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47049-Z
s�FFet�c Town of Southold 11/16/2021 P.O.Box 1179 0 co 53095 Main Rd o4,1 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42552 Date: 11/16/2021 THIS CERTIFIES that the building GENERATOR Location of Property: 2765 Highland Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-8-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/28/2021 pursuant to which Building Permit No. 47049 dated 10/28/2021 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: "as built"accessoU generator as applied for. The certificate is issued to Forte,Robert&Rosemarie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47049 11/8/2021 PLUMBERS CERTIFICATION DATED AAyV\AW A ize i nature rat TOWN OF SOUTHOLD �o�SOEK��� BUILDING DEPARTMENT .1 x 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#: 47049 Date: 10/28/2021 Permission is hereby granted to: Forte, Robert 2765 Highland Rd Cutchogue, NY 11935 To: Legalize as-built generator at existing single family dwelling as applied for. At premises located at: 2765 Highland Rd, Cutchogue , SCTM #473889 Sec/Block/Lot# 102.-8-13 Pursuant to application dated 10/28/2021 and approved by the Building Inspector. To expire on 4/29/2023. Fees: AS BUILT-ACCESSORY $200.00 ELECTRIC $170.00 CO-ADDITION TO DWELLING $50.00 Total: $420.00 Building Inspector o� so�r�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlin(aD-town.southold.n us Southold,NY 11971-0959 y' COW, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Robert Forte Address: 2765 Highland Rd city Cutchogue st: NY zip: 11935 Building Permit#: 47049 Section- 102 Block 8 Lot: 13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage X 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 100A Switches 4'LED Exit Fixtures Pump Other Equipment: 10kW GE Generator w/ 50A Overcurrent on Generator, 100A Generator Disconnect, 200A Whole House Transfer Switch Notes. "AS BUILT NO VISUAL DEFECTS " Generator Inspector Signature: Date: November 8, 2021 S.Devlin-Cert Electrical Compliance Form OF SOGIyo� Ll -7 1 '� * # TOWN OF SOUTHOLD BUILDING PT. coo765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] 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; L a , 7r=t°mA-c-- C DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS d FOUNDATION(IST) ------------------------------------ �Q FOUNDATION(2ND) z ' No _ J ROUGH FRAMING& PLUMBING r INSULATION PER N.Y. H STATE ENERGY CODE 77jjT 3 FINAL ADDITIONAL COMMENTS � - 0 z cy X ►o y r-i ` d • CEJ - b 73 �o�sufFo KPOGy TOWN OF SOU'YHOLD—BUILDING DEPAKI'MEN'1' Town Hall Annex 54375 MamRoadP. O.Box 1179 Southold, NY 11971-0959 oy� • Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtoMLmgov nol,� ya Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® E (ni E 8 V E PERMIT N0. Y1Building Inspector: >� OCT 2 8 2021 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted, Where the Applicant is not the owner,an BUILDING DEPT. p PP TOWN OF Owner's Authorization form(Page 2)shall be completed. SOUTNOLD Date: OWNERS)OF PROPERTY.- Name: ROPERTY:Name: < SCTM#1000- Project Address' Phone#: �)y _ -�^ Email: Mailing Address: � / CONTACT PERSON: Name: - Mailing ddress: _ r Phone#: Email '4,, DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email.. DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Struc re ❑Vdition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: )(Other $ Will`the lot be re-graded? ❑Yes []No Will excess fill be removed from premises? ❑Yes END 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 ONO IF YES, PROVIDE A COPY. ❑ Check Box After Reading: 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,alterations or for removal or demolition as herein described.The applicant agrees to comply with al[applicable laws,ordinances,building code, housing coda and regulations and to admit authorized Inspectors on promises and in building(s)for necessary inspections.False statements made herein are- punishable as a Gass A misdemeanor pursuant to Section 210.45 of the New York State'Penal Law, Application Submitted By(p int name): �' aJF6� ❑Authorized Agent Downer - - — - - ---- — — Signature of Applicant: r'� Date: STATE OF NEW YORK) CONNIE D.BUNCH SS: Notary Public,State of New York No.01BU6185050 COUNTY OF ) Qualified in Suffolk County Commission Expires April 14,2 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing 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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Swornb fore me this n � � L ay of , 20 rl `' ' V�a Awk Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 FD(,� BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD C* Town Hall Annex- 54375 Main Road - PO Box 1179 v Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 Ol �a rogerr(a-southoldtownny.4ov— seandc@-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: �- Electrician's Name: 42& License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: ,a Address: a Cross Street: C u2 Phone No.: , , _ �' y? Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YbS❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph73 Ph Size: A #Meters Old Meter# r-1 New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals D 1 2 H Frame M Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Uv - Z 1 ` `l c100 g�FFOLI( BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD y = Town Hall Annex 54375 Main Road - PO Box 1179 ^+► Southold New York 11971-0959 y p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(&southoldtownny.gov- seandCcD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFO MATION (Ail information Required) Date: Company Name: / FAL=e- Electrician's Name: FAL C--LC-7L License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Al')h,�� a" F Address: 2S Cross Street: C-I�Al ZAA,4 ha Phone No.: - 4Q f - Bldg.Permit#: email: yl U Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for Inspection?: �YFS❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ Y t5❑NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# :n New service[—]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals M 1 2 M H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Uv - _ __ L 00 PERMIT# Address: Switches Outlets G FI's Surface _ Sconces H H's UC Us Fans " 'Fridge - HW s . Exhaust Oven W/D Smokes DW Mini Carbdn _; Micro Generator Combo , , •_, „ , -Co'oktop Transfer AC - . �..,,•....... . ...... AH.,. . .• . .. - . , . � Hood„ .. .. .•,.-.� _ , _ ....._. �_. ... Service � _ . ... ..., • 'Amps " Have `Used Special:_ Comments 0 G( / (� { i - i NOTES 1) CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND/OR LENDING INSTITUTION LISTED = HEREON CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL i INSTITUTIONS OR SUBSEQUENT OWNERS 2) SURVEY INTENDED FOR TITLE PURPOSES ONLY NOT TO BE USED AS THE BASIS OF DESIGN,CONSTRUCTION,PERMITTING,OR ANY OTHER USE M-LA IVIIIG �-�j R®A- - 3) THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD IF ANY, L71 JL1/ NOT SHOWN ARE NOT CERTIFIED 4) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN,THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS CERTIFICATES S 50045'50" E 131.30' R 5) SURVEY PROPERTM CORNER MONUMENTS WERE NOT PLACED AS A PART OF THIS L=100.0 o' 6) OFFSETS SHOWN HEREON ARE FOR A SPECIFIC PURPOSE AND SHOULD NOT _ _ _ BE USED TO GUIDE CONSTRUCTION OF FENCES OR OTHER STRUCTURES — — — 7) BUILDING OFFSETS AND DIMENSIONS ARE TO FINISHED EXTERIOR UNLESS TREE PINE ,-,-,S ,, T O� OTHERWISE NOTED • 8) STREET WIDENING IF ANY,NOT SHOWN ARE NOT CERTIFIED • 3'fE— v GJ eV WN ti L Ln J ENERATOR El w e 52.0' , O 24 Ln M I A/C GARAGE Ld Ln ul CONC. - 4,, RIOA„ r N W 1 STORY v FRAME DWELLING uj ~ #2765 S.C.T.M. DISTRICT: 1000 ti SECTION: 102 BLOCK: 08 LOT(S): 13 N 96.4' STEP Ml_- d' 0 I SURVEY OF PROPERTY IN M I U,LLJM CUTCHOGUE Z TOWN OF SOUTHOLD 16 °p COUNTY OF SUFFOLK STATE OF NEW YORK W a SHED SHED BLOCLOT(S : -- 1i 123' lzz' OLf- BLOCK: -- 0 MAP OF"HIGHLAND ESTATES" tDTREE LINE FILED APRIL 26,1977; MAP NO.6537 LEGEND 3'fE-- ausHEs TREE LINE I I TITLE NUMBER O O FENCE LINE i i I WIRE FENCE Z Z 2 ASA-608-S-11572 z _H o LOT LINES +, SURVEY NUMBER — — PROPERTY LINE ' S-1000-102=08-13 ROAD LINE SURVEY DATE 10/16/2021 SCALE 1"=30' 100 LOT NUMBER N 50045'50" W 246.93' RIO ROOF OVER 15 CONC. CONCRETE PETER V. BRABAZON, PLS P.O. BOX 483 EAST ISLIP,NY 11730 ' PVBSURVEY@GMAIL.COM CERTIFIED TO. .(631)277-1726 -MICHAEL SPIEL COPYRIGHT©2021 BY PETER V BRABAZON,PLS ALL RIGHTS -ALYSSA SPIEL RESERVED UNAUTHORIZED ALTERATION OR ADDITION TO _,�,L SHORE ABSTRACT,LTD THIS SURVEY MAP IS A VIOLATION OF SECTION 7209, J SUB-DIVISION 2,OF THE NEW YORK STATE EDUCATION LAW 30 0 15 30 60 120 COPIES OF THIS SURVEY MAP NOT BEARING THE LAND -FIRST AMERICAN TITLE INSURANCE COMPANY SURVEYOR'S SIGNATURE,AND INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED A VALID TRUE COPY I ' f• - Y OR APPROVED AS NOTED 0� C DATE: B.P.