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HomeMy WebLinkAbout46867-Z Town of Southold 12/20/2022 a0V O P.O.Box 1179 �- COP 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43694 Date: 12/20/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1625 Naugles Dr.Mattituck SCTM#: 473889 Sec/Block/Lot: 99.4-18 Subdivision:. Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/26/2018 pursuant to which Building Permit No. 46867 dated 9/23/2021 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" interior alterations and outdoor shower to existing seasonal cottage#3 as applied for. The certificate is issued to 622 Church Ln LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42493 9/21/2021 PLUMBERS CERTIFICATION DATED 8/18/2022 E d Harbes A ri d ignature i TOWN OF SOUTHOLD BUILDING DEPARTMENT ' 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 #: 46867 Date: 9/23/2021 Permission is hereby granted to: 622 Church Ln LLC c/o Lupovici 225 Fifth Ave Apt 9J New York, NY 10010 To: window replacement and electrical survey for accessory storage cottage #3 as applied for. Replaces BP 42493. AMENDED 3/11/22 for interior alterations to cottage #3 with flood permit. At premises located at: 1625 Naugles Dr. Mattituck SCTM #473889 Sec/Block/Lot# 99.-4-18 Pursuant to application dated 3/26/2018 and approved by the Building'Inspector. . To expire on 3/25/2023. Fees: PERMIT RENEWAL $125.00 AMENDMENT TO PERMIT $189.40 Flood.Permit $100.00 Total: $414.40 J Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 42493 Date: 3/27/2018 Permission is hereby granted to: 2 Peconic Rd LLC c/o Lupovici 225 Fifth Ave Apt 9.1 New York, NY 10010 To: window replacement and electrical survey for accessory cottage #3 as applied for. A_ t premises located at: 1625 Naugles Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 99.4-18 Pursuant to application dated 3/27/2018 and approved by the Building Inspector. To expire on 9/26/2019. Fees: ALTERATION OF ACCESSORY BUILDINGS $200.00 CO -ACCESSORY BUILDING $50.00 ELECTRIC $85.00 Total: $335.00 B spector Town Hall Annex v i Telephone(631)765-1802 54375 Main Road z!ti `rss Fax(631)765-9502 P.O.Box 1179 - � sean.devlinCcD-town.southold.ny.us Southold,NY 11971-0959 ', n BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 2 Peconic Rd LLC Address: 1625 Naugles Dr Cottage #3 city:Mattituck st: NY zip: 11952 Building Permit#: 42493 Section: 99 Block: 4 Lot: 1$ 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 X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 12 Ceiling Fixtures 3 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors 1 Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 60A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 1 Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 3 4'LED Exit Fixtures Pump 11 Other Equipment: 60A Sub Panel 12 Circuit/7 Used Notes: " AS BUILT NO VISUAL DEFECTS " Inspector Signature: Date: September 21, 2021 S.Devlin-Cert Electrical Compliance Form Certificate of Compliance ............................................................................................................................................................................................... CERTIFIED ELECTRICAL INSPECTIONS, INC. 188 PARK AVENUE AMITYVILLE, NY 11701 P: (631) 598-5610 ...................................................... ...................................................... CERTIFIES THAT Upon the application