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HomeMy WebLinkAbout51632-Z of so&ryo`o Town of Southold * * P.O. Box 1179 io 53095 Main Rd oxV.o' Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46003 Date: 02/28/2025 THIS CERTIFIES that the building AS BUILT HVAC Location of Property: 5535 Old North Rd Southold, NY 11971 Sec/Block/Lot: 51.-3-6.2 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 12/17/2024 Pursuant to which Building Permit No. 51632 and dated: 02/12/2025 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" hot water heater, HVAC and replacement windows to existing single-family dwelling as applied for. The certificate is issued to: Albina Sawicki Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51632 02/25/2025 PLUMBERS CERTIFICATION: Aut ized Signature of soup TOWN OF SOUTHOLD BUILDING DEPARTMENT • TOWN CLERK'S OFFICE cOUMY.N�{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#: 51632 Date: 02/12/2025 Permission is hereby granted to: Albina Sawicki 5535 Old North Rd Southold, NY 11971 To: legalize "as built" hot water heater,AC and replacement windows to existing single-family dwelling as applied for. Premises Located at: 5535 Old North Rd, Southold, NY 11971 SCTM#51.-3-6.2 Pursuant to application dated 12/17/2024 and approved by the Building Inspector. To expire on 02/12/2027. Contractors: Required Inspections: Fees: As Built Alteration $500.00 CO-RESIDENTIAL $100.00 Total $600.00 --- — ------------------------ Building Inspector so�ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Southold,NY 11971-0959 OUNT`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Albinia Sawicki Address: 5535 Old North Rd City: Southold St: NY Zip: 11971 Building Permit* 51632 Section: 51 Block: 3 Lot: 6.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AS BUILT License No: SITE DETAILS Office Use Only Indoor I✓' Basement Service Solar r Outdoor 1 st Floor IV- Pool Spa r Renovation r 2nd Floor r Hot Tub r Generator (— Survey - Attic r Garage. Battery Storage rF INVENTORY Service 1 ph r-,70 Heat Duplec Recpt 5 Ceiling Fixtures 5 Bath Exhaust Fan Service 3 ph r Hot Water. Gas GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel 100A A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 1 Switches 2 4'LED Exit Fixtures Other Equipment: 100A Panel 20 Circuits /20 Used Notes: " AS BUILT NO VISUAL DEFECTS " Service, HW, HVAC & Basement Lights Inspector Signature: X Date: February 25, 2025 Sean Devlin Electrical Inspector sean.deviin(a)-town.southold.ny.us 553501d NorthAsBu i ItElectricHVAC of sour .TOWN OF SOUTHOLD BUILDING DEPT. coum, 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [. ] INSULATIOWCAULKING FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [,. ]: FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) LECTRICAL (FINAL) [ ] -CODE VIOLATION ] PRE C/O - [ ] RENTAL REMARKS: fauz L n4A ort, A It F Y __�P, A o A4 dZ00A490 cilloA �z DATE tzo/`2,5- . INSPECTOR op kyf+�MA,� �' •'w�.$y +d, � .fie f�, � � f L s w i �A ff• l v a 'S� a i `� �; �' �. :� '�� ;a%'. ,�� } �" i _�Y - '�' -- • 3 t _ -•_ _. �A" t t N 4 •' .���+,m k ###''' ri4 ,j`p f r �i � � x p i ,. 1 ���� ,r �.� YiES:, E �� i' .- �: . ' � �.�, i." ,a. ... .p. +'S .�_�•"s �• ••� w4 . '4 r , s , '�� �� ... l �. �� �_ ��; ,. �� - ,,� ..� �' ,.., f �� ' �;_ , 'im, t ° �;, � � � e w�` �. "° � ��"` �.. � - ` �:.' .: .• '-� �°� �. �; .: a� 'y, • `� �� ���. ��•' e �: `� R . �. .!. •�. �, �'.a Y f � £ k 3 � ti ,� � � y R � . k _._: it R t 3 Ill nil ,t st 4. 