HomeMy WebLinkAbout44111-Z pro cpG, Town of Southold 9/17/2019
P.O.Box 1179
y T, 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40700 Date: 9/17/2019
THIS CERTIFIES that the building HVAC
Location of Property: 2125 Town Harbor Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 66.4-31
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/20/2019 pursuant to which Building Permit No. 44111 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 AS APPLIED FOR
The certificate is issued to Halpert Article Sixth Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44111 09-13-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
�SUFFoc C BUILDING DEPARTMENT
a " TOWN CLERK'S OFFICE
0
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#: 44111 Date: 8/29/2019
Permission is hereby granted to:
Halpert Article Sixth Trust
C/O E Halpert
130 E End Ave
New York, NY 10028
To: legalize "as built" AC unit as applied for.
At premises located at:
2125 Town Harbor Ln, Southold
SCTM # 473889
Sec/Block/Lot# 66.-1-31
Pursuant to application dated 8/20/2019 and approved by the Building Inspector.
To expire on 2/27/2021.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -RESIDENTIAL $50.00
Total: $450.00
Buil ector
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 tines,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, Coercial$15.00
Dat f g—
New Construction:
s� Old or Pre-existing Building: (check one)
Location of Property 02 S -rbw'J K-,+12,0aK f,&.D '
House No. Street Hamlet
Owner or Owners of Propertyvw/rrLa4 Pin T
Suffolk County Tax Map No 1000, Section 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: $
v Applicant Signature
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(a-)-town.southold.ny.us
Southold,NY 11971-0959 st`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Halpert Article Sixth Trust
Address: 2125 Town Harbor Ln city Southold sr NY' zip: 11971
Budding Permit#. 441 1 1 section. 66 Block 1 Lot 31
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 Surrey 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 2 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 4 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 2 Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment
Notes.
Inspector Signature: Date: September 13, 2019
S.Devlin-Cert Electrical Compliance Form.xls
UF SOUIyo� L4 ( I f
# # TOWN OF SOUTHOLD BUILDING DEPT.
COurm765-1602
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:
A-5 05vt L-7-
-rtAIA-L, tAege�.rm� J"M�7�QAI "Cee,'
DATE INSPECTOR
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before'applymg?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plan
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 a 204 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail to: et,T`'
Disapproved a/c PO . Ob K ( QS'b -SaLrr/fo 4,V
Phone: 631-
Expiration _ 1 ,., 0 4 3 7 7
Bu spector
AUG 1 9 2019 APPLICATION FOR BUILDING PERMIT
FJI��vI '? IiLPT. Date ��� , 20J
TOWN PUT � � 1` Oy 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 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. I _ -
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. Th l;eafter, 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.
ignature 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
Name of owner of premises ED w,4n_J fi(L%eet T
(As on the tax roll or latest deed) - 1
If applicant is a corporation, signature of duly authorized officer
(Name and-title of corporate officer) 4 -
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No,,.
1. Location of land on`wH 6h`,p'r` pbsed work will be done:
.� 7 qw, Lor(E L
House Number Street' Hamlet
County Tax Map No. 1000 Section Block 10,90 Loth(0 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 .St0('-L< AmwtL.y
b. Intended use and occupancy Sr OCrL�e >nf� cL,r e.J c �,e� -L ��n r�
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work 1a�f,/JecTe a� a C uI-rrs .-C-1c
(Description) u AjCry
4. Estimated Cost Fee
(To be paid on fling 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 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 K- Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Cavil"tp 0-,4LP1'A-r Addressa I'as7Ds-.1 gj+agB^.Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
9b.
this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NOV'ES, 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-K—
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNT OF )
being duly sworn, deposes and says that(s)he is the applicant
( ine of individual signing contract) above named,
(S)He is the �l�f� P't e S l3 p 9/L C/�6�� T�'{t,e�-%- —y6 G yf
(Co tractor,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. CONNIE D.BUNCH
Notary Public,State of New York
Sworn to before me thi No.01BU6185050
Qualified in Suffolk County
1A� day of C� 6-�-,' 20 y nimission Expires A661 14,2b
Notary Public Signature of Applicant
Fal�A BUILDING DEPARTMENT- Electrical Inspector
V ' 1\ F} TOWN OF SOUTHOLD
Tov�n�l)lall Annex - 54375 Main Road PO Box 1179
Southold, New York 11971-0959
�' • 1 2 IBJ' elephone (631) 765-1802 - FAX (631) 765-9502
roger.richert(c_town.southold.ny.us
APPLICI; R ELECTRICAL INSPECTION
ecY I
REQUESTED BY: Date:
r
Company Name:
Name:
License No.: email:
Address: 5
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: P%JARo c tit
7-
Address: ` z" vj 10.rL- ,-otC(7*aL0 N, i
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot: 3 1
BRIEF DESCRIPTION OF WORK (Please Print Clearly) T,v� C---f--
®�t 7'p ac9 2 `/- 5Tp+J 9 aM- u N 4is 7Z,Jf7r-)4 c L-e a r o . 'A-rt 1 Aro r iV u D
(6 &L Q L 7-R 02c2?—
Circle All That Apply:
Is job ready for inspection?: ES 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
O�
O
Request for Inspection FormAs, 1� ��
ii-
t
APPROVED AS NOTED
DATE: B.P.It
FEE: BY.
