HomeMy WebLinkAbout45793-Z S�ffOL/(�, Town of Southold
��oS oGy� 6/6/2021
0
P.O.Box 1179
o _ r 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42068 Date: 6/6/2021
THIS CERTIFIES that the building AS BUILT ADDITION
Location of Property: 105 Ole Jule Ln.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 114.-12-14.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/28/2021 pursuant to which Building Permit No. 45793 dated 2/8/2021
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"ramp,deck and outdoor shower additions to existing single-family dwelling as applied for
The certificate is issued to Ludlow,Thomas
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45793 5/11/2021
PLUMBERS CERTIFICATION DATED 5/11/2021 T Mas M.L low
c
A th ri d Signature
�o�suFEotK�oTOWN OF SOUTHOLD
�y 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#: 45793 Date: 2/8/2021
Permission is hereby granted to:
Ludlow, Thomas
105 Ole Jule Ln
Mattituck, NY 11952
To: legalize "as built" additions and alterations to existing single-family dwelling as applied
for.
At premises located at:
105 Ole Jule Ln., Mattituck
SCTM # 473889
Sec/Block/Lot# 114.-12-14.1
Pursuant to application dated 1/28/2021 and approved by the Building Inspector.
To expire on 8/10/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $553.60
CO-ADDITION TO DWELLING $50.00
Total: $603.60
Bui ding Inspector
of so�r�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Thomas Ludlow
Address: 105 Ole Jule Ln city:Mattituck st: NY zip: 11952
Building Permit#: 45793 Section. 114 Block. 12 Lot 14.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Home Owner License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
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 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 1 4'LED Exit Fixtures [I Pump
Other Equipment: Outdoor Light, switch, outlet
Notes:
Inspector Signature: ,ti Date: May 11, 2021
S.Devlin-Cert Electrical Compliance Form.xls
r 'zd
Soon
Town Hall Annex Telephone(63))765-1802
54375 Main RoadCOO .Fax(631).765-9502.
P.O.Box 1179
Southold,NY 11971-0959
`J 2021
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No._ �1 J -� 93
Owner: ! c}�q�— _ LU V) Ll.�
(Please print)
Plumber:
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
O _
(Plumbers Signature)
Sworn to before me this
day of N/+-y , 20
vv �
Notary Public, �L�G County
CAROLINE M MACARTHUR
NOTARY PUBLIC-STATE OF NEW YORK
No.01 MA6384635
Qualified in Suffolk County
My Commission Expires 12-17-2022
��� ho��pF SOUTyo�
f # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[L4 FOUNDATION 1ST [ ] ROUGH PL13G. M
[ ] OUNDATION-21SID [ ] INSULATION/CAULKING
[ ] FRAMIN STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION-
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REM RKS:
DAVE (° lux INSPECTOR
{ 0�0 lyo
# TOWN OF SOUTHOLD BUILDING DEPT. r
765-1802
INSPECTION
( ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL WP, .Sh&-c�ov
,
[ ] FIREPLACE"& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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REMARKS: 6 ` I-ACL*061N
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INSPECTION
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---------------------------- -FOUNDATION(2ND)
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�SUfFU1,,C ,.
a° 0% TOWN OF SOUTHOLD — BUILDING DEPARTMENT
Tov/n Hall Annex 543751iMain Road P. O. Box 1179 Southold, NY 11971-0959
yyc"I, �o Telephone (631) 765-1802 Fax (631) 765-9502 littpS:iitivN�l\v.sourlioldtowiiiiv gov
I
I 1 Date Received
APPLICA'f ml FOR BUILDING PERMIT
F)r Office Use Only / iifi: L.::�
PERMIT N0. Building Inspector t p
® — :JAN 2 8 2021
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
r
Owner's Authorization form(Page 2)shalFbe completed.
---- I
Date:
- I
OWNER(S) OF PROPERTY:
Name- t SCTM # 100C)-'11¢, 1Z-
�r-+tea — 4 . t
Project Address:�O,S
A W`i
Phone I#: I_ Z�
--.— —�0bo FEmi[:--T-
8
Mailing Address: !
CONTACT PERSON:,
Name: I
Mailing Address:
— _ I
Phone#: --
I
Email:
DESIGN PROFESSIONAL INFORMATION: j
Name. � I� ------ --- --
_ �e..sva 1✓ ��
Marling Address:
Phone#•
2-9 ?J_�53 Email: —
CONTRACTOR INFORMATION: �
Name• --
Marling Address j
Phonehi iEmail: I
i
DESCRIPTION OF PROPOSED CONSTRUCTION
D- New Structure L✓A/ddition ❑Alteration [1.7Repair ❑Demolition Estimated Cost oLProlect:
❑Uther
oou M
Will the lot be re-graded? ❑Yes 1�Jo I Will excess fill be removed from premises? ❑Yes 0
i
I
I
I
1 I
I
PROPERTY•INFORMATION
Existing use of property: CZ n a Intended use of property. c Q e
1` i
Zone or use district in which premises Is situated: Are there any covenanttsd restrictions with respect to
this property? ❑Yes 174o IF YES, PROVIDE A COPY.
