HomeMy WebLinkAbout49348-Z �o�pS�FF� oGy Town of Southold 1/14/2024
'. P.O.Box 1179
0
W T. 53095 Main Rd
Way o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44868 Date: 1/14/2024
.THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 740 Nokomis.Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 78.-3-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/l/2023 pursuant to which Building Permit No. 49348 dated 6/8/2023
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"alterations to existing single-family dwelling as applied for.
The certificate is issued to Hokanson,Richard
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49348 1/3/2024
PLUMBERS CERTIFICATION DATED nT-\
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�gpfFQ(q' TOWN OF SOUTHOLD
o� coG. BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • fi 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#: 49348 Date: 6/8/2023
Permission is hereby granted to:
Hokanson, Richard
1635 Nakomis Rd
Southold, NY 11971
To: legalize "as built" alterations to existing single-family dwelling as applied for.
At premises located at:
740 Nokomis Rd, Southold
SCTM #473889
Sec/Block/Lot# 78.-3-18
Pursuant to application dated 3/1/2023 and approved by the Building Inspector.
To expire on 12/7/2024.
Fees:
CO-ALTERATION TO DWELLING $50.00
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
Total: $450.00
Building I
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(a-town.southold.ny.us
Southold,NY 11971-0959 Q�yCOUff N'��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Richard Hokanson
Address: 740 Nokomis Rd City:Southold St: NY zip: 11971
Building Permit#: 49348 Section: 78 Block: 3 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Prudent Electric License No: 4599ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel X A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt 30A Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 6 Circuit Sub Panel /4 Used, W/D
Notes: Sub Panel, Garage, W/D
Inspector Signature: Date: January 3, 2024
S.Devlin-Cert Electrical Compliance Form
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 cz V2 '<7 F-7-n -73
Southold, NY 11971-0959 • 71
J A N 3 2024
BUILDING DEPARTMENT N7 RP7.
TOWN OF SOUTHOLD
CERTIFICATION
Date: L4
Building Permit No.
Owner:
(Please print)
Plumber: A'4."l
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of I% lead.
(Plumbers Signature)
Sworn to before me this
day ofj kn t' 20_Q CONNIE D.BUNCH
Notary Public,State of New York
A, No. OIBU6185050
Qualified in Suffolk County 0,;�L
Commission Expires April 14,2_
Notary Public, County
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou 631-765-1802
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
RE ARKS: et&411e. j4v .-.Av -
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DATE Y INSPECTOR
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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
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INSPECTION
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FRASTRAPPING
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A . ( 1 FIREIL.CEACWAINFY i 1 FIIK SAFETY INSPECTION
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ELECTRICAL IROUGNI I J ELECTRICAL IFMAL)
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FIELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION (IST)
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FOUNDATION (2ND)
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PLUMBING
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INSULATION PER N. Y-. S '•�
STATE ENERGY CODE
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FINAL
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ADDITIONAL COMMENTS
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o�SUFFot rQ9 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.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
3�
PERMIT NO. � Building Inspector:
MAR i1 1 2023 LD
Applications and forms must be filled out in their entirety.Incomplete SOIL UINU DEPT
applications will'not be accepted. Where the Applicant is,not the owner,an TOWNOFSOUTHOLD
Owner's Authorization form(Page.2)shall be completed. ,
Date:
OWNER(S)OF PROPERTY:
Name:._ SCTM# 1000-
Project Address: -7 LJ p
Phone#: _ Z 7 Email:
Mailing Address:
CONTACT PERSON:
Name:----�!-u -�!�/t_- o�t/�,✓-S o.�✓. - ---------------
g Address: - - -
Mailing_ _..__..__.. _. s.o. __�1 ..._..- .f
Phone#: '7 / / Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New( tructure ❑Addition EKII eration ❑Repair ❑Demolition Estimated Cost of Project:
❑Oth �
Will the lot be re-graded? Dyes E�04o Will excess fill be removed from premises? ❑Yes E3Xo
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 o 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 toadmit 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.
