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HomeMy WebLinkAbout43358-Z �o�oS�fFOLf�$y' Town of Southold 4/10/2023 a P.O.Box 1179 o _ 53095 Main Rd J Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40179 Date: 1/18/2019 THIS CERTIFIES that the building GENERATOR Location of Property: 1450 Mill Creek Dr., Southold SCTM#: 473889 Sec/Block/Lot: 51.-6-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/20/2018 pursuant to which Building Permit No. 43358 dated 12/28/2018 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: GENERATOR AS APPLIED FOR The certificate is issued to Demel,Marc&Caren of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43358 01-10-2019 PLUMBERS CERTIFICATION DATED ((�� 1Lo Authorized Signature o�svc�co TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT' y x TOWN CLERK'S OFFICE o . 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#: 43358 Date: 12/28/2018 Permission is hereby granted to: Demel, Marc 33 Surrey Ln Plainview, NY 11803 To: install generator as applied for. At premises located at: 1450 Mill Creek Dr., Southold SCTM # 473889 Sec/Block/Lot# 51.-6-27 Pursuant to application dated 12/20/2018 and approved by the Building'Inspector. To expire on 6/28/2020. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CO -RESIDENTIAL $50.00 Total: $235.00 Bui ing.,nspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement fioin plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 d Date. ,9-'W— New Construction: Old or Pre-existing Building: (check one) Dr-- Location of Property: ��{ �C� ON 1 �p—��� let House No. Street Hamlet Owner or Owners of Property: �P-�- C'.1 Suffolk County Tax Map No 1000, Section ] Block (0 Lot Subdivision Filed Map. -Lot: Permit No. 3 KDate of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: r / Request for: Temporary Certificate Final Certificate: y (check one) Fee Submitted: $ Applicant Signature pF SOUj�,ol Town Hall Annex Telephone(631)765-1802 54375 Main Road C Fax(631)765-9502 P.O.Box 1179 �Q roger.richert(a--)town.so Litho Id.ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Marc Demel Address: 1450 Mill Creek Drive city,Southold st: New York zip: 11971 Building Permit#: 43358 Section: 51 Block: 6 Lot: 27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: HOME OWNER DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS LJ Other Equipment: 16KW Stand By Generator with 200A Transfer Switch. Notes: Inspector Signature: -- — Date: January 10, 2019 0-Cert Electrical Compliance Form.xls pE 50U1�0� # TOWN OF SOUTHOLD BUILDING DEPT. `�courm `' 765-1802 INSPECTION .t. .. . [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ f ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 4r DATE INSPECTOR K c li c�� FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) �J ------------------------------------- 'FOUNDATION (2ND) � • � v1 ROUGH FRAMING& PLUMBING y INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS � 3 3 f t z m ' o z z d . b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20� Single&Separate r� \d/ Truss Identification Form Storm-Water Assessment Form 0pE� 2 � 2018 Contact: � Approved 20 Mail to Disapproved a/cQJ �= ®1 s® Phone: Expiration 2 Building nspector APPLICATION FOR BUILDING PERMIT Date �a7 , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. 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, or 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 for necessary inspections. (Signature of applicant or name,if a corporation) irg_7I (Mailing address of applicant) Statewhethheer aapppplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises c4aL * & r 04LNne 1 (As on the tax roll or latest deed)- If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which ro osed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Block ® 3 Lot t Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy trc—'Vi b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work K1)7Q,l.'gjZqJ\e' (Description) 4. Estimated Cost Fee (jo be paid on filing this application) 5. If dwelling, number of dwelling units 3Nuffi�ef,.ot'dwellmgtun,ts1o" ach floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and-extent of eaclQype of use. r 7. Dimensions of existing structures, if any: Front _ _ ''?;','s Rear Depth Height Number of Stories' F,;., Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front t Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS. COUNTY OF Stt v I V—) lf' ''2�- , J— Q4e-z­r-yQ_—_ 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 snake and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Y4'�" day of ©e-�ry-�be-r 20_[Z,- ary Public JF.