HomeMy WebLinkAbout9677-Z o�aof souryo� Town of Southold
* * P.O. Box 1179
0 53095 Main Rd
coutm.�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 46356 Date: 07/30/2025
THIS CERTIFIES that the building ADDITION
Location of Property: 795 Pine Tree Rd Cutchogue,NY 11935
Sec/Block/Lot: 104.4-5
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated:
Pursuant to which Building Permit No. 9677 , and dated: 04/13/1978
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:
addition to existing single-family dwelling as applied for
The certificate is issued to: Eric Wahl
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 9677 07/18/2025
PLUMBERS CERTIFICATION:
�utho(Jed SignatuU
ofsooryo<c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
o`�COUN".N i SOUTHOLD, NY
BUILDING PERMIT
RENEWED
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 9677 Date: 04/13/1978
Permission is hereby granted to:
Eric Wahl
560 Deerfoot Path
Cutchogue, NY 11935
To:
B.P.#9677Z ADD.TO PVT. ONE FAMILY DWELLING
Premises Located at:
795 Pine Tree Rd, Cutchogue, NY 11935
SCTM# 104.4-5
Pursuant to application dated and approved by the Building Inspector.
To expire on 07/08/2027.
Contractors:
Required Inspections:
Fees:
CO Single Family Dwelling-Addition/Alteration $100.00
Renewal Fee $7.50
Total $ 107.50
Building Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH'OLD, N•. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
��
3
i�1? 9677 Z Date .......................�.�.�..(.' ..........(......., 19.�
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Permission is hereby granted to:
.......................................................................
QIc /- A PN k, ( WA �-/ L-
................................................................................
................................................................................
. �... ..to .... n..........� ^ . 0...............................�i%A- � ... ............................��fi 7'7L................................................................................................................................................................
at premises located at 9 v� T��..� � f�......i.)1)
ry T (D 1-406UL;
................................................................................................................................................................
.................................................................................................................................................................
pursuant to application dated .......................... .�........ 19:�?., and approved by the
Building Inspector.
Fee $... ...S............
................................................................................
Building Inspector
ho�x pF.SOUT�QI
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • Q
Southold,NY 11971-0959 'Q
1�couff`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Eric Wahl
Address: 795 Pine Tree Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: 9677 Section: 104 Block: 1 Lot: 5
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. Basement F., Service Solar r
Outdoor rv�' 1st Floor (✓' Pool r Spa r
Renovation I✓' 2nd Floor 17� Hot Tub r Generator F
Survey � Attic r Garage Battery Storage r
INVENTORY
Service 1 ph Ili Heat Duplec Recpt 20 Ceiling Fixtures 4 Bath Exhaust Fan 2
Service 3 ph r Hot Water GFCI Recpt 4 Wall Fixtures - 1 Smoke Detectors 3
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures 29 CO Detectors
Sub Panel A/C Blower Range Recpt Gas Ceiling Fan Combo Smoke/CO 3
Transfer Switch UC Lights 6' Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 1.8 4-LED Exit Fixtures
Other Equipment: Fridge, Oven, Micro/Hood, 100A Panel 12 Circuit, Toekick Heater
Notes: " AS BUILT NO VISUAL DEFECTS" First & Second Floor Rewired
�Inspector Signature-. X Date: July 18, 2025
Sean Devlin
Electrical Inspector sean.devlin(cD_town.southold.ny.us
795PineTreeHouse
OfSObTyO�
.TOWN OF SOUTHOLD BUILDING DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL X-X-�
[ ] 'FIREPLACE &CHIMNEY [ ] FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] 'FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION- [ ] PRE C/O [ ] RENTAL
REMARKS: 0% 2 C•
DATE aS INSPECTOR
OF50Ulyo� - - ��] i <pm e
# # T WNr_ OF SOUTHOLD BUILDING DEPT.
'Qurm��' 631-765-1802
INSPECTION
( ] FOUNDATION 1ST/ REBAR [ ] 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: !bw-y �'ur .
b-JIMC4 Ac�
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co-oce al)t
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DATE 71IM14,915 INSPECTOR
ON
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TEL. 765-2660
0
�< TOWN OF SOUTHOLD �N
l • OFFICE OF, BUILDING INSPECTOR
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y. 11971
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FIELD INSPECTION REPORT DATE COMMENTS
------------
14529----
FOUNDATION (1ST)
-------------------------------------- --- -------
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING ............
..........
--------------
INSULATION PER N. Y. ------
STATE ENERGY CODE, ----------- ---
..........
alahe,(�oA
FINAL
-------------
ADDITIONAL COMMENTS
0
-----------
........ ......... ------- ... ..............
X
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F08M NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERIC'S OFFICE
SOUTHOLD, N. Y.
7 7
Examined .................. l Application No.
Approved . .................. .......... �. ., 19�..:.. Permit No. ..../... .77 7-- ...
