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HomeMy WebLinkAbout46212-Z oC'gfalR�oa. Town of Southold 6/17/2021 y� P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42100 Date: 6/17/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 775 Hickory Rd., Southold SCTM#: 473889 Sec/Block/Lot: 54.-9-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/20/2021 pursuant to which Building Permit No. 46212 dated 5/10/2021 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"addition and alterataions, including bathroom and outdoor shower,to an existing singley dwelling as gpplied for. The certificate is issued to 775 Hickory LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46212 6/14/2021 PLUMBERS CERTIFICATION DATED 12/10/2020 re e 'ck Biehl th riz d Signature fat�` TOWN OF SOUTHOLD BUILDING DEPARTMENT C* x TOWN CLERK'S OFFICE "oy . SOUTHOLD, NY �o 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#: 46212 Date: 5/10/2021 Permission is hereby granted to: 775 Hickory LLC C/O Stephen F Biehle 40 Hudson St FI 4th Floor New York, NY 10013 To: Legalize as built bathroom addition and outdoor shower at existing single family dwelling as applied for. At premises located at: 775 Hickory Rd., Southold SCTM #473889 Sec/Block/Lot# 54.-9-1 Pursuant to application dated 4/20/2021 and approved by the Building Inspector. To expire on 11/9/2022. Fees: CO-ALTERATION TO DWELLING $50.00 AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $443.20 ELECTRIC $180.00 Total: $673.20 Building Inspector pF SOUr�,®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.deviin(a-town.southold.n us Southold,NY 11971-0959 y' BUILDING DEPARTMENT 'SOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 775 Hickory LLC Address: 775 Hickory Rd City,Southold St: NY zip: 11971 Building Permit#: 46212 Section: 54 Block: 9 Lot. 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 24 Ceiling Fixtures 5 Bath Exhaust Fan 2 Service 3 ph Hot Water Gas GFCI Recpt 9 Wall Fixtures 4 Smoke Detectors Main Panel 100A A/C Condenser 1 Single Recpt Recessed Fixtures 12 CO2 Detectors Sub Panel A/C Blower 3 Range Recpt Ceiling Fan 1 Combo Smoke/CO 4 Transformer UC Lights 4' Dryer Recpt 30A Emergency Fixture Time Clocks Disconnect Switches 1$ 4'LED 2 Exit Fixtures Pump 11 Other Equipment: Hood, Fridge, Double Oven, DW, Micro, Cooktop, W/D, 2-Floor Heats, LED Mirror, Mini Split AC w/ 3- Blowers, Mini Fridge Notes: " AS BUILT NO VISUAL DEFECTS " Whole House Renovation Inspector Signature: Q Date: June 14, 2021 S Devlin-Cert Electrical Compliance Form.xls Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIF+'ICATION r Date: L 7- Building Building Permit No. Owner: (Please print) Plumber: t'-YL 1 C1� (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (PTumbers Signature) Sworn to before me this day of -01 fir 20 LOLITA EDWARDS Notary Public-State of New York NO.01ED6048870 Qualified in Kings County My Commission Expires Oct 2,2022 Notary Public,'.