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51719-Z
O��OF SOUTyo` Town of Southold * * P.O. Box 1'179 o� 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46253 Date: 06/18/2025 THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION Location of Property: 1755 Evergreen Dr Cutchogue, NY 11935 Sec/Block/Lot: 102.-1-4.6 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 01/27/2025 Pursuant to which Building Permit No. 51719 and dated: 03/10/2025 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: Egress window and home office in the existing basement of the single-family dwelling as applied for. The certificate is issued to: Roy Lebel,Debra Lebel Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51719 6/5/2025 PLUMBERS CERTIFICATION: tho ' ed ign ture OFSU�r. TOWN OF SOUTHOLD �� y0lo BUILDING DEPARTMENT `� • ��� TOWN CLERK'S OFFICE VIM 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#: 51719 Date: 03/10/2025 Permission is hereby granted to: Roy Lebel 1755 Evergreen Dr Cutchogue, NY 11935 To: install an egress window in the existing basement of the single-family dwelling as applied for. Premises Located at: 1155 Evergreen Dr, Cutchogue, NY 11935 SCTM# 102.4-4.6 Pursuant to application dated 01/27/2025 and approved by the Building Inspector. To expire on 03/10/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $250.00 CO-RESIDENTIAL $100.00 Total S350.00 --k� ding Inspector pf SOUT�'o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 Jamesh southoldtownny.gov BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Roy Lebel Address: 1755 Evergreen Drive city:Cutchouge st: New York zip: 11935 Building Permit#: 51719 Section: 122 Block: 1 A Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: HOME OWNER Electrician: License No: SITE DETAILS Office Use Only Residential X Indoor Basement X Service Commerical Outdoor 1st Floor Pool New X Renovation 2nd Floor Hot Tub . Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 5, Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: HOME OFFICE Inspector Signature: AweoetoG Date: June 5, 2025 1755 evergreen dr OF SObIyO� # # TOWN OF SO.UTHOLD BUILDING DEPT. ,-, o�m� 631-765-1802 I-NSPECTION .. ' . - .. ] FOUNDATION 1ST/ REBAR' [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [XNSLATIOWCAULKINGUFRAMING/.STRAPPING [ INAL �j Ry, 01t44W' [ ] FIREPLACE & CHIMNEY - [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION . [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: r — q I&A9"�� C � (pI \_ �A w d u -to eyn-, z I LX DATE Y INSPECTOR - pF SObIyO� .6r� G q 6 G 5 5 =DEPT. 6 l 141— # TOWN OF SOUTHOLD cou 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ .] 'FIREPLACE & CHIMNEY - [ ] -.FIRE.SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION. [ ]' FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ J ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ , ] RENTAL REMARKS: cv DATE �� INSPECTOR � Nut f m I. Y I Ar CLASS CTL PANELBOAR0 1S31 , nw IFJ dl8l ♦ 1 I 1 I I �/ ! _.. � e v � � r�i( ',� .� . .+ ,, �< F ,�` ., �:� M,,�. ___ a .� E 7 t � , t 4 +� 1 f { s �,,;:_ i .A' a l r' 1• .1{ � ..` `e}�� • y� �o�-+phi/�� ��y4 h ^�`$ 4.`-. a .'► r` f 9 • ! yE wIlt Wier i Aft ` ��' '"u� ..