HomeMy WebLinkAbout47079-Z �o�OS�Ffyy Town of Southold 4/2/2022
P.O.Box 1179
o _ 53095 Main Rd
y�jal �oo�r�7 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42966 Date: 4/2/2022
THIS CERTIFIES that the building GENERATOR
Location of Property: 41700 Route 25,Peconic
SCTM#: 473889 See/Block/Lot: 86.-1-6.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/21/2021 pursuant to which Building Permit No. 47079 dated 11/4/2021
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:
accessory generator as applied for. .
The certificate is issued to Westerlund Fam Irry Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47079 3/1/2022
PLUMBERS CERTIFICATION DATED
u oV Signature
fat/(, TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
y O�
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#: 47079 Date: 11/4/2021
Permission is hereby granted to:
Westerlund Fam Irry Trust
41700 Route 25
Peconic, NY 11958
To: Install generator at existing single family dwelling as applied for.
Maintain 5 feet from side yard property line as per accessory setbacks.
At premises located at:
41700 Route 25, Peconic
SCTM #473889
Sec/Block/Lot# 86.-1-6.2
Pursuant to application dated 10/21/2021 and approved by the Building Inspector.
To expire on 5/6/2023.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CO-ADDITION TO DWELLING $50.00
Total: $235.00
Building Inspector
o��pF SO�jry®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 ® sean.devlin(D_town.southold.ny.us
Southold,NY 11971-0959 Q a
C®UNTV,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Westerlund Fam Irry Trust
Address: 41700 Route 25 city:Peconic st: NY zip: 11958
Building Permit#: 47079 Section: 86 Block: 1 Lot: 6.2
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 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: 14kW Generac Generator w/ 100A Transfer Switch
Notes: Generator
Inspector Signature: Date: March 1, 2022
S. Devlin-Cert Electrical Compliance Form
SOUTy�Io
1470 Y/ 7 00
#
TOWN OF OUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [' `] INSULATION/CAULKING
[ ] FRAMING 1 STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY_ [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [/ ] PRE C/O
REMARKS:
DATE. l INSPECTOR �'�
OF 50(/jh��
# # TOWN!OF SOUTHOLD BUILDING DEPT.
`yco 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ VNSULATIOWCAULKING
FRAMING /STRAPPING [ FINAL (�
[ ] FIREPLACE & CHIMNEY [ . ] FIRE SAFETY'INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL-(ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
Apy%o
_TA 1111 WWil
DATE - 3 0 202- INSPECTOR.
FIELDINSPI CT-IONREPORT DATE
2 .d
O
FOUND�ATIONOSMJ y
...777111' ` ��•'. ... .;H.': pt 1 ..
ROUGHYRAMIN.0&
INSUL {TION..PER N.Y. '
STATE N RGY CODE
it
1 FINAL'.
1
C Q'
2:
SUFFnc,t
=off cow TOWN OF SOUTHOLD.7 BUILDING DEPARTMENT
x Town Hall Annex 54375 Main Road P.-O. Box 1179 Southold,NY 11971-0959
oy�! �aot Telephone (631)765-1802 Fax(631)765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR-BUILDING PERMIT
D . �
For Office Use Only
y� - ' OCT 2 1' 2021
PERMIT NO. l� Building Inspector: • .
BUILDING DEPT.
Applications and forms,must be filled out in their entirety, Incomplete TOWN OF SOUTHOLD
applications wiU not be accepted ;Where the Applicant isnot the owner,an
Owner`s Authoriiatt!on foam(Page 2)•shall be completed "
Date: ,
OWNERS)OF PROPMTY
Name: 1 _ .-.._.w���►-c�z1v !� SCTM#1000
Project Address: -
Phone#: Email zT
CSM
Mailing Address:
CONTACT PERSON F
r
Name: -
_ �— __
Mailing Address: �jS�
Phone#: Email: y Ss v/1-)
,D !,ON 4°
Name:
Mailing Address:
Phone#: Email:
CONTRACTORINFORMATION
Name:
TMailing Address: _`�� .��+(Vil �� LC
�*
Phone# = �� Email ..eT �C(�5-S._,_C0r'!
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition E]Alteration EIRe air Demolition. Estimated Cost of Project:
[10ther $
Will the lot be re-graded? ❑Yes__Y%o Will excess fill be removed from premises? DYes- No
1
s
PRQPERTY INFORMATION,
Existing use of property:_, 1� �l Intended use of property.
Zone or.use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yeso IF YES,PROVIDE A COPY.
Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as'proyided 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 orRegulations,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 buildings)for necessary inspections.,False statements made herein.are
-punishable as a.Class A misdemeanor pursuant to Section 210.45 oftheNew York State Penal Law.
