HomeMy WebLinkAbout51453-Z aoF sooTyo`o Town of Southold
* P.O. Box 1179
• 4:1 53095 Main Rd
�`��ou►rrr+ Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47059 Date: 05/1.5/2026
THIS CERTIFIES that the building AS BUILT HVAC
Location of Property: 450 Maple Ln Mattituck, NY 11952
Sec/Block/Lot: 107.-3-4.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/15/2024
Pursuant to which Building Permit No. 51453 and dated: 12/06/2024
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" finished basement with a bathroom (no bedrooms) and mini split AC as applied
for.
The certificate is issued to: Brian Noll,Barbara Noll
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51453 5/12/2026
PLUMBERS CERTIFICATION:
uth ed ignature
9,OFSQpryo6 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
X • o TOWN CLERK'S OFFICE
7couMr.N�{
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#: 51453 Date: 12/06/2024
Permission is hereby granted to:
Brian Noll
45 Kilburn Rd
Garden City, NY 11530
To:
legalize "as built" mini split AC as applied for.
Premises Located at:
450 Maple Ln, Mattituck, NY 11952
SCTM# 107.-3-4.1
Pursuant to application dated 10/15/2024 and approved by the Building Inspector.
To expire on 12/06/2026.
Contractors:
Required Inspections:
Fees:
As Built HVAC $500.00
ELECTRIC -Residential $200.00
CO-RESIDENTIAL $100.00
Total $800.00
Building Inspector
pE SOUTyOIo
Town Hall Annex Telephone(631)765-1802
54375 Main Road G Q
P.O.Box 1179 • �O
Southold,New York 11971-0959 �lif'COU ��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Brian Noll
Address: 450 Maple Ln city: Mattituck st: NY zip: 11952
Building Permit#: 51453 Section: 107 Block: 3 Lot: 4.1
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 X Service Solar
Residential X Outdoor X 1st Floor Pool Battery Storage
As-built X Renovation 2nd Floor Hot Tub EV Charger
New Addition Attic Spa Generator
71 Survey ix I Mezzanine Garage Dock
INVENTORY
Service 1 ph Gas F.P. X Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water Gas GFCI Recpt 3 Wall Fixtures 1 CO Detectors Heater
Main Panel A/C Condenser 1 Single Recpt RecessdFixtures 28 Combo Smoke/CO Transformer
Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split 1 Dryer Recpt UC Lights Fridge AutoCover
ARC- Blower Heads 1 Switches 4 Pucks Lights Dishwasher Mini Fridge
GFI Disconnect 2 Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI Gas Furnace 1 Exit Lights Bath Exhaust 1 Hood Dehumidifier
Other Equipment:
Notes: AS BUILT NO VISUAL DEFECTS " HVAC & Finished Basement
Inspector Signature: Date: May 12, 2026
pF SOUTyo
h� l0
# TOWN OF SOUTH.OLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL A-Er
[ ] FIREPLACE & CHIMNEY [ ]. FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION .
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS.
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DATE INSPECTOR
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* # TOWN OF SOUTHOLD BUILDING DEPT.
IOU 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
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DATE, 7A INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (IST) — - --_ ,V` �4
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INSULATION PER N.Y.
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FINAL
ADDITIONAL COMMENTS
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�ypfFQLkco:, TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
Telephone 631 765-1802 Fax 631 765-9502 https://www.southoldtow gov
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daie'Received
APPLICATION FOR BUILDING PERMITD lk�'Qt:�>Li�li" V L�r::; F`
_
For Office Use Only r`
PERMIT NO.. Building Inspector: _ OCT 1 S 2024
Applications and forms must be filled out in their.entirety.Incomplete r�, ,
w , �.v s
applications will riot be accepted.. Where the Applicant is not the owner,an ,�,. �. T 7."' .
"O.wner's'AuthorWition form(Page 2)shall:be completed. 10 11TIN� ~='
Date:10.8.24
owNER(S)OF'PROPERTY:
Name:Barbara & Brian Noll scTM#1000-107.-3-4.1
Project Address:4.50 Maple Lane Mattituck
Phone#:516-240-0106 516-850-0202 Email:bnoll@optonline.net
Mailing Address:
CONTACT PERSON:
Name:Joan Chambers
MailingAddress:PO Box 49 Southold NY 11971
Phone#:631-294-4241 Email:joanchambersl0@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Lou Schwartz
Mailing Address: 7 Ridgewood St, Bay Shore, NY 11706
Phone#: (63.1) 410-6838 Email:tiderunnereng@gmaii.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: FFMail-
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
[--]Other AC added $
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes RNo
1
'PROPERTY INFORMATION:
Existing use of property:Single family residence Intended use of property:same
Zone or use district in which premises Is situated: Are there any covenants and restrictions with respect to
R-40 this property? Oyes ®No IF YES, PROVIDE A COPY.
