HomeMy WebLinkAbout50471-Z *OF Spuryo`o Town of Southold
* * P.O. Box 1179
�0 53095 Main Rd
Ulm, Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46102 Date: 04/10/2025
THIS CERTIFIES that the building HVAC
Location of Property: 2375 Sigsbee Rd Laurel; NY 11948
Sec/Block/Lot: 144.-2-23
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 02/20/2024
Pursuant to which Building Permit No. 50471 and dated: 03/25/2024
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 system to an existing single-family dwelling as applied for.
The certificate is issued to: Joy Ellinghaus , Jonathan Ellinghaus
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 50471 4/30/2024
PLUMBERS CERTIFICATION:
Au h rize Signature
o�saFFoi��o TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
H x- TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
viol �.�ao
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#: 50471 Date: 3/25/2024
Permission is hereby granted to:
Ellinghaus, Joy
620 Pelham Rd Apt 2A
New Rochelle, NY 10805
1
To: Legalize mini-split HVAC system installed to an existing single-family dwelling as
applied for per manufacturers specifications.
i
At premises located at:
2375 Sigsbee Rd, Laurel
SCTM #473889
Sec/Block/Lot# 144.-2-23
Pursuant to application dated 2/20/2024 and approved by the Building Inspector.
To expire on 9/24/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $500.00
CO-ALTERATION TO DWELLING $100.00
ELECTRIC $200.00
Total: $800.00
Building Inspector
pF SO!/T�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 Jamesh southoldtownny.gov
OWN)
BUELDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Joy Ellinghaus
Address: 2375 Sigsbee Road city:Laurel st: New York zip: 11948
Building Permit#: 50471 Section: 144 Block: 2 Lot: 23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: REP Electric Electrician: Robert Paladino License No: 466288
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower 3 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:
HVAC MINI SPLIT
Inspector Signature: Date: April 30, 2024
2375 sigsbee rd
Of SOUTy°�o 5o l 7 3 �'5 V" 5 bee, _
# TOWN OF SOUTHOLD BU DING DEPT.
o m��'' 631-765-1802
INS-PECT[O.N .
[ ] 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: v 14 c &'t `+
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DATE �`� . INSPECTOR i"01
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST)
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FOUNDATION (2ND)
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INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS
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BUILDING DEPARTMENT- Electrical Inspector
�� Gy TOWN OF SOUTHOLD
® Town Hall Annex - 54375 Main Road - PO Box 1179
co x
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
iamesh _southoldtownnv.aov seandCC-southoldtownnv-aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: f
Company Name: L
Electrician's Name: QAJ CA_ `n
License No.� 14 /�£ Elec. email: � `C -3- A u! 17'1 G ''I , Lo
Elec. Phone No: 6,3 , -7. _3 ❑ m of I request an email copy of Certificate Compliance
Elec. Address.: )90 S itu CL
JOB SITE INFORMATION (All information Required)
Name: 0 1 ►'� S
Address: ?, �7 ,r 4d Mo, r
Cross Street: Ve, C a n i G 1 v�1
Phone No.: �f I�. -� S_
Bldg.Permit #: Q '� } email: c4us
Tax Map District: 1000 Section: Block: Lot: 23
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
ol u c+ �- SS A-C, f ns4 ll
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 M Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION 5l
fr�.�$u4fQcxN` TOWN OF SOUTHOLD—BUILDING DEPARTMENT
,f"0 %,
x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
4�� Telephone(631) 765-1802 Fax (631) 765-9502 https://www,southoldtownny.c,,ov
Date Received
APPLICATION FOR BUILDING PERMIT
C�\/ r� For Office Use Only
PERMIT NO. ✓y 1 I Building Inspector: c / F EB 2 0 2024
Applications and`fdrms'must be filled out in their entirety.Incomplete Bulld!ng, n3epa?lment
:applications will not be accepted.' Where,the Applicant is not the owner,an `I''&+M') 03� SOL-It°sold
Owner's Authorization form(Page 2)1 shall be completed.
