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HomeMy WebLinkAbout52279-Z of souryo Town of Southold P.O. Box 1179 0 53095 Main Rd Co Nn,oE'i Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46875 Date: 03/04/2026 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 990 Sigsbee Rd Laurel, NY 11948 Sec/Block/Lot: 144.4-1 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 08/07/2025 Pursuant to which Building Permit No. 52279 and dated: 09/22/2025 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" window/door replacements and HVAC system to an existing single-family dwelling as applied for. The certificate is issued to: Diane Moreno , Susan Infield , Paul Moreno Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52279 2/20/26 PLUMBERS CERTIFICATION: UuQnzed Signature �o��of Sooryo`o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Comm. 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#: 52279 Date: 09/22/2025 Permission is hereby granted to: Diane Moreno 273 6th Ave Brooklyn, NY 11215 To: legalize "as built"window/door replacements and HVAC system to an existing single-family dwelling as applied for. Premises Located at: 990 Sigsbee Rd, Laurel, NY 11948 SCTM# 144.4-1 Pursuant to application dated 08/07/2025 and approved by the Building Inspector. To expire on 09/22/2027. Contractors: Required Inspections: Fees: As Built Alteration $500.00 CO-RESIDENTIAL $100.00 Total $600.00 Building Inspector pG SO(/l�olo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Moreno J A & C Rev Trust Address: 990 Sigsbee Rd city: Laurel st: NY zip: 11948 Building Permit#: 52279 Section: 144 ' Block: 1 Lot: 1 F WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE ian: Istra Electrical License No: 2107ME SITE DETAILS Office Use Only Commercial Indoor X Basement X Service X Solar Residential X Outdoor X 1st Floor X Pool Battery Storage As-built X Renovation 2nd Floor Hot Tub EV Charger New Addition Attic Spa Generator Survey ix I Mezzanine Garage Dock INVENTORY Service 1 ph X In-wall Heater Recpt 28 Ceiling Fixtures 7 Smoke Detectors 3 Pump Service 3 ph Hot Water 40A GFCI Recpt 10 Wall Fixtures 3 CO Detectors Heater Main Panel 200 A/C Condenser 1 Single Recpt RecessdFixtures 12 Combo Smoke/CO 4 Transformer Sub Panel A/C Blower 1 Range Recpt 50A Ceiling Fan 2 Heat Detectors Salt Gen Transfer Switch Mini Split Dryer Recpt 30A UC Lights Fridge 1 AutoCover ARC 2 Blower Heads Switches 23 Pucks Lights Dishwasher 1 Mini Fridge GFI SepticDisconnect Emrgency Strobe 4'LED Microwave 1 Garbage Disp. ARC/GFI 2 ERV Exit Lights Bath Exhaust 3 Hood 1 Dehumidifier Other Equipment: 200A Panel 30 Circuit/28 Used Notes: " AS BUILT NO VISUAL DEFECTS " Whole House Reno Inspector Signature: Date: February 20, 2026 OF SOUTyOIo # * TOWN O77- SOUTHOLU BUILDING D . coum, ' 631-765-180 j 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) ZELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Q DATE ZG INSPECTOR r souTyo TOWN OF SOUTHOLD BUILDING DEPT. y uMve�'o 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL a-S- 19Vi ll" [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: rI evl r-4CW 0l� DATE INSPECTOR k, 2 2- -7 9 2 zo 2 ��BATHROOM BASEMEMT t O m�gm m coI a BATHROOM --------------- = �q , oaloolo3a. N ao I DINING ROOM WATER B ---- ----- - --- ______ NI $ � $ LIGHTS L/V $p o - 8 z ea MiVi N --- ----- ----- 8g � -- KITCHEN s4� m i - HEATERL6 o KITCHEN V $E Zs3S � m A 'all _ _ Wo 2} � kE jUtl N__ T- s 1 5' i 9� s FIELD INSPECTION REPORT DATE COMMENTS rr nn V ! � to FOUNDATION (1ST) -------... .— ---------.....------------ . -- -------- --- - - --- -- ------------------------------------- -- ------------------ -...--- --- ------------- ---.... - - �-C I,OUNDATION (2ND) ---- --- ----- — ---- -- ---- __--- 7. O ------ - -- - -- O ROUGH FRAMING& -- --------- ----- --------- ---- —� "� PLUMBING - ---- --- --------- -------- ----- (� INSULATION PER N. Y. ----- ---- ---- — STATE ENERGY CODE -- --- — ----.... ------- --- -- -------- -- FINAL ADDITIONAL COMMENTS 0 m CO -4 -o ------------------ - - --------- --- ----------------- b �l o.°SUFFoc r�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT ga Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Way • o Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only r c� E� VE PERMIT NO. Building Inspector: AUG _ 10 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 Building DePertment Owner's Authorization form(Page 2)shall be completed. Town of southoid Date: OWNERS)OF PROPERTY: �' SCTM# 1000- Name:... p_1.Q _ S'�.�.��.. l �_h Project Address: Phone#: . _. © � - - Email- MvI/e.SCtSaIn ✓Inch �- Cokn Mailing Address: CONTACT PERSON: Name. Mailing Address: , a.A - VIVih. A) Phone#: -14 �� 0 �+g Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Addres . O (. P�_ �.. 