HomeMy WebLinkAbout45078-Z �o��g�ffOt Town of Southold 3/27/2021
y� P.O.Box 1179
0
co53095 Main Rd
W�� o� 1i Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41914 Date: 3/27/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 475 Pinewood Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 110.-3-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/29/2020 pursuant to which Building Permit No. 45078 dated 8/6/2020
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 P'Simer,Christine&Cooper,Claire
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45078 2/18/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
oSUFFotK�ooTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
"� • SOUTHOLD, NY
ti o�s
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#: 45078 Date: 8/6/2020
Permission is hereby granted to:
P'Simer, Christine & Cooper, Claire
475 Pinewood Rd
Cutchogue, NY 11935
To: install a generator as applied for.
At premises located at:
475 Pinewood Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 110.-3-5
Pursuant to application dated 7/29/2020 and approved by the Building Inspector.
To expire on 2/5/2022.
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 budding.
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: L j Old or Pre-existing Building: (check one)
Location of Property: �l�5 D1 Na-j� �U � �C�U(Z jur ' Ica
House No. Street Hamlet
Owner or Owners of Property:
Na,,r CA L90 7 _r. /I r t ���� ,k
Suffolk County Tax Map No 1000, Section i l� Block Lot
Subdivision Filed Map. Lot:
Permit No. "� b Date of Permit Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ i
Ap4lit/ant Signature
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �o� sean.devlinCaD-town.southold.ny.us
olycOUN'f`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To- Christine P'Simer
Address: 475 Pinewood Rd City Cutchogue st: NY zip- 11935
Building Permit#: 45078 Section 110 Block. 3 Lot- 5
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 1 st 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, 16 kW Generator w/ 200A Whole House Transfer Switch
Notes: Generator
Inspector Signature: Date:
February 18, 2021
S.Devlin-Cert Electrical Compliance Form.xls
ho�aoF souryo�o H j 0 1 a l ' ( � —Pi,N '�?� Woo
C� e-9
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycourme 765-1802
INSPECTION ,
[ ] FOUNDATION 1ST-, [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[" ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] 'FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O
REMARKS:
r � � 1 91
DATE INSPECTOR c
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
--------------------------------
FOUNDATION(ZND) � �
O
ROUGH FRAMING& y i
PLUMBING A
INSULATION PER N.Y. y
STATE ENERGY CODE '
7 '
FINAL
4tVis' C . z
� 0
� Z
m
X
- y
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. Check
Septic Form
N.Y.S.D.E.C.
Trustees
{ C.O.Application
Flood Permit ,
Examined ,20 Single&Separafe
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:��?j ��/5 X3-7
Expiration ,201 ,-o PA N
D ('( _ U�� [E Building Inspector IS UNLAWFUL
D ��` -Mu"UT CERTIFICATE
APPLICATION FOR BUILDING PERM 'F
JUL 2 9 2020 OF Q ACY
Date , 20Z--C-)
BUILpIIeIG DEPT. INSTRUCTIONS
aTt?,hi`slapplication7 Pl�e 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 onthe 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.
APPLICATI0N�1S 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 buildingfornecessary inspections.
000120 Signature of applicant or namp,if a corporation)
�t (Mailing address of applicant)
g fi
T1 ,N c� t .�I
�ie- S� r
State er�q pl �antlis��Wr'-Alae, agent, architect, engineer, general contractor, electrician, plumber or builder
n�1�.PiE�E
.
FOR PUu, `�
c mitvP t:, &.
Name Of q#-ASi1of premises l4 -e_ �vo�e✓ -l' (� 11 ri S N e, J ✓" `�"
(As on the tax roll or latest deed)
If appliagrlMAco. azatibn;si to� o d'*authorized officer COMPLY WITH ALL CODES OF
Bs CONS -TION S_A� oFtA-C-N NEW YORK STATE & TOWN CODES
(Nam 1 d"fi 1psak r t yg iFe AS REQUIREDNS OF
BuildersIs� 4�. N0� N�' 1 T~RR RS
Plumbers` �� eo.CO ilF
glectriciat�s�Ltcense No. 5 12-0 NG BOARD
Other Trade's License No. ES
1. Location of land on ich propos d wor will be don : DEC coo =
House Number Street Hamlet
ICounty Tax Map No. 1000 Section [1bBlock 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
b. Intended use and occupancw_ U ,�
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other WorkI�iJ— �
(Description)
4. Estimated Cost '$ q000
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: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories'r4- '
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
i .
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 Will excess fill be removed from premises?YES NO)U
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\G _
* 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__�Q
* 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 ort�s�tr rovide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NOV
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
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 tofore me this - "` ' '
2 g day of Z�AfC 0-102-61' BRUCE McDONAL _
20 Notary Publicc State of New York
No.01 MC6224291
Qualified in Suffolk CountyMy E3oni, r
Notary Public fission Expires J Signature of Applicant
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
CD Town Hall Annex - 54375 Main Road - PO Box 1179
%' r Southold, New York 11971-0959
%1U-1 r"
p�� Telephone (631) 765-1802 - FAX (631) 765-9502
1 "Y' rogerr -southoldtownny.gov - seand(cD_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: )DN*,
Name: �Cz
License No.: 5a6 email:
Address: SAO <}56 Mo1 t-OZ.
Phone No.: (p3)-- --)Gy—
JOB SITE INFORMATION (All Information Required)
Name:
Address: °75 9►NewtO
Cross Street:
Phone No.: 60-6 - 75-973"-7
Bldg.Permit#: Lf_570-7 y email:
Tax Map District: 1000 Section: \10 Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES 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.xls
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1 ®-22 kW GUARDIAN SERIES
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' • (LP/NG) f ® i
Generator Only Model 7171 7173 7176 7038 7042
7172 7174 7177
Generator/Select Circuit Switch Model 100 Amp 100 Amp 100 Amp n/a n/a
' Switch Switch Switch
Generator/200 Amp Service Rated Load n/a 7175 7178 7039 7043
p [ Shedding Smart Switch Package Model#
yt {{ Voltage(Single Phase) 120/240V
,Jiig i` Amps @ 240V LPG 41.7 54.2 66.6 83.3 91.6
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fTM,, Amps @ 240V NG 37.5 54.2 66.6 75 81.3
n•uF c)t
ltswj; Engine/Alternator RPM 3600/3600
Engine Generac G-Force
Fri
' i.,Aw Engine Displacement 460cc 816cc 999cc
Fuel Consumption @ 1/2 Load
101 154 182 204 228
NG cu.ft/hr
Fuel Consumption @ Full Load
i
( ��it 127 225 245 301 327
( 'o NG cu.ft/hr
Fuel Consumption @ 1/2 Load
LPG cu.ft/hr gaUhr) 36(0.97) 56(1.54) 62(1.70) 86(2.37) 92(2.53)
,t :{;I Fuel Consumption @ Full Load 54 1.48 90 2.45 109 2.99 129.6 3.56 142.1 3.90
(t ;4 LPG cu.ft/hr(gal/hr) ( ) ( ) ( ) ( ) ( )
r, ° Quiet-Test Mode Yes
db(A)at Exercise 57 55 55 55 57
I" db(A)� at Normal Operating Load 61 65 65 67 67 e '
€.��; Enclosure Aluminum
; Fah" Enclosure Color Bisque ?
Warranty 5-Year Limited
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,j`!r�' Dimensions(L°x W°x H") 48 x 25 x 29 `}
Weight Obs.) 338 385 420 448 466
;'(5k Standard with Mobile Link Yes
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