HomeMy WebLinkAbout42920-Z ��o�gUFF�t�CdGv- Town of Southold 8/17/2018
o -
P.O.Box 1179
y 53095 Main Rd
�4; ' ��501,, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39848 Date: 8/16/2018
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 770 Old Salt Rd, Mattituck
SCTM#: 473889 Sec/Block/Lot: 144.-5-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/6/2018 pursuant to which Building Permit No. 42920 dated 8/6/2018
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"window and door replacements central air conditioning, and alteration of screened porch to unheated enclosed
porch as applied for..
The certificate is issued to O'leary,Joan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42920 8/6/2018
PLUMBERS CERTIFICATION DATED
u ho 0
Signature
1
�FFnI� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy o� 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#: 42920 Date: 8/6/2018
Permission is hereby granted to:
O'leary, Joan
145 Parkway Dr
Westbury, NY 11590
To: as built" window replacement, central air conditioning and screened porch enclosed
with windows (unheated) in an existing one family dwelling as applied for.
At premises located at:
770 Old Salt Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 144.-5-14
Pursuant to application dated 8/6/2018 and approved by the Building Inspector.
To expire on 2/5/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
ELECTRIC $90.00
Total: $540.00
Building Inspector
Form No.6
TOWN OF SOUTHOLD
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 2110 of I%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. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00, J_
Date. 7f/6��d'
New Construction: Old or Pre-existing Building: (check one)
Location of Property:-910 (� �� SA)-T- R OPOL Kq l-(`'I Uc(,
House No. Street Hamlet
Owner or Owners of Property: EST(1h 410AZ 01P- g-1
Suffolk County Tax Map No 1000, Section 400 Block 0500 Lot 0.21, (0by
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
a�
Applicant Signa re
SOUT�o!
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
CAI
P.O.Box 1179 roger.richert(cD-town.southold.ny.us
Southold,NY 11971-0959 Q
l�c®UNrI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: O'Leary
Address: 770 Old Salt Road city,Mattituck st: New York zip: 11952
Building Permit#: PRE-CO Section: 144 Block: 5 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock' Exit Fixtures TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS"
Notes: Installation of Central Air Conditioner.
Inspector Signature: S7ZDate: August 6, 2018
0-Cert Electrical Compliance Form.xls
opF SOUT�OIo
# TOWN OF SOUTHOLD BUILDING DEPT.
°ycourm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. ��uC�G
[ ] FOUNDATION 2ND [ ] INSULATION tR
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
�I'(we G
Q4S2&�X
DATE 6 INSPECTOR C
�O�aOF SOblyo�
* # TOWN OF SOUTHOLD BUILDING DEPT..
`ycou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [ FINAL A n&tA
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
t +� hot
►� C3.
DATE 9 (19INSPECTOR &�r
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
------------------------------------
'FOUNDATION (2ND) .�
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ROUGH FRAMING&
PLUMBING CJNy
Aill
INSULATION PER N.Y. y
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
&— BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)'765-1802 Planning Board approval
FAX:(631)765-9502 (� Survey_
Southoldtownny.gov PERMIT NO. r
Septic Form
N.Y.S.D.E.C:
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved ,20
Disapproved a/c
Phone:
Expiration 20
Building Inspector
1 j APPLICATION FOR BUILDING PERMIT
AUG — 2018 Date__? 3 20�
INSTRUCTIONS
MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
I plan to scale.Fee according to schedule.
'ror+'', pFan.s Q cation of lot and of buildings 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 Permit.
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 throughouf the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after 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.Thereafter,a new permit shall be required...
