HomeMy WebLinkAbout45443-Z g,3EFO(/(�pGy Town of Southold 2/25/2021
o P.O.Box 1179
C*, 53095 Main Rd
X4,1 a0�'¢ Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41839 Date: 2/25/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 1370 Plum Island Ln., Orient
SCTM#: 473889 See/Block/Lot: 15.-6-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/30/2020 pursuant to which Building Permit No. 45443 dated 11/13/2020
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 Rockwell,Andrew&Schwartz,Melissa
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45443 1/13/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
® 5 t�,coG TOWN OF SOUTHOLD
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#: 45443 Date: 11/13/2020
Permission is hereby granted to:
Rockwell, Andrew
1370 Plum Island Ln
Orient, NY 11957
To: install generator as applied for.
At premises located at:
1370 Plum Island Ln., Orient
SCTM # 473889
Sec/Block/Lot# 15.-6-10
Pursuant to application dated 10/30/2020 and approved by the Building Inspector.
To expire on 5/15/2022.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $235.00
Building Inspector
Form Na 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. S-VICOrn.statement-from-plumber-certifying#hat#he-solder-used-in-systcm--contains-less-than 2110 of1-%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 bu ldings(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
I. 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$15.00
Date.
New Construction: Old or Pre-existing Building: �1 d check one)
Location of Property: ).3 7 U_- P 1 �- Z.-I"d 1-4,7e
House No. Street Hamlet
Owner or Owners of Property: - id tot— f M e 1:S1 c;- /L,--1c&-e/l '\
Suffolk County Tax Map No 1000,Section Block ----- Lot , _(V
Subdivision - ,Filed Map.- _ Lot:
Permit No. Date of Permit Applicant: _ -
Health Dept Approval: _- Underwriters Approval: _ --
Planning Board Approval:
Request for. Temporary Certificate Final Certificate:✓ _(check one)
Fee Submitted:$ 6,0
-- -- g iop-
r"
Applicant Signature
OF 50(/r,�,ol .
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 '`O • �o sean.devlin(D_town.southold.ny.us
lyC®UI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To- Andrew Rockwell
Address: 1370 Plum Island In City Orient st: NY zip: 11957
Building Permit# 45443 Section. 15 Block 6 Lot 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Platinum East Electric License No: 47070ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
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 150A 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 Fixture Time Clocks
Disconnect Switches N LED Exit Fixtures Pump
Other Equipment: 16kW Generac Generator w/ 70A Overcurrent Protection on Generator, 150A-
Transfer Switch
Notes. Generator
Inspector Signature: Date: January 13, 2021
S Devlin-Cert Electrical Compliance Form As
r5jf so Ll SqL43 1370
# TOWN OF SOUTHOLD BUILDING DEPT.
`ycOUMV 765-1802
INSPECTION -
-FOUNDATION
1 ST [ ] 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 I INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST) �y
--------------------------------
FOUNDATION(2ND)
• z
t
ROUGH FRAMING& y
PLUMBING p
INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
• e
Yy
ADDITIONAL COMMENTS
z
rn
W
b
H
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 G�f� Survey
Southoldtowany.gov PERMIT NO. cJ °Z Check -
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
3 ' �� Contact:
Approved 2 Mail to:
Disapproved a/c "`9-�
Phone:- VJ 7 -7
Expiration �� 3
Bu tng Inspector
APPLICATION FOR BUILDING PERMIT
0 C T 3 0 2020 Date ®��_- Z ( 20 �v
INSTRUCTIONS
`TAA.This appl,iic,ation MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets ofpians,�accaratepi60phm to scale.Fee according to schedule.
YBglcation 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 hWector 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.
A�
(Signature of applicant or name,if a corporation)
� 7n P/a-4, Zsle d L;,;
(Mailing address of applicant) "
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises Aid,-es_, s,;
(As on the 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. �� llluJ''l �1e`5Q�l
Other Trade's License No.
1. Location of land on which proposed work will be one:
House Number Street Hamlet
County Tax Map No.1000 Section Block Lot V
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended ust and occupancy of proposed construction:
a. Existing use and occupancy-______5 j"F V �
b. Intended use and occupancy Cs FZ
3. Nature of work(check which applicable):New Building -_ .Addition Alteratin
Repair - Removal Demolition _ Other Work' (�
4. Estimated Cost_ _ �� or _ Fee (Description)
5. If dwelling,number of dwelling units Number of dwelling(units on each floorg this application)
If garage, number of cars
=�� _
6. If business,commercial or nixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front _ Rear Depth
Height Number of Stories- ' - -1
Dimensions of same structure with alterations or additions: Front Rear_ _
Depth Height -_ _ Number of Stories
8. Dimensions of entire new construction:Front -Rear Dept�
Height Number of Stories _ Cls 7`
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 Y
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 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__)o
#IF YES,PROVIDE A COPY.
