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HomeMy WebLinkAbout50855-Z �o�OgHFFOL�IpG. Town of Southold 9/10/2024 a y�� P.O.Box 1179 N 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45533 Date: 9/10/2024 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 420 Glenn Rd, Southold SCTM#: 473889 Sec/Block/Lot: 78.-2-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 50855 dated 6/24/2024 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"finished basement and alterations to an existing single-family dwelling as applied for. The certificate is issued to Blum,Jeffrey&Melissa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50855 9/9/2024 PLUMBERS CERTIFICATION DATED uth riz U gnature fait.co TOWN OF SOUTHOLD aye BUILDING DEPARTMENT y TOWN CLERK'S OFFICE SOUTHOLD, NY oa 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#: 50855 Date: 6/24/2024 Permission is hereby granted to: Blum, Jeffrey 420 Glenn Rd Southold,. NY 11971 To: Legalize "as built" finished basement and construct alterations to an existing single-family dwelling as applied for. At premises located at: 420 Glenn Rd, Southold SCTM #473889 Sec/Block/Lot# 78.-2-22 Pursuant to application dated 5/3/2024 and approved by the Building Inspector. To expire on 12/24/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,262.00 CO-ALTERATION TO DWELLING $100.00 Total: $1,362.00 Building Inspector oF so�ryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q OWN, Jamesh southoldtownny.gov Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jeffery Blum Address: 420 Glenn Road city:Southold st: New York zip: 11971 Building Permit#: 50855 Section: 78 Block: 2 Lot: 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH-THE NATIONAL ELECTRIC CODE Contractor: HOMEOWNER Electrician: License No: 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 10 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors 1 Main Panel A/C Condenser Single Recpt Recessed Fixtures 12 CO2 Detectors 1 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 4'LED Exit Fixtures 11 Sump Pump Other Equipment: Notes: AS BUILT BASEMENT FINISH Inspector Signature: Date: September 9, 2024 420 glenn rd q so 50 655 IaO U-1 e n n rc( # . * ' TOWN OF SOUTHOLD BUILDING DEPT. �pTyComm, io 631-765-1802 INSPECT-ION [ ] FOUNDATION 1ST/ REBAR [. ] ROUGH PLBG. [ ]-. FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [s(]" ELECTRICAL (FINAL) [ ] CODE VIOLATION [ } . PRE C/0 [ ] RENTAL REMARKS: hca ete A VGA 0 V. 0-6 I L+.5 w �� jmla a-rt ©wiI Q uj vu� JouwtA vo ov% Gocro DATE 7- --c2l INSPECTOR OF SOUTyolo # # .TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLB.G. [ ] 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 REMAR S: 0 �v DATE . �� '� - INSPECTO N. J. MAZZAFERRO, P.E. PO Box 57, Greenport,N.Y. 11944 Phone - 516-457-5596 Consulting Engineer May 2, 2024 Dew, Construction, Inspection Page 1 of 1 Town of Southold-Building Department 53095 Main Road Southold,NY 11971 Re: Blum 420 Glenn Road Southold,N.Y. 11971 District-1000, Section-78. Block-2 Lot-22 Building Permit Number—As Built Alterations Inspection—Existing Basement On April 4, 2024, I inspected the existing basement construction at the noted location. The inspection covered the framing and insulation for the interior walls of the bedroom in the basement of the existing house. The areas inspected in the basement included the bedroom walls and ceiling and exterior egress. The framing and insulation work included the interior walls and ceilings. The basement has one (1) egress window that conforms to the current code. The inspection results are: Items inspected included lumber size, dimensional spacing, connections, and integration with the concrete foundation. The existing insulation placement was verified. The insulation(R-10 walls R-30 ceiling)meets code requirements. The framing and insulation work was done in compliance with the applicable sections of the IRC,NYS and Southold Town Building Codes. Result—Based upon inspection of this project and to the best of my knowledge, belief and professional judgment, construction as installed complies with the plans and �� F applicable codes of the IRC,NYS and Southold Town Building Codes. y�P Yop Nicholas J. 