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HomeMy WebLinkAbout44110-Z �o�gUF Of ty� Town of Southold 9/9/2019 P.O.Box 1179 H r� 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40684 Date: 9/9/2019 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 555 Smith Dr S, Southold SCTM#: 473889 Sec/Block/Lot: 76.-2-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/19/2019 pursuant to which Building Permit No. 44110 dated 8/29/2019 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"AC unit and aluminum three season room as applied for. The certificate is issued to South Ladybug Realty LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ut ed Signature �gUFFol�c TOWN OF SOUTHOLD BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE o • 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#: 44110 Date: 8/29/2019 Permission is hereby granted to: l South Ladybug Realty LLC 262 Jeftome,Ave Mineola, NY 11501 To: legalize "as built" AC unit as applied for. At premises located at: 555 Smith Dr S, Southold SCTM #473889 Sec/Block/Lot# 76.-2-27 Pursuant to application dated 8/19/2019 and approved by the Building Inspector. To'expire on 2/27/2021. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 Buil Spector Form No-6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 AUG 9 2019 APPLICATION FOR CERTIFICATE OF OCCUPANCY g: This apg)iyatiern�e�sV!�led in by typewriter or ink and submitted to the Building Department with the followin ob hw building or new use: A. Fe 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. Swom 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 1tq Dat . O 1Q New Construction: Old or Pre-existing Building: (c}�eon I) Location ofPropert�l 555- „' t (� ���� 0 jq-7 House No. Street Hamlet Owner or Owners of Propert Suffolk County Tax Map No 1000, Section ��o 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: $ p ricant S 1gnature ®�*rsf s®Uri®. Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. South Ladybug Realty LLC Address: 555 Smith Dr S. city Southold sr NY zip: 11971 Budding Permit# 44110 Section 76 Block 2 Lot. 27 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 Heat Duplec Recpt 1 Ceding 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 Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO Other Equipment Notes "AS BUILT" "NO VISUAL DEFECTS" AC with Disconnect, AH in Crawl with Work Switch and Outlet Inspector Signature: Date: September 3, 2019 S Devlin-Cert Electrical Compliance Form As o��OF 50UTyo Li Ito # # TOWN OF SOUTHOLD BUILDING DEPT. `ycoutm, 765-1802 INSPECTION [ ] FOUNDATION1ST [ ] 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: r t � DATE INSPECTOR- FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) ------------------------------------ C FOUNDATION (2ND) t`I)�i CR Ul ' O � i 0 ROUGH FRAMING& -m PLUMBING r INSULATION PER N.Y. H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS TZ �.k PA 9-q-1 c q�g rn X �b 0 z � x d 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 Survey South oldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application 12 Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved 20_ff Mail to: —A Disapproved a/c Expitao X30 43P 4- Cho -a.' ''r: 1`� ,! 