HomeMy WebLinkAbout51201-Z of sooryo`o Town of Southold
* * P.O. Box 1179
ca
53095 Main Rd
�`�oouxr Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45604 Date: 09/30/2024
THIS CERTIFIES that the building HVAC
Location of Property: 145 Macdonald Rd Laurel,NY 11948
Sec/Block/Lot: 128.-6-17
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 08/06/2024
Pursuant to which Building Permit No. 51201 and dated: 09/18/2024
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" mini split air conditioning to existing single-family dwelling as applied for.
1/2/2025 Corrected for Building Permit number only.
The certificate is issued to: Smith Living Trust
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51201 09/30/2024
PLUMBERS CERTIFICATION:
"--Y Xe,�x
Authori d �-)hature
�o�OStlrtFUl�co Town of Southold 9/30/2024
G
y� P.O.Box 1179
0
o_ • 53095 Main Rd
4 o�,+ Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45604 Date: 9/30/2024
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 145 Macdonald Rd,Laurel
SCTM#: 473889 Sec/Block/Lot: 128.-6-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in.this office dated
8/6/2024 pursuant to which Building Permit No. 51125 dated 9/18/2024
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"mini split air conditioning units to existing single-family dwelling as applied for.
The certificate is issued to Smith Living Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 51201 9/30/2024
PLUMBERS CERTIFICATION DATED
00%
Authori ed Synature
�,AOFso�,yo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' q TOWN CLERK'S OFFICE
���'�Qaurrtr,e�
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#: 51201 Date: 09/18/2024
Permission is hereby granted to:
Smith Living Trust
44715 Audubon Sq Apt 104
Ashburn, VA 20147
To:
legalize "as built" mini splits to existing single-family dwelling as applied for with flood
permit.
Premises Located at:
145 Macdonald Rd, Laurel, NY 11948
SCTM# 128.-6-17
Pursuant to application dated 08/06/2024 and approved by the Building Inspector.
To expire on 03/20/2026.
Contractors:
Required Inspections:
ELECTRICAL-ROUGH, PLUMBING, ELECTRICAL-FINAL, FINAL,
Fees:
As Built HVAC $500.00
ELECTRIC -Residential $200.00
CO-RESIDENTIAL $100.00
-91b6d $150.00
Total $950.00
Building Inspector
pF SO!/l�ol
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: Mr & Mrs A.L. Smith
Address: 145 Macdonald Road city:Laurel st: New York zip: 11948
Building Permit#: 51201 section: 128 Block: 6 Lot: 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: A Air Mechanical Corp. Electrician: Arthur Fiedler License No: RP-3624
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 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 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: 1 mini split with 5 heads
Notes: HVAC MINI SPLIT
Inspector Signature: Date: September 30, 2024
145 mcdonald rd
ho�apF SOUTyO�
�l ao Ill 5 ,c c d�via ,c� 6�0(
# # TOWN OF SOUTHOLD BUILDING DEPT.
"couto, 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 j -] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [A ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: Rv AC Riat, 510 (t,f
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DATE 1 INSPECTORA. A 41d&
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DUMDING D'P,T.
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BVII,DING pF.pT.
SO'UTROI
pF SOUlyo�o
# # TOWN OF SOUTHOLD BUILDING DEPT.
coum, �o 631-765-1802 6-/7
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 [, f/PRE C/O [ ] RENTAL
REMARKS: vt 94-w-u4ura- d(e- pog-- �lLe--
DATE INSPECTOR
'IELD INSPECTION REPORT I DATE COMMENTS
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FOUNDATION (1ST) -- - -- -3
-------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING \
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INSULATION PER N.Y. -
STATE ENERGY CODE
FINAL
ADDITI. NAII COMMENTS09
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�o�°�FFac�Oo TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
V�� Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownay.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ® E E P L'l E
PERMIT NO. S �v Building Inspector:
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`•Applications and forms-must b�:f�letl out;in theEiretitiretyi�rincoritplete � �`�'
�,a pplications will<no be aceepted Wherethe Appl(canvll';not2jhj
_ _ -a,, r:;:M- Build'
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Owner's•Auihorization•form;(Page• )sfialtb'e;coiipleted .
