HomeMy WebLinkAbout49713-Z StlFFO(�cr Town of Southold
10/4/2023
; ` P.O.Box 1179
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_ 53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 44637 Date: 10/4/2023
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 355 Praity Ln, Cutchogue
3CTM#: 473889 Sec/Block/Lot: 109.-5-14.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/13/2023 pursuant to which Building Permit No. 49713 dated 9/18/2023
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 as applied for.
The certificate is issued to Kirincich,William
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OFHEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49713 9/29/2023
PLUMBERS CERTIFICATION DATED
th ri e Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
X . TOWN CLERK'S OFFICE
oy •
X .
SOUTHOLD, NY
as
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#: 49713 Date: 9/18/2023
Permission is hereby granted to:
Kirincich, William
PO BOX 974
Cutchogue, NY 11935
To: legalize "as built" HVAC system as applied for.
At premises located at:
355 Praity Ln
SCTM #473889
Sec/Block/Lot# 109.-5-14.3
Pursuant to application dated 9/13/2023 and approved by the Building Inspector.
To expire on 3/19/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $450.00
Building Inspector
pF SO�Tyol
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
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: William Krincich
Address: 355 Praity Ln city,Cutchogue st: NY zip: 11935
Building Permit#: 49713 Section: 109 Block: 5 Lot: 14.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Five Star Heating License No: RE 33705
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
Commerical Outdoor X 1st Floor X 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 30A 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 60A Switches 4'LED Exit Fixtures Sump Pump
Other Equipment:
Notes: HVAC & HW Heater
Inspector Signature: Date: September 29, 2023
S.Devlin-Cert Electrical Compliance Form
ho�aOF SOUTyOIo
# TOWN OF SOUTHOLD BUILDING DEPT.
co 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [rSLATIOWCAULKING
U ' L
FRAMING /STRAPPING [ NAL C[V�--o'*
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE �I 'L�Y INSPECTO
o��Of SObTy�� �� l 5,5 / PL
# # TOWN OF SOUTHOLD BUILDING DE
`ycourm��' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] ENTAL
REMARKS:
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FOUNDATION (1ST)
-------------------------------------
FOUNDATION (2ND) '
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PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
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w x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowmy.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only i_.J
PERMIT NO. l`/ Building Inspector: i
_ SEP 1 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 BUR DING DEQ+.
:Owner's,Authorization forts(Page 2)shall be completed. '"O3 ,o :r F 5017 -f'!.
Date: q a
OWNER(S)OF PROPERTY:.
Name: �_CJ _ _ ..___1LLR.1-�I.CIC_►'l-._._._..____.___.._ SCTM# 1000-
Project Address' - e..___...- _mail:
Phone#: E
____....- 3 �ogl...-....3.g$D___........_.. _.._ ...._.._...___...®__ ._..__. 204 'A&
_S &_.c�m_......._...
Mailing Address: Orn Af____j. Y�_Q,-___..__�Gc.{
_ ..
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
-------------
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: rc: ...
Name:
Mailing Address:
Phone#: 3 - aC� Email:
DESCRIPTION OF.PROPOSED CONSTRUCTION
El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
TClther b h ��� G $ ��L7
Will the lot be re-graded? ❑Yes f, 1No Will excess fill be removed from premises? ❑YesIVNo
1
4 '
PROPERTY INFORMATION
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? Dyes ❑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 210.45 of.the New York State Penal Law.