10- � Buil ector AUG 1 9 2019 ggQV9 APPLICATION FOR BUILDING PERMIT �;-�; DEPT`, 1 Bti _� Y. Date 0 `7 , 20 w'O r��i1(OF SOa1T Ly,ry 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 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,housi�dde,�.mncdl egu ations, and to admit ,n authorized inspectors on premises and in building for necessary inspections. dlet (Signatur of scant or narZe,if a corporation) (Mailing addre s of applicant) 115,01 State whether In I cant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ()Q on the tax r ll or latest deed) Ifft It ant is a co "ation, sigriature.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 op ed workd ll done- 555- :�%TA m" House Number Street Q/ mlet / County Tax Map No. 1000 Section�o 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 K fi5I D UY0 r 116 fjy I0-Aj- 6Cfld rbo,1W 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 F 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. 4 15 Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 1/ * YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. 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) SS: COUNTY OF being duly sworn, deposes and says he ''sem%gp�plicant ( o m i i ual signing contract above named, Notary Public,State of New York /� No.0113U6185050 (S)He is the (� Qualified in Suffolk County (Contractor,Agent, Corporate Officer, etc.) Commission xpires April 14,2 (D 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 Sd� W,`ho day of 20—A �` � Q Notary Public Signature of Applicant i gt1FFplIt �� I d., � 1 � BUILDING DEPARTMENT- Electrical Inspector �O ; ' . TOWN OF SOUTHOLD ~ ` To AUG 1 9 2019 n"Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 Ol �` ���= rs ICS �. roger.richert(cDtown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �` hkad- 94V10-1 ' ate: Q q - Company Name: Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: C° vt Address: S v Cross Street: %J Phone No.: Bldg.Permit#: 4111 I-D email: Tax Map District: 1000 Section: `�� Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: 5YE / NO Rough In Fina 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 f Request for Inspection Form As l j t1 721 �`,� `-rAo� Nd� N��:�3c��� �• -��,f�..� /•r�Y1 v�S ��.a�GTJ��',r/1a X07 •' a f.v� 4 i SC) jjHA8 1a;AIAPS �'��✓'! 1 't0� t Ott• — * ;•c• •1 cl 1Sp �tt+9!/1�p7iL OJ �•pp.,.• .00V�`s •� .-'� d+ o'oS5 1,IOsi 1 S33tINY81fn0 mu 13 91tt4Nit 3R1 i0 SSSrN11Ssv 8 Ol__ q QNV NO3M3N 031Sn NOI113111SNI 0 N31 } tr i QNV o9N30V 1VINIWNMSAOo UYdWo� III& iHl 03 d1VN39 SIN NO UN 'a33Y4 d SI ! k AIAMS SRI WORM 80d NOSb3d 3R1 Ol NO - 1 NAV lIVRS NO3'd3R G31V3IQNI 5831N no ! 4 •AdO3 inn anvA V 1 of I .a,q•{ O ' ! M301SN0.1 19 LON 11VRS 1V3S 03SS BW3 SO 1v3S a331N1 940MAans a 8111 O BR MY30 ION dVW MUM sm d0 93 O� } '/AVt NOII 03T lives MOA A11N 31mul d0 dou NOI 3S �. d0 NOI1VIOIA V$I A3AMnS SI OJ womoov MO Nouvimuly a33IMONln ' baa/ v.�,.-c mil��T s ._..�._.___ �•Qoi_ .3�o a � 4 N f _�-------_--�.� 77-7,7- 7e x--.—a,M1,�%�.. .J e ..�7 Ale 0'4- 5y,5 11 4, 41 TAME mied Warranty #30956317 Congratulations, your Limited Warranty was successfully submitted. This is important information. Please retain for your records. ' Please retain proof of the installation dates for your products (i.e. invoice) to verify the registered warranty for any future claims. For complete, comprehensive Limited Warranty terms and conditions, please refer to our Limited Warranty in " the Use and Care Information that'accompanied your product, or contact your installing dealer. During the Registered Limited-Warranty period you have the opportunity to purchase a transferability option, which allows your,Registered Limited Warranty to be transferred to a subsequent homeowner.The original owner may purchase Transferability during the 60-day Product Registration Period or the subsequent owner may purchase Transferability within the Limited Warranty period, up to ninety (90) days following their purchase of the home. With the purchase-of your,equipment, you may be eligible for a labor warranty from your installing dealer.