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HomeMy WebLinkAbout52867-Z sooryolo Town of Southold * * P.O. Box 1179 oA 53095 Main Rd UN". Southold,Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47106 Date: 06/03/2026 THIS CERTIFIES that the building AS BUILT HVAC Location of Property: 230 Booth Rd Southold, NY 11971 Sec/Block/Lot: 54.-7-6 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/01/2026 Pursuant to which Building Permit No. 52867 and dated: 04/15/2026 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 system as applied for. The certificate is issued to: Alice Kramer Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52867 6/1/2026 PLUMBERS CERTIFICATION: IYAL Athoriz odignature �aofsoury° 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#: 52867 Date: 04/15/2026 Permission is hereby granted to: Alice Kramer PO BOX 277 Southold, NY 11971 To: legalize an "as built" HVAC system as applied for. Premises Located at: 230 Booth Rd, Southold, NY 11971 SCTM# 54.-7-6 Pursuant to application dated 04/01/2026 and approved by the Building Inspector. To expire on 04/14/2028. _l Contractors: Required Inspections: Fees: As Built HVAC $500.00 CO-RESIDENTIAL $100.00 Total $600.00 t -- ------------------------- Building Inspector o��pE SO(/T�ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N P.O.Box 1179 Southold,New York 11971-0959 ��yOUNTI,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Alice Kramer Address: 230 Booth Road city: Southold st: NY Zip: 11971 Building Permit,#: 52867 Section: 54 Block: 7 Lot: 6 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 Renovation 2nd Floor Hot Tub EV Charger New Addition Attic Spa Generator Survey X Mezzanine Garage Dock INVENTORY Service 1 ph In-wall Heater Recpt 1 Ceiling Fixtures Smoke Detectors Pump Service 3 ph Hot Water GFCI Recpt 1 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: Notes: AS BUILT HVAC JInspector Signature: C7t• Date: June 1, 2026 ho�aOF SOUTy�� # # TOWN OF SOUTHOLD BUILDING DEPT. `y oorm,��',� 631-765-1602 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ &]- 1 L �Vhle- FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: A-- lov; DATE INSPECTOR SOUTyOIo - -—— - ©©-�"l -' # # OWN OF SOUTHOLD BUILDING DEPT. o 631-765-1802 5� 8 � � 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) V,I ELECTRICAL (FINAL) [ ] CO IOLATION [ ] PRE C/O [ ] RENTAL R MARKS: 5 Cos a,/ 5 /►2 . `�1t� wQ.V © 7� C�, A45 n�,P_d 301, 6 d` Wok' laatrevLc -e- Set-0 f 6 Oaf 1�� w d U L N- Tt:l AtAcc4d DATE INSPECTOR "v. OESOUIyOIo ? -Uo 600 th Au # . # TOWN OF SOUTHOLD BUILDING DEPT. 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) [fQ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: + f�tl)�C oevA- A OUJ[-t� tr rio� DATE Jam' �� INSPECTOR r SO ,�jj hO��OFUIyO� V`�g� c�30 BOO�VI # TOWN OF SOUTHOLD BUILDING DEPT. coorm��' 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: GLS �tc, it U�4C DATE �f l' 0�`� INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS � ro FOUNDATION (1ST) J ------------------------------------ C FOUNDATION (2ND) � z 0 ROUGH FRAMING& H PLUMBING 1 vJ O r r� INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADDITIONA COMMENTS �p �- -a 0 Z � o a^z x r� H x d H sf=s fF k�.. 2� - coGy R TOWN OF SOUTHOLD—BUILDING DEPARTMENT N a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 "may • Telephone (631) 765-1802 Fax (631) 765-9502 hqps://www.southoldtowm.gov .