Department for approval as described herein. l J W/22,l Owner's Signature Date Ilton Hutson Print Owner's Name 2 ��SUFFO(�co BUILDING DEPARTMENT-Electrical Inspector h�0 Gy TOWN OF SOUTHOLD o Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 'y O� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(�southoldtownny.gov — seand(c�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Name: License No.: email: Phone No: ❑I request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: M i L-ro 0 HoTsoJ Address: 13gS SLEE HDIJo L) LA-,�6 5�ovT40w N q7) Cross Street: Willow Pond Lane Phone No.: q17, Q*- 0346 Bldg.Permit#: email: Tax Map District: 1000 Section: 78 Block: 001 Lot: 10.20 BRIEF DESCRIPTION OF WORK (Please Print Clearly) AS- 8010- JiJ'MkW0- AL7-EP-ATP a "m BAM 1, J?AT- r 2, BA1-H 3 � G)EsT- ROOM - Check 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 ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION 1-0"00 )et, Electrical Inspection Form 2020.x1sx rQf "2,V Nigel Robert Williamson Architect- MAI PO! Box 1758 Southold ' N.Y. 11971 Phoney 631.834. 9740 ! Ad.ditiona� CertificationF — APPROVED A� NO ED May Be Requir� o= � 1 DATE -Z•:Z .P.# a� FEE: I 1® BY: „c- �-- — _� T FOP — Utility I I� 60th 3 NOTIFY BUILDING DEPARTMENT A i -� M� 765-1802 8 AM TO 4 PM FOR THE IY J ��� F�� d' FOLLOWING INSPECTIONS: " -REQUIRED — y .. o- -1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE d I 2. ROUGH - FRAMING & PLUMBING i 4 3. INSULA71 ION 4. FINAL - CONSTRUCTION_MUST w r, Cl. ,, BE COMPLETE FOR C.O. � •m M u1 ALL CONSTRUCTION SHL H S, REQUIREME • DES OF N W _ o i � �• YORK STATE. OT RESP NSIBLE F R M -- sD. Sa/� � DESIGN OR CO TRUCTI N ERROS. s N� — © o CQiV1 LY WITH ALL C04.§O� �' NEW Y RK STATE & T N C DES -N od AS R Q IRED a L.vT $0 3 El ' BOARD a s a�%co. i ''r4', ,o SOUTH '-4x(0:.8 i c SO USTEE 0 Bath 2 N r EXT&- k►TGNE9F_TM i I =r d,tv r` R1;✓movm. klyaA�.Nc E m } ° W&S MMITrM UNb&R L w o - SL.D� PEWIT 23246�J o V) 2 - A l e-W ATHM/BP.o 6tftJ m N a� � ! Bedroom Guest Rm. a �€H��>r�_nRw . o d ` _y bArED Io-2z-'96. z L1S W CLG:, NGHT. 9-o„ °� GAG' Arr ` 7' 02_" d- !� � ! a o N-I -T �C Bath o i I0`-'(�''/4" i 10,, 1, /,E,, Ll I ul i PARTIAL EXISTING ' FIRST FLOOR PLAN � � �� �' � 0R - �� ��� P LOOK L USE I UNLAWFUL T AS--BIJ-ILT ALTERATIONS TO STAIR., BATF 1 BATH 2, BATH 3 GUEST RM, AT WITHOUT CERTIFU T E -HUTSON :'RESIDENCE , 1'39'5 SLEEPY HOLLOW LANE, SOUTHOLD , Nt .Y 11971 Sty . . "��} � 1- 10.20 DATE; lo"�pNus�y ?�21 SCALE-. ' ' 4 x 1