HomeMy WebLinkAbout52588-Z *of souTyo`o Town of Southold
* P.O. Box 1179
04 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46773 Date: 01/12/2026
THIS CERTIFIES that the building AS BUILT HVAC
Location of Property: 1295 Washington Ave Greenport, NY 11944
Sec/Block/Lot: 41.-2-6
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/12/2025
Pursuant to which Building Permit No. 52588 and dated: 01/05/2026
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" HVAC unit as applied for.
The certificate is issued to: Victoria Chute , Raymond Chute
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52588 1/09/2026
PLUMBERS CERTIFICATION:
A ho ' d igna ure
��oFse�ryo 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#: 52588 Date: 01/05/2026
Permission is hereby granted to:
Victoria A Chute
C/O Margaret Krukowski
Greenport, NY 11944
To:
Legalize as-built HVAC unit as applied for.
Premises Located at:
1295 Washington Ave, Greenport, NY 11944
SCTM#41.-2-6
Pursuant to application dated 21/12/2025 and approved by the Building Inspector.
To expire on 01/05/2028.
Contractors:
Required Inspections:
Fees:
As Built HVAC $500.00
CO-RESIDENTIAL $100.00
Total $600.00
Building Inspector
ho��pF SOUjyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • Q
Southold,NY 11971-0959
DU ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Victoria A Chute
Address: 1295 Washington Ave city: Greenport st: NY zip: 11944
Building Permit#: 52588 Section: 41 Block: 2 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Commercial Indoor X Basement Service Solar
Residential X Outdoor X 1st Floor X Pool Battery Storage
As-built X Renovation 2nd Floor Hot Tub EV Charger
New Addition Attic X Spa Generator
Survey X I Mezzanine Garage Dock
INVENTORY
Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt Wall Fixtures CO Detectors Heater
Main Panel A/C Condenser 1 Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads Switches 1 Pucks Lights Dishwasher Mini Fridge
GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier
Other Equipment: 20A AC Disconnect
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: Date: January 9, 2026
pF SOUTyo�
# # TOWN OF UTHOLD BUILDING DEPT.
o m �0 631-765-1802
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: 01(J—_ Aw
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DATE o INSPECTOR
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FIELD INSPECTION REPORT7 DATE COMMENTS
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FOUNDATION (1ST)
--------------------------------------
FOUNDATION (2ND)
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INSULATION PER N.Y.
STATE ENERGY CODE
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ADDITIONAL COMMENTS
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Docusign Envelope ID:55851 BBC-1 DAE-44E1-AA8E-3A7AA30C49D2
�o�guF�>F oGy TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy�ol Sao Telephone(631) 765-1802 Fax (631) 765-9502-https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT _
For Office Use Only l 9
Q^
PERMIT NO. v Building Inspector: 11 ti NOV 1
1�
Applications'and forms_must be filled'out in their entirety. incomplete
applications will not be accepted. Where the Applicant is not the owner,an �" f
Owner's Authorization form<(Page 2)shall be completed.
Date:11/05/25
OWNER(S)OF PROPERTY:
Name:Vic_ - Chute .._..__ r__._. SCTM#s000-41-2-6
Project Address:1295 Washington Avenue, Greenport, NY 11944
Phone#:631-241-9725 Email:clarol65@optonline.net
Mailing Address:254 6th Avenue,_Greenport,_NY_11944 w ------
-CO NTACT PERSON.
Name:Krista Jones
Mailing Address:PO Box 163 MattltuCk, NY" 11952
Phone#:631-335-8175 Email:millstonepropertyservices@gmaiI.com
DESIGN PROFESSIONAL INFORMATION: .
Name:N/A
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATIONc.:
Name:N/A
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
1E Other As-built AC unit $n/a
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
1
Docusign Envelope ID:55851BBC-1DAE-44E1-AA8E-3A7AA30C49D2
PROPERTY INFORMATION'
Existing use of property:residential Intended use of property:residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R_40 this property? ❑Yes.BNo IF YES, PROVIDE A COPY.
