HomeMy WebLinkAbout45436-Z l jslrrz'��
�oOg�FFUtkcoG Town of Southold 10/26/2021
y�4, P.O.Box 1179
co z� 53095 Main Rd
A0 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42487 Date: 10/26/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 545 Ryder Farm Ln., Orient
SCTM#: 473889 Sec/Block/Lot: 15.4-9.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/30/2020 pursuant to which Building Permit No. 45436 dated 11/13/2020
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:
accessoa generator as applied for.
The certificate is issued to Pugh,David&Silvestri,Tina
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45436 9/29/2021
PLUMBERS CERTIFICATION DATED
d
0 th rize nature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N TOWN CLERK'S OFFICE
oy • 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#: 45436 Date: 11/13/2020
Permission is hereby granted to:
Pugh, David
345 E 81st St Unit 10L
New York, NY 10028
To: install a generator as applied for.
At premises located at:
545 Ryder Farm Ln., Orient
SCTM # 473889
Sec/Block/Lot# 15.4-9.1
Pursuant to application dated 10/30/2020 and approved by the Building Inspector.
To expire on 5/15/2022.
Fees:
ACCESSORY $100.00
CO-ACCESSORY BUILDING $50.00
ELECTRIC $85.00
T al: $235.00
f � _
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 building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9,057)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$15.00
Date. JRZ I
New Construction: Old or Pre-existing Building: pp (.5 -"_ i`eck one)
Location of Property: �s (UuL 81,1iN1 x bo 6 ii jN
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax.Map No 10.00, Section 1, Block � Lot
(31
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
z�)awzd r"
Applicant Signature
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.deviin(a-)-town.southold.ny.us
Southold,NY 11971-0959
c®Uhl9N,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: David Pugh
Address: 545 Ryder Farm city,Orient st: NY zip: 11957
Building Permit* 45436 Section 15 Block 4 Lot. 9.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA Corazzini Electric License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Garage 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 Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 22kW Generac Generator w/200A Whole House Transfer Switch
Notes: Generator
Inspector Signature: _ Date: September 29, 2021
S Devlin-Cert Electrical Compliance Form
1
so L4
# # TOWN O SOUTHOLD BUILDING DEPT.
�y00uhm 765-1802
INSPECTION
[ ] 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: `
U er
� � 2
DATE �Z INSPECTOR
3l�
hO��pF SOUTyO�
#
TOWN OF SOUTHOLD BUILDING- DEPT.
cou765-1802
'I NSP6ECTION
[ ] FOUNDATION 1ST [ ] -ROUGH PLBG.
[ ] FOUNDATION 2ND j ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [Vj""FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
�
Aft
DATE 61131 INSPECTOR)e4V �
FIELD INSPECTION REPORT 7DATE COMMENTS
b
FOUNDATION(1ST) y
--------------------------------
FOUNDATION(2ND)
• z
0
ROUGH FRAMING& c. y
PLUMBING 1$7
INSULATION PER N.Y.
STATE ENERGY CODE
OlLAY
I too,
FINAL
ADDITIONAL COMMENTS
o�
-a- 2 1 o
m
� y
O
z
d
b
H
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 approvat
FAX:(631)765-9502 ��� Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.YSDEC
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
V Contact: r'�*���
Approved 20 Marl to: '-X?. C—, c1
Disapproved a/c _
Phone: �.1/� � !�--�]In
1-6
' tioriy i c. yy 1!�1{ /I j`yi r 20_L,--i
0L_
I !�;i i ,)j Bul mg Inspector
Li
OCi 3 0 2020 "�
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,housing code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections nn
p i"te
(Signature of applicant or name,if a corporation)
345 East 81 st St 10L New York,NY 10028
(Marling address of applicant)
State whether is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises Zao yr's 1 J anh
(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. ^-
Electricians License No. ] Z CNG'i
Other Trade's License No.
1. Location of land onwhi pro osed work will be done: 6/ 6wv 1j e
House umber ----'Street Hamlet 1
� C
County Tax Map No. 1000 Section �„��Block Lot �'7
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 Sov^A,
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work awl ex�
d
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor 1
If garage, number of cars "L
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 A CJ Q\1\CV-1i;4L
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories C_ b'tn
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories p\J CS I/\CL^
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
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
*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 $0
*IF YES,PROVIDE A COPY.
BRUCE L. McDaNALD
STATE OF NEW YORK) Notary Public-State of New York
SS: No.01 MC6224291
COUNTY OF c�� Qualified in Suffolk County
JrN My Commission Expires June 28,20
being duly sworn,deposes and says that(s)he is the applicant
(Name of indivi ual Ming 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 to before me this6,
2 -H day of 0 ZO
Notary Public Signature of Applicant
BUILDING DEPARTMENT- Electrical Inspector
�O GymTOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
y - Southold, New York 11971-0959
0��01 �apli� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCaD-southoldtownny.gov — seand $outholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 10Z1q---40
Company Name: ('
Name:
License No.: email: +
Address: ?3714 5 McAto R ec��e E lulle- 119 SY
Phone No.:
JOB SITE INFORMATION (Ali Information Required)
Name:
Address: -ems VNjV,. , L.0 lac
Cross Street: A(—."L,j .,
Phone No..
Bldg.Permit#: email:
Tax Map District: 000 Section: [ Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In € Final
Do you need a Temp Certificate?: YES / NO Issued.On i
Temp Information: (All in, required)
Service Size 1 Ph 3 Ph I Size: A # Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service?. Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Formals
�2� � ����
RVEY OF PROPERTY
N LOT 61 . SAT ORIENT POINT
TOWN OF SOUTHOLD
a, ,®,�„ SUFFOLK COUNTY, N.Y.
