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Home My WebLink About45989-Z AW SOFF04,-. Town of Southold 4/17/2021 a P.O.Box 1179 0 co o • 53095 Main Rd Southold,New York 11971' CERTIFICATE OF OCCUPANCY No: 41965 Date: 4/17/2021 THIS CERTIFIES that the building HVAC Location of Property: 1605 Meday Ave.,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-9-7 Subdivision: Filed Map No. Lot No. ' conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/8/2021 pursuant to which Building Permit No. 45989 dated 3/26/2021 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 units as applied for. The certificate is issued to Tallywood SP Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45989 3/30/2021 PLUMBERS CERTIFICATION DATED 6ut0r' a Signature o�SUFFot,��o TOWN OF SOUTHOLD a aye BUILDING DEPARTMENT y x 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#: 45989 Date: 3/26/2021 Permission is hereby granted to: Tallywood SP Inc 183 Beach 131st St Belle Harbor, NY 11694 To: legalize "as built" mini split units as applied for. At premises located at: 1605 Meday Ave., Mattituck SCTM #473889 Sec/Block/Lot# 113.-9-7 Pursuant to application dated 3/8/2021 and approved by the Building Inspector. To expire on 9/25/2022. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Buil Inspector OF SO(/ry®! Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G ® sean.devlin(a-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Tallywood SP Inc Address: 1605 Meday Ave city:Mattituck st: NY zip: 11952 Building Permit#: 45989 Section 113 Block. 9 Lot- 7 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 Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 6 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 " Two Mini Splits Inspector Signature: Z� Date: March 30, 2021 S.Devlin-Cert Electrical Compliance Form.xls tv SO(/Tyo V o t5z)ovy # # TOWN OF-SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND 3 [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY v [ ] FIRE-SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) . [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: /4-5 <F; L'1 t L__r Mimi S E l-t DATEZ?Z6 /14 INSPECTOR `�' r - o��gOFFO�,��oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �y�o! gaol Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only - - � fI m�,r.�,-• �� _._' �� PERMIT NO.Ag Building Inspector: ; f ' `' MAR 8 2021 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:March 4, 2021 OWNER(S)OF PROPERTY: Name:Tallywood SP Inc. scTM#1000-473889 113.-9-7 Project Address:1605 Meday_Ave Mattituck, NY 11952 Phone#:631 831 0870 Eman_Tallywpodsp@gmail.com Mailing Address:183 Beach 131 St Street Belle Harbor, NY 11694 CONTACT PERSON: Name:Maryanne Kimball Mailing Address:183 Beach 131 St Street Belle Harbor, NY 11694 Phone#:631 831 0870 Email:mgkimba112@gmail.com DESIGN PROFESSIONAL INFORMATION: Name: none Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:none Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION r ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: El Other existing house for updated Certificate of Occupancy/o`) MI'015P1i-f' u( i+s $g Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property: residence Intended use of property:residence / rental Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to -- - - - -- - -- - -- -- - Mattituck; NY this property? ❑Yes ®No IF YES, PROVIDE A COPY. B Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):M a rya n n e Kimball ❑Authorized Agent 130wner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) Maryanne Kimball being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Owner (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/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this _day of 20 r• _ Notary Public Cmycommis'sion =Dec6t A New York 25 ounty PROPER` OWNER AUTHORIZATION ec 6, 2023 (Where the applicant is not the owner) I, residing at dohereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 �OSrilf1 FO BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD W = ' Town Hall Annex - 54375 Main Road - PO Box 1179 o • ��k� Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov - seand(cD-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: March 1, 2021 Company Name: BH Electrical Contracting, Inc. Name: Robert Haiss License No.: Suffolk 3078ME email: Bobhaiss@gmail.com / Phone No: 516 546 0664 ❑1 request an email copy of Certificate of Compliance Address.: 1435 Chapin Ave Merrick, NY 11566/1605 Meday Avenue, Mattituck, NY 11952 JOB SITE INFORMATION (All Information Required) Name: Robert Haiss (contractor) / Maryanne Kimball (owner) Address: 1435 Chapin Ave Merrick, NY 11566 / 1605 Meday Avenue, Mattituck, NY Cross Street: Phone No.: 516 546 0664/ 631 831 0870 Bldg.Permit#: - V email: Tax Map District: 1000 Section: 113.