HomeMy WebLinkAbout46890-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 46890 Date: 9/28/2021
Permission is hereby granted to:
NANK Holdings Inc
886 W Jericho Tpke
Smithtown, NY 11787
To: Install generator at existing residential office as applied for.
At premises located at:
14695 Route 25, Mattituck
SCTM # 473889
Sec/Block/Lot# 114.-8-5
Pursuant to application dated 9/17/2021 and approved by the Building Inspector.
To expire on 3/30/2023.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CO-RESIDENTIAL $50.00
Total: $235.00
"'�2/QL
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 htt s://www.$)APPLICATION FOR BUILDING PERMIT t:�t
Date Received
For Office Use Only -
PERMIT NO, Building Inspector:
Applications and forms must be filled out in their entirety. Incomplete
I applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
;= e
i Date: ()G A 3 /-2 ]
1
OWNER(S)OF PROPERTY:
Name:
YY) o poo S I SCTM#1000- 114- U8
i Project Address:
`t(q5 Mal In
Phone#: Gil-7 — (�c]g _ L}(��5 I Email:
Mailing Address: %S( W Jericho Tgrn 1�e \f
11U
I CONTACT PERSON:
I I
Name. P00 rn11, I
Q0 Mailing Address: 2.22 M66 Q0 C S 3 1y 5
+own y l FA`-7 i
Phone#: U I— CI`7 q - 01 OL4 I Email:jn
DESIGN PROFESSIONAL INFORMATION: +nc6 circh iicc�or-t c
oii�]
Name: Pb ( U1
Mailing Address: 222
nWdd It Cps RvaC _w. 31Lf S(TW)JO 0
Phone#: (p3 CI `U(Ut1
J� Email: j���l�flCln IQTChi��-�U�, d
I CONTRACTOR INFORMATION:
Name: -
N+ancihi MUi COnS*(JC-- oy)
Mailing Address:
222 rniddI Co0� Rosa St 3 I ��� �; NN 1 117A I-)
-
1 Phone#: (a31— Gfllk` U�ULfEmail: fte r,
j i
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure 'Addition DIAlteration IE.Repair --Demolition Esti ated Cost of Project:
VOther�
Will the lot be re-graded? ❑YesNo Will excess fill be removed from premises? ` Yes []No `
1
1
I PROPERTY INFORMATION
Existing use of property: Cool[)'C(CI Intended use of property:
Zone or use district in which premises is situated: I Are there any covenants and restrictions with respect to
this property? ❑Yes`I V1 No IF YES, PROVIDE A COPY.
c 8CI{ Irl The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
I Chapter 236 of the Town Code. 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 canstrudion of buildings,
additions,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 buildings)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print-ri ,_41�-- ❑Authorized Agent MOwner
Signature of A licant i
g pp
Si Date: _,
STATE OF NEW YORK)
COUNTY OF � #a
being duly sworn, deposes and says that(s)he is the applicant
Q 0, i
(Name of individual signing contra) 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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
If
f
day of , 20,R)
Notary Publi �3
`F
Notary Staie If ;sr Yo-k
N,
PROPERTY OWNER AUTHORIZATION Oual n In 0 _
(Where the applicant is not the owneYf mmission El-p IIc rube -,
residing at
do hereby authorize to apply on
my behalf T9
__�,vppfos ti gilding Department for approval as described herein.
4
Owner's Signature bate
Print Owner's Name
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GE Home Generator Systems
Generator System
Model 040324
Operator ' s Ma I
o t.�.� oo� --�i �I �' i � 1
IJ S E P 17 2021
DEPT.
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Specificat 'ilons
Generator Specifications
11k Watt 13k Watt
Rated Maximum Load Current*(at 25°C/77°F,LP): Rated Maximum Load Current*(at 25°C/77°F, LP):
at 240 Volts 45 83 Amps at 240 Volts 54.17 Amps
Rated AC Voltage 240 Volts Rated AC Voltage 240 Volts
Phase Single phase Phase Single phase
Rated Frequency 60 Hertz Rated Frequency 60 Hertz
Normal Operating Range -20°F(-28 8°C)to 104°F Normal Operating Range , -20°F(-28.8°C)to 104°F
(40'Qcit `��, (40°C)
Output Sound Level 74 dB(A)at 23 ft.(7 m) Output Sound Level 74 dB(A)at 23 ft.(7 m)
at full load at full load
Shipping Weight 530 Ib(241 kg) Shipping WeigfY530 Ib(241 kg)
*Natural gas rating will depend on specific fuel but typical Berates are between *Natural gas rotingwv end on specific fuel but typical derates are between
10 to 20%off the LP gas rating 10 to 201/6% 1 eLLPP s rating
Engine Specifications
Displacement 49.42 ci(810 cc) Qi4lacement 49.42 ci(810 cc)
Oil Capacity 64 oz(19 L) Oil Capacity 64 oz(1.9 L)
Tune-up Specifications Tune-up Specifications
Spark Plug Gap 0.020 in(03 Spark Plug Gap 0 020 in(0 51 mm)
Armature Air Gap 0.008-0Q%2in(0'g0-030 mm) Armature Air Gap 0.008-0 012 in(0.20-0 30 mm)
Intake Valve Clearance 0.004- � x(0.10-015 mm) Intake Valve Clearance 0 004-0.006 in(0.10-0 15 mm)
Exhaust Valve Clearance 0.02 in(0 23-0.28 mm) Exhaust Valve Clearance 0009-0.011 in(0 23-0.28 mm)
Common Service Parts
Air Filter,Oval 798748 Air Filter,Oval 798748
Oil--Synthetic 100074 Oil--Synthetic 100074
Oil Filter 492932 Oil Filter 492932
Resistor Spark Plug 692051 Resistor Spark Plug 692051
Long Life Platinum Spark Plug 5066 Long Life Platinum Spark Plug 5066
This generator is rated in accordance with UL(Underwriters Laboratories)2200(stationary engine generator assemblies)and CSA(Canadian Standards Association)standard C22 2
No 100-4(motors and generators)
26