HomeMy WebLinkAbout45242-Z zr.�-�
o���FFot,��aG Town of Southold 10/9/2020
P.O.Box 1179
o -
C* 53095 Main Rd
4,1 0. Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41509 Date: 10/9/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 740 Longview Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 88.4-50
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/16/2020 pursuant to which Building Permit No. 45242 dated 9/24/2020
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"central air conditioning as applied for.
The certificate is issued to Anderson, Joseph&Carolyn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45242 10/1/2020
PLUMBERS CERTIFICATION DATED
� r o
uthorized Signature
�S�FF t,r TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
�� • 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#: 45242 Date: 9/24/2020
Permission is hereby granted to:
Anderson, Joseph
14 Barrett Rd
Hanover, NH 03755
To: legalize "as built" AC unit as applied for.
At premises located at:
740 Longview Ln, Southold
SCTM # 473889
Sec/Block/Lot# 88.4-50
Pursuant to application dated 9/16/2020 and approved by the Building Inspector.
To expire on 3/26/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
Bui din ector
Form No.6
TOWN OF SOUTHOLD
)3UILDING 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. -gee 7 /s- ye) Z 0
New Construction: Old or Pre-existing Building: V" (check one)
Location of Property: 7,y,0 l o h gy 7 ew. Lcm e so u�A p l d N l
House No. Street Hamlet
J n C�B
Owner or Owners of Property: Ga ea l L/h d l n e2 F,9 1,
Suffolk County Tax Map No 1000, Section g Block L� Lot SCS
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: $ ��
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A p)t-cant Sign re
OF SOUK,®�
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® @ sean.deviinCaD-town.southold.ny.us
Southold,NY 11971-0959
®�yC®U01
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To, Joseph Anderson
Address: 740 Longview Ln city.Southold st: NY zip: 11971
Building Permit#: 45242 section: $$ Block 4 Lot. 50
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 Ceiling 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 Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Ll Exit Fixtures 11 Pump
Other Equipment.
Notes* " AS BUILT, NO VISUAL DEFECTS " AC + AH in Attic
Inspector Signature:
Date: October 1, 2020
S.Devlin-Cert Electrical Compliance Form As
t
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I, Carolyn Anderson residing at 740 Longview Lane, Southold NY
(Print property owner's name) (Mailing Address)
do hereby authorize Gary Schay
(Agent)
to apply on my behalf to the
Southold Building Department.
Digitally signed by Carolyn Anderson
Carolyn Anderson DN cndarolyn nda ndrson o,ou,
�I11 Anderson 11 email=carolyndanderson@gmall com,c=US
Date 2020 03 01 18 10 10-05'00'
(Owner's Signature) (Date)
Carolyn Anderson
(Print Owner's Name)
SOUTyo� Ll 5 7 Lf LA
* # TOWN OF SOUTHOLD BUILDING D PT.
`ycou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. .
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] 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 INSPECTOR `
i
FIELD-INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)
--------------------------
FOUNDATION
-----------------------FOUNDATION(ZND)
v�
ROUGH FRAMING&
PLUMBING H
r
. - o
INSULATION PER N.Y. H
STATE ENERGY CODE
FINAL
- ADnI'�'It?N�C�E31t'�MEN�S-
H
i
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. :5o Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
,l Flood Permit
Examined 20v Single&Separate
_2
Truss Identification Form
Stone-Water Assessment Form
L Contact:
Appioved 20 O Mail to: �VCACt
Disapproved a/c bckmlc�e_a :S— k-
Phone:
Expiration ,20
s 0%7,
+ Buil m pector
^ YPLICATION FOR BUILDING PERMIT
SE1p I �.�LLD ° �s
Date� 1S_ , 20 ZED
r-1Tff,T_'.,Tr0 LeEP-r- INSTRUCTIONS
a.This application MUST lie 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. ,f,1,
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.
(Sign.atupC of applicant name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises
(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:
71-10 L(9ti91ae (.l 4a SDu16n
House Number Street Hamlet
County Tax Map No. 1000 Section Block L'l Loth
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 {//"
escription)
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 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 .
