HomeMy WebLinkAbout45505-Z zazl -
Town of Southold 1/23/2021
P.O.Box 1179
rh 53095 Main Rd
py b� Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 41765 Date: 1/23/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 1200 Reydon Shore Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 80.4-17.1
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. 45505 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 McCarthy,Thomas&Marion
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45505 1/12/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
�a°�s'
mo==t
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#: 45505 Date: 11/30/2020
Permission is hereby granted to:
Mccarthy, Thomas
57 Willow St
Floral Park, NY 11001
To: install a generator as applied for.
At premises located at:
1200 Reydon Shore Dr, Southold
SCTM #473889
Sec/Block/Lot# 80.4-17.1
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
TRIC $85.00
Total: $235.00
uilding I
Form leo.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
T®"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)aeon-conforning 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. pees
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 12-6 Date. tO 1
New Construction: Old or Pre-existing Building: ' (check one)
Location of Property: I r'� �C!
House No. ISttr�e�et� hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Lot f 7 t
Subdivision Filed Map. Lot:
Permit No. 5 S Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Tempor4ly Certificate Final Certificate: " (check one)
Fee Submitted: $ WV
" O
Appli Signature
pF SOU��®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G
Southold,NY 11971-0959 ® s �® sean.devlinO-town.southold.ny.us
l�cou ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Thomas McCarthy
Address: 1200 Reydon Shore Dr city,Southold st: NY zip: 11971
Building Permit# 45505 Section $0 Block 4 Lot 17.1
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 Heat Duplec Recpt Ceding 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 Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment 16kW Generac Generator w/200A Transfer Switch
Notes Generator
Inspector Signature: Date: January 12, 2021
S.Devlin-Cert Electrical Compliance Form xls
O�aOESOGj3p / 05" J2-0O 12v-YT)d! j SHaef.-
TOWN
OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION-21SID [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION, [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [/ ] PRE C/O
REMARKS:
DATE INSPECTOR -All
FIELD INSPECTION REPORT DATE COMMENTS
. b
FOUNDATION(IST) y
------------------------------------
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FOUNDATION(2ND)
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ROUGH FRAMING&
PLUMBING <
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INSULATION PER N.Y.
STATE ENERGY CODE
VJ
FINAL
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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 \--/%� Survey
Southoldtownny.gov PERMIT NU Check
Septic Form
NYSDEC
Trustees
C O Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
3Contact:
Stone-Water Assessment Form
�. "Approved 20 Mail to
«'= Disapproved a/c
Phone
Expiration 20 -
���; rpo r p NSI f B"��V
BrA
u' ng Inspector y
APPLICATION FOR BUILDING PERI T" UNLAWFULE IS
1. NOV 1 6 2020 n,v �1 `'m y TJ
Date ,
CPN INSTRUCTIONS �y
r,,,, T Ma This,application;WST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
set's"of plan`s,'acctirafe phot 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 Pennit 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,housiag code,an gulations,,paoto ad it
authorized inspectors on premises and in building for necessary inspections
PPI, riu An pet f E
pATF;���3��ZD o P jIn (f� 2 (Signature V phcanto e,i a oration)
FEE: 5-7W LCO � � � R�-- "� frov 1
_T-m.......... Y
m. I• (Mail g address of applicant)
NOT)-FT RUILDN-G ) .t.fl,il 1r:i1�T AT
7 1 9 F�S1 ) r, r�
f int chi Cant i§owner-lQe`�sieJ agent,architect,engineer,general contractor,electrician,plumber or builder
Ilk'
a I RC T IONS:
'FOUNDATION - TWO RFC)UIRED—
N60--off-oft, REdSRr CS)r-7 i; 140MAS
2. ROUG;-I . FR/{NUNQ & RI-U (As on the tax roll or latest deed)
1 VBB ica�rirr'ua�corporaUon,signa ur o duly authorized officer COMPLY WITH ALL CODES OF
11 ^grid title"o co'tjio• ��ffieer) NEW YORK STATE & TOWN CODES
Jii�-deRN&s,T&o�OR C O. AS REQUIRED A SOF
Afield QRgTiFe'A e7�ndT i SH 1 a� SOU-HOLD TQ'T'h
Ritsfiai"a"t9A1i1 sFNf��t ,�i �Iz eC �
YSa i r ,L L;�nz N°S°^ `E FON SOU
WN PLANNING BOARD
DESIGN OR C((��N TRUCTItt��
1. Location oflan n wfiicFT�rfAlel)lokwill bedone: SO OLD TOWN TRUSTEES
o Do 2 � J
House Number Street Hamlet RY. DEC
County Tax Map No. 1000 Section Block Lot t� 1
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises Aand jjntended Ws�aad occupancy of proposed construction:
a. Existing use and occupancy 4�`t U1 cl�'Sc
b. Intended use and occupancy_S
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work� �'
(Description)
4. Estimated Cost � Fee
(To be paid on filing this appli ti n)
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 L�
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_�Q
13.Will lot be re-graded?YES_NOWill excess fill be removed from premises?YES_NO-
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
* IF YES,SOUTHOLD TOWN TRUSTEES&D.E C.PERMITS MAY BF,JREQUIRED.
