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Home My WebLink About48934-Z g11�F0I�lpG Town of Southold 9/30/2023 a y� , P.O.Box 1179 y 53095 Main Rd oy oar Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44614 Date: 9/30/2023 THIS CERTIFIES that the building ALTERATION Location of Property: 45 Holden Ave, Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-2-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/30%2023 pursuant to which Building Permit No. 48934 dated 2/17/2023 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: alterations for finished basement at existing single family dwelling as applied for. The certificate is issued to Rubin,Ellen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48934 8/21/2023 PLUMBERS CERTIFICATION DATED Aut orize ignature �o�suiFFo 1 o TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 48934 Date: 2/17/2023 Permission is hereby granted to: Rubin, Ellen 45 Holden Ave Ext Cutchogue, NY 11935 To: Construct finished basement at existing single family dwelling as applied for. At premises located at: 45 Holden Ave, Cutchogue SCTM #473889 Sec/Block/Lot# 110.-2-5 Pursuant to application dated 1/30/2023 and approved by the Building Inspector. To expire on 8/18/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $568.00 CO-ALTERATION TO DWELLING $50.00 Total: $618.00 Building Inspector �sU fEo��,c TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 43522 Date: 3/5/2019 Permission is hereby granted to: Schultheis, Gerard 45 Holden Ave Ext Cutchogue, NY 11935 To: construct interior alterations to existing single-family dwelling as applied for. At premises located at: 45 Holden Ave., Cutchogue Adde-d 7LD Z)P* y Mq SCTM # 473889 Sec/Block/Lot# 110.-2-5 Pursuant to application dated 2/25/2019 and approved by the Building Inspector. To expire on 9/3/2020. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $370.00 CO -ALTERATION TO DWELLING $50.00 Total: $420.00 Bui i spector pF SO�r�Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devline-town.southold.ny.us Southold,NY 11971-0959 �Q IyCDUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ellen Rubin Address: 45 Holden Ave city:Cutchogue st: NY zip: 11935 Building Permit#: 48934 Section: 110 Block: 2 Lot: 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Paul Burns Electrical License No: 3897ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Commerical Outdoor 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 15 Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors 1 Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 17 CO2 Detectors Sub Panel A/C Blower 2 Range Recpt Ceiling Fan 1 Combo Smoke/CO 1 Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect 1 Switches 7 4'LED Exit Fixtures Sump Pump Other Equipment: Minisplit w/ (2) Blowerheads Notes: Finished Basement Inspector Signature: t Date: August 21, 2023 S. Devlin-Cert Electrical Compliance Form SEP2023 ? 5 Duff IDIT G F;-C,PT. September 20, 2023 Ms. Nancy Meyer Building Inspector Town of Southold Building Department Annex Building 54375 Main Road Southold, New York 11971 Dear Ms. Meyer I am the owner of the house at 45 Holden Avenue Extension, Cutchogue, New York. To the best of my knowledge all of the supply plumbing pipes in the basement of my home are PEX (cross-linked polyethylene) tubing. No copper pipes were installed during the renovation, and therefore no soldering was done. Sincerely, Ellen Rubin U SETH G BANK Notary Public-State of New York NO.01BA6427783 Qualified in Suffolk County My Commission Expires Jan 3,2026 0 �O��UP 50UlyOlo # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FrNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: \ � a �i DIMS DATE INSPECTOR �O�apF SOUIyO� � �� ✓ I � J �` Q�—v L �'� # # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourm��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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: GCf OIL DATE Ael INSPECTOR tf 50UTy0lo # # TOWN OF SOUTHOLD BUILDING DEPT. cOUtm,N 631-765-1802 INSPECTION [ ] FOUN TION 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION/CAULKING [ FRAMING /RAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMAR S: (o C�A 46 Vmz, bri 0�, DATE 11y INSPECTOR OE SOUlyO� # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ v]'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Ce t 4 c a (" - � DATE INSPECTOR ��FSOOOTS�UTHOLD BUILDING DEPT N 1c - cou631-765-1802 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: ' DATE INSPECTOR 1 I �i ," Q i , . ,r i � 1 � �, l __ r' ♦ r � �� ' �. � 1 7.�'� ..r'� < fM '�i: ,� J `� -- -r ,r. ` 1 ``� S A !� �f' ' _.L. �! i , i `' � fy l_ _ � ,�j ��.. � �. � � r n �I .r , � _^�� s ,: � �� . ,� 1 � 1 y n� . 3 � ELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) j ---------------------------------- 5� FOUNDATION (2ND) N� z ROUGH FRAMING& PLUMBING f r nn INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS Z 3'aoo�:oL alec-4r,'-�, 9O rca4 Ut 8q Eleriri cat xs 23 F9 x , QQ k b QC z x x D9 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) 'FOUNDATION (2ND) 1 h o ROUGH FRAMING& HT1 y PLUMBING INSULATION PER N.Y. y STATE ENERGY CODE of d.c 3 FINAL ADDITIONAL CqL=NTS DO aC± q34-7V t U rzn . d _ y o�°SUFFoi TOWN OF SOUTHOLD–BUIL'DING DEPARTMENT CA Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtowymy.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only E C n VIE IE PERMIT NO. Building Inspector: ® Il� II ED JAN 3 Q 2023 ,Applications and forms must be filled out in their entirety.-Incomplete @dD11DDl�[s'IDi:PL applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization-form(Page 2)shall be completed. Date: (�j 1 026 oz 3 OWNERS)OF PROPERTY: Name: eliL�..._......._. .U6!.... ..... .. ... .......__.__.._..__.._._.._. SCTM# 1000- _./�_.�_..._._. �__.. ....__..-.. . ._ Project Address_ __.-------_- Phone#: Email Mailing Address:�_S! `^�c CONTACT PERSON: Name: 4 01?v- PIA— ------------ . _. Mailing Address:Y -0, Phone#=-b 3-f " b a[ --- --- - -- Email:�/)scii DESIGN.PROFESSIONALiNFORMATION: Name: C�— Mailing Address: Phone#: J`�� _-...___. __.,....._...... .._........._._.__.__. _Email:��l CONTRACTOR INFORMATION: Name Mailing Address: Phone#: ? _ Email: .-DESCRIPTION OF PROPOSED CONSTRUCTION :. ❑New Structure ❑Addition XAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Z004 oGd.' Will the lot be re-graded? ❑Yes. No Will excess fill be removed from premises? ❑Yes WNo 1 PROPERTY INFORMATION Existing use of property: i5uJ6 LCA F L�� /2-t.'�, Intended use of property: � �r Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes NNo IF YES, PROVIDE A COPY. heck 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(p nt name):,.I�3UJ �. 5� kAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) CONNI BUNCH Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF ) Qualified in Suffolk County Commission Expires April 14,204-� .�P`��c.�•J E being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is theL' (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 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 Auulication AUTHORIZATION (Where the Applicant is not the Owner) � Ellen Rubin residing at 45 Holden Ave Ext, (Print property owner's name) (Mailing Address) Cutchogue, NY 11935 do hereby authorize Jason Leonard (Agent) to apply on my behalf to the Southold Building Department. 