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HomeMy WebLinkAbout50691-Z of souryO`o Town of Southold * * P.O. Box 1179 g 53095 Main Rd Uff" Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45831 Date: 12/15/2024 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 740 Poauatuck Ln Orient,NY 11957 Sec/Block/Lot: 27.-3-4.5 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 04/05/2024 Pursuant to which Building Permit No. 50691 and dated: 05/16/2024 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" heat pump to existing single-family dwelling as applied for. The certificate is issued to: Mary Roman, Strauss Audrey 2002 Fain Trust,Ellen Birenbaum Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50691 09/24/2024 PLUMBERS CERTIFICATION: dot ut oriz d S gnature o�su a �,coG TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 50691- Date: 5/16/2024 Permission is hereby granted to: Roman, Mary PO BOX 655 Orient, NY 11957 To: legalize "as built" heat pump installation to existing single-family dwelling as applied for. At premises located at: 740 Poguatuck Ln, Orient SCTM #473889 Sec/Block/Lot# 27.-3-4.5 Pursuant to application dated 4/5/2024 and approved by the Building Inspector. To expire on 11/15/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 CO-ALTERATION TO DWELLING $100.00 ELECTRIC $200.00 Total: $800.00 Building Inspector oF so�ryQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q �. • �o sear.devlinCc�town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Mary Roman Address: 740 Poquatuck Ln city:Orient st: NY zip: 11957 Building Permit#: 50691 Section: 27 Block: 3 Lot: 4.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Surrey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 2 Switches 2 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " HVAC Inspector Signature: Date: September 24, 2024 Copy OP SOUTyOlo 50 V 4j� — 7 '4v # TOWN OF SOUTHOLD BUILDING DEPT. "cou�m� 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: `t'/ I/�j�if, DATE 12, INSPECTOR a SOUIyo� * ' TOWN OF SOUTHOLD BUILDING DEPT. courm, 631-765-1802 �D INSPECTION - I FOUNDATION 1ST/ REBAR [ .] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/C LK G [ ] FRAMING/STRAPPING [ FINAL #Zwt n [. ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE 60W INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) ------------------------------------- H ri FOUNDATION (2ND) ��� � O J Q H ROUGH FRAMING& t� y PLUMBING 1 1 O � INSULATION PER N.Y. H STATE ENERGY CODE 11� FINAL ADDITIONAL COMMENTS is k- 8co D 3 Q t-Lo 4--e, ye cJ*� 07 6 0 0 z 41 �k H O M z x d b H r . -A o.°S°FFo�,�ooG TOWN OF SOUTHOLD—BUILDING DEPARTMENT N Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �y��• a°�� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowmy.gov Date Received APPLICATION FOR BUILDING PERMIT E C C7 � y nn P "Z-1I) For Office Use Only PERMIT NO. Building Inspector: _. APR .p Applications and forms must be filled out in their entirety Incomplete applications will not be accepted. Where the-Apphcak"s riot the owner,an Owner's Authorization1orm(Page 2)shall be completed. '`Y""` Date: .,OWNER(S)OF-PROPERTY: . Name: M _��vr.cc✓> L 1 �✓+___�%��"v� SCTIVI#1000- ?� Project Address:__ Phone#: _ vl ( Email: Wt►�bwe Ln`n^R _Ay i I!_ c.V . Mailing Address: i r CONTACT PERSON: Name: /� - -- - -�:Y ove_ - Mailing Address: Phone#: Email: DESIGN PROFESSIONALINFORMATION. Name: Mailing Address: Phone#: Email: 'CONTRACTOR INFORMATION:-. ' Name: Mailing Address:ry_-.. Phone#: G — -7 -1 (:�':S 5 5 --- Email: f tti✓► S Yl V4 6 VM.ct DESCRIPTION OF.PROPOSED:CONSTRUCTION ❑New Structure s ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 2tther r-eAD laze zwAb'J ham, I HVA,, c-vA VLe4k $ Will the lot be re-graded? ❑Yes lko Will excess fill be removed from premises? ❑Yes 19<0� i 1 'PROPERTY INFORMATION— Existing use of property: r•95;�.e j Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to -- o%A�' this property? ❑Yes UM IF YES, PROVIDE A COPY. ❑ Check BoxAfter 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 forahe.