HomeMy WebLinkAbout47830-Z sou ryo`o Town of Southold
* * P.O. Box 1179
53095 Main Rd
UNTl N � Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47070 Date: 05/19/2026
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: . 3120 Grathwohl Rd New Suffolk, NY 11956
Sec/Block/Lot: 110.-8-7
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/07/2022
Pursuant to which Building Permit No. 47830 and dated: 05/18/2022
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 (no bedrooms) at existing single-family dwelling as applied
for.
The certificate is issued to: 3120 Grathwohl LLC
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 47830 6/3/2024
PLUMBERS CERTIFICATION:
utho ' d S gnature
O�g11FFQl�co TOWN OF SOUTHOLD
a aye BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
"oy • o� � SOUTHOLD, NY
r 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 #: 47830 Date: 5/18/2022
Permission is hereby granted to:
3120 Grathwohl LLC
c/o Dave Kasprzak
805 SW Broadway Ste 2750
Portland, OR 97205
To: Legalize as-built finished basement at existing single family dwelling as applied for.
Additional certification may be required.
At premises located at:
3120 Grathwohl Rd, New Suffolk
SCTM #473889
Sec/Block/Lot# 110.-8-7
Pursuant to application dated 4/7/2022 and approved by the Building Inspector.
To expire on 11117/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,056.00
CO-ALTERATION TO DWELLING $50.00
Total: $1,106.00
Building Inspector
OE SO(/r�ol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: 3120 Grathwohl LLC
Address: 3120 Grathwohl Rd city:New Asuffolk st: NY zip: 11956
Building Permit#: 47830 Section: 110 Block: $ Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Homeowner License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 45 Ceiling Fixtures 9 Bath Exhaust Fan 3
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 1 Smoke Detectors 1
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures 50 CO Detectors 1
Sub Panel A/C Blower Range Recpt Gas Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 35 4'LED Exit Fixtures Sump Pump
Other Equipment: Fridge, Oven, DW, Hood, 200A Panel 40 Circuit/40 Used (14)120 Combo Breakers
(1) 115 Combo Breakers
Notes: " AS BUILT NO VISUAL DEFECTS " Kitchen & Finished Basement & Service
Inspector Signature: Date: June 3, 2024
S.Devlin-Cert Electrical Compliance Form
aOF 50UlyO� \/.
# # TOWN OF SOUTHOLD BUILDING DEPT.
caurm��' 631-765-1802
q _+ T I N
INSPEC O
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL P�S bQ1 L r" r3j0cr-,GptEms"
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
UD
(16�L abn lo ftmA
DATE oo—L INSPECTOR
SOUIyO�o
# TOWN OF SOUTHOLD BUILDING DEPT.
courm,N�'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKIN
G
[ ] FRAMING /STRAPPING [�FINAL q-PU 4Vi[7
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOL ION� RENTAL/ 1 C84
R MARKS: � � v
yq^e;40-'.,
� S
DATE INSPECTOR
hO�aOP SOUIyO� L1 79_51 5
* # TOWN O.FSOUTHOLD BUILDING "DEPT.
uto,� 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ]. FOUNDATION 2ND . [ . ] INSU.LATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] .FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ _] FIRE RESISTANT CONSTRUCTION . [" } FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) k - ELECTRICAL (FINAL)
[ ] CODE VIOLATION /[ ] PRE C/O [ ]. RENTAL
REMARKS: 6'11,f �i 1,VW
vko le 40 uj-e
a- f-ir ZY11 ary Jkuf�a
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b
DATE ,— INSPECTOR v
a0FS0UTy�lo
# # .TOWN OFSOUTHOLD BUILDING DEPT.
000rm� 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ]: FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] .FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFEWINSPECTION
-[ ] FIRE.RESISTANT CONSTRUCTION [ ] 'FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
sC--rC K/ a-r-o �-f.
A� rsn!isk tcf-Ja�nc� ev-4LI(s
�y/�" I T
DATE INSPECTOR
Delfino Insulation Co. Inc.
317 Burman Blvd,Calverton,NY 11933
CERTIFICATE OF INSULATION
JOB INFO: CJM CARPENTRY LLC DATE OF INSTALLATION: 05/16/26
3120 GRATHWOHL RD
NEW SUFFOLK,NY 11956
Cellar Walls
INSULATION TYPE INCHES R-VALUE INSULATION TYPE INCHES R-VALUE
❑ OPEN CELL FOAM ❑ OPEN CELL FOAM
❑ CLOSED CELL FOAM ❑ CLOSED CELL FOAM
❑ FIBERGLASS ❑ FIBERGLASS .
