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u� EFOL/C G Town of Southold 11/8/2019 o - P.O.Box 1179 `� .. 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40842 Date: 11/8/2019 THIS CERTIFIES that the building ALTERATION Location of Property: 1480 Factory Ave., Mattituck SCTM#: 473889 Sec/Block/Lot: 142.4-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/30/2019 pursuant to which Building Permit No. 44382 dated 11/6/2019 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 installation as applied for. The certificate is issued to Factory Avenue Partners Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44382 10/31/2019 PLUMBERS CERTIFICATION DATED -AMorized Si re ��4�SOFwt,r�oGyTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • 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#: 44382 Date: 11/6/2019 Permission is hereby granted to: Factory Avenue Partners Inc PO BOX 1040 Aquebogue, NY 11931 To: legalize an "as built" AC unit installation as applied for. At premises located at: 1480 Factory Ave., Mattituck SCTM # 473889 Sec/Block/Lot# 142.-1-4 Pursuant to application dated 10/30/2019 and approved by the Building Inspector. To expire on 5/7/2021. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 ELECTRIC $170.00 CO -ALTERATION TO DWELLING $50.00 Total: $620.00 uildi g I 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 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 q Date. © 2 New Construction: Old or Pre-existing Building: (check one) Location of Property: 1 ZS b FAC:JM�-( /4 L7C� House No. $ /� Street Hamlet Owner or Owners of Property: 1 I ` C (0+e� AVE PPF4( )at S Suffolk County Tax Map No 1000, Section q_B (fd q Block I` 2, �/ ,' Lot Subdivision [Q l Filed Map. Lot: Permit No. y' d� Date of Permit. Applicant: �� I-( AVE P i/USS Health Dept.Approval: Underwriters Approval: Planning Board Approval: ^' Request for- Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 9 &plicant Signature Al,F-P,E-6 M. C wE l-F( rV sovjy®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • a0� sean.devlin(cD-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Factory Ave Partners Inc Address: 1480 Factory Ave city,Mattituck st: NY zip: 11952 Budding Permit# 44382 Section 142 Block- 1 Lot 4 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 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps 1 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 Unit Inspector Signature: Date: October 31, 2019 S. Devlin-Cert Electrical Compliance Form As 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) 765-1802Planning 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 Flood Permit Examined 20 _ Single&Separate Truss Identification Form Storm-Water Assessment Form OCT 2 a 2019 Contact: Approved 120 Mail to:.&C_-Wk AVE AA-1—NtEILS Disapproved a/c ,r� ^�;`r� Phone: Expiration 120 t t "'qA til Bui mg nspector A PLICATION FOR BUILDING PERMIT Date 20 T't{ INSTRUCTIONS Ili'i' a� li'cat onrMUSrT be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 1- innll,�la nC.�r- sets o pika SVMCcurate�plot,plan-too;scale.uFee according to schedule. lr�}?lot�plan �ioiwing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas,ans. 1-cSijT,h�Lwo kj�,overedCFy tliisjJipplication may not be commenced before issuance of Building Permit. 