B Check Box After Reading:' The owner/contractor/design'professional is responsible for all drainage and storm water issues a3 provided,by
Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuantto.the Building Zone
Ordinance of the Town of Southold;Suffolk,County,New York and otherappllcable 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,bullding 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.
Application Submitted By(print name):Krista Jones BAuthorized Agent ❑Owner
Signature of Applicant Date:
TNIE D.BUNCH
/ i
STATE OF NEW YORK) Notary Public,State of New York
No.01 BU6185050
SS: Qualified in Suffolk County
COUNTY OF ) Commission Expires April 14,2_o-,�Iy
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 mee`this
'
a�ay of
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
Vicky Chute residing at 1295 Washington Avenue, Greenport, NY 11944
do hereby authorize Krista Jones to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Signed by:
11 /7/25
912AOE5A38 er's Signature Date
Vicky
JWChute
Print Owner's Name
2
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BUILDING DEPARTMENT- Electrical Inspector
r �0 Gy TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Ro, — P`O fox 179
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'{ w Southold, New York 11 Rii1: 695'9 i! I
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oy�� "ell,. Telephone (631) 765-'1;'802
BAN
6 2026 !`.
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INF RMATION (All Information Required) Date:
Company Name: l
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: 1 .,6 Nu,t,
Address: a-, .b�^ `� Y
Cross Street:
Phone No.: VD - 2 4 - 2 j
Bldg.Permit#: Gj2 email: C a"D DLbI
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 F NO Rough In Final
Do you need a Temp. Certificate?: YES'1-N0 Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New ServiceQFire Reconnect[]Flood ReconnectOService Reconnect OUnderg round[]Overhead
# Underground Laterals 1 FJ2 F H Frame Pole Work done on Service? DY MN
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches.I
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
Carbdn Micro " . G.rb.Dis ;ghts
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo %"Cooktop Minisplit Blower
AC I AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
10
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,r pt BUILDING DEPARTMENT- Electrical Inspector
✓� os Ke NOV 2 2025
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
s
^� P Southold, New York 11971-0959
Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INF RMATION (All Information Required) Date:
Company
P Y Name: V�QCSCA)
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (AII Information Required)
Name: � U (2,VuA
Address: 2
Cross Street:
Phone No.:
Bldg.Permit#: email:. Ae
Tax Map District: 1000 Section: Block: Lo
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
®vim
Square Footage:
Circle All That Apply:' Is
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YEse -N`O 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 D 1 2 H Frame Pole Work done on Service? Y FIN
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.
Grb.Dis Water Bond
Carbdn- M.i�cro Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot De.Hum Transfer Disc
Combo %Cooktop Minisplit
Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
WASHINGTON AVENUE
" N87e36'50"E 103.81 '
EDGE OF PAVEMENT
WOOD CURB
0 Y
3
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cc) BRICK ———
STOOP P.O.B.
& STEPS N O L
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10.4' A p 10. A/C 50.7 C.0 7 LEGEND:
65 a-o \ 1 ..9' Tax Ma Lot 6 W o
oo .. 1�—STORY p P
.SHIM. m' HOUSE CDo EMm ELEC. METER
O w EM No. 1295 —
u PROP. SHED b+ I� o OVERHEAD WIRES
Ifs3—,i1 30.4' TANK o N Ln y
O g' WOOD PAVER WALK - TREE
m Z 4.6'N � a
STOOPCO CONC. DRIVEWAY � &STEPS ri 3.0'Wun
0 MANHOLE
z S83'11'20"W 11972' FIRE HYDRANT
Tax Map Lot 7,N/O/F of MARY PAT MOSCA I
�+ LAMP POST
1
AERIAL LAND SURVEYING, D.P.C. NOTE: LOCA71ONS AND E%ISTENCE OF ANY
53 PROBST DRIVE SUBSURFACE U71UTIES AND/OR STRUCTURES NOT
READILY VISIBLE ARE NOT CERTIFIED. THE
SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE.
