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Home My WebLink About51105-Z TOWN OF SOUTHOLD � a� 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#: 51105 Date: 8/21/2024 Permission is hereby granted to: Na a, Anthony 425 Jacobs Ln Southold NY 11971 To: legalize "as built" central air conditioning as applied for. At premises located at: 425 Jacobs Ln, Southold SCTM # 473889 Sec/Block/Lot# 88.-1-1.5 Pursuant to application dated 7/5/2024 and approved by the Building Inspector. To expire on 2/20/2026. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 ELECTRIC $200.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $800.00 k) ,- Building Inspector z+aer TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Q Telephone (631) 765-1802 Fax (631) 765-9502 https://www.sotitholdtownny.gov Date Received APPLICATION FOR BUILDING PERMIT E C E 0 W E For Office Use Only qqry ay PERMIT NO. Building Inspector: 024 Building Department Applications and forms must be filled out in their entirety. Incomplete Town of Southold applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: tLl OWNER(S)OF PROPERTY: 1 1 Name: /V1�a-mot �-S4 ►"A�104 SCTM#1000- Project Address: 4t a A co KS LIJ Sd crNULZ l Zq*j Phone#: JR4 747 Os(o Email: ' 'A f oop fif*F M Mailing Address: LOL"C' ll�$s W 16LtT)q6 5 )1-1 CONTACT PERSON: Name: S' PAA N14�PwPl� Mailing Address: cogs (� Phone#,�bg- 5 Qq,!!b Email: SA"XAw4ev 4 G Miff � DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: 1 Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 90ther 1S1]/v Co $ or- Will the lot be re-graded? ❑Yespo Will excess fill be removed from premises? ❑Yes X�Vo 1 PROPERTY INFORMATION Existing use of property:SING Lt . I Intended use of property: S'Am e- Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to A ) this property? ❑Yes�No IF YES, PROVIDE A COPY. Al(, ghee B�x fter R t to The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter of the flown Code. AIP 'ICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone ordin nce 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 a0 applicable laws,ordinances,building code, housing,code;amd regulations and to admit authorized Inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class Aa misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By( int name): ❑Authorized Agent j�Owner Signature of Applicant: --- Date: VcI l t' STATE OF NEW YORK) SS: COUNTY OF S( (f-f-0W-..-_) - G-' being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the r CD " '; (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 d,ay of lA- �� 20' _ D. O Notary Pu ` a I '"«, ^, V.�" AW.44v �• S PROPERTY OWNER AUTHORIZATION If (Where the applicant is not the owner) `•, /A,009iz .2� Q�%y " (Y T. 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 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 amesh southoldtownn . ov - seand southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date:. Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: S Of-A Address: S_ Cross Street: Anq V ,l e'r Phone No.: .� Bldg.Permit#: 115 email: Tax Map District: 1000 Section: iLBlock: Lot: ; " BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): AW- Car.►DITlbt,-)I N� �,t4,lZTl(-Icx�� a� dccrJ�rvc� Square Foota e: Circle All That Apply: Is job ready for inspection?: I V1 YES DI NO []Rough In Final Do you need a Temp Certificate?: F1 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 L 1 2 El H Frame 11 Pole Work done on Service? Y MN Additional Information: PAYMENT DUE WITH APPLICATION LU'I' MAP OF MINOR SUBDIVISION DEERFIELD FARM FILE No. 10596 FILED MARCH 27, 2001 SIT UA TED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-88-01 — 1 .5 SCALE 1 "=50' APRIL 3, 2001 JUNE 15, 2001 REVISED PROPOSED HOUSE JULY 11 , 2001 FOUNDATION LOCATION JANUARY 10, 2002 FINAL SURVEY APRIL 17, 2002 BARES FOUNDATION LOCATION APR9L 21, 2016 STAKE PROPERTY LINES MARCH 4, 2020 UPDATE SURVEY AREA = 120,801 sq. ft. 2.773 a c. /f Sg. 30 20 , a F LOT O ° - 9 a , Iry AD e� a MODEL 1t, �bELE N°13AJA36CO111" MFD./FAB P16P2D1" SERIAL NO./ N' DE SERIE W241519297 OUTDOOR USE/ UTILISATION EH IXTtRIEUR COMPRESSOR CODE / CODES DE COMPRESSEUR 8938 VOLTS 206/230 PHASE. 1 HERTZ 60 COMPRESSOR/ COMPRESSEUR R.L.A. 15.4/15.4 L.R.A.87.00T AS NOTED OUTDOOR FAN MOTOR/ AM F.L.A. 0.80 H.P. 1/6 RIM MOTEUR VENTIL. EXT. im MIN. SUPPLY CIRCUIT AMPACITY/ 21/21 A DATE" �^„ P JI �/I�s, COURANT ADMISSABLE D'ALIM. MIN. 1P MAX. FUSE OR CKT. BRK. SIZE'/ 35/35 A CAL. MAX. DE FUSIBLE/DISJ* d" I' " MIN. FUSE OR CKT- BRK. SIZE*/ 25/25 A am NOTI BUILDING DEPARTMENT AT CAL. MIN. DE FUSIBLE/DISJ' DESIGN PRESSURE HIGH/ 300 PSIG/2068 kPa -•- 631-765-1802 8AM TO 4PM FOR THE PRESSION NOMINALE HAUTE DESIGN PRESSURE LOW/ 150 PSIG/1D34 kPa FOLLOWING INSPECTIONS: PRESSION NOMINALE BASSE _ OUTDOOR UNITS FACTORY CHARGE/ +0�/ 1• FOUNDATION - F'',,'. 'r-�'-' CHARGE.051NE 0"UNI15S tXTCRIEUR FOR POURED TOTAL.SYSTEM CHARGE/ CHARGE TDTALE DU SVSTtmE 2. ROUGH- FHAMi NL'. 9EB INSS"RYB'R9 ONSIDE AV,11SS PAN% N Volk U;S(4AAq o IRU~al0ns A L"SHSIR➢TOR rN PY.knCAIM�'At��E�a 'a 3. INSULATION PHEEM SALES COMPANY FORT SMITH, ARKANSAS pss'M[D 4. FINAL-CONSTRUCTION U'D-T INSTALL PROHIBITED IN SOUTHEAST AND SOUTHWEST •HACR•TYPE BREAKER FIR OA,A/ Rcz�co BE COMPLETE FOR C.U. DlsaoHCTEDR DIEfE0IlEL I N�II�IId�N�� 2-Zzoso_�;Px� ALL CONSTRUCTION SHALL. M1FET T? glyWS 1pip REQUIREMENTS OF THE WDES O �„s"'�-•.. YORK STATE. NOT RESPON'SIENI r DESIGN OR CONSTRUCTOuv EI:I wear i COMPLY Wn ALL CODES OF NEW KSTATE&TOWN CODES AS UI ID CONDITIONS OF MVCp1 EL Tura. M k IiL 1� 1,T ,irFAO 6r205 /NMC ''TOWN ZB u „ o Oulnow vI SERIAL NO./ ru° IaE � � RIItE,ISA 08 Eli LTl(RIEV � TOWN PLANNING BOARD COMPRESSOR COI t COPES a CU&�PRESSEUR 8939 TG'WN TRUSTEES ZraBr230 HERTZ 60' VOLTS I�aN. 19 1 12.0EC CIIF111RESSgRr C4MIP1tSSEUR . 