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HomeMy WebLinkAbout52013-Z 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#: 52013 Date: 06/18/2025 Permission is hereby granted to: Anek Holdings LLC 7345 Soundview Ave Southold, NY 11971 To: legalize "as built"central air conditioning to an existing building as applied for. Premises Located at: 1235 Youngs Ave, Southold, NY 11971 SCTM#60.-2-4 Pursuant to application dated 05/15/2025 and approved by the Building Inspector.: To expire on 06/18/2027. Contractors: Required Inspections: Fees: As Built Alteration $500.00 ELECTRIC -Residential $200.00 CO-RESIDENTIAL $100.00 Total $800.00 __- Building Inspector r FFe n G TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 htt s:1/www. outho1dtq vnny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 5 3 Building Inspector; Y 5 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted.`Where the Applicant is not the owner,an Building Department Owner's Authorization form(Page 2)shall be completed. Town of Southold Date: I ®�� OWNER(S)OF PROPERTY: Name: Ane ,k Ho[ ILl LL SCTM# 1000- Project Address: 55 XeukwoAve, /V y rl Y'7r Email: ' Phone#: �3i ' �� 7 43 � :z��',�c ��`I��'�, I� � � . Mailing Address: S';Dt/YI CONTACT PERSON: Name: 74 V)Y)a Vim' Z L-"-) L-�S IGQ, Mailing Address: SOS Phone#: 6 (0 7 —/ ? J Email: song L° DESIGN PROFESSIONILINFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Lam, Mailing Address: 1 ., Phone#: x4 �. '? ry i Email: W I_TZO w Q I I'LOrr \/IZ4 oo. DESCRIPTION OF PROPOSED CONSTRUCTION []New Structure ❑Addition ❑Alteration epair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑YesWo Will excess fill be removed from premises? ❑Yes ONO 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 2No IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water 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 210AS of the New York State Penal Law. Application Submitted By(print name): AA/NA- 1/(o2 LC lc'S(/�!-r ❑Authorized Agent ❑Owner T Signature of Applicant � �w Date: CONNIE D.BUNCH / STATE OF NEW YORK) Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF Qualified in Suffolk County Commission Expires April 14, 2-0_0 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 {4^/ day of , 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 � ,Uf folk ., BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 " Southold New York 11971-0959 Telephone (631) 765-1802 k , APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Au information Required) Date:. _f/ Company Name: t �"r'e c�¢rt C /h Electrician's Name: k k License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: E L l rV6S IBC Address: ? ` Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section Block: Lot; BRIEF DESCRIPTIN OF W R_K, INCLUDE SQUARE FOOTAGE (.Please Print Clearly):. Square Footage: Circle All That Apply: Is job ready for inspection?: YES NO 0 Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service SizeEl1 Ph F-13 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground Eloverhead Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information PAYMENT CLUE WITH APPLICATION ssessdrs Saa�� �6 -�-�f � ODELE • RA15AY ~ �� N: D 3�AJ1��A MF E SERiE: V�4 S�RIA�, 05313 - 0.1FAg OXON � P���,��,,�D` � DOOR USE/ COMVOLTSR � CODES DE COMPRE UTiU$AT10N EEd 2t�Q; SSEUR; ^�TRiEURE CO -- PHASE. 1 1 � MPRESSEUR; R.L. HERTZ FAITMTI% A 13.5 ~ 60 Mol VEW� . L.R.A. �5 �It� SUPPLY� F•L.A. .8'300 CIRCUIT A ` } H.P. 'WWADMI PACI�I 11fi A S'' LE D'ALI I, MIN . FU OR CKT. 8KR 18 A CA1.. � �. . S '1 MA" DE �=USIS' MIS. � N a S�'. 30130 W.S K. SIZ�1 MIN. Dt- �I ,,, A MkX IOVV BSi PRE4LE IXOARGE 25125 C�11�AX�MALE - .: PRE�URE! A MAC, A� _ �ARG p �. ABLE SJCT�O� pR� �MISE: � P ,., ,y �A�MALt SSUR� S.G/3102 kPa WfDo, UN � ( 14 pERM1 CHARGEACTpRY,�{MG 250 PSIG17 TOTAL �9�,�����v �` EI 23 Ida NkRGETp - 104 454b �E L` =+ R454b S ASS P SEEM SAt,E ' � - �! o. FORT �7 S ' NY � pA k H, ARC; NSAS DACCES elf t'J el TYpt ASSEMBLED f [ LED ��. 1N � KEXICD r IlPX4 E : RA15AY35 DE 1 �AViv SRC� �� � IFO.f F SERE E. � 625 A8. 0217024 ��3 OUT RE ! E �- COOR USE/ . .TSi.. S Dt compRE� USATiON E�� T .�- EUR. � n- RfEURE CW4iE� CCM PHASE. � C PRESSEUR: R.I.A. HtRTZ A14" 13.5 60 MCiEM VEW L.R.A. 15 111� � 'w �.LA. RPL.Y CIRCUIT AM ' H.P, Cw �� A�M� pATY1 1I6 M �AS� Q'All . MI F�' OR CK SK H.. 18 -1 c�. � DE R. s26. � A uSjsLE,q)jS,,. -USE � = �� ���. sRK. sI�, A E FUSIS MAC "ABLE JDS,1�: E �SCHAR��PRE � 2�25 O4�M .: SSURE A M A!L �D:C�RGt P UcM N PRESS,' RE `ERM'SE: 450 p 'G ot4 M E SAsplRh ' S �'j3102 kpa C4ARGE ustili: ACTCRY C ARC PSIG� �4 �UI�I� El C3 �Pa +3T SYSTEM �, � IEE�R. CHARGE TOT 0MRG i 1 C4 o- R454b SE;l DU SYST, . I - R454b AOCM PJlEEM SALES FORT � A _ P • . AIZKA14SAS u DACC�S • . TYPE • O� w f ASSEMBLED M.. lots" IN KEXICO �X4 _s "