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HomeMy WebLinkAbout47207-Z os �1 Town of Southold 1/31/2022 a t P.O.Box 1179 0 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42716 Date: 1/31/2022 THIS CERTIFIES that the building HVAC Location of Property: 105 Mill Rd.,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-3-7.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/18/2021 pursuant to which Building Permit No. 47207 dated 12/9/2021 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 mini-split unit in existing accessoryygara e as applied for The certificate is issued to IDK Mansion LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47207 PLUMBERS CERTIFICATION DATED A ori ed S'gn ture o�SOFFot,��o TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT y 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#: 47207 Date: 12/9/2021 Permission is hereby granted to: IDK Mansion LLC 104 Little Wood Ln Delray Beach, FL 33444 To: Legalize as installed HVAC mini-split unit in existing accessory garage as applied for. Additional certification may be required. At premises located at: 105 Mill Rd., Mattituck SCTM # 473889 Sec/Block/Lot# 113.-3-7.2 Pursuant to application dated 11/18/2021 and approved by the Building Inspector. To expire on 6/10/2023. Fees: AS BUILT-ACCESSORY $400.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $450.00 Building Inspector pE SO(/l�ol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • CoQ sean.devlin(aD-town.southold.ny.us COMM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: IDK Mansion LLC Address: 105 Mill Rd " GARAGE" city:Mattituck st: NY zip: 11952 Building Permit#: 47207 Section: 113 Block: 3 Lot: 7.2 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 X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage X 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: Mlnisplit-1 Notes: " AS BUILT NO VISUAL DEFECTS " Minisplit (AC) Inspector Signature: (�1/�- Date: January 13, 2022 S.Devlin-Cert Electrical Compliance Form �O�apF SO//ly0lo 104 4 7 W 7 # # TOWN .OF SOUTHOLDBUILDING DEPT. 765-1802 A NSPECTION [ ] 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: r��' g::� DATE I INSPECTOR �� ' FIELD:INS— IQ1Y°I PRT'. . 'RATE.: ;' t Cd.1VI11'L NTS FOUNDAT-ION.'-'( STS; y ------ -------------- ------ -- FOUNDATION:(2ND.);. ROUGHIFR-AMNG 8 �H INSULATION AERN '. . H. STATE ENERGY CODE FINAL...'. ' ADDITIQNAL Gd�1?I12ENTS N` G p TOWN OF SOUTHOLD—BUILDING DEPARTMENT y _ Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 hnps://www.southoldtownny.gov 0 e, Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only NOV 1 8 2021 PERMIT N0. q1920 Building Inspector: BUILDING DEPT. Applications and forms must be filled out in their entirety. Incomplete TOWN OF SOUTHOLD applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:November 17, 2021 OWNER(S)OF PROPERTY: Name:Kim Dezelic/ IDK Mansion LLC SCTM # 1000- 113 —3 -7r Project Address:50 Breakwater Road/aka 105 Mill Road, Mattituck, NY 11952 Phone#:917-972-8936 1Email:Dezelic.Assistant@gmai1.com Mailing Address:104 Little Wood Lane, Delray Beach, FL 33444 CONTACT PERSON: Name:Same Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: None Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Already Built Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑OtherSPLIT UNIT Air Conditioner attached