HomeMy WebLinkAbout46277-Z x.ral=-
fFOi Town of Southold 10/9/2021
a P.O.Box 1179
y rn a 53095 Main Rd
oy o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42428 Date: 10/9/2021
THIS CERTIFIES that the building HVAC
Location of Property: 160 Gagens Landing Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 70.-10-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/3/2021 pursuant to which Building Permit No. 46277 dated 5/19/2021
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:
HVAC to existing single family dwelling as applied for.
The certificate is issued to Conklin,Linda
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46277 10/2/2021
PLUMBERS CERTIFICATION DATED
6
ri d ignature
�Strzni��o TOWN OF SOUTHOLD
-
�y BUILDING DEPARTMENT
y 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#: 46277 Date: 5/19/2021
Permission is hereby granted to:
Conklin , Linda
160 Gagens Landing Rd
PO BOX 323
Southold, NY 11971
To: Install HVAC to existing single family dwelling as applied for.
At premises located at:
160 Gagens Landing Rd., Southold
SCTM #473889
Sec/Block/Lot# 70.-10-17
Pursuant to application dated 5/3/2021 and approved by the Building Inspector.
To expire on 11/18/2022.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ALTERATION TO DWELLING $50.00
Total: $250.00
Building Inspector
of so
Town Hall Annexri Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 - roger.richerta-town.Southold.ny.us
.r �®
Southold,NY 11971-0959
C®� 9�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Linda Conklin
Address: 160 Gagens Landing Rd City: Southold St: New York Zip: 11971
Building Permit#: 46277 Section 70 Block. 10 Lot 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: RJ Corazzini Electric License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic X Garage
INVENTORY
Service 1 ph 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 Switches 11 Twist Lock Exit Fixtures TVSS
Other Equipment central air conditioner, 1-condenser,1-air handler, 60 a disconnect, replace 100a
electric panel
Notes:
Inspector Signature: Date: October 1 2021
81-Cert Electrical Compliance Form.xls
� '7 oe souTyo
TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
.r = INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND = [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL f fV#Ca
[ ] FIREPLACE'& CHIMNEY- [ ] FIRE SAFETY"INSPECTION J
[ ]- FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
0." &---1
DATE 674 INSPECTOR
OF SOUTyO�
#
TOWN-OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.-
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] 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 l�/�� INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS•
4-
FOUNDATION
FOUNDATION(IST) --�
-----------r---------------------- -
FO DATION (2ND)
0
ROUGH FRAMING& -• y
PLUMBING ,
Q
INSULATION PER N.Y. y
STATE ENERGY CODE
'00,
FINAL
ADDITIONAII CQMMENTS O
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�guEFoi 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 https://www.southoldtowm.gov
Date Received
APPLICATION FOR BUILDING PERMIT �'F I L-'rl`1�%i
For Office Use Only
MAY m 3 2021
PERMIT NO. Building Inspector:
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❑New Structure ❑Addition ❑Alteration ❑Repair ElDemolition Estimated Cost of Project:
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Will the lot be re-graded? ❑Yes X-NO, ill excess fill be removed from premises? ❑Yes XNo
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Application Submitted By(print name): Imo`�� its (-- j ❑Authorized Agent Xpwner
Signature of Applica Date:
STATE OF NEW YORK)
COUNTY OF SUl )
Linda, COM I n being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the nu) -C
(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 Maw 20al
— 4
i ota l AOtY L. ER
NOTARY&UMIC,STATE OF NEW YORK
NO,01DW6306900
PROPERTY OWNER AUTHORIZATION QUALIFIED IN SUFFOLK COON
E
(Where the applicant is not the owner) OMMISSION EXPIRES JUNE 30,
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
SUEFttL,l' BUILDING DEPARTMENT- Elec rica
OHO CSG TOWN OF SOUTHOLD,
o Town Hall Annex - 54375 Main Roa - PCJHbx -3 7A21
- Southold, New York 11!471-0959
Telephone (631) 765-1802 - FAX (631#U��=W?D1j- `
rogerr(aDsoutholdtownny.gov sea nd(aD_s1yathn]dtow[rgynM:i_
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: J � J
Company Name: � I M , L�o C
Name: 0
License No.: 2 o�_ email: -
Address: L VI
Phone No.: ` '1
JOB SITE INFORMATION (All Information Required)
Name: L— k n A 0, 0 D �� n
Address: ,e 0
Cross Street:
Phone No.: S'
Bldg.-Permit#: a` I email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) .n
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:
_--
2 ' � Lr
^�,.� J U "'9 i
PAYMENT DUE WITH APPLICATION /
JUN 3 2021
Request for Inspection Formals
`M \1 BUILDING DEPARTMENT-Electrical Inspector
I TOWN OF SOUTHOLD
AUG 1 9 2021 Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
B ,DING DEJP`t'.