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TV LIDe fiou++ L tj ZA KIP ° SI ci r z =a$dd+ ----- a� �__ ••4 _ �';d°ate�� � aOAo it i�11 , f ve 8g, lit maw 1 M S r _ V u �l►o. � � l l I b �I' �� �u e u ■ a AMML— I pANdER pF.UGRO GAtrGER i) IT ow so - . _ t f S 1 �. y + �+a • is < a� its hit f � � e 9 O IMM � l A -. WITi !� .r {t t w� sk t ►qv IV . t �* r ♦� 0, ,r s • s FIELD INSPECTION REPORT DATE M COMMENTS TOUNDATION(1ST) y ------------------------------------ FOUNDATION (2ND) z �O ROUGH FRAMING& ; m t-t� PLUMBING INSULATION PER N.Y. y STATE ENERGY CODE 1 Il/ 0 � FINAL ADDITIONAL COMMENTS �• �-- C-t� C 3�� -�- �$ �brr o I I Li ` C �- Z rn rb r Nx ro z x v r� ro y =aAS°ff0���o� TOWN OF SOUTHOLD-BUILDING DEPARTMENT h x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 hLtps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMITR.; -� For Office Use Only �)QQ zJ `�' MAY - 3 2024 PERMIT NO. 0055 Building Inspector: RUH Applications and forms-must be filled out'in their entirety.Incomplete a 'DDTG "e° applications will not be accepted. Where the Applicant'is riot the owner,an ` UL XJT1- `I-` 73 Owner's Authorization form(Page 2)shall be completed.. Date: OWNER(S)OF PROPERTY: Name: SCTM#1000- m�.� 7iZ ---fie_- . _\ `6 Q c.._---____------ Project Address__ Z.� G-V<- _.�_.toe,ck__ ___ J 4l_---._� ____'�_` )___-------- - Phone#: -_C/'X 1--V2.0 Email.__._ _.____ MailingAddress: ___.._. � 7.._�le.11 _._cSUv0�( _ ( CONTACT PERSON: Name: Mailing Address: 0 L -------- _ _ - - �1 -� -- Phone#- �o` --- Email: h\GIG A 6 11 P_l__ !ALI�O2UkYT. DESIGN PROFESSIONAL INFORMATION: Name: _ Q-` -Ui__ ._ __ v v -- _---.__..___._.___.___-a--_- Mailing Address: L1 Phone# y J -- -_--- - Email: CONTRACTOR INFORMATION: ; Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition j %lteration ❑Repair El Demolition e Estimated Cost of Project: I� i5Qther ���.� Ski �t�4Q/1M �`� z nr-6 W�uG�( $ Will the lot be re-graded? ❑Yes)tVo Will excess fill be removed from premises?. ❑Yes XNo 1 PROPERTY INFORMATION Existing use of property: lt__Q e 51C Intended use of property: , A AC R Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to L this property? ❑Yes No IF YES, PROVIDE A COPY. 0 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 210.45 of the New York State Penal Law. - Application Submitted By(pri t n K(k'LrL 440 '&Authorized Agent ❑Owner Signature of Applicant__ _ �— — ` Date:— 1 -Zo-` _— STATE OF NEW YORK) �+ SS: COUNTY OF J 1)T"--r-'D ) QV(-�,Ck� 2�, � being duly sworn,deposes and says that(s)he is the applicant (Name of individual igning 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 r6 day of /-I� ,20� Z T-//z 6�1� Notary Public LYNN E STEVENS Notary Public-State of New York NO.01ST6269424 PROPERTY OWNER AUTHORIZATION Qualified in Suffolk_Couaty (Where the applicant is not the owner) Commission Expires Yea �CQ I, y� � 1�J► residing at do hereby to apply on y authorize y be If t of Southold Building Department for approval as described erein. Sign ture ate Print Owne 'r ame 2 �SyfFot4" BUILDING DEPARTMENT- Electrical Inspector O� TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 "' Southold, New York 11971-0959 YA ,• ~' �,�� ` Telephone (631) 765-1802 - FAX (631) 765-95d2 jamesh(cDsoutholdtownny..,gov — seand(a.southoldtownny.Qov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN.INFORM TION (All Information Required) Date: Company Name: to-r�- �' Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: B lavoK4- Address: 010 (r ,yam o w�®( q Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: ZIBlock: Lot: o� 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❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals