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HomeMy WebLinkAbout47765-Z �'SIlEFO(kcoG �� Town of Southold 6/18/2022 �a P.O.Box 1179 m�+ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43168 Date: 6/18/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 530 Broadwaters Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.-10-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/27/2022 pursuant to which Building Permit No. 47765 dated 5/2/2022 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"air conditioning as applied for. The certificate is issued to Milner,Michael&Angela Tese of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47&65 6/ 3/2022 PLUMBERS CERTIFICATION DATED Auth ri ed ignature �o�sufat Ir TOWN OF SOUTHOLD �y BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy . o-w SOUTHOLD, NY of * �.I 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#: 47765 Date: 5/2/2022 Permission is hereby granted to: Milner, Michael PO BOX 99 Cutchogue, NY 11935 To: legalize "as built" AC as applied for. At premises located at: 530 Broadwaters Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 104.-10-4 Pursuant to application dated 3/27/2022 and approved by the Building Inspector. To expire on 11/1/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Bui ing Inspector pf SO(/jyQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviinO-town.southold.ny.us Southold,NY 11971-0959 �QIyCOUA�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Michael Milner Address: 530 Broadwaters Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 47765 Section: 104 Block: 10 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 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 2 Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect 2 Switches 2 4'LED Exit Fixtures Pump Other Equipment: One Mini Split w/one Blower Head and one AC w/AH Notes: " AS BUILT NO VISUAL DEFECTS " TWO AC's Inspector Signature: Date: June 13, 2022 S.Devlin-Cert Electrical Compliance Form # * TOWN OF SOUTHOLD BUILDING DEPT. `ycourm��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] 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 [ ] RENTAL REMARKS: /�-S `�/�S +w o DATE f Z Z INSPECTOR OF SOUTb — 1 * # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: �Ov l DATE INSPECT0 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------------------------------------ FOUND ATION (2ND) V1 0 0 H ROUGH FRAMING& PLUMBING o 1 � O r INSULATION PER N.Y. STATE ENERGY CODE Fo 1 -- FINAL ADDITIONAL COMMENTS �m 1 � � y WO z AGS x d b H TOWN OF SOUTHOLD-BUILDING DEPARTMENT cl 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 I I n �n r `` E rp PERMIT NO. �� Building Inspector:'--' k JV MAR 2 ? `2022 Applications and forms must be filled out in their entirety.]ncom plete BUILDING ur_i-P'i. applications will not be accepted,;W6ere the Applicant is riot;th'e'owner,an TOWN OFSOUTHnLD Owner's Authorization'form(Page 2)shall.be completed; Date:.. - a _ a OWNER(S)'OF PROPERTY- , ' Name: G �' �Al SCTM#1000- o Project Add ss: Phone#: Email: ' 3► - - sf _ Mailing Address: \ CONTACT PERSON:. Name: t ° - 06 (0 t.