# o 'US' E a UNLAWFUL FEE aa.o-D BY: -MT CERTIFICATE IFICA NOTIFY BUILDING DEPARTMENT AT �0 ' 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS:- 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. , COMPLY WITH ALL CODES OF ALL CONSTRUCTION SHALL MEET THE NEW YORK STATE & TOWN CODES REQUIREMENTS OF THE CODES OF NEW AS rRE0UI D AND CONDITIONS OF YORK STATE. NOT RESPONSIBLE FOR SOUTHOLD TOWN ZBA DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.`ip.S.DEC Additional Certification May Be Required. c�.> ttoN M FiAVilleci ��-RLCationst „t7 Generator Specifications 10 kW € $kW Rated Maximum Load Current*(at 25°C/77°F, LP)*" at 240 Volts....................................................................41.7 AmRated Maximum Load Current*(at 25°C/77°F, LP}*" Ps at 240 Volts Rated AC Voltage................. . . . __ _ .................................. 33.3 Amps 120/240 Volts """' Rated AC Voltage.....................................................120/240 Volts Phase................................................................................Single phase� Frequency Single phase Phase....... Rated Fre: q y.................................................................60 Hertz Rated Fre uenc Generator Breaker................... Amp Generator Breaker.q y................................................. 60 Hertz ......-•-•-•--•--••-••..•. "........50 . Normal Operating Range.. -20°F(-28.8°C)to 104°F(40°q .•••."."""""""'""'""'-""""'••••••••••••••••••...35 Amp Output Sound Level72.3 dB(A)at 23 ft.(7 m)at normal load Normal Operating Range.. -20°F(-28.8°C)to 104°F(40°C) Output Sound Leve176.8 dB(A)at 23 ft (7 m)at normal load «,. Shipping Weight......................................................330 Ib(149 kg) 9 Shipping Weight.....................................................340 Ib(154 kg) Natural gas rating will depend on specific fuel but typical derates are between 'Natural gas rating will depend on specific fuel but typical derates are between 10 to 20%off the LP gas rating 10 to 209'0 off the LP gas rating �- �Ao Engine Specifications . ; _,.., BDisplacement.............................................................35 ci.(570 cc) Displacement... ....---.................................................. ` ore......................................................................... 31 ci.(500 cc} 2.83 in.(71.9 mm) Bore. "er'n® Stroke................................................................ 3.56 in.(90.4 mm) .....2.76 in.(70.1 mm) r _ Stroke.....................................................................3.06 in.(77.7 mm) Spark Plug Gap...............................................0.020 in.(0.51 mm) ��'`"_ Spark Plug Ga p...............................................0.020 in.(0.51 mm) Spark Plug Torque.................... .......................180 Ib-in.(20 Nm) Spark Plug Torque........................ g f Armature Air Gap.............0.005-0.008 in.(0.13 -0.20 mm) 180 Ib-in.(20 Nm) Armature Air Ga Intake Valve Clearance..0.004-0.006 in.(0.10-0.15 mm) p 0.005-0.008 in.(0.13 -0.20 mm) 8 Intake Valve Clearance..0.004-0.006 in.(0.10-0.15 mm) Exhaust Valve Clearance0.004-0.006 in.(0.10-0.15 mm) Exhaust Valve Clearance0.004-0.006 in.(0.10-0.15 mm) OilType............. .5W30 Synthetic ................................................. y Oil Type................... ................................5W30 Synthetic Oil Capacity(with fitter)...........................................57.5 oz.(1.70 L) Oil Capacity(with filter)...............................................48 oz.(1.42 LI y=> This generator is rated in accordance with UL(Underwriters Laboratories)2200(stationary er9ne generator assemblies)to CSA(Canadian Standards Association)standar ��ry TyT No.100-4(motors and generators). a is a trademark of General Electric Company ® and is under license by Briggs&Stratton Power Products Group,LLC Copyright O 2012 Al)rights reserved. No part of��.be reproduced or transmitted in any form without tom; 40 written permission of Briggs&Stratton Power Prima _, °ffi0 2 GE Home Generator Systems Generator System Model 040350 and Model 040374 Ope�rator ' s Manual ,4 1 Ott �Ff - O O ,ff, e c UK us LISTED