HomeMy WebLinkAbout47779-Z o�oS�FFoI Town of Southold 1/7/2023
a G� P.O.Box 1179
W F. 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43746 Date: 1/7/2023
THIS CERTIFIES that the building ALTERATION
Location of Property: 1305 Hiawathas Path, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-3-55
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/31/2022 pursuant to which Building Permit No. 47779 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:
interior alteration to existing single family dwelling as applied for.
The certificate is issued to Berry,Walter&Christina
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47779 7/ 7/2022
PLUMBERS CERTIFICATION DATED
th riz ignature
o�SOFFoc,��o TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
o • 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#: 47779 Date: 5/4/2022
Permission is hereby granted to:
Berry, Walter
1305 Hiawathas Path
Southold, NY 11971
To: Construct interior alteration to existing single family dwelling as applied for.
At premises located at:
1305 Hiawathas Path, Southold
SCTM #473889
Sec/Block/Lot# 78.-3-55
Pursuant to application dated 3/31/2022 and approved by the Building Inspector.
To expire on 11/3/2023.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $264.00
CO-ALTERATION TO DWELLING $50.00
Total: $314.00
Building Inspector
OE SOUryol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlin(D-town.southold.ny.us
Southold,NY 11971-0959 QlyCOW T`l,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Walter Berry
Address: 1305 Hiawathas Path city:Southold st: NY zip: 11971
Building Permit#: 47779 Section: 78 Block: 3 Lot: 55
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Bob Burns Electric License No: 3897ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat .Duplec Recpt 6 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches N LED Exit Fixtures 9 Pump
Other Equipment:
Notes: Added a Wall
Inspector Signature: J` Date: July 27, 2022
S.Devlin-Cert Electrical Compliance Form
i
OF SO
TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO GH PLBG.
[ ] FOUNDATION 2ND [ ] 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
RE RKS:
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ow
DATE g 1011,- INSPECTOR
of soUlyo >�'1 -7 71 ,13 a S 4�lq wa lkts Pa./
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycoam, '' 631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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: - `� � wow .
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DATE 17 ?iZ INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS,
FOUNDATION(IST) y
-------------------------------
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INSULATION PER N.Y.
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STATE ENERGY CODE
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FINAL S
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ADDITIONAL COMMENTS
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o�suffot,rooG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtow ..lzov
ifs
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only E C (1 M
PERMIT NO. -27 7 Building Inspector: lJr I I
MAR 3 12022 ID
Applications and forms must be filled out in their entirety.Incomplete BUILDING DEPT.
applications will not be accepted. Where the Applicant is not the owner,an TOWN OF SOUTHOLD
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name:- Wc • � SCTM#1000- 7
Project Address: 1 r�
Phone#: 63/ Email:
Mailing Address: .13-or
CONTACT PERSON:
Name:
Mailing Address: / o So-', �1,,j a yj p� 'So iL� d
- -
Phone#: UL / Email:
DESIGN PROFESSIONAL INFORMATION:
Name: °
L t�
Mailing Address:
Phone M. � � otq�,?II.� - Email: f Gtw cs. detrlteS IGt-�
CONTRACTOR INFORMATION:
Name:
Mailing Address:
1. �.o 2-0 c, O -
Phone#: h 3 ®.3 S� . - Email: u)r,
- - 3
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? []Yes No Will excess fill be removed from premises? ❑Yes No
Add. eB
PROPERTY INFORMATION
Existing use of property: Sid�Wl� Intended use of property: s�r.�wf�a I dn�e OCCh a
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑YespNo 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
hapter 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 Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): $Authorized Agent ❑Owner
Signature of Applicant: ��,�„� Date: 3/o2*1dX
STATE OF NEW YORK).
SS:
COUNTY OF
being duly sworn,deposes and says that(s)he is the applicant
(game of individual signing contract)above named,
(S)he is the Cay CL&I,--
(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
3� day of M9C-C-6 ,20o�a�`
Notary Public
Regina L.Cartselos
i�TotaryPublic-State ofNewYortk PROPERTY OWNER AUTHORIZATION
No.oiCA6ig89o8
Qualified in Suffolk County (Where the applicant is not the owner)
Con-emission Expires January 5,2v2j
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
r
-1
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
' S «residing at
(Print property owner's name) (Mailing Address)
�
W
-7 ,,I do hereby authorize � ei.I m C-0 YLc.c,J�c y
(Agent) /
to apply on my behalf to the
Southold Building Department.
//C;
(Owner' Signature) (Date)
i c �C- o r/-v
(Print Owner's Name)
D � Il �
. +„ .err. -.�;,rti •
t �� f ���: oG' BUILDING DTOWN OF SOUTHOLD e�d�� � anqq
��.
