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Home My WebLink About45697-Z S�FFrC Town of Southold 3/27/2021 P.O.Box 1179 0 53095 Main Rd Skyfj0 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41918 Date: 3/27/2021 THIS CERTIFIES that the building GENERATOR Location of Property: 535 Sigsbee Rd,Laurel SCTM#: 473889 Sec/Block/Lot: 143.-2-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/5/2021 pursuant to which Building Permit No. 45697 dated 1/20/2021 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 Henry,Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45697 2/18/2021 PLUMBERS CERTIFICATION DATED r Authorizeds Signature o�SOFF i�.� TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 45697 Date: 1/20/2021 Permission is hereby granted to: Henry, Christine 535 Sigsbee Rd Mattituck, NY 11952 To: install an accessory generator as applied for. At premises located at: 535 Sigsbee Rd, Laurel SCTM #473889 Sec/Block/Lot# 143.-2-10 Pursuant to application dated 1/5/2021 and approved by the Building Inspector. To expire on 7/22/2022. Fees: ACCESSORY $100.00 CO-AC SORY B DING $50.00 ELE TRI $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^^ *JJd (check one) Location of Property: 44 5 sus I�.C� �aNX 1k�)c 1IZ., Hous�`No. Street Hamlet Owner or Owners of Property- Suffolk County Tax Map No 1000, Section Q�� _Block Q Lot Subdivision Filed Map. Lot: Permit No. Lf Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for Temporary Certificate Final Certificate: (check one) Fee Submitted: $ X Cf A 4 Applicant SWakfe 0f SO(/l�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® sean.devlinCaD-town.southold.ny.us Southold,NY 11971-0959 R QUO,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Christine Henry Address 535 Sigsbee Rd city:Laurel st: ny zip: 11948 Building Permit#• 45697 Section. 143 Block: 2 Lot 10 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 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 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: 13 kW Generator w/ 100A Whole House Transfer Switch Notes* Generator Inspector Signature: �` Date: February 18, 2021 S.Devlin-Cert Electrical Compliance Form As OF SObIyO� 1 56 q '7 -G�' :J 1 gc/'2�7p_- # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION- [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) r1l [ ] CODE VIOLATION PRE C/O REMARKS: /IlKk0A-tr5� DATE I iq / Zt INSPECTOR r ✓-- ot+ t C FIELD INSPECTION REPORT DATE COMMENTS ` Lj.\ ' FOUNDATION(1ST) y t4 ---------- -------------------------- - FOUNDATION(2ND) RL LA L, CIS j ROUGH FRAMING& - y PLUMBING �J) n INSULATION PER N.Y: STATE ENERGY CODE f- A;- FINAL ADDITIONAL COMMENTS '� rb -3-�I 5 (�0 �le�tact �- tri r [�1 �•t fy, 's 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 Survey Southoldtownny.gov PERMIT NO. 7Z Check Septic Form N.Y.S.D.E.C. Trustees �-� C.O.Application ��,•t�A;,� Flood Permit Examined • 120 e G' '?:'`� y � o j p,, � � Single&Separate , �@� �kr ss Identification Form L Storm-Water Assessment Form !2-0 2-1 � ontact: Appioved 120 p' ° � d° y Mail to:� Disapproved a/c I Pho 1 E P'• -7 Expiration ,20 DATE: 0 B.P., = BY: 9 ingInpector NOTIFY BUILDING:, DEPARTMENT AT 765-1802 8 P,M TO 4 PM FOR THE 1 l APPLICATION_FOR BUILDING PERMEELOWING INSPECTIONS: _3 JAN - 6 2020 1. FOUNDATI N - TWO REQUIRED DatEOR -D RETE20 ZQ INSTRUCTIONS 2. ROUGH - AI , _ i� ING 3. INSULATION a.This application MUST be completely filled in by typewriter or in ink and subnntato 4 sets of plans, accurate plot plan to scale. Fee according to schedule. BE COMPLEI E Pori C.U. b. Plot plan showing location of lot and of buildings on premises,relationship to,la�dj6 4`h°gT �i s�or` 't5 llic tFeeTtsT�rE areas, and waterways. REQUIREMENTS OF 1 H CODES OF NEW c. The work covered by this application may not be commenced before issuancygmuaTwiMplt.RESPONSIBLE FOR d. Upon approval of this application, the Building Inspector will issue a Buildin��%FA4tQBthe(a�ollc`�Ce3 Uli Rrtg� shall be kept on the premises available for inspection throughout the work. 1 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 ori!premises, d it�rli ijrcii n�(etsQD'r`rg t;ehs. ,•� DES NE' 1 OR,K STATE ®F EdRE A UI1 `j DEC 2 �� +y �gnature of app scant or name,if a corporation) SOUTHOLD