-­)r,4CQunty pF 50UlyO! * # TOWN- OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [. ] FOUNDATION 2ND [ ] 1 SULATION/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: . M Caw �^:� • _ DATE INSPECTOR r ho�apFSOUTy0lo r 7-7 -HJ c,".yep t * - TOWN OF SOUTHOLD BUILDING DEPT. `ycourmN�'' 765-1802 : INSPECTION [ ] FOUNDATION TST [ ] 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: A-Y 77 o &U� o Ale4 uAae r MA 4 ec 6p a le-chOA L . e Li/2- 1A ego od ON DATE fil - ' INSPECTOR Pil ,"', * TOWN OV SOUTHOLD BUILDING DEPT. y am 765-1602INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH--,PLSG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING ® ` I ] FINAL I ] ,FIREPLACE & CHIMNEY I A FIRE SAFETY INSPECTION I ] -FIRE RESISTANT CONSTRUCTION [ ] FIFE RESISTANT PENETRATION r I ] ELECTRICAL (ROUGH) [ ]` ELECTRICAL (FINAL) I ] CODE DIOL TION [ ] PRE C/O 4 REMARKS: Dwvvl + - or, ilco 1 �4vwv\ 6) ;Vi I �r-1 —6 GAd t `y4� kbt)4,� �VV1119IY4 vm bvD 6A� ��D ow" Qaa v I ,, � 411A DATE IMISPECTOR / '-� J December 10,2020 Town of Southold Building Department 54375 Main Road Southold, NY 11971 .Dear Building Department of the Town of Southold; I, Frederick C.Biehle,a registered architect No.018151 in the State of New York,certify that the plumbing installed for a 2"d bathroom at a residence located at 775 Hickory Road,Southold, NY complies with all related building codes. Since , Frede ick . iehle „� ViaArchiteccture PLLC _ 28 Old Fulton St. Brooklyn, NY 11201 212-227-5832 h 775 Hickory Road inspection#46212 6/4/21 Photographic evidence of Corrections made as per comments Item 1 DW outlet under sink needs GFI protection and cover plate • Item 2 all wiring needs arc fault protection � N' Flow L ,1 A basementItem 3 2 open junctions in 1 Item 4 Panel is missing a I } 4 i 'r bond or bonding jumper YID 'f IF k•• '. r , �3M1 w. 6 y:fj r � : j \ .. � �� _ s ■. �? � ° � � � � - � © > \ . _. _ _ �� _ �_` � :�° y .� - - ,._; f �ry�: i t �k .. ...R. �:' :t �' 1� ,k:. _ _ (e t jj�,' { _t, - �}j "t� [ _ �_ ��,'r FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) ---------------------------` ��• v� tai FOUNDATION(2ND) rn ROUGH FRAMING& ^r H PLUMBING \tel f S INSULATION PER N.Y. H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS ' O � z AL z H tS,affkt,40 TOWN OF SOUTHOLD—BUILDING DE PARTMENT' Town Hall Annex 54375 Main Road P. 0. Box 1179,Southold,NY 11971-0959 IWO Telep_ho_ne (63J) 765-l802 Fax (631) 765-9502 https://w.ww.southoldtowm.gov Date Received APPLICATION FOR BUILD-ING PERMIT For Office Use Only PER' MIT NO. Building Inspector: APR 2 0 2021 Applications and forms must be filled out in their entirety.Incomplete' applications will not be accepted. Where the App!icant.is, not the owne an Owner's Authorkition form(Page 2)shall be completed' Date: 'OWNER(S)OF PROPERTY: -7 j,'5" ell 1-11 Ll e- 7 Na M#1000- 5,&vt S�CT Physical Address: bit 6,A I 0-,-90-41 AL-0-P-A Phone#: Ema'il: tVt �'"Je &M 4-1L. -Mai ling Address: VOS10 N. I Oit WWI 1Ak N b CONTACT PERSON: Name: Mailing Address: Phone#: 11'7 Email: 4 &MAIL. I" DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: &M 414, CONTRACTOKINF,991VIATION:'�, B)z 7N;7m-e. Mailing Address: N1_)J Phone#: Email: - 16V DESCRIPTION OF PROPOS ED CONSTRUCTION EINewStructure ElAddition EVAlteration EIRepair E]Demolition