1/26/2023 (Owner's Signature) (Date) Ellen Rubin (Print Owner's Name) 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 appr l FAX: (631) 765-95024 Suey Southoldtownny.gov PERMIT NO. �S Sur-Vey � 1 Septic Form �& � wJ,TQ 9 q J('l .S D.E.C. Trustees C.O.Application �jFlood Permit Examined ✓ 20A D E(-[�3 Single&Separate .`1� � DTruss Identification Form F E B 2 5 2019 Storm-Water Assessment Form . �{ J Contact: Approved J ,20 1 tr,Iqq��---��,, MailtoGfr-rd .SC614ez15 Disapproved a/c t®`iNOF45 PolJ6, ,)er--x4 cvh6 e N��1193T IJTJ►GLD 0 Phone:G 3/- 734- '7Z5— Expiration ,20 Bui d' nspe r APPLICATION FOR BUILDING PERMIT Date f4. , 2 2 , 20_Lq INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) ( ailing adVress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Oty n:e r Name of owner of premises 2ro H- � CGr06y, !V I S C k V IJ - (As on the tax roll or latest deed) If applicant.is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Loc tion of land which proposed work will be o e: 57 I � v� L C� � , �� IV.� ) 1 -93S House Number Street V Hamlet County Tax Map No. 1000 Section 110 Block . 2 Lot 0 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy P2 S r c +1 a I b. Intended use and occupancy e S Id e, -�c,I 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Workwor , 5+0 U-2;� -'-oow, _ (Descttiption) 4. Estimated Cost Ua U y _f Fee a o be paid on filing this application) 5. If dwelling, number of dwelling units �._1 : 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- '74'"" ' Rear 7 ¢ Depth 4o Height 9 Number of Stories 2 Dimensions of sarJ-ie structure with alterations 9r additions: Front � Rear 74- Depth 4-0 Height 23 Number of Stories P/Z A 8. Dimensions of entire new construction: Front R! r 74 / Depth 40 / Height Number of Stories Z 9. Size of lot: Front 160,03 / Rear 1 J�-��15-� ' Depth 107,54 / U a 6 7 / 10. Date of Purchase 2 0 to Name of Former Owner SUS00 A1W Tee•ltl&j2Ad�,CAfds5-�pslV6117Cof r�� 11. Zone or use district in which premises are situated 9-40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO-X--Will excess fill be removed from premises?YES NOK 14. Names of Owner of premisesGer-e-C /o e�dd+e s �}dl�++l4ITf 116 Pne No.6 I- 6.7 Z34-72 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 NOy( * 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 X * IF YES, PROVIDE A COPY. STATE OF NEW YORK) S: COUNTY OF'SJ GVCG-(-S _being duly sworn, deposes and says that(s)he is the applicant (N me 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 knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me th* dayCr 20A tary Public ROSKI Notary Public,State Of Newyork Signature of Applicant No. O1D06095328, Suffolk aunty Term Expires July 7,20 gufFO( BUILDING DEPARTMENT-Electrical nspe or APR 2 8 2023 TOWN OF SOUTHOLD � '" y x Town Hall Annex- 54375 Main Road - PO Bo �1J U FSOJ EPS o Southold, New York 11971-0959 y?jOd �ao4 Telephone (631) 765-1802 - FAX (631) 765-9502 � rogerr@southoldtownny.gov - seand(a)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 4/28/2023 Company Name: Paul Burns Electrical Contractors Inc Electrician's Name: Paul Burns Jr License No.: 3897ME Elec. email: pburns1106@gmail.com Elec. Phone No: 631-365-4735 01 request an email copy of Certificate of Compliance Elec. Address.: PO Box 1061 Southold, NY 11971 JOB SITE INFORMATION (All Information Required) Name: Rubin Address: 45 Holden Avenue Cutchogue Cross Street: Midwood Road Phone No.: 631-365-4735 Bldg.Permit#: 48934 email: pburns1106@gmail.