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Home My WebLink About47684-Z �o�oS�FFOt Town of Southold 5/18/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43085 Date: 5/18/2022 THIS CERTIFIES that the building HVAC Location of Property: 1490 Skunk Ln., Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-3-11.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/14/2022 pursuant to which Building Permit No. 47684 dated 4/18/2022 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 Mott,Mary of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47684 5/4/2022 PLUMBERS CERTIFICATION DATED A orize ignature �o�suFFoi4. TOWN OF SOUTHOLD �y BUILDING DEPARTMENT H TOWN CLERK'S OFFICE "oy • SOUTHOLD, NY poi � Baa 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#: 47684 Date: 4/18/2022 Permission is hereby granted to: Mott, Mary 1490 Skunk Ln Cutchogue, NY 11935 To: Legalize as-built HVAC at existing single family dwelling as applied for. Additional certification may be required. At premises located at: 1490 Skunk Ln., Cutchogue SCTM #473889 Sec/Block/Lot# 97.-3-11.3 Pursuant to application dated 3/14/2022 and approved by the Building Inspector. To expire on 10/18/2023. Fees: AS BUILT-ACCESSORY $400.00 CO-RESIDENTIAL $50.00 Total: $450.00 Building Inspector of so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.devlina-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Mary Mott Address: 1490 Skunk Ln city:Cutchogue st: NY zip: 11935 Building Permit#: 46684 Section: 97 Block: 3 Lot: 11.3 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 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 11 Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS HVAC Inspector Signature: Date: May 4, 2022 S.Devlin-Cert Electrical Compliance Form so Ll # TOWN OF SOUTHOLD BUILDING DEPT. �yco 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ = ] ROUGH PLBG. [ ] 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: DATE -S ., °M INSPECTOR OF SO(/TyOlo - ` vvv # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINALIj�r(i� �t/l�f tj [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE to )e� INSPECTOR ry FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) -------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) IL C 1- O d y ROUGH FRAMING& PLUMBING � VV W �r INSULATION PER N.Y. STATE ENERGY CODE A FINAL ADDITIgNAL COMMENTS d A.11 10 S 2 y� 1 150- y� �o S.-.bz m y � z x E� y x e b y TOWN OF SOUTHOLD—BUILDING DEPARTMENT A( y Gy= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Tv oy�o� Sao"� Telephone (631) 765-1802 Fax (631) 765-9502 hqps://www.southoldtomm.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® E r PERMIT NO. Building Inspector: MAR 14 2022 ED Applications and forms must be filled out in their entirety. Incomplete BUILDah,:. _+�d; TOWN OF 306-T- OLD applications will not be accepted. Where the Applica,nt'is not the owner,an . Owner's Authorization form(Page 2)shall be completed: Date: ..OWNER(S)OF PROPERTY: , Name: ti SCT__m# 1000- Project # 1000-Project Address: Phone#: d Mailing Address: - - .-- --Int - CONTACT PERSON: 4 - Name- Mailing ameMailing Address: - - -----------_--___-�� _W cc_, Azy_eu _ _ . ._._1/f _ly_._ Phone#: j _ Email: r DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Frail: -- DESCRIPTION OF PROPOSED CONSTRUCTION ❑NeStructu a ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 1�6th er Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? Dyes ONO 1 PROPERTY INFORMATION Existing use of property: Intended use of property: - ---- - -- f-C �a�- - - - Zone or use district in which premises is situated: Are there any covenants an restrictions with respect to this property? ❑Yes o IF YES, PROVIDE A COPY. ❑ 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(print