��01 �aoTX Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only t PERMIT NO. ��`tJ� Building Inspector: APR — 1 2026 Applications and forms must be filled out:in their'entirety Incomplete C� G99 � tD�Pskti�e application's will not be.accepted ;Where;the Applicant is not the owner,an U ?y��ff �bt�nol Owner's Authoriiatiori`form(Page 2)'shall 0ei6 pletii Date: 01lUNER(S)OF PROPERTY Name:Alice Kramer SCTM #1000- Project Address: 230 Booth Road Southold NY 11971 Phone#^631-765-5699. _....., . ..._.__ , .... . - Email remarlce@optonline net Mailing Address:Box 277 Southold NY 11971 'CONTACT PERSON. Name:Alice Kramer Mailing Address:Box 277 Southold NY 11971 Phone#:631-765-5699 Email: DESIGN PROFESSIONAL`.INFORMATION Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTI6N ❑0structur ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Other C $ Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes El No 1 PROPERTY,INFORMATIO(d 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 ENO IF YES, PROVIDE A COPY. ❑ Check Box After Reading; The owner/contractor/design professional is responsible for all tlrainage_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 Newlorfc and other applicable Laws,Ordinances or Regulations;`for the`construction bf.buildings, additions,alterations or for removal or demolition'as herein described Theapplicant agrees to eomply with all appl6bie laws,ordinances,building code, housing codeand regulations and to admit authorised inspectors on premises and in buildings)for necessary inspections False statements"made herein are punishable'as'a Class A>misdemeanor pursuantto,Secttog210.45 of the New.York State,Pen Law Application Submitted By(print name): Alice Kramer ❑Authorized Agent BOwner ------------- Signature of Applicant: Date CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01 BU6185050 Qualified In Suffolk County COUNTY OF ) Commission Expires April 14,2OQ 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 1__�J_day of , 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 �OS�FFp��CO BUILDING DEPARTMENT- Electrical Inspector ��O Gyc TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 ca Southold New York 11971-0959 oy,�o� Telephone (631) 765-1802 'xc APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 6 Z6 Company Name: 5L� 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: 411m, Lamer Address: Z2,W )5,00-7� K011 -<36 U7+t61-b Cross Street: Phone No.: Bldg.Permit#: email: 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 ❑ 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❑Overhead # Underground Laterals F11 2 H Frame Pole Work done on Service? Y RN Additional Information: PAYMENT DUE WITH APPLICATION �OS�FFOL�,CO BUILDING DEPARTMENT- Electrical Inspector �O Gym TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 co Southold, New York 11971-0959 �y • p!� Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 6 Z6 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: 1(41 IrA MQI� Address: ep,DO— UT+t6ij) Cross Street: Phone No.: Bldg.Permit#: 528�-7 email: Tax Map District: 1000 Section: S Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): �5; vA-Y--- 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)- 1 Ph❑3 Ph Size: A' # Meters Old Meter# Service Size❑ ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 0 1 2 H Frame Pole Work done on Service? MY N Additional Information: PAYMENT DUE WITH APPLICATION O,_Q (A)/ 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 Service Amps Have Used Sub Amps Have Used Commentsy " 6 AP 010 D AS NOTED/ OA .P.M FEE JMBY.. NOT0Y BUILDING DEPARTMENT AT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO RE01.11RFD FOR POURED 2. ROUGH-FRAMING&PLU!v'61:11' r, A p' 3. INSULKNON OfCCUPANCY OR 4. FINAL-CONSTRUCTION