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Home My WebLink About36465-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 6/23/2011 CERTIFICATE OF OCCUPANCY No: 35019 Date: 6/23/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: HVAC 1355 Deep Hole Dr, Mattituck, Sec/Block/Lot: 115.-13-12.1 Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/3/2011 pursuant to which Building Permit No. 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: central air conditioning for a one family dwelling as applied for. Lot No. filed in this officed dated 36465 dated 6/9/2011 The certificate is issued to Leone, Anthony & Leone, Angela (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36465 6/20/11 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 #: 36465 Permission is hereby granted to: Leone, Anthony & Leone, Angela PO BOX 1564 Date: 61912011 Mattituck, NY 11952 To: installation of an air conditioning system as applied for At premises located at: 1355 Deep Hole Dr, Mattituck SCTM # 473889 Sec/Block/Lot # 115.-13-12.1 Pursuant to application dated __61312011 To expire on 121812012. Fees: and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $200.00 $50.00 $250.00 Building Inspector TOWN O~ $OUT~OLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and:unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. UpdatedCertificateofOccupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~'"~l [ New Construction: Location of Property: House No. Street Owner or Owners of Property: }--'~--~ Suffolk County Tax Map No 1000, Section I ] ~ Subdivision Old or Pre-existing Building: Block Filed Map. Applicant: (check one) Hamlet Permit No. %~q ~::~ ~" Date of Permit. Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ C~)r f Underwriters Approval: Final Certificate: 'x~ (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 toiler r chef,town southo d ny us BUILDING DEPARTMENT TOWN OFSOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: A&A Leone Address: 1355 Deep Hole Dr City: Mattituck St: NY Zip: 11952 Building Permit#: 36465 Section: 115 Block: 13Lot: 11&12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Pariti Electric License No: 40723-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ Duplec Recp, ~ Ceiling Fixtures [~ HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~.~ Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures ~.~ CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture ~ Pumps Transformer Appliances Dryer Recpt Emergency Fixtures~ Time Clocks Disconnect Switches Twist Lock Exit Fixtures ~ TVSS Other Equipment: central air conditioning with service disconnect at condenser Notes: Inspector Signature: Date: June 20 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION RI~ I~.Sl~r I:~'rRI~IOH [ ] FIRE mister m~Tm ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL) REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined ~/~/ ,20 [/ Approved ~/q ,20 ]f Disapproved Wc applying? oard of Health sets of Budding Plans ~ i £ t_ ['.4..,_ k ( PERMIT NO. Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Expiration /'c5~ ~,20 /~%'~ Building Inspector [~ ~ ~ ~ ~ ~ L1CATION FOR BUILDING PERMIT aUN 2 ,20_ u~L - I ~ INSTRUCTIONS . This appJ}~;~ be completely filled in by ~pewriter or in ink and submiaed to the Building Inspector witb 4 sets of.an~. acc,,&~3~&~qu_..~ v ~cale. v~. according to schedule. b. Plot plan showing locatiou of lot aud of buildiugs on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Pemit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pan for any purpose what so ever Until the Building Inspector issues a Certificate of Occupancy. f. Eve~ building permit shall expire if the work authorized has not commenced within 12 months aker the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Tbereaker, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamnent for the issuance of a Building Permit pursuant to tbe 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, or 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 for necessa~ inspectio~~ ~ TANGY O~ ~~(~ature ) ~ (Mailing aSdress of applicant) ';q,, I ;OUT OERTIFIOA AP ,'' FEE:__ ~. BY ' (As on the tax roll or 1~; INSPECTIONS: If applic~t is a co~oration, signature of duly authorized officer 1. FOUNDATION. ~ REQUIRED (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of lan{on which proposed w. ork will be done: House Number Street FOR POURED CONCRETE 2. ROUGH. FRAMING, PLUMBING, STRAPPING: ELECTRICAL & CAULKING 4. FINAl.. CONSTRUCTION & ELECTRICAL aUST 8E C(~I.ETE F~ C.G. REQUIREMENTS ~ THE C~ES ~ NEW Y~RK STATE ~T RE~ ~ &Si~N OR CONSTRUCTION ERRORS Hamlet Lot ?i -' / L- I ~-. I County Tax Map No. 1000 Section .//5"' Block ].7 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Atidl:hon , - P;1.teratl~ Othe~ Woi~ <~- ~/'~r-~ -.