HomeMy WebLinkAbout47844-Z Town of Southold 6/10/2022
a y� P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43138 Date: 6/10/2022
THIS CERTIFIES that the building HVAC
Location of Property: 4550 Stillwater Ave., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 137.-2-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/18/2022 pursuant to which Building Permit No. 47844 dated 5/23/2022
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 system to existing single family dwelling as applied for.
The certificate is issued to Annabel,Rose
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47844 5/31/2022
PLUMBERS CERTIFICATION DATED
A ho z Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C2 z TOWN CLERK'S OFFICE
oy • 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#: 47844 Date: 5/23/2022
Permission is hereby granted to:
Annabel, Rose
4550 Stillwater Ave
Cutchogue, NY 11935
To: Legalize as-built hvac system at existing single family dwelling as applied for.
Additional certification may be required.
At premises located at:
4550 Stillwater Ave., Cutchogue
SCTM # 473889
Sec/Block/Lot# 137.-2-7
Pursuant to application dated 5/18/2022 and approved by the Building Inspector.
To expire on 11/22/2023.
Fees:
ACCESSORY $400.00
CO-RESIDENTIAL $50.00
Total: $450.00
Building Inspector
ho��pF SO!/r�ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(D-town.southold.ny.us
Southold,NY 11971-0959 OIyCQU %��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Rose Annabel
Address: 4550 Stillwater Ave city:Cutchogue st: NY zip: 11935
Building Permit#: 47$44 Section: 137 Block: 2 Lot: 7
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 1 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 1 Switches 1 4'LED Exit Fixtures Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: r Date: May 31, 2022
S.Devlin-Cert Electrical Compliance Form
a0F SOUTH �`� Li ✓s O
� o
# # TOWN OF SOUTHOLD BUILDING DEPT.
°�ycournv 765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLEG.
[ ] 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: y L r ✓�
t �.
DATES 2 INSPECTOR
t ,
FIELD INSPECTION REPORT DATE COMMENTS
J
OO
FOUNDATION (1ST)
------------------------------------
�C
FOUNDATION (2ND) Wt��
- O
G �
y
ROUGH FRAMING&
PLUMBING
d
1
r �
INSULATION PER N.Y.
STATE ENERGY CODE
ow
FINAL
DI IOAL COMMENTS
7ft
` O
Z
m
N �
UY z
x
�x
d
r�
b
y
�r
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
�� y2
y 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
For Office Use Only
PERMIT NO. �75 Building Inspector: E (r" s
MAY 1 b 2022
Applications and forms must be filled out in their entirety. Incomplete `
applications will not be accepted. Where the Applicant is not the owner,an BUILDING ucr i.
Owner's Authorization form(Page 2)shall be completed. TOWN OF SOUTHOLD
Date: i po
OWNER(S) F PR PERTY:
Name: 4no SCTM# 1000- ' r z
Project Address:L+5
Phone#: �--� _ G� Email: C6 �
Q, ,
Mailing Address:
CONTA PERSON:
Name:
Mailing Address:S V�� ���•(-�
Phone#: bpa E; Email: r✓��S O( L�-f-
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
El New Struc ure ❑Addition ❑Alteration ❑Repair El Demolition Estimated Cost of Project:
mother A�r L-4-1 1-1 V36 . $Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ENO
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
❑ Check Box After Reading; The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town.Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.7he applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. -
L L i Imo'\
Application Submitted By(print me): I uthorized Agent ❑Owner
Signature of Applicant: / Date:
STATE OF NEW YORK)
S
COUNTY OF - )
VICE e-, being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the tCC7V_�0`2 L—
(Contractor,Agent,Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application fil herewith.
Sworn before me this
day of ( o L
B 1� �CINS
Notary Pu c,State of New York
No,01PE6130636
PROPERTY OWNER AUTHOR A led in Suffolk Co$
(Where the applicant is not the owner n ExplresJuly 1
I, Uss 4t\ residing at "is S o ( cam Q , tv-p-,
do hereby authorize 1 CLrrh IJ- ���_ to apply on
my ehalf to the Town of Southold Building Department for approval as described herein.
,41
Owner's Signature Date
Lz_�& idano 10d.
Print Owner's Name
2
BUILDING DEPARTMENT- Electrica pector Iq
Y
TOWN OF SOUTHOLD MA
CM Town Hall Annex - 54375 Main Road - PO Box 1179
Cx
Southold, New York 11971-0959' -,_1t,-
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr@southoldtownny.gov - seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: �1 vd
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:41�-e__ ,�Ao
Address:
Cross Street:
Phone No.:( o
BIdg.Permit#:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly)
e-
Square Footage=
Circle All That Apply:
Is job ready for inspection?.- YES ❑ NO F-]Rough In ❑ Final
Do you need a Temp Certificate?: 1-1 YES F-] NO issued On
Temp Information: (All information required)
Service SizeF_11 PhF-]3 Ph Size: A # Meters Old Meter#
F New ServiceR Fire Reconnect[:]Flood ReconnectE:IserviceReconnect[:Iunderground FOverhead
# Underground Laterals[]1 [_12 M H Frame D Pole Work done on Service? Y F1N
Additional Information:
_J
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo— Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special:
Comments /I zoC�
APPROVED AS NOTED OCCUPANCY OR
DATE:3" )3-.�� B.P.# USE IS UNLAWFUL
WFUL
N_)TIFY BUILDING DEPARTMENT AT WITHOUT CERTIFICATE
1802 '-8 AM TC 4 PM FOR THE OF OCCUPANCY
DWING INSPE�: "IONS:
�UNDATIQN,.
