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S"F0I�cp� Town of Southold 10/24/2019 P.O.Box 1179 a • S 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40805 Date: 10/24/2019 THIS CERTIFIES that the building GENERATOR Location of Property: 2650 Pine Neck Rd. Southold SCTM#: 473889 Sec/Block/Lot: 70.-10-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/20/2019 pursuant to which Building Permit No. 44229 dated 9/27/2019 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 Ostrower,Bernice of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44229 10-18-2019 PLUMBERS CERTIFICATION DATED Authorized Signature r TOWN OF SOUTHOLD o�gVFFO(,�COG BUILDING DEPARTMENT Co TOWN CLERK'S OFFICE 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#: 44229 Date: 9/27/2019 Permission is hereby granted to: Ostrower, Bernice 2650 Pine Neck Rd Southold, NY 11971 To: install generator as applied for. Propane tank must be a minimum of 10' from the property line. At premises located at: 2650 Pine Neck Rd. Southold SCTM #473889 Sec/Block/Lot# 70.-10-2 Pursuant to application dated 9/20/2019 and approved by the Building Inspector. To expire on 3/28/2021. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CO -RESIDENTIAL $50.00 Total: $235.00 Bui ing Inspector 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$15.00 Date. L 49 New Construction: `,X/ Old or Pre-existing Building: t (check one) Location of Property: A!oSO P/NE /V EC r- t+0 t✓V) House No. Street Hamlet Owner or Owners of Property: ��-� l C Suffolk County Tax Map No 1000, Section 1-70 Block Lot O �— Subdivision Filed Map. Lot: Permit No. 7j Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate. (check one) Fee Submitted: $ Ap ! nt Signature oF soUry®� Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q sean.devlin(5-town.Southold.n us Southold,NY 11971-0959 y ®lyCOO,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Bernice Ostrower Address: 2650 Pine Neck Rd city Southold st: NY zip: 11971 Building Permit#. 44229 Section 70 Block: 10 Lot 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Paul Burns Electrical Cont License No: 3897-ME 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 X INVENTORY Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 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 Other Equipment. 200A Whole House Transfer Switch, 11 Kw Generac Generator (Propane), Ground Rod Notes New Generator and Transfer Switch 2Inspector Signature: - Date: October 18, 2019 S. Devlin-Cert Electrical Compliance Form.xls TOV'� N 011i-,SOUTHOLD BUILDING PERMT 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 JL Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined .20A Single&Separate Truss Identification Form Storm-Water Assessment Form 1 Contact: Approved 20 l Mail to: {(PNt_ AP-S ly t�1. dN-SSOL, LLC Disapproved a/c a(o5 .l ASTM i h1& Lr-A s0,r VA0LA Phone: 6 31–4 M-OMN Expiration t:�::,�20 f '` Bu* ctor i SEP 2 0 2019 �"" APPLICATION FOR BUILDING PERMIT -T, Date9 16 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 licant or name,if a corporation) shma- (Mailing address of applicant) State whether applicant is owner, lessee,agent, architect, engineer,general contractor, electrician,plumber or builder N(T Name of owner of premises F-,-N I Cr ®-t-.;rKpUjC�_ (As on the tax roll or latest deed) If a licant is rporation, signature of duly authorized officer PwzT,�(r� 7-s"Oo IZ (N and title of corporate officer) Builders License No. N ,p Plumbers License No. �r Electricians License No. 7'll t Other Trade's License No. -1-t,ter 1. Location of land on which proposed work will be done: 2650 Plr4F— NFUe-- Pb �clr IL-8 House Number Street Hamlet County Tax Map No. 1000 Section '7 0 Block 10 Lot ®2, Strbdivisibn Nb- Filed Map No. 7\1 A- Lot MA 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy -RES 1 NR. 47 ( A— b. Intended use and occupancy ?