Loading...
HomeMy WebLinkAbout44552-Z guEFO�� , Town of Southold 10/3/2020 e P.O.Box 1179 W 53095 Main Rd o4, � o� s'j� Southold,New York 11971 r�gjF CERTIFICATE OF OCCUPANCY No: 41498 Date: 10/3/2020 THIS CERTIFIES that the building GENERATOR Location of Property: 68555 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 33.-5-13.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/13/2019 pursuant to which Building Permit No. 44552 dated 12/23/2019 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 Henry,Paul of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44552 9/23/2020 PLUMBERS CERTIFICATION DATED Authorized Signature �o�SUFF ��.co TOWN OF SOUTHOLD ay BUILDING DEPARTMENT 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#: 44552 Date: 12/23/2019 Permission is hereby granted to: Henry, Paul 68555 CR 48 PO BOX 2111 Greenport, NY 11944 To: legalize an "as built" generator as applied for. At premises located at: 68555 CR 48, Greenport SCTM #473889 Sec/Block/Lot# 33.-5-13.1 Pursuant to application dated 12/13/2019 and approved by the Building Inspector. To expire on 6/23/2021. Fees: CO-ACCESSORY BUILDING $50.00 ELECTRIC $170.00 A CCESSORY $200.00 $420.00 Building 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 I%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 I Date. New Construction: Old or Pre-existing Building: -_"aMe0kr check one) Location of Property: VAS!S_ 'R-'•4 W House No. Ac-rly-q Street Hamlet Owner or Owners of Property: Pa,1 Suffolk County Tax Map No 1000, Section Block `� Lot Subdivision ,r Filed Map. Lot: Permit No. �`� Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: / Planning Board Approval: / Request for: Temporary Certificate Final Certificate: y (check one) Fee Submitted: $ 5D Applicant Sig6ture F OSO(/ry®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • Q sean.devlin(aD-town.southold.ny.us Southold,NY 11971-0959 ®lyC®UNT`I BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Paul Henry Address: 68555 CR 48 City Greenport st: NY zip: 11944 Building Permit# 44552 Section 33 Block: 5 Lot 13.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA. Thomas Guldi Electric License No: 2879ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Generator X INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures 11 Pump Other Equipment: Kohler 40kW 4 Pole Generator Notes: " AS BUILT, NO VISUAL DEFECTS " Generator Inspector Signature:—T�- Date: September 23, 2020 S.Devlin-Cert Electrical Compliance Form xls SOOlyolo Hy C�'� S S > l4-Lfa * # TOWN VOF SOOT D BUILDING DEPT. °ycourrn��'' 765-1802 -N-SPECTION [ ] FOUNDATION 1ST [ " ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] :INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) TIA ELECTRICAL (FINAL) [ ] CODE VIOLATION rl PRE C/O REMARKS: L rG //,a /v Jr� &r4 I OA DATE PH INSPECTOR TOWN OF SOUTHOLD couwm!au Exbl«z t+VsA"i _—BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Nc'�tsl?I,�aOa#��l1 r;er9�lh Do you have or need the following,before applying? TOWN HALL L4019tA s apl€c'?bq1c of1 6trti%Af�� � � "W.KI�_1lF {li 0 W 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 Truss Identification Form Stonn-Water Assessment Form 2 2 1 9 Contact: Approved 20 Mail to: Disapproved a/ Phone: ly. Expiration ,20 ilk LEao ,o0) c Buildin nsp or ( i t2te APPLICATION FOR BUILDIN �- DEC 1 3 2019 Date I�-� l 3 , 20 19 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. id (Signature of a licant or name,if a corporation) b,B�x /11 6 re-enP6 f* (Mailing address of applicant) P L?4q State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder l/ _ _ (D W"F Name of owner of premises- �Ae-n)D,� (As on he 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 whichroposed work will e done: �nn h S S 'Ri , 4S- House Number Street Hamlet County Tax Map No. 1000 Section -:33 Block J Lot 13, 1 auuuivialuil rlieu iviap IN 0. Loz 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work�eXcr�-z�Y (Description) 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 constriction 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 9'6a111 6(e 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. a STATE OF NEW YORK) SS: COUNTY OF �& Lbeing duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contrac 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 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 