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Home My WebLink About49528-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT W TOWN CLERK'S OFFICE 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#: 49528 Date: 7/28/2023 Permission is hereby granted to: Shelton, Robert 5 Eden Rd Wayland, MA 01778 To: legalize "as built" AC unit as applied for. At premises located at: 275 Oak Dr Cutcho ue SCTM # 473889 Sec/Block/Lot# 104.-5-15 Pursuant to application dated 6/21/2023 and approved by the Building Inspector. To expire on 1/26/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $450.00 Building ntor TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971 0959 Telephone (631) 765-1802 Fax (631) 765-9502 http ://wwr otitholdtown " iR Date Received APPLICATION FOR BUILDING PERMIT JUN 21 2023 For Office Use Only w4 gw N c PERMIT NO. Building inspectar: --J):-::� Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. 0711 Date: 06/07/2023 OWNER(S)OF PROPERTY: Name: Robert and Mara Shelton SCTM#1000- Project Address: 275 Oak Drive, Cutchogue, NY 11935 Phone#: 617-510-3486 1 Email: b—shelton@comcast.net Mailing Address: 5 Eden Rd, Wayland, MA 01778 CONTACT PERSON: Name: Robert Shelton Mailing Address: 5 Eden Rd, Wayland, MA 01778 Phone#: 617-510-3486 Email: b_shelton@comcast.net DESIGN PROFESSIONAL INFORMATION: Name: n/a Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: n/a Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition DAlteration ❑Repair ❑Demolition__ Estimated Cost of Project: DOther 'Installation of exterior central A/C compressor 0 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes *No 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? E]Yes E]No IF YES,PROVIDE A COPY. .................. –-—-__ 0 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(print name): Sh 6" DAuthorized Agent 2yplwner Signature of Applicant: Date: ZqIM124 � STATE OPVFAWOOIW� SS: COUNTY OFA#04UACY rl being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the L�?Ie tic--vt— (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 t Sworn before me this 1 t day of Z1,me 20 X- N-6tary Public PETER N. ROCK Notary Public commonwealth of Na ssaChA hA ERTY OWNER AUTHORIZATION My commission Expires July 4,2 ere the applicant is not the owner) 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 ot Well BUILDING DEPARTMENT-Electrical Inspector " ✓ , TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 PFy Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerL@southoldtownny.gov — seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRI'CI'AN INFORMATION (All Information Required) Date: 06/07/2023 Company Name: n/a 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: Robert Shelton Address: 275 Oak Drive, Cutchogue, NY 11935 Cross Street: Broadwaters Drive Phone No.: 617-510-3486 BIdg.Permit#: q T17, email: b_shelton@comcast.net Tax Map District: 1000 Section: 104 Block: 5 Lot: 15 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Inspect existing connection of external central A/C compressor Square Footage: n!a Circle All That Apply: Is job ready for inspection?: YES NO ®Rough In ✓1 Final Do you need a Tem Certificate?: YES NO Issued On Y P ✓ Temp Information: (All information required) Service Size v 1 Ph❑3 Ph Size: 20 A # Meters Old Meter# ✓INew Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground Overhead # Under round Laterals 1 2 H Frame Pole Work done on Service? Y 'N Additional Information: PAYMENT DUE WITH APPLICATION Y uW W., *i • N � +e� ,', du5tfi 1 e5 I1vC. . DALLAfLISTED 403H i CONDENSING UNIT MODEL. NO. HS 1 E3 --m4l I U-3P t•1F0. AT : 1 -r FACTORY CHARGED ' 63 _ F`-2` FIELD CHARGE TEST PRESCS. • H I C4H-4!5!7. ; L W--I •�o p,-3.r fiPPL.I CFIT I ON E;1APORRI. OR T EMP. RriNGE ELECTWICAL RATING 208,e`2`30 1 �-��: 1L-T .�:0 H-;'_ I PH. NOT TO — TECI AT LETHAN 197 OR BE i�FEF' MORE THAN 253 VOLTS. MIN. CKT. �4NPAC, I T'-i-' 2:�. UL l.i;144 MAY. FUSE � 40 40 MAX. HALF' TYPE CKT. E3KR. X MAX. CKT. BKF. 40 MOTOR RATINGS RLA HF'' PH FLA LRA C-Ot1PRES SOFA , 147. 6 1 88 FRN MOTOR 1 /6 1 1 2- FOP 0UTDOO LISE 042; 8-9791 DAF SERIRLUH113ER ■ Ob/B'S 8-7388