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HomeMy WebLinkAbout50285-Z s�fFO Town of Southold o� vG 2/16/2024 ao y� P.O.Box 1179 0 o ` - 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44993 Date: 2/16/2024 THIS CERTIFIES that the building HVAC Location of Property: 405 Saltaire Way,Mattituck SCTM#: 473889 Sec/Block/Lot: 100.-1-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/5/2024 pursuant to which Building Permit No. 50285 dated 1/31/2024 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 to existing_sin leg family dwelling as applied for(maintain proper clearances as required). The certificate is issued to Gardiner,Matthew of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50285 2/14/2024 PLUMBERS CERTIFICATION DATED Ale,— AuthoAzed nature o�SUEFQI�.co TOWN OF SOUTHOLD aye BUILDING DEPARTMENT y x, TOWN CLERK'S OFFICE "oy • o� SOUTHOLD, NY poi � ya 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#: 50285 Date: 1/31/2024 Permission is hereby granted to: Brown, T Liorah c/o Matthew Gardiner 405 Saltaire Way Mattituck, NY 11952 To: Legalize "as built" HVAC system to an existing single-family dwelling as applied for. At premises located at: 405 Saltaire Way, Mattituck SCTM #473889 Sec/Block/Lot# 100.-1-17 Pursuant to application dated 1/5/2024 and approved by the Building Inspector. To expire on 8/1/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 ELECTRIC $200.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $800.00 Building Inspector SOUj��l Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q Southold,NY 11971-0959 r1h � �o sean.deviinO-town.southold.nv.us coU i BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: T Liorah Brown Address: 405 Saltaire Way city:Mattituck st: NY zip: 11952 Building Permit* 50285 section: 100 Block: 1 Lot: 17 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 X Service Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic X Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures 2 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 3 CO2 Detectors Sub Panel 70A A/C Blower 1 Range Recpt 50A Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights $' Dryer Recpt Emergency Strobe Heat Detectors Disconnect qC Switches 3 4'LED Exit Fixtures 11 Sump Pump Other Equipment: Fridge, Oven, DW, Micro/ Hood, Gas Cooktop, 70A Sub Panel 16 Circuit/4 Used Notes: " AS BUILT NO VISUAL DEFECTS " Kitchen Renovation & HVAC Inspector Signature: Date: February 14, 2024 S.Devlin-Cent Electrical Compliance Form OF SOUt�°� TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ pr'FINAL 4 -bylL ItA4W— [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: MA I n-bUt Jn V- P-- DATE a' -off INSPECTOR o�aOFSOUIyo Z � v ��/ /� . 7 * # TOWN OF SOUTHOLD BUILDING DEPT. co I N ao 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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: VA'6, 4- c 14 Aalb4aM DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS p� 0� FOUNDATION (1ST) V 'H ------------------------------------ �C FOUNDATION (2ND) � z �o 0 ROUGH FRAMING& y Ck PLUMBING r INSULATION PER N.Y. STATE ENERGY CODE 0 /v2 C.0• c i lc Ic FINAL ADDITIONAL COMMENTS Q(o O z � rn X ►o O z x x e r� b ` J O�guff0lKc19 G TOWN OF SOUTHOLD—BUILDING DEPARTMENT y� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 fn r �y�o• �ao��9 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only lu dJ 1 ' PERMIT N0. 50 Building Inspector: { `� JAN - 5 2024 � ,Applications and forms must be'filled.out in their entirety:Incomplete- applications will not be accepted..Where the Applicant•is not the owner,an � t s �z, ` o Owner's Authorization,form.