HomeMy WebLinkAbout49642-Z �OgUPFOI�cp Town of Southold 10/11/2023
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44563 Date: 9/24/2023
THIS CERTIFIES that the building HVAC
Location of Property: 10450 Sound Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 122.-2-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/27/2023 pursuant to which Building Permit No. 49642 dated 9/5/2023
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 existing single family dwelling as applied for.
The certificate is issued to Samaan,Martin&Bekian,Ari
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49642 9/13/2023
PLUMBERS CERTIFICATION DATED
0 u A or ze ignature
TOWN OF SOUTHOLD
SnEFocK
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • � fj 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#: 49642 Date: 9/5/2023
Permission is hereby granted to:
Samaan, Martin
10450 Sound Ave
Mattituck, NY 11952
To: Legalize as-built HVAC at existing single family dwelling as applied for.
Additional certifiction may be required.
At premises located at:
10450 Sound Ave, Mattituck
SCTM #473889
Sec/Block/Lot# 122.-2-14
Pursuant to application dated 7/27/2023 and approved by the Building Inspector.
To expire on 3/6/2025.
Fees:
AS BUILT-ACCESSORY $400.00
CO-RESIDENTIAL $50.00
Total: $450.00
Building Inspector
pF SOUTyo!
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlina-town.southold.ny.us
Southold,NY 11971-0959 QIyCOU�'�^�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Martin Samaan
Address: 10450 Sound Ave city:Mattituck st: NY zip: 11952
Building Permit#: 49642 Section: 122 Block: 2 Lot: 14
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 StrobeHeat Detectors
Disconnect 30A Switches 4'LED Exit Fixtures Sump Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: Date: September 13, 2023
S.Devlin-Cert Electrical Compliance Form
l oF SObly�lo
f TOWN OF SOUTHOLD BUILDING DEPT.
�yco 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAUL/KiI,N�
[ ] FRAMING /STRAPPING [ FINAL OVAL- hS l!/y
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
na
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DATE �I l'y ?�0 INSPECTOR
r5jf so
Auc
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
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 ] PRE C/O [ ] RENTAL
REMARKS: L7- U
DATE �' �i7 INSPECTOR
?IELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (IST) .�
---------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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��SUFFQtKCOG� 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 hlWs://www.southoldtoM=.gov
Date Recelved
APPLICATION FOR BUILDING PERMIT M
For Office Use Only
LD
PERMIT N0. Building Inspector: �_ ' 2 7 2023
JUL
"Applications and forms must be filled_out'in t
ions heir entirety.Incomplete,
applicatwill not be:accepfed Where the Appliearit`is not the owner,an $jJj>C,DING DEFT•
Owner's Authorization form'(Page*)'shall be`completed: ►rOV' r;,F E41t'�'� 1
Date:07.26.23
OWNER(S),OF_PROPERTY:
Name: Ari C. Bekian SCTM#10.00-122-2-14
Project Address: 10450 Old Sound Ave. MattituCk, NY 11952
Phone#: 917.345.3595, .,_ __ - Email: acbeklan@gmaii.com
Mailing Address: 365 West 28th Street#11 F,_NY, NY 10001
:CONTACT,PERSON::,
Name: Eric Martz
Mailing Address: PO Box 894, Mattituck, NY 1.1952
Phone#: 917.916.3724_ „ Email: eric@saltyrootsny.com
DESIGN PROFESSIONAL INFORMATION
Name:N/A
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:.:
Name: Kolb..Mechanical ,Corporation
Mai ling Address: 11500,Sound.Ave, Mattituck, NY 1,1,952„
Phone#: 631 .298.5527 Email: kolb.info@koibmechanical.com
DESCRIPTION.OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Re Estimated Cost of Project:
[i]Other Central AC installation for 2nd floor of residen 5 '9W( $4.375
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo
1
PROPERTY:INFORMATION.
Existing use of property:One Family Year-Round Residence Intended use of property:One Family Year-Round Residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes ®No IF YES,PROVIDE A COPY.
® Check Box After"Reading: The owner/cor�tra'ctor/design professional Is responsible.for all drainage and stoim'water Issues as pro4lded by
chapter 236 of the Town Code.'APPUCATION IS HEREBY MADE 0,the Building Department far th®issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and`other applicable ,Ordinanc
lawses.or Regulations,for the constructlonbui
of buildings,
buildings,,
alterations or for removal or demolition as herein described:The applicant agrees to comply,with.a11 applieable.laws,ordlnances,bIiWding code, ;
housing code and-regulations and to admit'authorized inspectors on premises and ln'bullding(s)for necessary Inspections False statements mad 'herein are .,
punlshabie as a Cless A ml'demeanor,pursuant to Section.ho.45 of.the New York State Penal Law".
