HomeMy WebLinkAbout52005-Z s�,$°f 3Dolyo� Town of Southold
* * P.O. Box 1179
c 53095 Main Rd
00 N" � Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46402 Date: 08/14/2025
THIS CERTIFIES that the building AS BUILT HVAC
Location of Property: 2780 Great Peconic Bay Blvd Laurel, NY 11948
Sec/Block/Lot: 128.-6-23
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/09/2025
Pursuant to which Building Permit No. 52005 and dated: 06/17/2025
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" central air conditioning as applied for.
The certificate is issued to: Dimitry Baron, Tatyana Baron
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52005 8/8/2025
PLUMBERS CERTIFICATION:
Autho ' ed &nature
atsouryo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Comm.� i 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#: 52005 Date: 06/17/2025
Permission is hereby granted to:
Dimitry Baron
220-35 77th Ave
Oakland Gardens, NY 11364
To:
legalize "as built"central air conditioning as applied for.
Premises Located at:
2780 Great Peconic Bay Blvd, Laurel, NY 11948
SCTM# 128.-6-23
Pursuant to application dated 05/09/2025 and approved by the Building Inspector.
To expire on 06/17/2027.
Contractors:
Required Inspections:
Fees:
As Built HVAC $500.00
ELECTRIC -Residential $200.00
CO-RESIDENTIAL $100.00
Total S800.00
---- ----- -----------------
1 ding Inspector
pF SO!/r�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • Q
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Dimitry Baron
Address: 2780 Great Peconic Bay Blvd City: Laurel St: NY Zip: 11948
Building Permit#: 52005 Section: 128 Block: 6 Lot: 23
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 WO Basement W Service Solar F
Outdoor 1st Floor r Pool r Spa r
Renovation 2nd Floor Hot Tub F Generator r
Survey (— Attic Garage Battery Storage (�
INVENTORY
Service 1 ph F Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph r Hot Water GFCI Recpt 3 Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect 60A Switches 1 4'LED Exit Fixtures
Other Equipment: 200A Panel 40 Circuit/ 31 Used, 60A Tesla Charger
Notes: " AS BUILT NO VISUAL DEFECTS " Service, HVAC, Tesla Charger and Smokes
5
Inspector Signature: X Date: August 8, 2025
Sean Devlin
Electrical Inspector sean.devlin('Dtown.southold.ny.us
2780G.Pec.Bay.HVACserviceTesia
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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) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O [ ]. RENTAL
REMARKS: ,U &micc t-lisPa
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* # TOWN OF SOUTHOLD -BUILDING DEPT.
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INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH'PLBG..
[ ] FOUNDATION 2ND [ ] -I SULATION/CAULKING
[ ] FRAMING/STRAPPING. [ FINAL 4/6
[ ] FIREPLACE:& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]' FIRE RESISTANT CONSTRUCTION , [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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INSPECTION
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FOUNDATION 2ND [ ] INSULATIOWCAULKING
j 1 FRAMING/STRAPPING [ j FINAL
j ] FIREPLACE & CHIMNEY ( J FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ FIRE(RESISTANT PENETRATION
[ ] ELECTRICAL(ROUGH) ) ELECTRICAL(FINAL)
[ ] CODE VIOLATION [ ] PRE C-10 [ ] RENTAL
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COMMENTS
ll'OUNDA-riON (ISI') .......
-----------------------------------
FOUNDATiON (2ND)
..........
-----------
ROUGH FRAMING &
PLUMBING
C�lp
INSULATION PER N. Y.
STA'I'E ENERGY CODE
.................
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FINAL
...........
-------------------
---------------- jk.DDITIONA-L COMMENTS
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��o�°SufFo�K�ooy TOWN OF SOUTHOLD—BUILDING DEPARTMENT
N Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
�c
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ® E C E E
PERMIT N0. � Building Inspector: .
MAY -9 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. Building®ep
Town of Southolthol nt
d
Date: LL 3,0 2�
OWNER(S)OF PROPERTY:
Nam SCTM#1000-
Project Address: 60.
Phone#: OW[ --L O S —`I N O Email: e2r-OAd eAm{z?�l
Mailing Address: VLO— 14 It? ftVe
CONTACT PERSON: Q
Name: ln!►.d _� IrOh
Mailing Address: l Q,( KC,
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED-CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repai ❑De olitio Estimated Cost of Project:
`Other ��.PR�iS�I'�a-i 4eVis1� .t( "
Will the lot be re-graded? ❑Yes ]No Will excess fill be removed from premises? ❑Yes El No
1
PROPERTY INFORMATION
Existing use of property: N,.L�—�� �'e Intended use of property: y� re 'h sy/Q�C,4
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.
r rhe&Box After Reading: The owner/contractor/design professional is responsible for all drainage.and storm water issues as"provided by
hC apter 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 Tint name)- i b(D�L ❑Authorized Agent Owner
Signature of Applicant: Date: t /So /
NCH [
STATE OF NEW YORK) Notary Public,State of New York
SS: No,01BU6185050'
Qualified In Suffolk County
COUNTY OF ) Commission Expires April 14,2Aa�
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
ak day of 20 C-
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
��S�EEp(k�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
la mesh southoldtownny.gov - seand(@__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: YVL l �&vo 4
Address: a?8 0 oo ✓ au re,
Cross Street:
Phone No.:
Bldg.Permit#: '5 200 S email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
b it .