Mrs I .1000—i5-04-09
SCALM V630'
o ,A/NE 22, 201 f
t
` � sl -_--I I�x S OEGOMB£R f7. ?019 (ROAD A8ANDOWMEN7)
i
z \ uw
so
%ow
A
'T
970MEMki
1V N
SUMP'SON coumm
UIOR N0R 33E
AFWM
oVW cm
CER77RED T0: � r
DAVID PUGH AND TINA SILVESTRI o 1 I wow 27.r
FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC 1+t 5
ELEVAnavS REFERENCED 70 NAW 86 LOT 62g
CUES w
KEY AREA-25,829 SQ. Fr
x S
0 -REBARI t
• - STAKEE 4q' ---S7t400`E
9 - 7EST HOLE m 1'4 x 7.97'
• -PIPEI 'Z* 154• 1, -r527Y18'00'E c
■ - MONUMENT "! 5�441,40'W LANE " i 17.64'
7LAON
wEND FLAG ROM
,FSE t Of P AgA<,p�1ED�
FO,- unrm POLE ' 147441' P�to 3,928�%
ROAD CEN7E]WNE Z anew Aw —
x—x—
-DEER F€NCE ' pts
—ox -- OLERHfAO K1RES # — ,C4140% PAO(t Os oPpN) o„
LOT NUMBERS ROW?70 VAP OF ORENT BY THE SFA SECIM M-
Fum WNa L GOuNTY CLERK 3 OFFICE ON!OC70em 26 1981AS FILE /
N.Y.S LIC. NO. 49618
ANY AL7ERA1701v OR AM79W 70 WS SURVEY IS A NGNRON OF ECONIC S VOR$ P.G
SE07XW 7209 OF 1HE NEW YORK STATE EDUCAAON LAW.M(Mor EC IC SW 20 FAX 631
AS PER SECRON 7208-SUBWOS'OVV 2 ALL CERnF1GnONS HEREW C ) (6,31) 765-1797
ARE VALID FOR TMS MAP AND WNW 7HE14EOF ONLY rF SAS NAP P.O. BOX 909
OR CORES BEAR 7HE IMPRESSED SEAL OF THE SWWYOR MNOSE 1230 TRAVELER STREET
�"1AWAE A�'RS HOMM s0um", N.r. 11971 111-168
i
7
DATE: •f -- ALL CODES OF
G;;fv,FLY WI I H
FEE.. AT NF��,� YCRK S T ATE &TOW T ONS OF
NOT rY 6UILDINTQ Phh FOR THE
765-1802 8 AM AS FiFOUIRED
FOLLawINa INSPECTIONS. 70EC
L 'NI TION -%0 REQUIRED
FOR PQURDCQNCRET n��BING ROUGH - Atv1ING & PLURUSTEES
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FURSHALL MEET THE
ALL CONSTRUCTION CODES
rREQUIRENIENTS OF THE FONSBOE FOR
YORK STATE. NOT R
i
DESIGN OR CONSTRUCTION ERRORS'
T
oscvjcm- �
USE IS NLA OL
4ITIIOO CERTIFICATE
O�
OCCUPANCY
I
I
�I
AL
o e o
Generator Only Model 7171 7173 7176 7038 7042 7209
Generator/100 Amp Select 7172 7174 7177 - - -
Circuit Switch Model
Generator/200 Amp Service Rated Load r
7175 7178 7039 -
Shedding Smart Switch Package Model
Generator/PWRview Automatic Transfer r
Switch-200 Amp Model - - - - 7210
Voltage(Single Phase) 120/240
Amps @ 240V LPG 41.7 54.2 66.6 83.3 91.7 100
Amps®240V NG 37.5 54.2 66.6 75 81.3 87.5
Engine/AKernator RPM 3600/3600
Engine ; Generac G-Force
Engine Displacement 460cc 816cc 999cc
Fuel Consumption @ 1/2 Load- 101 154 182 204• 164 228•• 203 203
NG cu.ft/hr
Fuel Consumption c Full Load- 127 225 245 301' 287 327' 306 306
NG cu,ft/hr
Fuel Consumption @ 1/2 Load- 36(0.97) Sill 620.70) 86(237)' 86 92(2.53)" 92 92(2.53)
LPG cu.,ft/hr(gall (2.36) (2.53)
Fuel Consumption @ Full Load- 54(1.48) 90(2,45) 109(2.99) 129.6136(3.74) 142.1142(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 f 67- 67
Enclosure Aluminum
Enclosure Color Bisque
Warranty 5-Year Limited
Dimensions-If x W" H'in.(mm) ( 48 x 25 x 29(1218 x 638 x 72}7) r-
Weight(Ib) 338 ! 385 ! 420 448• 436 ) 466" 445 455
Mobile Link Wireless Connectivity ( I {{! Yes 1 III
PWRview,Home Energy Management ( - - - i - - - ! - , Yes
17038-1&7039-1 spedficadons
7042-2&7043-2 spedhcations
NATIONWIDE DEALER SERVICE NETWORK
Generaes commitment to service Includes scheduled maintenance programs,warranty assistance and emergency service to ensure
that Generac customers are never left powerless.The largest nationwide dealer network has factory-trained technicians on staff and
maintains large Inventories of Generac parts,components and accessories.Find a dealer near you at Generac.com.
b
Generac Power Systems,Inc.
S45 W29290 Hwy.59,Waukesha,WI 53189
www.Generac.com 1888-GENERAL(436-3722) GENERAC
®
201902144 REV 07/20
02020 Generac Power Systems.All rights reserved. o
Specifications are subject to change without notice.
v