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Home My WebLink About44077-Z Q�gUFfOt,�� Town of Southold 9/11/2019 P.O.Box 1179 o 53095 Main Rd ' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40690 Date: 9/11/2019 THIS CERTIFIES that the building GENERATOR Location of Property: 500 Four Winds Ct, Southold SCTM#: 473889 Sec/Block/Lot: 88.-6-13.38 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/15/2019 pursuant to which Building Permit No. 44077 dated 8/16/2019 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: ACCESSORY GENERATOR AS APPLIED FOR The certificate is issued to Zatcof�Adam&Shira of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44077 08-08-2019 PLUMBERS CERTIFICATION DATED 17 0 Au o e Signature TOWN OF SOUTHOLD 41o�SOFFo`.r o BUILDING DEPARTMENT TOWN CLERKS 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#: 44077 Date: 8/16/2019 Permission is hereby granted to: Zatcoff, Adam 34 Joyce Ln Woodbury, NY 11797 To: install an accessory generator as applied for. At premises located at: 500 Four Winds Ct, Southold SCTM # 473889 Sec/Block/Lot# 88.-6-13.38 Pursuant to application dated 8/15/2019 and approved by the Building Inspector. To expire on 2/14/2021. Fees: ACCESSORY $100.00 - Y BUILDING $50.00 Total: $150.00 Building Ins ector 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 from 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 $15.0010 Date. T New Construction: ,( Old or Pre-existing Building: (check one) Location of Property: J �y/Z-1,j/ND x r3y Oma 1C,4 House No. Street Hamlet Owner or Owners of Property: &IP4 ,q„d Suffolk County Tax Map No 1000, Section (J S� Block Lot �j S Subdivision Filed Map. Lot: Permit No. S Date of Permit. 8 Applicant: �^ Health Dept.Approval: Underwriters Approval. Planning Board Approval: ` Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ Appli ignature OF SOU�y®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 117 Southold,NY 11971-0959 G ® sean.devlin(&-town.Southold.ny.us �° � BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Adam Zatcoff Address: 500 Four Winds Ct city Southold st: NY zip: 11971 Building Permit#- 42618 & 44077 Section 88 Block. 6 Lot 13.38 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA. Emerald Electric Inc License No: 4868-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New X Renovation 2nd Floor X Hot Tub Addition Survey X Attic X Garage INVENTORY Service 1 ph X Heat GAS Duplec Recpt 67 Ceiling Fixtures 33 HID Fixtures Service 3 ph Hot Water GAS GFCI Recpt 10 Wall Fixtures 13 Smoke Detectors Main Panel 200A A/C Condenser 2 Single Recpt Recessed Fixtures 82 CO Detectors Sub Panel A/C Blower 2 Range Recpt Fluorescent Fixture Pumps 2 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 71 Twist Lock Exit Fixtures TVSS Other Equipment: 5- Exhaust Fans, Generator, DW, Fridge, Freezer, 40A Oven Notes Inspector Signature: Date: August 8, 2019 S Devlin-Cert Electrical Compliance Form As OF SOOT L4 2 (110045c) # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION rl CAULKING REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS d FOUNDATION(IST) r y y ------------------------------------ C FOUNDATION(2ND) z O H ROUGH FRAMING& PLUMBING r INSULATION PER N.Y. H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 0 Z m ' �►fid 91 O z C. d sees TOWN OF SOUTHOLD BUILDING PERMIT APPL CATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 1197.1 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.0 Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved 4 ,20 Mail to: Disapproved a/c Phone: "/I Expiration 20 OCCUPANCY OR [ED ' LE5 elf "� �. sl -; •,` ing pectorE 10 � �A�41�� Q_, l 3 L� 1 } 0 L ?Y PLICATION FOR BUILDING PER M "T OUT C E TI RCAT AUG 1 5 2019 � � Ute O Y , 20� BIJ �D DEP'1 INSTRUCTIONS • "'Fr 1i OF CyOU'11—RIC'LTD 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. AP ROVED AS NOTED DATE: � �I B.P•it (SigKature of applicant or name,if a corporation) FEE: BY: _ 00 C IAI h)00Z)5 /- 117?