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HomeMy WebLinkAbout50262-Z �o�0S11EfOI�cpG Town of Southold 2/10/2024 P.O.Box 1179 o - y 53095 Main Rd oy��! Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44965 Date: 2/10/2024 THIS CERTIFIES that the building HVAC Location of Property: 24190 Route 25,Orient SCTM#: 473889 Sec/Block/Lot: 18.-5-18.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/27/2023 pursuant to which Building Permit No. 50262 dated 1/26/2024. 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 an existing single-family dwelling as applied for. The certificate is issued to Berry,Glynis&Ariizumi,Hideaki of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50262 2/6/2024 PLUMBERS CERTIFICATION DATED A7"- Authori& Signatur o�sufFoc��o TOWN OF SOUTHOLD �a Gy BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy • o� 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#: 50262 Date: 1/26/2024 Permission is hereby granted to: Berry, Glynis PO BOX 444 Orient, NY 11957 To: Legalize an "as built" HVAC system to an existing single-family dwelling as applied for. At premises located at: 24190 Route 26, Orient SCTM #473889 Sec/Block/Lot# 18.-5-18.5 Pursuant to application dated 12/27/2023 and approved by the Building.Inspector. To expire on 7/27/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 CERTIFICATE OF OCCUPANCY $100.00 ELECTRIC $200.00 Total: $800.00 Building Inspector OF SO!/j�ol Town Hall Annex , Telephone(631)765-1802 54375 Main Road G P.O.Box 1179 Q Southold,NY l 1971-0959 Jamesh _southoldtownny.gov 4UNT`I, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Glynis Berry Address: 24190 Main Road city,Orient st: New York zip: 11957 Building Permit#: 50262 Section: 18 Block: 5 Lot: 18.005 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Wire Nuts Electrician: Alex Lurie License No: ME-62190 SITE DETAILS Office Use Only Residential x Indoor x Basement Service Commerical Outdoor x 1st Floor Pool New x Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 2 Switches 4'LED Exit Fixtures 11 Sump Pump Other Equipment: 2 mini split units with 3 blower heads Notes: HVAC LInspector Signature: Date: February 6, 2024 24190 main road OfSOUTyp� V �o 8 4 4 l u u" k[VL * # TOWN OF.SOUTHOLD BUILDING DEPT. 631-765-1802 - I� NSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] .FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] .FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIREAESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) [NJ ELECTRICAL (FINAL) [ ] CODE.VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE -INSPECTOR 0f SOUTHp� # * TOWN OF SOUTHOLD BUILDING DEPT. °ycourm, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULK>>ING [ ] FRAMING/STRAPPING [ eFINAL XS- 120/r [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMAR S: DATE = •a INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (IST) ., ------------------------------------ FOUNDATION (2ND) � CA O O y ROUGH FRAMING& PLUMBINGy '' A V` � r INSULATION PER N.Y. STATE ENERGY CODE (11 �I FINAL ADDITIONAL COMMENTS ' o z m 0A o z x x d r� ►o �o�sFot,r�o 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 https://www.southoldtgi6 . ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only �E� 2 2023 PERMIT NO. �a Building Inspector: h 1 �'•A` licationsarid forrrtis'must'be< 'Iled?ou'`in`: "e'r:enti a` .In'o��' y>� u 't applications wilhnot be accepted f.Where'the Appl�can snot helowner,an B of you Owner's Authorization form(Page 2);hall be completed = Date:12/27/23 ;OWNER(S),OF PROPERTY Name:Glynis M. Berry + Hideaki Adizumi scTM#1000-018.00-05.00-018.005 Project Address:24190 Main Road, Orient NY 11957 Phone#:631323 1426 or c 631 680 9656 Email:glynis a@studioabarchitects.com Mailing Address:PO Box 444, Orient, NY 11957 ONTACT PERSON x y Name:Same as above Mailing Address: Phone#: Email: DESIGN:PROFESSIONAL INFORMATIONy Name:Same as above Mailing Address: Phone#: Email: CONTRACTOR`INFORMATION. =y. Namme:Kolb Mechanical Mailing Address:11500 Old Sound Ave., MattituCk, NY 11952 Phone#:g17 551 6892 Email:Kolb.info kolbmechanical.com