HomeMy WebLinkAbout50186-Z SufFOl�c Town of Southold�0�1 oGy 2/29/2024
P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
Ol'� ya -
CERTIFICATE OF OCCUPANCY
No: 45014 Date: 2/29/2024
THIS CERTIFIES that the building HVAC
Location of Property: 760 Oak Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 77.4-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/5/2023 pursuant to which Building Permit No. 50186 dated 1/5/2024
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 single-family dwelling as applied for.
The certificate is issued to Ryan,Donald&Glenna
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50186 2/21/2024
PLUMBERS CERTIFICATION DATED
t on d Signature
g;r== TOWN OF SOUTHOLD
BUILDING DEPARTMENT
ti TOWN CLERK'S OFFICE
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#: 50186 Date: 1/5/2024
Permission is hereby granted to:
Ryan,.Donald
760 Oak Ave
Southold, NY 11971
To: Legalize "as built" HVAC system to an existing single-family dwelling as applied for per
manufacturers specifications.
At premises located at:
760 Oak Ave, Southold
SCTM # 473889
Sec/Block/Lot# 77.-1-3
Pursuant to application dated 12/5/2023 and approved by the Building Inspector.
To expire on 7/6/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00
CERTIFICATE OF OCCUPANCY $100.00
ELECTRIC $200.00
Total: $800.00
jr�
Building Inspector
OE SO!/TyQ!
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Town Nall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlinCD-town.southold.ny.us
Southold,NY 11971-0959 COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Donald Ryan
Address: 760 Oak Ave City:Southold St: NY zip: 11971
Building Permit#: 50186 section: 77 Block: 1 Lot: 3
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 Service X
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 200A 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: 200A Panel 40 Circuit/24 Used
Notes: " AS BUILT NO VISUAL DEFECTS " Service & HVAC
Inspector Signature: e Date: February 21, 2024
S.Devlin-Cent Electrical Compliance Form
*OF SOUIyO� cxo G / -
# # TOWN OF SOUTHOLD BUILDING DEPT.,
MUM,���� 631-765-1802
INSPECTION
;
[ ] . FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
] .FOUNDATION.2ND [ ] INSULATION/CAULKING
[ . ] FRAMING /STRAPPING [ ] FINAL
A- ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] -FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
i
[ ] ELECTRICAL (ROUGH) 141 ,j ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: -� 3�/'/! U��i
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST)
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FOUNDATION (2ND) —�-
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INSULATION PER N.Y. H
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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h�O�g�fFOl��oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
c Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�4, �a� Telephone (631) 765-1802 Fax (631) 765-9502 hops://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT �EC--
For Office Use Only
PERMIT NO. 508 D 6 Bu ilding Inspector: 1�71 t' DEC - 5 2023 L�
Applications and forms must be filled,out in their entirety.Incomplete 3,TJT X,0-TG DEP T
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
-A Date: /�if C e.- S• Zo 2 3
OWNER(S)OF PROPERTY:
Name: DGh+ 9� �� n SCTM#1000-
Project Address:
Phone#: �13 �- 6S— Email:
Mailing Address: ,,,
'CONTACT PERSON: .
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:.
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
$
Will the lot be re-graded? ❑Yes NINO Will excess fill be removed from premises? ❑Yes KNo
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? Dyes ❑No IF YES, PROVIDE A COPY.
'j3 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 Perial.Law:.
Application Submitted By(print name): APh-J'( ❑Authorized Agent gOwner
Signature of Applicant: ��G Date: _ �ls/2G2.3
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01 BU6185050
SS: Qualified in Suffolk County'
COUNTY OF ) Commission Expires April 14,20,)q
i
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
y of �C1J �-21� ,20_ `��tt ✓� rUvLI�
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
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
E C E u E
BUILDING DEPARTMENT- Electri 9,I spector
�4 +y TOWN OF'SOUTHOL E� — 5 2023
Town Hall Annex- 54375 Main Roa O �ox 1179
„ Southold, New York 11971-0959 epiarterteret
Telephone (631) 765-1802 - FAX (631) �w outhold
rogerr(aD-southoldtownny.gov seand(aDsoutholc ownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: r
Electrician's Name:
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: 00/U Ir G-ev%n a .J
Address: C,).jq V
Cross Street:
Phone No.: 1-113 _ AL--I c S/
Bldg.Permit#: 5 p I (p email: R°cAL ��Ya `�175 �'''W` dM
Tax Map District: 1000 Section: -7 -7 Block: I Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
�XfS71—/NI z?YLc c a✓fe c_
Square Footage: /ao
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 F12 H Frame D Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
C LS O E
�OS�FFp�'�G BUILDING DEPARTMENT- Electri 0 spector
TOWN OF SOUTHOL nn - 5 2023
c Town Hall Annex- 54375 Main Roa - O B'ox 1179
o • Southold, New York 11971-0959 epaea�4 p� Telephone (631) 765-1802 - FAX (631) O-
r wgt a �C&e,Eti➢o6d rogerr Dsoutholdtownny.gov — seand(ob-southolt&ownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
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: 20 A) 'r GI-ZV%n 0, 4 o, rJ
Address:
Cross Street:
Phone No.: / 13 / 3a: 3 —4 21 cS7
Bldg.Permit #: rj p 9 (p email: lo,- ' YklS
Tax Map District: 1000 Section: -7 -7 Block: 1 Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
PAC--
EX s ii r� G .€ -r-bl z-i C a1- pan e
Square Footage: /a�o
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 F12 M H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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ELECTRICAL
INSPECTION REQUIRED
Product: APPROVED AS NOTED
Classic Series: Up to 95% DATE: I-S- B.P# 501
FEE (p00, DD BY-,- J
AFUE PSC Motor Multi NOTIFY BUILDING DEPARTMENT AT
MI-765-1802 MM TO 4PM FOR THE
Position (1195P) FOLLOWING INSPECTIONS:
FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
Model: ROUGH-FRAMING&PLUMBING
INSUIXON
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ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF T;IE "'}. ' OF NEW
The product was registered YORK STATE. NO I- RF; ' FOR
DESIGN OR COWTF''_ _ : . .- ,r.CRS
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