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51124-Z
sr� '- o�OStl�fOt�lpG. Town of Southold 9/26/2024 y� P.O.Box 1179 0 o • 53095 Main Rd Ol �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45595 Date: 9/26/2024 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 4785 Stillwater Ave, Cutchogue SCTM#: 473889 Sec/Block/Lot: 137.-3-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/10/2024 pursuant to which Building Permit No. 51124 dated 8/26/2024 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"alteration convertingattic space to office room in an existing single family dwelling as applied for The certificate is issued to Haase Jr,George&Lisa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 51124 9/23/2024 PLUMBERS CERTIFICATION DATED tho ize 'gnature ��o�g�FFD��cD TOWN OF SOUTHOLD �y BUILDING DEPARTMENT y TOWN CLERK'S OFFICE ?y • 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#: 51124 Date: 8/26/2024 Permission is hereby granted to: Haase Jr, George PO BOX 153 Southold, NY 11971 To: Legalize an "as built" alteration to convert attic space to an office room in an existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 4785 Stillwater Ave, Cutchogue SCTM #473889 Sec/Block/Lot# 137.-3-10 Pursuant to application dated 7/10/2024 and approved by the Building Inspector. To expire on 2/25/2026. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $940.00 CO-ALTERATION TO DWELLING $100.00 Total: $1,040.00 `k2 Building Inspector oF so�ryQl Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q �► • �o Jamesh _southoldtownny.gov Southold,NY 11971-0959 QIyCOUNV+�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: George Haase JR. Address: 4785 Stillwater Avenue city:Cutchogue st: New York zip: 11935 Building Permit#: 51 124 Section: 137 Block: 3 Lot: 10 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 Service Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 7 Ceiling Fixtures 2 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors 1 Main Panel A/C Condenser Single Recpt Recessed Fixtures 2 CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan 1 Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 6 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: AS BUILT HOME OFFICE n September 23, 2024 Inspector Signature: Date: 4785 stillwater ave * # TOWN OF SOUT OLD BUILDING DEPT. "cou 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] 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: Al bttt SA,4kc � r� d ofP-c4i' met AFC o Ba 0-t. ©xf� e,tS or DATE Co/pq INSPECTOR Lu OF SOblyo� f . # TOWN-OF SOUTHOLD BUILDING DEPT. ' cou �o 631-765-1802 INSPECTION - FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [. ] FOUNDATION-2ND [ ] ULATION/CAULKING [ ] FRAMING /STRAPPING 4.FINAL [ ] -FIREPLACE'&'CHIMNEY [ '] -FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION [ ] ELECTRICAL(ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: l .P�Vt —A�A fe, DATE INSPECTOR pFSOUTyOIo # # TOWN .OF SOUTHOLD BUILDING DEPT. °`y�o�►� �� 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. f -1 .FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] .FIRE.SAFETY-INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [ ].- FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) V] -ELECTRICAL (FINAL) [ . ] CODE VIOLATION [ ] PRE C/O [ .] RENTAL REMARKS: a6 DATE 3 a INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ' n FOUNDATION (1ST) -------------------------------- FOUNDATION (2ND) � O oC ROUGH FRAMING& a PLUMBING w 1 O r INSULATION PER N.Y. STATE ENERGY CODE AKA FINAL ADDITIONAL COMMENTS • • 2 ck:,a fMqD,, a-GD r6L ✓e c jL 8 'c0\0 �z m , ro F7 H O z x x d ro H o�g��f0l�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT z 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 APPLICATION FOR BUILDING PERMIT s DC��OdL For Office Use Only PERMIT NO. 511 JAb 0 Building Inspector: JUL 1 0 2024 + Appl+cat+ons and forms must be filled out+n'the+r ent+rety Incomplete BUILDING DEFT. apphcat+ons w+ll not be accepted Whereahe Appl+cant;mn'ot,theowner,an 30wner's Authorization'form;(Page 2lafiall•be°completed TQWN'?