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
'FOR POURED CONCRETE
2. ROUGH - ,FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR CO.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL.
INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
H8tBi6WP��
S6�� dIQUNG IOARD
WN`FRS
NTSTEC— --
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA r
OF OCCUPANCY
it 0--M I I.OU AIA
Product Specifications
Product Specifications ;
Indoor Unit
Indoor Unit'lype WallMounted
Model A31 093MAD(I VIRIM AARMOS3D4 OCUIN090 A)1NC129DEA0(l3%l20C AMNB129DEA0(U)NI BE)
lommalcooling Capacity * ca 2,267(2,637) 2,267(2,63 3,023(3,516) 3,023(3,516
81u/h 9,000 9,000 12,000 12,000
ommalHeatngCapacay * kcaVh(W) - 2267(2,637) 3,023(3,516)
Btu/h - 9,000 - 12,000
urcirculation 41WL CMM CFM 82(289) l 289 94(332) 9 332)
ettamgtemperaturerang coo ea C 18-30 16-30 18-30 16-30
an motor input W 15 15 15 15
Model DL-8843OLGIF DL-8843OLGIF 5L88430LGIF DL-8843OLGIF
Input V DC36 DC36 DC36 DC36
Running current A 015 _ 015 015 01
an ype Cross Flow Fan Cross Flow Fan Cross Flow Fan Cross Flow Fan
No Use Diameter W.ch(..) 1/374(95) 1/374(95) 1/374(95) 1/374(95)
aseLeid(Sound Press,lm) WM/L dBA 31/29/22 31/29/22 36/32/29 36/32/29
emperaturecontroller Thermistor Thermistor Thermistor thermistor
i eS-0D m mm 019750 019750 019750 019750
ms perm 20 20 18 18
No 07 Rows&column 2R,1 SC 2R,15C 2A,1 5C 2R1 5C
)ehumidification Rate 1/h 1 1 12
anslons(W*H`D) mch(mm) 330'106-60(840`270'753) 330h0660(840770.153) 352.111'65(895762'16 352'111.65(895°282'16
etWelght lbs) 7154 7(154) 9.5(209) 9 209
pmg ConnectionQu inch mm 1/4(635) 1/4(635) 1/4(635) 1/4(635)
Gas Inc mm 3/8(952) 3/8(952) 3/8(952) 3/8(9 52)
Dram hose(ID 0) mm 20 20 20 20
dcmgDimension(WH•D) mch(mm) 357'731'88(906.332.223) 357.131.80(906.332'223) 383-91.146(973.231.372 383'91'146(973.231'37)
to gauantlry i W ou S Parts 20 40 K 440 910 1091 440/910 1091 353 19 792 3 2
Indoor Unit Type Artcool
Model AAlNC093APAf0(L3L"0900'5 A3LNHD934PMD([3M 90 ') AMN(M1A MOMIAN120 S) AAL1"BWAPA1D(ami BNS)
gorninalCooling Capacity * ca 2267(2,637) 2,267(2,637) 3,023(3,516) 3,023(3,516)
9,000 9,000 12,000 12,000
ommalHeating Capacity * kcaVh(M 2267(2,637) 3,023(3,516)
Blum - 9,000 - 12,000
kir Cuculation JIMIL CMM CFM 75(264) 264 8 300
ttingtemperature rang cooVhea C 18-30 16--30 18-30 16-30
an motor 4 utput W 24 24 24 24
Model DLS98121-6IB DL-89812LGIB DL-89812LGIB DL-89812WIS
No of Poles
Input V DC36 DC36 OC36 DC36
RunnmgCurrent A 15 15 15 15
an ype Turbo Fan Turbo Fan Turbo Fan Turbo Fan
No Used/Diameter EA/mch(mm) 1/2432(6177) 1/2432(6177) 1/2432(6177) 1/2432(617
ase Lerd(SamdPrerlm) H/M/L dBA 37/31/27 37/31/27 43/39/31 43/39/31
emperaturecontroller Thermistor Thermistor Thermistor ermL9tor
of 0197(50) 0197(50) 0197(50) 0197(50)
t eStzeFins per mcn 20 20 20 20
No of Rows&Column 2R20C 2R20C 2&20C 2R,20C
)ehumidificaton Rate Vh 11 - 14
unensions W H•D m mm 224724.51 570.568'729 224'224.57 570.568`729 224724.51 570'568.72 22 4'51(570' 8'1 )
etWeit kg[lbs) 9(1984) 9(19 84) 9(1984) 9(1984)
gang onnecoon m mm 1/4(635) 1/4(635) 1/4(635) 1/4(635)