�FLSi D� ;►If�� 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work C16zN��ii uP, (Description) 4. Estimated Cost �J,Oco Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units UA- Number of dwelling units on each floor IQ& If garage, number of cars N p, 6. If business, commercial or mixed occupancy,specify nature and extent of each type of use. 1,(A- 7. Dimensions of existing structures, if any:Front " &6 . Rear `7'S.b Depth to` Height (cel 2(,` Number of Stories_ ! L S►OP-11 V Dimensions of same structure with alterations or additions: Front tlX Rear AJA, Depth KA- Height N Number of Stories L\IA._ 8. Dimensions of entire new construction:Front N A-- Rear i,1 A- Depth lJt;- Height N le Number of Stories 0 9. Size of lot:Front Poo Rear IS.71' Depth 2®0, 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated '-:4v T�A o to 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO x 13.Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO X gev�XI CF_ 2 Soso P,MIF— r'.krr_CkCA 14.Names of Owner of premises 0STPa wetz Address SoJ i vvit q Phone No.(631-y®7 52 20 Name of Architect KSS Na&gg ilssoc, t-L-C. Address LM Phone No b3l- (433-qo& f Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * 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) S COUNTY OF 5uMV Aji�-VT N J�E +�_ being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, GGIME 41 (S)He is the dz� �`6We b?Now�h„a4 P�0°l�l9�050�pa (Contractor,Agent, Corporate Officer,etc.) l,I ® 1,4imr,kKjt";, l 4W091111liin R5 V(Dil:A1W '�" 40th V 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 forth in the application filed therewith. Sworn Ito before me 's 0,04V day o "20� 0&y�h PL 14 s Notary Public Signkure of Applicant SURVEY OF PROPERTY ,S TUA TIES, { of TONAIN zn$ r 9 Oi J ?' i 4 `t NEW � t`� YORK f'i� ----------- Fount? f� ..J. _ i li...� i -max$;�Z. c J n TAX Me- SCALE �A k ti 4L a„ r Gly`a-�•� �E_ � fi L•iJ�i c'V j E 'i ""=20V 3.-'--^a 5: �Fy _r,.•. '� _�•� FOUND Moll r{ll7i;� �} 5j fl1 �`1 °c•.' L { j t 'M .1 :' ? } SATV-NN { .. tit ! t F qspa°�- He - u i re • 7 'i jY _.•� vvv""" .L1� •'moi fG J-r`L` � 1 j NA- L-401-ANTIo1v 3, 0fq LLQ L j ^i 2 4 .i} �! !1 {�•{j(!! 1 z i CD. 4 =r f =a•� r is 1 �` i�rt Cc(S4`i G':V: ,�YtiD P Vise, TRU"L �Eti's+ cl c[ DtZ k{t! gk 11p cmc;. MOM P-'�'a61 r r_r(1c mpZT ) r 2 n�s�- y�rzrra,s:4.2.�casss> �cE��•-,r s�r�sr;,r-vT,aT•�s :,,,�;w, sr.-a:cnrFs EA R � a -19 4, . C��a c `^ ° :) 'i :, �! t�;i F,�,•f'� — T -i-t y PKS S 9ri7 u4,ArctY 449 t�Y GL65 t •E�-iti r:,..3 .��:i 1 y v :�!1 • I-1 ','Q C�FL4=�s. sat S=-t.£o- r ! z sin — b==D))1a•,rc-t -^✓ �7�..n�7':-:$ 9 t� �y t) tc�:JGX er..•e '53 t; t OBS 3 ttRYAJE i •Sig;..0^-�0 P.;-r' 1 l i�r�i.=ice~�, tiff '�a� i 1! �.C+•.Sti�.y-_�� h'Gi Cry gl3`¢la M A .! _� 'l�4iE t 'S Tri`• 4 f}--``ii !- � ( G$Ja°Cq t,;sa^ pct•:-t=;crate i�v: _,.R-.•--_ rd :rain 1 -:n i MAP r �L'JCi ? �ir~�"ilt�;? � u{STi:.y�• tUOG �'•_i"�" as s�� o' a F>J;; �i� x OF: RiISTJ ar. \la:�jTr�- t4 •.�rt:'ae'9'<r c�esT�� car�q a=rs- � of �t.r'L%;;'.� ^a`_:.e• i tis =:4��4 :rte �:re;:;ri r e c�L �t 11"n i:��-_; •;° �J1. t= ,�q fc�>•¢:9 E� pan ss PrecY<e er c,�,ess SOL,--- n j{lies 1• i a- r3G-LLQ T(7��r;'j r Nr f1 SOUT}FOLD ! 7 r Co y• '+a �n'4�a^{ t•eJ-. 11�.i!'_ o ! titisl��� ;v ?u3t: �. CC Ali Ca V-1: li 1LLi�`� r ;! ir• r4riezetr� cre r s 2 it t '� r_s•. 