The URL can be used to link to this page

Home My WebLink About50916-Z gNFFOI � 0�0 C'pGw Town of Southold 7/19/2024 P.O.Box 1179 o - 53095 Main Rd oy o� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45369 Date: 7/18/2024 THIS CERTIFIES that the building HVAC Location of Property: 680 Locust Ln, Southold SCTM#: 473889 Sec/Block/Lot: 64.-2-54 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/14/2024 pursuant to which Building Permit No. , 50916 dated 7/9/2024 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 hvac unit,kitchen wiring&electric service as applied for. The certificate is issued to Kellc,Barbara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50916 7/18/2024 PLUMBERS CERTIFICATION DATED 9 A h ri d ignature �SUFFot,��a TOWN OF SOUTHOLD Sao � BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE oy • o� SOUTHOLD, NY poi ,w �a 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#: 50916 Date: 7/9/2024 Permission is hereby granted to: Kellc, Barbara 315 Riverside Dr Apt 11 E New York, NY 10026 To: Legalize as installed HVAC unit at existing single family dwelling as applied for. Additional certification may be required. At premises located at: 680 Locust Ln, Southold SCTM #473889 Sec/Block/Lot# 64.-2-54 Pursuant to application dated 5/15/2024 and approved by the Building Inspector. To expire on 1/8/2026. Fees: AS BUILT SINGLE FAMILY ADDITION/ALTERATION $500.00 ELECTRIC $200.00 CO-RESIDENTIAL $100.00 Total: $800.00 Building Inspector l oF so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q �► • �o sean.devlina-town.southold.ny.us Southold,NY 11971-0959 oly100UNTy,N� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Barabara Kellc Address: 680 Locust Ln city:Southold st: NY zip: 11971 Building Permit#: 50916 Section: 64 Block: 2 Lot: 54 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 X Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures 4 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel 100A A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Gas Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt 30A Emergency Strobe Heat Detectors Disconnect Switches 6 4'LED Exit Fixtures Sump Pump Other Equipment: 100A Panel 24 Circuit/20 Used , Fridge, Oven Notes: " AS BUILT NO VISUAL DEFECTS " Kitchen, HVAC, & Service Inspector Signature: Date: July 18, 2024 S.Devlin-Cent Electrical Compliance Form OE SOGIyo� # # . TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 � ()ot [ ANSPECTION [ I. FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATION/CAULKING [ ] FRAMING /STRAPPING IV FINAL '(/ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: oa- Ch� .DATE "�O INSPECTOR OE SO(/tyO� 5 V ll lS/ (J Li 1 -- * # TOWN OPSOUTHOLD BUILDING DEPT. 631-765-1802 INSPE CT-10"N - I FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND. [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] .FINAL [. ] FIREPLACE &CHIMNEY [ ]. FIRE SAFETY-INSPECTION [. ] FIRE RESISTANT CONSTRUCTION [ .] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) &ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: l3 v l LT- P Vim* S Pry rc�d � �i QrIL/ 114A I AJISC 04 A Ed 4VLeA 1Aj � wl-re 4 U a t/'e cIr AX -DATE --7 INSPECTOR . FIELD INSPECTION REPORTJ DATE COMMENTS FOUNDATION (1ST) -------------------------------------- -- FOUNDATION (2ND) coo ROUGH FRAMING& PLUMBING r. INSULATION PER N. Y. STATE ENERGY CODE -,- ------------- FINAL ADDITIONAL COMMENTS Xl em 0 1 X �zrn ------------ -------- X --------- ------------- 11FF0(,t�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT y�o Gy= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 bgps://www.southoldtomm.gov date Rp'teived —=".••"' APPLICATION FOR BUILDING PERMIT L QYFb � For Office Use Only i q Q c PERMIT NO. 50!& Building Inspector: MAY 1 4 2024 Applications and forms must be filled out in their entirety. Incomplete BVJM- DING DEFrf� applications will not be accepted. Where the Applicant is not the owner,an T 0V'dN OF S0- 171MTr,: Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: Barbara Kellc SCTM#1000-64-2-54 Project Address:680 Locust Lane, Southold i` Phone#: 917-573-6522 Email: barbarakellc@y_ahoo.com Mailing Address: 3.15 Riverside Drive, Apt. 11 E,_NY, NY 10025 CONTACT PERSON: Name: Pat Moore Mailing Address: 51020 Main Road, Southold Phone#: 631-765-4330 Email:: cmoore@ mooreY att s.com _ _�__ DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration []Repair ❑Demolition Estimated Cost.of Project: DOther condensor for central airconditioner(existing HVAC-forced hot air) $ Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of property: Sin Ie fanlll dwellin Intended use of property: --�----_--�_._ ------------- ------9---------y---�--. 