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HomeMy WebLinkAbout48709-Z 2zr-- g�FFOI,� Town of Southold 2/22/2023 a P.O.Box 1179 _ 53095 Main Rd 4 ao�:v Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43 868 Date: 2/22/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 7130 Route 25,East Marion SCTM#: 473889 Sec/Block/Lot: 31.-6-6 Subdivision: I Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/15/2022 pursuant to which Building Permit No. 48709 dated 1/9/2023 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" 17 KW,generator as applied for The certificate is issued to Bjomholm,William&Or of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48709 01/24/2023 PLUMBERS CERTIFICATION DATED Au riz ignature ��o�g�ff0ly TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 48709 Date: 1/9/2023 Permission is hereby granted to: Bjornholm, William 7130 Main Rd East Marion, NY 11939 To: Legalize "as built" 17 KW generator to an existing single family dwelling as applied for. At premises located at: 7130 Route 25, East Marion SCTM #473889 Sec/Block/Lot# 31.-6-6 Pursuant to application dated 11/15/2022 and approved by the Building Inspector. To expire on 7/10/2024. Fees: AS BUILT-ACCESSORY $200.00 CERTIFICATE OF OCCUPANCY $50.00 ELECTRIC $170.00 Total: $420.00 6 Building Inspector *pF SO!/ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlinCaD-town.southold.ny.us Southold,NY 11971-0959 �QlycoU �^ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: William Bjornholm Address: 7130 Route 25 city:East Marion st: NY zip: 11939 Building Permit* 48709 Section: 31 Block: 6 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: REP Electric 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 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 Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump 11 Other Equipment: 17kW Briggs & Stratton Generator w/200A Whole House Transfer Switch Notes: Generator Inspector Signature: Date: January 24, 2023 S.Devlin-Cert Electrical Compliance Form so # # TOWN OF SOIJTHOLD BUILDING DEPT. °ycourriv, 631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION rl PRE C/O [ ] RENTAL REMARKS: !2- ,, r OcA el Nrok- 1cej-- A!()(-7 fy_g.48 A (2-f 0 )4-�,rf� 7e Ck DATE 2, 14 141,5 INSPECTOR ` �E SObTyo� # # TOWN OF SOUTHOLD BUILDING DEPT. `yroum, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATIOWCAULKINGG [ ] FRAMING /STRAPPING [ ] FINAL Y✓ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARK fir) ' DATE INSPECTOR r ♦� i. 1 " 1"44 1 e If now r 44 ppp ���'�'S"�5'§4,. '-*431►- �.rr� a '�is` .. .+ S �� �sx. moi- "�` •fig^".. w AM x , Ar _ a. Y 41;i r" b 1 'fit "„�� '��,i� _ y . .• #°�sw� � �• w �� �'�� �«`y. w�" i N sr� �" ` a €. . `?. .Y akx�• .�".a're ax .�'r Y. � <v ,�`�� °k�,'`_n� '-�-�° �ks��r ��'.�. ._ .�f���. � •r i �5 •1f•' 4 h 7 t• ' ' �� •r• � '� s Yrs / sem' ; ��• .' ; •1�y y+ `r' + r _ � r .,. * ♦ 'y�_ � � ,� �_ .ice k w • ..., .� �, � -� ����/sem• � �� -�'` � � ~ R',� S�+w1 "Al jar 4.+J. Y�� w= .v AmPAW t t.n kill-,� IT AI ry " " M` ✓ wy OttsU . t1,401414F14Et14 # # 14AM�i) ON fr : YY a 4` A1'�'9"'✓P' F M S -%- MV RNING S,TLto "_.. y. `° Noma ei7� CC4 eDf 5oq WARNING SECONDARY POWER: SOURC CONNECTEi7 BACKUP GENERAtvt iNsrALLM . FIELD INSPECTION REPORT I DATE COMMENTS b FOUNDATION (1ST) H ------------------------------------- C � FOUNDATION (2ND) t17 z 0 O H W ROUGH FRAMING& O Hy PLUMBING N � CA .4 y � INSULATION PER N.Y-. �H STATE ENERGY CODE vl FINAL ADDITIONAL COMMENTS s o z m 0 � y � z H x d b H TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 pb CA J� Telephone (631) 765-1802 Fax (631) 765-9502 h tt1)s://www.so uth o I d town n y.,[,T()V Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Q Building Inspector:--d-A�y NOV 2022 -1 -Applications and forms must be filled out in their entirety.Incomplete applications.will not be accepted.