HomeMy WebLinkAbout51729-Z �o,�OF SO(/ryo`° Town of Southold
* * P.O. Box 1179
,o0 53095 Main Rd
ulm Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46105 Date: 04/11/2025
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1155 Aquaview Ave East Marion, NY 11939
Sec/Block/Lot: 21.-2-15
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 02/05/2025
Pursuant to which Building Permit No. 51729 and dated: 03/12/2025
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" HVAC system as applied for.
The certificate is issued to: Moeller Family Trust
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51729 4/10/2025
PLUMBERS CERTIFICATION:
Aut e Signature
�%ofsouyc 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#: 51729 Date: 03/12/2025
Permission is hereby granted to:
Moeller Family Trust
21 Camelot Ln
Setauket, NY 11733
To:
legalize "as built"central air conditioning as applied for.
Premises Located at:
1155 Aquaview Ave, East Marion, NY 11939
SCTM#21.-2-15
Pursuant to application dated 02/05/2025 and approved by the Building Inspector.
To expire on 03/12/2027.
Contractors:
Required Inspections:
Fees:
As Built Alteration $500.00
ELECTRIC -Residential $200.00
CO-RESIDENTIAL $100.00
Total $800.00
Building Inspector Y�
SOU�yolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • YQ
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Moeller Family Trust
Address: 1155 Aquaview Ave City: East Marion St: NY Zip: 11939
Building Permit#: 51729 Section: 21 Block: 2 Lot: 15
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
Outdoor I✓ 1st Floor Pool r Spa (—
Renovation F 2nd Floor I— Hot Tub r Generator r
Survey Attic I— Garage Battery Storage
INVENTORY
Service 1 ph R Heat Duplec Recpt 1 Ceiling Fixtures 3 Bath Exhaust Fan
Service 3 ph [— Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 3 4'LED Exit Fixtures
Other Equipment: 200A Panel 40 Circuit/25 Used
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC & Service
Inspector Signature: X - Date: April 10, 2025
Sean Devlin
Electrical Inspector sean.devlinCcD-town.southold.ny.us
1155Aq uaviewHVACService
ho�aOF SOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
IOU N110c'� 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR ' [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL W#t- Jh J5Vi N
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESIST-ANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
F,
[ ] CODE VIOLATION. [ ] PRE C/O [ ] RENTAL.
REMARKS:
�L ClUVIt U �.
Covx� uLNk
l
DATE t '3.Oh INSPECTOR �/
OF SO(/lyO� V11-vViv)
TO 074SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ RERAR [ ] ROUGH PLBG.'
[ ] FOUNDATION 2ND . - [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] .FINAL \
[ ] -FIREPLACE & CHIMNEY [ ] 'FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)- ELECTRICAL (FINAL)
[ ] CODE VIOLATION [/ ] PRE C/O r [ ] RENTAL
REMARKS:
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Of q: Lj eA 6_1
DATE / 7i� INSPECTOR
avT (e'1,
yor�
st fvar
Yola �� I �'him
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MOWN 00tHOLD°BUILDING DEBT.
�G31 6S'-- 1862,
- INSPEC , ION
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[ ],F0I MDATION?WD [.j;INSUI-ATIOhU'GAFD¢KIIdC
t' ],FRAMIKGV STRAPPINQ [-'].FWAL
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[ '.FIflE RESIST1tHT CONSTPL(CT10P`��'`=(-1'FIRE oESISTAN,rPENE,TRATIQIi'_
1 ELECTRICAL(ROUGH) ,.ELEGTEiICA��EI�aAL);
( 1 COgF-VIOLATION• - [�1 PRE=Ci�O.'._[ Is_,RPE�NTAL':
BERAAIKkS TSB a` 1; G'P
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flATE F 'r r�'f IffSPECTOFt'.
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FIELD INSPECTION REPORT DATE—T— COMMENTS
FOUNDATION (1ST)
-------------------------------------- —
C-
FOUNDATION (2ND)
ROUGH FRAMING&
PLUMBING
d<
rib
INSULATION PER N. Y.
