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Home My WebLink About50717-Z �o�aoF s°°ryo`o Town of Southold * * P.O. Box 1179 io 53095 Main Rd uer.`' Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45692 Date: 10/26/2024 THIS CERTIFIES that the building HVAC Location of Property: 360 Jasmine Ln Southold,NY 11971 Sec/Block/Lot: 70.4-6.10 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 04/09/2024 Pursuant to which Building Permit No. 50717 and dated: 05/21/2024 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" HVAC system to a single-family dwelling as applied for (maintain clearances as per manufactures specs). The certificate is issued to: Michael Anasagasti ,Rose Anasagasti Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50717 06/24/2024 PLUMBERS CERTIFICATION: 1_�/� "�L Aut orized Ognature �suFfnt co, TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy.• o� ; 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#: 60717 Date: 5/21/2024 Permission is hereby granted to: Anasagasti, Michael 360 Jasmine Ln Southold, NY 11971 To: Legalize "as built" HVAC system to a single-family dwelling as applied for per manufacturers specifications. At premises located at: 360 Jasmine Ln, Southold SCTM #473889 Sec/Block/Lot# 70.-1-6.10 Pursuant to application dated 4/9/2024 and approved by the Building Inspector. To expire on 1112012025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00 CERTIFICATE OF OCCUPANCY $100.00 ELECTRIC $200.00 Total: $800.00 Building Inspector OF SOUj�ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Sean.deVlln C/_town.southold.ny.us Southold,NY 11971-0959 �4UNT`I,N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Michael Anasagasti Address: 360 Jasmine Ln city:Southold st: NY zip: 11971 Building Permit#: 50717 Section: 70 Block: 1 Lot: 6.1 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 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: June 24, 2024 S.Devlin-Cert Electrical Compliance Form o��oesouTyo 71 ? 0 - TO-6 m I vi V, # * TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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: AV AL aL �vj �k_ del ao luk I 100(-,Q- DATE �® �� INSPECTOR pP SOGTyo� ,50 7( � ) # # TOWN OF�SOUTHOLD BUILDING DEPT. coutm,� 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) [ ] ELECTRICAL (FINAL)- [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 5 U DATE 2 INSPECTOR JZ . o�l�'+�/� �pE SOUTyOIo TOWN-OF SOUTHOLD .BUILDING DEPT.%' 631-765-1802 INSPECTION [ ] FOUNDATION .1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [Vf'FINAL [ ] FIREPLACE.& CHIMNEY [ ]. FIRE SAFETY INSPECTION [ ] FIRE.RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION [ ] ELECTRICAL (ROUGH) [ . ] ELECTRICAL (FINAL) - [ ] CODE VIOLATION [ ]. PRE C/O [ ] RENTAL REMARKS: As, bvl Mgl' �il Clt440VICes s lAa n v-�'a 4eg- specs DATE /0 -25=a 1 Z INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS �b FOUNDATION(IST) -------------------------------------- FOUNDATION (2ND) ^r O � y N � , ROUGH FRAMING& 3 PLUMBING p r G - INSULATION PER N.Y. STATE ENERGY CODE a- FINAL ADDITIONAL COMMENTS G q ° fCC D SaIR Q a• W' o z m O � O .y� r x v o�I.SllffQ(r TOWN OF SOUTHOLD—BUILDING DEPARTMENT H x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 ,oy�0• �ao�� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowmy.gov f Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. O I Building Inspector: o APR 9 2024 Applications and forms must be filled out in their entirety.Incomplete of f ?cti45r�1� �b� applications will not be accepted. Where the Applicant is not the owner,am' Town��!�Cattt«�l� Owner's Authorization form(Page 2)shall be completed. Date: 'OWNER(S)OF PROPERTY: . Name: R � SCTM#1000- 4'7 Project Address: ' Phone#4_.�3-1.