HomeMy WebLinkAbout52783-Z pf SOUTyo`o Town of Southold
* * P.O. Box 1179
% {o�k* 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47194 Date: 07/06/2026
THIS CERTIFIES that the building HVAC
Location of Property: 2860 Pine Tree Rd Cutchogue, NY 11935
Sec/Block/Lot: 104.-2-17
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 02/19/2026
Pursuant to which Building Permit No. 52783 and dated: 03/25/2026
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:
HVAC system to an existing single-family dwelling as applied for.
The certificate is issued to: Joseph Salvatore ,Kara Czerniecki
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52783 5/11/2026
PLUMBERS CERTIFICATION:
AL(Wzed Signature
��afSO(/ryO TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N is
• �� SOUTHOLD, NY
c0ur r
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#: 52783 Date: 03/25/2026
Permission is hereby granted to:
Robert A McCaughey
2860 Pine Tree Rd
Cutchogue, NY 11935
To:
install HVAC system to an existing single-family dwelling as applied for.
Premises Located at:
2860 Pine Tree Rd, Cutchogue, NY 11935
SCTM# 104.-2-17
Pursuant to application dated 02/19/2026 and approved by the Building Inspector.
To expire on 03/24/2028.
Contractors:
Required Inspections:
ELECTRICAL- ROUGH, PLUMBING, ELECTRICAL- FINAL, FINAL,
Fees:
HVAC $250.00
CO-RESIDENTIAL $100.00
Total $350.00
---- — --------------------
Building Inspector
*pF S O!/jyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road G Q
P.O.Box 1179 �O
Southold,New York 11971-0959 OIyCOUNTI,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Robert A McCaughey
Address: 2860 Pine Tree Rd city: Cutchogue st: NY zip: 11935
Building Permit#: 52783 Section: 104 Block: 2 Lot: 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: Current Electrical & Lighting Inc License No: 65941ME
SITE DETAILS
Office Use Only
Commercial Indoor X Basement Service Solar
Residential X Outdoor X 1st Floor Pool Battery Storage
As-built Renovation 2nd Floor Hot Tub EV Charger
New X Addition Attic Spa Generator
Survey X Mezzanine Garage Dock
INVENTORY
Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures CO Detectors Heater
Main Panel A/C Condenser Single Recpt 1 RecessdFixtures Combo Smoke/CO Transformer
Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads Switches 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: Ducted Minisplit
Inspector Signature: Date: May 11, 2026
O�aOF SOGTyoI -
TO� OF SCYUTHOLD BUILDING DEPT.
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: Q&Ll
DATE /J 2-P INSPECTOR
�o�aOF SOUTyolo s Z,� e!?/��`-mil 1L� ✓ � -- --
# # TOWN 6"f'90UTHOLD BUILDING DEPT.
lou 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: OrA �
fo u
DATE INSPECTOR
OP SOUIyo�
TOWN OF SOUTHOLD -BUILDING DEPT.
coum e 631-765-1802
' INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] . INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL �V
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION.
[ ] FIRE RESISTANT CONSTRUCTION. [ ,] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: C-
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
!FOU!NDATION (1ST) .... ....
-------------------------------------- - ......
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
-All
FINAL
ADDITIONAL COMMENTS
Lt-
..........-- c
...... too .00 0
rn rb
................
--------- 73
----------
SOfFtILK
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y�
w r Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtowm.%Zov
f
Date Received
APPLICATION FOR BUILDING PERMIT
J lam=;
For Office Use Only
1 ?
PERMIT NO. � Building Inspector:
F E B 19 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:February 6, 2026
OWNER(S)OF PROPERTY:
Name:Kara Czerniecki SC TM#1000-1 04-2-17
Project Address:2860 Pine Tree Road, Cutchogue, New York, 11935
Phone#,(516) 320-1902 Email:kara.czerniecki@gmail.com
Mailing Address:2860 Pine Tree Road, Cutchogue,New York, 11935
CONTACT PERSON:
Name:Kara Czerniecki
Mailing Address:2860 Pine Tree Road, Cutchogue, New York, 11935
Phone#: 516 320-1902 Email:kara.czerniecki mail.com
DESIGN PROFESSIONAL INFORMATION:
Name:N/A
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Kolb Mechanical Corp.
