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HomeMy WebLinkAbout50940-Z o�g11ffat-/( Town of Southold 8/22/2024 P.O.Box 1179 0 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45473 Date: 8/22/2024 l THIS CERTIFIES that the building HVAC Location of Property: 515 Gin Ln, Southold SCTM#: 473889 Sec/Block/Lot: 88.4-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/22/2024 pursuant to which Building Permit No. 50940 dated 7/12/2024 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: 3 as built HVAC units as applied for. The certificate is issued to Farino,Anthony&Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50940 8/20/2024 PLUMBERS CERTIFICATION DATED ut on ed ignature TOWN OF SOUTHOLD ��o�g1lfPQl�cOGy BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "oy • SOUTHOLD, NY pJpl � �.ap�fi� 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 #: 50940 Date: 7/12/2024 Permission is hereby granted to: Farino, Anthony 18 Ron Ct Commack, NY 11725 To: legalize (3) "as built" HVAC units as applied for. At premises located at: 515 Gin Ln, Southold SCTM #473889 Sec/Block/Lot# 88.-4-5 Pursuant to application dated 5/22/2024 and approved by the Building Inspector. To expire on 1/1112026. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 CERTIFICATE OF OCCUPANCY $100.00 ELECTRIC $200.00 Total: $800.00 Buil spector oF so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �Oly� Jamesh _southoldtownny.gov 4UNT`I, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Antony Farino Address: 515 Gin Lane city:Southold st: New York zip: 11971 Building Permit#: 50940 Section: $$ Block: 4 Lot: 20 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Greg Smith Electrical Electrician: Greg Smith License No: 3103 SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 3 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 1 mini-split and 1 blower head Notes: HVAC Inspector Signature: Date: August 20, 2024 515 gin In OF SOUIyo� # . # TOWN OF SOUTHOLD .BUILDING DEPT. coUPm,��'�0 631-765-1802 INSPECT-ION [ ] FOUNDATION 1ST/ REBAR . [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL OVAL. [ ] . FIREPLACE & CHIMNEY [ ] FIRE SAFETY.INSPECTION [ ] FIRE RESISTANT CONSTRUCTION -4 ] FIRE RESISTANT PENETRATION [ ] -ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE © INSPECTOR �o�aOF 50Ulyo� �© / o # TOWN OF SOUTHOLD BUILDING DEPT. IOU NiIN 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ 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: A5 bw� AVac tf g I&ot t :$Ofc mag lr_t&kfr 5g�b f I Ar i&oAer -e 1 max �f�r�sor wax &Ao,ker f1wtp CoetAeatsor 4 02 fk bred-dr go 4y t P DATE • o�apF SOUTyO V f - ( � ,� JAJ TOWWOF.SOUTHOLD BUILDING" DEPT. "coum, 631-765-1802 [- ]" FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. ]. -FOUNDATION 2ND [- ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFEWINSPECTION [_ ] -FIRE-RESISTANT CONSTRUCTION, [ ] "FIRE RESISTANT PENETRATION = ' [ ] ELECTRICAL (ROUGH), ' [ j ELECTRICAL (FINAL) [ ] CODE VIOLATION- [ ] PRE C/O [ ] RENTAL REMARKS: A 6 b(A t u U c he 10� 1�d Y r r I . - Irk � [ ��f� �" J�1 C�S� J�"��K��" ���-►1�►�J �_ . .