HomeMy WebLinkAbout51074-Z I 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#: 51074 Date: 8/15/2024
Permission is hereby granted to:
Tulle , John
100 Johnson Ave
Malverne, NY 11565
To: install central air conditioning in the existing single-family dwelling as applied for.
At premises located at:
250 Kenne s Rd, Southold
SCTM # 473889
Sec/Block/Lot# 59.-3-18
Pursuant to application dated 6/28/2024 and approved by the Building Inspector.
To expire on 2/14/2026.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $250.00
ELECTRIC $100.00
CO-ALTERATION TO DWELLING $100.00
Total: $450.00
Building Inspector
ffa'tek 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 bttps://www.soutlioldto�v tv . . o
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
P
PERMIT NO. £ Building Inspector:,
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an P1 �111"
( w
Owner's Authorization form(Page 2)shall be completed. a "
Date: O(o a 0
OWNER(S)OF PR PERTY:
Name: JOA yl AhA [(titlee�'1 �(/t :()T
M# 1000-
Project Address: 26 Q ICevl yte s ko � 117
Phone#: q 0 - Z b-7 - Email: k�, el Cw 1 mA i , COm
Mailin Address: 100 - /1� V.0v-✓l e
CONTACT PERSON:
Name: WAIcen Ttt e
Mailing Address: /OQ TD l h,5ph Avehue, AA A veryi e I I S&
Phone#: Cl /7 - 2� I - 0,2 BP,- Email; �i�'f� le @ W1Gl l �d t'✓l
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Add
Phone#: y r _ Email:
CONTRACTOR INFORMATION:
Name: b 1 b Coo(ivA 1�S2
Mailing Address: �DD O�d Sow 4veA p(� �DO Q �a Iv
Phone#: 6 3 l _ �� S- 5So2 Email:
i,
DESCRIPTION OF PROPOSED CONSTRUCTION
El New rtr �h molition. Estimated Cost of Project:
Othe ✓l ra �i C �vra�on Iteration OR pair ➢❑De�ilV Gon
❑ e ,1)vi►vl $ 16 039, Da
Will the lot be re-graded? ❑YesXlo Will excess fill be removed from premises? ❑Ye ❑No
1
PROPERTY INFORMATION
Existing use of property: �eS ideyL`�-�a 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,
Check BOX After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Ctaa ter 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 rerrioval 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): kA v`(cam Tm,l I ❑Authorized Agent caner
el
I
Signature of Applicant: � Date: 0(�/�7//
oZ 0 a.
STATE OF NEW YORK)
14
COUNTY OFkIM4 I e a j o-e
)
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing coat act) 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 20--d
w
ST hiSN J. E Q t r � 3l�NN'uo0
Notary Public,State of New York �9 EL93d 1,0*O+l WIgo
'2���b S t,i N!
ra i t�leo.C)'I Fl �A
Resist t
dualrfied In Suffolk SH33d'f tW h i'�,
cnmrfirssionF-xpireallove►T¢ty Count4o202 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
/SDDO-59-a-/
.�c�R✓�yEO FoR /NOMAS � ,/�OREEA/ �,QNILfN •
peopeRTy (ocoTEQ Rr 5'04TsloGo
roYVAI of SavTf/OG D 1
9UFFO L K COuNTy NEW
AREA=.38,-54g sf
Omtehotized aWation or addhan to this survey is a violation
of Section 72M of the Newyork State E&=dmiaw. '3k L
Capies of this survey mop not heating the lead%meroes inked
seal or ept'hossed seal spell nd he comdered to be a w•ald tine
COPY.
Guaoptees or odGfic.Niors( rated ftetew,shall.tan ordy tat'
the person for whom die survey is prepared.and on his behall to a - -�
dw€i4k cc-pacy.:zardrs'mnernal agt wy a hmding itsa€tawset
.ffs ,W to t a€sibne+r<s of tht kAdeng 7nsszt vo Z / z
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41
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Custom Lighting of Suffolk Inc. QUOTE #4940
PO BOX 1698
Mattifuck, NY 11952 SENT ON:
Jun 20, 2024
RECIPIENT:
CL�S Kathleen Tulley
CUSIOM�GOFSUffOLK
MASTER ftFCTPIfJ11NIE5T 30G1
250 Kenneys Road N O F O
Southold, New York 11971 SMART
Phone:631-298-4588
Email:clos5170@gmail.com
Website:www.customlightingofsuffolk.com
Product/ServiceDescription
HVAC Equipment Wiring Installation of a dedicated 240 volt,40 amp circuit to 1 $2,750.00 $2,750.00
outside A/C condenser. Includes breaker,wire,
service disconnect, and power whip to unit.