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: _a —,2-
Company Name: 756-1 ZZI" f-
Name:
License No.: email: p ®n,I)n e, yv,
Phone No: �/ Jc-,o ❑I request an email copy oY Certificate of Compliance
Address.: �`��%�c✓ ���-, f«9��
JOB SITE INFORMATION (All Information Required)
Name: 1174
Address: . 1
Cross Street:
Phone No.:
Bldg.Permit#: -]`-] email:
Tax Map District: 1000 Section: -70 Block: ® Lot:
BRI F DESCRIPTION OF WORK (Please Print/Clearly) � Xr �
/�c' cG ♦r /00 /GG�v (� Lt�i`�L, d0 f4 11
Check All That Apply:
Is job ready for inspection?: EDIKES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: ❑YES10 Issued On
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 02 ❑H Frame❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx �J✓� � `
4-1 0-410
APPROVED AS NOTED OCCU
a ANCY OR
DATE: 5'1 .� B.P.# USE IS UNLAWFUL
g5r�.0-D BY: (TOUT 9
FEE nEpARTMENT AT CERTI 2A +t
NOTIFY BUILDING oM FOR THE OF FOLLOWING
02 8 IN TC
PE OCCUPANCY
FOLLOWING INSPE�o aE0U1RED
I. FOUNDATION - T
FOR
HF & BING
2ROUG - RACONCRETE
IG PLUM
3..
INSULATION
4. FINAL - CONSTRr)RC.O
ALL CONSTRUCTIC MUST
BE COMPLETE ~r SHALL MEET THE
_S NEIN
HE CODE
REQUIREMENTS OF RESPONS BLOE FOR
YORK STATE. NO
DESIGN OR CONSTRUCTION ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED ND CONDITIONS OF
SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
� N.Y.S.DEC
1
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WK-Heating&CeeftILLC S te _2 9
PO BOX 247
CUTCHOGUE, NY 11935 US
,K 631-765-5554
a- DJ dikheatingcooling@yahoo.com
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ADDRESS
Linda Conklin .
PO Box 323 6ATE_.
Southold, NY 11971 t741i 51202 = o a
ACT1v17Y QTY RATE AMO
lVeYvinstalla#ten 1 11,254.00 11,25-
Furnish and install central air conditioning system to consist of the following:
First floor main:
1 new Trane 3 ton air handler,model#4TEM4Q36J installed in residence attic. 1
Centrally located return. Supply outlets to be 8x8 ceiling grilles placed in rooms as
discussed.
1 new Trane 3 ton conden�siva unit,,model#4TTR6036A,at residence exterior not
more than 4 feet Pram residence structure and within 50 feet of air handler on pre-
cast slab.
Ductwork:Trunk duct system shall be fabricated front 28 gauge galvanized steel.
Supply air duct shall be wrapped with 3"foil faced,,scrim covering.Ali'branch outs to
be 7"class 1,foil type,insulated flex duct R8 value. Return air duct shall be
acoustically lined. Supply outlets shall be to each room as required. Mechanical
equipment,ducting and-piping location and design by DJK Heating&Cooling.
Included in installation:
Low Voltage wiring
Control wiring
Condensate drains
Hart&Cooley Quality Grilles
Insulated,nitrogenized type L refrigeration pipe
All necessary materials,installation, labor and start-up.
One year guaranty on defects in materials and workmanship during normal business
hours.
Total Job: $11,254.00
Option#1: Install air purification system to consist of 1 Aprilaire SpaceGard air
cleaner.Additional Investment: $695.00
We Hereby Propose to furnish materials and labor-complete in accordance with
above specifications for the sum of Eleven Thousand Two Hundred Fifty Four
Dollars.
Payment to be made as follows: 50%deposit,50%start-up