HomeMy WebLinkAbout52310-Z �o��Of SOUTyo`o Town of Southold
* * P.O. Box 1179
c4 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46681 Date: 11/13/2025
THIS CERTIFIES that the building HVAC
Location of Property: 895 N Parish Dr Southold, NY 11971
Sec/Block/Lot: 71.4-9
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 08/22/2025
Pursuant to which.Building Permit No. 52310 and dated: 10/01/2025
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:
HVAC system to existing single family dwelling as applied for.
The certificate is issued to: Lucille Drobet ,Elizabeth Herkenham
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52310 11/12/2025
PLUMBERS CERTIFICATION:
A tho ' ed Sig ature
oAQFSoulyo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
isko • A4 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#: 52310 Date: 10/01/2025
Permission is hereby granted to:
Lucille S Drobet
PO BOX 264
Southold, NY 11971
To:
Install HVAC system to existing single family dwelling as applied for.
Premises Located at:
895 N Parish Dr, Southold, NY 11971
SCTM#71.4-9
Pursuant to application dated 08/22/2025 and approved by the Building Inspector.
To expire on 10/01/2027.
Contractors:
Required Inspections:
ELECTRICAL-ROUGH, PLUMBING, ELECTRICAL- FINAL, FINAL,
Fees:
CO-RESIDENTIAL $100.00
HVAC $250.00
Tota S350.00
Building Inspector
pF SO(/ryQl
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • Q
Southold,NY 11971-0959 'Q
�ycOUNT`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Lucille S Drobet
Address: 895 North Parish Dr City: Southold St: NY Zip: 11971
Building Permit* 52310 section: 71 Block: 1 Lot: 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Gerard Electrical License No: 40564ME
SITE DETAILS
Office Use Only
Indoor r1 Basement F. Service r Solar r'
Outdoor r� 1st Floor [I Pool r Spa r
Renovation r 71 2nd Floor 1- Hot Tub r.7 Generator
Survey Iff]
Attic n
Garage rl Battery Storage (-
INVENTORY
Service 1 ph ri Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph r' Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect 2 Switches 2 4'LED Exit Fixtures
Other Equipment:
Notes: HVAC
Inspector Signature: X Date: November 12, 2025
Sean Devlin
Electrical Inspector sean.devlin(a-town.southold.ny.us
895NParishHVAC
1 OF SOUIyOIo
# # TOWN OF SOUTHOLD BUILDING DEPT.
courm��` 631-765-1802
6,510 INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ]. FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL {-VA
[ ]: FIREPLACE & CHIMNEY. [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: lV�Ci
DATE O INSPECTOR
OF SOUTy�Io 5 L / 0 lam' , Nv �1w-A !,
# * TOWI�OF S.OUTHOLD BUILDING DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] .FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ .] FIRE SAFETY INSPECTION
[ ] 'FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) KA ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL
REMARKS: �I ,
'Aa use ead- s- 41 6e
DATE INSPECTOR
BUILDING
PERMIT
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FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
---------------------------------------
FOUNDATION (2ND)
O
ROUGH FRAMING&
PLUMBING
WN
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
----------
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y; x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
yo• �ao� ; Telephone(631) 765-1802 Fax(631) 765-9502 hftps://www.southoldtowm.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. 2� 0 Building Inspector: AUG 2 2 2025
Applications and forms must be,filled out in their entirety.lncomplete Building Department
applications will;not be accepted. Where the Applicant is'hotthe owner,an ®w� of Southold
Owner's Authorization f6frh�(Page )shall be�completed.
