HomeMy WebLinkAbout51327-Z ho�t%of soulyo(o Town of Southold
* * P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45824 Date: 12/12/2024
THIS CERTIFIES that the building AS BUILT HVAC
Location of Property: 720 Horseshoe Dr Cutchogue, NY 11935
Sec/Block/Lot: 95.4-18.19
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 09/16/2024
Pursuant to which Building Permit No. 51327 and dated: 10/29/2024
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 systems (2) as applied for.
The certificate is issued to: Samuel Rickabaugh
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51327 9/27/2024
PLUMBERS CERTIFICATION:
(Auta2ed Signature
of Soo., . 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#: 51327 Date: 10/29/2024
Permission is hereby granted to:
Samuel B Rickabaugh
11 W 69th St Apt 2D
New York, NY 10023
To:
legalize "as built" HVAC(2)as applied for.
Premises Located at:
720 Horseshoe Dr, Cutchogue, NY 11935
SCTM#95.-4-18.19
Pursuant to application dated 09/16/2024 and approved by the Building Inspector.
To expire on 10/29/2026.
Contractors:
Required Inspections:
Fees:
As Built Alteration $500.00
CO-RESIDENTIAL $100.00
ELECTRIC -Residential $200.00
Total S800.00
Building Inspector
pF SOUT�oI '
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
sean.devlinatown.southold.ny.us
Southold,NY 11971-0959
4UNT`I,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Samuel B Rickabaugh
Address: 720 Horseshoe Dr city:Cutchogue st: NY zip: 11935
Building Permit#: 51327 Section: 95 Block: 4 Lot: 18.19
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 X
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic X Garage X
INVENTORY
Service 1 ph X Heat Duplec Recpt 6 Ceiling Fixtures 3 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser 1 Single Recpt Recessed Fixtures 2 CO Detectors
Sub Panel A/C Blower 1 Range Recpt 50A Ceiling Fan 2 Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 5 4'LED Exit Fixtures Sump Pump
Other Equipment: Fridge, Double Oven, Elec. Cooktop, DW, Hood, 200A Panel 40 Circuit/40 Used
Notes: " AS BUILT NO VISUAL DEFECTS " Kitchen, Service & HVAC
Inspector Signature: Date: September 27, 2024
720HorseshoeASBU ILTElectric
OF SOblyOlo � ..:TOWN OF SOUTHOLD��&NlG DE T.
cou 631-765-1802
INSPEC.TION
[ ] 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: F7 r
f
DATE Z INSPECTOR -
SOUTyOIo
# TOWN OF SOUTHOLD.BUILDING DEPT.
y o,rm N�' 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [FINAL #th"- Qs-h'vl if
[ ] ".FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION - [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE o"? ,a INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS ' n
t�
FOUNDATION (1ST) - - — v ,�
-------------------------------------
b[
FOUNDATION (2ND)
z
0
� c �
H
ROUGH FRAMING&
PLUMBING
1
1
o
r
r
INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
Qcl to
o�
H
�z
x
— -- x
d
b
TOWN OF SOUTHOLD-BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 hops://www.southoldtownn.gov
^ Date Received . :.,..
APPLICATION FOR BUILDING PERMIT
1 D � Q��
For Office Use OnlyDD
t
PERMIT NO. 51��J Building Inspector: S E P 1 6 2024
Applications and forms must be filled out in their entirety.Incomplete BUMDING DE PT.
applications will not be accepted. Where the Applicant is not the owner,an TOWN�-#F S0I7TIy�rg ,
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name: '� BSCTM#1000-
Pro ect Address: /�� �y� --Cu�_' 7R! -�� Qryp �(�
Phone#: _^ -�j,�` � Email: 4
Mailing Address:
CONTACT PERSON:
Name: ' 1
Mailing Address: � -�B�✓ � _ t� — �--�-- � ---J
d
Phone#: 9,
7Email:
DESIGN PROFESSIONAL INFORMATION:
Name: ,�A-
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name• .
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolit on T�5 ���— Estimated Cost of Project:
?Other 2. n K a�.� I'A n if f i o jh p'rapv r f y $
Will the lot be re-graded? ❑Yes ®'No Will excess fill be removed from premises? Dyes 2rNo
1
" PROPERTY INFORMATION'
Existing use of property: Intended use of property: _t . _ .��.����8 �
----- -- -_._...-----
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to.
this property? ❑Yes WNo IF YES, PROVIDE A COPY.
-;y;Check Box After Reading:-:The.owner/contractor/design professional is responsible for all drainage and'stormewater 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 Newyork State Penal Law.
Application Submitted By(print name): ck
❑Authorized Agent QgOwner
Signature of Applicant: Date:
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
COUNTY OF S Lk(�fo I ) Qualified in Suffolk County
Commission Expires April 14,2ua�
.
f� @� r&1<6t 61 IA61 being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the &A
(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
1 day of ce '^'""L . 20��(
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
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
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
g
Telephone (631) 765-1802 - FAX (631) 765-950
ro err@southoldtownny.gov seandCapsoutholdtownnv. ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required)
Date:
Company Name:
Name:
License No.:
email: TH0MA,5/ZA`f5e' g JAIAX.
