HomeMy WebLinkAbout45503-Z 0SUFFnt�
�0 CdG u Town of Southold 1/23/2021
ti� • P.O.Box 1179
o -
"' T 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41770 Date: 1/23/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 805 Water Terrace, Southold
SCTM#: 473889 Sec/Block/Lot: 88.-6-13.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/16/2020 pursuant to which Building Permit No. 45503 dated 11/30/2020
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 Miller,Cynthia&Kenneth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45503 1/12/2021
PLUMBERS CERTIFICATION DATED
uthorized ignature
�SUF�n � TOWN OF SOUTHOLD
o aye 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#: 45503 Date: 11/30/2020
Permission is hereby granted to:
Miller, Cynthia
227 Crescenzi Ct W
West Orange, NJ 07502
To: install a generator as applied for.
At premises located at:
805 Water Terrace, Southold
SCTM # 473889
Sec/Block/Lot# 88.-6-13.8
Pursuant to application dated 11/16/2020 and approved by the Building Inspector.
To expire on 6/1/2022.
Fees:
ACCESSORY $100.00
CO-ACCESSORY BUILDING $50.00
ELEC $85.00
Total: $235.00
r�
uilding Inspector
Form No.6
TOWN OF$OUTHOLD
BUILDING DEPARTAM,NT
TOWN HALL
'T65-1S4�
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:
I. Final survey of property with accurate location of an buildings,property lines,streets,and unusual natural or
topographic.features.
2. Final Approval from Health Dept.of water supply and sewetage-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 sim ilarbuildings and installations,a certificate
of Code Compliance from architect or engineer-responsible for the building,
6, Submit Plaming Board Approval of completed site plan requirements.
D. For existing'buildings(prior to April 9,X957)tion-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 4.pplication,and consent to inspect signed by the applicant If a Certificate of Occupancy is
denkd,the Building Inspector shall.std 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 budding,50.00,Additions to accessory building$50.00,Businesses$50.00.
2.. Certificate of Occupancy on Pro-existing Building- $100.00:
3. Copy of Certificate of Occupancy-$.25
4. Updated Cextiffcate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. a
New Construction: Old or Pre-existingBuildirig g.! eck one)
Locfationofftmo ty: y W °� �fr/�+IvC� �oyVy
HouseNo. Street Hamlet
Owner or Owners of Property: L< V.-
Suffolk
!LSuffolk County Tax Map No 1000,Section �� Block � Lot 0
Subavision Filed Map. Lot:
Permit No. 5 5D Daft of Permit. Applicants
I ealth Rept.Approval: Vnderwriters Approval:
Planning Board Approval:
Request for. Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ 5 0
i
Applicant Si clue
SO(/�y�l
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
NC
P.O.Box 1179 G Q
Southold,NY 11971-0959 '`O • ao sean.devlin(c�town.southold.ny.us
lyC®UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Cynthia Miller
Address: 805 Water Terrace city Southold st: NY zip: 11971
Budding Permit#: 45503 section: 86 Block: 6 Lot 13.8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: DAK Electric License No: 5120ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Generator X
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment 20kW Generac Generator w/200A Transfer Switch
Notes Generator
Inspector Signature: SIZ—A Date: January 12, 2021
S.Devlin-Cert Electrical Compliance Form As
OF SOUlyolo
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ 1 ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ( ] PRE C/O
REMARKS: �� ae
DATE ' INSPECTOR -
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) u
lA��
--------------------------------
FOUNDATION(2ND)
z
o
)lqp\
ROUGH FRAMING&
y
PLUMBING
INSULATION PER N.Y.
V
STATE ENERGY CODE
FINAL
• n
ADDITIONAL COMMENTS
O
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CIIECKLIST
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. 7 Check
Septic Form
N.Y.S D.E.0
Trustees
C.O.Application
Flood Permit
Examined 20_ Single&Separate
Truss Identification Form
Storm-Water Assessment Form
7-?6 Contact:
Approved 20 Mail to;
Disapproved ale
Phone; _
Expiration--"' -� ;3, _;20" . < �.f
i
i g Inspectorl'.�6 L � U NII L Aa U�6�F
N O V 1 6 202APPLICA41014 FOR BUILDING PERMITV'T €11
it 1p
V=MCAL IRsPECnON REQUMW _ Date lC 1- 0 U �f
INSTRUCTIONS
a. 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 apermit
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 over 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.'Ibereafter,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 e, d regLtmk
nd tit
authorized inspectors on premises and in building for necessary inspections.
Gr
A��PR0VE-D �� N"i")�° t
DATE. ///�pz� B-J $ (Signature of applicant or name,if a corporation)
PE
{Mailing affdress of applicant) f9 k5 ok,
NOTIFY 2jF! !)I !t i t AR T FNT AT CO
165-1302 Statg,w�h�t gppl�s oyvpEr,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
FOLLOM 4� ,
f• T '7 C ;r.'1PLa., Wl�i-H ALL CODES Oe-
�. 1'QUP`j��,4, {iih� 111Nameof �1� r„-r�r r, r� KEN --t %-1 �- l� (lid`s(
FOR POURED Ci_7NCRet of PCmt§�M � (As on the tax roll or latest d VV YORK ST,'7A L 1r1/I'J CODES
2. !?OU0HIfAp�lidarit;isacorpo sAgnaturt of duly authorized officer AS REOUIfRE® M NS OF
3. !NSUL AT-10N
4.
