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Home My WebLink About47697-Z �'SUFFac� 0�p cpG Town of Southold 5/19/2022 P.O.Box 1179 co m 53095 Main Rd Wool �ao� 5�' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43088 Date: 5/19/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 3675 Wells Ave., Southold SCTM#: 473889 Sec/Block/Lot: 70.4-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/28/2022 pursuant to which Building Permit No. 47697 dated 4/19/2022 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"additions and alterations includiniz deck and office(non-sleeping),to existing;single family dwelling as applied for. The certificate is issued to Torkelsen,Tor&Joan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47697 5/3/2022 PLUMBERS CERTIFICATION DATED 5/16/2022 rad Piecuc ut or' e Signature s�4fea�, TOWN OF SOUTHOLD �o�° cosy BUILDING DEPARTMENT H 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#: 47697 Date: 4/19/2022 Permission is hereby granted to: Torkelsen, Tor 3675 Wells Ave Southold, NY 11971 To: legalize "as built" additions and alterations as applied for per Trustees approval. At premises located at: 3675 Wells Ave., Southold SCTM # 473889 Sec/Block/Lot# 70.-4-4 Pursuant to application dated 2/28/2022 and approved by the Building Inspector. To expire on 10/19/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $880.00 CO-ADDITION TO DWELLING $50.00 Total: $930.00 Building Inspector pF SOUryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O..Box 1179 , aQ sean.devlina-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Tor Torkelsen Address: 3675 Wells Ave city:Southold st: NY zip: 11971 Building Permit#: 47697 Section: 70 Block: 4 Lot: 4 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 X 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 16 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 7 CO2 Detectors Sub Panel A/C Blower Range Recpt Track Light 3' Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 7 4'LED Exit Fixtures Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " Offices in Back of Garage Inspector Signature: Date: May 3, 2022 S.Devlin-Cert Electrical Compliance Form p �. o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax-(631)765-9502 P.O.Box 1179Q Southold,NY 11972-0959 r��C BUILDING DEPARTMENT -TOWN-OF SOZMOLD- CERTlC-1F'1[CATION Date: 5/16 Building Permit No. 1 (p q l - {owner. Torke1saa (Please print) Plumber: rad pi e(v(� Vlease-print) I certify that the solder used in the water supply system contains less than 2110 of 1% lead. n .Olum Wm Signatute) a Sworn to before me this dayof nay 2-022- 7 Notary Publiicc,StateofNewYork No.-OtR16183989 Notary Public, 114 1`CL County Qualified in Suffolk County Cornrnission Expires March 17.21 o�� L4 7 7 V/ -A� + � TOWN OF SOUTNOLD BUILDING DEPT.- +e�v.+� 765-1802 . INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULA710WCAULKING [ FRAMING /STRAPPING [ ] FINAL [ ] FlREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) � ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: �am/ DATE � 2Z . . INSPECTOR *tf SOUTy�Io # # TOWN OF SOUTHOLD BUILDING DEPT. `ycou631-765-1802 4111 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL PS F3Q t L�< [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: �I l �. DATE INSPECTOR C"O MSJONMC?; Jan ONI(nn8 i 40 r 3 C 1 raj olin8 I N I N4x\xx\\\x. r j i FIELD INSPECTION REPORT DATE COMMENTS ►o FOUNDATION(1ST) � H -------------------------------------- FOUNDATION (2ND) z �o o� ROUGH FRAMING& PLUMBING �H l r INSULATION PER N.Y. STATE ENERGY CODE 114 ®' FINAL ADDITIONAL OMMENTS Q o � z m zkH .. O z x H x d r� b H vifF04�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT d y Gy= 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 D E ((�' E � ��' E IDI PERMIT NO. Building Inspector: V� L� FEB 2 8 2022 Applications and forms must be filled out in their entirety. Incomplete BUILDING DENT.