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Home My WebLink About47704-Z ��o�OgOFFOIKIpGy� Town of Southold 7/5/2022 o - P.O.Box 1179 o • 53095 Main Rd y�j01 �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43215 Date: 7/5/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 4250 Sound Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 121.-3-5.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/18/2022 pursuant to which Building Permit No. 47704 dated 4/20/2022 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 condititiong system as applied for. The certificate is issued to Cosse, Skaaren&Katia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47704 5/23/2022 PLUMBERS CERTIFICATION DATED A o ize S nature o�SUFEo TOWN OF SOUTHOLD BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE "may • �4? 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#: 47704 Date: 4/20/2022 Permission is hereby granted to: Cosse, Skaaren 4250 Sound Ave Mattituck, NY 11952 To: legalize "as built" AC as applied for. At premises located at: 4250 Sound Ave, Mattituck SCTM #473889 Sec/Block/Lot# 121.-3-5.2 Pursuant to application dated 3/18/2022 and approved by the Building Inspector. To expire on 10/2012023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector OE SOUjyOI h O Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.devlin(aD-town.southold.ny.us Southold,NY 11971-0959 Q OOUNVI BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Skaaren Cosse Address: 4250 Sound Ave city:Mattituck st: NY zip: 11952 Building Permit#: 47704 section: 121 Block: 3 Lot: 5.2 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 X Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic X Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 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 Switches 2 4'LED Exit Fixtures Pump 1 Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " 2-AC'S &AH's Inspector Signature: Date: May 23, 2022 S.Devlin-Cert Electrical Compliance Form .7G y - zsa �O�aOF SOpTyo� -7 s 6✓, V f # TOWN OF SOUTHOLD BUILDING DEPT. 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: T/ ol 4-0 o � . k/ a 0-n /i tl m 1 s�c CellTs DATE ZZ INSPECTOR 50UT�°{o TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [rSLATIOWCAULKING UKIj FRAMING /STRAPPING [ NAL lt#s 8��l [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE l INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) F=. -------------------------------------- FOUNDATION (2ND) fi z 0 1� ROUGH FRAMING& PLUMBING . �p �l r l INSULATION PER N.Y. STATE ENERGY CODE t / FINAL ADDITIONAL COMMENTSZp- / �O m O O x x d b �o��FFntKc TOWN OF SOUTHOLD—BUILDING DEPARTMENT y ,Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.sou-tholdtownny.Rov Date Received APPLICATION FOR BUILDING PE MIT For Office Use Only -- RMAR C E IJ E PERMIT NO. Building Inspector: 1 6 909 DD Applications and forms must be filled out in their entirety:Incomplete BUILDING DEPT. 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:March 14, 2022 OWNER(S)OF PROPERTY: Name:Skaaren COSse SCTM#1000 412I .. o"L Project Address:4250 Sound Ave, Mattituck, NY 11952 Phone#:917-617-0755 Email:skaaren.cosse@gmail.com Mailing Address:110 W 69th St #9A,,New York,_NY 10023 _ Y CONTACT PERSON: Name:Skaaren Cosse Mailing Address:110 W 69th St#9A, New York, NYr 10023 Phone#:917-617-0755 Email:skaaren cosse m DESIGN PROFESSIONAL INFORMATION:. Name:N/A Mailing Address:N/A Phone#:N/A Email:N/A CONTRACTOR INFORMATION: Name:N/A Mailing Address:N/A Phone#:N/A Email:N/A DESCRIPTION OF PROPOSED CONSTRUCTION ❑ , ew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: LJOtherAs built-air conditioning $N/A Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? []Yes RNo 1 PROPERTY INFORMATION Existing use of property fZe3ldGtltlal--- Intended use of property:Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes BNo IF YES, PROVIDE A COPY. B 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. APPLICATIOWIS 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):Skaaren Cosse ❑Authorized Agent BOwner Signature of Applicant: C Date: 3/14/2022 STATE OF NEW YORK) SS: COUNTY OFU lbt S ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the NIA- (Contractor, VIA "(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 -L�day of 06TTJ h 20,D-6-1- AERI CHOI Notary Public Notary Public,State of New York No.01 CH6292922 Qualified in Queens County ERTY OWNERAUTHORIZATION Commission Expires November 12,--_W - ( herethe applicant is not the owner) 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 �4S�fF0(,K;CO BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD o• Town Hall Annex- 54375 Main Road - PO Box 1179 o. Southold, New York 11971-0959 y�j O Telephone 631 765-1802 - FAX 631 765-9502 roger Ka)-southoldtownny.gov - seand(-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 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: Skaaren Cosse I n MAR 1 F 9n99 Address: 4250 Sound Ave, Mattituck, NY 11952 Cross Street: N/A TOWN OF SOUTHOLD Phone No.: 917-617-0755 Bldg.Permit#: N/A --7-?0 Y email:skaaren.cosse@gmail.com Tax Map District: 1000 Section:473889 121 Block: 0003 Lot:005.002 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Electrical inspection for as-built air conditioner Square Footage: Circle All That Apply: Is job ready for inspection?: 0 YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals R 1 2 H Frame Pole Work done on Service? FJY F1N Additional Information: PAYMENT DUE WITH APPLICATION , ,• SUFfot't BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 oti Southold, New York 11971-0959 ti o� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr Asoutholdtownny.gov - seandta'�.southoldtownny.gov �.� APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOE SITE INFORMATION (All Information Required) 1nn� Name: Skaaren Cosse F MAIR 1 r, Address: 4250 Sound Ave, Mattituck, NY 11952 Cross Street: N/A TOWS!OF SOU-1 HOLD Phone No.: 917-617-0755 Bldg.Permit#: N/A x �� ' email:skaaren.cosse@gmail.com Tax Map District: 1000 Section:473889 121 Block: 0003 Lot:005.002 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Electrical inspection for as-built air conditioner Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO F-]Rough In Final Do you need a Temp Certificate?: ❑ YES ❑ NO 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 2 H Frame Pole Work done on Service? Y RN Additional Information: PAYMENT DUE WITH APPLICATION � 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: Comments Josxua R. Wicxs P.L.S. SUS:I/`Y i`�' O- Pf�T Y SURVEYED BY:I.R.W. DRAWN BY:D.T.O. JOB NO.:JRWao- s7 517VAf� GUARANTEED T0: 1.1 Trainor Avenue MhimJ r,f(JIhVpF ItH�Xn Center Moriches,F.Y. 11934 ,vrpov COUP if,I-W YOM FIDELITY NATIONAL TITLE INSURANCE COMPANY JoahnoRBicksagmsil.com MORGAN CvsE�A'u'KTIA cossE -r' ,.:, E831-sos-alae yolk cgnhl.fax!✓f nrnn/vo,:nnnn GRAPHtf 5U'.LE 1000-7211.00-05.00-00 ,002 ° a 'trot 31.e oa t \ 1\ 1 G.ti?E„1:�•='rY✓.?/ice/,kJ2� SOUND AVENUE N 85°56'20" E 280.00' s ax1 FL Q ` 11aa IS.CN _ 1oZA ` l�k _ POLE flSL _ I C l t 9 ac's N 03 S 100 f 1 1 1 \ Q:0 o �I t 'R - 2 STY_ I o OZ� {v ..FR. 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RJ Corazzini Electric LLC Invoice 320 Richmond Lane Date Invoice# Peconic,NY 11958 10/12/2020 1508 Bill To Bill 4250 Sound ave. Description Amount Service Call 10-8-20 230.15T Central AC system Review existing AC equipment for NEC code compliancy installed by others 2-Airhandlers 2-Condensers Supplied and installed fastening straps for flexible conduit for exterior condensers and basement airhandler furnace. Please Note:Central AC system looks code compliant and was done correctly.This system should have an inspection performed by the town as required. Sales Tax 19.85 Thank You. Total $250.00 AAllO1ED AS NOTED DATB.P.# FEE: U _ NOTIFY BUILDING DtPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED ELECTRICAL FOR POURED CONCRETE INSPECTION REQUIRED 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUC70N MUST BE COMPLETE T: 0. ALL CONSTRUCT!;,'•!: S�-:ALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF _ CA PTu�TOVAI _ G BOARD HOLD T OWN RUSTEES OCCUPANCY OR JSE I'S UNLAWFUL ,,NITHOUT CERTIFICA- OF OCCUPANCY �rH. ' 1 SAS! SFE .SPE `�.; �'U17E .5�� It��`�i� }:TE : 77 56, x MODEL GS 1,30241EV $EA'AL.-NG. ' 11,09326. 1 .. 31� PHASE: 1 f HERTZ . ::60 , A-Z VOLTS,- 208 LLT RAl�GE MIN ,197 MAXa. 253.x, r nFU:S AMPS oR CIRCUIT BREAKER .1 E IIItAX MEA:fER ,A 'IRE } TI�I'�1EiDELAY FUSE, aR ACR,-ClRCUIT. BR R UIT AMPS N. GI . , FLA R.65. H.P. FAVIttTt�R 73 l.RA: X37` RLA , OMPRESSW'�. , URE. -= PRESS0 . p : WORKING; Z R :� 41 o A H . 46 R H AAGEb-' LAW r24N IACTS TPSIG --- F - T- TES PREURE = 1N N!N-FAOG gE�ol ss ucN�+` MOWNECT3.A[.l EL ECTR�ICAL.POE ENIENT. ERT + S �' V 11 T TOUT.ENTR "Y U NANT ALAN- LE _6 U, PE TOG GC ON. „ REPARAT1 - � '" TtNC.lA ; VER, , �$$ pry � 1.E, ; 26 AS �-A EUERtCI� D SCaNECTE TD7E 1(�1�ENT0 a 1* ;DE ''MA N OppES nE N fjT4 74 ,�; AN NO. . T�R.g DN OU C Q R MOPP T $�.ITARL a USE 'E�UiPEN �:N:� `IWE r- ERT j,1M, ® 1 i , re aoridi ww MA 00 )t ' t ' + MEN Witan 1 + „ r' err ` OPt r= 1 r} ,(0: �. (` IL r r` r