HomeMy WebLinkAbout47471-Z X23:•�
�o�OSufFoir Town of Southold 4/9/2022
0
yam' P.O.Box 1179
N x r 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42983 Date: 4/9/2022
THIS CERTIFIES that the building HVAC
Location of Property: 100 Park Way, Southold
SCTM#: 473889 Sec/Block/Lot: 70.40-38
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/27/2022 pursuant to which Building Permit No. 47471 dated 2/18/2022
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 to existing single family dwelling as applied for.
The certificate is issued to DiGregorio,Christopher
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47471 3/2/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
Aelo falx TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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 #: 47471 Date: 2/18/2022
Permission is hereby granted to:
DiGregorio, Christopher
100 Park Way
Southold, NY 11971
To: Legalize as installed HVAC at existing single family dwelling as applied for. Additional
certification may be required.
At premises located at:
100 Park Way, Southold
SCTM #473889
Sec/Block/Lot# 70.-10-38
Pursuant to application dated 1/27/2022 and approved by the Building Inspector.
To expire on 8/20/2023.
Fees:
AS BUILT-ACCESSORY $400.00
CO-RESIDENTIAL $50.00
Total: $450.00
Building Inspector
OF SO�T�,®l
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 aQ sean.devlintcD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Christopher DiGregorio
Address: 100 Park Way city:Southold st: NY zip: 11971
Building Permit* 47471 Section: 70 Block: 10 Lot: 3$
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 X 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 " HVAC
Inspector Signature: a Date: March 2, 2022
S.Devlin-Cert Electrical Compliance Form
oF souryo� Lq ( L4r( ( 00 7�KW+
* # TOWN OF SOUTHOLD BUILDING DEPT.
�ycoN 765-1802
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: AS 78Ul L-F
DATE Z7i INSPECTOR dpl
✓A �� � �pFSOUTy -
# TOWN OF SOUTHOLD BUILDING" DEPT.
�O • �O
�ycourm, 765-1802
_K
INSPECTI-ON
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL +4VH'0
[. ] FIREPLACE &-CHIMNEY [ ] FIRE`SAFETY INSPECTION`
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: gt,, c. rca C d. ,4d
,r �
DATE I g - INSPECTOR
` - r...l
%
FIELD-V$'INSPECTION REP RT SATE Cd.NIMENT8
. -r- -.0
J m
FOUNDATION(1ST). • H
. , .
• r
--- . ------- ---- -----
i ti. f F
•' J ��. j I
.FOUNDATION(2Np.),. .., .
..
.
• :,.
,
. .
42i� �r
} y.
t: 3 Z .. O
. .
ROUGH FRQMIN.G 'f
9 r. _
PLUIVXN.G ...;.,� t: . .
1. AP� H
J �T .i V
r f n
-�, 1 { r
' 1 3 Y1
• 1, t 1 f t "... ' t
Y ... _ Z ,
•.,
x
. 4
.. e Y , , .
1 -^ �l'J
. INSULATION p R-', ". I. y.
STATE ENERGY COIF - '' N , .
:r . . "
. . .
z, M.(
, .
i r
r .
u
„ .
.. J }'
. ,
1 `
�{
FINAL ... 3,, x
+.44M}
.... _
h
. ..
. ,y t,�,�
s
Iq :, .,4.
�.
. . . .. .. --
b �04 , NQS
�- i
-101
'.
a
�-
r
. .
f �.0C
G C
.
r z
. . . .
-7
•
o-- '� ,"
.
r
_i
.T.::-
s:
... \.
,� 1)i • •
- 1�
Rs
a
. �
. I
. ..
. . V3 z
a a
. .
:. .
a:..,.., ......
. 5 1 .r i y
• o
.
.
