HomeMy WebLinkAbout52041-Z aof souryo`o Town of Southold
* * P.O. Box 1179
4f 53095 Main Rd
�o
�oUNTr.`' Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46997 Date: 04/27/2026
THIS CERTIFIES that the building As built additions/alterations
Location of Property: 5050 PeQuash Ave Cutchogue, NY 11935
SecBlock/Lot: 110.-3-25
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/22/2025
Pursuant to which Building Permit No. 52041 and dated: 06/26/2025
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 built" central air conditioning as applied for.
The certificate is issued to: Deanna Alpert
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52041 9/2/2025
PLUMBERS CERTIFICATION:
AML
Aut oriz 0
ignature
ofso�ryo(o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Comm, 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#: 52041 Date: 06/26/2025
Permission is hereby granted to:
Deanna Alpert
5050 Pequash Ave
Cutchogue, NY 11935
To:
legalize "as built"central air conditioning as applied for.
Premises Located at:
5050 Pequash Ave, Cutchogue, NY 11935
SCTM# 110.-3-25
Pursuant to application dated 05/22/2025 and approved by the Building Inspector.
To expire on 06/26/2027.
Contractors:
Required Inspections:
Fees:
As Built HVAC $500.00
ELECTRIC -Residential $200.00
CO-RESIDENTIAL $100.00
Total $800.00
Building Inspector
o��OF SOUT��I
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • Q
Southold,NY 11971-0959
oItyenum
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Deanna Alpert
Address: 5050 Pequash Ave City: Cutchogue St: NY Zip: 11935
Building Permit#: 52041 section: 110 Block: 3 Lot: 25
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Indoor Basement Service F Solar F
Outdoor 1st Floor r Pool F Spa F
Renovation 2nd Floor r Hot Tub r Generator F
Surrey rr"I
Attic rr
Garage Battery Storage f
INVENTORY
Service 1 ph F Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph I— Hot Water GFCI Recpt 1 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: " AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: X Ir Date: September 2, 2025
Sean Devlin
Electrical Inspector sean.devlin(-town.southold.ny.us
5050PequashHVAC
*�OF SOUIyOI* z o
TOWN OL SOUTHOLD BUILDING DE".
^oum, 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) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE 4- 5— INSPECTOR l
OF SO(/Tyolo
* # TOWN OF SOUTHOLD BUILDING DEPT.
cOUNiV,� 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATIO,,WCAUULKING
[ ] FRAMING /STRAPPING [ FINAL }�AKl-
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: b� W
bk
DATE INSPECTO
�51►ffO1t�OGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
yo Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631)765-1802 Fax(631)765-9502 hMs://www.southoldtownny.izov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. JX4/ _ Building Inspector: MAY 2 2 2025
Applications and forms must be filled out in their entirety.Incomplete Building®apartment
applications will not be accepted. Where the Applicant is not the owner,an Building
l Of DeparSouthtment
Owner's Authorization form(Page 2)shall be completed.
ld
Date:May 20, 2025
OWNER(S)OF PROPERTY:
Name:Deanna Alpert_ SCTM#1000-110-00-03-00-025-000
Project Address:5050 Pequash Avenue, Cutchogue, NY 11935
Phone#:(631-) 800-9930 Email:oneoldvoice@gmail.com _
Mailing Address: 5050 Pequash Avenue,_Cutchogue NY 11935
CONTACT PERSON:
Name:Deanna Alpert __
Mailing Address: 5050 Pequash Avenue,_Cutchogue, NY 11935
Phone#:@31) 800-9930 Email:oneoldvoice@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:N/A
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:N/A
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
■Other"As Is" --fir&air conditioning unit $
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes ❑No
1
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 buildings)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted B (print name): Alpert ❑Authorized pp y(p ) Agent ■Owner
Signature of Applicant: Date: pG ,
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public.State of New York
SS: No.91 B116185050
COUNTY OF ) Qualified*In Suffolk County
Commission Expires April 14,2 0,:�-
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.
Swornbef�a me this
�� 4 6Alt
daY 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
SoF®(,� BUILDING DEPARTMENT-Electrical Inspector
O� �G TOWN OF SOUTHOLD
� y
yTown Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
oy�oW Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFO MATION (All Information Required) Date:
Company Name:
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: Deanna Alpert
Address: 5050 Pequash Avenue, Cutcho ue, NY 11935
Cross Street: Southern Cross Road
Phone No.: (631) 800-9930
Bldg.Permit#: 62041 email:
IL Tax Map District: 1000 Section:110 Block:3 Lot:25
BRIEF DESCRIPTION OF WORK E FOOTAGE (Please Print Clearly):
Need CO for"as is"- air conditioning c pressor that was installed.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: Pr] YES ❑NO [-]Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES W1 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? M Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
�1
�S,aFF0 BUILDING DEPARTMENT-Electrical Inspector
G TOWN OF SOUTHOLD
N Town Hall Annex- 54375 Main Road PO Box 1179
^ Southold, New York 11971-0959
"o4,- p�� Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFO MATION (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: Deanna Alpert
Address: 5050 Pequash Avenue, Cutcho ue, NY 11935
Cross Street: Southern Cross Road
Phone No.: (631) 800-9930
Bldg.Permit#: 04 1 email:
Tax Map District: 1000 Section:110 Block:3 Lot:25
BRIEF DESCRIPTION OF WORK WGLLtDI-S E FOOTAGE (Please Print Clearly):
Need CO for"as is""s ± air conditioning c ?pressor that was Installed.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 0 YES ❑NO Rough In Final
Do you need a Temp Certificate?: YES 0 NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service0 Fire Reconnect[]Flood Reconnect QService Reconnect[:]Underground Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
�l
�a
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Fans Mini Fr. WAD Panel
Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
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&Uflt"COUNTY l3EPAR`ilT OE HAL'tJ!9Ett~VtCES _ _ i•• -;.
