HomeMy WebLinkAbout49783-Z Town of Southold 11/15/2023
y� P.O.Box 1179
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o • 53095 Main Rd
'y�j0 ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44727 Date: 11/15/2023
THIS CERTIFIES that the building HVAC
Location of Property: 11185 Soundview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 54.-5-39
Subdivision: Filed Map No. Lot No.
1
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/5/2023 pursuant to which Building Permit No. 49783 dated 9/26/2023
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:
HVAC system to existing single-family dwelling as applied for.
The certificate is issued to Thirlby,Edwin&Sherry
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49783 10/12/2023
PLUMBERS CERTIFICATION DATED
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'z S gnature
, L TOWN OF SOUTHOLD
,t�o�St1FFQEM
p" BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
y • �� 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 #: 49783 Date: 9/26/2023
Permission is hereby granted to:
Thirlby, Edwin
11185 Soundview Ave
Southold, NY 11971
To: Install a HVAC system to an existing single-family dwelling as applied for. Must
maintain a minimum side yard setback of 10 feet.
At premises located at:
11185 Soundview Ave, Southold
SCTM #473889
Sec/Block/Lot# 54.-5-39
Pursuant to application dated 9/5/2023 and approved by the Building Inspector.
To expire on 3/27/2025.
Fees:
CO-RESIDENTIAL $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
Total: $250.00
Building Inspector
pF SO!/j�,ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin cD—town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Edwin Thirlby
Address: 11185 Soundview Ave city:Southold st: NY zip: 11971
Building Permit#: 49783 section: 54 Block: 5 Lot: 39
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Jim Sage Electric License No: 3635ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 1 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: October 12, 2023
S.Devlin-Cert Electrical Compliance Form
a ho�aOF SOUTy��
TOWN OF SOUTHOLD BUILDING DEPT.
°ycomm" 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION/CAULKING
[ ] FRAMING/STRAPPING [ FINAL RVFC,,,-'
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE INSPECTOR
# f
TOWN WN OF SOUTHOLD BUILWNG DEPT.
• �o
631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] 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 G / INSPECTOR -=,
FIELD INSPECTION REPORT I DATE COMMENTS
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FOUNDATION (1ST) W y
-------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING& v ,
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PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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��SFoc.t�G 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 hltps://www.southoldtowmy.jzov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ,I � I�•,�I�-", r l� r`� `- �`�
PERMIT NO. 1�-�+ 9953 Building Inspector: �C lj :: D
;:a ,vf.•s _-, .�:. _ 5
SEP 2023 --
s
Applications'andyformsmust b6filled.6ut inl eii�enfirety:'Incomplete=
a pplications;will not be accepted:`;Where:ffte Applicant is riot the-owner;an:
;;Owner's Authoriz tion f rm(Page 2)'sh II p f = f f ° '`;
BUILDING DEPT-
Date:
.:r.,;,:! =,r,?` �'-*m ..>.i..a 71:e•:.,(,b.,',--L��:�..,a•r:.:',sy,...:.-=::.,ai'" ,t:6.-�y�+-�::�`,'.'.,� .{n'a,i<..,
1/ 1 .,w - `,,'�.•u5:s :Y.:s" -i''�lY J„{�.::1�,-, n2r4:'� :.Y.; av ia>'�k'i,:.5i.j'.5;,..n. ;,.SzE _ :?., *.. ?:'[..
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Name:, _. DL�� % l�Ll3, . ... _ SCTM#1000-.
Project Address: 1145. _, //q7
Phone#: Email:23>
Mailing Address:
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Name:
Mailing Address:
Phone#: Email:
<,DESIGN�PROFESS ONAL��INFORMATIONt
Name:
Mailing Address:
Phone#: Email:
Name:
Mailing Address:
Phone#: I .Email:
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�'DESCR PTI N': F P OPOSED CONST UCTI Ntr ='�:.:�
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❑New Structure ❑Addition ❑Alteration []Repair ❑Demolition Estimated Cost of Project:
❑Other V�q t<y $ ?,PO®
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes El No
13 S Ale— S�S7&W '1fii-71Y
P 72o4jE /Ddmp� f/Tn ��lr: Sys tf77-,�fz,/A�-
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? ❑Yes ❑No IF YES, PROVIDE A COPY.
❑.Check Box After'Reading:'The owner/contractor/design profetsional is responsible for all drainage acid 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,Newyork and'otherapplicable 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): D661m -7—Ho,2L—P-7 ❑Authorized A ent Owner
Signature of Applicant: ���% Date: .__. .
STATE OF NEW YORK)
SSS: u
COUNTY OF S( )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the��A}y r,
(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 -clay of %mwek 20 23
Notary Public
DIANE DISALVO
NOTARY PUBLIC-STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION No. OID1475593
(Where the applicant is not the owner) Qualified In Suffolk County
My Commission Expires ApHI 30, 20
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
ca
-0959
Southold, New York 11971
Telephone (631) 765-1802 - FAX (631) 765-9502
49
.1 - seand(cD-southoldtownny.gov
rogerr(cD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
-rim
Company Name: L
Electrician's Name: -T
, tol
License No.: -3&3_5' 6:- Elec. email: 4CV ryl
Elec. Phone No: R�Jf request an email'copy of Certificate of Compliance
Elec. A ddress..-
JOB SITE INFORMATION (All Information Required)
Name- EP wf P, -7_H1R—
Address: 111,P_5 5P(1.*1()Vt4v L14 '7
Cross Street- 12 E-21E
Phone No.: a17- 44-�
B I'd g.P e rm it#:__T9 �8,--� email:
Tax Map District: 1000 Section: Block: Lot
BRIEF DESCRIPTION OF WO�K, INCLUDE SQUARE FOOTAGE (Pleas� Print Clearly)-
&7'
Square Footage.
