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HomeMy WebLinkAbout44200-Z �p�Os Town of Southold 6/24/2020 0 . P.O.Box 1179 T 53095 Main Rd Southold,New York 11971 adlfl CERTIFICATE OF OCCUPANCY No: 41204 Date: 6/24/2020 THIS CERTIFIES that the building COMMERCIAL REPAIRS Location of Property: 80 Love Ln, Mattituck SCTM#: 473889 See/Block/Lot: 140.-3-42.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/23/2019 pursuant to which Building Permit No. 44200 dated 9/23/2019 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: fire repairs to existing commercial building as applied for. The certificate is issued to 80 Love Lane Assocs LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44200 1/29/2020 PLUMBERS CERTIFICATION DATED ut o ' e Signature �gUFfO(,�co TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE SOUTHOLD, NY �lpl �a0 fy " 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#: 44200 Date: 9/23/2019 Permission is hereby granted to: 80 Love Lane Assocs LLC 44-02 Frances Lewis Blvd Bayside, NY 11361 To: construct fire repairs to existing commercial building as applied for. Additional approvals/permits will be required. At premises located at: 80 Love Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 140.-3-42.3 t Pursuant to application dated, 9/23/2019 and approved by the Building Inspector. To expire on 3/24/2021. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00 CO -COMMERCIAL $50.00 Total: $300.00 B ' nspector Form Not 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN SCALL 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: ith accurate location of all buildings, properly lines, streets, and unusual natural or I- Final survey of property w 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 G Dated / 1 New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet � �s�c.ic��S Owner or Owners of Property: l� I y q � — 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 o ) Fee Submitted: A licant Signature oF sov��®� Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • �O� sean.devlin(cD_town.Southold.ny.us lyc®UM`1,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. 80 Love Lane Assocs LLC Address: 80 Love Ln City Mattituck sr NY zip- 11952 Building Permit#: 44200 Section- 140 Block 3 Lot 42.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor. DBA: Scheideler Electrical Inc. License No: 2252-ME SITE DETAILS Office Use Only Residential Indoor X Basement X Service Only Commerical X Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Roof X Garage INVENTORY Service 1 ph X Heat Duplec Recpt 37 Ceding Fixtures 2 HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 27 CO Detectors Sub Panel A/C Blower 2 Range Recpt Ceding Fan 4 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 15 Twist Lock Exit Fixtures 4 Combo SD/CO 3 Other Equipment Cold Water Ground Notes Rewire After Fire and Added Mini Split Inspector Signature: Date: January 29, 2020 S Devlin-Cert Electrical Compliance Form.xls o�aOF SOUIyOI L.Ove TOWN=OF SOUTHOLD BUILDING DEPT. cou765-1802 .. INSPECTION [ ] FOUNDATION 1ST j ] ROUGH PLBG: [ ] FOUNDATION 2ND [ ] -INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY - [ ] -FIRE SAFETY-INSPECTION [ ] --FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION-- ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: (00N r DATE 1161 INSPECTOR oe soulyo� 7® # # TOWN= OF SOUTHOLD BUILDING DEPT. G @ ' 765.1$02 -INSPECTION [ ] FOUNDATION 1ST [ ] -ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL- [ ] FIREPLACE '& CHIMNEY [ ] -FIRE SAFETY INSPECTION [. ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION - ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ] CODE VIOLATION [ ] PRE C/O REMARKS: e DATE 2 INSPECTOR- Of SOUlyO -- - # # TOWN OFSOUTHOLD BUILDING DEPT. 765.1802 : -INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ]` SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL 1'�rG '✓� [ ] FIREPLACE & CHIMNEY= [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR # # TOWN OF'SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INXULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O MARKS: w , I ol/ CAOW .� DATE I oZ7 INSPECTOR O�alaF SOUIyo cro ✓�U� �/v f # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourmN�' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG:- [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY - [ ] FIRE SAFETY INSPECTION 1 [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE f, Z 0 Z6 - INSPECTOR--c SOUTyO V Lov L/ , # TOWWOF SOUT-HOLD BUILDING DEPT. GAO • �O `y�ourm 765-1802 ANSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. " [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: CST 'Ai Ta DATE Z INSPECTOR �aOF SOUTyO LiLl 2-00 o® L G V E, I-N # TOWN OF SOUTHOLD,BUILDING'DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Wgfe-F,67-10M 70K DATE INSPECTOR PECTOR - Z.. IN SO(/THplo .Bp q1_12oo # # TOWN OF SOUTHOLD BUILDING DEPT. `y�nurm N�' 765-1802 INSPECTION.- ] ,FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING FINAL [ ] FIREPLACE & CHIMNEY ] "FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]' FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH)' [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE IOU ? . INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS r S FOUNDATION(IST) y ------------------------------------ FOUNDATION (2ND) z - o ROUGH FRAMING& t1i PLUMBING 6 01) r INSULATION PER N.Y. STATE ENERGY CODE eq FINAL alp r ADDITIONAL COMMENTS �- a- I �_ Tl 16 z y CG d tl7 B Subdivision Filed Map No. y73 M? Lot I q-0:--3 -*- i�3 2. State existing use and occupancy of premises and'intended us and occupancy of proposed construction: a. Existing use and occupancy GC)MgyU-j-C i b. Intended use and occupancy CnYY1mM:k'1'C�j 4L 3. Nature of work(check which applicable): New Building Addition Alteration 6g-Repair RemovalDemolition Gowv-V Other Work pAX , F � (Descriptio Dm," 4. Estimated Cost 3, 5-00 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.e al. &�1�1�_(0 rf�ce, 7. Dimensions of existing structures, if any: Front 161 Rear Depth Height /oZ Number of Stories _ Dimensions of same structure with alterations of additions: Front / r Rear l S r "Depth ' 3�5 Height /d Number of Stories t 8. Dimensions of entire new construction: Front Rear ;Depth Height Number of Stories 9. Size of lot:'Front Rear Depth /00 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-V11- 13. OV11-13. Will lot be re-graded? YES NO_VWill excess,fill be removed'from premises? YES NO 14. Names of Owner of premises 1 Address `lam-M C4. a"holne No. )I-7 M 3y1n 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 freshwatez,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 wetlana? * YES; NO, :f, , * IF YES,1D.