of Upon premises owned by John Lupovici John Lupovici 1625 Naugles Drive 1625 Naugles Drive Mattituck, NY 11952 Mattituck, NY 11952 Located at: 1625 Naugles Drive , Mattituck , NY 11972 Application Number#: 17-46968 Certificate#: 17-46968 Electrical License#: Section: 99 Block: 4 Lot: 18 Building Permit#: Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Service- RECONNECT- METER#24658362 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 15th day of November 2017 Name QTY Service Disconnect-200 Amp, 240V 1 Reconnect Meter#24658362-200 Amp, 240V 1 Electrical Inspector: Anthony Giordano _�APPROVEDo This certificate is not valid unless raised seal is present. Town hall Annex Telephone(631)765-1802 54375 Main Road �5C' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 'di, V4 BULT DING DEPARTMENT TOWN OF SOUTHOLD + AUG 1 2922 ITO CERTIFICATION r- Date: Building Permit No. ' LSC ) Owner: 0144�t �GzI�� �z.Z . �� P (Please print)/ Plumber: (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. (Plumbers Signature) Sworn to before me this 1 day of 20 as BARBARA H.TANM (Votary Public,State Of New York No. 01TA6086001 Qualified In SuffolkCounty • Commission Expires 0120�3 Notary Public, Satft County, Of SOUlyo6 L.� 1 t 3 t �a.V'ei TD� .TOWN OF SOUTHOLD BUILDING D . 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 REMARKS: Asu t eQ AcL a.cl � 1 or DATE INSPECTOR �_ rF SOUlyolo � ]"� i' - /V*l � # # TOWN OF SOUTHOLD BUILDING DEPT. q coUM e�` 765-1802 INSPECTION' [ '] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ` ] --FIREPLACE & CHIMNEY [ ] FIRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: .S` �d' 1 CJS DATE INSPECTOR OF SOUryo6 �®���'�i TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND jrFINAL SULATIO.N/CAULKING FRAMING/STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE!SAFETY INSPECTION" [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLi TION [ ]1 PRE C/O REMARKS: 1 -4v CP M Gy 6 b� •tic. > nvi= L4�c � DATE to1. % A0 INSPECTOR q SoUTyO �/ ✓ # # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION/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: C�1Jvmp of �-4 m "Il h I c4u n,[y of U I e W1 u. &.41d - e u , 0 ICLt", " c.o a r-, DATE INSPECTOR 9/6/22, 11:32 AM BE7E0936-F36B-4CB9-ACF3-7638816DE9A8.jpeg a '4 &,ax• � '� t" x '3 r J`#1 veil ... .. 4 S s,l�i � IT m a, a a a .c` y 33b'�a 3 S i a� fl !�� .�'�' r r , � EI r I � VA j I � . W �, 4 i � I r 55..A ,. .� ,:�•::. I �i it � I � I ' https://mail.google.com/mail/u/0/?zx=wosk6f1 ot9wq#search/nancy.dwyei%40town.southeld.ny.us/KtbxLzGWzlCXQmkHxItrKNKzcCKfmVHhrL?project... 1/1 Y" :��+W 1 � � ,! h f� S � A ..L.-Y+� �Sit� � '4 S d '�` �. 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'* { J�f �¢�'i"��� �'.r`xJ�rsl �'�j. �� r�,p•�J*,��<r• "'_�,���,�r'� 7.h.� ,l ��- J, sh'►� � w.ir. �a�.. 't.: Aa t «�SF #•fl' .�. � fry • �� "t ^§ � _r ` '`' �,si. https://mail.google.com/mail/u/0/?zx=wosk6fl ot9wq#inbox/FMfcgzGgQSKNXKmTgqRSVXzlgJnsVZDr?projector=l 1/1 FIELD INSPECTION REPORT DATE COMMENTS s FOUNDATION(IST) - . -------------------------------- 'a FOUNDATION(2ND) ROUGH FRAMING& Cr1 c i PLUMBING r INSULATION PER N.Y. STATE ENERGY CODE c6/ Vol 6 ✓ ( l FINAL ADDITIONAL COMMENTS v,I =. rn b r� O 4 �J - b y. 