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Home My WebLink About47501-Z Town of Southold 2/18/2023 0 P.O.Box 1179 o • ti 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43858 Date: 2/16/2023 THIS CERTIFIES that.the building ALTERATION Location of Property: Oceanview Ave.,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-6-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/18/2022 pursuant to which Building Permit No. 47501 dated 2/28/2022 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: i alterations_, including second floor bathrooms and"as built"first floor bathroom,to existing single family dwelling as applied for. The certificate is issued to FI Tack Box LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47501 12/31/2022 PLUMBERS CERTIFICATION DATED Authoriz d Signature o�SU EF c TOWN OF SOUTHOLD o� Gyp BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "o • SOUTHOLD, NY 0 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 #: 47501 Date: 2/28/2022 Permission is hereby granted to: FI Tack Box LLC 11916 Longwood Green Dr Wellington, FL 33414 To: legalize first floor bathroom alterations and construct second floor bathroom alterations to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: Oceanview Ave., Fishers Island SCTM #473889 Sec/Block/Lot# 9.-6-9 Pursuant to application dated 1/18/2022 and approved by the Building Inspector. To expire on 8/30/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $448.00 AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $16.00 CO-ALTERATION TO DWELLING $50.00 Total: $514.00 uilding Inspector SO�lyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q RogerR _southoldtownny.gov Southold,NY 11971-0959 Q couffm BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: FI Tack Box LLC Address: Oceanview Ave. city:Fishers Island st: New York zip: 06390 Building Permit#: 47501 Section: 9 Block 6 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: TPI Electric License No: ME- 33396 SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures 2 Bath Exhaust Fan 3 Service 3'ph Hot Water GFCI Recpt 3 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 8 CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches g 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: Inspector Signature: Roger Richtert Date: December 31, 2022 -Cert Electrical Compliance Form.xls 1�a0F SOG,yo # TOWN OF SOUTHOLD BUILDING-DEPT. °`ycOUKn��' 765`1802 T1 1 NSPEC ON = [ ] FOUNDATION 1ST [vloo'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 ell REM RKS: ore. D DATE ZZ-- INSPECTOR OF SOblyo� * # , TOWN OF SOUTHOLD BUILDING DEPT. rm, 631-765-1502 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I 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. �• COOF DATE INSPECTOR FIELD'INSPECWION REPORTDATE GOI�IMENTS FOUNDATION(IST) 0 ----------------- ---......... S ..� . FOUNDATION(2ND) _,• t1� 1 ROUGH FRAMING.& , MUMBING OF F INSULATION:PER N..Y. STATE ENERGY CODE'- Or FINAL. AD : NTs. "7:nU 5 rDI '1 �. r) 0 00 N o:. SuiFot,t oS �oG TOWN OF SOUTHOLD—$UILDIN:G DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 httRs://www.southoldtownU.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® � j� EPERMIT NO. Building Inspector: cE a �(�7? ,.Applications and_forms"mukbe filled out,in..thoir"entirety.lncorni plete,; BUILDING DEPT. appl,ications:will not be accepted:'Where the Applicaht is riot the.owner;ari, TOVV,,,OF SOUTHOLD Owner's,Auttio`riiation;form(Page 1l shali lie completed:'` Date: ',OWNER(S);OF`.PROPERTY:;:' Name: I P SCTM#1000- — _ 4 1- 'fes g®?C !