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Home My WebLink About52830-Z *of SOU Tyo`o Town of Southold * * P.O. Box 1179 oA 53095 Main Rd UNIN�' � Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47171 Date: 06/26/2026 THIS CERTIFIES that the building AS BUILT HVAC Location of Property: 500 South Ln East Marion, NY 11939 S ecB lock/Lot: 3 8.-6-11 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 03/12/2026 Pursuant to which Building Permit No. 52830 and dated: 04/02/2026 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 to an existing single-family dwelling as applied for. The certificate is issued to: Ellen Zimmerman Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52830 6/16/2026 PLUMBERS CERTIFICATION: Vvow Authorized Ognature ofsoor 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#: 52830 Date: 04/02/2026 Permission is hereby granted to: Ellen D Zimmerman PO BOX 105 East Marion, NY 11939 To: legalize an "as built" HVAC system to an existing single-family dwelling as applied for. Premises Located at: 500 South Ln, East Marion, NY 11939 SCTM#38.-6-11 Pursuant to application dated 03/12/2026 and approved by the Building Inspector. To expire on 04/01/2028. Contractors: Required Inspections: Fees: As Built HVAC $500.00 CO-RESIDENTIAL $100.00 Total U-0.00 7 Building Inspector SOUlyo�o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O. Box 1179 �O Southold,New York 11971-0959 ��COUNT1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ellen D Zimmerman Address: 500 South Ln city: East Marion st: NY zip: 11939 Building Permit#: 52830 Section: 38 Block: 6 Lot: 11 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 Service Solar Residential Outdoor X 1st Floor Pool Battery Storage As-built X Renovation 2nd Floor Hot Tub EV Charger New Addition Attic Spa Generator Survey X I Mezzanine Garagel IDock 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 2 Single Recpt RecessdFixtures Combo Smoke/CO Transformer Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Heat Detectors Salt Gen Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover ARC Blower Heads Switches 2 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: " AS BUILT NO VISUAL DEFECTS " HVAC Inspector Signature: Date: June 16, 2026 OE SOUTyOIo c5 Ov 6d u, " ` �a�✓ # # -.TOWN OF SOUTHOLD BUILDING DEPT. o m�i� 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: VC a� DATE INSPECTOR �aOF 50UTyO �� * # T - SOUTHOLD ILDIN DEP . ^ou 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: '!/, DATE INSPECTOR �OF 50U1y0# N TOWN OF SOUTHOLD BUILDING DEPT. °ycou�m� 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH-PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL WVA(-. [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: A-5- btll# DATE INSPECTOR FIELD INSPECTION REPORT DATE--F- COMMENTS FOUNDATION (1ST) F ------------------ ------------------- --------- ....... FOUNDATION (2ND) ------ .......... -------- cn ........... ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ------------ - az FLNA-L ... ........ ..........----------- ADDITIONAL COMMENTS E�r + CIO 4 t=L 001 <Its -Z' ............. 0 ..............-.......... rn ............. ....... ........ ............ ........... ................ ........... t � =A\tc,0FOtK��G2 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.southoldtowngy.gov Date Received APPLICATION FOR BUILDING PERMIT ~` L ILLQ � For Office Use Only . I 02 PERMIT NO. . Building Inspector: MAR 1 2 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 d w_�t°�f Massa rtmen1; Owner's Authorization form(Page'2)shall be completed. ° Date: _ ,Z — 2- OWNER(S)OF PROPERTY:' Name. ^_. C-_ •'c.. c ___ r:�_-_. SCTM#1000- G " 11 -- __. � �. Project Address: oo • Phone#: Email: r,,.�.__ ..�,_._. �,_ __�_. _ • Mailing Address: SdG_.._._s_o.u.._ CONTACT PERSON: Name: C Mailing Address. rz Phone#: 3k y-. Email: _�..5 __._____._______. ._____._. DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: A, Mailing Address: n.� _._.__ 1___.__. JI�_-�'-�"► �k_ _.___11_...__ Phone#: 3 3,_�..___. E DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: .X Other A e4, ,) a.a,�c U �A.l'� $�...'.a�=' Will the lot be re-graded? Dyes P10 Will excess fill,be removed from premises? ❑Yes k1No 1 PROPERTY1NFORMATION Existing use of property: Intended use of property: C 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. "Check 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 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,New York and other applicable'Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein describ1.ed.