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Home My WebLink About51373-Z of so�ryo`o Town of Southold * * P.O. Box 1179 H " 53095 Main Rd CoUNr.;,'i Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45772 Date: 11/19/2024 THIS CERTIFIES that the building AS BUILT HVAC Location of Property: 510 Tall Wood Ln Mattituck, NY 11952 Sec/Block/Lot: 113.-7-19.27 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 11/12/2024 Pursuant to which Building Permit No. 51373 and dated: 11/12/2024 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" central air conditioning as applied for. The certificate is issued to: Ronald Johnson,Victoria Johnson Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51373 11/19/2024 PLUMBERS CERTIFICATION: Authoril Signature ofso�ryo<o TOWN OF SOUTHOLD BUILDING DEPARTMENT • TOWN CLERK'S OFFICE 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#: 51373 Date: 11/12/2024 Permission is hereby granted to: Ronald D Johnson 510 Tall Wood Ln Mattituck, NY 11952 To: as built" central air conditioning as applied for. Premises Located at: 510 Tall Wood Ln, Mattituck, NY 11952 SCTM# 113.-7-19.27 Pursuant to application dated 11/12/2024 and approved by the Building_Inspector. To expire on 11/12/2026. Contractors: Required Inspections: Fees: As Built HVAC $500.00 As Built Electric $200.00 CO Single Family Dwelling-Addition/Alteration $100.00 Total $800.00 Building Inspector OF SOUr��l Town Hall Annex Telephone(631)765-1802 54375 Main Road ANCP.O.Box 1179 G Southold,NY 1 1 97 1-0959 O • �o Jamesh D-southoldtownny.gov yeOUNT` l BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ronald Johnson Address: 510 Tallwood Lane city:Mattituck st: New York zip: 11952 Building Permit#: 51373 section: 113 Block: 7 Lot: 19.27 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 X 1st Floor Pool New X 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 Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: HVAC Inspector Signature: Date. November 19, 2024 510 tallwood In pF SO//lyolo # * TOWN .OF SOUTHOLD BUILDING DEPT. coo 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ 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: 5, bo ff l�-C DID- -�' � C. �• Q.noC�n �I�� ,� C,u�-��+�. DATE /I/5� INSPECTOR ho��pf SOUlyO� S� V 4510 # # TOWN OF SOUTHOLD BUILDING DEPT. co 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) �,f('] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O - [ ] RENTAL REMARKS: a.� 4 V Qc (,00Jettw er too BINO k4y, r 644f I Ve r 01-fo- 4 ee�5 �v e� !� l got . DATE ` + g" INSPECTOR f 1 � - Prtnf►i�t cortln►ns libe Iyl.I ;vrr►ol De•lurbuill Ihc•rn•u4ahnr► f nt Ilua pn�duta stunng n15L,dL►Ikn► nsryrlt•n.uua, 1I q(tepa►t ,•:rll mJ)". ,ytm •t57Li.%WLx)t t Y.may c atrst, +' SFtlte►sltlss n 11 to Itre Stake l ► U catme ' 111EIGIRWAVAJIMM ,t t L�ss wtra) t► k and eye 1,11 dttea r_ ,. a Ilti�; 1 la PENf+ tJktsll,��ncc fthet CEtttr�tD..- ut1vARab n it n •ly data sheers address • ' '. w n below.w Canit)Ct your sttpeftiesof. IENWX MUST RIES INC_I f+t](mil 7yYU 11 UALLAS TX 756179.901 t 97V4 100 • i i i h I` All `� I *' LI I . wMIF �l A� 7 A .iR • La rr Cl" j Z Fee I " a e 0 jt'.p '�' < r 6�'�! M f ixii •,Q —,Q O �Iy•!=yl 41 is cpl REUEL- RE _ 14 16 a4Tc r�7� 1 ro��rdt ram'ttc;t .� �r A .44 -WA +si c i R N !� `l h23 rn4"i Al.1NurM "+ r� W ---------------- Polk 21 41@InPrl LlAr Or 4e"a w 34 �r 3 36 t pip, c .Pmp T 31 0 4 � 7 "MOM M K`TC IMP At � R uo � N 00 • N t+S do cv "' FurnacaI CD R' N Alf Handler IS MSS �f T �' Fv R 14 - M 30 r-, Compressor w Co"ressor ao 31 Pro � . 34 3b 31 i Y { 16 :gar At�RM !;Viso tt ,, •• 36pl�t comp 7 31 . 