4 1 rli-,liC? {� y .r4 lea\f Lli// ti•='i Sa-•2�' � - li:l t4..AAr'+I:nJCJl `{ JULY 2`t4 1 r -'-- JULY Zia 2ID 17 i ' - 0 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD i ?A 3i 'l`own Hall Annex - 54375 Main Road - PO Box 1179 ii= ' Southold, New York 11971-0959 `s Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov seand(�southoldtownny.gov APPLI.CAT1,O-N FOR ELECTRICAL INSPECTION, ELECTRICIAN INFORMATION (All Information Required) Date: /o-./� Company Name: �,�vs. �J� -s Fcry(. CZoft-_ LPVV , Name: License No.: 17MF- email: Address: Phone No.: (D3 I- 3G S-- 11`13 5_ JOB SITE INFORMATION (All Information Required) Name: '���1Tc.0 ©S' Address: gc.So Cross Street: Phone No:: 91- 3 :7 -709_ (F�_ KC'"L) Bldg.Permit#: ` email: 5s6,ib 5 o Tax Map Map District:. 1000 , - Section:_, t7'8 Block: _10 Lot: 2 _ 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 /0 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 Reconnected- Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information:. .PAYMENT-DUE WITH APPLICATION Request for Inspection Formals r z C� APP OVER AS NOT DATE: B.P. # EE: 6 BY: 'RETAIN S NOTIFY BUILDING: DEPARTMENT AT STORM WATER RUNOFF 765-1802 8 AM TO 4 PM FOR THE PURSUANT TO CHAPTER 236 FOLLOWING INSPECTIONS: OF THE TOWN CODE. 1. FOUNDATION - T.V% REQUIRED FOR POURED CG,V,;RFTE 2. ROUGH - FRAMi°lk,; & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR Co. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE:- AS REQUIRED AND CONDITIONS Or I41CT PI ANNING BOARC $O TjJ:l0 TRUSTEES OCCUPANCY OR USE IS UNLAWPU WITHOUT CERTIr � f�,� } OF OCCUPANCY r� Pott 1 Air I Chain Lawn f Leaf I Pressure k Snow Sum j Water DAECT Compressors ! Saws Mowers , Blowers Washers I Blowers Pumps Pumps , More 0 Free Shipping On Electric Generators(Lower 48) Welcome I Sign In or Contact Us ELECTRIC GENERATORS (Search Electric Generators • Cart:0 items Call Us.1(800)800-3317 Portable Home Standby Commercial E RV PTO I Transfer Switches Accessories ,0 GENERATOR l O I I iart Sizing Find the Right, s oe GEMERAC' Generac GuardianT" 11 kW Aluminum Standby Generator System (200A Service ° Disconnect+AC Shedding)w/Wi-Fi+QwikHurricane0 Pad + Battery Our Price Shipping Info - -` Model: EGD-70331 KIT-QT8200 GENEaAC* � ---.-..�.� 3g736°98 ® Chat with an Expert T, As low as$121/mo at 10%APR with affi�. Prequalify now M-Stock Ships Friday,Sep 20th Free Shipping Click to Enlarge Image _ I Free Lift Gate Service-Learn More Add-Ons 0 Add Lift Gate Service FREE Learn More O FREE: Have 1 installer contact me for a quote. V Learn More Qty. 1 e o o ! w.,w�, - e •e•• a •• e : e a eee e• a e. .., s q u i [ftp 1�!{,.��.r.�yVSp (�' �'.'r� � v e e e 1 e •a 'e B a Pr LUJUt,•1F`:u,7.1`A'�UI�� �•—�.SA); E•'•' B e I • B B B: 0 •de a Reviews Product Q&A Recommended Accessories How-To Articles i Manuals https//www electricgeneratorsdlrect corn/Generac-Guardian-EGD-70331KIT-QT8200-Stand by-Genera tor/p99241 html 9/19/19,1.00 PM Page 1 of 4 �V 11,000 ® 120/240 oEN, ERS Rated Watts Single-Phase , Features i Specifications 11 kW(LPG)/10kW(NG)Guardian Standby Generator System Product Specs • Protects your home and family during a power outage ��— • Protects your home and family during a power outage Voltage 120/240 Single-Phase • Digital Power Management(DPM)protects against overload -- ----- Frequency 60 Hertz Includes Mobile Link'WI-Fi Remote Monitoring* Rated Watts 11000 Watts • Monitor generator status on a smart phone,tablet or PC Surge Watts 11000 Watts • *Requires internet connection and wireless router Fuel Type LP/Natural Gas Includes 