HomeMy WebLinkAbout45504-Z 5uFFOL Ire,
oG Town of Southold 1/23/2021
o -
P.O.Box 1179
v' 53095 Main Rd
aye ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41758 Date: 1/23/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 1540 Tucker Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 59.4-5.2
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. 45504 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 D'Angelo, John&Kathleen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45504 1/12/2021
PLUMBERS CERTIFICATION DATED
C', _
Authorized Signature
�� SUFFot
BUILDING DEPARTMENT
y x 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 #: 45504 Date: 11/30/2020
Permission is hereby granted to:
D'Angelo, John
1540 Tuckers Ln
Southold, NY 11971
To: install a generator as applied for.
At premises located at:
1540 Tucker Ln, Southold
SCTM # 473889
Sec/Block/Lot# 59.-4-5.2
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
C $85.00
To al: $235.00
Buil ing
Nkspector
Form INO.6
TOWN OF SOUTHOLD
BIJ71LDING DEPARTMENT
-TOWNHALL
765-1802
APPLICATIONIFOR CERTMCATE 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 newuse:
11, 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 FireUnderwriters.
4. Sworn statement from plumber ccrt4ing that the solder used in system contains less than 2116 of]%,lead.
S. 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 Ward Approval,of completed site-plan requirements
B. ,Four existing buildings'(prior to.April 9 1"7),uon-conforming uses,-or buildings and as
7 , 'es
L. 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 thereasons therefor in'writing to the applicant.
C. Fees
l> Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.'110;Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pfe-existing,Building- $100M
3, Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- X50.00
5. Temporary,Certificate of Occupancy-Residential$15.00-Coninicicial$155,00
Date. t C-1
New ConaTtiction: told or Ne-existing Buildilm". (check one)
'—Y\nj6 '
Location of Property. K5..........
House No. 'Street .Hamlet
Owner or Owners-of Property: , `cSV
Suffolk County Tai Map No 1060,Scction____ Block'— Lot
Subdivision Filed Map. Lot:
Permit No. Date 4 Permit. Applicant.,.
Health Dept.Approval. Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
1cc Submitted:$
Applicant SjgnayW
pF SO!/��®C
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® Q sean.devlin(Qtown.southold.ny.us
Southold,NY 11971-0959
l�coum,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: John D'Angelo
Address. 1540 Tucker Ln city Southold st: NY zip: 11971
Budding Permit#. 45504 Section: 59 Block 4 Lot: 5.2
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 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. 10kW Generac Generator , 100A Transfer Switch w/ 16 Circuits
Notes: Generator
Inspector Signature: �-t_ Date: January 12, 2021
S.Devlin-Cert Electrical Compliance Form As
��V q ✓ l if { u e_Kg4z Lv
# # TOWN OF SOUTHOLD BUILDING DEPT.
`yrourm '' 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) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O
REMARKS:
DATE -INSPECTOR � .,
FIELD INSPECTION REPORT DATE COMMENTS'. --�
FOUNDATION(IST) -"
------------------------------------
rAC
FOUNDATION(2ND)
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ROUGH FRAMING&
PLUMBING H
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INSULATION PER N.Y.
STATE ENERGY CODE --
FINAL
• a
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 j �u Survey
Southoldtownny.gov PERMIT NO. l Check
Septic Form
NYSDEC.
Trustees__
C.O.Application
Flood Permit
Examined If 20 Single&Separate
Truss Identification Form
3 Storm-Water Assessment Form
Contact:
Approved 20 Mail to!
Disapproved a/c _
Phone. r Tali n � �,
Exp'iratibn` 20 i
w ding,Inspector + �i+ � l�; a� ydL1�
LJ
+ 2020 APPLICATION air
FOR BUILDING PER ly � + t.f' ��
a�
�(1� Date
INSTRUCTIONS
7jj•'g``,;a:Thjis appliea'tion'N4fiST 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 herem described The
applicant agrees to comply with all applicable laws,ordinances,building code,hou&ing code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections
a�P"RO�J" g'd's r
'I���✓V .} j/��U l{� 16. ture of applicant or name,if a corporation)
DATE:a_a
FEF-:,- (Mailing address of applicant)
NOTIFY Pu1LD11'-,G l'E ��, Th1 IVT AT - `(7)
Stat hei jr�pp a t isloyvner;Dl,essc.e;;dkenf;I'architect,engineer,general contractor,electrician,plumber or builder
NamE•o 6 nor�f premises i i� r� �/ , 6 .R p `D E__S OF
FOR POURED C7lt.,RLi t 1 if
s on the tax roll or late�tg 1 YORK STATE & TOWN CODES
If apglictriJt p5( 1�ocpti ;PgliaTstgna uc�lo �iu�yl authorized officer
is n AS REQUIRED D CONDITIONS OF
BuilArs'L'��C'eiis N6. fc�r�p�aic� flr�e�I1ST
Nd. SOUTHOLD TOWN ZBA
Plumber�Eic1eQ% 1 n
EIectALbnC��S�`9 elNio 1-10��� u• lui r=a' t SOUTHOLD TOWN PLANNING BOA
otheiRT� Vin, g�g�rN-o.nF THE CODES OF Nc4J _ SOUTHOLDTOWNTRUSTE
YO .4-'
JATE. NOI RESPONSIBLE FOR p�1 Loc a, id oL(�I >��ip ' o� twi be,done: V(�Y��
N.ti.