- Contact the installing dealer to inquire if your system may qualify for repair labor free of charge. Name:Wayne Monson ELECTRICAL Phone Number: 6317653565 _ INSPECTION REQUIREDr" Email: Dealer: DjK Heating & Cooling 0CCUPANC z=O , Home / Property Owner Address Equipment Addre E I - IJNLAWFU - Wayne Monson Wayne Monson, ;VIIITHOI�TF CRTC �ICAT[ 555 Smith Dr S "555 Smith Dr S` Southold, NY 11971-4402 Southold, NY 11971-4409F OCCUPANCY Limited Warranty Terms -�Tean9fer Purchased':'N0-` Systeml AIR CONDITIONER (Model# M4AC3024131000N) (Serial# 173010313M)- (Residential Extended) Functional Parts :Term End Date Is 0529/2028 (10 Years) APPROVED AS NTED DATE:V B.P.4 11 COMPLY WITH ALL CODES OF FEE: BY; NEW YORK STATE & TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS REQUIRED AND CONDITIONS OF 765-1802 8A TO 4 PM FOR THE FOLLOWING INSPECTIONS: .,� 1. FOUNDATION - TWO REQUIRED" FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING bt$�@V�IdUSI ES 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Trane Limited Warranty Customer Service Number 1-855-260-2975 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. c' DJK Heating&0WIng,u.c Estimate 1658 o PO BOX 247 CUTCHOGUE, NY 11935 US 631-765-5554 djkheatingcooling@yahoo.com - - --- - - - - ADDRESS n+ Munson e r x 555 Smith Drive South DATE - Southold 05;14/201 S ACTlvny, 'QTY RATE AMOUNT New Installation 1 3,742.00 3,742.00 Install 1 new Trane Ameristar 2 ton condensing unit, model#AC43024A. Install new refrigerati6h mines:••"­ - lnstalf new:2 tori_levaporator.661l•ori=existing furnace in furnace room. Refabricate existing supply for new evaporator coil. Included in iiistaNation: l -`' Replace existing cooper line set. Discard old unit:' All necessary materials, installation;{labor and start-up. One year guaranty -on clefect`s.in matenals and workmanship during normal business hours "e' r`'g �1,�'j - Total job cost:$374,M100­� +,1 z 1 We Hereby Propose to furnish materials and labor-complete in accordance with above specifications for the sum of Three Thousand Seven Hundred And,FartyTwo :n t dollars. Payment to be made as follows: 5016 deposit,500/6 start-up. We look forward to doing-business with yotil- e' 'I T1�° tiz'�ilr'e TOTALS9 742.00 ]`Aid - „� - THANK YOU. -_ , 001 "iJil' YalTnv Clf1f` ' tk .2 4 1 -r -a',j`e .Jt e1l/ Accepted-By ;, 1�ILiO; r Accepted Date., '1"; -10 611he •l- l '' '`eel.�•'-,JY"i ��,!,i !i/d i J %�(l i�� � �fj�,(f '� �I'1�Ci;1.1 •i"1JI I,.�!_)�i '/l'.,.i ('�1..7 iIS.'��=;� .. � I'T /� !fir III 1 l'111RV j#41 ► 1�\\� x ` ELSIVAIMPW SERIAL t Mom (tf( 3s pt N1 RA024 060 11 OZ pro °tgfAt Cr�AA3� FACT.CNARGE — 3NtGN $tOE 33 P3! �p�$tRtc DESIGN pRESSS, — �tS1ALtlow PER ? E �I `INSTALLER: USE UNIT V Pp # p 1s FOR OUTDOOR USE M CIRCUIT PACiTY "CA tYPE MAX F s�o� - , � CQ � FA! !+ iO r� ... a• , xis 1730 t 0323M i For C Ft t { �`�tT , hoc �A o s e y v f k �f *rv, lake im ANN ,fix�x s x�� r €_ ,�✓ �s K ,�.x��y�-t ar' 'a t yy AUG 2 9 2019 BURRING DFPT. r 55-5- Sf1'1 000 fud-11 6q �n A r Ci a e ` }y+ � TrL,p�4tf `�Y � s d'a Z ]{¢y �,,� a'tla'" `f r' •' .;'°fes! 4 ROFCl . �r i sp A'�tf�� ����� �� ��SS+���; f�'R �` {II��f � 4i@ i�[�P 7 Y'i•.� �� �F � T ' , i /' � K f= �^ Al i i