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Home My WebLink About49611-Z r'z'fa ��o�OSUffOt,f�oGy Town of Southold 8/30/2023 �r a P.O.Box 1179, 53095 Main Rd • Southold,New York 11971 -CERTIFICATE OF OCCUPANCY No: 44503 Date: 8/30/2023 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 8440 Route 25,East Marion SCTM#: 473889 Sec/Block/Lot: 31.-7-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/20/2023 pursuant to which Building Permit No. 49611 dated 8/22/2023 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 to an existing single-family dwellingas s applied for. The certificate is issued to Levine Francine Revc Trt of the aforesaid building. t SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49611 8/29/2023 PLUMBERS CERTIFICATION DATED Aut ori e Signa g�FFO�I TOWN OF SOUTHOLD a, t BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy . ter' SOUTHOLD, NY �o ao 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#: 49611 Date: 8/22/2023 Permission is hereby granted to: Levine Francine Revc Trt 9646 Sail Palm Ct Boynton Beach, FL 33473 'To: Legalize "as-built" HVAC unit to an existing single-family dwelling as applied for. At premises located at: 8440 Route 25, East Marion, SCTM #473889 Sec/Block/Lot# 31.-7-3 Pursuant to application dated 7/20/2023 and approved by the Building Inspector. To expire on 2/20/2025. Fees: AS BUILT-ACCESSORY $400.00 ELECTRIC $180.00 CO-RESIDENTIAL $50.00 Total: $630.00 Building Inspector OF SO!/j�,ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviina-town.southold.ny.us Southold,NY 11971-0959 o�y�DUNTV,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Levine Francine Revc Trt Address: 8440 Route 25 city,East Marion st: NY zip: 11939 Building Permit#: 49611 Section: 31 Block: 7 Lot: 3 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 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 Sump Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " HVAC Inspector Signature: Date: August 29, 2023 S.Devlin-Cert Electrical Compliance Form OF SOUTyo{o Ml//UA 6� # # 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 INSPECTOR UF SOUIyO� i # * TOWN OF SOUTHOLD BUILDING DEPT. cvurm, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ VjIFINAL (/ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR MELD INSPECTION REPORT DATE COMMENTS ■o FOUNDATION (IST) y ------------------------------------ C FOUNDATION (2ND) • z 0 y ROUGH FRAMING& y !, PLUMBING • N W _ 9 �r INSULATION PER N.Y. "3 STATE ENERGY CODE F-a9-01Ok 2 C,o• FINAL ADDITIONAL COMMENTS 12,15123 � r30 P f-ct��-fL r'CG b OZ rb o z m Fav Zt c o z H x d b H =�o�g�fFOLkQ9 TOWN OF SOUTHOLD—BUILDING DEPARTMENT CM, Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �y�o• �aa� Telephone(631) 765-1802 Fax (631) 765-9502 haps://www.southoldtow=.gov f Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only �� ; '1 PERMIT NO. w I Building Inspector: J Ali) ^� 1 "�" J U L 3 2023 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an BUILDING DEPT. Owner's Authorization form(Page 2)shall be completed. TOg- Date: OWNER(S)OF PROPERTY:` Name: 00- 31 d- `7 - 03 ,�� SCTM#10 __ vin� _ Project Address: _--- Phone#: � Q _bv�,r-1,[-t Email: Mailing Address: �. b, UY-- AJ. 1173 CONTACT PERSON: Name: Mailing Address: ` Phone#: �' �a-` d6.� ____.-._—._.__... Email: a 019 • � DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: �_—T3c�.&.ti_--__ Poo_ S___ �c -✓�G__.___ __.______._._____..___.__.___-.__... _.__.____._______----____.