HomeMy WebLinkAbout52815-Z pf so(/
ho01 Tyo�o Town of Southold
* * P.O. Box 1174
,o� 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47114 Date: 06/05/2026
THIS CERTIFIES that the building AS BUILT HVAC
Location of Property: 145 North Dr Mattituck, NY 11952
P Y�
See/Block/Lot: 106.-6-17.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 03/06/2026
Pursuant to which Building Permit No. 52815 and dated: 03/31/2026
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" mini split units to an existing single-family dwelling as applied for.
The certificate is issued to: Christine Rendel
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52815 5/18/2026
PLUMBERS CERTIFICATION:
Z
Authorized Signature
I
�aofso�TyO 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#: 52815 Date: 03/31/2026
Permission is hereby granted to:
Christine Rendel
55 North Dr
Mattituck, NY 11952
To:
legalize "as built" mini split units to an existing single-family dwelling as applied for.
Premises Located at:
145 North Dr, Mattituck, NY 11952
SCTM# 106.-6-17.1
Pursuant to application dated 03/06/2026 and approved by the Building Inspector.
To expire on 03/30/2028.
Contractors:
Required Inspections:
Fees:
As Built HVAC $500.00
CO-RESIDENTIAL $100.00
Total $600.00
Building Inspector
SO(/r�Olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road N
P.O.Box 1179
Southold,New York 11971-0959 COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Christine Rendel
Address: 145 North Dr city: Mattituck St: NY zip: 11952
Building Permit#: 52815 Section: 106 Block: 6 Lot: 17.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: Glens Electric License No: 4770ME
SITE DETAILS
Office Use Only
Commercial Indoor X Basement Service Solar
Residential X Outdoor X 1st Floor X Pool Battery Storage
As-built Renovation 2nd Floor Hot Tub EV Charger
New X Addition Attic Spa Generator
Survey Mezzanine Garage Dock
INVENTORY
Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures CO Detectors Heater
Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split 2 Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads 3 Switches Pucks Lights Dishwasher Mini Fridge
GFI AC Disconnect 2 Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier
Other Equipment:
Notes: -Minisplits
May 18, 2026
Inspector Signature: -- Date:
5�I5 �O��OF SOUlyolo
# # TOWN OF SOUTHOLD BUILDING DEPT.
IoU►�,N 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL �VPC,
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: 115 -19 I l
DATE INSPECTOR
i
ho�aOF SO2//Tyo� 2 �J
TON OF SOUTHOLD BUILDING DEP %
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) IN..JbELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: tAl 'A,
DATE 61lel INSPECTOR
FIELD INSPECTION REPORT
COMMENTS
FOUNDATION (1ST)
QT)
-------------------------------------- ------- .......... ......
FOUNDATION (2ND)
O
ROUGH FRAMING &
PLUMBING ........... -------
....... ------- -------
INSULATION PER N. Y.
STATE ENERGY CODE
-----------
. ..............
n
FINAL
ADDITIONAL COMMENTS
9+
0
..........
Vi
...........
-7- L
CT3
o�StlFFutK��o TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y�o• �ao�� Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtom2a.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ["_'
PERMIT NO. Building Inspector: p
3' M AR - 5 2026
Applications and forms must be filled out in their entirety.Incomplete "
applications will not be accepted. Where the Applicant is not the owner,.an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name g'1 S_ _I_.l L.. .. _ FCTM#1000- „ L1-1 3 E7caq Lola-- 6. -11. 1 -
Project Address: -- i 41-5 c)N TA)f, 1-Vt-P
Phone#: -2-1-4-2. C6 Email: C r e rl
Mailing Address: 1j5 N S2.
CONTACT PERSON:
Name: �t >'� .t�/1 ..:_.. JuCQ-(e,
Mailing Address:
_-_--__ ___5 S_( b '> `r �a�_.lZ�._�_ +-�_�Tc,Ica%_
Phone#: -9 `-t .2 2'G_b-0 tZ- . Email C_y!e
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
']Other 2- Mi t\I iS PLI rS $
Will the lot be re-graded? ❑Yes Oft 14)14 - Will excess fill be removed from premises? ❑Yes CRNo
1
PROPERTY INFORMATION
Existing use of roe Intended use of roperhr
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes QNo IF YES, PROVIDE A COPY.