3. P r�Cw - , -) ir' d.4Wpon approval of,this applicatiop,�the-Building Inspector will issue a Building Permit to the applicant. Such a permit ti3 �i shall be et ofi the�re'iseslavailable.fomj}��p`�'Aion throughout the'work. !d_- e.11 biii!Idin�gy�liallC.be'rocctip e�d� iCu�-,dd in whole or in part for any purpose what so ever until the Building Inspector issues a G--er-tdi,fj'Gateilo- rOc�cyuparicy,' -IRp,ORJ f v0ryd6u'ild UgVpie lai'ilsrhal` expire if the work authorized has not commenced within 12 months after the date of issuance or5,6a n 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 a rees to c m ly all applicable laws, ordinances,building code,housing code, and regulations, and to admit auth ro z�e`d ijTpe®oro p i es and in building for necessary inspections. { St lul N LAWER U LFACil041 A-VE r rr t&vim. (fvc. ll� (Signature of applicant or name,if a corporation) t JIT' 'Q g T C `�'��� TE AFC URPAN " P D 4oX 10Y0 A-4)oe6o6vi (Mailing address of applicant) `I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder C)W tj Name of owner of premises FA G Tro P--Y AV E PA-,P—k/UC-7)LS (As on the tax roll or latesCAMPLY WITH ALL CODES OF If licant i a corp oi ion, si nature of duly authorized officer NEW YORK STATE & TOWN CODES If ' eA-al- AS REQUIRED A title of corpor (Name and ate officer) _ Builders License No. S T Plumbers License No. S Electricians License No. Other Trade's License No. S W�EES 1. Location of land on which proposed work will be done: 1JPG) PAcJJV-Y A-Vt—,- Nfi rl"i t i✓CV-, V Y ills Z - House Number Street Hamlet County Tax Map No. 1000 Section V 7-2-.,�g :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 -%E:' b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Q-�-:> D u (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 stntctures, 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 Fonner Owner 11. Zone or use district in which premises are situa 12. Does proposed construction violate any zoning la ;ordinance or regul 'on? YES NO 13. Will lot be re-graded? YES NO Will excess 1 be re ved from premises? YES NO__� 14. Names of Owner of premises Addres Phone No. Name of Architect Addre s Phone No Name of Contractor Add ss Phone No. / 15 a. Is this property within 100 feet of a tidal wetland o a freshwater etland? *YES NO V * IF YES, SOUTHOLD TOWN TRUSTEES &D.E. . PERMITS MA BE QUIRED. b. Is this property within 300 feet of a tidal wetlan . * YES NO * IF YES,D.E.C. PERMITS MAY BE REQUIRE 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 NOIIJ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNT kkOr ) wCosdf,lo ,-01"; ,I being duly sworn, deposes and says that(s)he is the applicant ive of individual signing contract) above'named, �'� (S)He is the �) (CQ-n(ractor,_Agent, Corporate Officer, etc.) of said owner or owners, and is duly autliorized't"o'perform or have performed the said work and to make and file this application, that all sfateinenes,'corita ned�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. .' r, -- Sworn _..__..__._,,.m. -Sworn to before me this jja-tt—day of �}" P r 20L� DWYER �- Notary Public0 ARY PUBLIC,STATE OF NEW YORK 1' Signature of Ap i t NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2P2,�— V BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD 'Aftown Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 f TIe-phone (631) 765-1802 - FAX (631) 765-9502 rb err'Cc,southoldtownny.gov - seand(a)-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: F G j�,,2 C, 1 VeAS Name: License No.: email: Address: DX O` c N"I t(9 3 ( Phone No.: (j?j k- -7 -,27-) JOB SITE INFORMATION (All Information Required) _ Name: AVI= IIA 1OE�L S Address: - A V Iv ,4 --UGC N (( �1-- Cross Street: Phone No.: 6I - 7 2- -7 `7 Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Gc N-'/�f��- 4 G UN 1 I L OC4-teJ tSAc IL DFo-sc- Circle All That Apply: Is job ready for inspection?