HomeMy WebLinkAbout46369-Z gufF01 � Town of Southold
o�A o� 8/28/2021
a y P.O.Box 1179
co 0
53095 Main Rd
O4,1 �Aa Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42298 Date: 8/28/2021
THIS CERTIFIES that the building ALTERATION
Location of Property: 1170 Eugenes Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-6-1.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/25/2018 pursuant to which Building Permit No. 46369 dated 6/4/2021
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:
central air conditioinin as applied for.
The certificate is issued to Brower Jr,Howard&Janet
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46369 8/13/2021
PLUMBERS CERTIFICATION DATED
T
Authorized Signature
1
�o�suFFnc,��oTOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
"o • , 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#: 46369 Date: 6/4/2021
Permission is hereby granted to:
Brower Jr, Howard
71 Linden St
Rockville Centre, NY 11570
To: install AC unit as applied for. Amended 6/4/21 for additional AC.
Replaces BP 42749.
At premises located at:
1170 Eugenes Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 97.-6-1.1
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 12/4/2022.
Fees:
PERMIT RENEWAL $170.00
Total: $170.00
(L
Bu i ng Inspector
SUFFo�K TOWN OF SOUTHOLD
�,�o`g copy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . oar 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#: 42749 Date: 6/4/2018
Permission is hereby granted to:
Brower Jr, Howard & Janet
71 Linden St
Rockville Centre, NY 11570
To: install AC unit as applied for.
At premises located at:
1170 Eugenes Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot#97.-6-1.1
Pursuant to application dated 5/25/2018 and approved by the Building Inspector.
To expire on 12/4/2019.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
�1D
� 3�d
ilding Inspector
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 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 I% 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
I. 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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 61*2 0 ie V 5,z/✓e s 4.; a f C ® U e N q
House No. Street Hamlet
Owner or Owners of Property: /-/o uJA-a. Q� t5 kye,t),_t2-T,z- 4•4-ta. l lj4owz_^.
Suffolk County Tax Map No 1000, Section 0j 7 Block 10 Lot h/
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: $ IW
Applicant Signatu
F SOUp�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.deviin(cD-town.southold.ny.us
Southold,NY 11971-0959 �®
c®U 1�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Howard Brower Jr
Address: 1170 Eugenes Rd city Cutchogue st: NY zip. 11935
Building Permit#. 46369 Section: 97 Block. 6 Lot 1.1
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 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower 5 Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures 11 Pump
Other Equipment, Surge Protector
Notes " AS BUILT NO VISUAL DEFECTS " AC's
Inspector Signature: _ Date: August 13, 2021
S.Devlin-Cert Electrical Compliance Form
# #fftxf so
TOWN OF SOUTHOLD BUILDING DEPT.
coum, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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: A5 9 y
DATE / 2 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
--------------------------------
FOUNDATION(2ND)
IL I
z
�H
ROUGH FRAMING& l '
PLUMBING H '�
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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/'OWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL B- of Health
SOUTHOLD, NY 11971 4 sets B ' : lairs
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 -
��� � ��.�;ey`)
Southoldtownny.gov PERMIT NO. 'h
Septic Form
N.Y.S.D.E.C.-
xustees
C.O.A'plication
ood Permit
Examined ,20� Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved614 ,20
Disapproved a/c
Phone:S�
Expiration 20JI W()rK
DBuff Spector
MAY 2.5 2018 _APPLICATION FOR BUILDING PERMIT
" Date , 20
TOWN OF SOUTHOLD 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.
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 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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
k State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises H wR b Tq-ivvi R-.
(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.
-0ther'-Trade's,License No.,
1. Location of land on which proposed work will be done: .
pi:70, > rR v. C U +0 U-Z , OJ
House Number Street Hamlet
County Tax Map No. 1000 Section q7 Block (0 Lot !o
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
atureof work (check which applicable):New Building �dsjt3on Alteration
Repair Removal Demolition COther-Work ) Q,+lees' f9-e-' -
R lzl ="—� (Description)
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 -- F ;_. E� -r, Rear•, ;; �'
Depth Height Number of Stories
d
8. Dimensions of entire new construction: Front Rear ' : Depth
Height Number of Stories
9. Size of lot: Front Rear Depth ggyy f-
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. oes proposed construction violate any zoning law, ordinance or regulation? YES NO 10
13. Will lot be re-graded? YES NO '10Will 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 .. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES�1 _NO
* IF YES, SOUTHOLD TOWN TRUSTEES'&D.E.G. 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.
06rovide survey,to scale, with accurate foundation plan and distances to property lines.
