HomeMy WebLinkAbout47581-Z �Q4agUfF01�y Town of Southold 4/22/2022
P.O.Box 1179
o • ,�� 53095 Main Rd
4,, ao�. ' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43003 Date: 4/22/2022
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 875 Jasmine Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 69.-3-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/22/2022 pursuant to which Building Permit No. 47581 dated 3/22/2022
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(finished 2nd floor)to existing single-family dwelling as applied for
The certificate is issued to Santacroce,Kevin&Linda
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47581 4/4/2022
PLUMBERS CERTIFICATION DATED 1/20/2022 Samaritan Plumbing,Inc
Authorized Signature
i
Su�faclf-c TOWN OF SOUTHOLD '
BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
-oy • o� 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#: 47581 Date: 3/22/2022
Permission is-hereby granted to:
Santacroce, Kevin
1000 Laurel Ave
Southold, NY 11971
To:
legalize as-built alterations (finished 2nd floor) to existing single-family dwelling as
applied for. Additional certification may be required.
At premises located at:
875 Jasmine Ln, Southold
SCTM #473889
Sec/Block/Lot# 69.-3-16
Pursuant to application dated 2/22/2022 and approved by the Building Inspector.
To expire on 9/21/2023.
Fees: -
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,084.00
CO-ALTERATION TO DWELLING $50.00
Total: $1,134.00
Bui g ector
. OF SOUr�®l
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 , iQ sean.devlinCa-Dtown.southold.ny.us
Southold,NY 11971-0959 CoUN'(`l,�„�\
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Kevin Santacroce
Address: 875 Jasmine Ln city:Southold st: NY zip: 11971
Building Permit#: 47581 Section: 69 Block: 3 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 17 Ceiling Fixtures 2 Bath Exhaust Fan 1
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors 1
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors 1
Sub Panel A/C Blower Range Recpt Ceiling Fan 2 Combo Smoke/CO 1
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 5 4'LED Exit Fixtures Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " Finished Second Floor
Inspector Signature: Date: April 4, 2022
S.Devlin-Cert Electrical Compliance Form
I
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
'P.O.Box 1179
Southold,NY 11971-0959 'Q
- l
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICAT-ION
Date:- 1/20/2022
Building Permit No. —7
Owner
Kevin Santacroce
(Please print)
Plumber: Samaritan Plumbing, Inc. U h —
...
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 16/o
lead.
}A� � (Plum$ rs Signature)
Sworn to before me tali V
day of 2 �►�„�,� r.a��P..„"�Y
THOMAS J.McCARTHY
Wo”Public,State of NOVI York
Suffolk County-No.6004790
Notary Public, ounty
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# TOWN OF SOUTHOLD-BUILDING DEPT.
765-1802
INSPECTION- , .
[ ] FOUNDATION 1ST. [ ] ROUGH PL13G. -
], 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: l
VA
DATE Ll 4I_Z_ INSPECTOR '
�1 OE SOUIyOIo
# # TOWN OF SOUTHOLD BUILDING .DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[
] ,FOUNDATION 2ND [ NSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[' ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[
], ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: 6 c _ -
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DATE moYY . INSPECTOR IMVILQ�_
FIELD INSPECTION REPORT DATE COMMENTS
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Authentisign ID:AE11AF73.74CF-4B7B-94E3-4F7BEEA9CBF0
'Qg11FF0(VeaGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
H Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 haps://www.southoldtowm.gov
Date Received
APPLICATION FOR BUILDING PERMIT
tD
For Office Use Only
PERMIT NO. � " Building Inspector: FEB 2 2 .2o22
22
Applications and forms must be filled out in their entirety. Incomplete BTT-'9TZ)PTG BET1T,
applications will not be accepted. Where the Applicant is not the owner,an T OWN OF SOIiHID
Owner?s Authorization form(Page 2)shall be completed:
Date: 1/19/2022
OWNER(S)OF PROPERTY y
Name:Kevin Santacroce SCTM#X000-69-3-16
ProjectAddress:875 Jasmine Lane, Southold, NY 11971
Phone#:631-764-3176 1
Email:Ksantacr@bridgenb.com
Mailing Address: 1000 Laurel Avenue, Southold, NY 11971
CONTACT PERSON;
:
Name:McCarthy Management, Inc.
