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
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®��pF SOU�y®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 c Q sean.devline-town.southold.ny.us
Southold,NY 11971-0959 ® �®
®lac®Un�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Helga Kessel
Address: 1180 Smith Dr S city Southold st: NY zip: 11971
Building Permit#: 45509 Section- 76 Block 3 Lot: 12.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA- DAK Electric License No:
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 Ceding 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. 22 kW Generator w/ 200A Whole House Transfer Switch
Notes Generator
Inspector Signature: Date: February 18, 2021
S. 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
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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 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
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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
°
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y c�
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SPR.Ac,l-
/f o1( ��r
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a
,mss .TONE ATIO
t�-
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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
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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