HomeMy WebLinkAbout47685-Z S�fF01 -' Town of Southold 5/18/2022
ow ' apo
a y� P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43084 Date: 5/18/2022
THIS CERTIFIES that the building GENERATOR
Location of Property: 1490 Skunk Ln.,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-3-11.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/14/2022 pursuant to which Building Permit No. 47685 dated 4/18/2022
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:
"as-built"accessoU generator as applied for.
The certificate is issued to Mott,Mary
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47685 5/4/2022
PLUMBERS CERTIFICATION DATED k\
ut ori UA
Signature
��SUFFot,��o TOWN OF SOUTHOLD
G� BUILDING DEPARTMENT
y i TOWN CLERK'S OFFICE
SOUTHOLD, NY
dal
'tea
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#: 47685 Date: 4/18/2022
Permission is hereby granted to:
Mott, Mary
1490 Skunk Ln
Cutchogue, NY 11935
To: Legalize as-built accessory generator at existing single family dwelling as applied for.
Additional certification may be required.
At premises located at:
1490 Skunk Ln., Cutchogue
SCTM #473889
Sec/Block/Lot# 97.-3-11.3
Pursuant to application dated 3/14/2022 and approved by the Building Inspector.
To expire on 10/18/2023.
Fees:
ACCESSORY $200.00
ELECTRIC $170.00
CO-RESIDENTIAL $50.00
Total: $420.00
Building Inspector
OF SO!/ryQl
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 iQ sean.deviin(aD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Mary Mott
Address: 1490 Skunk Ln city,Cutchogue st: NY zip: 11935
Building Permit* 47685 section: 97 Block: 3 Lot: 11.3
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
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X 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
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump EJ
Other Equipment: 17kW Generac Generator w/ 200A Whole House Transfer Switch
Notes: " AS BUILT NO VISUAL DEFECTS Generator
Inspector Signature: Date: May 4, 2022
S.Devlin-Cert Electrical Compliance Form
pF SOUTyo6
'Op VtOUTHOLD BUILDING,DEP
oy � 765-1802
4AN'SPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY T [ ] FIRE SAFETY INSPECTION
[ j FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
rF
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ]-,PRE C/O c ;
REMAR_ KS:
C7, a Q' A e iv�
Qom.
DATE INSPECTOR '?'
S' m•
SOUTyo�
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATION/CAULKING
[ ] FRAMING /STRAPPING [vl FINALZ
[ . ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ]' RENTAL
REMARKS: k a4-0,
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0 '�-
DATE o 1/ INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST)
� y
--------------------------------
FOUNDATION (2ND) �
4
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ROUGH FRAMING&
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PLUMBING
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INSULATION PER N.Y. H
STATE ENERGY CODE
'Y
FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT A(
.Town Hall Annex 543.75 Main Road P. O. Box 1179 Southold,NY 11971-0959 G'Tv
Telepho'n' e.-(631).765-1802 Fax (631) 765-9502 https://iww,Southoldtbwnny.goov_
Date Received . .
:APPLICATION fOR BUILDING PERMIT
For Office Use Only
PERMIT NO. /[PS Building Inspector:
MAR 14 2022
_Applications and,forms:must;be filled out in their.entirety..Incomplete
applications will not:be:accepted..Wherethe Applicant is not the owner;an _ BUILDING DEPC
Owner's-Authorization'form.(Page 2)shall be completed: TOWN OF SOUTHOLD
Date:
OWNER(S):OF PROPERTY:
Name .. SCTM#1000= ��. .: -
a /t%3::
Project Address:.
/990:
Phone#:- I EV
63 i� 'h0 —605ail:
Mailing Address:
9a �
CONTACT-PERSON:- -- .,.
Name:-.?
Mailing Address:
Phone 9: 691 < '� _ S3 Email:
DESIGN.PROFESSIONAL INFORMATION: :
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR'INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION-OF PROPOSED CONSTRUCTION
El NSW Structu a ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
&<ther $
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? []Yes ❑No
1
= PROPERTY INFORMATION: .
