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Home My WebLink About47853-Z ofPallrlpG Town of Southold 2/7/2024 0 P.O.Box 1179 co 53095 Main Rd ��y Q� Southold,New York 11971 �Dl CERTIFICATE OF OCCUPANCY No: 44952 Date: 2/7/2024 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Properly: 490 Windy Pt Ln., Southold SCTM#: 473889 Sec/Block/Lot: 78.-6-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/15/2022 pursuant to which Building Permit No. 47853 dated 5/25/2022 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"alterations to existing single-family dwelling as applied for. l The certificate is issued to Walberg,Christina of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47853 4/10/2023 PLUMBERS CERTIFICATION DATED 2/5/2024 Chri a Walber u ignature thriz o�SVEFoc�co TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT N 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 #: 47853 Date: 5/25/2022 Permission is hereby granted to: Ratner, Sanford 40 Amherst Ln Great Neck, NY 11021 To: legalize "as built" alterations to existing single-family dwelling as applied for with flood permit. At premises located at: 490 Windy Pt Ln., Southold SCTM #473889 Sec/Block/Lot# 78.-6-11 Pursuant to application dated 4/15/2022 and approved by the Building Inspector. To expire on 11/24/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $499.20 CO-ALTERATION TO DWELLING $50.00 Flood Permit $100.00 Total: $649.20 Bui n ector 0f SO!/ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviin(cD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Christina Walberg Address: 490 Windy Point Ln city:Southold st: NY zip: 11971 Building Permit#: 47853 Section: 78 Block: 6 Lot: 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: RO Electrical Services License No: 40983ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1 st Floor X Pool New X Renovation 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 10 Ceiling Fixtures 1 Bath Exhaust Fan 1 Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 3 Smoke Detectors Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures 14 CO2 Detectors Sub Panel A/C Blower 2 Range Recpt 40A Ceiling Fan 1 Combo Smoke/CO 1 Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 2 Switches 10 4'LED Exit Fixtures Sump Pump Other Equipment: Fridge, Oven, DW, Micro/ Hood, 2 Mini Splits Notes: Kitchen, Dining & 2nd Floor Bath Inspector Signature: Date: April 10, 2023 S.Devlin-Cert Electrical Compliance Form pf SOb Telephone(631)765-1802 Town Hall Annex . Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD � F E B - 5 2024 Do - l��aafdfu�C�L�ia��ae�� Town Of A t�l8ti0ld CERTAFICA7CJQH Date: OZ VOA l Building Permit No. 0 �� Owner: (;l 00P,Y (Please print) Plumber - — — - - -- - - (Please print) I certify that the solder used in the water supply system contains less than 2I10 of 1% lead. (Plumbers Signature) Sworn to befog me this day of F & 20 a T . CONPIIE D.®UGVCH Notary public,State of New York No.01 BU6185056 (� Qualified In Suffolk County Commission(Expires Apr(( 1412 �c�l( Notary Public, tY Olf so q7 y 5 3 49-6 I V n ?4-L V # # TOWN OF SOUTHOLD BUILDIN DEPT. 