HomeMy WebLinkAbout48259-Z �o�OS�FFOLK Gy Town of Southold 5/19/2023
P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE,OF OCCUPANCY
No: 44114 Date: 5/19/2023
THIS CERTIFIES that the building HOT TUB
Location of Property: 24065 Route 25, Orient
SCTM#: 473889 Sec/Block/Lot: 18.-2-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/12/2021 pursuant to which Building Permit No. 48259 dated 9/6/2022
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"accessory hot tub as applied for.
The certificate is issued to Thomashauer,Regena
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48259 4/25/2023
PLUMBERS CERTIFICATION DATED
l
ut riz U
ignature
� Su FF 04 , TOWN OF SOUTHOLD
�Ou BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
"oy • c�� 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#: 48259 Date: 9/6/2022
Permission is hereby granted to:
Thomashauer, Regena
141 W 123rd St
New York, NY 10027
To: Legalize as-built hot tub at existing single family dwelling as applied for.
Additional certification may be required.
At premises located at:
24065 Route 25, Orient
SCTM #473889
Sec/Block/Lot# 18.-2-28
Pursuant to application dated 7/16/2021 and approved by the Building Inspector.
To expire on 3/7/2024.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO- SWIMMING POOL $50.00
Total: $550.00
Building Inspector
SOUryol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(c-D-town.southold.ny.us
Southold,NY 11971-0959 OIyCCUm e��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Regena Thomashauer
Address: 24065 Route 25 city:Orient st: NY zip: 11957
Building Permit#: 48259 Section: 18 Block: 2 Lot: 28
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: HomeOwner License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub X
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 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
Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump 11
Other Equipment: 250GFI Disconnect
Notes: Hot Tub
Inspector Signature: Date:
April 25, 2023
S. Devlin-Cert Electrical Compliance Form
pF SOUTyO� 57� V4065/ I ( a r l lZct
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycouH►v,� 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:
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DATE INSPECTOR
OF SO//j�o6
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INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/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: 09,9�&
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courm��' 631-765-1802
INSPECTION
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[ ] 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:
DATE 7/ INSPECTOR
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# # TOWN OF SOUTHOLD BUILDING DEPT.
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INSPECTION
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[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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Twin'-Y{
��osurFot,r`�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y�o ao��fi Telephone(631) 765-1802 Fax(631) 765-9502 hltps://www.southoldtoM=.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only - EE- ff
PERMIT NO. ./ 9 BuildingIns ector:
P JUL 2 2021
Applications and,formsmust be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an PUt7.D 'G ' •
.Owner's Authorization form(Page 2)ahall be completed.
Date: Z ti I
OWNER(S)OF PROPERTY:
Name: V SCTM#1000-
Project Addres :
Phone#: "} Email:
Mailing Address: q.. &CL
CONTACT PERSON:
Name:
Mailing Address: 1
Phone#: �(,t �l.f Ob 1 Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION _
❑NewStrul _ ��cture ❑Addition ❑Alter do ❑Repair ❑Demolition EstirJratedCosto Project:
❑Other t�fTf� A1QS �V� $ _` C�d� K�D
1 -
Will the lot be re-graded?. ❑Yes �6NO Will excess fill be removed from premises? ❑Yes KID
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ONO 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 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 n--a!): _ -kv❑Authorized Agent Ezowner
Signature of Applicant: -�`� Date:
CONNIE D.BUNCH
.� Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Qualified In Suffolk County
COUNTY OF ) Commission Expires April 14, 2
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 t",
11� Lday of 20� n"/
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
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
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
1 siding at 1, Ems
a�o
(PrnVt property
yowner's name) (Mailing Address)
�C do hereby authorize D''�l
(Agent)
to apply on my behalf to the
Southold Building Department.