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Wire basement S uare Footage: 7500 Circle All That Apply: Is job ready for inspection?: 0 YES❑NO R Rough In E] Final Do you need a Temp Certificate?: F-] YES F4-/]NO Issued On Temp Information: (All information required) Service Size❑1 PhFJ3 Ph Size: A #Meters Old Meter# ❑New Service Fire Reconnect[]Flood Reconnect Mservice ReconnectQUnderground ]Overhead #Underground Laterals 0 1 2 0 H Frame 0 Pole Work done on Service? Y ✓ N Additional Information: PAYMENT DUE WITH APPLICATION � V r'Q c l Z) 3S� 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 roget-.t-ichert@towii-southold.tiy,us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED B SCU40-.1,6 Date: Company Name: Name: G--erucd (Owner) License No.: email: Address: i+o)414 Ave a'+C�cfll� 11 13Y Phone No,: JOB SITE INFORMATION: (All Information Required) Name: C7-t rc"rj S C�y 14 els tjy I I q 3.5- Address: 4-5 6) dw _U - A GX±,C.+Ck0aV Cross Street: M i d W06d U, V Phone No.: Bid Permit#: Ad 6W -�p 0.4vilioe, Tax Map District: 1000 Section: 0 Block: . 0Lot: 043�-- BRIEF DESCRIPTION OF WORK (Please Print Clearly) 1� J,ee �o r........... Works Lp . 54or CAae � no4 r'l owl I pr46q% seckuvi 4 Ce-I I C4 SC 51 1;c a- I 6S 1' 40 m,ls4l' Q Circle All That Apply: V Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES N80 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 J# Underground Laterals 1 2 H Frame Pole Work done on Service? Y IN Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection FormAs PERMIT 9 Address: I � Switches -� l Outlets G F I's Surface l Sconces HH's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon (' p Micro Generator Combo \ ��` Cook-top Transfer /C i Hood Service Have Amps Ha e Used Special: :omments J � 4 BUILDING DEPARTMENT-Electrical njsp` torAPR 2 8 2023 f Yt' O G ;. TOWN OF SOUTHOL® . o Town Hall Annex- 54375 Main Road - PO Box,�1�li "Sol FR11at�i_D 7 Southold, New York 11971-0959 ® O�� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cDsoutholdtownny gov — seand(c-Dsoutholdtownny.gov .r VTy..ti�r•'J'J APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali Information Required) Date: 4/28/2023 Company Name: Paul Burns Electrical Contractors Inc Electrician's Name: Paul Burns Jr License No.: 3897ME Elec. email: pburnsll06@gmail.com Elec. Phone No: 631-365-4735 CO 1 request an email copy of Certificate of Compliance Elec. Address.: PO Box 1061 Southold, NY 11971 JOE SITE INFORMATION (All Information Required) Name: Rubin Address: 45 Holden Avenue Cutchogue Cross Street: Midwood Road Phone No.: 631-365-4735 Bldg.Permit#: 48934 email: pburns1106@gmail.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Wire basement 11 1 Square Footage: 500 Circle All That Apply: Is job ready for inspection?: YESF-1 NO FV�Rough In O Final Do you need a Temp Certificate?: ❑ YES 0 NO Issued On Temp Information: (All information required) Service Size01 Ph 03 Ph Size: A #Meters Old Meter# ❑New service[—]Fire Reconnect[]Flood ReconnectOService ReconnectOUnderground OOverhead #Underground Laterals 1 D2 M H Frame Pole Work done on Service? MY ✓ N Additional Information: PAYMENT DUE WITH APPLICATION1 ,y3 P�� a 6d ' iaa�� t1E1h11 � DIEIRC YC fBYStD S1PT.1019 CFAl1�YC 8,106 RD.19-09J2 UNAU1F10R12E0 ALTERATION OR AODRION TO THIS SURVEY IS A WOIATION OF �//� EDUUCCATON IION 209 LAW F THE NEW YORK STATE VCQY� l �y$� �, COPIES OF THIS SURVEY MAP NOT GEARING ' l N N = = THE WTD SURVEYGR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED 2. 