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Home My WebLink About51349-Z of SOUr Town of Southold * * P.O. Box 1179 S. �0 53095 Main Rd U11% Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45781 Date: 11/21/2024 THIS CERTIFIES that the building AS BUILT HVAC Location of Property: 6050 Great Peconic Bay Blvd Laurel,NY 11948 Sec/Block/Lot: 128.-2-7 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 09/23/2024 Pursuant to which Building Permit No. 51349 and dated: 11/04/2024 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 as applied for. The certificate is issued to: Palmieri DK 2017 Liv Trt,Venteau MA 2017 Lv Trt Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51349 11/18/2024 PLUMBERS CERTIFICATION: (Ajut ®rizeSignature ofso�ryo� TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE Cnunnv, Y 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#: 51349 Date: 11/04/2024 Permission is hereby granted to: Palmieri DK 2017 Liv Trt 29 Westbrook Ct Greenlawn, NY 11740 To: legalize "as built" HVAC as applied for. Premises Located at: 6050 Great Peconic Bay Blvd, Laurel, NY 11948 SCTIVI# 128.-2-7 Pursuant to application dated 09/23/2024 and approved by the Building Inspector. To expire on 11/04/2026. Contractors: Required Inspections: Fees: As Built Alteration $500.00 ELECTRIC -Residential $200.00 CO-RESIDENTIAL $100.00 Total $800.00 Building InspectorY e so Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box l l79 �Q sean.deviinCaD-town.southold.ny.us Southold,NY 11971-0959 OUNT`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Palmieri DK 2017 Living Trust Address: 6050 Great Peconic Bay Blvd city:Laurel st: NY zip:. 11948 Building Permit#: 51349 Section: 128 Block: 2 Lot: 7 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 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO 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: Notes: " AS BUILT NO VISUAL DEFECTS HVAC Inspector Signature: Date: November 18, 2024 Copy �F SOUIyOIo ✓ 3 Lt I ' y TOWN OF, SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION .' [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION2ND ' [ ] -INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & -CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] -FIRE RESISTANT CONSTRUCTION . [ ] FIRERESISTANT PENETRATION ' [ ] .ELECTRICAL (ROUGH) LECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ .] RENTAL REMARKS: PVA-6-, y DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ' FOUNDATION (IST) H ------------------------------------ FOUNDATION (2ND) � •r- z 0 H ROUGH FRAMING& PLUMBING � r P- � INSULATION PER N.Y. j STATE ENERGY CODE FINAL ADDITIONAL COMMENTS rec # tomL4 ePt c-o 4 AWATI C � ° Z X 1 c �r- -�x . s H O 6- z x � x .. d b H 'o�g�FFOl��o TOWN OF SOUTHOLD—BUILDING DEPARTMENT y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 mo o• �� Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only @adc 2 � PERMIT NO. ✓ Building Inspector: S E P 2 3 2024 Applications and forms must be filled out in their entirety.Incomplete applications will not.be accepted. Where the Applicant is not the owner,an -BU.DING DEPT- Owner's Authorization form(Page 2)shall be completed. ,$® ,3��SO�I'�HO1s Date:9-22-2024 OWNER(S)OF PROPERTY: e Name:PALMIERI DK 2017 LIV TRT Veneta SCTM#1000-128-2-7 Project Address:6050 Peconic Bay Blvd. Laurel NY Phone#:631-327-0164 Email: Mailing Address: CONTACT PERSON: Name:Jerry Cibulski Mailing Address:PO Box 598, Southold NY 11971 Phone#:631-404-2507 TEmaii-J�erryCibulski@gmail.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: `DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: E10therC0 for existing Central Air $ Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes ®No 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 RNo IF YES, PROVIDE A COPY. R 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): ❑Authorized Agent ❑Owner Signature of Applicant: Date: CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No.01BU6185050 SS: Qualified in Suffolk County COUNTY OF ) Commission Expires April 14,2 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 D3 r4day of 20D Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Michelle Venteau residing at 6050 Peconic Bay Blvd, Laurel I, do hereby authorize Jerry C'tbulski to apply on my behalf to the Town of Southold Building Department for approval as described herein. 9-22-2024 Owner's Signature Date Michelle Venteau Print Owner's Name 2 �O�OSuffO(,�CO BUILDING DEPARTMENT- Electrical Inspector Gy TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 o ® Southold, New York 11971-0959 ti O� Telephone (631) 765-1802 - FAX (631) 765-9502 ��! jameshCcDsoutholdtownny.gov — seand(a southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: yl� Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: PALMIERI DK 2017 LIV TRT Address: 6050 Peconic Bay Blvd, Laurel NY 11948 Cross Street: Birch Dr Phone No.: 631-404-2507 Bldg.Permit#: email:jerrycibulski@gmail.com Tax Map District: 1000 Section:128 Block: 2 Lot:10 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): CO application for existing Central.Air Conditioning Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES 0 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 tinsP. ��Il�fa�� BUILDING DEPARTMENT- Electrical Inspector J�©�' � TOWN OF SOUTHOLD 614 .a :: y a Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh southoldtownn rLgov — seandC@southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: PALMIERI DK 2017 LIV TRT Address: 6050 Peconic Bay Blvd, Laurel NY 11948 Cross Street: Birch Dr Phone No.: 631-404-2507 Bldg.Permit#: email:jerrycibulski@gmail.com Tax Map District: 1000 Section:128 Block: 2 Lot:10 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): CO application for existing Central Air Conditioning 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 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION ►�d Wc�� - PERMIT# Address: Switches . Outlet GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV Inst Hot DeHum Transfer HOT TUB/SPA Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments . U Ali APPRO ED AS NOTED DA B.P.# FEE BY: NOTI BUILDING DEPARTMENT AT 631 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TIM0 R-F01 IIPFF) FOR POURED 2. ROUGH-FRAMONO& I u'._ . :.:," A 3. INSULATION 4. 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 CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF ELECTRICAL NEW YORK STATE&TOWN CODES INSPECTION REQUIRED AS REQUIRED AND CONDITIONS OF VOWN ZBA OWN PLANNING BOARD OWN TRUSTEES PC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICAT OF OCCUPANCY �t yT 2 ; x �• y �� -- , MFRe l O E 07/2002 0 DATE ,.. E .� . ti VOLTS 208/230 . �. { MoD. No. TTR048D100A2 } HZ 60 SERIAL No. 228153A1 F PH 1 MINIMUM CIRCUIT AMPACITY 31/29 AMPS ' OVERCURRENT PROTECTIVE DEVICE USA CANADA < J MIN FUSE 1 BREAKER (HACR) 40 40 e MAX FUSE / BREAKER (HACR) 50 rJ OZ. OR 2.44- KOO . HCFC — 22 5LBS. 06 - , BAYFCCV 083A REQUIRED INDOORS FOR RATED PERFORMANCE , w THE TRANE COMPANY . OUTDOOR'.USE .�N. YLER, TX 75711-9010. ASSEMBLED IN USA COMPR. MOT. 23/22La 208/230 v 131 LRA O.D. MOT. FLA 200/230 v -1/5 HP 1 .50 _ M.E.A. No. 56 92E F. ID. R49 -' -4 DESIGN PSI — ,HIGH 300 LOW 300 yr7•' s4 ' t f i ,a t }} R3 P 4 alow- {,t 777 71, om a �gqy� yy 1 Y,t r � ep m , - a