Estimated Cost of Project: Elother 0(d 8 AtA e.0 ly km 164"W_ 0 L-43 ty 6w- $ J J boo. Will the lot be re-graded? E]Yes M/No Will excess fill be removed from premises? OYes VrNo PROPERTY INFORMATION Existing use of property: intended use of property: t(s)441All Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes IINo IF YES, PROVIDE A COPY. Check,Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by C apter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New-York State Penal Law. i= Application Submitted By(print name): STENt e N F . 1 ❑Authorized Agent 19/Owner Signature of Applicant: /�; � Date:` f p� STATE OF NEW YORK) SS: COUNTY OFSvF�o I(C- ) �JTE pNE�l L� : being duly sworn, deposes and says,that (s)he is the applicant (Name of individual signing contract)above named, NO WN>�2. (S)he is the do ps i -,I few ti � (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- / 1 -day,of 20 Notary Public ROBERT J ROssETTI Notary Public-State of New York PROPERTY OWNER AUTHORIZATION "o.o1Ro63 lk o7 Qualified in Suffolk County (Where the applicant is not the owner) My Commission Expires Sep 26,2024 I, residing at 4 do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 Oct, F Q( BUILDING DEPARTMENT-Electrical Inspector aGy ; TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 co, ? Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(c�southoldtownny.4ov - seande-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: µ 14 ZbV Company Name: � CA I Name: r N Jv)�N Zt IDM -ova✓ License No.: 1, A email: gtiat iw_ALe_ 0 9 V Phone No: (of G.,7$b r )-71, ❑I request an email copy of Certificate of Compliance Address.: -/? S kkbe KoAD SP'v i V1'P 4v ? I q-71 JOB SITE INFORMATION (All Information Required) Name: 6,rc'p kt[-A $I e o I-E Address: 177 >41Cxba 6zI) To(.) 0 I Cross Street: S Do wo V)4F VJ P n No : U4 b - E,D (o - 11'14 BIdg.Per I ( �Vig , ,n vs email: {izu~ ,Vt YY)ki It Tax Map District: 1.000 -Section: 5'�f Block: 09 Lot: O 1 BRIEF DESCRIPTION OF WORK (Please Print Clearly) 14 Rbovo �J hDtrU 01'V�IEr� Check All That Apply: Is job ready for inspection?: [ rYES [:]NO ❑Rough In [Final Do you need a Temp Certificate?: YES rNfO 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 Electrical Inspection Form 2020.x1sx 4_-"d �""''' CIN/ #Igo eh-W), PERMIT# Address: �-S.witches Outlets P GFI's I r Surface 11�Sconces I H H's t LIC Lts 1 Fans Fridge HW q4 Exhaust Oven C � pryer Smokes DW Service p Carbon Micro f Generator Combo Cooktop Transfer AH Mini SrI4 F Special: Commentsv V0 1 f U 0— 775 HICKORY ` 775 HICKORY ROAD SOUFHHOLD,NY 11971 I O vl7a ARCHITECTURE 1 . I • _ � I 1 1 I !'moi • I 1 , I � I I I u13WFESTONEI I - 1 r—i I STEPS TO Q Q - DRIVEWAY I 1821 I I 41.8' I - I REPLACE _ CRACKED BRICKS I IN CHIMNEY N F STORY SE I N 0 � ou 1 .7126.2'[ o 42.2' 1 1 REPAIR LOW \ CR E _ _ Tr ` I BRICK MASONRY WALL �'j;L' kH IVYASONRY i'"?ttr� !C:t J _ WALL BOULDERS WALL 1 Q SITE PLAN d" I FRAM N STONE WALL I 1 , SHED $`C0 TO BE 1 d• DRAWINGUTLE _ �i 131 �L };r E I:1x I rINRESTORED "Iti 1 C-1110H H Y�L_)'JA x �4d> .