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HomeMy WebLinkAbout52663-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 52663 Date: 02/11/2026 Permission is hereby granted to: Brophy Family Trt 9525 SW Lodestone Dr Beaverton, OR 97007 To: Legalize an "as built" HVAC split system to an existing single-family dwelling as applied for per manufactures specification. Floodplain development permit is required. Premises Located at: 75 Second St, New Suffolk, NY 11956 SCTM# 117.-10-20.7 Pursuant to application dated 12/22/2025 and approved by the Building Inspector. To expire on 02/11/2028. Contractors: Required Inspections: Fees: As Built HVAC $500.00 CO Single Family Dwelling-Addition /Alteration $100.00 Flood Permit $150.00 Total $750.00 i Building Inspector ry ry. TOWN F SOUTHOLD--BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. :Box 1179 Southold,NY11971-0959 u Telephone (631) 765-1802 Fax (631) 765-9502 11"'t W.soutboldtos " " u WIN N ONION Is Date Received APPLICATION FOR BU L �V L, For Office Use Only 5 PERMIT N0. d, Building Inspector. `�..s� Applications and forms must be filled out in their entirety.incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:l2 f l8 j25 OWNER(S) OF PROPERTY: Name:Theresa Brophy ------- SCTM#l000-117.-10-20.7 Project Address:75 2nd Street, New Suffolk, NY 11956 Phone#:253-377-1700 Email:tbrophy@rjkconstruction.biz Mailing Address:9525 SW Lodestone Drive, Beaverton,OR 97007 CONTACT PERSON: Name:Krista Janes Mailing Address:3685 Elijahs Lane, Mattituc"k, NY 11952 Phone#:631-335-8175 Email:mil[stonepropertyservices@gmail.com O DESIGN PROFESSIONAL INFOR MATION: N: Name:n/a Mailing Address, Phone#: Email: CONTRACTOR INFORMATION: Name:n/a MW Mailing Address: Phone#: Email.- DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition C]Alterativn [:]Repair ❑Demolition Estimated Cost of Project: WOther Air conditioning as-built $n/a Will the lot be re-graded? C]Yes *No Will excess fill be removed from premises? ClYes C]No 1 PROPERTY INFORMATION Existing use of property:residential intended use of property:residential Zone or use district in which premises is situated: I Are there any covenants and restrictions with respect to R-40 this property? F-lYes rm-lNo IF YES, PROVIDE A COPY. N issue o, I ci�iiiieck,1111�1111ox Afte�r Reading.- The owner/contractor/desisn professional Is responsible for all drainage and to wate r s as pr v ded 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. Krista Jones Application Submitted By(print name): NAuthorized Agent 0Owner Signature of Applicant: '`��.. CONNIE D.BUNCH Date: Notary Public,State of New York STATE OF NEW YORK) No.01 BUS 1 85050 SS: Qualified In Suffolk County C)#C-� COU NTY OF Commission Expires April 14,2_ 