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HomeMy WebLinkAbout49269-Z �guFFOi�0 9/30/2023 cGy Town of Southold P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44616 Date: 9/30/2023 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1695 Old Woods Path, Southold SCTM#: 473889 Sec/Block/Lot: 87.4-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/5/2023 pursuant to which Building Permit No. 49269 dated 5/17/2023 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"alterations, including electric, central air conditioning and window replacements,to existing single family dwelling as applied for. The certificate is issued to Ballenger Fmly Ltd Liblty of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49269 6/26/2023 PLUMBERS CERTIFICATION DATED thor zed ig ature SUFFot TOWN OF SOUTHOLD 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#: 49269 Date: 5/17/2023 Permission is hereby granted to: Ballenger Fmly Ltd Liblty C/O Marie E. Ballenger 1700 Bent Tree Ct Charlottesville, VA 22902 To: Amended 8/3/2023 for "as built" air conditioning and window replacements. Electrical - as bit Service Dwelling At premises located at: 1695 Old Woods Path, Southold SCTM #473889 Sec/Block/Lot# 87.-1-22 Pursuant to application dated 5/17/2023 and approved by the Building Inspector. To expire on 11/15/2024. Fees: ELECTRIC $170.00 AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-NEW DWELLING $50.00 Total: $620.00 Building Inspector pF SO�jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G sean.devlin(c-town.southold.ny.us Southold,NY 11971-0959cou �Q�y e BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ballenger Family Ltd Liability Address: 1695 Old Woods Path City:Southold st: NY zip: 11971 Building Permit#: 49269 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: OWI Electric License No: SITE DETAILS Office Use Only Residential Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser 2 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 200A Switches 2 4'LED Exit Fixtures Sump Pump Other Equipment: Fridge, Oven, DW, 200A Meter Main Disco, Panel 40 Circuit/ 37 Used Notes: " AS BUILT NO VISUAL DEFECTS " Service, AC's & Kitchen Reno Inspector Signature: r Date: June 26, 2023 S. Devlin-Cert Electrical Compliance Form SOGIyO{o � �'�.ij� --- 1 4 * TOWN OF OUTHOLD BUILDING DEPT. 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) ILECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O [ ] RENTAL REMARKS: --6c �-� i �' •�i�/ VI/l� Aeul DATE INSPECTOR • f I . , 1 1:1�•1:IT7atd, .. iI 1 s- Ulf/ 11 Ott 11 = ! t 31- Ott 34 - a ®!i^gal_ r wo "st . 'IA - r - ,Olt T rR ` s �� t' � - � 2023 JUS .s 'r"•:� �; �' . -- �' �. �: ,: .� ' •w t' f 4 n c°�� �� �i � �` . � C��.� -L N `' F02416CSJNAA MFD . / FAB 07 /2{fit 9 ;V�� . � h1u� � LE OUTDOOR USE/ AL N0 . / N° ISE SERI E W271916766 UTILISE i 10 N EN EXTRI E )Rc PRESSOR CODE / CODES DE COMPRESSEUR 9060 TS 208/230 PHASE , 1 HERTZ 60 PRESSOR/ COMPRESSEUR I . L . A . 10 . 3/ 10 . 3 L. R . A . 61 . 6 -DOOR FAN MOTORi F . L. A . 0 . 6 H . P . 