Existing use of.property: Intended use of property:
zone or use district in which premises is situated: Are there any covenants-an .restrictions-With-respect.to
o
this property? DYes o IF-YES; PROVIDE ACOPY,
0;Check BOX AfterReadil7g:_The owner/contractor/design professional is responsible for all drainage and storm,water issue$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 r5moval or demolition;as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,'
housing code and regulations and to admit authorised In on premises and in building(s)for necessary inspections.False statemeots,made herein are
punishable as a Class A misdemeanor pursuant to Section 210A5 of the New York State Penal_Law.-
Application Submitted By(print name):. Lithorized Agent Downer .
Signature of Applicant: : _ Date:
STATE OF NEW YORK)
16'
COUNTY OF
,
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'.nd to make:and-file this..-
-application;
his
.application;that all.stateme Its contained.in this application are true to the best of his/her kno.wle.dge:and belief;and: ..- :
that the work will-be performed in the manner.set forthin the application file therewith.
Sworn before me this
/ day of 1VAXCff- 20o ;?-
Notary Public
LORR/U NE KL OPFER
Notary F'u0li:;,Stsa-_of I�ewYoek
PROPERTY.OWNER AUTHORIZATION No.�. zati73
Qualified in Suffolk County
(Where the applicant ism
not the owner) Comission'ExpiresNov.9O,- .Zs.
I .. residing at 0Y. Get.
p. �
Y IL.?l do hereby authorize!' h �/c'r cti.- - � to apply on
my behalf to the Town of Southold Building Department for approval as idescribed herein.
O er's Signature Date
2t?acct/
LOn' l:lP,-IrL�JFF 4? t
' Rosary Publif q;fa. of lLevvYork r
No.40281 373
Print Owner's Name
Qualifiedin Suffolk County
Commission Expires Nov.30
2
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ash:
f V�FpIB I G DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
T@rn Hall Annex - 54375 Main Road - PO Box 1179
6V+01 SpVTNOUO Southold, New York 11971-0959
T°WN OF
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr@southoldtownny.gov — sea nd(c_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: A&Z—)0-2,191
Company Name:. 6P 6--64L,,;
Electrician's Name: .'4- Ajac&'„C)
License No.: y 6,YYM � Elec. email: Z
Elec. Phone No: r 7(- ❑I request an email copy of Certificate of Compliance
Elec. Address.: QU AkL;6hJ1_,JL, v I
JOB SITE INFORMATION (All Information Required)
Name: `t(_
Address: 1�ge) 9
Cross Street:
Phone No.:
Bldg.Permit#: (p email:SA°n.
Tax Map District: 1000 Section: Block: Lot: vj
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
y
CJ` .
_ Square Footage:
Circle All That Apply:
Is job ready for inspection?: Er'yES ❑ NO ❑Rough In - ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size F11 PhF—]3 Ph Size: A # Meters Old Meter#
EJ New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals M 1 2 H Frame M Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
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o
1
PERMIT#
Address:
Switches
Outlets
G FI'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:
Comments.
C/�
S. 850
r. RIghtRol
N ay
- 664.98
rye
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2 S2•y' � � `� H W
N. 87' 25'40"E.
25' Ri"l of WQY i k
273.27' J
/RgG'G/y s S.87•25'40"W aJ' �• /8' Gj
7. N/F W.J. D/TOLL'A
CERT/F/EO TOr
SAB NARBOR SAV/NWS BANK
COUNTYABSTRACT "R .
