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HomeMy WebLinkAbout50076-Z of souTya`o Town of Southold * * P.O. Box 1179 0 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45855 Date: 12/19/2024 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 840 Pinewood Rd Cutchogue, NY 11935 Sec/Block/Lot: 110.-5-25 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/13/2023 Pursuant to which Building Permit No. 50076 and dated: 12/01/2023 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: rear deck addition and "as built" alterations to existing single-family dwelling as applied for. The certificate is issued to: Barry Family Trust Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50076 3/25/2024 PLUMBERS CERTIFICATION: Robert Graham 12/11/2024 ut ed ignature gpfFIat TOWN OF SOUTHOLD BUILDING DEPARTMENT a A TOWN CLERK'S OFFICE f� 2 oy.• �� SOUTHOLD, NY dal sac 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#: 50076 Date: 12/1/2023 Permission is hereby granted to: Chambrun, Claire 840 Pinewood Rd Cutchogue, NY 11935 To: legalize "as built" alterations to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 840 Pinewood Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 110.-5-25 Pursuant to application dated 11/13/2023 and approved by the Building Inspector. To expire on 6/1/2025. Fees: CO-ALTERATION TO DWELLING $100.00 AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $516.80 Total: $616.80 Building Inspector Fot/r�oG Town Hall Annex �� �fi� Telephone(631)765-1802 54375 Main Road .0 P. O. Box 1179 Southold, NY 11971-0959 CC D � BUILDING DEPARTMENT TOWN OF SOUTHOLD DEC 1 9 2024 i CERTIFICATION b' ' Date: Building Permit No. 50 / � Owner: Mh ° 3rk g g Q im\I n (Please print) Plumber: 1 bW-!r4 aml, C`M (Please print) I cer*that the solder used in the water supply system contains less than 2/10 of 1%lead. (Plumbers Signature) Sworn to before me this if day 20_ w( Traci L.Plachcinski Notary Public,state of New York No.01PL6427153 Qualified in Suffolk County Notary Public, County My Gommisslon Expires 12/20/20 1 off' or so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �o�y� 0 �� sean.devlinl'D-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Claire Chambrun Address: 840 Pinewood Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 50076 Section: 110 Block: 5 Lot: 25 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: M&I Technology Corp License No: 51672ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 11 Ceiling Fixtures Bath Exhaust Fan 2 Service 3 ph Hot Water GFCI Recpt 7 Wall Fixtures 2 Smoke Detectors 3 Main Panel A/C Condenser Single Recpt Recessed Fixtures 13 CO Detectors Sub Panel A/C Blower Range Recpt 50A Ceiling Fan 1 Combo Smoke/CO 2 Transfer Switch UC Lights Dryer Recpt 30A Emergency Strobe Heat Detectors Disconnect Switches 15 4'LED Exit Fixtures Sump Pump Other Equipment: Fridge, Oven, DW, Micro, Hood, (11)ARC 120, (1)ARC 215 Notes: New Kitchen, Bathroom & HH's / Devices Throughout Inspector Signature: Date: March 25, 2024 S.Devlin-Cert Electrical Compliance Form OF SOUlyo6 # # TOWN OF SOUTHOLD BUILDING DEPT. couto, 631-765-1802 INSPECT ON [ ] FOUNDATION 1ST [ OUGH PL13G. [ ] UNDATION 2ND [ ] INSULATION/CAULKING RAM11 /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 6,) i D m AL/ DATE I INSPECTOR Qf SOUIyO� 5W 76 A l0 fll�ewooct * # TOWN OF SOUTHOLD BUILDING DEPT. 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 It�Gt NII [ ] PRE C/O��pp�� [ ] RENTAL /V REMARKS: w c� ( 1 fied 6moke 4 ©u+5id e ot Bed, 6nf, C�, bee t-tm4 see oux n i i�r I DATE I a [� 93 INSPECTOR " e,4* OE SOUThO� # # TOWN OF SOUTHOLD BUILDING DEPT. couto, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [?FINAL ULATION/CAULKING FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: pair awww., PI&I s Lo/ CD DATE INSPECTO OF SOUTyo�o ( 69 V C ~ !. Iva # # TOWN OF SOUTHOLD BUILDING DEPT. ^ou 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: rcA o) 8. f121 rl i DATE 2v� INSPECTOR " OF SOUTyOIo * # TOWN OF SOUTHOLD BUILDING DEPT. "Cou 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 REMA KS: DATE ANSPECTOR uv � O/�' n hOF SOUIyO�o �0 # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. - [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ IT 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: avwvtfb�yok. DATE INSPECTOR 'IELD INSPECTION REPORT DATE COMMENTS --- p Q FOUNDATION (1ST) --— --------------------------------- FOUNDATION (2ND) z Z 1� v1 ROUGH FRAMING& PLUMBING •�"� D c r INSULATION PER N.Y. STATE ENERGY CODE iris - — _ � vl FINAL r ADDITIONAL COMMENTS l �3 o lao lb e 4 I5,�3 d i c- rn Z t� Ala 4V A&CAUwt�wc- N N � x x v b c 1 �o�sufFotr�oo TOWN OF SOUTHOLD—BUILDING DEPARTMENT H Town Hall Annex.54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �y�o• ��o� Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownnygov f i �((Da�R�,�jiv\ell/�/• �•� —ti APPLICATION FOR BUILDING PERMITI_ i NOV 3 2023 For Office Use Only PERMIT NO. Building Inspector: Applications and forms must be filled out in their entirety.Incomplete. " applications will not be accepted. Where the Applicant is not.the owner,an Owner's Authorization form(Page 2)shall be completed. Date: I Z 3 OWNERS)OF PROPERTY:- Name: r- CTM#1000- , Project Address: &l.ro Phone#: Email: Mailing Address: 3q J- 0 0Jc S":� - 119 3.T- CONTACT PERSON:'- , IC Name: Mailing Address: 3i5,�FJ�.�C--Sfi--- - —-- ''C _-1 I_L 3 -.--------.--- Phone#: '? ? ga-��, Email: DESIGN PROFESSIONAL INFORMATION:. - Name: — Mailing Address: Phone#: S i - Email: a e/- N CONTRACTOR„I N FORMATION: Name: L l `-^I MailingAddress: �'� V W ''lG�� v�T _ _9 3 —_tue.-4 au _-��v Y 11-1-Q�.._..._ 7 Phone#: Email: eC DESCRIPTION 01 PROPOSED CONSTRUCTION ❑New Structure ❑Addition )(,Alteration ❑Repair El Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes K?No Will excess fill be removed from premises? ❑Yes No 1 ' PROPERTY INFORMATION: ' Existing use of property:���SS � �,�} - 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 ❑No IF YES, PROVIDE A COPY. ❑ 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 210AS of the New York State Penal Law: Application Submitted By(print name): El Authorized Agent Downer ' Signature of Applicant: Date: _Notary Public,State of New York STATE OF NEW YORK) No. 01BU6185060 SS: Qualified in Suffolk County Commission ExplresAprll 14,20a COUNTY OF i ) L1wz`od 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 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 20 21� Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) GiRtni h 9cu n1 residing at 3 (l,C a CA I do hereby authorize GiyC A to apply on my behalf to the Town of Southold Building Department for approval as described herein. VA ll Z3 Owner's ignature U Date "ti n Evur Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main.Road - PO Box 1179 - Southold, New York 11971-0959 'yjj0 �O� Telephone (631) 765-1802 - FAX (631) 765-9502 iamesh _southoldtownny.gov - seand(a-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: - Company Name: Electrician's Name: _�o License No.: 51(a-7 a Elec. email: _ �o cCorn Elec. Phone No: I request an em it copy of Certifica ompliance Elec. Address.: 1(01 PlAdle Sc,. c�v /( JOB SITE INFORMATION (All Information Required) Name: KOA ?rX=:�4 C?�9-9- :;,on A!n�ne- Address: q Cross Street: Phone No.: 3 - 7 Bldg.Permit#: J(- -7(D email: Tax Map District: 1000 Section: ( ( Block: S Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): L�3� f p/vvohcoe� ; NeLv Wcftm i 6W406m, k)s Square Footage: 1100 Circle All That Apply: Is job ready for inspection?: dYES ❑ NO u Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES �O 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 F12 D H Frame Pole Work done on Service? D Y F1N Additional Information: PAYMENT DUE WITH APPLICATION �- 1 0�2Va� �oS�¢¢pj�Co BUILDING DEPARTMENT- Electrical Inspector 1 0 G TOWN OF SOUTHOLD y Town Hall Annex- 54375 Main Road - PO Box 1179 o ' Southold, New York 11971-0959 p� Telephone (631) 765-1802 - FAX (631) 765-9502 iamesh southoldtownny gov — seand(cD-southoldtownrim v 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: Address: Cross Street: Phone No.: Bldg.Permit#: S p Q -7ka email: Tax Map District: 1000 Section: Block: Lot: 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 f1 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? Y N Additional Information: PAYMENT DUE WITH APPLICATION PER IT# Address: Switches r Ir Outlets G F I's Surface Sconces H H's 1 UC Lts Fans Fridge 'I HW Exhaust Oven ���'(_ W/D -�2? r� Smokes DW Mini Carbon Micro Generator 1 Combo Cooktop Trams AC AH ood Service Amps Have se Special: Comments A00 CERTIFICATE OF LIABILITY INSURANCED�TEhAu;DD�Y, G9,0817D23 THIS.CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ROLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,.the policY(ics)must have ADDITIONAL INSURED provisions or.be endorsed. It SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A,statement on this certificate.dock not confer rights to the.cer%lficate Koji er in Ilea of such;pnd'orsement(s) PROIJU ER CONTACT Fri�i(ir� Ksrd ASSOLiale s LTD [nc ttn.Cxrl:, 639-727-7763 98 r'irs"Street p lu�.z is vu :�rn_aric►va•n� ^Ian el.cana i2ivgr"nCntf NY 119c i _ _ Irss ruLszh: E aeec�Fucnd C:�gtaity kl pled Company IriSUREO iNs mutt, Uni:ed Fart Famlla Insurance.Corripaw 1 1r�963 E D G Ron0ualionc Inc, INSURER C: 785 Terri£2w INSURER E l31 4iD'e! NY x1788 INSURERF! I 'COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: T111S IS TO CERTIFY THAT THE POLICIES OF INSlFV0.CE LISTED 13EL4167 HAVE BEEN'I$$+J=C TO THE INSURED NAIZED'ABO E FOR 71fE POLICY PERIOD INDICATED. REQUIRE:F!ENT,TeRI.1 OR CONDITI01*4 OF ANY CONTRACT Oil O'iHeR DOMRJENT:iTill RESPECT TO'WHICH THIS GERTiFA:.A E SE IS5Ur-b OR MAY PERTAIN.THE INSURP-CE AFFORDED BY TFE PUL1C1L"•S UCSCRISED I GREIN IS SUBJECT TO ALL THE TERMS, EXCL I aSIONS AND C-0`:EIT-foNS O=SUCH POLICIES.LPMI TS SHMNIN MAY kAJE SEEN REDJCE_D ERY PAID CLAIMS. ILT k 77a=1C eF.C!i577Ii/LSCE l 4�0L%'6 Itk1 _ 7'p41CY HUMflER I rlApLppY EFP� 0�t�Y EitP MUM A t X COMMERCCIaS.GEWIRALL!witurY x i x 31031.J53$ 99 0;'2D23;0910512021 I"CC RR. r"CE Is 1.QDIP,1100 X accv� I 4 S 1 s te1t,0YI . B PRE7 Ip GA_2 CCCl"T[:7CCry 1 X E! CON i RAC UAL.LIABILi il' } i 313 i uc7 ney{ �t enc pe.c�i 5,IDGC t d 1 1 rE=,O s;;D-Pzjuiv q s i3OGU,OG ��=h'L:'• ^r��'e=:L::ee'Eai=_s1=5P'�i: ji � ' �, �uEti�$,,!..sti�CnTt= t 5 G.Q(Ji).l)Gi� F—i Pao, _ g e t1Lt Y 1 1 's' !_ j Loc 4 ! ?Fc L`I C6$ L^G�IF 22t�. 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' �INa�axa:yr.n ii9 F r # Ic,a.. a e c,r r 37Lo:'Ie s 100.000 is..:cr•: . ra r,c iT e w t r ,L ? k .f°.7 U! �_r.rtr.�r�aatr s 500.000 k flE5CR1P'.10!7 OFO?L1:ASI0!J57LOLAilOr+59VCnlCLCv{iCt}tt9107,A�dily0e'�1 RwrrrsakaSckeb"v7c,mbrtm 3Rrenes'S it ssCre scareels.ceioirrul CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED r CERTIFICATE HOLDER, CANCELLATION SHOULD ANY OF 1Ht ABOVE UESURIS iD NVLICIES BE 64fiCELLED BEFORE Suffolk County Department Of Labor, THE EXPIRATION DATE THEREOF,. NOTICE` WILL BE DKIVERED IN LICellSlnO gc Consumer Affairs ACCORDANCE W MTHEPOUCYPROVISIONS. PO'BOX 6100 AMI±ORLEDREPRESEVAIME Hauppauge, NY 11778 Wry A�::s dates Ltd! 01$88-2015 ACORD CORPORATION ,'All rights rosenizd. ACORD 25'.(2016I03) The ACORD name and logo are registered marks of ACORD } Suffolk County Dept.of Labor,Licensing&Consumer Affairs ;,- HOME IMPROVEMENT LICENSE Name EDWARD J GIARRIZZO - Business Name This certifies that the nearer is duly licensed EDG Renovations :)y the County of suffolk License Number:HI-67752 Rosalie Drago Issued: 01/06/2023 Commissioner Expires: 01/01/2025 d Addition2i Certificatidu May Be Required. I"yTiz PLUMBER CERTIFICARot,,- I i ON LEAD CONTENT BEFOr _ , CERTIFICATE OF OCCUPAN ,Y ' SOLDER USED IN WATEF. All exterior ligl-iti;19 installed,replaced or ! - SUPPLY SYSTEM CANNC EXCEED 2110 OF 1% LEAL. repaired shall conform i to Chapter 172 of the Town Code ,PLUTABING ALL PLUi ,I ,;iq�G UIIA.STE- I &V`VATER LINES N : ._ - T a II„.R'=FOP;E COVERIN. APP 0 ED AS NOTED `�__-_ ELECTRICAL DA B.P.# INSPECTION REQUIPmo EE .15 t °�- NOTI BUILDING DEPARTMENTAT -- — ------ --- --� .:�G7�I✓' . . . 631 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. 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