1• �� ,• _�{y.7Y 44 r 2' fi i i • g l �•{ ��.�' _ �` = =emu�:. �_�.�- � -------------- mow 91 Lot �� . It ® ��-_ 4 We J FIELD INSPECTION REPORT DATE COMMENTS V j�i .o FOUNDATION (1ST) ---- -------------------------------------- FOUNDATION (2ND) z cn ROUGH FRAMING& -- — -- - --_ __ PLUMBING INSULATION PER N. Y. STATE ENERGY CODE —_ FINAL - - ADDITIONAL COMMENTS _ rn x t� C7 -a Authendsign!D B9981C69-EFB13-EF11-88CF-U02249299057 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P.O. Box 1179 Southold,NY 1 1 97 1-0959 Telephone(631)765-1802 Fax (631)765-9502 httI)s:i/%vww.Sutitholdtuwnnv.gov Date Received APPLICATION FOR BUILDING PERMIT i rm� ;' � ' '611i,�r; .; �•. _<r .1 For Office Use Only DEC 1 7 2024 PERMIT NO.. Buildingdnspeetors_ i T_c7r ?.T< Applications and forms must be filled out in their entirety.Incomplete 3 •tn� �a ty r 1wF '1 U applitations will not be accepted. Where the Applicant is not the owner,an owner's Authorlwlon form(Page 2)shall be completed. Date: OWNERS)OF PROPERTY: - — Name:Walter Sawicki as Executor SCTM#1000-51-3-6.2 Project Address:5535 Old North Rd, Southold, NY 11971 Phone#:612-414-3100 Email:waltersawicki@comcast.net Mailing Address: CONTACT PERSON: Name:Tom Scalia Mailing Address:PO Box 598, Southold, NY 11971 — Phone#:631-786-6920 Email:tscalia@albertsonrealty.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: OOther HVAC-Central Air Conditioning installed Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes IN No Autnentisigr ID 89981C60-EFBB-EFll-88CF-002248299(357 PROPERTY INFORMATION t Existing use of property:Res Intended use of property:Res Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to AC this property? ❑Yes IRNo IF YES,PROVIDE A COPY. r I9 Check.BOx After Reading: The owner/wntractor/design professional Is responsible for all drainage and_storm water Issues as provided by Chapte[236-of the Town Code.APPLICATION IS,HEREBY MADE to the 8ulk9ng Department for the Issuance of 8allding Permit pursuant to the Wilding Zone ordinance of the Town of Southold,Suffolk,County,New York'and other applicable Laws,Ordlnances or Regulations,for the construclion'of bu9dlrtgs,. additions,alterations or for removal or demolkion as herein described.The applicant agrees to comply with all applicable laws,ordinances,bullding�code, housing code and regulations and to admit authorited inspectors on premises and In buildingls)for necessary Inspections.False statements made herein are punlshabk asa Class A misdemeanor pursuant to section Z10.45 of the New York State Penal Law. Application Submitted By(print name): om Sca la 9Authorized Agent OOwner Signature of Applicant: NNIE D.BUNCH Date: IyI-1/X Notary Public,State of New York STATE OF NEW PORK) No.01BU6185050 Clualifled in Suffolk County Cf SS: Commission Expires April 14.2 b COUNTY OF } 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 ` 20d lam' MP Notary Public P ROPE RTY.O.W N M AUTHORIZATION. (Where the applicant is not the owner) I 1 1, Walter Sawicki residing at do hereby authorize Tom Scalia .to apply on my behalf to the Town of Southold Building Department for approval as described herein. 