Installation of a weatherproof 120 volt GFCI
protected service outlet next to A/C condenser as
per code.
Installation of a dedicated 240 volt,20 amp circuit to
attic air handier. Includes breaker,wire, service
switch and power whip to unit.
Installation of a 120 volt GFCI protected service
outlet next to air handler as per code.
Service outlets will be fed from 1) 20 amp GFCI
protected breaker.
Air,handler and attic service outlet feeds will run from
the panel to the attic outside on the north side of
house in a 3/4"pvc conduit for protection.
Price includes all materials and labor for a complete
job.
A deposit of $1,650.00 will be required to begin.
1 of 2 pages
Custom Lighting of Suffolk Inc. QUOTE #4940
PO BOX 1698
Mattituck, NY 11952 SENT ON: L
Jun 20,2024
Total $2,750.00
Jun 24, 2024 XA"_ell
Date Client Signature
This quote is valid for the next 15 days, after which values may be subject
to change.
Any Work to be Completed Outside of this Proposal will be billed on a time
and materials basis.
A Deposit is requested as acceptance of this proposal in order to schedule
the work to begin
We are not responsible for the delay of scheduling.and/or loss or damage
due to acts of Mother Nature and/or wildlife or anything over which Custom
Lighting of Suffolk Inc. has no control.
Materials supplied by the client are not warranted.
Custom Lighting of Suffolk Inc. may file a lien or claim on its behalf in the
event that any payment to Custom Lighting of Suffolk Inc. is not made as
and when provided for by the agreement.All sums not paid when due shall
bear interest at the rate of 3%per month from due date until paid, and all
costs of collection, including any reasonable attorney's fee, shall be paid by
the client.After 60 days of non-payment, all services will be put on hold until
account balance is paid in full.
2 of 2 pages
IV Page No. 1 of 2 Pages
115000 Old Sound Avenue, PO Box 106
Mattituck,.New York 11952 -
O - P 631-298-5527 1 F 631-29&5534
HEATING + COOLING www•kolbmechanical.com
PROPOSAL SUBMITTED TO PHONE DATE -
STREET J B NAME
100Johnson Avenue 250 Kenneys
CITY,STATE AND ZIP JOB LOCATION ,
Malverne NY 11565 Southold NY 11971
EMAIL ADDRESS CELL PHONE -
KwtullevCalgmail.com JZ/GS/et
We hereby submit specifications and estimates for:
Provide and install a new central air conditioning system to consist of the following:
Scope of Work:
• Provide all engineering for the design and installation of the HVAC system.
• - Equipment and ductwork shall reside within the semi-conditioned building envelope.
• Provide-and install sheet metal ductwork,insulated as per New York State Energy
Conservation Construction Code.
• Provide and.install flexible connectors at the supply and return connections.
• All sheet metal-return ductwork to be internally lined with sound attenuating
acoustical liner. Liner to be fastened by means of glue and mechanical weld pin
fasteners.
• All duct seams to be sealed-with UL181 metal foil tape.
• All branch ducts to be UL class 1 air duct, meeting NFPA 90A and 90B and/or
insulated rigid sheet metal duct.
• Provide and install balancing dampers for all supply branch ducts.
• All visible distribution plenum boxes to be painted with flat black paint.
• Provide and install one (1) Armstrong, model #BCE5E36, 3-ton, high efficiency air
handling unit to be installed in the residence:attic, suspended from roof rafters by
means of threaded rod and kindorf with a secondary drain pan and moisture sensor.
• .Provide and install one (1) Armstrong, model #4SCU16LE136, 3-ton, 15.2 SEER2
outdoor air conditioning condensing unit to be installed at the residence exterior,
exact location to be determined. Unit shall be set on a precast slab.
• Provide and install vibration isolators for all motor bearing equipment.
