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HomeMy WebLinkAbout42097-Z 'f Town of Southold 2/21/2019 P.O.Box 1179 53095 Main Rd # Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40218 Date: 2/21/2019 THIS CERTIFIES that the building ALTERATION Location of Property: 3575 Mill Rd, Peconic SCTM#: 473889 Sec/Block/Lot: 67.-2-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/30/2017 pursuant to which Building Permit No. 42097 dated 10/30/2017 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"heating and air conditoner units as applied for. The certificate is issued to Baskurt, Erol of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42097 2/19/2019 PLUMBERS CERTIFICATION DATED 17 e gnature r 2z` TOWN OF SOUTHOLD x BUILDING DEPARTMENT TOWN CLERK'S OFFICE 'a • mss? 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#: 42097 Date: 10/30/2017 Permission is hereby granted to: Baskurt, Erol 3575 Mill Rd Peconic, NY 11958 To: legalize "as built" heating and air conditioner units as applied for. At premises located at: 3575 Mill Rd, Peconic SCTM # 473889 Sec/Block/Lot# 67.-2-12 Pursuant to application dated 10/30/2017 and approved by the Building Inspector. To expire on 5/1/2019. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector Horm No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 /l Date. Z(A ��,7 New Construction: Old or Pre-existing Building: (checkone) Location of Property: 36-7,5_ /`'/r �/ �Gl ttz /{�iC' ��l�l - House No. Street � �-- Hamlet Owner or Owners of Property: �l© � /,3,1/,3,1S �—//�M'k Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval. Request for: Temporary Certificate Final Certificate. (check one) Fee Submitted: $ 2 Applicant Signature *pF SOUjyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1 179 G Q Southold,NY 11971-0959 �0 • io roper.richertCcr)town.southold.ny.us Courm, ' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Erol Baskurt Address. 3575 Mill Rd City Peconic St: New York Zip 11958 Building Permit#- 42097 Section: 67 Block: 2 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor, AS BUILT DBA. License No SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic X Garage INVENTORY Service 1 ph Heat gas Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS" Notes: gsa furnace with blower,and central air conditioner Inspector Signature: Date:february 19 2019 81-Cert Electrical Compliance Form.xls OF SOUIyo� # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION 2 [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ( ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR i W (l'm5� S C� o pf e � torr " lFp�'�c I C 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 roger.richert(ptown.sou thold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: - 19w7-e--Name: License No.: �0�'1 Address: 3 5-75�-/f(�/ Lam Phone No.: JOB SITE INFORMATION: (All Information Required) Name: Address: 3�1 ' t Cross Street: Phone No.: ' I V 01Z Bldg.Permit#: m e il: Fax Map District: 100 Sec ' n: BI ck: Lot BRIEF DESCRIPTION OF WORK(Please Print Clearly) ef-1-0 s j�_; a.P -;V/Z l S 2 3-21 7 9 Circle All Thapply: Is job ready for inspection?: YES / " O Rough In Final Do you need a Temp Certificate?: YENO 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 Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form.xls r" Gmail Baskurt 1 message Erol <erolbaskurt@aol.com> To: pcmoore@mooreattys.com Cc: betsy@mooreattys.com, margaret@mooreattys.com please see below re AC and Furnace... ----Original Message---- From: Nora Goepfert<ngoepfert@flandershvac.com> To: Erol <erolbaskurt@aol.com> Sent: Mon, Oct 23, 2017 3:27 pm Subject: RE: Invoice#J310217 Here are the model and serial of your equipment. Gas furnace: Model No GMH950703BX-AF Serial No 1211523299 Condenser: Model No.SSX140241-BB Serial No 1212110940 Air handler: Model No CHPF2430B6-CB Serial No 1212118764 L SSX14 Air Conditioning& Heating 1%- TO 5-TON HIGH-CFFI(IEN(Y up ro 15 SEER SPLIT SYSTEM AIR CONDITIONERS R-410A (OOLING IAPA(ITY: 18,000 To 56,800 BTU/N Standard Features • R-410A chlorine-free refrigerant • High-effidency Copeland"scroll compressor • High-and low-pressure switches is High-quality compressor sound blanket • 850 RPM condenser fan motor • Liquid refrigerant return protection • Factory-installed liquid line filter dryer • Service valves with swP.at connections and gauge ports • Copper tube/enhanced aluminum firi coil • Contactor with lug connection • Ground lug connection • AHRI Certified; ETL Listed (abinet Features • Goodman"'brand sound control top design • Steel louver coil guard • Heavy-gauge galvanized-steel cabinet • Attractive Architectural Gray powder-paint finish with 500-hour salt-spray approval (ontents • Top and side maintenance access Nomenclature................. • Single-panel access to controls with space provided Product Specifications............................................................3 for field-installed accessories Expanded Cooling Data • When properly anchored,meets the 2001 Florida Building AHRI Performance Ratings...................................................31 Code unit integrity requirements for hurricane-type winds Wiring Diagram............................. ......43 (Anchor bracket kits