HomeMy WebLinkAbout45122-Z Grp coG� Town of Southold 9/11/2020
o P.O.Box 1179
53095 Main Rd
a58P fj Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41377 Date: 9/11/2020
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 530 S Harbor Rd, Southold
SCTM#: 473889 See/Block/Lot: 75.-3-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/11/2020 pursuant to which Building Permit No. 45122 dated 8/19/2020
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"alteration of screened porch to enclosed porch and central air built"alteration of screened porch to enclosed porch and central air conditionin�pplied for.
The certificate is issued to Lehr,Bruce
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45122 8/25/2020
PLUMBERS CERTIFICATION DATED
t
u o ' e Signature
„a§FFo TOWN OF SOUTHOLD
�oGya% BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
SOUTHOLD
ti , 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#: 45122 Date: 8/19/2020
Permission is hereby granted to:
Lehr, Bruce
530 S Harbor Rd
Southold, NY 11971
To: legalize "as built” window and door replacements and AC unit as applied for.
At premises located at:
530 S Harbor Rd, Southold
SCTM # 473889
Sec/Block/Lot# 75.-3-9
Pursuant to application dated 8/11/2020 and approved by the Building Inspector.
To expire on 2/18/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
Bu 'nspector
i I
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAIL
765-1802
PST
APPLICATION FOIKERTIFICATE 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
3
New Construction: Old or Pre-existing
pBuilding:
� (check one)
Location of Prop ert � �c lI�/�J�� ���e� 3
House No. Street / Hamlet
Owner or Owners of Propert �5s
z�
Suffolk County Tax Map No 1000, Section (� �� Block �j 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 Signature
Building Department Aoolication
AUTHORIZATION
(Where the Applicant is not the Owner)
I, Yam Y'residing at 05P 3 a S• Vkc�Yb o r
(Print prIperty owner's name) (Mailing Address)
do hereby authorize k a.wi Cal
(Agent)
to apply on my behalf to the
Southold Building Department.
�11b17Z02-0
(Owner's Signature) (Date)
(Print Owner's Name)
pr SOU��®�
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ® yo roger.riche rtCaD-town.south old.ny.us
�yCOUM`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To- Bruce Lehr
Address: 530 S Harbor Rd City: Southold St: New York Zip: 11971
Building Permit* 45122 Section: 75 Block- 3 Lot 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: 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 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 100a Switches F1 Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURVEY' "NO VISUAL DEFECTS"
Notes 1-central a/c unit with 1-blower and 1-condenser,1-60a disconnect
100a overhead service upgrade with manuel 100a transfer switch
Inspector Signature: Date: Aug 25 2020
81-Cert Electrical Compliance Form As
J -
OF SOUlyolo
# # TOWN OF SOUTHOLD BUILDING DEPT.
courm,��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] 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:
�SAtf L/
DATE Z Zo INSPECTOR O
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 2t � Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact
Approved 20 Mail to. q ma—
Phone: \�r tr�7nwctf
Disapproved a/c �3 ;C �f�
2 Phone: 6P9Q91L-au X/
Lq
D Building Ins for P� g a'l D IC�iG rr^
�W
AUG 1 1 2020 APPLICATION FOR BUILDING PERMIT Q
Date U �� 20�
�UM��G1��+�. T INSTRUCTIONS
'�+� a!This applica oim ST 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 describe&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. `
V� r"q
(Signature of applicant or nam if a rporation)
Noa- �)AajfLW- ( (9-71
(Mailing address of applicant) �-
State whether appl'cant is qwnq&lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises, ln & LeA r- CS 4127 - "mo °�JC�G,G�� 6,
(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. Locati n of land on which proposed work(will be done-
House Number Street Hamlet �j
/ �l O /
County Tax Map No.1000 Section J Block 03 Lot V
Subdivision Filed Map No. Lot
i
2. State existing use and occupancy of premes and inte ed use and o upanc of proposed construction:
a. Existing use and occupancy J
b. Intended use and occupancy Sc ,
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work a' am d
(Description) �-
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling unitsNumber 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.
y l
7. Dimensions of existing structures,if any:Front Ll l Rear Depth 3 (�
Height l h Number of Stories l
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:FronL Rear Depth
Height Number of Stories
9. Size of lot:Front o ty
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 C5 kle- Address Phone No.
