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HomeMy WebLinkAbout47683-Z �o�SUFFOt o Town of Southold 5/12/2022 P.O.Box 1179 N 53095 Main Rd Southold,New York 11971 � 1 � CERTIFICATE OF OCCUPANCY No: 43063 Date: 5/12/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 490 Schoolhouse Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-5-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/15/2022 pursuant to which Building Permit No. 47683 dated 4/15/2022 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"central air conditioning as applied for. The certificate is issued to Gatz,Peter of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47683 4/29/2022 PLUMBERS CERTIFICATION DATED - 1 Authorized Signature S�yFFQ .. TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE oy . SOUTHOLD, NY dol � dao , 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#: 47683 Date: 4/15/2022 Permission is hereby granted to: Gatz, Peter PO BOX 1048 Cutchogue, NY 11935 To: as built" central air conditioning as applied for. At premises located at: 490 Schoolhouse Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-5-10 Pursuant to application dated 4/15/2022 and approved by the Building Inspector. To expire on 10/15/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 ELECTRIC $180.00 Total: $630.00 Building Inspector pF SO(/ryDl h O Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(-town.southold.nv.us Southold,NY 11971-0959 IyCOUNV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Peter Gatz Address: 490 Schoolhouse Rd City:Cutchogue St: NY Zip: 11935 Building Permit#: 47683 Section: 102 Block: 5 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 X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 1 Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect r1i Switches 4'LED Exit Fixtures Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " HVAC Inspector Signature: te: April 29, 2022 S.Devlin-Cert Electrical Compliance Form q SOUTyO� TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 : INSPECTI-ON [ ] FOUNDATION IST [ ] ROUGH PL13G. } FOUNDATION 2ND [ ] INSULATION/CAULKING- [ '] FRAMING /STRAPPING [kj FINAL (41/AC. [ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: C� F.Z•frgt- ac-caju�=- CCp_-rscicda7E fz6auzr�_&N —1 r Hiloc- o,K irce C,c= DATE INSPECTOR Li OF SOUly�lo Ll 6 o # # TOWN OF SOUTHOLD BUILDING DEPT. courm, '' 765-1802 NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] :FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION` [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [//__] PRE C/O REMARKS: t 2� <� DATE INSPECTOR MOON ■ !'.d►— �� Jill$ »11�11Dllllllllllllhmm���»>Iilll I 11111111111111111U111111D111D111UIlUlllllllllilllq� 1111111111111D111U11111111111DII111111iIlIIIl0111111i1 ,j�jljjjj11111UI1111111111 IIIDIIIIIIIIIII IIIIIIIUI�M FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) -------------------------------------- FOUNDATION (2ND) z � o ` � N C ^ y � VJ ROUGH FRAMING& 0 � 1 PLUMBING S H G d O S � r INSULATION PER N.Y. STATE ENERGY CODE �(z�-zr r F�iL�1� EGecrxlC�lc f?rsE� t��� x��s�� -r#6fl 0.4 rox C � FINAL ADDITIONAL COMMENTS 0 (� z 1 H �O x H x d b H ffoc too 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 For Office Use Only E C IE 5 ` PERMIT NO. Building Inspector: APR 2�2� i BUILDING;.,ter Applications and forms must be filled out in their entirety. IncompleteTOWN OF SOV!'HC11-D' applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S) OF PROPERTY: Name: SCTM#1000- Project Address: - ®sl �+� eG Phone#: Oe -VI _S9(.Q 0 Email: I awa •Corn Mailing Address: 'PO12)0,A tcw CA 6nwoe .ULA 1 (0113T CONTACT PERSON: Name: �Y . Mailing Address: x tpt(� �� 0 ,4 Phone#: ��j-��-(_S� © Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: ?® ^'box --R"1 Ujn Phone#: l_'� - - � [Email: DESCRIPTION OF PROPOSED CONSTRUCTION WrNew Structure []Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes I�No 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? ❑Yes NrNO 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 210.45 of the New York State Penal Law. Application Submitted By(prin me): ❑Authorized Agent 'Erowner Signature of Applicant: Date: STATE OF NEW YORK) (� S: COUNTY OF -J 04- ) P,a-k-r 16a-Z 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 �y(11 day of Artf --. 202 Notary Public CHRISTINE FOSTER Notary Public,State of New Yolk No.01F06177911 Qualified in SuffolkCbunty PROPERTY OWNER AUTHORIZATION Commission Expires November 19,m23 (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my e e Town outliold Building Department for approval as described herein. i 1:�>w Owner's Signature Date A& (2i3�r, Print Owner's Name 2 �O�S�ffO(�-CO BUILDING DEPARTMENT- Electrical Inspector Gy TOWN OF SOUTHOLD cm H Town Hall Annex- 54375 Main Road - PO Box 1179 o . • Southold, New York 11971-0959 y�j0 a0� Telephone (631) 765-1802 - FAX (631) 765-9502 1 i rogerr(c-southoldtownny.gov seand(cDsoutholdtownnygov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date:—Ll AL4 1=2 Company Name: �1 -(C, Electrician's Name: 1 License No.:,gLd Elec. email: ccs co Elec. Phone No: C13 _ ❑1 request an email copy of Certific of Compliance Elec. Address.: q LA- '"- JOB SITE INFOR ATION (All Information Required) Name: Address: p �p1 C�kO Cross Street: Phone No.: Co31-`1Cp -5 0 Bldg.Permit#: email: Tax.Map District: 1000 Section: /oa Block: 5 Lot: IO BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): .&�rVA A tr Q n%t Square Footage: Circle All That Apply: Is job ready for inspection?: © YES ❑ NO F-]Rough In Final Do you need a Temp Certificate?: 1-1 YES ❑NO Issued On Temp Information: (All information required) 1.Ph�3 Ph...Size: A. # Meters Old Meter# Service SizeR ❑New ServiceO Fire ReconnectOFlood Recorinect,QService.ReconnectOUnderground E]Overhead #Underground Lateralsn 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 6D VI I I 0 upoW Young & Young, Land Surveyors 400 Ostrander Avenue, Riverhead, New York 11.901 -.!g mo J( PLL 516-7,Z7-2303 oD�m 68o o+y�F Alden W. Young, P.E & L.S. (1908-1994) ��oo II1TYTIJ Howard W. Young, Land Surveyor <w Thomas C. Wolpert, Professional Engineer Kenneth F. Abruzzo, Land Surveyor ° laririirig John Schnurr, Land Surveyor >o 5 tErigtrirrririg z o o S �`rF� arveyirig O• p W i F ` NV v ,ZW- d- QO� �Ay O• C7 - �a2U abs• p�'ry ���� / ° y, ♦/ O G r� O V ° V NOTES: 1. ■ = MONUMENT FOUND .0 !yCIO =wo10 e, SURVEY SURVEY FOR: =�=o °- �G0 PETER GATZ iso ww �� G a s\ At: CUTCHOGUE Town of: SOUTHOLD =° Suffolk County, New York a 18.01 �mU >► mss. ��o��/+/� r°�� Suff. Co. Tax Map: 1000 102 5 10in _yp District Section Block Lot �`�>` o`' S 16 G y m CERTIFIED TO: owe PETER GATZ aim CHICAGO TITLE INSURANCE COMPANY S w NORWEST MORTGAGE OF NEW YORK, INC. ° i; r zoz rc��u a�G L. DATE :FEB. 9, 1998. w�w� SCALE :1"=40' JOB NO. :98-0029 =FFP SHEET NO. :1 OF 1 =<aW "980029.DWG" O S