STATE ENERGY CODE
O
FINAL
ADDITIONAL COMMENTS
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�4fFat BUILDING DEPARTMENT- Electrical Inspector
PGy� 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
rogerr@southoldtownny.gov 4 seand@southoldtownny:gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name: v '�
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: NRA66 ,57- -4- 192-,$ 6.0 ` f/q
Address: ���' ��} ✓a r c/ 14 vim ". /� /eiV A
Cross Street: e9 1,v 7" e)f4 1�
Phone No.: (f, — �� •-OS? �,_3
Bldg.Permit#: email:
Tax Map District: 1000 Section: -Q J Block: CZLot:
BRIEF DESCRIPTION OF WORK, INCI�U^DE SQUARE FOOTAGE (Please Print Clearly):
s
&�t
�
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 SizeQ1 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 MN
Additional Information:
PAYMENT DUE WITH APPLICATION
�o��gtlFFOt p46"
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
Q
PERMIT NO. Building Inspector: 202 FEB 5 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:
OWNERS)OF PROPERTY:
Name: SCTM#1000-
Project Address:
Phone#: Email: L
Mailing Address: -h- ��
CONTACT PERSON:
Name: � 75_p �� C
Mailing Address:�
Phone ._ Email:
DESIGN ROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name -
Mailing Address:
Phone#: Email:
DESCRIPTION OF-PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair [I Demolition Estimated Co to Pro j ct:
❑other ,//lr ,S��v/%ioN D� Z'y5Tl/U� �/E& +/' l�ev� $
Will the lot be re-graded? ❑Yes �lo Will excess fill be removed from premises? ❑Yes o
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 ONO 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 Cade._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 230.45 of the New York State Penal Law.
Application Submitted By(prim a e . / 4e/� 7 /� ❑Authorized Agent caner
Signature of Applicant: d i Date'
STATE OF NEW YORK)
SS:
COUNTYOF 5UIL )
A I bc delS17P,i acin being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signin& contract)above named,
(S)he is the "l n cI F
(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
+_h n
day of �e,br-( OLLN ,20o f l
No a Public
TF CEY L. D ER
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION s IEOINSUFFOLKC
f;:.1�•LIFIE�IAJ�L1FFuL.K COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,2b2(p
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
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex -,54375 Main Road - PO Box 1179
o _ Southold, New York 11971-0959
ysj01 �ap �}r Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrOsoutholdtownny.gov — seandO-southoldtownny.gov
APPLICATION FOR ELECTRICAL ,INSPECTION
ELECTRICIAN INFORMATION (Ali information Required) bate:
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: 6�-T" - - I92,13,F'% -d flc �' 5 6Jy
Address:
Cross Street: v i
Phone No.: (� �10 �a?7-11 3 5�3IV—/Zye-,
Bldg.Permit#: email:
Tax Map District: 1000 Section: -Q Block: Lot:
BRIEF DESCRIPTION OF WORK, INC UDE 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) ti
Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground verhead
# Underground Laterals 1 02 D H Frame Pole Work done on Service? Y N
Additional Information: -rNN�Nj
PAYMENT DUE WITH APPLIQATION
PERMIT# Address:
Switches
Outlets
G A's
Surface
Sconces
i
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.
Water Bond
Carbon Micro GrbDis Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps Have Loo Used
Sub Amps Have Used
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APPROVED AS NOTED
FEE - D BY.
NOTIFY BUILDING DEPARTMENT AT
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REOI 11PFD
FOR POURI-D CONCRETI-
2. ROUGH- FRAMING& PLC;
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS AfiR'" �.
COIy01TlOHER l6 r�o
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COMPLY WITH ALL CODES OF HFe� "; AI; my
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NEW YORK STATE &TOWN CODEajk `a � 4a
AS REQUIRED AND CO ITIONS 0
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LD TOWN PLANNING BO OWN,..
S OLD TOWN TRUSTEES
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S"OLD HPC
SCHD
OCCUPANCY Oh
USE IS UNLAWFUL
WITHOUT CERTIFICA-
)F OCCUPANCY
ELECTRICAL
INSPECTION REQUIRED
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