12/16/24 Owner's Signature Date Walter Sawicki Print Owner's Name 2 Authentisign <secure@authentisign.com> 1 2/1 6/2024 4:15 PM Signing complete: Sawicki AG Permit To tscalia@albertsonrealty.com AuthentISIGI,Sr Signing Complete Hello Thomas J Scalia, Name: Sawicki AC Permit To download a copy of the signed documents, go here To download a copy of the signing certificate, go here To save or print the separately signed documents click the links below: Building Permit Application -AC To download a copy of the certification of validation and completion for separately signed documents click the links below: Building Permit Application - AC - Certificate Access to these links will expire on 12/23/2024 at 04:15 PM EST. a• You may reply directly to this email if you wish to contact the creator of this signing. The Authentisign service is one of Lone Wolf Technologies'online paperless document services. Lone Wolf Technologies has been online since 1998 and currently has over 500,000 licensed real estate professionals using our online paperless document management services. For more information please visit Lone Wolf Technologies at www.authentisign.com. • Building Permit Application -AC.pdf(813 KB) Auuiemisign ID B9961C6D-EFBB-EF I t-88CF-002248299057 ffOC 0 -,Ax BUILDING DEPARTMENT-Electrical Inspector +.� TOWN OF SOUTHOLD o Town Hall Annex-54375 Main Road - PO Box 1179 4i '•" , ,4' Southold, New York 11971-0959 Telephone (631) 765-1802- FAX (631) 765-9502 •z�' Lameshe( outhotdtownny:goy seand@southoldtownnV.gov 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: Walter Sawicki as Executor i Address: 5535 Old North Rd,Southold, NY 11971 I Cross Street: Route 48 1 Phone No.: 612-414-3100 _ 1 BIdg.Permit#: email:waltersawicki@comcast.net Tax Map District: 1000 Section:51 Block: 3 Lot:6.2 BRIEF DESCRIPTION OF'W.ORK,.INC LUDE SQUARE FOOTAGE;.(Please Print Clearly.): j Inspection of installed AC Systeem.n Square Foofage:: -? " Circle All That Apply: Is job ready for inspection?: YES❑NO '[—]Rough In Q 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# I� ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground[]Overhead { #Underground Laterals 1 n2 I H Frame Pole Work done on Service? . Y ' N Additional Information.' r i I - _ .PAYMENT-.DUE WITH.APPLICATION VlppA� 1 r , I 4„I^enusign.D B9981CbD-F_F9B-cF I.36GF-002.'".4VY9057 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD h Town Hall Annex -54375 Main Road - PO Box 1179 ^+ Southold, New York 11971r0959 :P �. � Oli; Telephone (631) 765-1802- FAX (631) 765-9502 iameshCc�southoldtownny.gov - seand(o southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: El request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Walter Sawicki as Executor Address: 5535 Old North Rd, Southold, NY 11971 Cross Street: Route 48 Phone No.: 612-414-3100 Bldg.Permit#: email: waltersawicki@comcast.net Tax Map District: 1000 Section:51 Block: 3 Lot:6.2 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Inspection of installed AC System Square Footage: Circle All That Apply: Is job ready for inspection?: © YES❑NO Rough In V1 Final Do you need a Temp Certificate?: YES❑NO Issued On Temp Information: (All information required) Service Size❑1 Ph F]3 Ph , Size: A #Meters Old Meter# ❑New Serviceo Fire ReconnectOFlood ReconnectOService ReconnectOUnderground QOverhead Underground Laterals 1 n2 n H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION p(4 d'1 PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL _ Fans Mini Fr. W/D PanelPump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC I AH Hood Blower Service Amps Have 20 U s �-Z- V Sub Amps Have Used Comments S 86'03'30'E WOOD FRAME RESIDE E 2 In OLD NORTH ROAD 'B" Of DESCRIBED PROPERTY SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. A'r 1 NO APPROVED AS NOTED DATE- B.P.