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HomeMy WebLinkAbout10782-Z �o��pf SOpTyolo Town of Southold * * P.O. Bog 1179 410 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47187 Date: 07/01/2026 THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ADDITION AND ALTERATION Location of Property: 265 Hummel Ave Southold, NY 11971 Sec/Block/Lot: 63.-2-15.1 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: Pursuant to which Building Permit No. 10782 and dated: 07/17/1980 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: Addition to an existing single-family dwelling as applied for. The certificate is issued to: Grace Zukas Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 10782 6/23/2026 PLUMBERS CERTIFICATION: V �/ Wacm luthoriJ Signatur FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N: Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N910782 Z Date ........s✓ /G `( -........1... ................. Permission is hereby granted to: ....... 0e. tlh�t i �.. ............ .Y....e. ........ to ..... rr. .�„ .....�c-g�� .�. ..... .. .....�.d.... C,7. [ -,fir.. L....................... ,G��, .r.�... ..... ........................ ./.' at premises to ed at ...... .Q! �..... ,(.E,.li�� ..�� .,..... ................................................................................ ................................. �` �.. . ................................................................. ............................................................................................... pursuant to application dated ........ ...�..%......................... 19(, �., and approved by the Building Inspector. / rya Fee ....... i 1 Ain . ........... ........... Buil spector ofso�ry TOWN OF SOUTHOLD BUILDING DEPARTMENT • 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#: 53076 Date: 06/22/2026 Permission is hereby granted to: Grace W Zukas 265 Hummel Ave Southold, NY 11971 To: Electric for foyer addition. Premises Located at: 265 Hummel Ave, Southold, NY 11971 SCTM#63.-2-15.1 Pursuant to application dated 06/22/2026 and approved by the Building Inspector. To expire on 06/21/2028. Contractors: Required Inspections: �a- Fees: ELECTRIC-Residential $100.00 Total $100.00 V Building Inspector SO(/lyol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Q Southold,NY 11971-0959 'Q lh BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: William & Grace Zukas Address: 265 Hummel Ave city: Southold st: NY zip: 11971 Building Permit#: 10782 Section: 63 Block: 2 Lot: 15.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Electrician: AS BUILT License No: SITE DETAILS Office Use Only Commercial Indoor X Basement Service Solar Residential Outdoor X 1st Floor X Pool Battery Storage As-built X Renovation 2nd Floor Hot Tub EV Charger New Addition X Attic Spa Generator Survey ix I Mezzanine Garage Dock INVENTORY Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump Service 3 ph Hot Water GFCI Recpt Wall Fixtures CO Detectors Heater Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover ARC Blower Heads Switches 2 Pucks Lights Dishwasher Mini Fridge GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp. ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " Foyer Entry Back of House Inspector Signature: Date: June 23, 2026 OP 50G1yO6 # # .. TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 1INSPECTION .l! [ I' FOUNDATION 1 ST/ REBAR [X] ROGH PLBG. FOUNDATION 2ND [ L ION/C\\HULKING FRAMING/STRAPPING [ L I°19VsJ [ ] FIREPLACE & CHIMNEY [ ] .FIRE.SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [.: ] FIRE RESISTANT PENETRATION [. _] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Cle-40 1 DATE lk INSPECTOR pP SOUTyolo © 76,"2-- — # # TOWN OF SOUTHOLD BUILDING DEPT. `ycou 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 [ ] RENT L REMARKS: er &0-,Cj DATE INSPECTOR FIELD INSPECTION J - DATE CONE2s _ b _• y FOUNDATION (1st). I FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING ci C+ INSULATION. PER N.Y. STATE ENERGY CODE C+ FINAL A F�N ADDITIONAL COMMENTS: • ram\ o� - x w C- - t7 C- FORM NO. 1 TOWN OF SOUT°HOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. . Examined ..V�-�.y.....L.7 pp f L.7............. 19�. Application No. 1�..,�.CJ..�....... ( ,0 l� Approved 19........ Permit No. - Disapproveda/c ................ '.........................,..:................ ............... .......................................................... ....... �.......... .............. ,• ................ . ............ .... . .......... (BuE ding Inspector) .APPLICATION FOR BUILDING PERMIT_ Date ...........lh./..... ......1 ................... I qi©... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas,and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced bafore issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cod and regulations. 1?6..i� ................... ,. . .. . .. ....... (Signature cf applica r 'a e f a corporation) P�.1...... . ......... ......... .. ........ r " (Address of appli,, it) State whether applicant is owner, lessee, a ent, archhitect, engineer, general contractor, electrician, plumber or builder, .................................................. ..........:... c/%. .................. ..... .. ...., .............................................. Name of owner of premises .../ .. . .................. K .................... If applicant is a corporate, signature of duly authorized officer. ................................................................................................ (Name and title-of corporate officer) 1. Location of land on which/proposed.work /will be done. Map No,: .......................................... of Not: Street and Number ... U.