to Separate Garage(for storage) $ Already Built Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ©No 1 PROPERTY INFORMATION Existing use of property:Vacation Home Intended use of property: Vacation Rental Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes 9 N IF YES, PROVIDE A COPY. 8 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(prin name):Ki m Dezel is ❑Authorized Agent ®Owner Signature of Applicant: n/%i� Date: /I ' / J STATE OF NEW YORK) CONNIE D.BUNCH SS: Notary Public,State of New York COUNTY OF ) No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,202"3 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the (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 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 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 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 regerr _southoldtownny.gov - scandasoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali information Required) Date: Company Name: ou 1- — a r A-/ n� Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION (All Information Required Name: 1 Cil De-2p- i G -1--0\e- n s� ib L C Address: j o- Cross Street: So OVI Coe-jug) Phone No.: Gli3O ' -7a- 993L Bldg.Permit#: (-/DO-? email: 2' J C , GSSIS �1'lai .CuIM Tax Map District: 1000 Section: 13 Block: 3 Lot: , a BRIEF DESCRIPTION OF WORK (Please Print Clearly) _SPL II: AJC H-/1& Circle All That Apply: Is job ready for inspection?: ES NO Rough In Final Do you need a Temp Certificate?: YES / 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 lam""1 Request for Inspection Formals 1*i`gufF0tA- . BUILDING DEPARTMENT- Electrical Inspector Yf�o� TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 �.. 4,,. Telephone (631) 765-1802 -FAX (631) 765-9502 rogerr southoldtownny.gov - sea nd(cDsoutholdtownny.-go v APPLLCAT[ON FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION(All Information Required) 'Date: i I- a -7- NI Company Name: 06Jr . �,(' 1 / c U0\ Name: License No.:- email: Address: Phone No.: JOB SITE INFORMATION (All Information Requi Name: 1.' ,.De_2e i C.red .T_0y_ Y1S ib' L.C, Address: Cross Street: A 2k.wa2 o--ad 0r1 Cot �rG Phone No.: . -q 17 -73L- gel 3 Bldg.Permit#: '(I do. 7 email: ImIfs �� rYlar� ,cum Tax Map District: 1.000. . Section::. �3.:._ Block: 3 Lot: 7, a BRIEF DESCRIPTION OF WORK (Please Print Clearly) SA 117 AX, iI+ addedC�ar Circle.All That Apply: Is job ready for inspection?: ES NO Rough In Final Do you need a Temp Certificate?: YES / 1 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 Formals ro 17 I N/0/F WR WN S 86'49'20" E li 25'. ,IR/GHT` OF WA Y SURVEY OF PROPERTY J 29g,p0' � AT MATTITUCK ooerh od wir s d i r t r E "- --� y 9 0 � e1 drtewo 1-2'S 0.2.5 PIPE stoke y 1.4'E o sz.z TOWN OF S O UTHOLD c au ( �,� ,.o's ( fr. gar fr. shed 2.7'w SUFFOLK COUNTY, N. Y. 10 0 ( O z "( _ N 1000- 113-0�3-7.2 ' ( 9 r e V e I fr.lszv--c shed SCALE: 1 "=40' + a JAN. 19, 2000 t7 o JAN. 28, 2000 ! cerll!/callon J z•0. P ' C3 03Ljj s:o� 511D�3® o 5'0 1 rrte�• .1' � 150.8 N h n CERTIFIED TO, conc ` JOHN CONNOLL.Y JACOUELINE ENTENMANN b EUROPEAN AMERICAN BANK j l e CHICAGO TITLE INSURANCE COMPANY \„ I c C -J ` re N 0 u 'o 3.1•E 01 p nF— N Q 9 4 J S / l I i U9 f r. % M AREA = 1.8738 ac N 87'44 00' W I G 261.2ai AULL ROAD S 87'44'00" E 25.00' N 8744'00" W49 e.