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HomeMy WebLinkAbout49335-Z � g�fFO Kc Town of Southold 7/15/2023 oocP.O.Box 1179 53095 Main Rd y�j ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44291 Date: 7/15/2023 THIS CERTIFIES that the building HVAC Location of Property: 250 Bay Haven Ln, Southold SCTM#: 473889 Sec/Block/Lot: 88.4-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/26/2023 pursuant to which Building Permit No. 49335 dated 6/2/2023 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 system to an existing singley dwelling as applied for. The certificate is issued to Kupcha III,John&Lamar,Meghan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49335 6/12/2023 PLUMBERS CERTIFICATION DATED Auth ized i afore �o�oSUFFoc,r�oTOWN OF SOUTHOLD ay BUILDING DEPARTMENT y TOWN CLERK'S OFFICE Way • 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#: 49335 Date: 6/2/2023 Permission is hereby granted to: Kupcha III, John 265 Bay Haven Ln Southold, NY 11971 To: Legalize an "as built" HVAC system to an existing single family dwelling as applied for. At premises located at: ` 250 Bay Haven Ln, Southold SCTM #473889 Sec/Block/Lot# 88.-4-25 Pursuant to application dated 5/26/2023 and approved by the Building Inspector. To expire on 12/1/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 ELECTRIC $180.00 Total: $630.00 Building Inspector pF SO!/T�,QI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlin(D-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: John Kupcha III Address: 250 Bay Haven Ln city:Southold st: NY zip: 11971 Building Permit#: 49335 Section: $$ Block: 4 Lot: 25 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Grattan Electric License No: 43643ME 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 200A 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 StrobeHeat Detectors Disconnect 2 Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 40 Circuit/25 Used Notes: " AS BUILT NO VISUAL DEFECTS " HVAC & Service Inspector Signature: Date: June 12, 2023 S.Devlin-Cert Electrical Compliance Form OF SOUTyo �� Q # * TOWN OF SOUTHOLD BUILDING DEPT. `ycourm��` 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: ,G �f DATE C© INSPECTOR ho�aOF SOOIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. �0 • �O `ycou631-765-1802 INSPECLTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [v]/FINAL [ ] &I- FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: As, 191L DATE 1p 29- v2 3 INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) ky y ------------------------------------ C FOUNDATION (2ND) y ROUGH FRAMING& PLUMBING 1 r INSULATION PER N. Y: y STATE ENERGY CODE cam.. c,o. FINAL ADDITIONAL COMMENTS z m S N 0 z H x d b H y�> ut 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) 765-9502htf s llvi i��v: outhial townny.g y. Date Received APPLICATION FOR BUILDING; PERMIT E For Office Use Only y "•°. c , ;F .f_ . Building ; r PERMIT NO. Inspector:. � MAY 2 6 2023 'Applications,and,foams must be tilled out in-ihelr entirety:-incomplete applications'will not:be",accepted.:,Where the AppC ri"t.i .riot the owner,"an :b'. — e wry,r, lE�rr eel Atithoriixationpforrvo i�2)shell be 6MPIeteil: . --•.. ._ _.. .. Date: h3 Y PWNERJS)OF PROPERTY:" F, Name: Sohn17 .1 M �, Lamp/, SCTM#1000- 167— Project Address:" (}�Ven Phone#:. t?