HomeMy WebLinkAbout50960-Z o�QS�FFOc� Town of Southold 9/4/2024
a y� P.O.Box 1179
o - 53095 Main Rd
tytj01 Sao ' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45517 Date: 9/4/2024
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 155 Smith Dr N, Southold
SCTM#: 473889 Sec/Block/Lot: 76.4-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/24/2024 pursuant to which Building Permit No. 50960 dated 7/17/2024
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"central air conditioning in existing single-family dwelling as applied for.
The certificate is issued to Ellinghaus,Jonathan&Joy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50960 8/16/2024
PLUMBERS CERTIFICATION DATED
A ized i nature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y. x. 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#: 50960 Date: 7/17/2024
Permission is hereby granted to:
Ellinghaus, Jonathan
620 Pelham Rd Apt 2A
New Rochelle, NY 10805
To: legalize "as built" AC in existing single-family dwelling as applied for.
At premises located at:
155 Smith Dr N, Southold
SCTM #473889
Sec/Block/Lot# 76.4-22
Pursuant to application dated 6/24/2024 and approved by the Building Inspector.
To expire on 1/1612026.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00
ELECTRIC $200.00
CO-ALTERATION TO DWELLING $100.00
Total: $800.00
Building Inspector
so�ryo
,moo �o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
� �o sean.devline-town.southold.ny.us
Southold,NY 11971-0959
�yC4UNTV,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jonathan Elling Haus
Address: 155 Smith Dr N. city,Southold st: NY zip: 11971
Building Permit* 50960 Section:' 76 Block: 1 Lot: 22
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 Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water 30A GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 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:
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC & HW
Inspector Signature: G Date: August 16, 2024
S. Devlin-Cert Electrical Compliance Form Copy
OF 50Utyo
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
(00 INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL Wjr,-"
[ ] FIREPLACE & CHIMNEY [ ] -FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION . [ ] FIRE-RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE.VIOLATION [ ] PRE C/O [ ]. RENTAL
i �
REMARKS: nA",L.._
DATE INSPECTOR
OF SOUTyolo 5 V 9 ( 0
# TOWN- OF SOUTHOLD. BUILDING DEPT.
cn 631-765-1802
IN-SPECT[ON '
[ ] 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: LT 41 VAr,
C-7 14 1 '�j
e� e- _ Q sS
DATE I INSPECTOR
pF SOUTyOID 41 Co /J 5
# TOWN OF SOUTHOLD BUILDING .DEPT.
tou�m� 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) / " LECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: s y Lfi J4 VA-e-
DATE / INSPECTOR Q
MELD INSPECTION REPORT DATE7— COMMENTS
rn
FOUNDATION (IST)
---------------------------------
FOUNDATION (2ND)
O
ROUGH FRAMING& co
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE
coo, or
FINAL
ADDITIONAL COMMENTS
e-0 ele-xe�, $
---Ce i -- - --- ---'--- - '-- ----- - -
0
JN z
rn
o�OgUFFO�q�,�ii TOWN OF SOUTHOLD-BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy • o!� Telephone(631) 765-1802 Fax (631) 765-9502 h !ps://www.souiholdtownnygov,
col
i
Date Received
APPLICATION FOR BUILDING PERMIT
E � � o � r
For Office Use Only
PERMIT NO. Building Inspector: MAY -2 4 2024
,Applications and forms must'be,filled out in their=entirety:Incomplete; 8U;;d;ng pepertment
,applications'will'not be,accepted: Where the Applicant is not the.6wner;an Town of Southold
Owner's Authorization form,(Page 2)shall be 6rin6leted.
Date: co
OWNER(S)OF PROPER -7
Name: SCTM #1000-
Project Address:_._I__S _ .. _._L •_.._�rl... ,__.._ �'"-.!�1- 0_----. --. Q -_.. �___.--_ - I_�_.
Phone#: Email: `v ���l
,Pho ._L__. . _3._.. _.`�_. _ _._...._ _ _ .._..__ �cis_. _r_G. _ a _
Mailing Address: (�
e.(. .s _ _o
CONTACT,PERSON:. ... .,
Name: O L ha G-g.
Mailing Address:
Phone#: ° Email:
e
DESIGN PROFESSIONAL INFORMATION:. .
Name:
Mailing Address: J
Phone#: Email:
CONTRACTO111 N FORMATION:
Name:
h
Mailing Address: O
Phone#• Email: S+G�
DESCRIPTION.OF PROPOSED CONSTRU„CTIOW'L .'
[:]New Struct re ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Proms
❑Other
Will the lot be re-graded? ❑Yes 04 Will excess fill:'be removed from premises? ❑Yes o
1
1
�'PROPERTY..IN'FORMATION
Existing use of property:' Intended use of pope
Zone or use district in which premises is situated: Are there any co enants a d restrictions with respect to
this property? Dyes o IF YES, PROVIDE A COPY.
Check box After Reading:=The-owner/contractor/des'ign professional'K responsible for all drainage and storm ivatei!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 ror demolition as herein described.The applicant agreesto comply with all applicable laws,ordinances,building code;. ' .
housing code and regulations end.to admit authorized inspectors on premises and in building(s)_for necessarV,inspections,False'statements made herein are
pun ishable"as a Class A misdemeanor.pursuant to Section 2l0.45�of the.New York state Penal Law:
Application Submitted B ri t name): �(( I If1 OLV-S Agent❑Authorized A Owner
PP Y(p ) J O �1 g
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF SV�
being duly sworn,,deposes and says that(s)he is the applicant
(Name of i ividual signing c ntract) above named,
(S)he is the V WY
(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 a lication file therewith.
Sworn before me this
20 day of M 4:7 1202,7
Notary Public
AKINSH , I DORSETT
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01D06334042P ®PERTV OWNER AUTHORIZATION
Qualified in Westchester County
Commission Expires 12/07/2027 (Where the applicant is not the owner)
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
o��c���EQt,{•t0 BUILDING DEPARTMENT- Electrical Inspector
.� TOWN OF SOUTHOLD
o �` Town Hall Annex - 54375 Main Road - PO Box 1179
W, ' Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
jamesh(Dsoutholdtownny.gov - seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: S-h �--
Company Name: C
Electrician's Name: h b r (G, d 1
License No.: Elec. email: (e- -e I e L�Yi G 3- ® ma,4 .
Elec. Phone No: (, 76 7 - �63 ❑I request an email copy of Certificate of Compliance
Elec. Address.: 0_ S- a. --f Vc� LU 1 ' S-
JOB SITE INFORMATION (All Information Required)
Name:
Address: d
Cross Street: A T ,
j
Phone No.: S-3. ,5- 9 "
Bldg.Permit#: _ �S��p p email o 'n d c b Ud,
Tax Map District: 1000 Section: Block: / Lot: �-a
BRIEF DESCRIPTION OF WORK, IILIDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: El YES NO ❑Rough In MIPinal
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 H Frame Pole Work done on Service? El Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
BUILDING DElectrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
,V Telephone (631) 765-1802 - FAX (631) 765-9502
1 jamesh(a-southoldtownny.gov.- seand(@-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ,0 1 -
Company Name: C
Electrician's Name: ph b r-e yo-a(G, l
License No.: SS/l Elec. email: -e I e c ri C : L 4 Lo
Elec. Phone No: 3 (, 7 7 - �63 ❑I request an email copy of Certificate of Compliance
Elec. Address.: p_ ,Y-- Mn, -'h/c4i ' 1
JOB SITE INFORMATION (All Information Required)
Name: Jo 01 nI Kakj-s
Address: ,- i y�l W UfU
Cross Street: V
Phone No.: G' j' �'� 9
Bldg.Permit#: _ �� (�® email: I a V e. ,. U- L10 LlaUGlr ems ?
Tax Map District: 1000 Section: Block: / Lot:
BRIEF DESCRIPTION OF WORK, IN 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
Y
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION:
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW 1 ® POOL
Panel
Fans Mini Fr. W/D Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Water Bond
Carbon . Micro GrbDis Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit
Blower
AC-(% AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
k
6Ck
APPROVED AS NOTED
DA .P.#
BY:-_- X- ,-/
NOTIFY BUILDING DEPARTMENT AT
631 765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PU.I vT3lNG
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
All CONSTRUCTION SHALL MEET THE
REQUIREMENTS OFTHE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OR
NEW YORK STATE&TOWN CODES
AS REQUIRED/NDCODITIONS OF
ZBA
N PLANNfNO BOARD
NTRUSTEES
OCCUPANCY OR
USE IS UNLAWFUL.
WITHOUT CERTIFICA*
OF OCCUPANCY
ELECTI4ICAL
:NSPECTION REQLIIF
� ODEL NO . 1 M o
S ®DEEP N F024'-13CSJNAB o . No DE SERA
MFD. /FAB 101202,16585 OUTDOOR USE/
COMPRESSOR CODE / CO UTILISATION EN EXTRI
VOLTS S DE COMPRESSOR EW
20812"'0 '9529'
COMPRESSOR/ PHASE. I
- COMPRESSEUR R. L . A. � � HERTZ 60
.2111 . 2 L- R,A,,. 60
OUTDOOR FAN MOTOR/
.8
MOTEUR VENTIL . EXT, F. L. A. 0. 75
MIN . SUPPLY CIRCUIT AMPACITY/ 11- P. 117
COURANT ADMISSABLE D ' ALIM. MIN. 15/15
6 A
MAX * FUSE OR CKT . 8KR. SIZE*/
CAL* MAX - DE FUSIBLE/,DISJ* 25/25
moo""
MIN . FUSE OR CKT. BRK. SIZE*/ A
CAL. MIN - DE FUSIBLE/DISJ* 20120 A
DESIGN PRESSURE HIGH/ Ic
PRESSION NOMINALE HAUTE 450 PSIG/3102 kwP
DESIGN PRESSURE LOW/
PRESSION NOMINALE BASSE 250 PSIG/1723 kPa
OUTDOOR UNITS FACTORY CHARGE/
CHARGE USINE D ' UNITES EXTIRIEUR 66 oz/187,g R410A TOTAL SYSTEM CHARGE/
CHARGE TOTALE DU SYSTEME R410A •
SEE INSTRUCTIONS INSIDE ACCES
VOIR LES CHARGE INSTRUCT S PANEL
IONS
FUJITSU GENERAL AM A L'INTtRIEUR DU
ERICA INC PANNEAU D'ACCts
PINE BROOK, NJ 07058 .
INSTALL PROHIBITED IN SOUTHEAST AND SOUTHWEST
*HACR TYPE BREAKER FOR U S.A./
DISJONCTEUR DIFFERCN I ASSEMBLED
.
1l11IIf�!!��lllPf IEl1�
T EL
m rco
f�fl{lfllfll�lflljl111f11f1f1All, I PX-1
92-2.2050-17