HomeMy WebLinkAbout46039-Z �o�OS�FFUL�p Town of Southold 5/1/2021
P.O.Box 1179
0
V' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42006 Date: 5/1/2021
THIS CERTIFIES that the building HVAC
Location of Property: 760(102)Washington Ave., Greenport
SCTM#: 473889 Sec/Block/Lot: 41.4-34
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/16/2021 pursuant to which Building Permit No. 46039 dated 4/6/2021
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"HVAC system and electrical survey as applied for.
The certificate is issued to Garner,Irene
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46039 4/16/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�SUEE`Q TOWN OF SOUTHOLD
oy� BUILDING DEPARTMENT
C, 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#: 46039 Date: 4/6/2021
Permission is hereby granted to:
Garner, Irene
C/O Jean McGee
10 Flocee Ln
Hampton Bays, NY 11946
To: legalize "as built" HVAC system as applied for.
At premises located at:
760 Washington Ave., Greenport
SCTM # 473889
Sec/Block/Lot# 41.-1-34
Pursuant to application dated 3/16/2021 and approved by the Building Inspector.
To expire on 10/6/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ALTERATION TO DWELLING $50.00
Total: $450.00
Building Inspector
®��pF SOU��®�
Town Hall Annex ® Telephone(631)765-1802
MIL
54375 Main Road 531115 ISP Fax(631)765-9502
P.O.Box 1179 sean.devlina-town.southold.ny.us
Southold,NY 11971-0959 ® y®
c®UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Irene Garner
Address: 760 Washington Ave city:Greenport st: NY zip: 11944
Building Permit# 46039 Section: 41 Block: 1 Lot: 34
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BJ Electric License No: 2670ME
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 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower 1 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
Inspector Signature: C� Date: April 16, 2021
c
S. Devlin-Cert Electrical Compliance Form As
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 hLtps://www.southoldtowmy.gov
Date Received
APPLICATION FOR BUILDINGPERMIT
For Office Use Only Y
PERMIT NO. Building Inspector MAR 1 6 2021
'-App'licatibns and forms,must be filled out in their,entirety.-Incomplete'
applications-will,not'be accepted.,-Where'the Applicant is not the owner,an
"0%4n6r's;Authori z6tiofi form{Page,Z)shall be completed. 'A
Date:3/8/2021
X,
0 E R
(S)OF PROPERTY:-
Name:Dave Garner
SCTM#10CIO-41-1- 34
Project Address:760 Washington Ave Greenport, NY 11944 (mailing address is 102 Washington Ave)
Phone#:215-262-5859 Email:asaqnova78@gM@il,.com
Mailing Address:
"611\11TA&PER'SON.
Name: Dave Garner
Mailing Address: 201 Sassafras Lane Milton, De 19968
Phone#:215-262-5859 Email:asagnova7
A@,gmail.com
DESIGN-PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email;
-CONTRACTOR INFORMATION:
Name:'SCott Ferrari (electrician) Andrew McGee(Webber & Grahn) installer
Mailing Address: LG ductless HVAC system installed Oct. 2020. Did not know permit was required.
Phone#: Email:
DESCRIPTION OF-PROPOSED CONSTRUCTION
7
ONewStructure ElAddition ElAlteration ERepair ElDemolition Estimated Cost of Project:
ROther New ductless split HVAC system already installed upstairs, Oct.2020. $4000.00
Will the lot be re-graded? E]Yes ®No Will excess fill be removed from premises? ElYes ®No
PROPERTY INFORMATION:
Existing use of property: Intended use of property:
___..Rental ._ _Rental
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Washington Heights this property? ❑Yes ®No IF YES, PROVIDE A COPY.
® Check Box After Reading: The owner/contractor/design-professional is`responsible for all drainage and storm water issues,as provided by `
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein`described.The applicantagrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By rint ame):® Garner ❑Authorized Agent ®Owner
Signature of Applicant: Date: 3/8/2021
STATE OF �
SS:
COUNTY OF Stiff ,,; ) SvS
®avid Garner being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Owner
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
I day of Aorn� , 20 Zl
s
Notary PubIc ,$
� Q, .• �SSIO^j Q mr
PROPERTY OWNER AUTHOWAMN
(Where the applicant is not the owner) o •••.08. 02`x•'
so 4 ..... �to
s'®FOFpDS\e,,�•
I, residing at
do hereby 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
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7
# # TOWN OF SO'1 (oc �3THOLD BUILDING DEPT.
co 765-1802
INSPECTIO.N .,
[ ] FOUNDATION-1ST [ ] ROUGH PL13G.