e
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth 7
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 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
* 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 his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to�efore me this J Z�
day of 20 z
Notary Pull is CHRISTOPHER BRANCATO
Notary Public-State
of New Yoik Signature Applicant
NO 01BR6126481
Qualified m SuHoik County
My Commission Expires May 9,2021
o��S�fF�(KcoG BUILDING DEPARTMENT - Electrical Inspector
TOWN OF SOUTHOLD
o y1 '� Town Ha I nnex - 54375 Main Road - PO Box 1179
o
r ' ' SEP 2 g �n - E_ outhold, New York 11971-0959
y pr �i' ephone (631) 765-1802 - FAX (631) 765-9502
]gLTUDm errpsoutholdtownny.gov -- seand(a)southoldtownny.gov
APPLICATION FBR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (AII Information Required)
Name: S'c� G
Address: Ln vLcc -sOrJ �C2
Cross Street:
Phone No.:
Bldg.Permit #: email:
Tax Map District- Block: Lot:___5J0
BRIEF DESCRIPTION OF WORK (Please Print Clearly) =6ito—ff)
Circle All That Apply:
Is job ready for inspection?: YES / 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 Form.x(sr? 0
P-4 s 1 �0
SUFFO(,(- BUILDING DEPARTMENT- Electrical Inspector
COG�-. TOWN OF SOUTHOLD
-4 '� Town H 1 nex - 54375 Main Road - PO Box 1179
Cn
CIO
SEP 2 g i____ uthold, NewaYork 11971-0959
York
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phone (631) 765-1802 - FAX (631) 765-9502
B��DLoaerr(cr�southoldtownny.gov � seand(a�southo(dtownny.gov
APPLICATION F�.IWELECTRICAL "INSPECTION
ELECTRICIAN INFORMATION (All Informatiori Required) Date:
Company Name:
Name: a
email:
License No.:
Address:
Phone No.: i
J
JOB SITE INFORMATION (All InformationlRequired)
Name: �Cc4 a "
Address: Lon ✓�1Lr-c SofJ ' C;,
Cross Street:
Phone No.:
Bldg.Permit#: email
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Tax Map District: 11000 Section: Block ' Lot: 40
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough,ln Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (AII information required)
Service Size 1 Ph 3 Ph Size: A # Meters 0[d Meter#
New Service - Fire Reconnect - Flood Reconnect' Service Reconnectbd - Underground - Overhead
i
# Underground_Laterals 1 2' H Frame I Pole, Work donq on Service? Y N
Additional kiformation:
PAYMENT, WITH APPLICATION -
d
' ; 9
Request for Inspection FormAs
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APPR0 ED OTED
SERIALE082220634 DATE: ' B.P.:
PROD NUMAKB2e8
MODEL N2A33GAKB2ee FEE:
METERING TXV N1A NOTIFY BUILDING TMENT AT
DEVICE INDOOR OUTDOOR 765-1802 8A TO 4 FOR THE
FACTORY CHARGEDFOLLOWING INSPECTI
R—A_2 1. FOUNDATION - TW QUIRED
5.48 LHS 2.45 KG FOR POURED CON E
INDOOR TXV SUE COOLING 7 "F ' 2. ROUGH - FRAMING LUMBING
POWER SUPPLY 208-23e VOLTS AC 3. INSULATION
1 PH 60 HZ E 4. FINAL - CWNSTP)E MUST
PERMISSIBLE VOLTAGE AT UNIT BE COMPLETE I
253 MAX 197 MIN ALL CONSTRUCT10i L MEET THE
SUITABLE FOR OUTDOOR USE REQUIREMENTS OF DES OF NEW
COMPRESSOR 2e8r230 VOLTS AC YORK STATE. NOT RE NSIBLE FOR
1 PH 60 HZ DESIGN OR CONST N ERRORS.
14.4 RLR 77.0 LRA
FAN MOTOR 2081230 VOLTS AC
1 PH 68 HZ
COMPLY WITH AL ODES OF
DESIGSTESTHPRESSURE GAGE PLA EW YORK STATE & WN CODES
HI See PSI 2869 KPA S REQUIRED AND DITIONS OF
LO 15e PSI 1034 KPA
MAX DESIGN?WORKING PRESSURE
lee PSIG 4826 KPA BOARD
MINIMUM CIRCUIT AMPS 19. 1
MAX FUSE MAX CKT-BKR(*) 3e A EES
3e A EN HACR TYPE RECOMMENDED
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MODEL NUMBER N2A336AKB200
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SERIAL NUMBER E0H2220634
DATE OF _MANUFACTURE JUN 2000 USE
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CENTRAL COOLING AIR CONDITIONER WITHOUT C E R I CATE
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Unitary Air Condlll...r. -
CERTIFIED CARACfTY AND EFFENYENCY RATINGS ARE VALID ONLY WHEN THE
COMBINATION OF INDOOR UNIT AND OUTDOOR UNIT IS LISTED fN THE ARI DIRECTORY ED
IRlemational Comfort Products,LLC 333940-4004
LewlSburp,TN 37091 U.S.A.