HomeMy WebLinkAbout47053-Z o�SOFFncK�aTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
oy • 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#: 47053 Date: 10/28/2021
Permission is hereby granted to:
Kremer, Valerie
76375 Route 25
PO BOX 689
Greenport, NY 11944
To: Legalize as-built AC system at existing single family dwelling as applied for.
At premises located at: V
�76375 Route 25, Green ort
S Y1. J
SCTM #473889
Sec/Block/Lot#48.-1-2 D11 4q;-1
Pursuant to application dated 10/21/2021 and approved.by the Building Inspector.
To expire on 4/29/2023.
Fees:
AS BUILT-ACCESSORY $400.00
CO-ADDITION TO DWELLING $50.00
Total: $450.00
Building Inspector
OF SO(/Tyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. ox 117
Southoldd,,NY 11971-0959 sean.devlinCc�town.Southold.ny.us
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COU05
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Valerie Kremer
Address: 76375 Route 25 city:Greenport st: NY zip: 11944
Building Permit* 47053 Section: 4$ Block: 1 Lot: 2
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 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 3 Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower 3 Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 3 Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " Three AC's
Inspector Signature: C Date: November 15, 2021
S.Devlin-Cert Electrical Compliance Form
O�aOF SOUTy�/- V � 7 ,�/ L
h `o V
# TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm '' 765-1802
= 1-N.SPECTION.
[ ] FOUNDATION 1 ST [ ] ROUGH PL13G.
[ j FOUNDATION 2ND [ ] INSULATIOWCAULKING'
[ ] FRAMING /STRAPPING [ ] FINAL
[ ]
FIREPLACE-&,CHIMNEY' [ 1`'-FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] 'FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL-'(FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: ,
4�f NA-t,,_ S���- -rn r
DATE / . ?i/ INSPECTOR - �
FIELD.INSPECTION REPORT. 'DATE COMMENTS
FOUNDATION(IST) y
-----------------------------
. Q
FOUNDATION(2ND) h�7
� O
ROUGH FRAMING:&
09
PLUMBING �y C
rb
cS �
INSULATION.PER N.Y. y.
STATE ENERGY CODE
o t
4t. (
FINAL.
ADDITIONAL COMMENTS
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TOWN OF SO U'dHOLD=.BUILDING DEPARTMENT
Town.Mall Annex 54375 Main road.P.O_Box 1179 Southold,_NY 11971-0959
a '1-deph ne(631)765-1802 Fax(6531)765-9502
Date Becei #
APPLICATION. FOR BOLDING PE* IT .
For,Dffice Use Only
PERMIT 1,O. Building Inspector; = OCT 2 12021
Applications and forms,must be-fiiled.;out in their entirety Incomplete BUILDING DEPT.
_applicationswill not be accepted UUhere the;Ar t is nflf the ovuner,an TOWN,OF SOUTHOLD
�Lv sus Qrizatamto f®im''lj age'2).shall lie comtaleted:
Darte:10202021
Name-Chades Foster Reeve SCTM#1000- 46-1-2
ProjectAddress:76375 Route 25 (Front Street), Greenport NY 11944
Ph6ne#:631-236-°2630 Email:Feeve+,c P ` E-R-ma
mailing Amr :76 75 Route 25, Greenport NY 11944
Narne: J Mazzaferro, PE
MaihngAddress:P. Box 57, Greenport, NY 11944
Phone#:516-457-5596 Email maz lin@msn.com
®LESIi5N FRDFESSI®NAL IRfFd11RMAIlE� :
Name:NJ Mazzaferro, PE . -
Mailing Address:P® Box 57, Greenport, NY 11944
Phone#:5 16-457-5596 Email:mez lin@msn.com
CONTRACTOR INFdRil 4tION:
Name:As-Built
Mailing Address:,,
Phone#: 7—;mil:
f]ES?LRIPT><>DN'O�l?ROPOSED CONSTRUCTION' u.