Date: 4 v - 22 Zo 2 S
OWNER(S):OF PROPERTY
Name: JS�7 �1000-
Project Address:
Phone#: (57/51 8 5 2 -9(, 7& Email: heyk 24 cj� �' `� CdWi
Mailing Address: PD. QD 1C 2z4-
CONTACT"PERSON. _
Name:
Mailing Address:
Phone#: fCjff�)71 q—r7q,1.7 Email: t hew/L 09 _.r►-,
DESIGN PROFESSIONAL INFORMATION ;-
Name: IV.A
Mailing Address:
Phone#: Email:
CONTRACTOR'INFORMATION::
Name:
Mailing Address:
r __...�.. ,,.z.- _..��.r_ ._.r. //i50o_ OC_D.,._�.�o._U�D_ .�✓C,.._�,___ . C?.-60�(�If�(.__ a�.N�TT.Tth .__ti! __�-.....�..�
Phone#: .—Email:
caQ-
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration Repair ❑Demolition Esti ated Cost of Project:
El other $ ZG L/7S
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes No
1
F -;,i,PROPERTYINFORMATION
Existing use of property: 2E5 t Daci✓C Intended use of property: RFSi pF,UCE
Zone or use district in which premises is situated: Are there any covenants nd restrictions with respect to
this property? ❑Yes LINO 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 Buildi.ngpermit pursuant to tf t.a Build ng•Zone'
Ordinance of the Town of Sou[hold,Suffolk,County,New York and,other applicable Laws Ordinances of Regulations,for the construction of buildings,
additions.alterations or for removal or'demohtion as herein described The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations Arid to admit"authorized inspectors on premises and in:building(s).fornecessan/inspections;False statements made herein are
punishable as;a Cla;s,A misdemeanor pursuant to Secdon;210 45 of the New York State Penal Law.
Application Submitted By(pr'rrfn-ame): 4/1 Z14 IS4 —714 / ��Id,�q ❑Authorized Agent ROwner
Signature of Applicant: X Date: .4 U ct
STATE OF NEW YORK)
SS:
COUNTY OF )
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
day of ,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
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BUILDING DEPARTMENT- Elect i I o�® C
TOWN OF SOUTHOL 1 f
y = ' Town Hall Annex - 54375 Main Ro PO @V�, 092025 --
o yc Southold, New York 1197 - 59
•
Telephone (631) 765-1802 F3ullding 1]epIjunold
Town of Soz�tiic�l;�
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: /o
Company Name: C,Q ,g lEG7uc,4C_
Electrician's Name:
License No.: 4,9 Elec. email:
Elec. Phone No: -?7 _g Zb ❑I request an email copy of Certificate of Compliance
Elec. Address.: g3o EF}S oo® klVr Ctrlre ile, /U 1193.5-
JOB SITE INFORMATION (All Information Required)
Name: E:LQS to4prx G GG
Address: 9,76 NOR ZN &S14 zm.
Cross Street: xt iwti5 VZ.p,
Phone No.: 1S- '7G - 5y/ ILL a5e-e-r, )HAK
Bldg.Permit#: 5'Z3io email: v:
Tax Map District: 1000 Section: 41"79%fj Block: 071. _ - Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
RetAwig Aw o PrpLArta u vat >F' ►Ac,15 Aa lA ,ate coµPQ,Es.,ay - UN t-rc .
Square Footage: < Zrma
Circle All That Apply:
Is job ready for inspection?: 10, YES ❑ NO ❑Rough In Final
Do you need a Temp Certificate?: ❑ YES ENO 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 FJ2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
APPROVED AS NOTED AONM330 30
0AEE0 0 e.P. 31VOIJIM301nOHllAA
FEE 6Y.- inAMVINn SI 3Sn ,
TMEN AT
63N -�6802 BAM TO UILDING PM FOR THE ❑O / N d n o o Q
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE COMPLY WI'►�,gL�CODES OF
REQUIREMENTS OF THE CODES OF NEW NEB/YORK STATE&TOWN CODES
YORK STATE. NOT RESPONSIBLE FOR AS REQUIRED
DESIGN OR CONSTRUCTON ERRORS D CONDITIONS OF
OLDTOWNZBA
SOUNLD TOWN PLANNING BOARO
SOLM40W TOWN TRUSTEES
_.. N.Y.S.DEC
SOMOLD WC
arterr .ti1 SCHD
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
NEW HEATING/COOLING CONVERSION
PROJECT LOCATION: SIRACUSANO RESIDENCE
895 NORTH PARISH DRIVE
SOUTHOLD, NY 11971
CONTACT: Bill Herkenham
Phone: (518) 764-5417
Email: bherk@nycap.rr.com
SCOPE OF WORK
A. MAIN HOUSE—Two Zone Heating/Cooling
Existing System is Oil Fired Heating and Air Source Heat Pump Cooling
1. Remove existing furnace and AC System and dispose of equipment. Existing
ductwork to remain and be reused. Patch the chimney and remove stack duct.
2. Replace with Low Ambient Air Source Heat Pump Heating and Cooling System and
associated controls. Connect to existing distribution duct.
