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HomeMy WebLinkAbout44422-Z �o�OS�FFQx�p_ Town of Southold 7/12/2022 P.O.Box 1179 53095 Main Rd oy�ol �o�# Southold,New York 11971 . CERTIFICATE OF OCCUPANCY No: 43240 Date: 7/12/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 4900 Depot Ln, Cutchogue SCTM#: 473889 Sec/Block/Lot: 96.-2-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/7/2019 pursuant to which Building Permit No. 44422 dated 11/18/2019 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"alterations to an existing single family dwelling as applied for. The certificate is issued to Straubing,Rebbie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44422 7/12/2022 PLUMBERS CERTIFICATION DATED 6/30/2022 RFk Wils g utl z d Signature ' TOWN OF SOUTHOLD BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (Th IS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44422 Date: 11/18/2019 Permission is hereby granted to: Straubing, Rebble 219 Beebe Rd Mineola, NY 11501 To: legalize "as built" alterations to an existing single family dwelling as applied for. At premises located at: 4900 Depot Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 96.-2-2 Pursuant to application dated 11/7/2019. and approved by the Building Inspector. To expire on 5/19/2021. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 o a : $450.00 1- Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00: 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. t � a New Construction: Old or Pre-existing Building: V (check one) Location of Property!-_ - �_1 J)ERO 1_ Lp�I 7 ��-j�I,t� House Na: StreetHamlet Owner or Owners of Property:.,_ jk6 d 1(- Suffolk County Tax Map No 1000, Section 0.O Block a cC)V Lot 6©�L ; L-.z Subdivision. hh nn _Filed Map.., Lot: .. _ Permit No.,,_ _ �olo __ _.Date of Permit. - Applicant:. Health Dept.Approval: _ Underwriters Approval: Planning Board Approval: . . Request for: Temporary ryCertificate Final Certificate: tZ tA�lican eck 01 Fee Submitted: Signature pF SOUryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviina-town.southold.ny.us Southold,NY 11971-0959 O�yCQU19l BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Rebbie Straubing Address: 4900 Depot Ln city:Cutchogue st: NY zip: 11935 Building Permit#: 44422 Section: 96 Block: 2 Lot: 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 Basement Service X Commerical Outdoor 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 1 Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt 30A Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures 11 Pump Other Equipment: 200A Panel 42 Circuit/ 30 Used Notes: " AS BUILT NO VISUAL DEFECTS " Laundry Room and Service Only Inspector Signature: Date: July 12, 2022 S.Devlin-Cert Electrical Compliance Form L • 4 Town Hall Annex Telephone(631)765-1802 54373 Maia Road " Fax(631)765-9502 F.O.Box 1179 ' Southold,NY 11971=0959 to, � B. DING'DEPARTMENT TOWN OF.SOUTHOLD DD BUILDING DEPT. C E R T I F T C•A TT O:N TOWN OF SOUTHOLD Date: Building Permit No, LT ` Owner. RfB� rE 57" Rel N� (Please:printJ. . --......__ .. (Please print) I certify that:the.solder used ill:levater:supply system contains Iess:thaw-2/1 Q:oi 1%: lead: :. (Flumbe�re) - Sworn to beforeme-this day of 3 2Q d CHELSEA L. CHALONE , Notary Public, State of New York Registration#01CH6287106 Qualified In Suffolk County Commission Expires Aug. 5,29 2 Notary.Public, J 4�x Caunt�+: 'laaf so —I -ti L4 Z Z, letV o Degoo-;�- '-TOWN OF SOUTHOLD BUILDING DE . co 765-1802 1-N.SP=ECT I O N [ ] 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 �` Ak, REMARKS: mys-r ct r-! PRA rgzg r- 'INA-S'�f e o v n Al ti��V� DATE :Z INSPECTOR ' f f Bunch, Connie q From: Greenrows <greenrows@gmail.com> Sent: Tuesday, July OS, 2022 6:02 PM To: Bunch, Connie Subject: Re: SOUTHOLD CERTIFICATE Hi Connie, Here is a picture of the GFI outlet for the laundry room. Please confirm that you received this and I look forward to getting the permit. Thanks for all your help, Rebbie y + Sent from my Whone On Jul 1, 2022, at 12:42 PM, Bunch, Connie <Connie.Bunch@town.southold.ny.us> wrote: Received. 