HomeMy WebLinkAbout47891-Z ��gpFFol�or Town of Southold 6/4/2022
y� P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43126 Date: 6/4/2022
THIS CERTIFIES that the building GENERATOR
Location of Property: 2795 Cox Neck Rd.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-7-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/28/2022 pursuant to which Building Permit No. 47891 dated 6/2/2022
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 Chadha,Deepika
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47891 6/3/2022
PLUMBERS CERTIFICATION DATED
C
riz d ignature
SFr F i TOWN OF SOUTHOLD
CIO, BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
"ay • 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#: 47891 Date: 6/2/2022
Permission is hereby granted to:
Chadha, Deepika
83-09 Talbot St Apt 4D
Kew Gardens, NY 11362
To: install generator as applied for.
At premises located at:
2795 Cox Neck Rd., Mattituck
SCTM #473889
Sec/Block/Lot# 113.-7-20
Pursuant to application dated 4/28/2022 and approved by the Building Inspector.
To expire on 12/2/2023.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $235.00
Bu'ding Inspector
o��o�so�ryQl
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(c-D-town.southold.ny.us
Southold,NY 11971-0959 Q�yCQUNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Deepika Chadha
Address: 2795 Cocx Neck Rd city:Mattituck st: NY zip: 11952
Building Permit#: 47891 Section: 113 Block: 7 Lot: 20
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: MD Power License No: 33345ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Generator X
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
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
Transfer Switch 200A UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures 11 Pump
Other Equipment: 20kW Generac Generator w/200A Whole House Transfer Switch
Notes: Generator
Inspector Signature: Date: June 3, 2022
S.Devlin-Cert Electrical Compliance Form
SOGlyolo
# # TOWN OF SOUTHOLD BUILDING DEPT.
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`ycourm��'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL Fj
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE41
Y7/ INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(1ST) o
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FOUNDATION(2ND) S
ROUGH FRAMING&
PLUMBING
06Q
INSULATION PER N.Y. '
STATE ENERGY CODE
�®
FINAL
• I�w
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y. rn f Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
4
Telephone 631 765-1802 Fax 631 765-9502 bLtps://www.southoldtomm.gov
Date Received
APPLICATION FOR BUILDING PERMIT .
®® ECEH
For Office Use Only
,..�
PERMIT NO. Building Inspector: APR 21 202
BUILDiNG 0
Appljcations and foTmstriusi be fi_Iled out rn their"entrrety Incomplete TOWN OF SOE_irtJLt�
applicaYtons will not be accepfed Where the App6can#is not the owner,an
Oin►ner's Authorizatron form(Page 2)
- £ <-" �f1:=r;I,e7C lit J!i(it]IK L`OGU1iY
MSA
Date:
4/26/2022 &rosav,�n,,lic a;tli®o;H':mk;,ogr
OWNERS OF PROPERTY - s
t D_ ,
Name:Minish and Deepika ChadhascrM#1000-113-7-20
Project Address:2795 Cox Neck Rd, Mattituck NY, 11952
Phone#:91,7-690-.1465 Email:manilchadha@gmail.com
Mailing Address:8309 Talbot St, Apt 4C,.Kew Gardens,_NY,11415
CONTACT PERSON 3
r
Name:owner
Mailing Address:
Phone#: Email:
DESfGN PROFESSIONAL INFORMATION
Name:NJ Mazzaferro, PE
Mailing Address:PO Box.57, Greenport, NY .11,944
Phone#:516-457-5596 Eman:nickmazzaferro@yprizon.net
"CONTRACTOR ItVFORMATtON: - - -
Name:M.D. Power
MailingAddress:59 Glenwood Dr, Hauppauge, NY 11788
Pho.ne d.#:631-484-0649 Email:MOPowerDanBrophy-@gmail.co.m "
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
R Other Generator-20 KW W 1714 PSV-MT'T—` SZ40 $5000.00
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY'0406AMAT,16
-- �
-3,
Existing use of-p.r I o pe 11 rty:SlIntended use of property:ngle. Res,idence 8ing1e Residence ,
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? E]Yes ®No ;IF YES, PROVIDE A COPY.
:-`M`th4ck`6- k'AftetReading;.-The 6 i "a water�issues- �:Prc*id0,0
ss! #.,Is1osponsl6le�16jrilt drainage
Ch &' issuance AT
-00tqKZA6�dfjh6To*n-,0` _F66kri... 11 Department iOi', i BU�q!rg Fqoit OLjisuant,APipg-Zone-
Ordinance of the Town of Southold,Suffolk,County,New York and he'- idri-ofbui ding-
-Otor ao cqp�
a d The applicant ofpgreesR.comply allapplicablea—wiiOmi a-0"pqs,kukld,
in&9d
housing code and regulations and to adtrait authorized inspectors on--re7s,"ej i and 6Wldin for necessary inspections False statements made herein are
aas' C assWn
Oroursuant to Sbdion110.45:ofthe
State Penal La'
Application Submitted By(print name): Authorized Agent 00w ner
Signature of Applicant Date:
STATE OF NEW YORK)
SS:
COUNTY OF
IA.