[
] 'FOUNDATION 2ND [ ] INSULATION/CAUL-KING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ _ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ . ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: ; - �
ice. � 1 rQ cn
cl
DATE INSPECTOR
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I`'I1AMING / STHAPPING, I-INAL
I 1 IIIIII)CA & CVIIMNE�tY FIRE SAFETY INSPECTION
.� rifl r,� I1I SISTANT CONSITI=INCTION FIRE RESISTANT PENETRATION
y 1:l.Fl-,,G'Yl lICAL (I OU `I-I) , ELECTRICAL (FINAL)
CODE VIOLATION PRE C/O
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�o�®SVfED(�C® BUILDING DEPARTMENT- Electrical Inspector
Gy TOWN OF SOUTHOLD
C= Town Hall Annex- 54375 Main Road - PO Box 1179
CIO
® Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr _southoldtownny.gov — seandasoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 3/8/2021
Company Name: BJ Electric
Name: Dave Garner(owner) Scott Ferrari(electrician)
License No.: 2670ME email: asagnova78@gmail.com
Phone No: 215-262-5859 01 request an email copy of Certificate of Compliance
Address.: 760 Washington Ave Greenport, NY 11944(mailing address is 102 Washington Ave)
JOB SITE INFORMATION (All Information Required)
Name: Dave Garner(owner) Scott Ferrari(electrician)
Address: 760 Washington Ave Greenport, NY 11944(mailing address is 102 Washington Ave)
Cross Street: Booth Place
Phone No.: 215-262-5859
Bldg.Permit#: Lf 003q email: asagnova78@gmail.com
Tax Map District: 1000 Section:41 Block: 1 Lot: 33 & 34
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installed LG split HVAC system for upstairs area.
Installed LG split HVAC system for upstairs area.
Installed LG split HVAC system for upstairs area.
Check All That Apply:
Is job ready for inspection?: [Z]YES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: ❑YES ✓❑NO Issued On 3/8/2021
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals 01 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N
Additional Information: This LG unit was already installed in October 2020 We were not aware of the need for these inspections
This LG unit was already installed in October 2020. We were not aware of the need for these inspections.
This LG unit was already installed in October 2020. We were not aware of the need for these inspections.
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xisx
BUILDING DEPARTMENT- Electrical Inspector
Gym TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
Ol �a rogerr _southoldtownny.gov — seand(a--)southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 3/8/2021
Company Name: BJ Electric
Name: Dave Garner(owner) Scott Ferrari(electrician)
License No.: 2670ME email: asagnova78@gmail.com
Phone No: 215-262-5859 01 request an email copy of Certificate of Compliance
Address.: 760 Washington Ave Greenport, NY 11944(mailing address is 102 Washington Ave)
JOB SITE INFORMATION (All Information Required)
Name: Dave Garner(owner) Scott Ferrari(electrician)
Address: 760 Washington Ave Greenport, NY 11944(mailing address is 102 Washington Ave)
Cross Street: Booth Place
Phone No.: 215-262-5859
Bldg.Permit#: glp03` f email: asagnova78@gmail.com
Tax Map District: 1000 Section:41 Block: 1 Lot: 33 & 34
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installed LG split HVAC system for upstairs area.
Installed LG split HVAC system for upstairs area.
Installed LG split HVAC system for upstairs area.
Check All That Apply:
Is job ready for inspection?: DYES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: ❑YES ONO Issued On 3/8/2021
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground [—]Overhead
#p Underground Laterals ❑1 E:]2 ❑H Frame [:]Pole Work done on Service? Ely ❑N
Additional Information: This LG unit was already installed in October 2020. We were not aware of the need for these inspections.
This LG unit was already installed in October 2020. We were not aware of the need for these inspections.
This LG unit was already installed in October 2020. We were not aware of the need for these inspections.
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xisx
PERMIT# Address:
Switches
Outlets
GFI's
Surface
J
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special: \
Comments
` ce-1
APPROVED AS NOTED
DATE:
FEE: d %� BY:
NOTIFY-BUILDING DEPARTM AT . OCCUPANCY OR
765-1802 ' 8 AM TO 4 PM FOR THE
FOLLOWING-INSPECTIONS: USE IS UNLAWFUL
1. FOUNDATION, '" TWO REQUIRED WITHOUT CERTIFICATE
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING OF OCCUPANCY
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
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 ELECTRICAL
�cri runi n Trnnini Baa
INSPECTION REQUIRED
_.qrn rrHOI n 10M RUNNING BOARD
SOUTHOLD T USTEES
Ny c DEG—
DUCT-FREE SPLIT:SINGLE ZONE
Art CoolTM Premier
LG Art Cool''Premier systems are among the
industry's best products,offering one of the most
complete systems,offering the user an edge with r
advanced control and design flexibility
9,000 BTU/h 12,000 BTU/h
LA090HYV(Heat Pump) LA120HYV(Heat Pump)
9,000 BTU/h Cooling 012,000 BTU/h Cooling
®11,000 BTU/h Heating ®13,600 BTU/h Heating
r�Most Efficient
2014 '
l�v energstargav ENERGY STAR
SPECIFICATIONS *Specifications can be changed without notification
System Model LA090HYV LA120HYV
Indoor Model LAN090HYV LAN120HYV
Outdoor Model LAU090HYV LAU120HYV
Performance i
Rated Capacity(BTU/h) 09,000 ®12,000
011,000 ®13,600
SEER 275 255
HSPF 118 115
Warranty 5 years parts-,7 years compressor
r 0ITMGallery
This DFS system features a unique 20"x 20"
indoor unit frame to display a photograph,picture,
or artwork of your choice Installation is simple— 3.