APPLICATION IS HEREBY MApE to theeBuilding 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 Jaws,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 necessary inspections.
ignatuie of applicant or n e,if a corporation)
9�71&A)T,rol, DR1111f. WAi s m y BUY 1 tS5v
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,arcl*ect,eng' eer,general contractor,electrician,plumber or builder
ftNJNisrnrtrun OF 7bAa O'JAMY. 0ee-eAJe7
Name of owner of premises 36/14Q°�FAkV
(As on the tax moll-or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
000 w l sgt 4T-T Mucic 1 U 1
House Number Street Hamlet
County Tax Map No. 1000 Section PM) Block J,500 Lot Ql ®OU
Subdivision Filed Map No. .( U Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing we and occupancy
b. Intended use and occupancy 6 - ha.1
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work N.Wt�twt►tw-rr Wou, c-el, to q/c
5«,w Eo W 0taefe (Description)0dw 40<t.OW
4. Estimated Cost Fee 19V- Nua).4KSi rW d.)1U41(ja
(To be paid on filing this application)
5. If dwelling,number of dwelling units one Number of dwelling units on each floor OAe
If garage, number of cars one
6. If business,commercial or mixed 6ccupancy,specify nature and extent of each type of use. 13141
Y
7: Dimensions of existing structures,if any:Front _WLl t Rear js Depth 155
Height au< sr,,s,/ Number of Stories ®r�e
Dimensions of same structure with alterations or additions: Front j coo` Rear '?S
Depth f 5 S ` Height o.J< s>zn,/ . Number of Stories
8. Dimensions of entire new construction:Front AI)4 Rear Depth
Height Number of Sforias
9. Size of lot:Front IL)L? Rear Depth
10.Date of Purchase Oa Name of Former Owner ST/n4lJ la- 0VACY r IrJ Olhitiy
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.f rom.premises?YES NO
14.Names of Owner of premises qbW a I Llw. Address 41 L�JM J IDAV t Phone No. 6l
Name of Architect Address W AJT49tJ N) Phone No
Name of Contractor Address 1410 Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater-wetland?*YES ZNO
*IF YES,SOUTHOL•D TOWN TRUSTEES'&D.E.C.'PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tichd 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 '� NO
*IF YES,PROVIDE A COPY. t.l S i 40 W S ck-Ak *`lq" CSF F6��
STATE OF NEW YORK) -
JSS:
COUNTY OF 4 1 S a )
�IJ.AlJ O d,/t<Y(/ being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the R OQ rN IS71vrr7r1 aF 4U✓+rJ O UOKY, (QeeCasc/
(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 knowledge and belief;and that the work wi ll be
performed in the manner set forth in the application filed therewith.
Sworn tQ Waore me this ��
3 day of. Av",�1�-20
Signature of Ap scant
JAMES T LOFASOpub +y
j
N�1icW York
01L06065613
W
Oualilied in PJassau County
(� My Commission Expires Dec 30,2018
�suFF�K BUILDING DEPARTMENT- Electrical Inspector
p C TOWN OF SOUTHOLD
_ Town Hall Annex - 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
yalp� Telephone (631) 765-1802 - FAX (631) 765-9502
c roger richert(jcr town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: NN,s -Q tdF�Aitl - - Date: � 3 2
1F -- -
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: (rsf-.c OF 00" 0%e-112`/1 e'e j'e'l
Address: 1770 Ckjo �11- 2a4.0 M r j rUe-K N A
Cross Street: P[4,V, T
Phone No.: 09.1,9- 0'. &Ay
Bldg.Permit#: ya 9 email:
Tax Map District: 1000 Section: 1 Block: 05-Dv Lot: D/y. o,,
11
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
d4Ut47 61,V(, 'Z (9tr1 ed d Dil'7el-JO (/41V1
Circle All That Apply:
Is job ready for inspection?: YES / 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 Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
cC?
Request for Inspection Fonn.xls f
Q
I
5 u rvey of Lot 3 N PREPARED FOR:
Map of "Salt Lake Village" W E JOAN OILEAR-r
f=iled Mai{ 10, lc440
DATUM: MSL-NGVD'2Q
As Map # s
SGT# 100-144-5-14 ELEVS SHOWN - (92)
Situate: Mattituck LOT #Is SHOHN - '3
Town: Southold
Suffolk Gounty, NY ;5\
Gad �3 s
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deck
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on Filed Map
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. .vl�.�o day • _ .