Date: 77� 1 �=y
OWNER(S)OF PROPERTY: p:n 'o .0 Ll D0.
Name: 11 J SCTM#1000-
,.
Project Address: �3 S1 ; V J Ma,t i JK I 9
Phone#: I S� � • Email: � '
LI e �Q ii `7 �A, II 211 ,ao'h&v ss 6p i c,(ov.d, fir•
Mailing Address: �® PZI - `' f� b �C.� " . 0
CONTACT PERSON: p
Name: C�
Mailing Address:
Phone#: CIN A� - 5-3 Email: ' '
1,1
DESIGN'.PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR'INFORMATION:
Name: 3 0 Y h .
Mailing Address: �a� �r � 1 1 Q) k4
Phone#: Email:
DESCRIPTION OF'PROPOSE®CONSTRUCTION
El New Structure ❑ ddition ❑Alteration ❑Repair El Demolition Estimated Cost Project:
❑Other U.t� � � 1
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes aiiqc,
1
PROPERTY INFORMATION
Existing use of property, Intended use of property
�vl - \�v . -%
Zone or use district in which premises is situated: Are there any covenan
ts restrictions with respect to
�I SG� /bay this property? ❑Yes IF YES, PROVIDE A COPY.
Check.Bogx After Readin , The owner/contractor/desi n professional is responsible for all drainage and storm water Issues as provided by
t,q I gt t S i" 4 g
Chapter 236 of the To.,n code:APPLISATION IS,HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Bu lid Ing Zone
Ordinance of theTown of southold,Suffolk,CountyI New York and other applicable Laws,ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal ordemolition-as herein described.The applicant agrees to comply A thall applicable laws,ordinances,building code,
housing code and regulations and to admit authorised inspectors on premises and In buildings)for necessary inspections.False statements made herein are
punishable as a Class`A rhisdemeanorpursuant to section 210.45 of the New York State Penal Law.
Application Submitted By(pr'rit name): � S []Authorized Agent Owner
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Signature of Applicant: ®ate:
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STATE OF NEW YORK)
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COUNTYOF 'Ski
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being duly sworn, deposes and says that(s)he is the applicant
(Name of indiviAual signing contract) above named,
(S)he is the C AJVk,Q—/—
(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
do day of a�LkCXVIA 20 A zyv A21Z�L
Notary Public ge��a+a+++++rrrr,,,
M.
SION
PROPERTY OWNER AUTHORIZATION ��� ��`°'k �o +A••
-�a.
N0TAyy
(Where the applicant is not the owner)
�o�e
' 0 o PUBLIC
N�A'•ro�162, d
OP 21
I, residing at smA'1'"s, of ftiF�I.(0�°'�9so
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
Rccd COMPLY WITH ALL CODES OF APPROVED AS NOTED
NEW YORK STATE&TOWN CODES
AS REQU ED AND CONDITIONS OF DATE: _6-a B.P # 5C) 7
MILM 7M ZM I'd WO'OD BY:
qwm7mRM B= NOTIFY BUILDING DEPARTMENT AT
lDT107UTEES 631-765-1802 8AM TO 4PM FOR THE
N.Y&MC FOLLOWING INSPECTIONS:
SQUTHOLDHPC FOUNDATION-TWO REQUIRED
$ FOR POURED CONCRETE
ROUGH-FRAMING&PLUMBING
Fulco INSULATION
iTsu FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
SPLIT TYPE AIR COI%DIT10t4 R STAUCTION SHALL MEET THE
MENTS OF THE CODES OF NEW
UTDQDP USE ATE NOT RESPONSIBLE FOR
N0. AOU36RLXFZI OR CONSTRUCTION ERRORS
o. LXN096423
08123C V 60Hz 1-PH ELECTRICAL
,rA7 INSPECTION REQUIRED
20 3 ')
PRESSOR AMPS. 17 C
TOR AMPS. 1.5 5
MPAGiTY 24 6 A
30 A �/
CNA ,GEC 7 lb t Oz us
453 P&9 lntertek
240 as,g 9r987
(:L:bjo0qms TO
w sto 100
wollo TO
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