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
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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
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"FOUNDATION (1ST) -
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STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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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
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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
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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:
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SUFF. CO. HEALTH DEPT.APPROVAL H. S. No,
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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
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a "F MOOSSM SEA!S,NALt t? T ZE CONSIDERED,,,,
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TITLE CERTIIr. - .t>i a'LARA►It" A^E NOT TRANSFERABLE ,.
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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
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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
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