the Indoor units mount securely on a vertical ,.,, s' '
surface with screws q#
9,000 BTU/h 12,000 BTU/h
LA090HVP(Heat Pump) LA120HVP(Heat Pump)
®9,000 BTU/h Cooling ®11,200 BTU/h Cooling
®10,800 BTU/h Heating ®13,300 BTU/h Heating
SPECIFICATIONS ENERGY STAR
•Specifications can be changed without notification
System Model LA090HVP LA120HVP
Indoor Model LAN090HVP LAN120HVP
Outdoor Model LAU090HVP LAU120HVP
Performance
Rated Capacity(BTU/h) 0 9,000 ®11,200
®10,800 ®13,300
SEER 160 160
HSPF 82 82
Warranty 5 years parts,7 years compressor
13
Cc' //0//?/DUCZCLI�LTI ZONE
Art Coot W Gallery Inverter
Available in 9,000 and 12,000 Btu/h,the slim,contemporary
styling of the Art Cool'Gallery models will appeal to today's
discerning customer.
9,000 BTU/h 11,200 BTU/h y'
LMAN097HVP LMAN127HVP 0 -&/O,(j lo_
SPECIFICATIONS
*Specifications can be changed wit ou[notification
Indoor Unit Model Number LMAN097HVP LMANI 27HVP
{Performance I 1
Rated Cooling Capacity BTU/h 9,000 11,200
Rated Heating Capacity BTU/h 10,400 13,300
Fan Airflow Rate(H/M/L) CFM 272/208/155 314/258/198
Sound Pressure Levels(H/M/L) dB(A)+/-3 39/35131 42/38/34
Warranty 5 years parts pp
TM - - - - -- t
Art Coot Mirror .
tt+:s asl
Wall-mounted indoor units with a mirror-finished f` f:
front panel.Choose from 9,000, 12,000,and
18,000 Btu/h capacities
9,000 BTU/h 12,000 BTU/h 18,000 BTU/h
LMAN097HVT LMAN127HVT LMAIU187HVT
SPECIFICATIONS •Specifications can be changed without notification
Indoor Unit Model Number LMAN097HVT LMAN 127HVT LMAN 187HVT
jPerformance I
Rated Cooling Capacity BTU/h 9,000 12,000 18,000
Rated Heating Capacity BTU/h 10,400 13,800 20,800
Fan Airflow Rate(H/M/L) CFM 247/230/212 335/318/300 572/501/434
Sound Pressure Levels(H/M/L) dB(A)+/-3 33/30/27 39/36/31 37/33/28
Warranty 5 years parts.
Standard Wall- Mount
,a,>
Wall-mounted indoor units with a white exterior.Available
In 9,000,12,000,and 18,000 Btu/h capacities. nN -
9,000 BTU/h 12,000 BTU/h 18,000 BTU/h
LMN097HVT LMN127HVT LMN187HVT
SPECIFICATIONS `Specifications can be changed without notification
Indoor Unit Model Number LMN097HVT LMN127HVT LMN187HVT
jPerformance l
Rated Cooling Capacity BTU/h 9,000 12,000 18,000
Rated Heating Capacity BTU/h 10,400 13,800 20,800
Fan Airflow Rate(H/M/L) CFM 247/230/212 335/318/300 572/501/434
Sound Pressure Levels(H/M/L) dB(A)+/-3 33/30/27 39/36/31 37/33/28
Warranty 5 years parts
21
s
FEATURES
2 Art Art TM High Four- Duct
Cool T- Cool TM M
Art Cool ea Efficiency Standard
Sllll9����®fly 'S)CS$eiY15 Mirror g y Inverter Way (High
g
Gallery Premier Inverter Cassette Static)
Energy Star" ,$st Efficient ✓ ✓ ✓
MOstEfficient„ ;� ®1`f (except for
wwweenLA240HSV2)
�f ✓
'Energy"Star ✓ ✓ ✓
• �i (except for
LA240HSV2)
Gold Fid",,Anti- ® ✓ ✓ ✓ ✓ ✓ ✓ ✓, ✓
Corrosion
Self-cleaning ✓ ✓ ✓ ✓ ✓ ✓
indoor coil
Jet CoolEll
✓ ✓ ✓ ✓ ✓ ✓ ✓
Jet HeatRAI
✓ ✓ ✓ ✓ ✓
4'Way auto ✓ V/ V/ VI/swing
Ultra quiet ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
operation
Sleep mode ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Auto restart ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Auto: ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
changeover
Built-in low _
ambient V/ V/ V/ ✓ ✓ ✓
standard,down
to 14'F
(Cooling Mode)
.Condensate ✓ ✓ ✓ V/ V/ ✓
sensor � °
connection. LA
Internal ,
condensate ✓ V/
pump included
3MTm HAF filter g�q MICRO ✓ ✓
° ' Dust Filter '
Powered by M1 Tech
Coot only, ✓ ✓ ✓
function -
5 years parts; ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
7 years compressor
Warranty 2 years parts;
5 years com ressor
° 5 years parts °
24