}]F SOUTHOL'' 3z'S Date:July 1, 2024 OWNER(5);O1K.`PROPERTY Name:Geor9eµHaase scrM#1000-137.-3-10 Project Address:4785 Stillwater, Phone#:201-925-2714 Email:haasejr a@aol.com Mailing Address: „CONTACT,P.ERSON Name:Joan Chambers Mailing Address:PO Box 49 Southold NY 11971 Phone#:631-294-4241 _ _ Em_ail:jq richambers10@gmail.com_ � .:f Pt µ„A: ''4�k k fit'L';t'<. L. :'C�jta ^:;�'i�...w f';s,>p.,n%<ce.,Ec•.,.; i , �� .t;y"., .a^. .rx�Y' ;y.La.d'- `ce "DES GNP RO.ESSION A' LO k;�, ',, `.,�• ',��,.�., �,,' >,�;,�,....;;' ,t , q;,+ :f. ) _,.fay, •I;f :� `�e� .tl �f,:1<`f` '�.'• N Name:Lou Schwartz Mailing Address:? Ridgewood St, Bay Shore,_NY 11706 Phone#:(631) 410-6838 Emailalderunnereng@gmail.com CONTRACTOR INFORMATION: Name:as-built Mailing Address: Phone#: Email: r..J+:• ::7�., .'i`„9rJ:fir- rnio'6'..;e.a�,y .DESCRIPTION"OF'PROP.OSED.CONSTRUCTION-° :�` -,�'��� ,.,.., .:`;�•:°' ':14 ��_ ❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project: [--]other $ Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes BNo 1 A s Y . . Rdl?ERTY� F "5 IN ORMA71C3N% Existing use of property:residential Intended use of property:same Zone or use district in which premises is situated; Are there any covenants and restrictions with respect to R-40 this property? ❑Yes l'9No IF YES, PROVIDE A COPY. heck:Box Aft`er.Reading:;The owner/contractor/design professional'is responsible,for ail drainage and storm water issues`as rovided b P. y, Chapter 236 of the Town Code:APPLICATION IS HEREBYLMADE to the`guilding Department fo`r.the issuance of a Building Permit purauant!to the.Building Zone Ordinance.of the Town of Southold,Suffolk,County;-New;York and other appiicable.Laws,.Ordinances or Regulations,for the construction,ofPbuildings, addltions,;alterations:or.for removal or demohtion'as heiein'described The applicant agrees tp comply with all applicabie'laws,ordinances,building code; housing code`and.regulations and to admi4 authorized Inspectors ori.premises'and in'building(s)fornecessary inspections Faise statementsmade h6rei6,4te. ' ;"punishable"as a tlass,:A misderneagoT-pursuaaid Sedion'210AS,of the New:York State Pena{Lam'' ' Application Submitted By(print name):J oa n Chambers ®Authorized Agent OOwner Signature of Applicant: Date: CONNIE D.BUNCH STATE OF NEW YORK Notary Public,State of New York No.016U6185050 SS: Qualified In Suffolk County COUNTY OF Commission Expires April 14,2 �� ) Joan Chambers 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 " day of 2004 ,1� , 6— Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) ,, George F Haase jR residing at 4785 Stillwater Ave Cutchogue NY do hereby authorize-Joan Chambers to apply I on my behalf to the . of Southold Building Department for approval as described herein, July 7, 2024 witer•'s'Sigri..tur Date Ge rgeFHa ' seJr Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - Pb Box 1179 ti `n Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh(c�southoldtownny.gov seanda-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: P a A- 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: 2 r9.t r- j 2 Address: `T s ;f LL(ae4 ; 2 Cross Street: Phone No.: J, Fp Bldg.Permit#: 5-1/,QV email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: s job ready for inspection9• © 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 M 1 2 H Frame D Pole Work done on Service? M Y FjN Additional Information: PAYMENT DUE WITH APPLICATION Q t(4 r V re.c,* Jo�3og ec 1 saFOL.