Mailing Address:11500 Sound Ave, PO Box 106, Mattituck, NY 11952
Phone#031) 298-5527 Email:ethant@kolbmechanical.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
DOtherinstallation of new heating/cooling systems $35,000
Will the lot be re-graded? ❑Yes 9No Will excess fill be removed from premises? ❑Yes ®No
1
`+�`„'Nh� �F ' s�, 41t`�iui�r �", ��i ,rs rs
�� "PROPER
TYINFORMATION
.>di,r'4i N N , is�
Existing use of property:residential Intended use of property:residential
zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R=40.�residential� ._._�...�w�...�...._......_�m ..___m_w �
this property. Eyes �No IF YES, PROVIDE A COPY.
81 Check i3ox After Reading: The owner/contracto 'design professional is responsible for ail drainage and storm water issues as provided by
"Chapter 2,46 cif the Town Coder APPLICATION, EREBY MADE to'theiBuildirig D'epartmerit fd'r the issuance of=a Building Permitpursuant to the Building Zone
Ordinance.of the Town of Sou€hold,Suf#olk Cou tv New York andother applicable Laws,Ordinances or Regulations;for the construction of buildings, =`
�a�i„n, ti� �;aiii�ila7� Mda ;sir ..,d',N1Nti i6h� � it �ron o
=addltionsj alterations or�for,removal;oc"demolitlontasmherefn�describe l The applicant agrees to comply with all applicable laws,ordinances,.buiiding codes j
housing code and regulations and to admit authorized inspectors on premises and in kiuilding(s)for necessary�inspections1 jse state°merits made`herein are t,af,
ti.ptyhnhble'as ss A misdemeanYw w Pena-.Law!s, an aC141a c '
Kara Czerniecki
Application Submitted By(print name): ❑Authorized Agent BOwner
ae o Date
Applicant:
�a
Signature Applicant
Jose Sabastro
STATE OF NEW YORK) Notary Public,State of New York
SS: Registration No.01SA0020604
COUNTY OF� ) Qualified in Bronx County
Commission Expires Feburary 1,2028
&d L' IZAIIEC,t%! being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Gt/1� I f
(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 Le i f MC)/ , 20 AIL 0,42�'
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
s�01�Ild(` MAY - 8 2026 OUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
o. ® Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
iamesh(ftouthdidtownny.aov- seandD-southoldtownnv aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATBCN (All Information Required) Date:
Company Name: • RZ8, y- LCCTRICIqL-
Electrician's Name: tC_ AIIZ I rgmLS
License No.: � � 1 Elec. email: ,T ;, (SOs'AIL .Corn
Elec. Phone No: - U OLI ❑I request an email copy of Certificate of Compliance
Elec. Address.: P 0. RCX 8S #�l TZ CIC
JOB SITE INFORMATION (All Infomation Required)
Name:
Address:
Cross Street: SYL(j a1
Phone No.: ( _ Io
BIdg.Permit#: email:
Tax Map District: 1000 Section: Block: Q_ Lot: 1 -7
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Ml 01 SPL(T �qC ( &)5T)9u—
Circle All That Apply: Square Footage:
Is job ready for inspection?: YES❑ O []Rough In [�fFinal