____... _ Mailing Address ax f pb J _ S(oPJ E�L� Da" GuOq a, !V'�`vllq,��__ Phone#: 41 Email: DESCRIPTION OF"PROPOSED CONSTRUCTION ❑New Struct,u11�re ❑Addition ❑Alteration aair ❑Demolition Estima CospfProject: '-Other}}S I�f� ►U fh ►r Co �nP� (L�n�P.l� C(a5S(C $ Oc1Q Will the lot be re-graded? ❑Yesg:No Will excess fill be removed from premises? ❑Yes F-1 No 1 PROPERTY INFORMATION Existing useof property: Intended use of property: __-- ----- }�O_r _ , Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑YesXNo IF YES, PROVIDE A COPY. heck 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 210AS of the New York State Penal Law. Application Submitted By(pr' t name): �1'O+ �-�v be ❑Authorized Agent ❑Owner Signature of Applicant -{ - Date:_ CONNIE D. BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01BU6185050 S' Qualified in Suffolk County COUNTY OF Commission Expires April 14,20,� y being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the uy (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 r -3'-"day of :fes , 20a2D ' 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 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 , ,hp`s Telephone (631) 765-1802 - FAX (631) 765-9502 � rogerr _southoldtownny.aov— seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 7/13/2023 Company Name: Brian Brooks Electric Electrician's Name: Brian Brooks License No.: Elec. email: Elec. Phone No: 631-765-1411 0 request an email copy of Certificate of Compliance Elec. Address.: POB 1001 456 Beebe Drive, Cutchogue, NY 11935 JOB SITE INFORMATION (All Information Required) Name: Francine Levine POB 248 Address: 8840 Main Rd, East Marion11939-1507 Cross Street: Phone No.: Bldg.Permit#: 49611 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): HVAC RHEEM RAKB-036JAZ 208/230V 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❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals D 1 2 H Frame M Pole Work done on Service? Y N Additional Information: PAID$180 PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 r Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr _southoldtownny_„gov - seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 7/13/2023 Company Name: Brian Brooks Electric Electrician's Name: Brian Brooks License No.: Elec. email: Elec. Phone No: 631-765-1411 El request an email copy of Certificate of Compliance Elec. Address.: POB 1001 456 Beebe Drive, Cutchogue, NY 11935 JOB SITE INFORMATION (All Information Required) Name: Francine Levine POB 248 Address:__884.0 Main Rd, East Marion11939-1507 Cross Street: Phone No.: Bldg.Permit#: 49611 email: Tax Map District:`--- 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): HVAC RHEEM RAKB-036JAZ 208/230V 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❑1 PhF—]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[-]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 FJ2 H Frame Pole Work done on Service? Y N Additional Information: PAID$180 PAYMENT DUE WITH APPLICATION ,9-� s� ��1 s �r � T N I � I Ci 'ter` � ,�, '.• & go 0. �b T' a � 4�1 GAP J�P 'p { P SCO `i Y OF PROPER T Yg TOWN, OF SOUI Sly a 1,1^11, ,k1�, ,� ®ad APPROVED AS NOTED COMPLY WITH ALL CODES OF A PPROVLH 6 J NEW YORK STATE & TOWN CODES DATE_._B.P.# AS REQUIRED AND CONDITIONS OF FEE: 'qw5.0 BY SOUTHOLDTOWNZBA NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE SOUTHOLD,TOWN PLANNING 80ARI) FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED SOUTHOLD TOWNTRUS"TEES FOR POURED CONCRETE 2. ROUGH-FRAMING,PLUMBING, N.Y.S.DEC 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 YORK STATE, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED ti s y , RHEEM AIR CONDITIONER MODEL- NO':, -RAKB=036JAZ MFD 08/2004 SERIAL, NO., - 6952-"M3304 :1009 OUTDOOR 'USE VOLTS 208/.230' "` PHASE 1 HERTZ, 60 ,COMPRESSOR,RR;L.A.` '16.5/16:.5 L.R.A. ' 95' OUTDOOR---'FAN MOTOk'fi.L.A. 4:'3 -No,YATTS)- '1/5 MIN:., SUPPLY CIRCUIT AMPACITY 22/22 AMP' MAX'. 'FUSE Ok,,CKT:. ;BRK:. SIZE* . 35/35 AMP MIN FUSE-OR'CKT. BR . SIZE k 30/30 AMP- bESIGN "PRE55URE. .HIGH ' 2068 -KPA/300'PSIG:. DESIGN,' PRESSURE LOW, ; 1034,KPA/150 PSIG. OUTDOOR,:UN-I-FTS, 2240Gl79 TOTAL SYSTEM C , HARG OZ.' -R22 SEE JINSTRUCTIONS.'-INSIDE ACCESS PANEL'.' 'RHEEM AIR CONDITIONING DIVISION FORT,SMITH ! RKANSAS E: MADE IN THE USA TYRE BREAKER-FOR. U.'S.A; .� 9 •-