HomeMy WebLinkAbout43907-Z �oG� Town of Southold 9/20/2019
0
P.O.Box 1179
w t 53095 Main Rd
�a,A � �ao��r Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40712 Date: 9/20/2019
THIS CERTIFIES that the building OTHER
Location of Property: 25 Moose Trail, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-4-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/19/2019 pursuant to which Building Permit No. 43907 dated 6/26/2019
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"AC UNIT AS APPLIED FOR
r
The certificate is issued to Pacella,Daniel&Catherine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43907 08-23-2019
PLUMBERS CERTIFICATION DATED
uthorized Signature
TOWN OF SOUTHOLD
ell"
BUILDING DEPARTMENT
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#: 43907 Date: 6/26/2019
Permission is hereby granted to:
Lonk Jr, Rudolph & Jacqueline
25 Moose Tri
Cutchogue, NY 11935
To: legalize an "as built" AC unit as applied for.
At premises located at:
25 Moose Trail, Cutchogue
SCTM # 473889
Sec/Block/Lot# 103.-4-3
Pursuant to application dated 6/19/2019 and approved by the Building Inspector.
To expire on 12/25/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
uildi g In ector
Buildin Uepartmell t„AOI ation
AUTHORIZATION
(Where the Applicant is not the Owner)
residing at
(Print property owner's name)
(Mailing Address)
do hereby authorize _ �,14
(Agent)
__ •..._ „_,�..._ to apply on my behalf to the
Southold Building Department.
(Owner's Signature) (Date)
(Print Owner's Name)
i f
t
JUN 1 9 2019
pF SO�ry®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® Q sean.devlinCD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Rudolph Lonk Jr
Address. 25 Moose Trail City Cutchogue st. NY zip. 11935
Building Permit# 43907 Section. 103 Block. 4 Lot- 3
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 X 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 FixturesTime Clocks
Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment:
Notes " AS BUILT" " NO VISUAL DEFECTS"
Inspector Signature: Date: August 23, 2019
S Devlin-Cert Electrical Compliance Form As
IE SOUIyO t��`3( G 7
h� �O
# TOWN OF SOUTHOLD BUILDING DEPT.
°`ycourm '' 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 C INSPECTOR f
FIELD INSPECTION REPORT :DATE COMMENTS
FOUNDATION (1ST) I
y
------------------- -----------------
'FOUNDATION (2ND)
' � O
ROUGH FRAMING&
PLUMBING
�a
INSULATION PER N.Y: -
STATE ENERGY CODE y
FINAL
ADDITIONAL COMMENTS
77.
.r
•H
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
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit.
Examined 520 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
/f Contact:
Approved (� ,20 101 Mail to:
Disapproved a/c
Phone:
Expiration _,20
V ";` rte`'' mg Insp ctor
I Y �
•s1 �y�Yt
JUN 1 9 2019 APPLICATION FOR BUILDING PERMIT
Date �� , 20�
INSTRUCTIONS
'L` `INN Os1VDI1'1�" i.;�
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, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
APPPIC�1E ;' i',yC)"'E USE 10 UNLNVVFUL Siatirre of applicant or name,if a corporation)
DATE:6,96-11t B.P., IT T CERTIFICATE ,570Z.0_ ,
- D (Mailing address of applicant)
NWTY�T
it UL
Sta AF-hg,ther A,pplic-antq§oW.ffel,I1essee, agent, architect, engineer, general contractor, electrician,plumber or builder
FOLLOWINy�,r .=r0Z` t ✓ '
1. FQUNDXT1 - -1 VVU rt- u1r-
,ONCRETE
Name� �ON-F�" �;,. else ,°�A�r.r� G�erS�'I�C. !?fir/ � ��
I*. ! (As on the tax roll or latest deed)
If applict isca�,corp(r,wl,s'igz ature of duly authorized officer
11 0,nMPI-ETE Kffl C O. A
ALL � r �?/Y�
(ci����ridTGit'1'e of corp nro`ra�el� ficer)
r s w F THE CODES OF NEEW _
Bull'der.�'Jli3fo'ef1����. r r,
Pluri4RA Ugh':se�"'' 14 "