.. .. . ,I
, .... .. .. ::
►.y
' .1f + T 1J lJ
t' ( J
Sr f5
. . • . ,
I r,�,- - ,, . . ,:�.;."..l..-.,,.. , -�-� �:.,", -,- -- -,----,-,,,-,l,,�,,:�il�l,,l,- ,.�,-I - . . . � - - .
r '
t ,t iYkx , . '
��o�OS�FFO(�COGy TOWN OF SOUTHOLD—BUILDING DEPARTMENT
C2 a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Way • o� Telephone (631) 765-1802 Fax (631) 765-9502 hllps://www.southoldtownu.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use OnlyID
PERMIT NO. / // Building Inspector:
JAN 2 7 2022 �
Applications and forms must be filled out in their entirety. Incomplete BUILDING DEFT.
applications will not be accepted. Where the Applicant is not the owner,an TOWN OF SOU11HOLD
Owner's Authorization form(Page.2)shall be completed.
Date: a o2 0
OWNER(S)OF PROPERTY:
Name ` G SCTM #1000-
Project Address:
------- - -----�-od--- �cz1�-�-�-� -- - S-ov.=1=tee► -�----�- ----1_. -1_l - - - ------
Phone#: _ Email:
Mailing Address:
-
CONTACT PERSON-
Name:
Mailing Address:
Phone#: Email:
-- - -- -C9�i- ---�o ---7 -1 - — - G_
DESIGN PROFESSIONAL INFORMATION:
Name - < 1 r�
Mailing Address: l
._ .- -
Phone#_ �` -7 6, _ Email:
�-� --- - L'I' k oc,.ccrn
CONTRACTOR INFORMATION:
Name:
-----
-
Mailing Address:
.__.�._._-_-----�-b_d--- �v�.✓+„M. C- _.__ �-v.e--- o-�- -moo- -�
Phone#--��------��5�.�_�-_S.__-__--.._-.- .Email "--1�h�a,fi,'�-
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
IrOther CA C- in 5AA-)k eJ /V
Will the lot be re-graded? El Yes 2 No Will excess fill be removed from premises? ❑Yes E rNo
1
' ' - PROPERTY INF.ORIVIATION '- .
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes Flo IF YES, PROVIDE A COPY Y
Check Box After Reading: The owner/contractor/design professional is responsible'for all drainage and storm'Wi ter issues'as,provided,by'
Chapter 2j'6 of the,TownCode. APPLICATION IS HEREBY MADE to the Building Department forthe 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 c6niply.with all applicable laws,ordinances,building code,,
housing code and regulations andtoadmit'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(print a e): `� ❑Authorized Agent 3/owner
C1-�1'_►_s�e,..�(�ern_.� �o _.�.� _ -
Signature of,Applicant: Date:
STATE OF NEW YORK)
SS: ..
COUNTY OF .25U-(2F0j
T. being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) abo a named,
(S)he is the wl7 C (Z-
(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
T)day of 20 (,
Not )Rg . DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
PROPERTY OWNER AUTHORIZATIO(MMMISSION EXPIRES JUNE 30,ZO
(Where the applicant is not the owner)
I, /Ia /Jyl er tCr"o residing at •DO z5W1-)GC1v1q 5--4y )Ik0 //7 -71
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
,,gf F IILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
o
JAN 21 2072 To �a� all Annex- 54375 Main Road - PO Box 1179
0 Southold, New York 11971-0959
�4' o� BUILDING DEPT
'flpl Tow,,
,OF so rogerr(a�southol towHoLoTelephone lnny.gov80 seand4-south o dtown31) Ony.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: P -1 0
Company Name: COCA ' N
Electrician's Name: ' d
License No.: 5,,-715 ge 5-7&7-14e:1 Elec. email:
Elec. Phone No:
61 ❑I request an email copy of ertificate of Compliance
Elec. Address.: -7v NA u ryico C L &V o L-�, C I
JOB SITE INFORMATION (All Information Required)
Name: C�(- e h r° < ) ,eL O CZ k)
Address: 50 ..