COMWONNFALTN LANG TITLE INSIM
RONALD E. MAX
JPO,p�,
MARIA i►. STRAIN
' !i /w��• H£V"Waw
SED DEC 2IAN 11 B3
E; MAP OF PROPERTY �E1v REVISED.S£Pr 24,/983
' AT
curcflocvEaW oHro�� don®ck associates
w Ij o� land surveyors and
TOWN OF SOUTNOLD s
consulting engineers
SUFFOLK CO.. Ne--Y. t 313 west nIQIn street
°Fy A 492C''' +,�� riverhead,new ya' 11901
NOTE - (516) 369-1717 (212)746-3020
CONTOURS F4#EN PAW SNPPOLR AREA-/O 7,5 6/ Sq:F1.
COY/RTT DPW, AERIAL SURVET. - 2.4 693 ACRES May 17, 1983 Job NI 83-259' '
I000'•097-03-P/o II scale,1° r 50'
AA_
or
OCCUPANCY OR
APPROVED AS NOTED USE IS UNLAWFUL
DATE: L/49--998.p.
/� � WITHOUT CERTIFIC��.��
FEE: �!� 'BY: �\�
NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY
'65-1802 8 AM TO 4 PM FOR THE
FOL LOMNIG INSPECTIONS:
1. FOUNDATION_:=-TWO REQUIRED
FOR POURED.CONCRETE
2. ROUG« - FRAMING & PLUMBING
3. INSULATION,
4. FINAL -CONSTRUCTION MUST COMPLY WITH ALL CODES OF
BE COMPLETE FOR C.O. NEW YORK STATE & TOWN CODES
ALL CONSTRUCTION SHALL MEET THE AS REQUIRED AND CONDITIONS OF
REQUIREMENTS OF THE CODES OF NEW
YORK STATE.- NOT RESPONSIBLE FOR SOUTHOO TOWN ZBA '
DESIGN OR ;CONSTRUCTION ERRORS. SOUTHOLD TOWN PLANNING-BOARD
SOUTHOLD TOWN TRUSTEES
N.Y.S.DEC
Additional
Certification
May Be Required.
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INSTALLED INCORRECT
• AVOID EXCESSIVE PIPE
DOPE IN FUEL LINE
TOP
ATOR KEEP FUEL
HOSE STRAIGHT
INSTALLATION IS COMPLETE 0GO130
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_ FUEL INLET PRESSURE
LP VAPOR * WRIAI NUMBER 73063 71
MIN. INLET PRESSURE: 10 In W.c.
MAX INLET PRESSURE:
MAX PLOW RATE AT:17 k In
NATURAL GAS kw 236868806TU/HR
MIN. INLET PRESSURE: 5 In W,C_
MAX INLET PRESSURE: 7 In W c
_
HA,, FLOW RATE AT:16 kw 2610006TU"HR
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Specifications
6246 Product Specs
Voltage 120/240 Single-Phase
Frequency 60-Hertz
Rated Watts 17000 Watts
Surge Watts 17000 Watts
Fuel Type . LP/Natural Gas
NG Power Capacity 16000 Watts
LP Power Capacity 17000 Watts
NG Fuel Consumption @ 50% Load 190.5 W/hr
NG Fuel Consumption @ 100% Load 312.fP/hr
LP Fuel Consumption @ 50% Load .2.06 gallons/hr
LP Fuel Consumption @ 100% Load 3.57 gallons/hr
- Rated Amps 71 Amps .
Decibel Rating @ 7m ® 66 dbA
Transfer Switch Automatic (Not Included)
Battery Not Included (525 CCA)
Enclosure Steel
AIC Ton Rating 4-Tons
Cooling System Air Cooled
UL Listed Yes
Grade Type Emergency
Engine
Engine Brand Generac OHVI
CC 992 CC
Consumer Engine Warranty 5 Years
Commercial Engine Warranty 5 Years
Engine RPM 3600 RPM
Low Oil Alert/Shutdown Yes
Overview
Weight 471 Pounds
Made in USA Yes
Consumer Warranty 5.Years
Commercial Warranty 5 Years
Product Style Standby Generator
Product Length48. 1nches
Product Width 25 Inches
Product Height. f 29 Inches
UPC. 696471062489.