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Home My WebLink About52124-Z �o4"%pf SOUlyolo Town of Southold * * P.O. Box 1179 o 53095 Main Rd+ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46493 Date: 09/15/2025 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 770 Chablis Path Southold, NY 11971 Sec/Block/Lot: 51.-3-3.10 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 06/13/2025 Pursuant to which Building Permit No. 52124 and dated: 07/24/2025 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" finished basement to a single-family dwelling as applied for. The certificate is issued to: Thomas Deierlein ,Mary Deierlein Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52124 9/10/2025 PLUMBERS CERTIFICATION: Christopher DeStefan 8/18/2025 Au o ' ed Si nature �o��;oFsouryolc TOWN OF SOUTHOLD BUILDING DEPARTMENT o • 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#: 52124 Date: 07/24/2025 Permission is hereby granted to: Thomas Deierlein 19 Westbury Rd Garden City, NY 11530 To: Legalize an"as built"finished basement to a single-family dwelling as applied for.Additional certification may be required. Premises Located at: 770 Chablis Path, Southold, NY 11971 SCTM#51.-3-3.10 Pursuant to application dated 06/13/2025 and approved by the Building Inspector. To expire on 07/24/2027. Contractors: Required Inspections: Fees: As Built Addition/Alteration $1,189.00 CO Single Family Dwelling-Addition/Alteration $100.00 Total $1,289.00 JA Building Inspector O��pF SD!/T�ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Q Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Thomas Deierlein Address: 770 Chablis Path City: Southold St: NY Zip: 11971 Building Permit#. 52124 Section: 51 Block: 3 Lot: 3.1 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 (- Service Solar (— Outdoor F 1 st Floor r Pool r Spa F Renovation F 2nd Floor f Hot Tub r` Generator r Survey Attic r Garage Battery Storage (! INVENTORY Service 1 ph F Heat Duplec Recpt 11 Ceiling Fixtures 3 Bath Exhaust Fan Service 3 ph F Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 15 CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 1 Transfer Switch UC Lights Dryer Recpt 30A Emergency Strobe Heat Detectors Disconnect Switches 5 4'LED Exit Fixtures Other Equipment: (8)120Combo Breakers, (5)115ArcFault Breakers Notes: " AS BUILT NO VISUAL DEFECTS " Finished Basement Inspector Signature: Date: September 10, 2025 Sean Devlin Electrical Inspector sean.deviin(D-town.southold.ny.us 770Chabl isPath Basement i y�g�iE01,��0 Town Hail Annex 64375 Main Road Telephone(631)765-1802 P.O.Box 1179 Southold,NY 11971-0969 i SEP 3 2025 BUILDING DEPARTMENT TOWN OF SOUTHOLD Building DePartment Town Of Soutijold . CERTMi ON Date:__ a� I � Building Permit No. Owner: (Please print) 1 Plumber: Z�k ,kg�� C (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1%lead. i i (Plwnbers Signature) a Sworn to before me this I ; da a U&d 20 '?S�- Notary Public, County ! 1 WCIA RIVIEZZO 1 Notary Public-State of New York i No.01 R16146951 Qualified in Suffolk County My Commission Exp.05/30/2026 , f OFSObIyOlo �� !/ I l of * # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 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: to V _ r lro4v L DATE — I INSPECTOR OF SOUTyOIo / 7 0 TOWN OF OUTHOLD BU�LDING DEPT. 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: Tw(l.`1� Kn 1 c� DATE INSPECTOR oF s0uryolo # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION ' [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [. ] FOUNDATION 2ND - [ ] NSULATION�CAULKING [ ] FRAMING /STRAPPING ] FINAL�SIrI/ me &Id-w— FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]: FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REM RKS: & �Vm, Qv_, vw-v c,4 ►r ,� �� V civ 68 UJA t �h w, f "Ott vim / ovlt y l DATE INSPECTOR OF SOUT,yO� # # TOWN OF SOUTHOLD BUILDING DEPT. Co m, 631-765-1802 /�Avq INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL'A Al [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: z VvL/ ( 91 DATE YS INSPECTOR - -so ��`�J - - — /��7— -- --- - # TOWN O9SOUTHOLD 6UILDING EP /P Cou 631-765-1802 PE TI INS N C O [ ] 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: n fQJAhV Q t2 l - 1 \AJ(Zt2 neei I- e2tm�-o Py- e /G DATE INSPECTOR S E P 1 U 2025 Building Department d FIELD INSPECTION REPORT COMMENTS ------------------ FOUNDATION (IST) -------------------------------------- -- FOUNDATION (2ND) - ------ ROUGH FRAMING& PLUMBING .....