�- � In r 106Lk-elf- ( AA4 WM -A_X rec( k-,, C o v k k o syr 0 br e4kej- 90 AIM P AA Z)d 22 Oft MA _qH&U-P A N B&A&4 %UI - i►✓ - DATE '' ��: _ INSPECTOR -L.4 -= U - _V i. a N OK 7f �. . �._ M CO-1/1 To r CHAP SEE <, V()r FORT — *H4CR D I SJOI 2of3 i OA/K/N '*� r u ��5 � � �� a�aa I ;d roll ZZ- 1 � ZZZ—:z: � � ' ` i � � � � ao � 3 MODEL NO / MODELE N° RA1618 , SERIAL N0. / N° DE SERIF AJiNA W162178774 MFD.I FAB 041202, COMPRESSOR CODE UT ILISATIONI ENOEXTRI/ " VOLTS / CODES DE 2081230 COMPRESSEUR EURE COMPRESSOR/ COMpRESSEUR R.L.A.PHASE• 1 9059 OUTDOOR FAN MOTOR/ 9.0/9.0 HERrZ 60 MOTEUR LENTIL, L' 47•5 MIN, EXT. R.A.F•L,A. 0.7 SUPPLY CIRCUIT AMPACITY/ H�P' 1/8 COURANT ADMISSABLE D'ALIM. MI MAX. -- FUSE OR CKT. BKR. N. 12112 A CAL, MAX. DE FUSIBLE/D1SJ ZE/ MIN. FUSE OR _ CKT. BRK. SIZE/ 20/20 A CAL. MIN. DE FUSIBLE/DISJ DESIGN PRESSURE HIGH/ 15/15 PRESSION NOMINALE HAUTE A DESIGN PRESSURE LOW/ 450 PSIG/3102 kPa PRESSION NOMINALE BASSE OUTDOOR 250 PSIG/1723 kpa OCHAR�EUTDOOR USNNESDFACTORY CHARGE/ TOTAL SYSTEM UNIT$ EXTERIEUR 82 0Z/2325g CHAkGr TOTAL[CHARGE/ R4I0A SLf lfYS1ku(il(,t,, U� SY$T E YUIM 1NS)Ut A(LfSS PAhfl R4IOA l.fS (.MAklat INSIkU('IIUNS A / ❑�}k ,� kMLLM < l 'JN(EAltlAt fill n�hMt�u u RJRI .ALLS (WNANY �'(Es y "HACk Trpt SM� IM. AkKANSAS ~ U!'J t+kkt-A,t.k 1 OIYCTLUk i klN1 Ij5'A'/Is �1kMtllkU MkNfltl �•7fUNp-l/ l R4 5156r�N e. Co��:Ns�R V � AL� �f ion 4 A a R � N - B�N�M1319 ; N � low AM . ................................................................. fix R 0 ANaP. R (A H ... ...... ....... UL ........... .......... 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HACPTSIEMr ;. 1 wcR Trs 40'C CP W 1 i r Q 1 r q , Wit m n ww _ Inc - w.�. � pill FN n _ 994 RTj IA/KIN /NOUSTRA LTD, .AT PUMP (OUTDOOR SECTION) AODEL-- - -- -- eo )ERIAL NUMBER _ - - 4Mx836RyU NFU. DATE - G034260 E NET WEIGHT 2021. 11 T139 LBS 63 POWER SUPPLY kg SINGLE PHASE 208/230V 60Hz I' . MAXIMUM OVERCURRENT PROTECTIVE DEVICE MINIMUM CIRCUIT AMPACITY 25 23.9 A F AN MOTOR OUTPUT 122 W r �OMPRESS4R tA j1�TpR RLA 5 A A� 17.5 A DESIGN PARE HI SIDE 604 - 10 SLOE If REFRIGERANT¢ACTORY CHARGED R410A 6.17 LBS _ 2.8 Is SCCR kA rms. Symmetrical @600V MAX: b CONFONSMULiSTI TO • ANSI/Ul STO 1lipb ERTIRW TO CC SA$TQ o C22.8 NQ AI*4# t3111tco I t3o� 'on Town of Soutruld 1 a 3 - y �� Il FIELD INSPECTION REPORT DATE COMMENTS rr� V! ro FOUNDATION (1ST) -------------------------------------- - -- FOUNDATION (2ND) -- —_ m cn 0 ROUGH FRAMING& PLUMBING 04 INSULATION PER N.Y. STATE ENERGY CODE _ FINAL — ADDITIONAL COMMENTS 'C ---721 9 If 1�9--'1-_efft-C-a-4 eIecA-A-e g 2�01�-� CI ecr}n c Ce` a rn ---- --- _ A -O a — a =o�SUFFocK�oGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 5 a���. Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only + p, E L t [ ` d7t PERMIT NO. Building.lnspector: V? MAY 2 2 " 2024. Applications and forms must be filled out in their entirety.,Incomplete applications will not be accepted. Where the Applicant is not the owner;an 1> IJG����Aio Owner's Authorization form(Page 2)shall be completed. T o rL ICIF SOUMIOLT-9 Date:5/16/24 OWNER(S)OF PROPERTY: Name:Anthony Farino SCTM#1000-47388988. 4-5 Project Address:515 Ginn Lane Phone#:516-805-8092 Email: Mailing Address:18 Ron Court Commack NY 11725 CONTACT PERSON: Name:Anthony Farino Mailing Address:18 Ron Court Commack NY.11725 Phone#:516-805-8092 Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Robert Von Hagen Mailing Address:278 Indian Head Road Kings Park NY 11725 Phone#:631-269-2700 Email:Kimberly Cuiffo DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure K( dd-t- n ❑Alteratiof ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Will the lot be re-graded? ❑Yes []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? ❑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 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(prin name): ❑Authorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF SUFFOLK ) Robert Von Hagen -.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 performed in the manner set forth in the application file therewith. Sworn before me this day of Notary Public. PROPERTY OWNER AUTHORIZATIO CAROL ANN STENSLAND (Where the applicant is not'the.owner) NotaryPubllc-State of New York No.OIST6070876 Quallfled In Suffdk County 6r / my COmrl'IIB812n xp.03A1/3026 r ���. residing at1 (.3 / do hereby authorize Fk to apply on be alf o the Town of Southold Building Department for approval as described he ein. X Owner's Signature Date u e Print ner's Name 2 saw CkC�b BUILDING DEPARTMENT- Electrical Inspector yam► TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 CIO 'x Southold, New York 11971-0959 *4 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh _southoldtownny.gov - seand(@,southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATIO (AII Information Required) Date: Company Name: j� Electrician's Name: t License No.. Elec. email: Elec. Phone . ❑I request an email copy of Certificate of Compliance Elec. Address.:' , JZ I 1 '72,94 JOB SITE INFORM 10 (All Information Re Name: A ife Address: Cross Street: Phone No.: Bldg.Permit#: 5-01 L10 email $114�1,107hb! Tax Map District: 1000 Section: Block: : ® All BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): a Square Footage: Circle All That Apply: Is job ready for inspection?: rV YES❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: r] 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 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �;�o✓r�7X""",=tt SUFFot�-�� BUILDING DEPARTMENT- Electrical Inspector �Gy�� TOWN OF SOUTHOLD N Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh(cDsoutholdtownny.gov — seand(oDsoutholdtownn .qov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATIO (AII Information Required) Date: Company Name: Electrician's Name: License No.. Elec. email: Elec. Phone 6'. ❑I request an email copy of Certificate of Compliance Elec. Address.: ' JOB SITE INFORMATION (All InformatiTon Re M / Name: el Address: rAl Cross Street: VeIV Phone No.: Bldg.Permit#: _ b4'(1U email b Tax Map District: 1000 Section: Block: L Lot: ® r17 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Yoe U Vt 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? n Y ' N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D PanelPump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water BondLights Neat Pucks ERV HOT-TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower a, Service Amps Have Used Sub Amps Have Used Comments ��� 6mo t(ay ° qbj A }M04cp VL'6Qx Ike - 14aV OC asp 0?5 AM04 egAX FRESHWATER POND FFL 14.2 COVER TO GRADE IF DROP "T" IS USED LOCKING CAST-IRON FINISHED GRADE ON INLET COVER TO GRADE ELEV 8.3 CLEANDUT DWELLINGS WITH IMIN. CHIMNEYPUBLIC WATER150'_ ER 20" MIN• LOCATE DROP "T" UNDER ACCESS FOR MAINTENANCEEli INLE ELEV 7.18WATER MAIN HOUSE INVERT jes ® ®®a° WM WM M WM WM WM M (7.64) Er INLET -3 ® ®®00 GIN LANE FIow BAFFLE ® ®®a° MIN. 4" DIA. SDR 35 INV. 6.68 INV. 6.58 ® ®a° PIPE OR EQUAL. MIN. 4" DIA SDR 35 9 PITCHED 1/4" /FT. :, h PIPE OR EQUAL EDGE OF PAVEMENT PITCHED 1/8" PER F00T LEACHING GALLEY(TYP.) 3' COLLAR BACK FILL 10' MIN. 8.5' LONG X 4.75' WIDE MATERIAL TO BE 10' 8' MIN. }` U.P. -�`:�:w'• N CLEAN AND GRAVEL N.37°54'10"E W.M. 125.0' 450.00' BOTTOM OF - r r :r SEPTIC TANK _ '•.r"` O EL 3.18 LID L C� .J I s=t.;z:. eER S } L I I BOTTOM OF LEACHING GALLE x�;k' a ® a 0°� = w; 1 STY L G cn L I vl Ul '- SINGLE o I HIGHEST EXPECTED WATER EL 1.0 0 I FAMILY - 1 6' MIN. PENETRATION DWELLING PEI ` I SANITARY CROSS SECTION INTO A VIRGIN STRATA 5 BEDROOMS WOOD ` ELEV. 5.3 OF SAND &GRAVEL 2,478 SF DECK GARAGE ti DR BROWN N.T.S. FF 14.2 UNDER PROPOSED OL ANDY LOAN0.5 NOTES: GF 5.6 � •— 1. AREA 15,625.00 SO. FT. OR 0.36 ACRES 25'x 35' `�-, 2. FLOOD ZONE X 0.2% CHANCE ANNUAL FLOOD DWELLINGS WITH 88 o DWELLINGS WITH CL CLAYEY 1.3' I � ADDITION � 3RAND — . THE WATER SUPPLY, WELLS, DRYWELLS AND PUBLIC WATER z #515 FFL 14.2 PUBLIC WATER � BROWN CESSPOOL LOCATIONS SHOWN ARE FROM FIELD —150' I I 100' p SAND OBSERVATIONS AND OR DATA OBTAINED BY OTHERS. m ' VACANT 125' � 5P & 1.2' 4. ELEVATION DATUM NAVD88 o = v b GRAVEL _ CL CLAYEY 13' o 20 MIN. DRY � 1 . HIGHEST EXPECTED z ToDR`M1ELL WELD SAND — GROUND WATER EL 1.0 5 LP LP P e'hIHV 0v CL CLAY 1.0' iv GROUND WATER EL 0.0 �"°�att M1N. L v T° CL WATER IN 1 5' mmpletedtoc=WWt�z2 as proof I LOT 20 4 0'� oS EXISTING SANITARY V1 I LP LP CLAY . LP TO BE ABANDONED O MEDIUM sw s.o' MAP OF O x - SAND BAY HAVEN O_ o0 EXP EXP EXP PROPOSED 1,500 GAL. — EXCAVATION INSPECTION REQUIRED Z �2.0' SEPTIC TANK d FEB. 1, 2021 FOR.SANITARY SYSTI=M SITUATE w `n� ;� K. WOYCHUK LS BY HEALTH DEPARTMENT —-- — — — — — — --— SOUTHOLD s 37054'10" W 125.00'T TOWN OF SOUTHOLD PROPOSED LEACHING GALLEYS(6) DWELLINGS WITH ; SUFFOLK COUNTY, NEW YORK 8.5'LONG x 4.75'WIDE x 3'DEEP PUBLIC WATER 150'=— l FILED: JAN. 22, 1959 MAP No: 2910 SCTM#. 