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HomeMy WebLinkAbout48317-Z zr� - �O�Oc��FFSLy. Town of Southold 11/29/2022 P.O.Box 1179 0 co 53095 Main Rd oy o�� r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43631 Date: 11/29/2022 THIS CERTIFIES that the building HVAC Location of Property: 1935 Old Orchard Rd.,East Marion SCTM#: 473889 Sec/Block/Lot: 37.-3-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/5/2022 pursuant to which Building Permit No. 48317 dated 9/21/2022 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 minisplit as applied for. The certificate is issued to Cronin,John&Constance of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48317 10/2 022 PLUMBERS CERTIFICATION DATED th. ize ignature ����Su� coGy TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • SOUTHOLD, NY •,,L:r•f'fi 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 #: 48317 Date: 9/21/2022 Permission is hereby granted to: Cronin, John 6 Short Ct East Northport, NY 11731 To: legalize "as built" AC minisplit as applied for. At premises located at: 1935 Old Orchard Rd., East Marion SCTM # 473889 Sec/Block/Lot# 37.-3-8 Pursuant to application dated 8/5/2022 and approved by the Building Inspector. To expire on 3/22/2024. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector toF so�ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.devlinCao-town.southold.ny.us Southold,NY 11971-0959 olyCOU ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: John Cronin Address: 1935 Old Orchard Rd city:East Marion st: NY zip: 11939 Building Permit#: 48317 Section: 37 Block: 3 Lot: 8 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 2 Transformer UC Lights Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: Notes: "AS BUILT NO VISUAL DEFECTS " Mini Split Inspector Signature: < Date: October 28, 2022 S.Devlin-Cert Electrical Compliance Form * TOWN OF SOUTHOLD BUILDING DEPT. �ycou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] I ULATIOWCAULKING [ ] FRAMING/STRAPPING [ FINAL qt*C,,o [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: iAhlv cote DATE INSPECTOR \Xpf 50UTy�lo J �, l 0 hJ— �@ # # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING r [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE.& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION, [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [/ �]' PRE C/O REMARKS: I� t-� . 0ta c-&4412f, DATE INSPECTOR �1/ FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION (IST) ------------------------------------ In FOUNDATION (2ND) z 0 H �N ROUGH FRAMING& PLUMBING r INSULATION PER N.Y. S� y STATE ENERGY CODE n Z 7 v� l � oT V FINAL . ADDITIONAL COMMENTS Q Z, 0 z � m Z w � DC .►o ' N O z x d b H �r��SUFF01K�o� TOWN OF SOUTHOLD—BUILDING DEPARTMENT y z Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy • oar . Telephone(631) 765-1802 Fax(631) 765-9502 httys://www.southoldtownny.gov sol# ya Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only E C E PERMIT NO. 3� Building dnspector: �I U AUG 0 5 2022 Applications and forms must-be�filled'out iri their,entirety-1 complete BUILDING DEPT. applications will not .be'accepted. Where'the Applicant'is not ,the owneran. TOVVN OF SOUTHOLD Owner's Authoriiation_form(Page 2).shall.be:completed. Date: OWNERS)OF PROPERTY: _ Name: `'- \ SCTM#1000- v 3 7. 00 -" c�3,60 -_- OOC600 --._._..