HomeMy WebLinkAbout51269-Z of solo/ Town of Southold
* * P.O. Box 1179
0 53095 Main Rd
0ouNr�` Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45713 Date: 11/01/2024
THIS CERTIFIES that the building HVAC
Location of Property: 3130 Rocky Point Rd East Marion,NY 11939
Sec/Block/Lot: 21.4-12
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 08/22/2024
Pursuant to which Building Permit No. 51269 and dated: 10/09/2024
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 system to existing single-faiily dwelling as applied for.
The certificate is issued to: April Thayer
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51269 10/15/2024
PLUMBERS CERTIFICATION:
()Auh ize Signature
4*, QfSouryo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' 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#: 51269 Date: 10/09/2024
Permission is hereby granted to:
April K Thayer
3130 Rocky Point Rd
East Marion, IVY 11939
To:
Legalize an "as built" HVAC system to an existing single-family dwelling as applied for per
manufacturers specifications.
Premises Located at:
3130 Rocky Point Rd, East Marion, NY 11939
SCTM#21.4-12
Pursuant to application dated 08/22/2024 and approved 'by the Building Inspector.
To expire on 10/09/2026.
Contractors: J
Required Inspections:
Fees:
As Built HVAC $500.00
CO Single Family Dwelling-Addition /Alteration $100.00
ELECTRIC -Residential $200.00
Total $800.00
Building Inspector
o��OF SO�j�ol
� o
Town Hall Annex . Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 1 1 97 1-0959 �� • �o sean.devlin(cb-town.southold.ny.us
01
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: April Thayer
Address: 31.30 Rocky Point Rd city:East Marion st: NY zip: 11939
Building Permit#: 51269 Section: 21 Block: 4 Lot: 12
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 1 st 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 GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 1 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
Inspector Signature: Date: October 15, 2024
3130RockyPtHVACE lectric
of SOUIyo�
* TOWN .OF.SOUTHOLD BUILDING-DEPT.
coulm� 631-765-1802
<'MA. INSPECTION
[ - I FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[- ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING FINAL WAt,--
[ ] FIREPLACE &-CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT,CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: -
DATE l o INSPECTOR
SOUTyolo l 70 T -l
# # W�OSOUTHO.LD BUILDING DEPT.
TO
631-765-1802INSPECTION
] 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 ] .PRE C/O [ ] RENTAL
REMARKS: f -- -- -
[nC-)K
DATE C) INSPECTOR
MELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION (IST)
-------------------------------------
FOUNDATION (2ND)
O
y
ROUGH FRAMING&
PLUMBING _
� 1
r
INSULATION PER N.Y. p
STATE ENERGY CODE
05 loon
FINAL
ADDITIONAL COMMENTS
D � IO O z
�
o
z
M
1
� k
H
Nz
x
r�
x
d
b
►-3
=�o�gUFFOIK�oGy� TOWN OF SOUTHOLD—B'UILDING DEPARTMENT
in Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
"Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only I
PERMIT NO. I �O Building Inspector: AUG 2 2 2024
'Applications and forms.must be filled out in their entirety.Incomplete, BU,DING]DEPT-
applications will.not be accepted. Where the Applicant is notthe owner,an TOWN.OF SO'UTR®I•'
Owner's Authorization'form(Page 2)shall be completed.'; .
I
Date:
OWNER(S)OF PROPERTY:
Name: �� 1 ISCTM#1000-
Pro ect Address:
-- --__
Phone#: ',Email:
Mailing Address:
CONTACT.PERSON:.
Name:
Mailing Address:
Phone#: Email:
63r 67-_��Q
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: : .
Name: U.)0 ��eC
Mailing Address: pd eh l (`�
Phone#:G3,( 747_5�3 Email:T b-tiuc.Ec�s.}� _ ..._�1�►.RL�..,C�a..►ri__"...
DESCRIPTION OF PROPOSED CONSTRUCTION -
El New Structure ❑Addition FrAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other C,�nS'�r�� �' �C� �4'
Will the lot be re-graded? ❑Yes RiTo Will excess fill be removed from premises? ❑Yes ❑No
1
i
PROPERTY INFORMATION
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 ❑No IF YES, PROVIDE A COPY.
❑ 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 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 or demolition.as herein described.The applicant agrees to comply with all'applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New.York State Penal Law.