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 SoutholdTown.NorthFork.net PERMIT NO. 4Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20_Z_ Storm-Water Assessment Form nn S Contact: Approved d� 20 Mail to: Disapproved a/c Phone: Expiration ,2off gI N BVding>156ctor ® �2 PLICATION FOR BUILDING PERMIT PtiRA 2 0018 Date 3 ' �7 , 20/ INSTRUCTIONS R�UILDVG VIM a.T ' S B 1t torEty�1`> Aompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 ac sets of plans, curate plot plan to scale.Fee according to schedule. . b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or, areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. 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.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of 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 code, anA.pgulatibris,and to admit authorized inspectors on premises and in building for necessary inspections. G «171110111Gfdws /�/ImC S11"s ��Z, � V /(-g 6) 141G /7 17,10 (Signature of applicant or name,if a co oration) 4V 200 .6fes Y o?•S (�1'y ° (Mailing address of applicant) a `1q6_4/3O20 0) y x 9 NY d44-so7220a�es /y/441-r . ay�G w�ogo State whether applicant is owner, lessee, agent, chitect, engineer, general contractor, electrician, plumber or.builder 4/,,40[U,5 bST {gyp _e O Name of owner of premises S5 C� Gv bVr c it Pe c Llc (As on the thx roll or latest de d) If applicant is a corporation, signature of duly authorized officer u6hr) Z VOOV!1--i (Name and title olt corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed ork will be done: 2 5 /�lc�v rs ;t ve �— House Number S reet Hamlet County Tax Map No. 1000 Section 907 Block y Lot l o Subdivision Filed Map No. Lot r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 'Cel w6vwwS S 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work ZU A �'S (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front ;`.` ' - Rear Depth Height Number of Stories i 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises Address Phone No. 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 * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property? * YES NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF,�V ��r C 6e � P— _ 6-"'` being duly sworn, deposes and says that(s)he is t�7e applicant (Name of individual signing contract)above named, CONNIE b.BUf�CFf Notary Public,State of New York 7 No.01 BU6185050 (S)He is the 0,gatmafi in Suffolk Coup (Contractor,Agent, Vrporate Officer, etc.) Commission Expires April 14,2_ 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 knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 1 day of 20 i �-\/7S�y-4 ��S kAA-A Notary Public Signature of Applicant I1 10 I BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK . c ' PERMIT NO. 9214 DATE: APRIL 18,2018 ISSUED TO: 2 PECONIC ROAD,LLC I i PROPERTY ADDRESS: 1625 NAUGLES DRIVE,MATTITUCK ; a i SCTM#1000-99-4-18 i j AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in j accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 18,2018,and in consideration of application fee in the sum of$250.00 paid by 2 Peconic Road. LLC and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: a. Wetland Permit for the existing structures on the property that include three(3)existing cottages consisting of an existing 2412"x2012"southerly one-story cottage with attached 101x20' wood deck that is to be removed;install a new roof,new siding,and to replace existing windows with new enlarged windows and French doors; an existing 2213110216"one and one-half story northerly cottage with 8'x2213"attached enclosed storage area;install a new