Disapproveda/c ......................... .......................:.........................................
..
........................ ... . .... .. . ..........................
. ...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date':............................................... 19.. `l
INSTRUCTIONS .,
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas,and giving a detailed description of layout of property must be drawn on the diagram which is part of this application.
c. The work covered by this opplication may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 or 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 buildings for necessary inspections.
(Signature of app .....licant, or name, if a corporation)
... .... .............. ....
. ....................... .....,.........
(Address of applicant)
State whether-applicant is owner, lessee, agent, architect, engineer," general contractor, electrician, plumber or builder.
.......................................................`..................c.".'y!L!kc.7....^.................................... .......................................................
Name of owner of premises ........!!��.IZ.: ... :...�` '! ....�•.!� :! ............V!! /...H.... ................................
If applicant is a corporate, signature of duly authorized officer.
........................................................................................
(Name and title of corporate officer)
'
Builder's License No. ........................I.. ..../..................
'Plumber's License No. �"�•a`� /................................................
Electrician's License No. . e i''."'.� (O �^....... ....... ...........................
OtherTrade's License No. ............ .....................
1. Location of land on which proposed wonk will be done. Map No..: ........................................ Lot No.p ........................
Street and Number 7 'S iN� "I6LWu r� �v`T!��i,�4u�r �J-
................ .....................................................:.... ...........................j!................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ................. I.
!..........................................................................................................
b. Intended use and occupancy ............... ..'.`:4f3..................................................................................................
. �
-~� `~
3. . Nature of work (check which opp|icobje): New Building. ................... Addition --.!�—..... Alteration ............
Repair .................. Removal ------ Demolition---.--- Other Work --------------_— .....
`
4. Estimated Cos -----z�r�� ................................ ee .--'
.~ (Oaocr�_�ti-_n)_____! -- _ - ....
0n be paid on filing this application)
5. If dwelling, number of dwelling units -----.----NumberofdweUing units on each floor ............................
. .
' If garage, number -of cars ...............................................................................................................................................
6 `|f business con�n�uncio| or n`h�ed specify nature onde��mntofoochtypaof use ---------..
� ' �
/. Dimensions of existing structures, if any: Front � Rear ................. Depth .~!-4n--..
Height . �.� .--' Number Stories --- .................................................................................................
---' '— F �ao ^� � �w
Dinnensionoofaon�e structure vv�h �a additions: Front --.------ ---- r —...�—--____
Depth .....0 .t................. Height — �—.--Number of Stories
8� Dimensions of entire new construction: Front --.I L. ................ Rear —.�.L.7%-_--_.. Depth �^�����---..
Haight .....k!�7.�.I... Number of Stories ---.—.«---'---_--------------------..--~.--
9. Size of lot: Front ..........Am���.u.------_---' Reor ---.�.wn*'���~�-----. Doot� .--�-��.:��._____
lO. Dote of Purchase ---.—.--------------Nan`a of Former Owner ........................................................
ll. Zone or use district in which premises are situated ---.---.-----.-----_---------------'
]2. Does proposed construction violate any zoning low, ordinance or regulation: —_---��----------.--_..
13. Will lot be regraded .....w?A................. Will excess fill ba removed from premises: ( ) Yes No
- i
onu of Owner of pren � -- .� ......... ..,�.."l4 � � � ��rass �� �
Nome of Architect -------. --��.--------. Address -_--....—~' . ..... 'Phone No ......................
Name of Contractor ---.. ./'~Z�������-------. /�dd % .�4� . P6onm �kx~!��' '^
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sot-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior orcorner lot.
/
`
-
~
`
OF NEW YDR� �
STATE ' 3.S
COUNT`/ OF -----------,)
_________. �4_—../�»........................................................
/7 �� �� �76ning duly sworn' deposes and says that he is the applicant
(Nome of individual signing controcf)
above named.
Heis 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
\ �hisopp|icctim? �o�,o-true to
...... day of ...(-�'e--
knowledge and belief; and
thor the work viU be par�rned in the manner set forth in the. application filed the
Coe
Sworn tgWore me this
| ' � . -_' ,'.,.-..-.....-.~..--..-----
Notary Pub � _ (Signature of applicant)
NOTARY PUB C
No 52-4634259
uolifie� in Quoommw Expires Ma'
^
FORM NO. i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ................. .,......f .., 19�.�,�. Application No!...�..�........ ..
Approved ................/2 �.......j✓. ., 1 Permit No. . 1�'... : ........
Disapproved a/c ......
/....................................................................................
r �
......................... 1 1::1/.s. . .... M..:�. l::�...............
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ......... ............................. 19.7. . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter oe in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, using code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspection .
(Signature of applicant, or name, if a corporation)
....... ........ ...............
............
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber' or builder.
...............................................................................................................................................................................................
