HomeMy WebLinkAbout45507-Z �OS�FfO( Town of Southold
10/23/2021
P.O.Box 1179
co
co 53095 Main Rd
11
4,, �ao� Y� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42473 Date: 10/23/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 3693 Pine Neck Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-6-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/16/2020 pursuant to which Building Permit No. 45507 dated 11/30/2020
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:
accessoly generator as applied for.
The certificate is issued to Rieger,Gerard&Bethanne
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45507 9/29/2021
PLUMBERS CERTIFICATION DATED
u h i d Signature
��o�SUEF
BUILDING DEPARTMENT
23 a 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#: 45507 Date: 11/30/2020
Permission is hereby granted to:
Rieger, Gerard
84 Glenlawn Ave
Sea Cliff, NY 11579
To: install a generator as applied for.
At premises located at:
3693 Pine Neck Rd, Southold
SCTM # 473889
Sec/Block/Lot# 70.-6-25
Pursuant to application dated 11/16/2020 and approved by the Building Inspector.
To expire on 6/1/2022.
Fees:
ACCESSORY $100.00
CO- SORY BUIL G $50.00
ELECTRI $85.00
Tota : $235.00
Build
'®V so
..r
Town Hall Annex Telephone(631)765-1802
54375 Main Road "-
P.O.Box 1179 sean.devlinitown.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Gerard Rieger
Address: 3693 Pine Neck Rd city,Southold st: NY zip: 11971
Building Permit#: 45507 Section: 70 Block: 6 Lot: 25
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 Heat Duplec Recpt Ceding 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 100A A/C Blower Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures 11 Pump
Other Equipment 13 kW Generac Generator w/ 100A 16 Circuit Generator Panel
Notes* Generator
September 29, 2021
Inspector Signature: � ...� � Date: Se p
S Devlin-Cert Electrical Compliance Form
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. 1 l Z 2
New Construction: Old or Pre-existing Building: X Ge\ 41-V 'eckk one)
Location of Property: C% fif cNe-CK �u ���J
House go. (Street Hamlet
Owner or Owners of Property:_
Suffolk County Tax Map No 1000, Section 0 Block Lot
SubdivisionFiled Map. Lot:
Permit No. —45-/S0'? Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: y (check one)
Fee Submitted: $ op
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4
A plicant Signature
ho��pPSOUTyo� ���C�� �� 3-Pt tv (✓!v
# * TOWN OF SOUTHOL"D BUILDING DEPT.
Comm, 765-1802
INSPECT-ION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION `[ ] FIRE RESISTANT PENETRATION
[ ] 'ELECTRICAL (ROUGH)., [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: - GAr-1v 9,11Ctnrz;,`�
LEI
b
DATE INSPECTOR
# TOWN OF SOUTHOLD BUILDING-DEPT.
°`ycourm ' 765-1802
INSPECTION
[ ]
FOUNDATION-1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ �INAL
[ ] FIREPLACE & CHIMNEY _ [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE ��I t3�2�� . INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST) C3 y
------------------------------- rA
-----
C
FOUNDATION(2ND) @i
O
ROUGH FRAMING&
PLUMBING
' � 1
INSULATION PER N.Y. r ,�
STATE ENERGY CODE v
0 kj /tin/
FINAL
' D
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENTDo 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 y
Southoldtownny.gov PERMIT NO. �'S8�'��Check
Septic Form
pT1 N.Y.S.D.E.C.
Trustees
C.O Application
Flood Permit ,
Examined 20 Single&Separate
Truss Identification Form -
�U d Storm-Water Assessment Form
7 Coatact:
Approved.20 Mail to:
Disapproved a/c -�
Phone.- 19
L pr tip
Expiratigq, 20a
r ui g Spector ,' ir
El U,
1ALfIT SHOUT ��
APPLICATION FOR BUILDING PERMIT
Ig-
Date ( I u 29,61
INSTRUCTIONS °
-- -ja,;Tliis application MUST be completely filled in by typewriter or in ink and submitted to the Budding Inspector with 4
i'seis'of plans,accurate plot plan to scale.Fee according to scheduled
b.Plot plan,showing location of lot and of buildings on premises,relationship to adjommg premises or public streets or
areas,and waterways.
c.The work covered by this application may not be commenced before issuance of Building Permii.
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.
£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�applic ble laws,ordinances,building code,housing code,and iegulations,aiid to admit
authorize&&Vdctors�bn premises and iri,butlding for necessary inspections.