LLL2 H Frame Pole Work done on Service? DY N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surface Sconces H H ssc;6W , UC Lts Fridge HW POOL Fans Mini Fr. W/D PanelPump Exhaust Oven Sump Heater Trns_fmr Smokes DW . Generator`,;;' Salt Gen. < V1/ate{r Bond Carbon Micro GrbDis Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum . - Transfer, Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments SURVEY OF LOT G N AS SHOWN ON A CHAIN MAP ENTITLED WAF Of WEST CF=ESTATrV n s MLW IN TIM OFFICE OF Thr CLERK OP SUPfOLK COUNTY AUGUST IS,I EIMA5 M4?NO.3548 K 51TUATE: 50UTHOLD o w E TOWN: 50UTHOLD 5UFFOLK COUNTY, NY s P Q O D112 82018 REVISED 0 1-10-2019 REVISED 02-26-2019,04-02-2019 04-05-2019 SUFFOLK COUNTY TAX# 1000-78-2-22 n CERTIMD TO: JE ISSAHONDAK Q as�`rp `OQ CHICAGO 7TPLr INSURANCE SERVICES,LLC ei c f ayay lD PROPOSED LOT COVERAGE INfORMAT!ON TAX WADS M%Kf.s0 :warox-tz 1 Ei`K 4ffiI/Jv1YS[+>yQ�fiM-EDWEl:A'•'Sa xa.ssl S.a- p' ��� 1 ��rJ,./�-s, &ISTINGG "O / pR�Q'� M/A, - ra�T.Tetneac�aa� iPROPOSED t EMT. ro l ;�/ ` as:uere:lse I.&d5SP. �� ` 4, a sue,, g Ta1+AT� saes9s- N �ry -</C h P4,k�RtED�GL S!P91. 6� p•��! �, `9T.r� !axco:-oi-c !:_ze..zs.r. . �r•,p?)N� cyp �O, ' :P:.cnv;vsnaa!xfau� S;I2_4E9.P.a18.:$ r.��4 HOU50kY 'y� a� /47_n PTw. 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SEPTIC TANK(1) • sw WA,TERIN Pr.!E 6R7d%FINE , LEACHIM POOLS(6) . •�+ivry�ga�gr;•+.a,wn 4wy�r[yap"".PP.�ycamaae w�s,vcla[m a�wpP�e�sy 1 123 GOP�t.IYr a t[�+1W AFW 4L ria 6v'1[.rya iWdmC m Fad�q n/.•YP[c[¢ c� 1,L'tIA¢KOT.K�Ia¢a+�•ea•,P ,�iagrap[,ArMn�MNwa[P�,� [ .eu[osx wn n rta.•o m+aT ca o[w u wzoa onc,a¢mro mds.orta sm a a aam T.a,r aa[g wnm � trA[[�c ma+us w e,n s�u wc.a r+,u n a ma..mn+aa wavc,P,mvis s,a•r[+m,r Ta KP mw crnw� 'meaa. T i.,a::isi e°�i°8°...: �aoe`�.rm�z[°',o'@ >•+o°[w +s[a tNiS:WRl$t&'dCCUN!19iEO 7S EEtOW=UR'ALE •A tV wn c6+P2 6nID1-Wis Tw.a9 wcf iuc:H w0v.�. Uf>'P•i: ¢ �j 'W.a.Us�Lryer1•dG.� ar6TmNv¢.[,y �� JOHN C. EHLER5 YJ f man[[>P<h ci[•,•ia of ita kro anno•'i [:a.+m sa!a�w avmaa a ao.P•x Lm •LlP/ATIONS._.�.�NAYFABCFTLTA �i' 6 EAST MAIN STREET N.Y.S.UG.NO.50202 ft,E�„ ANPC��MSYC FIOATL'•.O^..CF..kzs•PA+:AIL' - Ares =22,214 5q,Ft. RAMRMF-AD,N.Y. 1 1901 369-8288 Fax 369$287 �/ O bL'ni hG[al Prac[p[lu[mE S[MN•[iaW Area =0.51 Aces >w.o. a�mP`a`oa"ixurr °I�or fEEiUfVC)/@OptO(IIIDE:.FEtsc SAND• v Pro to[,[wro anvaa LAND as w la east te'm:!'ia marry o-•.e.M1ee- . ra�•�r era terry inPamm yam w m en.an+yuw or spa I.. •+,uN�n. ee,.m 17-121 u><,o,d�w,enT rs�,•:,jaam, , A smo4ke_ and Carbon morwidk &-rec�r.5 arm equirM c5 pfr DAm �" `f'a B-P.# 50855 troll..Oil 2D20 T?,-.j�er +I aj l CG LV I4y5 FEE BY: • R31>{. E 315. NOTIFY BUILDING DEPARTMENT AT �.• �:�. �, ;�..rG' w ,:,..,; a 631-765-1802 8AM TO 4PM FOR THE A pF - FOLLOWING INSPECT[ONS: - �U FOUNDATION-TWO REQUIRED _6 Additional FOR POURED CONCRETE Certification `. ROUGH-FRAMING&PLUMBING z_Io ® May Be Required. INSULATION FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ELECTRICAL ALL CONSTRUCTION SHALL MEET THE INSPECTION REQUIRED REQUIREMENTS OF THE CODES OF NEW w IA°thUul) _�„ YORK STATE. NOT RESPONSIBLE FOR G2 �. DESIGN OR CONSTRUCTION ERRORS G� ST�1'UG. S�'I COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES � { ( ,gyp WELL t _ AS REQUIRED AND CONDITIONS OF 11 �r1LtrtL 4�'fl�L "xW4�B1'd� 3YS� — .aa's+�tr ;f, .X3.K%sd+ti:'3.°c� .y'µ`'+c� @� SOUNLDTOWNBBA t� MZ W -.V.1 STD W14L. SOUiHOtDTOWNPIANhnNGB= L 1 tU S U L."TV 10i — Fib LL hEVIDAr SOUTH01DT4YVNTRUSTEES N.Y.S.DEC 4Tj F SflUiNOLDFCC _ AID D Rz l�!`�' STU C Lga # ISSUE REVISION DATE SO F �. .�� ; 'l°: .. :�, :� � �.`, 5v I d"T DRAM IM IUM �' {�=GRRZj D 4 k) 70l� N.J. M,4ZZAFERRO, P.E. o o AZQ T.,TlO' AIL lz7—&, DV 'C-(3U.L` 0 PROFESSIONAL ENGINEER oAfE ➢ &1:. Ll-. t0 Cvkplr0,0l79: 7v L?Xr0rl(lplvz sl olp P.O.BOX 57,GREENPORT NY,J1944 N g �c'a �` ' Sla415755% EMAIL:n1danauafeno6veftn,net SCAIE: SHEET NO: S-O u E wxz O y twi E f j �