Application Submitted By(p it name): ®Authorized Agent ❑Owner
Signature of Applicant: - ��'d Date: � ? aka
I
STATE OF NEW YORK)
SS:
COUNTY OF L )
�r t. G on,4 V - being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(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 OC 4 r , 20a
Nota P is
0��5SATE,O�r% Dawn Johnson
PROPERTY OWNER AUTHORIZATION—'"t'-s "ry Public,state of New York
i _ PUBLIC ' E No OIJ06349053
(Where the applicant is not the owner;,N ° Qualified in Suffolk County
Conamisslon expires 10/11/20?%
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
i
U �
fl
_ ,firr
JjvL
MOR
, • • .- �{Wbcre�:ft1c"IR1?�IICQrii.[S.tta�l 1�C(?ia°�t'� - ,,.� - ;!
i,5
. . • . - .�Pti�t���p�pe�!+tvyi,c:s iti�+e).. -..- ,., . � _ - :{Ma;li,ag°a4� ) . .. • ,. . ,:�
( ' ` is hereby atatliorize i
�����o �1��r��� • �rah: _ � � ,•; . ,,.,� , :T•: , ' � . , �: . •,:' � -. --
to apply'oi my bebAlf W the
South6l Building,,Departti�cnt. :.
. ( ma's,s�naturej . • - : :: - . :-_ �- �. _ �{ � _ , . •, '. �', . . . ,��at�) �� ,_',
SAIL ,. . .' .
1
tioS�f�p� ca BUILDING DEPARTMENT-Electrical Inspector
a�0@* ;
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO' Box 1179
r* Southold, New York 11971-0959
y�o �� Telephone (631) 765-1802 - FAX (631) 765-9502
la mesh aa southoldtownny gov — seande-southoldtownny-clov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN I ORMATION (All Information Required) Date: $'C�)/09oo2e_f
Company Name: Oui o
NL
Electrician's Name:
License No.: 060 q Elec. email: n e ew-,6
Elec. Phone No: &g1_-;b-r,fYST 2f equest an email copy of Certificate of Compliance
Elec. Address.: Ckev,,m It-IS 5 taa Ni / T/
JOB SITE INFORMATION (All Information Required)
Name:
Address: 3i30 jgocW ' O%r,-% Rd. &5r MA011a%-Z tA.Y.
Cross Street: /7,11fin IZQL
Phone No.: ,3o3 -8ic) -oq o
Bldg.Permit#: 5 I r, L09 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Ccr- rW_k R- Square Footage: I /Vm
Circle All That Apply:
Is job ready for inspection?: �YES,7 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 Eloverhead
# Underground Laterals 1 2 M H Frame M Pole Work done on Service? 0 Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
SURVEY OF DESCRIBED PROPERTY
AT EAST MARION,
TOWN OF SOUTHOLD
SUFFOLK CO.,N.Y. SCTM LOT 11
1000-21-04-12 SOUTHERN OLVD.
pgWt.95
210.40 v
N 81°30'00°E
POST g VASE FENCE
r
PSWt•1S
O �
8.2
o bI
r. 25
2 = N
:...,
COL
i ONE�.; •::::...:...::.:.::..:. i y O
SCALE: 1•=20' rn
•..:' :::::.::::..:.:::::..... ... -
_ V. 6.9 ~
eRICK
�
0
: 14.1 O.S. SCTM LOT 1
�77 gSICK n
/V :.�L / 4% Tn
O
a ��
♦/ a�i a
m w r C.E.
% rm
0.
PORT \
. 1.0 +o SUPPORT w Wool)
�^ POSTS.S7 DECK
U�UFwIUS'd01 Q _ y ��
1d3{T Ji• ^6�01 I
Z p1.0 25.2 &IL WOOD suP SUPPORT
dLUL GAM
z 58.9 P.T.- BALL.
u
pgyVDAN
OO
p FENCE GEN.0.1N i
POST 8 WISE I
UIL:UPPER LEVEL
210-34
■=CONC.MONUMENT �' S81"30'0O'W II
POCK PLANTER OEN.OIL OF
NEIIyy
•e 0P
IRON PIPE FOUND I.P.0•2 A. GR0
13
SCTM LOT
�Z
THE OFFSETS OROIMENSIONs sHOWN NERONFROM THE PROPETYUNm TO I .
