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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