0 TO BE A VALID TRUE COPY. CL 147 • 4v O �1 Q GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM 714E SURVEY ® D \y IS PREPARED.AND ON HIS BEHALF TO THE TITLE LENDING INSTITE ' �LSIEp HEREON,.WO O i a U iiieee tl C > To THE ASSIGNEES OF THE LENDING INSR— O '�• 9� TUiIO, GUARANTEES UgRgNTEEg ARE NOT TRANSFERABLE, mC THE EXISTENCE OF RIGHTS OF WAY i X AND/OR EASEMENTS OF RECORD IF top 9� Q 37.8 OD j ", NNO �oWN ARE Noi _tt 2 N ;` SIMI�1 ur 6p ,ry w;� �� ea• `� ' (D Premises known as: #45 Holden Ave. Extension, Cutchogue idd- Area= 14,321 sf. Q1 1 �� ,ww ° �e�� Certified to: NO ELLEN IN WESRU6LAND TITLE INSURANCE COMPANY / UBS FINANCIAL SERWCES,INC. o EMINENT ABSTRACT, INC. (E42405-S) z 0 Lnw N Dad Survey of Described Property � o situate of i� ,600 Ope�� Fleets Neck, near Cutchogue 1` Town of Southold Michael W. Minto, L.s.P.C. Suffolk County, New York Coverage Calculation LICENSED PROFESSIONAL LAND SURVEYOR omponent 5q. Ff. % of Lot Area NEW YORK STATE LICENSE NUMBER 050871 District 1000 Section 110 Block 2 Lot 5 87 C ,,iN.Y.Lane 11720 Scale 1"= 20' Surveyed August 13, 2019 Roofed Area 2337 16.31 CenEereach Deck 166 1.16 PHONE/FAX: (631) 580-1202 GRAPHIC SCALE .Proposed Pool 450 314 CELLULAR: (631) 766-9714 20 0 to 20 b Total 2953 20.6eo EMAIL• mikomintolspc®gmcil,com Deck to 6e removed 1953-166=2787 Or 19.57. ( IN FEET) L Inch = 20 & • 1 • M HAAS SURVEY OF PROPERTY _ o/F °` 'A WP�R EL25.4• EL-27.X E AT CUTCHOG UE "/ G I pv��G ,52.5$' x TOWN OF SO UTHOLD o SUFFOLK COUNTY' N. Y. WOOD EDGED d 1000-110-02-05 cub N'5.31'�0 E y P o ; M n SCALE.• 1= 30' TEST HOLE DATA �'" g pyo T p _ '' x MARCH 24, 2010 BY McDUVALO.GEOSCI£NCE i % > Q. lz7• ��•� '1 y 35.0• 1 a5•oAe aaDwnr LOM OL Z ' No +0b _ Wi►�prE 2 BROW sLTY srwv SW vs 3&r 3 ,,0 ` �o ICL J• m Z i o g� v i o Q�,,, +� �Q z,o Z N B 06• dp. o. E1.28.1' � 0� Z Z � C 35-01) PALE BRONN FWE 70 SUM SAwn SP � �4 � TtSiOE LP. 0 ' E.26.s•D 1.000 Gm- -0 a z EL22.7SEP71C TNK. 0. 3 NO R 000LWYERED C = > 2 WA O S' DWX 12• 0 D N C7i . � • • m SUFF&K COUNTY IJEPARTMENT OF HEALTH SERVICES N .�•�0 G PERMIT FOR APPROVn4 OF CONS'TRUCT►ON FOR A EL23.8• iiS�I�. G 1/ SPGt r ::� Fri :� lI W f ry 1 DAT ..._, - \0_ � ---- - EL.22.6� I APPROV`=D ,__._ Fa ri i`h _�• �: I=�I'P�;Ol1AL EXPIRES THREE , ov� G WA1ER� V4 _ I am familiar with the STANDARDS rOR APPROVAL pUg1-IC. AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ��t�OF NetV 1'O and will abide by the conditions set forth therein and on the `yT.SFT , permit to construct. , AREA= 14,1342 SQ. FEET The location of wells and cesspools shown hereon are ROOF RUNOFF - HOUSE, 2,272 sq.11. x I x 0.17 = 3862 cull. from field observations and or from data obtained from others. DRIVEWAY - P25 sq.11. It I x Od7-= 191 ca.11. =`=` ANY ALTERA71ON OR ADDITION TO THIS SURVEY IS A KOLA77ON 577/42.2 - 14 VF 577 C-U.11. l N, 49618 OF SECTION 7209 OF THE NEW YORK STATE tDUCATION LAW. PROVIDE 2- DWs. 1- 8'0x8• dp. I- 8'Ox 6' dp. ECO/V/C EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERnnCARONS (631) 765-5 65-1797 HEREON ARE VALID FOR THIS MAP AND COPIES 7HEREOF ONLY IF PROPOSED LOT COVERAGE : 2,272 SQ. FT./ 16% P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM SOUTHOLD, N.Y. 11971 10-115 SCDHS Ref. # RID-10-0021 N �``,AM NAYES SURVEY OF PROPERTY O�p,NA & wA.�R �� Z 0/VA T CUTCHOG UE TOWN OF SO UTHOLD ID� -' Ln 0r -0 SUFFOLK COUNTY,. N. Y. WOOD EDGED w /WP 6 GVRB d 1000-110-02-05 GARDEN �5.3� 4O.E , �,•� o C� n SCALE: 1!= 30 TEST HOLE DATA 1'" N z 3 Py = MARCH 24, 2010 BY McDONALD GEOSCIENCE 2 oRmDI DECEMBER 18, 2013 (FINAL) MARCH 18, 2010 m ON ` O A rn N PGE � EL 227' 1 FE. 0.4'W. 285 9. GPR DARK BROWN LOAM OL N No�9. 