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Home My WebLink About52088-Z 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#: 52088 Date: 07/10/2025 Permission is hereby granted to: Paul R Gomez 3645 Rocky Point Rd East Marion, NY 11939 To: legalize "as built" alterations to existing single-family dwelling as applied for. Additional certification will be required. Premises Located at: 3645 Rocky Point Rd, East Marion, NY 11939 SCTM#21.-6-7 Pursuant to application dated 06/16/2025 and approved by the Building Inspector. To expire on 07/10/2027. Contractors: Required Inspections: Fees: As Built Alteration $740.00 CO-RESIDENTIAL $100.00 Total S840.00 Building Inspector TOWN ; CILTI IIOI�I9—BUILDING DEPARTMENT MEia T 3awia Hai! Annex 5 375 Main Road _ O. Box ' 17J �o�itlaojd,�' 1197i�€1959 Telephone (631) 765-I8€12 Fax (631) 765-95®2 kit '//y �w. t a l t �r aw � Date Received r !,'.y A m�. f� l ram n n ��" N; pa 1""w_ 1N F .i. 41�" II'm,7 m�,d 9'f ai.v rIN � ; For office Use Only O PERMIT NO._w�r _ _- .. Building fnspect r . `__ _ ON Applications and forms must be filled out in their entirety. Incomplete applications accepted. Where Applicant not the owner,an Of e Owner's Authorization form(Page�)sha3!be completed. e P 0/ Date: ,,,,,,,,,,,, __..... OWNER(S)OF PROPERTY: Name:-�'PcV oMtz � scars# 1000-rN Project Address: 4s t "',v NCA ,tz'('s� ' Phone#: Email: mr- + o alr,00. co ran Mailing Address: 'kV) CONTACT PERSON: . Name: '#�� Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: f Mailing Phone#� Name: _ Mailing Address: Phone#: Email: DESCRIPTION DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition Iteration ❑Repair ❑Demolition Esti mate �-ost,of Project: ❑Other- Will the lot be re-graded? ❑Yes No � Will excess fill be removed from premises? ❑Yes No 1 4 , BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex_ 54375 Main Road - P! Eox 11 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro err soot old ow, ov - s and southoldtownl oV AP "LIO 'TM FOR, ELECTRICAL JNSPECT10 ELECTRICIAN INFORMATION (All Information Required) Date Company Name: m - Name: License No.: email: . Address:. ._ ',c . k_ cxow e Phone No.: (>:3 l- \�ti JOB SITE INFORMATION (All Information Required) F Name: �.. _.r.... Address: Cross Street: Phone No.: Bldg.Permit* S 5 email: Tex M District:, 1 OP . . 2 1 _ ,. Block a.. Lot: )7_ BRIEF DESCRIPTION OF WORK (Please Print Clearly) 44 Circle All That Apply: Is job ready for inspection?: . NO ough In Final i Do you need a Temp Certificate?: YES Issued On m Temp Information: (All information required) Service Size 1 Ph 3 Ph Size:-.� k #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect-Service Reconnected - Underground -Overhead #Underground Laterals 1 2 H Frame Pule Work done on Service? Y N Additional Intormatior: ,PAYMENT DUE:WITH A PUCATION Request for Inspection Forrn.xls � L� OUTHOLD BUILDING DEPT. TO N OF I 765-1802 INSPECTION FOUNDATION 1ST ROUGH PL13G. 