The URL can be used to link to this page

Home My WebLink About50960-Z ry TOWN OF SOUTHOLD ` WOO BUILDING DEPARTMENT TOWN CLERK'S OFFICE � y 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 #: 50960 Date: 7/17/2024 Permission is hereby granted to: Ellin haus, Jonathan 620 Pelham Rd Apt 2A New Rochelle, NY 10805 To, legalize "as built" AC in existing single-family dwelling as applied for. At premises located at: 155 Smith Dr N, Southold SCTM # 473889 Sec/Block/Lot# 76.-1-22 Pursuant to application dated 5/24/2024 and approved by the Building Inspector. To expire on 1/16/2026. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 ELECTRIC $200.00 CO-ALTERATION TO DWELLING $100.00 Total: $800.00 Building Inspector 4 TOWN OF SOUTHOLD—BUILDING DEPARTMENT x' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 httt)s://www.southoldtowiin . oar Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO., Building InsPtettor: 2 A 2,P Applications and forms must be filled out in their entirety. Incomplete Building pepartrnent applications will not be accepted. Where the Applicant is not the owner,an Town of Southold Owner's Authorization form(Page 2)shall be completed. Date: l� OWNER(S)OF PROPER_ _7 µ Name: I l( �1 OL-ids SCTM#1000- Project Address: �� T/1 b r1 ` No , So A N U 1 Phone#: 3 I CA Email: vl `lei S Mailing Address: (tif , pa[ 01,11 4 IV CONTACT PERSON: � Nan e» C3 L I hl�.C"S Mailing Address: 2-0 - /\J kczhLL c j 4 16am " Phone#: + 11 Email: v (i n r ,h ( � tw DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION:. Name: JC)kq Mailing Address: O l�J L� Phone#» lam/ 3 0 2t-(G Email; c7 �1 �1 J I ` t fif!!�✓t DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Struct re ❑Add'it on ❑Alteration ❑Repair ❑Demolition Estimated!Cost of Proj�i ❑Other Will the lot be re-graded? ❑Yes 1340 Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property: ( Intended use of p; pe T2��t" ' Zone or use district in which premises is situated: Are there any co enants as restrictions with respect to CA) �4yI a / coo this property? ❑Yes Jo IF YES, PROVIDE A COPY. El 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 220.45 of the New York State Penal Law. U i/� �� Application Submitted By(prI t name): j p �l I� 1 r � ❑Authorized Agent finer Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF S c being duly sworn, deposes and says that(s)he is the applicant (Name of in vidual signing ntract) 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 a lication file therewith. Sworn before me this day of 12141 20 � -- Notary Public AKINSHEYE DORSETT NOTARY"PUBLIC,STATE OF NEW YORK Registration No.01DD 4042� 0PERTY OWNER AUTHORIZATION +Ouagified in Westchester County Commission Expires 12/07/2027 (Where the applicant is not the owner) _...7_.1.. 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 X °°� f d ,w� BUILDING DEPARTMENT- Electrical Inspector ell I ` TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 r Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 i,amesh@southoldtownny.gov — seand souotholdtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Au information Required) Date: -kJ Company Name: Electrician's Name: License No.: 9 b Elec. email: (2 I e c4rj c, m 4, Elec. Phone No: L31, 767 63YL I request an email copy of Certificate of Compliance Elec. Address.: o JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: I' 5-3 9 Bldg.Permit#: �5(0G email: o J6 icJDud. Tax Map District: 1000 Section: Block: / Lot: a- BRIEF DESCRIPTION OF WORK, IKLJ�PE SQUARE FOOTAGE (Please Print Clearly): S ill L -r ., _ r._ Ac— Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES F-� NO []Rough In MIKinal Do you need a Temp Certificate?: YES 0 NO Issued On Temp Information: (All information required) Service Size1:11 Ph3 Ph Size: A # Meters Old Meter# ❑New service[—]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals[]1 H Frame M Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION lis-S6WT 5�U � MODEL NO . Q . / �®DELE N F024 J 3CSJ SERIAL NO . / N° D NAB MFD. /FAB E SLR I0/20 I E ��392I 65585 ZI OUTDOOR COMPRESSOR CODE / UTILISATION USE/ VOLTSCO S DE COMPRESSOR �� E�TRIEURE 20812 10 '9529 a COMPRESSOR/ COS PHASE. I HERTZ 60 i �PRESSEUR R. L. A. II , 2 I OUTDOOR FAN MOTOR/ / I ° 2 L• R.A.. 60 .8 MOTEUR VENTIL . EXT. F.L.A. 0. 75 MIN. SUPPLY CIRCUIT AMP ['I- P. I/7 -. . ACITY/ COURANT ADMISSABLE DsAL F I5/I5 A .°� I M. MIN. E MAX . FUSE OR CKT . BKR. * --... S i Z E / CAL. MAX . DE FUSIBLE/Di * _� .c SJ 25/25 A MIN . FUSE OR CKT. BRK * 4 mm • S iZE / GAL. MIN. DE FUSIBLE * /DIS,I 20120 A DESIGN PRESSURE HIGH/ _ PRESS ION NOMINALE HAUTE 450 PSIG/3IO2 kp °--- DESIGN PRESSURE Low PRESSION NOMINALE BA SSE 250 PSIG/I723 kPa OUTDOOR UNITS FACTORY CHARGE/ CHARGE USINE D ' UNITES EXT "ERIEUR 66 oz/187Iy R410A � ` TOTAL SYSTEM CHARGE/ CHARGE TOTALS DU SYSTEMS e R410A SEE INSTRUCTIONS INSIDE ACCESS ~* PANEL VOIR LES CHARGE INSTRUCTIONS A L"INTE / ��*� FUJ I TSU GENERAL AMERICA INC.RIEUR DU PANNEAU D'ACCIS � ..-,. PINE BROOK � INSTALL � NJ 07058 STALL PROHIBITED IN SOUTHEAST AND S ~ *HACK TYPE BREAKER FOR U.S.A./ SOUTHWEST DISJONCTEUR DIFFERENTI ASSEMBLED < II!!IlIIllllllllllll! I Px l I �lNflllllllllllllllllllJll!! (()l 92-22050-t 7 �.'fr