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,Wilding code, . .housing code-and regulations and to admit authorized1nspectors on premises and in 6uilding(s)for necessary inspections.False statements made lierein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New YorkState Penal Law. Application Submitted By(print name): 1_1 A. J . 4L ❑Authorized Agent 001 ner Signature of Applicant: T Date: Av,.Q S Zo 2—L, STATE OF NEW YORK) COUNTY OF MQ( �e�an I�bti^�1Q n 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 kno a and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this 5t' day of 20-LL IANA to rv_O u l FRANKE i&UBUC,STATE OF NEW YORK N Registration No.05FR6288691 Qualified in Suffolk County r - PROPERTY OWNER AUTHORIZATION my Wpt=bw m�0na'� 09,2oz? (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 S�fFdl,f. BUILDING DEPARTMENT- Electrical Inspector COGy..c TOWN OF SOUTHOLD cmi Town Hall Annex - 54375 Main Road - PO Box 1179 .►. '*► Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 iamesh(aD-southoldtownny.gov - seand(&-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: It Company Name: K E (.--c Electrician's Name: V e jt, edt n.e_ ; 1- a License No.: /Li E - -3 b 5 3 3 Elec. email: (cam «4VI "-er' ,o Elec. Phone No:631_3tZ-25 El request an email copy of Certificate of Compliance Elec. Address.: 110 C—j c- JOB SITE INFORMATION (All Information Required) Name: /11 4-r Address: L-a n,e Cross Street: K ; S ,e Phone No.: (km( 2) ?- Bldg.Permit#: no 6A 11email: mroo,ar,w.d , v,a. Tax Map District: 1000 Section: Block: Lot: , s BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): ins-I-� I� � ��„► `� �� ��- �K n-tr � � re� f �_ � �k'�'.s-h'�� k}�',� Square Footage: Circle All That Apply: Is job ready for inspection?: Q YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ©-lam 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 H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector �O Gyp TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 t o Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ja mesh(c-southoldtownny.gov - seand(a)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Li I L, -Z-1-1 Company Name: K i' E k c •,-L,k L f` vo Electrician's Name: License No.: 1116 - '3 4,5 3 3 Elec. email: ��� �,; rJ ra tj©v 0 .1 Elec. Phone No:631 ❑1 request an email copy of Certificate of Compliance Elec. Address.: C�-e ,L, d�' t t �► l JOB SITE INFORMATION (All Information Required) Name: -t Address: V,0 "X C-1 vie Cross Street: Phone No.: (� ►l 2 3 '� - 1 `-I Bldg.Permit#: email: m row.-c h � C .a1 I Tax Map District: 1000 Section: Block: Lot: , S 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 ©-rho 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 ElOverhead # Underground Laterals 1 2 H Frame 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 PanelPump 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 e Combo Cooktop Minisplit Blower ACk� AHI` Hood Blower Service Amps Have Used Sub Amps Have Used Comments 4/4/24, 5 11 PM IMG 4659.jpg �rllll t+KC31!'i g APP 0 ED AS NOTED I�b DA P.# �2b BY I9' FEE . NOTIFY BUILDING DEPARTMENT AT 631-765-1802 8AM TO 4PM FOR THE v3 FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING& PLUi%:'f (N,G & INSULATION {. 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. - " •' �u�r :x ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW r pan. .� n YORK STATE. NOT RESPONSIBLE FOR ",M38;.1RAYi DESIGN OR CONSTRUCTON ERRORS L � WARNINGIAVERTISSEMENT HAZARDOUS VOLTAGF CAN CFIfSF 5FVF;i PI V,;>NAL IN:LRY fl4 DIATH. TENSION D ANGERLU`>E PI Uf f.11 jj cDr -1 .,N1 C9„.��Fft 11`,(i l;:...,.. 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