to before me this 4 /3 day of 20// MLIA G,K. 01�Q 4 Nota Public bl ' 5i�iffo�lk(bu13 Signat e of Applicant ow res May 3>>, y , t BUILDING DEPARTMENT-Electrical Inspector G' TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Y' Telephone (631) 765-1802 - FAX (631) 765-9502 =' t _ro errsoutholdtownn ov seandPsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTIQU- ELECTRICIAN INFORMATION (Ail information Required)' Date,:- /a Company'Name: o_, S L r LTb License No.: 9 1\4 E email: - --= - -Address: Phone (o Phone No.: — JOB SITE INFORMATION (All Information Required) ; Name: - Address: -- Cross Street: Phone No. l — Bldg.Permit email: Tax Map District: 1000 Section: ; ,� Block:_ S Lot: J; BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: NO Rough In Final ; Do you need a Temp Certificate?: YES / NO 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 APP`LlCATt0 16" Request for Inspection Formals 1� , sw � BUILDING DEPARTMENT-Electrical Inspector ,F ; TOWN OF SOUTHOLD qf ., w d,'� = e* Town Hall Annex- 54375 Main Road - PO Box 1179 , Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 h � '' rogerrL&southoldtownny.gov- seand a southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: /a it Company Name: o q-vLS v LEf inc , C b - Name: d - License No.: ,9 cl Nl E email: Address: bR4, o (� Phone No.: I- - JOB SITE INFORMATION (All Information Required) Name: Q � Address: Cross Street: IMCCCL-VI n LV-) aic± Phone No.: 3 - -11— :" Bldg.Permit#: email: Tax Map District: 1000 Section: . 3 Block: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: ES NO Rough In Final Do you need a Temp Certificate?: YES / NO 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 FormAs V 12/12/2019 Kohler Power:KD40UM:40 kW:KD40UM Diesel Generators.Industrial Generators-Asia Pacific LER® 40 kW r Diesel Generators!KD40UM Return to Results = Specifications e Prime Ratings: 36 kW(36 kVA) Standby Ratings: 40 kW(40 kVA) o Vii` Hertz: 60 Hz Alternator Type: 4-pole,Rotating-Field Engine Manufacturer: John Deere Engine Model: 3029TFS29 Cylinder Arrangement: 3 Inline Max Power at Rated RPM: 48 kWm(64 BHP) AP P r 0VED "3 �@�^,,_�•�. Prime Fuel Consumption..i 2� i d 100%load: 11.2 Lph(3 gph) DATE: 7' B P #}.18y 75%load: 8 7 Lph(2 3 gph) 50%load: 6 Lph(1 6 gph) FEE:VY �BUiLDlr,NG q-=� �y------ NOTI DE-PAFI T MEN T AT 765-1802 8 AM TO 4 PM FOR THE aa FOLLOVIING INSPEC-1IONS: y a I. FOUNDATION I NO REQUIRED g FOR POURED CONCRE=TE �3 ' �i��A��9��u—UL 2. ROUGH - FRAMING & PLUM2;NG Gs r N9 jU ni� '17 CE TI � 4. FINAL/�T�OINi°TRUCTIOiN MUST =rte OCCUPANCY BE COMPLETE rt)R C.O. p a9 t ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR` DESIGN OR CONSTRUCTION ERRORS. E'-E"':rMCAL INSpiCRON REQUIRED COMPLY WITH ALL CODES OF fVcl#V YORK STATE & TOWU CODES AS RLQUIRED A7TOWNZBA OF SO SOBOARD SON.YB us ng EI"�.`il:'_'. Yo..Zgfe4jd m o-i,.sa ccf cookies, I consWant to know more? Read our CoWe Policy www.kohlerpower.sg/industrial/detail.htm?sectionNumber-13261&categoryNumber-11961&filter 1=60 Hz&prodnum=248361 1/1 12/12/2019 Kohler Power:KD40UM 40 kW:KD40UM Diesel Generators Industrial Generators-Asia Pacific HLER® 40 kW Diesel Generators/KD40UM Return to Results 9 SpecificationsX, Prime Ratings: 36 kW(36 kVA) Standby Ratings: 40 kW(40 kVA) Hertz: 60 Hz Alternator Type: 4-pole,Rotating-Field Engine Manufacturer: John Deere Engine Model: 3029TFS29 APPROVED AS NOTEM Cylinder Arrangement: 3 Inline Max Power at Rated RPM: 48 kWm(64 BHP) DATE: �Z'-Z , Prime Fuel Consumption..c FEE, 100%bad: 11 2 Lph(3 gph) NOTI'"Y BUILDII G i;;_�A Tti�C: AT 75%load: 8.7 Lph(2.3 gph) 165-1862 8 Ali 10 1 "1111 FOR THE 50%load: 6 Lph(1.6 gph) FOLLOWING INSPECTIONS: �. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE �r-q fl �� o e � 2. ROUGH - FRAMING & PLUMBING � � 3. INSULATION ELECvusT 11UNLAWFUL BCOMPTFOR CO. 'AflffFIOUT CER I RCATE ALL REQUIREMENTS OF ION SHALL E OF THE CODES SOF NEW OFur,CA'I Cy YORK STA1E. NOT RESPONSIBLE FOR DESIGN OR _CONSTRUCTION ERRORS. COMPLY WITH ALL CODE=S OF IVEW YORK STATE= & TOWN CODES AS REOUIRED OF SOUTHOLD TOW 5p ®t1 REQ�R� SOUTH OWN PLANNING BOARD THOLD TOWN TRUSTEES N.Y.S.DEC By us x;tt.:. I.E'. 01,:i FC.l`. C.a ... 'c,. t., i con8e3 3t to Gooki.S ^ir'c.0 rr:e'l Read our Gonkie Policy www kohlerpower sg/industrial/detail htm?sectionNumber-13261&categoryNumber-11961Ulter_1=60 Hz&prodnum=248361 1/1