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HomeMy WebLinkAbout46921-Z g�FFO[�c Town of Southold o� pG 11/9/2021 y� P.O.Box 1179 o - C* 53095 Main Rd 0, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42506 Date: 11/9/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1470 Hiawathas Path, Southold SCTM#: 473889 Sec/Block/Lot: 78.-3-47 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/22/2021 pursuant to which Building Permit No. 46921 dated 10/4/2021 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 window replacements and electric to existing singley dwelling as applied for. The certificate is issued to Stevens Lindstrom Rev Trt of the aforesaid building. J SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46921 10/15/2021 PLUMBERS CERTIFICATION DATED fi Autho ' ed i tore g11FFOl��o TOWN OF SOUTHOLD BUILDING DEPARTMENT cc TOWN CLERK'S OFFICE c . 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#: 46921 Date: 10/4/2021 Permission is hereby granted to: Stevens Lindstrom Rev Trt 85 Gillette Ave Patchogue, NY 11772 To: Legalize as-built window replacements at existing single family dwelling as applied for. At premises located at: 1470 Hiawathas Path, Southold SCTM #473889 Sec/Block/Lot# 78.-3-47 Pursuant to application dated 9/22/2021 and approved by the Building Inspector. To expire on 4/5/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector OF SOUp�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road jr Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • i� sean.deviinca-)town.southold.ny.us l�COUNTV,� ° BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Stevens Lindstrom Rev Trt Address: 1470 Hiawathas Path city:Southold st: NY zip: 11971 Building Permit#: 46921 Section- 78 Block: 3 Lot 47 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 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 100A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 2 Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 100A Panel 24 Circuit/ 17 Used Notes: " AS BUILT NO VISUAL DEFECTS " Service Inspector Signature: Date: October 15, 2021 p 9 S.Devlin-Cert Electrical Compliance Form I # # TOWN OF SOUTHOLD BUILDING DEPT �- �o . �o �y000NiV ' ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] `INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ` [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) I ,- ELECTRICAL- (FINAL) [ ] CODE VIOLATION [ (] PRE C/O REMARKS: DATE O .INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) y -------------------------------- FOUNDATION(2ND) J 1 or ROUGH FRAMING& PLUMBING '� H r INSULATION PER N.Y. STATE ENERGY CODE HAIM &V Df lit FINAL ADDITIONAL COMMENTS 7*d It V50 rg,/— 60jo). r � z rn cwt_ O . x d b H TOWN OF SOUTHOLD—BUILDING DEpARTMENT 'Town Hall Annex 54375 Main Road P. ®. lox 1119 Southold,NY 11971-0959 Telephone (631)765-1802 Fax (631)765-9502iLtt])S:I/www.southolcitownqy,gov Date Receive ION FOR BUILDING PERMIT For Office Use Only D PERMIT Building Inspector_ SEP 2 2 2021 DD Aispticatiosis and%rms must be filled out in their entirety.Incomplete BUILDING DEPT i appfications will not be accepted. Where the Applicant is not the owner,an TOWN OF SOUTHOLD Owner's Authorbatinn form(Page 2)shall he compiked. Date: 0111JINER(S)OF PROPERTY: Name: SCTM#1000- 0TJ S Project Address: VLk—1 L-k <S 0 J�0� Phone#: cM Email: Mailing Address: Cts 6,3k, Ylk� (Akot�\ -7-7 -6 ')? V�JY 11 CONTACT PERSON, Name: Mailing Address: S-01.X Phone#: 1Aq�c� Email: W'A--Z,,\'\-tkQ ww.- Cow DESIG,N PROFESSIONAL INFORMATION: Name: C O.A Mailing Address: phone 4. CONMCTOR INFORMATION: Name: Iks &A- NA, Mailing Address: Phone Email: DESCRIP11ON OF PROPOSED C04STRUC-IJON []NewStructure 11AIdlition 1-lAfteratmn ECIepair E]Demofitlor� Estimated Cost of Project: ,other_ v 1*0koc � IVIA L $ WL— ZC,M 01D Will the lot be re-graded? E]YesXNo Will excess fill be removed from premises? E]Yes o PROPERTY IMFORMATION Existing use of property: SidIntended use of property: tes, Zone or use district in which premises is situated: Are there any covens nts and w4th rc-spect to this property? Nq o IF YES, PRONJUDE A COPY. 2Check Box After RP-ilding' The owner/contractorldesign preftissional is responsible for all drainage and storm water issues as prw-kled by 1ter 236 of the Town Code. APPUM-PON M HEREWI MADE to the Building Department for the WUMC9 013 Building Permit pursuantto ties Building Zone Ordinance of the To'lain 6f SWihold,'Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations orfor removal or demofltlon 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 mada herein are punishable'as a Class A misdemeanor pursuant to Section MAS of the New Yo&,State Penal Laui. Application Submitted By intna e): fk�-6oj, U) 76Authorized Agent ©Owner Signature of Applicant: