HomeMy WebLinkAbout47694-Z Town of Southold 6/3/2023
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44152 Date: 6/3/2023
THIS CERTIFIES that the building HVAC
Location of Property: 3475 Oaklawn Ave., Southold
SCTM#: 473889 See/Block/Lot: 70.-6-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/14/2022 pursuant to which Building Permit No. 47694 dated 4/18/2022
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 to existing single family dwelling as applied for.
The certificate is issued to Braun,Kenneth&Sexton-Braun, Sharon
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47694 5/2/2023
PLUMBERS CERTIFICATION DATED
tho ize gnature
o�gpFFGJ/( TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
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#: 47694 Date: 4/18/2022
Permission is hereby granted to:
Braun, Kenneth
30 Buckingham Dr
Holbrook, NY 11741
To: Legalize as-built HVAC unit at existing single family dwelling as applied for.
Additional certification may be required.
At premises located at:
3475 Oaklawn Ave., Southold
SCTM #473889
Sec/Block/Lot# 70.-6-1
Pursuant to application dated 3/14/2022 and approved by the Building Inspector.
To expire on 10/18/2023.
Fees:
ACCESSORY $400.00
CO-RESIDENTIAL $50.00
Total: $450.00
Building Inspector
oE so�ryol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 aQ sean.devlin(-town.southold.ny.us
Southold,NY 11971-0959 QIy�DUNTV,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Kenneth Braun
Address: 3475 Oaklawn Ave city,Southold st: NY zip: 11971
Building Permit#: 47694 Section: 70 Block: 6 Lot: 1
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 X Service X
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey X Attic X Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 55 Ceiling Fixtures 10 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 5 Wall Fixtures 7 Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures 9 CO2 Detectors
Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 5
Transformer UC Lights Dryer Recpt Emergency FixturesTime Clocks
Disconnect Switches 27 4'LED 3 Exit Fixtures Pump
Other Equipment: Fridge, Mini Fridge, Oven, DW, 200A Panel 42 Circuit/40 Used
Notes: " AS BUILT NO VISUAL DEFECTS " Whole House Renovation
Inspector Signature: ate: May 2, 2023
S.Devlin-Cert Electrical Compliance Form
OF SOUTyo G q y �2 H-7 S� (>J4, `Awn
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycou631-765-1802
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: SSV]lzl4L4, tl/ InN��� f /Vb
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DATE y� INSPECTOR
l� OF SOUlyolo
# * TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE AFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] F RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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DATE rO LL INSPECTOR
pFSOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycou631-765-1802
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
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# TOWN OF OUTHOLD BUILDING DEPT.
o m, 0 631-765-1802
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: ega Ar4
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DATE INSPECTOR
OF SOUIyO LO
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# # 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, t
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INSULATION PER N.Y.
STATE ENERGY CODE
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BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
gusui Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cDsoutholdtownny.gov -- seand(c�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFOR TION (All Information Required) Date:
Company Name: e
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: e11 �j �1lJ
Address: Z 7
Cross Street: 1� 2Ce—,
Phone No.: l
Bldg.Permit #: #47(Q q y
Tax Map District: 1000 Section: Block: Lot: t C'
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
4k-
e
S uare Footage-.
