HomeMy WebLinkAbout44552-Z guEFO�� ,
Town of Southold 10/3/2020
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P.O.Box 1179
W 53095 Main Rd
o4, � o� s'j� Southold,New York 11971
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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