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HomeMy WebLinkAbout52274-Z �o4*OF So(/lyo`o Town of Southold * * P.O. Sox 1179 53095 Main Rd Southold, New York 11971 yCOON." CERTIFICATE OF OCCUPANCY No: 46530 Date: 09/26/2025 THIS CERTIFIES that the building AS BUILT HVAC Location of Property: 810 Greenfields Ln Southold, NY 11971 Sec/Block/Lot: 63.-5-22 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 09/12/2025 Pursuant to which Building Permit No. 52274 and dated: 09/19/2025 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-installed AC at existing single-family dwelling as applied for. The certificate is issued to: Robert Cubbin, Debra Cubbin Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52274 9/25/25 PLUMBERS CERTIFICATION: ut riz d Signature 4aQFSOO TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE Commit 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#: 52274 Date: 09/19/2025 Permission is hereby granted to: Robert Cubbin 810 Greenfields Ln Southold, NY 11971 To: Legalize as-installed AC at existing single family dwelling as applied for. Premises Located at: 810 Greenfields Ln,Southold, NY 11971 SCTIVI#63.-5-22 Pursuant to application dated 09/12/2025 and approved by the Building Inspector. To expire on 09/19/2027. Contractors: Required Inspections: Fees: As Built HVAC $500.00 CO-RESIDENTIAL $100.00 Total $600.00 Building Inspector pF SO(/r�Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Southold,NY 11971-0959 �Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Robert Cubbin Address: 810 Greenfields Ln City: Southold St: NY Zip: 11971 Building Permit* 52274 Section: 63 Block: 5 Lot: 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Johnson Electrical License No: 58338ME SITE DETAILS Office Use Only Indoor FV- Basement F Service r Solar F Outdoor � 1st Floor r Pool F Spa F Renovation (- 2nd Floor I— Hot Tub F Generator (- Survey (— Attic rrvl Garage Battery Storage INVENTORY Service 1 ph F Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph I- 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 Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 1 Switches 1 4'LED Exit Fixtures Other Equipment: Notes: HVAC Inspector Signature: X Date: September 25, 2025 Sean Dev Electrical Inspector sean.devlinatown.southold.ny.us 810GreenfieldsHVAC OF SOUIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [rFINAL SULATION/CAULKING [ ] FRAMING [STRAPPING [ ] FIREPLACE & CHIMNEY [. ] -FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [- ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: l DATE YS INSPECTO k -- oF so�lyo 2, IIT N OFSO THOLD BUILDING G DE "coum, 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ 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: ' DATE J INSPECTOR L FIELD INSPECTION REPORT DATE COMMENTS -o 93 FOUNDATION (1ST) ------... — --=--- -- -------- ------ — — ------ - �] -------------------------------------- FOUNDATION (2ND) ---- — -- - ----------------— -- ----- ----� —r- clo 7_ O O v ROUGH FRAMING& ----------- -- - ----------- t� PLUMBING r� INSULATION PER N. Y. -- — — -----...---- - -- -- --------- I n'� o�`` STATE ENERGY CODE — -- -- ----.... -..----- - — --- -- -------- �" N -- -off_----- ------ - -- -- - --- - --- - _- FIN AL ADDITIONAL COMMENTS — q-- � 'rc C—C ----- -- ------ -- ---. --�__ o - J z r� ------------------ -- o ----------------------- b o�°SUFfo�kell TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 "py�ol �oo� Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT D EC E WE R 0 For Office Use Only S E P 12 2025 PERMIT NO. Building Inspector: BuIlciing Dep:arffmerat Applications and forms must be filled out in their entirety. Incomplete jr® �p�of s u�l�. oold applications will not be accepted..Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name SCTM#1000-_�� Project Address: S tj o JC 197/ Phone#: j`J-y�.� ° Email: Al VVI Mailing Address:- -_s-�/ _ �LQJ,-J►' �---/--►! 1� -N �-_-�__ ___.��.7��------...--._.__.�.__-_.._____.--.--.__..._____----_-_.__.___._ .._. CONTACT PERSON: 1 Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF:PROPOSED CONSTRUCTION ❑New Struct re ❑Addition ❑Alter tion ❑Repair ❑Demolition Estimated Cost of Project: [--]other � $Will the lot be re-graded? ❑Yes C4o Will excess fill be removed from premises? ❑Yes o 1 • r 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 ❑No 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 210.45 of the New York State Penal Law. Submitted By(print name): j ` �-� ❑Authorized Agent ❑Owner AppyF"lication.__ e �_----____._....._-.