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48880-Z
�O��OF SOplyolo Town of Southold * P.O. Box 1179 � o 53095 Main Rd COUNIM Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45926 Date: 02/01/2025 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2055 Anchor Ln Southold,NY 11971 Sec/Block/Lot: 79.4-3 8 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 01/23/2023 Pursuant to which Building Permit No. 48880 and dated: 02/08/2023 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: "As built" HVAC as applied for. The certificate is issued to: Thomas Sproat,Patricia Sproat Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 48880 03/15/2023 PLUMBERS CERTIFICATION: A t ' ed Signature V - - - I - - -- --- -- - - - - - - --- --- - SOFFill TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "may • o�g 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#: 48880 Date: 2/8/2023 Permission is hereby granted to: Sproat, Thomas 65 Harvard St Garden City, NY 11530 To: legalize as-built AC as applied for. At premises located at: 2055-Anchor Ln, Southold SCTM #473889 Sec/Block/Lot# 79.4-38 Pursuant to application dated 1/23/2023 and approved by the Building Inspector. To expire on 8/9/2024. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector pF SO!/jyol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.devline-town.southold.nv.us Southold,NY 11971-0959 COUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Thomas Sproat Address: 2055 Anchor Ln . city,Southold st: NY zip: 11971 Building Permit#: 48880 section: 79 Block: 4 Lot: 3$ 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 Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO2 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 Switches 2 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " HVAC Inspector Signature: Date: March 15, 2023 S.Devlin-Cert Electrical Compliance Form ho�aOF SOUIyo� I.{ �� Zv S AACA.G /l//1 * # TOWN OF SOUTHOLD BUILDING DEPT. �o • �o `ycourm��'' 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 [ ] PRE C/O [ ] RENTAL REMARKS: 1� oK Q r DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) •------------------------------- On ----- C FOUNDATION (2ND) No Ocn ROUGH FRAMING& H PLUMBING _ \ V 1 r � INSULATION PER N.Y.. STATE ENERGY CODE .a FINAL ADDITIONAL COMMENTS CbP Go c- C l b -z-J 0 311 2 - c-fi r i c- ca-v- o m ti b H O Z y� �r y x d r� b H u TOWN OF SOUTHOLD—BUILDING DEPARTMENT 5 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959' oy�� aQ� Telephone(631) 765-1802 'Fax (631) 765-9502 https://www.southoldtowm.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Useonly Ln PERMIT NO. Building Inspector: JAN:,2 3 2023 BUILUING UEPI.. Applications and forms must be filied'out in theirentiret' Incomplete' TOWN OFSOUTI-OLE) ,applications Will not be-,accepted.'Where the Applicant is.not.the`o'wrier,an Owner's Authorization form(Page 2)shall be completed. P Date: OWNERS OF,PROPERTY NameT/'G�dLLf��- SCTM#10007 Project Address: e7 Phone#: Email: Mailing Address: CONTACT PERSON; v Name�� G _�_ _ Mailing Address: Phone#: ��� Q�Q? _�.�.:. Email��/v� ,ram-- Y 'i'.x.- DESIGN PROFESSIONAL INFORMATION; Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION,:; Name: Mailing Address: Phone#: Email: DESCRIPTION OF I ROPOSED.CONSTRUCTION ❑ Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: CJOther � /,[.f AlL t Will the lot be re-graded? ❑Yes w No Will excess fill be removed from premises? '❑Yes 1 .t h y PROPERTY INFORMATION' u 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? Eyes ONO IF YES, PROVIDE A COPY. ❑ Check'Box After Reading:=The owner/contractor/design profess onal-is responsible for all t7ramage and storm water issues as provided by,':- Chapter 236 of the Town Code..�APPLICATIOMIS HEREBY MADE to the Building Departmenfforthe issuance of a Buiididg Permit'p'ursuant to the.Building Zone;,, Ordinance of th''Town of Southold,Suffolk,County,New York and`otherapplicable laws,Ordinances orRegulatior s,for`the construdion 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 pie iises'and in buildings)for nece;sary•inspections.False statements made hereln'aew puni'shablelas a Class misdemeanor pursuant to Section210:45 of the New York State Penal Law., # , Application Submitted By(print na // /�� rG f C� C`/Q' Authorized Agent ❑Owner _ D ff Ro Signature of Applicant• _ Date:. i. STATE OF NEW YORK) SS:. COUNTY OF- ) being duly sworn, deposes and says that(s)he is the applicant (Name of'individual signing contract)above named,�^ (S)he is the �/DD�I�S �` e#7X-2/C�f� (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 ILNIVE LAMARRE [Notary Public-State of New Yo k,, NO, 01LA6357134 day Of �ualified in Nassau counmissfon Expires Apr 2025 O ry Public - PROPERTY OWNER 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 1 Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector r .TOWN OF SOUTHOLD JAN 2 3 2023 Hall Annex - 54375 Main Road - PO Box 1179 UIdUINGDEPT Southold, New York 11971.-0959 t oy • NOFS0UTHOL® Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny.gov seand(Dsoutholdtownny.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: l��ZG/�.S �jS�7000�� 2vafi Address: &CZ Cross Street: i �¢/17j_99'/e_ Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: q 9 Circle All That Apply: Is job ready for inspection?: Rr YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES Ft—/] 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 H Frame Pole Work done on Service? Y FN Additional Information: PAYMENT DUE WITH APPLICATION 4j UILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD a tilA 3 ��� Hall Annex - 54375 Main'Road - PO Box 1179 "' 6UPL INGDEPT Southold, New York 11971-0959 w -ZOWNOFSOUTHOLE) Telephone (631) 765-1802 - FAX (631) 765-9502 r rogerr(absoutholdtownny.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: ❑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 #: I/ C/ 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 InEl Final Do you need a Temp Certificate?: ❑ YES FV_/1 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 H Frame Pole Work done on Service? Ely L_JN Additional Information: PAYMENT DUE WITH APPLICATION ELECTRICAL INSPECTION REQUIRED APPR VEER AS NOTED DATE: J B.P.# FEE: ' B NOTIFY BUILDING D 765-1802 8 AM TO AIR C o N D+1'(0 FOLLOWING INSPECT' •hC,;�; NER 1. FOUNDATION - THY FOR POURED CON ' E05.1522886 2. ROUGH - FRAMING 486t.C4 3. INSULATION 197 1 ' 6p 4. FINAL - CONSTRU, ,ib. .-�a 5 BE COMPLETE FC- NR;:k l ALL CONSTRUCTi ;N REQUIREMENTS OFT „ -22 282 2.9 YORK STATE. NOT R DESIGN OR CONSTR i 5e 1©34 woo 7GH ?6 (is INIIRNATIONAL CON►c 4 � ORS PRODUCTS Uc COO^IV i�M,2Z44L goXACCESS' 4� WARNtNtt �"'► Ipr L!. ADVp EME MPLY WITH ALL CODES OF STATE & TOWN OCCUPANCY OH SE EQUIH ED AND CONNDIT CODES IONS OF USE IS UNLAWFUL WITHOUT CERTIFIC! SOR'�-'-' ANNINGBOARD )F OCCUPANCY SOUTHOLD T T%STEES : Urp l�31139 INTERNATIONAL COMFORT PRgpii,-1 r 114 LEWISBUAc" ru IM t- CONTROL J30X ACCFSS