HomeMy WebLinkAbout48217-Z g�FFD Town of Southold 4/4/2023
o P.O.Box 1179
ca 53095 Main Rd
Way o� � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43987 Date: 4/4/2023
THIS CERTIFIES that the building HVAC
Location of Property: 1835 Park Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 123.-2-34
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/13/2022 pursuant to which Building Permit No. 48217 dated 8/26/2022
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 to existing single family dwellingas applied fro.
The certificate is issued to Wade,Jeffrey&Wade,Mark
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48217 3/20/2023
PLUMBERS CERTIFICATION DATED
uth riz
e ig gafore
faljt TOWN OF SOUTHOLD
oy BUILDING DEPARTMENT
co TOWN CLERK'S OFFICE
ca
oy • ori 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#: 48217 Date: 8/26/2022
Permission is hereby granted to:
Wade, Jeffrey
235 E 22nd St#5G
New York, NY 10010
To: legalize "as built" AC unit as applied for.
At premises located at:
1835 Park Ave, Mattituck
SCTM #473889
Sec/Block/Lot# 123.-2-34
Pursuant to application dated 7/13/2022 and approved by the Building Inspector.
To expire on 2/25/2024.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ALTERATION TO DWELLING $50.00
Total: $450.00
BuildVg Inspector
o��oF so�ryQl
h O
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlina—town.southold.ny.us
Southold,NY 11971-0959 COUn��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jeffrey Wade
Address: 1835 Park Ave city:Mattituck st: NY zip: 11952
Building Permit#: 48217 Section: 123 Block: 2 Lot: 34
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: 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 1 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
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures 11 Sump Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: Date:
March 20, 2023
6-1
S. Devlin-Cert Electrical Compliance Form
OF SOUIyO� V v 7 l Ti S PQMX
# TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] 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 [ ] RENTAL
REMARKS:
DATE 3 Zn INSPECTOR
S � OF SOUTyo� - - --- - - -- -- ---
,` # #
TOWN OF SOUTHOLD BUILDING DEPT.
�O • �O
`ycourm, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
�V l v L-
DATE 3 INSPECTOR
=FIELD REPORT I DATE COMMENTS
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FOUNDATION (1ST) --
J
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FOUNDATION (2ND)
ROUGH FRAMING&
PLUMBING
1
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INSULATION PER N.Y.
STATE ENERGY CODE -�
1
FINAL
ADDITIONAL COMMENTS
102-5,73 (0-3D C
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
i9y�01 �ao'� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowM.jzov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. _ Building Inspector:
Applications and forms must be filled out in their entirety. Incomplete JUL 3 ?022
applications will not be accepted. Where the Applicant is not the,owner,an BUILDING DEH s.
Owner's Authorization form(Page 2)shall-be-completed. TOWN OF SOUTHOLD
Date: o
OWNER(S)OF PROPERTY: ,
Name:wg'vf�OL-- SCTM #1000-
- a
Project Address: '4p.35._. j�{a 61k �.Tc u.0--k-. . NY -.... . ..
Phone#: L1 _ � .'�.a o Email: 1L M
Mailing Address, ^o}�'�rZ_-(3 1/£6'11...' _ Vit•".- -,._i..h! _dr S� � . _ . �. ..
CONTACT PERSON:
Name: __ A) q..
Mailing Address: �.
Phone#: Z0-)-93Email:N jcwn m e -oevs cc e
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure []Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other d'rdS;,tpL S'T*P LLQr b ?WL)o_ T $
Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes END
1
PROPERTY INFORMATION.
Existing use of property: Intended use of propertv:2ES) C�
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes o 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.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(pr' t na e): _ ��, ❑Auth rued Agent caner
J.E� IJY- Z. - -- - -
Signature of Applicant: Date:. p
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
Qualified in Suffolk County
COUNTY OF ) Commission Expires April 14,2 D1Q�3
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing cohtract)-above named,
(S)he is the
(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
day of , 20��
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
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
�O�OS�FFQ(,�.COGy BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
_ Town Hall Annex- 54375 Main Road - PO Box 1179
CS
^ Southold, New York 11971-0959
'yjjp� �ao�Y� Telephone (631) 765-1802 - FAX (631) 765-9502
' rogerr(cDsoutholdtownny.gov - seand(D-southoldtownny.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:
Address: ,��� „ �, c V
Cross Street: Y-Y)
Phone No.: 6 1-1 -4 -L- O
Bldg.Permit#: email:
Tax Map District: 1000 Section: 1 2 3 . p O Block: c2 2 . ®o Lot:t534,a oo
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
n>oc, &0iv1> �-\1 VWa"2 f/vS.T 0-Z L C t5 0
Square Footage:
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: (All information required)
Service Size F-11 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 R2 H Frame Pole Work done on Service? Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
N/off
FRAtTIM A. SCROLL, JR .
N 85"41'50" E
100.00' SURVEY OF PROPERTY
SNC SITUATE
aes alw. � ' to
MATTITUCK
o TOWN OF SOUTHOLD
Z SUFFOLK COUNTY, NEW YORK
O0 S.C. TAX' No. 1000-123-02-34
o SCALE 1"=30'
R. M
JULY 20, 2018
AREA = 25,000 sq. ft.
0.574 cc.
Rt
1D"Dr1 IZED unxAnON ON ADOmON
TO THIS SURVEY 3 A VIOIAnM OF
1R EIImCA-7=II SS OF THE NBV V=STATE
COPIES OF ANIS slt AIAP NOT BFATONO
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SFDD 127221
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TO BE A VAD TRUE COPY.
