HomeMy WebLinkAbout47781-Z moo�FfQ1i�a Town of Southold 7/17/2022
a P.O.Box 1179
o _ } 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43258 Date: 7/17/2022
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 720 Oak St, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 136.-1-40
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/16/2022 pursuant to which Building Permit No. 47781 dated 5/4/2022
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"alterations, including enclosed porch altered to living space to existing single family dwelling as applied for
The certificate is issued to Wallace,Daniel&Gayle
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47781 6/21/2022
PLUMBERS CERTIFICATION DATED
A h riz d Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
z TOWN CLERK'S OFFICE
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#: 47781 Date: 5/4/2022
Permission is hereby granted to:
Wallace, Daniel
PO BOX 1062
Cutchogue, NY 11935
To: Legalize as-built header installation and enclosed porch to living space at existing
single family dwelling as applied for. Additional certification may be required.
At premises located at:
720 Oak St
SCTM #473889
Sec/Block/Lot# 136.-1-40
Pursuant to application dated 3/16/2022 and approved by the Building Inspector.
To expire on 11/3/2023. -
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $489.60
CO-ALTERATION TO DWELLING $50.00
Total: $539.60
Building Inspector
OF SO(/l�ol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 �ly� � �� sean.devlinitown.southold.ny.us
COUNTI,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Daniel Wallace
Address: 720 Oak St city:Cutchogue st: NY zip: 11935
Building Permit#: 477$1 section: 136 Block: 1 Lot: 40
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 X
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition X Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 19 Ceiling Fixtures 10 Bath Exhaust Fan 1
Service 3 ph Hot Water 30A GFCI Recpt 3 Wall Fixtures 6 Smoke Detectors
Main Panel 200A A/C Condenser 2 Single Recpt Recessed Fixtures 19 CO2 Detectors
Sub Panel A/C Blower 2 Range Recpt 50A Ceiling Fan 4 Combo Smoke/CO 5
Transformer UC Lights Dryer Recpt 30A Emergency Fixture Time Clocks
Disconnect Switches 16 4'LED Exit Fixtures Pump
Other Equipment: Fridge, DW, W/D, Stove, 200A Panel 30 Circuit/ 25 Used
Notes: " AS BUILT NO VISUAL DEFECTS " WHOLE HOUSE RENOVATION
Inspector Signature: Date: June 21, 2022
S.Devlin-Cert Electrical Compliance Form
OF SOUTHp�
# TOWN OF SOUTHOLD BUILDING DEPT.
�ycou631-765-1802
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:
I z erg bi a
c-GCKU
DATE INSPECTOR
o��OF 50UTyOl 'L4 -7 7t-5/ 7 Z o oLk- 's
# # TOWN OF SOUTHOLD BUILDING DEPT.
courm��' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) �[�QJ ELECTRICAL (FINAL)
[ ] CODE VIOLATION /[ ] PRE C/O [ ] RENTAL
REMARKS:
DATE -&/v /?_,,2_4NSPECTOR `�
laF SOUTh°�
* * TOWN OF SOUTHOLD BUILDING DEPT.
clourm, ' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND KSULATIOWCAULKING
[ ] 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:
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
�y
--------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING S
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INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENT
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o�sUfFO[��OG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
pyo` Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtommU. v
Date Received
APPLICATION FOR BUILDING PERMIT
vff For Office Use Only
PERMIT NO. 4-7� O ` Building Inspector:
ector: /Ll D IIIUJ 11U!/
MAR 1 6 2pq
""2w"
lications and forms must be failed out in`their`enti�ety:Incomplete`;:. .'
applications_willjhot be accepted...Where the Applicant is not the owner,'an BUILDING DEPT.
TOWN OF SOUTHOLD
—n er'sAuthorization-form-(Page.2)shall`be completed.
Date:2/28/2022
OWNER(S),OF PROPERTY
Name:GAYLE B. WALLACE AND DANIEL F. WALLACE SCTM#1000-136-1-4®
Physical Address:720 OAK STREET,,-CUTCHOGUE NY _
Phone#:516-313-3788 Email:TANKMAN746@AOL.COM
Mailing Address:SAME AS ABOVE
CONTACTPERSON
Name:EILEEN WINGATE
Mailing Address:2805 WEST MILL RD. _
Phone#:516-818-9754 Email:EILEEN@QUIETMANSTUDIO.COM'
DESIGN.PROFESSIONAC INFORMATION:
Name:CONDON ENGINEERING
Mailing Address:1755 SIGSBEERD. MATTITUCK NY
Phone,#:.631-734-7250 @OPTON_LINE.NET
_ _ Email:CONDONENG
fiPNTRACTOR.INFORMATIONc
Name:TBD
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED.CONSTRUCTION=
❑New Structure BAddition RAlteration ❑Repair El Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes W No Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTY INFORMATION'l
Existing use of property: LHOME Intended use of property:SH
SINGLE�FAMIY SINGLE FAMILY.,_.. �.r.A_.:.. �.,r.__.....-.._: ... _.._u . . __ .
