HomeMy WebLinkAbout43612-Z Town of Southold 9/19/2019
P.O.Box 1179
0
v + 53095 Main Rd
y��l ^�IC Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40705 Date: 9/19/2019
THIS CERTIFIES that the building GENERATOR
Location of Property: 175 Soundview Ave Ext., Southold
SCTM#: 473889 Sec/Block/Lot: 50.-2-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/27/2019 pursuant to which Building Permit No. 43612 dated 4/4/2019
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 Karam,Emaline
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43612 09-17-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
p�S02=1 ,cP TOWN OF SOUTHOLD
�� Gy BUILDING DEPARTMENT
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#: 43612 Date: 4/4/2019
Permission is hereby granted to:
Karam, Emaline
175 Soundview Ave Ext
Southold, NY 11971
To:' install a generator as applied for.
At premises located at:
175 Soundview Ave Ext., Southold
SCTM # 473889
Sec/Block/Lot# 50.-2-4
Pursuant to application dated 3/27/2019 and approved by the Building Inspector.
To expire on 10/3/2020.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CO -RESIDENTIAL $50.00
Total: $235.00
u 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 fiom 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 r
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: Sou n1esyi g-"i Nj r,- F:!6A
House No. Street Hamlet
Owner or Owners of Property: Orn M�e K Arco,
Suffolk County Tax Map No 1000, Section
Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 9)
Applicant Signatur
J
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road L93 Fax(631)765-9502
P.O.Box 1179 a� sea n.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To* Emaline Karam
Address. 175 Soundview Ave Ext city.Southold st. NY zip: 11971
Budding Permit* 43612 section 50 Block 2 Lot. 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Home Owner License No
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition X Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding 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
Generator gKw Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment Transfer Switch Essentials Panel w/ 12 Circuits Used, 50A Overcurrent Protection
Notes
Inspector Signature: Date: September 17, 2019
S.Devlin-Cert Electrical Compliance Form As
Ll I Z 174 s-o „�.�,,.n��,,,
aOF SO(/jy0�
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
- -04
DATE INSPECTOR
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.0
Trustees
C.O.Application
Flood Permit
Examined 20 ® g
Bwp 'Single&Separate
D Truss Identification Form
MAR 2 7 201
9 Storm-Water Assessment Form
Contact:
Approved L ,20_a �-,7,1 _? Mail to:
Disapproved a/c TOWN OF SO 1 01 LD
Phone: � ��L 13
Expiration o 20
BuildiLi IWQer
APPLICATION FOR BUILDING PERMIT
Date 520
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 permitr
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)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Karam
(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
�oposed work will be done:
5Nu�Pw l � r�� �dal
House Number Street Hamlet
County Tax Map No. 1000 Section tk _Bloch 'aJ�''''r' �'' i' )' ' Lot
__... ,i'r;.1'•1; 6, , ';{t:;�,�.".fel}:? .�hiF.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 I/
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work ew 2rG•l`��
,— � \ ,�, (_Description)
4. Estimated Cost l�
(To bpaid on filing this application)
5. If dwelling, number of dwelling units �,. ' Number of dwelling unit'son each floor
If garage, number of cars F•j
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 -y Depth
Height - INumber 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- f 0 0 Rear Depth
10. Date of Purchase Naive 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 NOr—
13. Will lot be re-graded? YES NO--�OWill 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 NOD
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF,'�APFCt �
Cm a] lllr�q� KarciM being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the rr c K,
(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 st RWE don BONALs®pplication are true to the best of his knowledge and belief, and that the work will be
performNgtgMR6MCtnr t,gotffNeWYt)&e application filed therewith.