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APRON g :SWE'PZ;r- PREPARED N ACCORDANCE RIM THE LOOM .
$ +':t'1•�.;.•ti: ALO SP WlDS FOR ITU SURVEYS AS ESrABISMm
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Ln O .Y.S.Ut No.50467.
104.15'
tA" ; 5 41'S0" "" Nathan Taft Corwin III
t m .TD, 100. wN Land Surveyor
S 85'41'50" W NEIFR
EDGE 0�PAYDtFrR '
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. A V ENU y PRONE(631)727-2090 F..(631)727_1727
PARK.• I. OFFICES LOCATED A7 IFALING ADDRESS
1586 M.M R-d P.O.Rai 16
I I JpmespoR Ne.Yoh 11947 Jamesport.Nor York 11947
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APPROVED AS NOTED
DATE: B.P.#
FEE: ?,Y: _ (,,Q- COMPLY WITH ALL CODES OF
NOTIFY BUILDING; %VMENT AT NEW YORK STATE & TOWN CODE`,
765-1802 8 A TO 'M FOR THE AS REQUIRFO AND CCNDIT!ONS OF
FOLLOWING INSPECTIONS: _
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE " ' ]ptSPr�QNING BOARr
2. ROUGH - FRAMING & PLUMBING
3. INSULATION S4�USTEES
4. FINAL - CONSTF,'_' 'ICN MUST
BE COMPLETE : J.
ALL CONSTRUCTI'... ��-ALL MEET THE
REQUIREMENTS OF THE CODES OF NEW OCCUPANCY OR
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. f-LFCTRICAL USE IS UNLAWFUL
REQUIRED WITHOUT CERTIFICA
"`�S��C���"IUN
OF OCCUPANCY
9
RHEEM AIR CONDITIONER
MOULL N0. RAMC-048JAZ MFD. 0712004 I
SERIAL NO. 6976F280404147 OUTDOOR USE
VOLTS 208/230 PHASE, 1 HERTZ 60
COMPRESSOR R.L.At 19..2/19.2 L.R.A. 137
OUTDOO*FAN MOTOR F.L.A. 1.5 H.P. 1/3
MIN. SUPPLY CIRCUIT AMPACITY 26/26 AMP
MAX.. FUSE OR CKT. BRK. SIZE* 40/40 AMP
MIN. FUSE OR CKT. BRK. SIZE* 35/35 AMP
DESIGN PRESSURE HIGH 300 PSIG/2068 kPa
DESIGW PRESSURE LOW 150 PSIG/1034 kPa
OUTDOOR UNITS FACTORY CHARGE 162 oz./4593 9 R22
TOTAL SYSTEM CHARGE R22
SEE INSTRUCTIONS INSIDE ACCESS PANEL.
RNEEM AIR CONDITIONING DIVISION
FORT SMITH. ARKANSAS
MADE
• IN THE-
TYPE
HETYPE BREAKER FOR U.S.A.
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MODEL NO. K It VT'S•A•
RBHC-21AOONHE SERIAL NO. 4 05163
VOLTS 115VAC PH./HZ. 1/60 MOTORHP./F.L.A.
SINGLE SUPPLY CIRCUIT ELECTRICAL DATA: MINIMUM 1 �.2
*MAXIMUM
BRANCH CIRCUIT OVERCURRENT
TOTAL 7.2 AMPS,
HTR.K.W. I I AMPACITY PROTECTION
I 0.0 9.0
MULTIPLE SUPPLY CIRCUIT ELECT DATA:
CKT#1 I I I
CKT#2
CKT#3
UNIT MAY BE SUPPLIED WRHSINGLE OR IMAM 60 AMP SUPPLEMiNtAL OVEN -
PROTECfION DEUCES.
INDOOR BLOWER MOTOR LOAD INCU MED W CWQX NO I OR TOTAL_
SUPPLY WIRE MUST BE RATED AT 75-C MINIMUM COPPER CONDUCTORS ONLT.
UNIT HAS INTEGRAL CONTROUS)TO LIMIT TF.AIPERATVIlg 707'004 AWy.11�.
TEST EXTERNAL STATIC RANGE A TO 9 W C OtEAT PUMI d ELECTRIC HFA:'
UNITS WITH ELECTRO HEATERS:CLEARANCE COMBUST!ME ANTEFIAI TO
BE 0 INTO UNIT CASING AND p IN TO PLENUM AND DUCT FOR FIRST 761N
SELECT MODELS HAVE INTEGRAL CIRCQIT BREASM WHICTJ PROVIDE SUPPLE A#,
OVERCURRENT PROTECTION AND SERVE AS A MABtfENAWCE 06CONNEC'
SUPPLY CIRCUIT NOT TO IXCEED 110 VOL GN SINGLE PHASE UNIT
REPLACE UNE SIDE BREAXERCOVERISI WZIKICDNNECTIONST08.'
IFBLOWER.CONTROLA55EMBLYREOUI SEAYAOW40PIAEARDOIMV,:
1Er!VOLTAGE
E►ER90NALd►mTWAL POW,,E 00 COKNEc THIS FKXAMR r�
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SEE INSTALLATION MANUAL FOP 5MC TION
YOU MUST FOLLOW THE INSTALUTi/� OFE j-
WITH THIS UNIT FAILURE TO DO '! RPJl11 M"
ADJUSTMENT,SERVICE AND MAR-111��R 5}RLY GLAIR
FE,—INJURY OR FYOPFRTY DN+: POR SERVICE
A OUALIHED SE—E COMPANY
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