El New Structure OAddition OAlteration DRepair ODemolition Estimated C cffPrq]e
Q{gtherAC System to Exisintg Sipmturc:
Will the lot be re-graded? OYes NiNo Will excess fill be removed from prem" s'? OY'es S o
IL
PROPERTYINFORMAiTdNi
Fisting use of property:Residential Intended use of property:Residenfial
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 j t prep? OVes RNo W V PRO Acepy.
WE rim
Application Submitted ByZtnme}:NJ azzaferro, f Signature of A►ptOJicant: � Date:
STATE OleV GRK)
Ss-
COUNTYor ) S
> being duly sworn deposes and says
that(s)he_is the applicant
(Name of irtMdual signing contract)above named,
(S)he is the kr��j
(Contractor,A`.gent,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 know' Iedge 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 �G�� . 2021 �
(;;!Notary Public...
jEAW1,IARIE QuDON
PROPERTY OWNER AUTHORIZATION Notary Public, D1 Newyork
No.010D-6251o251233
(Where the applicant is not the owner) Qualified in Suffolk'County
Commission Expires November 14,203
I, Charles Foster Reeve residing at 76375 Route 2 , Greenport
NY 1 do hereby authorizeNJ azzaferro s E to apply on
my behalf to theTown of Southold Building Department for approval as described herein.
10/20/2021
per's Signature Date
Charles Foster Reeve
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
A" TOWN OF S.OUTHOLD
x Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
X
�; ,p�'} Telephone (631) 765-1.802 - FAX (631) 765-9502
rogerr(aDsoutholdtownny.gov — sea nd(aD,south oldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
Address: ' (o -!-
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑ NO F-]Rough In F Final
Do you need a Temp Certificate?: ❑ YES 0 NO Issued On
Temp Information: (All information\required)
Service Size 1-11 PhF–]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[]Underground❑Overhead
# Underground Laterals 1 n2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT # Address:
Switches
Outlets
G FI's
Surface
Sconces
H H's
UC Lts
Fans ..Fridge
Exhaust Oven W/D
Smokes DW Mini
Gene
-Carbon..
IVl icro-` rator.
..- 'Coimbo: Cooktop _:...._... . ..... _.. p .. Transfer:
AC AH Hood Service...
<; Have U
Amps.. '. ed
Special: _. ... _
Comments:
APPROVED AS NOTED OCCUPANCY O
DATE:&- - B.P.#
y:L`,,��
MOTIF 0� 3 USE IS UNLAWFUL
FEE: BUI off DEPARTMENT AT WITHOUT CERTIFICATE
765-1802 8 AM TO 4 PM FOR THE OF O C C U PPiCY
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
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 COMPLY WITH ALL C, �''ES OF
YORK STATE. NOT RESPONSIBLE FOR NE6(V YORK S TATE & TO. A CODES
DESIGN OR CONSTRUCTION ERRORS. AS REQUIRED AND CON +TIONS OF
SOUTHOLD TOVA::3A
SOUTHOLD TOWN�ANNING BOARD
SOUTHOLD TONdI,; 7USTEES
N.Y.S.DEC
Additional
Certification
May Be Required.
a RIM MSPEMON REQUIRED
76375 Route 25, Greenport As- Built AC Units
Units in Rear of House—3 Zones
R14 M AIR CONDITIONER Ob/200
MODFI N0. RAKA"024JAZ
MFD. OUTDOOR U51
O. 5082F2604'E. I HERTZ bIi
SLRIAI N pHASE. 1 63
?.08-230 2/12.2 L.R.A.