MCheck 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 Cade. 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 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):V ( �— ❑Authorized Agent Downer
ro-
Signature of Applicant: Date:-? L c"J2
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
No.01BU6185050
SS: Qualified In Suffolk County
COUNTY OF ) Cominisslon 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
day of rV101A y/ ) .20Qj,
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
S c4G TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
'. �y • o Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
*W_Zl�
Company Name: � It
Electrician's Name: C 2
License No.: Elec. email:
Elec. Phone No: �f_2�`� S ❑I request an email copy of Certificate of Compliance
Elec. Address.: S c C6 vv�_—
JOB SITE INFORMATION (All Information Required)
Name: e,- 'AKr'5 /ZGtV e-4—
Address: cf d
Cross Street:
Phone No.: fr
Bldg.Permit #: 15 5 email:
Tax Map District: 1000 Section: ® Block: Lot: 7
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
�j �j� • Square Footage:
Circle All That Apply:
Is job ready for inspection?: LJ "S NO Rough In Final
Do you need a Temp Certificate?: YES 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 QOverhead
# Underground Laterals M 1 2 H Frame D Pole Work done on Service? Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
1
� VfQ�X�O. BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
• Telephone (631) 765-1802
���, � Sao• .
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.: l ` C6 m'
JOB SITE INFORMATION (All Information Required)
Name: e"/ �reS / .G.,V P
Address: cf v �I
Cross Street: AV 67,
Phone No.:
Bldg.Permit #: 452�a!-:2 email:
Tax Map District: 1000 Section: D
Block:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?:
YES NO Rough In Final
Do you need a Temp Certificate?: YES ] NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph]3 Ph Size: A # Meters_ Old Meter#
❑New ServiceQFire Reconnect[—]Flood Reconnect]Service Reconnect[]Underg round QOverhead
# Underground Laterals D 1 2 H Frame E Pole Work done on Service? Y MN
Additional Information:
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 Cooktop Minisplit Blower
AC AH Hood Blower I I
Service Amps Have Used
Sub Amps Have Used
Comments
I
."� Lot 22
2 $ �
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LOMINSERSNE 770 SUS"ISAMAWP4F AT MATT WK DATE SEC.2,/906
'sNOREdcREs",mwINrwainarcirr E TOWN OF SFoumoLD SCA4EI /"=40'
CLERKOFSUfFOLKCOUNri,GW✓IW.3,/9M IS
NAP NO,♦/ SUFFOLK COUNTY.NEW YORK Na 1 ®Br Ls9S
•uravrllaelsED iLruinoN oR Aoolrro oro TNIR' GUARkNVM TO.
NEW raupir n Ai e�Aita�aAW.noN nm rrN[ SECUR/rY T/rL a B(/A/IAMY�10t
N corm QQIr THIS GORKT NOT RARING THE LAND L VA9/1LAA'C E Mp.
WRYETOR7 INNEO DEAL OR ErGOGGEO DEAL SMALL, *1c '
roT CDm IoeREo m u A vALN/nluE COOK NE y
M N F R WHOM o HEaoN wWLL wuN oMLrm t
THE 00 HIS EH LF TO M'aLE C IS/RVAREO �V
AND 011 HIS BEHALF.TO TIIE TITLE CDMM1111.GOKS11h Q�
MENTAL-AGEMCTAND LENDING INGUTOTI011 LISTED
MEMEON,AEG TO THE AGAG ARS-0►TME LENDING E .*
TO ADDITIONAL
INSIMM "ONOT tRAMNIERAGLE
1D ADDITIONAL INGTITYT.IOIIS OR'WGEODNNT .
onERG.
MaGTANNA GNOTIII HEREON FROM PROPERTY uNEG ,�
To nnnrG RrRueTUREG ARE FOR A N/Eano
'IIIRMGE ANO 4NE MOTTO NE.OGED TO EGTAGLIGH
- "OKNTT LINES OR M THE ERECTION OF FENCEN.• f -- -
DER AVENUE:
YOUNG`8 YOUNG. RIVE• NEAo.NEW YORK
. A D�LAI�SW11rtTORN.YA.LN�liEN0.It0Ab I. .
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APPROVED AS NOCTE
7
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► BY6ILDING DEPARTMENT AT
631.765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS;
1.. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE ELECTRICAL
2. ROUGH-FRAMING&PLUMBING INSPECTION REQUIRED
3. INSULATION
4. 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 CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
AS REQUIRED AND CON ITIONS OF
SOUTHOLDTO ZBA
SOUTHOLD T PLANNING BOARD
SOUTHOLD WN TRUSTEES
N.Y.S,DEC
SOUTH O HPC
SCHD
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USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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t� �44t1 Reg. Condenser Unit
1.-Iw oft- I Number BMS500-AAS014-1 CSXRD
Sft1 352M-575-000 716-8 733962686
POWER SOURCE 208/230V-60Hz, 1Ph
DESIGN Hi 3. 79MPa/550 PSIG
PRESSURE Lo 2.34MPa/340 PSIG
MAXIMUM ALLOWABLE Hi 6.O M Pa/8 70 PSIG
PRESSURE I Lo 2.34MPa/340 PSIG
OUTDOOR FAN MOTOR 119HP
The Rated input Current of The 0.9A/
Power Conversicn Equipment 10.0A
(fan motor/compressor) +
MCA(Minimum Circuit Ampacity)
18.OA .
MOP(Rating of overcurrent 20.OA `
protective device)
DEGREE OF PROTECTION 1PX4
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