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HomeMy WebLinkAbout47890-Z o�OS�FF�t o Town of Southold 8/4/2022 y� P.O.Box 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43313 Date: 8/4/2022 THIS CERTIFIES that the building HVAC Location of Property: 1825 Brigantine Dr, Southold SCTM#: 473889 Sec/Block/Lot: 79.4-60 Subdivision: Filed Map No. Lot No. conforms substantially to the Application.for Building Permit heretofore filed in this office dated 4/27/2022 pursuant to which Building Permit No. 47890 dated 6/2/2022 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"HVAC as applied for. The certificate is issued to Meyers,Stefanie&Sordillo,Trista of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47890 7/22/2022 PLUMBERS CERTIFICATION DATED A o zed i nature ��0 $11FP�Ql�oTOWN OF SOUTHOLD BUILDING DEPARTMENT CA a 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#: 47890 Date: 6/2/2022 Permission is hereby granted to: Meyers, Stefanie 1825 Brigantine Dr Southold, NY 11971 To: legalize "as built" AC as applied for. At premises located at: 1825 Brigantine Dr, Southold SCTM #473889 Sec/Block/Lot# 79.-4-60 Pursuant to application dated 4/27/2022 and approved by the Building Inspector. To expire on 12/2/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 uilding Inspector SO!/T�,OI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlina-town.southold.ny.us Southold,NY 11971-0959 �yCOUfVTV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Stefanie Meyers Address: 1825 Brigantine Dr city:Southold st: NY zip: 11971 Building Permit#: 47890 Section: 79 Block: 4 Lot: 60 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 Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 2 4'LED Exit Fixtures 11 Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " HVAC Inspector Signature: Date: July 22, 2022 S.Devlin-Cert Electrical Compliance Form OF SOUTh°� - vvv # # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATION/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: DATE INSPECTOR pF SOUJyOIo # * TOWN OF SOUTHOLD BUILDING PT. coum, 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: 1 DATE /;MfINSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ►e "FOUNDATION (1ST) - '�y ------------------------------------- FOUNDATION (2ND) Un z 0 ROUGH FRAMING& PLUMBING 4 1 r INSULATION PER N.Y. y STATE ENERGY CODE on lv Vatri G FINAL ADDITIONAL COMMENTS (-o+ -I E�ecf ri c. L3 0 OO rcC#10 — o z �rn I t� N � y O r H x d r� b H o�o�SyFFacKoo� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 �y�o gaol Telephone(631) 765-1802 Fax(631)765-9502 h=s://www.southoldtowm.g Date Received .APPLICATION FOR BUILDING PERMIT For Office Use Only ® L, �7 {� PERMIT NO. Building Inspector: .,.-APR '2 7 202L ) Applications and forms must be filled out in their entirety.Incomplete TOBUILDINGGE,�7 applications will not be accepted. Where the Applicant is not the owner,an OFSOUTH6LD Owner's Authorization form(Page 2)shall be completed. Date: = OWNER(S)OF PROPERTY: Name:Trista Sordillo and Stefanie Meyers scTM#1000-79-4-60 , Project Address:1825 Brigantine Drive, Southold, NY 11971 Phone#:917-771-0974 Email:trista.sordillo@gmail.com Mailing Address:1825 Brigantine- Drive, Southold, NY 11971 CONTACT PERSON: Name:Trista Sordillo Mailing Address:1825 Brigantine Drive, Southold, NY 11971 Phone#:917-771-0974 Email:trista.sordillo@-gmail.corn DESIGN PROFESSIONAL INFORMATION: Name:N/A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:NM 56SOr L-eon cx2(, Inc_' - Mailing nc_Mailing Address: 'y2>3-7S 6*2 L1$ # 5 p.D, box 152-7 r SO-44-Ad, NJ 1 )9-7 f Phone#: G 3 „-7(ps— I C1(p Email:J "i-I dason�JecJ�'cl�nnar�Q`�nc. DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition IMA3c3bb- Estimated Cost of Project: DOther A/C that was installed by previous owner La,rria,�k vA d-IS T,a.,e Xp, mode( 9 $N/A Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property:residential Intended use of property:residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to residential this property? ❑Yes ®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 forthe 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,far 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 210AS of the New York State Penal Law. Application Submitted By(print name):Trista SOrdillo ❑Authorized Agent BOwner member-1D9B9F7835A54A3GB915-CC29FDA92A57 DV.1y dgnm by m—b-1D9B9F78-35M-4A9&6915- Signature of Applicant: 9847A964.ffi67-4B95-9OC7-47FJWDaM59 C`29 78847'9G443267"895-MC747E1V085D59 — /Date: 2,7 2, DMe:2=04.250952A9-04VR STATE OF NEW YORK} SS: COUNTY OF } 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 