DESCRIPTION,OF. PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: EOtherinstall split A/C unit $17,000 o Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes RN 1 PROPERTY'INFORMATION Existing use of property:Residence Intended use of property:Residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R_80 this property? ❑Yes ®No IF YES, PROVIDE A COPY. ,❑'Check Box After Reading:-.The owner/contractor/design professional.is responsible for all.dralnage and storm water issues as provided-by Chapter 236 of the.Town Coder'APPLICATION.ISHEREBY 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 oiherapPlicable Laws;Ordinances or Regulations,for-the construction'of buildings,- ' additions,alterations orfo�removal,or demolition as herein described:The.applicant agrees to comply with+all applicabie laws;ordinances;building code, "housing code'and regulations•and',to admit authorized inspectors on premises'and'in buildings)for-'necessary inspection's.,False statements made herein are punishable as a Class A misdemeanor,pursuant to Section 210.45 ofthe New York State Penal.Law. E Application Submitted By(print name):Glynis M. Berry ❑Authorized Agent BOwner Signature of Applicant:_ 4VI44 04 Date: 12/27/23 STATE OF NEW YORK) SS: COUNTY OF '%-F-F'O I I< ) Gl S M. bc r r being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contra above named, (S)he is the Ou--y -eR (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 J YL•P M IX R ,20_a otary Public TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY (Where the applicant is not the owner) COMNHSSION EXPfRES JUNE 30,2_42(p 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 g11FF01." BUILDING DEPARTMENT- Ele al�sac u - ��� c�Gy TOWN OF SOUTH l y _ Town Hall Annex- 54375 Main R P &ox21 J 7MD o, Southold, New York 11 1 095B Telephone (631) 765-1802 - FAX (631) 765-9Q iamesh �southoldtownny.gov seand(a�so� o`�dt¢inFnnU:4ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date: 12/27/23 Company Name: Wired Nuts Electrician's Name: Alex Lurie License No.: 62190 Elec. email:info@wirednutselectric.com Elec. Phone No: 646 243 9022 ED I request an email copy of Certificate of Compliance Elec. Address.: 16 Deer Path, Quoque, NY 11959 JOB SITE INFORMATION (All Information Required) Name: Glynis Berry Address: 24190 Main Road, Orient Cross Street: Platt Road Phone No.: 631 323 1426 c 631 680 9656 Bldg.Permit#: 5 o a 1" email:glynis@studioabarchitects.com Tax Map District: 1000 Section:018.00 Block: 05.00 Lot:018.005 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Installation of split A/C system Square Footage: N/A 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❑Underg round❑Overhead # Underground Laterals 0 1 2 0 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION / 1 22 L BUILDING DEPARTMENT- Ele�t�i0b4ciir 1'TOWN OF SOUTH °RL o Town Hall Annex- 54375 Main R ad�- . � PlRox211 7 �3 9Southold, New Y ork,111�09 at: Telephone (631) 76571862 FAX (631) 765-950 jamesh(aD-southoldtownny.-gov — seand(csoff oldG anw:gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 12/27/23' Company Name: Wired Nuts Electrician's Name: Alex Lurie License No.: 62190 Elec. email:info@wirednutselectric.com Elec. Phone No: 646 243 9022 01 request an email copy of Certificate of Compliance Elec. Address.: 16 Deer Path, Quoque, NY 11959 JOB SITE INFORMATION (All Information Required) Name: Glynis Berry Address: 24190 Main Road, Orient l L Cross Street: Platt Road Phone No.: 631 323 1426 c 631 680 9656 BIdg.Permit#: �(� aLP email:glynis@studioabarchitects.com Tax Map District: 1000 Section:018.00 Block: 05.00 Lot:018.005 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Installation of split A/C system Square Footage: N/A 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 0 1 2 H Frame M Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 0 C9 a g© vqp 010 :5f f5 hec(.5 . .. .1 _ 5�.,,[r�;r,. i�i,'i:T'4!.:l7 •'•. �r .i•.-.tea.': � .� .. - _ • SUFFOLK CO. HEALTH DEPT. APPROVAL MAP_ �F Pre- aPER r ,r i STATEMENT QF INT£NT THE WATER SUPPLY AND SEWAGE DISPOSAL I v_ I f -- }lei SYSTEMS FOR THIS RESIDENCE W L R WI Lim ` ` '• A T CONFORM TO T-HE STANDARDS OF THE SUFFOLK CO DEPT. OF HEALTH SERVICES ts! . � � �� '[OWrJ GF r��l�'����► , f�.