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 poihi bn property i9 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 1" * IF YES, PROVIDE A'COPY. ' STATE OF NEW YORK) SS: COUNTY OF Q� �,(V�Q} `,(,�( �1(L S ''- ' being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract),.above named, }f (S)He is the I/2ryy�A-b t(I1I-10 l-Cl (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 performjA�V6b T&Lbk�jk�j the application filed therewith. QTARY R ELIC S M OF NEW YORK worn to b are0 7 ; — aFif rec�yi 0 ornmission Expires October 40 � s o a is Signaturejof Applicant 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 qj�13 "20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Appioved ,201_(_ Mail to: Disapproved a/c Phone: Expiration 2 =, Bu spector SEP 2 0 2019 APPLICATION FOR-BUILDING PERMIT B1=II.DI Date20 � Y� J , l— .� , r 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. 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. 0® L S o".4'. L\_L (Signature of applicant or name, if a corporation) (Mailing address f applicant) State whether a plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, Pu ber or builder 'f� t Name of owner of premises 2:�,17 ( son the tax roll or latest deed) If licant is co oraXovsign�aturef dy author d officer � vYi-� (Name and title`of'corporateofflc ) ` ` f Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which }proposed work will b done: House Number Street Hamlet County Tax Map No. 1000 Section Block I � 9 I�ot —3 3 ____ �•�'�4'�: iV ...�J yeti �ji 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 20 Single&Separate Truss Identification Form Stone-Water Assessment Form 2 Contact: Approved J '20 Mail to: Disapproved a/c Phone: Expiration ,2 _,2 Bu spector i SEP 2 0 2019 APPLICATION FOR BUILDING PERMIT ILII fDI �D '; .y Date20_— �S f,•a, 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]sept 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 Budding 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. r© Lu.�E_ L 65t»T-A\.4,. LLQ. (Signature of applicant or name,if a corporation) -- �z 6-S .-Ls (Mailing address of applicant) State whether a plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ( s on the tax roll or latest deed) If licant is coo/ra io , signatur f d y author d officer CiTLS WIC. (Name and title of corporate offic ) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which oposed work will be done: ( v V 14-TTA House Number Street County Tax Map No. 1000 Section Block ��� 9 Lot ,,la 0. -3 -4`a .3 Subdivision Filed Map No. 1/736B? Lot I q•O, —,5 -41,3 2. State existing use and occupancy of premises and intended us and occupancy of proposed construction: a. Existing use and occupancy C 0 onlf f(A C,L� PILTIN-1 i _ �b. Intended use and occupancy��YY�w�.e�'� L 3. Nature of work check which applicable): New Building Addition Alteration 6g&-Repair l RemovaDemolition cyvv -- 3 _Other Work - 2 (Descriptio p/dw� 4. Estimated Cost 3, �DU 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. Q � �S _(0 ln�ce, 7. Dimensions of existing strictures, if any: Front 16/ Rear /� � Depth Height Id ' Number of Stories 1 Dimensions of same structure with alterations o� additions: Front Rear l S 3 Depth Height /d Number of Stories E 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth /°00 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 1 ` Lull,-, Address44 - ,r te�,�.�1t'1'�o�ne No. 2I-7 Ta T 3y�� 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 1✓ IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF i _ 06 , �'Vc ewy Ay 1 1�,0ty-1 ( being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, Q �o` ^ , r (S)He is the t dVl�.