17. I 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:
czCO TY OF_
C t'aC'�(�(. d �J(� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the QA
(Con actor,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.
CHRISTINE VOLLKOMMER
Notary Public-State of New York
SWorUP before me this JJJJdd�� NO.01V06129469
QualifiedNassau
day of 20 /9 My Commi s o1n Expires Jununty 20,2021
MAR VIN
Notary Pub is ign,A&e of Applicant
�oSUFE01,�`� BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
3 - Town Hall Annex - 54375 Main Road - PO Box 1179
coo
,� • Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.rich ert(a town.south old.ny us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name: 1/0 U_V_a--K ti
License No.: email: IfiR Q 1::�_ M.A- ® aC7 to 141,
Address: otl/V 0-9—/v SI d-envtc-e A111 71 S-7 0
Phone No.: H. -5'-/6-*!;� & —77 c/o -7
JOB SITE INFORMATION: (All Information Required)
Name: (-�oLurb R, 13 2a cue
Address: 11? 6 F y e lu e-c `' o 4-�, 0-v tG/. o el� N y
Cross Street: M A I /V R p ,
Phone No.: /(, S76 -S -7 y o8- C,; <-16 - 3!5"-q -7s-6
/
Bldg.Permit LJ (A3,(, email: S�, �� e mo l"evI4
Tax Map District: 141000 Section: 9-7 l . , Block: G Lot: 1,
BRIEF DESCRIPTION OF WORK (Please Print Clearly) .�.vs¢,g !/, ,4-Vct/e�s.
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 FormAs � ��
PERMIT# Address:
Switches
Outlets'`
GFI's '
Surface
Sconces
•14H's
UC Lis
Fans Fridge HW
C
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC f A" - - Mini
• J
Special:
Comments:
6/2/2021
Re: Building Permit
1170 Eugene's Road
Cutchogue, NY
Attached please find the requested fee of$170.00 for the amendment of the building permit for the
above property.
Thank you,
Howard R. Brower
Email: hrbirmai@aol.com
Phone: 516-359-7561
Llr= r
�' JUN 4 2021
i
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400 Ostrander Avenve,Riverhead,New York 11901
tel-651.1212505 fax 631.127 0144
admin®govngonginooring— -
N
4 or
SG8° Thomas G.Wolpert,Frofgess oanal Enginnd eer , - -
Douglas E.Adams,Professional Engineer
Robert O Test,Architect
57.4.03' W E
SITE DATA
AREA=28,264 50 FT.
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VERTICAL DATUM =N.G.V DATUM(M5.L.192W
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NO.45693 �
Y 5URVEY FOR
HOYW4RD R. BROWER
414c- ft, 44L �° L J
p�'�° �, to o f-v `�0 Q Q� 4 JANET KRONER
NG6° 7,0 `•• Yol'4 FLn�v er "� OL 0' at East Gutchogue,Town of Southold
a X84 A ``• s YaD�4 You&oNosno,l. a 0) Suffolk County,Novi York
�h s76°07'06°W a � F 6 p y
SALLiK RNm ° 0�4 BUILDING PERMIT SURVEY
25.83' I Wooa aeF
,('_ r(aLKr(AY - County Tax Map of:mae 1000 s°waa 17 emaw Ob EaL LI
TIE LINE ALONG APFROXIMA
HIGH WATER MARK N51°Ib'3l° .& sem$ `•` o FIELD SURVEY COMPLETED - MAY 10,2012
30.23' OR,Off, f�.'cp MAP PREPARED MAY II,2011
Record of Revisions
I `
RECORD OF REVISIONS DATE
1156°42'4 3cf' 64 3 r// e ncu F-RoPOSE".F--e Alm-sB-'oil
J�'` eMFIJnFn PRrmtfa.Fn nt'!Y MAa'17.2018
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7.40' cow N6S /'
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=mommrNT SET ■=MONUMENT FOUND, =5TAKE SET A=STAKE FOUND 6=WETLAND N)M3ER 4 FLAG
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AP*BRn D ASN ED COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
DATE: B.P: AS REQUIRED AND CONDITIONS OF
FES: BY �S99FH9@ Tm ZBA
NOTIFY—
DE UILDING DE PAR ENT AT
-7,6 4802;.8 AM TO 4 PM FOR THE -8 ��BOARD
FOLLOWING-'INSPECTIONS: S 96U4:R °"„ro�
1':R'FOUNDATION --TWO REQUIRED
_'FOR POURED CONCRETE . ,DEC
2: ROUGH = FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW OCCUPANCY OR
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
,PROVED AS NOT
DATE: B.P #
FEE BY:
NOTIFY,BUILD G D ARTMENT "AT . ELECTRICAL
765-t802; $AM 0 PM, FOR THE, INSPECTION REQUIRED
FOLLOWINGINSP TIONS
I.-FOUNDATION 0 REQUIRED
,FOR POUR CO RETE y
2. ROUGH:= AMING PLUMBING
3. INSULAT N
4. FINAL CONSTRUCTIO MUST
BE MPLETE FOR C.O. RETAIN STORM WATER RUNOFF
ALL C NSTRUCTION SHALL EET THE PURSUANT TO CHAPTER 236
REQ REMENTS OF THE CODE OF NEW HE TOWN CODE.