1' C W S•�ORj FRP c 2y3 `i BROWN SILTY SAND SW U1 ! A 1' ? ELECT.METER I 35.2' v1P IC L N rn 5� � R° 'Z O DW. Ez = r v m U) I 'A 23' S� Z Z -0 C m PALE BROWN ANE TO MEDIUM SAND SP > W mI L.P. 17' ll C D "U m 160 03 NO WATER ENCOUNTERED ET) _ > = I v � D 1 FE. 0.6'W. CA 1 EL.23.8' leo o� 7 EL22.6' ■ = MONUMENT 0 I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE '�c� FIRM 36103C0163H DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES FLOOD ZONE X and will abide by the conditions set forth therein and on the !' permit to construct. AREA= 14,342 SQ. FEET �> The location of wells and cesspools shown hereon are ROOF RUNOFF ' c from field observations and or from data obtained from others. HOUSE:2,272 SQ. FT. X 0.17' X 1= 386.2 CU. FT. N.Y.S LIC. N0. 49618 ANY AL7ERARON OR ADDIT70N TO THIS SURVEY IS A WOLA77ON 386.2/42.2= 9.2 VF. @ 8' DIA. OF SEC7ION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. PROVIDE 2 : 6' X 8' DIA DRYWELLS OR EQUAL P EYORS, P.C. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER77FICA77ONS (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF PROPOSED LOT COVERAGE : 2,272 SQ. FT./ 16% . P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 77-IE SURVEYOR1230 TRA VELER STREET WHOSE SIGNATURE APPEARS HEREON. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUMSOUTHOLD. N. Y. 11971 10-115 = a SCOPE OF WORK IN BASEMENT OF 45 HOLDEN AVE. EXT. 1) FRAME 2 X 4 WALLS TO DELINIATE WORKSHOP, STORAGE AREAS AND BATHROOM IN BASEMENT 2) ADD REQUIRED ELECTRIC SERVICE FOR REQUIRED WALL RECEPTICLES, LIGHTS, TOILET AND WASTE WATER DISPOSAL USING A GRINDER PUMP 3) PROVIDE NECESSARY VENT AND DISPOSAL PLUMBING FOR GRINDER PUMP 4) INSTALL TOILET, SINK AND SHOWER IN BATHROOM 5) ADD SHELVES TO EXISTING STORAGE CLOSET 6) COVER WALLS WITH MOISTURE RESISTANT SHEETROCK 7) PROVIDE ELECTRICAL CIRCUITS FOR POSSIBLE FUTURE USE. 8) INSTALL PROPOSED DOORS 9) INSTALL R-13 INSULATION IN FRAMED WALLS r- is i i U)ST1NG S f ORAGF': i oRAGF 3-0"DOOR Mom !� 000p, ( EXISTING ► 8 . rvt w x4 w-A I-L UooR VITIL)TFS To R,4G- STAIR� � y,/o R -50() P 5- ORAE51 CLOSE `yE t c QA i►}RfJ�M n 6/x Lo i t 2'--$'' DOOR 1 /�CWi4�' ��O POSED. 'ni��1cSNo P�TaR! i 0'' L O T ) 000 - 1 ► O - 02c�5 --5 Hot-Dr--Al A1/F VX7 des / 511ee 4G oy►( SALE �/4 2 6� 0 i .a ` V APP OVED AS NOT D ELECTRICAL DATE: 3J� e2 714 B.P: °� INSPECTION REQUIRED FEE: 3 D D BY: NOTIFY BUILDING DEPART T AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECT;ONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH .- FRAMING & PLUMBING 3. INSULATION 4. FINAL - PLUMBER CERTIFICATION TR C.O.iON MUST ON LEAD CONTENT BEFORE BE COMPLETE E FOFOR ALL CONSTRUCTION SHALL MEET THE CERTIFICATE OF OCCUPANG , REQUIREMENTS OF THE CODES OF NEW SOLDER USED IN WATER YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. SUPPLY SYSTEM CANNG r EXCEED 2/10 OF 1% LEAD COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF _._G6q4i969:F9WN Z94---, _,,__ Ikf -LUMBING WASTE 116tBOARD ;WATER LINES NEED ' 'UJC�"RE COVERING SQaWQQ4GWWTRU9EES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ..-..._.....".-'--""._-..__......_....................._......:............. .................................................. 71,V ........ _..... _......__._....__...._..._..,..-._.._.._-__..._..._...,..._......_.._.....__.,........., a .,_._................-.,...............9zw.................. ............._................ . ..................._....-..•....._...7y.g•.._......