HomeMy WebLinkAbout47835-z 1�1.
�o�Qg�FFaLxcpGd Town of Southold 6/1/2022
P.O.Box 1179
y 53095 Main Rd
y o� Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 43110 Date: 6/1/2022
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 380 Private Rd#27, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-7-32.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/16/2022 pursuant to which Building Permit No. 47835 dated 5/19/2022
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"mini-split air conditioningas applied for.
The certificate is issued to Castelforte LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47835 5/31/2022
PLUMBERS CERTIFICATION DATED
AuthoAz'ed Signature
�o�osu foi TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
�o �a 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#: 47835 Date: 5/19/2022
Permission is hereby granted to:
Castelforte LLC
259 Barton Ave
Patchogue, NY 11772
To: as built" mini-split air conditioning as applied for.
At premises located at:
380 Private Rd #27, Southold
SCTM #473889
Sec/Block/Lot# 78.-7-32.2
Pursuant to application dated 5/16/2022 and approved by the Building Inspector.
To expire on 11/18/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ADDITION TO DWELLING $50.00
ELECTRIC $180.00
Total: $630.00
Building Inspector
OF SO!/r�Ql .
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959 Q�yCOUffm�,�a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Castelforte LLC
Address: 380 Private Rd # 27 city:Southold st: NY zip: 11971
Building Permit* 47835 Section: 78 Block: 7 Lot: 32.2
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 Ceiling 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 Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect LE 2 Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes: AS BUILT NO VISUAL DEFECTS " Two Mini Splits, Three Blower Heads
Inspector Signature: c Date: May 31, 2022
S.Devlin-Cert Electrical Compliance Form
pF SOUTy�`o
TOWN OF SOUTHOLD BUILDING DEPT.
J G Q
urm,��' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL TT
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: R,'o0c4--XC—b
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DATE INSPECTOR / _
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OF SOUIyoI o SSS -s e �
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* TOWN OF SOUTHOLD BUILDING -DEPT.
`ycou765-1802
INSPECTION
[' ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: A—cr— �Fw L77 /�/ N'1 .fey'/
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DATE S ?i INSPECTOR �C
FIELD INSPECTION REPORT I DATE COMMENTS
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FOUNDATION (1ST) w
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FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y. ►�-3
STATE ENERGY CODE
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FINAL
ADDITIONAL COM ENT �J
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o:�ufFo�'roo� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y� �= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy • o! Telephone (631) 765-1802 Fax (631) 765-9502 hns://www.southoldtowM.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector: `t
Applications and forms must be filled out in their entirety. Incomplete
MAY 1 6 2022
applications will not be accepted. Where the Applicant is not the owner,an t3Ui�uiivc;.•. ~-
Owner's Authorization form(Page 2)shall be completed. TOWN OF SOUTHOLD
Date:
OWNER(S) OF PROPERTY:
Name: e' SCTM#1000-
Project Address: SM/
CJ
Phone#: O ,., � Email:
Mailing Address:
CONTACT PERSON:
Name: VU
Mailing Address:
Phone#: ��� �� ��'�� Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
[]NewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ❑No
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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 ❑No IF YES, PROVIDE A COPY.
El 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(print name): R �.Pj�a ��p���1jt6L ❑Authorized Agent Nowner
Signature of Applicant: ""``77//00 / Date:
STATE OF NEW YORK)
SS: V
COUNTY OF
Ma a Di n a being duly sworn, deposes and says that(s)he is the applicant
(Name dividual si ning con r t) above named,
(S)he is the 0w+�g
(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
gg _+V)
E 6 day of M CI� , 20va=
otary Public
TRACEY WYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
PROPERTY OWNER AUTHORIZATION - QUALIFIED IN SUFFOLK COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,2S2_�2.
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,aFFU(,�CO BUILDING DEPARTMENT- Electrical Inspector
Gy TOWN OF SOUTHOLD
ti z Town Hall Annex - 54375 Main Road - PO Box 1179
5 • Southold, New York 11971-0959
y o� Telephone (631) 765-1802 - FAX (631) 765-9502
�Ol rogerr(a)-southoldtownny.gov - seand(ab-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: L
Company Name: `
Electrician's Name:
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: /,
Address: ' 9.9
Cross Street:
Phone No.: p
Bldg.Permit email:
Tax Map District: 1000 Section: - Block: 7 v v I Lo : a .
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
65 P)C* Hivii 5 `J
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 PhF-13 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