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 A -"�)-' f day w .......... Notary Public PROPE11TY OWNER AUTHORIZATION (Where the applicant is not the owner) Theresa Brophy I residing at 75 2nd Street, New Suffolk, NY 11956 do hereby authorize Krista Jones to apply on my behalf to the Town of Southold Building Department for approval as described herein. IN Dec 19,2025 Owner's Signature Date Theresa Brophy Print Owner's Name 2 37- -A Application-for-AC Permit- tr t Final Audit Report 2025-12-19 Created: 2025-12-18 By: Krista Jones(millstonepropertyservices@gmail.com) Status: Signed Transaction ID: CBJCHBCAABAAGLRfOTNasCFmiaw9OGr3URi-Lrp7vG_e "Application-for-AC Permit-75 2nd Street" History n Document created by Krista Jones(milistonepropertyservices@gmail.com) 2025-12-18-10:58:33 PM GMT ``+ Document emailed to Theresa Brophy(tbrophy@rjkconstruction.biz)for signature 2025-12-18-10:59:16 PM GMT Email viewed by Theresa Brophy(tbrophy@rjkconstruction.biz) 2025-12-18-11:07:45 PM GMT -,'rQ Document e-signed by Theresa Brophy (tbrophy@rjkconstruction.biz) Signature Date:2025-12-19-5:09:02 PM GMT-Time Source:server Agreement completed. 2025-12-19-5:09:02 PM GMT Adobe Acrobat Sign NOTES: SNOWFALL FROM DECEMBER 14, 2025 MAY CAUSE SOME FEATURES TO NOT BE DEPICTED ON THIS SURVEY. JACKSON STREET 0 0 C'4 Tax Map Lot 20.5,N/O/F of RONALD POLLIO S85'37'00"E 100.00' 1 6'METALFENCEDos 0.61S P. .B. FE 16 -,a OUTDOOR PFAEV N m SHOWER PATIO GEN.E0 —=i A C PAVER E-440.4 STEPS WOOD W SOOP �STEF c 1%-STORY ' CD CD Q LL HOUSE z l Lti' ax Map Lot 20.7 B.0' No. 75 m 3 8Ln No op O PAVER w _ 13.6' ry WALK OL m o + O Ln 10.0 24.4' o, - GRAVEL 0 DRIVEWAY TWA WOOD BLOCK RET. � LOWER I V 1 x 0 DECK WALL H=1.O'm EN 1O 6 STEP ~ ZPIPE CE FOUND R FEN a LDt N/Olf 0.6S 0.4'S 0.6's Of MARIA ARIAS — 2 0 3'W I ' -Tax Map WOODARDF 100.91 Of PATRI S87"21'00'�W LEGEND: EM m ELEC. METER SURVEY OF SI TUA TE `!-3 UTILITY POLE NEW SUFFOLK, TOWN OF SOUTHOLD — — OVERHEAD WIRES SUFFOLK COUNTY, NEW YORK TAX No. 1000-11700-1000-020007 TREE SCALE 1"=20' DECEMBER 16, 2025 AERIAL LAND SURVEYING, D.P.C. Nmm ux.�mcNs AND EgSRNNCB OF ANY suswwAm 63 PROBST DRNE CamFlta�iNErwna�NNt�nu At�''TL'- N� AREA = 7,232 sq. ft. SHIRLEY, NY 11967 ,RANWERABIE 0.166 OC. PICDNE: Bas-787-8383 MY 3MBOLS SHOW NOT SME AM ME FM E-MAIL• SURVEYSOAMMiANDSURVEYINO.0 OM WEWITE: WWW.AERWIANDSURVEYIND.COY My 6117 9 VMM M AN,,EAMOCT s MW AM AM MER DISTRICT:1000 LOT:020.007 BLOCKA O.00 SECTION:117.00 %KAUTI EED AMAIM mew A ON W sort TW AM L MAP/FILE NO.: N/A �rm s s MRMYOn W ae ra TOM SMM S ARTKIE TATE EXCAm:wr .1th.fanu. w W*79 m1 .e.aaq`.. d tlx hn0 u.Jd�Mao wd a'�Y .d rd rto!w MAP OF: NOT ON FILED SUBDIVISION MAP tl p���a.,d ��ba dw b— � Av l0 9"�e+q.aa�Ud at9b�N at a�°°N' RMalmd land 2mlP= 8Ad W