Do you need a Temp Certificate?: ❑ YES bNO Issued On
Temp Information: (All information required)
Service SizeF-11 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals M 1 M2 H Frame F1 Pole Work doge on Service? MY MN
Additional Information:
PAYMENT DUE WITH APPLICATION
� loU
S.C.T.M. NO. DISTRICT: 1000 SECTION:104 BLOCK:2 LOT(S):17
LOT 41
187.55'
DIRT DRIVEWAY 3.3'E
Z . E GAS . ..... .......(. 0.8'S /'�
FoyFU
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N 85°47'20 E 0.2's t1s z.a's �
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1.8'W � P 0.9'E �T
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G STOCKADE FENCE Z�
5.8'W
S 85°59100"w STERLING ROAD
THE WATER SUPPLY, HELLS;ORYNELLS AND CESSPOOL
I P/0 LOT 43 LOr47lOVS SHOLVN ARE FROM RELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
AREA:13164.40 Sq. Feet or 0.30 ACRES ELEVARDN DATUM:
I UNAUTHOWED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLAnON OF SECnW 7209 OF THE NEW MDRK STATE EDUCATION LAW COPIES OF TMS SURVEY
MAP NOT BEARING ME LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. GUARANTEES NOICATED HEREON S/NALL RUN
ONLY TO THE PERSON FOR WOM THE SURVEY IS PREPARED AND ON MS BEHALF TO THE RILE COMPANY,G01£AT6IENTAL AGENCY AND LENDING/ RTUPGN
LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSM770V GUARANTEES ARE NOT TRANSFERABLE
THE LYFSETS OR OMENMONS SHONN HEREON FRO/TINE PRLPERTY ONES TD TINE STRUCTURES ARE FOR A SPEOFlC PURPOSE AND USE THEREFORE THEY ARE
NOT MENDED TO MONUMENT THE PROPERTY LWES OR TO WIDE THE ERECTION OF FENCES,ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEME'N75
MD/0R SUBSURFACE STRUCTURES RECORDED OR WREIXWDED ME NOT GUARANTEED UNLESS PHYSICALLY ENLIENT ON THE PREMISES AT THE WE OF SURVEY
SURVEY OF:P/O LOT 42 DF "Ew CERTIFIED To:JOSEPH SALVATORE;KARA CZERNIECKI;
MAP oF:NASSAU FARMS o JPMORGAN CHASE BANK,N.A.ISAOA ATIMA•
mEMMAR. 28, 1935 No. 1179 y ' m� SPANO ABSTRACT SERVICE CORP. SP52249-S•
9TUAFIRST AMERICAN TITLE INSURANCE COMPANY;
TowN ID AOUTHOLD GUE rFW `11
room o<:SOUTHOLD
SUFFOLK COUNTY,NEW YORK a KENNETH M WOYCRUE LAND SURVEYING,PLLC
_i se t P.O.Box
15 Lend Surveying and Design
193
.O.Doz 159 Agneborye,New York 11891
FILE 0225-167 SCALE:1"=20' DATE:SEPT. 19, 2025 N.Y..S USG NO 050882 Pam(591)MS-1555 FAX(551)285-1555
S.C.T.M. NO. DISTRICT: 1000 SECTION:104 BLOCK:2 LOT(S):17
N�-
LOT41
187.55'
DIRT DRNEWAY 3.3'E
U.P.
N 85'47'20"E ....
1.1'S U P. r�D
U.P. 0.2'S :. 2.3'S s� -z,
6'STOCKADE FENCE 6'STOCKA E :Zp.9' F
W EDGE FENCE L.P.
0.6 p�
0
STONE
P
O 1.8'W WALL ::::::::::•::•:•::••: :..:::•:::::15.2' 0�� 0.9'E
6.4W _::::':::....':F #2860;•RAME LLING v O\��\G Epp O
O
m ................................ T�
BILCO— o
z M.H. :•::•:::::•::::36.3".::::::.......
PIO LOTS 42 8 43 x m PIPE
0 SHOWE
o f�U.P. 1.1S 01
x GARAGE',v.'..'L. ®DRAIN 0.6'N 237.62 0.9'W •��,
S.GE:.:.:::::::::::::::::.