� � - 6� Uej �W C- UkIkL (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 performjA fbt b rk&0 the application filed therewith. SS901`A (Y PUBLIC S 7E OF NEW YORK is worn to b •rq b co �Igy , ommissiDn Expires October 20,AMA 23 • o a is Signature of Applicant J BUIt'DING DEPAR ENT- Electrical inspector MAR 12 2020 t—• Tavola F SOUTHOLD Town Hall Annex- 5437 5 Main Road - PO Box 1179 Southold NevYork 11971-0959 one (631) 765- 802 - FAX (631)765-9502 = -- - To err holdtownn . o - aeand o1`ttholdtawnn _ ov i AILS ' ' N FOR ELECTRICAL N I'ECTI.. : . ELECTRICIAN INFORMATION;{All Information Required) Data: 3/12/2020 Company Name: IScheideler Electrical Inc. Name: Anthony Lennon =:- License No.: 2252-ME email:- -i Address:-1481 F Franklin Square,NY 1101 Phone No.: 516-3541666 JOB SITE INFORMATION (Ail Infnrnnation Required) Name: 80 Love Lane Assocs LLC Address: 80 Love Lane Mattituck _.�,�_,<<_.:.E.__ - --. - ,�-,-,--- --- - ---�- _- • ----- .- -;�,.:. _ ,i , Cross Street: Phone No.: 917-727-3090 Bldg.Permit#- 44200 ema I: dkzi n mail.com Tax Mae i§joct: 1000 Bloc 2_ Loi: BRIEF DESCRIPTION:OF WORK (Please Print Clearly) Replaced devices and switches,bonded both main disconnect switches.Checked wiring,everything was brought up tq code. . r Circle All That Apply: Is job ready for inspection?: YES ! NO Rough In Final Do you need a Temp Certificate?: YES /(g) Issued on. Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Met s Old Meter#-------------- New Service- Fire Reconnect-Flood Reconnect-Service Reconnected- Underground -Overhead # Unde round Laterals 1 2 H Frame Pole Work do ne on Service? Y N Attn: Sean D. It there are any questions;please call me, Da a of f=inal nspe3on 029120 P- YMENr DUE WITH APPLICATtOk. Request for Inspection FormAs T -d 0I2110313 N3131JI31­10S WdT�1 =6 0202 zT Jew Scott A. Russell . °SU S S�C'O]RIWWATIE)[:�- SUPERVISOR 2 M CAN A(G]EAMUENT SOU1T10LD TOWN HALL-P.O.Box 1179 Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 O CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOES TI-11S PROJECT INVOLVE ANY OF THE FOIJ-OWING: (CHECK ALL THAT APPLY) ' Yes No _ E][A.-Clearing, grubbing, grading or stripping of land which affects more � than 5,000 square feet of ground surface. ❑lam" B. Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. ®ffC,. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. E][�D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑E14E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. E]Q/F. *Installation of new or resurfaced impervious surfaces of 1,000 square feet.or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP'. Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Cbapter 23o does not apply to your project. If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department wiff your Building Permit Application_ S.C.T.M. #: 1000 mate APPLICANT: (Property Owner,Design Professional-Agent,Contractor.Other) District NAME: (/!� V� � Section Block Lot A - "�' FOR BUILDING DEPARTMENT USE ONLY Contact Information rt kynsxv�md i Reviewed By: Date: _ Property Addre>s /Location of Construction Work: Approved for processing Building Permit.El — — — Stormwater Management Control Plan Not Required. ElStormwater Management Control Plan is Required. v (Forward to Engineering Department for Review.) FORM 4' SMCP-TOS MAY 2014 FFOL;� ; ,U ` K BUILDING DEPARTMENT- Electrical Inspector '� `' TOWN OF SOUTHOLD •. � 2 2019 Town Hall Annex - 54375 Main Road - PO Box 1179 bO v 2 Southold, New York 11971-0959 y o�� Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(a�town.southold.nV.