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HomeMy WebLinkAbout49539-Z ��o`pSUFF�t,��pG Town of Southold 8/14/2023 P.O.Box 1179 CO ;W 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44431 Date: 8/14/2023 THIS CERTIFIES that the building HVAC Location of Property: 300 Birch Rd, Southold SCTM#: 473889 Sec/Block/Lot: 54.-9-18.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/23/2023 pursuant to which Building Permit No. 49539 dated 8/1/2023 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 existing single family dwellingas applied for. The certificate is issued to Feld,Cheryl of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49539 8/4/2023- PLUMBERS /4/2023PLUMBERS CERTIFICATION DATED c NAtho d Signature ��o�SUFFoc,��o TOWN OF SOUTHOLD ay BUILDING DEPARTMENT ' 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#: 49539 Date: 8/1/2023 Permission is hereby granted to: Feld, Cheryl 300 Birch Rd Southold, NY 11971 To: Legalize an "as built" HVAC system to an existing single family dwelling as applied for per manufacturers specifications. Additional information may be required. At premises located at: 300 Birch Rd, Southold SCTM #473889 Sec/Block/Lot# 54.-9-18.1 Pursuant to application dated 6/23/2023 and approved by the Building Inspector. To expire on 1/30/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 ELECTRIC $180.00 Total: $630.00 Building Inspector pF SOUjyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q Jamesh _southoldtownny.gov Southold,NY 11971-0959 Q�yc01UNT`1,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Cheryl Feld Address: 300 Birch Road city:Southold st: New York zip: Building Permit#: 49539 Section: 54 Block: 9 Lot: 18.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Homeowner Electrician: 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 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 1 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 Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 1 30 amp Condensor 1 20 amp air handler 1 condensation pump Notes: AS BUILT HVAC Inspector Signature: WDate: August 4, 2023 300 birch road hvac ��pFSOUTyo �� �� fJVV �CI Com/l # # TOWN OF SOUTHOLD BUILDING DEPT. `ycournv,��' 631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] 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 p [ ] PRE C/O [ ] RENTAL REMARKS: 45 8�.� �� 14 A 61 qq DATE - INSPECTOR apF SObTyO� # # TOWN OF SOUTHOLD BUILDING DEPT. coum, 631-765-1802 s INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ INAL II(/4,:�, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 4 DATE S-- 6 a3 INSPECTOR MELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) (?� ------------------------------------ ek FOUNDATION (2ND) r,' O W � ROUGH FRAMING& DKI PLUMBING 1 INSULATION PER N.Y. 3 STATE ENERGY CODE A V� O 64.93 0 ec 2i c G 8 on FINAL ADDITIONAL COMMENTS e!� SL e C44-J-- 0 z m X X b d O z Z� x d b H o�sufFutk�o� TOWN OF SOUTHOLD—BUILDING DEPARTMENT y: Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631) 765-9502 https://www.southoldtoMMU.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 53 _ 1 Building Inspector: s,?-Ir i i' JUN 23 2023 Applications an4 fiorms„must be fiNed out,in their en#irety lncomplete applications will not be accepted Whereahe Appkcant;s not the owner,an M ` . T� Owner's Author�zataon form(Page 2)shall be completed. - Date: J OWNER(S)`OF°PROPERTYi' ' Name: ,.am SCTM#1000- . _ .._ — Jf.....:. .... ..� �.. .�..._..: Project Address: ....... ... ..... .. .. ....300..... (� ._ .., . _ . ,. .. :..