HomeMy WebLinkAbout47037-Z ��o�og�FFOt�c y Town of Southold 7/21/2022
P.O.Boz 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43277 Date: 7/21/2022
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 415 Southern Cross Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 110.-5-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/12/2021 pursuant to which Building Permit No. 47037 dated 10/26/2021
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"addition and alterations, including bathroom and outdoor shower,to existing single family dwellling as
applied for.
The certificate is issued to Garofalo,John&Thomasine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47037 11/8/2021
PLUMBERS CERTIFICATION DATED 9/15/2021 H Bing& eating
ut ri ed Signature
��o�OS�1F8Cy� Town of Southold 12/7/2021
P.O.Box 1179
$, 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42583 Date: 12/7/2021
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 415 Southern Cross Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 110.-5-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/12/2021 pursuant to which Building Permit No. 47037 dated 10/26/2021
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"addition and alterations, including bathroom and outdoor shower,to existing single family dwellling as
gpplied for.
Garofalo John&Th G�
The certificate is issued to omasme
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47037 11/8/2021
PLUMBERS CERTIFICATION DATED 9/15/2021 nard&Plupbing&Het n
Aut zed nature
�o�SUF Fal TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
C* x TOWN CLERK'S OFFICE
"oy • �� 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#: 47037 Date: 10/26/2021
Permission is hereby granted to:
Garofalo, John
69 Jefferson PI
Massapequa, NY 11758
To: Legalize as-built bathroom alteration and outdoor shower at existing single family
dwelling as applied for.
At premises located at:
415 Southern Cross Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 110.4-30
Pursuant to application dated 10/12/2021 and approved by the Building Inspector.
To expire on 4/27/2023.
Fees:
CO-ALTERATION TO DWELLING $50.00
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $464.00
Total: $514.00
Building Inspector
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.Q.Box 1179
Southold,NY 11971-09591.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: /
.Building Permit No.
Owner:
(Please print)
Plumber:6�' -eC1�� � 1�Z
(�
(Please7 print)
�c L1(, -� 2—7
F certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Alf
(Plumbers Signature)
Sworn to before me this 14)
day of Jc q-, 20 'L
ROBERT F MARKS
NOTARY PUBLIC-STATE OF NEW YORX
No.01 MA6364702
Qualified in SuffoOk C®uuwy
MyCommission Expires®9-v 8-2�lA2A
Notary Public, 5��1L� I� County
# f TOWN OF SOUTHOLD BUILDING DEPT.
�ouxir '' 765-1802
-INSPECTION ..
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND,- [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY ' -[ ] -FIRE SAFETY INSPECTION
[r ] FIRE RESISTANT CONSTRUCTION -- [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: 4,z /""-
i J.A-1- C-9 tri
DATE INSPECTOR �- o �-
�F ?I t'S C iH rE iT`T NOV 1 8 2021-
'N ' i :N , R,,i ;N BUILDING DEPT.
TOWN OF SOUTHOLD
November 15,2021
Building Inspector _
Town of Southold
Main Road
Southold,NY 11971,
Re: 415 Southern Cross Road,Cutchogue
BP#47037
Dear Sir, _
I certify to the best of my knowledge that the plumbing for.the interior bathroom
has been installed in accordance with New York State.Building.Codes.
BOARD CERTIFIED IN- STRUCTURAL ENGINEERING
JGSEPH�Q FlSCHETTl.COM FISCHETTIENSINEERINS.COM - 63 1-76S-2954
1 725 HOBART ROAD SOuT' HO-LD , NEW YORK 1 197 11
Town of Southold
OF SOOTyolo
53095 Main Road
N Y
000NT1 Southold NY 11971
631-765-1939 Investigation and Enforcement Unit
DATE: 11 FEB 2022 y 5 C)
TO: Mr. John Garofalo --Dr
FROM: Arthur P. Bloom, Ordinance Inspector Q �1A1 l+" b q,!Ser n ems$ .
REF: 415 Southern Cross Road SCTM# 1000-110.-5-30
Dear Mr. Garofalo:
It has come to the attention of our office that your house at 415 Southern Cross Road is in violation of
Section 144-8 of the Town Code in that it has been improved with a finished basement space. Checking
the Town records for your property,we do not find any applications to convert the basement to habitable
space, any Building Permits for that conversion, or any Certificate of Occupancy for habitable space in
the basement.
Please contact the Southold Town Building Department within 14 days of your receipt of this letter to
apply for a Building Permit for the"as-built"basement habitable space. Their telephone number is 631-
765-1802. The best time to reach them is in the early morning after 8:00 am. They will explain the
procedure to you.
Please call the Town Attorney's office on 631-765-1939 to confirm receipt of this letter.
FIELD,INSPECTION.REPORT.. 'DATE COMMENTS
FOUNDATION(IST) y
------------------------------------ C
FOUNDATION(2ND)
O
v1
ROUGH FRAMING&
PLUMBING S.�y
1
C�
. s c
to
INSULATION.PER N.Y. H.
