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SUF t Town of Southold 9/26/2024 P.O.Box 1179 o _ 53095 Main Rd y�j�l �aoA Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45589 Date: 9/26/2024 THIS CERTIFIES that the building HVAC Location of Property: 425 Jacobs Ln, Southold SCTM#: 473889 See/Block/Lot: 88.-1-1.5 Subdivision: - Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/5/2024 pursuant to which Building Permit No. 51105 dated 8/21/2024 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 conditioningas applied for. The certificate is issued to Nappa,Anthony&Sarah of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 51105 9/20/2024 PLUMBERS CERTIFICATION DATED AutLoriz6A Signatur o�SufFDI/r TOWN OF SOUTHOLD BUILDING DEPARTMENT a N TOWN CLERK'S OFFICE 2 • SOUTHOLD, NY 0 col #_yam 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#: 51105 Date: 8/21/2024 Permission is hereby granted to: Nappa, Anthony 425 Jacobs Ln Southold, NY 11971 To: legalize "as built" central air conditioning as applied for. At premises located at: 425 Jacobs Ln, Southold SCTM #473889 Sec/Block/Lot# 88.-1-1.5 Pursuant to application dated 7/5/2024 and approved by the Building Inspector. To expire on 2/20/2026. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 ELECTRIC $200.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $800.00 Building Inspector TO SO(/Ty�lo r 0 . # -TOWN OF SOUTHOLD BUILDING DEPT. °ycouun��' 631-765-1802 INSPECTION . [ ] FOUNDATION 1 ST/REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION/CAULKING [ ] FRAMING /STRAPPING [ejelFINAL W1117-e,- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ j FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS_ : H S- byi# ,eR �r4C DATE 1- -10- ' Z-_ INSPECTOR SOGTyo�o 15710 S //a 3 ac 3 c©b s 'LA) # TWN OF SOUTHOLD BUILDING DEPT. `you 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) [SC] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: gulvp A/c 6-kyla ce�� 3 � P not Oa DATE to 2 INSPECTOR , o�*OF SO!/T�ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Jamesh Southold,NY 11971-0959 �O • �o _southoldtownny.gov coun BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Sarah Nappa Address: 425 Jacobs Lane city:Southold st: New York zip: 11971 Building Permit#: 51 105 Section: $$ Block: 1 Lot: 1.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: N/A 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 X Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 2 Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 2 airhandliers, 2 condensers Notes: HVAC AS BUILT Inspector Signature: LDate: September 20, 2024 425 Jacobs In �t S E P 0 2024 RTIII.PING UEP L ' Y +y.t O Q N A �+ �- w LO J 4 � H FIELD INSPECTION REPORT DATE COMMENTS rn FOUNDATION (1ST) (Qn V`4t ------------7------------------------ C FOUNDATION (2ND) z 0 y� ROUGH FRAMING& y PLUMBING 1 I INSULATION PER N.Y. H STATE ENERGY CODE •ig• FINAL ADDITIONAL COMMENTS .3 • �`E- ok 800 40 3P t-C ✓rC. c.* 10 8 W7 'S eAecAnc Ce,( 1- o Z rn W O H x C Lz1 'd H O��suFFO�tq TOWN OF SOUTHOLD—BUILDING DEPARTMENT yz" Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �$ o� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownn . ov , Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only JUL " 5 2024 PERMIT NO. Building Inspector: . Building Department Applications and forms,must be filled out,in their entirety.Incomplete 'Town of Southold applications will not be accepted. Where the Applicant is Inot the owneri a'h Owner's Authorization_form(Page 2)shaN.tie completed: Date: -OWNERS)OF PROPERTY: Name: SCTM #1000- Project Address:_ Phone#: Email:. �'1(1i"►4'P9/MLI" Mailing Address: SPA-TY�1 t. CONTACT PERSON: Name: Mailing Address: ?? Phone#�b� Qq /2.._.. ...