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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 `+ 64 6p_r\j f,Ge Oa J bV w t*-- DATE �`� . INSPECTOR i"01 - C � � APR 2 2 w.'y 17 I elf .* s =E'er��-;' ^• r '�j, � ` "+�� i y, ;'''+ R Y .i" "'�' 1, ��f� � �.i�f � •` r .�` !� _�. yr FIELD INSPECTION REPORT DATE COMMENTS Om rG� FOUNDATION (1ST) ------------------------------------ V5 r ccn FOUNDATION (2ND) �J o H ROUGH FRAMING& "3 H R3 PLUMBING N 1 Vv r r� INSULATION PER N.Y. STATE ENERGY CODE FINAL M ADDITIONAL COMMENTS q- 5 z � m 0 z x x d b H ' 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 pp Signature of Applicant: ®ate: g STATE OF NEW YORK) c SS: fM f COUNTYOF 'Ski i 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 ETD ?NO lit