�'36c{-2i52 �. Email: vl,�� r'C� c G—) sn��1� cos"►... Mailing Address: absSon. YAy6n Z#rXA- So-O-ld I 171 .,.... CONTACT'PERSON; Name: Mailing Address: Phone#: �.. -7 Email: ��✓►. �v DESIGN PROFESSIONAL 1NFORMA71QN �;. Name, Mailing Address: Phone#: Email, Name: Mailing Address: Email: -5 Cay Phone#: 31 -- �D %/)�U .w�� . ^_.'.. G . .._ DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Ad ition ❑Alteration ❑Repair ❑ emolition Estimated Cost of Project:: l Other V i n S R& aI a wv $ n• y 000 Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes C(N0 q PROpERtYIINiF01 MA7ION " Existinguse 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? ElYes No IF YES, PROVIDE A COPY. C C C Stllt Affi£3r"f?~ead1ng.''!'he aw erd trattarjd�stgnprafea�innaiisrtasparns ie,fara dr�ina�sa ;s#c�t�nirNat r uesz�spr aide iby " Ater 236"of the 1'arnnf;00. APPUlCA7ltM t$HEREBY MADE to the SWWtng Dep� for ti i cuanc .wF a Building Perm?t pu r iair##a'#h+s eu�ding Eatae d.. �O lnas Of"uim aSouitho%Sirffaik,County,Naim York and.otherAp�sli We tears,prWhanc"or tt sulations,for the ronxtruetian of hulidings;- ` adslitigns,aitera3ions ow;far rrsmorrai or eie,naii#ian as harein.descnbed rhe apprica►t agrees to camply;rriNi ati gppGca6i leers;oedinas es,bullding cetdc,; , hiitising rade aril regulation$and to admit asrthor&ed ins0e e iiereM"ore; punishable as a Cbss A misdemeanor"purl ant to Section 21045 of the New York State Purim l aw 'Application Submitted By(print name): ❑Authorized AgentOwner Signature(if Applicant: Kr Date: ij f:�2 I�� STATE OF NEW YORK) 55: ,COUNTY OF........... ), d. V\ . .. J vv�&k .....being duly sworn,deposes and says that(s)he is the applicant (Kai me'of individual "signing contract)above named, (S)he is the /h' V k J (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 applicationare 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 r V L '�/ , 20 7i3 _. Notary WN9AMARTINEZ � Notary Public,State of New York No.01 MA62700336 Qualified in New York County PROPERTY OWNER l4lJTl ORI IOtf0mmission Expires october os,20 (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 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD' ca'l is Town Hall Annex- 5437.5 Main Road -PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765=9502 ' roger�soufholdlo%Qnv:gov>_ <seand r:s6u iotdtownn,.qov APPLICATION FOR ELECTRICAL INSPECTION. ELECTRICIAN INFORMATION (A0 information Required) Date: Company Name:.. -IeL�n C r✓ Electrician's Name:: � .. .::.. .. ... License No. ,...........M�-.`f 3 El email,•; -I— t-U � ..:..::�i'oa• C� . Elec.-Phone No . 3 -��'�- 9(�Q 0'1 request an-email copy of Cer ificate of,.Compliance. Elec.,Address:: . '3 v.5. ..__ g rceo� cv-r. i'V JOB SITE INFORMATION (All Information Required) Name: Address:; r2 �v Cross Street:> (9v i Phone No.; .. G O - aK - a�'a-7 Bldg.Pernik#:= z email i..► �. . ����,1�, '� _ Tax Ma District' 1000 Section:; "; - 31ocK: Lot: r�__, BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please,PrinfClea"rly) Iec hfcIz4I UuviAsterlla,l kld-� P"T"'t° (�00 am10) Square.Fi otaoo. 