available.) Dimensions..........................................................................44 Accessories............................................................................44 fa GoodC eant+ionLTnta� •(& •Compka wur•nly dnaih•r•il•Lk Iran row kxj1 dealer or It w«w.toodmllml}com.to receive the Lifetime Comprelsor limned Wxr•my(pod W•% Ions ac rou own you.homry ud Mp.ar Pats LimitrdWarra,ny,onhnc reparation mum be rmnplrtrd wnhin 60 days of installation Online«{istralion is not required of Cikfarra or Q~ GMH95/6(H9 , Goodman MULTI-POSITION, DUAL$AVERT"' Air Conditioning & Heating CONVERTIBLE, MULTI-SPEED PRODUCT SPECIFICATIONS GAS FURNACE The Goodman*GMH95/GCH9 9596/9396 AFUE Dual$aver- Convertible, Multi-Speed, Multi-Position furnaces feature a patented aluminized-steel tubular heat exchanger and durable Silicon Nitride Hot Surface Ignition system. Standard Features • Patented TuffTube'dual-diameter tubular heat exchanger with ilktime limited warranty plus 10-year limited furnace replacement warranty • Two-stage gas valve with revolutionary new convertible technology that allows installer to activate the two-stage valve with the flip of a dipswitch • Silicon Nitride igniter with patented adaptive learning control for maximum Igniter life • Furnace control board with self-diagnostics,color-coded 1{ low-voltage terminals,and provisions for electronic air cleaner and 24-volt humidifiers • Control board stores the last five diagnostic codes In memory;simple push-button activation outputs the fauft history to a flashing red LED • Low constant fan allows homeowner to activate the low heat speed to efficiently circulate air throughout the home. • Self-adjusting feature automatically adjusts to high or low stage based on outside temperature without an outdoor temperature sensor • Dual-certified for sealed combustion direct vent �R0. iIYI RiVM ii (2-pipe)or non-direct vent(1-pipe)applications • Easy-to-Install top venting Is standard;alternate flue/vent located on the right(GMH95) • All models comply with California NOx emissions standards 95%/93% AFUE (abinet Features • Fully Insulated,heavy-gauge steel cabinet with durable baked-enamel finish • Foil-faced Insulation Hnes the heat exchanger HEATING INPUT: • Designed for multi-position installation— GMH95:upflow,horizontal left or right; 4600-115,000 BTUA GCH9:downflow,horizontal left or right • Airtight solid bottom for side-return applications and easy- cut tabs for effortless removal in bottom air inlet applications • Convenient left or right connection for gas&electric service • Coil and furnace fit flush for most installations (ontents Nomenclature.............................................................2 MIMI Product Specifications..._................._...................3 Dimensions.......».........................................................4 _ Blower Performance Specifications...__....._7 Wiring Diagrams.................................................»....13 Gm 0 Accessories..........................._....................................15 For full warranty detalls,visit Nzale2adamndazorm 0 Invoice Flanders Heating and Air Conditioning 219 W.Montauk Hwy Hampton Bays NY 11946 631-727-2760 FAX. 631-727-3376 Invoice# J310217 Account# 110845 Date: 01/30/13 Page# 1 of 1 Service At: Erol Baskurt Erol Baskurt 3575 Mill Lane 3575 Mill Lane Peconic NY 11958 Peconic NY 11958 Service Date PO# Proj# 211116 Description Of Service Quantity Unit Price Extended Price Tax Install gas furnace and duct work and central AC unit 1 $9,990.00 $9,990.00 Total $9,990.00 1/30/2013 Adjustment $4,995.00 2/7/2013 Payment $4,995.00 Balance Due $0.00 Paid in Full. We appreciate your business! Thank You for choosing Flanders HVAC as your heating and air conditioning company. Please remit payment due TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 / J�q-7 Survey Southoldtownny.gov PERMIT NO. `� (� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application (� Flood Permit Examined /36 20 ( Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved t `' 20 l Mail to: Disapproved a/c Phone: Expiration_ 5 ,20 D 1EC[F,0VR d nspector DD APPLICATION FOR BUILDING PERMIT OCT 2 3 2017 Date lQ ^.22j , 2017 INSTRUCTIONS gans. ING DEPT.6t ft T be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets o ccurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 code,an e ulations, and to admit authorized inspectors on premises and in building for necessary inspections. ignature of applicant or name,if a corporation) s(02d Mari (C/)�9,90/ (Mailing address of applicant) State whether applicant iso er, lessee, agent, architect, engineer, general co tractor electrician, plumber or builder L�-rm l / S Name of owner of premises �- (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: ee House Number Street / Hamlet County Tax Map No. 1000 Section CO-7 Block 0-2 Lot /,;;7- Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, 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 Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF � � � being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contra(jr,r,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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of 20 Notary Public Signature of Applicant &aJ APPRO ED AS NOTED �1 DATE: L7 B.P.