HomeMy WebLinkAbout44240-Z o�gUFfOt,�c®G Town of Southold 10/8/2019
P.O.Box 1179
a
0/ 53095 Main Rd
Southold,-New York 11971
CERTIFICATE OF OCCUPANCY
No: 40750 Date: 10/8/2019
THIS CERTIFIES that the building GENERATOR
Location of Property: 230 Willis Creek Dr., Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.-17-17.9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/23/2019 pursuant to which Building Permit No. 44240 dated 10/1/2019
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:
"AS BUILT"ACCESSORY GENERATOR AS APPLIED FOR
The certificate is issued to Finn,Herbert&Maribeth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44240 10-02-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
Of Fat TOWN OF SOUTHOLD
goy° �p�y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . 04SOUTHOLD, NY
'alp! 0
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#: 44240 Date: 10/1/2019
Permission is hereby granted to:
Finn, Herbert
230 Willis Creek Dr
Mattituck, NY 11952
To: legalize an "as built" generator as applied for.
At premises located at:
230 Willis Creek Dr., Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-17-17.9
Pursuant to application dated 9/23/2019 and approved by the Building Inspector.
To expire on 4/1/2021.
Fees:
AS BUILT-ACCESSORY $200.00
ELECTRIC $170.00
CO -ACCESSORY BUILDING $50.00
T $420.00
Building Inspector
TOWN OF SOUTHOL D
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
ith the following:
This application must be filled in by typewriter or ink and submitted to the Building Department w
A. For new building or new use: e lines streets, and unusual natural or
1. Final survey of property with accurate location of all buildings, prop rty
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3_ Approval of electrical installation from Board tthathe solder used in system contains less than 2/10 of 1% lead.
Fire Underwriters
4. Sworn statement from plumber certifying
ee
ti le rens ble for thenimilar g.Buildings and installations, a certificate
5. Commercial building, industrial building, m
of Code Compliance from a responsible
requirements.
6. Submit Planning Board Approval of completed site
ses, or
s and
B. For existing buildings (prior to April 9, i95 ro nem lines,streetsubuilding and unusual natural or tolpographc uses:
1. Accurate survey of property showing property _
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 m$5$50.00,Additions dwelling
accessory building$50 OOt Businesses$50-00-
2.
0 00.
o dwel
Swinvmang pool$50.00,Accessory building
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 pp ff
Date. 6? Z,3 I
New Construction: Old or Pre-existing Building:
check one
� �e C V� CjV.
Location of Property: Street Hamlet
House No.
Owner or Owners of Property: '-oh
— Block Lot
Suffolk County Tax Map No 1000, Section
15 ��
Filed Map. Lot:
Subdivision
Permit No_
Uf j�v Date of Permit. Applicant:
Underwriters Approval:
Health Dept_ Approval:
Planning Board Approval:
Final Certificate: k one)
Request for: Temporary Certificate
Fee Submitted: >0
Applicant Signature
pE SO!/Pg®�
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G sea n.deviint�town.Southold.n us
Southold,NY 11971-0959 Y'
®lyC®UNi`1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. Herbert Finn
Address: 230 Willis Creek Dr city:Mattituck st: NY zip: 11952
Budding Permit# 44240 section. 115 Block: 17 Lot: 17.9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA- All Wright Electric License No: 43457-ME
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 Survey X Attic Generator X
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO 11
Other Equipment 200A Whole House Transfer Switch, 22KW Generator
Notes: " AS BUILT " " NO VISUAL DEFECTS "
Inspector Signature: Date: October 2, 2019
S.Devlin-Cert Electrical Compliance Form As
�O�a04 SOUIyo� q
# TOWN OF SOUTHOLD BUILDING DEPT.
courm,�' 765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) A& ELECTRICAL (FINAL)cc/?r/40A,0-
CODE VIOLATION [ ] CAULKING
REMARKS: It
®
DATE O Z INSPECTOR ��
FIELD INSPECTION REPORT DATE COMMENTS
b
C=i
FOUNDATION(IST)
H
------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING
a
INSULATION PER N.Y. H
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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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 �110
�� Survey
South oldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
i/•v� Trustees
(fes" �? 1 �-.� C.O.Application
Flood Permit
Examined 20 ; p Single&Separate
i -
SEP 2 3 2019 Truss Identification Form
Storm-Water Assessment Form
( IL711, 1I"p TAS'., �•� Contact:
Appioved 120_ 6-M-
Disapproved a/c
Phone: 61` `' Z'l -9 Z 3 v
Expiration ,20
ing I spector Additi®nal
UNLAWFUL APPLICATION FOR BUILDING PERMIT Certifica on
USE �ib
IUT CERTIFICATE May Be Required.
Date , 20
OF OCCUPANCY 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.
