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HomeMy WebLinkAbout49713-Z StlFFO(�cr Town of Southold 10/4/2023 ; ` P.O.Box 1179 oC� _ 53095 Main Rd Southold,New York 11971 sem# L 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 couffm 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: 1 t7A, _�-Vr dTj AMA) dDATE A5 INSPECTOR I r Fx MA I MM _ r} BU ER I . Al 4 ' * 9 R ' }V S• Y� J tF � n, VELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) ------------------------------------- FOUNDATION (2ND) ' 0 d ROUGH FRAMING& a (� PLUMBING r r� INSULATION PER N.Y. STATE ENERGY CODE lit FINAL d•, ADDITIONAL COMMENTS a U 3 -FouLk 6'aU -aP+ cot 9-!c c. Op c-# 10 5-5-1 � s so Z m 1 r� � b �O H x d b H TOWN OF SOUTHOLD—BUILDING DEPARTMENT =�0 Gyp 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 d� �` yS � � �' � <�P✓� W 1 f00 r Rk MerdO (f :s 4 r1OW U ,ti'�f „y co {.,. Of Cp cP �[PNc d. ` ,�'.`•'F .,�, . r qtr ��# � ,� .\ ,, �� , . � �.g,til�,>•h�_�� • � Ari gA (� �4G/V Vs r '� 7!.A' rr ti� �`"ri` 6� L°�� 10 ��� r' f•'��� aJ ,v r n r 96 °ti , �`i J � TEE L A IVF 00 Nu rE ,i 6d°5,9 ao"w 17500 , 00 , = MONUMF,N!' f"O(/ND $1180/VISION AfAP f IL ED ill 1" iE OFF/CE OF 1"t!£ C/ RA OF S(J -f'OLrA c ()1JNrYON rs: /.5, /9T'4 AS FILE AD 60,66 - Sr AKE P4ACE0 r 1 sUi?I'nij, COU�i'� DEC D �:. 3�. ?.� . _. � '�' 4 ART1�1 MILDRED C. MARTIN DATE _ �_ ._ , LEE M. J LOT 3 "FAIRWAY FARMS I The S('WfI:"fl j y f ) ' r� t.►c:en Ar CUTCHAGUE ` �IZSpC:C�E'C1 ��' _.i ,,4ij •. t 1a jrJ���y�y.3(� (�,/Jj�{�/yr'_�., '(OWN OF SOUTE'�OLD �Fj( 0-44 SUF F04 K COUNTY , Nf--W_YOR!! I'rl� 2`r11 11(I Tf�$ Ar 1FRATIt.N flu A+:�tI+T.:"+ `.;! T�ttS GUAR ANT c): cone '.ti'+VEi''S A e(Ot_ATtON frF ,t,'IION lcU) OF ME CHICAG0 Tit _ 3�f�1'Zi�.Oa �,t w YORK r1tTf E OUCA1r�T,i �d1Y JF f.Om( 5 ,)I' Tw*;'. ho),VFt NOT NEAkiNC Th F_ LArv) SVRVf Y^N'S rNwf R S4 Ak- elR f Mtt0; 1 � 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