1/6 +EUR V ENT I L . EXT . N . SUPPLY CIRCUIT AMPACITY/ -= 14/ 14 A �--- URANT ADMISSABLE W ALIM . MIN . r ,X . FUSE OR CKT . BKR . SIZE*/ 20/20 A rL. MAX . DE FUSIBLE/DISJ* IN . FUSE OR CKT . BRK . SIZE*/ r � AL. MIN . DE FUSIBLE/DISJ* 20/24 A w ESIGN PRESSURE HIGH/ _ 'RESSION NOMINALE HAUTE 450 PSIG/3102 kPa )ESIGN PRESSURE LOW/ 250 PSIG/ 1723 kPa 3RESSION NOMINALE BASSE 'OUTDOOR UNITS FACTORY CHARGE/ R410A HARGE USINE D ' UNITES EXTERIEUR 87 oz/2466O ljTAL SYSTEM CHARGE/ h4 IA r,HkRr3E TOTALE DU SYSTEME SEE 1N51RUCTIOM INSIDE ACCESS PANEL / R lb. ��t0 X140 LE.S CHARGE INSIkU(,Ilum A I INTtRIEUI DU PANNEAU D' ACCES .-� FUJI T;U GENERAL AMLR I CA INC . `1 f Alki� IE.LU, NJ 0/004 [L] � , ASSEIOLtU 9XLM L. F Uk U.S.A./ IN b'sjlJNI,l Lo u 1 F f k.kE.N I I F I pit \l co I IN li 111 Illli���������������������������������������Hil PX4 MODEL Na . MODELS o SERIAL NO. / o N RA133pA . � N pE SE MINA 1% �I E WI 1224 MFd• /FAP p3 . . v MPR ES S'OR COD 4643 /2(j22 IO l T S E / CDD ES UTI OUTDQpR U.SE/ 208 1230 COMPRESSE. ISATION EN EXTRIE "OMPR ES SO f 234 UR 9044URE R/ COMPRESSE PNASL . )UTDOOR FAN MDT UR R. L• A • 12 HERTZ 6( iOTEUR OR/ .8/12. 8 L. R. A , ENTI L . EXT, 64 IN . SUPPLY F• L. A . 1 . 3 CIRCUIT AMPACITY H. P. 1/4 .- OURANT ApMISSAB / �X . FLfSE LE D � ALIM. MIN. 18/18 -= OR CKT A E �L , MAX . DE BKR . SIZE*/ '`' FUSIBLE/pISJ* -._'_ � CKT. BRK. SIZE*/ 30/30 A ` N . FUSE OR ~ kL. MIN . DE FUSIBLE/DI SJ* =SIGN PRESSUREZ5/25 HIGH/ A 99 `ESSION NOMINALE HAUTE :SIG450 PSIG/3102"SIGN LOW/ ESSION NOMINALE BASSE 250 PSIG/17 TDOOR UNITS FACTORY CHARGE/ 23 kPa ARGE USINE D ' UNITES E XTERI EUIt 72 OZ120419 R410A 'AL SYSTEM CHARGE/ kkGE TOTALE DO SYSTEME R410,4 SEE 'NS l ftU"l ONS INS IDE ACCT til PANE( / fill ►' LES CMAfiGE INSrkUC1 ►' t, I 'INf�NI EEUU f'Al�ftAU U'At'CFS M SALES CUM Atv r Nr SMITH , AkrAN;A; . . ►iAt.t PROMtgtlEtr IN S0U1Mtkl Aho VVIHWL�j t,»tnwc c< �k f rNf �ktl � N f (jk U.S.t; / 1t4 I SJUI�L i E�1t+ off 1 wo l l F I f +r t MODEL ND• / SERIAL DELE No RA1330A 4. / No DE SERIE t,l INA W112Z44 f 4 MED'/Fqg COMPRESS'OR CODE 3 / CODES UT1Lr�ATIaUT DOOR USS/ VOLTS DE COMP SEUR E%(TRIE1Rf `Dl"1PRESSOR/ COMPRE PHASE. 1 9044 OUTDOOR S S EUR HERTZ FAN MOTOR/ R' '�•q- 12.8/I2.80 NfOTEUR VE�,�TIL • EXR64 MIN. SUPPLY T. F. L.A.FL1 .3 CIRCUIT AMPgCITY/ H- P- 1/4 COURANT ADMICKTSSABLE D AL MAX. FUSE OR IM. MIN. i8/i8 A ^--�- CAL. MAX. BKR, SIZE*/ DE FUSIBLE/DISJ* MIN- FUSE30130 OR CKT, BRK, SIZE*/ A CAL` MIN, DE FUSIBLE/DISJ* we DESIGN PRESSURE HIGH/ 25/25 A PRESSION NOMINALE HAUTE DESIGN PRESSURE L 450 ASID13102 lcAa "RES S I ON N Oi�/ .�... OMINALE BASSE 250 PSIG11723 k1'a JTDOOR UNITS FACTORY CHARGE/ CHARGE USINE WUNITES EXTERIEuit 72 oz/2041g R4I0A T(jTAL SYSTEM CHARGE/ CHARGE TOTAL.E UU S YS TEME R�IJP SEE INSTR)CIIUNS INSIOf' ACCESS PANEL tR LES CHARGE INSTWCT I,,, � �Int��r, MIA f�HEEM SALES COMPANY DU PAANtEAU C1 Atfi�S FORT SMITH, ARKANSAS DISJOKIEUk u ffiklWifl mt-4f0 N`' F02416CSJNAA MFD. /FAB 07/2019 OUTDOOR USE/ SL`: ,,�1 �� . i N`' DE SERIF W271916786 UTILISATION EN EXTRIEUR 060 COMPRESSOR CODE / CODES DE COMPRESSEUR 9 � PHASE . 1 ��,�L"-S 208/230 HERTZ 60 �-- C.OMPRESSOR/ COrMPRESSEUR R. L.A. 10 . 3/10 . 3 L. R.A. 61 . 6 t A OUTDOOR FAN MOTOR/ F. L.A. 0. 