�. . ._. Phone#: r Email: Mailing Address: „ _ x ="CONTACT PERSON Name: Mailing Address: Phone#: Email: DESIGN 1?RbFE5S10NAL INFORMATION k n .j, ..3; t, F'. s✓, .>' -} i' f. x +➢, f, ' ..s,� f k :4 -,k_3xk `tel 1 ;,F Name: Mailing Address: Phone#: Email: CONTRALCTOR INFORMATION: Nam11 e: Mailing Address: ......_. .... ...... ,...:... 2 Phone#: _ Z Email: S�. .. ... .........:_ +. : :. ❑New Structure ElAd dition, ❑Atte-,rati�❑Repair ❑Demolition Estimated Cost of Project: L91Other Will the lot be re-graded? ❑Yes f o Will excess fill be removed from premises? ❑Yes kNo 1 PROPERTY INFORI1f1AT10N= 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]YeSKNo IF YES, PROVIDE A COPY. n"*0001i; profesgional is respo�i6le for all n Chapter 236 of the Town Code APPLICATION 15 HEREBY MADE to the Building Depi3rtifi�-afor the lsiva'nc'e"of permit ourstint to tf ie Building Zone Ordinance of the s i- applicable� " -P-Siop�hqld,-��l'kx�ount "4ws',P� atlonsfor'thecorutruction Of tiulklings, 'i .- - lalterations or- '- 1for removal,,or -6"h6IW6iasherein descnbLd�rhp"a pp'iic#'n, tpg"ee'- '-st6-p *q pipAP, ordinances,: JoIng imhd 1ifoqsapd'tqad ftauthorized ;on premises buildings) necessary inspectioI ten punishable as e Class A.rnisdemeanorpqrsUant�to zjo4soika '4oikState Application Submitted By(print name 13Authorized Agent, Owner ... .. .. .. Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF 511 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the 0W Yr P, (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 aatdayof 202-3 ��a Public TRACEY L.DWYER PROPERTY OWNER AUTHORIZATION f4o-rApy pU13LIC,STATE OF NEW YORK No.01 OW6W6900 - (Where the applicant is not the owner) QUALIFIED IN SUFFOLK COUNTY COMM Sr,10N EXPIRES ME 30,Z01P 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 ��—o Print Owner(i Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o x Town Hall Annex- 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 1 ' rogerrta'�_southoldtownnv.aov - seand(cDsoutholdtownnv.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: Electrician's Name:_ License No.: v Elec. email: Elec. Phone No- ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information R wired) Name: r--r--z I Address: o L Cross Street: Phone No.: �-� Bldg.Permit#: y OI 539 email Tax Map District: 1000 Section: 51f Block: Ct Lot: I$. BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): A1 Square Footage: Circle All That Apply: Is job ready for inspection?: [:fYES[:]NO r-�Rough In Final Do you need a Temp Certificate?: FIYES❑NO Issued On Temp Information: (All information required) Service Size❑1 Ph 03 Ph Size: A #Meters Old Meter# ❑New ServiceOFire Reconnect OFlood ReconnectOService ReconnectOUndergroundOOverhead #Underground Laterals 1 2 M H Frame 0 Pole Work done on Service? MY N Additional Information: PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector ' C��rz TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 %4�:' Telephone (631) 765-1802 - FAX (631) 765-9502 ro err southoldtownn� .aoi✓ sea nd@southoldfiownnv.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: (p ? 23 Company Name: Electrician's Name:_ License No.: v Elec. email: Elec. Phone No' ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All information Re uired) Name: OfA" 1 Address: Cross Street: Phone No.: Bldg.Permit#: y q 539 email: Tax Map District: 1000 Section: 5Lf Block: I Lot: 18. BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): ►4 �G. Square Footage: Circle All That Apply: Is job ready for inspection?: [fYES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES❑NO Issued On Temp Information: (All information required) Service Size 71 Ph 73 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �D v, .3 l to i s conntc l fir haVIolIec l Swi SCh APO OLA-6- man • rIT><�raj _.._:_.,..:�_:.