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O�OgtlfFal�-�oG. Town of Southold 10/3/2024 a y� P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45607 Date: 10/1/2024 THIS CERTIFIES that the building HVAC Location of Property: 475 Inlet Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-2-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/24/2024 pursuant to which Building Permit No. 51158 dated 9/10/2024 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 to convert seasonal single family dwelling to year round as applied for The certificate is issued to LaRosa JD 2016 Irry Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 51158 9/30/2024 PLUMBERS CERTIFICATION DATED Aut ri ed i ature OfSauryo�e TOWN OF SOUTHOLD BUILDING DEPARTMENT �Q 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#: 51158 Date: 09/10/2024 Permission is hereby granted to: LaRosa JD 2016 Irry Trt 16 Eliot Dr Lake Grove, NY To: Legalize the installation of an "as-built" HVAC to an existing single-family dwelling as applied for per manufacturers specifications. Premises Located at: 475 Inlet Dr, Mattituck, NY 11952 SCTM# 106.-2-20 Pursuant to application dated 07/24/2024 and approved by the Building Inspector. To expire on 03/12/2026. Contractors: Required Inspections: ELECTRICAL- ROUGH, PLUMBING, ELECTRICAL- FINAL, FINAL, Fees: CO-ALTERATION TO DWELLING $100.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $500.00 ELECTRIC -Residential $200.00 Total $800.00 Building Inspector so�ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 1 1 97 1-0959 �� • �o Jamesh@southoldtownny.gov BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Paul LaRosa Address: 475 Inlet Drive city:Mattituck st: New York zip: 11952 Building Permit#: 51 158 Section:' 106 Block: 2 Lot: 20 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT Electrician: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser 25amp Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 15amp Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 1 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: H VAC AS BUILT Inspector Signature: Date: September 30, 2024 475 inlet dr o��OF SObIyO41161 J-05 -� nlef * # TOWN OF SOUTHOLD BUILDING DEPT. COO��m,� 631-765-1802 t'NSPECTION [ ] 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: PV AL A& C- e AV* vKcsr yt4 &14mP j�G� ©w�-1eA bm A& CovAeV S C DATE �� INSPECTOR r i� V� Y ' -.-.. L ❑4�i z Y va IL �,e�Yn y - ❑�Lfi � � 1 o"� y 147 1 r DO ' TREMOVE THt9 TWjsTOOUT •1 r i r 4. otl 40 WR r IE 1 authold -r, F (; EIUE • 2024 Building +ifown of SouthoW tip f 1 I - • ♦ l r � r- Lip ,/hN s f r=,�' r3D 2c�►, t b►�Qr2�;c;,� ZZ W, a�r2ie 1y�►t' +wrA ��� y r � �7 �Q .. W.1LL CAl(SE r pMy _ PAT94 aL... • yty o~r�arir�.bdWM R �pMT k*4 � W Oki i, BROMMM '►,1 be inl=" , q n 4r d °nfii�FjjA a FlJSY MDA 110 M I -TR ypllGi. mum A are tl n9M oac�ucERS Sw tpM yp_i,y.-HT �'. T rul�i�O _ _ .ru+AOM� ._.-..m�ET.W-�T. r OF SOUTyO -�i� �- � 5 r i�. 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 [ J PRE C/O [ ] RENTAL REMARKS: -� A.,L C �ovt L ul e A kP vv\oL b\) oo&v, 1�b �ls o►� e�l� �cc� �o�n,e.l jt DATEj 1 4 INSPECTOR a .n■ ' ULLLL I.v14w,m �n OIL - � 2o3 OL ■r�µw�wo- err r- - 1 6 N • - a EC EIV SEP Department FIELD INSPECTION REPORT DATE COMMENTS m FOUNDATION (1ST) ------------------------------------ FOUNDATION (2ND), . z y ROUGH FRAMING& PLUMBING y ` 1 o r INSULATION PER N.Y. STATE ENERGY CODE � n r ` FINAL ADDITIONAL COMMENTS cA � O z m 9� X O a� -Z t� H � O ZIM x d b y J SufFac,r�� TOWN.OF SOUTHOLD—BUILDING DEPARTMENT y a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631).765-1802 Fax(631) 765-9502,hiips://www.southo'ldtownny.gov Date Received APPLICATION :FOR BUILDING. PERMIT. 