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HomeMy WebLinkAbout45509-Z �o�SUFFUt��pGy Town of Southold 3/27/2021 C* P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41919 Date: 3/27/2021 THIS CERTIFIES that the building GENERATOR Location of Property: 1180 Smith Dr S, Southold SCTM#: 473889 Sec/Block/Lot: 76.-3-12.1 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. 45509 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 Kessel,Helga of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45509 2/18/2021 PLUMBERS CERTIFICATION DATED u orize ignature o�Su�FotK�o TOWN OF SOUTHOLD Gyp BUILDING DEPARTMENT y TOWN CLERK'S OFFICE "may • o� 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#: 45509 Date: 11/30/2020 Permission is hereby granted to: Kessel, Helga 800 Golden Beach Blvd Venice, FL 34285 To: install an accessory generator as applied for. At premises located at: 1180 Smith Dr S, Southold SCTM # 473889 Sec/Block/Lot# 76.-3-12.1 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 ELECTRIC $85.00 Total: $235.00 Building Inspector Form No.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. 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 9,195')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$15.00 Date. (C) ZX) New Construction: Old or Pre-existing Building: j Cjepft�check one) Location of Property: Sm 0 r SOOk'n so 0A )t co l House No. Street Hamlet Owner or Owners of Property: ���� K-@. M,0\ Suffolk County Tax Map No 1000, Section Block 0.3 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate! (check one) Fee Submitted:$ �(/ Applicani ature G:s -_ - - '-s' - �r''-- - 1� .Y'' -�, ;J.x>`.�r'^r,.•.,"+ r.;6 tx,� p- '"�^' _ +'4 4s`si`x .:1,'7s '+,,i;, Ott - - .a u5-:;, :';aw." 'P`:,+:�°.'�:s-`•`k:',r>F;';;-."". -� zr..x'.^"ti r':^. ,.xf<r.;,=::,,, 't"n) t^'t�r ..e. .styr:r„-,r, -.� ;tF .f.j�„�=r �„�;� 'x` ,,,;:^,:,vn. ,;, .1- +h.�;,";.z�s>?.-'.�... _ �3�!'_•,.'i^:,R.' f3 :-,r:;.. vs•'�k=;L w.v t. �4�"'•'"�";S� ::�t�t.,,-. 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Devhn-Cert Electrical Compliance Form As OF SO(/lyO� # * TOWN OF SOUTHOLM BUILDING DEPT. Coo 765-1802 " INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. T [ ] FOUNDATION 2ND [ ° ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [" ] FIRE SAFETY INSPECTION [ :] FIRE RESISTANT CONSTRUCTION [ ] :FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ]CPRE C/O REMARKS: 1v' ;t&96TR SP46;17 CPA K DATE Z INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION(IST) -------------------------------------- FOUNDATION(2ND) z o ROUGH FRAMING& y 9 PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS r O z m X . - H tC b H R,,� V�b� I — 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 v G - Survey Southoldtownny.gov PERMIT NO. `� 11 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined '20 Single&Separate #( Truss Identification Form U Storm-Water Assessment Form Contact: Approved 120 Mail to: Disapproved a/c Phone. r Expiration ,20 c,,° " gN uu inj 4 ,},�-` ,; � (Zing Inspector 9 UNLAWFUL j IA7 E `> i ' s it- OCCUPANCY l ,+ Nutt l I APPLICATION FOR BUILDING PERMIT 1 6 2020 1� , ,� , 20 Z-6Date INSTRUCTIONS a. W�s;appl ca'tipn,'Iy1VST,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 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. new �`9�a6i,}:;i's, �?C, ei s' t. P"'' ;_r+dam .6 e=� (Signature of p ,cant or name ,f a corporation) Me 7A C� ftyC (Mailing address of applicant) l,Oi 1,+- Bl�1L[�li ; rUH 1'I-lE State whetl}q&app'l.icanPfs 6v( '6r, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 1 OLL(%JPl� iP1,P: 4 �, ,rte, c n1+i;EU 1. FOUNJAtitctN r P �llt?