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Home My WebLink About49391-Z �o�StlfFOl,f�OG Town of Southold 7/28/2023 a y� P.O.Boz 1179 o _ Pvt. . 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44357 Date: 7/28/2023 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 12910 Route 25,East Marion SCTM#: 473889 Sec/Block/Lot: 31.44-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/9/2023 pursuant to which Building Permit No. 49391 dated 6/15/2023 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 gas fireplace at existing accessory cottage as applied for. The certificate is issued to De Paola,Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Ault rized Si nature ' ouFFn�,�� TOWN OF SOUTHOLD BUILDING DEPARTMENT y x 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#: 49391 Date: 6/15/2023 Permission is hereby granted to: De Paola, Susan 12910 Route 25 East Marion, NY 11939 To: Legalize as-built gas fireplace installed at existing accessory cottage as applied for. Additional certification may be required. At premises located at: 12910 Route 25, East Marion SCTM # 473889 Sec/Block/Lot# 31.-14-14 Pursuant to application dated 6/9/2023 and approved by the Building Inspector. To expire on 12/14/2024. Fees: AS-BUILT FEE $400.00 CO-ACCESSORY BUILDING $50.00 Total: $450.00 Building Inspector pf SO!/T�QI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �e Jamesh southoldtownny.gov Southold,NY 11971-0959 Q �yOUNT`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Susan Depaola and Bryan Villant Address: 12910 Main Road city:East Marion st: New York zip: 11939 Building Permit#: 49391 Section: 31 Block: 14 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: Daniel Wilcenski Electic Electrician: Daniel Wilcenski License No: 4723-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 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 Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Gas fire place Notes: GAS FIRE PLACE Inspector Signature: Date: June 27, 2023 12910 main road o��oFso�lyo qq5i 1 lad l Afarpt oeot. eF cQ5 # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourm��' 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: lacyo- DATE �� INSPECTOR OF 50Ulyo� # # TOWN OF SOUTHOLD BUILDING DEPT. o�y o to N�' 631-765-1802 rj INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ Pl"OF'INAL As- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: OI- Ze- DATE 023 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS --LIN FOUNDATION (IST) -------------------------------------- FOUNDATION -----------------------------------FOUNDATION (2ND) z ROUGH FRAMING& tsi PLUMBING H V� 1 r INSULATION PER N. Y. H STATE ENERGY CODE aSa - 0. FINAL ADDITIONAL COMMENTS �J O G !llppp X Ilk- -- ), r� z H x b H o��gOFFO(�cOG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �y�o• ��o�� Telephone (631) 765-1802 Fax (631) 765-9502 hitps://www.southoldtowmy.aov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only J PERMIT NO. (0 — Building Inspector.. JUN - 9 2023 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: SCTM#1000- q Q� Project Address: /,,7,9 Phone#:C(o 1 �.�7�. Email: . - Mailing Address: CONTACT PERSON: Name:.,d(- t - -- ._`._ - -- -. u -G�l�.�-Fe�9 -- -- - ------- --- -- - — -- _ _ -----Mailing Address: Phone#�� , Email:._.-...-- -C�i�.r-cG�!•-a✓s�.G. c^_1 . �u, �c/�_C DESIGN PROFESSIONAL INFORMATION:- Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: -----.__.--..._,._.._.---___.__.__.__._----.--...___._._._-.-.___-_...._....._-.._-----__-- DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Strut ure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ather 2fC -he-�4 4toi $ Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes El No 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 OPY:❑ this property? ❑Yes ❑No IF YES, PROVIDE A COPY.- El 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 210A5 of the New York State Penal Law. Application Submitted By(print name): S —P ❑Authorized Agent Owner Signature of Applicant: _ Date: ----_--_-_-,------��___�__---_.-C�a°�- ---_-_--------------_ _----__6l g 1 ��_._.__-_--___----- STATE OF NEW YORK) S: COUNTY OF ) &son at1n be—FOO16L being duly sworn, deposes and says that(s)he is the applicant (Name of individual si ing contract) above named, (S)he is the Vu)ow (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 th::nu day of lf, J 20 2,S Notary Public DIANA FRAME NOTARY PUBLIC,STATE OF NEW YORK Registration No.05FR6288M ___ _RTY OWNER al1THOR17 ___ in Suffolk County (Where the applicant is not the owner) IExpuesseplarnbero9,21 I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. aeA-- DLACI�, Owner's Signature Date Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector 60, a��® *rte , 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(c�southoldtownn�gov seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INF MATT N AII formation/Requir d) /Date: Olt Company Name: Von/ /� 1 C' ,C/ c Cay/ c✓�I c�i� Electrician's Name: L)G`jG License No.: Elec. email: Win C2� 4ee�f�i / �Li�d.c�;y Elec. Phone No: ��/ Z3�-6"Z�/� ❑I request an email copy of Certificat' of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Re uired) Name: .ZGcS'ck Address: /,,291c) ALA JUA Cross Street: Phone No.: ' 1 i� -W-1- e.;L Bldg.Permit email: b� a.�g j�, .�• ;� ; �,�. Tax Map District: 1000 Section: Block: /1 Lot:1' BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: 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 F11 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service[:]Fire Reconnect[:]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals D 1 2 R H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION OCCUPANCY OR APPROVED AS NOTED USE IS UNLAWFUL DATE �� B.P.# X34 WITHOUTCER FEE�BY OF T1FICATE NOTIFY BUILDING DEPARTMENTAT OCCUPANCY 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST COMPLY WITH.ALL CODES OF BE COMPLETE FOR C.O. NEW YORK STATE & TOWN CODES ALL CONSTRUCTION SHALL MEET THE :AS`.AEQU1.RE -RNDbONDITIONS.OF REQUIREMENTS OFTHE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR $Q( {Qtp rpN -DESIGN OR CONSTRUINON ERRORS . - �U1.i'K�TOINNRL4NlVING80AAD DEC EL=PArA >;,=; �50U1}�OIDYOVIAV;Tf�l1STE�s .V4P ION REQUIRED 71+4.1 Y '�1'+1 M i1Yr.s.fr4�.r. .W/.M Cb •own P. 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