HomeMy WebLinkAbout51925-Z hoy��°F Sgoryo`o Town of Southold
* * P.O. Box 1179
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53095 Main Rd
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COUNTV Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46302 Date: 07/08/2025
THIS CERTIFIES that the building AS BUILT HVAC
Location of Property: 561 Oceanic Ave Fishers Island, NY 06390
Sec/Block/Lot: 9.-7-8.4
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 04/07/2025
Pursuant to which Building Permit No. 51925 and dated: 05/16/2025
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 as applied for.
The certificate is issued to: Peter Coolidge,Faith Coolidge
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51925 06/26/2025
PLUMBERS CERTIFICATION:
P01-
Authorized Signature
of sQ�r 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#: 51925 Date: 05/16/2025
Permission is hereby granted to:
Peter J Coolidge
90 E End Ave Apt 17B
New York, NY 10028
To:
legalize"as built"central air conditioning as applied for.
Premises Located at:
561 Oceanic Ave, Fishers Island, NY 06390
SCTM#9.-7-8.4
Pursuant to application dated 04/07/2025 and approved by the Building Inspector.
To expire on 05/16/2027.
Contractors:
Required Inspections:
Fees:
As Built Alteration $500.00
ELECTRIC -Residential $200.00
CO-RESIDENTIAL $100.00
Total S800.00
e___� Building Inspector Y
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 1 1 97 1-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Peter J Coolidge
Address: 561 Oceanic Ave City: Fishers Island St: NY Zip: 06390
Building Permit* 51925 section: 9 Block: 7 Lot: 8.4
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 P7 Basement I-. Service (— Solar ('
Outdoor 1 st Floor F Pool F Spa I-
Renovation 17 2nd Floor I Hot Tub r Generator (-
Survey F Attic r Garage Battery Storage (—
INVENTORY
Service 1 ph F- Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph (- Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 5 Single Recpt Recessed Fixtures CO Detectors
Sub Panel 100A A/C Blower 5 Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures
Other Equipment: 100A Sub Panel 12 Circuits / 11 Used
Notes: " AS BUILT NO VISUAL DEFECTS " Minisplits
Inspector Signature: X Date: June 26, 2025
Sean Devlin
Electrical Inspector sean.devlinCcD-town.southold.�ny.us
561 Ocean icMinisplitsFI
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# # TOWN OF0' OUTHOLD BUIL ING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.- `
[ ] 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:
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DATE INSPECTOR
oe souTyoC, cojeu TOWN: OOTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR f ] ROUGH PLBG.
[ ] 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 [ ] RENTAL
REMARKS: U4 LT M /lVt J-PL-(-L�
DATE 2 INSPECTOR C�-j
I OF SOUIyOIo
y TOWN OF SOUTHOLD BUILDING DEPT.
couto, 631-765-1802
INSPECTION
[ ]' FOUNDATION.1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION/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: pA`% D .
DATE 04 INSPECTOR
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FIELD INSPECTION REPORT DATE-7—
COMMENTS
FOUNDATION (1S`1') V�- - - rZ,
------
FOUNDATION (2ND)
RUUGII FRAMLNG &
PLUMBING
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INSULATION PER N. Y. ___..._.. ._.._...__. ._......__... _. r
S`1'A'I'E ENE,RGY CODE �
FINAL _._-._ --- --- ------- ...----...
ADDITIONAL COMMENTS
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16
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CONSTRUCTION
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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 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 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.
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Application Submitted By(print name): w �� ❑Authorized Agent RJOwner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF N )
Tekw 66c)� t 0( v 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
day of 1'UXUV , ,20 UJZAM-A64t-�&
CORINNE M OVERBERG
Notary Public
Notary Public,State of New York
No.01 OV6410102
Qualified in New York County PROPERTY OWNER AUTHORIZATION
ommission Expires October 19,2028
(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
o�OSsFF04 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
y Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
yytj0® �a0 Telephone (631) 765-1802 - FAX (631) 765-9502
jamesha-southoldtownny.aov - seand(cDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: e p CL f "A `x
Electrician's Name: _ A( MrowkoJ
License No.: Elec. email: o d
Elec. Phone No:: �` I request a email copy of Certificate of ompliance
Elec. Address.: Sq e
p p d Cr3
JOB SITE INFORMATION (All Information Required)
Name: pe,4-cr- Coll��Ie
�>
Address: z � � �`_
Cross Street:
Phone No.:
Bldg.Permit#: eS email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK INC UDE SQUARE FOOTAGE (Please Print Clearly):
u,S)Je Una
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u, ��� Ae(AAF- v4P
pr.,jil p= o 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❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y RN
Additional Information:
PAYMENT DUE WITH APPLICATION
lN�
QVE0,.AS NOTED
FM— �#
NOTIFY AT
V1.465-1892
8 01 4PM FOR THE
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3. lINSUL V°p()
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4, ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
B DESIGN OR CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
AS REQUIRED AND CONDITIONS OF
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S(IUTH TOWN #
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