HomeMy WebLinkAbout45817-Z ��V%S�ffD I � Town of Southold 3/27/2021
y P.O.Box 1179
WC*
• 53095 Main Rd
y?j01 �ap�, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41905 Date: 3/27/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 405 Birch Ln., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 83.-1-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/3/2021 pursuant to which Building Permit No. 45817 dated 2/16/2021
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:
accessoa generator as applied for.
The certificate is issued to Smith,Jonathan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45817 3/19/2021
PLUMBERS CERTIFICATION DATED
uthorized Signature
o�SUFFo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
co z TOWN CLERK'S OFFICE
SOUTHOLD, NY
dol �a
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#: 45817 Date: 2/16/2021
Permission is hereby granted to:
Smith, Jonathan
405 Birch Ln
Cutchogue, NY 11935
To: install generator as applied for.
At premises located at:
405 Birch Ln., Cutchogue
SCTM #473889
Sec/Block/Lot# 83.4-28
Pursuant to application dated 2/3/2021 and approved by the Building Inspector.
To expire on 8/18/2022.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $235.00
4
Bud g Inspector
Form No.'6
TOWN'00"SOPTHOLD
:BUI]LDINGDEPARTMEENT
-TOWNRALL,
-765-1802
APPUCATIOX�", -R CERTMCWTE 0YQCC�W, -,AN,Cy
This application must.be�filled,in by typewriter or inkand submit(td,to the Building Department with:thc-follbwihg:
A. For AeW buildiikok he*"We:
1. Finalurvey of pr6ppr-ty,with-accurate location_of`AII buildings,'property'lines,streets,'�and,unusual natural'or
tppogtophip,katures.,
2. TbIAl.AppfpvW:ft-6hi 136alth Dept.of�-*4tersupply andiseWlbtage-disposal'(-,S-9 f6imj,.
Approval of electrical' installation from Board,of Fire 'Underwriters.
-
4, Sworn statenientfromplumber certifying,that-the solder:used'in system contains--Iegs than 2/10 of,16/o4ead..
S. Commercial'building,industrial buildings multiple,residences and similarbuildings and installations;a certificate
of Code Compliance from architecror engineer responsible for-th'e,building.
G. Su�initl'lanning.Bciard Approval cif completed site plan:rs' uirerrients.
B, #or-dkiking1buildings;(prior to-April 9;�Osl'
1. Accurate survey of property sh6*ing:alI property lines,,Areas building a#d'uhuual-natural br'top600hic
'features. -
2. A properly completed application
cation and,,consent to inspect signed by the-applicant.If a Certificate of Occupancy is,
denied,the Building,hispector shall-state the reasons theref6r in4riting"16,the-applicant.
C. Fees�
1. Certificite of Occupancy,-New, dwelling$50.00,Additions to--dwcllihg:$50.00,Afterations-to,dw6ling$50.00,
Sixnmi`-I �poc�l,$56.60' Ade�s�qrybuildiiig$50.09,
49 -Additions to accessory bqflding$$, u.silnesses,$$0.00.
2. Certificate 4-Otditwicy.6n- 'Pie-6xistWgBuildifijx- 3100.00
3. Copy of Certificate of Occupancy,$.25
4. Upd4redCerdfitate,otbecupa6c','y-- M.09
5' 'Temporary Ceftificht6,,ofCr6WOancN,-Residential$,15,.00'Conimercial,tl5,00
Date.
Now Construction- Old or Pre,-exiisting Building: X (cheek one�
Location of Prop L165 to
Housd No. Street 14axii1et
Owner or Owners:offroperty:, 4j ��O.")
8utTolk'Co'unty Tax Map N,6'.1000, Section, 'block i Lot
Subdivision, Filed Map. -Lot.