-._......................... .............IQ'.Ir...... ..... .,.........._._........._._......,.__...._..--w-w _`______•_-__,-..__-_._.._-. ___.____._.14•,p-----,_._.,_,� .. _I___._.vmwt__---_____ ______.�namm j _i________________________.. I I 1 1 1 m I 1 I 1 f I --4..___ __. "__ I 1 I I � ,II 1 1 I � • .�.H �_. _1.. C...1_.�_i. ....• I------- --'f �, I I r{ I I F II I I I I ' I I I iA i I I I I I I I I 1 j IS,S'L•• t..._..,.....I�..._............._..,.,_,._,..�-__.._.,._...__...__._ !_...1 ._... Z-._.. .,.-.._.-__ __`– I.............-........................................ Kia,.____.____ rya_–___ I q n. ...__........._........-...zza.................................. ................mq-._.._-_-. ._.....,_.___,,.....-....,__......_.........zra . .....__...-...._.-_....,...._.__ .._. ._...._lain.._-_-.._..._... T ,. .............................................�•-0-.................._......._................._..-__._J.__,.._...,..._-.....'..............-..._......,.....,.... ........_.......nza........,............._.........._....................,...............,,.._..... r � ....._.............-..........-.............._.........................._ ...,..._..._.,_.......,._..-_.. .....,_. _._....-_. .................._.._.__.-..................................... .....,...__............_..._..- -' �y ep Y V L 0 c� -ri ON 0 p W �� e�ig LOWER LEVEL FLOOR PLAN PRO POSFID WORk a ® IN M div T` Belsey & Mahla Architects APPROVED AS NOTED 41 Union Square West, Suite 836 DATE*.,,1, ,/7-,R,3 B.P.# 3 New York, NY 10003 FEE 64rOD BY; www.belseyandmahla.com NOTIFY BUILDING DEPARTMENTAT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE Erika 212 924-7948 Phil 2. ROUGH-FRAMING&PLUMBING ( ) (212) 662-8507 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR ((n (� (I Ilj + DESIGN OR CONSTRUCTON ERRORS ll'' �C I° V FEB ) b 2023 OCCUPANCY OR Drawing Key: USE IS UNLAWFUL Existing Window Existing Window WITHOUT CERTIFICATE NEW PARTITION RANGY' -_ Electrical Panels Boiler � OF ®r�V�U• , 11'-11 Mechanical Room M Unconditioned Sp ac Storage No Room Finishes Unconditioned 5pac No Room Finishes COI\APLv WITH ALL CODES OF -W YORK STATE & TOWN CODES aile Shower CM AS REQUIRED AND CONDITIONS OF OUTHOLD TM N ZBA SOUTHOLDTOVT1 PLANK%130""� Bat�f room , Z SOUTHOLDTOVNTh'USTEES Sink � (avato O o N.Y.S.DEC 4 6'-41/2" - Dryer 7'-51/2"' 4'-0" 20'-4" -� Laundry :o Handler /// Wa:her — �// Playroom 0 1 ! 4 FEET Conditioned Space 3 A ' _ Finished Space _ N 3 Smoke Detector Date: Issue: Wine Storage / Hallway "' W 12 Aug 2022 Issued for Client Review � v4'-0" Unexcavated 12 Aug 2022 Issued for Contractor Pricing 23 Jan 2023 Issued for Permit ITT\ 15 Feb 2023 Revised for Permit 4'-9 1/2" 5'-3 1/4" UP Closet i Storage N Unconditioned 5pac Smoke Detector No Room Finishes / O 10"poured concrete wall / / 3'-0" n 20"wide x 10"deep concrete footing with(2)#5 rebar. / Anderson A Series 400 double-hung window with — "stormwatch"#TW30410. Storage _ Office Sill at 36"above floor, 00 5.7 sf opening to meet Unconditioned 5pac m Conditioned Space - egress requirements. ————�———— No Room Finishes ;' Finished 5 ace 0i Egress ladder bolted to concrete wall. 14'-1 1/2" ll'-61/2" -- — Connect floor drain to 4"footing drain on F --- 24"crushed gravel with ------+--- backfill fabric. ------ T _-----J Metal grating with operable hatch for egress. Existing Window Existing Window � A o /,L, ��v r W J Project: Rubin House rII 45 Holden Avenue ,�BASEMEhIN' T PLAN Vt C e" Cutchogue, New York 11935 DWG Title: Floor Plans Seal& Signature: Dater.,,1 Aug 2022 Project#: 22RUB A DWG by: PM Scale: 1/4"=V-0" S-1 .00 1 of_Drawings