PHONE: 833-787-8393
E—MAIL: SURVEYSOAERIALLANDSURVEYING.COM
WEBSITE: WWW.AERIALLANDSURVEYINO Co. ,,,5 gIRYEY 6 SUB.ECT TD ANT EASEYENi W RECDHD AND ANY-
PTFTDhTR FACTS MIIDN A TIRE SGRW YRM DIS(;DSE
DISTRICT:1000 LOT:006.000 BLOCK:02.00 SECTION:041.00 ,uNwMMM µT ATRRI DR Al) ON TO A SUREY MAP DEAwNG A
MAP/FILE NO.: N/A SE"M 7�,SGNI�Sz OF Inc NEN u SSTTATIE I=CACS IION LAW
'Copt.Ran IA.a,.d ur M.—,mop not—.1.-.NSN.I
MAP OF: NOT ON FILED SUBDIVISION MAP If 11ma.,.,Ir.wMe..amNm.me.uea..el,nm ela
SURVEY 0 F PROPERTY drM.ala M..�A,• et�n„ gpnR,INet
u1...I..I Fnepard u e«e,a�e..1u u..drtu t.a.er P,emw
b Luna 5vvq,.eaP1.0 E,Uw N..YerE Stma A.
SITUATE �. fw LA. w h.a ee Dflwt d m ..en1,L.
TITLE NO.: N/A P I��*�^Ue•�^*�' Pam@ea ena on nl.e�mr Lo ue uue
Per.ae.en,n,atm eae.n.m I�R u.uwuon. ceN;r Lam.on
net L�e..M.Le.aeA1�w wuwu.n.a.,ewR.e„L...eni
GREENPORT, TOWN OF SOUTHOLD MAP FILED DATE: N/A
SUFFOLK COUNTY, NEW YORK COUNTY TAX MAP ID: 1000-04100-0200-006000
TAX No. 1000-04100-0200-006000 SITUATED AT: GREENPORT, TOWN OF SOUTHOLD
SCALE 1"=20' -0f"�' `
SUBDIVISION MAP LOT&BLOCK 'S: N/A
SEPTEMBER 22, 2025 0
AREA = 7,682 s ft. w o .
9' H TBD AMµ-0%RL�E' D..P.
0.176 cc. w JOB NO.: 25_2301
V DATE: SEPTEMBER 22,2025 -" �' P
Roxi
COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES APPROVED AS NOTED
S REQUI , ED AND CONDITIONS OF 1-5-RIPB.P
SOUTHOLDTOWNZBA DATE:
SOUTHOWTOWN PLANNING BOARD BY
SOUTHOLDTOWNTRUSTEES NOTIFY BUILDING DEPARTMENT AT
N.Y.S.DEC 631-765-1802 8AM TO 4PM FOR THE
SOUTHOLDHPC FOLLOWING INSPECTIONS:
SCHD FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
ROUGH- FRAMING&PLUMBING
INSULATION
FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
ELECTRICAL
INSPECTION REQUIRED
Additional
Certification
May Be Required.
'S
RUUD AIR CONDITIONER
MODEL NO . UAMB-024JAZ MFD . 04102
SERIAL NO . 6261F150204351 OUTDOOR USE
VOLTS 208-230 PHASE , 1 HERTZ 60 K:
COMPRESSOR R. L.A. 10 . 9/10 . 9 _ L. R. A. 54
OUTDOOR FAN MOTOR F . L.A. . 9 H . P . 1/6
MIN . SUPPLY CIRCUIT AMPAIIEY 25 525 5 AMPAMP
MAX . FUSE OR CKT . BRK. S
MIN . FUSE OR CKT. BRK. SIZE* 20120 AMP
DESIGN PRESSURE HIGH 300 150 SIG/10 64 kPa �\-
DESIGN PRESSURE LOW
OUTDOOR UNITS FACTORY CHARGE 66 oz . /1871 9 R22
TOTAL SYSTEM CHARGE
SEE INSTRUCTIONS INSIDE ACCESS PANEL.
RUUD AIR CONDITIONING DIVISION MADE
FORT SMITH , ARKANSAS IN THE
USA
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*HACK TYPE BREAKER FOR U . S . A. 0.,_.,9050_,7_03
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