-7 NOTIFY BUILDING GEPARTME T AT - (Mailing address of a plicant) 765-1802 8 AM TO 4 PM FOR THE State whew 19"At g- �ry'l e q ent, architect, engineer, general contractor, electrician,plumber or builder 1. Ft 1�W T , - c 3 Ns'� AMING,Mlb ZAi CO FF Name of o tses ' Mlb / 4 FINAL - CONSTRUCTION MUST (As on the tax roll or Ib6kq WITH ALL CODES OF If applicant'tbtc grLkttijgnxcggna10-re of duly authorized officer NEW YORK STATE & TOWN CODES Al I N¢ Ii T IOId SHALL MEET THE AS REQUIRED C (Na S�J�j# !pf Off bi�fe0ffNEVV Builders Li��V§p ,NATE. NOT RESPONSIBL FOR SOOT Plumbers L'��1i�•dll� CONSTRUCT IU SOUTHOLDT NGBOARD WOLZM Electricians License No. - Other Trade's License No. S TOWNTRUSTEES _® N.Y.S.DEC 1. Location of land o�hich proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section N, Block Lot j �'- Subdivision Filed Map No. Lot / � g 2. State existing use and occupancy of premises and intended use ando upancy of proposed construction: a. Existing use and occupancy 'r , m 7 °I O`C b. Intended use and occupancy % 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work �f1 GC.2104M-Dr`— (De cription) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ' 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories 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 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 Naive 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. GH STATE OF NEW YORK GOIblic, tateD. Of NO Notary Public,State of New Y(1P1G SS: No.01 BU6185050 COUNTY OF ) Qualified in Suffolk County Commission Expires Aoril 14,2a6 ; Xh- n:Z4, 73ei', ,,. , " , being duly sworn, deposes and says that(s)he is the applicant (1�Ian�e of individual signing`contract)�above named, (S)He'is?lie ;,;t yin •�,., ,,., .,(Contractor, Agent,Corporate Officer, etc.) of said owner or'owners,,,and'�,i's•dull;Authorized to.perform or have performed the said work and to make and file this application; that all statements,contained,in„his application are true to the best of his knowledge and belief, and that the work will be performed`iii the mannei'set forth in^the-application filed therewith. Sw,00 t before me thi day of 20A Notary Public ignature of Applicant FFOIK BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 o _ Southold, New'York 11971-0959 1p� Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(a)_town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED-BY:- - Date: Company Name: Name: License No.: Lf email: Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: Ab6n Z'17za?5� Address: DL'S cJ�GJ�• S G� SbZL7 -fl Cross Street: Phone No.: BIdg.Permit#: email: l '�o3® cap/ •;� .N Tax Map District: 1000 Section: Block: Lot: t?