TC'AN ZBA _ SOUTHOLD TOWN NP RD (Mailing a dress of applicant) SOUTHOL0 TOWN T i EES State whether applicant is owner, essee, agent rjl-6�tct, gineer, general contractor, electrician, plumber or builder W N 4j- Name of owner of premises AW97 (As on the tax roll or latest deed) If applicant is a corporation, signature of 2Xj authorized officer (Name and title of corporate offi�er) Builders License No. Plumbers License No. b MPMTM REQUIRED Electricians License No. 5126 0-4my-- Other Trade's License No. 1. Location o n on which proposed work will be done: Jr n�a'r�r��c,��C 1 ile All 5�, House Number Street Hamlet County Tax Map No. 1000 Section 1�� Block a 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� T v rz - b. Intended use and occupancy �'PrMIL ��t 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ) / / (Description) 4. Estimated Cost 7000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor S If garage, number of cars L 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. A e� 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories MC) C CGn%. Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories bjG 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—X- 13. Will lot be re-graded? YES NO�Will excess fill be removed from premises? YES NO l 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_(r 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 * IF YES, PROVIDE A COPY. BRUCE L. iv1CDONALD Notary Public-State of New York STATE OF NEW YORK) No 01 MC6224291 SS: Qualified in Suffolk County COUNTY O55>PPe0a-e, My Commission, Expires June 28,20 ZZ "ing duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the)p (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have perfonned 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 5Q""I day of 2020 in Notary Public n re of A scant �St3fIr BUILDING DEPARTMENT-Electrical Inspector f;tL TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 CIO ;t Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 �. ro err southoldtownn . ov — seand southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: pew a.2 Company Name: ONK _ r—k kr Name: � CJUv� K r _ - - License No.: -51z-6 email: �S-jam, -I Address: P.U,AF 1056 l X_ Phone No.: CP —22> x131 JOB SITE INFORMATION (All Information Required) Name: C Z,\! }-r-W Address: 5'b57 d5, Sri --2J /�'1 ' ,a-`,L'K - Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: 4 oL Lot: - 16 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/ 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.xts �F-E) LA ®� Ir 41 ZIT Vee- 2z",= 3 Z6 7' c f dDc,��/�w•M�.7TiTr�.�' Tar,��v�.r�u rh-'c�,o /�5✓• G�,�-�sv�'E'�'.D Tom✓off-�L�H.Pi�Ti.��'.��.p3��i,��T�i�aC!�eC.��TTtC-'/�/��'NC�Cc�er�/ �•T��'.d��/�/Ls�d/'�Ja'��-/Q � -G.�.t/G•/�O.CJ.o�iro°d'� rF' 5- A vjn �"PA, v, G' - "Hal Eq-� 0 7 M Generator Only Model i 7171 7173 7176 7038 7042 7209 Generator/100 Amp Select 7172 717 7177 - - Circuit Switch Model - Generator/200 Amp Service Rated Load - 7175 7178 1 7039 7043 Shedding Smart Switch Package Model - Generator/PWRview Automatic Transfer 7210 Switch-200 Amp Model Voltage(Single Phase) 1201240 Amps @ 240V LPG 41.7 54.2 66.6 83.3 91.7 100 Amps 0 240V NG 375 E 54.2 66.6 75 81.3 87.5 Engine/Alternator RPM 360013600 Engine Generac G-Force Engine Displacement I 460cc 816cc 999cc Fuel Consumption 0 1/2 Load- 101 154 182 204* 164228** 203 203 NG cu.ft/hr I Fuel Consumption @ Full Load- 127 225 245 301* 287 327-- 306 306 NG cu.ft/hr 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(2A5) 109(2.99) 129.6 136(3.74) 142.1 142(3.90) 142(3.90) LPG cu.cu.Whr(gal/hr) (3.56)* (3-90)- Quiet-Test Mode Yes db(A)at Exercise 57 55 57 57 db(A)at Normal Operating Load i 61 65 I 67 67 Enclosure Aluminum Enclosure Color I Bisque Warranty 5-Year Limited Dimensions-r x W"x H"In.(mm) 48 x 25 x 29(1218 x 638 x 727) i Weight(lb) 338 385 420 448* 436 466" 445 455 Mobile Link Wireless Connectivity E Yes PWRvIew Home Energy Management Yes *7038-1&7039-1 specifications 07042-2&7043-2 specifications NATIONWIDE 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-GENERAC(436-3722) 0 C5 09 201902144 REV 07/20 0 GENERA C3 02020 Generac Power Systems.All rights reserved. Specifications are subject to change without notice.