1 �.Il� .� FCG I� 9`� 1 1 9 Phone#• _ 2.637Email: DESCRIPTION OF PROPOSED CONSTRUCTION ;Ple w Structure ❑Addition ❑Alteration [--]Repair ❑Demolition Estimated Cost of Project: OtherA,S, � W tr`d�s a" +NAC- Smgs Ar lob4fn $ l�� K Will the lot be re-graded? ❑Yes AO Will excess fill be removed from premises? ❑Yes VNo C CIO Ic b 14- rN LAin y 3 G 46 �nche j dO-bk ftkm 3 a f 0(olkbIf- r-f uj y 1 C,H�S 2 6a� 3 � 8 r PROPERTY INFORMATION, Existi ng use of property: Intended use of property: W Zone or use district in which premises is situated: Are there any covenants d restrictions with respect to 1h 6- - .- I- - - I . this property? ❑Yes L�N0 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 buildings)fornecessary inspections.False statements made herein are punishable as a Class`A misdemeanor pursuant to Section 210AS of the New York State Penal Law.. Application Submitted By( int name): (,{fa e-� g - �� ✓��r� „�� ❑Authorized Agent ffowner Sign 1.ature of Applicant: Date: -1— -a4 STATE OF NEW YORK) SS: COUNTY OF -Z-4;'e Cl being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)he is the 0 [.ram/7�i/- (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 ofA-(A.Ci � , 20� N tar ,4Tftb &f! jh ATE f{y St- rT. �tirr uY York O uttli6ied ir• ris^ys Coutei Cenific3te "riled ir-Nuowy Y rk Cou li Commission cxpiros PROPERTY OWNER AUTHORIZA N.,. (Where the applicant is not the owner) 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 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 Fll IF lamesha-southoldtownny.gov - seand(o-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INF RMATION (All Information Required) Date: � Company Name: _ Electrician's Name: . I .e__, License No.: 9, / 0 _�- Elec. emaiL•1 r & Elec. Phone No: ( • -kl g6 ❑I request an email copy of Certificate of Compliance Elec. Address.: fo - TW 6 Z- J JOB SITE INFORMATION (All Information Required) Name: Mo"p o Address: ' > Dee Roaot Cross Street: Phone No.: S f C d Bldg.Permit#: ZAemail: Tax Map District: 1000 Section: =IV Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 2.Z U 4 vet 5 re d e- W t 4-A o P C,0 •e-i e C r r C vy--�. t _ �Zp SC04 0ec-F - o,• P (CL01 � f L-)V1 05 � v� r- SiO n�w 1 (A_hhn6. . reeeoTac,(-6 );Y, to kh-crl F Square Footage: Ng �. Circle All That Apply: Is job ready for inspection?: ❑ YES NO ❑Rough In ❑ Final Do you need a Temp Certificate?: YES <. O Issued On Zhrd ' 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 FJ2 H Frame M Pole Work done on Service? Y FIN Additional Information: WOW oftc 4135o W_._ cl 1, ------- PAYMEWT DUE WITH APPLICATION �S�FFp1KC BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o ` Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 �4,, ' �a®�� Telephone (631) 765-1802 - FAX (631) 765-9502 ja mesh A-southoldtownny.gov - seand(a)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN IN�QRMATION (Ail Information Required) Date: Company Name: -- �5 f' Electrician's Name: i -L License No.: c� / Elec.,email:1 r e vrwi fm Elec. Phone No: ( - (O ❑1 request an email copy of Certificate of Compliance Elec. Address.: p - 1` JOB SITE INFORMATION (All Information Required) Name: IrU"P a Address: Cross Street: Phone No.: Sl b ! Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 2 Z U .. Q 5��d o cL) i+t', 0 P c."-) -CA e.C`f Y r C 6- ( r4 V--1—f fC (�-01 f �� VI �5 rv� v �ec1 re d /✓ Square Footage: 1 $9 2, Circle All That Apply: roo, Is job ready for inspection?: ❑ YES ONO []Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES [Q�C10 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 FJ2 H Frame Pole Work done on Service? Y N Additional Information: Pd PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surfacje , 1 1 Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D Panel Pump Exhaust Oven 5t � Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro I /"GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo \ Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments aApO AS NOOTED DATB.P.#FEEBY:NOTEPARTMENTAT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: z° 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE Ln 2. ROUGH-FRAMING&PLUMBING v } 3. INSULATION ° ❑ 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. 'n ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW a YORK STATE. NOT RESPONSIBLE FOR E DESIGN OR CONSTRUCTON ERRORS E ° w v> v 0 E L COMPLY WITH ALL CODES OF NEW YORK STATE & DES AS REQUIRED AND CT�DITIOWN �S OF Qo SOUTHOLD OWN ZBA SOUTHO TOWN PLANNING BOARD ° SOUTH TOWN TRUSTEES NXS EC OLD HPC —7­ ru CL ai ccJ Z ❑ r6 r ,r*, OCCUPANCY 0 m. z USE IS UNLAWFUL Add�t>to o: o s ' ' naI - WITHOUT CERTIFICATE Certification W 0 < ❑ �51 s cr, �� ®CCU�ANCY May Be Required. ;0'. � 0 . Q ❑ a 9 Q. 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