�.✓ � APPLICANT SUFFOLK COUNTY DEPT OF HEALT> : � I SERVICES - FOR APPROVAL =OF CONSTRUCTION ONLY DATE: - . G H. S- REF. NO. Q Q-94 _71 APPROVED: / , L SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL ' as1 R J OWNERS ADDRESS: GEED: P. TEST HOLE STAMP unaulnorlmd alleraftoe as ddWo r to this Survey Is a violation 0t + r`r•, e I section 7208 of the New York State E�.;✓E- I Education Law r l"•l�•'r�.= �.53 Copies of this survey map not hearing ' /'• _---._.-. .. Mo lo:.d surveyor's in::ed seat or f �.rS/-� r �!-r.{L t •T r^� el-t)mcd seat strait not he ccnsWomd ,o be a valid true copy !}' [.�=i A�trL V r'�1•-'v vearzr.!.•_.,ndocated hereon shag tun omy!0 L;2 person for whom the survey Ls prt•;=rce.and on his behalf to IM r: fir: t.l I ! taaconpany.govemmaraal agency wA JC=L' IJOV, i f� "�-•- ._ t _ tend:nganstdi.tion listed heleortaltd to toe assigneos of the kndirg b"& 1 lution.Guamnleas am not bWmder" nOTES I I to raddtionai Instfltdbna 0fsupsp01% ! a7•..h dz, sFl z -MACE ,�WL zd&jt 'e 5 2��Nx�2�.��.>w(�?M Si�F�CL,Glt?'f.,� -,-•,�.rJ �✓AP, ,�'. p t� '. '� ... � �-- SEAL --------- -- DA'C•UM=ME;A, 5CA , F f?,'!. .,�•.°tom T.'r _ (�rr_ t �� G r^L�h�`�•�'-- - r. ��' ~ �''•�:'11c'-1 E Y�� J'Jt�.?3 i��:, ROD_ER ICK VAN TQYL, P.0 y 1 ` j �," r LICENSED LAND SURVEYORS - 1 GREENPORT NEW YORK w �OCAd APPROVED AS NOTED DATE ►-ab a B.P.# 50a cpa E (00_ BY: � COMPLY WITH ALL CODES OF FE NEW YORK STATE&TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS REQUIRED AND CONDITIONS OF, 631-765-1802 8AM TO 4PM FOR THE SpmQmm s FOLLOWING INSPECTIONS: soutl'Ia TOWNPAMNOOM FOUNDATION-TWO REQUIRED WWTMMTB FOR POURED CONCRETE AIty1me ROUGH-FRAMING&PLUMBING wwHm INSULATION FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ELECTRICAL INSPECTION REQUIRED Additional Certification May Be Required. Page No. 1 of 2 Pages � 11500 Old Sound Avenue,PO Box 106 I Mattiuck,New 11952 X kolb P 631t298-5527 1 F 631-29-298-5534 1 i HEATING + COOLING www.kolbmechanicai.com (' PROPOSAL SUBMITTED TO PHONE I—Glynis Rerry - I _3(2,_2Q2.2_I STREET JOB NAME I i+ f P.O, Box 444 24190 Main Road 1 CITY,STATE AND 21P JOB LOCATION ' Orient NY 11957 , Orient NY 11957 'I EMAIL ADDRESS CE`LL PHONE I �y�nis studioabarchitects.com f JZ/gs We hereby submit specifications and estimates for: Provide and install a new three(3)zone Mitsubishi ductless Variable Refrigerant Flow high efficiency heat pump heating and air conditioning system to consist of the following: t Zone#1: Living Room&Kitchen. (f One (1)Mitsubishi, model #MSZ-GL24NA, 24,000 BTU, ductless high efficiency fully 1 modulating wall mounted fan coil unit to be installed in the Living Room/Kitchen, ! 1 exact location to be determined. t i Zone#2: Bedroom. • One(1)Mitsubishi, model #MSZ-GL12NA, 12,000 BTU, ductless high efficiency fully modulating wall mounted fan coil unit to be installed in the Bedroom, exact location j( to be determined. Zone#3:Office. i �( One(1) Mitsubishi, model #MSZ-GL09NA,9,000 BTU, ductless high efficiency fully modulating wall mounted fan coil unit to be installed in the Office, exact location to be I+ i determined. i1 i it II fi ! Heat Pumps: i! • One (1) Mitsubishi, model #MUZ-GL24NA, 24,000 BTU, Variable Refrigerant Flow high efficiency outdoor heat pump condensing unit to be installed at the residence exterior,; (I exact location to be determined. Unit shall be set on a pre-cast slab. • One (1) Mitsubishi, model #MXZ-2C20NA, 20,000.BTU, multi-port Variable Refrigerant Flow high efficiency outdoor heat pump condensing unit to be installed at the residence exterior, exact location to be determined. Unit shall be set on a pre-cast ! slab. I — (, *Upon acceptance,please date,sign by the'W and return yellow copy with your deposit r ( KOLB MECHANICAL HEATING&AIR CONDITIONING r In me event this account is torwarded to counsel for collection the purchaser shelf 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. t( All payments Due Upon Receipt I, t f� � M C-yrC41i1Q9E hereby to famish material and labor—complete in accordance with above specifications,for the