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52150-Z
�o��OF SOUryolo Town of Southold * P.O. Box 1179 53095 Main Rd °�y• �,UNT1 , Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46458 Date: 09/02/2025 THIS CERTIFIES that the building As built additions/alterations Location of Property: 1420 Laurelwood Dr Laurel, NY 11948 See/Block/Lot: 127.-5-6 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/23/2025 Pursuant to which Building Permit No. 52150 and dated: 08/06/2025 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" alterations to convert half story to habitable space to an existing single-family dwelling as applied for. The certificate is issued to: Lockman Family 2023 Irr Trt Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52150 8/27/2025 PLUMBERS CERTIFICATION: ut o ' d ignature Fsa�Tyo TOWN OF SOUTHOLD BUILDING DEPARTMENT • TOWN CLERK'S OFFICE �o��,cnUartV��ao . 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#: 52150 Date: 08/06/2025 Permission is hereby granted to: Lockman Family 2023 Irr Trt PO BOX 2 Laurel, NY 11948 To: Legalize alterations to an existing single-family dwelling to convert half story to habitable space as applied for. Additional certification may be required. Premises Located at: 1420 Laurelwood Dr, Laurel, NY 11948 SCTM# 127:5-6 Pursuant to application dated 05/23/2025 and approved by the Building Inspector. To expire on 08/06/2027. Contractors: Required Inspections: Fees: As Built Alteration $1,197.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,297.00 Building Inspector so�ryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Southold,NY 11971-0959 �'Y��UNTI,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Lockman Family 2023 Irr Trt Address: 1420 Laurelwood Dr City: Laurel St: NY Zip: 11948 Building Permit#: 52150 Section: 127 Block: 5 Lot: 6 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 F%� Basement r Service I— Solar (— Outdoor I— 1st Floor (— Pool F Spa r Renovation F 2nd Floor F' Hot Tub r Generator 1- Survey rr"I Attic I— Garage Battery Storage rr INVENTORY Service 1 ph (— Heat Duplec Recpt 19 Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph 1- Hot Water GFCI Recpt Wall Fixtures 5 Smoke Detectors 2 Main Panel A/C Condenser Single Recpt- Recessed Fixtures 2 CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan 1 Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 8 4'LED Exit Fixtures Other Equipment: 2' Electric Baseboard Heater(2), 8' Electric Baseboard Heater(2) Notes: " AS BUILT NO VISUAL DEFECTS " Finished Second Floor Inspector Signature: X Date: August 27, 2025 Sean Devlin Electrical Inspector sean.devlin(CD.town.southold.ny.us 1420Laurelwood2ndFloor - pF SOGTyolo * # TOWN OF SOUTHOLD BUILDING DEPT. coo�m��'' 631-765-1802 Sze� INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] RO GH PLBG. [ ] FOUNDATION 2ND [ I LATION/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: V QvA DfS DgA-,, &)C�- Kull-L n� Kv U000, DATE 13 W-1, INSPECTO SOOlyO� �Z 90 I -tg L&Ao /67 T W F SOUTHOLD BUILDING DEPT. O O 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: �G14 I U �-aFm DATE INSPECTOR 5 •r " ark" �: .1, °w f+, �\ ti / y � �, MELD INSPECTION REPORT DATE--T- COMMENTS .......... FOUNDA,rION (1ST) �3 ------------------------------------- -------- FOUNDATION (2ND) cn ROUGH FRAMING & - PLUMBING ........... ---------- INSULATION PER N. Y. STATE ENERGY CODE. 0 FINAL ADDITIONAL COMMENTS c- 0 ....... - -------- . ........ ....... ----------- cn ------------- ........... ....... �J TOWN OF SOUTHOLD—BUILDING DEPARTMENT H Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtowm-gov Date Received APPLICATION FOR BUILDING PERMIT r* "' E0 V E For Office Use Only PERMIT NO. 1 .J © Building Inspector: MAY 2 3 2025 Applications and forms must be filled out in their entirety.Incomplete 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: G Name: �Vh^Gr� 7IrYaOura 4otl�trh SCTM#1000- Project Address: Phone#: 6�l_ �q�,.1 3 j Email:OQWX�" IbobOLJC1-IGt Ct yeO4mb. GV vn Mailing Address: (� rj` �P Ou ll9*1 CONTACT,PERSON: Name: �p �dcc(ralftt- 1. �1tn Mailing Address: Phone#: (owl,-:q�y' &koS-?� Email&d� ) DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: ENO oroh ibwo"WArr' 1 Mailing Address: ,. (,G� i Phone#: Email.- DESCRIPTION OF PROPOSED CONSTRUCTION [I New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: *Other C.VM Le �- Vt 4ftV CJ.VWA .cl 7 $ LogK Lbt, " * Will the lot be re-graded? ❑Yes I/No Will excess fill be removed fro premises? ❑Yes ❑N 1 PROPERTY INFORMATION Existing use of property: ept 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 Jaws,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. ❑Authorized Agent Owner Application Submitted By(print name): 'r g Signature of Applicant: Dater CONNIE CUBUNCH Notary Public,State of New York STATE OF NEW YORK) No.01BU6185050 SS: Qualified in Suffolk County© COUNTY OF Commission Expires April 14,2 ) 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 r o�aJ r day of 'V ,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 I D EC VE A U G 1 8 2025 BUILDING DEPARTMENT- Electric I spector TOWN OF SOUTHOLD ildin artment o z Town Hall Annex- 54375 Main Road - PSM036athold o Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Owl 1 — 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: w uv* Address: it7U �.10 f0i `P ri Cross Street: eZd2n aLcn4z Pj O i,f9 Phone No.: Bldg.Permit#: 2-i. 5^� email: }0 Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 11 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 FIN Additional Information: PAYMENT DUE WITH APPLICATION E C E " E AU G 1 8 2025 ®S�FFO�kc BUILDING DEPARTMENT- Electric I spector OG . TOWN OF SOUTHOLD G��� yam► 4 q�1,u9�sB�'s�r� artment o =` Town Hall Annex - 54375 Main Road - PSWORuihold Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 45 bu,( 1 — Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (AII Information Required) Name: ui,&� Lvd-��lct, Address: 1+ �-o `P r( ¢JY t Cross Street: `(aj Pi Phone No.: Bldg.Permit#: 2-t �'_o email:jzju b W Tax Map District: 1000 Section: Block: 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❑Underground❑Overhead # Underground Laterals D 1 R2 D H Frame D Pole Work done on Service? Y nN Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets N GFI's Surface Sconces r 1 HH s 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 Inst Hot DeHum Transfer HOT TUB/SPADisc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments Gol APPROVED AS NOTED DATE:$-l0'25 B.P# 5 a i 5 o COMP'y WITH ALL CODES OF $ NEW YORK STATE&TOWN CODES FEE 97 