1 a FIELD INSPECTION REPORT -DATE COMMENTS ,b Cr! FOUNDATION (IST) Yy --------------------------------- • �C FOUNDATION (2ND) z O � H ROUGH FRAMING& PLUMBING l INSULATION PER N. Y. � y STATE ENERGY CODE FINAL, 41 ADDITIONAL COMMENTS . Ll Z m to ' o z C ' t� f f TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval' FAX:(631)765-9502 -Survey _ Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees - C.O.Application Flood Permit Examined 120 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved 20- Mail to:_ Disapproved a/c Phone: Expimtion 20= t Building Inspector , f APPLICATION FOR BUILDING PERMIT NOV — 7 2019 Date L� ,20 A INSTRUCTIONS —,:�.:.—a:Th'i"s'app1ication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 r sets;of,plans,_accurate-plotplan to scale.Fee according to schedule. b.Plot plan Sliowmg location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c. reiy__-app tca ion m of-be-ee H nenced hPfnr -I c,ance n£B errntt d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e:Nor-buildmgshall-be-eeeupied-or-usecLin-whole=orLn-naLt-for anv urpose w a st eeveruntil-the-BuildingJnspector —issu_es,a-_Certificate=uf-Occupancy.— f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. 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,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing c r regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signatu a of applicant or najaCif a corpora ion) (Mailing address of applicant) elo State whether applicant is er,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder ©t.1 Name of owner of premises (3 (As on the tax roll or latest deed) If applicant is a corporation,gignature of duly authorized officer (Name and title of torporate officer) Builders License No. Plumbers License No. Electricians License No. 3 6 3 C Other Trade's License No, 1. Location of land on which propowd work will be done: y 8q J)e Oor 1-60(7- cj,-rC ctoG-�t C House Number Street Hamlet County Tax Map No. 1000 Section ����� Block OA.06 Lot t30.1, 000 Subdivision Filed Map No. _ _ Lot ._ 2. State existing use and occupancy of premises and intended use and occupancy off proposed construction: a. Existing use and occupancy 1Z� V R l>5� (�L b. Intended use and,.occupancy Sth M G 3. Nature of work(check which applicable):New Building_ Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost (Description),Fee (To be paid on filing this application 5. If dwelling,number of dwelling units SSE A r of dwelling units on each floor �rG � C' �� If garage, number of cars d VE: 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. Peri dY'4 `r 7. Dimensions of existing structures,if any:Front . K� ��� _�, _--BAepth-- 65& Height Number of Stories ; Dimensions of same structure with alterations or additions: Front Depth Height ,L .�Number of Stories 8. Dimensions of entire new construction:Front Depth Height . Number of Stones 9. Size of lot:Front Rear C Depth 10.Date of Purchase i I to �l"l Name of Former Ownernn ((�� - 11.Zone or use district in which premises are situated i I Cc�yY( 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO V 13.Will lot be re-graded?YES_NOsZWill excess fill be removed from premises?YES NO ✓ yAbr-e,(O-,I ct 50 i 14.Names of Owner of premises_le6 a tc 5&44t O(dilress %9 oubePhone No. _�0—`17 6 `{ OC Name of Architect Address Phone No Name of Contractor Address Phone No, 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO—­Lef!!�� *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. K1569- 6£e ATr?�CA�p tiMM)( P07" Dom' 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. P( 18.Are there any covenants and restrictions with respect to this property?*YES NO. *IF YES,PROVIDE A COPY. STATE OF NEW YORK) S&OCOUNTY OF �C— 1 ' �PM 9` 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 th' applid �jon; that all statements contained in this application are true to the best of his knowledge and belief;and t the work ill be y performed in the manner set forth in the application filed therewith. 4y Q�d y�'b��L/N o a�' O c, 4� Sworn to before me th'day of s 0 ��fs��F Ys6��'6fH -1A�rJBG�9D F� �•r Cb "Ir G Nota ub is Signature of Applicant �y BUILDING DEPARTMENT-Electrical Inspector �`'�� �®l�►', TOWN OF SOUTHOLD F x.' Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 � " p Telephone (631) 765-1802 - FAX (631) 765-9502 y '=•ad. , " 'Y ro err southoldtownn" . ov_— seand southoldto o APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: Company Name: �s wt 5 L ) Name: , ev\ License No.: 3 1_— email: Address: ck-,iMN � t Phone No.: 631 — JOB SITE INFORMATION (All Information Required) Name: 'j ►� J1 2u�`��M1T� Address: CD is LC-N-e-- �1r-o 1 ��1 �3 Cross Street: Phone No.: L/Y9 17 Bldg.Permit#: email: 7 Tax Map.District: 1000 Section: 6G c� Block: Lot: 06 Z (�a BRIEF DESCRIPTION OF WORK (Please Print Clearly) ry�s7 � Oust, i-ed '-r-cl Circle All That Apply: Jmvl"e Is job ready for inspection?: YES N Rough In i Fina 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# BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 o + Southold, New York 11971-0959 �O� ti Telephone (631) 765-1802 - FAX (631) 765-9502 • 1 ' axro err sou oldtownn . ov — seand&southoldto V.QOV. APPLICATION FOR ELECTRICAL INSPECTIONv7 . ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: �S c wt Name: , V License No.: L email: { Address: a,wcN JA '*�i Phone No.: 631 -- [t JOB SITE INFORMATION (All Information Required) Name: Address: CTD Cross Street: TV\ Phone No.: �` --y c7 Bldg.Permit#: email: Tax Map District: 1000 Section: eG c7D Block: pa, E-3t�11 Lot: poz N3h ) BRIEF DESCRIPTION OF WORK (Please Print Clearly) _tri 7a�t 6u'f�� `rte Circle All That Apply: swvtce Is job ready for inspection?: YES N Rough In Fina V/JnDoyou need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# PERMIT# Address: Switches Outlets G FI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Cf Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini Special: sztAACX� Comments: If-wwnsi� )�9C 11/1/19 Dear Sue, We've spoken numerous times on the phone and you were kind enough to send me this form to fill out. I hope I did it all correctly. It's a little confusing because the work is already done and there was no major construction so I did my best to answer the questions that pertain to the windows and laundry room. Enclosed please find: 1. Copy of inspection notes and my responses 2. Window proposal for newer windows with dimensions 3. Plumbing riser diagram from Mattituck Plumbing 4. Notarized Application for Building Permit 5. Application for Electrical Inspection 6. Revised upstairs floorpan with washing machine and dryer drawn in 7. Copy of Property record card for your convenience if you need that info Please let me know my total in fees. ThaFeUin Re 516 greenrows@amaii.com Property: 4900 Depot Lane Cutchogue Mailing Address: 219 Beebe Road Mineola, NY 11501 4 1x i it NOV - 7 2019 Llclao . r� Unr�Qv .c. dao APPROVE-1, DATE:. 1� �. Ss-6-7 t`M'F � - EEE: Q `'.., `�`' PITT NOTA BUILD ivu i„`N . 765-1802 8 AM i 0 Ftp't THE BEFo N,� P�P �g�y�sGov�R1�G FOLLOWING INSnE',gIOP;E f E 1. FOUNDATION - -iUJO Rc.QJ�PCD -GO �SG�P�ER ��s NG�EFo� FOR POURED CONCRETE �1� c�P��O 11J`�P �p� 2. ROUGH - FRAi'vI11� & PLUMBING ��1� 1 Ep PN 3. INSULATION l)S SEM C' ��Pp. 4. FINAL - CONSTRUCTION MUST r O pF 1� 1�®tl� 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF.NEW C6fl ���`ed- rSTATE. NOT RESPONSIBLE FOR �ege� X.-U.Jb— DESIGN OR CONSTRUCTION ERRORS. �, � loo! ..�_�..__. ._...... ._._....__..... .._�.... __....._._......w ...._ 1•• OCCUPANCY OR COMPLY WITH ALL CODES OF USE IS UNLAWFUL NEW YORK STATE & TOWN CODES AS REQUIRED OF WITHOUT CERTIFICATE _SOU z A - „ OF OCCUPANCY S =NNING BOARD SOUTHSTEES N.Y. C 5{ 'FO U�14 L 0 333 HALLOCK OCK ANE PORT IMERSON STATION NX 11776 631-996-3391 FROPOSAL Date:5/28/2019 PHONE:516-476-4406 S NG CCBd iG � 4900 DEPOT LA, CUTCHOGUE NY WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR THE FOLLOWING: SUPPLY AND INSTALL: WHITE SILVERLINE VINYL REPLACEMENT WINDOWS WITH 6/1 INTERNAL GRIDS AND HALF SCREENS. REPLACE EXTERIOR ROTTED 5/4X6 FLAT CASING AND CAP IN WHITE ALUMINUM (2) 301/4X 493/4 $450.00 EACH $900.00 (1) 24 X 46 $225.00 LABOR AND MATERIALS TO REPLACE CASING AND CAP $295.00 EACH $885.00 WE PROPOSE TO FURNISH MATERIAL AND LABOR— COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE SUM OF: $1995.00 NO TAX ,AUTHORIZED SIGNATURE: ROBERT W VOLK (631)- 996-3391 Fax (631)-996-5391 ACCEPTANCE OF PROPOSAL: THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCCEPTED TO DO WORK AS SPECIFIED PAYMENT WILL BE MADE AS OUTL OV u I NATURE: r, c t 'ti a .aw ,+Tw.r�W-v,l!h+�•P'rw"+ww...wF'wn+m.�.. 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