Gas mch(mm) 3/8(952) 3/8(952) 3/8(952) 3/8(952)
Dram hose(I)0) mm 20 20 20 20
dcmgDimensron WH-D) m mm 262'257.91 665`653731 262757'91(665'653731 262'257-9166WT-3 1 262-25M1(669653'23)
{ .tumrgQuantiry Wi ou S Parts 20/40 hic 237/534(239/539) 237/534(239/539) 237/534(239/539) 237/534(239/539
Note 1 See the page'Combmauon Table'
2 Due to our policy of innovation some specifications may be changed without notfrcation
Service Manual 13
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f Product Specifications
n
Outdoor Unit-Multiple piping models
Model A2UC243FAO(LMU240C17 A2UH243FA0(LMU240HE)
Coofmgcapacity* BN41r 9,000-24,0110 9,000-24,000
W2637-7033 ZtVJ7-7uzvj
kcaVhT 2267-6037 2267-037
easngCapaaly* BtAr 9,00044,000
W 2637-7033
kcal/m - 2267-6037
Inputk Pooling W 1170-2390 1170-2390
Heating W - 122D-2440
mrngOrr�ci(2[8730r1 Cooling A 77-101 7.7-101
Healing A - 74-98
asupply OVkfz 1,2081230,60 1,20&230,60
MaxNumber of Connectable Ind=Units 2 2
i ComRessor We Rotary Rotary
! (Constant) hodel GK091K GK094K
MolorType Hermetic Hermetic
Ouanety I Ea 1 1
f Motorinput W 955 955
OOCharge cc 330210 336110
Offype FVC68D FVC68D
f Capacitor pFNac 301370 301 WO
11if OL.P ype(nwdel name) ExtemalType(MRA9 12026) Fxte malType(MRA 1 )
Compressor We Rotary Salary
(Constant) Aodd GK141K CROOK
MotorType Hermetic Heretic
Ouanhty Ea 1 1
DEFlnpu[ vv 1430 1,430
OdChwge cc 350=10 350 O
OdType FVE HE
Capaator pFNac 351370 35/370
O L PType(model name) 6demalType(MRA12105-12026) ExternalType(MRA12105-12026)
geran arge ;huge g(oz) 16M 1WO
l
Type B41 OA R410A
` Control L EV L EV
( Cal luba Size(OD) mch(mm) 0276(70) 0276(70)
j Fmsper inch 18 18
I N o o I Fb m 8 C d un d M. 2R,36C 2R,36C
' FanmoOor 9odel 1 OLGG I 1
S Output W 90 90
Capaomr pFNac 61370 6/370
Fan rype Ropaler Ropoller
NoUsed/Diameter JIFAA ch(mm) 1146 1/460
Otsdwge I Srde/Top Side Side
AnCnculation tdoatffi(A)(CFM) 53(1853(1872)
( NaseLeWAQa1230V SoundRess,lm A 72)54 54
Detrosang - laversonCyde
SVCVaIve Liquid n (mm) 1 Tr(6-9)—2 FA 114(535)'2U
Gas 318(9 52)-2318(9 ) 2EA
j Wiens= 'H'D inch(mm) 343.31.5.126(870'SW32D) 343.31.5.126(870'800.320)
i NecWergrt idoor kg(lbs) 69(152) 69(152)
tlaxtuamtPoping LeO Totalof Each Roan m 30 30
ane oom m Is 15
i ^- Maxlnstahaticn donrUnt-Outdoor Unit m 75 7
HelghtOtfference ndoerumt-Indoor Unit m 7,5 75
PadhngD nenslon 'D inch(mm) 402.34.3.17 3(1020.870'440) 40 2.34 3.17 3(1020'870'440)
I.E.
S E 4 K S E 12 K EE 1 A r g t 2(
i ngOvantiry, Oft 1 Of14 114
Notes: 1 Capacities are based on the following conditions
Cooling:-Indoor Temperature 26 7"C(801 T)DB/19 4'C66 9'F)WB
-OuhioorTemperature 35'C(95°P)DB/23 9C(75F)WB
-InterconnectingPtping Length 7.5m
i -LevelDrflerence of Zero.
Healing-Indoor Temperature 21 1"C(700F)DB/15 6'C(6010F)WB
-OutdoorTemperature 8.3'C(46.94°F)DB/61"C(4298°F)WB
-InterconnechngPlping Length 7.51111
-LevelDdference of Zero
ZCapacites are Net Capacities.
e a See the page'Combmahon Table'
j 4 Due to our policy of novation some specifications may be changed without notification
14 Multi type Air Conditioner
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