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 buildings)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor'pursuant to Section 210.45 6f the`New York State Penal Law. Application Submitted By(print name) Ong i t �V C Y-�, Authorized Agent ❑Owner Signature of Applicant Date: CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01 BU6186050 COUNTY OF ) Qualified In Suffolk County. ,� Commission Expires April 14,2 INr3c}�•H.. IV-#A being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the " tw �- (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 t� d y of l ,202" +V yr 1 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, 1 " �C��\� `'I�ti _residing at S!:V-> �oV+e- R Z• J do hereby authorize (!2�- rrs % `O-CA" to apply on my ehalf to the Tow Southold Building Department for approval as described herein. ,-3 i3 z 0 Owner'sSign ure Date lc-\%� cl I,-%�; Print Owner's Name 2 ui FJEV BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD y` Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 • o�. Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1 ? Company Name: L. U.4 C_ 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 Required) Name: M i t-S Nftf Address: p O So 0+1L Cross Street: O)r CA.' Phone No.: et 1 1. 9 3G - I I dL Bldg.Permit #: email:Mc.AA4 r► 24 r6a Tax Map District: 1000 Section: 3 $ Block: (p Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): {�• cpl �cec�. fir. e�rls�tnq u;,+ 1'}' w4�- owed o�.1►d•.� o�. vu�.>' .� Square Footage: Circle All That Apply: Is job ready for inspection?: Y S ❑ NO []Rough in Final Do you need a Temp Certificate?: ❑ YES 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 1 2 H Frame D Pole Work done on Service? Fly N Additional Information: PAYMENT DUE WITH APPLICATION uFQ 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 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: t "X 2�� Company Name: v.4C- a y 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: Ih i N\ e 1 Address: o O Se +L Cross Street: 0)Z O)r J.'. Phone No.: Ct >< I. P sr, . t 1 d`(. Bldg.Permit#: email:rn4{Lw C.; 7.q, Mi- Tax Map District: 1000 Section: 3 $ Block: (o Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): —P-ePI A-eek 1,., eX1s�%nj u>n + r:� w4 c-- Square Footage: �' Circle All That Apply: [jaY S � NO �Rough In � Final Is job ready for inspection?: Do you need a Temp Certificate?: YES �-P!O Issued-On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service[]Fire Reconnect[]Flood Reconnect DService Reconnect❑Underground DOverhead # Underground Laterals 1 2 H Frame D Pole Work done on Service? Y N 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. WAD Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV Inst Hot DeHum Transfer HOT TUB/SPADisc Combo Cooktop Minisplit Blower AC , I AH , Hood Blower Service Amps Have Used Sub Amps Have Used Comments a( 4M AqV a� �p •t y� V 2 � - �9 �6 tP F�" J5 1 10 yPP �J J� ' y'C LPG t � P ' C?P DESCRIPTION: PROPOSED ALTERATION TO EX. ZIMMERMAN RESIC►ENCE EAST MARION '""'"'-- AP PO VED AS NOTED DAT��6 B.P.# 52 FEEBY: NOTIFY BUILDING DEPARTMENTAT 631 765-11 802 8AMT0 PM FORTE OCCUPANCY OR FOLLOWING 1. FOUNDATION-TWOINSPECTION OUNDA ON-TWONREQUIRED USE IS UNLAWFUL FOR POUED 2. ROUGH-FRAMING&RETE PLUMBING WITHOUT CERTIFICATE 3. TION 4. FINALACONSTRUCTION MUST OF OCCUPANCY 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 CONDITIONS OF ELECTRICAL /N.Y.8 TOWN ZBA INSPEC11ON REQUIRED TOWN PLANNING BOARD TOWNTRUSTEES HPO 1:41 .�� • , Photo X x1elo: RA13NY24AJ1NA ninal: - 2081230 v 1. .1►N MECHANICAL (l)N►'. Faces: ` 1 { ienc i a: 60 Hz t 1 FltafMk 9 Nominal: 14 A Duct Oeenirreff" q ere Tierra F i s i c a Cotrrr+errid'Aesda ,MBLADO EN MEXICO wal de Instalacion y Operation Anev, L � AR�FEDUR CL►M 631$3t-0601 — �NlhwE Antes de tener acceso a dispositivos terminales,todos Jos circuitos de alimentation deben ser inte 5SE MENT 2"QU DIINCEND,E E (GENE INEL EM�ABLE'NE PAR UN PERSON DE PERCER LE TUYAU UE ME MIS AU REBUS ODERALES R�GLEMENTATIO� N TITUER 'Es QUI PE (VENT PAS NNEXES GIVEN JDIE NE D'APPARElL5-�pppR NDUITES pNCERNAN 2,,04 LA LISTS 11W yz - IMSTRII lot9 L J • V 1:41 • Photo x " FOR FIELD USE `E _ �ma�ptsrler e'� 4r a t: i tC1ORV CHARGE_ i CHARGE ADOEO FLAN ��y�►��t'W=af :ram^9 "z'oyu.rner.. M INE^CERANT USED.TO BE REPAIRED j CDr �NCTUR RE�R'SERVICE PERSONNEL.DO NOT I pf,4 , QlU ERtr aN dfr RANTTUBING DISPOSE OF REFS AUXIL LgrpN- RDANCE l�H FEDERAL ORL XA1 CD C ", EsNO�CESyyI:NMAYtE � WRTNAYgU(I rAl— �STAt��O',ti?�3FDt1t7ION WUhK,U vUa 1 KiFIC 4 DEVI ES LISTED FOR USE �A� t`- �JANCE.SEERI5TRUCTOS e'" 1 1 F w 4 J � U 1:41 ,�� • PhotoE ER X .RJlti tipYh�b Gx QUID E . fte P.np Cook%and 1"N SA Syr" Cooling Efficiency Rating,swur 15.20-T8.00 w Mir RIF Heating ice, + �,y Efficiency Rating jr 8.50-9.00 N i v C � a 1:42 a • Photo X o � �. . � n x y, r , �y IN'._ _SIRE.f �BIE REFRIG ��` SERY1Ct REP NCPERS ONNEI.DO� NdCC zNDIF REFRIGERANT IsE.A '' 4c�RA A PERSONNEL i NE B , FRLY IEPf E t H, Ott fa �, 2 z aSCT�Al fi Alt , Q a Ul LU