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 D Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# 5-2 00 5 Address:
Switches
Outlets
GFI'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-j AHI Hood Blower
Service Amps Have L{C) Used --3, f
Sub Amps Have Used
Comments
S.C.T.M. NO. DISTRICT: 1000 SECTION:128 BLOCK:6 LOT(S):23
5�5\
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LAND NIF OF
AUSON ROSS
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LAND NIF OF
\ MELISSAHOBLEY LAND NIF OF
\ AMY LEBLOND
\
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1 S
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCARONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
AREA:19190.78 Sq. Feet or 0.44 ACRES ELEVA77ON DATUM:
UNAUTHOR12ED ALZERARON OR ADDITION 70 THIS SURVEY IS A WOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEYS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSRTURON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE.
771E OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD17IONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF.DESCRIBED PROPERTY OF NEW CERTIFIED TO:W TODD JEFFCOAT:
MAP OR �Q.� t% M.. cv-cr p DESIREE VISCEGLIA;
FILED: h =�� c, I- SPANO ABSTRACT SERVICE CORP. SP1647-S:
x F
SITUATED AT:LAUREL FIRST AMERICAN TITLE INSURANCE COMPANY;
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TOWN
SUF OLK COUNT .4 KENNETH M WOYCHUK LAND SURVEYING. PLLC
SUFFOLK COUNTY, NEW YORK �2sF osoaez ve Professional Land Surveying and Design
N P.O. Box 153 Aquebogue, New York 11931
FILE 6225-91 SCALE:1"=40' DATE:APRIL 24, 2025 N.Y.S N0. 050BB2
PHONE(631)298-1588 FAX(631)298-1588
LISC.
e BATH
_ ATH `
BEDROOM ,°Dc;I` WALK
'' m 12x10 �� u�� I_...
< IN
Combo#7 O a �.0 CLOSET----- < ci ace. CLOSET �; 5'x 7'
I
CLOSET CLOSET
° vvv •.
I i Combo#5
DINING ROOM DEN FPI Combo#6 o _v IPRIMARY
PATIO 14'x 19' 1 g'CEILING HEIGHT:e' BEDROOM —l/
BEDROOM
I x14' 13'xEIG10'
1 CEILINGG HEIGHT:T1°' CEILING HEIGHP.7'10'
Combo#4 '
01BATHI SECOND FLOOR
FTTF B'x 5'11 CEILING HEIGHT:T10'
BREAKFAST �I) I W D
10'x1
LIVING ROOM
_I 15'x 17' OFFICE
8'x 9'
RAGE %¢ 00 W
E ,�RAG °O RECREATIONI
'EILIdG HEIGHT 8'10' KITCHEN F � � LAUNDRY
n t� "> A 10'x 11' ( —Pv • 24'.29 •
CV if I , CEILING HEIGHT 7'
1 >� 0
p � S o It I BEDROOM
�J Combo#2 �( >� 13'x 12' ) STORAGE/ r
<� �— CEILING HEIGHT 8' "It
C MECHANICALLWID ENTRY Combo#1 `t it 12'x 14'
--r— POWDER,' t =1 0
pp���� s■a Combo#,
8� E
BASEMENT
FIRST FLOOR r CEILING HEIGHT:T
CEILING HEIGHP.W FIRST FLOOR INTERIOR:1,500 SQ FT
existing smoke ONLY detector-tested and working-High on wall in stairs(1 total) SECOND FLOOR INTERIOR:800 SQ FT
g
BASEMENT:1,000 SQ FT R
o NEW 2-in-1 First Alert Combo smoke&CO2 detectors(7 total) GARAGE:400 SQ FT t' t
N
TOTAL INTERIOR:3,700 SQ FT
Scale in feet.Indicative only.Dimensions are approximate.All information contained herein is gathered from sources we believe to be reliable.However,we cannot guarantee its accuracy and interested persons should rely on their own tnquiries.
2780 Peconic Bay Boulevard, Laurel m DouglasElliman
r md
APPROVED AS NOTED
DA B.P.I
FEE Br COMPLY WITH ALL CODES OF
NOTIFY BUILDING DEPARTMENT AT NEW YORK STATE &TOWN CODES
631-765-1802 8AM TO 4PM FOR THE AS REQUIRED AND CO ITIONS OF
FOLLOWING INSPECTIONS: MOLD WN ZBA
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE SM" TOWN PLANNING BOARD
2. ROUGH-FRAMING&PLUMBING SO LDTOWN TRUSTEES
3. INSULATION
4. FINAL-CONSTRUCTION MUST N. .DEC
BE COMPLETE FOR C.O. UTHOLD HPC
ALL CONSTRUCTION SHALL MEET THE SCHD
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
ELECTRICAL
OCCUPANCY OR INSPECTION REQUIRED
USE IS UNLAWFUL
WITHOUT CERTIFICA OF OCCUPANCY
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