YO STATE. NOT RESPONSIB FOR
D IGN OR CONSTRUCTION ER RS:
HOWARD R. BROWER-BUS:516-826-9797, HOME:516-536-7408 D
1170 EUGENES ROAD,CUTCHOGUE, NY MAY 2 9 2018
Unit specifications to be installed: AOU36RLXFZ1 BUMDING DEPT.
X
ryl,•
ww"A'
W-I
Q
A6;UV46
Al
Uri-
'y
Connectable Indoor Units A tW%�LvL�kT POT Q
Connectable UnItCapacityClass 8TUh 1CM4 WL2+.W
OP
Wl*l F .F _',
Rated Capacity Cooling I Heating BTUh
:0.0_9_
QE %440'' %-A"4VIN
k
Cooling Operating Range T(C) Q ,
15E A
Heating Operating Range VQ 5EN APYA
P
Rated input Pow CkjfHtg kW
$0WEV!M 71,CON "'ClIkAzz"I
VoltageffifequencyiPlim
MaximumTotal(uffent Amps
Minimum OccultAmpacity Amps
V
A-7-n-4
K. �"Ivif .
-Maximurn Circult8reaker Amps 1. f
Fam Type x 0jantity
Z
-Sound Pressure Level Cooling d8(A)
Sound Pressure Level Heating dB(A)
Ma"HWOMIRM.
.Minimum Lineset Length Each fc(m) MRS
Maximum Lineset Length Each NO
Minimum Lineset Length Total ft(m)
W(
Maximum DriewtLengthTotall Mtn) FSR_ M W
A WINS 1,;&
_Pfe-Clyge Length Total ft(M) ff_IE-40CASSU C t7�1!M11 W A-TO Ofs,MA
Maximum unesetHeIght Difference 8twn T' OW, E
o N 'z I
Outdoor Unit Furthest indoor Unit NO ill
IV il
GE,
,F"ZP'f4
00),Ilk
Maximum 11 neset.Height Dlfkre nce 8twn 91
2
Incloorunits 4*,w m 51,�t ""'LM
5- 3 N.
NO
�JAOT L".5 MUlwh
UnesetDiameter inch
V I
iRWIF E 10
Net Weight Its.(kg) MWMER
IF IMA N In W.49C 60E %:�_i
Dimensions:Height inch 100.U�1'UR-104-,TMIRMA
FM
inch WINNIMUNTIP FRRZI�'"YERT114 M_y_6VP_e31t11P
Width min w-M . ' 1 '5 .
inch LjW$Q 53 "W'.0"Na M1 .4-MAV
Depth
mm
-ReftigeQnt R 4'F.At WN R"M W I ,"LA 0 j 0 ki,�'�'�-%R ri 4 1 ME'ORO 06A X191,-V I
"1$t1$Is the ody 2 Indoor untt M,ARIJ or AUV)combinatIonarxi requlies K9FZ1 818
,see table for allowed comWnauons within this connectable capacIty range.
nD F�C F`0w[E
HOVVARDR' BROWER—BUS S1G'O2G'9787, HOME:S15-S36-74OD U\\
\D
1IJOEUGENEGROAD,CUTCHOGUE, NY MAY ^ 9 201A
Unit specifications tobeinstaUed' AOU36RLXFZ1
' DEPT.
IMP, I-
all 14,
COMPACT SIZE
Re compad size of thewtdwF units aflows for many
installation opportunirms�
Contwturs can Wectelthef an 18,24,36 or 45,000 STU
compact cassette or floor mount type indoor unit:5.We-
and-match ReAbIlItf of evaporator type and capacity al
lows
you to chouse the indoor unit that best fits the application,
whether it be hidden or shmvcawd.These sy5terns afe
ideal for nuising homesi 6%Ws offices,condominiums,
cooing or beating is needed.
DC TWIN ROTARY COMPRESSOR
01
A hIgh performance low noise,large
21
NOMINAL CAPACITIES,SEERAN0HSPFRATINGS