roof,and perform repairs and maintenance to cottage;a 101x4016"concrete patio with 31x36 linear foot long walkways against northerly cottage ; leading to an existing 814"x32' one-story 2nd northerly cottage with 10'x20'concrete patio,install a.new I roof,and perform repairs and maintenance to the cottage;existing stone wall located seaward of existing 8141102'cottage;existing dirt/stone driveway;existing 912"013"pump house;and to clear vegetation/trees within an approximate 19,000sq.ft.building envelope area;with the condition of an approved drainage plan in accordance with Chapter 236 of the Town Code;with the installation of gutters and leaders on the cottage closest to the water,which is approximately 35' from the wetlands; . and as depicted on the survey prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated May 16,2018 and stamped approved on May 23,2018. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Sea]to be affixed, and these presents to be subscribed by a majority of the said Board as of this. I ti I 0 M Li Glenn Goldsmith, President so Town Hall Annex ol A. Nicholas Krupski,Vice President �,A. Route 25 P.O. Box 1179 AL IL Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ®' Fax(631) 765-6641 UNV BOARD OF TOWN TRUSTEESo DEC 3 222 TOWN OF SOUTHOLD WOWNG& CERTIFICATE OF COMPLIANCE # 1976C Date: November 6, 2022 THIS CERTIFIES that-the existing structures on the property that include three(3)existing cottages consisting of an existing 24'2"x20'2"southerly one-std cottage with attached 10'x20' wood deck that is to be removed,• install a new roof, new siding and to replace existing windows with new enlarged windows and French doors;an existing 22'3"x32'6" one and one-half stow northerly cottage with 8'x22'3"attached enclosed storage area; install a new roof, and perform repairs and maintenance to cottage; a 10'x40'6"concrete patio with 3'x36 linear foot long walkways against northerly cottage leading to an existing 8'4"x32' one-story 2nd northerly cottage with 10'x20' concrete patio install a new roof,and perform repairs and maintenance to the cottage; existing stone wall located seaward of existing 8'4"x32' cottage,• existing dirt/stone driveway• existing 9'2"x9'3"pump house;and to clear vegetation/trees within an approximate 19 000sq ft building envelope area;with the condition of an approved drainage plan in accordance with Chapter 236 of the Town Code;with the installation of gutters and leaders on the cottage closest to the water,which is approximately 35' from the wetlands; At 1625 Naug_les Drive, Mattituck Suffolk County Tax Map#1000-99-4-18 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 31, 2017 pursuant to which Trustees Wetland Permit#9214 Dated April 18, 2018,was issued and conforms to all the requirements and conditions of the applicable provisions of flaw. The project for which this certificate is being issued is for the existing structures on the property that include three(3)existing cottages consisting of an existing 24'2"x20'2"southerly one-story cottage with attached 10'x20' wood deck that is to be removed; install a new roof,new siding and to replace existing windows with new enlarged windows and French doors;an existing 22'3"x32'6"one and one-half sto1y northerly cottage with 8'x22'3"attached enclosed storage area; install a new roof, and perform repairs and maintenance to cottage; a 10'x40'6"concrete patio with 3'x36 linear foot long