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Home My WebLink About51328-Z 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#: 51328 Date: 10/29/2024 Permission is hereby granted to: Sevan Armagan 330 E 39th St Apt 33M New York, NY 10016 To: legalize "as built" HVAC as applied for. Premises Located at: 885 Old Farm Rd, Orient, NY 11957 SCTIVI# 26.-4-4 Pursuant to application dated 09/16/2024 and approved by the Building Inspector. To expire on 10/29/2026. Contractors: Required Inspections: Fees: As Built Alteration $500.00 ELECTRIC -Residential $200.00 CO-RESIDENTIAL $100.00 Total $800.00 I Building Inspector FF0 ks TOWN OF SOUTHOLD—BUILDING DEPARTMENT A. Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ht�tps://www.sotitholdtownny.gov Date Received APPLICATION FOR BUILDING PERMIT � or Office Use Only D 2912 0V Es PERMIT NO. �G Buildinglens ect Pm a Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an BUILDING DF PT. Owner's Authorization'form(Page'2)shall be completed. TOWN :-jF Si101 Date: OWNER(S)OF PROPERTY: Name. - SCTM#1000- Project Address: Phone#qft � � Email; Mailing Address: 01 \k) kk CONTACT PERSON: Name: Mailing Address: 6 � \V C— �( - Phone#: . " Email: S �`(��" 1' t lcc DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: . t� lkkMk -A Mailing Address: Phone#: Iont �` �� Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other 0 $ Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ❑No 1 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? E]Yes ONO IF YES, PROVIDE A COPY. 0 Check Box Afte r Reading'u The owner/contractor/design professional 15 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 210AS of the New York State Penal Law. Application Submitted By(print name): Saoo A(z�%�ar DAuthorized Agent M_Dwner Signature of Applicant: Date: CONNIE D. BUNCH STATE OF NEW YORK) Notary Public.,State of New York SS: No. 01 BU6185050 Qualified in Suffolk County COUNTY OF Commission Expires April 14, 2-0 C�'k being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)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 per-formed in the manner set forth in the application file therewith. Sworn before me this day of 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 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 1 Fly Isso" , DDD� Fl BUILDING DEPARTMENT- Electric I Instor 92 TOWN OF SOUTHOLD r Town (Hall Annex - 54375 Chain Road - R$,RJR T i Southold, New York 11971- 9,, .� Telephone (631) 765-1802 - FAX (631) 765-9502 o. 'amesh southoldtownn ov — sea nd southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: LAC Electrician's Name: eCk\\ License No.: Elec. email Elec. Phone No: _ El request an email copy of Certificate of Compliance Elec. Address.: , JOB SITE INFORMATION (All Information Required) Name: 5 Address: Cross Street: Q Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: ;L J BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Foota e: Circle All That Apply: Is job ready for inspection?: �E NO 0 Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service SizeF-11 PhD Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 F12 H Frame D Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION ►!!,tea � B24Ax:JU j Rated Power 208123GV SINGLE PHASE 60Hz Retngerant RatpA 3201bts 1, Maximum Overcurtgnt Protective Device iA! 20 M"mum Circuit Ampacity(A) 132 fff Fan Motor FLA(Ai 0 50" , Output(W� 61 Compressor RLA(A.) 13 Motor LRA(A, 13 Mass 97 ibs 1 44 kqi Manutacture Date 202, 11 SCCR KA+ms Srmrnetnc��6{KIV MAK 5 Prptect,on ip x 4 flesq�Press,:re •� Hqh side 536 psi; k' Low side 236 MIQ Kvv[)OA5St'25C R CORFORIVIS TO ANSivL STD'1"6 c CERTIFIED TOCy.STD C22 2 MJ 2NCERTlWj it •�-t--y` � SA C'Mali AC UndarY AHFWrl ww •S DAIRIN pTHIS'S.LTDt MEA1'ivcXflD�LA yDUS SEG')ON' - {Yyi76]yMVJU9 GAIE - -- 141 .. t�-i PAGE",t3H- _. yNGIE VM�SE i47A,M:vinCLTod:" rcCd:%, . _.._ 21J' A A 049 -- it�+ UhA"elE 'Low C py ;U r?+ 4 .{17� :.80'iO4 RCF•}.-• --��Y,•�Y14.Vt I ffk 14 at l ;iNLL]T11]L]27 �p(}Y uq M3Nb-�,MYs 9{0 lima A]'AB 1'C"4 L,100041 u$E VADI 11 r-Ak Al[ JAW dp imp { ♦� ham. i. l Y � M � 0 Y � 1 F .1 r l•� L .x b t � r i . i777 ' r - 1 A r0 ..'� E SERVICE,CAL, 1_rzr-zrW � a ,.I I � E PIKIN`; FOR SERVICE.CALL �727-2760 moo