DA���-��N.S.U DWEUM REF. -. �C��'�t'.���: A :�=-', . . . • �' -" - . ' ' - -
' 3hd-sewa a disposal and v:ater s ppl fbcilrties-for this
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location have been.inspected by cn;s f3eDarUnentaridlar
other`w7[age -and#quM10 be sa a nry.
1'
APPROVED AS NOTED
DATE B.P.#
FEE BY:
NOTIFY BUILDING DEPARTMENT AT /�
FOLLOWING INS ECTIO SFORTHE OCCUPANCY OR
1. FOUNDATION-TkNOREOUIRED USE IS UNLAWFUL
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING 3. INSULATION WITHOUT CERTIFICA
4. FINAL-CONSTRUCTION MUST OF OCCUPANCY
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE &TOWN CODES ELECTRICAL
AS REQUIRED AND C NDITIONS OF INSPECTION REQUIRED
....�,�SOUTH TOWN ZBA
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MODEL NO./ MODELE N° 13AJN36AO1 MFD./FAB 0612014
SERIAL N0./ N° DE SERIE W231428750 OUTDOOR USE/
USAGE EXTERIEUR
COMPRESSOR CODE / CODES DE COMPRESSEUR 8392
VOLTS 208/230 PHASE. 1 HERTZ 60
COMPRESSOR/ COMPRESSEUR R.L.A. 16.7/16.7 L.R.A. 79.00
mDUOUGUR ,MOTOR/
�uiuw� iHi� i F.L.A. 0.80 HP. 1/6
MOTEUR VENTIL. EXT.
MIN. SUPPLY CIRCUIT AMPACITY/ 22/22 AMP
COURANT ADMISSBLE D'ALIM. MIN. _
MAX. FUSE OR CKT. BRK. SIZE*/ 35/35 AMP
CAL. MAX. DE FUSIBLE/DISJ* _—
MIN. FUSE OR CKT. BRK. SIZE*/ 30/30 AMP
CAL. MIN. DE FUSIBLE/DISJ* _—
DESIGN PRESSURE HIGH/ 450 PSIG/3102 kPa
PRESSION NOMINALE HAUTE
DESIGN PRESSURE LOW/ 250 PSIG/1724 kPa
PRESSION NOMINALE BASSE
OUTDOOR UNITS FACTORY CHARGE/ 90.6 oz/2569g R410A
CHARGE USINE D'UNITES EXT.
TOTAL SYSTEM CHARGE/
CHARGE TOTALE SYSTEME R4 l0A
SEE INSTRUCTIONS INSIDE ACCESS PANEL.
VOIR INSTRUCTIONS DANS LE PANNEAU D'ACCES
RHEEM SALES COMPANY . INC.
FORT SMITH. ARKANSAS
*HACR TYPE BREAKER FOR U.S.A./ ASSEMBLED IN MEXICO
-- - --— DISJONCTEUR DIFFERENTIEL 92-22050-17
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MODEL NO. / MODELE No 13AJN36A01 MFD . /FAB 06/2014
OUTDOOR USE/
SERIAL NO . / No DE SERIE W231428750 USAGE EXTERIEUR
E C 8392COMPRESSOR CODE ICDE" DO
VOLTS 208/230 PHASE. 1 HERTZ 60
COMPRESSOR/ COMPRESSEUR R. L .A. 16. 7/16 . 7 L . R.A. 79. 00
OUTDOOR FAN MOTOR/ F . L .A. 0 .80 HP. 1/6 ..
MOTEUR VENTIL . EXT .
MIN . SUPPLY CIRCUIT AMPACITY/
D'ALIM. MIN . 22/22 AMP
COURANT ADMISSBLE --
MAX . FUSE OR CKT . BRK. SIZE*/ _
35/35 AMP _
CAL . MAX. DE FUSIBLE/DISJ* —'
MIN . FUSE OR CKT . BRK. SIZE*/ 30/30 AMP
CAL . MIN . DE FUSIBLE/DISJ*
DESIGN PRESSURE HIGH/ 450 PSIG/3102 kPa
PRESSION NOMINALE HAUTE
DESIGN PRESSURE LOW/ 250 PSIG/1724 kPa
PRESSION NOMINALE BASSE
OUTDOOR UNITS FACTORY CHARGE/ 90. 6 oz/2569g R410A
CHARGE USINE D' UNITES EXT.
TOTAL SYSTEM CHARGE/
CHARGE TOTALE SYSTEME R410A
SEE INSTRUCTIONS INSIDE ACCESS PANEL .
VOIR INSTRUCTIONS DANS LE PANNEAU D'ACCES
RHEEM SALES COMPANY , INC .
FORT SMITH, ARKANSAS
*HACR TYPE BREAKER FOR U . S.A. / ASSEMBLED IN MEXICO
DISJONCTEUR DIFFERENTIEL 92-22050-17
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