__-7G_S_- Email-- - (r'j�Sl+ Mailing Address: CONTACT PERSON:. Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: �� I6 G _ MA+t-,+ d C-4 I toZ- Phone#: cjt/ _ SSZ7 Email: DESCRIPTION OF PROPOSED CONSTRUCTION []New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other C-&&rr 04 L- A t,t_, Ca&v,0i'h P V I ry 4 $ !.r ��d •�d Will the lot be re-graded? ❑Yes ETNo Will excess fill be removed from premises? ❑Yes RLNo 1 -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(print name): /►1 „,e /9 tjA.rA c-A ❑Authorized Agent El Owner Signature of Applicant: ,��Q Date: y — "� STATE OF NEW YORK) p CO U NTY OF .su 4-4-0 /A a c—hAe-t 14YVA CA a-v)—� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, Q (S)he is theh- (Contractor,Agent,Cor orate 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 efore me this q�, day of A, 0 —1202 '0�� o ry bl is WENU-1 A.STAFOR 61*IV public,State 0, .'ark 14n.OIST5070979 M,gr'd itj 161%,,Cot� PROPERTY OWNER AUTHORIZATION is,i�tlEz�lres Jan.6.2 7 (Where the applicant is not the owner) I, I'I^l tcJ/,-i6 1 Ay✓T-A a--%-s ✓ residing at 34 0 y 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 TOWN OF SOUTHOLD y�� yam► . ;F o '` Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 u oy4b Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh(aDsoutholdtownny qov seand asoutholdtownn .qov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: at ;� 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: yA,►;- 5,Ai j Address: E ;::CA- Cross Street: ,,, t Phone No. Bldg.Permit #: email: _�,��.ts'.�►�� crt�,:�. ,�� , ^f�o (� ` Tax Map District: 1 �0 ection: � Block: � Lot: JD BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 1 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? Dy N Additional Information: PAYMENT DUE WITH APPLICATION 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. 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 I Service Amps Have Used Sub Amps Have Used Comments 6� L' nl �. MAY 2 1. 2024 �� as�rrKP �y\ do 6 Lo i �s•g r v �.7, /F S`?• 0 S • 62y3oF ti� c o y s O 2• \ F 9 O tit erc F q N \6� �/y�R \� s �NFs q�y Ail s \ a00-0,0 ✓s -- SiU idLF.C 7it!!'i iil.'h'r'.17ht:f Ui i:Fli.f1,SE IGICES cr1•iit:f G1 f ,. (l:r_Y ?yam OQry aa_t.Fi-. _..._ \` boo, lire�c:'ra: r'•i:,e;i-r' s:^::':faciiihes for this Iccatiun h�:a t;2:r:ira;,s::.;r!..•:;1)arhnent and/orr olh2r agunne�+n�n�t• •1 .r•,• � Chrer c•1 :rct� ai::Y;t:•;itu`r�naCcn�t AREA=39,838 sq.ft CERTIFIED TO, SURVEY OF THE LONG ISLAND SAVINGS BANK PECONIC PROPERTIES MANAGEMENT CORP. O �� B 'e'y /i5/s Cu�clw� sl //P3 r- "MAP OF SOUTHOLD VALLAS" F/LEDJUIVE25,1992M4PNO.9237 Prepared In accordance with the minimum A T SOUTHOLD standards for title surveys as established by the L.I.A.L.S.and approved and adopted TOWN OF SOUTHOLD for such use by The New York State Land SUFFOLK COUNTY, N.Y. Tills Association. 1000-70-01-P/O 06 The water suppply and sewage disposal systems for this residence will conform SIpale. e= 40� to the standards of The Suffolk Counly March 11, 1992 Department of Health Seivlcos. JULY15,1992 (foundation) The locations of wells and cesspools shown hereon are MOM 11e1d Oct.23,1992(final) observations and or from dolt? oblained Irom others. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES N FOR APPROVAL OF CONSTRUCTION ONLY N.N S LIC. NO. 49618 ` 92 SO 54 NOV 1 S 1992 End !C VEYa r': P. . oATE HS.REF.No. f5l6Y-7 '- 5020. S.C.DEPT.OF P.,O.`aBQi'C• ,, APPROVED 909 1� - HEALTH SERVICES SOUTHOI 0, N.Y 11971 87-670 •17 ii . Oa APPROVED AS NOTED D TE: P.