HomeMy WebLinkAbout50654-Z �O,6OF SOUryo� Town of Southold
* * P.O. Box 1179
c� 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46039 Date: 03/14/2025
THIS CERTIFIES that the building As built additions/alterations
Location of Property: 2255 Old Orchard Rd East Marion, NY 11939
Sec/Block/Lot: 3 7.-3-2.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 03/28/2024
'Pursuant to which Building Permit No. 50654 and dated: 05/10/2024
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" HVAC system and outdoor shower to an existing single-family dwelling as
applied for.
The certificate is issued to: Catherine Tully , Carolee Johnson , Eileen Murphy , Christing Jensen
Jeanne Dirhalleh ,Andrew Tully
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 50654 3/13/2025
PLUMBERS CERTIFICATION:
uth 'zed Signature
�o�S�fFQt�.co TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
SOUTHOLD, NY
3.
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#: 50654 Date: 5/10/2024
Permission is hereby granted to:
Tully, Carolyn
PO BOX 49
East Marion, NY 11939
To: Legalize an "as built" hvac system and "as built" outdoor shower additions to an
existing single-family dwelling as applied for.
At premises located at:
2266 Old Orchard Rd, East Marion
SCTM #473889
Sec/Block/Lot# 37.-3-2.1
Pursuant to application dated 3/28/2024 and approved by the Building Inspector.
To expire on 11/9/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00
CO-ADDITION TO DWELLING $100.00
ELECTRIC $200.00
Total: $800.00
Building Inspector
oF so�ryQl
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • Q
Southold,NY 11971-0959 �Q
�yCOUNTY,'�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Carolyn Tully
Address: 2255 Old Orchard Rd City: East Marion St: NY Zip: 11939 .
Building Permit#: 50654 section: 37 Block: 3 Lot: 2.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Indoor �! Basement F Service F Solar (—
Outdoor P07 1st Floor [✓ Pool r Spa F,
Renovation F 2nd Floor 1- Hot Tub F Generator 17
Survey I✓i Attic I— Garage Battery Storage (—
INVENTORY
Service 1 ph F Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph [ Hot Water GFCI Recpt 7 Wall Fixtures Smoke Detectors 5
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO 3
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC, Smokes & GFI Outlets
Inspector Signature: Date:
March 13, 2025
Sean Devlin
Electrical Inspector sean.devlin(D-town.southold.ny.us
22550ldOrchardHVAC
OE SOUTyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
670& IOU 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ 1, 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: C 0 r
DATE INSPECTOR
of souryolo
# # . TON OF SOU HOLD BUILDING DEPT.
u �0 631-765-1802
'INSPECTION '
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING.
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIR E"RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION- ]PRE-C/O [ ] RENTAL
REMARKS: S- l t.
on
DATE INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST) Ul =•
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FOUNDATION(2ND)
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PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
FINAL _
ADDITIONAL COMMENTS
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�o�s°fFutr�oG TOWN OF SOUTHOLD-BUILDING DEPARTMENT
co Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 hMs://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
^For Office Use Only D L9
5dc�5y- t
iPEftMIT NO. Building Inspector: �� MAR 2 8 2024 Y
;Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an BuTum m"mum".
.Owner's Authorization form(Page 2)shall'be completed. ='01T,T-Y`ks'S0171 u&`?7'
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Date:
OWN ER(S).OF PROPERTY: r cc '-' ( urA r• tc.�
Name: '� SCTM#1000- rl
Pj roject Address:
�5
Phone#: - I� _ -6.. _ Email:
Mailing Address:
CONTACT PERSON:
Name: J
Mailing Address: _ . _NY
_ -/.
Phone#: J 3 _ Email:—_d1
d?l/_1
DESIGN PROFESSIONAL-INFORMATION:
r
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:,
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION .
❑N w Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
LlOther )k-2 C2LA:: _ _ Z 5 )-P-K $
Will the lot be re-graded? ❑Yes [:]No Will excess fill be removed from premises? ❑Yes ❑No
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PROPERTY INFORMATION
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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 ONO 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 orRegulations,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 Amisdemeanor pursuant to Section 210AS of the New York State Penal Law.
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(Application Submitted By(print name): f( /�Xe A bl ❑Authorized Agent Owner
Signature of Applicant: �h Date: 3 _o?oL o2 Do2.
�� COPlIVIE D:I3fJN�h1
j Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
S. Qualified In Suffolk County
COUNTY OF ) Commission Expires April 14,2 f
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being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
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(S)he is the
I (Contractor,Agent, Corporate Officer, etc.)
ofisaid 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
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O�d y of O-A (if' e . 20 a
Notary Public
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PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
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do hereby authorize to apply on
myllbehalf to the Town of Southold Building Department for approval as described herein
Owner's Signature Date
Print Owner's Name
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Stiff BUILDING DEPARTMENT- Electrical Inspector
�O� CGGy TOWN OF SOUTHOLD
u Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
ay,�yal► ��p�� Telephone (631) 765-1802 - FAX (631) 765-9502
jamesh(Dsoutholdtownwgov — seand(ob-southoldtownrim v
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APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: Z�-2
Company Name: _e6"W�(W
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I.request an email copy of Certificate of Compliance
Elec. Address.:
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JOB SITE INFORMATION (All information Required)
Name: V(fL 1 U V►� l�
Address: aas dUr_U_,1CtUrV
Cross Street:
Phone-No.:
BIdg.Permit#: 50(0 5 f email:
Tax Map District: 1000 Section: `�j Block: Lot: a ,
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BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
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Square Footage:
CircW AII 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
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# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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j APPROVED AS NOTED
DATE.5-I o-2 Bp# 5 D(p 5 COMPLY WITH ALL CODES OF
FEEL D.=. BY: NEW YORK STATE TOWNCODES
AS REQUIRED AND CONDITIONS OF
NOTIFY BUILDING;DEPARTMENT AT $O1l O DTOWN ZBA
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS: 01HOLDTOWNPONINGBOARD
FOUNDATION-TWO REQUIRED SMOLDTOWNTRUSTO
FOR POURED CONCRETE N.Y,S.DEC
ROUGH-FRAMING&PLUMBING
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INSULATION
FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR ELECTRICAL
DESIGN OR CONSTRUCTION ERRORS INSPECTION REQUIRED
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Additional
Certification
May Be Required.,
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