„ a � c
EleA�ii' g5i'cense o. , �v, �� 70AJ �J ���✓�-
Other Trade's License No. rw O a /,4
1. Location of land on which prqposed work w'll be,done:
15-�7S / r(U-
House Number 9treet Hamlet
County Tax Map No. 1000 Section _,Block Lot 3
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 Mou'yZ
b. Intended use and occupancy e:;?w (, ? /
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work_ e9x: �(1-14e tZ
(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,
r�
Depth Height- Number of Stories',"'/',,
8. Dimensions of entire new construction: Front Rear Depth ..
Height Number of Stories ' 1 V!12,
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 withte§pect to this property?'* YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says that(s)he is the applidant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agen ; rporate 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 t before me th's 2011 I SYA. PERKINS
day of F Mary Public, tate of New York
I�SIA No.01PE6130636
otary Public Qualifiedh 13ffolk Cou / Signature of Applicant
iCommission Expires July 18,
O#P
BUILDING DEPARTMENT- Electric I InspectorTOWN 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@town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
email:
License No.:
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name:
/w a
Address:
Cross Street:
Phone No.:
email:
Bidg.Permit#:
Tax Map District: � 00 k:
Section: l�3 BlocLot:
't
BRIEF DESCRIPTION OF WOR({(Please Print Clearly)
Circle All That Apply= Final
Is job ready for-Inspection?: YE NO Rough In
DoY ou need a Temp Certificate?: YES NO Issued On
Temp information: (All information required)
Service Size
1 Ph 3 Ph Size: = 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:
PAYMENT DUE WITH APPLICATION
K-Request for Inspection Form As
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6/17/2019 Rheem RANL-043JAZ-Classic Series 3 1/2 Ton, 13 SEER,R410a Air Conditioner Condenser 208-230 V,1 Ph,60 Hz--1369225402313
101,i
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Rheem RANL-043JAZ - Classic Series 31/2 Ton, 13 SEER, R410a
Air Conditioner Condenser 208-230 V, 1 Ph, 60 Hz
Item: RANL043JAZ MFR: RANL-043JAZ
This product is no longer available for purchase.
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Description
Specifications
Name Rheem RANL-043JAZ-Classic Series 31/2 Ton,13 SEER,R410a Air Conditioner Condenser 208-230 V,
1 Ph,60 Hz
Gemaire Item Number RANL043JAZ
Manufacturer Product RANL-043JAZ
Number
https://www.gemaire.com/rheem-ran I-043jaz-classio-sedes-3-1-2-ton-13-seer-r410a-air-conditioner-condenser-208-230-v-1-ph-60-hz-ranIO43jazgtab-s... 1/3
6/17/2019 Rheem RANL-043JAZ-Classic Series 3 1/2 Ton, 13 SEER,R41 Oa Air Conditioner Condenser 208-230 V,1 Ph,60 Hz---1369225402313
SKU-PIM Number 1369225402313
ERP Number 229928
Unit of Measure EA
Weight 202.0 Pounds(Lb)
Length 44.0 Inches(In)
Width 31.0 Inches(In)
Height 23.0 Inches(In)
Country of Origin MEX
Brand Rheem
Tier Classic
Equipment Type Straight Cool
Tonnage 3.5
Stage Single
SEER 14.5
EER 10.5
Refrigerant R-410a
CFM 0
Cooling Capacity 43000
Voltage 208-230 VAC
Full Load Amps 1.2
Phase Single
Cycle/Hertz 60 Hz
Rated Current Amps 0
Minimum Circuit Amps 21.1
Maximum Fuse Size 45
Rated Load Amps 19.9
Locked Rotor Amps 109
Suction Line Fitting 7/8
Suction Line Size 7/8
Liquid Line Fitting 3/8
Liquid Line Size 3/8"
Certifications AHRI,ISO 9001:2008
Color Gray
Compressor (1)Scroll
Inverter No
Number of Fan Blades 1
https://www.gemaire.com/rheem-rani-043jaz-classic-series-3-1-2-ton-13-seer-r410a-air-conditioner-condenser-208-230-v-1-ph-60-hz-ranIO43jaz#tab-s. . 2/3
6/17/2019 Rheem RANL-043JAZ-Classic Series 3 1/2 Ton, 13 SEER,R410a Air Conditioner Condenser 208-230 V,1 Ph,60 Hz---1369225402313
Sound Level(dBA) 76
Warranty Offered Yes
Energy Star Rated Yes
UL Listed Yes
Product Family RANL
Stages Cool 1
GEM-Case Quantity
Documentation
Parts List
https://www.gemaire.com/rheem-rani-043jaz-classic-series-3-1-2-ton-13-seer-r410a-air-conditioner-condenser-208-230-v-1-ph-60-hz-ranIO43jazfftab-s... 3/3