walkways against northerly cottage leading to an existing 8'4"x32' one-story 2nd northerly cottage with 10'x20' concrete patio install a new roof, and perform repairs and maintenance to the cottage; existing stone wall located seaward of existing 8'4"02' cottage; existing dirt/stone driveway- existing 9'2"x9'3" pump house and to clear vegetation/trees within an approximate 19 000sq ft building envelope area;with the condition of an approved drainage plan in accordance with Chapter 236 of the Town Code;with the installation of gutters and leaders on the cottage closest to the water,which is approximately 35' from the wetlands. The certificate is issued to 642 Church L e LLC owner of the aforesaid property. Authorized Signature sYjr J i J� [B ILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD JUL 2 6 202jTown Hall Annex- 54375 Main Road - PO Box 1179 • Southold, New York 11971-0959 ;.rTelephone (631) 765-1802 - FAX (631).765-9502 rogerr(a—southoldtownny.gov seandosoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: - - /-5_ 2-1 Company Name: D Name: License No.: email: Phone No: ❑I request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (AII Information Required) ► -�"''"' Name: (Atwit L 02 PeCo i4 c C Address: I (P 2 (�s e- . r- (9 SZ, Cross Street: 3 "(c(os.e.sf--+o vvc,*v) Phone No.: �°/b 3 Bldg.Permit#: 4Aq U email: C, Moo�' S COr pMot)V,(f Tax Map District: 1000 Section:.- Block: Lot: Ig BRIEF DESCRIPTION OF WORK (Please Print Clearly) I l e rl►'►tit1 4-24q3 - W-,v 1 AQ LV c-)ci;�cc� Check 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 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.)dsx �(/ 1✓ 1 O��gvFFOC;f- I��/ j�', LDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD o r JUL 2 6 2021Town Hall Annex- 54375 Main Road.'-:PO.:Box 1179 ® Southold, New York 11971-0959 �y�j aol; Telephone (631) 765-1802 - FAX (631) 765-9502' rogerrasoutholdtownny.gov --seand(W-southoldtownny Qov rr APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: 7 _ 1--_ 2-1 Company Name: D Name: License No.: `email: . Phone No: ❑1 request:an,email copy.of Certificate of Compliance Address:: JOB SITE INFORMATION: (All Inforriiation,Required) '"� Name: _.Ir toR wwA a Pecv c e ��c� L�� Address: l 2No s talr& I 2 AA a ff( Cross Street: , s(os�-- o v�cc-w) Phone No.: c/d = 3 3 Bldg.Permit#: 14a U email: peffloonf. (- MoDre S e,6 Tax Map District: 1000 Section: Block: Ll Lot: IS BRIEF DESCRIPTION OF.WORK (Please Print Clearly) Lf 24 q3 - W'Yi AQ Check All That Apply: Is job ready for inspection?: OYES ❑NO., - ❑Rough In ❑Final Do you need a Temp Certificate?: OYES ONO, Issued On. ' - ' Temp Information: (Ail Information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters.-.. Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground'❑Overhead ` Underground Laterals ❑1 02 ❑H Frame❑Pole . Work done on Service? ❑Y ON Additional Information: PAYMENT DUE WITH APPLICATION /� Electrical Inspection Forth 2020.x1sx �(J PERMIT# ,Address: Switches 111 Outlets ( ` x` 11 GFI's i Surface l Sconces � C H H's UC L#s.. Faris `,,1 : fridge HW.. Exhaust-. Oven W/�" Smokes D1IV Mini.: arbon :::; ;:._..::: „Combo." Cooktop AC :AH Hood Service Amps Haug' :, AUsed: Special:. Comments: CW prz ,: .( 6'ef ss tj� SPEED MESSAGE TO FROM— - _ _ - Law Uftice Uf Patricia C.Moore 51020 Main Road, Southold 631.765.4330 SUBJECT �Y at / h/c C — DATE _ 05ht-) c'!