HomeMy WebLinkAbout46487-Z �o'�'Ssaf FDLkcoGy Town of Southold 3/17/2022
�� P.O.Box 1179
M: 53095 Main Rd
`sow ' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42930 Date: 3/17/2022
THIS CERTIFIES that the building GENERATOR
Location of Property: 585 Laurel Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 56.-2-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/17/2021 pursuant to which Building Permit No. 46487 dated 6/24/2021
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"accessory generator as applied for.
The certificate is issued to Delong,George&Carol
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46487 7/13/2021
PLUMBERS CERTIFICATION DATED
Autho d i ature
FoTOWN OF SOUTHOLD .
ao`oSUFcK4oGy� BUILDING DEPARTMENT
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 bF THE WORK AUTHORIZED)
Permit#: 46487 Date: 6/24/2021
Permission is hereby granted to:
Delong, George
PO BOX 1135
Southold, NY 11971
To: legalize "as built" generator as applied for.
At premises located at:
585 Laurel Ave, Southold
SCTM #473889
Sec/Block/Lot# 56.-2-5
Pursuant to application dated 6/17/2021 and approved by the Building Inspector.
To expire on 12/24/2022.
Fees:
AS BUILT-ACCESSORY $200.00
ELECTRIC $170.00
CO-RESIDENTIAL $50.00
Total: $420.00
B&dVij4fvspector
®�apE SO!/T�ol
Town Hall Annex ~ O Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 c sean.devlin(cD-town.southold.nv.us
Southold,NY 11971-0959
CUUNT`I,�
BUILDING DEPARTMENT .
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: George Delong
Address: 585 Laurel Ave city:Southold st: NY zip: 11971
Building Permit#: 46487 Section: 56 Block: 2 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Jim Sage License No: 3635ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Generator X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X 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 200A 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: 12kW Briggs & Stratton Generator w/60A Overcurrent Protection on Generator,
100A Generator Disconnect, 200A Service Disconnect
Notes: Generator
Inspector Signature: Date: July 13, 2021
S.Devlin-Cert Electrical Compliance Form
g SOUTyO H087 S6S Lpat..,
# * TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1NSULATION/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:
DATE INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(IST)
-------------------------------
FOUNDATION(2ND) 04
V1O
ROUGH FRAMING.& l�
PLUMBING H
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INSULATION,PER N.Y. H.
STATE'ENERGY CODE
1/ Ae7l J/--
FINAL
ADDITIONAL COMMENTS :
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
o �! Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
For Office Use Only Date Received
PERMIT NO. (JL Building Inspector: "� ' i" V' )
_ Applications and forms must be filled out in their entirety.Incomplete applications
JUS! 1 7 2021
will not be accepted. Where the Applicant is not the owner,an Owner's
Authorization form(Page 2)shall be completed.
APPLICATION FOR BUILDING PERM T Date: 06
OWNER(S)OF PROPERTY:
Name: 0 - I' Tax Map#:SCTM#1000- �� - Q1,--5
Physical Address: 5g L,�� v S Ov 7
Phone#: 7 Email:
Mailing Address: 5,4,v7 Ci
CONTACT PERSON:
Name: ltJ
Mailing Address: f2o O� U ,
Phone#: ¢ � rn Email: S r f, o �G )"It
40.
DESIGN PROFESSIONA!INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR-INFORMATION
Name: N
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION .
ONew Structure ❑Addition ❑Alteration ❑Repair ODemolition Estimated Cost of Project:
4Other 65-6u)L Alf-4d $
Will the lot be re-graded? OYesP9$o Will excess fill be removed from p, i es? OYes ONO
PROPERV1NFORMATIO4
Existing use of property: sl of Intended use of property:
-All
Date of Purchase: Name of Former Owner:
1
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑YesANo 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 taws,Ordinances or Regulations,for the construction of buildings,
additions,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): ,4 �� Authorized Agent E]Owner
'
Signature of Applicant: - Date: 2 Z
STATE OF NEW YORK)
CH
SS: CONNIES a of Notary Public, New York
COUNTY OF -
No.01 BU6185050
Qualified in Suffolk County d�
G�� Co'B l�"L F sworn pdeposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(Contractor,Akent,Co rate 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.
Sworn before me this f
1`f'`day of 20 Q I
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
residing at
WV do hereby authorize K— Sc to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Cara
Print Owner's Name
o�oSUFFO(,�-co BUILDING DEPARTMENT- Electrical Inspector
�� Gy TOWN OF SOUTHOLD
o Town Hall Annex - 54375 Main Road - PO Box 1179
C* - Southold, New York 11971-0959
41- p� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr6Er southoldtownny.gov sea nd(o)_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All In tion Required) Date:
Company Name: i
Name: '
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name:
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: ' 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
crJ eA
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: J 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
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special: CDA
Comments:
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A/UROED AS NO-71
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DATE: ULB.P.#
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FEE: U Ar:i
NOTIFY BUILDING ! '.�ARTMENT AT
765-1802 8 AM TO 4 PM FOR T IE I
FOLLOWING INSPECTIONS: Stand y Generator System 12kW eRi��sssTannoty
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE !
2. ROUGH -.FRAMING & PLUMBING
3. INSULATION BRIGGS & STRATTON
4. FINAL - CONSTRI:'; . .N MUST INSTALLATION AND START-UP
BE COMPLETE F.:?P C. STANDBY GENERATOR SYSTENUAI. I
ALL CONSTRUCTION' SHALL MEET THE M
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
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COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITONS O
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served.
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OCCUPANCY O
USE IS UNLAWFUL
WITHOUT CERTIFICATE_ ELECTRoCAL
OF OCCUPANCY INSPECTION REQUORED
specifications _
' -enerator Specifications
12 kw-
led
wted Maximum Load Current` (at Q5°C7771F LP., -
i 240 Volts.......................... ) i
at 50 Am
:.: ated AC Voltage................
RPs
" ' ••.....•...1207240 Volts I
a, . Re.... ........ ..... .....:.................Ssngle
Phase
ated Frequency................... j
1
Generator Breaker.:...... 60 Hertz
....60 Amp i
Normal operating Range -20°F(28.8°C)to 104°F
t
l- output Sound Level 72.3 dB(A)at 23 ft. (7 m)at normal
load = i
Shipping Weight...................................318 Ib`(144 kg)
! Natural gas rating will depend on specific fuel but typical derates are between
t
10 to20%°off the LP gas.rating. - +
Engine Specifications
! i
Displacement .. .... 38.26 Ci. (627 cc)
Bore .. ........ .. .2.972 in. (75.5 mm) e
Stroke ...,,..2.756 in. (70 mm) _
Spark Plug Gap . •.•••••••••••0.020 in. (0.51 mm)
Spark Plug Torque............ )180 Ib-in. 20 Nm
( )
Armature Air Gap..=. 0.008-0.012 in: (0.20 -0.30 MM)
Intake Valve Clearance 0.004 - 0.006 in. (0.10 . 0.15 mm)
Exhaust Valve Clearance 0:007 -0.0.09 in. (0.18 0.23 rnm} #+
:... ...:5W30 S .nthetic
Oil-Type
Oil Capacity (with-filter)...... 42 _. 45 oz. 0.24- 1,33 L) 1
p, (including d filter)
cordance with UL(Underwriters Laboratories)2206(stats
ons
This generator is"certifiedln.,ac
sfartdarri 022.2 Nv;1a70.4(motors and generators)'"
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