• J CC�f'dC4= f Name of ownEri 'f pemies,�; ,r R -�,�'_'"�, G 1?ODUH - (As on the tax roll or 1a §t deWITH ALL CODrL 5 O ,r,+Sl)1 ATION n, +�T (-r-"' ,� rn�FS If applicant is a co poration, signature of-duly authorized officer _, '` , {^ OF -.i + � __,• T,,r 1'1.:. _r. � ..+•_` ti^ ,` 'tip�t � i (Na e and t�ta ofj�corporaie officer `�` pec r;L,xUIP"=J.` "' �t ��„r EGO `�F Nr Builders Lie er�eLNo:,�,l i�i S Of _T11 DE n r cO>rt S0�"'n�L''iOWir rl lit t- -r ,J U-_�O I L)11- . Plumbers Licer�tS� I�tPA_VE. 1`l01 ' ���.,�,,, ❑Rnl� °'���2 ,,uI a �� SOUTHOLD 1 N PLANNING BOAR Electricians L-jRMe 4N,6, Other Trade's License No. SOLITHOL (OWN TRUS l EES id:.;J.D 0 1. Location of land�on hich t��osed orrk�will be done: � 1��® `��1 House Number Street Hamlet I t County �Tax Ma No. 1000 Section Block 03 Lot 12, 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 IKPNE USSR b. Intended use and occupancy a&I2_ U'1�11R 3. Nature of work(check which applicable): New Building Addition Al eration Repair Removal Demolition Other Work � ✓� � (Description) 4. Estimated Cost Fee (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 2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing strictures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories C^eS:�,�-,_ 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories �t��' ' F LTZ�{?�„- 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 constriction violate any zoning law, ordinance or regulation?YES NO 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 Naive of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YESNO 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 NOr— * IF YES, PROVIDE A COPY. BRUCE L. McDONALD STATE OF NEW YORK) Notary Public-State of New York SS: No.01 MC6224291 COUNTY Or Qualified in Suffolk Count, My Commission Expires June 28,7— _ Clj);� G being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing c ntract) above named, (S)He is the wgiv 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 this day of 047- - 20 Z-d? \ V A4L W64 Notary Public Signature of Apt” BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Sox 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rocerr@southoldtownny.cov— seand0southoldtownny gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 0 ?'J 2c-/ Company Name: Name: �►�-,£ �� --__- - License No.: �2,a email: -C Address: Phone No.: - - - ----- - - -- - - - - -- -- -- - - - JOB SITE INFORMATION (All Information Required) Name: -- - -- ----- -_ - -- - - Address: Cross Street: Phone No.: - BIdg.Permit#: tel/ email: Tax Map District: - 1000 _ Section: 2LA Block: ®- LoO_Z. BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / 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 'z' s y" Re" u. 