q 9
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❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame I I Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
0 0 �� a`�I a3
S�F FO Q DING DEPARTMENT- Electrical Inspector
o�p �K 2,
TOWN OF SOUTHOLD
o MSR Town Hall Annex- 54375 Main Road - PO Box 1179
O "� �U��D\�0JkA0\-o Southold, New York 11971-0959
'jfj� �p jo\NtA o Telephone (631) 765-1802 - FAX (631) 765-9502
1� rogerr(cD-southoldtownny.gov - seand(aD-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) ( 7
Name: JKP-n O 4- S r �i�vlo
Address: • 4 S ' : a L-La L-j r\
Cross Street: t L
Phone No.: I —iR�(j (o ---2-os
Bldg.Permit#: L(-Vpq email:S von,S a,
Tax Map District: 1000 Section: 42 Block: Lot• cow
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE(Pie a Print Clearly):
-HVA-C ) 1�I t n 4 sp I + 14 VA -c , Pt.,,u-m Se v-V t a ra P14VVI �
r
t--+CA 'A a Square Footage:
Circle All That Apply:
Is job ready for inspection?: `P-,I YES ❑ NO F-]Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES '-X1 Issued On
Temp Information: (All information required)
Service Size❑1 PhF-13 Ph Size: A # Meters Old Meter#
❑New service[-]Fire Reconnect[-]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 FJ2 H Frame 0 Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION �r�('
rQ �^l1-� 0
�o
DING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
® - �,�pR Town Hall Annex - 54375 Main Road - PO Box 1179
\o s��NTele hone Southold00 631) 765-1802 k FAX (631) 765-9502
rogerr(a�southoldtownny.gov - seand(c 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: ;fien rA-UA C#- S hZk v"U-'1 v "f17V1 af'� i�
Address: S qi S Oa L-La c..j n Ayr
Cross Street: t L ,
Phone No.: S
BIdg.Permit#: �{ (Qq email:2V,Yon,S -u 1 of I-7A c�
Tax Map District: 1000 Section: Block: Lot• c'c�J►�
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE(Ple ePrint Clearly):
P �/A-G t�1 rn 's�� ►-6- f4 VAC 1 � J e/l SQ 111 a V1
r
Square Footage:
Circle All That Apply:
Is job ready for inspection?: f7l YES El NO 0 Rough In E] Fina.I
Do you need a Temp Certificate?: ❑ YES ONO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters: Old Meter#
EJ New Service❑Fire Reconnect❑Flood Reconnect❑Service-Reconnect❑Underground❑O.verhead
# Underground Laterals M 1 2 H Frame M Pole Work done on Service? M Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
(® (� `
sip
H�
PERMIT# Address:
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC 11 ASH Mini
Special: a^
Ml�l .syr
Comments
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�1 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
I a =' _ - O Box 1179
Town Hall Annex 54375 Main Road P
y Southold, New York,11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(p south oldtownny.gov — seand pnsoutholdtownn .gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFOR TION (All Information Required) Date: a �
Company Name: UJIVCs
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:
Cross Street:
Phone No.:
Bldg.Permit #: 4'7 (p qLl
email: �'
Tax Map District- 1000 Section: Block: ied
Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly).
Ftw
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 Ph�3 Ph Size: A # Meters OId.Meter#
❑New Service❑ Fire Reconnect❑Flood Reconnect[]Service Reconnect❑Underground[Overhead
n. rte.
Underground Laterals1 2 H Frame r Poie Work done on Service! N
Y
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT H 1 Address:
Switches /
Outlets Iyer ' 1h
GFI's
Surface
Sconces ( 1
HH'sI� I�
UC Lts
Fans Fridge HW
Exhaust Oven O? �� WAD
Smokes DW MiniA /4-e r
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special: L4
Comments / l
CZ/A 7 /
jI/Iri
Ken and Sharon Braun. HVAC 3475 Oaklawn Avenue Southold, NY 11971
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BUS O
OF� F SOUTHOLD
t
I
APPROVED AS NOTED
DATE: ���� B.P. 7
EE BY:
.f U:L—
OTIFY BUILDING DEPARTMENT AT
-5-1802 8 AM TO 4 PM FOR THE
-OWING INSPECTIONS:
=OUNDATION - TWO REQUIRED
FOR POURED CONCRETE
�
MID——
SOUGH - FRAMING & PLUMBING
3. INSULATION
;�,; ►� . _ ��� 4 FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
`. YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
rF �•��.�:.rir
OCCUPANCY OR
USE IS UNLAWFUL
COMPLY WITH ALL CODES OF WITHOUT CERTIFICATE
NEW YORK STATE & TOWN CODES OF OCCUPANCY
AS REQUI ED AND CONDITIONS OF
SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD Additional
SOUTHOLD TOWN TRUSTEES Certification
NYS.DEC May Be Required.
KKIWWA•R"PW ION RE
QUlREp
Ken and Sharon Braun. HVAC 3475 Oaklawn Avenue Southold, NY 11971
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