- applications will not be accepted. Where the Applicant is not the owner,an TOWN OF SOUTHOLD Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: Tn-r / SCTM #1000.7 Project Address: 3�7,r W�� /�vG— S11,7711oeo rev. y j !7l Phone#: J� 7 �� Email: r� Mailing Address: CONTACT PERSON: Name: To aoek-7f Mailing Address: S- L Phone#: S `—k6-) Email: �7c {- 'v� j- G oud- U DESIGN PROFESSIONAL INFORMATION: Name: -Tw 73 G (--I P Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: 0 Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other bZ921/04 &4,Vay14%1610 ¢ rUC-W 0 & 1104 add i Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes Dfl-0 '- 1 1 PROPERTY INFORMATION Existing use of property: t265(06-7-1(w L Intended use of property:. Zone or use district in which premises is situated: Are there any covenants ao restrictions with respect to this property? ❑Yes o 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(print e): TOY- ❑Authorized Agent wner Signature of Applicant: Date: a -a - old- STATE sSTATE OF NEW YORK) S COUNTY OF C1 ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the 0of-W F (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 --th day of 20 ON-ota Public TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW Ye.r4k NO.01 D W6306900 PROPERTY OWNER AUTHORIZATION QUALIFIED IN SUFFOLK COUNTY (Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,20a.Z 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 Glenn Goldsmith,President ,p`��,oF S0 Town Hall Annex V� ® A.Nicholas Krupski,Vice President �O l® 54375 Route 25P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G g Telephone(631)765-1892 Elizabeth Peeples ® �� Fax(631) 765-6641 ouff 1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10102A Date of Receipt of Application: April 4, 2022 Applicant: Tor$ Joan Torkelsen SCTM#: 1000-70-4-4 Project Location: 3675 Wells Avenue, Southold Date of Resolution/issuance: April 13, 2022 Date of Expiration: April 13, 2024 Reviewed by: Liz Gillooly, Trustee Project Description: As-built 14'2"x18'5" deck with 4' wide steps and three (3) treads, located at rear of house. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by Peconic Surveyors, P.C., received on April 4, 2022, and stamped approved on April 13, 2022. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President ®F S ®(/jy Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric SepenoskiE Southold, New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 CouV,��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ® E W7 I CERTIFICATE OF COMPLIANCE APR 5.2022BUILDING L)t,, f' TOWN OF SOUTH6LO # 1911 C Date: April 13, 2022 THIS CERTIFIES that the existing 14'2"x18'5" deck with 4' wide steps and three (3) treads, located at rear of house. At 3675 Wells Avenue, Southold Suffolk County Tax Map #70-4-4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 4, 2022 pursuant to which Trustees Administrative Permit#10102A Dated April 13, 2022,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing 14'2"x18'5" deck with 4' wide steps and three (3) treads, located at rear of house. The certificate is issued to Tor & Joan Torkelsen owner of - • :the afor aid property. Authorized Signature BUILDING DEPARTMENT- Electrical Inspector O� COGy:'c TOWN OF SOUTHOLD C = Town Hall Annex- 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 y p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr p(Dsoutholdtownny.gov - seand(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: -J Company Name: CIsT rr t7b /A/6 Electrician's Name: 14. ,jj 7(fr- License No.: y� ��8..��t Elec. email: to ee"-� Elec. Phone No: a ,�(� �y ❑I request an email copy of Certifi65tud of Compliance Elec. Address.: C-Aae3 W i,c,9 A,610/ I JOB SITE INFORMATION (All Information Required) Name: k w Address: C06--v-2- 006' 56ez ZA55e E Cross Street: 0 Ale G tv ,) Phone No.: 51,( - Bldg.Permit#: H-7(,,17 email: Tax,Map District: 1000 Section: --70 Block: a c/ Lot: v BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: EfYES ❑ NO ❑Rough In final Do you need a Temp Certificate?: ❑ YES [JNO Issued On Temp Information: (All information required) Service Size❑1 PhF-]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[:]Underground❑Overhead # Underground Laterals 1 F12 H Frame n Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches I' 11 11 Outlets W 1 G F I's I Surface Sconces V H H's UC Lts {/ Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer ACAH Mini Special: G _ Comments. N "'SU RVEY,,,:OF PROPERTY A T` 'S0UTHOLD TOWN OF SOUTHOLD SUFFOLK COUNT Y, X Y. i e� 1000-70-04-04 ' SCALE: 1'30' MARCH .10, 2009 DECEMBER 6, 2021 (DECKS LOCA TED) p"E FEB 2 8 2022 f N7302p p °',� LOT 5 O BUILDING DEPT m O TOWN OF SOUTHOLD c IO 3' LOT 3 TZ 0E z P . a; 33a' sHs� A fc ,x a FZe. NpUSE �3. I - ECKs Y!