�'�,��.� �� r� �,
Address: ,Pa �X °� / 6 /.l�/� G'���
Phone No.: e3 / 9-Q 7 -91:ZL
JOB SITE INFORMATION (All Information Required)
Name: CoWf-12
Address:
Cross Street: �� �' t5'
Phone No.: 516"
email:
Bldg.Permit#: Lot:t�18a�B
Tax Map District: 1000 Section: a9-3—
Block:
BRIEF DESCRIPTION OF W__OJRK (Please Print Clearly)
4-5
Circle All That Apply: YES N Rough In Final
Is job ready for inspection?: �.
Do you need a Temp Certificate?: YE NO Issued On
Temp Information: (All information required)
Size:
A # Meters Old Meter#
Service Size 1 Ph 3 Ph
New Service
- Fire Reconnect- Flood'Reconnect- Service Reconnected - Underground - Overhead
Work done on Service? Y N
# Underground Laterals 1 2 H Frame Pole
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form-As
PERMIT# Address:
Switches. _��"" WAA�'
.
Outlets
G F I's I
1 '
Surface
Sconces
H H's
3
UC Lts Fridge HW POOL
Fans 1 Mini Fr. WAD Panel
t Pump �-
Exhaust 0ven� Sump Heater
Tr nsfmr
Smokes DW Generator Salt Gen!A9sf
Carbon Micro t GrbDis Water Bond
Heat Pucks ERV Lights ( I
Inst Hot DeHum Transfer HOT TUB/SPA
Disc
Combo Cook -6• nninisplit Blower
AC AH Hood I Blower ,
Service Amps .?� Have t40 Used
Sub Amps Have Used
Comments
UFfpL BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
't Southold, New York 11971-0959
} E 1 Telephone (631) 765-1802 - FAX (631) 765-9502
U jamesh(crbsoutholdtownny.gov — seand(cD-southoldtownny.gov
SEP 2024 APPLICATION FOR ELECTRICAL INSPECTION
W F- 49e1►N INFORMATION (All Information Required) Date:
Toe of Southold
'company Name: Al 1A
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: Samuel Rp.c kAetvgA
Address: ZoG0 f S PShQP M , wich� ue f( 2
Cross Street: r `O
Phone No.: f? ,7
Bldg.Permit#: email: hpn rick*, a' c®ft,
Tax Map District: 1006 Section: Block: Lot
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
AC tAni$�' necd pern�eTs (Otvnei pgrrher� horite Jca 7- kn 999 . Upon
ap001 v/ed'iez[ inspecf®oni linspec scover A ctnPfr r,,n `operty
s�JAc&,4 perjkNoj--gnoif' � h(4iff fr.*tr to 20.13 tvjf bout Square Footage:
Circle All That Apply: r m rren " o ti nerr t;nakv/e .W
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#
El New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y MN
Additional Information:
PAYMENT DUE WITH APPLICATION , ��
+� f
It
i CA N
41
StAr� ti t
•l 9 STO M'
t i GRAVELY
ti DRWIVA
P RR
a.
l
CAM W me s ItiLTG1 f_ :
aaw cwrcnz(-- n.c MAXm�ec rox tcaarnr
I/O (LW Oi(R. cr AIP Q6Y[YlJUNiA A(/ 1L1R1L/-
L LAN]Y]("I1A' !F IYfLW
v Q171 QM N6 OILFH...IJ VfPI+flS. (� -
n mar: rw W��1
rawr GRAPHIC.SCALE
O.1 :OQ tAW' y/H 11IItl %1K( _ .
.A( 'lwta(ur vrrm raf —a .,si- a __ Y INCH=40'FEET -
MAP" OF LOT 19:
AS SHOWN:ON
"MAP OF OREGON' VIEW ESTATES"
SITUATED A'T
r CUTCHOGU,E, TOWN OF SOUMOLD ;
SUFFOLK CQUN.TY,: NEW YORK
MAP NO.6241 FILED 4/4/1975 TAX A/AP-DESIGNATION 1000=0,95-04-G18.019,
u REFERENCE NO.-22302 DATE 6/91/2023
CHRISTOPHER I�, MV,
SURVEY',
CERTIFIED TO:
SAMUEL B£N✓AMIN RICKABAUGH LAND.<SURYE.ORS`
WFG NATIONAL- TITLE INSURANCE COMPANY 100 STEVEN PLACE
UNITED MORTGAGE CORP. HAUPPAUGE, NY 11788-
AMERICAN DREAM ABSTRACT, INC. (631) 858-1675
7:TITLE NO.ADAW8165—S info®llHesurvey.com `' L ?•
COPYRIGHT.
