HomeMy WebLinkAbout45437-Z 1�
�o�Oc,�EFs(�CpGy Town of Southold 1/15/2022
a , P.O.Box 1179
0
y' 53095 Main Rd
�.o . Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42691 Date: 1/15/2022
THIS CERTIFIES that the building GENERATOR
Location of Property: 505 Saltaire Way,Mattituck
SCTM#: 473889 See/Block/Lot: 100.4-18
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. 45437 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 Yeager,Kathleen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45437 1/11/2022
PLUMBERS CERTIFICATION DATED
Aut ri ed i ature
TOWN OF SOUTHOLD -
BUILDING DEPARTMENT
y z 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#: 45437 Date: 11/13/2020
Permission is hereby granted to:
Yeager, Kathleen
505 Saltaire Way
Mattituck, NY 11952
To: install generator as applied for.
At premises located at:
505 Saltaire Way, Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-1-18
Pursuant to application dated 10/30/2020 and approved by the Building Inspector.
To expire on 5/15/2022.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CERTIFICATE OF OCCUPANCY $50.00
IT
Total: $235.00
B it n In or
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 nedv arse:
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$15.00
Date. t Q 1!�d JZ
New Construction: Old or Pre-existing . "��
Building �7�t�� Pi,(check one) �r
Location of Property: ��� � 1'�&Fe w 0_1 �/ vl
House No. Street I kHamlet
Owner or Owners of Property: t<�sN1 ,, e_t.,
Suffolk County Tax Map No 10.00,Section (DO Block Lot t
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary.Certificate Final Certificate: t/ (check one)
Fee Submitted::$ SbJX [)�
Applicant Si e
O�*pF SO!/l�,ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q
sean.devlina- own.sou .n
ttholdus
Southold,NY 11971-0959 y'
ol�COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Kathleen Yeager
Address: 505 Saltaire Way city:Mattituck st: NY zip: 11952
Building Permit#: 45437 Section: 100 Block: 1 Lot: 18
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 Service
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Generator 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 Switches 4'LED Exit Fixtures Pump
Other Equipment: 16kW Generac Generator w/200A Whole House Transfer Switch
Notes: Generator
Inspector Signature: Date:
January 11, 2022
S. Devlin-Cert Electrical Compliance Form
pF SO(/1,��� f
l
# # TOWN OF SOUTHOLD BUILDING DEPT.
���roum 765-1802
INSPECTION - .,
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] ULATION/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 ' _cotz-o-
DATE 10 I INSPECTOR
SOUTH SLI -;-7 s U S sal.- /9'I ✓ / /
# # 'TOWN OF SOUTHOLD BUILDING DEPT.
co 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) j ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: 1 : XA
+1 N/
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)
-------------------------------------
FOUNDATION
----------------------- -----------FOUNDATION(2ND)
ROUGH FRAMING_:&
PLUMBING l
cK
INSULATION PER N.Y.
STATE ENERGY CODE
to ( V
FINAL
. ,
ADDITIONAL COMMENTS
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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. qc3Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
z Flood Permit
Examined J 20 OZ 6 Single&Separate
Truss Identification Form
Stone-Water Assessment Form
Contact:
Approved_
N
Approved 1 1200'1 U Mail to
Disapproved a/c
Phone:�pl��� �`rJ�3�
Expiiration
n
Buhdidg hRM<r
_ 0 C i 3 Q 2020 APPLICATION FOR BUILDING PERMIT
Date I ,3 20 2
INSTRUCTIONS
i`;: '•; a.h sapplication 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 mo or de olition as herein described.The
applicant agrees to comply with all applicable laws,ordinances,building co ,h o e,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspectio
(Signator o ant or name, a colpo ation)
ail' g address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
C�-y N�➢L
Name of owner of premisesY s-gyp N
(As on the tax rolMr 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. K {, , �)2
Other Trade's License No.
1. Location of land on whic r osed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section 00 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 N4"—� v
b. Intended use and occupancy -T� OJ�C-
3. Nature of work(check which applicable):New Building Addition Alteration��--
Repair Removal Demolition Other Work_ e
4. Estimated Cost__e_ �Zi< Fee (Description)
(To be paid on filing this application)
5. If dwelling,number of dwelling units _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.
7. Dimensions of existing structures,if any:Front Rear Depth
Height Number of Stories tnn
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Storiesc�
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
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 NOWill 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 X
*IF YES,PROVIDE A COPY. BRUCE L. MCDONALD
Notary Public-State of New York
STATE OF NEW YORK) No.01 MC6224291
S' Qualified in Suffolk County
COUNTY OFt My Commission Expires June 28,20 'Z-Z—
kA z N��4kJ G t�A- �' �—� being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the t' ri V"`
(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 wle ge and belief,and that the work will be
performed in the manner set forth in the application filed therewith.