1000-88-4-5 SITE PLAN SCALE: 1"=30' OF N LCI,' SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES rO PERMIT FOR APPROVAL OF CONSTRUCTION FORA D AN I E L R . FALA S C 0 1 LJ . 1 P . C . �Q' \ F.q/_s SINGLE FAMILY RESIDENCE ONLY a CONSULTING ENGINEER DATE 6/10/2021 H.S. REF No. R-21-0726 CL_ APPROVED 94 STEUBEN BLVD., NESCONSET, NY 11767 Lv FOR MAXIMUM OF 6 BEDROOMS (516) 317-7209 JI/O 05699� ��'= EXPIRES THREE YEARS FROM DATE OF APPROVAL P DATE 03-10-21 SCALE DRAWING NO. R�FESSM SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 05-14-21 1"=30' A, „ � MCN DISTRIBUTORS S CORPORATE OFFICE: Sales Order Recap 300 NORTH CONNECTING ROAD.ISLANDL4,NY 11749'(631)234-0399'FAX(631)234-0836 300 N.CONNECTINGROAD 200 SMITH SIREET 121 MAIN ROAD - ISLANDIA.NY 11749 FARMINGDALE,NY 11735 RIVERHEAAD,NY 11901 (631)234-3334'FAX(631)234-3889 (631)753-1800-FAX(631)756-5795 (631)727-9500'FAX(631)727-7886 160UNIVERSALDRIVE 23KULICKROAD FEDERALIDH 14:04 03/28/22 MH NORTH HAVEN,CT 06473 FA7577 0 FAX XNJ(07).5 84-6124622 III I III IIIIIII I II III III (203)498�335•FAX(203)498-7850 (973)575-7577'FAX(9T3)575.41I1 Page 3/3 C.O.D. 1099894 00 00 01/0158 PM S HAUPPAUGE CASHSALES S JEFF FLY AIR 0 T ATT: XXXXXXX H T 15 ABBOT RD L 0 N/A I 0 OFF PLYMOUTH D N/A NY 00000 P SMITHTOWN Tel 631-234-3334 Fax 631-234-3889 ORDER CUSTOMER CUSTOMER P/O TERMS TAX SHIP SALES JOB DATE NUMBER NUMBER CODE CODE VIA PERSON ID/NAME 03/28/22 0003050 JEFF CASH ON DELIVERY 3301/8.625% MCN DELIVERY ISLANDIA BRANCH LN# Q-ORD Q-SHP Q-PCK Q-B/O PRODUCT UOM UNIT-PRICE DISC% EXTENSION Balance . . . . . . . 3,385.93 TOT: 53 0 53 0 Received in Good Condition: ALL PARTS PURCHASED FOR WARRANTY REPLACEMENT MUST Ship Date Loc BE RETURNED TO MCN WITHIN 10 BUSINESS DAYS AND ARE Volume Picked by SUBJECT TO VENDOR APPROVAL. CREDIT WILL BE ISSUED Weight BY MCN IF/WHEN VENDOR ISSUES CREDIT TO MCN. Pieces Packed by Pallet Pkgs Checked by Ctns Lnth Loaded by x: r MCN DISTRIBUTORS (3, Sales Order Recap CORPORATE OFFICE: 300 NORTH CONNECTING ROAD•ISLANDIA,NY 11749•(631)234-0389•FAX(631)234-0836 300 N.CONNECTINOROAD 200 SMITH STREET 121 MAIN ROAD ISLANDIA,NY 11749 FARMNODALS NY 11735 RIVERHEAAD,NY 11901 (631)234-3334•FAX(631)234-3889 (631)753-1800•FAX(631)756.5795 (631)727-9500•FAX(631)727-7886 160UNIVERSALDRIVE 23KULICKROAD FEDERALMO III III 14:04 03/28/22 ME NORTH HAVEN,CT 06473 FAIRFIELD,NJ 07004 84-5124622 III I I II IIIIIII I II (203)498-8335-FAX(203)498-7850 (973)575-7577-FAX(973)575-4111 Page 1/3 Or er B/0 ReL BR/WHSE USER C.O.D. 1099894 00 00 01/01 PM S HAUPPAUGE CASHSALES S JEFF FLY AIR 0 T ATT: XXXXXXX H T 15 ABBOT RD L 0 N/A I 0 OFF PLYMOUTH D N/A NY 00000 P SMITHTOWN Tel 631-234-3334 Fax 631-234-3889 ORDER CUSTOMER CUSTOMER P/O TERMS TAX SHIP SALES JOB DATE NUMBER NUMBER CODE CODE VIA PERSON ID/NAME 03/28/22 0003050 JEFF CASH ON DELIVERY 3301/8.625% MCN DELIVERY ISLANDIA BRANCH LN# Q-ORD Q-SHP Q-PCK Q-B/O