Date: 2,2 STATE OF NEW YORK) SS: COUNTY OF 6, 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 r%0 day of -------J-20-!2:L Notary Public jEANRlE-,0r,'D0N Notary Public,State of New York PROPERTY OWNER AUTHORIZATION No.010060251238 (Where the applicant is not the owner) r Qualified in Suffdk County ;7 A ,ommlssion Expires Noverrher%20-:!f� residing at do hereby authorize "J1\kA(1& MC74-' R7 to apply on my behalf to Town of Southold Building Department for approval as describe A herein. Cv V-Uzi. -� Owner's Signature Daie Print Owner's Name 2 f , 2 D E C 11Ftw t BUILDING DEPARTMENT- Electrical s 1 tJEP 2 2 2021 DD F� TOWN OF SOUTHOLD BUILDING DEPT. Town Hall Annex- 54375 Main Road - PO BRYM souniol_D Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownnygov -- seand�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 9-22-21 Company Name: Owner- Existing Installation Electrician's Name: License No.: Elec. email: Elec. Phone No: 01 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Linstrom Stevens Rev Trust- Toril Stevens Address: 1470 Hiawatha Path, Southold NY, 11971 Cross Street: Same Phone No.: 516-457-5596 ( Nicholas Mazzaferro) Bldg.Permit#: Pre-Existing (1957) email: maz_lin@msn.com Tax Map District: 1000 Section:078 Block: 3 Lot:47 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Upgraded Electrical Service and Panel -Post 1957, Contact Person - Nicholas Mazzaferro Square Footage: 1290 Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In R1 Final Do you need a Temp Certificate?: ❑ YES ❑V NO Issued On Temp Information: (All information required) Service Size❑1 PhFV�3 Ph Size: 200 A # Meters 1 Old Meter# NA ✓❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals M 1 2 0 H Frame Pole Work done on Service? Y ✓ N Additional Information: Inspection required to obtain a Pre-Exisitng C of O for this residental property. PAYMENT DUE WITH APPLICATION �;{�45UfFOl�C© BUILDING DEPARTMENT- Electrical Inspector �•��� TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 _>• U�'x# Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a),southoldtownny.gov -- sea nd(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: 11 '7 0 tia va `7q Cross Street: Phone No.: Bldg.Permit#: LA ���' email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES ❑ NO ❑ Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size 1-11 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 FJ2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT # Address:- Switches Outlets G F I's Surface onces H H's UC Lts Fans - Fridge r - - HW Exhaust Oven W/D Smokes DW Mini Carbon Micro' - Generator Combo Codktop Transfer` " AC AH Hood Service 'Amps' 'Have Used Special:_ _. 100 Comments v 1� I APPROVED AS ED O C C U PAN Y O DATE: IO- �-I B.P.#NO 19, USE IS UNLAWFUL FEE 4 oD BY: NOTIFY BUILDING DEPAP"'"'�VT AT STT CERTIFICATE 765-1802 8 AM TO 4 Ptvi --R THE � ��Up FOLLOWING INSPECTIONS PANCY 1. FOUNDATION - TWO REQuIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING -3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR C=s HAPLY WITH ALL CODES OF DESIGN OR CONSTRUCTION ERRORS. NEVV! YORK STATE & TOWN CODES AS REQUIRE AND CONDITIONS OF SOUTHOLD TOM ZBA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC Additional Certification May Be Required. � t � 1 W R BILCO ® E C F i3QOR SEP 2 2 2021 BUILDING DEPT. • TOWN OF SOUTHOLD i I 3=4- x•11r 3••a' 2?• F�5' sr f=3 C �•-�iY r e.s4' b -Window— size WXH-Inches ape- v Notation MASONRY FORCtf - - 1- __ 2_8"X 3-0 -- - Double.Hung - -- ---__ 2 - —2,@ 3'-1'_X 3'-9"N_ Double Hung - - Mullion-Built In 3 3'-0"X 3'-1" Double Hung — — 4 2 @ 2'-10"X 1'-3" Awning Mullion-Built In BA7HROW L4UNM RC)AF 5 _ 2 @ 2'-4"X T-0" Double Hung _Mullion-Built In PANTRY 6 2'-0"X 2'-7" Fixed Glass Block - - - -- -- - - --- - - ---- - - ._... _ ----------- . . -_ 7 _. -- 21-0"X T-i" Double Hung a a 6:s sr.3 Fri 4 4 5 fications:I _ 94• All Windows are Anderson 200 Series-Low E-2/Argon Filled Double Pane Glass _ Doors and Windows have miminum u-factor=0.32 and solar heat gain=0.32 4. UPI" P .--- ---— - ---- - N 2-& G-d• 5-6 fla 414 10 -�'-,C W-3 0 7,s„+ l .__. _ - .- - .- _•"'__' - General Notes: _ Lt'JMiG R(= KttCtitYd + 1.Original Construction -Pre 1957— ^- --'----— --• ---_— _-_..__ ____ 74 2.Anderson 200 Series Windows Installed after 1957 3.Window installation complies with NYS Building Code T C - • f"l.[aR� ��fWl 4.f��1� ffi I� 5. FIRST LU PLAN r�zt;n t SCALE: ' 1 1 -0" 9 VA x_ F> <•Y.- s.vg z.�s g as f r-i} �� x-7 frz• fAOA 's r GEOOoft PSE OF Ne 2 PJ5fPv 6 J^ / ?� NJ.MAZZAfERRO,P.E, nra�n arar� t rPPFAD r 2" r 'r 3 O PROFESSIONAL ENGINEER cys2�a fko.WY 54-1 GREetfmv W.1,1944 93Y&4PACA4 V,ask mxr 4�#;an,x SC`�M#-1000-078-3-47. ,A oA os�o9� ���� FI sTFLcORPLAN R� ES S 10 N\_ .1470 litr1MMAS PATH SOUTH",NY 11971 q