8 Check Sox After Reading: The owner/contractor/des1.ign professional Is responslble for all drainage and storm water Issues as provided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Bullding.Department for the issuance of a Building Permit pursuant to the Building tone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicableILaws,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 orrpremisesand in buildings)for necessary Inspections:False statements made herein,are
punishable as a Class A' misdemeanor pursuant to Section 2iO.45 of the New,York State Penal Law;
Application Submitted By(print name):Joan Chambers BAuthorized Agent Downer
Signature of Applicant: Date: 1 p -J S- a J
STATE OF NEW YORK)
SS:
COUNTY OF S jffi I K )
Joan Chambers being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
(Contract ,Agent, rporate Officer, etc.)
of said owner or owners,and is duly authorized to pe orm 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 �1
5� day of C�cI ob--r� 20-aq -4 / . i)
' l
otary Public
`I"RACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YOP;C
PROPERTY.OWNER AUTHORIZATION NO.O1Dy 6' 006900
QUALIFIED IN SUFFOLK COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,?,;aa(v
Barbara Noll residing at 45 Kilburn Road
I,
Garden City, NY Joan Chambers
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
a re'a r22— /t)O
Print Owner's Name
2
S.C.T.N.# DISTRICT 1000 SECTION 107 BLOCK 3 LOT 4.1
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suRVEY of?:DESCRIBED PROPERTY CERTIFIED TO: BRIAN NOLL: BARBARA NOLL; 'y
MAP OR FIDELITY NATIONAL TITLE INSURANCE
Fa.m SERVICES, LLC•
smAm AT MATTITUCK CITIZENS BANK, N.A.; /
roan op SOUTHOLD KENNETHH ADYCHUK LAND SURVSXIAJG, PLLC
SUFFOLK COUNTY, NEW YORK Prolesslonal Land Surweying and Design
DR3 LYATER PAPRY W=DRTI4FLL.S AND CESSPOOL
P.O. Box I53 Agaebogae, New York 11931 LOCAVOW SNONN ARE FROM Rpo OBSFLPMAYS
FILE 1220-94 SGUE: 1"=30'cAh:AUG. 15. 2020 N.xa LLSx Ara Os w MORE(6ft)ZX-16ee FAX(631)M-L°°a ANa CR DAM HAWED FROW OMMS
S�ffat/( �� BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
6, Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
' u lamesh@southoldtownny.gov - seand _southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (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: Barbara&Brian Noll(owners) Joan Chambers(agent)
Address: 450 Maple Lane Mattituck
Cross Street: Grand Ave.
Phone No.: Joan-631-294-4241 Barbara Noll-516-850-0202
Bldg.Permit#: b 14 53 email:joanchambers10@ gmail.com
Tax Map District: 1000 Section: 107 Block: 3 Lot: 4.1
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Mini splits/AC installd without permit.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES 0 NO Issued On
Temp Information: (AII 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 M 1 FJ2 H Frame Pole Work done on Service? M Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
" FFat BUILDING DEPARTMENT- Electrical Inspector
;',C► �� TOWN OF SOUTHOLD
-` Town Hall Annex- 54375 Main Road - PO Box 1179
AW
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
jameshgsoutholdtownny.gov -- seand cgsoutholdtownny.gov
zr777
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFOR ATION (All Information Required) Date:
Company Name: EL - U
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: Barbara&Brian Noll(owners) Joan Chambers (agent)
Address: 450 Maple Lane Mattituck
Cross Street: Grand Ave.
