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Home My WebLink About45431-Z �,ur. gufFoll-coGy. Town of Southold 8/24/2021 P.O.Box 1179 0 - • l 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42267 Date: 8/24/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 4065 Orchard St,Orient SCTM#: 473889 Sec/Block/Lot: 27.-2-2.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/29/2020 pursuant to which Building Permit No. 45431 dated 11/12/2020 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(kitchen and bath)to an existing single family dwellingas applied for. The certificate is issued to D'Aquino C&Goldstein D Rev Liv Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 454312 7/19/2021 PLUMBERS CERTIFICATION DATED 2/10/2021 d Piecuclf) ( t r0 Signature TOWN OF SOUTHOLD .��Sa�eocK�o. BUILDING DEPARTMENT H z ' 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 #: 45431 Date: 11/12/2020 Permission is hereby granted to: D'Aguino C & Goldstein D Rev Liv Trt 356 Grove St Oradell, NJ 07649 To: legalize "as built" alterations to an existing single family dwelling as applied for. At premises located at: 4065 Orchard St, Orient SCTM # 473889 Sec/Block/Lot# 27.-2-2.7 Pursuant to application dated 10/29/2020 and approved by the Building Inspector. To expire on 5/14/2022. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $407.20 CO-ALTERATION TO DWELLING $50.00 Total: $457.20 Bui ing Inspector 1 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALM, 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied.the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00, Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. (e I ze 1 2,0 New Construction: Old or Pre-existing Building: X (check one) Location of Property: Ab&rj O Q,clm" ST. O 124 ENr House No. Street Hamlet Owner or Owners of Property: 't)AU tJ> 6t o1,.b4,ri;l 14 Suffolk County Tax Map No 1000,Section 2 7 Block Lot 2 f 7 Subdivision Filed Map. Lot: Permit No. 1 J "Date of Permit. Applicant: E;U ZA4?.t✓Tt-1 IHC'M pso" Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V-1-- (check one) Fee Submitted: $ 6o it & 1 -47- Applicant Signature 10127/2020 Owner-Authorization Form.jpg Building Dcaartmcnt An29'arxtice><a AUTHORIZATION (Where the Applicant is not the the miQ fit}iDt�t.Di�,�_ sid'an�a1 5 Gi f�9t� L Ca( (Prim.properly o;VncFs name) (Moiligg,Address) etc)hcrebr authorize �Uzjq b �� (:'event) t-k9m me fo A t t _. ccs apply Oil mgr MIalfto the Southold Building Departrnem. /z, A ' (Own Inatu •�_ -- (3��tcl (Yrin#Owner-s Name) - t hltps:tlmail.google.com/mail/u/0/?tab=rm&ogbgAnbox/FMfcgxwiCjBPvFRRfDJwXdvgV rxzdmCJM?projector=l&messagePartld=0.1 �/1 OF SOr�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.deviin(-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: D'Aquino C Rev Trust Address: 4065 Orchard St city,Orient st: NY zip: 11957 Building Permit#: 45431 Section- 27 Block: 2 Lot: 2.7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Laurel Lighting License No: 4718ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor 1st Floor X Pool New X Renovation X 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures Bath Exhaust Fan 1 Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 14 CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights 2' Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches g 4'LED Exit Fixtures Pump F1 Other Equipment: Fridge, Gas Oven, DW, Micro, In-sinkerator Notes " AS BUILT NO VISUAL DEFECTS " Kitchen and Bath Renovation Inspector Signature: L Date: July 19, 2021 S.Devlin-Cert Electrical Compliance Form oF solei Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 ��y�4UPITI,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION .: -• �R� �• 1 2021 Date: 7-10/20,z) Buildingr Permit No. q SL131 Owner: A'Aavino (Please print) Plumber: Brad Pj e cv,-� (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. (Plumbers Signature) Sworn to before me this IOTA day of Fc buGw , 202.1 SUSAN A.RIZZO ! �`, Notary Public,State of New York Notary Public, �Jl�1 /,111 County No.01 RI6183459 Qualified in Suffolk County Commission Expires March 17,20W a �� ✓I OP SObIyO --- - # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ULATION/CAULKING [ ] FRAMING /STRAPPING [V] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION 1 [ ] PRE C/O ' I' REMARKS: _ 1 t� �� V �O(CX DATE INSPECTOR OF SOUI�o / Ll ® 6�5 # TOWN OF SOUTHOLD BUILDING DEPT. `y�ouxn 765-1802 o - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG: [ ] FOUNDATION 2ND j ] INSULATION/CAULKING-- FRAMING NSULATION/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; � C-0 � i 2 DATE Z INSPECTOR Elizabeth Thompson, Architect P.O.Box A64 �VWW.alizabeththompsonarthitect.�om,. Orient,NY 11957 t6l. 917-0$1-041 i3tldig 1iielotor T iiilIi T3a1. ,P,�Mbx1, 9f Sa► itol ` T t1§11 .I-75-18{ Re: Ca1te%nResidthce Lit f(l'b -� 7«- 2 ° ,4005afhchard'$�., iei t; NY O 7 'hip is t :ccz �#i sI e s pp "ove ie. �n ili nibing f6r:4bbv citnted' es detic : Ft1ii+ :i?vim c s i ci�;o ��Vw 1i a p blecoci-s r : e far t t v s Y nth e:=Y13�,diji -; 9 pa nt Blizabcthrt-hompsop ,R.A. .o f OF L FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION(IST) ------------------------------------ ( FOUNDATION(2ND) z o � ROUGH FRAMING& y PLUMBING ° r INSULATION PER N.Y. y STATE ENERGY CODE M h 3 FINAL n - ADDITIONAL COTqMENTS �c �Pct° � � • O 777 —gfllMc ® Z (m �- 1 H -C t�1 ►d H ,y� llFfdt G� Q` T®WIoT OF S®U'I'H®LD—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.southoldtownnygov For Office Use Only Date Received PER NO. "I 1 { Building Inspector: L � Lb ` 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 OCT 2 9 2020 Authorization form(Page 2)shall be completed. mr APPLICATION,FOR BUILDING PERMIT Date: `bI Z4ZO TOV�Tj 771OLD OWNER(S)OF PROPERTY: Name: _ 7Ta Map#:SCTM#1000- �_. ft Physical Address` p�$ R.C�__ . __ Phone#: Email: _ ----d&u.t[I.Z.ZS.S - -- MailingAddress: ?>cJ'�p (ZoVE SZ'._t D�/ pt.!✓L N -CONTACT-PERSON: , Name: _._. y _a___....__..-._ _vltZ�R�'C1-��_� _(�(�-ot�t.l?SctidJ_-- _ P�l•41TL.r -__...__e.. __ .._.__-.___.�-d�__ _- ---_ � _- Mailing Address: -0 WE NT -N7-------(( - Phone#: '-r�_�7^$`-$ 5 Email: etQ et tZ4WA' oA "AK.�,�T' • 'DESIGN PROFESSIONAL INFORMATION: Name: _ Mailing Address: Phone#: Email: C6NTRACTOR INFORMATION: Name: - Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION - ❑New Structure ❑Addition Iteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes%No Will excess fill be removed from premises? ❑Yes XIo PROPERTY INFORMATION Existing use of property: G�1 '�% pzrl pr-per Intended use of property: C��G Ffrtttl. RRM, Date of Purchase: Name of Former Owner: ML 00 14 Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes 15ifNo 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. APPUCATION 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. Application Submitted By(print name): gAuthorized Agent ❑Owner Signature of Applicant: Date: 7646 STATE OF NEW YORK) S: COUNTY OF L ) 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 methis �A-�Iay of D C�� ,20 aU Notary Public CONNIE D.BUNCH Notary Public,State of New York PROPERTY OWNER AUTHORIZATION No.01BU6185050 �Where the applicant is not the owner Qualified in Suffolk County pP ) Commission Expires April 14,2_ Sc� F% Ai r I?tm 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 Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? QYes P*do 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 building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By(print name): gAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) S: COUNTYOFSM 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 ��ay of .20aX'' Y� Notary Public CONNIE D.BUNCH Notary Public,State of New York PROPERTY OWNER AUTHORIZATION No.01BU6185050 Where the applicant is not the owner Qualified In Suffolk County ( PP� v ) Commission Expires April 14,2 S err �p�R�'[E �igf�cA-BD �itzwl 1, 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 0�0Suf 1K BUILDING DEPARTMENT-Electrical 1_ns e t r TOWN OF SOUTHOLD JUL - 8 2021 o Town Hall Annex -54375 Main Road PO Box 1179 o ® Southold, New York 11971-0959 Telephone (631) 765-1802- FAX (63 1) T&¢-9502 - 01 rogerr(cDsoutholdtownny.gov - seanda-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali information Required) Date: Company Name: &2FCd_ ^z, Name: e— License No.: 14.7 tg-,pAW- email: C-.(0 Phone No: _ 3 request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: ' Address: qaz51 Cross Street: el" Phone No.: Bldg.Permit°#:. email: 31iax Map District: 100& 11Section: .-Block: Lot: .2, 7 `]BRIEFF DESCRIPTION_OFWORK;(Please Print"Cled ly) Check All That Apply: Is job ready for inspection?: MI/YES ❑NO ❑Rough In 2(inal Do you need a Temp Certificate?: ❑YES ONO 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.)dsx t PERMIT# Address: Switches Outlets 1' ` GFI's 1� Surface) Sconces I , HH's UC Lts '21 f Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon _ Micro _ Generator 4' _ ,Combo'. -_- --—; _-_-_ -Caokto'p - -- — - ;--- Transfer; -- - . ..AC. ' ,;`T AH Mini Comments t Elizabeth Thompson, Architect P.O.Box 464 www.ehzabethdiompsonarchitect.com Orient,NY 11957 tel. 917-848-1541 Oct. 26 2020 D �''� D) 0 CT 2 9 2020 ED Amanda Nunemaker Plan Examiner BmDvu4c DEPT. Building Dept. TOS" IN G'F°y i i 110LD Southold Town Hall Annex P.O.Box 1179 Southold,NY 11971 Re: 1000-27-02-2.7 4065 Orchard St. Orient,NY 11957 Dear Ms.Nunemaker, Please see enclosed information concerning updating a C of O for the above referenced property. Let me know if there is any additional information you need. -4 copies of signed & sealed drawing of existing first floor %2 bath, shows as-built added shower, which makes the existing residence to have 3 full baths,instead of 2 V2 baths. -Completed Building Permit Application -Completed Application for C of O -Signed Owner Authorization Form Sincerely, l Elizabeth Thompson,R.A. APPROVED AS NOTED C�';;,l,PL`t' WITH ALL CODES OF DATE: !?--2®B P.4 NEW YORK STATE & TOWN CODES AS REQUIRED A NOTIFY BUILDING DEPARTMENT AT SOUTHOLD TOWN ZBA 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: SOUTHOLD TOW NNING BOARD 1. FOUNDATION ,- TWO REQUIRED SOUTHOLD NTRUSTEES FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING N'{.S C 3. INSULATION 4. FINAL - CONSTRUCTION' MUST BE 'COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE LUtviu l� CERTIFICATION REQUIREMENTS OF THE CODES OF NEW ON LEAD CONTENT BEFORE YORK STATE. NOT RESPONSIBLE FOR CERTIFICATE OF OCCUPANCY DESIGN OR CONSTRUCTION ERRORS. SOLDER USED IN WATER ,SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1%LEAD. O C C U PAN CY 0 USE IS UNLAWFUL. WITHOUT CERTIFICATE pLUMBING ALL PLUMBING WASTE OF OCCUPANCY &WATER LINES NEED TESTING BEFORE COVERING ELECTRICAL INSPECTION REQUIRED t - t J k r Myjj 7 RED A INN I- -T V t I LA r?.&W o Pf nLJob Date - Elizabeth Thompson . Architect ?R5I P.®. Boit 464 " 917-848-1541 Title Scale Orient, NY 11957 .www.elizabeththompsonerchftect.com .