Y2 ena ld M WY}O W TITLE NO.: N/A o.a fa+on fr r wad m er sort w nn. Muavr. N MAP FILED DATE: N/A COUNTY TAX MAP ID: 1000-11700-1000-020007 SITUATED AT: NEW SUFFOLK, TOWN OF SOUTHOLD SUBDIVISION MAP LOT Q BLOCK 'S: N A n o W CCFYRXW ~ D JOB NO.: 25-7942 CWi DATE DECEMBER 15.2025 75 2"d Street, New Suffolk 1 st Floor: i .iY �Fz`1 � 4 `�PAIWE" A R {tf FR 9/2016 ME DATE �t MME ADD.RD.'4'fTR303OG1000HA' VOLTS 208/231) KMHO. 16392MBU3F: PH 1 HI 60 SAIMMUM CIRCUIT ApIPACITY'. 18.0-. AMPS DyERCURREM PROTECTIVE DEVICE USA •CANAQA'- �`� MAX FUSE BREAKER(UACR) - 30 30, HFC — 410i\ a Les. •1a. OZ. OR 2.21 kp(SQ ; 10 }I- uslGAV 1-1.1 i�mo nn oum._a... -- - . �RlINE T F?QA71iPf,Asa cOII+J.sa r.nrarLuaEcocrlaouna+oo �F4V-�EamoelE+r - 17lLR,i%1570T AYBLM/lCa W UIq`.wa.i.',' it"W 4^Xrn ftpi, 14.1 10.A 20012 20012�0 7p 73.0 0.04 si ?.o0)T Y 1!D eGt2 A R1k. f0.41WP1iaWi:iEtl 6aNibw 1'pl. C ♦� ill 1 75 2nd Street, New Suffolk 2nd Floor: 1 ,fir j' `7 affi.a4C4ailS�iUWW�Uil1Ul►rc 12ta6ann ' .r�r• 3�jr.''r J `'��R��11I1111iN111[{illllf(�tllft#�', ' 1WMSURI"'ItELEC I 1 1 SPL1T-,SYSTEM HEAT PUMP FH>- CoNfOWSTO Ij ANSVULSTD 1995 THIS;11 1jl' us CERTIFIEDTD- Intertek, CU20,2 s rr , 40C9839 FAODEL E. .� MXZ-3C24NA3 'SI^RVICEREF. MXZ•3C24NA3•U1 LA'C9: NIA)CVOLTAGE253' AS THE F ass RE OI48 TIME DEIAY UNIT SUPPLY �nAi� 1 i 6D h11N.VOLTAGE VVOAi<.PL APPROVED FOR HACR BR'rAKERS OR US.FUSE INS I ALLA MAX,FUSE 25._AMps 4IJN CIRCUIT AMPACITY 22.1 FAN MOTOR 243_._''' 'r f COMPRESSOR 12 11,7 SCCR 5 kA REFRIGERANT R410A_ ` i FACTORY CHARGED 6_LBS,. 13 OZ IFTHE LIQUID LNE EXCEEDS 96.6 PT PLUS 1 06 OZ.' U 1 Ot�A L 5FT LIQUID UNE PEk AODITI „ 4":STAU.ER TO pmK:10TAL CHARGE LBS.` :OZ' I" DESIGN PRESSURES' PSG _NA.- O 5I D£ -- I I .ypvaU arrbrn +s s ra 1 rtx3+n . t.t ❑ ,❑ µ{S;il{iSFit LIncfvicc61etpo"iom - R - I ,,.�,.- �.awr-:"'r°.sew--re+f,;,*; ua*+a..r•;�a;� r.,,;:+Y•`a»t v*s ,.'�1 Zone #2: Office. • One (1) Mitsubishi, model #MSZ-GS12NA, 12,000 BTU, ductless high efficiency fully modulating wall mounted fan coil unit to be installed in the Office, exact location to be determined. Zone #2: Bedroom #1. • One (1) Mitsubishi, model #MSZ-GS06NA, 6,000 BTU, ductless high efficiency fully modulating wall mounted fan coil unit to be installed in the Bedroom #1, exact location to be determined. Zone #3: Bedroom #2. • One (1) Mitsubishi, model #MSZ-GS06NA, 6,000 BTU, ductless high efficiency fully modulating wall mounted fan coil unit to be installed in the Bedroom #2, exact location to be determined. Heat pump: • One (1) Mitsubishi, model #MXZ-3C24NA, 24,000 BTU, multi-port Variable Refrigerant Flow high efficiency outdoor heat pump condensing unit to be installed at the residence exterior, exact location to be determined. Unit shall be set on a precast slab.