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HomeMy WebLinkAbout44400-Z zllzq=rtl� ��q�StlFFOIq-�p�y Town of Southold 2/18/2020 3 P.O.Box 1179 C* c' Ph 53095 Main Rd 04�0� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40977 Date: 12/31/2019 THIS CERTIFIES that the building HVAC Location of Property: 115 E Side Ave.,Mattituck SCTM#: 473889 See/Block/Lot: 99.-3-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/1/2019 pursuant to which Building Permit No. 44400 dated 11/12/2019 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"MINI-SPLIT HVAC SYSTEM TO AN EXISTING COTTAGE The certificate is issued to Lowry,Andrew&Malgorzata of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44400 12-13-2019 PLUMBERS CERTIFICATION DATED Authorize Signature a�SOFF TOWN OF SOUTHOLD �a Gy BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY G BUILDING PERMIT Y (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44400 Date: 11/12/2019 Permission is hereby granted to: Lowry, Andrew 441 Hawthorne PI Ridgewood, NJ 07450 To: legalize "as built" HVAC system as applied for. At premises located at: 115 E Side Ave., Mattituck SCTM # 473889 Sec/Block/Lot# 99.-3-19 Pursuant to application dated 11/1/2019 and approved by the Building Inspector. To expire on 5/13/2021. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -RESIDENTIAL $50.00 Total: $450.00 B ' ding Ins 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 Date. rhoU, ac) New Construction: Old or Pre-existing Building: (check one) Location of Property: 113 I Qk& House No. 1 Street Hamlet Owner or Owners of Property: '-I h cAVQ-W L dO , Suffolk County Tax Map No 1000, Section 99 Block 3 Lot Subdivision r Filed Map. Lot: Permit No. K© Date of Permit. Applicant- Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ 5� Applicant Signature ®��pF SOUj�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 c Q sean.deviin town.southold.n us Southold,NY 11971-0959 @ y' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Andrew Lowry Address- 115 E Side Ave city,Mattituck st: NY zip: 11952 Building Permit# 44400 Section. 99 Block 3 Lot: 19 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 X 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 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches El Twist Lock Exit Fixtures Combo SD/CO Other Equipment. Notes: " AS BUILT " " NO VISUAL DEFECTS " Mini Split Inspector Signature: Date: December 13, 2019 S.Devlin-Cert Electrical Compliance Form.xls / OFSO//Tyo L y `� lAve - # TOWN OF SOUTHOLD BUILDING DEPT. ' 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION-21SID [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] -FIREPLACE & CHIMNEY' [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION f ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) v�G [ ] CODE VIOLATION rl PRE C/O REMARKS: INA-L., Sl bCl-RJ co+b (Al s OA.) DATE I INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) H ------------------------------------- FOUNDATION (2ND) z Ln o ROUGH FRAMING& o PLUMBING y A 4 r r INSULATION PER N.Y. y STATE ENERGY CODE FINAL ITIONAL C MMENTS 1 Glr�i A rn 0 z ®- x e 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 Southoldtownny.gov PERMIT NO. 4*66' Check Septic Form N.Y.S.D.E.C. r Trustees C.O.Application wJ° Flood Permit Examined 20 i; t..• ty _ R Single&Separate Truss Identification Form � � ®1 Z®19 Stonn-Water Assessment Form 1 N®� Contact: Q Approved I 110 20 -� Y'�.tn-:;w; /arfL9 Disapproved a/cg'H4 7.2 1-1 �1 �6�'13�� C Phone: Expiration ,20 B ding Ins for APPLICATION FOR BUILDING PERMIT Date Q)aU . t , 201 q 1 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, sing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant orme,i corporation) t s �aSts,A-q" ckw_ MaIA ,Lk (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder G 1,..+ JL4,, Name of owner of premises AyNa Q_w 4- McJ z-r _tda, Lola-L�l (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 proposed work will be done: its �GStSI & Cly M,�,l�k „,L-k House Number Street Hamlet County Tax Map No. 1000 Section 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 3. Nature of work(check which applicable): New Building Addition Alteration -repair Removal Demolition Other Work -U 't Lf API (Description) HVA 4. Estimated Cost 3 Iry Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units NumkA-,of dwelling units on each floor If garage, number of cars 6. 