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50549-Z
A O�g�EFOt�-�oG Town of Southold 9/8/2024 yam. P.O.Box 1179 o o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45530 Date: 9/8/2024 THIS CERTIFIES that the building HVAC Location of Property: 295 Bennett Ln, Southold SCTM#: 473889 Sec/Block/Lot: 70.-9-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/8/2024 pursuant to which Building Permit No. 50549 dated 4/12/2024 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: "as built"HVAC and electric vehicle chargerpplied for. The certificate is issued to Linn,Michael&Young,Victoria of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50549 9/3/2024 PLUMBERS CERTIFICATION DATED A o 'ze ignature o�SofFni1"r� TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE 1 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#: 50549 Date: 4/12/2024 Permission is hereby granted to: DeAlbuquerque, Sergio 69 Osborne Rd Garden City, NY 11530 To: legalize "as built" AC unit as applied for. At premises located at: 295 Bennett Ln, Southold SCTM #473889 Sec/Block/Lot# 70.-9-19 Pursuant to application dated 3/8/2024 and approved by the Building Inspector. To expire on 10112/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 ELECTRIC $200.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $800.00 Building Inspector SO!/T�OI Town Hall Annex O Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 Jamesh southoldtownny.gov o1y�00�y��� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Sergio DeAlbuquerque Address: 295 Bennetts Lane city:Southold st: New York zip: 11971 Building Permit#: 50549 Section: 70 Block: 9 Lot: 19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Homeowner Electrician: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic 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 1 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 tesla car charger, 1 mini split and blower head Notes: HVAC EV CHARGER AS BUILT Inspector Signature: LDate: September 3, 2024 295 bennetts In # TOWN OF-SOUTHOLD BUILDING DEPT. 631.-765-1802 INSPECTION [ ] 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: .r l t_-5r /4v),I/g IV r r el 4- DATE S Ii Z INSPECTOR ho��OF SOUTyolo .50 91 l o9K 8e the*l 1 V * TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [x] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: a6 bwR YUALr IQC2 OuAlkj bl/ aMdeL45OFY "n 61-le Por lurmzi sr brew,ked- -rtr OMARSOC � awe. la e DATE �� '� INSPECTOR oP souryo� J U J / I oo IJ vT"' `L , .-- # TOWN OF SOUTHOLD BUILDING DEPT. 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) [X] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: quLL., � DATE 1 3 INSPECTOR o2 FIELD INSPECTION REPORT DATE COMMENTS LTI ►o FOUNDATION (1ST) ------------------------------------ rA FOUNDATION(2ND) �z .90 LA H ROUGH FRAMING& PLUMBING (O r INSULATION PER N.Y. STATE ENERGY CODE V1, FINAL ADDITIONAL COMMENTS U I a aE -$ip-f- v 4 SO©!'.� CA I cs l O Li N � H N z x d r� b H ,1�'Stlff01M- f,�o�9 °off TOWN OF SOUTHOLD—BUILDING DEPARTMENT z'3 Town Hall'Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 ?.ys• � , Telephone(631) 765-1802 Fax(631)765-9502 https://www.southoldt6wnny.gov • �,_gel�•�a; . Date Received APPLICATION FOR BUILDING PERMIT [ � VE For office Use Only PERMIT NO.-_. � Building Inspector. fi MAR — 8. 2024 Applications and forms must be filled out in their entirety.,lhcomplete ,'applications.will n'ot be accepted."Where the Applicant is not the.owner an Owner's Authorization form.