�� •. _ �y�", t +-. : _ ��' Y i.'1�''{+ •f"'� ny� �'ys� �r R� - �,. - � d_�'�}�., c- , "+ ' � �'-�'.:'' � �•�f ��'. ��� ;_''c' A�,i }��'�.;� lip � —-— �♦ �,�, 4�i'�i •` ): � ,1ST 1 � -` a.�,^r\��T.� •,I^.� •. � a � � �� 1 f ' r• t FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) -------------------------------------— FOUNDATION (2ND) ;z CA p cn ROUGH FRAMING& ------ PLUMBING ........... a-IN INSULATION PER N. Y. STATE ENERGY CODE 0jc1v\qo4*- t FINAL 001, be ADDITIONAL COMMENTS b) C', 0 X -7-JLS 2 O�gUFFOc���OG TOWN OF SOUTHOLD—BUILDING DEPARTMENT s= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy�o ao� Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownu.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only .PERMIT NO. Building Inspector: JAN 2 3 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 Owner's Authorization form(Page 2)shall be completed..- , Date: ! � `�• OWNER(S)OF PROPERTY: Name: p SCTM# 1000- Project Address: 1-455 -EV&i "-I?(/1 br• M 0 u e, 1 y 11735 Phone#: ?J�_ v� 33 Email: Address: Mailing Adre .__.,. - --- l�5_5 - -EveX - CONTACT PERSON: . Name: Mailing Address: '1 (q�J�O M am r d. C� D g ue, N., [, 1(7-, 5 �" q 2 Phone#: u! -. .5 1�' _..V ! 3 Z . . Email: a ope�G CAtj-frr +Y1 @ 9 Mi Coot DESIGN PROFESSIONAL INFORMATION: ; Name: n/ Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: E 1-opcz Mailing Address: 3&51D INIn G(/ D 94 IJ•Y Phone#: (Q�J1 5�' �' 1�2 - Email: e[Dpe2CO. nq q,0a0l COM DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration El-Repair ❑Demolition Estimated Cost of Project: 00ther l/1C`{at 1 2 rC"9 UlIn &U Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes gNo 1 PROPERTY INFORMATION Existing use of property: G. 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 210.45 of the New York State Penal Law. Application Submitted By(print name): !'c�d D(Authorized Agent ❑Owner Signature of Applicant: l Date: ------- -- (_�,.`..� ._ .V 1-11— pNNIE D:BUNCH..... notary Public,State of New York STATE OF NEW YORK) No.01BU6186050 Oualifled in Suffolk County SS: . Commission Expires April 14, COUNTY OF ) Z 'L 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 y of nV� , 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) residing at // do hereby authorize to apply on my behal to t e To o Southold Building Department for approval as described/herein. Owner's Signature Date rint Owner's Name 2 ��S�Efpjkco BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o =� Town Hall Annex- 54375 Main Road - PO Box 1179 w ^ Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 " jamesh .southoIdtownny.-gov — sea nd(aD-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: p Address: Ver D r. Cross Street: q" Phone No.: Bldg.Permit#: -7 11 email: eI <- I- c., t d-r4 L r( Tax Map District: 1000 Section: Block: r- 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❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underg round❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION �v - O��SUfFO(,��o BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o =` Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ja mesh A-southoldtownny.aov - sea ndA-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail 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: 8p k P zr L Address: z f V , Cross Street: 0 