Name of Architect o 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,SOUT TOLD 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 NOJ
*IF YES,PROVIDE A COPY. Regina I..Cartselos
Notary Public-State of New York
STATE OF NEW YORK) No.o1CA6i989o8
SS: Qualified in Suffolk County
COUNTY OF :vly Commission Expires January 5,2021
P1 )11 E being duly swom,deposes and says that(s)he is the applicant
ame of individuarsigiiing cntraa)above named,
(S)He is the4 11n�1 -
(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.
SwonLto before me this
/� dayof20 ,4d
ou�---/�Gnln-o� U I
Notary Public Signature of Applicant
® , BUILDING DEPARTMENT-Electricalpart
s, G•�°- TOWN OF SOUTHOLD ID v 0 V
DD
r b fi Town Hall Annex- 54375 Main Road Box 1179
Southold, New York 11971- 9
Ali' 1 1 2024
Telephone (631) 765-1802 - FAX (631) 765-9502
t� P" rog rr _southoldtownny.Qov— seand�southol t PT.
" . ,3T',,7. H0LYD
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (AII Information Required) Date:
Company Name: <-
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: 6 �k I cum O
Address:
Cross Street: C)-
Phone
Phone No.:
Bldg.Permit#: rj l`a`}- email:
Tax Map District: 1000 Section: 0-7 5"' Block: Lot: Q
BRIEF DESCRIPTION OF WORK (Please Print Clearly
Zed
and ft I el
Circle All That Apply:
Is job ready for inspection?: YE 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:
PAYMENT-DUE WITH APPLICATION
Request for Inspection Formals
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TOWN OF-SOUTHOLD
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CERTIFIER TO:WILLIAM T,CONWAY
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(631) 576-7794 (631) 863-3179
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DATE: P.#
FEE: - BY:
NOTIFY BUILDING DEPARTMENT AT ELECTRICAL ,
765-1802 8 AM TO 4 PM FOR THE INSPECTION REQUIRED
FOLLOWING INSPECTIONS:
1. FOUNDATION -'TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMIA�G & PLUMBING
3. INSULATION '
4. FINAL - CONSTPUCTION 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.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
. 4
SOUTHOLD TOWN PDARMHOARD
SOUTHOLD TOWN TRUS-TEES
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATL
OF OCCUPANCY
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!(631) 765-5122 WILLIAM CONWAY, Proprietor
;(631) 375-4035 cell P.O. BOX 1902 • Southold, NY 11971
conwayhi63@gmail.com
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8/10/2020 Rheem RHSL-HM2417AA-RHSL Series 2 Ton Multiposition Standard Efficiency Air Handler-13 SEER-R410a-PCS Motor---136922...
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Rheem RHSL-HM2417AA - RHSL Series 2 Ton Multiposition
Standard Efficiency Air Handler - 13 SEER - R410a - PCS Motor
Item: RHSLHM2417AA MFR: RHSL-HM2417AA
This product is no longer available for purchase.
Comparable Products
Equipment
Description
Specifications
Name Rheem RHSL-HM2417AA-RHSL Series 2 Ton Multiposition Standard Efficiency Air Handler-13 SEER-
R410a-PCS Motor
Gemaire Item Number RHSLHM2417AA
Manufacturer Product RHSL-HM2417AA
Number
SKU-PIM Number 1369225414683
https://www gemaire com/rheem-�hsl-hm2417aa-rhsl-series-2-ton-multiposition-standard-efficiency-air-handler-13-seer-r410a-pcs-motor-rhslhm2417aa 1/3
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8/10/2020 Rheem RHSL-HM2417AA-RHSL Series 2 Ton Multiposition Standard Efficiency Air Handler-13 SEER-R410a-PCS Motor---136922...
ERPNumber 1143782
Unit of'Measure —I EA I
Weight- — --I82.0 Pounds(Lb)
Length 21.7 Inches(In)
Width 175 Inches(In)
Height --_ --- 42.5 Inches(In)_
Country of Origin — MEX
Brand i Rheem
Equipment Type -- Yj Heat Pump-
�Tonnage 2
Stage —�_-- Single — --i�
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Refrigerant R-410a
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Cooling Capacity �24000
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Voltage 115 VAC
Phase Single
Cycle/Hertz 60 Hz —
Circuit Breaker-Min 3.8
Amps
Circuit Breaker-Max 15
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Blower Motor HP 1/5 HP
Blower Motor RPM 1075
Filter Size 16"x 20"
Filter Size 2"x 16"x 20"
Drain Connection Size 3/4"
Suction Line Fitting Sweat or Braze
Speed 2
Liquid Line Fitting Sweat or Braze
Liquid Line Size(OD) 3/8"
Certifications AHRI, ISO 9001:2008
Color Rheem Gray
Comments/Notes Versitale 4-way convertible design for upflow,downflow,horizontal left and horizontal right applications.