�-nNg/r kd ere-- co "'Pq ue ckd c �ryut � ���h�a lil�i�rc1ouJs � o E o` LL N d d N N d C y, a ����� �T p��;�c-z� u����zy� %�� cry o��✓ & SIGNED / 1FIC -1® WHITE-ORIGINAL CANARY-DUPLICATE 44-900•Duplicate•256\ _ 06, y r ' 20 SOU HOLD NY 1 971 Liu,,. iNULD PATRi CIA C.MOORE(B� L C , s ct4/A�L'®1��111�L1�T17`•• Andersen Andersen Windows -Abbreviated Quote Report/ ^ Project Name: JOHN LUPO - FINELIGHT GRILLES a AGASEtt. Quote#: 13792 Print Date: 09/28/2018 Quote Date: 09/28/2018 iQ Version: 18.1 Dealer: 1647 E Jericho Turnpike Customer: Florence Building Materials Huntington, NY 11743 Billing 631-499-6200 Address: www.florencecorp.com Phone: Fax: Sales Rep: Geoff Penny Contact: Created By: Trade ID: 015334 Promotion Code: Item Qty Item Size(Operation) Location Unit Price Ext.Price 0002 1 100SHS3046(F/A) $ 391.30 $ 391.30 E H RO Size=3'0"Wx4'6"H UnitSIze=2' 11112"Wx4'51/2" H 100 Series Unit, 13/8"Flange Setback, Black/Black, Low E Glass, Finelight Grilles-Between-the-Glass, Colonial,3W2H, Black/Black,3/4"(Each Sash),Andersen 100 Hi Series Hardware, Black Viewed from Exterior Zone:North-Central 1-1-Factor:0.30, SHGC:0.28, ENERGY STARV Certified:Yes m 0003 1 100SHS2020(FIA) $ 225.55 $ 225.55 RO Size=2'0"W x 2'0"H Unit Size=1'11 1/2"W x I'll 112"H 100 Series Unit, 13/8"Flange Setback, Black/Black, Low E Glass,Finelight Grilles-Between-the-Glass,Colonial,2W1 H,Black/Black,3/4"(Each Sash),Andersen 100 19 LLI Series Hardware, Black Viewed from Exterior Zone:North-Central 1-1-Factor:0.30, SHGC:0.28, ENERGY STAR®Certified:Yes Quote#: 13792 Print Date: 09/28/2018 Page 10f 3 iQ Version: 18.1 Item Qty Item Size(Operation) Location Unit Price Ext.Price 0004 1 100REC2626(F) $ 264.55 $ 264.55 ROSize=2'6"Wx2'6"H UnitSize=2'51/2"Wx2'5112"H 100 Series Unit,1 3/8"Flange Setback,Black/Black, Low E Glass,Finelight Grilles-Between-the-Glass,Colonial,3W2H,Black/Black,3/4" Zone:North-Central Viewed from Exterior U-Factor.0.28, SHGC:0.29, ENERGY SCAR®Certified:Yes 0005 1 100SHD2646-2(F/A-F/A) $ 750.10 $ 750.10 E± -11- RO Size=5'0"W x 4'6"H Unit Size=4' 111/2"Wx4'51/2"H 100 Series Group Unit, 100 Series Single Hung-Double Wide, 1 3/8"Flange Setback, Black/Black, Black Lock Hardware, Low E Top/Bottom*Low E Top/Bottom Glass, Finelight Grilles-Between-the-Glass Top/Bottom"Finelight Grilles-Between-the-Glass Top/Bottom Viewed from Exterior Zone:North-Central Unit U-Factor SHGC ENERGY STAR®Certified 1 0.30 0.28 T Yes 2 0.30 0.28 Yes 0006 2 100SHD2036-2(FIA-F/A) $ 600.60 $ 1201.20 RO Size=4'0"W x 3'6"H Unit Size=3'111/2"Wx3'51/2"H 100 Series Group Unit, 100 Series Single Hung-Double Wide, 13/8"Flange Setback,Black/Black, Black Lock Hardware, Low E Top/Bottom*Low E Top/Bottom Glass, Finelight Grilles-Between-the-Glass Top/Bottom"Finelight Grilles-Between-the-Glass TopBottom Viewed from Exterior Zone:North-Central Unit U-Factor SHGC ENERGY STAR®Certified 1 0.30 0.28 -Yes 2 0.30• 0.28 Yes Quote M 13792 Print Date: 09/28/2018 Page 20f 3 iQ Version: 18.1 Item Qty Item Size(Operation) Location Unit Price Ext.Price Subtotal Is 2,832.70 Total Load Factor Tax(8,625%) $ 244.32 Customer Signature I 0.795 Grand Total Is 3,077.02 Dealer Signature All graphics viewed from the exterior Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other items. Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR®certified. 