Permit,No. Date of Permit. Applicant:,
,Health Dept..Apprqvaj: Underwriters,Approval:
Planning B6&d Approval:`
Acquest f6r: TemporaryCertificate', _Final,Cerfificate, (64eck one),
Fee Submitted:'$—
Applicant gignature-
®��oF so���®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 c sean.devlin(a)town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jonathan Smith
Address: 405 Birch Ln city:Cutchogue st: NY zip: 11935
Building Permit#: 45817 Section 83 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 X Service
Commerical Outdoor X 1 st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200 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: 24 kW Generac Generator w/200A Whole House Transfer Switch
Notes Generator
Inspector Signature: �—. Date: March 19, 2021
S.Devlin-Cert Electrical Compliance Form.xls
�o�aOE SOUlyOlo � ��� � � V � �� sem-✓f
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
NSPECTI.ON
[ ]
-FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION-2ND_ = [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION-
FIRE
NSPECTION-
FIRE RESISTANT CONSTRUCTION [ '] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
t
DATE � � ' INSPECTOR
FIELD INSPECTION REPORT DATE S
FOUNDATION(1ST)
F01UNDATION(2ND) :J
ROUGH FRAMING& '
PLUMBING
�J
1I+150,,ATION PEA N.Y. ' y
r
STATE ENERGY CODE
FINAL
Apr
M
• `�f`'
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applymg9
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 '7 Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
NYSDEC
Trustees
C 0 Application
//, Flood Permit
Examined 1 V 20 C Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved (0 20 Mail to > e
Disapproved a/c z
Phone
EXpira ionl i l 20-v
L.,i D Wz'.. i
L 1 Building Inspector
F E a - 3 2021 L.~ APPLICATION FOR BUILDING PERMIT
Date �" �� ,20
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,housi code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections
Si na'=of ap i(3ant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
owNU— �l I^
Name of owner of premises �0 lilC.� �fJ `�" `
(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.
I Electricians License No. 5lZ.O
Other Trade's License No.
1. Location of land on whicgiffj-,n,
roposed work will be done:
—ll � LN ll
j House Number Street Hamlet
County Tax Map No. 1000 Section �� Block L 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 117p Mk!v
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alterati
Repair Removal Demolition Other Work A
(Description)
4. Estimated Cost Q Y, 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
6. if business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Frontt2 (a l Rear C7U.(01 Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front (od Rear G41-VN I Depth a 7 Alcro
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 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&U.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—BR
J _ . MCU®NALD
* IF YES,PROVIDE A COPY. Notary Public_State of New York
STATE OF NEW YORK) No Of iMC6224291
Qualified in Suffolk County
COUNTY OFsv�'h� MY Commission Expires June 28,20 a�?�
,/ A1�1 ����' �/ being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the &J-p iiZ
(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 this
day of�� .✓L� lOZ�
Notary Publ Signature of Applicant
OS6' BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
CM Town Hall Annex - 54375 Main Road - PO Box 1179
o at
Southold, New York 11971-0959
y p� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(cD-southoldtownny.gov — seand(-U-)southoldtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 1-271
Company Name:
Name: aU(z'_ , \
License No.: Sre_6 email: (op-,
Address: p�-'� 1056 '�
Phone No.: (.03)
JOB SITE INFORMATION (All Information Required)
Name: �yj Q SNN. \
Address: qQ5 N iEL6, q.-55
Cross Street: ClAea ct V TG L.
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: [ Lot: a G)
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
N4-z( j a 6L.Q C- f'L2