name): thorized Agent El Owner Signature of Applicant: Date: t STATE OF NEW YORK) SS: COUNTY COUNTY OF 5� r (k— r--- (.ter ) , °(&C4,1 -�- 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 /j9l91fCh` , 20 ?tea Notary ubl c LORRAINr KL OFFER :I Notary Public,St of Now York No.4823373 PROPERTY OWNER AUTHORIZATION Commission in Suffolk County Expires Nov. (Where the applicant is not the owner) _ I, � dT residing at I �d e44 1 1 / do hereby authorize UP-- / �� to apply on my behalf to the Town of Southold Building Department.for approval as described herein. �/r�/ate • wner's Signature Date 01 0 Ncaa-ry Pij::i;; - Newyork P int Owner's NameQui ti if ed:n at..r10 ,g,?3 I of(:County nn ,; Orwr�tissier f�xpir,:s P."ov.3fl, ov/�5' 2 wi �OS%SFFO(KCO UILDING DEPARTMENT- Electrical.Inspector TOWN OF SOUTHOLD To all Annex- 54375 Main Road - PO Box 1179 o • P�-`\.��Q2 Southold, New York 11971-0959 'ytj�l U`�p`NOD -eP Telephone (631) 765-1802 - FAX (631) 765-9502 a oFst� err �southoldtownny.gov 160' — seandCab-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: JaXa 6(A1�Q, License No.: ��,��( �� Elec. email: f,it R Ptc c. SLC, Elec. Phone No(&31)% _ ❑I request an email copy of Certificate of Compliance Elec. Address.: 0 �,� It JOB SITE INFORMATION (All Information Required) Name: )Jd Address: l Cross Street: 4„ 4t a Phone No.: j) 6- - 60go Bldg.Permit#: 22 aqemai1: a ,C)6-u; � , Tax Map District: 1000 Section: ey-7 Block: Lo . J BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): fFs b�� CAC- Square Footage: 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 PhF—]3 Ph Size: A # Meters Old Meter# ❑New Service[]Fire Reconnect[]Flood Reconnect[—]Service Reconnect❑Underground❑Overhead # Underground Laterals 1 FJ2 H Frame Pole Work done on Service? DY N Additional Information: PAYMENT DUE WITH APPLICATION J� r 7k l . F . APPROVED AS NOTED OCCUPANCY OR USE IS UNLAWFUL DATE: •�a B.P.# WITHOUT CERTIFICATE' SEE: BY:' dOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY '65-1802 8 AM TO 4 PM FOR THE ::,")I-LOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH ' FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST COMPLY WITH ALL CODES OF BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE -NEW YORK STATE & TOWN CODES REQUIREMENTS OF THE CODES OF NEW AS REQUIRPEI AND CONDITIONS OF YORK STATE. NOT RESPONSIBLE FOR SOUTHOLD TOWN ZBA DESIGN OR ,CONSTRUCTION ERRORS. SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC Additional Certification may Be Required. ELE=w. ON PXQtff RIM Y MODEL NO , 14AJM56A01 MFD./FAB 06/2013 MODELE N' SERIAL NO./ OUTDOOR USE/ No DE SERIF 8255W261326136 USAGE EXTERIEUR VOLTS 208/230 PHASE. 1 HERTZ 60 COMPRESSOR/ COMPRESSEUR R.L.A. 21.4/21.4 L.R.A. 135 OUTDOOR FAN MOTOR/ MOTEUR VENTIL. EXT. F.L.A. L.0 HP. 1/3 MIN. SUPPLY CIRCUIT AMPACITY/ COURANT ADMISSBLE D'ALIM. MIN. 24/29 AMP MAX. FUSE OR. CKT. BRK. SIZE*/ CAL. MAX. DE FUSIBLE/DISJ* 50/50 kit MIN. FUSE OR CKT. BRK. SIZE*/ 35/35 AMP CAL. MIN. DE FUSIBLE/DISJ* DESIGN PRESSURE HIGH/ 450 PSIG/3102 Kpa PRESSION NOMINALE HAUTE DESIGN PRESSURE LOW/ 250PSIG/1724 Kpa PRESSION NOMINALE BASSE OUTDOOR UNITS FACTORY CHARGE/ 241 oz/6832g R410A CHARGE USINE D'UNITES EXT. TOTAL SYSTEM CHARGE/ `CHARGE TOTALS SYSTEME R410A SEE INSTRUCTIONS INSIDE ACCESS PANEL. VOIR INSTRUCTIONS DANS LE PANNEAU D'ACCES RHEEM MANUFACTURING COMPANY FORT SMITH. ARKANSAS ASSEMBLED IN MEXICO *HACR TYPE BREAKER FOR U.S.A./ 92-22050-17 DISJONCTEUR DIFFERENTIEL `� 4 ,M 4 � Ts ..' cy r. d' �'-��M t.. �. 7 .�. �► __. /; �;, �� I ., I �� `, _� .� � �� -�. t� ` � � ., ,� s .� I ��,,�. � a� �, 1 ,� - ,. ..� „�, 1 � e`, �. s+ ,� o � \ a /" w x� �_ r '.. M `, 1 ��. � �, � a �b, � ��k� � �� 'u �,� ' l 1 } f�'�//' :`1 � 1��b''` ._,_ ,_,,.._:�,� ,tel .�+ ;l' +� ' � /�� 1' � 2 � ;�'if•�:' � �� '�'