6 I I. P. 1/6 MOTEUR V ENTI L. EXT . MIN. SUPPLY CIRCUIT AMPACITY/ 14/14 A COURANT ADMISSABLE D ' ALIM. MIN. MAX. FUSE OR CKT . BKR. SIZE*/ 20/20 A CAE. MAX. DE FUSIBLE/DISJ* KIN. FUSE OR CKT . BRK. SIZE*/ r CAL. MIN . DE FUSIBLE/DISJ* 20/20 A -- DESIGN PRESSURE HIGH/ PRESSION NOMINALE HAUTE 450 PSIG/3102 kPa DESIGN PRESSURE LOW/ PRESSION NOMINALE BASSE 250 PSIG/1723 kPa _.. OUTDOOR UNITS FACTORY CHARGE/ R410A CHARGE USINE D' UNITLS EXTLRIEUR 67 oz/24669 TOTAL SYSTEM CHARGE/ R410A 01ARGE TOTALE DU SYSTEME SEE INSTRUCTIONS INSIDE ACCESS PANEL / p'f; ; *JIV LES Ct KI INSTRUCTIONS A L' 1NTtRIEUU DU PANNEAU D'ACCES Ft;JI 'St! GENERAL AMERICA INC. fA:l* ILLD, NJ 0/004 [� N ASSEMBLED ki4F l� IC4't i"l* KJk U,S.A./ IN UISJ{,INCIWR Ulf i I-Pt l I11 NEXICU 0 11��1�Illli!Ii1N 1111 IIIII IIIII 111111111111111111111111 Iasi T Px4 ,I i r f r Y Y Y; i f f JUL 2 0 -023 DUII,DTNG DEPT. ` Tol` t ,`'flj T, r 1 - I � I 1 } JUL- 20 - . UILDiNG DEPT. / o V �� �� �,� .��a�3 � �� �� �r`� ��: �_M,� \ /� 'G% � ,$ u� .��JJ�� d� i.'�..ki w kms+._;{' f�� � f � (., --� �� � � � i �n � Z y I� f I fI i � � � � .�" _.._���i-��._1.� .. ..... ._ . ._. _ ------------- ,° MELD INSPECTION REPORT DATE COMMENTS b FOUNDATION (1ST) .� y ------------------------------------ FOUNDATION (2ND) z 0 ROUGH FRAMING& H PLUMBING r INSULATION PER N.Y. STATE ENERGY CODE V' AV d -I FINAL ADDITIONAL COMMENTS �.� V oS o z m tir k b c y O z x H d C� ,.d H �S�fFOI�C 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 llttps://wWW.Southoldtownnv.sov Date Received APPLICATION FOR BUILDING PERMIT V 1 For Office Use Only �• ! J U L - 5 2023 PERMIT NO.NO. Building Inspector: Applications and forms must be filled out in their entirety.Incomplete BUT.I.I NO DEPT. applications will not be accepted. Where the Applicant Is not-the owner,an Owner's Authorization form(Page 2)shall be.cwhpleted. Date: 22 ,-Q3 OWNER(S)OF PROPERTY: ��11 qs Name: CJ �i� �I� i� `/ [r"b IL V SCTM#1000- g7, Project Address: �p L �p aJ p�� ��j�% j�L/� /` :7 W Phone#: —-7 .2 3 Email:� /�16112-z--3 Mailing Address:Opp 13fjLJ7rAE6 6-1-1 77r:51/II-.LC (/A-, a� CONTACT PERSON:' Name: '�� � LG Mailing Address:0,W B60 j TPEZE� AAL_ /7L5 V/1'/'9 �q�a Phone#:113 �v��---7pR 3 Email: V�/��-LLc31y&C����� DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: l l Name: MaiIingAddress: �J�p IA4VP-:5l L V /G-�,{Da- Vt� A) l 1�q.-35 Phone#: (',3) 73 Y_ Email:A J );-P,ZC,C—e-6r/ c/1-1 G 25 /`'t DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition �G✓urRPr[— Estimated Cost of Pro'ect: Nother: % / . _ Nti C� �.: 02 j._ t-L ALI- 1�l� Will the lot be re-graded? ❑Ye No Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property: R�SI�rn � E!ded use of property:`6LA)L R�A-1 Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes�610 IF YES, PROVIDE A COPY. Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm grater 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 pursualnt 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(print name): rAll-A(C t: ❑Authorized Agent *Owner Signature of Applicant: % GAJ �� Date: , ,- AARON KING GA Y STATE OF+KJW- U r�rK) NOTARY PUBLIC SS: Commonwealth of Virginia Reg.#7706607 COUNTY OF 4 c4` My Commission Expires being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (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 (a day of V GW►-f— 20 �3 Not Public PROPERTY OWNER AUTHORiZATOON (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 =�O�OgUFFO(K4.9 TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 �y�o• �ao�� Telephone (631) 765-1802 Fax (631) 765-9502 hgps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: JUL — 5 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 ��'"T`�DEPT. Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: �L� ��'� �` ` SCTM#1000- Project Address: �L✓J_, Lcs� ��_!T .- ��- - -- - Phone#: 4� _- " Email_. (�/�DL�� j✓x ��C/��U Mailing Address: 1799 ) aiW rl-'A525 CONTACT PERSON: i Name: 7 7 -�L15%U&-'/A (M MailingAddress: _Lk,+AL��5 V �iZ' zz Phone#_ �lJ��✓ ��� 7�l J� - - - Email:rbA 662-L 31,5 / DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: L' ---Ci OV(�/�.- - - -- -- - - - - - --- - - ---- --- -- ._... -- -- Mailing Address__.� -- �1/.t-_T f_.. T/1`r �0 _-- -'-- -- �V - �-L�✓--___.__--- - -- Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration epair ❑Demolitioni5 0 UGL Estimated Cost of Project: ther iFEr �1� 3 iV 4-L)S lbi� $ a,0� Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property: L-, Intended use of property:—jRZ5A, ,/ 1�, Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes No IF YES, PROVIDE A COPY. 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 210AS of the New York State Penal Law. Application Submitted By(print name): ❑Authorized Agent Vowner Signature of Applicant:, Date: STATE OF K) SS: COUNTY OF / ) 3AL-L CAJ&Z to being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)he is the PK-7 G Z>--r�lG5fe (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 � clay of �11�'C�_ , 20_ ry Public BRANDI BRIGIDO NOTARY PUBLIC PROPERTY OWNER AUTHORIZATION COMMONWEALTH OF VIRGINIA (W REG.#8036357 here the applicant is not the owner) MY COMMISSION EXPIRES: 1 a. 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 o 1 �f17.3own Hall Annex - 54375 Main Road - PO Box 1179 co LD Southold, New York 11971-0959 FSOPTHOLD Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny.gov — seandsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Q �� Lac,% �C. 111V61 Electrician's Name: LL�� �Ig�J�d� /U Cil `.1�1J� �-✓1.��� License No.: Elec. email: Elec. Phone No: 01 request an email copy of Certificate of Compliance Elec. Address.: -cD, ?0i C JOB SITE INFORMATION (All Information Required) ���✓ Name: 1�[ l L"L�/ � r-�"G�l L-7 L- L. Address: l v 1-,c) �;5.PO7 CrossStreet: V i l-t- I � 62/2 Q< -9.3 Phone No.: `ZAP aZ 3 jY - �&R3�" 7,,-?j 3 Bldg.Permit #: email: 7 I)?,8�c.L3 f$•?cel ✓ N�� Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES 0 NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES` O Issued On Temp Information: (All information required) Service Size F11 Ph F]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 FJ2 H Frame El Pole Work done on Service? Y N Additional Information: 1�-0 ov PAYMENT DUE WITH APPLICATION /2e r✓/ov5 scl PERMIT H Address: Switches Outlets I G FI's Surface Sconces H H's UC Lts Fans Fridge I HW Exhaust Oven DAY W/D Smokes DW I Mini Carbon Micro I Generator Combo Cooktop Transfer 4C � f AH'I' Hood Service 1 Amps Have Usec >pecial: o :omments Q� ,�I� BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD .40:1 P own Hall Annex - 54375 Main Road - PO Box 1179 Ca . Southold, New York 11971-0959 ® ® nvv ut:V I. 41- �3bFSOUTHOLD Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrCcr7southoldtownny.gov - seandC southoldtownn .gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: (DW, Z- t�Li5�6-j A if— I A16 • _ Electrician's Name: LZ.: { L' �t�/U License No.: Elec. email: Elec. Phone No: 01 request an email copy of Certificate of Compliance Elec. Address.: cam, j :3 ?. JOB SITE INFORMATION (All Information Required) ��� j�L"L� �"' �` Name: 16 l�-t`6/Le�iA r'-�"�6 G.7 L L Address: l Z Cross Street: j 0! Phone No.: ,� �� ��►'�`" 7� Bldg.Permit#: email: A)P, �FLLv BGG' ►' ✓ � % Tax Map District: 1000 Section: Block: Lot: al BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO []Rough In ❑ Final Do you need a Temp Certificate?: F-1 YES NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# El 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 a � c,`o V 5-y 6/28/23, 1:53 PM Xfinity Connect Application for Building Permit for cottage at 1695 Old Wood Path Printout furball315@comcast.net 6/16/2023 8:14 PM Application for Building Permit for cottage at 1695 Old Wood Path To Connie Bunch <connie.bunch@town.southold.ny.us> • Nicholas J. Planamento <njp@tchamptons.com> Nicholas Planamento <nplan amento@tchamptons.com> Hello,Connie and Nick, Attached is the App for Building Permit for the windows and door replacement of the cottage at the above address, notarized here in Charlottesville,VA(Albemarle County). When John Jarski came out on May 17,he told me to take measurements and submit a drawing along with the application (my unprofessional drawing attached). Per the electrical inspection on May 18,we need an electrician to to install a"gfi protect outlet by sink" in the back room. And a smoke detector(see attached). Betsy "I hold that the more helpless a creature, the more entitled it is to protection by man from the cruelty of man." Mahatma Gandhi • 1695 Old Wood Path Southold cottage Building Permit App.pdf(4 MB) • Elect inspection 5.18.2023 cottage.pdf(955 KB) https://connect.xfinity.com/appsuite/v=7.10.6-25.20230531.072020/print.htmi?print_1687974823524 1/1 Bunch, Connie From: furba11315@comcast.net Sent: Monday,June 26, 2023 7:05 PM To: Bunch, Connie Cc: Nicholas J. Planamento; Nicholas Planamento Subject: Electrical updates for rental permit Attachments: New GFI outlet in cottage 1695 Old Wood Path jpg; Electrical panel in main house 1695 Old Wood Path jpg Hello,Connie, Per the Electrical Inspection done on May 18,2023,on all 3 buildings,the garage is OK and the cottage needed"GFI protect outlet by sink in panel room."Please see attached photo of new outlet installed by Owl Electric Inc.(Tyler Lademann).You can see the sink to the left in the photo. In the main house,the notation is "ARC fault protect all new wiring."Attached is a photo of the main panel taken by Tyler.This is how he explained it to me in a text: "There were only 3 circuits that required arc fault protection.The rest of the new wiring,was mechanical loads or the fridge or dishwasher.Everything else predated the arc fault requirement.The inspector is usually OK with photo evidence of the necessary changes and repairs on inspections." I hope this satisfies the requirements for the electrical issues.Please let me know if it doesn't. The last thing to do is install the smoke/CO2 alarms and we are working on that. It is my understanding that photos of each alarm will suffice. Thank you! Betsy "I hold that the more helpless a creature, the more entitled it is to protection by man from the cruelty of man." Maha tma Gandhi >^..^< ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 6/28/23,8:59 PM Xfinity Connect Electrical updates for rental permit Print\ouJ furba11315 comcast.net 6/2'023 7:05 PM � 5 20� Electrical updates for rental permit �� To Connie Bunch<connie.bunch@town.southold.ny.us> Copy I(,' Nicholas J. Planamento<njp@tchamptons.com>• Nicholas Planamento<nplaF.�aEiierito@tc}iamptons.com> Hello,Connie, Per the Electrical Inspection done on May 18,2023,on all 3 buildings,the garage is OK and the cottage needed"GFI protect outlet by sink in panel room."Please see attached photo of new outlet installed by Owl Electric Inc.(Tyler Lademann).You can see the sink to the left in the photo. In the main house,the notation is"ARC fault protect all new wiring."Attached is a photo of the main panel taken by Tyler.This is how he explained it to me in a text:"There were only 3 circuits that required arc fault protection.The rest of the new wiring was mechanical loads or the fridge or dishwasher.Everything else predated the arc fault requirement. The inspector is usually OK with photo evidence of the necessary changes and repairs on inspections." I hope this satisfies the requirements for the electrical issues.Please let me know if it doesn't. The last thing to do is install the smoke/CO2 alarms and we are working on that.It is my understanding that photos of each alarm will suffice. Thank you! Betsy "I hold that the more helpless a creature, the more entitled it is to protection by man from the cruelty of man." Mahatma Gandhi • New GFI outlet in cottage 1695 Old Wood Path.jpg (82 KB) • Electrical panel in main house 1695 Old Wood Path.jpg(109 KB) https://connect.xfinity.com/appsuite/v=7.10.6-25.20230613.081056/print.html?print 1688000358247 1/1 6/28/23,2:08 PM Xfinity Connect Building permit app for 1695 Old Wood Path Central Air Printout furba11315@comcast.net 6/26/2023 6:37 PM Building permit app for 1695 Old Wood Path Central Air To Connie Bunch <connie.bunch@town.southold.ny.us> Copy Nicholas J. Planamento <njp@tchamptons.com> Nicholas Planamento <nplanamento@tchamptons.com> Hello, Connie, Per the inspection done by John Jarski on May 17,2023,he asked for a Building Permit application for the central AC which was installed in 2021 (first floor)and 2022(second floor). It is attached.As Nich Planamento mentioned and I keep meaning to ask,do you need the originals mailed to you? Thank you, Betsy Ballenger 434-825-7233 '7 hold that the more helpless a creature, the more entitled it is to protection by man from the cruelty of man." Mahatma Gandhi >"..^< • 1695 Old Wood Path building permit app central AC 6.26.2023.pdf(4 MB) https://con nect.xfinity.com/appsuite/v=7.10.6-25.20230531.071852/print.html?print_1687975712611 1/1 "I hold that the more helpless a creature, the more entitled it is to protection by man from the cruelty of man." Mahatma Gandhi >^..^< On 07/17/2023 8:05 AM EDT Bunch,Connie<connie.bunch @town.southold.ny.us> wrote: Good Morning, We are still waiting for the window specs and picture of the AC sticker on the condenser or the manual for the AC. Best Regards, Connie From:furba11315@comcast.net<furball315@comcast.net> Sent:Sunday,July 16,2023 4:56 PM To: Devlin,Sean<seand@southoldtownny.goy>; Bunch, Connie <Connie.Bunch @town.southold.ny.us> Cc: Nicholas J. Planamento<nip@tchamptons.com>; Nicholas Planamento <npianamento@tchamptons.com> Subject:C of 0 for garage Hello,Sean and Connie, I received the attached yesterday which