3. Remove any existing wall and door if the space is too small for the new equipment.
4. Provide electrical work for new equipment and controls. Provide new thermostats as
required for the new system.
B. BONUS ROOM—Two Zone Heating and Cooling
Existing Propane Fired Heating and Air Source Heat Pump Cooling.
1. Remove existing furnace and AC System. Existing ductwork to remain. Remove PVC
stack and patch wall.
2. Replace the indoor air handler and outdoor compressor unit with new Low Ambient
Air Source Heat Pump Heating and Cooling System and associated controls. Connect
to existing distribution duct.
3. Provide electrical work to tie-into existing control panel. Provide new thermostats
for the new system.
C. PLUMBING: Hot Water Heater Replacement and add Instantaneous Unit
1. Remove existing 32 Gallon Oil Fired Hot Water Heater and replace with Electric 32-
gallon HWH.
2. Provide Supplemental Electric On-Demand HWH for Bonus Room Bathroom. If
possible,the unit will tie into the existing hot water line and drop out when the
incoming hot water hits temperature.
3. Remove empty oil tank(275 Gallon)from basement and associate oil tubing. Tank
will be emptied by others.
NOTES:
1. Main House System: 140,000 BTUH Heating -Oil Fired
5 Ton Cooling R-22
Bonus Room System: 40,000 BTUH Heating-Propane Fired ?
1.5 Ton Cooling R-410A
2. All work to be performed during Sept./Oct. should season.
3. Old refrigerant system to be disposed of per regulations. Provide a new refrigerant
system to meet current and the latest standards. (R-454B)
4. Insulate duct as required at new connections.
5. Insulate HW piping to match existing.
6. Any work required in furnace rooms to satisfy fire ratings of walls and doors will be
performed by others.
Page No. 1 of 2 Pages
VOP0001
olb
Old Sound Avenue,PO Box 106
Matti
• Mattituck, New York 11952
P 631-298-5527 1 F 631-298-5534
HEATING + COOLING www.kolbmechanical.com
PROP SAL SUBMITTED TO PHONE DATE
Boll Herkenham (518) 764-5417 July 30, 2025
sTINE6 Box 264 JDWENorth Parrish Drive
011MOR6878,"'NY 11971 JOWL Rflold, NY 11971
EMJWFfrit�nycalp.mcom °E.fM§/et
We hereby submit specifications and estimates for:
Remove and discard the existing oil-fired forced hot-air heating and air conditioning system
serving the Main House, as well as the gas fired forced hot-air heating and air conditioning
system serving the addition. Provide and install two (2) new indoor air handling units and two
(2) new outdoor heat pump heating and air conditioning condensing units to consist of the
following:
Scope of Work:
• Pump down, reclaim, and recycle refrigerant from the existing condensing unit
refrigeration circuits as per EPA regulation Title 40 CFR, Part 82 and Clean Air Act,
Sections 601-607.
• Remove and dispose of the existing forced hot-air heating and air conditioning systems.
• Provide and install one (1) Bosch, model #BIVA-60RCB, 5-ton, high efficiency air handling
unit to be installed at the existing oil-fired furnace location, complete with all necessary
controls.
• Provide and install one (1) 15kW electric resistance heating element at the indoor air
handling unit to provide supplemental back-up heat.
• Provide and install one (1) Bosch, model #BOVA-60RXB, 5-ton, high efficiency 15 SEER2
outdoor heat pump heating and air conditioning condensing unit to be installed at the
existing condenser location.
• Provide and install one (1) Bosch, model #BIVA-24RCB, 2-ton, high efficiency air handling
unit to be installed at the existing gas fired furnace location, complete with all necessary
controls.
• Provide and install one (1) 5kW electric resistance heating element at the indoor air
handling unit to provide supplemental back-up heat.
• Provide and install one (1) Bosch, model'#BOVA-24RXB, 2-ton, high efficiency 15 SEER2
outdoor heat pump heating and air conditioning condensing unit to be installed at the
existing condenser location.
• Provide and install two (2) AprilAire, model #2213, 5"thick MERV-13 HEPA media type
whole home air purifiers.
• All refrigeration piping connections to be silver brazed.
• Flush refrigeration lines.
*Upon acceptance,please date,sign by the"X"and return yellow copy with your deposit.
KOLB MECHANICAL HEATING&AIR CONDITIONING
In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp.,
It is the responsibility of the Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man-
ufacturer in order to preserve warranties.