0 CELLULOSE 3.5 R-13 ❑ CELLULOSE
INSULATION TYPE INCHES R-VALUE INSULATION TYPE INCHES R-VALUE
❑ OPEN CELL FOAM ❑ THERMAL BARRIER
❑ CLOSED CELL FOAM ❑ CLOSED CELL FOAM
❑ FIBERGLASS ❑ FIBERGLASS
❑ TEMP CONTROL ❑ 2X4 EXTERIOR WALLS
ALL PRODUCTS ARE JOHNS MANSVILLE
❑ FIRE CAULKED TO CODE DATE OF INSTALATION: N/A
❑ FIRE BLOCKED TO CODE DATE OF INSTALATION: N/A
❑ AIR SEAL SUBSTATE TO CODE DATE OF INSTALATION: N/A
❑ IGNITION BARRIER.TO CODE DATE OF INSTALATION: N/A
❑ THERMAL BARRIER TO CODE DATE OF INSTALATION: N/A
I Maria Hoti certify that the residence referenced above was insulated
as per signed proposal by builder/homeowner,and the installation was conducted in
conformance to applicable codes and standards and regulations.
�ZRnia�f4ti
AUTHORIZED SIGNATURE
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(IST) W
o y
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FOUNDATION(2ND) wco�
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ROUGH FRAMING&
PLUMBING
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73
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INSULATION PER N.Y.
STATE ENERGY CODE
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FINAL
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SL}FFOL't TOWN OF SOUTHOLD—BUILDING DEPARTMENT
a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (63J) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only E C E � �(] E
PERMIT NO. 4-7tl�130 Building Inspector: R- APR
�`' T 2U21 DD
Applications and forms must be filled out in their entirety. Incomplete BUILDING DEPT
applications will not be accepted. Where the Applicant is not the owner,an TOWN OFSOUTHOLD
Owner's Authorization form(Page 2)shall be completed.
Date:March 28,2022
OWNER(S)OF PROPERTY:
Name:3120 Grathwohl LLC SCTIVI#1000-
Physical.Address:31.20 Grathwohl Road,-NOW.Suffolk
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name:Steve Libretto_
Mailing Address:
I .Phone#:631-872-5164 __._. .- _ _ -- -- -- . Email:stave.libretto@me.com
DESIGN PROFESSIONAL INFORMATION:
Name:Nick Mazzaferro_,
Mailing Address:
Phone#:516-457-5596 v Email:nickmazzaferro@verizon.net_
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure [--]Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
JVOtherfiinished basement $completed
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes ONO
1
PROPERTY INFORMATION'
Existinguse of property: Intended use ofproperty:
.. p py'residen.ce-.,-. _.,, _residence.-_.,.. _..._. __.
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 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 By7(pplptwjm;�): �teve Libretto VAuthorized Agent ❑Owner
Signature of Applicant: Date: March 28,2022
STATE OF NEW YORK)
S�
COUNTY OF )
Steve Libretto 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
-}h
day of NI arch, , 200-01
Notary Public
TRACEY L DWYr:A
MPTARY PU`el 10,STATE OF NEW YORK
'NO,09DW6306900
PROPERTY OWNER AUTHORIZATIONUALIFIFDINSUFFOLKCOUNTY
(Where the applicant is not the ownery::MMISSION EXPIRESJUNE30,2�a
I, residing at
do hereby authorize Steve Libretto to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
312a GI'aMwok LX 3-28-2022
Owner's Signature Date
3120 Grathwohl LLC
Print Owner's Name -`
2
i
�+ �FFttC,,fP BLII 1NG DEPARTMENT- Electrical Inspector
MAR 8 2024
TOWN OF SOUTHOLD
c ='` Town Hall Annex - 54375 Main Road - PO Box 1179
, sg F p3 f, P! x-:C,-;t Southold, New York 11971-0959
'Qb ir:;.,S;v 4tr -°� a,d`,Telephone (631) 765-1802 - FAX (631) 765-9502
' jamesh(a_southoldtownny.gov - seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: t
Company Name: qQ01Q-D
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: a 0 D
Cross Street:
Phone No.: - 72- Co Le`' S L:t6teA v
BIdg.Permit#: L- -Mo email:5'�eve-, L;16.CAk--- av�.