1 usiness, commercial occupancy, specify nature and extent of each type of use. 7. Dime ions of existres, if any: Front Rear Depth Height Number of Stories DimensionXofame structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensionse new construction: Front Rear Depth Height Number of Stories 9. Siz/or Front Rear Depth 10. Dachase Name of Former Owner 11. Zoe district in whichremises are situated 12. Does proposed construction vio to any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO_�,Will excess fill be removed from premises? YES N01 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 with respect to this property? * YES NO--A_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) ee S: S COUNTY OFJ K) Ary-_VrroL being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing cont act) above named, (S)He is the Ownm (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. Sworm to before me this T day of e 20Iq l"RACEY L. D•J11YI= Notary Public I RY PUBLIC,STATE OF NEW YORK Signature of cant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 Oa 3t_ BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 y p� Telephone (631) 765-1802 - FAX (631) 765-9502 ��l rogerr(b_southoldtownny.gov - seand(aD_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: %ou. I 31-0I Company Name: A-hcks-w Lo 1,x,2 Name: atR (y) Zk ti", 119 s,)- License No.: email: Gvr_�Ykwb IUw� ` � . Geh--� Address: Phone No.: JOB SITE INFORMATION (All Information Required) Name: cAYuW Lw-)L Address: Cross Street: J4oe.6vutew Phone No.: q6 -Lf Lt Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: 61 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Tri 46 11 L G S I h!El 1-v- -z.o �ci-:zw, h R-c,+ 1 ny-t,,fey- Circle All That Apply: Is job ready for inspection?: (YE)Sf NO Rough In Final Do you need a Temp Certificate?: YES /(f 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 Request for Inspection Form As AllD ^ I i � a. LG .t J { Life's Good C Al OCCUPANCY OR USE IS UNLAWFUL C �4, a t V\ WITHOUT CE TIFICATi F OCCUPANCY ELECTRICAL INSPECTION REQUIRED SINGLE ZONE HIGH EFFICIENCY & STANDARD DAS NOT D WALL MOUNTED OWNER'S MANUAL DATEB.P.# FEE: DE COMPLY WITH ALL CODES OF NOTIFY BUILDING DEPARTMENT AT NEW YORK STATE � TOWN CODES 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: AS REQUIRED AND CONDITIONS OF 1. FOUNDATION - TWO REQUIRED 11 7P FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING ----S 0-5-01- TOWN—PL-MM BOARD 3. INSULATION THOLD TOWN TEES 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR CO. aiy e nEG ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION E "``'"'-` ` `" RRORS. ,. iw, r;f=yY; :�:.- .yam:a ,;: y '"+4 'w.t'r•'SpxS '(5=»;�{., �# b�tc:•P 'A e$s;;},n• , Single Zone High Efficiency Systemsr LS091 HSV3Y rf LS121 HSV3 LS181 HSV3 LS240HSV3 Single Zone Standard Systems LS300HV3 I �� � jw• UNIT PARTS The following tables show the available outdoor and indoor units, along with the factory provided controllers. Table 1: Single Zone High Efficiency System PairinqTable LSU091HSV3 LSN091HSV3 AKB73855712 HSV3 LSU121HSV3 LSN1217 ,771111,r, ��',QV,8 V'4 1 Yn -5 "M LSU181HSV3 LSN181HSV3 AKB73855712 .: ED -n M CO) LSU240HSV3 LSN240HSV3 AKB73855713 V'! a 'm';V71,D.-• Table 2: Single Zone Standard System Pairing Table LSU300HV3 LSN300HV3 AKB73835313 LSU360HV3 LSN360HV3 X3�P 3'r" ash 4 n;�4 ARA n...to-r—h-of rmt.... uc-M—t innnuntinn —mo cno firpfinnq rrpv rhnnnp witfintit nntrfirnfinn UNIT PARTS Indoor Unit and Outdoor Unit Basic Components Refer to Figure 1 and Figure 2 for the basic layout of the Single Zone High Efficiency and Standard systems when following operational, maintenance or troubleshooting instructions in this manual. �g Figure 1: Indoor Unit Basic Components O Air inlet Note: The number of operation lamps and their locations may vary, depending on the indoor unit model. N Front panel On/ Off button 3 O a Air filter Signal receiver O E Air outlet Air deflector 'S (Vertical louver& Horizontal vane) L ca Figure 2: Outdoor Unit Basic Components N Air inlet vents Connection wires cv V O °O O Refrigerant pipes T' W 2 Air outlet vents Base plate Drain hose O "N O C " n—f,. ...,,.inn.,,i °.,.,,a—f.,..,..,,ter,.., me..,, fir. , °