A*�RO AS NOTED
DAB.P.#FEEBY:
NOTIFY BUILDING DEPARTMENT AT
631 765-1802 BAM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
"3. INSULATION ELECTRICAL
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O. INSPECTION REQUIRED
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
NEW YORK STATE&TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTH OWNZBA
SOUTH TOWN PLANNING BOARD
OLD TOWN TRUSTEES
N. DEC
UTHOLD HPC
RSCHD
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICV
OF OCCUPANCY
4
5
F
MODEL NO./ MODELE No RA1324BJlNA MFD./FAB 0812021
SERIAL NO./ No DE SERIE W332144858 OUTDOOR USE/
UTILISATION EN EXTRIEURE
COMPRESSOR CODE / CODES DE COMPRESSEUR 9529
VOLTS 208/230 PHASE. 1 HERTZ 60
COMPRESSOR/ COMPRESSEUR R.L.A. 11.2111.2 L.R.A. 60.8
OUTDOOR FAN MOTOR/ F.L.A. 0.75 H.P. 1/7
MOTEUR VENTIL. EXT.
MIN. SUPPLY CIRCUIT AMPACITY/ 15/15 A
COURANT ADMISSABLE D'ALIM. MIN.
MAX. FUSE OR CKT. BKR. SIZE*/ 25/25 A
CAL. MAX. DE FUSIBLE/DISJ*
MIN. FUSE OR CKT. BRK. SIZE*/ 20/20 A
CAL. MIN. DE FUSIBLE/DISJ*
DESIGN PRESSURE HIGH/ 450 PSIG/3102 kPa
PRESSION NOMINALE HAUTE
DESIGN PRESSURE LOW/ 250 PSIG/1723 kPa
PRESSION NOMINALE BASSE
OUTDOOR UNITS FACTORY CHARGE/ R410A
66 oz/1871g
CHARGE USINE D'UNITES EXTERIEUR R410A
TOTAL SYSTEM CHARGE/
CHARGE TOTALE DU SYSTEME
SEE INSTRUCTIONS INSIDE ACCESS PANEL /
VOIR LES CHARGE INSTRUCTIONS Q L'INTERIEUR DU PANNEAU D'ACC�S M`�%tm9i
RHEEM SALES COMPANY
p FORT SMITH, ARKANSAS ASSEMBLED
INSTALL PROHIBITED IN SOUTHEAST AND SOUTHWEST IN
N *HACR TYPE BREAKER FOR U.S.A./ MEXICO
DISJONCTEUR DIFFERENTIEEL ll IPX4
IIIII�IIII�III'1IIII III'IIIII IIIII�I�II I�III III�I III III 92—22050-17
�a
SINGLE POLE CONTACTORS1 cle.
Voltage potential exists at all terminals during off cy
CONTACTEURS UNIPOLAIRES ! boe
II est possible d'a��dant e tcycle d'ensionsur utes learret 2 22 0-0 02
P
RT d.�* "w
MAE
MODEL-NO. MODELE N° RA1336AJlNA MFD./FAB 0712021
.
SERIAL No./ N° DE SERIE W292184453 OUTDOOR USE/UTILISATION EN EXTRIEURE
9087
COMPRESSOR CODE / CODES DE COMPASESEIR HERTZ 60
VOLTS 208/230
COMPRESSOR/ COMPRESSEUR R.L.A. 16.7/16.7 L.R.A. 83.9
OUTDOQR FAN MOTOR/ F.L.A. 1.3 H.P. -1/4
MOTEUR VENTIL. EXT.
MIN. SUPPLY CIRCUIT AMPACITY/ 23/23 A
COURANT ADMISSABLE D' ALIM. MIN. ,
MAX. FUSE OR CKT. BKR. SIZE*/ 35/35 A
CAL. MAX. DE FUSIBLE/DISJ*
MIN. FUSE OR CKT. BRK. SIZE*/ 30/30 A
E/DISJ*
CAL. MIN. DE FUSIBL
d
DESIGN PRESSURE- HIGH/ 450 PSIG/3102 kPa
PRESSION NOMINALE HAUTE
DESIGN PRESSURELOW/ 250 PSIG/1723 kPa ,
PR.ESSION NOMINALE BASSE R410A
OUTDOOR UNITS FACTORY CHARGE/ 86 oz/2438g R410A
CHARGE USINE D'UNITES EXTERIEUR
TOTAL SYSTEM CHARGE/
CHARGE TOTALE DU SYSTEMNSIDE ACCESS PANEL / �T❑
SEE INSTRUCTIONS I wp,
UOIR LES CHARGE INSTRUCTIONS A L'INTERIEUR DU PANNEAU D ACCES
RHEEM SALES COMPANY ❑• -
FORT SMITH, ARKANSAS ASSEMBLED
INSTALL PROHIBITED IN SOUTHEAST AND SOUTHWEST IN
*HACR TYPE BREAKER FOR U.S.A./ MEXICO IPx4
DISJONCTEUR DIFFERENTIEL 92-22050-17
IN tlll 110 lllll 3li illll 1111l 11111 Of fill 11111111