Tax Map District: 1000 Section: p Block: -9 Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Shrzc� Sv—,;Q M e,� 1&•L
Square Footage: 610
D
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 R2 H Frame Pole Work done on Service? Y nN
Additional Information:
PAYMENT DUE WITH APPLICATION
t�
2�
ECE WE
BU'I�011NG DEPARTMENT- Electrical Inspector
Li
i4t MAR 8 .-2024 TOWN OF SOUTHOLD
,e
C* Town Hall Annex- 54375 Main Road - PO Box 1179
CAA im
Southold, New York 11971-0959
#
V (631) 765-1802 - FAX (631) 765-9502
iamesh(@-southoldtownny.gov - s6and(@-southoIdtownny-q v
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 2�
Company Name: �AC)oAQ-pW new
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: El I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All information Required)
Name: \ 2-D
Address: a-'--o
Cross Street:
Phone No.: (o o-46` Qcioo-cl-j-
Bldg.Permit#: 1--1*T93C) email: � ea)
Tax Map District: 11000 Section: ( 0 Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job,ready for inspection?: -ffFYES [] NO ❑Rough In El Final
Do you need a Temp Certificate?: F-] YESF-] NO issued On
Temp Information: (All information required)
Service SizeF-11 PhFj3 Ph Size: A # Meters Old Meter#
D New serviceF]Fire Reconnect[:]Flood ReconnectElService Reconnect Ounderground Doverhead
# Underground Laterals R 1 F-12F] H Frame [:] Pole Work done on Service? F]Y F]N
Additional Information:
PAYMENT DUE WITH APPLICATION
pw
PERMIT a Address
Sw,fChcs '
Gf1'S �•Alr]
Surface C\ 1
I I t
Sconces
HH'S ['
i $
UC Lts
Pans
Fridge I FiW
Exhaust �11 Oven ej �� W/D� J
�W \ M,ni
)n',i7ke$
I '
_arbor (
Micro Generator
- Cooktop rrans`er
`-
aH Hood I Ser-v:ce
� I
Amps Have Usec
p Ie a
.,.._:n,eats
APPROVED AS NO ED OCCUPANCY OR!!SE IS UNLAWFULDATE:� ��B.P.# WITHOUT CERTIFICATE
SEE.
/ �� Bv. /�
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'NOTIFY BUILDING DEPARTMENT AT OCCUPANCY
S5-1802 8 AM TO 4 PM FOR THE
)LLOWING INSPECTIONS:
rOUNDATION - TWO REQUIRED
�OR POURED CONCRETE
'IOUGH - FRAMING & PLUMBING
INSULATION
=. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O. ��`�RL\j WITH ALL
COD- ES
aLL CONSTRUCTION SHALL MEET THE OF
REQUIREMENTS OF THE CODES OF NEW 'NEW YORK STATE & TOWN CODES
YORK STATE. NOT RESPONSIBLE FOR AS REQUIRE AND.CONDITIONS OF
DESIGN OR CONSTRUCTION ERRORS.
SOLnolD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
N:Y:S:DEC
Ad,Ikdditional
e�ertification
M ay Be Required.
1
2'-4112- —
BILCO STACKED
i
WELL SYSTEM
i'
a CW14
EGRESS
fj ANDERSEN 400 SERIES
°� 3o�1S• CASEMENT WINDOW; f
EXCEED 44"ABOVE
FINISHED FLOOR °
j *EGRESS AS PER CODE °
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EXISTING FIRST FLOOR STRUCTURE
TO REMAIN,ALL AREAS
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8'-0"CEILING HEIGHT
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CLOSET j EXISTING FIRST FLOOR STRUCTURE
' TO REMAIN,ALL AREAS
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GARAGE ABOVE <` FLUSH GIRDER AND
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BASEMENT LAYOUT of "q y
SCALE: 4" = 1'-0"
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OWN OF SODEPT
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3120 GRATHWOHL LLC
3120 Grathwohl Road,New Suffolk 1 of 1
1000-110-8 7
Nick Mazzeferro, PE As built plan
516-457.5596 May 8,2022
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