HomeMy WebLinkAbout43550-Z ����Og11FfOl,�CpG� Town of Southold 3/29/2019
P.O.Box 1179
0
co 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40288 Date: 3/29/2019
r
THIS CERTIFIES that the building OTHER
Location of Property: 555 Beebe Dr, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-7-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/1/2019 pursuant to which Building Permit No. 43550 dated 3/12/2019
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"central air conditioning as applied for.
The certificate is issued to Doroski,Antoinette
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43550 3/13/2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
�SUF�ot,r� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 43550 Date: 3/12/2019
Permission is hereby granted to:
Doroski, Antoinette
555 Beebe Dr
Cutchogue, NY 11935
To: legalize "as built" AC unit as applied for.
At premises located at:
555 Beebe Dr, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-7-13
Pursuant to application dated 3/1/2019 and approved by the Building Inspector.
To expire on 9/10/2020.
Fees:
CO -RESIDENTIAL $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $400.00
Total: $450.00
Bui ding Inspector
Form No.6
TOWN OF SOUTHOL'D
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
Dates
New Construction: Old or Pre-existing Bu' ing: (check one)
Location of Propert ' 1 A-171
House No. Street--_ et
Owner or Owners of Propert�s_Kz i ®�
Suffolk County Tax Map No 1000, SectBlock 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: $
Applicant Signature
z
SO�jy®�®
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 �® a® roger.riche rt(a-town.south old.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Antoinette Doroski
Address: 555 Beebe Dr City. Cutchogue St: New York Zip. 11935
Building Permit#: 43550 Section: 97 Block: 7 Lot 13
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 X Service Only
Commerical Outdoor X 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat 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 FixtureTime Clocks
Disconnect Switches Twist Lock Exit Fixtures 2 TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes, "CENTRAL AIR CONDITIONER"
Inspector Signature: Date: March 13 2019
81-Cert Electrical Compliance Form As
oe souTyo�
f # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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:
ell
e
DATE l ' INSPECTORS?
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) 765-9502Survey,
Southoldtownny.gov PERMIT NO. `LSSD Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 120 r Single&Separate
r Truss Identification Form
Storm-Water Assessment Form
Contact:
Appioved 120 Mail to:
Disapproved a/c
,Phone:
Expiration 20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Dfte �" �L �'1 1 , 20
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate 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 monthsafter 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,and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
t° •
(Signature of applicant or name,if a corporation)
-� (Mailing,address of applicant)
State whether applicant is owner, lessee, agent,.architect, engineer,_general contractor, electrician, plumber or builder
�t W
Name of owner of premisV_d"~ U
'(Aston the tax-roll o'r latest deed)
If applicant is a corporation, signature of duly authorized officer''
(Name and.title of corporate officer)
Builders License No.
Plumbers License No. t,
Electricians License No. _
Other Trade's License No.
1. Loca ion of land on which prop,"d work will be done: 1
House Number Stre'ef, let
County Tax Map No. 1000 Section Block
Q' ;
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
j
b. Intended use and occupant},....,
3. Nature of work(check which applicable): New Building Addition Alteration !
Repair Removal Demolition Other Work !
(Description)
4. Estimated Cost Fee j
(To be paid on filing this application) I
5. If dwelling, number of dwelling units Number of dwelling units on each floor j
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
I
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
i '
Dimensions of same structure with alterations or additions: Front Rear j
Depth Height Number of Stories i
i
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories j
I
9. Size of lot: Front' Rear Depth
10. Date of Purchase Name of Former Owner
I
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. j
Name of Architect Address Phone No
Name of Cbntractor Address Phone No. i
i
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO�
�p* 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)
1
COUNTY OF TkAlIc
i
-being duly sworn;deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
- I
(S)He is the j
(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 that the work will be
performed in the manner set forth in the application filed therewith. j
Sworn.t before me this j
day of Q l 20�L
� � I
' r '
Notary ublic.` LINDA S.
Notary Public, State of New York Signature of Applicant
No. 01 CA6137178
Qualified in Suffolk County
Commission Expires Nov. 14, 20
�ySFFalkc BUILDING DEPARTMENT- Electrical Inspector
�o TOWN OF SOUTHOLD
a Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
�4,- �aTelephone (631) 765-1802 - FAX (631) 765-9502
roger.richert(cDtown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.: -
email:
Address:
Phone No.:
JOB SITE INFORMATION: (All Inf rmation Required)
Name: 1 '
Address:
Cross Street:
Phone No.: �J�l
Bldg.Permit#: 35�l: email:
Tax Map District: 1000 Section: Block: Lot=
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
C
G
Circle All That Apply:
Is job ready for inspection?: DYESNO 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 Reconnected - Underground -Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Foan.xls l
82-Request for Inspection
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Ameristar�� f
IIEATING&COOLING
INSTALLATION INSTRUCTIONS i•
13 SEER t
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Split System Heat Pump & Air Conditioner
1 .5-5 Tons
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R410A
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NOTE:Appearance of unit may vary.