(Page,2)•shall1be completed. . ,q',7�. Date: h � OWNER(S)'OF PROPERTY: Name: ? SCTM#1000- l Project Address: t'6c� 1 Phone#: �SS Email: �reJ�y�a� .vS( C. rr�.ti eo Mailing Address: LA v6 5C,,4,ci�- CONTACT"PERSON: Name: MC' Mailing Address: O v' Phone#: �-�� .6 Email: • DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOKINFORMATION: - Name: Mailing Address:{J- i PC, Phone#: 1 L-tp3 Email: CRIPTION OO,PROPOSEb CONSTRUCTION. DES - ❑�N�wStructure ❑Addition ❑Alteration []Repair ❑Demoliti Estimated Cost of Project: Idother�.c d-e,�l�. ,, �� �� � Will the lot be re-graded? ❑Yes ErNo Will excess fill be removed from premises? ❑Yes o 1 ',,'P�QPE Rly, INFORM FORM 1ON - 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? OYes E]No IF YES, PROVIDE A COPY. -: is.piovidid'by.6ni. r/dL-sig�'��fessional-li'ri!sponsii��i�i 1 drainage and storm water.ssues a 0.;Ch6ck Box After'Reading:. hi 6 .,;c cto b all ON,is HEREBY 'ADi to ihe Building Department for the issuance of a�Building Permit-pursuant tohe'Builci:i4g Zone Chapter 236 of the-ToWncode-,APPOCATI M �ork i'rid.other`ipolicabie Laws,Ordinances orRe��iatiori'i;f-or-the'constructiodof,bulldin&;- oi;dlnance'6f-thL;ToWn,of Southold,Suffolk,County,New • in . - - - additions;alterations or for removal or demplition as applicable ordinances building code,.- heireirid6uribed.Thi?a0pliEant agrees to complyWith,allappil "!.e,statements made herein are': housing;code;'and:r ie;uletlohi-aiid to 6dmit',aiu'tKo-rixed Ins"o-eiciors-v6 prem6e's4Jn,d.11n bulldlrig(s),foe necessary Inspections: punishable ajs`a'*6a'is A misdemeanor 210AS of NeWYork State Penal Liw. sde W L Application SU.bMitted By(print name): AA 4r0-,cr, 6^ t v,-e- E]Auth'orized Agent a6wrier Signature of Applicant: Date: CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No.0IBU6185050 SS: Qualified in Suffolk County COUNTY OF Commission Expires April 14, 20,9Lj being duly sworn, deposes and says that(s)he.is the applicant (Name of individual signing contract) above named, (S)he is the (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 &16171 A- A L14-1o'clayof J ,-;tr) L1-aLf-!j 20 41�eA Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 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 Ar BUILDING DEPARTMENT-Electrical Inspector h �� r✓ TOWN OF SOUTHOLD - Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 QV Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh(aD-southoldtownny.gov— seand(a)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFATION (All Information Required) Date: a Company Name: Electrician's Name: License No.: mail: Elec. Phone N ❑1 request an email copy of Certi icate of Compliance Elec. Addr �F JOB SITE INFORMATION (All Information Required) Name: Address: S ca c L� Cross Street: Phone No.: 6,3k '5i6S q`V55 Bldg.Permit#: 50 a E5 email: Tax Map District: 1000 Section: , OCR Block: Lot: I BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): .�'_�C 2�d �ltc� �V— e-Cn^Je-t CJ'^ 1 o C c kecJ cl�-�' �ov�f..�c s�- CGv�ne� l3� �uSt Square Footage: Circle All That Apply: Is job ready for inspection?: d 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 DN Additional Information: PAYMENT DUE WITH APPLICATION SOW,�,c BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 +h' Southold, New York 11971-0959 ©y,14 p�� Telephone (631) 765-1802 - FAX (631) 765-9502 la mesh jsoutholdtownny_,aov — seand(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFQ.�I111ATION (All information, Date: a Company Name: . �1l i V Electrician's Name: License No.: mail: Elec. Phone N C&Tt- ❑I request an email copy of Certificate of Compliance Elec. Addr JOB SITE INFORMATION (All Information Required) Name: kCk Address: Cross Street: r i v cc� Phone No.: Bldg.Permit#: 50 � P55 email: Tax Map District: 1000 Section: ) oc Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): //�- c c�F�v�l��,�' �o c..ca(,��� c:�-�' So�.