FINAL - C C)!• a tie ",corporate officer) SOUTHOLD T A
EaE C� I uilders L im eNo.,o ,l r
P10mUets'T ncense�I�To. SOU OLD TOWN PLANNING BOARD
ALL CONS1ElectriaiansL`iceriseNb,F r'1
REC)UIRE�,�I€'oda T:f,d'e'' ! ieett�eiNo{�::-,�,� SO HOLD TOWN TRUSTEES
YORK STATE. NOT RES -Uoasls� I� r N.Y.s. � 1� t l
DESIGN Ol;l C J afar �n�hF_ o sed work 'I be done:
HcusMuimbLfr Street Hamlet `�
County Tax Map No. 1000 Section Block Lot 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 occupancyM� t SCS
b. Intended use and occupancy Cln��
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
escription)
4. Estimated Cost � l2 i� Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units _� Number of dwelling units on each floor 1
If garage, number of cars *I-
6.
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:FrontRear Depth
Height Number of Stories CA�A
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 ('lam,cx,j�--
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 construction violate any zoning law,ordinance or regulation?YES_NO-7-1--
13,Will lot be re-graded?YES NO 0Will excess fill be removed from premises?YES_NO yr
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
*1F YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO—Ili&—
*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 FTfQ lC F L. MCDONALD
*IF YES,PROVIDE A COPY. Notary Public-State of New York
No.01 MC6224291
STATE OF NEW YORK) Qualified in Suffolk County
pp SS. My Commission Expires June 28,20
COUNTY OFrJlJI-,-!eO
XetLJ e/ L—r `-I 1 I,M being duly sworn,deposes and says that(s)he is the applicant
—°(Name of individual signing contract)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 thiss-,�
day of tJ 1 l.�Lsrd z0 �D
Notary Public Signature of Applicant
BUILDING DEPARTMENT- Electrical Inspector
��O CGy TOW_ N OF SOUTHOLD
o Town Hall Annex - 54375 Main Road - PO Box 1179
o - Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
royerrasoutholdtownny.gov — seand(@-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: JD12-e-t -X_)
Company Name:
Name: �- K
License No.: email: SS%wr
Address: Pca 4-1- N�K-
Phone No.: -�
JOB SITE INFORMATION (All Information Required)
Name: eA
Address: f3O 5 S6 1J-\kC-.Q
Cross Street: 1 N►.` �--N
Phone No.:
Bldg.Permit#: �j l email:
Tax Map District: 1000 Section: 169 Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) _
G
s
Circle All That Apply:
Is job read for inspection?: YES /� y Rough In f Final
Do you need a Temp Certificate?: YES /Q 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
SVFFp��. BUILDING DEPARTMENT- Electrical Inspector
TOW_ N OF SOUTHOLD
c Town Hall Annex- 54375-Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCc southoldtownntigov - seand(a)_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (AI!Information Required) Date: ��� -&-)
Company Name:
Name: KT-- -
License No.: email: SSS ar,
Address: 16 S-Q� MP, �''4uc.�C 1t Z
Phone No.: (.o — 7
JOB SITE INFORMATION (All Information Required)
Name: 'I r-d CA
Address: 8,0 ,5 'i.v ire p— -T7CrrNt-4-JT
Cross Street:
Phone No.:
Bldg.Permit#: Gj email:
Tax Map District: 1000 Section: Block: g3 Lot:L3
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
is job ready for inspection?: YES / 0 Rough In Final
Do you need a Temp Certificate?: YES /Q Issued On
Temp Information: (All i,formation 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 Form-As
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Generator Only Model 7171 7173 7176 7038 7042 7209
Generator/100 Amp Select 7172 7174 7177 - - -
Circuit Switch Model
Generator 1200 Amp Service Rated Load - 7175 C7O3 7043 -
Shedding Smart Switch Package Model
Generator/PWRview Automatic Transfer ¢ - - - - 7210
Switch-200 Amp Model II (
Voltage(Single Phase) 120/240
Amps @ 240V LPG 41.7 54.2 66.6 i 83.3 91.7 100
Amps a 240V NG 37.5 54.2 66.6 75 81.3 87.5
Engine/Alternator RPM 3600/3600
Engine Generac G-Force
Engine Displacement 460cc 816cc 999cc
Fuel Consumption @ 1/2 Load- 101 154 182 204- 164 I 228** 203 203
NG cu.ft/hr
Fuel Consumption @ Full Load- 127 225 245 301* 287 327- 306 306
NG cu.ft/hr
Fuel Consumption @ 1/2 Load- 36(0.97) 56(l.54) 62(1.70) 86(2.37)- 86 92(2.53)- 92 92(2.53)
LPG cu.ft/hr(gal/hr) (2.36) (2.53)
Fuel Consumption @ Full Load- 54(l.48) 90(2.45) 109(2.99) 129'6 136(3.74) 142.1 142(3.90) 142(3.90)
LPG cu.cu.fl/hr(gal/hr) (3.56)* (3.90)-
Quiet-Test Mode Yes
db(A)at Exercise 57 55 f 57 57
db(A)at Normal Operating Load 61 65 # 67 67
Enclosure Aluminum
Enclosure Color i Bisque
Warranty 5-Year Limited
Dimensions-IT x W"x H"In.(mm) 48 x 25 x 29(1218 x 638 x 727)
Weight(lb) 338 385 420 448* 436 1 466** 445 l 455
Mobile Link Wireless Connectivity Yes
PWRview Home Energy Management Yes
17038-1&7039-1 spedfications;
**7042-2&7043-2 spedfications
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Generac Power Systems,Inc.
S45 W29290 Hwy.59,Waukesha,WI 53189 co
www.Generac.com 1888-GENERAL(436-3722)
201902144 REV 07/20 G ENERAC m
02020 Generac Power Systems.All rights reserved. co
Specifications are subject to change without notice.