Mailing Address:46520 County Road 48, Southold_, NY 11971
Phone#:631-765-5815 Email:tmccarthyAmccarthy_@gmail.com
DESIGN PROFESSIONAL INFORMATION: -
Name:Jeffrey T. Butler, P.E. P.C.
Mailing Address:P.O. Box 634, Shoreham, NY 11786
Phone#:631-208-8850 Email:Je_ ff@Butler-ae.com
CONTRACTOR INFORMATION:
Name:NA
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED'CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
EOther As built finished 2nd story $
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes 0 No
1
yNAF73•T4CF.4137B•94E74F7BEEA9CBF0
'Y PROPERTY`INFORMATION
iy Existing use of property:sir�gl_e_f_a�ni_Ly_�es� Intended use of property_SJI � ami Ees.__
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.p
B.Cheek Bou After Reading ,,The owner/coritractor/desi6n professional is rcsponsibte forali drainaSe and storm water Issues as proytd6d by
Chapter236 of the Town Code APP./ICATIt)N IS HEREBY MADE to the Building Pgpartrtment for the Issuance of a ffuilding Permit.pursuant.to the Bulidi&zone.
Ordinance of the Town of Southold,Suffolk,CoOnty,New York and other appliable'laws,ordinances or Reiulations,for the constructlon of buildins,
additions,'al'teraeians or fo�,removal or demeltfton v3 herein desciltied The-applicant agrees to:wmpty witFi alt appllable laws;ordinances;fiuiltliny code;
houslne code and.reguiations and to adnitt authoraed trispeitora on premises..and lnbulidlnB(s)fo?necessary inspections.Faire stateriietht made berein are i
punishable as a dans A misdemeanor;pursuant to Section230 AS of the New Yark State Penal law.
- . :. -
I
Application Submitted By(print In e).-Ruth- Love ®Authorized Agent ❑Owner
Signature of Applicant: �>�� Date: 1/19/2022
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Ruth Love being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
(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 fil therewit .
Sworn re me is
day of 20
tary Pub
THOMAS J.MoCARTHY
NotarySuffolk
unty-No.5tate of 0 4790 PROPERTY OWNER.AUTHORIZATION
Suilelk County-No.500�79U
Com n'.c io::e: iewc^bs�29 (Where the applicant is not the owner)
Kevin Santacrocei� 1000 Laurel Ave., Southold I, residing at
' do hereby authorize Ruth Love to apply on
,
my bAULfto the Town of Southold Building Department for approval as described herein.
rz: 01120/2022
carie s Tignature Date
Kevin Santacroce
Print Owner's Name
2
i
g�gEp[k BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
® Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
O� Telephone (631) 765-1802 - FAX(631) 765-9502
rogerr(c�south old town ny.gov — seand(cDsoutholdtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 1/20/2022
Company Name: NA
Electrician's Name: Kevin Santacroce, Owner
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Kevin Santacroce
Address: 875 Jasmine Lane, Southold
Cross Street: Main Road
Phone No.: 631-764-3176
Bldg.Permit#: 4-7lj1�(l email: ksantacroce6@gmail.com
Tax Map District: 1000 Section:69 Block: 3 Lot: 16
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
2nd floor finish.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 0✓ YES 0 NO [:]Rough In Final
Do you need a Temp Certificate?: ❑ YES[7 NO Issued On
Temp Information: (All information required)
Service Size Fill Ph R3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[]Underground❑Overhead
# Underground Laterals M 1 2 M H Frame Pole Work done on Service? 0 Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
FEB 2 2 2022
PERMIT# Address:
Switches
,\ 11
Outlets
GFI's
Surface I
Sconces I
H H's
UC Ltsf�
Fans I Fridge HW
Exhaust Oven , W/D
Smokes I DW Mini
Carbon I Micro Generator
Combo Cooktop Transfer
AC Hood Service
Amps Have Used
Special: /►��
Comments. e-- C� L �YV'ro)"
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McCARTHYMMAGEMENT, INC. LETTER OF Tq.AN:SMITTAL
46520 COUNTY ROAD 48
j, SOUTHOLD, NY 11971
DATE JOB NO. 'I
(631j 766=5315- FAX (631) 7(6\5-5616 ATTENTION R
ITA V Y �/ V Y IV L RE:
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WE-ARE SENDING YOU ❑ Attached ❑ 'Under separate cover via the following items:,
I. ❑ Shop drawings ❑ Prints ";,; ❑ Plans ❑ Samples ❑ Specifications i
❑ Copy of,letter ❑ Change order ❑ ,
COPIES. • DESCRIPTION
ry
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THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ ApproFe��
$ utarry(tEOc
t copies for approval
❑ For your use ❑ Approve``� noted - ❑ Su mi copies for distribution
As requested ❑ Rfor corr9fiL2 2 20 Return corrected prints
El As
❑ For review and comment ❑
?a'..X A'�I r? �'>�'�'-
❑ FORBIDS DUEpR}NTRETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
If enclosures are not as noted,kindly notify us at once.
