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Home My WebLink About44046-Z Town of Southold 8/12/2019 =o ay P.O.Box 1179 * ? 53095 Main Rd o�oa #fi4 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40608 Date: 8/12/2019 THIS CERTIFIES that the building HVAC Location of Property: 240 West Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-5-37 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/7/2019 pursuant to which Building Permit No. 44046 dated 8/7/2019 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 SYSTEM AS APPLIED FOR The certificate is issued to Folts,Andrew&Ellen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44046 08-08-2019 PLUMBERS CERTIFICATION DATED Authorized Signature „f�114- TOWN OF SOUTHOLD �O�g11FF0(,� BUILDING DEPARTMENT TOWN CLERK'S OFFICE "oy {1 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#: 44046 Date: 8/7/2019 Permission is hereby granted to: Folts, Andrew 1405 Lafayette Dr Alexandria, VA 22308 To: legalize "as built” HVAC system as applied for. At premises located at: 240 West Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 110.-5-37 Pursuant to application dated 8/7/2019 and approved by the Building Inspector. To expire on 2/5/2021. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 (b _e�� Buil ing Inspector 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, 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 Date. New Construction: Old or sPrre-existing Building: (check one) Location of Property: OW ��'� �C nn'j "vg House No. Street� �--- Hamlet Owner or Owners of Property: L'4. CA,� !`�// . F0— �g Suffolk County Tax Map No 1000, Section /10a o Block ®J,, Lot 03-7, 000 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: /y/✓- Underwriters Approval: /V� Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ App scant Signature urso Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.deviin(a)-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Andrew Folts Address: 240 West Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 44046 Section: 110 Block: 5 Lot: 37 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 X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect X Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment: Air Handler and AC Unit with disconnect Notes. "AS BUILT" "NO VISUAL DEFECTS" Inspector Signature: Date: August 8, 2019 S. Devlin-Cert Electrical Compliance Form.xls oe souryo� # * TOWN OF SOUTHOLD BUILDING DEPT. `ycourrn e�' 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: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT (V 5 4 Do you have or need the following,before applying? TOWN HALL Q `� /� �� Board of Health SOUTHOLD NY 11971 �1 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 qq6 / SurvSoutholdtownny.gov PERMIT NO. (� Check Septic Form N.Y.S.D.E.C. Trustees C.0.Application Flood Permit Examined ,20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved ,20� Mail to: Disapproved a/c Phone: Expiration 20 A OR�' Bui ding Inspector 5u" APPLICATION FOR BUILDING PERMIT AUG - 7 2019 ' 20 /7 Date DETq- INSTRUCTIONS 00A s p ji�Iica2lo 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 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (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 XName of owner of premises Avif-eV4 (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 pro osed ork will be done: a� X House Number Street UHamlet X County Tax Map No. 1000 Section 0 0 Block 05—,o 0 0 Lot 0 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 eight Number of Stories 8. Dimensions of entire new construct n: Front Rear Depth Height N ber of Stories 9. Size of lot: Front ear Depth 10. Date of Purchase Na e of Former Owner 11. Zone or use district in which premises are si ated -12. Does proposed construction violate any zonin law, ordinance or regulation? YES NO 13. Will lot be re-graded?YES NO Will ex ess fill be removed from premises?YES NO 14.Names of Owner of premises ddress Phone No. Name of Architect A dress Phone No Name of Contractor Ad ress Phone No. 15 a. Is this property within 100 feet of a tidal wetland or shwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PE ITS 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 dis ances to property lines. 17. If elevation at any point on property is at 10 feet or below, must rovide 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) S: COUNTY OF LA ir et.JG G' being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to+before me thi day of" N L 6,I 20T"RACEY L. DWYER d ( _�U (VOTARY PUBLIC,STATE OF NEW YORK ` �✓ NO.01 DW6306900 SUFFOLK COU Notary Public COMMISSION EXPIRES JUNE 30, Signa re of pplicant ,M uBUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD . Town Hall Annex - 54375 Main Road - PO Box 1179 On oy�oj' !O; �„- Southold, New York 11971-0959, -�'rA Telephone (631) 765-1802 - FAX(631) 765-9502 -Ff roger.richert(@,town.southold.ny.us APPLICATION FOR ELECTRICAL-INSPECTION REQUESTED,By: Bob Burns Date: 7 /25/19 Company Name: Paul Burns Electrical Contractors Inc Name: Paul R Burns Jr License No.: 3897ME email: pburnsjraQoptonline.net Address: PO Box 1061 Southold, NY 11971 Phone No.: 631-365=4735 Ff JOB SITE INFORMATION: (All information Required) Name: Andrew Folts Address: 240 West Road Gutchogue, NY Cross Street: equas Phone No.: 703-283-3934 Bldg.Permit#: - LN 0(.4 - email: Tax Map District: 1000 Section: Block:_ Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) Wire 2 A/C condensers,2 Air,Handlers 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: (Ail information required) Service Size 1'Ph 3 Ph Size:, A #Meters Old Meter# New Service- Fre Reconnect-Flood Reconnect-Service Reconnected,-Underground-Overhead #'Underground Laterals__1 2 H_Frame- Pole Work done on-Service? - Y N Additional Information: tit ti.i PAYMENT DUE WITH; ICATIO' -^ - 82-Request for Inspection Form.As Arl, Donald Stai zee DAVA Star Mechanical Data Invokes No. P.O. Box 797 06/05/17 12338 Cutchogue, NY 11935 Phone/Fax(631)734- Egli To: Ship To Dan West Builder - Andrew Folts 675 West Road 48110 Main Road, Route 25 Cutchbgue, NY 11935 Southold,NY 11971 Terms Phone Due on receipt 765-9214 - Description Amount Removed and discarded existing equipment and duct work in attic Installed 40,000 BTU Rheem 92%went gas furnace in residence attic. Installed 1 1/2 ton Rheem,13 seer, model#RA131WW1 NA high efficiency condenser and air conditioning coil with 410 Now refrigerant. Condenser was placed at residence exterior. Air conditioning coil and furnace were suspended from attic rafters by kindorf and threaded rod. Auxiliary drain pan with moisture sensor was placed under unit. Tied new units into existing 6"x 1o"ceiling diffusers. Installed copper line set,thermostat wire,PVC drain and(1)White-Roges day.night programmable thermostat. All supply and return trunk duct work was fabricated from 26 gauge galvan� ladL � tl insulation. ®�L �H ASC®® S OF Installed required return air grills In all necessary area NEW YORK STATE & TOWN CODES Supply outlets were located in each room as required. AS REQUIRED AND CONDITIONS OF Installed 2" PVC flue from furance to exterior of residence I ZBA Installed 20"x 20"x I"filters. Sales Tax SOI E01 P LANNING BOARD o.00 S(�#8 EES NaCS_QEC APPROVED AS NOTED // -� DATE:ibm B.P.# D//"T6 ®CCUPA FEE: e ® BY: �� ®� NOTIFY BUILDING DEPARTMENT AT USE IS UNLAWFUL 765-1802 8 4 PM FOLLOWINGAINSPEOCTIO S:FOR THE WITHOUT TDFBCATF 1. FOUNDATION - TWO REQUIRED ®F OCCUPANCY FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION ELECTRICAL FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. INSPECTION REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW Note:D CONSTRUCT ONJ}ERRORS.ertificate of capital improvement with your Payments/Credits n . - — Balance Due $0.00 A 100%sevice charge will be added to all outstanding balances over 30