HomeMy WebLinkAbout44946-Z ��QSUEF�(,tCpGa Town of Southold 7/22/2020
0
P.O.Box 1179
53095 Main Rd
Qyjja� ��o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41277 Date: 7/22/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 295 Sterling PI, Greenport
SCTM#: 473889 Sec/Block/Lot: 34.-3-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/29/2020 pursuant to which Building Permit No. 44946 dated 7/2/2020
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"air conditioning system as applied for.
The certificate is issued to Claps,Vincent&Barbara
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44946 7/22/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
,,suFeo�LIK t TOWN OF SOUTHOLD
°O BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
SOUTHOLD, NY
r� 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#: 44946 Date: 7/2/2020
Permission is hereby granted to:
Claps, Vincent & Barbara
450 Snug Harbor Rd
Greenport, NY 11944
To: legalize an "as blt" AC system as applied for.
At premiseslocatedat:
295 Sterling PI, Greenport
SCTM # 473889
Sec/Block/Lot# 34.-3-27
Pursuant to application dated 6/29/2020 and approved by the Building Inspector.
To expire on 1/1/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
ELECTRIC $180.00
CO-ALTERATION TO DWELLING $50.00
Total: $630.00
BuiIdin ctor
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,neyv 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 respopsible 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. &0, / -f Izo 'Zy
New Construction: Old or Pre-existing Building: / (check one)
Location of Property: �� �®� 91 -� c� Zee opo r�
House No. %treet j Hamlet
Owner or Owners of Property: C e"i'1" S 0 Ad2-b A rU4-
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: $
Applicant Signa e
F so ���
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin
Southold,NY 11971-0959 i'a�town.southold.ny.us
�`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To, Vincent Claps
Address: 295 Sterling PI city Greenport st: NY zip: 11944
Building Permit#: 44946 Section 34 Block: 3 Lot 27
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
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic X Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes, "AS BUILT" " NO VISUAL DEFECTS" MINI SPLIT AC
Inspector Signature: Date: July 22, 2020
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)765-1802 Planning Board approval
FAX:(631)765-9502 survey
Southoldtownny.gov PERMIT NO. VtT 14 1 Check
LDSeptic Form
NY.SDEC
.) Trustees
C.O Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
'6aJr� Contact:
Approved 20_ Mail to
Disapproved aic
Phone/' ','
Expiration 20 ,�� ?1-1
Building Inspec orotic) !C t✓�YJ�r✓oy"
APPLICATION FOR BUILDING PERMIT
Date 20 LO
JUN 2 9 2020 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
T` s'?'i'`�''I'ib`Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
C 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 zonmg 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 de lition as herein described.The
applicant agrees to comply with all applicable laws,ordinances,building code,housing e,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
s (1
(Signature of ap hcant or nakil if a corporation)
r>,vu &rkr 1`io�
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises V[AJ aea�� igArA At
(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.
I. Location o and on which propo ed wor will bed e ��e D
por
?use N tuber Street Hamlet
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and ingd;ed}ise Id occupancy of proposed construction:
a. Existing use and occupancy o
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work f w t �':"q i "i,./tq
scription)
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 4
If garage, number of cars �n
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. s
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 Will excess fill be removed from'premises?YESNO
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 e--
•
*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
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(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 lus knowledge and belief,and that the work will be
performed in the manner set forth in the application filed therewith
Sworn to before me this
day of •20
Notary Public Signature of Applicant
-�jaaa omu`naa BUILDING DEPARTMENT-Electrical I r3 " f ' /
TOWN OF SOUTHOLD
1(16' Hall Annex- 54375 Main Road - ox J1JP 2 2020
Southold, New York 11971-0959
n c31 .. r, I phone (631) 765-1802 - FAX (631) 765-9502 DEPT.
a-o outholdtownn ov - seand southoldt ��_
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: PR I v'4` e—
�-
License No.: email:
Address:
Phone No.: 65;( - 76S-- - r4
JOB SITE INFORMATI N (All Information Required) n
Name: !nlcetit (3fdo-b n CQA
Address: C?S- Sp,s e�(rn,
Cross Street: 0-6110,Vv (I'Flo
Phone No.:
BIdg.Permit#: _ _ _ __ email:
Tax Map_Distdct: 1000 Section: LJ Block: 3 Lot:a7
BRIEF DESCRIPTION OF WORK (Please Print Clearly) f t"C S,oh,
Circle All That Apply:
Is job ready for inspection?: YE / NO Rough In Final
Do you need a Temp Certificate?: YES / eO 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 �
Q
Request for Inspection Formals
�l�
r �
\ ! N
40
INW
-� lo. .. +
,og
.le -
40
D I.. u �/ p
LVLV
-BTTTT WNG DEPT.
- LD
40 - --
co
- -- FUJITSU
_ ,7 cyon
u� DC INVERTER
ffom
ra
d
M
�7
x
'_ _
J.uL - 2 2020
BUTT WINO DEPT.
} v TOLD
CO
FUJITSU
SPLIT TYPE AIR CONDITIONER %NCEIN CERTIFIEDT.
!
OUTDOOR USE
Unitary Small HIP
i
MODEL No. AOU18RLFC ' ' 210/240certification applies only when the complete system is listed with AH111.
I
SERIAL No. LPN 01 1 2 3 2 L0
SOURCE 208/230 V 60Hz 1-PH
COOL HEAT
CAPACITY (AHRI) BTU/HR 18000 21600 E
TOTAL AMPS. 10. 0 14. 0 r
COMPRESSOR AMPS. 9. 2 13. 2
OUTDOORFAN MOTOR AMPS. 0. 3 0. 3
I
I
MINIMUM CIRCUIT AMPACITY 17. 3 A
MAX. CKT. BKR.
20 A CM
COMPRESSOR LOCKED-ROTOR AMPERES -- A c us
LISTED
REFRIGERANT R410A FACTORY CHARGED 21b 14 oz Intertek
450 prig. 91986
DESIGN PRESSURE HIGH SIDE ETL LISTED
LOW SIDE 240 ps►g. UL STDMS990
APPL I CABLE INDOOR UNIT ARUI8RLF CERTIFIED T
CAN/CSA STD..
AUU18RLF 022.2 NLi
FUJITSU GENERAL LIMITED MADE IN P.R.C.-