19 This Image indicates that the product selected is certified in the US ENERGY STAR®climate zone that you have selected. Data is current as of April 201 8.This data may change over time due to ongoing product changes or updated test results or requirements. Ratings for all sizes are specified by NFRC for testing and certification.Ratings may vary depending on the use of tempered glass or different gtille options or glass for high altitudes etc. Nexia is a registered trademark of Ingersoll Rand Inc. Project Comments: Quote#: 13792 Print Date: 09/28/2018 Page 3Of 3 iQ Version: 18.1 Andersen. Andersen Windows -Abbreviated Quote Report Project Name: JOHN LUPO - INT & EXT GRILLES APPLIED —AM-1 Quote M 13802 Print Date: 09/28/2018 Quote Date: 09/28/2018 iQ Version: 18.1 DVIlO1VG"AT61 AL Dealer: 1647 E Jericho Turnpike Customer: Florence Building Materials Huntington, NY 11743 Billing 631-499-6200 Address: www.florencecorp.com Phone: Fax: Sales Rep: Geoff Penny Contact: Created By: Trade ID: 015334 Promotion Code: Item Qty Item Size(Operation) Location Unit Price Ext. Price 0002 1 100SHS3046(FIA) $ 528.58 $ 528.58 ROSize=3'0"Wx4'6"H Unit Size=2' 111/2"Wx4'51/2"H 100 Series Unit, 13/8"Flange Setback, Black/Black, Low E Glass, Divided Light without Spacer,Colonial,3W2H;Black/Black,3/4"(Each Sash),Andersen 100 Ell Series Hardware, Black Viewed from Exterior Zone:North-Central U-Factor:0.30, SHGC:0.28, ENERGY STAR®Certified:Yes T 0003 1 100SHS2020(FIA) $ 271.31 $ 271.31 JI RO Size=2'0"W x TO" H Unit Size=1'11 1/2"W x I'll 1/2"H 100 Series LLI Unit, 13/8"Flange Setback,Black/Black,Low E Glass, Divided Light without Spacer,Colonial,2W1H, Black/Black,3/4"(Each Sash),Andersen 100 Series Hardware, Black Viewed from Exterior Zone:North-Central U-Factor.0.30, SHGC:0.28, ENERGY STAR®Certified:Yes Quote M 13802 Print Date: 09/28/2018 Page 1 Of 3 iQ Version: 18.1 Item Qty Item Size(Operation) Location Unit Price Ext. Price 0004 1 100REC2626(F) $ 333.19 $ 333.19 RO Size=2'6"Wx2'6"H UnitSize=2'5112"Wx2'51I2"H 100 Series Unit, 13/8"Flange Setback, Black/Black, Low E Glass, Divided Light without Spacer, Colonial,3W2H, Black/Black,314" Fj Zone:North-Central Viewed from Exterior U-Factor:0.28, SHGC:0.29, ENERGY STAR®Certified:Yes 0005 1 10081-11132646-2(FIA-FIA) $ 1024.66 $ 1024.66 I L RO Size=5'0"W x 4'6"H Unit Size=4'11112"Wx4'51/2"H 100 Series Group Unit,100 Series Single Hung-Double Wide, 1 3/8"Flange Setback, Black/Black, Black Lock Hardware,Low E Top/Bottom*Low E Top/Bottom Glass, Divided Light without Spacer Top/Bottom*Divided Light without Spacer Top/Bottom Viewed from Exterior Zone:North-Central Unit U-Factor SHGC ENERGY STAR®Certified 1 0.30 0.28 Yes 2 0.30 0.28 Yes 0006 2 100SHD2036-2(FIA-F/A) $. 783.64 $ 1567.28 RO Size=4'0"W x 3'6"H Unit Size=3'111/2"Wx3'51/2"H 100 Series Group Unit,100 Series Single Hung-Double Wide, 13/8"Flange Setback, Black/Black, Black Lock Hardware,Low E Top/Bottom*Low E Top/Bottom Glass, Divided Light without Spacer Top/Bottom*Divided Light without Spacer Top/Bottom viewed from Exterior' Zone:North-Central Unit 1.1-Factor SHGC ENERGY STAR®Certified ------------- 1 0.30 0.28 Yes 2 0.30 0.28 Yes Quote#: 13802 Print Date: 09/28/2018 Page 20f 3 iQ Version: 18.1 Item Qty Item Size(Operation) Location Unit Price Ext.Price Subtotal Is 3,725.02 Total Load Factor Tax(8 625%) Is 321 2 Customer Signature 0.795 Grand Total $ 4,04 Dealer Signature ' All graphics viewed from the exterior *' Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other items. Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR®certified. 