-Where the Applicant is not the owner,an Owner%Authorization form(Page 2)shall be completed. Date: ,OWNERS)OF PROPERTY: Name: Lki )L.L,(A r/\ rZ, TO Iti tv 140 L A#1.000- 3 1 66— 0/0 Project Address: --71 -3 . - MA 4 ip) it aA 1E10-5T (VW,*,fL1,a t, &t LJ 'In Phone#: 91q —U-10 60-7-1 Email: AUY3145 AA Mailing Address: —7)3 0 M 4t ae A t, aAs-r moa-104,) J,/V 41e12!7 CONTACT.PERSON: Name f3syaltj 1'(o&44 Mailing Address: 64 QrEmail: J J C Phone#: C?1 7b, IS!I -- DESIGN PROFESSIONAL INFORMATION'. Name: Mailing Address: Phone#: Email: ------------------ CONTRACTOR INFORMATION Name: - . -R0136 1- eA I-AD 114 r f(-6-T it-k-, Mailing.Addr I ess: po. d-- ?ice v&k Phone-# -7 Email: re DESCRIPTION OF I PROPOSED OSED CONSTRUCTION E]NewStructLAe EAKiTn E]Alteration E4epair DIDemolition Estimated Cost of Project: []other 4w) X Will the lot be re-graded? El Y esXo Will excess fill be removed from premises? E]Yes E--XI ,_ PROPERTY INFORMATI;ON..` Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes F1No If:YES, PROVIDE A COPY. ❑'CheCk Bolt AfteC Reading:,'The owner/eantractor/design'professional is responsible for all drainage and storm water issue's as provided by Chapter.236 of the Town Code. APPLICATION IS.HEREBY MADE to the BuildingDepartment 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 ccrostruction'of buildings, .additions;alterations or'for removal.or'demolition as herein described.The applicant agrees to comply with all applicable laws,ord'inance's,building code, housfrig.code'and regulationsand,to admit authorized inspectors on premises and in building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeapor pursuant to Section 210.45 of the New,York State penal Law. Application Submitted By(prin name):. 1�� l('L 1 ✓—J WM'*� ❑Authorized Agent Owner Signature of Applicant: r/�� �`� Date: STATE OF NEW YORK) CONNIE D.BUNCH SS: Notary Public,State of New York No,01 BU6185050 COUNTY OF ) Qualified in Suffolk County Commission Expires April 14,2 Oa 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 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 11-3 gday of / y �e�} �� , 20�� Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) - residing at __-do hereby authorize o apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date ^ Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector lr � TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 t$ i Southold, New York 11971-0959 Telephone 631 765-1802 - FAX (631) 765-9502 rogerr(aD_southoldtownny gov — seand(o)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: Rep Electrician's Name: (Z o _ .0 INP License No.: Elec. email: re je: ® I Elec. Phone N .631 bJ:Gp3q ❑1 request an email copy of Certificate of Compliance Elec. Address.: 120 a(—A �• L400 ZS EI ) L JOB SITE INFORMATION (All Information Required) Name: k.,,iILLi6 1,,\ n,5p�VWUL,✓""I Address: 11-3—c> MA 10 RptT> 6.1c�5r MPfL-LCS PLI I l_ 97 Cross Street:1CC, f Phone No.: ( C�p�� 6,-16 --615 Bldg.Permit#: �(p)`]Qq email: Tax Map District: 1000 Section: Block: GL, Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): (S rcv4r ( A--�-, "I I A-) MU) 6napp S Square Footage: Circle All That Apply: ji Is job ready for inspection?: F] YES NO []Rough In Final Do you need a Temp Certificate?: 1-1 YES NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters_ ^ Old Meter# ❑New Service Fire ReconnectOFlood Reconnect[]Service Reconnect❑Underground 00verhead # Underground Laterals M 1 D2 H Frame [7] Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION ��. Po , loo 1 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD ri 4 Town Hall Annex - 54375 Main Road - PO Box 1179 >3, Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ;, rogerr(a�southoldtownny.gov seand(a�southoldtownnV•gov r7zrrcr. APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: Electrician's Name: `Z-a _ V L. , 1 NZ) License No.: Elec. email: �� '( © C, ,0 t L • C Elec. Phone N��3 ¢�' - 'a ❑1 request an email copy of Certificate of Compliance Elec. Address.. I 00 JOB SITE INFORMATION (All Information Required) Name: !I t.l I rfi^'m�C,>i.