��-S� Gc�-�,•- Square Footage: Circle All That Apply: Is job ready for inspection?: d 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 0 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT Address Switches Outlets CA nT G FI's C Surface c Sconces HH's C� c UC its '�1 Fans Fridge J HW Exhaust Oven W/D Smokes DW I Mini -arbon Micro Generator -ombo Cooktop Transfer aC AH Hood Service I Amps Have Usec •pedal- omments n COMPLY WITH ALL COD APPROVED AS NOTED NEW 0 K STATE&TOWN OF DATE:I-3 -Z Bp# 5N 5 5 REQUIRED AND CONDITIONS OF SOUMOL M MZBA FEI- L�=00 B 9OUiHOLDTOWNumm NOTIFY BUILDING DEPARTMENT AT V mmmmm 631-765-1802 8AM TO 4PM FOR THE N.YIDW FOLLOWING INSPECTIONS. swmwc FOUNDATION-TWO REQUIRED FOR POURED CONCRETE ROUGH-FRAMING$PLUMBING INSULATION FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE ELECTRICAL REQUIREMENTS OF THE CODES OF NEW INSPECTION REQUIRED YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Additional Certification May Be Required. Sea fHVAC START-UP & COMPLETION FORIV9r� Sears Home Im rovement Products, Inc. PO Box 522290, Longwood, FL 32752 SHIP Job# f Home Services SHIP Comments: r � QQ Customer Name: ' , d �, .<.,. � ' I�hone(H : „"'� ?9 / Phone(W): Name at Job: C1 "— Job Phone: z Job Address: .7" 7A-!12� W A City: �i4A L e State _ zip: a Package Model#: 'Seerial: Breaker Size: w Air Handler Model#: :/"' Serial: f o Breaker Size: aF Condenser Model#: , ;, Serial: f ? ,' } Breaker Size: jt 4 Evaporator Model#: Serial: g TXV+Piston Size: W z Heat Strip Model#: Serial: Breaker Size: co Furnace Model#: Serial: ❑Nat.Gas ❑LP ❑Oil Other Model#-SYS (f�f L)1 $)()1-VSerial: Mia L,%) - 52 Breaker Size: Heating, Return Temp: Supply Temp: Temp.,Return Air-Dry Bulb(DB): Temp., Return Air,-Wet Bulb(WB): .`" Temp, Supply Air-DB: o Press.Suction @ Comp. Inlet(LO): ,01)51 Press. Discharge(HI): c2,2o Q z Temp.,Air,Condenser Ambient-DB: _ Temp., Air Condenser Discharge-DB: Required Super Heat: C w Q Liquid Line Terrap.@ Conde_nser: ;'ay"� Suction Line Temp:;@ Condenser: fr' ,'15 Required Sub-Cooling: y� 10 a Refrigerant Line Length: o "r; :; Suction: t Liquid Line: V0` Refrigerant ❑R-22 ❑R-410A LBS Added: LBS Recovered: Gas Inlet Press: (inches water column) Gas Manifold Press: (inches water column) Duct System ' ❑Metal ❑Flex ❑Board Condition: ❑Good ❑Fair ❑Poor Q Refrigerant Lines ❑Replaced with "x El Reused&flushed_"x ❑Filter Dryer installed o Thermostat Operation ❑Heating Op ok ❑Cooling Op ok ❑Staged Op ok El outdoor stat ok ti Electrical Disconnects ❑Furnace/Fan coil Op ok ❑Condenser Op ok ❑Package Op ok z Q ElectricaLService ❑HVAC circuits meet&pass code §2 _z Drain.Line ❑Reused,flushed,&checked line for proper flow ,�' El New line installed&checked for proper flow ❑Float Sw y-a Condensate Pump ❑New pump installed ❑Re-used existing El Pump checked for proper operation Flue ❑B-vent ❑PVC ❑Combustion air,is adequate Secure to Code(All Applicable State and Local) ❑ Customer acknowledges receipt of all necessary paperwork. t o ❑ Permit Required? If so, Permit Number: `OCustomer acknowledges inspection results. w .. ❑Customer acknowledges instruction on maintenance and operation of unit heating./cooIi , location of disconnects,filters,and posting of service/installation phone numbers. S ,- f.�,��� ' ` =� '� - og o, Customer Acknowledgement` NOTICE to CUSTOMER: Do not sign this statement until the installation is satisfactorily completed. w To Sears Home Improvement Pro ucts, Inc.:The installation of the above merchandise ordered by me has been satisfactorily completed. Customer Signature: Date: - -� NIT1•Rev-1.2/09 -