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JAwA�NiNG
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These instructions are intended as an aid to qualified
licensed service personnel for proper installation, adjust-
ment and operation of this unit. Read these instructions
thoroughly before attempting installation or operation. '
Failure to follow these instructions may result in improper '
installation, adjustment, service or maintenance possibly �x
resulting in fire, electrical shock, property damage,
personal injury or death. ``,'
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AIR DISCHARGE:ALLOW 60"
ti MINIMUM CLEARANCE.
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AIR INLETS
LOUVERED" PANELS
ALLOW 18
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7 CLEARANCE
ALLOW 24"CLEARANCE
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NOTE: GRILLAPPEARANCE
•° MAY VARY.
POWER WIRING
"`• SEE DETAILA • CONTROL WIRING
DETAILA p
7/8"(22.2mm)
KNOCKOUT '"'
1-11/32" 34.5mm ACCESS VALVLE
FOR LOW PRESSURE
NOTE:
f ONLY ADOPTED BY HEAT PUMP,
j^';°•„ CAN BE USED FOR MEASURING
QHLOLEPRESSURE AFTER SWITCHOVER
VALVE-SUCTION TO COMPRESSOR OR
REFRIGERANT CHARGE.
w R SERVICE
FITTING SERVICE
LIQUID LINE SUCTION LINE
CONNECTION CONNECTION FITTING
FIG.2 DIMENSIONS
.; DIMENSIONAL DATA
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24-15/16f6331a 21-7/8[5541 21-7/8[554]: u 3/8 _-_ 3/4
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24-15/16[6331 28 7l 01 28[71 Q 3/8 3/4
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24-15/16[6331 29-1/8[740] 29-1/8[740 3/8 3/4
29-7/8[759] 28[710] 28 710 3/g 3/4
k Y. 33-3/16[843] 29-1/8[740] 29-1/8[740] 3/8 3/4
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29-7/8[759] 28[710] 28[710] 3/8 7/8
33-3/16[843] 29-1/8[740] 12S 3/8 7/8
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Ameristar v (p
L HEATING&COOLING kr6
INSTALLATION INSTRUCTIONS
HIGH EFFICIENCY
AIR HANDLERS
1 .5-5Tons
FEATURING R-410A OR R22 REFRIGERANT
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A WARNING n
These instructions are intended as an aid to qualified
licensed service personnel for proper installation, ' f
adjustment and operation of this unit. Read these
instructions thoroughly before attempting installation or
operation. Failure to follow these instruction may result in 4'4
improper installation,adjustment, service or maintenance I
possibly resulting in fire, electrical shock, property
damage, personal injury or death.
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NOTE:24"CLEARANCE IS REQUIRED IN THE FRONT
2.1 UNIT DIMENSIONS
• OF THE UNIT FOR FILTER AND COIL MAINTENANCE. '
ELECTRICAL CONNECTIOS
MAY EXIT TOP OR EITHER SIDE ' °}
SUPPLYAIR
HIGH VOLTAGE CONNECTION 7/8", FLANGES ARE PROVIDED
1-23/64-,1-23132-DIA KNOCK OUTS
FOR FIELD INSTALLATION =,�_•�-
LOW VOLTAGE CONNECTION 000 ,
BREAKER SWITCH '
(FOR ELECTRIC HEATER ONLY)
";'mF ire
VAPOR LINE CONNECTION COPPER(SWEAT)
LIQUID LINE CONNECTION COPPER(SWEAT)
AUXILIARY DRAIN CONNCECTION 3/4"
FEMALE PIPE THREAD(NPT)
AUXILIARY DRAIN CONNECTION 3/4"
FEMALE PIPE THREAD(NPT)
PRIMARY DRAIN CONNCETION 3/4"
FEMALE PIPE THREAD(NPT)
UPFLOW UNIT SHOWN;
UNIT MAY BE INSTALLED UPFLOW,DOWNFLOW,
HORIZONTAL RIGHT,OR LEFT AIR SUPPLY.
DIMENSIONAL DATA
Fig.1 DIMENSIONS
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w 11
41-3/8" 1050 18-1/8"f 460 20-11215201 1614061 103/116 4 53
41-3/8"[105C 18-1/8" 460 20-1/2"1'5201 16"[4061 106/119 [481/[54 = _
yr.0
41-3/8"[10501 18-1/814601 20-11215201 1614061 110/123 50/56
•
46-1/2111801 1180 19-5/8"f5001 21-5/8"[5501 1814561 134/147 61 /6 >✓
46-1/2"1180 19-51815001 21-5/815501 1814561 134/147 61 /67
54-1/2113851 2215601 2416101 19-1/214961 496 169/185 r771/[841
• 54-1/2"[1385 22"[560] 241610] 1 19-1/2"[496] 172/187 [78]/[85]
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