� 7 B. 0� 00 BY: COMPLY WITH ALL CODES OF F NEW YORK STATE&TOWN CODES NOTIFY BUILDING DEPARTMENT AT S=somoLDTowNZm AND CONDITIONS OF 631-765-1802 8AM TOAPM FOR THE FOLLOWING INSPECTIONS: SoUM0LDT0WNPWNINGB0AA0 FOUNDATION-TWO REQUIRED SOLOOLDTOWNEUSTEES FOR POURED CONCRETE NYS.DEC ROUGH-FRAMING&PLUMBING SOUMOLDHPC INSULATION SCHD 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 ELECTRICAL INSPECTION REQUIRED Additional Certification May Be Required. . Gt Page No. 1 of 2 Pages - �x4p4ppY .. 11500 Old Sound Avenue,PO Box 106 • kol-b Mattituck,New York 11952 P 631-298-5527 1 F 631-298-5534 H E AT I N G + C O O L I N G www-koibmechanical.com PROPOSAL SUBMITTED TO PHONE DATE Rose &Michael Anasagasti (631) 236-3227 June 29, 2021 STREET JOB NAME 3690 Jasmine Lane 3690 Jasmine Lane "96TutroT1 ,,2lY 11971 Jgo80%, NY 11971 E ( ADDRESS C HONE " lnasagasti@optoililirie.net. J��fgs We hereby submit specifications and estimates for. Provide and install a new two (2) zone high efficiency 16 SEER central air conditioning system to consist of the following: Zone#1: First Floor. Zone#2: Second Floor. Scope of Work:, • Provide all engineering for the design and installation of the HVAC system. • Supply and install sheetmetal ductwork, insulated as per New York State Energy Conservation Construction Code. • Equipment and ductwork shall reside within the semi-conditioned building envelope. • Supply and install Flexible connectors at the supply and return connections. All sheetmetal return ductwork to be acoustically lined with sound attenuating acoustical liner. Liner to be fastened by means of glue and mechanical weld pin fasteners. • All duct seams to be sealed with UL181 metal foil tape. • All branch ducts to be UL class 1 air duct, meeting NFPA 90A and 90B and/or insulated rigid sheetmetal duct. • Provide and install balancing dampers for all supply branch ducts. • All visible distribution plenum boxes to be painted with flat black paint. Provide and install one (1) Carrier ComfortTM Series, model #FX4DNB037, 3-ton air handling unit to be installed in the residence basement, complete with all necessary controls. • Provide and install one (1) Carrier PerformanceTM Series, model #24ACC636, 3-ton, high efficiency 16 SEER outdoor air conditioning condensing unit to be installed at the residence exterior, exact location to be determined. Unit shall be set on a pre-cast slab. • Provide and install one (1) AprilAire, model #2213, 5"thick MERV-13 HEPA media type Whole home air purifier. • Provide and install vibration isolators for all motor bearing equipment. +tUpon acceptance,please date,sign by the"X"and return yellow copy with your deposit. KOLB MECHANICAL HEATING&AIR CONDITIONING In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp., It Is the responsibility ofthe Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man- ufacturer in order to preserve warranties. All equipment shall remain property of Kolb Mechanical Corp.,until fully paid All past due accounts shall be charged interest of 1.5%per month. All payments Due Upon,Receipt. =e VtOP0ae hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: Base Total. Options Total Grand Total Payment to be made as follows: All material is guaranteed to be as specified.All wA to be Meted in a wodmhav6ke manner - - - accotdkhgtostandardprarAces.Any alteration or deviation front above specifcatiws involving edra Authorized costswllbearecutedonlyuponvrdaenorders,andwillbecomeane*achargevierandabovefhe Signature _ estenate.All agreements cerNngent upon sNlres,aaiderdsordelays beyond ourcertrd.O.werto carry fire,tornado and other necessary insurance. Our workers are fully covered by Worlanads Note:This project may be Compensation Insurance, withdrawn by us if not accepted within 16 C�]iQI1tE of ��OOU1 The above prices,specifications and conditio'ris are satisfactory an are'hereby accepted. You are authorized to do the work as specked. Paymerft will be made as outlined above. Print Name Date of Acceptance X Signature