� IL )'T+1�`-'dam 7 g POFTAND o l ►�®r r TAX LOT 2 1 ®.40 r �,,h, FEAL69GNANRE c uso+s�oerae�oocsmerm woee�was-ia IS €), A NOTED SITE PLAN PAGE 1 of 11 DWG No 1 SCALE: 1/16"=1'-0" T-O. CEIWIFICATIONS HEREON SICNIN TWIT THIS PUT OF PROPERTY I4 A TRUE AND CORI=REPRESENTATION OF A FmcEKr SURVEY MADE TA'AER MY miEC10N W ACCORDANCE WIN THE EIDSRHC CODE OF PRACOCE MR LAND Sl.& RS Bf THE NEW Y=STATE ASSOCOM OF PROFESSIONAL.LAND SURVEYORS.STUD agnMCATIDNS SHAW.RUN ONLY TD TM PERSON WHOM THE SURVEY WAS PREPARED AND ON THEIR BEHALF TO 7HE TRIS OOMPANIt GOVEIMENTAL AGENCY AND LENDING P6nrIMDH LISTED HEREON.THIS CERDFICATION IS ONLY FOR THE LANDS OEM=HEREON.ITS NOT A COUIFI KTION SOF VILE. ZONING, OR EREEDON FROM EHCtpIBRAIICE'S.MUMCAMONS ARE NOT NOT 7RANSFIIUBLE TO ADDITIONAL OR SUBSEQUENT OWNERS. r 134.21 ' oTT � a { o . MASONRY TAX LOT STOOP 13, tsz' aT s I N' is I LING IZT 26:2'• W R!� 4z2' ,W CONCRE Nd, EASP1 SWAY CN MASONRY ENTRACO F N Ci WALL WALL n FRAW, ti _ N SATED 0 13' 8,_ FE POST AND RAIL WALL 1.4'W FENCE ' 0,3'B ® o FE rill 0 9'W 3 S 4215'40" W 130.00' I � 1 TAX LOT 2 7HE CETSETS OR DIMENSIONS SHOWN FROM INE MIPROVEMENIM TO THE PROAEHIY tv4m ARE FOR A SF£CIRC MWOSE AND USE.AND THEAFFOIE ARE NOT WENDED TO BE USED AS A GLADE IN THE ERECDDH OF FENCES.WALLS, POOLS.PA7105,BIATDDIfS,ADOTIOFS TO BUILDINGS OR AHY OTHER DQROVOrtHT'.SUBSURFACE AND ENVMQENTAL CONDIMO S NOF SHOWN.PROP0m CORNER MAWORS WERE NOT SET APPROVED AS NOTED OR DATE. B.P.# �� OCCUPANCY FEE:I I3.3-a BY: USE IS UNLAWFUL NOTIFY BUILDING DEPARTMENT AT WITHOUT CEPTIFI ATrI 765-1802 8 AM TO 4 PM FOR THE �' OCCUPANCY FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST C�r`�'I'LY WITH BE COMPLETE FOR Co. ���/ YORK STATE TOWN ES OF ALL CONSTRUCTION S-iALL MEET THE J CODES REQUIREMENTS OF THE CODES OF NEW AS REQUIRED A�'D CONDITIONS Or YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. SOUTHOLDTO1A/NZBA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.`l.S.DEC Additional Certification May Be Required. a2cnuc& PL IJMB R CER;�'TIFIC;4 TI"N ON LEAD CONTENT BEF0F,�_ 'ERTIf=ICA TE OF OCCUPANC� SOLDER USED IN WA TER L`LIPPL Y SYSTEM CANNOT EXCEED 2110 OF 1% LEAD. ACCESS TO 775 H I C KO RY / \ BASEMEN I ROOF ME ABOVE —� —� 775 HICKORY ROAD-- EENT° SOUTHOLD; NY 11921 -- sE%TEpOR _ -----' -- ------ ------- REAR,PATIO r. —� I I 1 12�" I BINK) Architect" I ENTR1f ATH I M DAROOM VlAARC;H'ITItCTU'RE- 4 BEDROOM-1 0 O; N I -- KITCHEN 29 ❑L0 FULTON E3T o OVA ® O I I OZ' I I• I I -E3RO�KLYN,�NY'1;1201 ' TEL'.2,1 2.22 7.59 321 13'-0" 701 SCMD 6m 1 II I, I I _ - I 5 - I REF ICT ' WOOODBURNNG BEDROOM 2 PERATING' ISSUE,IREPLAE11 04 20Os I LIVING ROOM 5'-ta' _ I I 0 DOB STICKERS, 5CM°O I ADDITION. — ENTRY L--- ------ --------- I I DRAWING,TITLE' �REDgRc. NEW 15ATH2WITH STANDING SHQWER FRONT PATIO' I ����G�"CHAp��� l FLOOR PLAN„ ow m a} SCALE:3/,16-1 -0- I' ---- ENTRY------------! NEW EXISTING; � - � .� ----- '9,► ' VENT THRU;ROOF P r_ -BATH 2� BATH'1LAUNDRY i_'KITCHEN , SOF NE`N SEAL&SIGNATURE NEW I I LAV, I. I I SINK 4-•VL4A.RCHRECfUREJ7rKCP"rr,\ASe1 I' NEW I I FILE,NAME SHOWER I WASHEREi) J AS NOTED' 3:.. 2.,. 2,; 2,._ 2" 2" AO DRAWN BY PAGE 1 of -1 4"C.0. DWG No. TO SEPTIC. -SYSTEM, PLOMBINGMSER DIAGRAM, A— 1 1 SCALE:NTS.