40�SSOR R.L.A. 12. IF P, 7 W
OU AOR N MOTOR F.I..A. 9 16/16 AMI'
AII IP
MIN SU ACITY 25/25 pl.m
MIN. SUPPLY CIRCUIT SIZE' .20/20 RVP
MAX. FUSE OR CKT W SIZE" 300 PSIG/2068 kPa
MIN. FUSE ORkPa
pE51Ei7 PRESSURE NIGH 150 PSIG/1034 2
DLSIGN PRESSURE LOM 50 01./1417 9 R22
OUIUOOR UNITS FACTORY CHARGE
TOIAL SYSTEM CHARGE
SEF INSIRUCIIONS INSIDE: ACCESS PANEL.
RNFEN AIR CONUIIIONING DIVISION MADE
FORM SMITH. ARKANSAS I N THE
SA
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•HKR TYPE BREAKER FOR U.S.A.
21
Center Unit qPM OF NErY yo
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SE!31AL WD./ N' DE SERif KMI501494 ff"Tm UW
UTIUSATION EN DARIEUN
COMWSSOR COOS/ CODES DE C{NM'RESSEUR 9087
VOLTS 206/230 P'147F. 1 HERTZ 60
CtYLPRESSOR!COMPRESSEUR R.1.. (!..7/16.7 L.R.A.83.9
OUTDOOR FAN MOTOR/ l l 1.3 H.P. 1/4
MOTEUR VENTIL. EXT.
MIR, SUPPLY CIRCUIT AMrALIlY/ 23123 A
COURANT ADMISSABLE O'ALSM. MIM.
MAX, FUSE OR CKT. UK. SIZE'!
35/35 A
CAL. MAX. DE FUSIBLE/DISJ•
91%. FUSE QR CKI. BRK. SIZE•/ 30/30 A 1
CAL. MIH. DE FUSIBLE/015J•
IN
DESIG4 PRESSURE NIGH/ lW.
PRESSION NWNALE HAUTE 450 PSIG/3102 kPa
DESIGN PRESSURE LOW 250 PSIG/!/23 kPa
PkESSION%ORI ALE BASSE
OUTDOOR UNITS FACTORY CHARGE/ R410A
CHARGE USINE O'UNITES EXTFRIEtg4 86 ez124 4E
T('AL SYS:EN CHARGE/ 1 R410A
CHARGE OTALE W SYSTEM-E
SFE INSTUIIONS INSIDE ACCESS PANEL I EGFR LLS OM URTMC116NS A L•1NEIAItUR WPWAAU O':kCES
ROLEX SALES COMPANY Im
IORi SMITH, ARKANSAS
1MSTAEL PRORINITED IM SOUTHEAST AND SOUTHWEST AW.?,-'
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Left Unit
MO11EL 00.1 1100ELE N•RAI 13W,NA RFD./FAB 08/2018
SER:AL NO.! N•DE SERIE 02ISM36 owl
9TILlS+lIOAYSEE EEIIIHL'
COMPAESSOR CODE 1 CODES DE C:a'AII'NtSSEUR 9087
VOLTS 2061230 PHASE. 1 HEWz co
COMPRESSOR!LDP1'RLSSEUR R.L.A. 16.1/16.1 L.R.A.83.9
OUTDOOR MN"OTOR/ F.L.A. IJ R.P.1/4
POItUR VEWIL. EAI.
MIN. SUPPLY CIRCUIT, IWPACITY/ 23/23 A
COURANT AOMISSABLE WALS+I,MIA.
MAA. FUSL OR CK!. BKR.SILL-/ 35/31 A
CAL.VLA.DE FUSIBLE/DISJ•
MSN. FUSE OR CRT.BRA. 51WI 30130 A
CAL.+4Ih. DE FUS.OLElDISP
DESIGA FRESSIIPE HIGH/
PRESSPYN W41NALE RAWL 450 PSIG/3102 EW
DESi6'x PRESSURI LTM/ 250 PSICJI123 ON
MISSION WFIRALE RASSt
OUlD00R U11S FACIORY Ct1ARGE/ IM ISA
CHARGE U51B6 e:/24NF WINITES EATERIM 3% 11410A
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Right Unit ��o �O. 05709'
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