O2 « +
Application Submitted By(print name): ❑Authorized Agent ❑Owner
Signature of Applicant: Date:
.......... - ----
G%' l CONNIE D.BUNCH -
STATE OF NEW YORK Notary Public,State of New York
No.01 BU6185050
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
day of f)1\,6L)1 CD,��' , ,20aa
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
I DING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
' MAR 0 12023
o Towr I Annex - 54375 Main Road - PO Box 1179
SUILUINUDIE-PT Southold, New York 11971-0959
T®WNOFSOUTHOI_D
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a southoldtownny gov seand(p�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 2, 2� 23
Company Name: Attpt2tm —�
Electrician's Name: ;,
License No.: 45- EEle�c. email: � �,5-�✓
Elec. Phone No: 51- 0 [ I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: 2 -% u L 4'-/ o S
Address: ok� 2� so��t'�a�� /`�( //97
Cross Street: tit �✓,g�z�
Phone No.: 63 ), 2 Z, 6 27 e,
Bldg.Permit#: �!V,k email:( o_).ovs o �a^'1,�e •��
Tax Map District: 1000 Section: Block: I Lot: ( c�
BRIEF DESCRIPTION OF WORK, II�[CLUDE SQUARE FOOTAGE (Please Print Clearly):
le(.}"L
Square Footage:
Circle All That Apply:
Is job ready for inspection?: /❑� YES ❑ NO ❑Rough In Z 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 Reconnect❑Underground❑Overhead
# Underground Laterals 0 1 2. H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
L}e r0c
I� I DING DEPARTMENT- Electrical Inspector
�� TOWN OF SOUTHOLD U I '20K
I ' Towr,._Hal(Annex - 54375 Main Road - PO Box 1179
gSuilu)lr&VEPT Southold, New York 11971-0959
iOFSL.L;HOLD-
�,, Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(c�southoldtownny.gov seand(a_southoidtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 23
Company Name: - !2 C_
Electrician's Name:
License No.: 45-11 . �/� Elec. email: � ,� ✓ '�
1 re uest an email co of Certificate of Compliance
Elec. Phone No: j�- 3� ��� q copy
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: 2 , �1.� ,� L)o�,g-�5�
Address: �f o /✓o,� 2� So.�ba / 1197
Cross Street: L5,4 K ,✓gr}e�
Phone No.: b 3 1, 2 ,+(— 6 27 ` I (
BIdg.Permit #: ��� email: C.o,�✓s o �a^��,^�� •��I
Vd&
Tax Map District: 1000 Section: 7 Block: I Lot:
BRIEF DESCRIPTION OF WORK, I CLUDE SQUARE FOOTAGE (Please Print Clearly).
G� ' L-
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❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑ Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 I-I Frame ^ Pole Vllork done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
r ,� tJ �I u
aa
APPR VED AS NO ED Q`
DATE: 3. B.P.# U
FEE: BY:
NOTIFY BUILDING DEPARTMENT AT .
765-1802 8 AM TO 4 PM FOR THE ELECTRICAL
FOLLOWING INSPECTIONS: INSPECTION REQUIRED
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONS'rQ['(TI0N MUST
BE COMPLE-E F' C.O.
ALL CONSTRL�T!01\ FALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
PLUMBING WASTE
DESIGN OR CONSTRUCTION ERRORS. a w -TER.,LjNES NEED
C�QVERINe
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS-OF
LD TOWN ZBA _ PLUMBE-R CERTIFJGTION
G BOARD ON,LEA&CO�TENT BEFORE
SST OLD TOWN TRUSTEES CERTIFICATE,OF,OCCUPANCY
SOLDER.USED,1N WATER
SUP.,.PLY SYSTEUCANNO
EXCEED 2/10.OF 1/ LEAD.
OCCUPANCY OR
USE, IS UNLAWFUL.
WITHOUT CRTI,PICAT -
OF'.00GU:P-ANCY Additional
Certification
May Be Required.
`5
7qo IMAR'2 7 2023
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