House Number Street Hamlet
County Tax Map No 1000 Section 59 _Block Lot 5 '
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premise and intended use and occupancy of proposed construction.
a. Existing use and occupancy _
'9
b Intended use and occupancy JfO�
3. Nature of work(check which applicable):New Building Addition Ater, ton
Repair Removal Demolition Other Work (;'W
o (Description)
4. Estimated Cost 1-4(mFee
(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_ l
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 fU v"
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction.Front Rear De th
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 construction violate any zoning law,ordinance or regulation?YES_NOK
13.Will lot be re-graded?YES_NO)( Will 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 N01C
*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 NO0
*IF YES,PROVIDE A COPY BRUCE L. NMcDONALD
STATE OF NEW YORK) Notary Public-State of New York
s No.01 MC6224291
COUNTY OF� Qualified in Suffolk County
® ^ ,�k-- � :�� My Commission Expires June 28,20�i
1v being duly sworn,deposes and says that(s)hc is the applicant
(Name of individual signing contract)above
aabotvee named,
(S)He is the 0' `^'�-
(Contractor,Agent,Corporate Officer,ctc.)
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
Sw�rn to b fore me this
day of Q 20 Z4V //y
Notary Public Signature of Applicant
SO fat BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
? Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502.
rogerr[cD-southoldtownny.gov — seand(cD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: Z ZJ
Company Name:
Name: .
License No.: �� email: i' 9-
Address: A- ()S6 M - f`f' 0�4
Phone No.: 491- 7 ! ')
JOE SITE INFORMATION (All Information Required)
Name: N.OVQ
Address: Sqdv �Qd
Cross Street: ,
Phone No.:
Bldg.Permit#: �ZOY email:
Tax Map District: 1000 Section: S Block: Lot: 5
BRIEF DESCRIPTION OF WORK (Please Print Cie rly) ,
t
Circle All That Apply:
Is job ready for inspection?: YES 6N Rough In 1 Final
Do you need a Temp Certificate?: YES / Issued On l
Temp Information: (All i 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 FormAs
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vl,�Ag"-,
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BUILDING DEPARTMENT- Electrical Inspector
0� COGy� TOWN OF SOUTHOLD
co i Town Hall Annex- 54375-Main Road - PO Box 1179
o - Southold, New York 19971-0959
y p�` Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr _southoldtownny.gov - seand(a-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 10L?-
Company Name: '� - VeLkZL
Name:
License No., �S)ZC email• �,. `fi-ec NS S sCtl�,
Address: P6 os<C MONN�c�-� �°�`�' �rAi
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: �,Aj\� e"Qt
Address:
Cross Street:
Phone No.:
Bldg.Permit#: Q email:
Tax Map District: 1000 Section: S Block: Lot: :5,
BRIEF DESCRIPTION OF WORK (Please Print Cle rly) _
I
ly
Circle All That Apply:
Is job ready for inspection?: YES /ANO" Rough In ! 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 FormAs
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Generator Only Model 7 7173 7176 7038 7042 7209
Generator/100 Amp Select 7174 7177 - - -
Circuit Switch Model
Generator/200 Amp Service Rated Load 7175 7178 7039 7043
Shedding Smart Switch Package Model -
Generator/PWRview Automatic Transfer - - - - 7210
Switch-200 Amp Model
Voltage(Single Phase) 120/240
Amps @ 240V LPG 41.7 54.2 66.6 1 83.3 91.7 100
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 999cc
Fuel Consumption @ 1/2 Load- 101 154 16:2 204* 164 228** I 203 203
NG cu.ft/hr
Fuel Consumption @ Full Load-
NG cu.ft/hr 127 225 245 301. 287 327- 306 1 306
Fuel Consumption @ 1/2 Load- 36(0.97) 56(1.54) 62(1.70) 86(2.37r 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.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 Aluminum
Enclosure Color Bisque
Warranty 5-Year Limited
Dimensions-i: x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727)
Weight(lb) 338 385
420 1 448 436 466** 445 455
Mobile Link Wireless Connectivity # Yes
PWRview Home Energy Management
Yes
*7038-1&7039-1 specifications
*07042-2&7043-2 specifications
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www.Generac.com I 888-GENERAC(436-3722)
CD
201902144 REV 07/20 0
GENE RAC
02020 Generac Power Systems.All rights reserved.
C2
Specifications are subject to change without notice. CD