HomeMy WebLinkAbout45442-Z �o�S�FFOt'�cpGyx Town of Southold 10/23/2021
a P.O.Box 1179
N 53095 Main Rd
o � �{
ti�ol � ,� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42480 Date: 10/23/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: 770 Bray Ave,Laurel
SCTM#: 473889 Sec/Block/Lot: 126.-1-17
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. 45442 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:
accessory generator as applied for.
The certificate is issued to Dondero,Peter&Marie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45442 9/29/2021
PLUMBERS CERTIFICATION DATED A C\ C\
`
A o ize S nature
O�guFFD1�cD TOWN OF SOUTHOLD
BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
ca
oy • �r 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#: 45442 Date: 11/13/2020
Permission is hereby granted to:
Dondero, Peter
770 Bray Ave
Laurel, NY 11948
To: install an accessory generator as applied for.
At premises located at:
770 Bray Ave, Laurel
SCTM #473889
Sec/Block/Lot# 126.-1-17
Pursuant to application dated 11/13/2020 and approved by the Building Inspector.
To expire on 5/15/2022.
Fees:
ACCESSORY $100.00
CO-ACCESSORY BUILDING $50.00
ELECTRIC $85.00
Total: $235.00
l
Building ns
so
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlina-town.southold.ny.us
Southold,NY 11971-0959 �®
l�coum,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. Peter Dondero
Address: 770 Bray Ave city Laurel st: NY zip: 11948
Building Permit# 45442 Section 126 Block: 1 Lot 17
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
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 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, 16 kW Generac Generator w/ 200A Whole House Transfer Switch
Notes, Generator
Inspector Signature: 7 Date: September 29, 2021
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)nom-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: Old or Pre-existing Building: c e ek one)
Location of Property: 'n6 pbre_�e Njff r4
House No. Street Hamlet
Owner or Owners of Properly: - U\
Suffolk County Tax Map No 1000, Section l Z.<O Block Lot 1
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: $ (�
q
Applicant Signature
�o�aOF SOUTyo� !i -7-70 75,.-Y Ave-
TOWN
ve-
TOWN OF SOUTHOLD BUILDING DEPT:
`IOU765-1802
-
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:
DATE INSPECTOR
I
�o1*pf SO//Tyo6
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT-ION
[ ] FOUNDATION IST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND = [ ] I ULATION/CAULKING
[ ] FRAMING/STRAPPING [ FINAL &,,lA&4hV
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ '] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) j ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ]- PRE C/O
REMARKS:
t
DATE _ d 3 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION(IST)
y
--------------------------------
FOUNDATION(2ND)
� O
O �
ROUGH FRAMING&
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE
(0 0V- fo i
FINAL
ADDITIONAL COMMENTS
20
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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. f Check
Septic Form
N.Y.S.D.E,C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
', Q Truss Identification Form
% Storm-Water Assessment Form
Contact:
Approved . - ..-,20 Mail to: �Ic e
Disapproved a/c
Phone:
Expiration 20
\-z-,.`L`__a�J �! E__11 j' ' "10uilding spe for
`•,' APPLICATION FOR BUILD PERMIT
IJ '�� OCT 3 0 2020 `��`�
Date Z ,20
INSTRUCTIONS
This appli&ition MUT be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate.'plot plan o 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 atter 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 Pemut 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.
(Signature of applicant or name,if a orporation)
'77o d3RRI A (J�, `A�kJkEL. 6-J y
(Mailing addr6ss of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
G W ti e &
Name of owner of premises 1' a')o
(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. 5(ZQ WX
Other Trade's License No.
