HomeMy WebLinkAbout44818-Z a�o�oSu�[ y Town of Southold 7/22/2022
P.O.Box 1179
S 53095 Main Rd
ti��ol Sao ' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43279 Date: 7/22/2022
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 2880 Delmar Dr,Laurel
SCTM#: 473889 Sec/Block/Lot: 125.4-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/27/2020 pursuant to which Building Permit No. 44818 dated 5/28/2020
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"central air conditioning and oil burner as applied for.
The certificate is issued to Brodarick, Sean&Erin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44818 1/25/2021
PLUMBERS CERTIFICATION DATED
s
A or e Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 44818 Date: 5/28/2020
Permission is hereby granted to:
Brodarick, Sean
2880 Delmar Dr
Laurel, NY 11948
To: legalize "as built" AC and oil burner as applied for.
At premises located at:
2880 Delmar Dr, Laurel
SCTM # 473889
Sec/Block/Lot# 125.-4-12
Pursuant to application dated 5/28/2020 and approved by the Building Inspector.
To expire on 11/27/2021.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 of 1%lead.
5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.Ira Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
t C. Fees
t 1. Certificate of Occupancy-New dwelling 550.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
j Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-S.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. 3 /7/go-2 ,0
/
} New Construction: Old or Prc-existing Building: J (check one)
Location of Property: U D FLAAtZ f)RTVf Z_A tzF�
House No. Street Hamlet
Owner or Owners of Property: 566� t FW 11 8800AA TI-k }
Suffolk County Tax Map No 1000,Section os Block t� �� Lot /a
Subdivision � Filed Map. Lot:
'l (
Permit No. "f`t V Datc of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ 5 0 C)
Applicant Signature
SO(/l�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlinCcD-town.southold.ny.us
Southold,NY 11971-0959
00M,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Sean Brodarick
Address: 2880 Delmar Dr city:Laurel st: NY zip: 11948
Building Permit#: 44818 Section: 125 Block: 4 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Polar Bear Air Inc License No: RE 61036
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes: New 200A Service and AC
Inspector Signature: Date: January 25, 2021
S.Devlin-Cert Electrical Compliance FormAs
SOUTyo� kq ' f q &;66�V � - -
# # TOWN ' F SOUTHOLD BUILDING DEPT.
-- -------- ----
°ycou765-1802 ------ -
- , _ - INSPECTION
[.. j FOUNDATION 1ST [ ] ROUGH PLBG.
[ "]: FOUNDATION 2ND' `_• [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[
], FIRE RESISTANT-CONSTRUCTION [ ]°•FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (RO-UGH) [ J ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS.'
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DATE 0 INSPECTOR
0
P
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4
i
SOUTyo
TOWN OF SOUTHOLD BUILDING DEPT.
�ycouffm 765-1802
INSPECT104N _
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] INAL
FIREPLACE & CHIMNEY [ FIRE' SAFETY INSPECTION
[ ' ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
j [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
i
[ ] CODE VIOLATION [ ] CAULKING
R MARKS:
- - •-r--- =,, {.�-�.. s,,:s "e__ ,�*r--tam--�',s�,_ L,.: . q ;
DATE Y INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
" b
FOUNDATION(1ST) c-004
------------------------------------
FOUNDATION (2ND)
ROUGH FRAMING& y
PLUMBING (� v
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R
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INSULATION PER N.Y. y ,
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
Ab(i VJLIN
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CIIECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board ofIlealth
SOUTHOLD,NY 11971 4 sets of Building Plain
TEL:(631)76S-1802 �f Planning Board approval
FAX:(631)765-9502 )( Sunry
Southoldtosvgny.gov PERMIT NO. Check
Septic Form
N.YSD.E.0
Trustca
C.O.Application
Flood Permit
Gamined 2t1� Single&Separate
Trus Wanification Form
StomrWaner AsscssZm Farm_
Contact:
Approved 20 Mail to:
Owpproved alc
Phone,
L_'. Fspimtion g 20__
' t
!" v Building Inspector
MAY f 7 2020 APPLICATION FOR BUILDING PERMIT
Date 3 / 2 .2&20
INSTRUCTIONS
n.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
1,1:seta"d0l!i s,accurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public stints or
areas,and waterways.
c.The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant Such a permit
shall be kept on the premises available for inspection throughout Bre work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
C Every building permit shall expire if the work authorized has not commeac ed within 12 months aBcr the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of 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,or alterations or for removal or demolition as herein described The
applicant agrees to comply with all applicable lows,ordinances,building code,housing code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature ofapplicanl or name,if corporation)
A 19 OFIAA2 -OR IVF , Iibftfc-Nr I fqY
(Mailing addrm of applicant)
Slate whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
O WA/C 2
Name of owner of premises SEA AJ gRo0gR1L1( QradAf?LL-
(As on the tax roll or latest decd)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers license No.
Electricians License No.
Other Trade's License No.