'ro 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) [y] ELECTRICAL (FINAL) [ ] CODE VIOLATION [r; ] PRE C/O [ ] RENTAL REMARKS: 04 IV i DATE INSPECTOR �aOF SOUTyo TOWN OF SOUTHOLD BUILDING DEPT. courm N 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRA /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL . REMARKS: ` , 5 DATE '1�C>y'� INSPECTOR OF SOUIyOIo � TOWN OF SOUTHOLD BUILDING DEPT. `ycouMr,��' 631-765-1802 INSPEC ION [ ] 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 REM KS: -- --- 6viA-, - vm - l� DATE INSPECTOR / OF SOUI L J-7 S 5,73 WO V f * TOWN OF SOUTHOLD BUILDI G' DEI T. `ycou 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: '14 T a ev c c r qlmXqu DATE S INSPECTOR pF SOUTyo # # TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�IULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMA KS: G DATE INSPECTO i r , f* wailNiaa Nwn j �' • 3 04 • c7 — - �lip y 49Ul a _ r. •} d�s + c 71 tj a� i! LJC[ 9 4 _ r } Kourounis Kitchen/Dining Room 460 Windy Point Lane, Southold, N.Y. 11971 S.C.T.M. 1000-0078-0006-011.000 June 14th, 2022 r I r f„p i 1 l� AUG 2022 Lod E; TOWN OF SOUTHOLD Page 1of2 1i Kourounis Kitchen/Dining Room 460 Windy Point Lane, Southold, N.Y. 11971 S.C.T.M. 1000-0078-0006-011.000 June 14th, 2022 AI 1� Utt 5 ToW4 Of MOO Page 2 of 2 r i Kourounis Residence 490 Windy Point Lane, Southold, N.Y. 11971 S.C.T.M. 1000-0078-0006-011.000 3 dJuly, 2022 10:00a.m. A. Kitchen/Dining Insulation <t f f B. Kitchen/Dining Insulation r i i 'i 0 puG p� Zp22 TON►N0f5U�� Page 1 of 3 t Kourounis Residence 490 Windy Point Lane, Southold, N.Y. 11971 S.C.T.M. 1000-0078-0006-011.000 3 d July, 2022 10:00a.m. C. Kitchen/Dining Insulation i I D.Kitchen/Dining Insulation M ., Page 2of2 Kourounis Residence 490 Windy Point Lane, Southold, N.Y. 11971 S.C.T.M. 1000-0078-0006-011.000 3rd July, 2022 10:00a.m. E. Kitchen/Dining Insulation AUG �a 1022 et-m-r-JN�vfVT V-100 Page 3 of 3 TON►►v G -78f4oAl ' q°I a LA)i y?�s Nigel Robert Williamson .Architect P.O. Box 1758 Southold, NY 11971 Phone 631.834.9740 August 7, 2022 Mr. John J. Jarski, Senior Bldg. Inspector Town of Southold Bldg. &Zoning Division 54375 Main Road P.O. Box 1179 Southold,NY 11971 Re Kourounis residence 460 Windy Point Lane, Southold,N.Y. 11971 Dear Mr. Jarski: Attached are two pages of photographs dated June 14t", 2022 showing the permitted collars ties and gable framing and three pages of photographs dated 3rd July, 2022 showing the closed cell insulation on the exterior walls and ceiling. The interior gable wall between the dining room and bedrooms has R19 fiberglass insulation. Based on my observations,it is my opinion that they conform to the submitted permit plans. I trust that everything is in order. If additional information is required please do not hesitate to contact me. I thank you for your assistance in this matter. Your's faithfully, Ni el Robert Williamson R.A. I[ �i r AUG 08 2022 LR: BUILDING DEPT. TOWN OFSOUTHOLD Lj Nigel Robert Williamson Architect P.O. Box 1758 Southold, NY 11971 Phone 631.834.9740 September 25,2022 Mr. John J. Jarski, Senior Bldg. Inspector Town of Southold Bldg. &Zoning Division 54375 Main Road P.O.Box 1179 Southold,NY 11971 Re: Kourounis residence 460 Windy Point Lane, Southold,N.Y. 11971 yin Dear Mr. Jarski: Attached are two pages of photographs dated June 14'',2022 showing the permitted collars ties and gable framing and three pages of photographs dated 3rd July, 2022 showing the closed cell insulation on the exterior walls and ceiling. The interior gable wall between the dining room and bedrooms has R19 fiberglass insulation. Based on my observations, it is my opinion that they conform to the submitted permit plans and to New York State code. I trust that everything is in order. If additional information is required please do not hesitate to contact me. I thank you for your assistance in this matter. 