__..je> - Y� _ ._... v, (-c- _o __-__ _ ��. Project Address: R --A - Phone#: r Email: ` �r Mailing Address: COO- ^ CONTACT PERSONt' Name: Mailing Address: Phone#: Email: 'DESIGN PROFESSIONAL.,INFORMATIONc Name: Mailing Address- Ph one ddressPhone#: Email: CONTRACTOR INFORMATION;. : : Name: Mailing Address. Phone#: 22 Email: J. DESCRIPTION OF-PROPOSED CONSTRUCTION-. _ ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: '00ther'n ftk t U , 1 i $ 5-COO Will the lot be re-graded? ❑Yes P No Will excess fill be removed from premises? ❑Yes No 1 g PROPERTY-INFORMATION, Existing use of property: 5� Intended use of property: Zone or use district in which prenQs is situated: Are there any covenants and rest Uons with respect to 0 0 this property? ❑Yes o IF YES, PROVIDE A COPY. Check B'oxllAfter 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 n me): �4}�,� C�� ❑Authorized Agent f L�QOwner _ Signature of Applicant: Date: STATE OF NEW YORK) S - COUNTY OF ) -hn L • being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, ry (S)he is the Lori (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 ryry day of AuaLA4, 20`2- FO tary Pubic TRACEY L. DWYER PROPERTY OWNER AUTHORIZATIONOTARY PUBLIC,STATE OF NEWYORK (Where the applicant is not the owner) IED IN SUFFOL 00 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2.(aU 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 vIFFOL " I DING DEPARTMENT- Electrical Inspector �® scsTOWN OF SOUTHOLD RVQ Town Hall Annex - 54375 Main Road - PO Box 1179 C#3 But��s Southold, New York 11971-0959 ®41- ��,�� �� Telephone (631) 765-1802 - FAX (631) 765-9502 ;d rogerr(a_bsoutholdtownny.gov - seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: S �Pil ti 600/ e_ 1 00 ve_ o 0 Electrician's Name: License No.: Elec. email: Elec. Phone No: I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) - Name: c'vO ' e- �O Address: 4 q � C)CA- Cross Street: Phone No.: j- 7 =3�'_ f 7 Bldg.Permit#: �j�� email: ©�� at I Q CT) ) Tax Map District: 1000 Section: 3 ,p Block: 0 (go Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): � 1 . Square Footage: Circle All That Apply: Is job ready for inspection?: © YES F NO Rough In Final Do you need a Temp Certificate?: F-1 YES F_� NO Issued On Temp Information: (All information required) Service SizeF_11 Ph F-]3 Ph Size: A # Meters Old Meter# F-1 New Service Fire ReconnectOFlood ReconnectOService Reconnect ElUnderg round QOverhead # Underground Laterals 1 2 H Frame r Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION A �� I�p I DING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 1 60LD s'lc V 'A ;0 Southold, New York 11,971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cDsoutholdtownny.gov - seandgsoutholdtownny gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: �OL O'Ll Address: Cross Street: Phone No.: 7 Bldg.Permit email: Tax Map District: 1000 Section: C)0 Block: U-,_ 00 Lot:C BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: ® YES F NO Rough In Final Do you need a Temp Certificate?: ❑ YES F� NO Issued On Temp Information: (All information required) Service Size F11 Ph 03 Ph Size: A # Meters Old Meter# [-]New Service Fire ReconnectOFlood ReconnectOService ReconnectOUnderground DOverhead # Underground Laterals 1 2 H Frame M Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION PERMIT tt Address: Switches Outlets G FI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven WAD Smokes DW Mini` V Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments , V� AP R VED AS NOT D Z DATE: XXXX B.P.# 3I FEE: Y:--_ NOTIFY BUILDING 'irz�RTMENT AT 765-1802 8 AM TO - jFM FOR THE FOLLOWING INSPE:,T::)NS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONC.-RETE 2. ROUGH - FRAViNG & PLUMBING 3. INSULATION 4. FINAL MUST BE COMPLE ALL CONSTRUC i iALL MEET THE REQUIREMENTS OF THE CODES OF NEV1- YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF _;Ill -.!ni n rnln�Al 7R6 SL:': a LffRfC�BOAR JCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFV , = F OCCUPANCY ELECTRICAL INSPECTION REQUIRED AUG e3Uii_uai 1C DEP F Isu Tm CERTNED z ilk" t HEAT COOL , .'psi I<�500 1X3000 01 NL AMP�; RVISSOR AMpS), f R AMPS 0A O. 3 v ; 5 20 A PNI PoViOik Y G i 7 us =.11A PRT_ ` 'fit. 1.IH 5 111)F4' Vis' i 1 i Cf't'C+E 4k :t om: 24 , q, 91 1S6 tv a�•.•• Y -g3bYw:'tl�rHMMR< �iU�A':d=E rs+'iw�•�P'iH�u. uw.wasx++r••••••-••..••.•-'•— ••.—�------.- +u1E k .w r F 1