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Home My WebLink About50510-Z i I �o�OS11FFOlkIpG Town of Southold 4/30/2024 y� P.O.Box 1179 0 53095 Main Rd Gy�jo� �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45153 Date: 4/30/2024 THIS CERTIFIES that the building HVAC Location of Property: 615 Deep Hole Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-13-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/27/2024 pursuant to which Building Permit No. 50510 dated 4/4/2024 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"HAVC to existing single-family dwelling as applied for(maintain clearances around unit as per manufactures specs). The certificate is issued to Saunders,Lynda I i of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50510 4/29/2024 PLUMBERS CERTIFICATION DATED Author e Si nature i �soFFo TOWN OF SOUTHOLD moo o BUILDING'DEPARTMENT 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 #: 50510 Date: 4/4/2024 Permission is hereby granted to: Saunders, Lynda 615 Deep Hole Dr Mattituck, NY 11952 r � To: Legalize an "as built" HAVC system to an existing single-family dwelling as applied for per manufacturers specifications. Additional certification man be required. At premises located at: 615 Deep Hole Dr, Mattituck SCTM #473889 Sec/Block/Lot# 115.-13-6 Pursuant to application dated 2/27/2024 and approved by the Building Inspector. To expire on 10/4/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 CO-RESIDENTIAL $100.00 ELECTRIC $200.00 Total: $800.00 Building Inspector pF S0!/r�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q � �� sean.devlint'�town.southold.ny.us Southold,NY 11971-0959 COUNT`I,0 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Lynda Saunders Address: 615 Deep Hole_ Dr city:Mattituck st: NY zip: 11952 Building Permit#: 50510 Section: 115 Block: 13 Lot: 6 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 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic X Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt 50A 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: Notes: " AS BUILT NO VISUAL DEFECTS " Oven & HVAC Wiring Inspector Signature: ate: April 29, 2024 S.Devlin-Cert Electrical Compliance Form O OF SO//lholo # TOWN OF SOUTHOLD BUILDING DEPT. `ycoutm��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL 9VA-6 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ . ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Ma14'" d"-p4waeS 9200a DATE `d�a-o'Z� INSPECTOR ICU oF So�ryo� ��s r® 1s �� # * ' TOWN OF-SOUTH:OLD BUILDING DEF T `yCooHr+N�'' �6131-765-1802,- INSPECTION [ ] FOUNDATION 1ST/-REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND. 1 ] -INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] .FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION- [ ] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANTRENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 'I�PrGJLver I o �sr� LAoldl'q- AtT 0,I),A hef 14 461241CA4'�O Ov 4U v cG / DATE q1 2,11 t INSPECTOR - .' �, t - d .x° J YI ... a �T .� _„t�f� ,J,� _ ��♦ �.. ~� C C i .I'r• )1 � • 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 P ) ) Date Received i For Office Use Only � I LLS��Ira u lll/ I� L5 11 U PERMIT NO. 60510 Building Inspector: 11 Applications and forms must be filled out in their entirety.Incomplete F E B 2 7 2024 applications will not be accepted. Where the Applicant is not'the owner,an Owner's Authorization form(Page 2)shall be completed. Town Of.:7ot9tPp?