4, 9A Your's faithfully, u ARey'� Nigel Robert Williamson R.A. s+ 7-t � DSEP 2 6 2022 � BUILDING DEPT. TOWN OF SOJTHOLD FIELD INSPECTION REPORT DATE COMMENTS sb FOUNDATION(1ST) ------------------------------------ V_ FOUNDATION (2ND) ' e� ' —cp AA � y V ROUGH FRAMING& �/ r�+ B PLUMBING r Rif 1 WL� A ® 1 S r INSULATION PER N.Y. STATE ENERGY CODE f FINAL ADDITIONAL COMMENTS 7� V. UAdL eT vJ rn � x N � z x Cl m b H =o�s*,FFoc r�oGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT y z Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 hqps://www.southoldtowmy.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only I PERMIT NO. Building-inspector: APR 1 5 2022 i ,"Applications and forms must be'filled out in their entire _ B01LDiN� - tY.-Incomplete., TOWN OF SOUTttivi_C, applications will not be accepted. Where the Applicant is not the owner,an OWnees,Authorization form(Page 2),.shall be completed. Date: OWNER(S)OF PROPERTY: - Name: Manny KOurounis SCTM#1000- 0078— 0006— O l i.000 Project Address: 490 Windy Point lane,Southold, N.Y. 11971 Phone#: Email: manny.kourounis@gmail.com Mailing Address: 7 $H&p-A. CoU p--r MAil cp_yI LLG N.y. 1 1449. CONTACT.PERSON': Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL,INFORMATION: Name: Nigel Robert Williamson_ R.A. Mailing Address: P.O. Box 1758, Southold, N.Y. 11971 Phone#: 631 .834.9740 Email: nl el architect hotmail.com ,CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED'CO,NSTRutnON:. ❑New Structure ❑Addition ®Alteration ❑Repair El Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes El No ALTEQ ExisTiwl- kCITGHEQ DiOW- C= ROOM 4-11 54L.FT. FLAT CEILING TD HAVE GOLLJWI of arc iL s�� I_ AL00l2_ROOM (J2-4 Sa Fr\ Th l)ErJ BATH WQ N 1 A PROPERTY,INFORMATION fl Existing use of property: Single Family Dwelling_ Intended use of property: Single Family Dwelling._ Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to RQ•O this property? ❑Yes ®NoyIF YES, PROVIDE A COPY. ��A 8,Check BOX After Reading:.The owner/contractor/design professional is responsible for,all drainage and storm water issues as proirided b'y Chapter'-236 of the Town Code. APPLICATION IS HEREBY MADE-to the Building Department for the issuance,of a Building Permit pursuant to the Building26ne- ,'`Ordinance of the To,wrrof 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;'.F.',' ' housing code and regulations and to,admit,authorized inspector's on premises and in building(s)for necessary inspections.False statements made herein a e; )'punishable as a.Class A'misdemeanar pursuant to•Section 210:45 of the,New.York State Penal•Law.. Application.Submitted By(print name): Nigel Robert Williamson R.A. BAuthorized Agent ❑Owner Signature of Applicant � Date: 14 APe I L 2022. N4 STATE-OF NEW YORK) SS: COUNTY OF ) Nigel Robert Williamson being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (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 1-4 rc day of DkiL. ,2022 • Ota .Pttbk— 'el,IGeruga l m!dx3 uolsslwwoo f4unoo XlognS ui peglleno semo9vrzo ON uolie4st6a i PROPERTY OWNER AUTHORIZATION >W0AM3Nd031VIS'0118nd1WiON (Where the applicant is not the owner) iZZnNNVr,r ama I, Manny Kourounis residing at sly �7• �Il '�i� �� li9`F9 do hereby authorize Nigel Robert Williamson R.A. to apply on *e ;he Town of Southold Building Department for approval as described ere!. Owner's Signature Date Manny Kourounis Print Owner's Name 2 FFO(,tCOGy TOWN OF SOUTHOLD—BUILDING DEPARTMENT w s Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 https://www.southoldtownny.gov Floodplain Development Permit Application PROPERTY-INFORMATION: _ Flood Zone: AIC 6. FIRM Panel: SCTM#i000-078 -0006-01/. Address: .4q 0 ► A)o o►A1r ICE City: 56VTk L-b zip:qT] CONTACT PERSON: Name: 4j g%_ fQ$g14- lJiL.L_ &Vi to TPhone#: 431. 