-. ES NO Rough In final 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: ; -PRE- EYA -5 1 I,A) d- ATC op r i LvR S !ol IPLA cc �vl-fE til tpvS E- Gv,4S 4 o r-C S CUQreCN i pW ru 1L, PAYMENT DUE WITH APPLICATION Request for Inspection Form As rheem owns ruud - Yahoo Search Results 10/26/19, 5:55 AM s � rheem owns ruud Web Images Video News More Anytime Rheem Manufacturing Company is an American privately held manufacturer that produces residential and commercial water heaters and boilers, as well as heating, ventilating and air conditioning (HVAC) equipment. The company also-produces and sells products-under the-Raud' and--narneAt is a subsidiary of Paloma Industries. Rheem - Wikipedia en.wikipedia.org/wiki/Rheem � ' r Rheem - Wikipedia--- en.wikipedia.org/wiki/Rheem Rheem Manufacturing Company is an American privately held manufacturer that produces residential and commercial water heaters and boilers, as well as heating, ventilating and air conditioning equipment.The company also produces and sells products under the Ruud brand name. It is a subsidiary of Paloma Industries. What became Rheem started in 1925 as a supplier of packaging to the petroleum industry, and is currently headquartered in Atlanta, Georgia in the United States.The company is one of t Why Rheem - Rheem Manufacturing Company www,rheem.com/about A History of Comfort. Brothers Richard and Donald Rheem founded Rheem Manufacturing Company in Emeryville, CA, in 1925. While the company has produced a number of products in its nearly 100 years of operation, Rheem is currently the only manufacturer in the world that produces heating, cooling, water heating, pool&spa heating... About - Ruud www.ruud.com/about Ruud eventually bought the rights to his invention and in 1897 organized his own company to make water heaters. Other breakthroughs, large and small,followed over the years, as Ruud became a leading pioneer in water heating products for the home as well as for commercial and industrial applications. https://search.yahoo.com/search;-rlt=A...m+owns+rued&fr2=sb-top&fr=yfp-t-s&fp=1 Page 1 of 6 t , Rheem 13AJA42AO1757-Value Series 3 1/2 Ton,13 SEER,R22 Air Co—denser(Shipped Dry-Nitrogen Holding Charge)---1374511308342 10/26/19,5:51 AM I - I I � View full-size in new tab I � I I I I I Rheern 13AJA42AO1757 - Value Series 31/2 Ton, 13 SEER, R22 Air r Conditioner Condenser-(Shipped Dry - Nitrogen Holding Charge) Item:13AJA42AO1757 MFR:13AJA42AO1757 1 � This product is no longer available for purchase. Comparable Products ' I } • Equipment ` 4 3 � Description Specifications 1 Documentation Parts List I Name Rheem 13AJA42AO1757-Value Series 3112 Ton,13 SEER,R22 Air Conditioner Condenser(Shipped Dry-Nitrogen Holding Charge) Gemaire Item Number 13AJA42AO1757 a Manufacturer Product 13AJA42AO1757 + https.//www.gemaire.com/rheem-13aia42a01757-value-series-3-1-2-ton-.-ipped-dry-nitrogen-holding-charge-13aia42a01757#tab-specifications Pagett of 3 Rheem 13AJA42A01757-Value Series 3 1/2 Ton,13 SEER,R22 Air Co...denser(Shipped Dry-Nitrogen Holding Charge)---1374511308342 10/26/19,5:51 AM i „ r } Number a SKU-PIM Number 1374511308342 ERP Number 271455 { Unit of Measure EA I ' S Weight 183.0 Pounds(Lb) Length 33.9 inches(in) ,! Width 33.9 Inches(In) i Height 27.6 Inches(In) Country of Origin MEX I Brand Rheem Equipment Type Straight Cool 1 Tonnage 3.5 Stage Single � SEER � 13 EER 1115 ` Refrigerant R-22 Cooling Capacity 42000 j Voltage 208-230 VAC i k Full Load Amps 0.8 Phase Single Cycle/Hertz 60 Hz r kCircuit Breaker-Min Amps 30 t Circuit Breaker-Max Amps 40 j Minimum Circuit Amps 25 T i 1 Rated Load Amps 19.2 i M Locked Rotor Amps 105 j ! Suction Line Fitting 7/8 Liquid Line Fitting 3/8 1 Certifications ISO 9001:2008 i Color Green T Inverter No I Number of Fan Blades 1 Sound Level(dBA) (76 Warranty Offered Yes j Energy Star Rated No f UL Listed Yes II i Product Family 13AJA I G I Tier Value Series https:((www.gemaire.com/rheem-13aia42a0l757-value-series-3-1-2-ton-.-ipped-dry-nitrogen-holding-charge-13aia42a0l757#tab-specifications Page 2 of 3