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Home My WebLink About52051-Z ho4�oF SouTyo� Town of Southold * P.O. Box 1179 �0 53095 Main Rd °`"eoUrm a Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46285 Date: 07/02/2025 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 6645 Great Peconic Bay Blvd Laurel, NY 11948 Sec/Block/Lot: 126.-10-20 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/29/2025 Pursuant to which Building Permit No. 52051 and dated: 07/01/2025 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 wood stove to existing single-family dwelling as applied for. The certificate is issued to: Gregory Olsen , Olsen Jr GP Special Needs Trt Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: utho ze ignat e 't'oFSOU 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#: 52051 Date: 07/01/2025 Permission is hereby granted to: Gregory Olsen PO BOX 158 Laurel, NY 11948 To: Legalize as-built wood stove at existing single family dwelling as applied for. Additional certification may be required. Premises Located at: 6645 Great Peconic Bay Blvd, Laurel, NY 11948 SCTIVI# 126.-10-20 Pursuant to application dated 05/29/2025 and approved by the Building Inspector. To expire on 07/01/2027. Contractors: Required Inspections: Fees: As Built Alteration $500.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total 600.00 Building Inspector �o��OF SOUtyo� > # # TOWN OF SOUTHOLD BUILDING DEPT. cuum 631-765-1802 ' 3 ® INSPECTION y= [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] OULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL RzC� 0"ems [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: _ flV L DATE '� �-5 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS -o O I FOUNDATION (1ST) ------------------------------------ ----._._. .- --..---- - - -- - - -- ........ .... __... _.. .. .__. _. ._... _.... ... ... _ -- -- ---- - . _._ .... ------_ .. --- --. .... .... ._...... -. __..__._.. _ 0 FOUNDATION (2ND) rl O ROUGH FRAMING & PLUMBING INSULATION PER N. Y. _.... ----- - -----..._.. STATE ENERGY CODE a — FINAL ADDITIONAL COMMENTS • r m =�O��SOFFOIKC�Gy�2 TOWN OF SOUTHOLD—BUILDING DEPARTMENT y z Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 hqps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: MAY 2 9 2025 Applications and forms,must be filled'out in their entirety.'lnc'omplete Building Department applications will not be accepted. Where the Applicant is not the owner,an Town of Southold Owner's Authorization•form(Page 2)shall be completed. ' Date: OWNER(S)OF PROPERTY: Name: SCTM#1000-�p2�p�ly� Project Address: 6 6 tl S�- ecoo -c r4Y 1 j (oc, Phone#: Email: a� Mailing Address: CONTACT PERSON: Name: 7o�Y Mailing Address: Phone#: G 3,11-eU 6 ' 6a �L,;L, Email: l � DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other woc��Q 0-f n rJ-p- $ Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION 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 ❑No IF YES, PROVIDE A COPY. ❑ Check Box §After Rsac!N g: a owner/contractor/design professional is responsible for all drainage and storm water issues as provided by A, ICA ION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Chapter 236 of they ow1jCodl Ordinance of ike Town,of Southold,Su olk,County,New York and other applicable Laws,Ordinances or Regulations,'for the construction of buildings, additions,alterations or for removal or demolition is 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 misdemeanorxpursuant to,Section 210.45 of the New York State Penal Law. Application��Suk mi#ted`By(pri name): G1L1_�2�( /�. of sees ❑Authorized Agent Owner Signature of Applicant: _ � �-✓ -- _ Date: CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No.01 BU6185050 SS: Ouaiiifled in Suffolk County COUNTY OF ) Commission Expires April 14,2W, 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 / o? day of O 20 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 e as a 1 AL s- OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED CO"PLY WITH ALL CODES OF DATE: 7�-a. , B.P# 0 NEW YORK STATE&TOWN CODES AS REQUIR D AND CONDITIONS OF FEE �(92'(`OBY: NOTIFY BUILDING DEPARTMENT AT SOMOLD TOWN ZBA 631-765-1802 8AM TO 4PM FOR THE SOLMLD TOWN PLANNING BOARD FOLLOWING INSPECTIONS: SOUTHOLD TOWN TRUSTEES 1. FOUNDATION-TWO REQUIRED N.Y.S.DEC FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING SOmOLD HPC 3. INSULATION SCHO 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW Additional YORK STATE. NOT RESPONSIBLE FOR Certification DESIGN OR CONSTRUCTON ERRORS May Be Required.