------ ............. ......... INSULATION PER N. Y. STATE ENERGY CODE ......-------- ------ 16 FINA-L --------------- 4) ADDITI(bNAL COMMENT .W. -------....... ------- --------- -- ............-------- rfl "r,%UVFOI o� 4-." TOWN OF SOUTHOLD—BUILDING DEPARTMENT =4 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy • � ' Telephone(631)765-1802 Fax (631)765-9502 https•//www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT D E C E 0 WE For Office Use Only U J'I N 1 3 202C PERMIT NO. S Building Inspector: GJ Building Department Applications and forms must be filled out in their entirety.Incomplete Town of Southold applications will not'be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. „ Date:5.28.25 OWNERS OF PROPERTY Name:Tom & Mary Beth Deierlein- J SCTM#1000-51..-3-3.10 Project Address:770 Chablis-Path--.- Southold Phone#:1-917-287-591 TT7-;Il�tomdeierlein@g.maii.com Mailing Address: 19 Westbury,Road, Garden City NY 11530 CONTACT PERSON Name:Joan Chambers Mailing Address:PO Box 49 Southold NY 11971 Phone#:631-294-4241 Emailloanchambers10@gmail.com DESIGN PROFESSIONAL,INFORMATION:' Name:Lou Schwartz_ Mailing Address:7 Ridgewood St, Bay Shore, NY 11706 Phone#: Email:tiderunneren mail.com (631) 410-6838 Email:tiderunnereng@gmail.com CONTRACTOR INFORMATION:_ Name:as-built Mailing Address: Phone#: Email: DESCRIPTION`OF PROPOSED CONSTRUCTION " El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other finished basement $ Will the lot be re-graded? ❑Yes IgNo Will excess fill be removed from premises? ❑Yes igNo I 1 PROPERTY iNFORIVIATION' ` Existing use of property:Sin le family residence 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 M No IF YES, PROVIDE A COPY. IN Check,Bok After Reading..,The owner/contractor/design professional is r606ssible for all,drainage and storm water issues as provided by, Chapter 236 of.the Town Code.�APPUCATION I$HEREBY MADE to the Buildmg';Department fortheissuance of a Building Permit'pur;uantto the;euilding Zone Ordinance of the Town of Southold,'Suffolk,County,New York and other applicable Laws;Ordinances or Reguiations,for the construction of buildings; additions;,alterations'or tar'removaror,demolklon as herein desid6d.The'p ilcant,agrees to:comply wRhah agpllcable`.laws;ordlnances,building code,. ` housing code'and regulations;and to admit authorized inspectors on premises and in building(s)far necessary inspections false statements made herein:are punishable as'a Class''A`misdemeanor.pursuant to Section 210.45 ofthe New York State Penal l.aw Application Submitted By(print name):Joan Chambers ®Authorized Agent ❑Owner Signature of Applicant: Date: ... .-CONNIE D..BUNCH. ..-._ ._,r. . ..__... . .. ......._._...r..... ,....._._. .... Notary'Public,State,of New York STATE OF NEW YORK) No.01 BU6,185050 Qualified in Suffolk County D�e SS: Commission Expires April 14,2 COUNTY OF ) Joan Chambers being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Agent (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 J lA+ ,20 �� }'- a Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) ,, Thomas J Deierlein residing at 770 Chablis Path do hereby authorize Joan 'Chambers to apply on my hehalf to the Town of Smithold Building Department for approval as described herein. 