+ I. Location of land on which proposed work will be done:
'9V. nelrinr dere Lave
` House Number Street / Hamlet
County Tax Map No.1000 Section a S 131ock, • 0 Lot 1�
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy—O n ,r
b. Intended use and occupancy f ei j, S i ��C 1 rl
3. Nature of work(check which applicable):New Building Addition Alteration
Rcpair Removal Demolition Other Work Ale`/ Ao:ie r' �L n:r
(Description)
4. Estimated Cost f f 11. A n o Fee
(To be paid on riling this application)
5. If dwelling,number of dwelling units Numbcr of dwelling units on each floor .
If garage,number of cars I
6. if business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front SSS( ) Rear SS I Depth Qel,3 1
Height Number of Stories R '
Dimensions of same structure with alterations or additions:Front S.l Fear
Depth I Height Number of Stories
8. Dimensions of entire new construction:Front Rear Dcpth
Height Number of Stories Q
9. Size of lot:Front �r�`1�/ Rcarj2y.NII) Depth
10.Date of Purchase �f!30! IP Name ofFormerrOwnerAAuAff'(1 W46kI
11.Zone or use district in which premises arc situated 1`t SI
I 'L^I
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_,NO
13.Will lot be rc-graded?YES_NO XWill excess fill be removed from premises?YES_NO_
14.Names of Owner of premises 5e^ 6rcl,.cl Address.-'ft QIn-r Gtr. Phone No. �jf'•S3Z'��a�
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of n tidal wetland or a freshwater wetland?*YES NO
•IF YES,SOUTHOLD TOWN TRUSTEES&D,E.C.PERMITS MAY BE REQUIRED.
b.is this property within 360 feet of a tidal wetland?•YES_NO�
•IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feel or below,must provide topographical data on survey.
I8.Arc there any covenants and restrictions with respect to this property?•YES_N0_\'
•IF YES,PROVIDE A COPY.
STATE OF N- )
COUNTY OF
Y ( kc ing duly sworn,deposes and says that(s)hc is the applicant
(Name of individual signing cono.�a vc named,
(S)He is the Qo ' —y
(Contractor,Agent,Corporate Officer,ctc.)
of said owner or owners,and is duly authorized to perforin or have performed the said work and to make and file this application;
that all statements contained i his application are true to the best of his knowledge and belief;and that the work will be
performed in the manner in the application filed therewith.
Sworn to ore this
day o /
LAT08
,e blie o Pu c,St o of New YorkSiBnnwnc of Applicant
No. 1 M 215216 f;
Quallfl In uffolk C unty v' '
Commisslo Expires DecTO�- '�
5 OSOFFO(keoGr BUILDING DEP�4RTMENT-Electrical Inspector
ti �O G"u TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179
Southold, New York 11971-0959
41 `* o��t r Telephone(631)765-1802-FAX(631)765-9502
roaerr(c-southoldtownnv oov--seandOo7southoldtownnv dov
E APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (AH Information Required) Date:
Company Name: %10,y' -r I n C,
Name: C. ) ,eerV
License No.:—r. — (o z ro email: 22 @, 0.Y 2L�r irk 0-
Address: ( )qe— or '-7
Phone No.: (p 3 1 $'— -7
JOB SITE INFORMATION (AIL Information Required)
Name: Co E0%AJ fjfZooAg.T k
Address: g a DE n�q Rry L v2f4 vy II f r
Cross Street fv o. 6(-VD
Phone No.: J �1
BIdg.Permit# email: SbrocJar ck�c al.cc+ry
Tax Map District: 1000 Section: JaS Block: o 1-/ Lot: )a
BRIEF DESCRIPTION OF WORK(Please Print Clearly) � /��
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: (AIL Information required)
Service Size 1 Ph 3 Ph Size: A #MetersOld Meter#
New Service-Fire Reconnect-Flood Reconnect-Servlce 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 Fonn.xts "1
pvc�
�q, V
BUILDING DEPARTMENT-Electrical Inspector
►�0 , TOM OF SOUTHOLD
own Hall Annex.-54375 Main.Road-PO Box 1179
Southold,:Nev+i York 11871-0959
o�• Tele hone 631 T65 9802;-FAUX 785-9502
P ( ,. Y:
d"tewnnv_aoV' sgand a�swtholdtownrn:apv
9 :..
APPLICATION FOR kECTRICAL:INSPECTION
ELECTRICIAN INFO-i-IIAATiON(AN ikon R
Company •Name• 100. PA-a. r. . •j" 'YL
--
Nerve:
Ucense.No.- i r=�'riA. r .: .email.,. e 0Y i—rf)-V-.o IVL
Address:' ' I. 11Q.- 7
Phone No.•' ( ^° LA
ibb SITE 1NFORMA7(ON-(AI lf>fiorrnatlon Reyuiredj
Name:, _.S_ 9.!�;� RooA r k . }
Address:.
.. : ross S.Ctie3tLV
Phone No:'
BIgg.Permft# = . entail: bro�larrtk.@ 'l.:cop�,
Tax Mia ..Distrix. 1000 a Section;°-
BRIEF DESCRIPTION OF WORK(Please Nht',Cleady)
Circle All That Apply:
Is job ready for inspection?: YES NO Rouri. Final
'Do you need a Temp Certficate?: YES/NO issud'On .