# FEE O BY: COMPLY WITH ALL CODES OF NOTIFY BUILDING DEPARTMENTAT NEW YORK STATE&TOWN CODES OCCUPANCY OR 631-765-1802 8AM TO 4PM FOR THE AS REOUIRED AND CONDITIONS OF USE IS UNLAWFUL FOLLOWING INSPECTIONS: rDE zm 1. FOUNDATION-TWO REQUIRED mPAMNOB00 WITHOUT CERTIFICAT FOR POI(PIED t'CINCDRETE 2. .ROUGH- FRi�,IPANG&PLUMBING SOTRusas OF OCCUPANCY 3. INSULATION N.4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE sc REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS ELECTRICAL INSPECTION REQUIRED OF 50UTyolo ! �� 6�/19(3�C ' TOWN -.OP SOUTHOLD BUILDING"DEFT. INSPECTION ' [. ] FOUNDATION l ST/ REBAR [ ] ROUGH:PLBG.- [ ] FOUNDATION 2ND - :,[ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] ,FINAL , [.. ] FIREPLACE & CHIMNEY { ]- FIRE.SAFETY INSPECTION [, ] FIRE.RESISTANTCONSTRUCTION ` [: "].•FIR -RESISTANTt PEN ETRATION- [ ] ELECTRICAL (ROUGH). [ ]­ LECTR1CAL-(FINAL)' [ ] CODE VIOLATION [ PRE C/O . [ ] RENTAL qwfo qkc �_14 Sd R� VeA �- L`:a l VLa i. y: (D CATS 1-202- INSPECTOR r.. av y7 IL NeNtCo I I t s Lri :....�.�.�.. 16200513 LU model. . 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Heating;GapacitY, Capsc#6 de chauffage t° Max.Input Ratlilg(Aeating).`Entree'GPL max., 102,000 Btulh H 110,000 8tuth Net AHRI Rating,'R6gime de AHRt f Category of boiler `Catt3gorie de`chaudidre;'. 89,060,Bluth Category tV, i d entree, 105 Inches W C,pouces W-6 R Max Inlet Gas Pressure,`Pressron`tiiax de ga Min tntet Gas Pressure."`Pression min.de gaz d entree '• 0 24ntnchas W C.WuceC. SW.G . s Manifold Pressure,`Presston d"admission AC c.a..120 Its 60Hz Use less than 15 At4ri' tllrse,moins de f5R "Rd inie'naminai bleotrique a s 200 Ibs/hr' ,='ANSI 271.13 201P•GSA, 017 Electiicai,Rating, 8 Ca acit6 mfnimaum soup P pp;nimum relief valve capac?Y.` P rfou ) ry d a Ge farfde no Pas' Orifiws riecessarY.for Propane conversion are Provided Les ihjacfures n8cessaires A lnjuiry r ron er y,d sent foumrs eris prop c Failure to use tfie comict'ga8 can cause Problems which can result in death des tiles n u or property amng- i failure !t bongazpeatcauserdes;probtemasgut-peuventn�ieneralamore'cayssrdesdlessurasgravesouendotnniag 370 m in accordance to the,latest CAN/CGA�$ h Attitudes Gonsutt your instaitation manual for mom Intormao 4,500 ft*Go t1u/tez votre manual d'tnstallat on pour plus drnfomraon., *`4.4 at altitudes up This appliance is cartHied for use nlfold Pressure.This appliance has also been loafed uProas to Q 3TO m fw t y, iocedurtm at normal ma follow the directions provided to the High Aii`tlhide 0 con tt, aalaa�f "�'' Installation p, O7&m)' Ua`dtii testdl�rsqu for at attitudes uP to 90,11T0 H(3, n nar�nale.cerappent rritl oat cedffid pour uno utillsalion a dos attitudes de 0 d 4`500 P fau(ri s dons ro the inataliation Manus-'Get apppa 2.17 ii"une. sale tea d stnrtt+ans f , toutos lei proc6dures d1ostaUodon d.haute Dltttude GAN/CGAp , (3 078 tri)..Pour tos inatrucllons dies tatfadu manuel d insdtailotlondeure d f6 1tw.piods(3.0Ts m1 z the nwst nteditloa or :.section dos tnsfetletians:A'trauta attttuda _ Ap F,uot 6 m .This;'al de codes tOaaux-fa Pt rocanta gi g;1,in Canada use CANtCt3A @149.1 or Z Fnstaitadon codas Us liana mast tk instaitad in edu mono with local codes or in the absence Of local codas. 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