6/10/2025 " uwner's big nature Date Thomas J Deierlein Print Owner's Name 2 SUFFO(,� BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD 0 1 Town Hall Annex - 54375 Main Road - PO Box 1179 • Southold, New York 11971-0959 ti 4Z�C-tx Telephone (631) 765-1802 - FAX (631) 765-9502 ja mesh(o southoldtownny.gov - seand(aD_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: �7 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: Address: 7 7d Cross Street: Phone No.: /, 9/ Z : 7. ul- Bldg.Permit#: ES'aI d. email: Tax Map District: 1000 Section: o/ Block: Lot: /v BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): AS e,,& 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 M 1 2 F H Frame Pole Work'done on Service? MY MN Additional Information: PAYMENT DUE WITH APPLICATION r BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD j Town Hall Annex - 54375 Main Road - PO Box 1179 �' Southold, New York 11971-0959 c+ p� Telephone (631) 765-1802 - FAX (631) 765-9502 lamesh(c�southoldtownny.gov — seand(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: y Company Name: �7� CJ71,lh� Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: -2 7d u Cross Street: Phone No.: /, 9/7 ,Z L7, Sys Bldg.Permit#: v`-a l a. V email: Tax Map District: 1000 Section: o/ Block: j Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): haemv4L 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# El New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? EJY N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's ' Surface �j I Sconces I 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. Water Bond Carbon Micro GrbDis Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo j Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments (0-,M,4o A- SINGLE!" I ®I.Y `�f��Et:'�. -400-1Woao,-W P-A/ AMiLY tIING N ��f.IKR Jt�;d'J�'••`.�•)`�•K!:►iV'a�13 i�kyQt!�Ca !9i 7:uS i.:'.GCS l:.F r,•y;,s!R,ry,;. +.y Cr am famf ar with the S ,9C!w s tandards for Poet%f1�,�k� ;t t;:u;;�,Y, APF Val and Construction of Subsurface 1f1��''�% • �+^�'�• Sn gre Disposal Systems for Single 7Pamilp '""'fib"""""'•' a•••--•�-�- Re dences and will abide by the conditions �.C.,►CIM a � f Wt+lsv t+ntE ,'s5:xz�r�; ►r;,. ,fin s forth therein and on the permit to s+►:3► utrr.�wsus�xe►oassr Y truc . 0 r �0 _ .. .DEPT. OF H NE 9rJ.eyEYPae• .rliVl.+it?NY�i/•LErL�QNLX�vVs6�i � ,gy s✓ooDs 861x•f/�f/e9 Gar.9rr9W.QEQsrvo a gursaa" �wr y votoiV.Y.//y7/ Q f►4/ �M�• A .�armrdvrrow .e�tcs�e�,e410W J�3nwc XIWWW r�iyya Jo�vre jA"I 6UkJ►A 0 0 13'-0' z O �Q S&CO2 UTILITIES -IF] .t6 0 ti SINH FINISHED RECREATION ROOM LAUNDRY ROOM 16'-3• '-2" 2. �s. s. O 8. CLAD POST 12'-6• T-s• s'-11• Uo +8, z J A�E W CLOSET w � O O �z . W a 30.17 O AWNING J J ►Ly` m c'') BASEMENT PLAN W 2 0 5.13.25 1/4" = 1'-0" 0 NE �f] C A-1 77006 � BASEMENT i OROFESSIONp� FLOOR PLAN AUG 1 2 2025 5.13.2 5 ont Departme JOAN CHAMBERS (631)294.4241 UTILITIES �4 S&CO2 a 0 ti 6HJK FINISHED RECREATION ROOM LAUNDRY ROOM 1s•-3• •-2- +s. O CLAD POST lY-6' 7-5- '-11. " I s. Z J O w _ _ Q CLOSET CLOSET F— O co) H �2 m� z Q 30w17 CD AWNING J 0 m � BASEMENT PLAN W = o 5.13.25 1/4" 1'-0" U n NE W O E C E V E W A-1 ��o Woos � BASEMEN ''�fEssto�� FLOOR PLAN AUG 1 8 2025 5.13.25 Building Department Town of South-Old JOAN CHAMBERS (631)2944241 APPROVED AS NOTED Toad DATE:,-2+A 5 B.P.#S 1 a 3007 30x17 FEE AWNING AWNING NOTIFY BUILDING DEPARTMENT AT D 631-765-1802 BAM T0.4PM FOR THE c/) FOLLOWING INSPECTIONS: N m N P O R DE s cn m o +s`s FOUNDATION-TWO REQUIRED Z FOR POURED.CONCRETE ROUGH-FRAMING.&PLUMBING °+s INSULATION D � Z z8•-Sz" 7'-4" FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. „ N ' z Z� m ALL CONSTRUCTION SHALL MEET THE �_ c _ REQUIREMENTS OF THE CODES OF NEW I _ o YORK STATE. NOT RESPONSIBLE FOR m DESIGN OR CONSTRUCTION ERRORS m 96" CEILING HEIGHT D m b ELECTRICAL DO — --- — -- ---- -- --- - -- --.. — ---- -- INSPECTION REQUIRED 84" CEILING HEIGHT • a DO Additional00 Certification 12 May Be Required, " r0 + 14'-31. s Fire$epamtion 8., d as peg re m N s Code UP TO 1S FL. r D C Z - PLUMBING ALL PLUMBING WASTE &WATER LINES NEED 0 e o o TESTING BEFORE COVERING COMPLY WMi AL.CODES OF co �* y NEW YORK STATE&TOWN CODES :. 9 Z AS REQUIRED AND C 9+ ' ONarr�aNs PLUMBER CER77FICA770N1lD11�1 -5• -5" ON LEAD CONTENT BEFORE ,]U L 2 3 2025 CERTIRCATEOFOCCUPANCY ®��a�, SOLDER USED 11�WATER - IIEY�`#� guiiding o SUPPLY SYSTEMCANNO�" j Town Of couf� ld i� EXCEED 2110 OF 1%LEAD. W z � (n > DEIERLEIN RESIDENCE N Om . A m c„ �Z m 770 CHABLIS PATH SOUTHOLD X Zi 1000-51-03-3.01