Name of owner of premises .... lr, 4 � 4 � % L^41a,%.: : ... .. .........................................................................................
If applicant is a corporate, signature of duly authorized officer.
........................................................................................
(Name and title of corporate
++ officer)
Builder's License No: ....................`.1..........::......... /� (70o �-
Plumber's License No. .............. ......................
Electrician's License No. 1 `J"'�'"'..... ................................
.....
Other Trade's License No. "�°..............................................
1. Location of land on which proposed w rk will be done. Map No.: ........................................ Lot No. ........................
Street and Number .........11:�.........' J`a !`-u�z-" . .1I
........... .. ........................................................... .........................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ..............:`-��i............................................................................... ..........................
b. Intended use and occupancy ................................................................................................................................
y
MW
3. Nature of work (check which applicable): New Building. .................. Addition ....... ...... Alteration ..................
. Removal Demolition.........::......... Other Work ................................................ .....
• Repair ................. .................. (Description)
S3w .Fee
4. Estimated Cost .............. .....�........................... ...................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................
Ifgarage, number of cars ....:.........................................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ......:+:� ........... Rear ..... ................ Depth 7: ........
Height ...... L...... Number of Stories ....... 11..:..................................................................................................
Dimensions of same structure with alterations or additions: Front ........ Rear .....` .............
.Number of Stories tI'�
Depth .......�.�:"'.............. Height ....>7�.'�?............. ................................
8. Dimensions of entire new construction: Front ......... � - Depth
.. 7:!!.................s �
Height .... Number of Stories ......................................................................................................................
9. Size of lot: Front .......... :.°................................. Rear .......�..°�'..�1.................. Depth ....�._.j...P ..............
10. Date of Purchase ........................................................Name of Former Owner ........................................................
11. Zone or use district in which premises are situated .....••............................................................................................•.
12. Does proposed construction violate any zoning law, ordinance or regulation: �
........................................................
13. Will lot be regraded• .......!' .°.............. Will excess fill be removed from premises: ( ) Yes ( ) No
14---Name of Owner of premises .k'.`.�•M%1.'.................. Address`..t"?�.���:`'..!0....... Phone.No. ."f-_'S45
Name of Architect !] .............. Addresss-�,,,� '! .Phoney No.
Name of Contractor ........ ......................... Address'^`:1'S�'�L"�� 'f":.. Phone No.!.H-�: ..
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
OV
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rj
f �ti ll
i
0
if
STATE OF NEW YORK, 1 S.S
COUNTY OF ................................f ID M 0
..................................... .......................................:..::....being ,duly sworn, deposes and says that he is the applicant
(Name of individual ,sidning'contracf)
above named.
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 be his knowledge and belief; and
that the work will be performed in the manner set forth in the application filed they .with
Sworn to before me this
.......1�� ... day of ......................................I 19. .
4 -
NotaryPubht-1; . .... .. .�.. .. Coun ............. .......................... ..........................................
/G I (Signature of applicant)
MARIL N . BOEHL
NOTARY PURL , State of New York
No. 52-4634259
Qualified in Suffolk County
Commission Expires Mprch 30t 19'j0
i
I
E C E I V L I ING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
N JUL -g 20M&Nn Annex- 54375 Main Road - PO Box 1179
'*► Southold, New York 11971-0959
�y's9p� �•�0�� Building DepartnT*Mphone (631) 765-1802 - FAX (631) 765-9502
Town of 0ealbelVD-southoldtownny.gov - seand(ab-southoldtownny.gov
I
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFOR ATION (All Information Required) Date: - -2�
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of'Compliance
Elec. Address.:
i
JOB SITE INFORMATION (All information Required)
Name: lnJGl,�
Address:
Cross Street:_ �
Phone IV;,.. �j_ {® — 5
Bldg[Permit#: 9 ( email:
Tax Map District: 1000 Section: 0 Block: Lot:
BRIEF DESCRIPTION OF WORK,,IMCLUDE SQUARE FOOT
`AGE (Please Pri t Clearly):
CIV At
aAJA -52
Square Footage: i
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In Final
Do 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. D Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
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APPROVED AS NOTED
DATE:
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_ _ i�' o-c. �X O FEE:
_ ( BY:
NOTIFY BUILDING DEPARTMENT AT
765-2660 9AM to 4PM FOR IZEQUlR.
ED' INSPECTIONS:
1: BEFORE BACKFILLING F Q!9
NvA-
� .. + TION OR START,FRfiArAf.NfG
f' 2. FRAMING INSPE*11 3 I
r 3. BEFORE COVEnII: G Pi!'„-S OF ANY !: :.;
4. FINAL WHEN JOB COMPLETED
NOT RESPONSIOLE FOR DESIGN
G,3uL.nY4-1 YWeuN c S4tirPlkn.s ORONSTRUCTI
n ON- EI`RORS
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