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY:- Date: Zl �� Company Name: 49 p vt- t Name: 1 LS - c License No.: email: C�M co yam,c, Address: -7c) �6,j Phone No.: a�o9co JOB SITE INFORMATION: (All Information Required) Name: GAIA Address: Cross Street: : Phone No.: Bldg.Permit#: LA L\2,D O email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF YORK (PI se Print Cle rly) PAi2 Circle All That Apply: Is job ready for inspection?: YES NO <o]� :h�1 ) Final Do you need a Temp Certificate?: YES )�o 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 Request for Inspection Form.xls ,� \ 1 , f -6 , , ti f PERMIT# Address: Switches Outlets I G FI's Surface Sconces ` H H's �'h UC Lts Fans; i _ . .. Fridge HW .. Exhaust r Oven Dryer 4 Smokes DW _ - . Service Carbon Micro .'Generator Combo, Cooktop Transfer AC AH ,. Mini I, Special: `Comments l - "_'- u��•o�� may >,-,—r .- ___ .. - j y ' , ��• `"�'. � . �5�u.��; y/�>/may .:,�,�- ;�, .-,t4,r�-.�. �, � Ll !Q„Q' ~p, ,� ,, ,� � ,�.;BBDO!/�; � � p--u' s•r��'y.�` •P `�= •y':'�'�°F`�+.. u - „. .er55uece °�/a.�I73 E--” .. - ` �� '. � � _'(�J/3�t�E�2 o51fOf_ _ - a;r t .yn". �•yxrg,� � «a 6/acx-1o: F.rvrnph :_.{� m Al '-"�::.•::;u"-, .,rr,:,.. „�� ,>9oL�'w, Nerf too_ aR'✓` ;,��. , �-,i __...'• - tt— T/C 7f96 jo ys - ;.• � ' '-t' �• � CfRi,�=Gin/ T✓ ,A'� ` t. ,' 7° ,? + p� p108v ' fir'' !• .,Y',. �• Fa__ �S� },' .Y :•.:: ' ' Y'{ � �. `� .,.,,"'` =��►•44`.�,,,, yr •'�' ��r��F _ �.c� •F A;'. M.+. yr#.y�:'vi'�;`=' �T.xE,� / ♦i� � ,� • _ �:: "��f•"A:'%1dx . tl Q�.. •�:,k?` r.R.,. � „Ym _ �,. - .- i a I j1 _ l N Sgmu, i cl, I x _ D � ! 0 r- ! ® - ) PANT 3 1 --- Coll Submittal Data: ASU12RI,F I FU- jffSU Job Name: Location: Purchaser: Engineer: Submitted To: For: ❑ Reference ❑ Approval ❑ Construction Submitted By: Unit Designation: Schedule No. Model No.: -- I Capacities: Cooling 12,000 BTU/h OUTLINE AND DIMENSIONS Outdoor Design Temp.Fo DBIgB _ 95/75 Heating �^ — 13,500 BTU/h- Outdoor Design Temperature F°DB/WB 47/43 31-1/16 HSPF $ Ducted 9.3 Non-Ducted 9.8 J Mixed 9.5 SEER T >r � �•�� Ducted 14.7 Non-Ducted 17.0 Mixed 15.8 Standard Features: DRted hizg • Seven year compressor warranty Non-Ducted 8'7 + Five year parts warranty Mixed 9.25 8.97 • Digital wireless remote control Voltage/Frequency/Phase 208-230/60/1 • Auto Louver: Up/Down Indoor Uriit: • Apple Catechin/Ion Deodorizing Filters Noise Level Cooling db(A)-H/WLlQ 40/36/30/25 • Sleep Timer Noise Level Heating db(A)-H/M/t/Q 40136/31/25 Auto Restart/Reset Weight 18 lbs. e 24 hour timer Refrigerant Piping:* e Quiet Mode Discharge Vapor Line(O.D.) 1/4 in. Dry mode Suction(O.D.) 3/8 in • Refrigerant R41 OA Notes: *Piping lengths vary by outdoor unit. See outdoor unit submittal sheet for detailed specifications. FeJhSu - SUBMITTAL ASU18RLF a/cy�oil 11M. NUMITIN job Name f f 1 Location—_—� Engineer Date Submitted To _ - -- __ Approval_ Submitted By_ -�""�-------------------- Reference " - ----------___ Unit No____. Drawing No PRODUCT FEATURES -Wireless remote controller •AutoJCooIJDryJFanjHeat modes •24 Hr,timer ~ -Powerful mode ' •Coldreven p tion Restart *Auto x,..i�a�:a:;tc�"',�;;,;;�• x; ';<. ?{:�• �;*'�3;;•�;r: :fir>, :.��'>°;xf g�':iai-;'at:�..l� u"P^'�' :pJ:in_w.-_:-.a qy-w'r7.(y'ti Y,1,(r'"nC,a n�i,,"•':x r. �1,+,'. :mxpx'^„�w"Ya",:.=..�,t,`wal�w. . ..�tw.,..:Y.•c7,'o...-'-K".•S >-*+Rav-wwNav.�A�ww.sy^ygq,tlwrana9PW«:3 b14W,� ;Indoor Unit 'Nominal Capacity __ ASUIBRLF 1 18,0001 --- Qomyo9sor, Flare! - . 7 Year Compressor,5 Year Parts out-of-the-box Warranty ;Li uid lin(mm) _ __ 0114(06.35); iConnection Method Gas i fdl/2(O12.70)i WARRANTY ;MaterialPVC: :Drain,Drain hose iin _ _•.