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HomeMy WebLinkAbout48227-Z CIM Town of Southold 10/1/2022 P.O.Box 1179 cm C* 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43452 Date: 10/1/2022 THIS CERTIFIES that the building HVAC Location of Property: 65 August Ln.,Greenport SCTM H: 473889 Sec/Block/Lot: 53.-4-44.13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/14/2022 pursuant to which Building Permit No. 48227 dated 8/29/2022 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"central air conditioning as qpplied for. The certificate is issued to Doroski,Gerald &Melanie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. A3Z7 9/27/2022 PLUMBERS CERTIFICATION DATED h i nignature � TOWN OF SOUTHOLD SV °SUFfQt,r .oG,� BUILDING DEPARTMENT TOWN CLERK'S OFFICE C. x SOUTHOLD, NY ,?sol ,x, ya°vss 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#: 48227 Date: 8/29/2022 Permission is hereby granted to: Doroski, Gerald 65 August Ln Greenport, NY 11944 To: legalize "as built" AC unit as applied for. At premises located at: 65 August Ln., Greenport SCTM #473889 Sec/Block/Lot# 53.-4-44.13 Pursuant to application dated 7/14/2022 and approved by the Building Inspector. To expire on 2128/2024. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 uilding Inspector SOUryol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.devlin@town.southold.ny.us Southold,NY 11971-0959 Q a BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Gerald Doroski Address: 65 August Ln city:Greenport st: NY zip: 11944 Building Permit#. 48227 Section: 53 Block: 4 Lot: 44.13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Home Owner License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1 st Floor Pool New X 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 Fixture Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: Notes: Mini Split HVAC Inspector Signature: Date: September 27, 2022 S.Devlin-Cert Electrical Compliance Form o��0FS0UTyo n # # TOWN OF SOUTHOLD BU DING DEPT. `ycouto, 631.765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) 1-0 ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Aw ope r DATE Z 2?i INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS to b m FOUNDATION (1ST) -------------------------------------- FOUNDATION (2ND) I� z O H ROUGH FRAMING& PLUMBING S r t� INSULATION PER N.Y. 3 STATE ENERGY CODE 'b FINAL ADDITIONAL COMMENTS V 1 � O 'Z m k . ►o H O z x H x d CEJ 'b H TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P."O. Box 1179 Southold,NY 11971-0959 c ©� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only rI r� PERMIT NO. )9� Building Inspector: JUL 14 1022BUILDING _. DEPT Applications and forms must be.fllled 766. in:the" entirety Incomplete TOWN OF SOUTHOLD ; . a 'pl"ications;will:not.be accepted:,Where the Applicantis..notahe Dwner;:an,: Own'er's'Authorizatilonfarm{Page;2j shall be completed, Date: July 1J 2022 OWNERS)OF PROPERTY. \ Name: Gerald & Melanie Doroski_ SCTM# 1000-53.-4-44.13 Project Address: 65 August Lane, Greenport Phone#:516-381-9658 Email:doroskigerald@hotmail.com Mailing Address: 65 August Lane, Greenport,,_NY 11944 CONTACT:PERSON! Name: Gerald & Melanie Doroski Mailing Address:65 August Lane, Greenport, NY 11944 Phone#:516-38179658 Email:doroskigerald@hotmail.com 1. DESIGN PROEESSIONAL.INFORMATION: Name: Mailing Address: Phone#`. Email: CO.N.TRACT9R INFORMATION Name: t�iM20ilk kw Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOthersplit unit a/c in master bedroom iwS Fal(t $ Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY,INFORMATION ,.1 Existing use of property:residential Intended use of property:residential 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/coritractor/design professional isresponsible.for all.drainage and storm water,,issues as provided by,> Chapter.236 of the,Town Code, APPLICATION IS HEREBY-MADE to.the Building Departnment for the issuance of a Building.Permit pursuant tp'the Building Zone 'ordinance of the Town of Southold,Suffolk,County,_New York and other appiicable'Laws,Ordinances or Regulations,forahe 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 fn liuildrng(s),for necessary inspections:False statements made Herein are ,:punishable-as a Class A ri isderiieanor pursuant to'Section 210.45 of the New-York State Penal:Law. Application Submitted By(11rint name): IA.y(I'P, Jj� 7�k1 ❑Authorized Agent BOwner Signature of Applicant: �,(,e1 j �� ) Date: '� I rq Z(122� STATE OF NEW YORK) SS: COUNTY OF y �/�-� ap l-e boyok) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the ��is��otdflw (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 i q� day of TUIL4 20C�0, otary Public TRACE:Y L. DWYER NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY (Where the applicant is not the Owner)COMMISSION EXPIRES JUNE 30,4a(p I, residing at 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 BUILDING DEPARTMENT- Electrical s to f TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Eftk*@ooEp +�► ' �, UTH Southold, New York 11971-0959D Zo Telephone (631) 765-1802 - FAX (631) 765-9502 ' rogerr southoldtownny.gov — seand(a- -)southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: JL&I V4,U22- Company Name: Qra(� b b 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: Gerald & Melanie Doroski Address: 65 August Lane, Greenport Cross Street: Kerwin Blvd Phone No.: 516-381-9658 Bldg.Permit#: email:doroskigerald@hotmail.com Tax Map District: 1000 Section:53 Block: 4 Lot:44.13 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): split unit A/C in master bedroom Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO Rough In Final Do you need a Temp Certificate?: ❑ YES F-� NO Issued On Temp Information: (All information required) Service Size 1-11 Ph 03 Ph Size: A # Meters Old Meter# O New Service Fire ReconnectOFlood ReconnectOService Reconnect OUnderground[-]overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �� 0 6 CHIGO Room Air-conditioner APPR VED AS NOTED - Model of Outdoorunit CS 35`J1A H` Power supply 115VlB0H r DATE: �� B.P.# is Cooling total current 11 FEE: 6 F1` Heating total current 12.0RLA' 4 , Compressor ----o.26A. NOTIFY BUILDING - ,,.RTMENT AT CondensertanMotor 765-1802 8 A TO , ,--M FOR T Minimum circuitampacity FOLLOWING INSPECTIONS: Maximum over currentprotection 2r L 1. FOUNDATION - TWO REQUIRED Fusle,LE0A FOR POURED CONCRETE HPLP 2. ROUGH - FRAMING & PLUMBIN SEER ----,7- 3. INSULATION outdoor noise R41Ok2.91. Refrigerant 32h. 4. FINAL - CONS '"^'J MUST Netweight ofoutdoor unit BE COMPLETE pate of manufacture - ALL CONSTRUCT_ -.'LL MEET Number of manufacture - REQUIREMENTS OF i r,t CODES OF Energy Verified U` US YORK STATE. NOT RESPONSIBLE R �ullRendement LISTED DESIGN OR CONSTRUCTION ERR tnergetique Verifie ELECTRICAL AIRCONDITIOOR I Caution". 4ZM2 INSPECTION REQUIRED 1.Do not cover au mscharge openings. COMPLY WITH ALL COD z Riskseivailthtee ciuiesbeforefunit 3fting sen , ' W 3.Pteasewaitthreeminuleshetorerestartmgwhenthe NEW YORK STATE & TOWpowermbtoken /Mornq parts'do not operate with cover removed" AS REQUIRED AND CONDI S Use copper conductors 01`11r. 5 outdoor use t GdA4GDGNG CHIG0 JdA�C0NDITI0NING Co,L' S�J.f+nvC�7111Y1Y Ill r N.Y OCCUPANCY 0 JSE IS UNLAWF NITNOUT CERTI )F OCCUPANCY t: rq