6 [ g For Office Use Only JUL 24 2024 PERMIT NO. .C)?) Building Inspector: Buiidling Oe�a�ment Applicafions'and forms must be filled,out in.their entirety:Incomplete. outhoid „ 7cawci O$; applications will not be-.accepted.,.-Where the Applicant is not the owner',an `Owner's Authorization form(Page 2)shall be completed.':'; 'Date:7/19/24 77 OWNER(S)OF PROPERTY: Name:JOSeph D LaRosa Irrevocable Trust Tsc7i�i#1000- 106.0.0-02.00-020.000 Project Address:475 Inlet Drive Mattituck NY 11952 Phone#:631-355-4455 Email:P_ @_ i larosa maxm _�._ �9 P Mailing Address:16 Eliot Drive, Lake Grove NY 11755 CONTACT PERSON:' Name: Paul LaRosa Mailing Address:16 .Eliot Drive, Lake Grove NY 11755 Phone#:631-355-4455 Emai!:plarosa@maxirrigrp.com 'DESIGN:PROFESSIONAL:INFORMATION: : ' ' Name: Mailing.Address: Phone#: Email: CONTRACTOR'INFORMATION': Name: Mailing.Address: y Phone#: Email: DESCRIPTION OF PRO.POSED,CONSTRUCTION ❑New Structure ❑Addition []Alteration ❑Repair ❑Demolition Estimated Cost of Project: lilOtherAir Conditioning.Unit OLS bug I!}. $ Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? .❑Yes ONo 1 . PROPERTY,INFORMATION'; Existing use ofYproperty:Vacation; Home..- Intended use of property VaCatlQn._.HQn1G_.__._..- Zone or use district 16 which,premises is situated: Are there any covenants.and restrictions-with respect to this property? Dyes ®No IF YES, PROVIDE-ACOPY. r B.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 pursuantto 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 law;,.ordinances,building,code, ,housing code and'regulations and to admit authorized inspectors on premises and in building(s)for necessary,inspections.False statementssmade herein are, punishable as a Class A-misderrieanor pursuant to Section 210.45 of the New York,State.Penal Law. Application Submitted By(pri t ame).Pa I La Rosa ❑Authorized Agent BOwner Signature of Applicant: n Date STATE OF NEW YORK) SS: . COUNTY OF MR4 14 ) Pot 14 - e-6S41 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, ��,e D. 9t, g J-►'lie✓ to 6(S)he is the J r� C1l 0 ! J (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 perform ed.in.the manner set forth in the application file therewith.. Sworn before me this day of , 20---------------- 0� Notary Public . ANJELUIS K FIGUEROA [NOTARY PUBLIC,STATE OF NEW YORK Registration No.0IFI6114233 'PROPERTY-OWNER AUTHORIZATION Qualified in Suffolk County Commission Expires August 9,20 :(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 BUILDING DEPARTMENT-Electrical Inspector :fit! I WAY TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 rat. Southold, New York 11971-0959 �r Telephone (631) 765-1802 - FAX(631) 765-9502 1 . WgerxCa7southof to r+rnny: v`w.-s, iai lt3i y .aldtowrtny}g APPLICATION FOR ELECTRICAL- .1NSPECTI0N ELECTRICIAN INFORMATION (All Information Required) Date: Company Name j Electrician's Name;:, License No. - Elec. email;: ............. Elec. Phone No,. . -:.. ❑I request an email copy of Certificate of Compliance- Elec. Address.:; r JOB SITE INFORM 74,/ ON (All information Required) Name: L4OCdS Address: `7 1 v e ' Cross Street: e� r•'� Phone No.: Bldg.Permit#: email: ` Tax Map:District: ,.•,• 1000.. Section; i 6 Block: 2._ Lo#: _.... ........._. 