-9-7 Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Inspect Fujitsu Split Air Conditioner units Model ASU7RLF1 Serial #MWA057434 Check All That Apply: Is job ready for inspection?: EYES ❑NO ❑Rough In ❑Final Do you need a Temp Certificate?: ❑YES ONO Issued On March 1, 2021 Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground [—]Overhead # Underground LateralsEll ❑2 ❑H Frame[—]Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.x1sx co FUJITSU SUBMITTAL ASU7RLF1 'Cti I7 000 BTU Wall Mount Type Job Name QVAWLT WITH ALL CODES OF Location N bh5W YORK STATE 8c_-LOWN_CGD-E-S Engineer Ap lREQ (IRF=A.N.D CONDITIONS OF Submitted To U B.P.# Construction Submitted ByF Unit No Reference �a ' T.— Drawing No �t1B ffFY—I�f1I17Tf - r® F� T A T O r RRA , PRODUCT FEATURES 765-1802 8 AM TO 4 PM FOR THE S0J,4G Bq$+AhLT-RUSTEES FOLLOWING INSPECTIONS: -Wireless remote controller 1. FOUNDATION - TWO REQUIRED •AutolCoolIDrylFanlHeat modes FOR POURED CONCRETE •24 Hr.timer 2. ROUGH - FRAM( G & PLUMBING -Powerful mode -Cold prevention 3. INSULATION -Auto Restart 4. FINAL - CONSTR''r''ON MUST BE COMPLETE F,:,:-� 0. - — --T---- ALL CONSTRUCTI-N Sr,ALL MEET THEY r+C c REQUIREMENTS OF THE CODES OF NEW ®VV`�U 1�-PP'11�'�C YORK STATE. NOT RESPONSIBLE FOR USE IS'_UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. ., „T',. MODELW. Indoor Unit ASU7RLF1 INominal Capacity 7,000 II ear OF OCCUPANCY LINESETREQUIREMENTS L 1Connection Method _I Flare ! 7 Year Compressor,5 Year Parts out-of-the-box Warranty Liquid 01/4(06.35) lz Gas in(mm) 03/8(09.52) WARRANTY Material PP+LLDPE Drain hose in 0 9/16(I.D.),0 5/8 to 0 11/16(O.D.) IIIII Imm 1 013.8(1 D.),015.8 to 016.7(O.D.) � 10 Year Compressor,10 Year Parts Warranty when registered within INDOOR DIMENSIONS .; ' 30 days of installation in a residence Net(H x W x D) In 10-9/16 x 33-1116 x 8 V�;,. ' 4I mm 268 x 840 x 203 Gross(H x W x D) in 10-5/8 x 34-13/16 x 14-3/4 mm 270 x 884 x 33612 Year Compressor,12 Year Parts Warranty when registered within Net Weight Ib(kg) 19(8.5) 5u, 30 days of installation in a residence,and installed by a Fujitsu Elite Gross Weight y 23(10.5) ;0%'� contractor SPECIFICATIONS Voltage/Frequency/Phase 208/230 V-60 Hz Voltage Range 187-264 V ENCLOSURE Runnin Current A 0.13 f ' Material Polystyrene Input Power W 15 (Enclosure Color White SOUND ' IACCESSORIES High 36 UTY-TTRX 3rd Party Thermostat Converter Cooling Medium 32 UTY-XCBXZZ Interface Kit Low 29 UTY-RNNUM Wired Remote Indoor Unit Quiet dB(A) 21 UTY-RVNUM Wired Remote w/backlight High 36 UTY-RSNUM Simple Remote Heating Medium I UTY-XWZXZ5 Dry Contact Wire Kit Low 29 FJ-RC-WIFI-1 NA Intesis Wired WiFi module Quiet I 22 FJ-IR-WIFI-1 NA Intesis IR WiFi module oI UTY-TFNXZ2 WIFI interface Modulel 'High 330(560)1 Cooling Medium 294(500) Low 253(430) Airflow Rate Quiet CFM(m3/h) 182(310), ELECTRICAL High 330(560) Heating Medium 294(500) INSPECTION REQUIRED Low r 253(430) Quiet 194(330) ETV ETL#: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: 10/1/2019 Version ASU7RLF1 -2019B https:/Iportal.fujitsugeneral.com e 1 11 iii iiS e co FUJITSU SUBMITTALASU7RLF1 a Inverter Driven Heat Pump Oji BTU Wall Mount Type DIMENSIONS Units:In.(mm) 33-1/16(840) 8(203) m N_ �O O _ (33-1/16(840)) chi � 16-1/8(410) 16-15/16(430) 12-3/16(310) 11-5/8(295) F _m _ V02-9/16 W s_v Milli N ��as EFmil 02-9/16 06S 6-1/2(165) 5-11/16(144) 65 for pipe inlet 7(178) 9-3/16(233) for pipe Inlet 12-5/8(321) 12-3/8(315) The Fujitsu logo is a worldwide trademark of Fujitsu General Limited The Halcyon logo and name is a worldwide Note-Specifications are based on the following conditions: trademark of Fujitsu General Limited and is a registered trademark in Japan,the USA and other countries or areas ding Indoor temperature of BUT(26 TC)DB/6rF(19 4°C)WB,and outdoor temperature of 95TF(35°C)DB/75F Copyright 2018 Fujitsu General America,Inc Fujitsu's products are subject to continuous improvements Fujitsu reserves (23.9*0 WB.Heating Indoor temperature of 70°F(21.1-C)DB/60°F(15 6Y)WB,and outdoor temperature of 47T the right to modify product design,specifications and information in this brochure without notice and without incurring (8 3Y)DB/43-F(61-C)WB Pipe length:25ft.(7.5m),Height difference Oft(Om)(Outdoor unit-indoor unit) any obligations 46 West Fa i rhel d, NJ 07004iia :•: