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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