(Page 2).shall.be completed: Date: OWNER(5)OF PROPERTY:' Name: Michael Linn&Victoria Yeung SCTM#1000- M 9-19 Project Address: 295 Bennetts Lane Southold NY 11971 Phone#: (917)439-9088/(91.7)'.822-3156 Email: michaellinn@gmail.com/victoria.yeung@aig.com Mailing Address:, 15 Broad St#3024 New York,NY 1005 CONTACT PERSON: ` Name: Bill waiters, Mailing Address: 114 Main St Greenport,NY 11944 Phone#: 631-553-6533 Email: williamwalters@danielgale.com. DESIGN PROFESSIONAL-INFORMATION.:.�` - _ Name: Mailing Address: Phone#: Email: JCONTRACTOR INFORMATION:-:' Name: Mailing Address:- Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair. ❑Demolition Estimated Cost of Project: ®other As-Bui1tCAC $ Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? ❑Yes ONO. 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 IFYES,PROVIDE A COPY. i. Cheek-Box After Reading:'The owner/contractor/design professional Is responsible for all drainage and storm water issues as provide0w Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the•Bullding Department for the Issuance of a Buiiding Permit pursuant to:*_Bullding zone.. ordinance of the Town of Southold,Suffolk,County,New York and other applicable laws,ordinances or,Regulations;for the construction of bulklings,; additions;alterations or for re'maval or demolition as hereln described.The applicant agrees to,comply wit i'all applicable laws,ordinances,.buOdHrg'eode, . J houskg code and regulations am!to admit authorized inspectors on premises and in buikSng(sl,for necessary inspections.,False statements made herein are punishable as a Class A misdemeanor pursuant td Section 210AS of the New YorkStete Penal law.. A Iication Submitted B rint nam [ Authorized Agent (�Owneir pP . y M1 G�.q�� 1.1 �►� Signature'ofApplicant: Date: I•a��a� STATE OF NEW YORK) SS: COUNTY OFqu - ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the o� ✓ . (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 _ 20.�2ay,of r��MJ ,�� . . ,� ..,„ ..;. , . Notary Pubic CHAMMLOM INGiDl00 PR PERTY OWNER AUTHORIZATION Ctlllt .iA't�t�El here the applicant is not the owner) l,. 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 tl= 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 ia mesh(a)-southoIdtownny.gov — seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Awl Information Required) Date: Company Name: 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: 1A ; ( n A Cl- ' an: Address: a � Cross Street: Phone No.:(92) Bldg.Permit#: Tax Map District: 1000 Section: "7 Q Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 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 2 D H Frame Pole Work done on Service? Y F1N Additional Information: PAYMENT DUE WITH'APPLICATION I .y 'Pd %PLO ro c c o-1a-og �OStyFfp(�.co BUILDING DEPARTMENT- Electrical Inspector �O G TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 y 4 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 Iamesh(cD-southoldtownny.aov - seand(oD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 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: i_ nn I/ can SPA/" t QA b1A Address: J ` � � ���J 1> Cross Street: �Ue,&L Phone No.:(9 t7) 61.39-'FdYf l7) - ?t f� Bld Permit #: 1. email: 'GtOr" - Ye� g - l a m.cic,z CL ! t 5 Tax Map District: 1000 Section: -7 O Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 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 F12 H Frame Pole Work done on Service? Y DN Additional Information: PAYMENT DUE WITH APPLICATION kA1`q�c�y Q��►`4w mc 10107dxyl PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. WAD Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV Inst Hot DeHum HOT TUB/SPA Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower l Service Amps Have Used Sub Amps Have Used 1 Comments W6 tROL� tS Atuop cooAt A is .y Ilk 11)0K 0 alp R oa APP OUEO AS NOTEO DAWBUILDING B.P.