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 Sizel PhQ3 Ph Size:. A #Meters OId.Meter# . ❑New.Service[]Fire ReconnectMFlood ReconnectOService Reconnect[]UndergroundEloverhead . #,Underground:l:aterals. 1. 2 H Frame Pole: Work.done on Service?; Y lu Additional Information: PAYMENT DUE WITH APPLICATION .4SUflt�j BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLID Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ' �=r rogerr southoiti#ownnkgov- seand0southoldtownnv.gov APPLICATION FOR ELECTRICAL INSPECTION. ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: &i^A+A-Av^ El et,�n(- jo.('_C Electrician's Name: -F,M(Aw C, License No.: /111 E- 3 Elec. email: Elec. Phone No: 431 --N 61-6�- 9110 ❑1 request an email copy of Ce ificate of Compliance Elec. Address.: C)G- P� q� lv�' ��q�t�P JOB SITE INFORMATION (All Information Required) Name:. Address: i2.,- Have^ rx-, ,�1�Id (/,17/ Cross Street: AW\ v rc r e, Phone No.: 1441;- � BIdg.Permit#: !- � email: Tax Map District: 1000 Section: `- 3lock: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): S uare Footage: Circle All That Apply: Is job ready for inspection?: YES❑NO F-1 Rough In Final Do you need a Temp Certificate?: YES r]NO Issued On Temp Information: (All information required) Service Size1-11Pha3 Ph Size: A #Meters Old Meter# New Service0Fire Reconnect[]Flood ReconnectQService ReconnectQUnderground[]Overhead #:Underground.Laterals 1 2 M H Frame Pole_ Work done on Service? FJY N Additional Information: i PAYMENT DUE WITH APPLICATION J�✓ ^—'� Sed k �- APPROVED AS NOTED c DATE'6 a-a3 B.P.# 3 J FEE450 00 'BY COMPLY WITH ALL CODES OF NOTIFY BUILDING DEPARTMENT" AT NEW YORK STATE & TOWN CODES 765-1.802 8 AM TO 4 PM FOR THE AS REQUIRED AND CONDITIONS OF FOLLOWING INSPECTIONS: SOUTHOLD TOWN 7BA 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE F. 2. ROUGH-FRAMING,PLUMBING, ,�SOUTHOLD TOWN PLANNING BOAM STRAPPING, ELECTRICAL&CAULKING 3. INSULATION SOUTHOLD TOWN TRUSTEES 4. FINAL-CONSTRUCTION&ELECTRICAL � MUST BE COMPLETE FOR C.O. N.Y.S. DEC ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED r J + a J = W 7- 0 ! i a 3 u J LL > W IZ a •. > >�� g ¢ o N x J 2 u , WLL X I- C (2 �. a. J f I10 Y H IW' W Z W W � h w Q. 07 to e Y F r] O t!, Q Q = d Q J rn ¢ W AM 0 14 > 7, I N Ul a z y I W y C7 a SFr= .max ui z W H r F- X V �; W0. �,-j CL ¢ ,ZLLO .- CL +x ] 7 " i i u�i O i a � oo '0 0 _ :oN� � U ;�W Y s � 7L ~ v . `� �`F S0 a .9 :� F Gw w iL W V Z Q y O t r ,� i� J O r n 2 x Q Y J O W0 J a 2 V: w f in 8 , r 7 V, a W =i��•�(/l'i1�F' ,Yid � -,.� i:r- - - -.. ..___. _—._.__.____'--•-------- .___.._._ SUMLR 00mu Y DZJLTH DWART)"T ous JUN 2 41985 the setais diaposal and eater taoilitiee�for this location M1671" c� inspected by this department and twand to be satisfactory 4tvt ^�t- Chiet otfiezIerel =agiaeGre, P �"-- ! j AP ✓r PQ PERTY Services i SUP-VEYF'U FOO { 6- 011 L 1�I------ i AT SOU T (vat:cw r) ;'�i�; Ar•t r TOWN 4F•'5©UTH00.N.Y. _ 5,5z05 5a E. 125.:40 }° 3 g + is t g i •h wAWEA=12 500 5 . ` •� a=MOAiU.MENi ..w�. 011120N PIPE (. 23: 26 Sc' lyi :U 4_TACKo HUB � I ` �-r- N.52 05 50"W, 125.:.X1 . �� + A 5L)k,VE.YEU ''f. 1-:1. �a t NOTE-!-QT X105;-2EFEQ TO'MAP OF u.Nv HX\,'EW", F'j', !N�F.rc ( LrCEr!gE) 1jR! D iL1��fE Yr)ks r!i F� K -C ::tti:rY �,E 7•'_'{ OF NCE AJ MA;' N0.2C}(G. C.12f ENF'OG�T N`f f ,