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. BRUCE L. MCDONALD
Notary No. lic-State 01 IVIC622429 ew York
STATE OF NEW YORK
SS Quai,�ed in Suffolk County
COUNTY OF�� MY Commission Expires June 28,20
lt-1M e r�l�.a being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing con ract)above named,
(S)He is the Qw�j41—
(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
SS o before me this
day of 04✓` iVB 20 ZO
L�,F-fV
Notary Public S t re of Applicant
�OSVFFO(�-CO BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
ti Town Hall,Annex- 54375 Main Road - PO Box 1179
Southold, New York 19971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
1 ' ' rogerr cDsoutholdtownny-gov — seandCD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:l ad
Company Name: Y.,
Name:
License No.: �i'?,C, email:
Address: ,6, +-1656 - '
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: (VI jy
Address: SdIkshcL6 jll� HQ21
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: O Block: Lot: 0
BRIEF DESCRIPTION OF WORK (Pie se Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES / Rough In ; Final
Do you need a Temp Certificate?: YES Issued On
Temp Information: ' (All information frequired)
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.xds
I
BUILDING DEPARTMENT- Electrical Inspector
TOWN 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
1 rogerra-southoldtownny.gov — seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: la-ad.
Company Name:
Name: Yn oz
License No.: Sao email:
Addresa:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: M
Address: V NQL
Cross Street:
Phone No.: �-
Bldg.Permit#: email:
Tax Map District: 1000 Section: 60 Block: Lot:
BRIEF DESCRIPTION OF WORK (Pie se Print Clearly)
W-7-L-3 6--eo
Circle All That Apply:
Is job ready for inspection?: YES / Rough In r Final
Do you need a Temp Certificate?: YES Issued On
Temp Information: (All in,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 1100 Amp Select 7172 7174 7177
Circuit Switch Model
Generator/200 Amp Service Rated Load 71753� 7039 7043 -
Shedding Smart Switch Package Model 7170' -
Generator/PWRview Automatic Transfer
Switch-200 Amp Model 7210
Voltage(Single Phase) 120/240
Amps @ 240V LPG 41.7 54.2 66.6 83.3 91.7 loo
Amps @ 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 j 999cc
Fuel Consumption @ V2 Load- 101 154 182 204' 164 228** 203 203
NG cu.ft/hr 11
I I
Fuel Consumption @ Full Load- 127 225 245 1 301- 287 327" 306 306
NG cu.ft/hr
Fuel Consumption @ 1/2 Load- 36(0.97) 56(1.54) 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(1.48) 90(2.45) 109(2.99) 129.6 136(3.74) 142.1 142(3.90) 142(3.90)
LPG cu.cu.ft/hr(gal/hr) (3.56)* (3.90)"
Quiet-Test Mode Yes
db(A)at Exercise 57 55 57 57
db(A)at Normal Operating Load 61 65 67 67
Enclosure f Aluminum
Enclosure Color Bisque
Warranty 5-Year Limited
Dimensions-r x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727)
Weight(lb) 338 385 420 448* 436 466'- 4415 455
Mobile Link Wireless Connectivity Yes
PWRview Home Energy Management Yes
*7038-1&7039-1 spedficatfons:
**7042-2&7043-2 specIfications
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S45 W29290 Hwy.59,Waukesha,WI 53189 co
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www.Generac.com 1888-GENERAL(436-3722) a
co
201902144 REV 07120 G ENERAC 0
(02020 Generac Power Systems.All rights reserved. §
Specifications are subject to change without notice.