PREPARED BY:
SEA LEVEL
MAPPING
P.O.SOX#538 SGALE I"= 30' THIS PLOT K6,5 DEVELOPED
PH 631 FAD,NY 11901 FROM SURVEYS OF 10-25-04
PH 631-722-33G0 -- --i ROBERT H. FOX,NY5 LIc#5019?
Sheet I Of I _
Comfort 13 Coastal Split System Air Conditioner- 24ABB3**C I Carrier-Home Comfort Page 1 of 6
t
COMFORTTM 13 COASTAL AIR
CONDITIONER
24ABB3**C
OUR LOCAL EXPERTS IN SCHOHARIE ARE > FIND A CARRIER
AVAILABLE TO ANSWER ANY QUESTIONS AND EXPERT IN YOUR AREA
SELECT THE RIGHT SYSTEM FOR YOU.
, ,re
AUG 9 2018 � M
TOWN on?SCUM=
c�
EFFICIENCY :
13 SEER
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Better
COMFORT FEATURES
Good
EMAIL PRODUCT INFO
GOpirmn
NO REBATES AVAILABLE IN NEW YORK, NY
SEE DETAILS
j9 �-p .3 F
k r 4 a 'R" d'p1
Overview F �
s iX15
The Comfort series of air conditioners is designed to give you simple, efficient and affordable
cooling. Pair them with the right, SEER-boosting indoor unit and you can enjoyhe,.rnpnRya�i;�g
benefits of improved efficiency. Ak31"' ID`s
If you live within 10 miles of the coastline you may be aware of salt air corrosion. It can shorten the
life of most air conditioners. This Comfort series model adds Weather Shield TI protection for
superior sea coast corrosion resistance.
This model may not be eligible for installation in the Southeast or Southwest regions of the
country, based on Department of Energy minimum efficiency standards in place as of January 1,
2015. Ask your Carrier® expert to ensure your new air conditioner meets government regulations
for your area.
FeatIlTes
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STANDARD FEATURES ACCEPT
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Comfort 13 Coastal Split System Air Conditioner- 24ABB3**C I Carrier- Home Comfort Page 3 of 6
• WeatherShield" protection featuring ArmorPlate' coil coatings, 100% paint coverage and
WeatherArmor'" protection for superior sea coast corrosion resistance
• 13 SEER cooling efficiency
• Sound: as low as 75 decibels'
• Single-stage operation
• Filter drier system protection from moisture and contaminants
• Non-ozone depleting Puron° refrigerant
• 10-year parts limited warranty2
• 5-year coastal corrosion parts limited warranty4
OPTIONAL FEATURES
• Optional labor warranty available3
' Quietest size within each model group during most common operating condition.
2 To the original owner, when product is used in an owner-occupied residence, a 10-year parts limited warranty
upon timely registration of your new equipment. Warranty period is 5 years if not registered within 90 days.
Jurisdictions where warranty benefits cannot be conditioned on registration will automatically receive a 10-year
parts limited warranty. See warranty certificate for complete details.
3 Ask your Carrier° dealer for details
4 To the original owner,when product is used in an owner-occupied residence, a 5-year seacoast corrosion parts
limited warranty. See warranty certificate for complete details.
5 Epoxy-phenolic coating for superior corrosion resistance.
Specifications
EFFICIENCY
• 13 SEER
• 11 EER
PERFORMANCE
• Sound: as low as 75 decibels'
TECHNOLOGY
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• Single-stage scroll compressor ACCEPT
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Comfort 13 Coastal Split System Air Conditioner- 24ABB3**C I Carrier - Home Comfort Page 4 of 6 ,
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• Filter drier
• Recommended control: Carrier° Ur" thermostat
CAPACITIES
• 1.5-5 ton
REQUIREMENTS
• 208-230 V
AESTHETICS
• Heavy-gauge, galvanized steel construction
• Baked-on, durable powder coat paint with 100% coverage
• Wire coil guard
' Quietest size within each model group during most common operating condition.
Docume-nts
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