THE STRUCTURESAREFOR A SPECIFIC PURPOSES USE,THEREFORE•R¢YARE
NOTINR911DFD TOMONUMENT THEPROPERTYUNES OR 7000IDETHEEAECTION
OFFENCES.ADDITIONAL sTRUCTVREs OR ANY OTHER SffROMWEfiT: C
UNAUTHORITED ALTERATIONS ORAOOmON9 ro nuesuRvlvISA WOLATION OF > CY 0 0 9
SECTION720s SUEDAWON ZDOF MNEW YORRSTATEEDUCA7IONLAW.COPIES
�SSEEO SEAL SHML NOTES CONSIDERED TO SEA VAU TFUECOPY. 0R NOTE:THIS SURVEY NOT FOR LANDS C.50869 .
CERTIFICATIONSINDICATEDNEREONSHAILRUNONLYTOTHEPERSONFORWHOM THE PURPOSES OF TITLE. P.O.BOX 704 RIDGE,NY 11961
THE SURVEYIS PREPARED.AND ON THEIR BEHALF TO THE MW COMPANY,DOV- 951.640.4899
EiNMENTAOENCY ANDLENOINE INSTITUTION USTEDHEREON.CERTIFICATIONS
ARENDT TRANSFFRAELE TOADDmDNAL OVsTITUTIONs OR sUsSEOVENTOWNERs.
NO RCSPONSIEIUMSASSUMEORY THE UNDERSIOAIEDFORANYSURFACE,SUB-
SURFACE,AERIAL EASEMENT$SUBSURFACE UTTUTIES AND/ORSTRUCTURES
IN OR OUT OF EASEMENT E IF SO PROVIDED.
SCTM 1000-21-04-12
3 f�
1 i
Opd
I
APPROVED AS NOTED
COMPLY WITH ALL CODES OF
D -q 224 B.P# o� NEW YORK STATE&TOWN CODES
DA'�;- AS REQUIRED AND CONDITIONS OF
FE DO•dU BY: I SOIliNOIDTOWNZBA
NOTIFY BUILDING DEPARTMENT AT V SOURi01 um PLANNING BOARD
MI-765-1802 8AM TO 4PM FOR THE A SOUiHOIDTOWNTAUSW
FOLLOWING INSPECTIONS: N.YWIT
FOUNDATION-TWO REQUIRED HK
FOR POURED CONCRETE So
ROUGH-FRAMING&PLUMBING
INSULATION
FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE ELECTRICAL
REQUIREMENTS OF THE CODES OF NEW INSPECTION REQUIRED
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
I
Additional
Certification
May Be Required.
i
i
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE
I '
Model Number M4AC3030B1000NA '
Serial Number•
Factory Charge 4 lbs 7- oz , R410A, _
,
TOTAL CHARGE(� Ibs Q oz R41,OA
t •�
r INSTALLER: . Mark per
Installation Instruction j
182 7100 7 7M
Design Press High side 550PSIG .__ .__w.
Low, side 25OPSIG
For Outdoor Use Only ,
Unit Supply 208/23OV:' 1PH 60Hz UTILISATION N A L EXTE 1 .
Compressor 208/230V . 1 PH 60Hz 11.6 RLA 59.0 LRA
Fan Motor 208/230V 1PH -60Hz 0,7 FLA ' . 1I8 HP:
t.
Minimum Circuit Am aci -
P ty 15.2 A
MAX FUSE OR MAX CKT.BKR. HACK TYP
� E per NEC) -,25A
FUSIBLE MAX. (DISJONCTEUR MAX. ) 25 COURANT
{
. RANT . . • �t;
maid D
CONFORMS
`�` {j���¶j �yg
us 1996'
CERTIFIED
TO CAA STDInte
rtek, c,22.-2 Nol.236- -
; . .. -w
t
312
4627. �.. ; .
_ • • ; ,fit .
fingers® h, and C800 g Onpaety Street i yDaVids :w ;
_ 'S -, i.'_:i .7. i^�-':THY•':._, � - _ 1'
ash; '+ �� • -^^."n^"'m..-,...1^.^^..+.......^,^„k.K.•,.-.._...,,� I'.
Y 1J,
`Lv
I Jill
.V;
'T t
T-4i
W�
au il R.-
j;it W
-NW jf_fAZ.:,.,j
IT
'4 :4111
.AV t
It
FF
gr
Cull
I
PIN
A
a
�r yf' �%�'r= . 1..'�p < ,� p.. Y.r�$jjr'�" f�.�,�'i 1.t � fii��,,r-'-1'; ''J�I:."�r„?.+crt''.•fit^� ;,: .m�'.r' �' _P>.
v
. 21 -T tpf.W J j �
;k ,
��Pq Aij,
)MV.
Ire
q w,