6'STOCKADE FENCE u
5.8'W �
S 85059'00"w 0.1'S STERLING ROAD
PIO LOT 43 THE WATER SUPPLY. WELLS ORYWELLS AND CESSPOOL
I LOCH)TONS SHOWN ARE FROM RELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
� AREA:13164.40 Sq. Feet or 0.30 ACRES ELEVATION DANM
U6�"�(�+` UNAUTHORIZED ALTERADON CR AODInON TO THIS SURVEY AS A NOLADLW OF=17 YI 7209 OF THE NEW YORK STATE EDVCA77ON LAW. COPIES OF BBS SURVEY
- MAP U P I I(— MAP NOT BEAMNO THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CVARANTEES INDICATED HEREON SHALL RUN
lJ `L i�t ONLY TD THE PERSON FOR WHOA THE SURVEY IS PREPARED AND ON N/S BEHALF TO THE)TILE COMPANY.GOVERNUENTAL AGENCY AND LENDING 4VSIYTU27 W
MSIED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSITTUDOA;CUARANIEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DMENSIOWS SHOWN HEREON FROM THE PROPERTY LINES TO 7N£STRUCTURES ARE FOR A SPEQRC PURPOSE AND USE THEREFORE 7NEY ARE
NOT INTENMD TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC)TON OF FENCES,ADDTRONAL SIRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUMRES RECOROED OR UNRECORDED ARE HOT QLARANXED UNLESS PHYSICALLY EVIDENT CW NE PREMISES AT THE 77ME OF SURVEY
SURVEY OF:P/6 LOT 42 GF NE CERTIFIED TO:JOSEPH SALVATORE;KARA CZERNIECKI;
MAR oF:NASSAU FARMS .� N I. JPMORGAN CHASE BANK,NA ISAOA ATIMA;
FIEMMAR. 28, 1935 No. 1179 yYi �Oy 9'F SPANO ABSTRACT SERVICE CORP. SP52249-S;
SITUATED AT:CUTCHOGUE
FIRST AMERICAN TITLE INSURANCE COMPANY;
' � rc
Tom OF.SOUTHOLD -
SUFFOLK COUNTY,NEW YORK `s KENNETH M WOYCHUE NAND SURVEYING,PLLC
P-f-1onnl land Sur9eylu1 end Deelsn
P.O.Ho:153 Aquebogue,No.York 11931
FILE 1225-167 SCALE:1'=20' DATE-SEPT. 19. 2025 MY.S USN:N0.OB0882 PeDR6(mLye9e-Lees re=(av>29e-Lase
APPROVEO AS NOTED
DA B.P.#► 79
FEE 1 BY
NOTIFY BUILDING DEPARTMENT AT
631 765-1802 SAM 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
COMPLY WITH ALL CODES OF
NEW YORK STATE &TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHOL TOWN ZBA EL.EC7'RIC�k1,
INSPEC71ON REQUIRED
SOUTHO TOWN PLANNING BOARD
SOUTH LD TOWN TRUSTEES
N.Y. EC
OLD HPG
SD
Page No. 1 of 3 Pages
�CO�I4ppY
11500 Old Sound Avenue,PO Box 106
:. Mattituck,New York 11952
kolb P 631-298-5527 1 F 631-298-5534
H E AT I N G + C O O L I N G www.kolbmechanical.com
PROPOSAL SUBMITTED TO PHONE DATE
Kara Czerniecki (516) 320-1902 Januaa 29 2026
s RE ET JOB NA E
M 0 Pine Tree Road 286 Pine Tree Road
DEIu cJiogue',' NY 11935 Jedc'ogue, NY 11935
EftAPEArniecki0girnall.com
We hereby submit specifications and estimates for.
Remove and discard the existing baseboard heating system serving the First Floor. Utilizing
the existing domestic hot water heating system, provide and install a new three (3) zone
Mitsubishi ductless/ducted Variable Refrigerant Flow high efficiency heat pump heating and
air conditioning system to consist of the following:
Zone#1: Second Floor Master Bedroom (Ductless).
Zone#2: First Floor(Ducted).
Zone#3: Original Cottage (Ductless).
Scope-of Work:
• Remove and discard the existing baseboard heating system serving the First Floor.
• Provide all engineering for the design and Installatien of the HVAC system.
• Supply and install sheetmetal ductwork, insulated as per New York State Energy
Conservation Construction Code.
• Equipment and ductwork shall reside within the semi-conditioned building envelope.
• Supply and install flexible connectors at the supply and return connections.
• All sheetmetal return ductwork to be internally lined with sound attenuating acoustical
liner. Liner to be fastened by means of glue and mechanical weld p1h fasteners.
All duct seams to be sealed with UL181 metal foil tape.
• All branch ducts to be UL class 1 air duct, meeting NFPA 90A and 90B and/or
insulated rigid sheetmetal duct.
• Provide and install balancing dampers for all supply branch ducts.
All visible distribution plenum boxes to be painted with flat black paint.