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 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) residing at ) �l v N j 11 - I 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�00F.FOI, to; , BUILDING DEPARTMENT-Electrical Inspector Gy. TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX(631) 765-9502 1 roaerrCcD_southoldtownnv.gov-- seandCab-southoldtownnv.aov APPLICATION FOR LLEGTRICAL 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: Trista Sordillo Address: 1825 Brigantine Drive Cross Street: N. Bayview Road Phone No.: 917-771-0974 Bldg.Permit#: DOT email:trista.sordilloCCgmail.com Tax Map District: 1000 Section:--79 Block: 4 Lot:60 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): AIC that was installed by previous owners 15 �'rAh�, Xp, mode,! �Tr'�3a 3 6D. Square Footage: 12442 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: (Al 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 F1 1 2 H Frame Pole Work done on Service? Y MN Additional Information: i PAYMENT DUE WITH APPLICATION 0 pb Cl�� � �J BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD 40 Town Hall Annex- 54375 Main Road - PO Box 1179 o � Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrsoutholdtownny.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: Trista Sordillo Address: 1825 Brigantine Drive Cross Street: N. Bayview Road Phone No.: 917-771-0974 Bldg.Permit#: qWqoemail:trista.sordillo@gmail.com Tax Map District: 1000 Section:79 Block: 4 Lot:60 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): A/C that was installed by previous owner. C.��'r�r�!`C '�S`� 15 Tv-ava, kf, W, del tp- HT-R--3 3 3 eo-b. Square Footage: 12442 Circle All That Apply: Is job ready for inspection?- ✓❑ YES ❑ NO F-]Rough In ElFinal Do you need a Temp Certificate?: ❑ YES ❑NO Issued On Temp Information: (All information required) Service Size01 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service®Fire Reconnect[]Flood ReconnectElService Reconnect ElUnderg round Doverhead .# Underground Laterals 1 2 H Frame Pole Work done on Service? Y RN Additional Information: PAYMENT DUE WITH APPLICATION OL �c _ \�j , \6� PERMIT# Address: Switches Outlets G FI'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: i CON SUFF. CO. HEALTH DEPT.APPROVAL H. S. No, ej CWNiX _ EF_gin.. Y >., ' /G �'il, C 1 DATE DEC 2 v' ; } _ r C' K ff Zx.,tTY. 1/$71 7'o!. TbM -r'4..3/ Thseta ' .j•Tt'r:% abd k► r:�l"' .;:l;a,^ L`F P iris �c4fc , °a wres.A= >,i�lad 's ?`• by :�j t:. sr, :: _ i =d a�tco ?`I99 .G Chief at wn ~tZ' r." r Aw � ^f7 1' T""^' � `"�' ��y��� :_,« kr "��a•�-. .... „. ���- TTI Y r o� r �.yry 41, • Y, t ! s+ �I 1 ��y. _ ` • i 0 INIS SURVEY IS A VIOLATION OF L ACTION 7209 OF THE NEW YORK STATE _ T IOUCATION LAW. : COPICS OF THIS SURVEY MAP NOT SEARING' HE LAND SU.VEYO. 5 IN�;a7 SFAI OR �. a "F MOOSSM SEA!S,NALt t? T ZE CONSIDERED,,,, y O 1E A VALID G:U: COPY: .�. it... ,. >. uARAKT[CS'jr:OIWtZA r.{rwc'a,SHALL RUN.• Y TO Ttf SURVE�f � / may. S E I1tcD JG;D N�5 C �fA TO 7NE'_ - rl►� ` ITTE CO1hfl4 Y,-ca Y+� iGifKiAl AGkNCY AND • dal?!"G tzl%'uItv;a L:ST t H�kLON,-AND TM JLIIiGdf:S Of THELft�IUi�tG iNST1- TITLE CERTIIr. - .t>i a'LARA►It" A^E NOT TRANSFERABLE ,. @ AikIt7AoFw gtSTLEt mms.OR;SUOSEQUENT M4 14 r-' O�= 07" j L�dYs:7tl "i •�?. _ STAMP "MAF' of NA ' „? 1 rte ` 7�te 7 i4 't2 'r �+ CC r1 f SEAL . .� 5 - C;� .3R crad fes+ -14Ae C,0,0*A$6/d.savi"lp alyOL- (5v ff0lL Co Loney Mai, No.:! 1417 " t v RODERICK VAN TUYL. P. Q otiter f 'LIC- LAND SURVEYORS.GREENPbRT, N. Y. Su{ Ik C a.7"a x te-,r Cie°siyr>rr� o+r fo✓ rrri .• 0 r'S�f; ,-:5e ct 079,5ioc:k 41 it.*IL 41-0, TEST HOSUFF. CO. DEPT. OF HEALTH SERVICES STATEMENT OF INTENT O• FOR APPROVAL OF CONSTRUCTION ONLY rtp THE WATER SUPPLY AND SEWAGE DATE: DISPOSAL SYSTEMS FOR THIS RESt- . ar DENCE WILL CONFORM TO THEK H. S. REF. NO.: STANDARDS OF' SUFFOLK CO. DEPT. OF HEALTH. SERVICES. � APPROVED: (S) 4 7. A PPLI CANT 4 4APPRD AS NOTEDDATB.P.-#FEE: BY: NOTI _ DEPARTMENT AT M-- 802.-.8 AM TO 4 FM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE .2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CO: MUST BE COMPLE J. ALL CONSTRUCT? ,ALL MEET THE REQUIREMENT S OF ThE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOF, DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF C:JTHCDLD TO'NNZBA .1'T01Tl PI ANNIN�ARD SDI'T���Tr2'r"d"�TT�rRv EES .DRY EC - OCCUPANCY OR U JSE,1$ UNLAWFUL WITHOUT CERTIFICAT 0F OCCUPANCY ELECTRICAL INSPECTION REQUIRED a — l ,.- �_ _ Emomp ,m_ - . 41. • —moi AQMM-M-AMMWW� Amm-----rI do. �.■� .mow +��"�" ,,,,,,,,,r.rr-'' "" \� .- • '�►-���, 'ice — -.. _ _ —__ � ..� � _ '�,.� i�•�i � +.��+.e ..rte �� � �/,....,� \\ �,- �- _. . .r • MMIS r.