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o�Og�FFULKIpG Town of Southold 3/27/2021 aP.O.Box 1179 o _ 53095 Main Rd 4,j �ao�:}" Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41915 Date: 3/27/2021 THIS CERTIFIES that the building GENERATOR Location of Property: 650 Blue Marlin Dr.,Greenport SCTM#: 473889 Sec/Block/Lot: 57.-1-28 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fled in this office dated 10/30/2020 pursuant to which Building Permit No. 45440 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 Bondarchuk,Edward of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45440 2/18/2021 PLUMBERS CERTIFICATION DATED Authorized Signature �S�FFnIk TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • r 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#: 45440 Date: 11/13/2020 Permission is hereby granted to: Bondarchuk, Edward 650 Blue Marlin Dr Southold, NY 11971 To: install generator as applied for. At premises located at: 650 Blue Marlin Dr., Greenport SCTM # 473889 Sec/Block/Lot# 57.-1-28 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 Bui g Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTIVIENT 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 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)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 Date. c-)o- av New Construction: Old or Pre-existing Building: _ hb% (check one) Location of Property: 6J c MAZ-U Q 1"'p-Oz S(0 J-DAV1� House No. Street Hamlet Owner or Owners of Property: ��w�� J7- poop Akk c In J k4— Suffolk LSuffolk County Tax Map No 1000,Section 5-7 Block 00 Lot 0-1. Subdivision Filed Map. Lot: Permit No. (- 0 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: _ Planning-Board Approval: Request for: Temporary CeCertificate, Final Certificate: (check one) Fee Submitted: $ �) Applicant Signature rjf S1110 Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � sean.devlina-town.southold.ny.us cou ' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Edward Bondarchuk Address: 650 Blue Marlin Dr city,Greenport st: NY zip: 11971 Building Permit# 45440 Section: 57 Block. 1 Lot- 28 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 Generator X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 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 150X2 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. 22kW Generator w/ (2) 200a Whole House Transfer Switches and (2) 150A Panels Notes Service and Generator Inspector Signature: Y Date: February 18, 2021 S Devlin-Cert Electrical Compliance Form.xls OF SOUJyO�\ 5-o —p- !i ej �1�[� � ' i\LJ,/ N OF SOUTHOLD BUILDING DEP7&>1 - 765.1802 INSPECTION ; ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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: /Ak CWIZ01V DATE INSPECTOR - FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) y ------------------------------------ �v ren FOUNDATION(2ND) ROUGH FRAMING& PLUMBING H INSULATION PER N.Y. H STATE ENERGY CODE FINAL a ADDITIONAL COMMENTS -70 1 0 z . rn a z H d 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)765-9502L Survey Southoldtovimny.gov PERMIT NO. q5 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application IFlood Permit Examined L 20-6—U Single&Separate Truss Identification Form Storm-Water Assessment Fort PContact: ,� Approved l 20 � Mail to: �JG�� Cq4,FX Disapproved ate — / Expiration 20 77 T 77 t_ But Ins for APPLICATION FOR BUILDING PERMIT 3 0 2020 Date�/� (� -...20 INSTRUCTIONS i a;°This4p�licAtigiAIQST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of,plang„accurate-ol©f 