MUST USE IS UNLAWFUL COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE WITHOUT CERTIFICATE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE DESIGN OR CONS RUCTON ERRORS R OF OCCUPANCY COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES AS REQUIRED AND CONDITIONS OF SOUTHOLD I ZBA SOUTHO TOWN PLANNING BOARD SO LDTOWNTRUSTEES ELECTRICAL N.Y ,DEC INSPECTION REQUIRED UTHOLD HPC SCHD 134 Sweery Avenue,Suite 3 SERVICE ORDER lit-0oXc11t o ruLq Riverhead, NY 11901 H VA C INVOICE _411 e (631) 298.9122 • Fax (631) 298-2115 No. 9296 BILL TO C 0{ "Pp jUj C MAKE .- �c MODEL MODEL �Kr 1..P ! + , SERIAL NUMBER SERIAL NUMBER ENVIRONMENTAL CHECKLIST ,t WORK PERFORMED STREET _ DATE / CONDENSING UNIT CITY. TYPE/DISPOSITION CONDENSING UNIT FURNACE/ELEC.HTR r7 C) 3, �3, q i ��� f� RPLCD UNIT RPLCD UNIT CT' 1 V _ PROMISED ❑RECOVERED CHNGD COMPRESSOR RPLCD GAS VALVE PHONE(HOME) PHONE(WORK) ISC ❑RECYCLED TIME ED. A.M. CHNGD MOTOR RPLCD TIME ❑P.M. THERMOCOUPLE ❑RECLAIMED TECHNICIAN .(/ 1 { CHKD CHARGE CLND BURNERS i ;;1 ❑RETURNED ADD FREON CHNGD MOTOR WORK TO BE PffR MED ❑DISPOSAL CLND COILS CLND BLOWER j,l � ! f ❑DISMANTLED REPAIRED LEAK RPLCD LIMIT ❑CHANGED OUT/REPLACED TOTAL$ , OILED MOTOR RPRD WIRING DESCRIPTION OE:WORK PERFORMED. -. . ..... _ - RPLCD FUSE LIT PILOT 1 3f Ivl t le`J cool r/ OL f^hI INSTALL DISCONNECT RPLCD TRANSFORMER 1 1 1 V �,•,/ f tJ i'r 6a�. �s !- / 111 RPRD WIRING NEW HEAT KIT RPLCD CONTACTOR ADJUSTMENT /�f rf d u L,,:/� J `t (p ��„I tJ j 7 RPLCD CAPACITOR CO TEST RPLCD RELAY OILED MOTOR —�yf{ 'dL'/7{ ADJUSTMENT REFRIGERATION e.- �(� f` J �� � 619 1 j j NEW FILTER/DRIER RPLCD LIMIT DISK / 1�' RPRD WIRING HARD-START KIT fY_ - EVAPORATOR COIL CHNGD COMPRESSOR QTY ,MATERIALS.$SERVICES UNITPRICE. 'AMOUNT 'HRS- LABOR RATE AMOUNT RPLCD.UNIT RPLCD THERMOSTAT REFRIGERANT R- LBS. RPRD LEAK RPLCD DEFROST TIMER SEAL RPRD LEAK > FILTERS X X RPLCD.EXP-DEVICE ADD FREON CLND COIL CLND/DEFR COIL TOTAL LABOR CLND DRAIN ADJUSTMENT RPLCD PAN RPLCD HTRS. RECOMMENDATIONS _ RPLCD PVC WINDOW UNIT `l {'�t - DUCT RPLCD UNIT �^. J ADJUSTED CLEANED ' / l"',V" �"'"" ��JO� `�•f o' I f 1, e INSTALLED ADD FREON TOTAL MATERIALS rd f� E• THERMOSTAT RPLCD STATISWITCH TERMS ADJUSTED CHNGD COMPRESSOR REPLACED CHNGD FAN MOTOR FILTERS ❑CLEANED ❑REPLACED I have authority to order the work outlined above which he been satisfactorily TOTAL SUMMARY compit ad:I agree that Seller relains title to equipment/materials lurnishad until final peymanI is made. If payment is not made as agreed, Seller can remove said LIMITED WARRANTY• All mete flats, arts and a UI meet afe equipmenVmalerials at Seller's expense and/or impose a 2% liquidation lee on the p 4 p TOTAL entire amount contained in the Seller/Buyer transaction.Any Oemage resulting Irom said warranted by the manufacturers' or suppliers' written warranty MATERIALS e oval shall n-+be�e responsibility of Seller. only. All labor performed by the above named company is war- ranted for 30 days or as otherwise indicated in writing.The above TOTAL LABOR '1�^✓% �� C�1' � ) named company makes no other warranties,express or implied, CUSTOMER SIGNATURE DATE and its agents or technicians are not authorized to make any TRAVEL CHARGE such warranties on behalf of above named company. METHOD.OF PAYMENT ❑ REGULAR ❑ WARRANTY TAX ❑CASH QvCHECK DRIVERS LIC.NO ❑ SERVICE CONTRACT CREDIT CARD 0 MC ❑VISA ❑AMEX EXP.DATECC NO. _ Untitled / ' :• • • 230 Booth Rd Write . description f• • • • 1 ' Buyers Connections • • �•�• _ vie Buyers Connections Realty Corp INIP Ar ogle-Earth 200 ft 230 Booth Rd ' 1 " - a Booth Rd - Booth Rd - � •