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35'0"
AP ROVED AS NOTED
EXISTING
DATE: /I B.P.#
4" VTR FEE: 'c BY:
3„ NOTIFY BUILDING DE AT ELECTRICAL
- --_-_, 765-1802 8 AM TO 4 PM FOR THE
-------. _ INSPECTION �EOtI�.. �' .
`/' � � FOLLOWING INSPECTIONS:
wLaTv 1. FOUNDATION - 4''!0 REQUIRED
---------------- FOR FOR POURED CONCRETE
s 2. ROUGH - FRAMING & PLUMBING
' -' ' SHOWER
EXISTING '
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EXISTING O i N ' 4. FINAL - CC n ON MUST PLUMBER CERTIFIC aT )N
SECOND FLOOR , 4. FINAL ccN.� �-I�
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CELLAR X 2° 3" 2" BE COMPLETE
ON LEAD CONTENT E )RE
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s 3„ «YL COrJSTRUCTi. SHALL MEET THE CERTIFICATE OF OC 'JP NG
w --• ----,----3_.,__----_, REQUIREMENTS OF?HECODES OFNEW
r SOLDER USED IN V'A :R
' FORK STATE. NOT 'RESPONSIBLE FOR
O sIN W'c' TUB/ DESIGN OR CONSTRUCTION ERRORS. SUPPLY SYSTEM C '1N OT
SHOWER
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;p MAIN FLOOR `o
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N - - - - - - - -; - -e- - �- - - - - �- - , - - - - - -; - - - ;- - - - - - - - 2" 2 2" 311 COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
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OCCUPANCY OR W
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additional
Certification
•-----------• 154„
May Be Required.
EXISTING FOUNDATION PLAN §RR310.1.1 MINIMUM OPENING AREA.ALL EMERGENC`ESCAPE AND RESCUE
U
SMOKE DETECTOR OPENINGS SHALL HAVE A MINIMUM NET CLEAR OPENING OF 5.7 SQUARE FEET
INTERCONNECT PER CODE (0.530 M2). X
O CARBON MONOXIDE DETECTOR EXCEPTION:GRADE FLOOR OPENINGS SHALL HAVE A MINTMUM NET CLEAR ISL
co ONE PE FLOOR OPENING OF 5 SQUARE FEET(0.465 M2).
§RR310.1.2 MINIMUM OPENING HEIGHT.THE MINIMUM NET CLEAR OPENING HEIGHT O
SHALL BE 24 INCHES(610 MM).
§RR310.1.3 MINIMUM OPENING WIDTH.THE MINIMUM NET CLEAR OPENING WIDTH
SHALL BE 20 INCHES(508 MM). lul
§RR310.1.4 OPERATIONAL CONSTRAINTS.EMERGENCY ESCAPE AND RESCUE m %b
OPENINGS SHALL BE OPERATIONAL FROM THE INSIDE OF THE ROOM WITHOUT THE USE X
OF KEYS OR TOOLS. O O 0CO
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s SMOKE DETECTOR SMOKE DETECTOR
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co ONE PER FLOOR co ONE PER FLOOR
COPYRIGHT 2013 JEFFREY T. BUTLER, P.E., P.G. REPRODUCTION IN ANY FORM 16 PROHIBITED WITHOUT WRITTEN CONSENT FROM JEFFREY T. BUTLER, P.E., P.C.