PRODUCT UOM UNIT-PRICE DISC% EXTENSION ***** Special Instructions ***** * PAID IN FULL CASH ********************************** 1) 1 0 1 0 RA1618AJlNA EA 1211.14 $1,211.14 1.5T 16 SEER CONDENSER 2) 1 0 1 0 RH1T2417STANJA EA 939.44 $939.44 2T X13 410A 208/1 3) 1 0 1 0 PADPLSTC32X32X3 EA 46.92 $46.92 EL3232-3 E LITE PAD 3" (NEW CODE REQUIREMENT) 4) 1 0 1 0 CP3/4X3/8X1/2 EA 241.85 $241.85 612 MUELLER BLK. W/ 1/2" INS. P/N 61220500 5) 2 0 2 0 ROY2X3W EA 24.09 $48.18 SCPEW3 10' WHITE LDR PIPE 6) 10 0 10 0 ROY2X3STRAP/W EA 0.78 $7.80 OPB80W 2X3 WHITE LDR BAND 7) 4 0 4 0 DGPVC3/4X10 EA 10.27 $41.08 3/4X10 PVC SCH40PE ASTM D2665/ASTM D1785 8) 1 0 1 0 EZT-113B EA 17.75 $17.75 * EZ TRAP w/BRUSH 83114 9) 1 0 1 0 AG-1100 EA 20.74 $20.74 96100 PLASTIC D/P SWITCH 10) 1 0 1 0 DTSW18/5 EA 73.27 $73.27 18-5 STAT WIRE 5WIRE 250' Continue. . . MCN DISTRIBUTORS � CORPORATE OFFICE: Sales Order Recap 300 NORTH CONNECTING ROAD'ISLANDIA,NY U749•(631)Z34-0389•FAX(631)734-0836 300 N.CONNECIINGROAD 200 SMITH SIREEP 121 MAIN ROAD ISLANDIA,NY 11749 FARMINGDALE,NY 11735 RIVERHEAD,NY 11901 (631)234-3334•FAX(631)234-3889 (631)753-1800 0 FAX(631)756.5795 (631)727-9500 0 FAX(631)727-7886 160 UNIVERSAL DRIVE 23KULICKROAD FEDERALMH 14:04 03/28/22 NH NORTH HAVEN,CT 06473 FA5F ,NJ 07004 84-5124622 III I I II IIIIIII I II III III (203)498�335 0 FAX(203)498-7850 (973)575-7577 7T•FAX(973)575-4111 Page 2/3 aaa 1099894 0% 00 01/0 s$ Pm S •' HAUPPAUGE CASHSALES S JEFF FLY AIR 0 T ATT: XXXXXXX H T 15 ABBOT RD L 0 N/A I 0 OFF PLYMOUTH D N/A NY 00000 P SMITHTOWN Tel 631-234-3334 Fax 631-234-3889 ORDER CUSTOMER CUSTOMER P/O TERMS TAX SHIP SALES JOB DATE NUMBER NUMBER CODE CODE VIA PERSON ID/NAME 03/28/22 0003050 JEFF CASH ON DELIVERY 3301/8.625% MCN DELIVERY ISLANDIA BRANCH LN# Q-ORD Q-SHP Q-PCK Q-B/O PRODUCT UOM UNIT-PRICE DISC% EXTENSION 11) 6 0 6 0 ZM133-6 EA 10.53 $63.18 133 AIRTITES W/D 6" 12) 6 0 6 0 AIRMV-3 EA 25.89 $155.34 81913 3-WAY ALL-IN-1 DIFFUSER 13) 2 0 2 0 ZM130-14 EA 17.55 $35.10 130 AIRTITES NO DMPR 14" 14) 1 0 1 0 L60GHFF24X14W EA 25.16 $25.16 S/S FLTR GRL 24X14WHT (ALT.T190) 15) 4 0 4 0 KNH104 EA 7.35 $29.40 ATR 3/8 X 72" THREADED ROD (USE DUTR3806 FIRST) 16) 1 0 1 0 KNB1400HS EA 33 .07 $33.07 HANG CHANNEL B54SH120GRN 17) 8 0 8 0 DT3X3VP EA 0.72 $5.76 MP-3C 3X3X7/8 VIBRATE PAD 18) 1 0 1 0 CTDW3 EA 108.99 $108.99 31IX481IX50' R8 CERTAINTEED # 645449 19) 1 0 1 0 DTTIE36 EA 12.91 $12.91 36"CABLE TIE 50/BAG Sub-Total . . . . . 3, 117.08 Freight . . . . . . . . . . . 0.00 Misc Charge . . . . . . . 0.00 Tax . . . . . . . . . . . . . . . 268.85 Order Total . . . 3,385.93 Paid . . . . . . . . . . . . . . 0.00 Continue. . . as r; i/ ``�T ti � �{w� • t if,� ` t � ti t.P 1a � J� APPROt DAI 1-7 B.P.# 1 FEg'-A-)'h,, BY: NOTIFY BUILDING DEPARTMENT AT COMPLY WITH ALL CODES OF ELECTRICAL 631-765-1802 8AM TO 4PM FOR THE NEW YORK STATE &TOWN CODES 4NSPECTION REQUIRED FOLLOWING INSPECTIONS: AS REQUIRED AND CONDITIONS OF 1. 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