HomeMy WebLinkAbout45670-Z �SUFfotK
ao COGyc Town of Southold 3/28/2021
0
P.O.Box 1179
o _ � 53095 Main Rd
y�yol Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41936 Date: 3/28/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 1210 Country Club Dr, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.-3-2.14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/28/2020 pursuant to which Building Permit No. 45670 dated 1/12/2021
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 Celli,Pasquale&Lorraine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45670 2/18/2021
PLUMBERS CERTIFICATION DATED
uthoriz ignature
o�SOFFnt�-�oTOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
"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#: 45670 Date: 1/12/2021
Permission is hereby granted to:
Celli, Pasquale& Lorraine
1210 Country Club Dr
Cutchogue, NY 11935
To: install a generator as applied for.
At premises located at:
1210 Country Club Dr, Cutchogue
SCTM # 473889
Sec/Block/Lot# 109.-3-2.14
Pursuant to application dated 12/28/2020 and approved by the Building Inspector.
To expire on 7/14/2022.
Fees:
CO-ACCESSORY BUILDING $50.00
ACCESSORY $100.00
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, 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.
New Construction: Old or Pre-existing Building: C'1lnl(,Gs'C" (check one) t
Location of Property: tu ®l�tx )/ �l l/ D R U e
House No. Street Hamlet
Owner or Owners of Property: (C�l [ 2-
Suffolk County Tax Map No 1000, Sectiony a Block 03 Lot •f, �j
Subdivision Filed Map. Lot:
Permit No. qj'6 Date of Permit. Applicant;
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ LJ 6A.
121
Applicant Signature
®�*OF SO!/r�,®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q sean.devlina—town.southold.ny.us
Southold,NY 11971-0959 ,r► • a0
®l�C®UNT`l,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Pasquale Celli
Address: 1210 Country Club Dr city.Cutchogue st: NY zip: 11935
Building Permit#: 45670 Section: 109 Block 3 Lot: 2.14
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 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 11 Pump
Other Equipment: 16 kW Generator and 200A Whole House Transfer Switch
Notes. Generator
Inspector Signature: Date: February 18, 2021
S. Devlin-Cert Electrical Compliance Form As
hO�aOf SOpIyO� 70
# # TOWN -OF SOUTHOLD BUILDINGDEP
°`y�nu►m '�� 765-1802
INSPECTION"
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] ,FOUNDATION,2ND [ ], INSULATIOWCA'ULKING -
[ ] 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
DATE �° 2i INSPECTOR c��--
r ,
Q9`µ_-.
kl'�FIELD'INSPECTION REPORT DATE COMMENTS,
f
FOUNDATION(1ST) y
�1
----------------------
---------------
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FOUNDATION(2ND)
ROUGH FRAMING& -®
PLUMBING y C>F1
1.
3;?ry Vim+
Ayyy.,µ
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INSULATION PER N.Y.
k : STATE ENERGY CODE
fil�>
FINAL
44
t�F'
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) 765-1802Planning Board approval
FAX: (631) 765-9502 �-� Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
MYSDE.0
Trustees
C.O.Application
Flood Permit
Examined 120 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
1 Z 2 Contact: .
Approved 120 Mail to: C_ -epF��?
Disapproved a/c
Phone: (a
Expiration 120
ilding Inspector
APPLICATION FOR BUILDING PERMIT
Date CC) (223 , 20 a6
INSTRUCTIONS
a.This application MUST 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.
(Signature of applicant or name,if a corporation)
DEC 2 8 2020
(Mailing address of applicant)
State whether'applicant is-6wrier,Jes'see, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises 77
(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. �_� � �►-� 1e<�2t�
Other Trade's License No.