Application Submitted By(print name):ECIC Martz MAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
� �//'�SS..
COUNTY OF ,SUT- l )
Er[C— I a(-+Z being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(Contracto(Agent,C rporate Officer,etc.)
of said owner or owners,and is duly authorized to>eFkmTf 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
fiho ly .20
C:hwu
, _day of. i
otary Public
TRA CEY L. DWYER
PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC,STATE OF NEW YORK
NO.01 OW6306900
(Where the applicant is not the owner) QUALIFIED IN SUFFOLK COUNTY
CoMk,16SION EXPIRES JUNE 30,?ale
I, Ari Bekian residingat 10450 Old Sound Ave.
Mattituck, NY 11952 do hereby authorize Eric Martz to apply on
my ehalf to a Towpj of Southold Building Department for approval as described herein.
,� M -1
Owner's Signature bate
Print Owner's Name
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I Ari Bekian residing at 10450 Old Sound Ave.
(Print property owner's name) (Mailing Address)
Mattituck, NY 11952 do hereby authorize Eric Martz
(Agent)
to apply on my behalf to the
Southold Building Department.
(OW&A Signature) (Da )
G,
(Print Owner's Name)
o� fvc�:�oG BUILDING DEPARTMENT-Electrical Inspector
',.t yr► TOWN OF SOUTHOLD
y Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 765-9502
rogerr(&-southoldtownny.gov-seandi-southoldtownny.gov
t1r
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail 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: Ari C. Bekian
Address: 10450 Old Sound Ave. Mattituck, NY 11952
Cross Street: Cottage Way
Phone No.: 917.345.3595
Bldg.Permit#: Yj(041") email: acbekian@gmail.com
Tax Map District: 1000 Section:122 Block: 2 Lot: 14
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Central AC installation for 2nd floor of residence.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES❑NO ❑Rough In ✓0 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#
EJ New Service[]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? D Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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''' `�:•, BUILDING DEPARTMENT-Electrical Inspector
�•`gl�l*f�L
TOWN OF SOUTHOLD
} Town Hall Annex- 54375 Main Road - PO Box 1179
^ ' Southold, New York 11971-0959
o� ^r' Telephone (631) 765-1802 - FAX(631) 765-9502
Lqgerr@southoldtownny.gov- seandO-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (AII 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: Ari C. Bekian
Address: 10450 Old Sound Ave. Mattituck, NY 11952
Cross Street: Cottage Way
Phone No.: 917.345.3595
BIdg.Permit#: (� email: acbekian@gmail.com
T.16 Tax Map District: 1000 Section:122 Block: 2 Lot: 14
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Central AC installation for 2nd floor of residence.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES❑NO [:]Rough In IZI 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 Pole Work done on Service? Y DN
Additional Information:
PAYMENT DUE WITH APPLICATION
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OCCUPANCY OR
USE IS UNLAWFUL
APPROVED AS NOTED WITHOUT CERTIFICATE
DATE95 a3 e.P OF OCCUPANCY
FEE BY
NOTIFY BUILDING DEPARTMENTAT
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING dOfVIPLY WITH ALL CQp1 S pts
3. INSULATION NEW YORK STATE & TOWIV.CODE
4. FINAL-CONSTRUCTION MUST AS REQUIRED AND:�.0 TOWN-CO ,F
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE SOUiHq,D TOW�I18q
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR $OUTHOLDT�1MtII'IAfVNHYG80At�.
DESIGN OR CONSTRUCTON ERRORS
SOUTHOL�`TQWN;TRt�STEES
N;YS.DEC'
Additional
Certification RETAIN STORM WATER RUNOFF
p
F THE pT TO CHAPTER 236
May Be Required,
WN CODE.
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SERIAL N0. 17131 H 7 R4 F PH 1 HZ 60
MINIMUM CIRCUIT AMPACITY 18.0 AMPS
OVERCURRENT PROTECTIVE DEVICE USA CANADA
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HFC — 410A 4 LBS. 11 OZ. OR 2.11 kg(SI)
10 +l- 3 °F DESIGN SUBCOOLING
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COMPR. MOT. 13.5 RLA 208/230 V 58.3 LRA
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