Warranty Offered Yes
Energy Star Rated No
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8/10/2020 Rheem 13AJL24A01 -Value Series 2 Ton, 13 SEER,R410a Air Conditioner Condenser---1374780028041
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Rheem 13AJL24A01 - Value Series 2 Ton, 13 SEER, R410a Air
Conditioner Condenser
Item: 13AJL24A01 MFR: 13AJL24A01
This product is no longer available for purchase.
Comparable Products
Equipment
i
Description
i
Specifications
Name Rheem 13AJL24A01-Value Series 2 Ton,13 SEER,R410a Air Conditioner Condenser
Gemaire Item Number 13AJL24A01
Manufacturer Product Number 13AJL24A01
SKU-PIM Number 1374780028041
ERP Number 197492
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8/10/2020 I Rheem 13AJL24A01 -Value Series 2 Ton, 13 SEER,R410a Air Conditioner Condenser---1374780028041
t Unit of Measure EA
`Weight i� 126.0 Pounds(Lb)
Length 123 6 Inches(In)
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Width j !23.6 Inches(In) �
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1 Height 24.3 Inches(In)
Iuntry of Origin MEX
! Brand j Rheem
Equipment Type i Straight Cool --
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Tonnage 12
Stage Single
f SEER 13
EER i 11.15
Refrigerant R-410a
Cooling Capacity 24000
Voltage 1208-230 VAC
Full Load Amps 106
Phase Single
Cycle/Hertz 60 Hz
Circuit Breaker-Min Amps 20
Circuit Breaker-Max Amps 25
Minimum Circuit Amps 13.4
Rated Load Amps 12 8
Locked Rotor Amps 58.3
Suction Line Size(OD) 13/4
Liquid Line Size(OD) 3/8"
Certifications ANAB Accredited,RvA Accredited,ABS Quality Evaluations,Inc.Management System Certification
Color Green
Inverter No
Number of Fan Blades 1
Sound Level(dBA) 74
Warranty Offered Yes
Energy Star Rated No
UL Listed Yes
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Product Family 13AJL
Tier Value Series
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GEM-Case Quantity
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MODEL 0. / •- Mf�D.IFAB 03/2009
MODELE .N° 13AJL24AOI
SERIAL -NO. / OUTDOOR USE'
No DE SERIE 7666W140905414 USAGE EXTERIEUR
VOLTS - 208/230 PHASE. 1 HERTZ 60 �
.COMPRESSOR/
-COMPRESSEUR R.L.A. 12.8/12.8 L.R.A. 58,3 f'
OUTDOOR FAN MOTOR/ ,F.L.A. 0.6 HP. 1/10 Wµ '
MOTEUR VENTIL. EXT.
MIN. SUPPLY CIRCUIT AMPACITY/ a ,
COURANT ADMISSBLE D'ALIM. MIN. 17117 AMP
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MAX. FUSE OR CKT. BRK. SIZE*/. !
CAL. MAX. DE FUSIBLE/DISJ* 25/25 AMP
MIN. FUSE OR CKT. BRK. SIZE*/
CAL. MIN. DE FUSIBLE/DISJ* 2b/20 AMP
DESIGN PRESSURE HIGH/ 450 PSIG/3102 kPa [r
PRESSION NOMINALE HAUTE a
DESIGN PRESSURE LOW/ 250 PSIG/2724 kPa
PRESSION_ NOMINALE BASSE
OUTDOOR UNITS FACTORY CHARGE/ s
7.7 oz/2183g R410A
CHARGE USINE D'UNITES EXT.
TOTAL SYSTEM CHARGE/
CHARGE TOTALE SYSTEME R410A
SEE INSTRUCTIONS INSIDE ACCESS PANEL.
VOIR INSTRUCTIONS DANS LE,PANNEAU D'ACCES
} RHEEM SALES COMPANY, INC. -+ '
FORT SMITH, ARKANSAS
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92-22050-17
*HACR TYPE BREAKER FOR U.S.A./
DISJONCTEUR D•IFFERENTIEL ASSEMBLED IN MEXICO
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