'x vi�� k ;'o*; o Generator Only Model 7171 7173 f n 7176 7038 7042 7209 Generator 1100 Amp Select 7172 S 7174 7177 - - - Circuit Switch Model Generator/200 Amp Service Rated Load - 7175 7178 7039 ff7O4i Shedding Smart Switch Package Model 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 I 91.7 100 Amps @ 240V NG i37.5 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 @ 112 Load- NG cu.ft/hr101 154 182 204* j 164 228** 203 203 Fuel Consumption @ Full Load- I 127 225 245 301* 287 327** 306 306 NG cu.ft/hr Fuel Consumption @ 1/2 Load- 86 92 LPG cu.ft/hr(gal/hr) 36(0.97) 56(1.54) 62(1.70) 86(2,37)- (2.36) 92(2.53)- (2.53) 92(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)* (3.90r 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 I Bisque Warranty 1 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- 445 455 Mobile Link Wireless Connectivity Yes PWRvIew Home Energy Management Yes *7038-1&7039-1 specificaffons **7042-2&7043-2 specifications NATIONWIDE DEALER SERVICE NETWORK Generac's commitment to service includes scheduled maintenance programs,warranty assistance and emergency service to ensure 3M1;........... 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 www.GenGrac.corn 1888-GENERAL(436-3722) (0 C� 201902144 REV 07/20 G ENERAC 0 02020 Generac Power Systems.All rights reserved. C� Specifications are subject to change without notice. Tom '20 0 SURVEY OF LOTS 49 & 50 '. ,_.�,� MAP OFS OLS GOOSE NECK FILE No. 1663 FILED NOVEMBER 22, 1948 DRIVE ` IT SITUATED Sm AT d BAYVIEW • e ` e i . • GE OF PAVEMENT • •e • d • • •• a .� - • e •: , . - _- ._ •. - -. -. •. 4-. -..'a �. - • g�(;IANK TOWN OF S O U T D 4 :' a• .: .:- •• BLOCApRpN '.. _ •. d- d ,'a• f _MpIIBOX .d —�LMr POLE H 0 L $.. ��L9 SUFFOLK COUNTY NEW YORK ' � `.- OVERHEAD WlRES� __-- .__-• - 1 0/ �� p�PE } S.C. TAX No. 1000-76-03- 12. 1 ).30'0C)91 .30'p0 . kP SCALE 1 "=20' r V' NOVEMBER 22, 2004 W* 0.6p 1 0• AUGUST 14, 2007 STAKE OUT GARAGE FOUNDATION & SET 2 STAKES ON WEST PROPERTY LINE O 6' PIPE ��� SEPTEMBER 18, 2007 FOUNDATION LOCATION JULY 28, 2008 FINAL SURVEY FOR GARAGE & ADDITIONS ti pe A `y1 00 APRIL 16, 2020 UPDATE SURVEY 30 00 E N 80. '.o/ AREA = 26,730 s ft. ° moo. • � q- (TO TIE LINE) 0.614 ac. oo CERTIFIED TO: • °F" " a °¢L; HELGA NETTE KESSEL FIDELITY NATIONAL TITLE INSURANCE COMPANY ° � o5E � StONE !9i y c� 'N �o 0. SPR.Ac,l- /f o1( ��r O a ,mss .TONE ATIO t�- ( P / , °�• PREPARED IN ACCORDANCE WITH THE MINIMUM 30� ° `� �o�'cn t ' w STANDARDS FOR TITLE SURVEYS AS ESTABLISHED / a, ` BY THE A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. 6' 7 ps 3g — • S 81,113 10" W _.. ' 32.72 r \ o N.Y.S. Lic. No. 50467 N\ \ 3� S9• \ eoo� °F SIN UNAUTHORIZED ALTERATION OR ADDITION �2 �\ ��� � Taft ��� ��� ��� THIS SURVEY IS A VIOLATION OF SE �c' n�� \ SECTION 7209 OF THE NEW YORK STATE V �7 EDUCATION LAW. f� \ P COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor THE LAND SURVEYOR'S INKED SEAL - LINE CA, EMBOSSED SEAL SHALL NOT BE CONSIDERED A, •� TO BE A VALID TRUE COPY. rY p•3 _ 78 6'0 �` `SEAW AR�'EGETATION ALT �• CERTIFICATIONS INDICATED HEREON SHALL RUN t" Successor To: Stanley J. Isaksen, Jr. L.S. ONLY T° THE PERSON FOR WHOM THE SURVEY ►Y sl�. '0, _ IS PREPARED, AND ON HIS BEHALF TO THE FZ Na Joseph A. Ingegno L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND OAK Title Surveys — Subdivisions — Site Plons — Construction Layout LENDING INSRTUTO THE ASSIGNEES ES LISTED HEREON. AND N 88.14'30" ,A' OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE O rY O Imo)\►^- J Z7.32' PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAtLIN6 ADDRESS 1586 Main Road THE EXISTENCE OF RIGHTS OF WAY Jamesport, New York 11947P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED. j> 40-093