• Provide and install Armorflex cleaned.and capped insulated type`L' nitrogenized
refrigeration piping.
•. Charge refrigerant circuits with new R-410A Puron non-ozone depleting
environmentally compliant refrigerant.
• Provide and install all,condensate schedule 40 PVC piping for the HVAC system.
• Provide and install Hart &Cooley grilles and registers throughout.
*Upon acceptance,please date,sign by the"X"and return yellow copy with your deposit.
KOLB MECHANICAL HEATING&AIR CONDITIONING
In the event this account is forwarded to counsel for collection the purchaser shall 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.
All payments Due Upon Receipt.
=0` 90POs¢ hereby to furnish material and labor—complete In accordance with above specifications,for the sum of:
Base Total
Options Total'
Grand Total
Payment to be made,as follows:
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner -
accnrding to standard practices.Any alteration ordevation from above specifications involving extra Authorized
costs will be executed only upon written orders,and will become an extra charge over and above the Signature -
estimate.All agreements contingent upon strkes,accidents or delays beyond our control Owner to
carry fire,tomado and other necessary Insurance. Our workers are fully covered by Workmen's Note:This project may be
Compensation Insurance. withdrawn by us,if not accepted within la
MfCBiiItAME of` fo�loord The above prices,specifications and
conditions are satisfactory an are hereby accepted. You are authorized to,
do the work as specified. Payment will be made as outlined above, Print Name
Date of Acceptance . �(Signature
Page No. 2 of 2 Pages
V00000 -
11500 Old Sound Avenue,PO Box 106-
• Mattituck, New York 11952 kolb2
P 631-298-5527 1 F 631-298-5534
H E AT I N-G + COOLING www.kolbmechanical.com
PROPOSAL SUBMITTED TO PHONE DATE
Kathleen Tulle
STREET JOB NAME
100Johnson Avenue 250 Kenne s Road
CITY,STATE AND ZIP JOB LOCATION
Malverne, NY 11-565 Southold NY.11971
EMAIL ADDRESS CELL PHONE
KwtulleV0CJmaiLcorri JZ/GS/et
We hereby submit specifications and estimates for:
Scope of Work (Continued):
• Provide and install one (1) digital thermostat.
• Provide and install all low voltage HVAC control wiring.
• Coordinate power wiring load requirements and power wiring schematics with the
electrician.
-
• -Perform all testing and balancing of HVAC system upon start-up.
i
• System to include a one (1).year parts and labor service contract.
Excludes:
• Line voltage power wiring, by Electrician.
Cutting, patching, painting, and/or framing of sheetrock, and carpentry for HVAC, if
required.
• Any applicable permits, certificates, or associated fees, if required.
Warranty:
• All work-to be done in a professional manner by trained installers and service
personnel.
• One-year parts &labor service during normal business hours on above system.
•. Armstrong Ten-year factory limited parts warranty.
• All factory.warranties honored.
Total Investment: $ 13,288.00
*Upon acceptance,please data,'sigh by the"X"and return yellow copy with your deposit.
KOLB MECHANICAL HEATING&AIR CONDITIONING
In the event this account is forwarded to counsel for collection the purchaser shall 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.
All payments Due Upon Receipt.
MC TtOpOOC hereby to furnish material and labor-complete in accordance with above specifications,for the sum of:
Base Total
Options Total
brand Total$� ?Q �_
Payment to be made as follows:
o/ nobocit• SfID/„ Rala ice We Upon Comnlet{gpS}art-u
All material is guaranteed to ti as speed. M work to be completed In a wbeanar&e manner
acoordng to standard practices.Any alteration or deviation hom above specifications 1rwomm extra Authorized
costs will be exewted only upon written orders,and will become an extra charge over and above the signature
estimate.M agreements contingent upon strikes,accidents or delays beyond our control.Owner to
tarty foe,tomado and ourer necessary insurance. Our workers are fully covered by Workmen's Note:This project may be
Compensation Insurance. withdrawn by us if not accepted within
Zceotanee of Vwpoo6l The above prices,specifications and
conditions are satisfactory anufare hereby accepted. You are authorized to
do the work as specified. Payment will be made as outlined above. Print Name
Date of Acceptance �(Signature