0.1— Phone No.: G 3 /- I- >7l BIdg.Permit#: 77 email: r"4 Tax Map District: 1000 Section: 2 Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): hL, 0_ Square Footage: Circle All That Apply: Is job ready for inspection?: IT 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 # Underground Laterals 1 F12 H Frame Pole Work done on Service? D Y ON Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's 4 UC Lts Fridge HW POOL Fans Mini Fr. W/D Panel 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 G;A, L /i�, 6eia • CESSPOOL SUFFOLK CO.HEALTH DEPT.APPROVAL � '. F Q0PE.RTY H.S. NO. -4k �E` 24 �E0R ;. EDI` .'H0PFMAW �9 ;Zia BLDC.DEPT. s' TOVJNOFSOUTHOLD 3 `'` ++ STATEMENT O INTEN C2E5.) e>" �VTCHOGt3ir I F T LJ THE WATER SUPPLY AND SEWAGE DISPOSAL tu >&O VJ�.I DF.50L'ITHOL-R SYSTEMS FOR THIS RESIDENCE WILL t7 U /� ( CONFORM TO THE STANDARDS OF THE + 4L t 50 } t SUFFOLK CO. DEPT, OF HEALTH SERVICES. rqo_-TO wFI c _ w N> v F. / tsl JJ} C VACANt) J APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH / I � f( SERVICES — FOR APPROVAL FOR f� �• j I CONSTRUCTION ONLY 11 IIII-- I DATE: Iv,52'Iej 0a'E• 275,95 J �� �a H.S.REF.NO.. APPROVED- SUFFOLK CO.TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. I q 1000 102• I 4.6 '10\ OWNERS ADDRESS: I HA\41THOQNE AVE. . U.Nzwumew'T GAR 1+I.CtTY Ri3 t159E} A:TACIWD NUB G UC �< Q.FIPE t•'1 I DEED:L. N/A P. TEST HOLE �' J roCza m SOGOon W7208 7208 of dw New Yat SIofO /' EmlmYon les . r ! . CwesoiWs&aveymay rmf 1 I me wro surveyor'vdod seym�9 • '•J / embossed aam,nan na nosonsmam CPCs.) m be a.•.,ad we e,y. ' { - cuamMaos md�ad Haman snaumn . is lYto NO Vo /orrfiom dmsmoy Olepamd.end an Ms boWfo Na Ny nnTES: G!g comcany Bovemmentalepanq¢M J.Lt?`! 1�iQ S. 'a Q, �nguwcu<bn�sred Haman end MAPAMENOE-D-JULY19,199S mowes:gaeesm ftI.. by s rtE1=Et2 P OF`i(t>r!iJt7l1F A�it73FtN3a}el '$ mbn caaan�ea«eeabaaurb� FlL��S t I meaamond mcawmnswauCseyuwp,f 7 ► tlx€�s�4k Et2K'S FI AS► FP#.tZ?.g?47' w•x1>4L � ew«a 2.CO21Toup-12€reRs TO:T 4EA s SEA L fEt. S111 SEAL agA/ &51',ITFEIX.TO If �jF NEbL Q(? 1.Ct3- cs#rG o Tl�' e�-JCQR At1t7 RDlH>s4y/t>S�EE35 �P�p-OK v44,, Z.10 Cvr�� l�S: fESE.�f? - .MA2:7_�i�5 `'��''•�'. c�9� . .= • 'ROD£RlCK VAN TUYL.P. LICENSED LAND SURVEYORS "F�SFo LAND GREENPORT NEW YORK EIPDSNY POA Nelyq - - f Ko NPROPED AS NOTED Se.P• 5J 71q, NOTIFY BUILDING DEPARTME AT Ot-785-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-M/0 RE01 11M70 FOR POURED CONCRET17 2. ROUGH-FRAMING&PLI,.AX�,:d & INSULATION 4 FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMWITHDES YORK SAE TOWN CODES AS REQUIRED AND CONDITIONS OF SOUTHOLDTO SOUTHOLD T PLANNING BOARD SOUTHO OWN TRUSTEES N.Y,S C . HPC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICA7 OF OCCUPANCY r Unit Spec Report - Large Image QUOTE NAME PROJECT NAME QUOTE NUMBER CUSTQMER PO# y TRADE ID lopez nursery egress Unassigned Project 6997006 Room: None Assigned - Item Qt Operation ;;- 100-1 1 Left RO Size: 36 1/2"x 48 1/2" Unit Size:35 15116"x 48" y' Comments: 400 Series Casement, Low-E4, Standard , Grilles: None Instructions to Manufacturer: Unit# U-Factor SHGC ENERGY STAR ---------------------------------------- ------------------- r Al 0.28 0.32 NO CO �`' Clear Opening/Unit# Width HeightArea(Sq._Ft) ----- Al 26.2360 43.1480 7.86130 � 35.937.5" Ro -36.5" Quote#: 6997006 Print Date: 1/27/2025 2:15:05 PM UTC All Images Viewed from Exterior Page 2 of 3 ti IV- j , n ! I IN 41 1 ro I _.