�....._..�. f'/NE so �e IV-0 7 45,120 c I• (n /30,9! ' •- N. 2 i COMPL WITH At=e.C07D�S`�,✓. o�` �D NEW YORI STATE &TOWN CODE 13 0 k ; r fir AS REQUI ED AND CONDITIONS C n soui}+aDTOWN zeA Qll1HOLD TOWN PLANNING BOAR, r of !MULU TOWN TRUSTEES pa DEC 40E /30.9 44 f1 o X . �tl /� c��'ti ti j 3 10) y p' ~° ODA ' /r•'i N y, MOT 'i':. ,.-.. .. '1! - I. .. •. •�', �Ca.iti l:��'n-A •�C. �!I^•�:IB�Jl".4tio,tYa�,'.-' -' -. ..., MEASUREMENTS IN U.S.STANDARD t `T'' :;:1 4 F'/ao o • ��c; c: TNr,SDIMENiIONS fHbWN NEREON;'FIIOM TN!'STRUCTUAES TO T HB PROPIIRTY LIN@ ARK POM A SPECIFIC-PURPOSE ONLY.,THEY ARE0OT•INTENDBD TO BE USED FOR THE ERECTION Of,FENCE;;'eTRUIM.R S.OR ANY OTHER IMPROVEMENT.. ...r .• . - .' ;•Y..N'2\n.••••,y�:tn+f•. �;Y '•,. ., ..^••'.•! OUARANTEEB INDIQATFA BI ER $HALL lIUN Y TO HOMTHE C'OPIR�AF THIS:SURVEY.MAP-No1 ON NIS SENALFRTWO•TTHE TRk�ANY,. UNAUTHOIUZEO ALTERATIONt bR'AOOI RING THIe "1 MICR-BURVEY06'8 t AOENCYAND LENp11i01 �l� D bIIF11C�Ok TIONS TO THIS-SURVEY 1S,A VIOLATION "INKED ¢.GLAm 'EIyrOSBED SEAL M TO •THE ASST NEE 05. OF8ECTIONT209,SUQDIVISRNI7OFTHE'' Q :'7 E LF?�DINO, NAVY YORK EAUCATION LAW. SNAI1:"'IIQj�INAiDERED•TO-SEA "It11t110N VALID TRUE C ' `- ..,. dUAAANtEES ARE NOT ttRANSFERASLE TO ADDRIONAL IN6TRUTIQNS OR'SUOSEQUENF'.OWNER& r Kl1LF1ANEK & PLAN SECTION BLOCk DATE - 20 .90 SAND SURVEYOR&.P.C. � . , GUARANTEED TO 1I_ . � 1 �� souTH NOC. p ONO ISUMOTIFICrWESTCIIESTEA OFFICE •: COUNTY P.O.IIOX Q7 p.`0.ppX 1TH. LONG BEAQH,N.Y.11561,•• f.POIIND•RIDO�;M,Y;1067$1" JOB NO.: ' 8U0•Stt-5124 .";;.' :''� _ . FAX{5161.431.9461 FAJ(.,m 4j'764 M.-. 90- 3 S o 0 9 c ; _ COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES APPROVED AS NOTED AS REQUIRED AND CONDITIONS OF $- 1 DATE B.P.# q 53 SOUTHOLD TOWN Z6A FEE 450-0C) BY SOUTHOLD TOWN PLANNING BOARD °' < NOTIFY BUILDING DEPARTMENT AT ` 765-1802 8 AM TO 4 PM FOR THE �' SOUTHOLDTOWN TRUSTEES { FOLLOWING INSPECTIONS: "' \ 1. FOUNDATION-TWO REQUIRED N.Y.S.DEC FOR POURED CONCRETE 2. ROUGH-FRAMING,PLUMBING, STRAPPING, ELECTRICAL&CAULKING 3. INSULATION 4. FINAL-CONSTRUCTION &ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ELECTRICAL YORK STATE. NOT RESPONSIBLE FOR INSPECTION REQUIRED DESIGN OR CONSTRUCTION ERRORS. Additional Cerdficatiott May Be Requirel Y-1 41 Fn sir Ififfmom Conditional Warranty Consumer Warranty Confirmation The new degree of comfort:' Product Information Model Serial Registration Date Install Date RA1636AJlNA W182103386 7/13/2021 5/31/2021 RH1T3617STANAA W1 82157399 7/13/2021 5/31/2021 Customer Information Contractor Information First Name Cheryl Name JN18SI Heating and Air CONDITIONING Last Name Feld Josue Menjivar Email cheryl@lmpulseboutiques.com Email jmechanic_mv@yahoo.com 5165288477 Phone 6312550733 Address 300 birch rd Address 2150 new Suffolk ave P.O.Box 735 City Southold City Mattituck State NY State NY Postal Code 11971 Postal Code 11952 --Z-7111 Your Conditional Warranty 19 novV registered,andvill bahQnored in the cvontofa warranty claim,ONLY if all additional terms andconditions detailed in tho,Mant)f'acttji�ei-�.'�'V.V�frranty Certificate,�are safisfleo. VIOW OUr Prl'VVq.V P011GY-@t kh.eem.com. i I U I film 11AII91111115 If Hill El 6 1 !1& U