774, Mailing Address: ��.0, �< /'1 fs S u%-+L LD11 PRO JECT•DESCRIPTION: b As,...Ba It r Jo Tr- P, hr>rearLC� SECTION A:STRUCTURAL DEVELOPMENT(C HECK ALL THAT APPLY) Type of Structure J. Type of Structural Activity . Residential(1 to 4 families) ❑New structure ❑ Residential(more than 4 families) ❑ Demolition of existing structure ❑ Combined use ❑ Replacement of existing structure ❑Non-residential ❑ Relocation of existing structure ❑ Elevated ❑ Addition to existing structure ❑ Flood proofed(attach certification) Alteration to existing structure ❑ Manufactured Home ❑ Other: Located on individual lot ❑ Located in manufactured home park SECTION B:OTHER.DEVELOPMENT(CHECK ALLTHAT APPLY) ❑ Clearing of trees,vegetation or debris ❑ Mining ❑ Grading ❑ Drilling ❑ Dredging ❑ Connection to public utilities or services ❑ Paving ❑ Placement of fill material ❑ Drainage improvement(including culvert work) ❑ Roadway or bridge construction ❑ Fence or wall construction ❑ Watercourse alteration (attach description) ❑ Excavation (not related to a structured development) ❑ Other development not listed (specify): By signing,below I agree to the.terms,and'conditions',of this permit and certify to the beSt of my.knowledge the'information contained in.this application is true and accurate. ('understand that no.work may start,until a permit;is issued'.The permit may be.revokdd if any false statements are made'herein:If revoked'all work must�;cease until permit is re=issued..Development shall not be used or occupied;., until a Cert.`of Compliance is issued:The permit will.expire if no work is commenced within one year of issuance.,Other permits may be' required to fulfill regulatory requirements.Applicant gives consent to local i authority or representative to make reasonable nspections to verify"compliance. Application Submitted By(print name): Signature of Applicant: Date: �FFO� � S% v I NG DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD �,Q� Tvn Hall Annex-54375 Main Road - PO Box 1179 0 o B�,�oF o\60 Southold, New York 11971-0959 �owl° Telephone (631) 765-1802 - FAX (631) 765-9502 �l ya rogerr a(�southoldtownny.gov seand(a�southoldtownny.4ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 4/12/22 Company Name: Showcase Electric Co. Electrician's Name: Brian Camilleri License No.: 59658 Elec. email: showcaseelectricli@gmail.com Elec. Phone Ni@31-375-0862 01 request an email copy of Certificate of Compliance Elec. Address.: 10 Sandie Lane Manorville NY 11949 JOB SITE INFORMATION (Ali Information Required) Name: Manny Kourounis Address: 490 Windy Point Lane, Southold, N.Y. 11`971 Cross Street: Main Bayview Road Phone No.: �l�Um BIdg.Permit#: � 3 email:manny.kourounis@6W Tax Map District:' 1000 Section: 00-18 Block: o®o G Lot: 011.000 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): kitchen alteration and second floor bathroom addition Square Footage: 5'9 S IP Circle All That Apply: . Is job ready for inspection?: YES' NO Rough In ✓❑ Final Do you need a Temp Certificate?: YES 0 NO Issued On Temp Information: (Ali information required) Service SizeF�1 PhF-13 Ph Size: A #Meters Old Meter# ENew ServiceE]Fire Reconnect M Flood Reconnect[]Service Reconnect[]Underground(]Overhead # Underground Laterals D 1 n2 H Frame M Pole Work done.on Service? Y MN Additional Information: PAYMENT DUE WITH APPLICATION I� �SifF01Ir O BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o - Town Hall Annex - 54375 Main Road PO Box 1179 o • Southold, New York 11971-0959 y�0 apt Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a-southoldtownny.aov -- seand(aD_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Q(,o -,21 -,2Da2,-X Company Name: Z O LEG P AL SEULLES INC. Electrician's Name: F AJ,q-1, p PT` jj License No.: q0 Gj g 3 —O E Elec. email: f 0 GTYI L, i Ge S �� rrl Elec. Phone No: (-gl 7&q _ // (, 7 ❑1 request an email copy of Certificate of Compliance Elec. Address.: ,2 jS UNGL>L IV /V U% 8P IV W000 8 717 JOB SITE INFORMATION (All Information Required) Name: JS J N A Vi hC ; Address: . qO (N I W O Y PONT L-t N c Cross Street: Phone No.: Bldg.Permit#: 47g5 3, email: Tax Map District: 1000 Section: Block: Lot: BRIEF D SCRIPTION OF WORK, INCLUDE SQUARE FO TAGE (Please Print Clearly): n Square Footage: Circle All That Apply Is job ready for inspection?: ❑ YES ❑ NO Rough In ❑ Final Do you need a Temp Certificate?: 0 YES EI 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 n2 H Frame Pole Work done on Service? Y N Additional Information: (2," e Cq rl C, PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector �O CGy� TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cD-southoldtownny.gov -- seand(ab-southoldtownny.gov. APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: d 6: -,2 Company Name: ( AEG r1 52 I }\lC. Electrician's Name.- F- AJAr/, P—T I License No.: ' C? Cj�3 -0E, Elec. email: rp e c-- n , Gr i C-es it CAY1 Elec. Phone No: (,3l (d Ll - I/ 7 ❑I request an email copy of Certificate of Compliance Elec. Address.: g3S LlJtJCOL IVY ;,kUF- 8P W WOOO Y 11 '71 7 JOB SITE IN, (All Information Required) Name: IS INJ A Ri 4�4 Address: qC cx ( ri 0 Y Po f /V T Lfh-v C- Cross Street: Phone No.: Bldg.Permit#:_ �5 email: Tax Map District: 1000 Section: Block: Lot: BRIEF D SCRIPTION OF WORK, INCLUDE SQUARE FO TAGE (Please P7.int Clearly): Square Footage: Circle All That Apply Is job ready for inspection?: ❑ YES 0 NO Rough In Final Do you need a Temp Certificate?: F I YES [�J NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service0 Fire ReconnectOFlood Reconnect ElService ReconnectOUnderground[Overhead # Underground Laterals 1 n2 H Frame n Pole Work done on Service? Y N' Additional Information: e C I 01 PAYMENT DUE WITH APPLICATION PERMIT # Address: Switches Outlets ,GFI's !� 'I Surface I Sconces I� HHIs UC Lts Fans r' Fridge HW I Exhaust Oven A' WAD Smokes DW ' Mini Carbon Micro l Generator r Combo p Cookto Transfer l� , H Hood Service Amps Have Used Special_ Comments i APPROVED AS NOTED DATE: �� B.P.4 FEE: BY: COMPLY WITH ALL CODES OF NOTIFY BU LDING DEPARTMENT AT NEW YORK STATE & TOWN CODES 1 765-1802: 8 AM TO 4 PM FOR THE AS REQUIRED AND CONDITIONS OF OCCUPANCY OR FOLLOWING INSPECTIONS: _ USE: IS UNLAWFUL 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE. ARD WITHOUT CERTIFICA I. 2. ROUGH - FRAMING & PLUMBING 3. INSULATION TEES OF OCCUPANCY 4. FINAL - CONSTRI!!'T!ON MUST c:31 v S BED BE COMPLETE FC L- C 0. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED PLUMBER C�RTIFlCATlON FLOOD ZONE ON LEAD CONTENT BEFORE COMPLY WITH CHAPTER"46" CERTIFICATE OF OCPUPANC' L1( iaf(V. .: ` FLOOD DAMAGE PREVENTIOr '.::ALL PLUMBING WASTE SOUTHOLD TOWN CODE. SOLDER USED IN WATER woz ATER':LINFS NEED SUPPLY SYSTEM CANNOT ,B��OJ�.h.COUERING... EXCEED 2110 OF.:1% LEAD. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. Legend -------___-- TO SE FZEMoVED Ex15T l N C- k1ALLS �.EpLAC.E EXIST M47r GLAPIJG 114 UPPER_ 10�—�'�S" PAWELUwG JAGE5. LOWER. SASHES µ1/.Tl{E GLa3IuG IIJ AGCARLJG£ --- --� WA NEW W4L15 W 2306,3.1. I 1 ,-----•-----------a-] 1 -- EJCTG--. FOUDb,&TIOLI. WALLS. I NEW 7;c 4'SiuD WQI.L. ELEC. IZAo l aTotZs LI Q F- Off- WALL Jh=t�� i { ro:v7 ps aa0`. �lEIn1 FO 1 _ UtJD,d,T OtJ WALLS, ►�► l Iti ►�1 j I pANASGOT l4 � � ----- WOTE I "PUCE EXTE,2 OR WALL GLG•, HCrNT. 7_II V8' _1 ' i ( IMSVLATICNJ 01 JbNWS HAWVI '/z"M.R. C14 BD, TD r i ! 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