2 BRIEF.DESCRIPTION OF WORK,INCLUDE SQUARE FOOTAGE (Please Print Clearly),: -eCI Foi to— . Ciircle-AII Thaf Apply: Is job ready for inspection?: YES':O NO O Rough In Ej Final Do you need a Temp Certificate? ; ;O YE NO Issued On Temp Information: (All information required) Service SizeO1 Ph.O3 Ph Size:. _... .. . A *Meters-. Old Meter# --------- - ,O New ServiceOFire ReconnectOFlood Reconnect OService Reconnect OUndergroundOOverhead #Underground Laterals 1. H.Ftame,... . Pole Work done ...Information:: ..... _.-....._................. PAYMENT DUE:VWTN APPLIC I01� c3 "f... BUILDING DEPARTMENT-ElectricalInspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 • :x' Southold, New York 11971-0959 y Telephone 631 765-1802 - FAX 631 765-9502 ' togerrCa7southoltontnrty�:gye;i�iradtydtl}.oldtownnyay: ,APPLICATION FOR ELECTRICAL .I.NSPECTION ELECTRICIAN INFORMATION (All Information Required) Date.. 7,17,4 Z Company Name: Aj Electrician's Name:: License No.: Elec. email:: Elec. Phone No;. ❑I request an email copy of Certificate of Compliance Elec. Address. JOB SITE INFORM ION (All Inforrmation Required) Name: g✓ 1C d S Address: `7 r ✓Z _ Cross Street: L e-4 f•„ Phone No.: b3 —3 Bldg.Permit#: ����`� email: .._.;TaxMaP:District: .. 1000... Section; :.ff�d Block: Z Lot: 2 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly);'. �s Bd < < V6 '-Curdle-AII-That-Apply Is job ready for inspection?: YES.Q NO Rough In Final Do you need a Temp Certificate?;; a YES' NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size:,. ... . . A: #Meters.. _Old Meter# .0 New Service Fire Reconnect[]Flood Reconnect[]Service Reconnect[]Underground Overhead #Underground Laterals 1. FIZ.El.H Frame,.... . Pole Work done on Service? � �-. Y N..Additional Information PAYMENTDUE1iIf1TH A#?PLICATION PERMIT# Address: Switches Outlets 1 GFI's Surface Sconces H H's UC Lts Fridge HW Fne Fans Mini Fr. WAD Exhaust Oven Sump Heater Smokes DW Trnsfmr Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat , Pucks ERV Inst Hot DeHum Transfer HOT TUB/SPA Disc Crrnbo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments AirRvAL; er 1 © ' I&AA �� { ,: Road APPROVED AS NOTED COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES I 2 B.P# 51 15g AS REQUIRED AND CONDITIONS OF DA�E SQUIIIa1D=3A FEE 1D 00-OO BY: Lb �OUtI101D1�WNPIANNBQAI�Q Al NOTIFY BUILDING DEPARTMENT AT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: ' FOUNDATION-TWO REQUIRED FOR POURED CONCRETE ROUGH-FRAMING&PLUMBING INSULATION FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS m ELECTRICAL INSPECTION REQUIRED Additional CerWCation May Be Required, i XRDATE 412018 DAT OD. N0. 47773030H1000NA VOLTS 208/230 SERIAL NO. 18181 UCB3F PH 1 HZ 60 MINIMUM CIRCUIT AMPACITY 16.0 AMPS OVERCURRENT PROTECTIVE DEVICE USA ANADA MAX FUSE I BREAKER (HACK) iiFG — 410A 4 LBS. 10 OZ. OR 2.10 kg(SI) 10 +I- 3°F DESIGN SUBCOOLING F Climatuff DuraTuff Spine Fin Quick—Sess TRANS c US HEATING AND COOLING EQUIPMENT / A BUSINESS OF INGERSOLL RAND "•rt` 3059934 TYLER, TX 75707 ASSEMBLED IN USA Intertek COMPR. MOT. 12.3 RLA 208/230 V 63.0 LRA 0.0.MOT. 0.90 FLA 208/230 V 1/8 HP DESIGN PSI — HIGH 480 LOW 480 F. 10, ESR Install Prohibited in Southeast and Southwest. �. At •"no CERTIFIED, www.ahrtdirectary.org Unitary Small AC AHRI Standard 210/240 y ci rvf-i n app ies only weer Inn complete system u IISIeG:':III AHRI �� III�IIIIIIIIIIIIuIIIIIIIIIIIIIIII�III IIIII IIIII IIII IIIIIII IIIII III IIIII I �) II 4/f/Ingersoll Rand I N-1 lit r ` f