APPROVEDAS NOTE (Signature of applicant or name,if a corporation)
DATE:
(oh 61, B P.#f 0 :Z• o
(Mailing address'of applicant)
FEE:R �� BY' -OL ,
N TIFY BUILQNC]i UEP,AF i,1iE T AT
State e,4 a@p���r Tbis4oiyi�ler}O s���, agent, architect, engineer, general contractor, electrician, plumber or builder
F01 l rnNIMIG INSPECTiCNIS-
1. FOUNDATION - TWO REGIED
Name oiFGRrR0U0fVe1 d$QRETP_ ( in 1()
2.;ROUGH - FRAMING &'-PLUN131NG (As on the tax roll or latest ARe44 Y WITU n r OF
If applicalh`ILik/ffro`l`poration, signature of duly authorized officer _ f,ES
4. FINAL - CUgSTRUC T ION MUST P.� r, , ,
^^���� RkiEtf§cWPc&i '1orateofficer) AS REU JIF-,cv � �.� _� 1iONS OF
Build�f-�'LgPNN WOTION SHALL MEET THEPlu
Electr� �n: Ew
- -
Other ra e s L�ce6�nbseto. " ERRORS.
1. Location of land on which proposed work will be done: Y.S.DEC
S?)()W l In - P X12 I Or
House Number Street Hamlet
Lot
County Tax Map No. 1000 Section Block �' " '7-
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 fiLWA-�
5
b. Intended use and occupancy SC +rri�
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition er W
(Description)
Estimated Cost Fee ;
r s�(To be paid on filing this application)
5. If dwe 1 g, number of dwelling units Number of dwelling units on each floor
If garage, umber of cars
6. If business, coimne 'al or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing struc es, if any: Front ,� Rear epth
Height ber of Stories
Dimensions of same structure with alte tions or additions: Front Rear
Depth f�;, �fi?; ., Height ber of Stories
8. Dimensions of entire riew construction: Front Rear Depth
Number of Stories
9. Size of lot: Front Rear th
10. Date of Purchase Name of Former Owner
11. Zone or use district in w ' premises are situated
12. Does proposed nstruction violate any zoning law, ordinance or regulation? YES
13. Wi t be re-graded? YES NO )�-, Will excess fill be removed from premises?YES NOS
4. 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 0 1
d " / being duly sworn, deposes and says that(s)he is the applicant
( me of individual si ing contract)) above named,
(S)He'is the
( ontractor,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 knowledge and belief; and that the work will be
performed in the manner set fortfi"iri the application filed therewith.
Sworn t before me this
day of 20 1 Ci
TRACEY L. DWYER
NOT-1 R"PUBLIC,otai P he NO.01
STATE i nature of Applicant
0 �' NO.01 DW6306900 g pP
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2W a—
co BUILDING DEPARTMENT- Electrical Inspector
Gy TOWN OF SOUTHOLD
o Town Hall Annex - 54375 Main Road - PO Box 1179
o 'x Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.gov - seand(aD_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: G'�[�h �--4(
Name: �.-
License No.: email:
Address: Zt3 u U kS C vt+'
Phone No.: j 6 - ,3 Ck S—Z Uv
JOB SITE INFORMATION (All Information Required)
Name: fi�vt i JP'ce,
Address: 30 C---e-e/< c�(✓
Cross Street:
Phone No. 3C
Bldg.Permit email:
Tax Map District: 1000 Section: / Block: / -7 Lot: !7, 6A
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES NO Rough InFinal
Do you need a Temp Certificate?. YES /(:NO Issued On
Temp Information: (All Informat' required)
Service Size 1 Ph 3 Ph Size: A _ # Meters Old Meter#
New Service - Fire Reconnect - Flood Reconnect - Serv' Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame ole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form AsPee
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GE N E R AC® PO BOX 148
NORWALK,CT 08852-0148
E"
September 25, 2017
HERBERT FINN
230 WILLIS CREEK DR
MATTITUCK, NY 11952
- -- — Dear HERBERT ---- - --- - -- - ------ � ----• - —- - - - ---
Thank you for purchasing a Generac 10-Year Limited Warranty Extension from Generac Power Systems
for your product. Generac Power Systems brands are designed to provide a reliable solution to the
inconveniences and safety concerns associated with unexpected power outages.Your 10-Year Limited
Warranty Extension has been registered as follows:
Name: HERBERT FINN
Address: 230 WILLIS-GREEK DR
MATTITUCK,NY 11952
Authorization Code: 40198826
Serial Number Model Description Effective Date Expiration Date
8985282 22KW/999 GUARD+ 11/18/2014 11/15/2024
200A SE AL
Your Generac 10-Year Limited Warranty 1=xtension covers 10 years parts and labor. Proper maintenance
is essential to ensure reliable operation of your generator.Scheduled maintenance,as outlined by the -
--generatotn=erls-maiwalr-is-hi y-.recommended SSchedqted-maim nance-shoun- be pedlar-1 u bywfi- —— —
Authorized Generac dealer,or a branch thereof.This will xpfifY that service has been performed on-the
unit throughout the warranty period.Your product must be registered and Proof of Purchase and
Maintenance must be provided at the time a warranty claim is filed. Failure to satisfy these conditions
will void the 10-Year Limited Warranty Extension.The Generac 10-Year Limited Warranty Extension
Statement will be provided by Generac Power Systems.
You have made an important investment to protect yourself against potentially damaging power
outages.Thank you for choosing a product manufactured by Generac Power Systems,Inc.
Sincerely,
Generac Power Systems, Inc.