HomeMy WebLinkAbout50302-Z hod*0 30Ulyo� Town of Southold
* * P.O. Box 1179
4 53095 Main Rd
.0 Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46073 Date: 04/01/2025
THIS CERTIFIES that the building HVAC
Location of Property: 555 Fasbender Ave Peconic, NY 11958
Sec/Block/Lot: 67.-6-4.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 01/11/2024
Pursuant to which Building Permit No. 50302 and dated: 02/06/2024
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 unit as applied for.
The certificate is issued to: Jason Graves
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 50302 3/26/2025
PLUMBERS CERTIFICATION:
Aut o ed Signature
�o�suFFoi,t�o TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
N x TOWN CLERK'S OFFICE
oy • �� 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#: 50302 Date: 2/6/2024
Permission is hereby granted to:
Graves, Jason
550 Fasbender Ave
Peconic, NY 11958
To: legalize "as built" HVAC unit as applied for.
At premises located at:
555 Fasbender Ave, Peconic
SCTM #473889
Sec/Block/Lot# 67.-6-4.1
Pursuant to application dated 1/11/2024 and approved by the Building Inspector.
To expire on 8/7/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00
ELECTRIC $200.00
CERTIFICATE OF-OCCUPANCY $100.00
Total: $800.00
Building Inspector
OF SO!/r�ol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 • Q
Southold,NY 11971-0959
�yc4UNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jason Graves
Address: 555 Fasbender Ave City: Peconic St: NY Zip: 11958
Building Permit#: 50302 Section: 67 Block: 6 Lot: 4.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Indoor r Basement 1- Service F Solar r
Outdoor ly—�" 1st Floor r Pool F Spa r
Renovation 17 2nd Floor (— Hot Tub F Generator (-
Survey Attic (— Garage Battery Storage (-
INVENTORY
Service 1 ph [- Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph [ Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 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 30A Switches 4'LED Exit Fixtures
Other Equipment: Minisplit w/ (4) Blowerheads
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: X Date: March 26, 2025
Sean Devlin
Electrical Inspector sean.devlina-town.southold.ny.us
555FasbenderHVAC
OF SOUIy��
#°`y # S O�U THOL `J
TSf S� & DEP
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am
�0 631-765-1802
I-N-SPECTION.
[ ] 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:
oil
DATE 312tOl INSPECTOR
gf SOUIyo{o
# # TOWN OP SOUTHOLD BUILDING "DEPT.
°ycouto, 631-765-1802
r- LL A N-SP E CT I O N
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND - [ ] INSULATIOWCAULKING
[ .] FRAMING /STRAPPING FINAL WK,"
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION:
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL
REMARKS:
.a
DATE l 'y0 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
------------------------------------
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FOUNDATION (2ND)
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V vy
ROUGH FRAMING& t�
PLUMBING
1
INSULATION PER N.Y. .0 -3
STATE ENERGY CODE
ZZ
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FINAL
ADDITIONAL COMMENTS
4 ) p ` C -14
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x
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=o�SUFFOI r�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
a�i x
Town Hall Annex 54375 Main Road P. O.Box 1.179 Southold,NY 11971-0959
Telephone (631)765-1802 Fax(631) 765-9502 h!Ltps://www.southoldtownny.Ro
Date Received
APPLICATION FOR BUILDING PERMIT
F
For Office Use Only �� I
PERMIT NO. Building Inspector:__.___._i � JAN 11
2024
'Applications and forms emus#be filled out in their entirety.Incomplete
applications will not be accepted.,Where the Applicant is not the owner,an
Owner's Authorization.form(Page 2)'shall be completed 7; Ff9'l 7
Date:
OWNER(S)OF PROPERTY:
Name: J �� +� Y'�_ SCTM#1000-_
Project Address:
Phone#: Email:
Mailing Address: N
CONTACT PERSON:
Name: .- _.
Aj
Mailing Address:a C?1�-- --_'e.►� - -- - - -- = - L ")
Phone#: �'- ._ .r _SWP_ __ -- Email: (�!( ' J_S-Q— GW 10L9_.-
DESIGN.PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: ' .
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION,OF PROPOSED CONSTRUCTION,° , '-
❑New Struct re ❑Addition ❑Alter tign []Repair ❑ em litio Estimated Cost of Project:
ther i •f�S4,b� `u $
121
Will the lot be re-graded? ❑Yes El No Will excess fill be re ved 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 ❑No IF YES, PROVIDE A COPY.