__'-"` H 1!2(I,D.),6 5/8(O-1 1 :mm __.__. .-•-�. _ -"."._`"hill0121I.6.),0 16(O. .)j „„- 111 1 1 Df: 10 Year Compressor,10 Year Parts Warranty when registered within iNetD x W x H 'in _ �� 30 days of installation in a residence ( ) Iw_ ._ .__.._12-5/8 x 39114 x 9i :.� i Imm ; 320=998 x 2281 ;Gross(H x W x D) - _ ___ _ _ w12-9/16■42-15/16 x 16-7/8; ;Net Wei ht :mm I 319 x 1,09.0 x 429' b:a:k AM�j 1- - - i 12 Year Compressor,12 Year Parts Warranty when registered within .Gross Weight Ib(kg) -___,_._ _ "_ _ __. _”_ 31 (14); j 30 days of installation in a residence,and installed by a Fujitsu Elite 1 ' 40(18); Tyra^« contractor ;Voltage/Frequency/Phase ? 208/230 V-60 Hz; ;Voltage Rhe" - „ I - _' _ _ 187-264V� 1 Ru` nn'nq Current q i Material s rene ;Enclosure I 111511 Poly / 1 411 j Color _ _ Y�Y _ i f i Huh __--_-_� !-..__.-_..__."_43( UTY-TiRX i -- -•• 3rd Par Thermostat Co 'Cooling L avium - , 371 UTY-TFNXZ2 ---,- m_- . { 3' I`Ty- k - - ----- - interface Module, -- _ - 33' 1UTY-RNNUM_ __ "` `_'--------•--.._-...-- ;IndoorUnit -- " Quiet 311 1UTY-RNNUM i- Wired Remote' High ? d6(A) I 44; 1UTY-RSNUM Wired Remote w/backlight) - - -- --- Simple- - i Medium - --- - --- a__ Remote; ;Heating - .M__.._1 i 37! ,UTY XWZX - -- - - - i ! ;Low _ _! I _._____."_ 33; iFJ-RC-WIFI-1 NA _..... .__...._ -..__.__ _Dry Contact Wire Kit; Quiet i! Intesis Wired_W_iFi module; 1, 31� ,FJ_IRWIFI-1 NA ___ _ _ - - _ Intesis IR WiFi module] ! High 542(920); Medium ;Cooling 436(740) i Low € i 365(620)i ,Airflow Rate sQ- 324(550)uiet 1 CFM(m3/h) 1 , ' j - 'High € 542(920)1 Meatin Medium ' 365(62 �_ 0); Quiet_- —_1 __ _ 324(550 CiV ETLN:3170288 Due to continuous product improvements,specifications are subject to change without Intertek notice. Please log in to the Fujitsu Portal for the most up-to-date documentation Effective Date: 10/4/2019 Version ASU18RLF-20198 https:/Iportal-fujitsugeneral.com Strom-1111111111112 • . 1 11 F-U11TSU SUBMITTALASUi8RLF a1i'146 DIMENSIONS Units.In.(mm) 39-5 6(998)• eo riy - N - ti 620 ; 1 23=i14(590 ,g 28-3/8 tai (228) 20=112 520 J.IN6I:BPSei i6Jr4 fdn4) - - f1i Yi16IZ$1t 11)frolb S'8 1flY '�.15dtd .\ -CLb/tfl l213 4.7710 FY1^J) tiJlox 7tte(t0Y 11)Q6ig - `17116x7/!$ftbx Ytll�oe - $•t5rt$75 0.f lJid't70 1B f30 ggt9ri& & xY1 it(hyQ - -- -�- 1 t3t/ox 371$21.x Sx 14"31tox 71110 fSX ifl 3111229 3rd 772)` i!d<g3 d•1�f0 ), (o��i11 J f_f•3)T$1302 O3-4!$t30 hpic 17.114 138~ ••_ fSsla f39T)R! - _ 3�h3.B(16tWL Ut�ltkb "P"W-1 Yt$x_1,1"oSim 3RWei byi6(51`GShdas icetappepq sua:v„ . 712 x 3110 13 k 4 0044s The Fujitsu logo is a worldwide trademark of Fujitsu General Limited.The Halcyon logo and name is a worldwide trademark of Fujitsu General Limited and is a registered trademark in Japan,the USA and other countries or areas Note Specifications are based an the following conditions. Copyright 2018 Fujitsu GeneralAmenca,Inc Fujitsu's products are subject to continuous Improvements.Fujitsu reserves Cooling Indoor temperature of BOY(26.7'C)08/67T(19.4°C)W8,and outdoor temperature of 95°F(35°C)DB/75°F the right to modify product design,specifications and information in this brochure without notice and without Incurring (23 9°C)WB Heating:Indoor temperature of 70°F(21 1°0 DB/60°F(15 6Y)WB,and outdoor temperature of 47°F any obligations (B.3-C)DB/43°F(6.1°C)WB Pipe length.25ft.(7.5m),Height difference Oft(0m)(Outdoor unit-indoor unit) ff M-1 IV ,� $z Vi��ss��e,,, '�l�: �y �# �(� .�,���'=°•��,� < . ���` ` �,a � • �,�, A ` 7 1*�ns pppppp 'u� ��!�I 4:— .,��-a'`�rai .. , IS u 4 a 11,d •���v�6rg'qi �s`L�; 2':.'6� TO 707 •,a�, ., y _ ".X>`,_ •;o&,'p.