-- {Description) Fee (To be ~hr~'~fi ~:~his ~pplication~ Number of dwelling unitb on ~ch floor 5. If dwelling, number of dwelling units If garage, number of cars I 6. If business, commercial or mixed ocqupancy specify nature and extent of each type ofuse. ,. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories ! Dimensions of same structure with alterations or additions: Front Depth Height D~mens~ons of ~nt~re new construction Front Rear Height Number of Stories Number of Stories Rear 8. Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. ls this property within 100 feet of a tidal wetland or a freshwater wetland? * YES__NO __ · IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES NO__ · IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW Y.ORK) SS: COUNTY OF ) ~t't~J'~F~ ~vt ~ /~-'¢''/~/~'- being duly sworn, deposes and says tbat (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 tree to the best of bis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me tiffs ~ ' - - /Ndta~ Public ] ~ ~lc- S~te 0f ~ ~ ([ S~e of Applicant Town Hall Annex 5.4375 Main Road P.O. Box I179 Southold, lxVi' 11971-0959 Telephone (631) 765-1802 · (631) 7 - 5 2 ro,qer r ohertd$$n so~5o(~a.ny, us BUILDING DEPARTMENT TO.tN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION 9 BY: Company Name: Name: License No.: Address: Phone No.: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: (*Indicates required information) 1000 Section: //5- Block: Date: ? /f--lf'/ / $ Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: (~1 NO Rough In ~ YES/(~ Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Metem Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Requestforlnspec~on Form 30 Old Dock Road Yaphank, NY 11980 ($161 686A950 {800) OIL.HEAT ~i i' ,~:l,,~l~.,,,~ NEW SPLIT SYSTEM I~ ~= T gl O Heating Oil and Services We are pleased to submit our proposal to provide central air conditioning for your home. We propose to furnish and install a central air conditioning system in accordance with the following conditions and specifications. Condensing unit: (outside) ftC) /Z~'..~-..~..-..--- /~' SEER '~r..~___ ton, high efficiency unit set upon pre-fab mounting pad, with electrical disconnect switch. Location to be agreed upon at the time of instal~, tj_.on,._ Air Handler: (inside)matching /~' SEER t'~-t~7 ~gh e'Ief:cieee'e~nnc~';m~-od~ular air handler, mounted in the ,-~-'~--'~ area. Safety condensate drain pans will be mounted beneath the air handler. Primmy and secondary condensate water will be piped outside as required. Ductwork: All ductwork will be designed, fabricated, and installed/n accordance with The Society of Heating and Air Conditioning Engineers Standards within the limits of exisfmg constmction conditions. All ductwork w/il be high grade galvanized sheet metal. Individual supply air branches will be high quality insulated flex duct connected to floor, ceiling or upper wall mounted diffusers. The ( P' Sup Drop) air supply registers will all contain manual air volume balancing dampers. All painting and/or redecoration will not be the responsibility of Petro Inc. Return Air: One (1) centrally located return air filter grille will be mounted in a central location agreed upon at the time of installation. Pivin~: The refrigeration lines connecting the condensing units (outside) to the air handler (inside) will be field piped with insulated copper tubing concealed in aluminum leader piping. Electrical wiring: All wiring of the systems will l~e connected to the existing electrical service and panel box. All wiring to be done according to local codes. OPERKFING LOCATIONS IN: HICKSVILLE · MASPETH Nassau [ic. No. 1-13600630000 PLAII'WIEW · PORT WASHINGTON · RIVERHE^D Suffolk Lic. Nos. 3134-P, 2901-RE SOUTHAMPTON * WESTBURY · Y^PH^NK. NYC Lic. No. 678944 Design Conditions: This system is designed and engineered to maintain 15 to 18 degree Fahreriheit inside ambient air temperature difference with the outside ambient air temperature to 90 degrees dry bulb and 67 degrees wet bulb. Thermostat: One (1) programmable heating/cooling thermostat with fan switch to be installed at location agreed upon at the time of installation near the return area. Guarantee:' One (1) year guarantee on workmanship and materials, additional 9-year warranty of the compressor carried by the manufacturer. (90 days for Non-Petro Cus0 Total Price: $/~"~'.00 Should you require further information, please contact the undersigned. Our opportunity to submit this proposal is appreciated, and we shall do all we can to merit your confidence. -AcCeptance Date Scott W. Place Equipment Representative (516) 686- 1627 Petro Home Heating Oil and Air Conditioning Page 1 of 1 Catch our wave of AC savings! Complete the form below or call 866.PETRO.4U (866.73876.48) today. Contact Us http://www.petro.com/Category/294/petro-central-air-offers.html 6/2/2011