--38 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YE NO Rough In Final- Do you need a Temp Certificate?: YES /( O � Issued On Temp Information: (All informationrequired)required) Service Size � 3 Ph Size: 1,2A # 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 �9� Request for Inspection FormAs FOR SCDHS USE: NOTES: i PARCEL AREA:45,861 SF or 1.05 Ac. THE PROPOSED RESIDENCE IS TO CONTAIN 5 BEDROOMS. PROPOSED SANITARY TO CONSIST OF' /I 1500 GAL.SEPTIC TANK&(5)4'E.D.X 8'DIA.LEACHING POOLS ^I GARAGE AREA=667 SQ.FT. ELEVATIONS ARE NAVD 1988 �I� (Ty�NccVF pF 1ST FLOOR AREA=1723 SQ.FT. THERE ARE NO SURFACE WATERS/VVETLANDS WITHIN 300'OF PROPERTY AS DEPICTED `sT,QFF 2ND FLOOR AREA=2174 SQ.FT. TESTHOLE #2 Q � J �l O LAND NOW OR FORMERLY OFTL9N DNOWOFTHOMPSON (ORESIDENCE. N01- OR41, PUI0gSN &C WATER BYOt U� 6' 8ctp \ice\S\S�s0240» Res0�Nce P oFORMeRcr N+ ® X 9.6 \ 9 3 UBC/C Ng TER \'.w 34g tANDNo _Z x 9.7 eqS \ B�\ ,,' RFS/O OFCq�ORFOR 1 I 1 c0 J �e`eNT q \ BNCR C Iq 114 RC4 JOE( TEST HOLE INFORMATION: LAND NOW OR FORMERLY 0� ¢ x �rP�I�F/C \ FOUND�\ pUeC/C� ^� 1I(� OFLOVERICH -q- g x10.4 10,0 �f\gP STgk gTF RESIDENCE-PUBLIC WATER CO x101 X 11.3 P oP ` F ® R 1 / TESTHOLE #2 MAP OF ANGEL j0.2 '7 x10.2 111 0 'BI cfC. oROpo EFeNF Ff SHORES MAP # 9729, 8/23/95 ® 10.8 X Q ya h x c o�r 50 o S FE /NCRo0s fp Q�o�40 ,v `860 C3- Og SESBAC 4 W I p 0.7N x 11 0 Poo No 3 4,qCR / Lu c�0 ?O Xq0. Pq Ao o O,N2y CF,TSO 13.4 LAND NOW OR FORMERLY N 10" 2 p��- / 13 2 1 c� RESIDENOF ZEVITS L0 CE PUBLIC WATER .r'� v z 1.0 12X 60 ��Q�� i o '� / Ill LAND NOW OR FORMERLY / X13.5 FE O OF CASTLENUOVO LOAM CO twi 121 \� 2?), o oQ S� / 13.4 1.0'N CO RESIDENCE-PUBLIC WATER OL z w x PROPOSED STORMWATER D ST LP EX / TC 1333 ED PROPOSED 11.7 DRYWELL �� STt?PS / DP LP BC 4 DEEP x 8' DIA. X 8' E.D. (2X) LP / 8' DIA PROPOSED °o I PROP. E;'LPX13.6 TC=13.20 R=50.0 TC=13.4 0 DR(WELL D POOL EQUIP. PROPOSED WATER SERVICE , BC=1316 0o V M (1500 GAL BC=12'88 L=108.26 _5, PROPOSED sEPTICTAN( 11.7 11.7 121 129 U.G. UTILITIES CATCH WATFP BASIN 13.5 13.4 13.6 F)UN 13 RIM = VALVES EXISTING 6' WATER MAIN) FE STAKE 0 5'N S 15'03'52" M. 265.82' BC-1z 92 TC--1318FOUR WINDS COURT SAND BC=12 93 AND LAND NOW OR FORMERLY OF ROGAN TC=13 27 GRAVEL RESIDENCE-UNDER CONSTRUCTION SP PUBLIC WATER ® SITE PLAN SITUATED IN GOF N YO Q WI.pF PROFILE (NOT TO SCALE) SOUTHOLD GROUND WATER FINISHED FLOOR INV=14.0 INV=13.4 TOWN OF SOUTHOLD,COUNTY OF SUFFOLK,STATE OF NEW YORK G 16.5 FIN. GRADE 15 5 FIN. GRADE 15.0 O'Connor - Petito, L. L. C. 4° sdr SEPTIC LEACH. 27 Forest Avenue 0335 J� BASEMENT FLOOR 7.0 TANK POOL Land Surveying Locust Valley, NY 11560 A»fl 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP PREPARED AND SEALED HY A LICENSED LAND INV=13.6 INV=13.2 3' MINIMUM CMI Engineering (516)676-3260 SURVEYOR IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION TAW.' _ 'COPIES FROM THE ORIGINAL OF THIS SURVEY MAP NOT MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S GROUNDWATER 5.0 MAP ANGEL SHORES,MAP No 9729,8/23/1995 DIST.1000 SEC. 88 BLK. 6 LOT 13.38 INKED SEAL.OR HIS EMBOSSED SEAL SWW.NOT BE CONSIDERED A VALID TRUE COPY' CERTIFICATION INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND REVISED: MAR.3,2018 SCALE: 1"=60' SHEET: 1 OF 1 SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. DATE: DECEMBER 3,2017 ADD POOL,REVISE HOUSE .r �r WI-FI " STA MAC ADDRESS 20J8:5e:22:5f:5e SSID: MLG99594 k0 http://192.168.51.1 CONTAINS FCC ID:YOPGS2101M CONTAINS IC.9154A-GS2101M GENERAC' MODEL G0070371 SERIAL 3003624748 ITEM NO G0070371 PROD DATE 20180824 VOLTS: 920/240 1 PHASE LPV AMPS 133.3/66.7 HZ 60 ING AMPS. 133.3/66.7 RPM 31600 INSULATION CLASS H 1.0 PF COf,JTROLLER P/N 10000003293 COUNTRY OF ORIGIN US F DUTY RTG _ EMERGENCY X'D 0.084 X"D 0.067 RATED AMBIENT TEMP: 250 C FOR STANDBY SERVICE NEU PAL FLOATING MANUF UNBALANCED LOAD LOC CAPACITY 50 % 1004 RAINPROOF ENCLOSURE C UL us t.r— SW IGRAfN k(,,jNL C.Eb6kA7GR A.`.h EMMIY &%AM SwRI ID No. 13204-01-01 SCompliant with Clause WR of Section 4.14 of NFPA 37 LISTED BY: Southwest Research Institute San Antonio,Texas