looks to me to be a CO for the garage?What about the main house and the cottage(Birdhouse)? What are the next steps needed to get the rental permit?Do you have everything you need from me? Thank you, 2 Bunch, Connie From: furball315@comcast.net Sent: Tuesday,July 18, 2023 1:30 PM To: Bunch, Connie Subject: RE: C of O for garage Attachments: AC downstairs US jpg;AC upstairs US jpg For the double window,Anderson TW 2642-2;for the single,Anderson TW 2642 I'm mailing the the AC stickers,but they are attached here as well. i Betsy "I hold that the more helpless a creature, the more entitled it is to protection by man from the cruelty of man." Maha tma Gandhi >^..^< On 07/18/2023 7:59 AM EDT Bunch,Connie<connie.bunch@town.southold.ny.us>wrote: Yes I have the drawing, but do you know the brand? Connie From:furba11315@comcast.net<furball315@comcast.net> Sent: Monday,July 17,2023 12:31 PM To: Bunch,Connie<Connie.Bunch @town.southold.ny.us> Subject: RE:C of O for garage Hello,Connie, I had thought that my drawing of the window and door specs in the cottage was included in the package I sent to Nick to give to you. If you don't have it,I can resend. For the AC stickers, I think I have a photo of that and will send. Betsy 1 Bunch, Connie From: furball315@comcast.net Sent: Thursday,July 20, 2023 3:49 PM To: Bunch, Connie Cc: Nicholas J. Planamento; Nicholas Planamento Subject: Relief valve Attachments: IMG_20230720_153318 jpg; IMG_20230720_153312 jpg Hello,Connie, Attached is a photo of the relief valve on the hot water heater in the cottage at 1695 Old Wood Path. I believe John Jarski saw this when he did his inspection on May 19th. Do you have everything you need now? Thank you, Betsy Ballenger 434-825-7233 ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. Bunch, Connie From: Bunch, Connie Sent: Monday, September 25, 2023 3:36 PM To: 'Nicholas Planamento' Subject: RE: C of 0 for 1695 Old Wood Path, Southold In the dwelling John needs to see smoke alarms in all bedrooms and basement.CO detector required in hall to bedrooms and basement. In,'the cottage a smoke alarm is needed. In the 12 x 14 structure a smoke alarm in required in the lower room. Best Regards, Connie From: Nicholas Planamento<NJP@tchamptons.com> Sent: Monday, September 25, 2023 1:18 PM To: Bunch, Connie<Connie.Bunch @town.southold.ny.us>;furba11315@comcast.net Subject: RE: C of 0 for 1695 Old Wood Path,Southold Hi Connie Can you recap what photos John J needs and I'll take them if betsy has a problem... all rooms/locations of the devices or just a particular room(s) Ty n From: Bunch,Connie<Connie.Bunch @town.southold.ny.us> Sent: Monday, September 25,2023 1:09 PM To:.furba[1315@comcast.net Cc: Nicholas Planamento<NJP@tchamptons.com> Subject: RE:C of 0 for 1695 Old Wood Path,Southold I have not received the pictures for the CO and Smoke Detectors for the buildings John requested. Connie From:furba113159corhcast.net<furba11315@comcast.net> Sent: Friday,September 15, 2023 3:56 PM To: Bunch, Conn ie.<Connie.Bunch @town.southold.ny.us> Cc: Nicholas J. Planamento<n1p@tchamptons.com>; Nicholas Planamento<nplanamento@tchamptons.com> Subject: RE: C of 0 for 1695 Old Wood Path,Southold Hello,Connie, Is there anything else you need from us?We are here in Southold now and would love to get this wrapped up. Thank you, Betsy 1