• Provide and install one (1) Mitsubishi, model #SVZ-AP24NL, 24,000 BTU, ducted
multi-position high efficiency modulating fan coil unit to serve Zone #2: First Floor.
• Provide and install two (2) Mitsubishi, model #MSZ-GX18NL, 18,000 BTU, ductless
high efficiency modulating wall mounted fan coil units to serve Zone #1: Second Floor
Master Bedroom and Zone #3: Original Cottage.
• Provide and install one (1) new hydronic heating coil.
*Upon acceptance,please date,sign by the'X"and return yellow copy with your deposit.
KOLB MECHANICAL HEATING&AIR CONDITIONING
In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp.,
It is the responsibility of the Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man-
ufacturer in order to preserve warranties.
All equipment shall remain property of Kolb Mechanical Corp.,until fully paid
All past due accounts shall be charged Interest of 1.5%per month.
All payments Due Upon Receipt.
=9`VC0110a6 hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
Base Total
Options Total
Grand Total
Payment to be made as follows:
All material is guaranteed to be as spedfed Ail wo*to be completed in a woknar&a marmer
acmrdirg to standard practices.Arty alteration or devi=born above Tedlicatiors fovowm was Authorized
msmvabeemaded any upon writan orders,andwabeomeanwradarge over and ebovethe Signature
estimate.Agagreementscon6rgenluponstr5m.aocidentsordelaysbeyord our cordroL ownerw
carry fire,tomado and other namssary insurance. Our workers ere fid y covered by Wcdu n's Note:This project may be
Danglensabonlnsurence.
withdrawn by us it not accepted within 16
2k(tpt0 W6 9f TWO(]0001 The above prices,specifications and
conditions are satisfactory antrare'hereby accepted. You are authorized to Print Name
do the work as specified. Payment will be made as outlined above.
Date of Acceptance Signature
enrapaoar Page No. 2 of 3 Pages
11500 Old Sound Avenue, PO Box 106
• • kolb
Mattituck,New York 11952
P 631-298-5527 1 F 631-298-5534
HEATING + COOLING www.koibmechanical.com
PROPOSAL SUBMITTED TO PHONE DATE
Kara Czerniecki (516) 320-1902 January 29, 2026
B2860 Pine Tree Road J2860 Pine Tree Road
cutc�togue,PNY 11935 JDC�utc�iogue, NY 11935
E VtarAa,`z"i rmieckiOgmail.com
We hereby submit specifications and estimates for:
Scope of Work(Continued):
• Provide and install one (1)_:NMitsubishi,-:model-#MXZ-5-D42NL,42,000 BTU, multi-port
Variable Refrigerant Flow high efficiency outdoor heat pump condensing unit to be
installed at the residence exterior, exact location to be determined. Unit shall be set
on a pre-cast slab. �,�
• Provide and install one (1)ft bisli�i;model stj --#MLJZ-x-`GXd_8NLf 18,000 BTU, Variable
Refrigerant Flow high efficiency outdoor heat pump condensing unit to be installed at
the residence exterior, exact location to be determined. Unit shall be set on a pre-cast
slab.
• Provide and install one (1)AprilAire, model #2213, 5"thick MERV-13 HEPA extended
media type whole home air purifier,
• Provide and install vibration isolators for all motor bearing equipment.
• Provide and install ArmorFlex cleaned and capped insulated type'L' nitrogenized
refrigeration piping.
• Charge refrigerant circuits with new R-454B global warming index compliant
refrigerant.
• Provide and install all condensate schedule 40 PVC piping for the HVAC system.
• Provide and install Hart&Cooley grilles and registers, where applicable.
• Provide and install three (3) Mitsubishi digital thermostats.
• Provide and install all low voltage HVAC control wiring.
• Coordinate power wiring load requirements and power wiring schematics with the
electrician.
• Perform all testing and balancing of HVAC system upon start-up.
• System to include a one (1) year parts and labor service contract.
*Upon acceptance,please date,sign by the°X"and return yellow copy with your deposit.
KOLB MECHANICAL HEATING&AIR CONDITIONING
In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp.,
It is the responsibility of the Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man-
ufacturer in order to preserve warranties.