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 win 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 We 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 We Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Rcgulations,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. QC20 (Signature of 4pplicant or name,if a corporation)' (Mailing address of applicant) State wAhdetht r a,_pplicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises litib v 1 A kJb "�l /✓ G�'t�1� (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. Other Trade's License No. 1. Loc tion of land on which proposed work will be done: 950 Bt-06 M” W_ 46 �J�LtoLD House Number Street Hamlet County Tax Map No. 1000 Section 6 _Block Lot 8 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 occupancy 5NMIE At 5 Aj® -- b. Intended use and occupancy S 5 "CLW 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition_ Other Work (Description) 4. Estimated Cost_ K Fee (To be paid on filing titis 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 0 C.KCAA54e Dimensions of same structure with alterations or additions: Front _Rear_ Depth Height Number of Stories fV�C SS's 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 construction violate any zoning law,ordinance or regulation?YES NOl( 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 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_N *IF YES,PROVIDE A COPY. STATE OF NEW YORK) BRUCE L. McDONALD Notary Public-State of New York SS: C622491 COUNTY OF No.01 P/I Qualified in Suffolkuffolk County C*&UAV.4 . &Or1b NM\N%� being duly sworn,deposes and une 28,20-'!Or (Name of individual signing contract)above named, (S)lie is the Ot-`y PjW,- (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} .before me this Notary Public Signature of Applicant' 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 1 rogerra-southoldtownny.gov - seanda-ioutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 001- a.cL ZrJ Company Name: Name: v� Kin License No.: J51ZC7 email: ' vrPce rdn Address: C� , �() lM�' '� �� `� 11 .Z Phone No.: 7 S- JOB SITE INFORMATION (All Information Required) Name: ro\oX i Address: Vg- tZ c ti.vl Gt'1 Cross Street: (4) e �D — O1 `nr, tj ct , Phone No.: q73 4 Bldg.Permit#: d .Y- - email: Tax Map District: 1000 Section: Block: O Lot: 2� BELIEF DESCRIPTION OF WORK (Please Print Clearly) E - Circle All That Apply: Is job ready for inspection?: YES / NO Rough In # Final Do you need a Temp Certificate?: YES / NO 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 PERMIT•# Address: Switches --------- -------------------------------------- Outlets - -------------------------------------- -------------- ---- GFI's Surface - Sconces HH's r , UC Lts Fans. Fridge i HW Exhaust Oven Dryer Smokes DVS/ -Service a 7tlti�i�r- Carbo - to6k Top Tr.00arr AC AH Mini Special: Commerits: �Ac o�p �t8.13' X8,12. 1.ELEVATIONS " EIES ARE REFERENCED TO N. 1988 DATUM 0EXISTING ELEVATIONS ARE SHOWN THUS:XK W 1 1 OO �.FL-uvrc wom a_n.m Oxoxia Z ya �11u 1 2.FLOOD ZONE INFORMATION TAKEN FROM: \ FLOOD INSURANCE RATE MAP No.36103MI59 H W c I \ C \ ZONE VE: RM FLOODD ELEV DETERMINH ED(W/'VE K'rION). ZONE X': AREAS OF 0.2%ANNUAL CHANCE FLOOD.AREAS OF 1x ANNUAL CHANCE FLOW O \ I O \1 WAHsa ARE MRA`AERAGE MNO AARREASSPPROOhLTED EreLEVEESLEV�65SFROM°R 1X ANNUNAGE AL CHANCE FLESS LOOD O ZONE X. AREAS DETERMINED TO BE OUTSIDE THE OZ9 ANNUL CHANCE FLOOMPLADL j \ 'SON k• _ e� • �T y ,,,. • z7, .'