HomeMy WebLinkAbout46595-Z V4 F0- ork Town of Southold 4/10/2023
a P.O.Box 1179
oC�
• 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42235 Date: 8/14/2021
THIS CERTIFIES that the building ALTERATION
Location of Property: 1455 Beebe Dr, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.4-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/8/2021 pursuant to which Building Permit No. 46595 dated 7/21/2021
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"air conditioning as applied for.
The certificate is issued to Wisniewski,Ryszard&Krystyna
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46595 7/26/2021
PLUMBERS CERTIFICATION DATED
0-v Aut dgn tore
SUEF"Qc TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
oy • ��, 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 #: 46595 Date: 7/21/2021
Permission is hereby granted to:
Wisniewski, Ryszard
86 Waldron Ave
Staten Island, NY 10301
To: legalize "as built" AC unit as applied for.
At premises located at:
1455 Beebe Dr, Cutchogue
SCTM #473889
Sec/Block/Lot# 103.4-2
Pursuant to application dated 7/8/2021 and approved by the Building Inspector.
To expire on 1/20/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ALTERATION TO DWELLING $50.00
4 Total: $450.00
wilding Inspector
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117
Southold,NY 11971-0959 sean.devlin&town.southold.nv.us
lum
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Ryszard Wisniewski
Address: 1455 Beebe Dr city,Cutchogue st: NY zip- 11935
Building Permit# 46595 Section- 103 Block 4 Lot 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Homeowner License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower 3 Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment. (2) Fujitsu Mini Splits, (3) Blower Heads
Notes: " AS BUILT NO VISUAL DEFECTS " AC's
P
Inspector Signature: Date: July 26, 2021
S Devlin-Cert Electrical Compliance Form
/- UP SOUTyo� �� f L4 9E �C�
# # T/ OWN OF SOUTHOLD BUIL ING DEPT.
urm��'' 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 INSPECTOR P �"
FIELD INSPECTION REPORT DATE COMMENTS -
FOUNDATION(IST)
------------------------------------
• � C
FOUNDATION(2ND)
� z
O
vx
ROUGH FRAMING& H
PLUMBING �1
N
r
INSULATION PER N.Y.
STATE ENERGY CODE lz
e
FINAL
ADDITIONAL COMMENTS
O
�Z
m
J l�+
W O
z
• H
x
d
_ ro
H
=�o`�SOFfOIKCOGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy • o�;� Telephone (631) 765-1802 Fax(631) 765-9502 hgps://www.southoldtowM.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only D
PERMIT N0. Building Inspector..
_s JUL — 8 202
Applications and-forms-must be filled out in their entirety:Incomplete 1 e
applications will not be accepted.. Where the Applicantjis 66t.ffid owner,an P JD G BES.
`Owner's-Authorization form'(Page 2)-sfiall be completed. TO 'l�O LT .OITI'1IOluD
,
Date: 2
-OWNER(S)OF PROPERTY:HV, ),,
Name:
Physical Addr
Phone#:^ �_��---_- ----.-_-- Email:
Mailing Address:
CONTACT PERSON:
Name:
Mailing Address:
Phone,#: Email:
DESIGN,PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTORINFORMATION: ;
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF,PROPOSED CONSTRUCTION =
❑New Structure PPAdd. 'on I eration ❑Repair ❑Demolition Estimated Cost of Project:
>(Other ll� � $
Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTY INFORMATION,
Existing use of property_ Intended use of property:���
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes ❑No IF YES, PROVIDE A COPY.
Q 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 ISVEREBY_MADE to the Building Department for the issuance of a Building Permit pursuant to the Building2one .
Ordinance of the Town of,Southold,Suffolk,-County,New'York and other'.applicable Laws,Ordinances or Regulations,for the construction of buildings,'
additions,zalterations or for removal,or demolition as herein described.The applicant agrees to c`o'mply with all applicable laws,ordinances;building code;
housing code andregulatioris and'to ad"mit 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.
Application,Submitted,B,y(print name): << V ' (F t"" �y ❑Authorized Agent ❑Owner
Signature of Applicant: ` � .,�� Date:
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU 6185050
) Qualified in Suffolk County
COUNTY OF ,e�
Commission Expires April 14.20D�!
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.
