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Home My WebLink About44012-Z SufFocK o ��oo cGy Town of Southold 4/10/2023 P.O.Box 1179 c' 53095 Main Rd 41 F Southold,New York 11971 JL CERTIFICATE OF OCCUPANCY No: 40601 Date: 8/8/2019 THIS CERTIFIES that the building HVAC Location of Property: 2705 Marratooka Rd.,Mattituck i SCTM#: 473889 Sec/Block/Lot: 123.-2-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore Sled in this office dated 7/22/2019 pursuant to which Building Permit No. 44012 dated 7/26/2019 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"HVAC unit as applied for. The certificate is issued to Dougherty,William of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44012 7/22/2019 PLUMBERS CERTIFICATION DATEDAX- ` A riz d gnature 4�SaFFnt�co TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE SOUTHOLD, NY 'flpl � s 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#: 44012 Date: 7/26/2019 Permission is hereby granted to: Dougherty, William 2705 Marratooka Rd Mattituck, NY 11952 To: legalize "as built" HVAC unit as applied for. At premises located at: 2705 Marratooka Rd., Mattituck SCTM #473889 Sec/Block/Lot# 123.-2-25 Pursuant to application dated 7/22/2019 and approved by the Building Inspector. To expire on 1/24/2021. Fees: ELECTRIC $170.00 CERTIFICATE OF OCCUPANCY $50.00 AS BUILT-ACCESSORY $400.00 Total: $620.00 Buil in or Form 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, 19S7) 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 Date. New Construction: Old or Pre-existing Building: (check one) ) Location of Property: Z7 0 5 ✓Yk. et House No._ ' )) Street Hamlet Owner or Owners of Property: W i`l � p y t A-p�IV Suffolk County Tax Map No 1000, Section ® 2.3 Block `Z,` L5 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: $ ppli t ature OF SO(/P�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � Sean.devlinttown.Southold.ny.us COW, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: William Dougherty Address: 2705 Marratooka Rd city,Mattituck st: NY zip: 11952 Building Permit#: 44012 Section- 123 Block. 2 Lot 25 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser X Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower X Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect X Switches Twist Lock Exit Fixtures TVSS Other Equipment: AC with disconnect, Air Handler Notes "AS BUILT" "NO VISUAL DEFECTS" Inspector Signature: Date: July 22, 2019 S.Devlin-Cert Electrical Compliance Form.xls SOF so l �o� olo * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] 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: r � 11rSuALLX tn! I I C U N 17-- jLj L) gj!�F_,:f y'� - DATE ZZ l INSPECTOR - TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying9 TOWN HALL Board of Health SOUTHOLD,NY 119714 s is of$� rCS . TEL: (631) 765-1802 anning Board approval FAX: (631) 765-9502 —:Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 � t Single&Separate JUL 2 2 2019 Truss Identification Form Storm-Water Assessment Form act:_J t_,� Approved JR�_ 20 '� � W.��1tL �G Disapproved a/c r Phone. 3 �/ Expiration '20 Buil ' s ctor APPLICATION FOR BUILDING PERMIT Date -7 ��' , 20_d_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 perinit 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 e, and re lations, and to admit authorized inspectors on premises and in building for necessary inspections. Vignlrt of pplicant or name,if a corporation) 2-4132 6 t Ave, 1►q�,'I�(e11 dVy (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Naive of owner of premises (All 14 a4,L / O V i b-6 (A n the ax 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. iw Other Trade's License No. 1. Location of land l on which proposed work will be doptla�= House Number Street Hamlet County Tax Map No. 1000 'Section �� Block Lot 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 SQ A,\ f 3. Nature of work(check which applicable): New Building ' ' n Alterat