�"^r Address: d-3-c> MA k-Mt Z> 60,52— 0-0 r-L-6-\, PLI I l- � Cross Street: r i(FSy�-e Zf Phone No.: Bldg.Permit 9 25-709 email: Tax Map District: 1000 Section: Block: C)(s, Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): MU) �ri � S+ Square Footage: Circle All That Apply: Is job ready for inspection?: F-1 YES ❑ NO F]Rough In Final Do you need a Temp Certificate?: F] YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph F]3 Ph Size: _A # Meters_ __ Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect E]Underground 00verhead # Underground Laterals E]1 02 L—] H Frame ❑ Pole Work done on Service? L Y N Additional Information: PAYMENT DUE WITH APPLICATION �� � 1170 , 60 ( (7 SURVEY OF PROPERTY A T EAST MARION N TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-31-06-06 2�1SCALE.' P--30' SEPTEMBER 18, 2014 ��� a�ME•1l OCT. 29, 2014 (REVISIONS) 3 �� PrP �•° I^... F s. a�1 15.P(.ds ya..c .5 0 S.a "� �-" o. --A c::_ SET Gz 5I. SFr t 6 s O C, Or �L{ s. V;6 o ti s / s. N vf�.ls Pel s7K SPO ) s[r o .ylp \ � r� ` 116• � 1 . ` 116 CERTIFIED TO. �� off w+ WILLIAM BJORNHOLM vol T3. a CYNTHIA FRANCEUS m9c, oy1 `Gr MocGREGOR ABSTRACT r 0 FIRST AMERICAN RILE INSURANCE ,f•s �ry� SANTANDER BANK, N.A. 1 a S LOT NUMBERS ARE REFERENCED TO MAP OF MARION MANOR FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK ON MAR. 18, 1953 AS MAP No. 2038. ® =MONUMENT AREA = 28,025 80. Ff. .Y..13. LIC. N0. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A KOLA TION ECONIC SU MORS, P.C. OF SECTION 7209OF 774£NEW YORK STATE EDUCATION LAW: (631) 765-5020 FAX (631) 765-7797 EXCEPT AS PER SECTION 7209-SUBDIVI57ON 2. ALL CERTIFICATIONS P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 1_105 WHOSE SIGNA711RE APPEARS HEREON. SOUTHOLD, N.Y. 11971 APPROVED AS NOTEaD-7 n DATE' - 3 B.P. # U I b 1 FE 5D-b6 BY COMPLY WITH ALL CODES OF NOTIFY BUILDING DEPARTMENT AT NEW YORK STATE & TOWN CODES 765-1802 8 AM TO 4 PM FOR THEAS REQUIRED AND CONDITIONS OF FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED SOUTHOLDTOWN-BA FOR POURED CONCRETE 2. ROUGH FRAMING,PLUMBING, SOUTHOLD TOWN PLANNING 80ARD STRAPPING, ELECTRICAL&CAULKING 3. INSULATION 4. FINAL-CONSTRUCTION &ELECTRICAL SOUTHOLD TOWN TRUSTEES .y MUST BE COMPLETE FOR C.O. N.Y.S.DEC ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS'OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Additional Certification May Be Required. ELECTRICAL i INSPECTION REQUIRED � r REP ELECTRIC LLC P.0 BOX 635 MATTI°l UCK, NEW YORK 11952 Phone 631-296-9602 Cell 631-767-6034 Email: REPelectricl@Gmailocom Bill Bijorn September 25, 2018 Main Rd East Marion,NY Estimate for installation of a Briggs & Stratton 17KW Generator This is an invoice for work completed hooking up a 17 KW Briggs & Stratton propane gas, air cooled standby generator. The generator is located on the east side of the house, near the air conditioner compressor. Install a'200 AMP automatic transfer switch for when power is lost to the whole house with a Load Shed Smart Switch to transfer loads from tlic main panel so the generator cannot be overloaded. This switch will be located in the basement next to the main panel. When power is lost, the stand by generator will start automatically and will convert the power from the generator for the whole house panel. Generator will be installed to meet all national electrical codes. All wiring and grounding between the panels and generator will be to code. The generator is protected by a steel weather guard, weatherproof, soundproo('enclosure. The generator also has a main breaker built into the unit. The generator has its own pad. Generator will be delivered to the site of the address above. This invoice includes all start up and testing. This invoice INCLUDES all Southold Town fees, generator permits, and inspections. All work,will be completed in a neat, orderly and timely fashion. *Gas hook up by others* Total Estimated Due $6275.00 Thank you, Robert E. Paladino REP Electric LLC