-_ Signature of Applicant: f Date: S— 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 Cko 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 I day of � J(�11 p , 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 rr`1!f''tom SUFFo(, C�� BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 Telephone (631) 765-1802 ` APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 30 26- Company Name: uN6W5,1 f-te-art..f CA' ��'�a`� Electrician's Name: License No.: AA f _ 5-,8 3 � Elec. email o�n W/L ae is c-w I C-0� ��a<< < C, �• Elec. Phone No: 5'14 3z2 G C ci I request an email copy of Certificate of Compliance Elec. Address.: "7r' Li Clk11 TbA JJ-/ lkli5 JOB SITE INFORMATION (All Information Required) Name: eg�4 Cu 66 .� Address: 6/6 Cross Street: Phone No.: 6 ;_ x5-8- : ,7 Bldg.Permit#: 5 2 V email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 4C- Square Footage: Circle All That Apply: Is job ready for inspection?: 0 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 D Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION (� FFOt BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD y z s Town Hall Annex - 54375 Main Road - PO Box 1179 ^� Southold, New York 1197.1-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: &/3,-,L2-i— Company Name: LW5,,1 Electrician's Name: License No.: /tJL - S8 � Elec. email . ,n�J, C I C-o Elec. Phone No: S16 3 22 6 6 Li 3 01 request an email copy of Certificate of Compliance Elec. Address.: -`7 ���i%� �o �, T�A J y l t �S5 JOB SITE INFORMATION (All Information Required) Name: �cn- Address: '�� Cross Street: Phone No.: r zs 8- :i I Bldg.Permit#: Jc 7'T email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE 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) 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 Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surface Sconces 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 Carbcdn Micro G.rb.Dis Lights Heat Pucks ERV HOT TUB SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC Ali Hood Blower Service Amps Have Used Sub Amps Have Used Comments SURVEYOFPROPERTY LOT 10 MAP OF GREENFIELDS LN 050') CREENFI ELDS A T SOUTHOLD FILED: NOV. 10, 1975 — MAP #:8313 1V71°11'oz'•E 150.00 SITUATE oo. `''-711.47 m SOUTHOLD $�' "' TOWN OF SOUTHOLD y °` SUFFOLK COUNTY, N. Y. a SURVEYED: NOV. 22, 2024 can COw_w� 1000-063. 00-05. 00- 022. 000 SCTM: E n ,Z= 810 GREENFIELDS LN, SOUTHOLD, NY, 11971 Gwx Id PORCH —0 d `J to LOT AREA i'c Fr¢�1e Rl dence N #810 42220.00 S.F. N 40.5' WOOD PUT. (0.969 ACRE(S)) z W.W. Af 0 o U J � Q J U a � � rn C 2 o a �- h a o a w � ; 13.5 K. o 0 1° V7 Z J V1 49.0' fW" w � z w w COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED 0 00 OR EMBOSSED SEAL SHALL NOT ECONSIDERED TO BE A VALID COPY. o c Cb MICHAEL K, WI KS, P.L.S. #50390 i p ?" Oro �IICHAEL K. WICKS M LAND SURVEYING E 2 15 FROWEIN RD - SUITE E2 CENTER MORICHES, NEW YORK 11934 VOICE. 631.874.0156 S70.31'20"iy www.wdcksdacndsurveyting.court, o URANCE COMPANY 149.83 RECORDS' OF RICHARD C. DRAKE o a SCALE: SURVEYED BY: DRAWN BY: SHEET: a N/F M.T.A. 1"=40' M.W. J.W.W. 1 OF 1 Y 3 :HAEL K. WICKS LAND SURVEYING 2.UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF NEW Y :OUNDARY SURVEY MAP SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PRD ATE EDUCATION LAW. 3 AL LAND SURVEYORS, INC.. ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AMC) CORRECT COPIES OF THE SURVEYOR'S ORIGINAL m THE CERTIFICATION IS LIMITED PERSONS FOR WHOM THE BOUNDARY SURVEY MAP I PREPARED, TO THE TITLE COMPANY, TO THE INSTITUTION LISTED ON THIS BOUNDARY SURVEY MAP. THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE. THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT.ALWAYS KNOWN AN V MUST BE ESTIMATED. IF ANY UNDERGROUND IMPROVEMENTS THE OR ENCROACHMENTS EXIST OR ARE SHOWN,THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED 0 I 1 SHOWN HEREON FROM. THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POC 'IDS PLANTING AREAS, ADDITIONS TO BUILDINGS,AND ANY OTHER TYPE OF CONSTRUCTION.*ELEVATIONS REFER TO A .NAVD 88 DATUM U APPROVED AS NOTED OCCUPANCY 0111 �,�;'�� D USE IS UN ..� ��' ..,; ATE• .P.;O� LAWFUL:.: FEE BY WITHOUT CERTIFICATE NOTIFY BUILDING DEPARTMENTAT OF OCCUPANCY ,-,; 631-765-1802 8AM TO 4PM FOR THE _• �: � FOLLOWING INSPECTIONS: NATION-TWO REQUIRED - D CONCRETE rsimMING&PLUMBING 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. 1L CONSTRUCTION SHALL MEET THE COMPLY W I ALL CODES OF EQUIREMENTS OF THE CODES OF NEW NEW YORK STATE&TOWN CODES ''091 K STATE. NOT RESPONSIBLE FOR AS REQUIRED D CONDITIONS OF SIGN OR CONSTRUCTON ERRORS OLDTOWN ZBA SOLOW TOWN PLANNING BOARD SOMMI TOWN TRUSTEES W.DEC SOUfHOLD HPC Additional SCHD Certification May Be Required. w e� :5AC3060A1000AA S oil "`�tN&A 02,12025 FACTORY CHARGE 6 Ib 8 oZ(2.335 kg) R4548 T^T AL C-;ARGE Ib = oz( R4546 MAXIMUM ALLOWABLE PRESSURE 4.15 MPa(602 prig) 250930430J UNIT SUPPLY 2W230 V11 PH-160 Hz - COMPRESSOR RLA 27.7 A LRA 125 A I INSTALLER:Mark per FAN MOTOR MOC 2.2 A 0.2 kW 1i3 Hp i InstaNation Mstruction L MINIMUM CIRCUIT AMPACITY 36,9 A For Outdoor Use !' 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