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 fBox After Reading :.The owner/contracior/design;professional is responsible for all drainage and storm water issues,as:pro�nded by,
Chapter.236 of the Town Code APPLICATION 15,HEREBY MADE to the'Buildingpepartment for the,issuance of a Building Permit pursuant to the Building Zone fr
Ordinance of.the Town of Southold,Suffolk;,Codnty,New York and other applicable Laws Ordinances or,Regulations;fnr the rnnstnicfion of fiuildmgs
additions,alterations or for ri movai'or demolrtuin,a's herein described.The;applicant agrees to comply with all appiicable.laws,ordinances;building code,
housing code_and regdlations and to admk authorized inapectors`on premises and in building(s).for necessary ins pecpons.False statements made herein are
punishable as a Class A misdemeanor pursuantto'Secthon,210.45 of the New York State,PenaI Law:
Application Submitted By(print name): ❑Authori��r P zed Agent Owner
Signature of Applicant: w. �� Date:
STATE OF NEW YORK)
COUNTY OF J
('o q I ,& � b
l., eing duly sworn,deposes and says that(s)he Is the applicant
(Name of indivldual signing contract)above named,
(S)he is the_(0 (,QA94.
(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 20_221
Notary Publiu u;4rpj1AQl`
PROPERTY OWNER AUTHORIZATION AIA� Lt �
(Where the applicant is not the owner)
Camnr
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
o�oS�FFat,��oE `WUIJD EPARTIVIENT- Electrical Inspector
TOWN OF SOUTHOLD
C "n JUN �rawx�2all x - 54375 Main Road - PO Box 1179
BUILDING DEPT. South22
old, New York 11971-0959
�'1.jj�l �ao� TOWN OFBne (631) 765-1802 - FAX (631) 765-9502
rogerr(aD-southoldtownny.gov - seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: ja--e, Z�
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: C
Address:
Cross Street:
Phone No.: ° S7 W
Bldg.Permit#: l-�"�'1�� email: CPU
Tax Map District: 1000 Section: 116P Block: Lot: -fo
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
P
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑ NO ❑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#
r-1 New Service[]Fire Reconnect[-]Flood Reconnect[]Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 R2 H Frame 0 Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
BUILDING DEPARTMENT- Electrical Inspector
�® Gy TOWN OF SO L
Town Hall Annex- 54375 M �PC 3bxlq/17�
Southold, New Yo 1 7107 59
Telephone (631) 765-1802 (ij 1 46�5t�0i9,02
V.
ro err so6tholdtownn ov - seand nw.L
OFSOUTHOLD
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)
.j
Name: C
Address:
Cross Street:
Phone No.: ' •
Bldg.Permit#: email: cmu
Tax Map District: 1000., Section: ( (,Q Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
P P
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 LateralsF-1 2 R H Frame 0 Pole Work done on Service? D Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
h� W+ IlN�1�l' I(U
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� I 1 s,sem
40 lei
qe7rt ar) Condon Engineering
1755 Sigsbee Road
Mattituck, NY 11952
OccugiiAPPROVED.AS NO' . P.
- �
APPLICATION FOR HEADER INSTALLATION OR12
B.p.
USE IS U11\1LAWFUL DATE: &0
FEE BY:CERTIFICATE NOTIFY BUILDING DEPARTM�NT AT
765-1802 8 AM TO 4 PM FOfI'THE
OF OCCUPANCY FOLLOWING INSPECTIONS:
REQU
1. FOUNDATION - T0 REDkEVISIONS:
rREI
FOR POURED CONCRETE
ROUGH
FRAMING & PLUMBING-
L
.3. INSULATION
t 4. FINAL - CONSTRUCTION MI JST
BE COMPLETE FOR C.O. It
ALL CONSTRUCTION SHALL
THE
REQUIREMENTS OF THI N
E
Neim
E
DESIGN OR CONSTRUCTION ERRORS.
F
COfAIPLY Wil
NEW YORK SI-AT & TOWN CEDES
AS REQUIRED AND CONDITIONS OF
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Date: 3/10/2022
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