HomeMy WebLinkAbout46116-Z �o�OsuEfOly Town of Southold 7/15/2021
P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42160 Date: 7/15/2021
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 2500 Grathwohl Rd.,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-2-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/2/2021 pursuant to which Building Permit No. 46116 dated 4/22/2021
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"bathroom alterations as applied for.
The certificate is issued to 2500 Grathwohl Rd LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46116 5/24/2021
PLUMBERS CERTIFICATION DATED
A z ignature
4�SyfFoc�,co; TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
Wo . 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#: 46116 Date: 4/22/2021
Permission is hereby granted to:
2500 Grathwohl Rd LLC
2638 21st St#5C
Astoria, NY 11102
To: As-built bathroom alteration as applied for. Additional certification may be required.
At premises located at:
2500 Grathwohl Rd., New Suffolk
SCTM #473889
Sec/Block/Lot# 117.-2-10
Pursuant to application dated 4/2/2021 and approved by the Building Inspector.
To expire on 10/22/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $517.60
CO-ALTERATION TO DWELLING $50.00
Total: $567.60
Building Inspector
OF SOU��®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
®lyOWN,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. 2500 Grathwohl Rd LLC
Address: 2500 Grathwohl Rd city New Suffolk st: NY zip: 11956
Building Permit#. 461 16 Section: 117 Block. 2 Lot: 10
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 Service
Commerical Outdoor 1st Floor Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures 1 Bath Exhaust Fan 1
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 3 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 6 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 2 4'LED Exit Fixtures Pump
Other Equipment.
Notes " AS BUILT NO VISUAL DEFECTS " Bath Renovation
Inspector Signature: �� Date: May 24, 2021
T
S Devlin-Cert Electrical Compliance Form.xls
at SOUlyo6 l(/ Ito �% v Q( Y1/��o{�
# # -TOWN OF SOUTHOLD, BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ]' ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ j FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: A5 liz -`f �"�'�
az
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DATE 129 12,1 INSPECTOR ' ��
TOWN OF SOUTHOLD BUILDING DEPT.
�ycourm 765-1802
-INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[.
] ' FOUNDATION 2ND • [ ]/INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ZFINAL 64 -kJ 6oll lk 4
[ ] FIREPLACE&CHIMNEY ` [ `] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] TIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) = [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS ,
FOUNDATION(IST)
M
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FOUNDATION(2ND)
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ROUGH FRAMING& y
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE
1
FINAL
ADDITIONAL COMMENTS
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�p S�FFQIt oy 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 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
I 've
For Office Use Only
PERMIT NO. Building Inspector:
APR 2 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
Owner's Authorization form(Page 2)shall be completed.
Date:3/2/2021
OWNER(S)OF PROPERTY:
Name:2500 Grathwohl Roadl-LC SCTM#1000-117-02-10
Physical Address:2500 Grathwohl Road
Phone#:347.510.4147 Email:pat75.mcauliffe@gmail.com
Mailing Address:2638 21 street;apt#5c
CONTACT PERSON:
Name:Eileen Wingate for Quiet Man Studio, LLC
Mailing Address:2805 west mill road, Maftituck,NY 11952
Phone#:516.818.9754 Email-eileen@quietman studio.com
DESIGN PROFESSIONAL INFORMATION:
Name:Condon Engineers, P.E.
Mailing Address:SigSbee Rd, Mattituck,NY m;7—
Phone#:631.298.1986 FE Condoneng@optonline.net
CONTRACTOR INFORMATION:
Name: 1ASBUILT
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
E)New Structure,,DAddition IiAlteration ORepair ODemolition Estimated Cost of Project:
130ther $
Wili the lot be re-graded?;[]Ves ONO Will excess fill be removed from premises? DYes LINO
PROPERTY INFORMATION
Existing use of property:SINGLE FAMILY HOUSE Intended use of property:SAME
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.
❑ Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by
Chapter 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 bullding(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 21CAS of the New York State Penal Law.
Application Submitted By(print name): E l-ee� WX7 61k— BAuthorized Agent []Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF&MAK )
Eileen Wingate being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent for owner
ontractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly au orized to perform per have performed the said work and to make and file this
application;that all statements containe in this� lir�tl�&i�`are true to the best of his/her knowledge and belief;and
that the work will be performed in the m h in the application file therewith.
Sworn before me this
` ) �P 'NA
��d y ofg�160'1 `
l�'IGor` Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I� Pat McAuliffe residing at
2500 Grathwohl Road do hereby authorize 'Eileen Wingate to apply on
my behalf to the Tow Southold Building Department for approval as described herein.
wner's'Si ature Date
Print Owner's Name
2
Eileen Wingate for Quiet Man Studio
516-818-9754 -,
_ BUILDING DEPARTMENT- Electrical Inspector i
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179 a
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogercna,�southoldtownny.gov : seang4putholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
r
ELECTRICIAN INFORMATION (Ail Information Required) Date' 5/11/2021
T
Company Name: ;
Name: AZ5 bUIL I
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;eJ
License No.: email: F
a
Address:+ '
Phone No.
JOB SITE INFORMATION (All Information Required)
Name: Pat MCAq , e
--
Address: 2500.GRATHWOHL-ROAD CUTCHOGUE .,
Cross Street:
Phone No.
BIdg.Permit#: / email: at75.mcauliffe@gmail.co {
Tax Map.District: 1000 S.ectiorK 117, Block: _02 'Lot: 10 '{
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
=J
mSZd*f6QatinnS:to--hathr-oom
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
F`y
Do you need a Temp Certificate?: YE / NO Issued On
`F
Temp Information: (All information required)
F
Service Size 1 Ph 3 Ph Size: A #Meters -Old Meter#
New Service- Fire Reconnect-Flood Reconnect- Service Reconnected- Underground -Overhead Y
#Underground Laterals 1 2 H-Frame Pole _ Work done on Service? Y N
Additional'lnformatiorn
PAYMENT DUE.WITH-APPLICATION, .j.
a
Request for Inspection Form.xts
PERMIT# Address:
Switches �(
t �
Outlets 1
GFI's
Surface 1
Sconces ( I
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special:
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Comments('
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SKYLIGHT DAT : B.P. (o// C)
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CLOSET LC(r`.hil i ML'
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FOLLGbvI`:�: NSPECTIONS:
. FOUNn,- ON TWO-RECD. ,SES
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FOR P,_'JRED CONCRETE
2. ROUGH - FRAMING & PLUM18INC
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4 ;=iNAI_ CONSTRUCTION IMUST r '�'O
BE CCI PLETE FOR C C. N
ALL CCNSTRUCTION Si-iAL L MEET T!-!,r
DOWN ;'f 9EQUF EUIENTS OF THE CODES OF P:-Al I C,
YORK STATE. NOT RESPONSIBLE FOR i
DESIGN; OR CONSTRUCTION ES,FORS. +i
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f"ERTIFICATE OF OCCUPANCY
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Certificatio-n 019110
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