Application Submitted By(print name. ❑Authorized Agent NOwner
Signature of Applicant: Date: t�
STATE OF NEW YORK) I
COUNTYOF
f N CIA being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signingcontract)above named,
(S)he is the0
(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
day of 20/1 -7
Notary Public
SETH G BANK
Notary Public-State of New York
l NO.01BA6427783
PROPERTY OWNER AUTHORIZATION Qualified in Suffolk County
My Commission Expires Jan 3,2026
(Where the applicant is not the owner)
I, residing at
i
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
® cuFlij��� BUILDING DEPARTMENT-Electrical Inspector
�y TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
co
Southold, New York 11971-0959
'$pO� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a-southoldtownny.gov- seand(&-southoldtownny gov
APPLICATION FOR-ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:-ql,51a3
Company Name: '?1 tvE� 5 �tL fAif -Pm&I e, Al4-
Electrician's Name:
License No.: 'R�e--33�b S Elec. email:Ccks
Elec. Phone No: 51 � zerg, of l 22 O I request an email copy of Certificate of Compliance
Elec. Address.: r,39 Ate/fis
JOB SITE INFORMATION (All Information Required)
Name: r� ���� �i>ZI r1Cl�
Address: 35 j Eke l-T
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Pa Block: Lot: ' 3
BRIEF QESC IPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
lie 341 6 U� 14Mc iLl 1&w
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 19 YES❑ NO I—]Rough In Final
Do you need a Temp Certificate?: ❑ YES❑ NO Issued On
Temp Information: (All information required)
Service Size Ph03 Ph Size: A #Meters Old Meter#
O New Service0 Fire Reconnect[]Flood Reconnect OService Reconnect ounderground DOverhead
#Underground Laterals 1 Ja2 H Frame Pole Work done on Service? Y MN
Additional Information:
PAYMENT DUE WITH APPLICATION
4p�iwa$,tBUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
®� t Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(ab-southoldtown'ny.gov - seandCaD_southoldtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: q 1�3
Company Name: -dv �� �i
Electrician's Name:
License No.: 'k� --3 3-:�e3 Elec. email: 5 :51cLe .h jc,,�
Elec. Phone No: ci'( 2.22- El request an email copy of Certificate of Compliance
Elec. Address.: 3`I w� L rte' 5`��� � !��v � � �. 'L-
JOB SITE INFORMATION (All Information Required)
Name: rvI f i an/) f(I R"-I
Address: 5 5 l-Ti
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: a Block: Lot: 3
BRIEF QESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
rV7, Mc
"Ia�d 341 , 1
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 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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FIVE STAR HEATING &A/C INC. Invoice
134 SWEEZY AVE.
RIVERHEAD, NY 11901 US
(631) 298-9122
caseyQa 5starhvac.com
DILL TC SHIP TO
BILF`KIRINCICH BILL F. KIFIINCICH
15 PRAITY LANE 355 PRAITY LANE
CUTCHOGUE, NY 11935 CUTCHOGUE, NY 11935
INVOICE DATE TOTAL DUE DUE DATE TERMS ENCLOSED
7918 06/04/2020 $0.00 06/30/2020 AS ARRANGED
P.O. NUMBER SALES REP
355 PRAITY LANE CJP
DESCRIPT!-ON C T Y RATE AMOUNT
WE PROPOSE TO PROVIDE AND INSTALL A RHEEM HI
EFFICIENCY HEAT PUMP SYSTEM AT ABOVE LISTED
LOCATION.
RP1548AJ1 NA/4TON OUTDOOR HEAT PUMP O
RH 1 T4821 STANJA/4TON INDOOR HANDLER O
RXBH1724A15J/ 15KW ELECTRIC HEATER
8" RAISED OUTDOOR UNIT PAD
FLUSH AND REUSE REFRIGERANT LINES
RE-HOOK TO EXISTING DUCT WORK AND ELEC L
CAPITAL IMPROVEMENT 5,837.06
INSTALLATION -TOTAL$6,000.00 LESS $162.94 PRIOR
SERVICE CALL
NOTE: RECEIVED $2,500.00 DOWN PAYMENT ON VISA CARD
BALANCE DUE ON COMPLETION: $3,337.06
THANK YOU! PAYMENT 5,837.06
BALANCE DUE $0.00
AP RVED AS NOTED
DA B.P.# 712
FEE b BY: COMPLY WITH ALL CODES OF
NOTIFY BUILDING DEPARTMENT AT NEW YORK STATE & TOWN CODE`
631-765-1802 BAMTO4PM FOR THE AS REQUIRED AND CONDITIONS OF
FOLLOWING INSPECTIONS:
1. FOUNDATIO'� •.;btiO REQUIRED 9L�W�CZ�
FOR POUREL. -- N RETE $ _ T W ANNfNGBOARD
2. ROUGH-FR,wi,nR'ata&P(_'J'VIBING
& INSULATION SBdfiKC6T ETRUSTEES
4• FINAL-BE COMPLETERFOR C.O.UCTION MUST N.`�5-8 OCCUPANCY OR
ALL CONSTRUCTION SHALL MEET THE USE IS UNLAWFUL
REQUIREMENTS OFTHE CODES OF NEW ELECTRICAL
YORK STATE. Nt ` Qr-S'PONSIBLE FOR INSPECTION REQUIREC WITHOUT CERTIFICA�
DESIGN OR CONSTRUC FON ERRURS
')F OCCUPANCY