Temp Information: (AN information required)
r" Service Size 1 Ph 3 Ph Size: A 4W tert `` 0ld Meter#.
New Service-Fire Reconnect-Flood Reconnect-Service Reconnected-Underground-Overhead
a _ #Underground Laterals 1 2 - H;Frame .:Pole:,.:Work done.on Seniice7 Y N
x Additional Information:
PAYMENT:DyE'WIT UAPPLICATION
Request for Inspedbn Fonni t
AP vFn Aq NQTPn
i.
DATE.-fLZMTb.P.#- --
FEE: GENERAL INFORMATION
NOTIFY BUILDING 1':-,"A.RTMENT AT
SMciftaflong)! FOR T HE COMPLY WITf-I ASI- CODE,
G lNSP'--..GTI,-N& NEW VQRK QTAq:F
& T(D1AIN-G.9,9-
1. FOUNDATION REQUIRED AS REQUIREn AND CONDITIONS
FOR POURED C-ONC.Pt TE
2.
. *- FR.Ak:1;i I P ABINA
L 1 24;-L!! 36 42B 48 60
3- ION r &If%
-4-1414
Height M 27(6997--STP-a7T- 27[6861
hes
Len gthXlc c 75
_R561 29.75[7561 33.75f 33.75[8571 35.75 i5-2S=:9AM8I
33.75(8571 33-75[8571 35.75 1908 1_35.75[908]135.75[908]
REQUIREMENTS OF THE CODES OF NEW
YORK[ STATE PONS[3LE T80R 24 30 36 42�RIGN QR A#X11's
. NSTERIXTIOW-=2202
Height"H"inches[mm] 27[686] 25[6351 31 [787] 31 [7871 35[889]
Length V inches Imm] 29.75[7561 29.75[7561 29.75 r7561 33.75 f857l 33.75 f8571
I
Width"W"Inches[mm) 29.75[756] 29.75[756]129.75[756]1 33J5[857]133.75[8571
18 24 30 36 4248 60
Height'H"inches[mm] 27[686] 27(686] 27[686) 31 [787] 39[991] 45[1143] 51 [1295]
Length V Inches fmm] 29.75 r7561 n75[857) 35.75 19081 35.75[9081 35.75 90j8 35.75[9081 35.75 908
I I
Width W Inches[mm] 29.75[756] 33.75 1857),35.75[908),35.75[908] 35.75[908135.75[908] 35.75[908]
Proper Installation
Proper sizing and installation of this equipment is
► critical to achieve optimal performance.Use the
information in this Installation Instruction Manual and
reference the applicable manufacturer's specification
sheet when installing this product.
IMPORTANT:This product has been
designed and manufactured to meet ENERGY
STAR criteria for energy efficiency when matched
with appropriate indoor components.However,
proper refrigerant charge and proper airflow are
critical to achieve rated capa6ty and efficiency.
Installation of this product should follow the -H-
manufacturer's refrigerant charging and airtlow
instructions.Failure to confirm proper charge
and airflow may reduce energy efficiency and SERVICE MEW
INLET CONNECTIONS I
shorten equipment life. HIGH a LOW VOLTAGE
ACCESS ALLOW
24-(610mmlOF
CLEARANCE
MATCH ALL COMPONENTS: AM INLET LOUVERS ALLOW
i,y6-1152 nvr)OF CLEARANCEALL SIDES
- OUTDOOR UNIT I2'IW5mmlRECOWAENDED
- INDOOR COIL
- INDOOR AIR HANDLER/FURNACE NOTE:Actual unit appearance may vary.
. REFRIGERANT LINES
- INDOOR THERMOSTAT
OCCUPANCY OR
ELECTRICAL
INSPECTION REQUIRED
USE IS UNLAWFUL 7
W Z
WITHOUT CERTIFICATE
llrl-V -11-1w,
I � 0:1 URA-K-Y""""'
OF;Ou^ ,
i
MGmael Mrs.<erin.brodarick@gmail.com>.
(no subject)
1 message
Sean Brodarick<sbrodarick@gmail.com> Sat,Mar 7,2020 at 10:29 AM
To:edn.brodarick@gmall.com
r
K40DEL'NUMSER.AO''3=075 .'-D3/2019,
PART NUMBER:. AOT-3�PP ' ;
.. S E R IA"LIN UMBER: 65696125
CE(RTIFIED BY: '
LM M- 1 '
A MAX. WATER TEMP (°F): 250
SM MAWS', WATER 50 '
E
MIN'RELIEF VALVE
H CAPACtTY(LB/HR):. 120
Conforms to:
UL•726-1995 .
U L 726 Rev 2011, j ` us
ter,;, .. �3T�' •• `��e��� -
u' ti 9700609
1.20V/6bHZ INPUT:•LESS-i HAN 12 AMPS'.;
Ai i-W-CERTIFIEEr
�•
FIRING RATE: .
• LT:pIL• (10.2) '
0.75 GPH
HTG. CAP:
92 'MBH
NET AHRI."RATINGS"
UVATE R: ''Z M EM ;
.+w m - •. t. rt +.A:s-s ....� �.+.. . a .u- •u.:N...�:.+�:.4J,n-.k.-ti w.-..r..._