--TWO REQUIRED
FOR POUREQ CONCRETE
SOUGH FRAMING & PLUMBING
3. INSULATION,,
;. FINAL C(*STRUCTION MUST
BE COMPLETE FOR .C.O. COMPL`f WITH ALL CODES OF
ALL CONSTRUCTION.:'SHALL MEET THE NEW YORK STATE & TOWN CODES
REQUIREMENTS OFTHE CODES OF NEW AS REQUIRED AND.CONDITIONS OF
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
Additional NS.S.DEC
Certificati®n
May Be Regj.ilredo
MpIAN REQUIRED
BManuals rowser - - 6C
14 SEER Air Conditioner-XR13: X -{-
:iai/en/products/a ir-conditioners/xrl3-air-conditioners/
m iE ® C:reenport Village A... Workspace Login FedEx'71 Tracking-... Q Office Supplies,Offi... Southold,NY-Oft;.., jfiJ Suffolk Count;CIS... ® health department... jN Town of Riverhead,.., Home ® Close Clos
e Air Conditioners (R-4108 refrigerant)
Pt�L1 EL [OO lied-=# F GiT (. 1�kd1� .OUT IN L-TOI1l` SKEIC T j.IP� - i17T¢fi(1T3 Hi fi liv€ EtItERGY GUlt3.
4TTR3018 17,000 1.5 29 29 26 Energy Guide
4TTR3024 23,000 2 29 29 26 Energy Guide
4TTR3030 28,500 2.5 29 29 26 Energy Guide
i R-30- 34,SOt 3= Urde
4TTR3042 40,500 3.5 29 33 30 Energy Guide
4TTR3043 40,500 3.5 29 37 34 Energy Guide
y
4TTR3048 46,500 4 37 33 30 Energy Guide
C.a
4TTR3049 46,500 4 , 29 37 34 Energy Guide c Z ,
C)
C7 _
-n—
4TTR3060 58,500 5 37 37 34 Energy Guide O0 _
q rn
XR13 3-Phase Air Conditioners
MODEL COOLING CAPACITY(BTUH) NOMINAL TONS HEIGHT(IN.) WIDTH(IN.) DEPTH (IN.)
LOT f0clas-ngstat:- • \/
XR' 13 MFR
DATE 7/2009
MOD. NO. 4TT R3036 B 1000AA VOLTS 200/230
SERIAL NO, 9283P8C5F PH 1 HZ 60
MINIMUM CIRCUIT AMPACITY 18 .0 AMPS
OVERCURRENT PROTECTIVE DEVICE USA CANADA
MIN FUSE f BREAKER (HACK) 30 30
MAX FUSE 1 BREAKER (HACK) 30 30
HFC - 410A 7 LBS. 14 OZ, OR 3 .57 k S�
10 OF DESIGN SUBCOOLING kg(
SI)
DumTuff Spine Fin Quick—Secs
TRANE U.S. INC. LISTED-SEC TION OF
MANUFACTURER OF TRANE AND AMERICAN STANDARD C ��, ug CENTRAL COOLING
TYLER, TX 75701 ASSEMBLED IN USA AIR CON (TION R
rYF BUTD�OR USE
COPr9PR. MOT. 13.2 RIA 200/230 V 63 lR
O.D. MOT. 70 FLA 200/230 V A
M.E.A.,NO, 1/8 HP
DESIGN PSI - HIGH 4$0 LOW 480 IP 17Y
I '
f
AR! Standard
II i III I I2101240 UAC
CERTIFICATION APPLIES ONLY
WHEN
THE C061PLETE SYSTEM
S
11 LISTED WfTH ARl
7 .� i •.R r NA �It � .l`'�i � ! � l I:' i Ml � i~�}i
A, 1 i1 itit,+�
s
mob
419
t 14
- A
.....- -
f��L
1�
U.S. Government Federal law prohibits removal of this label before consumer purchase.
EHERG GUIDE
Central Air Conditioner Trane U,S. Inc.
Cooling Only Model 4TTR30361-11
Split System
Efficiency Rating (SEER)**
13
For energy cost info. visit
1 I
prod uctinfo.energy.gov
13.0 26.0
Least Efficient Most Efficient
Range of Similar Models *Your air conditioner's efficiency
`Seasonal Energy Efficiency Ratio rating may be better depending on
the coil your contractor installs.
Notice
Federal law allows this unit to be installed only in:
AK. CO, CT. ID, IL, IA, IN, KS, MA, ', - -
ME, MI, MN. MO, MT, ND. NE, NH,
* � L �Z
NJ, NY, OH, OR, PA, RI, SD, UT, VT --- T
WA, WV. WI, WY, and U.S. territories.
❑ Installation allowed
Federal law prohibits installation of unit in other states.
Energy Efficiency Ratio (EER): This unit's EER is 11.
n�cnn�n nn