9-._. ---------_______- ------ .same--- ------- ------ 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. B 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 210.45 of the New York State Penal Law. Application Submitted By(print na atricia C. Moore BAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Patricia C. Moore being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Attorney (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 day of Nut 20� J Notary Public KYLEE S DEFRESE NOTARY PUBLIC-STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION No.01 DE6420156 (Where the applicant is not the owner) Qualified in Suffolk County My Commission Expires 08-02-2025 Barbara Kelic residing at 315 Riverside Drive, Apt.11 E -NY, NY 10025 do hereby authorize Patricia C. Moore to apply on my beh f to the Town of Southold Building Department for approval as described herein. 5-13-24 Owner's Signatkire Date Barbara Kellc Print Owner's Name 2 O��g�FfO( COG BUILDING DEPARTMENT- Electrical Inspector �� yam► TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ' jamesh southoldtownny.goV— seand(@-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 5-14-24 Company Name: OWNER Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Barbara Kellc Address: 680 Locus Lane, Southold Cross Street: Phone No.: 917-573-6522 Bldg.Permit#: 509 email: barbarakellc@yahoo.com Tax Map District: 1000 Section:64 Block: 2 Lot:54 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): air conditioner condensor for existing HVAC forced hot air system Square Footage: Circle All That Apply: Is job ready for inspection?: YES 0 NO ❑Rough In Final Do you.need a Temp Certificate?: ❑ YES ❑� NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# QNew ServiceOFire ReconnectE]Flood ReconnectOService Reconnect DUndergroundQOverhead # Underground Laterals 1 F12 0 H Frame Pole Work done on Service? Y RN Additional Information: Please call Pat Moore-631-765-4330 (available for access). PAYMENT DUE WITH APPLICATION o�oS�fFO(,�`®G BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD C= :;AF' Town Hall Annex- 54375 Main Road - PO Box 1179 co ac Southold, New York 11971-0959 4% oo Telephone (631) 765-1802 - FAX (631) 765-9502 J1 jamesh(a-)-southoldtownny.gov — seand(a_�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 5-14-24 Company Name: OWNER 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: Barbara Kellc Address: 680 Locus Lane, Southold Cross Street: Phone No.: 917-573-6522 Bldg.Permit#: so 91 email: barbarakellc@yahoo.com Tax Map District: 1000 Section:64 Block: 2 Lot:54 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): air conditioner condensor for existing HVAC forced hot air system Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ 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 1 R2 H Frame Pole Work done on Service? Y FIN Additional Information: Please call Pat Moore-631-765-4330 (available for access) PAYMENT DUE WITH APPLICATION r ii) PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV Inst Hot DeHum Transfer HOT TUB/SPA Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have�� Used w Sub Amps Have Used Comments OCCUPANCY OR USE IS UNLAWFUL APPROVED AS NOTED WITHOUT CERTJRC� ATE DA ' B.p.it OF OCCUPANCY FEI� BY NOTIFY BUILDING DEPARTMENTAT 631-765.1802 BAM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE _.. .._ _ .._ . ......... ......._...... 2. ROUGH-FRAMING&PLUMBING COMPLY WM AM CODES OF 3. INSULATION NEW YORK STATE&TOWN CODES 4. FINAL-CONSTRUCTION MUST 'AS REQUIRED AND OONDMONS OF BE COMPLETE FOR C.O. Tonzm ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OFTHE CODES OF NEW �TO{M11 PlRh1NING B�pAp YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORSSCHD Y� 90Ut1`IOLDliPC � , .ij•y+f;a i' RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. f 5/14/24, 10:56AM IMG_7508.HE:IC; XL 1 4 i MFR 3 I MOD.NO. 4TTX4036A1000AA VOLTS DATE0 SERIAL NO. 3264W W U 2 F PH 2O81223030 MINIMUM CIRCUIT AMPACITY HZ 60 4 OVERCURRENT PROTECTIVE DEVICE 21.0 AMPS r MIN FUSE I BREAKER(HACR) USA CANADA MAX FUSE I BREAKER(HACR) 30 30 HFC — 410A 35 35 aAYEccv 5 LBs. 1 1 OZ. OR 2.58 kg($I) 065A REQUIRED INDOORS FOR T Cllmmwf a—Tun Sp�„�Rim Ou R RATED PERFORMANCE BUSINESS OF sT y ATMAERAIN1CAN . 7 STANDARD lIf7E0 SECTION OF TYLER•TX 75707 C OL US CENTRAL COOLING ASSEMBLED IN USA AIR CONDITIONER COMPR.MOT. 1- 4 RLA 2fMF OUTDOOR USE O.D.MOT 1. - RLA 208/230 V M_E.A_NO 138—02— 200/230 v 83 LRA I DESIGN PSI -HIGH 480 LOW 48p F,ID. W70 1/6 HP i l ENERGY STgR C6w Tlrr;w T1�wMUt� �t(y tr rw�M►1lTE s uar�o wrr ww r' r" r• ti ,F .w •� l E r r 1 Ai https://dr ve.google.com/drive/home ��