on Repair Removal DemolitionOther Work C (,! V' + (Description) Estimated Cost Fee (To be paid on filing this application) If dwe ' g, number of dwelling units Number of dwellingunits on each floor If garage, mber of cars If business, co>pme 'al.or mixed occupancy, specify nature.and extent of each type'of use. 7 Dimensions of existiiig'struc es, if any: Front Rear Depth Height mber of St 'es Dimensions of same structure with a tions or additions: Front Rear Depth He' t Number of Stories 8. Dimensions of entire new co ruction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Dept 10. Date of Pu lase Name of Former Owner 11 Zo or use district in which premises are situated V 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 remises?YES NO g p 14. Names of Owner of premisesL441) l _Address_'It65 j0caj%xgddLt. Mphone No. G t Address Phone No Na r 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 BEAEQUIRED. 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 s rvey. 18. Are there'any covenants and•restrictions with respect to this property. YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS. a COUNTY OFS4V � U being duly sworn, deposes and says that(s)he is the applicant (Name of individual si�gnin ntract) ab e named, ua (S)He is the L/wnz- (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. Sworn to before me this �� day of �y 1;� 20_a dq)WL&A Notary Publi TRAGEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK Signa fieofy icant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,20k?-- SI IF1i!l;+r�,�.; ` �ILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD `} 1�n Hall An nex - 54375 Main Road - PO Box 1179 2 ��w • ��- 2 Southold, New York 11971-0959 b ''e (631) 765-1802 - FAX(631) 765-9502 roper:richert(atown:sotathold.rtV.tas ; APPLI.CAT'ION_FOR ELECTRICAL INSPECTION REQUESTED BY: Date:: Company Name: Name: - License No.: __ - email: _ Atlress: Phone No:: _ JOB SITE INFORMATION: (All Information Required) Name: 1- lf3hA D0QQbeeAJ,9= Address: Cross Street: -- - Phone No.: - Bldg.Permit#: email: Tax Map District: 1000 Section: / Block:_ Lot:< BRIEF DESCRIPTION OF WORK(Please Print Clearly) 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) Ser-vice-Size 1 Ph 3 Ph Size: A #Meters _ Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected -Underground -Overhead 1#,Undergrpund Laterals ,1 2 H Frame Pole Work done on Service?_ Y N Additionallnformation: - - PAYMENT•DUE WITH APPLICATION 82-Request for Inspecdon FormAs \ N + }4 a I� { O - ( IN - tk !' � -, l .- -- - ------- - ---�.-- n—A r\ L � � o Ifty COP � t � � —°"•.! 6/1an"10.4 I 14 i,5C14S.;142 RT - �5uf folk.Cauaty Tax F'vrG��: loan /Z3-Z Z 5 9 � tl3orPu'rr��rr�'� _ OWS&M ort to G�CtldivPyQ vloldlon of eduorim taw. r "i Ua Nm Yoa t5ur.veyed Abri/ 16, 1993 copies of nib i�ra _ Dd2 r'f C,� J(c7r� T'u 1 P, C um tea ®goes fltDsed til o ` ctrrebortaed anal dw=to ardy to 1119 preoat @;tom ffiva f ` ma ma.arta on fa e i c e Ms d G and .sur vel ors °�ti ho.t.s 2_nM 0 may.�� z lttstifubo0 UW hw,;E 1f1SAO LSVP, tof3Kaem oleasofuta � Qt'Cett�7Dr'f M_ �_ AND fit Gumr&nLem are tta3 r NvN RUUD ,.A`IR C®ND°ITIONER MDEL :N 0, ° 1"030JAZ MFD 01/2004 SERIAL N0,.} M0504 12266 -0L I S y-2 D/230 m OUTDOOR USE z 4 4. _ PHASE- 1 HERTZ 4 'COMPRESSOR R. __A_ 13-.5/13.5 L-R, A: 72.5 y MOOR FAN MOTOR F. L.A. 1 .3 QIP(WATTS) 1/5 y MIN. StUPPLY -CIRCUIT- PACITY 19 AMP/ MAS. FUSE OR CKT. BRK. SIZE* 30/30 AMP S MIN FUSE OR. CKT. BRIG . SIZE* ` 2 25/25 AMP- DESIGN PRESSURE HIGH' , 2068 KPA%300 PSIG ` DESIGN 'PRESSURE LOW 1034, KPA/150 PSI.G ODOR UNITS FACTORY CHARGE 21829/770Z. R29.. r`.{ ,• TOTALSYSTEM CHARGE OZ. R22. SEE INSTRUCTIONS INSIDE ACCESS PANEL { RUUD� AIR CONDITIONING DIVISION APPRO ED AS NOTED ' FORT SMITH. ARKANSAS DATES MADEy = , IN THE ?" € FEE: BY: USA, ywry NOTIFY BUN.DING DEPARTMENT AT 4 765.1802 8 AM TO 4 PM FOR THE Tor 1 ,T'YYPE BRE R FOR U.S.ftOWING INSPECTIONS:UNDATION TWO REQUIRED MURW WITH ALL C FOR P