All equipment shall remain property of Kolb Mechanical Corp.,until fully paid
All past due accounts shall be charged Interest of 1.5%per month.
All payments Due Upon Receipt.
MIC TtOP000 hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
Base Total
options Total
Grand Total
Payment to be made as follows:
An material is guaranteed to be as specified. All work to be completed in a workmenrike manner
according to standard practices.Any atteration or deviation from above specifications Involving extra Authorized
costs will be executed only upon written orders,and will become an extra charge over and above the Signature
estimate.All agreements contingent upon strikes,acddents or delays beyond our control.Owner to
carry fire,tomado and other necessary insurance. Our workers are fully covered by Workman's Nate:This project may be
Compensation Insurance. withdrawn by us if not accepted within 16
Cc¢pfanc¢ of goal The above prices,specifications and
conditions are satisfactory are hereby accepted. You are authorized to Print Name
do the work as specified. Payment will be made as outlined above.
Date of Acceptance Signature
Page No. 3 of 3 Pages
�xo�o�lar
11500 Old Sound Avenue,PO Box 106
olb
Mattituck,New York 11952
P 631-298-5527 1 F 631-298-5534
HEATING + COOLING www.kolbmechanical.com
PROPOSAL SUBMITTED TO PHONE DATE
Kara Czerniecki (516) 320-1902 January 29, 2026
52860 Pine Tree Road J2860 Pine Tree Road
clEyu C ogu°e, NY 11935 '�ugc�iogue, NY 11935
ElkhPW rniecki@)Qmail.com °7��[j 41let
We hereby submit specifications and estimates for:
Excludes:
• Line voltage power wiring, by Electrician.
• Cutting, patching, painting, and/or framing of sheetrock and carpentry for HVAC, if
required.
• Domestic water feeds, by Plumber.
• Specialty grilles/registers and materials/finishes.
• Any applicable permits, certificates, or associated fees, if required.
Warranty:
• All work to be done in a professional manner by trained installers and service
personnel.
One-year parts &labor service during normal business hours on above system.
• Exclusive Mitsubishi Elite Diamond Dealer Twelve-year parts and compressor
warranty.
• All factory warranties honored.
Total Investment: $ 26,560.00*
*Note: In-place of the previously proposed Mitsubishi Smart-MUTLI Series heat pump
condenser and multi-port branch box, revised proposal quoted with Mitsubishi M-Series
multi-port heat pump condenser.
*Upon acceptance,please date,sign by the"X°and return yellow copy with your deposit.
KOLB MECHANICAL HEATING&AIR CONDITIONING
In the event this account is forwarded to counsel for collection the purchaser shall be liable for all reasonable fees of Kolb Mechanical Corp.,
It is the responsibility of the Homeowner to have qualified Service Mechanics maintain heating and air conditioning equipment as required by man-
ufacturer in order to preserve warranties.
All equipment shall remain property of Kolb Mechanical.Corp.,until fully paid
All past due accounts shall be charged interest of 1.5%per month.
All payments Due Upon Receipt.
Ot TtOP08C hereby to furnish material and labor-complete in accordance with above specifications,for the sum of:
Base Total
Options Total
Tw nt�Six ThoOaand Five HnnrlrPrl SiXty r)nllaL5 ;;Ad XX/nO - - - - - - - _ Grand Total$25,55p.00—
Payment to be made as follows:
0 0 _c;tart-iip
AO malerial is guaranteed to be as speeded. All work to be completed in a work wit manner
according to standard ptadfees.My alteration or deviation from above spee'diratlons Invoiy4V extra Authorized
costs will be executed only upon written orders,and will become an extra dtarge aver and above the Signature
estimate.9 agreements contingent upon stakes,accidents or delays beyond our control.Owner to
carry fire,tomado and other necessary insurance. our workers are fully covered by Worionan's Note:This project may be
Compensation insurance. withdrawn by us if not accepted within 16
MVep<ftM of`FfftoD0001 The above prices,specifications and
conditions are satisfad lory antfare'hereby accepted. You are auftrized to Print Name
do the work as specified. Payment will be made as outlined above.
Date of Acceptance Signature.