Southold
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❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other P(ti I� I �'�1� 6 �� $
Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? []Yes El No
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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 ONo IF YES, PROVIDE A COPY.
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Application Submitted By'(pfint,name): Arf-k—r L a^�` .r`I El Authorized Agent downer
Signature of Applicant: In,
� y Date: 91jr 1.41
STATE OF NEW YORK)
SS:
COUNTY OF q �.� )
Ay VKuf &a WXOXlty4Y1 S-Yy-kk4k being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing co tract)above named,
(S)he is the b(AsVL4
(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 A lL S 20 a q
Notary Public
flkeaS wes VeWlt
s o� yU11C
PROPERTY OWNER AUTHORIZATION p Vwb��C
(Where the applicant is not the owner) G� dv\,-A: L-)I VEla
6XP' 9 J2R 2bZ.S
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
OFF01/cQ9Gy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 https://www.southoldtownny.gov
Floodplain Development Permit Application
PROPERTY INFORMATION: Flood Zone: �[�-(� FIRM Panel: SCTM#1000-
Address: /1- .5' M Q C_ O n Q..(4q k `
City: L zip: , 1,4
CONTACT,PERSON: Name:Q r 1 rn Phone M 'M Z-�q 3
Mailing Address:
PROJECT DESCRIPTION:
SECTION A:STRUCTURAL DEVELOPMENT(CHECK ALL THAT APPLY)
Type of Structure Type of Structural Activity,
Residential (1 to 4 families) ❑New structure
❑ Residential(more than 4 families) ❑ Demolition of existing structure
❑ Combined use ❑ Replacement of existing structure
❑Non-residential ❑ Relocation of existing structure
❑ Elevated ❑ Addition to existing structure
❑ Flood proofed(attach certification) ❑ teration to existing structure
❑ Manufactured Home Q Other:
❑ Located on individual lot
❑ Located in manufactured home park
SECTION;B:OTHER DEVELOPMENT(CHECK ALL THAT APPLY),
❑ Clearing of trees,vegetation or debris ❑ Mining ❑ Grading ❑ Drilling ❑ Dredging
❑ Connection to public utilities or services ❑ Paving ❑ Placement of fill material
❑ Drainage improvement(including culvert work) ❑ Roadway or bridge construction
❑ Fence or wall construction ❑ Watercourse alteration (attach description)
❑ Excavation (not related to a structured development) ❑ Other development not listed (specify):
By signing below I agree to the terms and conditions of this permit and certify to the best of my knowledge the information contained
in this application is true and accurate. I understand that no work may start until a permit is issued.The permit may be revoked if any
false statements are made herein.If revoked,all work must cease until permit is re-issued. Development shall not•be used or occupied,
until a Cert.of Compliance is issued.The permit will expire if no work is commenced within one year of issuance.other permits may be
'required to fulfill regulatory requirements.Applicant gives consent'to local authority or representative to make reasonable inspections "
to verify compliance.