Phone No.: Joan-631-2944241 Barbara Noll-516-850-0202
Bldg.Permit#: 8 14590 email:Joanchambers10@ gmail.com
Tax Map District: 1000 Section: 107 Block: 3 Lot: 4.1
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Mini splits/AC installd without permit.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES NO r Rough In Final
Do you need a Temp Certificate?: YES Ft-/] NO Issued On
Temp Information: (All information required)
Service Size01 Ph 03 Ph Size: A #Meters Old Meter#
New Service0 Fire Reconnect[]Flood Reconnect DService Reconnect DUnderground DOverhead
# Underground Laterals M 1 2 . H Frame D Pole Work done on Service? Y nN
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches
Outlets
GFI's ��l
Surface
Sconces 1101F
H H'sD-� o�
UC Lts Fridge HW POOL
Fans Mini Fr. WAD Panel
Pump
Exhaust f 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 j AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments J
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COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
APPR VED AS NOTED AS REQUIRED AND CONDITIONS OF
SO LD TOWN ZBA
DA B.P. -5-3 SO OLD TOWN PLANNING BOARD
FEE ,�� BY: S OLD TOWN TRUSTEES
NOTIFY BUILDING DEPARTMENT AT S,DEC
631-765-1802 8AM TO 4PM FOR THE � �,, �,,, UTHOLD HPC
FOLLOWING INSPECTIONS:
I. FOUNDATION-TWO REQUIRED 20 SEER Mini Spilt Air ConditFontr SOHD
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUN131NG (OXTH 121E416`ZD Indoor Unit)
3. INSULATION
4. FINAL-CONSTRUCTION MUSTq 0
BE COMPLETE FOR C.O. !2000R tt;•h
ALL CONSTRUCTION SHALL MEET TF E v 120000 PUtn
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSPLc FOR" tt ' �
DESIGN OH CONSTRUCTON ER60RS
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�AIITHOUT CERTIFICA�
)F OCCUPANCY ELECTRICAL
INSPECTION REQUIRED
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SERIAL NO. / NO BE EERIE W122355221 TOODR USE/
UTI'Ll"SAIAN fh EXTRIEURE
COMPRESSOR CODE / CODES DE COMPRESSEUR 9835/9843
VOLTS 208/230 PHASE- I HERTZ 60
COMPRESSOR/ COMPRESSEUR R. L.A. 18.6/18.6 L.R.A. '410
OUTDOOR FAN MOTOR/ F . L.A. 0.8(800) H. P. 1/6
M07EUR VENTIL. EXT,
MIN. SUPPLY CIRCUIT AMPACITY/ 25/25 A
COURANT ADMISSABLE D'ALIM. MIN,
MAX. FUSE OR CKT. BKR. SIZE*/ 40/40
CAL. MAX. DE FUSIBLE/DISJ
MIN. FUSE OR CKT . BRK. SIZES'/ 30/30 A 'A
CAL. MIN. DE FUSIBLE/DISJ* 40
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DESIGN PRESSURE HIGH/ 450 PSIG/3102 kP4
pRESSION NOMINALE HAUTE
DESIGN PRESSURE LOW 250 PSIG/1723 kP4
PRESSION NOMINALE BASSE R410A
OUTDOOR UNITS FACTORY CHARGE/ 126 ozl35729
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Tiderunner Engineering & Design, P.C.
7 Ridgewood St
Bay Shore,NY 11706 (631)-839-482
August 11,20255
Building Inspector
Town of Southold
53095 Main Road E C E 0 E
Southold,NY 11751
s
AUG 1 8 2025 _
Re: Insulation Certification
Noll ResidenceYeiG`'9`'` ` �?
450 Maple Lane,Mattituck,NY
To Whom It May Concern:
I have reviewed the construction records for the installation of insulation in the walls and
ceiling of the existing finished basement. The one (1)inch rigid foam insulation on the
walls is R-5 and the 6"of Rock Wool found in the Ceiling is R-24. Typically,R-21 is
found in existing floor framing. The improvement to R-24 meets the requirements of the
NYS Energy Conservation Code.
If you have any questions please feel free to contact me.
�Of NEW 1-
y��oJ\�p.SCry �0,p� Sincerely,
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s�v °Tinos-A, �v`1 Louis Schwartz,P.E.
AR�FES810N
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36 x 13 III,1 .
AWNING BUILT IN ELECTRIC F.P.
AMEND)WENT AUG - 4 2025 (� �
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AWNING pC)J
dui€dine�ep ri'rnen$
Town Of SO hold
10'-6 '-11'
RECREATION ROOM STORAGE W
¢= REVISIONS JULY 8, 2025 W I ;
CEILING HEIGHT IS 84"
WALL INSULATION IS 1" POLYSTYRENE uj
CEILING INSULATION IS 6" ROCKWOOL '
FRAMED OPENING TO STORAGE AREA V 0
IS 44.5 INCHES I I S & CO2
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