� 321 # ►JPO SpS W' 1e4 N O cfl N • N O c \ N IMPOST 0/1- gIN �' 3 n0) N MIS 0UIXH 4 ONOeuu�H71D5, N V. 98. r- e � OE�NE N .01116"W 1 1 577 16 W M.N.W. ONG OUL00 CERTIFIED TO: ' TOR TORKEL SEN JOAN TORKELSEN AMERISA VE MORTGAGE CORPORA 77ON FIDELITY NA77ONAL 777LE INSURANCE COMPANY Cg K LOT NUMBERS REFER TO "PLAN OF LOTS OWNED BYJOCKEY �� NEW � GEORGE H. WELLS, FILED NOVEMBER 28, 1927 - P �'Amfe 9� IN THE SUFFOLK COUNTY CLERK'S OFFICE AS MAP NO. 859. uNo AREA=20,801 'S0. FT. Tom LINES i N.YS. LIC, NO. 49618 ANY ALTERA77ON OR ADDITION TO THIS SURVEY IS A WOLA77ON N.Y.S LIC. NO. 051132-0f OF SECTION 7209OF THE NEW YORK STATE EDUCA77ON LAW. PECONIC SOPWYORS, P.C. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER70CA7IONS (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909SAID MAP OR COPIES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR 12JO 7RAVELER STREET WHOSE SIGNATURE APPt RS HEREON =MONUMENT SOUTHOLD, N.Y. 11971 0�7n -110 I ��I i A , �o70 O , YPPIVEDAS 14 DAT �B.P.# I _.___ .. (/�t• fFEE: J BY: May ,.� =1 ccd. NOTIFY BUILDING DE PARTN'ENT AT - � r 765-1802 8 AM TO 4 PP,4 FOR TrfE t'Ire r"^pGrat10Y2 FOLLOWING INSPECTIONS: required av per rn � 1. FOUNDATION - Nd0 REQUIRED � { s Code � FOR POURED CONCRETE r ..>_ •.r '„:14n { u ! 2. ROUGH - FRAMING & PLIJMBIN ^V) / `'"" ' pi 'cqui>r-6. 3. INSULATION L� (` (� s 4. FINAL - CONSTRUCTION MUST Ili BE COMPLETE POI? C.O. ALL CONSTRUCTION SHALL MEET THE rd" I REQUIREMENTS OF THE CODES OF NEW - ��'�°Z -----m------- t ,.,..�. YORK STATE. NOT R s 5—tot? ESPON P I' X516 LE!FCR n gU►�o�50�Tt{ GN r �,��,O� DESI OR CONSTRUCTION ERRORS. �l' •.., ,-. � - � -. / n S COMPLY WITH AL CODES OF � NEW YORK STATE & TOWN COD i S ��EITIONSfFAS REQUIRED AND �O. T I •x,l''R 1 � -mac-- _ -/fir•yy. - ,n , '" • t C'ANN PLANNING BC "ID h.�� L;D'ur IV 6 T4�VN'iP,USTEES LY��I� L � /e ': ✓• & fes" / �'O^'7�i 'rte .e ! 8 - � „� ' " i - --- – —. ._ I4 , Dry i I z � r � lt f �r- ",-•-�::'. - a ' . .. ,... . - � f � ��if� ""' ��> } 14 € 10 /'^-.. '• "- .. ijt[. i `6 ,rp,��¢p 3 "»"?"!^n.._ "-"yYlM-y ..w".a.... _ .•+,...w..... - {L.•. 1 lW; �io'f�l <' k•^ j -CCUPANCY OR USE IS UNLAWFUL � � � �� 0 , WITHOUT CERTIFICATE' g OF OCCUPANCY, -��k -..s� < 71,E PLUMBER CERTIFICATION' f R� s AD CONTENT 8 FOE IIS ON LE CERTIFICATE OF OCCUPANCY f SOLDER USED IN WATER SUPPLY SYSTEM CANNOT t EXCEED 2/10 OF 1% LAD. 4 ----------------------- _V- 7, V ..:. ..- � S ._...-ti..,,.<.. ,....,..m-u. ,.+.n.v ......,...-.,.....w.-.r..c+.,......w_.v.. ,.-..�.._,4v„ww.` y PLUMBING-, 7, ALL PLUMBINTG WAS`E &WATER LINES NEFJ I T 1190 BEFORE COV,"_',R;r�G ELECTRICAL! . INSPECTION REGUIREI� !''' j i ��• QS25�� tli� � , oc ,� L - �•'— - - ) �' SCALE: ».APPROVED BY: DRAWN BY "�'" ,�' . DATE: �• REVISED ' i a I DRAWING NUMBER ... '� NUNYJG/• 't i it i _ z t i j i PourvodA T/60), -------------- 3 jL1 �7 �1 7" P 0 52 a x' I'll _.._.. . .__ t . ` — JOSEPH FISCHETTI, PE PROFESSIONAL ENGINEER 1725 HOBART RD/PO BOX 616 SOUTHOLD, NY 11971 631-765-2954 PD �L t SCALE: � � APPROVED BY: DRAWN BY -- i DATE: -f�d'Z REVISED fat 'f".c�l5lto 7 0(2k6-L4drG- i DRAWING NUMBER 09641 I . 1 I 9 kr jCIO Gli^j co f o ki l. s SSl04� JOS PH FISCHETTI, PE PROFESSIONAL ENGINEER 1725 HOBART RD/ PO BOX 616 SOUTHOLD, NY 11971 631-765-2954 di� SCALE: 1F�T' APPROVED BY: DRAWN BY TA5 s DATE: �► REVISED DRAWING NUMBER 7 J J z . S r w I% Y 3 • �.��;� G-► (�f,�G-��2- 14c� �� 3 P 1 i y 6TH 1.. Tr - �-.tar+�.:r3:•�w�wc+m. ��"""""" - .,,...-,�. ..,,..,r - '-- ... � J� f��^ .. a 1 C1Y� JOSEPH FISCHETTI,'PE' PROFESSIONAL ENGINEER 1725 HOBART RD/PO BOX 616 SOUTHOLD, NY 11971 631-765-2954 e-afZ r96CK OCe atO ? 40M SCALE: �->>� , PROVED BY: J .L DRAWN BY � AP ' /r- DATE: +�� '� REVISED DRAWING NUMBER