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Home My WebLink About50717-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE , 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#: 50717 ..... 1/2024 Date: 5/2........._....._ .... . ....�......... Permission is hereby granted to: Anasagasti,µ Michael 360 Jasmine Ln Southold, NY 11971 To: Legalize "as built" HVAC system to a single-family dwelling as applied for per manufacturers specifications. At premises located at: 360 Jasmine Lna Southold SCTM # 473889 Sec/Block/Lot# 70.-1-6.10 Pursuant to application dated 4/9/2024 and approved by the Building Inspector. To expire on 11/20/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 CERTIFICATE OF OCCUPANCY $100.00 ELECTRIC $200.00 .......... Total: $800.00 Building Inspector YbW 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 l tl, /�v .southoldtov� .1� v Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only p a t PERMIT NO. ; —7 1 t7_ _. Building Inspector:, IAPR 9 2024 Applications and forms must be filled out in their entirety.Incompletez�sF_x�,�� applications will not be accepted. Where the Applicant Is not the owner,an Owners Authorization`form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: �'1 ( Rj 4��l�AS,� SCTM # 1000- 4 - 3PT Project Address: 360 �"ASn� +thS 4-6 lu V1 C � Phone#: Email: ��p,SAG-i�S �ry Mailing Address: CONTACT PERSON: Name, J Mailing Address: Phone#: 63/ . S _ 17 9;'-6 Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Po Loak /V-6-1 /►'l-A Vc,k tu /l � Phone#: �pcje s—�Z Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other "v I .0 ;IV 4 $ Will the lot be re-graded? ❑Yes 9�No Will excess fill be removed from premises? Eyes RLNO 1 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 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): . `1 /9 Art -A i; ❑Authorized Agent El Owner Signature of Applicant: Date: - ' - �Z-S-:z-4 STATE OF NEW YORK) COUNTY OF FA r-r4-, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, / (S)he is the v wh - a-� 0,0 - (Contractor,Agent, Ccfr brate 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 efore me this day of 1 20Ar/ ~ - ry blic "�tt� FPS � i .i1S �75 ""i mot,count/ PROPERTY OWNER AUTHORIZATION co a 4�jto fait.6,2t 16f'17 . (Where the applicant is not the owner) z A ,4A r--A residing at 1, 490 T-ac� _�!y 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 1frfC � BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 " " ►,``� Telephone (631) 765-1802 - FAX (631) 765-9502 y'✓® '' smash Qsoutholdtownn ov seand@southoldtownny.g,ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali Information Required) Date: Company Name: Electrician's Name: <-e . 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: r v, ,�Gvrc� �,s-.•c rn t Address: c7 Cross Street: Phone No.: , - , Bldg.Permit#: email: A ,M � �� ,'rck °a,vt L w� > roc`f Tax Map District: 1000 Section: Block: j Lot: (� D BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): tv 4'ry I-A,.b4 L 1 e C.G w A G r"ou I w rj Square Foota e: Circle All That Apply: Is job ready for inspection?: YES[] NO F-]Rough In El Final Do you need a Temp Certificate?: F-1 YES 0 NO Issued On Temp Information: (All information required) Service SizeF-11 Ph[]3 Ph Size: A # Meters Old Meter# ❑New service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 0 H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION t � Ja Page No. 1 of 2 Pages ��vpvvaY olb 11500 Old Sound Avenue, PO Box 106 Mattituck,New York 11952 P 631-298-5527 1 F 631-298-5534 HEATING + COOLING www.kolbmechanical.com PROPOSAL SUBMITTED TO PHONE DATE Rose &Michael Anasagasti (631) 236-3227 June 29, 2021 53690 Jasmine Lane J3690E Jasmine Lane clgvout IT,2JY 11971 J?oNoE, NY 11971 E I ADDRESS C HONE �►nasagasti optonline.net J��L�gs We hereby submit specifications and esfimates for. Provide and install a new two (2) zone high efficiency 16 SEER central air conditioning system to consist of the following: Zone #1: First Floor. Zone #2: Second Floor. Scope of Work: • Provide all engineering for the design and installation of the HVAC system. • Supply and install sheetmetal ductwork, insulated as per New York State Energy Conservation Construction Code. Equipment and ductwork shall reside within the semi-conditioned building envelope. • Supply and install flexible connectors at the supply and return connections. • All sheetmetal return ductwork to be acoustically lined with sound attenuating acoustical liner. Liner to be fastened by means of glue and mechanical weld pin fasteners. • All duct seams to be sealed with UL181 metal foil tape. • All branch ducts to be UL class 1 air duct, meeting NFPA 90A and 90B and/or insulated rigid st-eetMetal duct. • Provide and install balancing dampers for all supply branch ducts. All visible distribution plenum boxes to be painted with flat black paint. Provide and install one (1) Carrier Comfort"' Series, model #FX4DNB037, 3-ton air handling unit to be installed in the residence basement, complete with all necessary controls. • Provide and install one (1) Carrier Performance" Series, model #24ACC636, 3-ton, high efficiency 16 SEER outdoor air conditioning condensing unit to be installed at the residence exterior, exact location to be determined. Unit shall be set on a pre-cast slab. • Provide and install one (1) AprilAire, model #2213, 5"thick MERV-13 HEPA media type whole home air purifier. • Provide and ilistall vibration isolators for all motor bearing equipment. *Upon acceptance,please date,sign by the"X"and return yellow copy with your deposit. KOLB MECHANICAL HEATING&AIR CONDITIONING In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp., It is the responsibility of the Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man- ufacturer in order to preserve warranties. All equipment shall remain property of Kolb Mechanical Corp.,until fully paid All past due accounts shall be charged interest of 1.5%per month. All payments Due Upon Receipt. =0 Vt0P009 hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: Base Total Options Total Grand Total Payment to be made as follows: All material's guaranteed to be as specified. All work to be ownpleted in a wodananGke manner a=dag to standard practices.Any allentiom or deviation from above specifications involving extra Authorized costs win be executed only upon written orders,and will become an extra chaW off and above the Signature estimate.All agreements cantirgent upon strikes,accidents or delays beyond our control Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by Wodanan's Note:This project may be Compensation Insurance withdrawn by us if not accepted within 16 MC"pfaW Of V 900f The above prices,specifications and conditions are satisfactory and are hereby accepted You are authorized to do the work as specified. Payment will be made as outlined above. Print Name Date of Acceptance Signature j IJ MAY 2 1 2024 0 Lo k C, JP o 0 41 Ai ;irko 25. 11 IV II, 4 0. 00 bo - ��Fes- ` -.k :ON nau D CV Ilia y,,(hnenl.and/or le. � Co. AREA=39,838 Sq. ft. CERTIFIED 70- SAVINGS BANK SURVEY OF THE LONG ISLAND CORP. pEcONIC PROPERTIES MANAGEMENTLOT 17 ,po 46�� //5/-?&,ZZ--X�s,y "MAP OF SOUTHOLD VXLAS" FILED juNE 25, Y992 MA P NO.9237 Prepared In accordance with the Minimum A T SOUTHOLD standards for title surveys as established TOWN OF SOUTHOLD by the L.I.A.L.S. and approved and adopted SUFFOLK COUNTY, N.Y far such use by The Now York State Land Title AssoclaMon. 1000-70-01-PIO 06 The water sy ply and sewage disposal Systems for fAls residence will conform Scale. 1"= 40-' to the standards at The Suffolk County March 11, 1992 Department 01 Health SOrvic-- JUL Y 11, 1992 (foundation) The locations of wells and cesspools shown hereon are from field Oct.23,1992(final) observallons and or from dale obtained from others. SUFFOLK COUNTY DEPARTMENT OF'HEALTH SERVICES -N FOR APPROVAL OF CONSTRUCTION ONLY :fi N.-?,-.S. LIC. NO. 49618 92SO54 NOV 1 1992 VEYO '7 5000 ..PAT9 REF.NO. (51 1 S.C.DEPT.OF P. 0.MAIN APPROVEDHFALT11 SERVICES SOUTHOLD, N.Y. 11971 67-670 -/7