�lL� Date: i OWNER(S)OF PROPERTY: j Name: SCTM#1000- Project Address: �� /1'v el! 7Tl f 7,tClt /V Phone#: 5/(p-36 F 9 3 Email: C'-S�9-LTD 4 3 P Cc h v� Mailing Address: 27—Z Lek CONTACT PERSON: Name: h 4404V ct liU ri IV" i-P/Z— Mailing Address: /2 ZZ c/ Ce at oul2'f I rr;lU a N l l 5 0/ Phone#: 3 '_ 915; Email: CSA (LTD 4 a/qW•Cvt-�' DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑ rther ructu/ree ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: �"/ l��i $ Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes ONO 1 I 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. ❑ 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): )I coIrM ❑Authorized Agent ❑Owner Signature of Applicant:C � lam_//i'�'i c P� Date: 2 •Z� Z l CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01 BU0165050 Qualified in Suffolk County �, COUNTY OF ) Commission ExpiresApril 14,20a being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, i i (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 Ll Qq4-"day of 20' 'l Notary Public (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 Qj3 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD 2 7 2024 Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Teleph8ne (631) 765-1802 - FAX (631) 765-9502 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: El I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) C rM-+a G7(�,381-7753 Name: V1 C Ar M t�o C�, CN Le/k- Address: 1 -90 : -D to (:5 L L vf kaf[-4y-� 0�aa ( (q52- Cross Street: Phone No.: C; --)-a 1 7C-16:21 BIdg.Permit#: 505 10 i email: Tax Map District: 1000 Section: 1 15 Block: 12) Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): C11VQV1 yold— Square Footage: Circle All That Apply: Is job ready for inspection?: YES F] NO []Rough In Final Do you need a Temp Certificate?: F-1 YES NO issued On Temp Information: (All information required) Service Size F11 Ph F]3 Ph Size: A # Meters Old Meter# FlNew Service[]Fire Reconnect E]Flood Reconnect E]Service Reconnect[]Underground Doverhead #Underground Laterals F12F] H Frame n Pole Work done on Service? F]Y N Additional Information: PAYMENT DUE WITH APPLICATION V PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's � UC Lts Fridge HW POOL Fans Mini Fr. WAD Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC-� AH Hood Blower Service Amps; Have Used Sub Amps Have Used Comments O 6Q APPROVED AS NOTED DA E: ��Z� 3.P# �D 510 COMPLY WITH ALL CODES OF FE �O 6 By NEW YORK STATE &TOWN CODES A REQUI ED AND CONDITIONS OF NOTIFY BUILD_ING DEPARTMENT AT SOUTHOLD TOWN ZBA 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: SOUTHOLD TOWN PLANNING BOARD FOUNDATION TWO REQUIRED SOUTHOLD TOWN TRUSTEES FOR POURED CONCRETE A NIS.DEC , ROUGH-FRAMING&PLUMBING SOUTHOLD HPC INSULATIQN $CHp FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR Additional DESIGN OR CONSTRUCTION ERRORS Certification May Be Required. G � I I I i ELECTRICAL INSPECTION REQUIRED i }qty fp.Li r � i AIR CONDITIONEFT STYLE No- . . .t t, t � t�1�?U"t�t;� ° ► NlF1R. NO t)It C*KT , OKW (t-#�,CU x YPE IN USA) 2.5 AMPS %RATED VO TAGU 208/2*) 142 tatt VOLTAGE: Mtn. 197 MAX 53 r �vtttrtuluivr cittuut� ar�ipacnr y. 14,4 . Et > PH ft-A r:r . . t RA , COMPRESSt»i: _ .i _ tt, �r .. 1"�H:.• ..•�lei '� +ft � �.'VJ OUTDOOR U411" :;N11�ii�'INt:� C11ts�it,t 'i .' Jit End. tJ V At kIPERAT M(l. 't:1IAFIG1. r •i r`r, ,. tiy _;�1GN PREStSURE t1�.;ICi). 141t.#s trstl 1 OV, t rs . ► t; 't �—L� ..�<`.�PA, c . z cY 1JX� r • Ali^ 914 3)Jv !►-3l F /�t1. rst�F a .. rr. t +•►4 iiC.' •:. e;i, ci•r a MILBANK MFG. caSS N0. 34Gp �!0. 60 kMP 240 VOLTS AC 1 PHASE 21NtRE 10 THM SWITCH IS SUITABLE NOT MORE THAN 10,000 AMPS,USE�A��CJIPABLE'� •' RMS. SYM.,244 VnLTSA414BjA y . 'PROTECTED BY FUSES OR C >, CAUTIOW ��BREAKER DOES NOT COHT WFWS - ' PRtCAUTION. o.WA PASSE 3' A1Sf8LFS FF W°RDA DANGER- TM DANGER- =DrErtc'm�LECTRrow ou of 8Rll-ME ffiVAZ AVANT DE TRAVAILLER A L'tNTSWEUq .� ENCLOSED OLIT SWITCH "? U S PULL92X7 LISTED RE° G ,4 ei^ Mi 3(_ ` cot �- r 0 N ? ' Y" w. tom.` ." �• � � + STYLFNo . . ,. r • MFR. NO tll� T .» �f�Kf�. (HA 63A) AW T AGE 208/230 PH li7 « C1RCUti`- AtMPACIl`Y- 1*.4 PH 5»4.1 .48 ERAT I U11ARGE . -OTAL- 'OPERATING .�.-HARGE F'EFSF: To' TtOi-<"_NEE 1 �:' -• , . ;.ATIG1N UL p i F A MA N C/E 14VERIFIf C -- ON ATIO LIVVi SUS tJ1it.j . g, r { USA 3700 f _ :.- 7:. _. r�. ." 14 C) aojt.f `ER4; INTERNATIC) sN<t . • - _ » :4't.,:/ _ -. _*i.Ji►b--1aP9 . N�.�. � .+ ,... ... t • ._ _ ____�.-fir,.. �