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 REMARKS: DATE INSPECTOR Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 q sean.devlin tovn.southold.n .us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Paul Gomez Address: 3645 Rocky Point Rd city:East Marion st: NY zip: 11939 Building Permit* 45519 Section: 21 Block: 6 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor* DBA: Brian Brooks Electrical License No: 3613ME 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 X INVENTORY Service 1 ph Heat Duplec Recpt 10 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures 6 CO2 Detectors Sub Panel A/C Blower 4 Range Recpt Ceiling Fan Combo Smoke/CO 1 Transformer LIC Lights Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 6 4'LED Exit Fixtures Pump Other Equipment: 2 Mini Splits Notes: " AS BUILT NO VISUAL DEFECTS " Converted 1/2 of Garage to Living Space Inspector Signature: Date: May 3, 2021 S. Devlin-Cent Electrical Compliance Form.xls Is, F' r'mroID BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD urV A. �4,� r Town Hall Annex - 54375 Main Read - 1rwt0 Southold, New York 11971-095 Tele hone 631 765-1802 - FAX 631 765-9502 ro err sou.thol towDay ov. seand southoldtownn . ov, LLQ r'T N FOR ELECTRICAL INSPECTIOI ELECTRICIAN INFOR MATION (All Information Requited) DtJ, I Company Name: q Name: _. . _..__......_. . License No.: mail: Address- .., . ., Phone No.: a t,- JOB SITE . INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: I Bldg.Permit#: email: T ? .wtstflc ,. �1 ". m w., Block: lock BRIEF DESCRIPTION,OF WORK (Please Prl.nt Clearly) Gircle All That Apply: Is job ready for inspection?: Y S NO ough In Final Do you need a Temp Certificate?: YES Y P Issued On.,_ All information required) Temp Information: ( eq ) . Service Size 1 'Ph 3 Ph Size: _ ,P� #Meters Old Meter#,µ ,,,,,, New Service- Fire Reconnect- Flood Reconnect- Service Reconnected- Underground - Overhead #Underground Laterals 1 2 H Frame Pale Work done on Service? Y N Additional l forrnatior.' _ 7 ,PAYMENT DUE APPLICATION Request for Inspection Formals d PERMIT# Address Switches Outlets G FI's Surface Sconces HH's UC Lts Fans Fridge .HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator l Combo Cooktop Transfer Mini 3pecia ` Comments: AP 0 ED AS NOTED IAA • B.P.,u # p '- , Z TE4 By. 1� FEE , z I . NOTIFY BUILDING DEPARTMENTAT 631.765-1802 8AM TO 4PM FOR THE OCCUPA, NCY OR FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED USE IS UNLAWFUL FOR PORED CONETE 2. ROUGH-FRAMING CR &PLUMBING WITHOUT CERTIFICATE 3. INSULATION 4. FINAL-CONSTRUCTION MUST OF OCCUPANCY BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OFTHE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCMN ERRORS COMPLY WITH ALL CODES I OF Add'donal NEW YORK STAI E& rOWlq CODES I AS 11 V--QU certification S REQUffF::?ED AN"60NDITIONS OF May Be Required. SO 00 TOWN Z8A 0 HOLD TOWN P1 ANNING BOARD 0 U M MOLD TOWN TRUSTFES 01 XS,DEC ,YS_D. 6 SOUTHot SOUTHOLD HPr, SCHD SCHD ELECTRICAL I REQUIRED �, /; ,G �� , /�jf� �� I J � �� YI i��"' II f�� l +y I III 'i / i j � I li 1 � �i �� ff rl /l ��J f �� eel//�. �« i� ��' �� ' ��, �,,, l �� , '�%; „ ,, I r , ��-, , , ,, � . / v i i Ji d , r / r"si ELECTRIC H N yy wwivN iM om1aWWRut!V(� ; �G , brims TO � � s f � 5 I V ��.I IIIII I V tll7lllllll V. I � IIIIViIIVi IIII i V � liillllllllllll u� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiiiilil�VV r G / I luuuuuuuuum r / .,..uu uuuuuuuuuuuuuu I' r//it///y�/% �� r a Fat Fu 0l MOF Allf0 � J way � � 'w k1-2Tr tot; tV- i _ � t F ooe ST v zi "A,)ice`;it c}} s.s ---. 9 I65UEIREYiSON DATE s _ Z i� s I 2 ` NJ.MAZZAFERRO,P.E. DpAWRer:rQM Pao*fo . PROFESSIONAL ENGINEER D ILEcm g e-o 0%f-- 11 6 1, P.O.BOX 57,GREENPORT NY,9.1944 536A51,6686 EMAiI: Aet SCP'U,ttt 4 ' p Ct?V[11�S1Dt11 SHEET NO: TM (COL — —I �� Alq 57