Swornla4efore me
0 Jday of ���� 202-06�f Notary Public Signatur of pplicant
�OS�fFOCKCD BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
o _ - Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roge rr(D-southoldtown ny.gov seanda(,.southoldtownnV.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Alf Information Required) Date: tC) `3'0Jaz 4L1'
Company Name: 0 -if`�Z1
Name: [�&u f
License No.: .5712y lemail: P_.��S j, �um
Address:
Phone No.: 01
JOB SITE INFORMATION (All information`Required)
Name:
Address: 05 A\-N� 4'l 6N `
Cross Street: W cjde Cp-eJ�r Z-
Phone No.: 3�-37
Bldg.Permit#: email:
Tax Map District: 1000 Section: .11C& Block: Lot: I8
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
00
Circle All That Apply:
Is job ready for inspection?: YES / NO 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 FormAs
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OR SLCKOU aN1 Owium
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nt aMM SOA,awx NOT WE COMWEREA TO eE A Taco Tnic Cary` FILED MAP No. 4682 DATE 6-3-1966
CERTIFIED ONLY �ISryOF NE yy YOB IAA MAP No (W ONLY) IWO-IUU-1-1b 1Jtz>K tali T
ivED
02 HAROLD F. TRANCHON JR. P.C.
1 � a
LAND a+ltivi.7 a,pis
MAY Z 5 20 -
'L ,off 1866 WADING RIVER—MANOR Rb,WADING RIVER.04899 ryi NLW YUKK, 11192 !
SUFE.CO.HEALTH$ERVECES IC No 0489926 31 -.4 614 i
AP ROVED AS NOTED
DATE: 3 D B.P.#
FEE: ,0 BY:
NOTIFY BUILDING DEPARTMENT AT
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 ELECTRICAL
BE COMPLETE FOR C.O. INSPECTION REQUIRED
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 CODES
AS REQUIRED AND CONDITIONS OF
' r " ° G BOARD
SOUTHO D m__ wUTUTEES
X K-__
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA7
OF OCCUPANCY
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Generator Only Model 7171 7173 7176 - 7038 { 7042 7209
Generator 1100 Amp Select - _ k
Circuit Switch Model
7172 7174 1 7177
Generator/200 Amp Service Rated Load I I
7175 7039 7043 3
Shedding Smart Switch Package Model - -
Generator/PWRview Automatic Transfer - - - 7210
Switch-200 Amp Model [[� 1 1 I
Voltage(Single Phase) ( I Iii 120/240
Amps @ 240V LPG 41.7 54.2 66.6 83.3 I 91.7 100
Amps @ 240V.NG } 37.5 { 54.2 1 66.6 i 75 81.3 i 87.5
Engine/Alternator RPM 3600/3600
Engine Generac G-Force
Engine Displacement 460cc 816cc 999cc
Fuel Consumption @ 1/2 Load: 1
NG cu.ft/hr 101 154 182 204' 164 228" 203 11 203
Fuel Consumption @ Full Load- 127 225 245 E 301' 287 327" 306 306
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- 1 54(l.48) 90(2.45) (109 2.99) 129'6 136 .74 142.1 142 3.90 142 3.90
LPG cu.cu.ft/hr(gat/hr) j { (3.56)' ) (3.90)- ( ) ( )
Quiet-Test Mode Yes
db(A)at Exercise 57 55 57 57
db(A)at Normal Operating Load j 61 65 ( 67 67
Enclosure Aluminum
Enclosure Color Bisque
Warranty f 5-Year Limited
Dimensions-V x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727)
Weight(lb) 338 1 385 420 448' 436 466•` 445 455
Mobile Link Wireless Connectivity Yes iIII
PWRview Home Energy Management - - - - f - , - i - Yes
'7038-1&7039-1 specifications
-`7042-2&7043-2 specifications
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Generac Power Systems,Inc.
S45 W29290 Hwy.59,Waukesha,WI 53189
www.Generac.com 1888-GENERAC(436-3722) ® CD
201902144 REV 07/20
GENER A- C
02020 Generac Power Systems.All rights reserved. o
Specifications are subject to change without notice. N
U