Application Submitted By print name): _i SSC C A f7FSuthorized Agent ❑Owner
� _
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTYOF SL)teraz-A—p )
V�Vsr 9r;�,gq being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Cfi� I2f1�?T
(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.
Sworn before me this
day of �400 ,202
Notary Public
BRUCE L. MCDONALD
Notary Public-State of New York
91
PROPERTY OWNER AUDI HORIZA �0N No.01 Suffolk Co
Qualified in Suffolk County
(Where the applicant is not the owner)MY Commission Expires June 28,20 1(
I, Apo L [4 kA IeJ&STGRLUOI� residing at 4 O HAW- RoNS
P-7coo f J . 0r`/, ag660do hereby authorize to apply on
my behalf to the Town of SouthoA Building Department for approval as described herein.
Owner's Signature Date
A- o � "_ LOES iER
Print Owner's Name
2
�ogVFFOLo BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roaerr _southoldtownny.aov - seande-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: �-
Company Name: t- vLi 04L -0%2 �,n\M
Electrician's Name:
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: 1 i1 a 4t1SA ldJJ_-
Address: )-)00U-j p V-3 CC)/0,C C( '�
Cross Street: Pe_ AX(,_ \ AJ
Phone No.: qr)--1
Bldg.Permit#: q-)d email: (2_fuck Z. CdA
Tax Map District: 1000 Section: Block: Lot: (10
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?: ❑ 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 Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 F H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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1 UNAUTNO!:;ZED ALTC'ATV^N OR ADDITION
f TO';.THIS*SUf.VEY i A VI LAT;Gt•t OF,
SECTION:2C9 OF Y E N. -9 VO FC STATE ..
EDUCATIONOct
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TITLE
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TO THE A S;C. i l''1.1'4. A ,
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APPROVED AS NOTED Si
DATE: g z717071 ID ff CCrO
o�v S�BY: e�9 I'� t
FEE:
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING �y ;- t' '~' ` ' O;-
3. INSULATION
��� ' .' Y�; r'< S _i_, c- T04", `J CODES
4. FINAL - CONSTRUCTION MUST RLOU IRED' AND E)MONS OF
BE COMPLETE FOR C.O. _
ALL CONSTRUCTION SHALL MEET THE — `C1 `EA
REQUIREMENTS OF THE CODES OF NEW SOUTHOLD TOWN PLANNING BOARD
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. SOUT! OLDTd' TRUSTEES
DEC
RE T Vl,%I STORM WAT cR R:.`
P lRtS P T TO CHAP T E;=1 Lv1
OF THL TC!,'VfV CODE.
MBCiRICA V SP=ON REQUIRED
1.0-24kW GUARDIAN SERIES
.H.
ome Standby Generators
5PECIFICATIONS(I-PING) e ° 22/19.5 kW
Generator Only Model 7171 7223 7226 7042 7209
Generator,/100 Amp Select _
'Circuit_Switch Model 7172 7224
Generator/200 Amp Service Rated Load 7225 7228 7043 7210
Shedding Smart Switch Package Model
Volta ge'(Single Phase) s 720/240
Amps @ 240V LPG 41.7 58.3 75.0 91.7 100
Amps(c 240V NG , ;` 37.5 58.3 . _ _ 70.8 .81,3 :; •8Z5 `.
Engine/Alternator RPM 3600/3600
Engine''' - Generac G-Force
Engine Displacement 460cc 816cc 999cc
,Fuel Consumption @ 1/2 Load- ''
NG cu.-ft/hr 101 195 169 228" .. 203. 203
Fuel Consumption @ Full Load- 127 256 247 327" 306 306
NG cu.ft/hr
Fuel Consumption @ 112 Load 36 65'(181) . ` .=62•(1.70) 92(2 53),`, 92(2.53)
LPG cu:ft/hr(g d/i r) `
Fuel Consumption @ Full Load- 54(1.48) 112(3.07) 110(3.02) 142(3.90)- 142(3.90)
LPG cu.cu.ft/hr(gal/hr)
Quiet•Test Mode Yes
db(A)at Exercise 57 55 57 f 57
db(A)at Normal Operating Load 81 65 677 67
Enclosure Aluminum
Enclosure Color Bisque
Warranty 5-Year Limited
Dimensions-IT x W"x H71n.(mm) 48 x 25 x 29(1218x 638 x 727).
-
Weight(lb) 338 385 420 466' 445 I 455
Mobile Link Wireless Connectivity Yes
"7042-2&7043-2 specifications
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S45 W29290 Hwy.59,Waukesha,WI 53189
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®
201902144 REV 4/21
02020 Generac Power Systems.All rights reserved.
Specifications are subject to change without notice.