� °"' i �(T)iYty i:feee_. i 1' � 1 1 -�• i ' uppERFAiAO i � j�.;.$}�{+1 •11.:M ApptIARLER ISA9 R'(4ARL -'✓:-r'' '�--.�- ' '- , 1 _.. ... _..�..��.G'+ -__._. __. .�•� � y. � 10 �• ,�R CODE.�__' - I I�.•��� �i r:_�, ' ^�7 a"btu S'aA J., I� ',L'•((� I--. I 00� f 4- '• I}`� v ,.. 0 7.7 E• y Selecting the Proper Size ScapeWEL° Egress Window Well STEP 1: Measure and calculate dimension A as Building shown in the detail on the right based Line window well side panels must on the site's grade conditions and extend 4 inches above grade level. Grade must be sloped away from foundation height. well.Downspouts must also be directed away from the well. f STEP 2: Determine the required window well w;ndow�- - side panel height by performing this Egress a simple calculation: Dimension Measure from Window top of window sill Required Side Panel Heigh:= ] Well to grade level Y Dimension A+7-1/2" System & :- z ;. Use 3/4"clean "3-1/2" �" free-draining From the first column in the table / rock or A6 stone below, select the closest side panel 44"Maximum T i at least 12"in height that will meet the site conditions. from floor to window ' width around all sill to meet egress �', ;�� �"» sides of the well. code requirements Fill to depth of STEP 3: N foundation r footing. Once the side panel height has been r Wells can be installed lower "t y .• 3a than the recommended 3-1/2" determined, read across and select "'. * � �. u,. to help meet grade conditions desired window width.With the window �' fi _-. ,: -�---Tie rock fill into size selected, read across to select the perimeter drain if available proper window well and cover. ScapeWEL® STANDARD SIZES AND MODEL NUMBERS Side Panel Height Maximum Window Well Model Number of Inside Projection * Width Optional Tiers from With Extension Dome Number (steps) Width Foundation Standard Model Wall Buck Cover Height Number Mount Mount 4048-42 2 42" 41" 48" X X 42" 38" 4042C 4048-54 2 54" 41" 48" X X 54" 50" 4054C 4048-66 2 66" 41" 48" X X 66" 62" 4066C 4862-42 3 42" 49" 62" 81" 3019-42 42" 38" 4842C 4862-54 3 54" 1 49" 1 62" 1 81" 3019-54 54" 50" 1 4854C 4862-66 3 66" 49" 62" 81" 3019-66 i 66" 62" 1 4866C *Extensions are only available for 3-tier window well models Note:The distance from the outside of the foundation wall to the inside face of the first step is 30" Bilco Egress Window Wells satisfy International Building Code requirements for Emergency Escape and Rescue Openings per section R310. �� ,� �, �. e ,� �� s�,. ,. ,�'. _,,. ` �._ `.��f z�''� r � J � �. - " 9 r 4 +.` \ ,,,,. yam. .��. .t.y �� •�t« 10 { Syr rO'M7. Ar prA 11 R k f Ys � � .fit " w � T•� /Y'\ •'ems � �., � ��+' _ � {" �, � , ?: �l�.lT • �_ '� ,ram`,���Y 'r"j+��.. }��i `•�` 7_+ �' '� _tip,��,, v a' •W� M �' yr } �a AMEND NT ll ' 1 1 6 30 -- — — -- -- —-- -- — -- I Do- 03 zs ? ..1_�� 1 U � � �',�•I�1M au',-fir �Pk�.. n.. �' � � �.� — _f I Imo+( I - - t P � f f; ri TV l j n > ELEVATE HEATING •"D1 - - APPLIANCES 18"AS _ 1 REQUIRED By PART. t 4 OE N STATE W 01YG --- - - -�-- .STATE CODE. _ Rl T - . 3Q. oVe h AVE , - -------------'------ ---__-- ._ .. - - -'--- �1 i