��.........1••" Y .��.L.....�''t 4....... ,. ..��.. .. ,... . .. ....... . ... ... . . ................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy .... r ....... ..... .................... ............... .�...................... b. Intended use and occuF;an;.� . . ��.�2r: �.. .�� �.:..1 .. 4 — jet 3. Nature of work (check which applicable): New Building .................. Addition .....Y............ Alteration .................. `Repo ir .................. Removal .................. Demolition.................. Other Work (Describe) ........................................ 4. Estimated Cost .........e�, . :................................Fee ........... .. ............ ............................ .. (to be paid on fi"ing this application) 5. If dwelling, number of dwelling units ..... ...................Number of dwelling units on each floor ............................ Ifgarage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy; specify nature and extent of each type of use ......................�.... / 7. Dimensions of existing structures, if any: Front .......`Q:.... .......... Rear ............... �� ................. Depth ....: ... Height ..J/............... Number of Stories ...../...... .................. .. .:...................... % .. •rr Dimensions of same structure with alterations or additions: Front ..... .. ................... Rear ...lo'7............. � Depth ...:7.................I........ Height .....1.7.................Number of Stories .. ..rf�f ' r /fir'......, j 8. Dimensions of entire new construction: Front ........ ............... Rear ...,... ... .. Depth ..�. Height .112............ Number of Stories ..... .g. ... ................................................................................................ 9. . Size of lot: Front ....70.45........... hear .....�..g.!.. .................. Depth ...!-.4Xk?....".../O(. 6 s- 10. Date of Purchase .........................................................Name of Former 0 ner ........................................................ 11. Zone or use district in which premises are situated ......... . !.. ............ ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........0 :r...... ........... 13. Name of Owner of premisesie....I.......4.. Address .............. ��• ..... Phone No. .................... Nameof Architect .............. .......................................Address ...•...... ......•.......................... Phone No. .......U............ Name of Contractor i .......... ..?.................... Address� ° ... {, .A / Z- RIF lone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. • STATE OF NEW -ORK •lS.S. v COUNTF ld.1 .. . .. ............• •..• • ...`". ... ...... �� ..................:.....being duly sworn, deposes and says that he is the appiicant (Name of Ind i al ig ing applicati ) abovenamed: 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 knowledge and belief; and thar the work will be,performed in the manner set forth in the application filed therewith. Sworn to bef r 'me this ...........f. :..... day of . _ ....... ........... .. 19. rFh,4�._ � :-.. .................. . .. ��� � .... ... ..hlotary Public, .. .. . u ... ........ ,✓.. �.. .... . Vl_sK[(Sign , re of a lic nt) . ARY PUBLIC, State of New York No. 52-4524771 Qualified in Suffolk County Commission Expires March 30, 19t- OSUEFp�'�t' ' E C E W �lal)Annex - 54375 NG DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD � JUN 2 2 ( rn Main Road - PO Box 1179 �;�a ` Southold, New York 11971-0959 Building Department Telephone (631) 765-1802 `i"ovvh of Southold APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali 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: R, A rN-n,,,e Address: [ q Q lj Cross Street: Phone No.: .[ .-- S'S' 0 ` Bldg.Permit#: 107 B;L email: Tax Map District: 1000 Section: aJ Block: Lot: BRIEF DESCRIPTION OF W K, INCLUDE S E FOOTA E (Ple se Print Clearly): � �17 G ir- ®� lC Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: 0 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 D H Frame Pole Work done on Service? D Y RN Additional Information: PAYMENT DUE WITH APPLICATION oSUFfd(�� E C Q V 9U NG DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD JUIN 2 2 T@*n Annex - 54375 Main Road - PO Box 1179 v . Southold, New York 11971-0959 Building Department Telephone (631) 765-1802 ?"a)?.rn of Southold 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: Ct, Address: Ole flqr711 Cross Street: Phone No.: Bldg.Permit#: f 07 email: Tax Map District: 1000 Section: aJ Block: Lot: BRIEF DESCRIPTION OF W K, INCLUDE S E FOO A E (Ple. se Print Clearly): c�-�(L d o, ) 1=-,Zny1 1 g OO I .or►i " 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 N Additional Information: PAYMENT DUE WITH APPLICATION 100 r� PERMIT# Address: Switches Outlets G F I's Surface I 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. Water Bond Carbon Micro GrbDis 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 TO VIN OF SOUTHOID, OFFICE OF BUILD- DIG 111.73 FECTOR SOU'I'lJOLD, N.Y. ID71 D_',r i7oon3e Fisher, a. Dour Sir-: 1 1,-,C, �j n' "'-i C.,_".4t LkA pol-mit 140 10;26 Z issued May 18, 1979 to Lhy & Michael Zukam ami expirinj Neveraber 18, 1980 4e exteniat Six Imaths to complete the jolev Y ru'y, Michael F, Zukas IsLykarry Rsad Southali, Ii.Y. 11971 u cL -de 7®b9' 9,�a oIlax ' U 0�7 Il�S t-/odd n i ry i i ' h + as A42 4 Alt lop �uK 14 Ailir `IM Q eT � oVc C, tic Gt . �r✓Sc1 L, S" Z V/