200-Amp Service Entrance Rated Automatic Smart Switch NG Power Capacity 10000 Watts • Installs between main meter&service panel for faster&less costly installation LP Power Capacity ^11000 Watts _ • DPM technology allows for the Smart Control of(4)A/C units NG Fuel Consumption @ 50°i 107 ft3/hr • Great for homes with multiple Air conditioners(24 VAC controlled) Load NG Fuel Consumption @ 100% 159 ft3/hr Add Up To(8)Smart Management Modules(SMM)(Sold Separately) Load • Frequency(Hz)monitoring design,no control wire required — • Versatile design,easily prioritize loads&lock-out non-essential loads LP Fuel Consumption @ 50°i 1 22 gallons/hr • Have your questions answered when it's convenient for you Load LP Fuel Consumption @ 100% 1.97 gallons/hr Generac's G-Force Engine Load • Specifically designed for the demanding environment standby Rated Amps 45 8 Amps generators endure • Full pressure lubrication system w/2 year oil change interval Decibel Rating @ 7m® 63 dbA Transfer Switch Automatic(Included) Operates On Clean Burning,Efficient Natural Gas or LP(Vapor) Transfer Switch Amperage 200-Amps • Connects to your existing LP or natural gas fuel supply Battery Included True Power Electrical Technology Enclosure Aluminum • Less than 5%Total Harmonic Distortion(THD)for utility grade power -- A/C Ton Rating 2 x 3-Tons Automatic Digital Voltage Regulation(+/-1%) Mounting Pad `Composite(Included) _ • Allows for faster response time&maximum motor starting ability Transfer Switch Style Service Disconnect ATS Load Shedding Built-In Evolution"2.0 Digital Controller -- • Multilingual,2-Line LCD display for simple,straightforward operation ATS Poles 2 Poles • Programmable-exerciser lets you set how often&what time generator ATS Service Disconnect Yes will self-test — -- --- ---- Cooling System Air Cooled Tough,Durable All-Aluminum Sound Attenuated Enclosure UL Listed Yes • RhinoCoat'°powder-coated finish keeps enclosure protected from the elements Grade Type Emergency — Wi-Fi Remote Monitoring Yes Installation Flexibility* https•//www.electricgeneratorsdirect corn/Generac-Guardian-EGD-70331KIT-QT8200-Stand by-Generator/p99241 html 9/19/19,1 00 PM Page 2 of 4 • Can be installed within 18'of a building,*Always check local building codes Engine Generac Standby Generators&Engines-Built In The USA* Engine Brand Generac OHVI �^ • Built in the USA using domestic&foreign parts — —— Starting System 12v Auto Start Additional Features: CC 530 CC • Flexible fuel line and Direct-To-Dirt composite mounting pad Consumer Engine Warranty 5 Years • Built-in Battery Charger - - - — Commercial Engine Warranty 5 Years Includes QwikHurricane®Universal Generator Pad' Engine RPM 3600 RPM • Lightweight,Easy-To-Install Design • Forms a solidus gel and weighs 330 lbs.when filled Low Oil Alert/Shutdown Yes - Overview Product Includes -��� --- -" Made in USA Yes o (1)Generac Guardian'11 kW Aluminum Standby Generator Weight 348 Pounds System(200A Service Disconnect+AC Shedding)w/Wi-Fi - --- -- (70331 Product Style Standby Generator o (1)QwikHurricane®Universal Generator Pad'For Air-Cooled Product Length 48 Inches Standby Generators(QT8200) Product Width 251 Inches o (1)UN2794,Battery,Wet,Filled with Acid,8 PGIII Emergency 800- Product Height 28.5 Inches 424-9300(5819) Consumer Warranty 5 Years �T Commercial Warranty 5 Years 70331 Specifications + QT8200 Specifications + 5819 Specifications + People viewing this item also like Currently Viewing I tt r s"x ar (0) (25) 4 "^%t" (7) Generac Guardian'11kW Generac Guardian"11 kW ! 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