HomeMy WebLinkAbout51917-Z ova°F SO�lyo� Town of Southold
* * P.O. Box 1179
53095 Main Rd
°`"CoWsr�, Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46248 Date: 06/17/2025
THIS CERTIFIES that the building HVAC
Location of Property: 53245 Route 25 Southold, NY 11971
Sec/Block/Lot: 61.4-8.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/04/2025
Pursuant to which Building Permit No. 51917 and dated: 05/14/2025
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 to existing building as applied for.
The certificate is issued to: 53245 Main Road Corp
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51917 6/9/2025
PLUMBERS CERTIFICATION:
Au o ed Signature
�,AOFsavr 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#: 51917 Date: 05/14/2025
Permission is hereby granted to:
53245 Main Road Corp
10946 N Bayview Rd
Southold, NY 11971
To:
legalize "as built" HVAC system to existing building as applied for.
Premises Located at:
53245 Route 25, Southold, NY 11971
SCTM#61.4-8.1
Pursuant to application dated 04/04/2025 and approved by the Building Inspector.
To expire on 05/14/2027.
Contractors:
Required Inspections:
ELECTRICAL-ROUGH, PLUMBING, ELECTRICAL-FINAL, FINAL,
Fees:
As Built Alteration $500.00
ELECTRIC -Residential $200.00
CO-RESIDENTIAL $100.00
Total $800.00
wilding Inspector
pF SOUI��I
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 117
Southold,NY 11971-0959 �Q Jamesh�southoldtownny.gov
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: 53245 Main Road Corp.
Address: 53245 Main Road city:Southold st: New York zip: 11971
Building Permit#: 51917 Section: 61 Block: 1 Lot: 8.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Corren Electrical Electrician: Eric Williams License No: ME-65941
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic X Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 3 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: HVAC
Inspector Signature: Date: June 9, 2025
53245 main rd
�aOE SOUI,�o I l 7 53 m- c' OV
* # TOWN OF SOUTHOLD- BUILDING DEPT.
�yCou 765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND . [ f INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION _
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
l
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION VA
PRE C/O
REMARKS: . f
1) k-ovw Magictrar,614r-e, ____ - - I.. .. -,
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Tlee el t clie
DATE INSPECTOR
OF SOUTyOIo
# # TOWN OF SOUTHOLD BUILDING DEPT.
°`y o►��,� 631-765-1802
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-INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] PtSULATIOWCAULKING
[ ] 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: cogAo.,l CA -
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FIELD INSPECTION REPORT DATE- COMMENTS
FOUNDATION (1ST) .. .........
------------------------------------- --
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FOUNDATION (2ND)
ROUGH FRAMING&
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
..........
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=�o�g11fF0(KppG��2 TOWN OF SOUTHOLD—BUILDING DEPARTMENT
N: 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 hgps://www.southoldtowmgov
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Date Received
APPLICATION FOR BUILDING PERMIT
51 ,, For Office Use Only
PERMIT NO. Building Inspector: APR - 4 2025
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building Department
Town of Southold
Owner's Authorization form(Page 2),shall be completed.'.,
Date:4/5/25
OWNER(S)OF PROPERTY:
Name:Cliff Cornell SCTM#1000-473889 61.-1-8.1
Project Address:
Phone#:9176909729 Email:raineyclif@yahoo.com
Mailing Address:53245 Main Road Southold NY 11971
CONTACT PERSON:
Name:Cliff Cornell
Mailing Address:10946 North Bayview Road
Phone#:9176909729 Email:raineyclif@yahoo.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Current Electrical And Lighting/ Eric Williams
Mailing Address:
Phone#:631-466-5904 Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑' Other HVAC $23000
Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes RNo
1
PROPERTY INFORMATION
Existing use of property:Vacant Intended use of property:TBD
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Ham-16f siness this property? Dyes BNo IF YES, PROVIDE A COPY.
8 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 onpremisekand in buildings)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name):Cliff Cornell ❑Authorized Agent BOwner
Signature of Applicant: Date: 4/5/25
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU8185050
Qualified In Suffolk County
Commission Expires April 14,2oa'�
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
(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
'jtday of �� ` ,20y��
Notary 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
Print Owner's Name
2
�OS11Fft/tK�,O BUILDING DEPARTMENT-Electrical Inspector
2*: TOWN OF SOUTHOLD
c Town Hall Annex- 54375 Main Road - PO Box 1179
o . Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
®1 � iamesh(D__southoldtownny.gov - seand(aD_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date:
Company Name: (- �,Gr�t- L,) �ate. r, (,vc..
Electrician's Name: 672 tC 1*1&tw
License No.: fng-- 6 5-yl Elec. email:
Elec. Phone No: V OL4 ❑1 request an email copy of Certificate of Compliance
Elec. Address.: P4 cp,- (98c2,
JOB SITE :INFORMATION (All Information Required)
Name: 0 f FP Q(Z/u�
Address: ply
Cross Street:
Phone No.: f - G- U _
Bldg.Permit#: S/ q17 email:
Tax Map District: 1000 Section: / Block: Lot: �, 1
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YESrNO
❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES 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 n2 H Frame Pole Work done on Service? Y RN
Additional Information:
PAYMENT DUE WITH APPLICATION
�SUf�pj�c BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
o Town Hall Annex-54375 Main Road - PO Box 1179
j Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
`< 0� jamesh c_southoldtownny.gov seand(a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: 57CUr-�f-C-9z- t) �,� �-,_,mac, (Ivy,
Electrician's Name: &X?�:
License No.: 6,-%yL Elec. email: C44ggf
Elec. Phone No: (9,31 - Q( - VOu ❑I request an email copy of Certificate of Compliance
Elec. Address.: Po c,�,r 88r2, IVY/f!S2
JOB SITE INFORMATION (All Information Required)
Name: C(_/ P CI(L/J
Address: s S oZu S )q1JPV
Cross Street:
Phone No.: U-
Bldg.Permit#: Sj �( � 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 [rNO
❑Rough In ® Final
Do you need a Temp Certificate?: ❑ YES 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 D 1 n2 H Frame Pole Work done on Service? Y ON
Additional Information:
PAYMENT DUE WITH APPLICATION
f,
PERMIT# Address:
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Panel
Fans Mini Fr. W/D pump
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
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments a _at) xuA
4' 'n
a
ABY'
D AS NOTED
DAT9.P.
FEE
NOTIFY BUILDING DEPARTM AT
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OFTHE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE &TOWN C ES
AS REQUIRED AND CONDI NS OF
SOUTHOLD TO ZBA
�..�.�.. SOUTHOL WIN PLANNING BOARD
. _..._SO TOWN TRUSTEES
- N. DEC
UTHOLD HPC
SCHO
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICAT'
OF OCCUPANCY
ELECTRICAL
INSPECTION REQUIRED
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