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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-\ A ri ed bignature �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 pF SOUr��! 0 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 - C-PAJ Glq� QA , - 4%.." A Alb" Aw S - S e 09 ) . -," �jqd�-iooe Oa4�,. �ortc-. DATE Y INSPECTOR pF SOUTyo{o (� <v1J # # TO�'30L40) UTHOLD BUICCLDING DEP . �o • io `ycaurm N�' 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: L&Ll 2z 412 I-a�(7 to j I iZ3 zo le- DATE INSPECTOR R 'O 9 NVD m • 1 E .®.Tow•I of ao�:.olo R�ILRINo oEPT INSPECTION FOURn.TpUIST ,R000NPLRG .�- 1 I FOUNOATpN]Np 111NSUlATpNCAULMRIG FRA­STRAPPING � •+y I )FIMAL - A . ( 1 FIREIL.CEACWAINFY i 1 FIIK SAFETY INSPECTION I 1 FME RFSIST.NT CONE TRVITpN I I MFPELSTyIt PEIETI1AT.pl ..-. f - ELECTRICAL IROUGNI I J ELECTRICAL IFMAL) NO .yl� 1 1 LOGE LATION 1 I W M 1 I RENTAL [ IIEM�kki: _. F 40 4 � 01TE IMErECT00 e..Trnw F:3ta' FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (IST) �y ------------------------------------ l�T' FOUNDATION (2ND) 1 z 0 H ROUGH FRAMING& y �� PLUMBING 1 r INSULATION PER N. Y-. S '•� STATE ENERGY CODE q" FINAL C., ADDITIONAL COMMENTS !o 2 z346,30v Ye W774 0 :vll UP H x d b H 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 OLD I to Iniaim i I � � ,, • i I � I + I I i + i , I I i � I I I I •