1; Location of land on which roposed work will be done:
House Number Str ei Hamlet
County Tax Map No. 1000 Section ( Block G Lot
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 °w�
b. Intended use and occupancy S _
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work 6ELQ& S—
(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 r
If garage, number of cars
r
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' f 04�
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories tv 0 fin(
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 NO
13. Will lot be re-graded? YES NO 'f%. 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 NOY-�
* 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, roust provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
-i,—
* IF YES, PROVIDE A COPY. BRUCE L. McDONALD
STATE OF NEW YORK) Notary Public-State of New York
No.01 MC6224291
`�'y��,& Qualified Expires June 23,20Suffolk County
COUNTY OF
1 d� My Commission Ex22
C— \ being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(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 t�before me this
50 :day of® TO 20 Z�C)
Notary Public Signature of Applicant
S'aFFOL/C BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
c Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
o4,- pl� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCaDsoutholdtownny.gov — seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN- INFORMATION (All Information Required) Date: Zu
Company Name: ,�,.i1� NAk%
Name:
License No.: 5)2,0 email: C ot-Er j 1C l ,c u
Address: a(X 4ticS6
Phone No.: _ Co2j) -3 n-11
JOB SITE INFORMATION (All Information Required)
Name: Q� CeN
Address: C1w mmt
Cross Street:
Phone-No.:
Bldg.Permit#: O email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Nqj�) 61GU
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 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 Form-As
PERMIT# Address:
Switches
Outfits ------ ----------------------- --- — ----- ------ -- ----- -------------
GFI's
Surface '
Sconces
HH's
t
UC US
Fans Fridge r HW
Exhaust Oven, Dryer
Smokes. DW Servtee
Genera
WOO
C mba op TrAoOer.
AC AH Mini
-Special:
Comments:
APPROVED AS NOTED
DATE: ( �2f B.P.#
FEE: '--• BY:
NOTIFY BUILDING DEPARTMENT A
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 OFTHE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
CompLY WITH ALL CODES CODEF
NEWYORK STATE & TOWNNS OF
AS REQUIRED A
SOUTHOLD T ZBA `
SOUTHO TOWN PLANNING BOARD
SOUTH D TOWN TRUSTEES
N.Y.S.DE
CCCOPACY O
USE IS UNLAWFUL
�`°� WITHOUT CERTIFICATE
OF OCCUPANCY r
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SITE PLAN SITE DATA: SCTM#1000.109-03 2.14 •88� 3
SCALE-:I-=10'-0' �uRmralx sa.rT.AIIEM IOT/WYelAC6 ExuvAte rna
FORM WATER MffiEMUM DE?AII
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AIL AN
Generator Only Model ll` 7171 7173 7176 7038 7042 7209
Generator/100 Amp Select 7172 7174 7177 - - -
Circuit Switch Model
Generator/200 Amp Service Rated Load - 7175 717 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 83.3 91.7 100
Amps 0 240V NG 37.5 54.2 66.6 75 81.3 87.5
Engine/Altemator RPM 3600/3600
Engine i Generac G-Force
Engine Displacement 460cc 816cc 999cc
Fuel Consumption 0 V2 Load- 101 154 182 204` 164 228" 203 203
NG cu.ft/hr
Fuel Consumption 0 Full Load- 127 225 245 301' 287 327" 306 306
NG cu.ft/hr
Fuel Consumption®V2 Load- 86 56(1.54) 62(1.70) 86(237)' 86(2.36) 92(2.53)- 92(2.53)
LPG cu.ft/hr(gal/hr) 92(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 67 67
Enclosure Aluminum
Enclosure Color Bisque
Warranty 5-Year Limited
Dimensions-Ifx WA/"x H'in.(mm) 48 x 25 x 29(1218 x 638 x 727)
Weight(Ib) 338 f 385 420 448' 1 436 I 466" 1 445 455
Mobile Link Wireless Connectivity f ! Yes 11
PWRview Home Energy Management ! - I - - i - - - - I - Yes
7038-1&7039-1 spedAcadons
**7042-2&7043-2 spedfcadons
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e „
Generac Power Systems,Inc.
S45 W29290 Hwy.59,Waukesha,WI 53189
www.Generac.com 1888-GENERAC(436-3722)
201902144 REV 07/20 - GENERAC
02020 Generac Power Systems.All rights reserved.
Specifications are subject to change without notice.
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