Check Box After.Reading The'ownerconiractor/design professional is responsible for all drainage and storm water issues as provided by "
Chapter 236 of the Town code.APPLICATION IS-HE-REBY 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 appllcable laws,Ordinances�or ReguleNons,for the construction of buildings;
additions,alterations orfor.removal'ordemolition as herein described.Th16 applicant agrees to comply,with all applicabie laws;ordinances;building code,
housing code-and iegulationsand to admit authorized inspectors•on premises and m building(s)for necessary inspections:False statements made herein are
punishable as a Class-A misdemeanor pursuant to Section210.45 of the'New York State Penaf law:
Application Submitted Bq(�pri�n name) � V S _ ❑Authorizer Agent ner
Signature of Applicant:
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
Qualified in Suffolk County
SS: Commission Expires April 14,2 ��
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 J GI r)LA q " .20
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
I
do hereby authorize tolapply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
1
BUILDING DEPARTMENT-Electrical Inspector
ell
TOWN OF SOUTHOLD
. Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
' iameshC@southoldtownny.gov — seand(aD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: �" v
Company Name: " LNN) b P� 2,-4--o
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: 0�v`QL-�
Address: /1
Cross Street: .
Phone No.:
Bldg.Permit#: D-� email:
Tax Map District: 1000 Section: (p'l Block: (p Lot:. y, 1
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
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? Y N
Additional Information: i
PAYMENT DUE WITH APPLICATION
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
co Southold, New York 11971-0959
Q!� Telephone (631) 765-1802 - FAX (631) 765-9502
amesh(@-southoldtownny.gov - seand(a-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: v
Company Name: F LNO W 12,4-�
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: l�f
Address: Lk e)
Cross Street:
Phone No.:
Bldg.Permit#: Q a-. email:
Tax Map District: 1000 Section: (ol Block: (p Lot: y, 1
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
J v�' S eta/I--
-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 M 1 2 H Frame Pole Work done on Service? Y RN
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.
Carbon Micro GrbDis Water BondLights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower41,/
Service Amps Have Use
Sub Amps Have Used
Comments
Mejia, Evelin
From: Kara Graves <kcrw55@icloud.com>
Sent: Friday, March 7, 2025 11:40 AM
To: Mejia, Evelin
Subject: (SPAM] - 555 Fassbender permits
Hi Evelin,
Appreciate your assistance today. See below our electrician who is happy to discuss and validate we
had the electric inspection als Wsend over emails from prove it was completed and
all proper permits were issued. is going to be a long process to find the information you need to
1 ? validate what we have already paid for and I personally submitted everything in person and was given
verbal confirmation and email confirmation we were all set and costs covered permits issued and
closed I am happy to do it again to avoid delays as we don't want a nightmare process selling our
home so please let us know the erroneous money you need we will pay and how to schedule asap
with an electrician and lets get it done as soon as possible to avoid delays.
Electrician - Country Club Electric - 631-664- 7960 please ask for Eric
I will stop by as well today with all the documentation I have to make sure you files are correct
Thank you,
Kara Graves
516-729-5665
Sent from my Whone
ATTENTION: This email came from an external source. Do not open attachments or click on links from
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1
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APPROVED AS NOTED
o B.P# 3lS
FEE BY. ZI
NO'nFY BUILDING DEPARTMENT AT
631-765-1802 8AM TO 4PM FOR THE
COMPLY Wl GC ` ' ) FOLLOWING INSPECTIONS:
NEW YORK ST OV C_nD S 1. FOUNDATION -TVV0;_1EO!I;RU-D
AS REQUIRED N : "NS 0 F FOR POURED C N"IP'-_.
2. ROUGH -FRArt`<<'`G& i
4�IF 3. INSULATION
$ '''� � � �� 4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
' UNLAWFUL ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
$ '�, 'V I I ! UT T F I C-, YORK STATE. NOT RESPONSIBLE FOR
$ ,. DESIGN OR CONSTRUCTON ERRORS
OCCUP4MY
3. REFRIGERANT
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MODEL L LAYER
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UNIT SUPPLY � -N VOLTAGE
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App t Wo FOP HACR V A R'OR TSk�[g LAY FU'� S INS-TALLATION&W`I $AL
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HEATING&AIR CONDITIONING
I L In East End Homes Since 1954
FlandersHVAC.com
631 -727-2760
Service, Repairs & Installations
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