# OCCUPANCY OR FEE: _ sy. NOTIFY BUS. T.) `r,r,n9 ORT E FOLLOWING USE IS UNLAWFUL a IN �INSPECTIONS: WITHOUT CERTIFICATE 1. FOUNDATION - TWO REQUIRED OF OCCUPANCY FOR POURED CONCRETE 2. ROUGH - = PLUMBING 3. INSULAT 4. FINAL MUST BE COV ALL CONST SHALL MEET THE REQUIREMEP THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. RETAIN STORM WATER RUP,CFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF -S91�k►8 ARD ES . .DEC ELECTRICAL INSPECTION REQUIRED r � a. . Air Conditioning& Heating 1'/2— TO 5-TON HIGH-EFfI[IEN[Y up ro 15 SEER SPLIT SYSTEM AIR CONDITIONERS R-410A [00i'.ING [APA01Y: 18,000 io 56,800 BTUA Standard Features • R-410A chlorine-free refrigerant • High-efficiency Copeland"'scroll compressor • High-and low-pressure switches t • High-quality compressor sound blanket • 850 RPM condenser fan motor • Liquid refrigerant return protection • factory-installed liquid line filter dryer • Service valves with sweat connections and gauge ports • Copper tube/enhanced aluminum fin coil • Contactor with lug connection • Ground lug connection • AHRI Certified; LZL Listed (abinet Features • Goodman"brand sound control top design • Steel louver coil guard • Heavy-gauge galvanized-steel cabinet • Attractive Architectural Gray powder-paint finish with 500-hour salt-spray approval Contents • Top and side maintenance access Nomenclature.................. ......2 • Single-panel access to controls with space provided Product Specifications............................................................3 for field-installed accessories Expanded Cooling Data................... ..............................:......5 ...................... • When properly anchored,meets the 2001 Florida Building AHRI Performance Ratings......................... ...31 . Code unit integrity requirements for hurricane-type winds Wiring Diagram................... ........43 (Anchor bracket kits available.) ������������� �������������������������� Dimensions...........................................................................44 Accessories...........................................................................A4 ON. to GoodC" C 'Complete warranty detA,available Itam your 1.c31 dealer or at svmv.¢oudmamlgtor. Io venue the Urine Compressor LimdM Warraery,(good for as long as you awn y<m.lwmq and I114tat Poi l:IIonIPo Warnn)fy.nn6nr registration mm he rornpIrtrd within 60 days of installa'ino online registration is not rrq.nred u;UiWoa or Q4oec J • • ., bs{, W[ GMH95/GCH9= em MULTI-POSITION, DUAL$AYERTM Air Conditioning & Heating (ONYERTIBLE, MULTI-SPEEU PRODUCT SPEOFKATIONS GAS FURNACE The Goodman'GMH95/GCH9 95%/93%AFUE Dual$aver— Convertible, Multi-Speed, Multi-Position furnaces feature a patented aluminized-steel tubular heat exchanger and h durable Silicon Nitride Hot Surface Ignition system. Standard Features • Patented TuffTube-dual-diameter tubular heat exchanger with lifetime limited warranty plus 10-year limited furnace replacement warranty • Two-stage gas valve with revolutionary new convertible }, technology that allows installer to activate the two-stage valve with the flip of a dipswitch • Silicon Nitride igniter with patented adaptive learning control for maximum igniter life Furnace control board with self-diagnostics,color-coded low-voltage terminals,and provisions for electronic air cleaner and 24-volt humidifiers • Control board stores the last five diagnostic codes in memory;simple push-button activation outputs the fault history to a flashing red LED • Low constant fan allows homeowner to activate the low heat speed to efficiently circulate air throughout the home. • Self-adjusting feature automatically adjusts to high or low stage based on outside temperature without an outdoor temperature sensor • DDual-certified for sealed combustion direct vent un (2-pipe)or non-direct vent(1-pipe)applications de Easy-to-install top venting Is standard;alternate flue/vent located on the right(GMH95) • All models comply with California NOx emissions standards 95%/93% A FUE (abinet Features • Fully insulated,heavy-gauge steel cabinet with durable baked-enamel finish • Foil-faced insulation lines the heat exchanger HEATING INPUT: Designed for multi-position installation— GMH95:upflow,horizontal left or right; 46,0004159000 BTU/N GCH9:downflow,horizontal left or right • Airtight solid bottom for side-return applications and easy- cut tabs for effortless removal in bottom air inlet applications • Convenient left or right connection for gas&electric service • Coil and furnace fit flush for most installations (Ontents Nomenclature.................................................._.........2 Product Specifications.............................................3 Dimensions..................................................................4 11"dF]" Blower Performance Specifications....................7 wi ..4 ring Diagrams........................... ..........................13 c��1 E us Accessories.................................................................15 For full warranty details,visit www.goodniarimfg.com1' 2417 EMERGENCY SERWCE $Abet a IRErool mism PW HBATING & Jim AIR CONDffIONING CA for oepaWaMe SeMag ALL a 100%omrmd NOW Oowod 24I? woro., " &wga cy smire Eastern Stdfdk Tcdwicians Siaoe 1961