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Home My WebLink About50863-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 #: 50863 Date: 6/25/2024 Permission is hereby granted to: Regional Asset M mt LLC 250 NW 23rd St Unit 412 Miami FL 33127 To: legalize "as built" central air conditioning as applied for. At premises located at: 970 Village Ln Mattituck SCTM # 473889 Sec/Block/Lot# 114.-6-15 Pursuant to application dated 5/3/2024 and approved by the Building Inspector. To expire on 12/25/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 ELECTRIC $200.00 CO-ALTERATION TO DWELLING $100.00 Total: $800.00 Building Inspector 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 htt s�.1/www,sOutl10ldtewni -yo 44el Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only El PERMIT NO. 6O Building Inspector;. e, AY 3 202 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name:REGIONAL ASSET MANAGEMENT, LL=Sc-rm"000-114-06-15 Project Address:970 VILLAGE LANE Phone#:516-449-2783 Email:KRIS@NORTHFORKCOMMERCIAL.COM Mailing Address:250 NW 23RD STREET, MIAMI, FL 33127 CONTACT PERSON: Name:EILEEN WINGATE Mailing Address:23 GARLAND RD, ROCKY POINT , NY Phone#:516-818-9754 Email:EILEEN@QUIETMANSTUDIO.COM DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: 'AS BUILT' Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: El other a/c condenser $ Will the lot be re-graded? ❑Yes R No Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property:SINGLE FAMILY HOUSE Intended use of property:A/C CONDENSER Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes RNo IF YES, PROVIDE A COPY. li(: k Box After Read!ng: The owner/contractor/deslgn 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 bul dings, 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):EI I I ngat IgAuthorized Agent ❑Owner Signature of Applicant: Date: 1/3/2024 CONNIE D.BUNCH STATE OF NEW Y ORK Nota Public,State of New York ry SS: No.01 BU6185050 Qualified in Suffolk County COUNTY OF Commission Expires April 14,2 00 EILEEN WINGATE being duly sworn,deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)heisthe AGENT FOR OWNER (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 NOD day of Im 20!a-� Notary Public 11IIII10I'E ( G W (Where the applicant is not the owner) KRIS PILLAS residing at 250 NW 23 STREET, MIAMI, FL — ' do hereby authorize EILEEN WINGATE to apply on my be alf to the Town of Southold Building Department for approval as described herein., 05/1/2024 Owner's Signature Date KRIS PILLAS Print Owner's Name 2 xt BUILDING DEPARTMENT- Electrical Inspector Pry TOWN OF SOUTHOLD n Town Hall Annex- 54375 Main Road - PO Box 1179 4 Southold New York 11971-0959 Telephone 631 765-1802 - FAX 631 765-9502 ro ,err southoldtownn . ov .seand southldtornn �or APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 5/1/24 Company Name: CUSTOM LIGHTING OF SUFFOLK Electrician's Name: BEN DOROSKI License No,: Elec email; Elec. Phone No: 631-298-4588 ❑1 request an email copy of Certificate of Compliance Elec. Address.: 5170 ROUTE 48, MATTITUCK, NY JOB SITE INFORMATION (All Information Required) Name: REGIONAL MANAGEMENT LLC Address: 970 VILLAGE LANE, MATTITUCK, NY Cross Street: MAIN RD, Phone No.: 516-449-2783 Bldg.Permit#: email: EILEEN@QUIETMANSTUDIO.COM Tax Map District: 1000 Section: 114 Block: 06 Lot: 15 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): INSTALLATION OF A/C SYSTEM INCLUDING EXTERIOR CONDENSER Square Footage: Circle All That Apply: Is job ready for inspection?: W1 YES F� NO []Rough In W1 Final Do you need a Temp Certificate?: YES W] NO Issued On Temp Information: (All information required) Service Size01 Ph 3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 H Frame 0 Pole Work done on Service? Y nN Additional Information, . PAYMENT DUE WITH APPLICATION r4 SURVEY OF LOT LOT 18 MAP OF E VILLAGE MANOR LOT 15 Ars w FILE No. 3669 FILED OCTOBER 24. 