+ RIGHT OF WAY a 297.00' S 88'02'20" W41. � � 'A'T. L�'® rd — S. o 7 u I / WL rq ! N. . 1 ECONIC EYO Kt "- M M.H.W.M. os per Survey b Howkine, Webb. Jaeger, rc P Y Y e4 ANY ALTERATION OR ADDITION Td THIS -SURVEY IS A VIOLATION (630- 765 — 5020 797 t A�oetata. P.C. AUGUST 1978 OF SECTION 7209 OF THE NEW YORK S_aTE EDUCATION LAW. in �r °F EXCEPT AS PER SECTION 7209—SUBOIVIS'ON 2. ALL CERTIFICATIONS P. 0. BOX 909 (,q r�\� '� OtocG<ee HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY 1F 1230 TRAVELER STREE —408 � SA10 MAP OR COPIES BEAR THE 'IMPRESSED SEAL OF THE SURVEYOR SOUTHOLD, N.Y. 17977 .-1411�� WHOSE SIGNATURE APPEARS HEREON. 7 H'S OCCUPA�,,ICY OR vi1,i i R TIElCATE = OF OCCUPIANCY I` APPROVED AS NOTED f 2 :a. DATE: I'/ yi/ B.P.'# X23 S C FEE:"S3 -7 fl BY: S.G•C NOTIFY BUILDING DEPARTMENT AT �- .r:�x• 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING&PLUMBING ' 3. INSULATION 4. FINAL - CnNSTPUCTION MUST BE C-tAPI TE FbR C.O. ALL CONSTRUCTION SHALL MEET _,,°•� THE REQUIP.EMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Y - -_-- ,.gs - 3�tS:14'as.- `� U15{L-1EL�'fEt1_to RT 3t1.n j� •;'i �•---�. y. :,_ . YR saw 'r•"`F "0 1 •3:Rf.>W`'¢c..OD R ��Tt-_'•.C,O"k �'fYP� •:ir. i1 4 n •2a8'-R'P�'' . . +,I = c z ._ � •s''. �-�'-�^�... _� F-�'./r: ''� 1 - .''�- •?e'�.�11=.14 4L, ali �.� - 13 --`t", r�3-�-- I � • � - .��tl�`�II1q.[4. qy},` _ .•, � LI-C_F.SL�c•�s:.�-- -- - ti'Gvurc :4�Y1w":�t>ideS •;•�a R¢t;VA.Fa++4n' T"u, .4 tot P 9�t v �'.k, "m xM i. `l�a7v♦_ I "1. EYG73Dz ti , _... 141S.-- -.4bt2._�,"Gii"f"iPda' I a• -"o 'i. 41 A 4Z4 OCCUPANCY OR APPROVED AS NO ED USE IS UNLAWFUL DATE: B.P.# 0 WITHOUT CERTIFICATE FEE �ab - BY"� OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT 765-1802.-8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION TWO REQUIRED FOR;POUREO'CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL'• CONSTRUCTION .MUST 'COMPLY WITH ALL CODES OF BE.COMPLETE FOR C.O. NEW YORK STATE & TOWN CODES ALL CONSTRUCTION SHALL,MEET THE AS REQUIRED AND CONDITIONS OF REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR SOUTHOLDTOWNZBA DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC Additional Certification May Be Required. KCAL V4SP nau REQUIRED REFRiGERgNT R41 OA a CAUTION •R410A refrigerant is charged in this Air-Conditioner. t 'By additional charging,do not mix other refrigerant. •Connecting the pipes,vacuuming and additional charging shall be done correctly as instructed in the installation manual. CAUTION:MOVING PARTS. DO NOT OPERATE UNIT WITH CABINET REMOVED. - WARNING:RISK OF ELECTRIC SHOCK. CAN CAUSE INJURY OR DEATH: ° DISCONNECT ALL REMOTE ELECTRIC x POWER SUPPLIES BEFORE SERVICING. . r AVERTISSEMENT.RISQUE DE.CHOCS .M ELECTRIQUES.PEUT CAUSER DES BLESSURES ET MEMS ENTRAINER LA MORT.000PER LES SOURCES D'ALIMENTATION A DISTANCE AVANT LE DEPANNAGE. CP 70"MF FU ITStJ � PLITTYPE AIR CONDITIONER OUTDOOR USE Unitary Small HP MODEL No. AOU36RLXB AHRI Standard 210/240 SERIAL No. FTN 012 216 SOURCE 208/230 V 60Hz 1-PH �. COOL HEAT CAPACITY (ARI) BTU/HR 33000 34000 4 TOTAL AMPS. 18.0 18.8 COMPRESSOR AMPS. 17.3 18.1 OUTDOOR FAN MOTOR AMPS. F::0.4 0.4 MINIMUM CIRCUIT AMPACITY 23.3 A 30 A j MAX. CKT BKR. uSREFRIGERANT R410A FACTORY CHARGED 4 Ib 10 ozDESIGN PRESSURE HIGH SIDE 450 psig.240 SI LOW SIDE p g D ASU36RLXB TOAPPLICABLE INDOOR UNIT : UL To. 236� ADE IN THAILAND FUJITSU GENERAL_LIMITED' idia' r-