=r . Mailing Address: 3-GS o / _:► ggy Phone#: � � )Lf. °1�, - Email: /„/ ,�/'`n1-4t6¢10 aJ. CO L, DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: - Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION , ❑New Structure ❑Addition ❑AI ration ❑Re air ❑Demolition Estimated Cost of Project: 26ther r,a / $ CD Will the lot be re-graded? ❑Yes El 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? Dyes ❑No 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 name': J /' Authorized Agent El Owner Signature of Applicant: Date: 2—,31 STATE OF NEW YORK) COUNTY OF 5 I ) KCyr- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the (Contractr,Agent, orporate Officer, etc.) of said owner or owners, and is duly authorized t or have performedryhe 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 day of Tnr—r , 200 - Ch otaryy Public TRACEY L. D ER NOTARY PUBLIC,STATE OF fvt d YORK NO.01 DW ,”.-,�an0 PROPERTY OWNER AUTHORIZATIONQUALIFIED IN:sir-P-'OLK COUNTY MNMISSION EXPIRES JUNE 30,2.1 (Where the applicant is not the owner) //�� i � nn a , P I, A e.l� I _ (� residing at l.p)� f nS u\, 11� do hereby authorize^ A1 nc7 jC)�5 to apply on my behalf to the Town of Southold Building Department for approval as described /herein. 0/y') Ow er's Signature Date Anu -1 C", P ' t Owner's Name 2 p¢ I Town Hall Annex 1 Telephone 6 54375 Main Ro \v� 1rt'' P i 3 )765-1802 1v? cls �ax 1631)765- 5Q2, P.O.Box IL79` Qj G ®: roaer.richert(C7JIOWn.SOl1t�01tl nV u Southold,NY 119, �® - BUIMING DEIDARTWIENT TOWN OIF SO1UTHOLD APPLICATION FOR ELECTRICAL INSPECTION ' REQUlESTE® BY: Y-O C' e' , Date: -- `� Jo@L6 Company Name: VVI , Name: License No.: Address: Phone No.: �3/ �7G-T e "� 39 JOBSITE INFORMATION: (Indicates required information) *Name:- � 1 �- *Address: c� J©�� f'-T P'S ('0vr— LL"i c.ko k3 =Cross Street: *Phone No-: Permit No.: 4 -2(vim i. Tax-Map District: 1000 Section:` Block: ( Lot: 1 ` *BRIEF DESCRIPTION OF WORK(Please Print Clearly), i V� - �a. 1��� - �-��`����, —� �,q�3 7z L yam.., I 00 kis (Please Circle All That Apply) *Js Job ready for inspection: YE NO. bough In .Final I *Do-you need a Temp Certificate: YES l NO Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other I . *New Service: Re-connect Underground Number of Meters Change of Service Overhead � Additional Information: . PAYMENT DUE WITH APPLICATION t HAVE vE T d SCE T 1%'9J .82=Request for Inspection Form 440 /��L� PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini Special: I Comments S.C.T.M. NO. DISTRICT: 1000 SECTION: 104 BLOCK: 10 LOT(S):4 0 J BROADWATER. COVE TIE LINE S 74 30'05"E 70.60' SHORE(,NE — — INTERTIDAL MARSH O M OTHERWISE PROTECTED ft --MHW AREA BOUNDARY �3 NOV. 16. 1991 /U . •�1,N� DECK ZONE AE(EL 7) PIPETIDAL WETLANO -DUR6rfl2)A a DELINIATED BY EN-CONSULTANTS VIAS �� 1&00" AUG. s. 2021 'boo�`� 0 ZONE AE(EL 7) / O pP� B LOT 186 LOT 185 f/p 1 LOT 184 ZONE X \ / 0.2% CHANCE ANNUAL FLOOD Rp 12.5:. CONC. 2ND FIR / NECK 15.3' / 335:.}'r:':::'{:: .... .:: ::::.::.... .. .. ZONE X '•::.2 SIY FRAME`.;'iii::. 4•T CONC./ 16. OWELLING :::.. 2ND FLP / PAR0 X530.:%:.::"' 0 �0 6RCD�::20.4':::•: �:'.1.0 n 2ND FLR 8 i Z OVERHVI 3 Au 0 N U.P. R) a �+ W I m ,�,yD• ��\ Ln13 � '= 3 0 z m mp rico ELECTRICAL INSPECTION REQUIRED APPR VED AS NOTED ! DATE: s o` B.P.# �S COMPLY WITH ALL CODES OF FEE: BY. NEW YORK STATE & TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS REQUIRED AND CONDITIONS OF 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: gLWI - 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE a MTP9NN1'NG BOARD 2. ROUGH - FRAMING & PLUMBING HQLu TOWN , USTEES 3. INSULATION ---__ 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL ION SHALL MEET THE REQUIREMENTS TO THE CODES OF NEW OCCUPANCY OR YORK STATE. NOT RESPONSIBLE FOR USE IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. VNITHOUT CERTIFICA^ OF OCCUPANCY