sum of; j ( Base Total !1 Options Total Grand Total t I Payment to be made as follows: i (3i 1 + 1 Ag material is guaranteed to be as-spedked.AA work m be ouno and in a walureoft mamer 3 acaordxgmsttmdaM9mc6ces Any aiwation or dwato,hmabove vwTulions mvd&g extra Authorized (R ( mstsva be oxmied only upon written adem andws beoome er wa dwp over and above the Signature ;I Ir es6mam.A6 agreements mtorgmt upmrstr&es,xodaentsadelaysttEyad ow mntrd.Ovmvm carry f¢e,tomado and offer necessary iranoce.Our workers are Iuly covered by WorWnan's Note:This project may he f 3 Goro;mmbw Insurance. withdrawn try us if not accepted within 16 (I( nrt l f j 2Lf�3fjil a of Vttr} OW The above prices,specifications and i mndtions are safisfactory and are hereby accepted. You are authorized to do the work as specified.Payment will be made as outlined above. Print Name r i l ' t( Date of Acceptance signature—j I Page No. 2 of 2 Pages Vxapo�aY t ii 11500 Old Sound Avenue,PO Box 106 Hkolb P 631-296 New York 11952 -29 ^ �� P 631-296-5527 1 F 631-298-5534 HEATING + COOLING www,koibmechanical.com I .I PROPOSAL susmirmo To PHONE DATE I I _ 4 i i STRE JOB NAME, { p n Rnx 444 24190 Main Paad 1{CITY,STATE AND ZIP JOB LOCATION l I Orient NY 11957 Orient NY 11957 �.,4 EMAIL ADDRESS i CELL PHONE r ;! :aYns+.rdioabarchitects corn i 7Z/9s i j We hereby submit specifications and estimates for: i Includes: j • Three(3) Mitsubishi remote thermostat controllers. • Condensate schedule 40 PVC piping for the HVAC system. Pre-cast condenser slabs, ArmorHex cleaned and capped insulated type V nitrogenized refrigeration piping. f I Charge refrigerant circuits with new R-410A Puron non-ozone depleting environmentally compliant refrigerant. 1 Low voltage HVAC control wiring. All necessary materials, labor, Installation and start-up. I Excludes: (+ • Line voltage power wiring, by Electrician. { • Cutting, patching, painting,and/or framing of sheetrock, if necessary. i{ {t • associated fees,if required. Any applicable permits, certificates, or ii Warranty: i f ' • All work to be done in a professional manner by trained installers and service if ( personnel, if i • One-year parts&labor service during normal business hours on above system. I • Exclusive Mitsubishi Elite Diamond Dealer Twelve-year parts and compressor 11 I } i if warranty. i All factory warranties honored, i i1 Ij i { Total Investment:$17,225.00 € j !I 1# „ if I i *Upon acceptance,please date,sign by the W and return yellow copy with your deposit. I S KOLB MECHANICAL HEATING&AIR CONDITIONING In the event this account is forwarded to counsel tar collection the purchaser shall be liable for all reasonable fees of Kalb Mechanical Corp., I It is the responsibility of the Homeowner to hava qualified Service Mechanics maintain heating and air conditioning equipment as required by man- r ufacturer In order to preserve warranties. i I All equipment shall remain property of Kolb Mechanical Corp.,until fully paid i! I}} All past due accounts shall be charged interest of 1.5%per month. { All payments Due Upon Receipt { t' We WtOpOHC hereby to furnish material and labor—cartgrlete in accordance with above specifications,for the sum of: i Base Total I js Options Total ! 5gventeen Thousand Tway Mired Twenty Five Dollars aQ xxlll0"-- -- t3tarai Total v,22�o0_1 i 1 Payment to be made as follows: f !j I` 50 @ sit' 5 D B e Ali material is guaranteed to oe Ealped8ed.M wodc be,be oompteted is a web M52 mercer i! i amaM'ag St standard pratl>ras.Any alaraim ordeviadan tram abare Vea&00ns bwhmgevba Authorized�.-�^' i mstswipba exeaRed only uponwddan acders,zrM wa hemnre an edrachar4am+grand abwethe Sig ufE I j ({ estimate.Ad agmanentswaiegerdupm stakes,amdeMsardelaysbepridearcvnaat Owaerto Iate:This project may }! !i carry Ise,tomado and other necessary fnsur=Our wa kers are fay mvered by Wodmran's 16 r i CaaPansaCm withdrawn by us It not anceptad within CifQACE D f�jI1B9A�The above poem specifications and R oonddio are satisfactory am hereby accefded. Yeu are authorized to �� do the work as specified.Payment wit! made as outlined above. P'n'Narn I} Date of Acceptance t d �(Signature