I ChE�ck Box After Pleading: The owner/contra ctor/design professional is responsible for allydramage and storm water issues as provided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY MI ADE to the Building Department for the issuance of a Building Permit pursuant to the Budding Zone
Ordinance of the Town of Southold;Suffolk,County,New Fork and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for•removal or demolition a's 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(s)•for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 21d.45 of the New York State Penal'Law:
L
C
Application Submitted By(print W-AAS 1`'� I�Un�0w ❑ /
Authorized Agent 13/owner
Signature of Applicant: �,�/� Date: —2`j —Z l
i
STATE OF NEW YORK)
C rrrr�SS:
COUNTY OF J��'C'o )
I
�J n' �
S � ��✓ 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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
i
Sworn before me this
day of ? ,120�
b I I cel Orlowski
NM
Am Notary Public,State of New York
*: — — No.01086280392
FU4ilC
PROPERTY OWNER AUTHOPIZATi�I�.,,N :� Qualified inSufl'olkCounty
.,EW voP Commission Expires 05/13/20
�nunna,
(Where the applicant Is not the owner)
I
i, -- i residing at
do hereby authorize
I -- to apply on
my behalf to the Town of Southold BuildingDepartment for
p approval as described herein.
i
Owner's Signature Date
i
Print Owner's Name
2
Y
FFA ( BUILDING DE-FARTMENT- Electrical Inspector
MAY 0 C 2021 TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Pi, ,'` ,'z DFW.uthold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a)-southoldtownny.gov — seand(absoutholdtownny.gov
APPLICATION FOR ELECTRICAL- INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 5/4/21
Company Name:
Name:Thomas Ludlow L
License-No.: owner- -- -- email: ludlowhc@yahoo.com
Phone No: 631-298-5080 ✓❑l request an email copy of Certificate of Compliance
Address.: 105 Ole Jule Ln.
JOB SITE INFORMATION (All Information Required)
Name: Thomas Ludlow
Address: 105 Ole Jule Ln.
Cross Street: New Suffolk Ave.
Phone No.: 631-298-5080
Bldg.Permit#: 45793 email: ludlowhc@yahoo.corn
Tax Map District: 1000 - Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Pl aseLLPrint Clearly) outdoor light, switch, outlet
f
Check All That Apply:
Is job ready for inspection?: DYES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: [--]YES. ❑✓ NO Issued On 5/4/21
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Unde'rground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
'Exhaust Oven Dryer
Smokes DW Service
Carbon - Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special:
Comments:
LUDLOW HOMES CONTRACTING COMPANY
105 Ole Jule Ln.
Mattituck, NY 11952
Telephone (631) 298-5080
Date: January 26, 2021
TO: Southold Building Dept.
34375 Main St.
Southold,NY 11971
FOR: Thomas Ludlow
105 Ole Jule Ln.
Mattituck, NY 11952
To Whom it may Concern,
The attached building permit is for an as built wheelchair ramp, an as built deck, a h b and a
proposed outdoor shower.
Sincerely,
Tom Ludlow
N
NEW , SUFFOLK A.VENUE
N88'29'00"E 206.51'
�• �s SURVEY OF PROPERTY
A T SIA TTIT UCK
TOWN OF SO UTHOLD
SUFFOLK COUNTY, NY
1000-114-12-14.1 I
Nori SCALE.
1'=30'
s 302 _ JANUARY 18, 2004
N f
8.01
60.51 5a 51.4 LOT
hs � i
5 12.3' N
c. 6 V
51.8'
ASP/yALT OR/�EWAY
39' 18.9
cv28.2'
N
Z 0
� 0.3iy
2.7'W i
N�2•27'2oh.wt
L 0 T NUMBERS REFER TO "MAP OF HENRY APPEL"
$rK FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE
2. 5.p p, 7.0v AS MAP NO. 9327. 4
2.3'W
LOT 2 AREA=42,006 SQ. FT. Orr NE&V
�•MEp��'��
Y LIC. NO. 49618
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA TION 'e '
OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. P O lC OR C.
EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77FICATIONS (6 6 -F 1631) 765-1797
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. 9,;...-,
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1210 'ET 0 -,215
WHOSE SIGNATURE APPEARS HEREON. SOUTHO 971
.1 I
AP RAVED AS NOTED G
DATE: a B.P.#
FEE: 3 4 0 BY:
NOTIFY BUILDING DEPARTME AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOP, C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF Additional
� 7�Cua TORI=B? Certificati®n
^I 1TH01 n n'NR PI a- N BOARD May Be Required.
U EES
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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