4 a I �A i a 1 t FIELD INSPECTION REPORT DATE COMMENTS W FOUNDATION (IST) ------------------------------------- CIO C FOUNDATION (2ND) m z �o _ a cn ROUGH FRAMING& PLUMBING ! ti •SJ J - r t� INSULATION PER N.Y. STATE ENERGY CODE - FINAL ADDITIONAL COMMENTS pet -- z m A 1 b � o 6� z x d b I �,oSueFocxco'� TOWN OF SOUTHOLD—BUILDING DEPARTMENT H x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1,1971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 hLtps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only - Building�J1��? n NOV 1 2 2024 PERMIT N0. Inspector: Applications and forms must3be filled,out,in their entirety.Incomplete applications will not be accepted. Where,the Applicant is not the owner,an Owner's Autho'rization.formj(Page'3)shall'be completed. •i � 1 Date: OWNER(S)OF PROPERTY-1 Name: U6 do o r r) SCTM#1000- Project Address: S[ Phone#: -fd'Js�e Email: Mailing Address: �t.� T1*_+[ksaoJ CONTACT PERSON: Name: Mailing Address: Phone#: Email: DESIGN-PROFESSIONAL.INFORMAT]ON: i..f � i Name: Mailing Address: Phone#: Email: CONTRACTOR.IIVFORMATION: Name: Mailing Address: , Phone#: Email:, DESCRIPTIO*OF-PROPOSED,:CONSTRUCTION j ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Pt5 491-L Le4AC7)L As" 'titc)4-0 -Q -)-0) $ Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes El No 1 t APROPERT>Y`INFORMATION `"1 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 El No IF YES, PROVIDE A COPY. EI Check'Box After Reading Theowner/contractor/design:professionePis responsible+for all drainage#and stormswater issues,as provided by y Chapterr236:of the Town Cotle`'APPLICA PION IS HEREBY MADE to the BulldingDepartmentfor the-issuance of a Building Pern if pursuant to the Building ZonYe,¢ Ordinance}of the Town of Southold,Suffo`ik,County,New York and'other applicable Laws,Ordinanies'or,Reguiation`s;for the construction of buildings,,3' additions,alterations or for removal or demolition;as hereto d'escrit ed,The applicant agrees to comply with al)applicable la�nis;ordinances,buiidfngicode,3,,? housing code and regulations and to admit authorized inspectors on premises'and m building(s)for necessary inspections Falsekstatemer is mad6. 6reln are., punishable as a ClassrA misdemeanor pur;uant to Section 210 45 of tle1New York State P,enai Law _. Application Submitted By(print name): ,V I Gto ri a tr, �U h Sod ❑Authorized Agent ❑Owner Signature of Applicant: �.��- Date: STATE OF NEW YORK) CONNIE D.BUNCH Notary Public,State of New York SS: No.01BU6185050 COUNTY OF ) Qualified in Suffolk County c Commission Expires April 14,2d 0 tS being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, I (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 6tA C4, cc) day of NO /'Vz_ Notary Public PROPERTY OYMER 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 IEE + i ..::in•:> ij OS , i BUILDING DEPARTMENT- Electrical Inspector 1 2 2024 TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Do-par°mOrit Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ja mesh(a)_southoldtownny.gov — seand(cbsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 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: V1-6to rrl-&�- 6-� ---7cp - ,sue rL Address: f o " LCk— -� 6-� Cross Street: Phone No.: (e 1 Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print early): of 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 R2 H Frame El Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector �► 1 2 2024 TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh southoldtownny.gov - seand(a-)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Vl'Lfb rr-cam. 6-. J o Nh -S-o n Address: I� -TcaA(wooJ Lc,- n-c- MoV4acV, Ilq✓ Cross Street: Phone No.: (Q 31 .- 2 g ^ 2 2 y 73 BIdg.Permit#: -6/37-1 email: Tax Map District: 1000 Section: ') �' Block: Lot: R •o� BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print early): bLn'r �i- P-G 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 M H Frame D Pole Work done on Service? Y RN Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W./D Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon +�� Micro, GrbDis Waver 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