All equipment shall remain property of Kolb Mechanical Corp.,until fully paid
All past due accounts shall be charged interest of 1.5%per month.
All payments Due Upon Receipt.
-IC`UDII108C hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
Base Total
Options Total
Grand Total
Payment to be made as follows:
AO material is guaranteed to be as Weed. Ati work to be completed in a workmanNe manner
according to standard practices.Any alteration or deviation from above specifications invoMng extra Authorized
costs will be exerted only upon written orders,and will become an extra charge over and above the Signature
estimate.All agreements contingent upon stokes,accidents or delays beyond our control.Owner to
tarty fire,tomado and other necessary insurance. our workers are fully covered by Workman's Note:This project may be
Compensation Insurance. withdrawn by us if not accepted within 16
2keeptlImee of Twp000l The above prices,specifications and
conditions are satisfactory an are'hereby accepted. You are authorized to
do the work as specified. Payment will be made as outlined above. n a e
Date of Acceptance /—3/— 2 5 Signa
Page No. 2 of 2 Pages
��4p4AA�
0lb
Old Sound Avenue, PO Box 106
Matti
� Mattituck,New York 11952
P 631-298-5527 1 F 631-298-5534
HEATING + COOLING www.kolbmechanical.com
PROPOSAL SUBMITTED TO PHONE DATE
Bill Herkenham (518) 764-5417 July 30, 2025
STREET JOB NAME
P.O. Box 264 895 North Parrish Drive
C oSTUAT A ,Z PN Y 11971 O LoOut o ld, NY 11971
EMAffiffiAnycamr,com °EYZJ'ff/et
We hereby submit specifications and estimates for:
Scope of Work(Continued):
• Evacuate refrigerant circuits to 500 microns deep vacuum.
• Provide and install four(4) Honeywell/EWC extruded aluminum electromechanical zone
dampers.
• Provide and install two (2) Honeywell/EWC zone control panels.
• Provide and install four (4) Honeywell T10 Series, digital dual-fuel heating and air
conditioning thermostats.
• Provide connections for power wiring and control wiring to accommodate new unit
configurations.
• Line voltage power wiring, by Gerard Electric.
• Provide necessary duct modifications and new duct transitions to accommodate the
installation of the new air handlers.
• Charge refrigerant circuit with new R-454B Puron global warming index compliant
refrigerant.
• Provide all necessary materials, labor, installation, start-up, and test of the system.
Excludes:
• Cutting, patching, painting, and/or framing of sheetrock, and carpentry for HVAC, if
required.
• Legal abandonment/abatement services of the existing oil storage tank.
• Domestic hot water heating system, by Plumber.
• Any applicable permits, certificates, or associated fees, if required.
Warranty:
• All work to be done in a professional manner by trained installers and service personnel.
• One-year parts & labor service during normal business hours on above system.
• Bosch Ten-year factory limited parts warranty.
• All factory warranties honored.
Total Investment: $ 26,475.00
*Upon acceptance,please date,sign by the"X"and return yellow copy with your deposit.
KOLB MECHANICAL HEATING&AIR CONDITIONING
In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp.,
It is the responsibility of the Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man-
ufacturer in order to preserve warranties.
All equipment shall remain property of Kolb Mechanical Corp.,until fully paid
All past due accounts shall be charged Interest of 1.5%per month.
All payments Due Upon Receipt,
=e TWP90e hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
Base Total
Options Total
Twenty-Six Thousand Four Hundred Seventy-Five Dollars and xx/00 - - -Gra-nd Total $26,475.00
Payment to be made as follows:
50% Deposit; 50% Balance Due Upon Completion & Start-up.
All material is guaranteed to be as specified. All work to be completed in a workmanliike manner
according to standard practices.Any alteration or deviation from above specifications involving extra Authorized
costs will be executed only upon written orders,and will become an extra charge over and above the Signature
estimate.Ali agreements contingent upon makes,accidents or delays beyond our control.Owner to
carry fire,tomado and other necessary insurance. Our workers are fully covered by workman's Note:This project may be
Compensation Insurance. withdrawn by us if not accepted within 16
:![tetltrMte of TWpo811Y The above prices,specifications and WILL 14H
conditions are satisfactory ancr are hereby accepted. You are authorized to
do the work as specified. Payment will be made as outlined above. Print ame
Date of Acceptance 3�'2 S >r Sicnatur. ifY��x���