Application Submitted By(print name):
Signature of Applicant: Date:
P
BUILDING DEPARTMENT- Electrica pector
TOWN OF SOUTHOLD �6t►�I - 6 2024
Town Hall Annex - 54375 Main Road Bd3C179
Southold, New York 11971-0959
y o!�':-. Telephone (631) 765-1802 - FAX (631) 7 p Telephone
?Jpl ,�a +gym of Southold
" ' jamesh(oD-southoldtownny.gov - seand(o)_sc- o olownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATIO (Ail information Required) Date: ap 1
Company Name: A , A-t9_ Ref- h►Ca
Electrician's Name: A f- . 1e e_r-
License No.: Kp 3�2 gIf Elec. email: e c
Elec. Phone No: 6 3 _ 9-Jl -q&Q 7 ❑I request an email copy of Certificake of Compliance
Elec. Address.:TQ 'gyp 4?1 l km I t q 6
JOB SITE INFORMATION (All Information Required)
Name: Mr. i-- M m �-L 2
Address: 5� ` t
Cross Street: 1ptopfst& &U �Ov
Phone No.: W - - 15 5�
Bldg.Permit#: 51201 email:
Tax Map District: 1000 Section: 1291, Block: to Lot: f 7
BRIEF DESCRIPTION OF WORK, INrLUDE SQUARE FOOTAGE (Please Print Clearly):
�l�n P
i 1I--4 I�r7+0-1 1'e1�
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 H Frame Pole Work done on Service? Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
BUILDING DEPARTMENT- Electrica pector
** ,04Z,�t
TOWN OF SOUTHOLD ®®��I� 0 6 ZQ?�
o Town Hall Annex - 54375 Main Road BA �179
� Southold, New York 11971-0959
yTele hone 631 765-1802 - FAX 631 7 l � Depaaa�e��
.0P ( ) ( ) ear+ of Botsft:o�d
jamesh(a_southoldtownny.gov — seand(cDsouthol townny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ap I':5
Company Name: , /-t�- Nck-mol
Electrician's Name: A ie 6r
License No.:RE S(,ILI Elec. email: e e lq
Elec. Phone No: � 3 _ 9.51 — &Q / ❑I request an email copy of Certificale of Compliance
Elec. Address.:'�® ft J'.2—
JOB SITE INFORMATION (All Information Required)
Name: 1�r -r- mr5 ,
Address: ] ` t q
Cross Street:
Phone No.:
Bldg.Permit#: 51201 email:
Tax Map District: 1000 Section: � Block: 6 Lot: f 7
BRIEF DESCRIPTION OF WORK, IN LODE 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 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
l
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Panel
Fans Mini Fr. W/D Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
L;ghts
Heat Pucks ERV
HOT TUB SPA
Inst Hot DeHum Transfer Disc ,
Combo Cooktop MinisplitlW—
Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments 1Iy,CtOn fiX410.
a-fl
gwQ�
a
INDOOR FAN 0. 1510. 17 A
PSMSOD'1 M(JTOR LOAD
\NPOOR UNIT CONNECT 15 A
MODEL NO. c
CS-MKS12NKU SDWITCH CAPACITY LA e
MULZIT`1PE AIR CONDITIONER
panasonlc Corpotation MATCHING OUTDOOR UNIT
eod` Osaka Japan C U-3 K S 1 9/V B U
Fsy, made "rnJapan CU-4KS24NBU
SOURCE 2301 208V 6oN7 1-PH C U-4 K S 3 1 N B U
w�.di��O� ;Eii r10 O O 3 1 2 3 2 y� t
x,1Z .ne.5tb000 _
1"°"""�""�+"�---•ass
C LY WITH ALL COIJ OF
NEW YORK STATE &TOWN CODES COMPf.Y WITH CHAPTER "46'
AS REQUIRED AND CONDI NS OF FL.000 DAMAGE PREVENTIC
SOUTHOLD TOW BA SOUTNOLD MOWN COD F
SOUTHOLD N PLANNING BOARD APPROVED AS NOTED
SOUTHO TOWN TRUSTEES
C
N.Y.S EC DATE-- B.P. S
OLD HPC FEE - Y.
HD NOTIFY BUILDING DEPAOTMFENT AT
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REC),11RED
E FOR POURED 00N(;RE_;f=
\' 2. ROUGH-FRAMING& P.
3. INSULATION
�,� 4. FINAL-CONSTRUCTION AUG - 6 ��?4 NSTRUCTIOR MUST
U BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
��rC1 ,P A N�Bu Ng Department REQUIREMENTS OF THE CODES OF NEW
�r V /t T- ,J. of Southold YORK STATE. NOT RESPONSIBLE FOR
USE IS UNLAWFUL DESIGN OR CONSTRUCTON ERRORS
WITHOUT CERTIFICAR ELECTRICAL
OF OCCUPANCY INSPECTION REQUIRED