HomeMy WebLinkAbout52973-Z of SOUryo�o Town of Southold
* P.O. Box 1179
�g 53095 Main Rd
UNV Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47102 Date: 06/02/2026
THIS CERTIFIES that the building HVAC
Location of Property: 950 Paradise Shore Rd Southold, NY 11971
Sec/Block/Lot: 80.-1-27
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 05/04/2026
Pursuant to which Building Permit No. 52973 and dated: 05/13/2026
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:
Central air conditioning to an existing single-family dwelling as applied for.
The certificate is issued to: George Fredricks,Lorraine Fredricks
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52973 05/28/2026
PLUMBERS CERTIFICATION:
Aut rize igna e
ofSOUlyolo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• yo 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#: 52973 Date: 05/13/2026
Permission is hereby granted to:
George Fredricks
950 Paradise Shore Rd
Southold, NY 11971
To:
install central air conditioning to an existing single-family dwelling as applied for.
Premises Located at:
950 Paradise Shore Rd, Southold, NY 11971
SCTM#80.4-27
Pursuant to application dated 05/04/2026 and approved by the Building Inspector.
To expire on 05/12/2028.
Contractors:
Required Inspections:
ELECTRICAL- ROUGH, PLUMBING, ELECTRICAL- FINAL, FINAL,
Fees:
HVAC $250.00
CO-RESIDENTIAL $100.00
Total $350.00
------------------------
Building Inspector
ho��pF SOUT�,QI
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G •
Southold,NY 1 1 97 1-0959 'Q
�y�OUNT`I,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: George Fredricks
Address: 950 Paradise Shores Road City: Southold St: NY zip: 11971
Building Permit#: 52973 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: Owner License No:
SITE DETAILS
Office Use Only
Commercial Indoor Basement Service Solar
Residential X Outdoor 1st Floor Pool Battery Storage
As-built X Renovation 2nd Floor Hot Tub EV Charger
New ' Addition Attic Spa Generator
Survey X I Mezzanine Garage Dock
INVENTORY
Service 1 ph X In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures CO Detectors Heater
Main Panel 200 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:
Notes: AS BUILT HVAC/ Meter
Inspector Signature: p!, Date: May 28, 2026
pF SOUTyOIo
TOWN OF SOUTHOLD BUILDING DEPT.
"'ou�+N 631-765-1802
S�q,o�2 INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/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:
t
DATE INSPECTO
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ho��OF SOUTyOIo CJ �e7 7✓ / 6'Q PQ rQot f's e �eS
# TOWN OF SOUTHOLD BUILDING DEPT.
'ourm,��'�� 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: vvLf4tr q' Ak,
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DATE �� INSPECTOR �`'
FIELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION (1ST) J.:
-------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING& a
PLUMBING �y
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INSULATION PER N.Y. y
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS •�
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o��g�FFO(��OG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
oy • o�� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldto3ynU.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
S� ' MAY 4 2026 f
PERMIT NO. Building Inspector: ' '
'Applications and foirns must be filled out in their entirety. Incomplete:
applications will not be accepted: Where the Applicant is not the owner,'an ,
Owner's Author"izat on form(Page 2)shall be completed
Date:
OWNER(S)OF PROPERTY:
Name: �'f'C C' y�C•�s SCTM # 1000- y7.3921 -�/- 2-7
Project Address: /
j
Phone#. Email:
'��i'-7�S=:5'i2.s C�// ��r��..3.-7�G 7
Mailing Address:
CONTACT PERSON:
Name: iy�
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL.INFOR,MATION: .
Name ,
Mailing Address: Old SC—7Cl 14001�) /✓/Co tT jZ,C�C. l� 5 0,
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED.CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other/� r
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes o
1iz�le;/ll , 9f/6 hay-rr
1
PROPERTY INFORMATION
Existing use of property:Avde Anc elic p Intended use of property: /)hve,k A'sicloncp
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes �Ko IF YES, PROVIDE A COPY.
Ef
Check Box,After Reading. Th'e 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 DepartmeoYforthe 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.
Application Submitted By(print name): 6C"-7(2 ❑Authorized Agent ❑Owner
Signature of Applicant: Date:
NNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Qualified In Suffolk County
COUNTY OF
Commisslon 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
J" day of , 20-5;2L
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
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
0 1 Town Hall Annex - 54375 Main Road - PO Box 1179
N Southold, New York 11971-0959
�y� ao�� Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Require
Name: %%arc �3
� iAddress: / /i j 7/
_
Cross Street: �w
Phone No.: ;Si- 7 -8/ rNi i- `313- 741 7
Bldg.Permit#: 7�S - l 2� email: . ��, < , e
Tax Map District: 1000 Secti a7 3 Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Itle lf' mek v-i 6"Ll &I'le
-�— P� C Square Footage: N17q
Circle All That Apply:
Is job ready for inspection?: Rf
YES NO gRough In Final
Do you need a Temp Certificate?: YES O NO Issued On
Temp Information: (All information required)
Service Size01 Ph 03 Ph Size: A # Meters / Old Meter#
New Service[]Fire ReconnectO Flood ReconnectOService Reconnect OUndergroundDOverhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? DY N
Apd{d�9itiona/ll Inf//orm{a�tion,
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Fans Mini Fr. W/D
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 Cool ktop Minis.plit Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
f
AIVEAD
AS NOTED
loxB.P.#EFEEBY av
NOTIFY BUILDING DEPARTMENTAT 631 765-1802 8AM TO 4PM FOR THE OCCUPANCY
OR
FOLLOWING INSPECTIONS: USE IS UNLAWFUL
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE WITHOUT CERTIFICATE
2. ROUGH-FRAMING&PLUMBING '
3. INSULATION OF OCCUPANCY
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OFTHE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
�I
COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
AS REQUIRED AND C DITIONS OF
_.._._.._SOUTHOL OWN ZBA ELECTRICAL
SOUTHO TOWN PLANNING BOARD INSPECTION REQUIRED
SO LD TOWN TRUSTEES
N.Y .DEG
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3 PATE 11 /2006
AA VOLTS 208/
MoD, N0. 2TTR3036A1000 230 .