___..___.__._. .. ;DESIGN PROFESSIONAL INFORMATION: Name: - Mailin Address: ..�-i.-:-,.e^+`is•a�.y,t6.. -,_. .-_.:ems. _ _.._-.........-_. ....,_ .-. _ .... ._-..> _--. - `-..... ..._ _... Phone.# Email: CONTRACTOR:INFORMATION:': , " Pl. Mailing Address;.: 1 Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: bother 1Sfl/y1fA A)9_ C0r,%1nbP0 W(, CAD $ f Will the lot be re-graded? ❑Yes)ZNo Will excess fill be removed from premises? ❑Yes )GNo 1 P.RO P ERTY-INFORMATION' Existing use of property:5jNQLk M1(� MbMt intended use of property: SAMT 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. Chec .Box After Readln : The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by 3 t' to r . Chapter-3 of the own Code..APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant so,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-coile,', housing code:and:regulations and�to admit authoriied inspectors on premises.and in building(s)for,ne,cessanj inspections.'False statements made herein are punisFialile'as a Cles's A misderneanor pursuant to Section 210.45 of the New York State Penal-Law: Application Submitted By( int name): S'jcq � �I°� ❑Authjorized Agent 16—e—Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF SUff-01' --- ) - �G.P fC{ . being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the C2 Woe-C C2 (tD M�OM . (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 200�m Notary PuV'r VN D• MD�G,�,,�,� to 2. PROPERTY OWNER AUTHORIZATION 2 N r4 row, (Where the applicant is not the owner) �"I'�� �'my,;y ,? tir 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 4ofF04 BUILDING DEPARTMENT- Electrical Inspector x TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 "T Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 Y s jamesh(D-southoldtownny.gov — seand(a southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: S'm �Ji VVA Address: g S L/ ) Cross Street: 1 Phone No.: 5`b ®��,� Bldg.Permit#: �/f OS email: Tax Map District: 1000 Section: 9?- Block: / Lot: f, BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Ali- 61F- dCCGMrJC J 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 D 1 2 D H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION , S11FF01,¢CO BUILDING DEPARTMENT- Electrical Inspector r o Gy TOWN OF SOUTHOLD ,sue _ ;: Town Hall Annex - 54375 Main Road - PO Box 1179 '* Southold, New York 11971-0959 ��o� Telephone (631) 765-1802 - FAX (631) 765-9502 ' jamesh .southoldtownny.gov - seand(o_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: WA Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: SA -A Address: - Cross Street: 16',.,) Phone No.: BIdg.Permit#: 5�//0 , email: Tax Map District: 1000 Section: Pf- Block: % Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): AW- Ca,N.DJTJbrJI NG, C.b-YtT1P[Q3T>v eL dcCCiMrJC J 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 0 1 FJ2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets l 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 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 