STATE ENERGY CODE
FINAL.
-ADDITIONAL COMMENTS
Ar �' Q7.7
b
H.
11
TOWN OF SOUTHOLD-BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959
_ Telephone(631)765-1802 Fax(631)765-9502 nMs:iiwww.soufnoiatownnyl?ov
Date Received
For Office Use Only � � � O
PERMIT NO. Building Inspector:
VE
- - - - OCT 1�2 201
Applications and forms must be filled out in their entirety.Incomplete R
applications-will not be accepted;-Where the Applicant is not the owner,an BUILDING DEPT
Owner's Authorization form(Page 2)shall be completed. - TOWN OF SOUTHOLID
Date: 9//-3/al
OWNER(S)OF PROPERTY:
Name: �d/,n �ae'Pp -� �o F7M#1000- 1 10
Project Address: L//J— ,S o,,A er'A Cr®SS Ad ✓ ✓�+� v e jV v, J 19 3
Phone#: 9/7- 62 6- -7,7 4) 1 Email: ./ o.r'O'gc�lo �® 4o . GO.-X
Mailing Address: 6 fesc.. �L, c�SSc- l�L ' i 1747 $
CONTACT PERSON:
Name: JOAA Gc ry-k-2„lo
Mailing Address: 69 Je"eP.PoA /oL , u SSc� j4y. 11 7.rd'
Phone#: 917- 4126- 75-0? I Email: S'
DESIGN PROFESSIONAL INFORMATION:
Name: 04 ba'14' cicJ1w-
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: I
Name: 1 bu;. . a 11dr�,1
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑ ew Structure ❑Ad itlon ❑Alteration ❑Repair.❑Demolition Estimated Cost of Project:
Qother t'QJ b V"/ bV:1daX5 e e.�r w+-4- -co $
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes ONO
B?u-t—�prv/� S�mc✓e.�
1
PROPERTY INFORMATION
Existing use of property: /j e.S id e.^+, CJ 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 C(No IF YES,PROVIDE A COPY.
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 lass A misdemeanor pursuant to section 210.45 of the Neeiv York State'Penal Law.
Application Submitted By(print name): Z'OAn Gc�,ro_col to ❑Authorized Agent [ Owner
Signature of Applicant: Date: q/j Val
STATE OF NEW YORK)
SS:
COUNTY OF Nc i-cc a )
VDAA c racc. 6 being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Ow A Cr
(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
_day of Se,f' C 6h C C ,20e)
Notaj/oP��luhBf�uSS:
N-bile,'Slate ol`NSW
10.01 SH69 243 i y
ir. Suffolk Counhv
(Where the applicant is not the c§jffjWAmi Expires M&ch 2-6,Z
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
'�"�[Owners Signature ! Date
Print Owner's Name
2
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road -PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrna southoldtownny.gov - sea nd(a.southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: V'z I
Company Name: 04 '6,W- C_11zfCJf"-\.
Name:
License No.: email:
Phone No: I request an email copy of Certificate of Compliance
Address.:
JQB SITE INFORMATION (All Information Required)
Name: Tone Gcvo�c,.lo
Address: L//� ,Sn� ern C_re,ss AL4 Cu}c�o ut. Ivy. 1oj3S�
Cross Street: �' AV-e
Phone No.: 9/7- 6,26- 7S-91
BIdg.Permit#: W-0-0-7 email: J Go�r0-qa,10 S-�iac1. oo.r,
Tax Map District: 1000 Section: //0 Block: S Lot: 30
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
}s bv:l�- �l��ra,a- .�'�, b..:l d�.7. �c�r✓ ®f- b-"Akro6,1.
Check All.That Apply:
Is job ready for inspection?: OYES ❑NO ❑Rough In FIFinal
Do you need a Temp Certificate?: ❑YES [E NO Issued On
Temp Information: (All information required)
Service Size ❑1 Ph M3 Ph Size: A #Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground [:]Overhead
#Underground Laterals F]1 2 H Frame❑Pole Work done on Service? Fly F]N
Additional Information
PAYMENT DUE WITH APPLIPATION
`2
Electrical Inspection Form 2020.xisx � v
PERMIT# Address:
Switches
Outlets
G F I's
Surface.
Sconces
HH's;
UC Lis ;
g .
Fans .:. .... .
Exhaust 'I Oven W/p . .
III .
Smokes DW Mini.
Carbon :._..
micro� . .... .� . '"�'Gerierator;
..
..........-........ ...._.. .. . .- -- .7-77.- — - —.
Com4q..:. ....- op - .-
Cooke Transfer--
AC . AH Hood Service
Amps Have � aJsed
Special:. . _..:_....... .
Comments: .„ .
From: jgarofalo5 jgarofalo5@aol.com
Date: Sep 21, 2021 at 3:51:41 PM
To: Jgarofalo jgarofalo5@aol.com
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