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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