No.01 MC6224291
Q alified' Suffolk County
Swo ayoATIgs June 2 ,20 cy;20 /4
TRACEY L. DWYER ��
Notary Public NOTARY PUBLIC,STATE OF NEN!YORK Srgriature of Applicant
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
���
COMMISSION EXPIRES JUNE 30,
r
�O��Q�SQ(/ryOl
4
Town Hall Annex Telephone(631)765-1802 i
54375 Main Road CO dax(631)765-9502
P.O.Box 1179 ! roger.richert fown_saufholl(a1 ny us
Southold,NY 11971-0959 �l
yCQUhtn N� i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLiCATION FOR ELECTRICAL INSPECTION
REQUESTED BY- (7y-✓h�2.� "N, Date:
lel i
Company Nanle:
Name: C' --
. i
License No.:
Address: _)5
'50J,'4
Phone No.: Um _ t c
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: �1� S�nr�2w �zT
*Cross Street:
`Phone No.: 44 y _CS(0_y i
Permit No.: i
Tax-Map District: 1000 Section: zi Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
1
*Is job ready for inspection: YES/ NO Rough in Final
*leo you need a Temp Certificate: YES/ NO
Temp Information(if needed) f
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other I .
*New Service: Re-connect. Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
f -
82-Request forinspection Form
I
1
TITLE NO. 12531938
Unauthorized alteration or addition to this survey is a violation of
I section 7209 of the New York State Education Law
iCopies of this survey map not bearing the land surveyor's inked
seal or embossed seal shall not be consida-cd;o be a valid copy. i
.uarcn'ass or c:rti:r_c'ons Ind;ectad hereon shell run only fo the
pe, for whom lho wr•.cy Is prepared,and on his behalf to the
ISLAND SOUND title company,governmental agency and lending inzl;tutlon listed
LONG hereon,and to the assignees of�he#ndmg institution Guarantees
or —fif ohons are nal Iransf to adddtonot immutlons or
- subsequent cwn
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VIEW AVENUE_.z I
SOUND 3� f
All distances to we16 and cesspools are
by location from house owners and field
observations,since most wells and cess-
.S._.y pools are not visible these dimensions SURVEY FOR,
IPir.xc cannot be certified.
MARIE C. GREEN
SOUTHOLD OF NEW ro
TOWN OFSOUTHOLD 0gERT A. 9I
SUFFOLK COUNTY,N.Y. �
14' I GUA A TEE
'; ,• • * I
THE I E TEE PANY
fs r AND A IE C. N.
SCALE=r =40 „
sourOC25,1966
T.
NOTE DEC.,7, /975• LAND SUR T
•=MONUMENT MAR.26,1976 N.Y.S.LIC.NO.9872
NOV./7,1976 JULY 2,1976 RIVERNEAD,N.Y. J{
11. 4
,_
APPROVED AS NOTED
DATE: B.P.
FEE: BY: `RETAIN STORM WATER RUNOFF
NOTIFY BUILDING DEPARTME AT PURSUANT TO CHAPTER 236
765-1802 8 AM TO 4 PM FOR THE OF THE TOWN CODE.
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF'HE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL
INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
�ouu I n
�.O1�kI9�Nl�UI�BOARD
SQakTEES
IVY2.DEC-
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
KVY UUHKU1AN J)LNLJ '
AUTOMATIC HOME STANDBY GENERATORS
Generator Only.Model 7029 7031 7035 7038 7042
7030 7032 7036 n/a
Generator/Prewired Switch Model 100 Amp 100 Amp 100 Amp n/a
Switch Switch Switch
Generator/200 Amp Service Rated Load n/a 7033 7037 7039 7043
Shedding Smart Switch Package Model#
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 @ 1/2-Load 78 124 193 205 184
NG cu.ft/hr
f Fuel Consumption @ Full Load 121 195 312 308 281
NG cu.ft/hr
' Fuel Consumption @ 1/2 Load 36(1.00) 42.8(1,18) 69(1.9) 81 (2.23) 78(2.16)
I ' IPG cu.ft/hr(gal/hr)
♦ Fuel Consumption®Full Load 54(1.50) 73(2.01) 116(3.19) 140(3.85) L134(3.68)
LPG cu.ft/hr(gal/hr)
No Yes
Quiet-Test Mode
63 60 60 58
db(A)at Exercise 62 •�
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 Hit) 48 x 25 x 29
Weight(lbs.)(Steel/Aluminum)
399 407 419 456 476 r
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