1962 N R oo N SITUATE MATTITUCK y TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK o= S.C. TAX No. 1000-114-06-15 SCALE 1"=30' o JUNE 20, 2022 I AIL Alko H O TOTAL LOT AREA = 31.537 sq. ft. '1L` 3,, 111c 0.724 oc. ZSa• ..,'apt. WE IL&ND AREA=4.665 eq. ft. AL ^ UPLAND AREA=26,762 sq.ft_ 7 / TAT r to r3 „rUP lop vvw- rn ,•� �� weµ��.. LOT 19 ti acAIRN aF y PREPARED N1 ACCORDANCE WrfH Rk N IRE SCANEMM FOR T SURVEIS A5 ESTldlLt5TN1,T pry� ;ANZ GY. TRLE ASSOCIATM N.Y.S..Lic.No..50467 Z ro INS SLRVEY IS A VKarAn�M OF Nathan Nathan Taft Corwin III - £ gCOON 77D9 OF 7HE NEW YRe(STATE EDUCATION LAW. �� f) COPIES OF TWS nXrS =SNUTEA DEMQIG Land Surveyor EN WA AEAL SHALL NaD SEAL S MBE A sfx RUE C PY.N(Yr Suxessor To:Stan J.Cau�li'amrv,..Jr.LS. To 6E A vAiD TRUE COPY. Josep A.Rlgsgna LS. O�Tl �aTwE N MON F IEAEON THEii RUN v CERn ro THE PEON FOR IEDN SHALL L RNE7 rrfle SOrvrye—SUbdNWion3— Si66 Pfar15 — CM961UcSoa LayDu� ND N.AD47xnT' PHONE(631)727-2090 Fax(631)727-1727 TO THE SS NEESU'p PI TON„ANO ro THE CERFFI AI DF THE Nor TG NSFEP LURING ADDRESS 1U1x1R CERIF1b11xINS ARE NOF 1RNSFERABIE OFFICES LOfAIID AT 1586 Clain Road P.O.Box 16 THE D(MMNCE OF RN.TR OF WAYS Jamasport, Nm York 11947 Jarnesport,Ne York 11947 ANO/T7R EASEN'ENTS OF Kom.IP ANY,HOT SHOWN ARE kDT OUAAWMED. E-hail:NOorrin3tlad.c WING. C221736341 R '= r •�°�. VIP EN SEA PRODUCT NUMBER.. .;�.:•� S. S . ZARp N4R3421KR102 �''�'� ' N LION MODEL NUMBER T . dElo•EJECT II OR H4A342LKA102 �SEINLLREMOTE METERING TXU N/A SECIAE 'SUPPLIES DEVICE INDOOR OUTDOOR -1 . EC pOWN FACTORY CHARGED R-410R SoICING QUE DE5,84 LBS 2,65 KG ►ON�RISCTRIQUE INDOOR TXU SUB COOLING 10 :F CAUSER DES POHER SUPPLY 208-230 VOLTS RC C p110RT 1 PH G0 NZ p�LA PERMISSIBLE VOLTAGE AT UNIT TOUT TRIQUES 253 MAX 197 MIN SELECT . SUITABLE FOR OUTDOOR USE _;"� 2081230 VOLTS AC EiIEN . .�� COMPRESSOR :{ . . • 19.20 RLA 123,9 LRA FAN MOTOR 2081230 VOLTS AC I RISQUE DE FEU etrthtOmmovecomponents. 1 PH G8 HZ ddlfue Use tubing cutter. " ''' �+Nunetorche pour retirer 114 HP 1,40 flR trs;HuRepeutprendre DESIGN I TEST PRESSURE GAGE re`°iipet"be' HI 450 PSI 3103 KPR lAISQUE D'EXPLOSION ?�+Ev024pressureandrecover LO 250 PSI 1724 KPA IsorflnatdisposaI. Useall MAX DESIGN / HORKIHG PRESSURE �Ision.Relevertoutes 700 PSIG 4826 KPA alterefrigerantavant I"d'entreprendre ou MINIMUM CIRCUIT AMPS 25,4 ProdUay k uit Utilisertous MAX FUSE 40 A I MAX CKT - BKR 40 A AnENTION- Short Circuit Current:5 trA rms,symmetrical, 230 � tOperatin9 Pressures DATE OF MANUFACTURE APO 2022 ' equipment, itPrsions de V R/etl�rmites des C L US LISTED `M°• IFwrnAL roaUNn SERV - AIR mmorno l? R ICE tROILPPROUED TIFIE , krlalling er ors 5eryicin g this unit. Unitary Small AC R COMP O A O L'HUILE �r �lau MPRESSEUR 2101240 ant l'instailation ou ti ' ENGINEERED IN USA >itL ASSEMBLED IN FAEXICO Gf REy C INTERNATIONAL COMFORT PRODUCTS. 347519-41396 Lewisburg.TN 37091 U.S.A. '`'•"; � Installation Prohibited in Ctlleasl&Southwest QWARNING This product can expose you to chemicals into the c Lead and lead compounds,which are known to the St, of California to cause cancer and birth defect; for www P65ro ucti gsha qov or more information gc : .A -------- Qi AVERTISSEMENT I vous eXp-9 r des rno�DOs@s de