HomeMy WebLinkAbout45816-Z �451)FcpG Town of Southold 10/23/2021
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y� P.O.Box 1179
o _ 53095 Main Rd
1y�41 � 'I Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42471 Date: 10/23/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 2160 Reeve Rd.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 100.-3-2.2
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. 45816 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:
accessory generator as applied for.
The certificate is issued to Kulczycki,Helene&Hilgendorff,David
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45816 9/29/2021
PLUMBERS CERTIFICATION DATED
)thor�zTe §ignature
TOWN OF SOUTHOLD
svEFot,
BUILDING DEPARTMENT
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#: 45816 Date: 2/16/2021
Permission is hereby granted to:
Kulczycki, Helene
2160 Reeve Rd
Mattituck, NY 11952
To: install generator as applied for.
At premises located at:
2160 Reeve Rd., Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-3-2.2
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
Bu' ding Inspector
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 ® sean.devlina-town.southold.ny.us
Southold,NY 11971-0959 c®n9��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Helene Kulczycki
Address: 2160 Reeve Rd city,Mattituck st: NY zip: 11952
Building Permit#: 45816 Section: 100 Block 3 Lot 2.2
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 X 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 20kW Generac w/ 90A Overcurrent on Generator, 200A Whole House Transfer
Notes Generator
Inspector Signature: Date: September 29, 2021
S.Devlin-Cert Electrical Compliance Form
pE SOUIyo� 1 s e'I �j`�� ID
f TOWN OF SOUTHOLD BUILDING DEPT.
courm��'' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
` [ ] FOUNDATION 2ND [ " ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL -
"[ j] FIREPLACE & CHIMNEY [` ]` FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) ,
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: agpyw2 t�
DATE ' INSPECTOR
�o��OF 50Glyo�
* # TOWN OF SOUTHOLD BUILDING DEPT.- '-
765-1802
EPT.- '765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION'2ND [ ] I SULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL C,41Pv,�
FIREPLACE &=CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] =FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE �� �'(3I�� INSPECTOR
FIELD-INSPECTION REPORT' DA TZ
FOUNDr 'tXON(IST).
(
FOUNDATION(2ND)
ROUGH FRAMING&
PLUMBING
INSL7,,ATION•PER N..Y. ' y
STATS ENERGY CODF,--
TINAL
o '
7.
C'Q
rf
7-7
' .. , ..
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tz
� gFut c�� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
'
Telephone 631 765-1802 Fax 631 765-9502 hitps://www.southoldtovrmy.gov
Date Received
APPLICATION IL I PERMIT _
For Office use only p '
Li
i
PERMIT NO. Building Inspector: FEB
- � 2021
0,001 1 ication$a6cl forms-must.befilled,out in.,their enti,rety_'.Incomp,I6tIe`, 11. _
,,applicationsmill not be�accepted:,:Where the Applicantis.noithe"owner,an ,, 71 '
Owner's,Authoriiaton',`form,`(Page 2),shall be completed: r
Date:
.CWNER(S)_:OF'PROPERTY:_
Name: SCTM#1000-
Project Address:p a1kao
Phone#: Email:
Mailing Address:
- - � sax _ -_ _ , ,�< ' '_ z- .. 4 .,•, - - - Fr,�;, .a5
CONTACT:PERSON: =r
Name:
Mailing Address:
Phone#: ����'�S��—?�� Email_ oc �
)DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
„CONTRA'CTOR
INFORMATION:, �,
Name:
Mailing Address:
Phone#: ._... _ - Email )C �'�',eC�5�,-CCBV�m
DESCRIPTION,OF,MPROPOSED`CONSTRUCTION
w
El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
tether f$Ift L-( C--tz%JWill the lot be re-graded? ❑Yes NrNo Will excess fill be removed from premises? ❑Yes 0
1 1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes o IF YES, PROVIDE A COPY.
Ifthbiik BO'x Ater Reabin' : The owner/contractor/design professional is`responsible for all drainage and storm water issues as provided by`
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 construction of buildings,
additions;a6rations 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 Inspector's on premises and4n 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 B (print name): WAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 6-CJ AAM GQcj I---
(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 `
2�day of 5,�v41-7" 2OZ-/ ,20
Notary Public
BRUCE- L. McUONALD
Notarr,1 Public-State of New York
PROPERTY OWNER NER AUTHORMATf M No of MC622a291
(Where the applicant is not the owner Qualified m Suffolk County
pP ) My Commis5,�;n Expires June 28,20. ;;?-?-'
/U F I' eAJ 6 Y, residing at "ql'o P-ew e- P-6
do hereby authorize ���'i� G Lor� to apply on
my behalf to the Town of Southold Building epartment for approval as described herein.