l
(Owner's ignature) (Date)
(Print Owner's Name)
BUILDING DEPARTMENT-Electrical Inspector
Off' �G TOWN OF SOUTHOLD
� y
C* Town Hall Annex- 54375 Main Road - PO Box 1179
W. Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(D-southoldtownny.gov - seand(cD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: h,:) 5-1
Company Name:
Name: J -
License No.: i �(� email:
Phone No: ❑I request an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (All Information Required)
Name: S ,
Address:
Cross Street: (ca
Phone No.: Ci 13- Li H �
Bldg.Permit email: '�n
Tax Map District: 1000 Section: (. Block: Lot:
BRIEF DESCRIPTI OF WORK (Please Print C ear;) `; J
Check All That Apply:
Is job ready for inspection?: ZYES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: ❑YES ' ENO Issued On
Temp Information: (All information required)
Service Size ❑l Ph ❑3 Ph Size: A # Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals ❑l ❑2 ❑H Frame'[—]Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
y` FFO� BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr&southoldtownny.gov - seand(a�southoldtownny.gov
_2rrc -
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: kormc- owkv V
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: 12o C"Zzk --TkQvma-sG aLC-�
Address: Co G r�Qt/I r- -
Cross Street: �-
Phone No.:
Bldg.Permit #: email: co
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
e:uare Footage:
g
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[-11 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground,Laterals 1 n2 H Frame Pole Work done on. Service? D Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
4�2��
'ReC4 10,;�s co
' '
PERMIT # Address:
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special:
Comments
i
..e..-.,.s.r.w-.mrw.n•wss+n slur n uM � 4i �1YpamyipA_� P �y lr re.�O. r rouse_.mr s w9�fuY�v mwwmw�.wa�pwr m mnnww o awwuw w�r...wnr 1
\p 10
q
4°
0 Y
1 EXISTING °
FENCED
VEGETABLE
GARDEN o�
1
EXISTING p°
y GARAGE 9
i Y
Y
p
Y
I
I
Y _
9 I I
24'-0"
,6, I
f EXISTING DRIVEWAY i
' a ARzo'Rlv tTAG
e
�u5s�nr� s��r
PROPOSED DECK
y N I-
—PROPOSED SPA
BY OTHERS
--- - EXISTING
PROPOSED OUTDOOR SHOWER
FENCE&GATE��
BY OTHERS ' I
PROPOSED
V f I FENCE BY OTHERS
p' EXISTING TWO STORY
i t HOUSE I
Y _ DID , i
(3-0lE >�l5_I- SRU13 =� -
{ O
3 ASTF_Iz5
o
Z LoC�GbP515 g j
Il
2 wf DRANGGA + o
2-T-UA ObOT)END%ON + + �-
I
°
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Y
°
m i
ro I
°
MAIN ROAD -
T L-AN-T l N G l L A N
SITE PLAID
§6a6e: 1" = 10'-U"
APPROVED AS NOTED OCCUPANCY OR
DATE: 9-6-2aB.p 0ray USE IS UNLAWFUL
FEE-46�5D_t7D BY: WITHOUT CERTIFICATE
NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
3. INSULATION COMPLY
WITH ALL CODES p,�
4. FINAL-CONSTRUCTION MUST of�I��l'L `�' WI I"
BE COMPLETE FOR C.O. NEW YORK STATE & TOWN CODES
ALL CONSTRUCTION SHALL MEET THE RE:QUIR AND CONDITIONS OF
REQUIREMENTS OF THE CODES OF NEW
YORK STATE._..-NOT�R�-SPQNSIBLE:FOR SOUTHOLD TOWNZBA
DESIGN OR CbRUCTON ERRORS SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
N.Y.S.DEC
111 MEDIATELY"
ENCLOSE POOL•.TO:CODE
UPON COMPLETION:.:
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
Vm"CrtoN REQnRW
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SEE NOTES BELOW
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y WVATIONS CAN 911 CHANGED AT CONSTRUCTION TO MEET
INDIVIDUAL RIOUIREMENTS.
;(III. TUBS 10191T A CLEAN OUTER FAME A9 JET
lit . G.i8 CSNVTAINED 81 TWEEN THE INNI R AND
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NOTE:
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