L Location of land on which proposed work will be done: u
��- lie
House Number Street Hamlet
County Tax Map No.1000 Section 1Z,6 Block 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 �AM�
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work�p�
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor 1"
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 Ijo
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories �GiG-�
8. Dimensions of entire new construction:Front Rear- Depth
Height Number of Stories ,/u'v L�Na`y'-
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-tX—
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 VQ
*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 C�RUCE L. MCD0NALD
*IF YES,PROVIDE A COPY. Notary Public-State of New York
STATE OF NEW YORK) No.01 MC6224291
Qualified in Suffolk County
COUNTY OF SS. My Commission Expires June 28,20 2�
IRL �)&A ..a being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the V W N A—,,—
(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 thi ^
2
_day of&-70-6�1g. 20 ZO �/)
Z �
Notary Public V Signature of Applicant
\OSufFQ[ �O BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
c I Town Hall Annex - 54375 Main Road - PO Box 1179
C.0 - Southold, New York 19971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
1 rogerr(ftoutholdtownny.gov - seand(c southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
-.ELECTRICIAN INFORMATION (All Information Required) Date: J&
/Z1 lZi
Company Name: L
Name:
License No.: email:
Address: fb-tk-to 5('�$
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: - �c��,�� t
Address: C�
Cross Street:
Phone No.: '7 ^1
Bldg.Permit#: Gj email:
Tax Map District: 1000 Section: Z Block: Lot: /
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In €Final
I }
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information frequired)
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
j Request for Inspection FormAs
ii
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cv-
DATE:_l . 13 Zo E.F.;,__r S-14 Ll 2-
FE ���iJY•��
NOTIFY BUII.I?{wi UEPAR,",1ENT AT CCM,+PLY WITH ALL CODES Oe
755-1802 3 ANI TO 4 P Ptd FOR THE N lAf YORK STATE & TOM CODES
FOLLOWING INSPECTIONS: AS REOUIRED OF
1. FOUNDATION - TWO REQUIRED SOUTHOLD TOWN ZB
FOR POURED CONCRETE
2. ROUGH - FRAM;NG & PLUMBING SOUTHOLD T �1 PLANNING BOARD
3. INSULATION
4. FINAL - COP;STRUCTION MUST SOUT D TOWN TRUSTEES
BE COMPLETE f-OR C.O. t :i,S.DEC
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
CDCCUPANCY OR
USEE B UNLAWFUL
WITHOUT CERTMCPJE
OF OCCUPANCY
770 UA'l
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SURVEY OF LOT 2a � N
AS%<"ON A CERTAIN MAP ENTITLED"SUBDIVISION MAP SECTION
ONE OF PROPERTY OF 6E0R6E L.TUTHILL AND OTHERS"5AID MAP FILED
AT THE OFFICE OF SUFFOLK COUNTY CLERK ON 1115AC129 A5 MAP NUMBER 061 WE
TONNe SMTHOLD
SUFFOLK COUNTY, NY x S
SURVEYED 0421-2011
SUFFOLK COUNTY TAX b
1000-126- I-1'I 7�
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AREA 750000 sca Fr OR 0.17 ACRES JOill`I C.EHLERS LAND SURVEYOR
GRAPHIC SCALE 1"= 20' 6EASTMABQSTREBT N.Y.S.Ur—NO.SQ)A.,�
ZVEPHRAD,N.Y.11901 369-8288 Fax 369-8287
REP.d-\U—Vohn\Dmpbox117\17-128.pro
Alk
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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 - 7175 7039 7043 -
Shedding Smart Switch Package Model
Generator/PWRview Automatic Transfer - _ _ - _ 7210
Switch-200 Amp Model
Voltage(Single Phase) 120/240
Amps @ 240V LPG 41.7 54.2 66.6 83.3 1 91.7 100
Amps 0 240V NG 37.5 542 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- 101 154 182 204' 164 228'° 203 203
NG cu.ft/hr l
Fuel Consumption Cat Full Load-
NG cu.ft/hr 127 225 245 301' 287 327°' 306 1 306
Fuel Consumption C 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 0 Full Load- 129.6 1421
LPG cu.cu.ft/hr(gal/hr) 54(1.48) 90(2.45) 109(2.99) (3.56)- 136(3.74) (3.90r
i42(3.90) 142(3.90)
Quiet Test Mode Yes
db(A)at Exercise 57 55 57 57
db(A)at Normal Operating Load 61 65 l 67 67
Enclosure ( Aluminum
Enclosure Color Bisque
Warranty 5-Year Limited
Dimensions-L"x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 72{7)
Weight(lb) 338 385 420 j 448' I 436 1 466" 445 1 455
Mobile Link Wireless Connectivity i i Yes 1 I !
PWRview Home Energy Management ; - - - - - - - - Yes
'7038-1&7039-1 spec/Rcadons
-7042-2&7043-2 specifications
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