-co_ BUILDING DEPARTMENT- Electrical Inspector �o Gy TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 $�jo ao� Telephone (631) 765-1802 - FAX (631) 765-9502 l �' jamesh Dsoutholdtownny.gov — sea ndCcDsoutholdtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: p/U Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) t Name: �� �2�L �, l�'�A.� c j 2 Address: 7 r s i!LL(ao4 ;H 2 �f Gwt D L49 ` q Cross Street: R vr2J if Phone No.: r / 71 `/ Bldg.Permit#: email: f A y Tax Map District: 1000 Section: 3? Block: Lot: to BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: s job ready for inspection?• ® YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground[]Overhead # Underground Laterals D 1 2 H Frame Pole Work done on Service? M Y ON Additional Information: PAYMENT DUE WITH APPLICATION Q/(4 1 Z,/ :P d p ircc,* 1o63o8 CC, PERMIT# Address: Switches 1 Outlets-IfK tit GFI's Surface t Sconces H H's 11 UC Lts Fridge HW POOL Panel Fans I Mini Fr. W/D Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc ,Combo Cooktop Minisplit Blower AC �`` AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments ��1•0 ScDHS Rot.* RIO-OR-0089 AN1 Al7ERA' ae A m nas su�vEr ra ' S URV Y OF PROPERTY �SCCl�i 7!D!a< 7f�!EY Yam[STATF 6�NCAifa1(A1$-. WT AS M!S XUW YR09- M t ALL L'tRTA+,1t' 0=0 lERE�t ARE VALlD inRR 7lOt FaAI A!Is cv= valor MY jr A K AT CUTCHOGUN TO WN OF SOUTHOLD SUFFO K COUNTY, N'FJY YO-M 1000--1-37-03-10 SCE: 1"=40' APHL 17. '21M J9. MAY 3. ROW (RfVISIDO .. ..._..._.___... �,� CCT. 24, 2W ff7VBTAb LOCa mI e�W0 JAl1� 3Q, 2004 f FNVL ) jk zrntnli A4 �!Y•u;?;t:E;5'3,:!c`::t,";i^•3+!L'aC�M;tr:6{J�';:p�PBy�f.:O JOj�1dQ pit -031Y.�0"'3q:'Xq:Z.:{$tg isni p -Q� u •_'7,• 00 Q t, , �' '" p i wr'of J i:D,3 :::`K. "•'•t•�.:'•'.:;•?st)Tdti02lddl/ _ JP ywx AML d kivd30ALNn10C1 sop CERrFIED TO, , # f ,p J = , 601 I am familiar with the STANDARDS FOR APPROVAL �1 0' � ��y N AND CONSTRUCTION OF SUBSURFACE SEWAGE '�r��y �' �� � NEW p� DISPOSAL SYSTEMS FDR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct, ,a Na4961@ The location of wells and cesspools shown hereon are .Y. 1C,' n and or data obtained from others. E from field observatlo 5 c►' •�`s � -•AX((b31) 7+65 jElevations are referenced to tan assumed datum. '9� y P. O• ®S J 1230 i31A T i ■=MONUMENT N.Y. 19?1 AREA=21, sOUTyO�D.' ".� 307 S.F. . •=PIPE • ROOF BELOW U0 0 Z _ ATTIC V I +s 0 DRYER SLOPED CEILING — —— —— — — — — — — — —— — — — — — — — — — — — I .. 14'-3" I EXISTING 2X6 @ 16" OC STUD WALL I WASHER ADD R-19 INSULATION ADD 112" GYP. BD.TYP. ~w ' ¢O mz I a)� UTILITY x O SINK a wz r o 0 O rr 3 z a w m r w J a x O O U O O \ z ' ' N ATTIC OVER GARAGE a6 !2 m w CIS c i CONVERTED TO LL @� � HOME OFFICE SPACE o z I ' co 0 U X X— N N M O Nm � � � w XQ wwo 2. r� w ¢ EXIST. +6• r - ---i o i - -- - - HALLWAY - I I ' SLOPED CEILING I I SLOPED CEILINGA- 1 mN I I xw i I m¢ EXISTING DORMER I PARTIAL I (8'-0" CEIL. HEIGHT TYP.) uriU 5ZOW z FLOOR PLAN EXISTING AWNING WINDOWS 24"X24" TYP.— 7. 1 .2 4 ROOF BELOW JOAN CHAMBERS - ----- — — - - -- (631)294-4214 mco xw 00 wz co w Z NE PARTIAL FLOOR PLAN PLUMBER CERTIFICATION �, o HOME OFFICE ON LEAD CONTENT BEFORE 1/4" = V-0" 7.1.24 CERTIFICATE OF OCCUPANCY r � SOLDER USED IN WATER W SUPPLY SYSTEM CANNOT �oo��FESS±oNP�`��'� APPROVED AS NOTED EXCEED 2110 OF 1!o LEAD. DATE• b Z BAP I 511 a --('� PLUMBING I b 46,��B� ALLPL�JMBING.WASTE I &_vVATER LINES NEED NOTIFY BUILDING DEPARTMENT AT TE§TINIG BEFORE C`OAtRING 631a65-1802 8AM TO 4PM FOR THE COMPLY WITH ALL CODES OF FOLLOWING INSPECTIONS: NEW YORK STATE&TOWN CODES FOUNDATION-TWO REQUIRED AS REQUIRED AND CONDITIONS OF FOR POURED CONCRETE ELECTRICAL s=01DT0WNZm ROUGH-FRAMING&PLUMBING INSPECTION REQUIRED 1801JIMTOVIRMNINGBW INSULATION SOUi}Iow=iRUm FINAL-CONSTRUCTION MUST N.Y.S.DEC BE COMPLETE FOR C.O. MO.- � wc ALL CONSTRUCTION SHALL MEET THE Additional REQUIREMENTS OF THE CODES OF NEW -Certification YORK STATE. NOT RESPONSIBLE FOR May Required. uired. DESIGN OR CONSTRUCTION ERRORS 9