Sworn before me this
rl
day of 20�
&r7-1
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
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
��S�FIv BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Wtv
;. Southold, New York 11971-0959
- O : Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr a(.,southoldtownny.gov — seand Dsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail information Required) Date: Z�
Company Name:
- Name: -LAM(hnuffl& —
License No.: email:
Phone No: 01 request an email copy of Certificate of Compliance
Address.:
:JOB SITE INFORMATION (All Information Required) '
X Name: Q0 W l ��I W S K,�
Address: ~j 1�)M fo j
Cross Street:
PR6ne No.. ( 86t g�
Bldg.Permit#: L4 65 -q 5 email:
Tax Map District: 1000 Section: Block: 1i Lot:
1
BRIEF-DESCRIPTION OF WORK (Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: DYES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: DYES ❑NO Issued On
i
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 6P
Lai
Electrical Inspection Form 2020 xlsx
I V
PERMIT# Address:
Switches
Outlets
G FI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
I
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special:
Comments X-14v
C�
APPROVED AS NOTED
DATE--
B.P.
FEE: °` Ev
NOTIFY. BUILDING G�.�ARTMENT AT
760802 8'AM TO 4 PM FOR THE
FOLLOWINO,,INSPECT!ONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH--.FRAMING & PLUMBING
3: INSULATiON
4. FINAL-- CONSTR L''7'!ON MUST
BE COMPLETE Fu- GO.
ALL-CONSTRUCTIONSHALL 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
. 0 I T N(11 n T(1WLIZ BA
'Seffllt �E ING BOW
T STEES
. . .DEC
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATr,
OF -OCCUPANCY
ELECTRICAL
INSPECTION REQUIRED
lip
SPL u"
VPF
. l �
j•� ' U T A S HEAT
LPIN al, 51
° a a
-18000
xYi*. ' � `4s.� y�"- —';��,V fin, yC y -�%�" ie F � • }kEE
'17.
ib 14
lilt Irte
240
r�F,,�" ° `� ,mss ��„ - r, � >tiaj ,'r1�=� - .Pd°x;fk;✓r?rs�, ,� - _ , e '
6
" k e��-.6� a ��
�"% �R, a-rte` u?�' "fir,�F,gr. ” "gar. • . ^'-" rx- ,• `
� `r _,u.�' `�rod",r,✓a`*` ,_ �`��,�vt - , x $���., ��s:n .. -{
441P17SA r:71
F u
t 2
,
aY o� µft�,'s•>�° . � �"•,.� ',�g>•._, � ° � °. __
��`r'�".,��� '^f„'n��`,F��:�.00 r*a a`" - �� t°K._ � N�f s��.i.°. a _ • ° , � . -f'I{
i
�IIu1' �- - - < r "
Ti
'db n6f mix
in
�.- <,
„r„-�=`..e No"
^NOTNOT g}/y'�g#,
-�� � ,'� _ ��,> - :Ad•R: < w , _ a s . i < ,+'
..; .. < CAN CAUSE 1� � � , `'=:
ISC
POWER, E
el'e4r= i^If :va5 s V ��p��� .me AU
{ ��-,fir:, 9 P w , �, .F
V �4�RU�`rS.i �,in �*� -( E� d `�ip(9 " i3 p ` :dxya - rE„ �a?
unix"'.,2'•' i40 i <v.4' �"{,� , $ ,z_ r P,
ws< &s _ 'm"a"r .az 'gj"°',%✓.. ,$t$.
" yy$��,�gp s ° ° ,,4* " ,<$,'`.4
� '��; „�E�.ro�k „� r,�.r:f r a�3x ��.z.a a•'< F"-- g <°
�� y�"by.nf�°���,�'s��,..; �:;rq_.�`' „�„ye`� �a^�,P.� .�%`° 'x�,.'"•, .,.�`�,`ra, ,� ,"•>'`�:.°5'.:-1"�` Fx;,�,F,q:7"'w+�.
-
1�'�i'r f' 4�<„ -y r"'�''��p � .�� �T.'�:sgt°'� y�✓w' px+'a` . ° e, �#,f-<" '� �'�
p '.N -s t r ` s tZ.e ry �t � �a. ._s .'' •°e f
. .�...°' a � ,,+`, �,�.; �. axz Ute• `�.- ` �<�doH �`.n, ,
In N"
° In
�M'�;"fi�.4^<' , e`v 3 - :"F a j°sr^yP_ A• - �,` "' - ,
i{F;�3 aPn�g�" _ °���^w^e•}A �• ,��yy<0 . nn 4P?'�,�.';v<`< R=nte e
•,! Via'.,.-«,r�G •'° - �': eY-�, � ^fie}w ry ^7.+. '.
}.<�� f