Cross Street: -� e c C
Phone No.:
Bldg.Permit#: -7L ( email: C l 1'A rc--- ck
Tax Map District: 1000 Section: -7i,\ _ - g Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ffyES F] NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: [a YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 PhF-13 Ph Size: A # Meters Old Meter#
❑New service[-]Fire Reconnect❑Flood Reconnect❑Service Reconnect[]Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? MY ON
Additional Information:
PAYMENT DUE WITH APPLICATION
A b�
�SvjfFOL ,( � BUILDING DEPARTMENT- Electrical Inspector
Lra.l)
TOWN OF SOUTHOLD
0 JAN 2 1 2V2 Toall Annex - 54375 Main Road - PO Box 1179
y
Southold, New York 11971-0959
E .-ILDiSoulHoLoTelephone (631) 765-1802 - FAX (631) 765-9502
' rogerr(,southoldtownny.gov - seand(cD_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: a-71 do,2
Company Name: T. >-- y-1 u C oa 1 ' N
Electrician's Name: iqu1,j
License No.: S�?jS e 5-7g7-lee Elec. email:,[ ' K �G fiin of •N g 1,ao c
Elec. Phone No: I _.55-5ti ❑1 request an email copy of ertificate of Compliance
Elec. Address.: v o 1 -7
JOB SITE INFORMATION (All Information Required)
Name: ,�f o 0 k e C ) 2 e D(7- � v
Address: I p , PAR 1Lc ura, o hd N
Cross Street: e c C
Phone No.: b. _ .
.Bldg.Permit#: (. ( email: cA rc �,
Tax Map District: 1000 Section: -7 _ - g Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ErYES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: Ea YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
F1 New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[—]Underground❑Overhead
# Underground Laterals 1 2 H Frame 0 Pole Work done on Service? 0 Y ON
Additional Information:
PAYMENT DUE WITH APPLICATION
PA
�� \o
PERMIT # Address:-
Switches
ddress:Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts
Fans .
... . .::Fridge
.. ... ,5
EAau`st. Oven W/D:.
Smokes DW Mini:
Carboni: Micro.. .. .Gene.rator. . .. .. .:
Co"mbo: Cooktop Trar►sferi`
AC- AH. Hood Se
. rvice
'Amve ed`
U
ps` H a s
Special:. . _ . ..
Comments:
04 6317347712 OLSEN & OLSEN,LLP PAGE 02
Li
. : I
V.
W a i
CQ ti-
n .NAUrEIOrRED AL7!AAI L' OR A00111o1•
e TO THIS SUrWY IS A I, ;L.TION Of
' ° 1 sm(cN ;xv o: E:t2 r :, To=SFAFL
EDUCATICN LAW. j
OJ COTIES GF I:1:S ?!'R�]'r LI. NOT EEARINI
N-At OIL
-- -,t ` _ '._••"' '-�••• \•� •• '1 Ef✓eoES:D 'C :1,: cCo'�S)DEd[D
•Ic .,••�•I; _
,� ' ,j•. GUI'bos3 �74.1r�J•fc it. t'�,^IYQ �' OLIA4Am7E:a um;: A;:(. : ;'K
i 5 H.\'-L C'J,
"•T.: �� - F�/ f ONLY To EE:E? ::?' a.f.^ ' .JIA TII[ SU,
IS M(;A; ,AiiD -1: III: [!
iULf Id THE
TITLE CGLUAI:T, Q:::�I�C L,:N,1L AUU'KY
,, - r ,�.`. ,,-• f ' LENDING Ii I�111U1101I L*VLV I C•.'Oil,ANO
3•• " • ' ('� TO INF A55!G;-:EE5 OF TRE LEI, IIIG INSTIT
',,y; ,'1 ` " r ,'':�::•,, ' L.L - TUIIO:I. GUAIIAN1Et'5 AU'NO I4A)47FFRA
'1'•"•'I 1:• TO ADUIIEONAL INSIITUFIONs a SUSSItUI
.r, .
A4 PRROPLtR7`Y
• �"4•.tr`Y�7 FEAR ,, '
---------------
SO U T F-i O L D N.Y
NO =-(D,:TO TIA OWNEv_s -ra
MoN;-L•] `�}{E• T4�(:'1 ;: �C.b°�f�Af�t" E CO. ANO -rb
�T'I`i'L.E No.-12ABacM
�NK'• OF N W YbQw.f
:. 1979_ I.
r LOT l�►UMBERS SNOW.N REFEF2" '� _ --
10 • ,
J Mf\P O1' ���C)UTF1W.000�� 'FILE. ;1 •• `-T . r.,:7i �, Y.�X
T'N� S0F;TQL•}�s CdUNT:`f: CLE RK3
S'MA0 �.�D:'_,ZI41,Y" -' :'. •�:,11,,�.ErV SFI?; .LA' ��Li1�v�`lO�'S
��`.) I;'„;r►r5�'l N[°� ' N EEVI;1::1.