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YESNO 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:
i
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
t�f b�71ro_f VIP 10�lrrAf nA
100,
-.1
A
X'4
Z
Q2
LAND Nji -
Or
LAND N/F
or
BCGANE
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4
THE WAr_q Rrl'tr Aa_'.S, DRIOEUS AA0
LOCA 77ONS SKO4W AYE fFOU FC-1.0 0_�V4 1--%_5
AND OR DATA 06TAWED FRCO 077r_173
AREA:30,504.17 SO Fr, or 0.70 ACRES rLEVAIION DA.-LAA
UNAUTHORIZED AL MRA nON OR ADDITION 10 THIS SURVEY 15 A WOLA 170,14 OF SECT70N 7209 OF IhE&EVV Ya;br STATE OUCA=N L4W CCP_�S 07-75 SL*-,n
MAP NOT BEARING THE LAND suqvEyows rmaossfD SEAL SHALL NOT BE cmmaro TO BE A VALID rRUE COPY, 0!JARAY'aFFS -CREG"t 9-11 RUN
ONLY TO THE PERM.'FOR NfOAf THE SURVEY IS PREPARED AND ON MS BEHALF TO THE 77TLE C0WjRAXr,' GOVSRNME%'r& _ACVX-AN-9,L-0,47LNG WF7llUR'GV
LISTED HEREON, AND TO INE ASSIONCES OF THE LENDING INS27TE/lION, GUARANTEES ARE NOT 7RA&SrFRAS:f
THE OFFSETS OR DIMENSIONS SHOYN HEREON FROM THE PROPERTY Ulyrs TO THE STRUCTURES ARE IrOR A SPEC-117C F'APPCSE AA0,J5Z �tZF=' Z�f rlf-r' ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES 049 TO GUIDE THE ERCCRON OF FENCES, ADO1170MAL STPUCM-fS OR AND Or-0e S4__ZWNTS I
AND/OR SUBSURFACE SIRUL"URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHMCA_U>EM!&VT ON THE PREWZS AT??'T 1-41F OF SL4fy
SURVEY OF LOT 136 S
INATHAN MTH,,
CERTIFIED TO JO
MAP OF,BIRCH HILLS FiDELITY NARONAL TfTIE INSURA.UCE COMPANY,
FILED-JULY 19, 1967 No.4908
SITUATED AT:CUTCHOGUE
TOM OF- SOUTHOLD KENNETH M 11'0,YCHUX LAND n:RVEYIN , PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
All P.O. Box 153 Aque"gue, New York_.11931
nLE # 17-96 SCALE, 1"=30' OATS-JUNE 26. 2077 PRONE(53L)298-088 FAX 163L122H-L5W
N,Y S- USC NO OSOM2 mlnt.Wt.0 the romrdt a Pb"t J.ll.=.g7&Esn th N lrayhtk
S.C.T.M. N8. DISTRICT. 1000 SECTION: 63 BLOCK: 1 LOT(S),28
4k
LOT 12
a
AADN
a_ ¢p... LOT 13
----u ca
LAND NIF -a o° . a
YENICAY 1.8 v SW()
a
LOT 14
LAND A
OF
BIGGANE
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41
LAND Nf F
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APPROVED AS NOTED
DATE:a-L 2 1 B.P.#
FEE: �i BY:
NOTIFY BUILDING DEEPARTMENT AT OCCUPANCY OR
765-1802 8 AM TO 4 PM FOR THE USE IS UNLAWFUL
FOLLOWING INSPECTIONS:
1. FOUNDATION -FOR POURED CONOCRETEEUIRED WITHOUT CERTIFICATE
2. ROUGH - FRAMING & PLUMBING OF OCCUPANCY
3. INSULATION
4. FINAL - CONSTR.,,'":,-)N MUST
BE COMPLETE r _ 0.
ALL CONSTRUCTICA -,,-+ALL 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 ELEc'rROCAL
AS REQUIRED AND CONDITIONS OF WSPECTION REQUIRED
-SGUIBOLD TOWN ZBA
BOARD ti
SOUTXTROEES
i
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® ®,
MEN=
Generator Only Model 7171 7173 7176 7038 7042 7209
Generator/100 Amp Select i
Circuit Swftch Model 7172 7174 7177
Generator/200 Amp Service.Rated Load ; 7175 ? 7178 7039 70183
Shedding Smart Switch Package Model i
Generator/PWRview Automatic Transfer
Switch-200 Amp Model ' - i - # - -
Voltage(Single Phase) 120/240
Amps @ 240V LPG g 41.7 54.2 i 66.6 i 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 ( 460cc i 816cc 9990C
Fuel Consumption 0 V2 Load- 11
NG cu.ft/hr 101 154 182 204• 164 228« 203 203
Fuel Consumption @ Full Load-
NG cu.ft/hr 127 225 245 301* 287 327" 306 306
Fuel Consumption( V2 Load- 36(0. 86 97) 56(1.54) 620-70) 86(2.37)• 92(2.53)" 92
LPG cu.ft/hr(gal/hr)) (2.36) (2.53) 92(2.53)
Fuel Consumption @ Full Load- 54(1.4 18) 90(2.45) 109(2:99) 1296 136(3.74) 1421
LPG cu.cu.ft/hr(gal/hr) (3.56)• (3.90r 142(3-90) 142(3.90)
Quiet-Test Mode ( Yes
db(A)at Exercise 517 55 57 57
db(A)at Normal Operating Load 61 65 67 67
Enclosure Aluminum
Enclosure Color Bisque
Warranty 4 5-Year Limited
Dimensions-V 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 i 455
Mobile Link Wireless Connectivity f 111 r Yes III fff
PWRview Home Energy Management , - f - - - j - - i - f Yes
'7038-1&7039-1 spedficadons
7042-2&7043-2 spedficadons
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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. N
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