� a >> SURVEY OF a LOT 7 1 S100 GAR GE Ltio`'� MAP OF b H°USER ,T� SOUTHOLD SHORES a ram�yL FILE No. 3853 FILED AUGUST 29, 1963 SITUATED AT s ,�R - N ARSHAMOMAQUE iE1TOWN OF SOUTHOLD \ Z°11evE�E1 `� w SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-57-01-28 `\ SCALE 1"=30' JUNE 6, 2001 JANUARY 30, 2008 MEASURE DECK Ta ,00 0� FEBRUARY 10, 2016 ADD FLOOD ZONES & SPOT ELEVATIONS >T �� AREA = 24,362.20 sq. ft. X10„ w (S0'( (�`1 (TO EULKH D) 0.559 ac. �J CERTIFIED T0: EDWARD J.SONDARCHUK te.•� COMMONWEALTH LAND TITLE INSURANCE COMPANY �j EMIGRANT MORTGAGE COMPANY UNAUIHORRM ALTERATION at ADDITION TO THIS SURVEY IS A VIOLATION OF PREPARED IN ACCORDANCE WITH THE MINIMUM SECTION N LA. , ,YORK n">E AP �"m Nathan Taft Corwin III ETNIGDON UW. BY THE H USE.AND E NEW AND ATOPLED CONES OF THIS SURVEY MAP NOT SEAIM TITLE ASSOCIATION.THE NEW YORK STATE IAND THE LAND ° °SEAL Land Surveyor EMBOSSED SRLTRUE PT.BE COIMDERtD TO BEA VALID TRUE COPD. CERIIRGTIONS INDICATED HEREON SFWl RUN ONLY TO THE PERSON FOR WHOM THE SURVEY S PREPARED.AND ON HIS BERME TO 1HE TITUELENDD xusTEn ERmN WAND 1Tle Surveys—Sub&wi*Ao— Ste Plow — ConAnxil T Layout TDING Mn- 1UTOAND O N cCERVACAMONS AEES OF CRE NNOOTT TRI SFERABIM PHONE(631)727-2090 Fax(631)727-1727 OFFICES LOCATED AT AWUNG ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 Roanoke Avenue P.O.Box 1931 AHD/OR EASEMENTS OF RECORD,IF N.Y.S.Lic. No.50467 Riverhead.Nm York 11901 Rverhmd.Nw York 11901-0965 ANY,NOT SHOWN ARE NOT GUARANTEED. 27-3271 CT APR SUED AS NOTED DATE: �1 '� o,y� B.P.# FEE: Q� 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 & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES ELECTRICAL AS REQUIRED AND CONDITIONS OF aNSPECV®N REQUIRED �ouTNnl n TOWN 7RA SOUT �ini pi anlr,I� OARD S0ffF#0tDT0 TEES ® N. . . E OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICAT" OF OCCUPANCY 37 T iV 4�� _w & 2," ,01 . ........... 3 f' 4g rg -Tie iRt"Ad M"from---Hupf, F.44 -g Fr gg A'� A ,FFf r1 -A R'j ,9, p. x>, W,�";Wll w M kgn gel 4111 o %'__ G "W5 ",:,J 2 1`1 e, Generator Only Model 7171 7173 7176 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 - Generator/PWRview Automatic Transfer - - - 7210 Switch-200 Amp Model 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 3600/3600 Engine Generac G-Force Engine Displacement Ill 460cc 816cc 999cc Fuel Consumption®1/2 Load- 101 154 182 204' I 164 228** 203 203 NG cu.ft/hr I Fuel Consumption La Full Load- 127 225 245 301* 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) 1421 142(3.90) 142(3.90) LPG cu.cu.ft/hr(gaYhr) (3.56)* (3.90)•- Quiet-Test Mode Yes db(A)at Exercise555 57 57 db(A)at Normal Operating Load 617 65 67 67 Enclosure Aluminum Enclosure Color Bisque Warranty 5-Year Limited Dimensions-if x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727) Weight(1b) 338 385 420 1 448* 436 466*1 445 i 455 Mobile Link Wireless Connectivity Yes PWRvlew Home Energy Management Yes *7038-1&7039-1 specifications **7042-2&7043-2 specifications NATMWME DEALER SERVICE NETWORK Generac's commitment to service includes scheduled maintenance programs,warranty assistance and emergency service to ensure that Generac customers are never left powerless.The largest nationwide dealer network has factory-trained technicians on staff and maintains large inventories of Generac parts,components and accessories.Find a dealer near you at Generac.com. Generac Power Systems,Inc. S45 W29290 Hwy.59,Waukesha,WI 53189 co www.Generac.com 1888-GENERAL(436-3722) G E N E R AC 201902144 REV 07/20 02020 Generac Power Systems.All rights reserved. 8OD Specifications are subject to change without notice. U L)