-T-�•�•},{'"'�� _'_I};�-�L-+_3,..-i' •.��L�`�.hT•.:+.(.L.,�1'�,:_�..:..�--fi•-•-L!i���.i1.•�ip�'-}-�.. :�:aZ,i.._:i i:l,r..l.l l�_�.rf,}'.
, ,..:•1•I. ,a::f.• ..1.',�' / .. .L .S•:!:• .:7:. . :il,./., 1 jt'.•l1.: .��' .i••,.'11�5. �� (�J�-':., 1,1•. . •�. ''(C!
{ : �alo C..
APPROVED AS OCCUPANCY OR NOTED USE IS UNLAWFUL
DATE�a-i=B:P.# WITHOUT CERTIFICATE
d' �
FEE. BY: OF OCCUPANC`,
NOTIFY BUILDING DEPARTMENT AT 1
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION TWO REQUIRED.
FOR POURED CONCRETE
2. ROUGH'r FRAMING & PLUMBING
3. -INSULATION COMPLY WITH ALL CODES pp,
4. FINAL 'CONSTRUCTION MUST NEW YORK STATE & TOWfv ,ppEs
BE COMPLETE FOR C.O: AS REQUIRED AND CONDITIONS
ALL CONSTRUCTION SHALL MEET THE OF
REQUIREMENTS OF THE CODES OF NEW SOUTHOLD TOWN ZBA
YORK STATE: NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN PL4NNINGARD:
:SOUTHOID TOWNTRUSTEES
N.Y.S.DEC
Additional
certification
May Be Required. ���,�
f This combination qualifies for a Federal Energy
'' Efficiency Tax:Credit when placed in service
` { betwe:eri Feb 17, 2009 and Dec 31, 2011: "
C :9
is cote f r, dinctRatin
AHRL: rtm.od Reference Number: 380.6797
Product Split System Air-Cooled.Condensirlg Uiiit .Coij with Blower.
:Out oe -Ffriimkiriumurn er: RAPM-036JEZ
ndoar Unit Model .Number RHKL-HM3821+RCSL H*3821. .;
:Man(if dturer::RHEEM MANUFACTURING COMPANY '
rade/Brand name: RHEEM:RAPM SERIES
Manuf..ac m com.bination'is RHEEM MANUFACTURING COMPANY
Rated•asfollows accordance with'AHRI Standard 210/240 2006-for Unitary A. it Gonditloning and:Alr Source.
:Heat Pump.Equipment and subject to verification of rating'accuracy by AHRI-sponsored, independent;'tW&
pa11 testing: .
Cooling Capacrty='(Btuh): 38000
11,,E�R Rating (Goofing .06
h ii j
r•
a
x
I.
:-7„ ...
Ra4ngs followed by an asterisk(7 indicate a voluntary,rerate of previously published data unless accompaNed with:a WASwhich mdicales an,mvoluntary.cerate.
DISCLAIMER
'AHkI doe's riot endorse the.product(s)listed on this Certificate and makes no"representations,warranties or guarbr tees`as to,and.assumes no responsibility'fok't,"
the'.product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out.of the use or performance of the product(s),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations fisted in the'directoryat www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietaryproducts of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.
The contents of this Certificate may.not,in whole or in part,be reproduced;copied;disseminated;*entered into a'compoter database;or otherwise utilized,in any
form or in or by any means,except for the user's individual,personal and confidential reference.
P r�
CERTIFICATE VERIFICATION
The information forthe model cited on this certificate can be verifidgatwwwahridirecto'ryorg, MEN! Air-Conditioning,Heating,
click�on".Verify Certificate"link and enter the AHRI Certified Reference Number and the date on and Refrigeration hSfilttite
which the,certificate Was issued,which is,listed above,and the Certificate No.,which is listed below.
02010 Air-Conditioninq,Heating,and Refrigeration Institute __ _'CERTIFICATE NO.: _ 129427781167295826