1rII . . .J OUTDOOR FAR MOTOR/ F.L.A. C.84 ai,P�. �tr� -�� , HPMOTEUR YENT1L. EMT. AI'IN. SUPPL"I CIIRCUIT AMPACITYr 25r S �-� COURANT AIDMISSABLE W AL,W- MIN- �Of4C � FkA1r. FUSE OR CK . BRK. SIZE"/ CAL« MAY, DE FUSIBLE101W 111@I. FUSE 09 VT RRK. SIZE*/ 30r30 A CAL. FgIR. OE FUSIBLErIa'1S0 1u� I1E III ICBU t 8 kPO 1a FSl r DESIGN F'R �Ck NO 1INALE 0110I'E 3Or1 � � UNLAWFUL. OFSIICrta PRESSURE LI1FIr 15r1 PSYTar143�a 'BPB MALE WITHOUT if I�' -� PIIESS T 11ASSE ;E W%ok FACT RT EItARa51 r r 02 cwrE III 'NISI T E rTIRT 1 IAL SYSTEM C1T OCCUPANCY CTN�AGE TOT, t ouStST lots wES SALO olo'A y a � ELECT INSPEC rION REQUIRED e sse SSIr� MODEL NO./ MODELE N*13AJA36CO1115 MFD./FAB 0612015, SERIAL NO./ N° DE SERIE W241519297 • OUTDOOR USE/ UTILISATION EN EXTERIEUR COMPRESSOR CODE / CODES DE COMPRESSEUR 8938 VOLTS 1 208/230 PHASE. 1 HERTZ 60 COMPRESSOR/ COMPRESSEUR R.L.A. 15.4/15.4 L.R.A.87.00 OUTDOOR FAN MOTOR/MOTEUR VENTIL. EXT. F.L.A. 0.80 FI.P. 1/6 MIN. SUPPLY CIRCUIT AMPACITY/ 21/21 A mm COURANT ADMISSABLE D'ALIM. MIN. MAX. FUSE OR CKT. BRK. SIZE*/ 35/35 A ='•E CAL. MAX. DE FUSIBLE/DISJ* 5—m 4 MIN. FUSE OR CKT. BRK. SIZE*/ 25/25 A Mm CAL. MIN. DE FUSIBLE/DISJ* E DESIGN PRESSURE HIGH/ ' PRESSION NOMINALE HAUTE 300 PSIG/2068 kPa DESIGN PRESSURE LOW/ 150 PSIG11034 kPa PRESSION NOMINALE BASSE OUTDOOR UNITS FACTORY CHARGE/ r CHARGE USINE D'UNITES EXTERIEUR 0 OZ/Og TOTAL SYSTEM CHARGE/ CHARGE TOTALE DU SYSTEME SEE INSTRUCTIONS INSIDE ACCESS PANEL/ sr VOIR LES CHARGE INSTRUCTIONS A L'INTIRIEUR DU PANNEAU D'ACCES RHEEM SALES COMPANY FORT SMITH, ARKANSAS ASSEMe�n INSTALL PROHIBITED IN SOUTHEAST AND SOUTHWEST IN -NACR•TYPE BREAKER FOR U.S.A,i MEXICO OISJONCTEUR DIFFERmEENNTTIIE'L,7 IPxn I�IU NNI�!N�I�I�OWf�I��IM4�11�111LL` 92-22050-17 FAB 0612015 MODEL N0.1 MODELE N° 13AJA42C01115 MFD./ OUTDOOR USE/ SERIAL NO./ NO DE SERAE W241526940 UTILISAJION EN WtRIEUR• COMPRESSOR CODE / CODES-DE COMPRESSEUR ICI 8939 VOLTS' 208/230 ''PHASE.. 1 HERTZ •60.: : COMPRESSOR/ COMPRESSEUR R.L.A. 19.2119.2 'L•R'•A. 1T2.0 "'_'` ' OUTDOOR FAN MOTOR/ F.L.A. 0.80 'H.P* 1/6 ' MOTEUk VENTIL. EXT. A. MIN. SUPPLY CIRCUIT AMPACITY/ 25/25 , COURANT ADMISSABL£ D'ACIM. MIN-M 'FUSE OR,CK . RZE*/ " 44 A . B FUSIBLE/DISJ* CAL.. MAX: DE;_ * 30/30 .CKT: BRK.,.SI*E / ' •A•_,'I� CAL. MIN.'DE'FUSIBLE/DISJ "DESIGN;PRESSURE HIGH/,`' •,'• -:''.360 PSTt/20 4, -a-;..:; -i.1.t,. PRESSION_NOMI•NALE.;HAUTE "', D£SIGN PRESSLFRE LOW/ 150•PSIG/1034,kPa. INALE'•BASSE. _-: '''' .R22:,," P.RESSION, ;. OUTDOQR`-UN F:AC?JRY CHARGE/.;' O:DZ /.04:-:, :`:,;,;p22 CHARGE; USIN -O''UNITES,•EXTE6IEUR TOTA'L,SYSTEM.CHARGE.1 , -_ E . `'ac°'1a.. CHARGE TOTALED $YSTEME ; • NSTRUCTIONS°iNSIOE,ACCESS:PANEL SEE'I !_AU . YOIR LES O}jAfl6E•dNSTRUCTI0N57A.C'INTRIEUR m1:PFfNNEAU lt'ACCES y 1 ',;RREEt9'•SALES:COMPANY,`'. .,.:•' ,;.'� � :,:IS� ARKANSAS,:y ;.,:, �.•,,.,,� ...', -r•`T 'EST:`FORT;SMITH.'". ST.AN E.L PROHIBITED•�IN�,SOUTHEA- -Nalco T tHBCR TYPE`BRERKER.FOR U.S.A',1". ''.. c•`'-:'::,;:' ;; .0:, .+IPX4 D15JONCTEUR 91FFEREN`T�IEI�L LL,