dse-r 35/AA4k A- ;Z k&eta A601.01 5 AMP CVWXevL5es" 40 AkMP Max ::O� A-1 V• 1 v MAP OF MINOR SUBDIVISION yr DEERFIELD FARM FILE No. 10596 FILED MARCH 27, 2001 =°f' SIT UATED AT BAYVIE f TOWN OF SOUTHOLD SUFFOLK. COUNTY, NEW YORK S.C. TAX No. 1000-88-01 - 1 .5 ; SCALE 1 "=50' APRIL 3, 2001 -` JUKE. 15, 2001 REVISED PROPOSED HOUSE JULY 112001 FOUNDATION LOCATION JANUARY 10, 2002 FINAL SURVEY J APRIL 17, 2002 BARN FOUNDATION LOCATION APRIL.21, 2016 STAKE PROPERTY LINES , MARCH 4, 2020 UPDATE SURVEY AREA = 120,801 sq. ft. 2.773 cc. t N� Sg 30, e o•/ O 2 �t ro ¢°\ ?g om hpJy �` ii::{^r A2(�, ss,� ' 4• ..f:C. "HIS. OJ l 4g, •'2y �9Tt. -�{. •. a y !`*'PP. MODEL NO.I MOOELE N* 13AJA36CO1115 MFD./FAB 06/2015 SERIAL NO./ N° DE SERIE W241519297 OUTDOOR USE/ UTILISATION IN EXTERIEUR COMPRESSOR CODE / CODES DE COMPRESSEUR RTZ AP A WED AS NOTED VOLTS 208J230 PHASE. 1 HERTZ 60 COMPRESSOR/ COMPRESSEUR R.L.A. 15.4/15.4 L.R.A.97.00 OUTDOOR FAN MOTOR/ MOTEUR VENTIL. EXT. F.L.A. O.AO H.P. 1/6 r DATE• B.P.# 21/ZI A MIN. SUPPLY CIRCUIT AMPACITY/ \ , COURANT ADMISSABLE D'ALIM. MIN. = FEE l BY: MAX. FUSE OR CKT. BRK. SIZE*/ CAL. MAX. DE FUSIBLE/DISJ* 35135 A NOTIFY BUILDING DEPARTMENT AT MIN. FUSE OR CKT. BRK. SIZE*/ CAL. MIN. DE FUSIBLE/DISJ* 25/25 A = 631-765-1802 8AM TO 4PM FOR THE DESIGN PRESSURE HIGH/ i FOLLOWING INSPECTIONS: PRESSION NOMINALE HAUTE 300 PSIG/2068 kPa — DESIGN PRESSURE LOW/ 150 PSIG/1034 kPa 1. FOUNDATION-TWO REQUIRED PRESSION NOMINALE BASSE OUTDOOR UNITS FACTORY CHARGE/ .r FOR POURED CONCRETE CHARGE US1NE D'UNITES EXTERIEUR 0 OZ/Og TOTAL SYSTEM CHARGE? 2. ROUGH- FRAMING&PLUMBING CHARGE TOTALE DU SYSTEME 3. INSULATION SEE INSTRUCTIONS INSIDE ACCESS PANEL/ YOIR ITS CHARGE INSTRUCTIDNS A L'INTfRIEUR DU PANNfAU D'ACCfS 4. FINAL-CONSTRUCTION MUST RHEEM SALES COMPANY Q FORT SMITH, ARKANSAS ASSEMBLED BE COMPLETE FOR C,O. IASTALL PROHIBITED IN SOUTHEAST AND SOUTHWEST IM *IIACR-TVPE BREAKER FOR U.S.A./ MEAICO ALL CONSTRUCTION SHALL MEET THE DISJONCTEUR DIFFERENIIEL IPX4 JoNjONNOMMIll 92-22U5°-I' REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES (,IF NEW YORK STATE & TOWN CCDE-' AS REQUIRED AND CONDITIONS OF MODEL NO./ MODELE N4 13AJA42C01115 MFD./FAB 06/2015 SOnOLD T N ZBA SERIAL NO-/ N4 DE SER1E W241526940 ' OUTDOOR USE/ AOL OWN PLAN V%-BOAnD UTILISA ION EN EXTERIEUR COMPRESSOR CODE / CODES DE COMPRESSEUR 8939 SO TOWN TRUSTEES VOLTS 208/230 PHASE. 1 HERTZ 60 un4O C COMPRESSOR/ COMPRESSEUR R.L.A. 19.2/19.2 L.R.A. 112.0 cn OLD HPC OUTDOOR FAN MOTOR/ F.L.A. 0.80 N.P. 1/6 � JV MOTEUR VENTIL. EXT. A S MIN. SUPPLY CIRCUIT AMPACITY/ 25/25 COURANT ADMISSABLE D'ALIM. MIN. MAX. FUSE OR CKT. BRK. SIZE*/ 40/40 ACGIPANC`Y OR CAL. MAX. DE FUSIBLE/DISJ' MIN. FUSE OR CKT. BRK. SIZE*/ 30/30 A USE IS UNLAWFUL CAL. MIN. DE FUSIBLE/DISJ* DESIGN PRESSURE HIGH/ 300 PSIG/2068 kPa WITHOUT CERTIFICA- PRESSION NOMINALE HAUTE 150 PSIG/1034 kPa DFIIGN PRESSURE LOWI R22 OI NALE S UTDOOR UNP` FACT%YCHARGE/ 0 Oz / 09 R22 OF OCCUPANCY CHARGE USINElI D'UNITES EXTERIEUR TOTAL SYSTEM CHARGE/ CHARGE 1'OTALE DU SYSTEME SEE INSTRUCTIONS INSIDE ACCESS PANEL/ HEAD D'ACCES VOSR LES CHARGE INSTRUCTIONS A L'INTERIEUR OU PAN I] I RHEEM SALES COMPANY ASSEMBLED FORT SMITH, ARKANSAS IN INSTALL PROHIBITED IN SOUTHEAST AND SOUTHWEST NEXICO *HACK 1YPE BREAKER FOR U.S.A./ IPX4 ELECTRICAL DISJONCTEUR DIFFERENTIEL °' M �I''IIIIliIIIIHIIINflllllll 9 2-22050-1 7 INSPECTION REQUIRED 15111Y�{�I