-�— ProjectAddress: 3%t 344 Z>Cje „� Jimmy P-J- Phone#: ol— 821 — 1 S 21 1. Email: -- Mailing Address: �lg(� La.�G�o�� mac,,` � 'CONTACT.PERSON: Name: 3risw Mailing Address: (o'3S D ok ..J�7 1. Il\ces, - Phone#: Email : . co 1A ,,DESIGN PROFESSIONAL INFORMATION: '. Name: Mailing Address: Phone#: Email:. CONTRACTOR,INFORMATION:- Mailing Address: (3p ( i ( 6 S gD e#: Phone Email ' ..__..._�I ". Y_ 7.3�f.b.._ ------.__ -___ ..___..__._ _._, avl lce�.r. +�ac+,��..C�... _m�.�.�_,<.c-VVV. .. DESCRIPTION:OF PROPOSED;CONST.RUCTION;:' ❑New Structure ❑Addition ❑Alteration Repair El Demolition Estimated Cost of Project: ❑Other I.110AN tows upT��a�.�e ('lv�t, )hhls� s� ' $ �n . 07-0 Will the lot be re-graded? ❑Yes 06lo Will excess fill be removed from premises? ❑Yes o 1 PROPERTY.:INFORMATION, Existing use of property: l /� L 1 tgnded•use f rope : ---- - - 5./-- t-KtrrK..� ---'-`OtlNG titJL I #A n o= -ft4 Jf Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes IrNo IF YES, PROVIDE A COPY. Check Box A ft er` eading: Tlie owner/contractor/design,professional is responsible for.all drainage and storm water issues as prd4ided,by Chapter 236 of the.Town Code.APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Perinit,p6tsuantto.'the8u1Iding2one '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 216.45 of the New York State Penal Law. Application Submitted By ,,int name): stcict, f, IK�rer d"uthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF /PL0 ) Br' eLiq �a-al ki e"r being duly sworn,deposes and.says that(s)he'is the applicant (Name of individual signing contraacctt)above named, (S)he is the Coil-b G(�_2.Av--- _ (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 L 20 2 Z Notary Public PROPERTY OWNER AUTHORIZATION ANDREA P. FRI KMAN NOTARYPUBLICLIC (Where the applicant is not the owner) MY COMMISSION EXPIRES MAR.31,2024 residing at 1Ig1L Lo.,L�v� �2, w�u,�� :fit- do hereby authorize ��`�`-S ��`"-'�'��— to apply on my behalf to the Town of Southold Building Department for approval as described herein. Own I nq @= \ Date Print Owner's-Name 2 B DING DEPARTMENT-Electrical Inspector TOW&'OF SOLD `� - Pt? Box 1179 ,s ? sem Town Hall Annex 54375 Main Road - X. BUILDSo TNOLD Southold, Neve Y 11971-0959 o U �owN Telephone(631) 755-1802 FAX (631) 765-9502 merrC--souMoldtovinn r.gov- seand(c southoldtownnyclov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION im►nthrmatan Required) Date: d Company Name: m Marne: License No-: 3 9(� email: 6� G 6-n.4-�! - Address: 45.z,o Zo Phone No.: 916P v 3 -2 JOB SITE INFORMATION (Feil infsas�Rewired) Name: Ra, 9 e 7 P,,L ?,.Q, ac Address: 02 �C Cross Street: Phone No.: wo s7y Bldg.Perrnit#: yzsd.l Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Lr ,Al 644LAA11 WWI 0 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 1 0� Request for inspection Form.xts Ci APPROVED AS NOTED DATE: oB.P.# 6J FEE: BY: COMPLY WITH-ALL CODES OF NOTIFY BUILDING DEPARTMENT AT . NEW YORK STATE & TOWN CODES 765-1802. 8 A TO 4 PM FOR THE AS REQUIRED AND CONDITIONS OF FOLLOWING INSPECTIONS: JCCUPANCY OR 1. FOUNDATION - TWO REQUIRED �"u, ' •" USE IS UNLAWFUL FOR POURED CONCRETE 2..ROUGH - FRAMING & PLUMBING y `'- BOARD JUITI•IQUT CERTIFICAT 3. INSULATiON SQ-IDOL !-TRUSTEES 4. FINAL - CONSTRUCTION MUST OF OCCUPANCY BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. PLUMBER CERTIFICATION ELECTRICAL. ON LEAD CONTEJ T BEFORE INSPECTION REQUIRE® CERTIFICATE OF.00PUPA NC. Additional SOLDER USED IN (MATER .PLUMBING Certification SUPPLY SYSTEM CANNC" `-ALL PLUMBING WASTE May Be Required. EXCEED 2/1,0. Li OF 1'% L EA D. ? 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