&-A� IE ODDON -Signature of Applicant Notary Public,State of New Yak No.01OD6251238 Qualified in Suffolk County f - Commission Expires November U,20l 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 - FAX (631) 765-9502 roger.riche rt(M,town.so u thol d,ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUEST BY: 0FJZ 0C,,v — Date: 'J�Z Company N e: Name' License No.: email: Address: 1Phone No,: JOB SITE INFORMATION: (All Information Required) Name: Address: rv\ Cross Street: Phone No.: q Bldg.Permit#: email: Tax Map District: 1000 Section: Block: 0 G Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) G .ngena-� - 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 I Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y -- N Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form.xis SURVEY OF PROPERTY N SITUATED IN SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. a 1000-51-06-27 SCALE. V-- 30' MAY 18, 2018 JUNE 18, 2018 (REVISIONS) �O `Yd T I p, NAS 1 AT J� �J �Tee« a a �o _ oo s 8A 0 0 old a"o`�a ALL CM ,o WAMwa WALL ars 0 0 SET RMAR 90�`t� 'i 5 00 9J De SEr RESM a2f ;° ° WrALocon ^ a of � N far W ra a ' SEr RaW fW ab a A7NG � ' O+ tiaT $ '� 3 e 110, rn urL ME ? P ' h KEY @ =RESAR Ayl o� J ® = MaL J A =STAKE } 0 = TEBT HOLE • =PIPE ■ e MONUMENT AREA= 29,794 ,Sa FT. � ANY ALTERARON CON ADDMON TO IMS SURVEY IS A WOunwN 49618 OF SECTION 72090E THE NEW YAOC STATE EDUCATION LAW. PECONIC SURVEYORS, P.C. EXCEPT AS PER SECTION 7209-SBDU119O!2.ALL CENARCAT/ONS (631) 765-5020 FAX(631) 765-1797, ' HEREON ARE VALID FAR TMS AIM AND COWES THEREOF ONLY IF P.O. BOX 909 SAID MM OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET NHDW SAVATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 APPROVED AS NOTED DATE: B,p,' Jac_) FEE: DD It BY: NOTIFY BUILDING DEPARTMENT AT OCCUPANCY OR 765-1802 8 FOLLOWING INSPECTIONS:SP CTIONM TO 4 S:FOR THE USE IS UNLAWFUL I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE WITHOUT CERTIFICATE 2. ROUGH - FRAMING & PLUMBING OF OCCUPANCY 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 CONSTRUCTION ERRORS. RETAIN STORK(WATER RUNOFF PURSUANT TO CHAPTER 236 s OF THE TOWN CODE. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF SOMMMUM"MM40ARD ELECTRICAL %jog.019ILammily INSPECTION REQUIRED 9-22 kW GUARDIAN SERIES AUTOMATIC HOME STANDBY GENERATORS SPECIFICATIONS (LP/NG) NMI M. , I Generator Only Model 7029 7031 7035 7038 7042 7030 7032 7036 Generator/Prewired Switch Model 100 Amp 100 Amp 100 Amp n/a n/a Switch Switch Switch Generator/200 Amp Service Rated Load Shedding Smart Switch Package Model# n/a 7033 �O�37 7039 7043 Voltage(Single Phase) 240V Amps @ 240V LPG 37.5 45.83 66.66 83.33 91.66 Amps @ 240V NG 33.3 41.66 66.6 75 81.25 Engine/Alternator RPM 3600/3600 Engine Generac G-Force Engine Displacement 426cc 530cc 999cc 999cc 999cc Fuel Consumption 0 1/2 Load NG cu.ft/hr 78 124 193 205 184 Fuel cu.ConsumptionfVh@ Full Load '121 195 312 308 281 NG r Fuel Consumption @ 1/2 Load 36(1.0942.8(l.1869(1.9812.23782.16P, LPG cu.ft/hr(ga/hr) ) ) ( ) ( ) Fuel Consumption @ Full Load LPG cu.ft/hr(gal/hr) 54(1.50) 73(2.01) 116(3.19) 140(3.85) 134(3.68) X i Quiet-Test Mode No Yes db(A)at Exercise 62 63 60 60 58 db(A)at Normal Operating Load 62 63 66 66 67 Enclosure Aluminum Enclosure Color Bisque Warranty 5-Year Limited Dimensions(L'x W"x H") 48 x 25 x 29 Weight(lbs.)(SteeVAluminum) 399 407 419 "'c+'•r' ? i ' 456 476 '11,4 k -SMV"k1` W I lip, 10".1 t'zig"M ti R W,R4 Wilv, R, g� pNE cy' �\10 -'-p 014 xffi� -,g 0-0 n__ A Foe; t 4' I 6114\1 6 11, I��z ;�9,90RT� ?Vt@;ErV ef J1 M,`zr 5�;"yt i }},'i 1 _.} U'� t r C fC �.Y�t�t ��5};Yt`r C N, I I M" kl tz X.N u ORR R V 0. gg ki :,Z Mm, ORIXI �'k IKMI KIN N IS I IMM i m IN, ON IM, Rik N 0 01 NO nall