BY AS REQUIRED AND CONDITIONS OF NOTIFY BUILDING DEPARTMENT AT SOUMTOWN 631-765-1802 8AM TO 4PM FOR THE V=T= NWG FOLLOWING INSPECTIONS: $ TQVN,M FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 0 ROUGH-FRAMING&PLUMBING INSULATION SHD FINAL-CONSTRUCTION MUST BE COMPLETE FOR CA ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR ELECTRICAL DESIGN OR CONSTRUCTION ERRORS INSPECTION REQUIRED Additional Certification May Be Required, PLUMBING ALL PLUMBING WASTE &WATER LINES NEED TESTING BEFORE COVERING PLUMBER CEIMFICA77ON ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2110 OF 1%LEAD. 81-0" 28%0" 81-0" --- ® .,w � Li 2'-0"x 4'-2• 3'•0"x 4'•2•1'`1(:�rJl' 1,'fLC'' 1►1\yJ'(J o 5•-31h" 2-�Vn Sr-7n ql 5r-4" 7'_gl/z" o BATH «°; `� AUG " 5 2�25 Y-o•x4•-2" O JIM DEERKOSKI,PE phone:(631)298-7116 z•-o• Building Department HALL Town of Southold 1'6 Z LU iv x iv BEDROOM LINEN __ 4 v to PRIMARY BEDROOM M e m 13'-31/z" 15%3%z" r /1 WALK-IN Z CLOSET _ q 11 O 164" 27'-8" I W > ATTIC I O `----------------------- I I o z Generated by REScheck-Web Software 2ND FLOOR PLAN Compliance Certificate SCALE: 1/4" = it Orl QJX' I I v V W Project LOCKMAN V Energy Code: 2028 1ECC 7 Location: Laurel,New York Z o Construction Type: Single-family (V Pro ett j ryDe: New construction Projett u one P"1 Conditioned Floor Area: 1940, ft2 Glazing Area 14% Climate Zone: 4(5331 HDD) E /\ Pemut Date: V/ i Permit Number All enewa false Is Renewable false Has Charger false Has Battery: false Has Heat Pump: false 3 - Construction Site: Owner/Agent: DesignerlContractor: _ 1 V4 11. 11/4 W.C. v. Compliance:Passes using UA trade-off B Gmpllance:1.9%B"ttor Than Code Ma"imum UA 53 Your UA:51 Naxlmum sNGC OAO Your sHGC:O.IB L rse Two Co4aiMrz eerlectz aewtl"ssmeemp"arte Me aev:e kaax4"n m4e bs4eaPMas I V4 h D06� CO. assembly In a speo(h are no longer m s tmee t e UA or m enery ce compliance path Iu REScheck.Each slaire n ts.assembly In the sDecl6etl Climate zonemust meet the minimum energy code insulation R-value and depth requirements. Envelope Assemblies �P(�OF LMv , DRAWN BY: JD �- ,.AVROM _A` J r,4•`�l%r 4/25/2025 C¢Iling:Flat C0IIhgorScissorTass 632 49.0 0.0 0.026 0.026 16 16 4 . "2ND FL WALLS:Wood Fame,16•o.c. 390 20.0 0.0 o.osg o.ofio zo 20 SLOPE"iJ4"PER FOOT PITCH TO DRAIN ° -^ SCALE: SEE PLAN 4•cl. SEvnc systBa4 C7 `�tr 7'�'x Window:Vinyl Frame 54 0.300 0.320 16 17 TRAP H°USE IT1 .—IF SHGC:0.18 4 Compliance Statement:The proposed building design d bed he Is consistent with the building plans.speciflc Lions.and other Z 'ff calculations submitted with the permit appilca[lon.The pr osetl bull has been tlesl9netl th meet the 2018 IKC requirements in P LU MN B I N G SCHEMATIC �o ' vr;;� SHEET N O RE check Veal an:REScheck-Web and to compty with the ndatory lam..-..-d In the REScheck Inspectlo-Checkll •e SCALE:NOT TO SCALE 10�0 2502 ��O\ - Name-TI a Sgn re Date `Ss Project Title:LOCKMAN Report date: 042525 Q O Data filename: Page 1 of 1 r t Zn(p�-I�BOG s7 � ._-_- --—_..— --— ._..__ ___• ___--- - � - f 2'K4:,{G:ou ��`� I'3'•to_ — 4"- 4-4 _� _ _ ' '�''�i' :};. .,. -1 ro• .: �tik�a .':•._ ='�.+ - l��^� -. ,�r��s-r.�ssi. :.}3.�aFioo.�n.�� .• - Ii 0Li �. 2rlo' boz - o ss .5-mc-rto tl:. Locate OGLiv ���`:Q'• AP)ROVlC W: OMAWN tlY L E • - ��; � Mfg. 1 1�F��� �,oG�M��I • � - nwatnxa Nuweu i