® LAiiz�
iz. 2.\
Owner's Signatur Date
Print Own is Name
2
OS�fEOL�C BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
a Town Hall Annex - 54375 Main Road - PO Box 1179
C.0
- Southold, New York 19971-0959
y o� Telephone (631) 765-1802 - FAX (631) 765-9502
��l rogerr(cDsoutholdtownny.goov - seand(-southoldtownny.go_v_
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: u
Name: v
License No.: t�email:
Address: p O 1060
Phone No.: (a'-�)- 75-6 73
JOB SITE INFORMATION (All Information Required)
Name: �'b
Address: t(,pb -P-evq_-
Cross Street: U�,-C L
Phone No.: '7
Bldg.Permit#: email:
Tax Map District: 1000 Section: M(2Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
tje-i 2-A KW
Circle All That Apply:
Is job ready for inspection?: YESNO 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 Formals
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A 35
SURVEY FOR ;
HENRY K. LUTZ -
�.' - • " LOT 45 "SALTAIRE ESTATES",
MATTITUCK
TOWN OF SOUTH
1 .�' • • ...-.• :. OLD- _ .��:'`• ,�
SUFE. CO., N.Y. :t.Y;.-;�:�.
',.,.:. OUARANTEED TO "' • ''.::i;
SECURITY TITLE a -GUARANTY CO ' r':�'`
RIVERH
SCALEI"=40' EAD SAVINGS BANK. .:'::*•,;fr ;
t ... . T ..: MAY 7, 1968
'&XNXVISl FILED
�:.� orv.ww>< �THE OFFICE 22
:)M THE CUDW.OF SUF601.K COUNTY ON ,196,8 '' `.,,.::r.,�::, ,►.
PROF
IM AS-MAP NO.4612. MAR. 31, 1869, E:s� IIyIE_. ks
�::`-•� r-•''r :ti'Y''
l O SURVEYOR;
• RIVERHEAD N.Y.
APPROVED AS NOTED
DATE: _�` B.P.# 45M 5M
FEE: ' �m BY:
NOTIFY BUILDING DEPARTMENT AT
765-1802 ' 8'AM TO 4P FOR THE OCCUPANCY OR
FOLLOWING,INSPECTIONS: U SEl S UNLAWFUL
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE WITHOUT CERTIFY,,
2. ROUGH - FRAMING & PLUMBING
3. INSULATION OF OCCUPANCY
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL 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 CODE:.
AS REQUIRED AND CONDITIONS OF ELECTRICAL
cni 114 1 D TOWN ZBA INSPECTION REQUIRED
401 ITN(lI r MAN Pi ANKII�OARD
TR1lSTEES
N v c nGr
Pow
•.+„ � �,.,,�4.Y �y�gyp,'- ,y�y9^ ', 0 -vrc�u t`- ,= ,�' =,r"'i'+'P1': 9✓r<' y JY4"da�, {+;.
Generator Only Model 7171 7173 7176 7038 7042 7209
Generator/100 Amp Select j 7172 7174 1 777 - -
Circuit Switch Model s f # 1
Generator/200 Amp Service Rated Load 703 ;
Shedding Smart Switch Package Model 1 1— 7178 7043 i _ �~
x
GeneratorlPWRviewAutomatic Transfer
Switch-200 Amp Model s I - - - 7210
E III
Voltage(Single Phase)
120/240
Amps @ 240V LPG f41.7 54.2 j 66.6 83.3 91.7 100
Amps @ 240V NG 37.5 1 54.2 66.6 75 81.3 87.5
Engine/Alternator RPM ( 3600/3600
Engine Generac G-Force
Engine Displacement 460cc 816cc 999cc
Fuel Consumption @ 1/2 Load- !
NG cu.ft/hr 101 154 182 204' 164 228” 203 203
Fuel Consumption @Full Load- 1 127 225 245 301" 287 327" 306 1 306
NG cu.ft/hr
Fuel Consumption @ 1/2 Load- 36(0.97) 56(1.54) 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(l.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) I (3.56)' (3.90)" i
Gulet-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 j Bisque
Warranty 5-Year Limited
Dimensions-IT x W"x H"in.(mm) 1 48 x 25 x 29(1218 x 638 x 727)
Weight(lb) f 338 385 + 420 448' 1 436 466" 445 455
i t 111
Mobile Link Wireless Connectivity i Yes
PWRview Home Energy Management 1 - 1 - - - l - - - Yes
`7038-1&7039-1 specifications
*17042-2&7043-2 spectflcoVons
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Generac Power Systems,Inc.
S45 W29290 Hwy.59.Waukesha,WI 53189 co
www.Generac.com 1888-GENERAC(436-3722) ® a
201902144 REV 07/20 GENERAC co
g
02020 Generac Power Systems.All rights reserved.
Specifications are subject to change without notice. N
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