Town Hall Annex- 54375 Main Road - PO Boc@ DEPS'
Q UOLD
Southold, New York 11971-0959
Telephone(631) 765-1802 - FAX(631) 765-9502
rogerr@southoldtownny.pov_� seandt@-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 7 /20 /22
Company Name: Paul Burns Electrical Contractors Inc
Name: Bob Burns
License No.: 3897-ME email: pbumsjr@optonline.net
Address: PO Box 1061 Southold,NY 11971
Phone No.: 631-365-4735
!JOB SITE INFORMATION (All Information Required)
Name: Berry
Address: 1305 Hiawathas Path
Cross Street:
Phone No.:
Bldg.Permit#: 47779 email:
Tax Map District: 1000 Section: '7E Block: Lot: 5 5
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Add receptacles(6),emergency /exit ligghtht
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 Ph 3 Ph Size: A #Meters Old Meter#
New Service-Fire Reconnect-Flood Reconnect-Service Reconnected-Underground-Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
.PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs /� O�
� a�fltltrl .. BUILDING DEPARTMENT-ElectricIlli�SpectJOL
t G TOWN OF SOUTHOLDMR
k ..= ' ' " -� Town Hall Annex- 54375 Main Road - PO Elw(, 7
' dti Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 765-9502
. rooerrp_southoldtownny.cov - sea nd.@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 7 /20 /22
Company Name: Paul Burns Electrical Contractors Inc
Name: Bob Burns
License No.: 3897-ME email: pburnsjr@optonline.net
Address: PO Box 1061 Southold,NY 11971
Phone No.: 631-365-4735
'JOB SITE INFORMATION (All Information Required)
Name: Berry
Address: 1305 Hiawathas Path
Cross Street:
Phone No.:
Bldg.Permit#: 47779 email:
Tax Map District: 1000 Section: 7 Block: Lot: $rj
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Add receptacles (6),emer ency /exit light
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 Inf®rmation: (All information required)
Service Size 1 Ph 3 Ph Size: A #Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs o v
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces `
H H's
UC US
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro. Generator.
Combo Cooktop Transfer
AC AH Mini
f
I
Special:
IfComments: 4/'N
APPROVED AS NOT D OCCUPANCY OR lo 24'-0"
DATE: as B-P-8 USE IS UNLAWFUL
�BY:...___....
WITHOUT UT C E RTI FI CATS 4'-5"x 5'-4" 4'-5"x 5'4" 4'-6"x S'-4" 4'-5"x S'-4" 4'-5"x 5'-4"
FEE:
NOTIFY BUILDING DEPARTMENT AT
76;5-1802 8A TO 4P FOR THE OF OCCUPANCY (2)1-3/4X7-1 ML HEADER'
FOLLOWING INSPECTIONS:
x
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
H - FRAMING & PLUMBING j / / ' 2X8 DF#2 RR(cD16"OC / JIM DEERKOSKI, PE
2. ROUGH
I
3. INSULATION / phone: (631) 298-7116
4. FINAL
= CONSTRUCTION MUST / / �/ / N
BE COMPLETE FOR C.O. C0„ugPLY W' ;'k r,_ . -ODES OF a % / co
6'-8%z" _
ALL CONSTRUCTION SHALL MEET THE NEW YORK STATE i OWN CODE` V SCREENED PORCH
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
AS REQUIRED ANDCNDITIONS C x o CATHEDRAL CEILING vI
DESIGN OR CONSTRUCTION ERRORS. N m.
SOLI��OLG TO!",1N ZBA
so
UTu0LD TOM PLMIM1,1 G L�' ^ 2X8 DF#2 RR @ 16"OC
SOUTHOLDTOV,"NTRUSTEE, / / / I / ,PROPOSED
CLOSET
N.Y.S.DEC
m i /
2'-6"
T-6"
3-1/2X3-1/2/
/PARALLAM
/ COLUMN
ELECTRICALI�,"'.'.^,;'s"'�'�i��*Jf REQUIRED
EXISTING MASTER/ /
/ BEDROOM
6'-0" 28'-0" 00
3'-8" 9'-6" 9'-6" 5'-4" / / W O
lo
le
CW135 CW135 CW135 / Cd
�i rrT,
(2)2X10 HDR (2)2X10 HDR (2)2X10 HDR / d ^
OBATH
P 161-311 101-1011
BO
0 r4
PROPOSED OCCUPATIONAL THERAPY o
a/o � TREATMENT ROOM m / EXISTING/ / O
:n m /M
v 2'-6" /
m ;
/ ,6-0
27 -8
/ u
ZD o /-
/
/ DEN �4 cc
H N
(Z)2X10 HDR /(2)2X10 HDR
i'
T-11 15/16"x 4'-11%" 2'-11 15/16"x 4'-11%"
CXW15 CXW15
PRESCRIPTIVE DESIGN PER R402, 2020 IECC:
6'-0" 16'-0" 6'-0"
FLOOR SPACE R30 CEILING 49 -
R-VALUE R-VALUE:
12 (�
28'-0" I ® E c E 0
*EXCEPTION FLOORS: FENESTRATION
IF FRAMING MEMBER IS R19 U-FACTOR: 0.30
MAR *3 -12022
TOO SMALL FLOOR PLAN
TOTAL AREA OF HOUSE: 2058 SF .�
GLAZED SCALE: 1/4" = V-0" BUILDING DEPT.
NOT INCLUDING SCREENED PORCH
SLAB(HEATED) (2'PERIMIETER): R10 FENESTRATION NR TOWN OFSOUTHOLD
SHCR:
AREA OF PROPOSED OCCUPATIONAL USE: 255 SF FRAMED WALL R20
R-VALUE: SKYLIGHT 0.55
U-FACTOR:
5'-4"
OF OCCUPATIONAL USE: 12.4% BASEMENT WALL DRAWN BY: JD
(CONDITIONED SPACE) 15/15
R-VALUE:
3/23/2022
SCALE: SEE PLAN
GD f �r0� � SHEET NO:
rn
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�O�SSIO P�-