BRUCE L. McDONALD
STATE OF NEW YORK) Notary Public-State of New York
SS: No.01 MC6224291
COUNTYOF "�A Qualified in Suffolk County
My Commission Expires June 28,20 2-7�
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the_ Ow Id UL
(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.
S,Y�'om tAbefore me this
``�- day ofd�� 20
Notary Public Signature of Applicant
S�FFp�,I. BUILDING DEPARTMENT- Electrical Inspector
COP,
y� TOWN OF SOUTHOLD
y 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(a)_southoldtownny.gov — seand(c6outholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali information Required) Date: ioaci-acj
Company Name: 01a-% 1 IWC" leL�
- Name: 14e�001 =
License No.: fY1U9eM\ email: l0/11
Address: Mtti tO Qf) ' I4 7
Phone No.: 41
JOB SITE INFORMATION" (All Information Required)
t
Name: d W � Q LI� 1 .
Address: 0(Z)&k NT
Cross Street: LN
Phone No.:
3
BIdg.Permit#: � email: - -
Tax Map District: 1000 Section: I Block: Lot: 1(�
BRIEF DESCRIPTION OF WORK (Please `Print Clearly) �
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In i Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (Ail 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 Formals
1
L2 -4
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�ur.vt 1 OF LOT 93
MAP OF-ORIENT BY THE 5EAl, SECTION TWD
FILED OCTOBER I6, MCA FILE N0. 344 � � `� �-
j s-ruATF 'ORII=t iT POINT -) -" - W E �
Tom 5omwoLDI' Lot
5UFFOLK Clo N fY,NY 1�� a�A 62005 ti..;; �.a
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SVRYEYED 05-16-02
FOUNDATION LOCATtON 04-07-04 T WN`�F,DE TN •,-_ _ j n0 -.- _. __ __„_-.._,.,.- _ __ .._._._.,..
FINAL 0I-21-05
g0 {
r SUFFOLK GOl1NTY TAX• - --`-- S78020120,,
1000-15-6-10
' SUFFOLK COUNTY HEALTH DEPT. ( I
REF a RIO-01-0159 .-�_ 279, p• 1
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Tititl a 5A14220625 JOHN C.EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S.LTC,NO.50202
GRAPHIC SCALE 1"=30' RiVERHEAD,N.Y.11901
- - -
ff - _-� 364-8288 Fax 369-8287 REF•%)Iip suvuidiPROSi01-203.pm !
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APPR VED AS NOTED
DATE: B.P.4
FEE: BY-
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING "x PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR Co.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
ELECTRICAL
INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
-SG' ` OWN ZBA
ANNING BOARD
-SOU.4-4168-TO SIEES
® N.47- K
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFIC i-f-
OFOCCUPANCY
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11*00'10,MO. 6-11�!-`1111`11
Generator Only Model 7171 7173 7126 7038 7042 7209
Generator/100 Amp Select 7172 7174 7177 - -
-
Circuit Switch Model
Generator/200 Amp Service Rated Load
Shedding Smart Switch Package Model 7175 7178 7039 7043
Generator/PWRview Automatic Transfer
Switch-200 Amp Model - - ii 7210
Voltage(Single Phase) 120/240
Amps @ 240V LPG 41.7 54.2 1 66.6 83.3 91.7 100
Amps @ 240V NG 37.5 54.2 66.6 75 81.3 87.5
Engine/Alternator RPM 1 3600/3600
Engine
Generac G-Force
Engine Displacement 460cc 816cc 999cc
Fuel Consumption @ 1/2 Load-
NG cu.ft/hr 101 154 182 204- 164 228** 203 203
ii
Fuel Consumption @ Full Load- 127 225 245 301*
NG cu.ft/hr 287 327- 306 f 306
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(1.48) 90(2.45) 109(2.99) 129.6 136(3,74) 1421 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 f 67 67
Enclosure Aluminum
Enclosure Color Bisque
Warranty 5-Year Limited
Dimensions-Lr x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727)
Weight(Ib) 338 385 420 1 448* # 436 466— 445 455
Mobile Link Wireless Connectivity j i I Yes
PWRvIew Home Energy Management Yes
*7038-1&7039-1 specifications
**7042-2&7043-2 specifications
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S45 W29290 Hwy.59,Waukesha,WI 53189
www.Generac.com I 888-GENERAC(436-3722)
201902144 REV 07120
GENE RAC
02020 Generac Power Systems.All rights reserved.
Specifications are subject to change without notice. —===17=7=1 -1=—=-7=7