(Signature of applicant or name,if a corporation)
71;5-1802 8 Al f O 4 ";t i FOR 11-1,E:
(Marling address of applicant)
SEtk&wrwe�i��i appi`iaCa'CTs laiiei•,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
r. F ".�.,'i�Z.Tlti 0 R�OUIRFD
FOR POURED C10A,
Name owper pppremises
�. P SUl FeT(Oi l (As on the tax roll or late9 deed)-)U°' WITH ALL COLO YES OF
I£ap cXnt ista cprporation�i�ignature c-111' IVIDo�f duly authorized officer r�; t�,f YORK S i ATE R� TOWN CODES
Watid'title of corrpporate officer) AS U I AN
) iLie'raicense'�o1ON Si-i,F,LL MEET FHE OF
I l i-�zs'T���zi§e�NoZF THF CODES OF PHEW ®SOUTHOLD 7ZB1
Ftle�t t i 5; icen eL A•P r5l( 1 c R 1 F F= �y �< ��
SOUTHOLD OARD
C�,then�Trac����Lie�nsejNgi��-rin�,i 1"rZQnc+c
S"''T i D i^ US T SSS
1. Lo trop of land on whic1.5 opN d�w,ork will bed R'\ ���
House Number Street ` V Hamlet f
County Tax Map No. 1000 Section —10 Block ()Q* 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 occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work CCN 11�'-
(Description)
4. Estimated Cost Q. `� �d `� Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units___A__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. [ e�
7. Dimensions of existing structures,if any:Front Rear Depth
Height Number of Stories Q •.
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories nl C1 C n�C�Cc
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories <3 C a-6-4.
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?YESN
d)
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&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO__--,-4'
*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'e
*IF YES,PROVIDE A COPY. -` L. i1riCDONf1LD
STATE OF NEW YORK) �•'' ..•, Pubiic-State of New York
SS: -0 01 VIC6224291
COUNTY in Suffolk County
MY C •r., is +Expires June 28,20 ZZ
Z"P!-ON0� being duly sworn,deposes and says that(s)he is the applicant
(NNifie of individual sicontract)above named,
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(S)He is the V Wing
(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 m the manner set forth m the application filed therewith
Sworn to before me this
Zg .day oK�GTD�L�L 20�
qZ
Notary Public Signature of Applicant
CIO,
O BUILDING DEPARTMENT- Electrical Inspector
G- TOWN OF SOUTHOLD
CD Town Hall Annex - 54375 Main Road - PO Box 1179
o - Southold, New York 19971-0959
y p� Telephone (631) 765-1802 - FAX (631) 765-9502
l ' ' �� rogerr southoldtownn .gov - seand(cDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: Do�L<
Name: "pc,vr,-
License No.: r12J email: -^�,, rl.�SS,cur-•
Address: mob - lC)5C� ma •�'v�� / �1S'C
Phone No.: (.�'�) —�'7 '13'1
JOB SITE INFORMATION (All Information Required)
Name: e
Address: (.p Ct05 P,Nq--
Cross Street:
Phone No.: Q '7
Bldg.Permit#: �f5507 email:
Tax Map District: 1000 Section: 7C� Block: 040 Lot: 'Z-5
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YESN-O 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
CERTIFIED 708
$ GERARD RIEGER
BETHANNE RIEGER-
JOCKE-Y CREEK , C JPMORGAM CHASE BANK, 1.A. '
c0i FIRST AMERICAN TITLE INSURANCE
COMPANY.
By-WATER MILL ABSTRACT CORP.
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° I SURVEY OFA PROPERTY
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W SOUTHOLD
I TOWN OF SOUTH®LD
SUFFOLK COUV TY, N.Y.
1000- 70 - 08-25.
Scale: 1" _ 30'
Sept 30`, 2013
IZ NA
76.30'S. -r i ,
FROAD
AREA = 28,401 sq.ft.
PINE NECK � l``
to tie lines
/ N.Y.S. LIC. NO. 49615
11
r"ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION P CONIC SURVEYORS, P.C. -
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. (631) 765- 9020 FAX (631) 765- 1797
EXCEPTAS PER SECTION 7209 - SUBDIVISION,2. ALL CERTIFICATIONS P.O. BOX 909
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE SEAL OF THE SURVEYOR 1230-TRAVELER STREET
WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, MY. "97r
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Generator Only Model 7171 I 7173 7176 7038 7042 7209
Generator/100 Amp Select 71727177 - - -
Circuit Switch Model E 2�1
Generator/200 Amp Service Rated Load - 7175 7178 7039 7043
Shedding Smart Switch Package Model -
GeneratorIPWRvlew Automatic Transfer - - - - - 7210
Switch-200 Amp Model
Voltage(Single Phase) 120/240
Amps @ 240V LPG 41.7 54.2 1 66.6 83.3 91.7100
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 816cc 999cc
Fuel Consumption @ V2 Load- i
NG cu.ft/hr 101 154 182 204' 1 164 228** 203 i 203
Fuel Consumption @ Full Load- 127 225 245 301* 287 327** 306 306
NG cu.ft/hr I
Fuel Consumption @ 1/2 Load- 36(0.97) 56(1.54) 62(170 86(2.37)- 86 92(2.53)- 92 92(2.53)
LPG cu.ft1hr(gal/hr) (2.36) 1 (2.53)
.
Fuel Consumption @ Full Load- 54(1.48) 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) (3-56)* (3.90)-
Quiet-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 f Bisque
Warranty 5-Year Limited
Dimensions-If x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727)
Weight(lb) 338 385 420 448* 436 466** 445 455
Mobile Link Wireless Connectivity i Yes
11
PWRview Home Energy Management Yes
*7038-1&7039-1 speefficatfons
**7042-2&7043-2 specfflcatlons
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www.Generac.com I 888-GENERAC(436-3722)
@
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02020 Generac Power Systems.All rights reserved.
Specifications are subject to change without notice.