�i.... y946� efi:i,3t�� '>;�iy,:&�Ih&v�4!n a, ?�Y.�ra�a�}' �A •b�} �"4 .. +`fw; fu ,,, �,'. �p't ;�"�^`;`y� ,w��1�`jtm{p. 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"'r'��m�:'`�w-.�'��" r '!�! � �y.����'4r�.,'>':Q'. ar; # py£ 3 8„ ,� .fr'Y .�.�^•.„�i _ .! » ",a;�n- B , .k �,,&• 3+'^t �� `�'r�'�`,+.o k,�:","M;�'z"°yp •"> 4',a+•h LhNi„��''ie�, j�l -a:,Ts G''• r� ,'���,° '°a��'�.:1-.:�:. °4': •�( _ mss:.;"-ter', t ,,.�'``�"�;•pa., '..�'Y 'q'�,ra� :�%v,.,;,:< > w -' �a�.�`. -yid,"=.,`»,..;�;;x; 3'*.�' N„b•• i"' y ;�"/.:' ��,aL-y�`i�r„-�b.ti,?'%,'a ' < , ,, i. ..�3��--, �y:z; -- "�s:a`�i sir ��'':„•-";,k�w`Yt, fr <ad.» F �.,;F.,,;, < w...lggq - < F ^z& .yn...e�.x;.,y..�gb. ��•+P'�:?"mss ". a (�`. .sem- � •j APPROVED AS NOTE DATE: FEE: �Oc 6 BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED /� ovals FOR POURED CON(_r;ETE (�• 2. ROUGH - FRAMING � PLUMBING 3. INSULATION re 4. FINAL - CONSTRUCTION MUST (� BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE t REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE: AS REQUIRED AND CONDITIONS OF J � HOLD BOARD 56Fft�Tti05T1:ES OCCUPANCY OR USE IS UNLAWFp WITHOUT CERTIFKi",4 ' OF OCCUPANCY APPLICANT: S.C�T.M. 1000 big CHAPTER 236 (Property Owner,Design Professional,Agent,contractor,other) Stormwater Management Control Plan CHECK LIST NAME: Section Block Los $ z S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application. pt—P-1 _0 The applicant must provide a Complete Explanation and/or Reason for not providing of all Information that has been Required by the following Checklist] isnomi a TdepAone Numeen I. A Site Plan drawn to scale Not Less that 60' to the inch MUST YES NO NA if You answered No or NA to any Item, Please Provide Justification Here! show all of the following items: If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries b. Total Site Acreage. 1/Y1.t c. Existing- Natural & Man Made Features within 500 L.F. of the Site Boundary as required by §23e-17(CX2). e4 Irl 21' CS d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. e. Limits of Clearing & Area of Proposed Land Disturbance. f. Existing & Proposed Contours of the Site (Minimum2'tntervals) g. Location of all existing & proposed structures,roads, driveways, sidewalks, drainage improvements& utilities. h. Spot Grades & Finish Floor Elevations for all existing & proposed structures. fJ141 qA V1 9 1. Location of proposed Swimming Pool and discharge ring. r cation of proposed Soil Stock ile Area(s). yvI&cation of proposed Construction Entrance/Staging Area(s).cation of ro osed concrete washout area(s).cation of all proposed erosion&sediment control measures. water Management Control Plan must include Calculations showing he stormwater improvements are sized to capture,store,and infiltrate e the run-off from all impervious surfaces generated by a two(T)inch all/storm event. ils&Sectional Drawings for Stormwater practices are required for approval. s requiring details shall include but not be limited to: rosion & Sediment Controls. onstruction Entrance &Site Access. c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) d. Leaching Structures (e.g.infiltration basins,swales,etc.) *** FOR ENGINEERING DEPARTMENT USE ONLY**** I Additional Information is Required. Stormwater Management Control Plan is Not Complete. Reviewed & _ _ _ _ _ ,_ _ _ _ _ _ _ _ _ _ _ Approved By: I Stormwater Management Control Plan is Complete. SMCP has been approved by the Engineering Department. Date: \,RM 11 SWCP Check List-TOS MAY 2014