455TCX5F PH 1 NZ 60 t
SERI kl NO. 6 n
MLN IMUM CIRCUIT AMPACITY 18 .0 AMPS
OVERCU
RRENT PROTECTIVE DEVICE USA CANADA
MIN FUSE I BREAKER (HACR) 30 30
MAX FUSE I BREAKER (HACR) 30 - 30
NCFC — 22 6 LBS. 05 OZ. OR 2 . 86 kg(SI)
10 O� DESIGN SUBCOOLM
Chmatuff DuraTuff Spine Fin Quick — Sess
AMERICAN STANDARD INC. LISTED SECTION OF
MANUFACTURER OF CRANE AND AMERICAN STANDARD US CENTRAL COOLING
TX ?5101 ASSEMBLED IN USA AI MFONBUR66R USE
tWPR. M01 . 13.5 RLA 208/230 V 73 LRA
U.D.MOZ . 1 .4 FLA 200/230 V 1/6 HP
M.E.A. N0 154 - 06E F. ID. 30N
DESIGN PSI - HIGH 'no LOW 300
P-T.P NMI
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210/240 U AC
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Manufacturer of Tranc &American Standard
Tyler,TX 75707 Assembled III USA
2TEC3F3611000AA 6504JMV 1/3 2.20 200-230 60 HP
MODEL NO. SERIAL NO. MOTOR H.P. F.L.AMPS VOLTS
FACTORY SHIPPED CONFIGURATION FOR REFRIGERANT 22.
FACTORY INSTALLED MAY BE FIELD INSTALLED
ELECTRIC HEATER-208 OR
240V,6OHz,1PH OR 3PH: 11
li GATE: 12/2006
R22 R410A
ALTERNATIVE TXV KIT
INSTALLED:
REPRIOERANT 22 OR 41CA ONLY,DESIGN PRESSURE 410 P81.UNLESS INDICATED°NA'ANYONE OF THE FOLLOWING HEATERS
MAYBE INSTALLED IN THIS UNIT. INSTALLER MUST MARK ONE APPROPRIATE BLOCK IN COLUMN A.
FLUIDS FHIGORIOENE 22 OU 410A UKIGUEMENT,PRESS ION NO MIN A E DE 480 LIUP02. AMDINS D'INDICATION<<NA>>L'UN
CES O NERATEURS DE CHALEUR SUINANTS PEWENT ETRE INSTALLS DAN$CET APPAREL. 04STALLATEUR EST TEND DE
MAROUER UN BLOC APPROPRIE DAN8 LA COLONNE A.
MIN.SAANCH MAXIMUM
SUPPLY HEATER CIRCUIT OVERCURRENT MINIMUM
A TRANE HEATER MODEL VOLTS PHASE IWI AMPS AMPACITY DEVICE HEATING
NONE USE ACC PLATE BAY99>(123 3 5 SLOWER SPEED
HE-AT PUMP wEPU
HEAT PUMP MEAT PUMP
BAYHTR1405+++ 208 1 3.60 17.3 24 25 LOW LOW
240 4.80 20 28 30
BAYHTR1405.++ 208 1 5.76 27.7 37 40
240 7.68 32 43 45 LOW LOW
208 7.20 34.6 46 50 LOW LOW
BAYHTR1410+++ 240 1 2.60 40 53 60
BAYHTR3410000 208 7.20 37 40
240 3 9.60 34.6I 43 45 LOW LOW
y - SAYHTR34INGO 208 3 11.53 33.1 44 45
240 15.36 38.2 50 60 LOW HIGH
CIRCUIT 1 200 1 1 7,20 34.6 46 50
BAYHTR1416BRK 240 1 9•60 40•0 83 60
CIRCUIT 2 208 1 4.33 2D.8 26 30
LOW HIGH
240 5.76 24.0 30 30
CIRCUIT 1 208 6.16 27.7 37 40
BAYHTR1419BRK 240 1 7.88 32.0 43 46
20B B.BB 47.8 62 60 LOW HIGH
CIRCUIT 2 240 1 11.52 48.0 60
BO
CIRCUIT t
CIRCUIT 2
CIRCUIT 3
NA4. eater model number may have - I Ion elrKlx dl0lis"+++" = 00 0NOTICE:MAXIMUM ABLE FOR MTED ATOeILEE NOMEEUSE MOTOII INTERNALLY MIOTECITHELEC CHEATERS IIED DE(Wffl F
May M nMnufaetuna unUk IT der o#ar Mon al Ih efedour rep UAL r STIpaTnUWRE.
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A1N-TITE I IW1.1 to.Nruollu-
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NOTIFICATION:T�p�GMFµ�M L'AROESORIIE"""ENEAATEWDECHALEURELEC1aCUES
EMPLOI AWP1E AUX NA1tONt NICHLES,NOTFUR PROTEGE INTERAUIIEMEN7
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