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing c"ontrati) above named,
(S)he is the
0 (Contractor,&en orporate 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 therewithl,
Sworn before me this
?-0.P P—A
d a y of 20
Notary Public
zi
THOMAS S.VITALE
tary Pu ,State of New York
PROPERTY OWNER AUTHORIZATION Res No.01V16276776
Qualified in Suffolk Count
(Where the applicant is not the owner) Commission Expires 2/251
'A)
residing at *!'-K,
do hereby authorize o apply on
m alf to thwn South [ding Department for approval as described herein.
01,
owner's Signature Ite 1
y�,��s� CANoA�m-s
Print Owner's Name
2
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U ING DEPARTMENT-Electrtcal.lrtspector '
TOW10 F50UTHOL . ::.
PQM' `1 Town 411.Annex .54375 Main.Road-PO Box 11 T ,
y Southold; New Park 11971-0958
��p1�G n . 765-9502
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. roQerr sout461dtownny aov--eand(c�'southoldtowhny c
:APPLICATION FOA ELECTRICALIN
SPECTIO
ELECTRICIAN 1NEQRMATI.ON'
All Information Required). Dater
Company.Name:. �--
Electrician`s Name: 1/U
License No.: � Elec email: �. cdfm
Elec. Phone No
[]i"requesf an.et a61(0opy of Certificate of Compliance
Elea Address.:.
OBS 1T.E.1NI�®RMATION .(A#J0brmation.Requires
•Address:: \G--:'.
Cross Street �� '
emaEl
B1dgPermit Block: Lot.'
-T, x.Ma District: . 1000 : Se>✓tton: . l:.
BRIEF pESCRIPTION.OI=.WQRK;'.I. LUDE SQUARE FQOTAGE•(Please Print Glearly): . .
Square Footage:
f:A 1 final
Circle All Tha pP Y /YES N4. D Rotagh In Q .
'is job ready for inspedtion�
Do you need a Tamp Cer#lfica#e7 0 YES
O Issued On
All information required) ,
T.ei n Information:' t A. #Meters _-�-Old.-Meter#:777t7 7 =
Seryice.Size�1 Ph3.Ph Size:.. vertiead
Flood:Feconnect[]Servtce Reconnect[�Underground[
�NewserviceQFire:Reconnect[] Bole .War4c`done on Serv,se? Y N
#underground Laterals _ 1. 2 : N Frame
dditional Information: `. .-
A
: PAYMENT DUE
'WITH APPLICATION
APPR VED AS NOT D
oai
DATE:
FEE:.: :: �.� BY:
NOTIFYBUILDING DEPARTMENT AT
765-1802 r-8:AM TO 4 PM FOR THE
FOLLOWING.INSPECTIONS:
1. FOUNDATION : TWO REQUIRED
FOR POURED CONCRETE.
.2. ROUGH FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONS-PlU ''ON MUST
BE COMPLETE :;, _ 0.
ALL CONSTRUCTil-l' SHALL MEET THE
REQUIREMENTS Ct THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODE-
AS REQUIRED AND CONDITIONS 0
S01UTH01DTOWN ZRA
I� . NG BOAR;:
SCI ITN�i Tn'"'"�TRUSTEES
N.Y.S
JCCLlPAN-Y OR
USE,IS UNLAWFUL
WITHOUT CERTIFICIA
MJF OCCUPANCY
ELEc-rRiCAL
INSPECTION REQUIRED
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GENERAC'
MODEL G0070432
SERIAL 3009774925
ITEM NO GO070432
PROD DATE 20211013
VOLTS 1201240 1 PHASE
LPV AMPS 183.3191.7 HZ 80
NG AMPS 162.6181.3 RPM 3,600
INSULATION CLASS H 1.0 PF
CONTROLLER P/N, 10000003276
COUNTRY OF ORIGIN US
DUTY RTG_EMERGENCY_____-___-__—
X'D 0.174 X"D 0.107
RATED AMBIENT TEMP 25°C
FOR STANDBY SERVICE
MANUF
NEUTRAL FLOATING LOC
UNBALANCED LOAD 50 % 1D04
CAPACITY
RAINPROOF ENCLOSURE
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