19 This image indicates that the product selected is certified in the US ENERGY STAR®climate zone that you have selected. Data is current as of April 2018.This data may changeover time due to ongoing product changes or updated test results or requirements. Ratings for all sizes are specified by NFRC for testing and cerflflcation.Ratings may vary depending on the use of tempered glass or different grille options or glass for high altitudes etc. Nexia is a registered trademark of Ingersoll Rand Inc. Project Comments: Quote M 13802 Print Date: 09/28/2018 Page 3O1' 3 iQ Version: 18.1 ------.._---__--------------------------------------------------— --_.—_....—..----------------------------------------_-............_.........._...................... ...... ........... ."--'-...---....._............------------------------------------------------------------------_.i i i I i i I I EX15TI N G VgALL5 0 NALLS TO BE REMOVED U I a I i i ,20'-0" i 4'-0" b'-b" b'-41/2" 0'-4" b'-b" b'-4112" a 1-72) ---- --------------------- -------- ----- --------------------_..-- EXIST UTILITY EXIST in TO BE UNFINISHED i EXIST � in BATHROOM � REMOVED BATHROOM :' TNt20210 \ 'n \\ REF. - EXIST \ ..------------- — - \ (� EGRESS - v2UEt=: — ~ ; • TNE4836 -' -'--" --...—_... EXIST am 1~ - EX15T EXIST 01-13832 BEDROOM UNFURNISHED i ; BEDROOM KITCHEN Uj '— Q KITCHENcil T. C11 .71 ! �— wZ ' ---------- ' ............ A J - - - W CO o 'd" v �r d7 J >- O 0 PROP LINE OF d W J \ m m -j �- LOFT ABOVE l� Vl N W LU ------------------------------ mm" m `a EXIST ......r...�.......... , _ a � �_i r -j I FG5046 I - I m LIVING ROOM EXIST SLIDING ! i IIVNO ROOM ! _—-------------.----- NEW SLIDING r r BARN DOOR DOORS TO BE REMOVED c._./ ........ i ------------------------------------- ----------------------------- : -- ...... ............ -. OJ EX15TEXIST —� NNINOONI NIINDDW DLI OH3046 DH3046 EXIST NEW BIFOLD IN5WING DOOR 5LIDIN6 BARN DOOR tu lu M EXISTING FLOOR PLAN O PROPOSED FLOOR PLAN 1/4" 11-011 ' 11 i- 11 Z Q S• C14 11.1 Ca 0 v z Z 1L1 UA L CA ® � � (L J w -7 O a JAh15.D P. Door Schedule Number Door Description Type_ Manufacturer '::;:, , 1 Door-Inswing-Andersen-400 Series-Double 4' 0" x 6' 1-112" Andersen Corporation 2 Door-Glid ing-Andersen-E Series-Quad q' 10-1/4" x 6' 8" Andersen Corporation 3 Single-Flush _ 24" x 6J" Ro Grand total PRO G ND.: DATE: FEB,20"-- ...................---- 0 - .......--- ------------------------------ DESIGN!:D BY: SGN.F S.A. AS NOTED < IIIL VFN BY: tC�tEGKED BY: — 6 DH S.A. N 0 ^wm2 r N 0 r`v b N I O - - ,_-'-_ '__.- `~=-=-__-==�~~,--�_ -- -__-_- I --- -__---- -_' _ - . ` � ~ 1-1 . � : � i : � : i E H— El � : z : ; 1, � : : � : : ! : i i ! � I : � I I : 4 . . : i i ! : : i -------- i . ! : : : � � q --I- i : ! : : : 7 i i ; FE 1 -.-] � : (9 i i i i : � ! : : : i : . � : i : . : : : ; i : : ; . : : r�l ; � : � ; : 1\ / : : : � I I ------ -f ----- i : : : . . : . %- I j : : : � : : : : : � : t I i : i : : � . : : i . : : w 1 911± i � . . � i � : 0 > ELV +I I i � . I . : . 1 1 : 1 ELV � ; i I - 0 WZ I �' , ELV +0'-4"± u -1 � T o C) w (D z a R X ,q , , PROPOSED FRONT ELEVATION �-,---� PROPOSED LEFT ELEVATION I -j W Lo '�: (n :) m I Ul � ME" (a N m '(.0-1 lu : : I . ! : * PH . � : i t : . � : q � : : � : : i : 44FE�Nu . r— "* � � : I - %% -... —I - . � - I - PROP UTIL FLR - -- - "'�-'�-`."'.-, -'�' ! �� PROPOSED REAR ELEVATION (-�� PROPOSED RIGHT ELEVATION : rROJEr,T NO.: DATE: i FEB,2022 1 ul Am Co flNem4 ,It i � i Cl ! Cli ! ^ ~