Circle All That Apply: YESF-] NO [—] Rough In El Final
Is job ready for inspection?: I
Do you need a Temp Certificate?: F-] I�ES F] NO Issued On
Temp Information: (All information required)
Service Size 1-11 Ph F]3 Ph Size: A # Meters Old Meter#
FNew ServiceF1 Fire ReconnectF-]Flood Reconnect Elservice, Reconnect Ounderground ElOverhead
# Underground Laterals F]1 [-]2 F-] H Frame [-] Pole Work done on Service? Y
Additional Information-.
PAYMENT DUE,WITH APPLICATION
uFF�C t BUILDING DEPARTMENT- Electrical Inspector
pis KcOGy` TOWN OF SOUTHOLD
-' Town Hall Annex- 54375 Main Road - PO Box 1179
:; ►� Southold, New York 11971-0959
y� apl Telephone (631) 765-1802 - FAX (631) 765-9502
Ol rogerr(cDsoutholdtownny aov seandCD_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: 1m �5/ f
Electrician's Name: 1m , Vi-
License No.: Elec. email: �54C. ,0Z-m 4�am
Elec. Phone No: P11-request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name- ki - c�
Address: l/d 57eVil Z9
Cross Street: /2L:�P►E- DVj6:_::
Phone No.: e—�11-7- q - 5 11
Bldg.Permit#: CI - email.
Tax Map District: 1000 Section: e2- V Block: 15 - Lot.-
BRIEF DESCRIPTION OF WO K, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
- Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES NO Rough In El Final
Do you need a Temp Certificate?: F-] YES F_] NO Issued On
Temp Information: (All information required)
Service Size 71 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect Flood Reconnect❑Service Reconnect❑Underground DOverhead
# Underground Laterals 1 2 H Frame E Pole Work done on Service? Y N
Additional Information:
�j/OES 14,2
PAYMENT DUE WITH APPLICATION
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RA13 Series
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The new degree of cornfort7
Rheem Classic® Series
Air Conditioners
ELECTRICAL D
INSPECTION REQUIRE r;
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RA13 Series
1 Efficiencies up to 15 SEER/13 EER
Nominal Sizes 11/2 to 5 Ton [5.28 to 17.6 kW
APPROVED AS NOTED Cooling Capacities 17.3 to 60.5 kBTU
,,., p [5.7 to 17.7 kW]DAT{E•l..EP. I ��3 j
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Yl30 a 57 us
FEE IM- =15U0
NOTIFY BUILD�IGARTMEI�T AT
631-765-1802 LAM TO = ,q�r starrg and rftstem asYatratton of eptripment is crfticat to au� e WOMB/
4PM FOR THE ` � m maw
matched witle appropdete cog components to meet EaerBY Star
FOLLOWING INSPECTIONS: Amt ywrCcntrracWfor detattsorwfutwww. 9M'
COMPLY WITH ALL CODES OF
FOUND14M•1WO REQUIRED NEW YORK STATE&TOWN CODES
FOR POLM CONCRETE REQUIRED AND CONDITIONS OF
ROUGH•FRAMING&PLUMBING ! SOMHOWM ZM
INSULATION
FINAL CONSTRUCTION MUST � � PLANNING BOARD
BE GOMKM FOR C.O. SOUIHOLDTOWNIRUSTEF�
ALL CONSWIU MN SHALL MEET THE N.Y.S.DEC
REQUIREMENTS OF THE CODES OF NEW SOUMOLD HPC
YORK STATE NOT RESPONSIBLE FOR SCHD
DESIGN OR CONSTRUCTION ERRORS
•„;Cp ., cSite,,base pan-dampens sound,captures louver panels, • Diagnostic service window with two-fastener opening-
elimiriafes corrosion and reduces number of fasteners needed provides access to the high and low pressure.
e Powder coat paint system-for a long lasting professional finish . Eternal gauge port acre-ss-allows easy connection of
• Scroll compressor-uses 70%fewer moving parts for higher "low-loss"gauge ports
efficiency and increased reliability - Single-row condenser coil-makes unit lighter and allows
• Modem cabinet aesthetics-increased curb appeal with visu- thorough coil cleaning to maintain"out of the box"
ally appealing design performance
• Curved louver panels-provide ultimate coil protection, • 35%fewer cabinet fasteners and fastener-free base-allow
enhance cabinet strength,and increased cabinet rigidity for faster access to internal components and hassle-free
panel removal
• Optimized fan orifice-optimizes airflow and reduces unit . Service trays-hold fasteners or caps during service calls
sound
• Rust resistant screws-confirmed through 1500-hour salt • QR code-provides technical information on demand for
spray testing faster service calls
• PlusOneTm Expanded Valve Space-3'-4'-5' service valve • Fan motor hamess with extra long wires allows unit top to be
space-provides a minimum working area of 27-square removed without disconnecting fan wire.
inches for easier access
• PlusOneTm THple Service Access-15'wide, industry lead-
ing corner service access-makes repairs easier and faster.
The two fastener removable comer allows optimal access to
intemal unit components. Individual louver panels come out
once fastener is removed,for faster coil cleaning and easier
cabinet reassembly
COMFORT-2000 INTEGRATED HOME
FORM NO.A11-221 REV.9
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CAL . MIN . DE FU,SBLE/ IS *`
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DESIGN PRESSURE' -. GH:/
PRESSION NOMI NA'L
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DESIGN PRESSURE LOW/ pSI°G/1723 kPa
PRESSION .NOMAaLE ' Wl !t •
OUTDOOR UNITS :FACTORY : HARC:E R410A
72 oz 41g
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HARGE US I NE Q U1=I TES EXTER=I''E,UµR R4 10A
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