# FEEBY: NOTIDEPARTMENT AT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE ELECTRICAL 2. ROUGH-FRAMING& PLUiv Rf;--1 G INSPECTION REQUIRED 3. INSULATION 4. FINAL-CONSTRUCTIONMUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES AS REQUIRED AND COND IONS OF SOUTHOLD To ZBA SOUTHOLD T PLANNING BOARD SOUTHOLD OWN TRUSTEES N.Y.S.D SO LD HPC SCHO ;UUPANCY OR USE IS UNLAWFUL '1VITHOUT CERTIFICAT IF OCCUPANCY G O O D M A_ MAN UT-At;-, U-n,ry u I-IpUSTON TEXAS 77008 MODEL CKT30-1 ► SERIAL NO. �1104g41�9b A.C.VOLTS 1 PHASE HE 3 Z MAX. 60 VOLTAGE RANGE MIN. 5 MIN. CIRCUIT AMPS 14—---. S MAX. FUSE AMPS OR HACR TYPE CIRCUIT BREAKER (HACK CIRCUIT BREAKER FOR U. S. ONLY) COMPRESSOR RLA 10. 9 LRA 5 MAX. WORKING PRESSURE FAN MOTOR Fla 0` - FACTORY CHARGE OZ. R22 104 FACTORY TEST PRESSURE PSIG LOW 150 HIGH HEATING CAUTION AND COOLING DISCONNECT THE ELECTRICAL POWER EQUIPMENT BEFORE SERVICING. , C /BTE0 ® ATTENTION: 2"8 DECONNECTER DU CIRCUIT D'AL-IMENTATION CENTRAL ELECTRIQUE AVANT L'ENTRETIEN. COOLING AIR USE COPPER CONDUCTORS ONLY. CONDITIONER THIS EQUIPMENT SUITABLE FOR OUTDOOR USEN <,,,TEo ® G0182770080 MEA NO.348-96-E PART No, P14932043 ACCEPTED FOR USE CITY OF NEW YORK _._ B 14930 ^r f NL„nber; ' 4'TXK6509A10 OBA .c 'dye ti• 202 01/ I R�,.�c.' ,�u,�eII�Y of Hz ti ICIi.' ois!IHeaj :ly ' ' ' n.oG 5.�4A nLA _RA - G Cit,• A0t0r Amp 4.25A 550 PSIG alo r - ti, g 15A Vlj Ampaci[y 40A P n' ,R41 OA Charge to jo0z 1rTt �f - ' •0Q DCAT-; P0''„ER 4.SOUE OE CNOCS ELECTR C.:c= DES BLES�VRES ET;YEME ENTRA,'.ER v ROES D'A,.IMENTATION A tE DEPANNAOE h1jei Lek i' 1��,�T� �t I fill►�1 U I, ��• 3097844 T �. � e Inc . USA � 000r, /t I DMENT ' I � I I .A� i I ! i ' n t' r r !ll PASS VNVBBUXTUEN. rr 1 1 T - 5 L n L 768-OI-G TSN:87S21131JO1668a a0-2.24O 48A A 5Oj6 z z 1 p200.246V-46p 60�60Hz 1m 8[I0onQBE aSV38Connector_8D6C8E ❑ ■ FOR USE WITH ELECTRIC VEHICLES.TYPE 311 ENCLOSURE WOOORIDUTDOORUSE VENTILATION NOT REQUIRED OPERATING TEMP XiC TO W _ CAUTION: 0-d"'"•'x'no�Do naem's ury damage t�the EV Connector or cable �.•, Na Zvi,tr,, um i Adi RM cover M a,"r.Tal 10 Men enclosure 1 ' ATTENTION: quaer�sernce aeMnnel k--eu mmN 1 n,�rn0ommaga Rrsque de(hot "y'7.7rdtn a unre NDar fWueur ?ousnrr le b*er r 0 -' WARNING*hq,.quai" 'w*T toul Ira`demrelien • "Mce 1 qE4ft to m pyar°ng ." °r sW Th, °`ary^4 S do-;I 1w ' ''Mcley n the 0�wD"4M �., , SEM w iemtve a D oar ,Wnn9 venmwon ft,Q�LNT: " r ft 4r CfA e OC � f r l r WPA2 PASS r • / • r r uXTUE VN T _ TPN:1457768-01-G TSN:B7S21131J01668 a INPUT:200-240V—48A 50/60Hz 10 4 •, OUTPUT: 200-240V— 5 50/60Hz 1(D i' MAC: 98:ED:5C:8D:5C:8E SSID:TeslaftlConnector EIDKEIE v- FOR USE WITH ELECTRIC VEHICLES:TYPE 3R ENCLOSURE. INDOOR/OUT DOOR USE VENTILATION NOT _ -30CTO50c REQUIRED. OPERATING TEMP: CAUTION: 00 not use this r Risk ul el p°duct�f there is an N%'ul ectnc shock.0o n Y damage to I of remove coverthe EV connector aarls inside. or at'E or cable _ A ENTIO servicing mpt to pen enclos t Refer o Nep�utilN Ce N• 9 to qualified g Ure• e1e Produil service Perso AucunU1,Ne pas retiref I aPPareil a nnel. ,fit, r; ou de p'�Ce inter°" a c0werc1e st endomma r�;j reparpon• v epar m essa 9e• Ris . •, D a u°techr,C1e pq�lal tilisateUre�d ouvrir le boiUe de choc '\ NN(� ifi6. Onfier to travail pa S�ey'Dios,fn v *%% t"Xvld ,J e9uipm veil d'entretie of n a Ik3te be ex eot has chary tided I'll t 46omm°flammab or SParki AVERT9 Auhrrat�cc use ioglaeh I esl abPorS• This 4�e m �ar e�a�SS�n�, teatUre iSe%nol reU\je the floc quipmeht ecAeS`tele 'an.l'a'VI� pro01 9uirio This N ti aoy"N o p�eii NT: eq 9 �Qntila a, as apeu des ompQ tlp� �Ima1rS 4 intia 'rcepe tie°es Cr ueS�am f1gbleSsC ti tie de �� s you de '►41eU�har9e pout c ePpareilaletll pa of Drp T�� a�r,emn au cmeej d U des devrai s�tre U4tre '` r �rw" ,ease ej�au°u d es vA sus tl t�Ir hic � e � ,o o"aliChar9eules n�laoeher a,,,Lh +� Islam,,,