HomeMy WebLinkAbout49078-Z ;=:—
ufEOLK oy Town of Southold 7/13/2023
a P.O.Box 1179
CAP
• 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44268 Date: 7/13/2023
THIS CERTIFIES that the building GENERATOR
Location of Property: 20275 Route 25, Orient
SCTM#: 473889 Sec/Block/Lot: 17.-3-7
Subdivision: Filed Map No. Lot No.
�. conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/29/2023 pursuant to which Building Permit No. 49078 dated 4/3/2023
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"as built"accessoUgenerator as allied for-
Maintain
allied for.
Maintainproper distance to shrubs and combustibles distance to shrubs and combustibles.
The certificate is issued to Oysterponds LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49078 5/30/2023
PLUMBERS CERTIFICATION DATED
ut orize ignature
TOWN OF SOUTHOLD
�gUFFo(
moo BUILDING DEPARTMENT
y x 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 OF THE WORK AUTHORIZED)
Permit #: 49078 Date: 4/3/2023
Permission is hereby granted to:
Oysterponds LLC
c/o Lisa Yuskavage
438 E 12th St 5M
New York, NY 10009
To: Legalize an "as built" 22kW generator to an existing single family dwelling as applied
for.
At premises located at:
20275 Route 25, Orient
SCTM #473889
Sec/Block/Lot# 17.-3-7
Pursuant to application dated 3/31/2023 and approved by the Building Inspector.
To expire on 10/2/2024.
Fees:
AS BUILT-ACCESSORY $200.00
ELECTRIC $170.00
CO-RESIDENTIAL $50.00
Total: $420.00
Building Inspector
i
pf SO!/ryOlo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviin(aD-town.southold.ny.us
Southold,NY 11971-0959
�y'UUI III'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Oysterponds LLC
Address: 20275 Route 25 city:Orient st: NY zip: 11957
Building Permit#: 4907$ Section: 17 Block: 3 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: 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
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 22kW Generac Generator w/200A Whole House Transfer Switch
Notes: AS BUILT NO VISUAL DEFECTS " Generator
Inspector Signature: - Date: May 30, 2023
S.Devlin-Cert Electrical Compliance Form
ho�aoFsouryo� Ll
# # TOWN OF SOUTHOLD BUILDING DEPT.
°ycouto, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O [ ] RENTAL
REMARKS: A-r-
IA rrle -CA /0 a<4 Vl� Z
DATE INSPECTOR
4101 'af
SOUTyolo
# # TOWN OF SOUTHOLD BUILDING DEPT.
°ycou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL t6"
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
d� b,4-FAA
01�7
DATE [I �Y21 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
d
FOUNDATION(1ST) v y
------------------------------------
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FOUNDATION (2ND) fib
O O
H 1
ROUGH FRAMING& r�
PLUMBING 1
N _ 1
v
INSULATION PER N.Y. H
STATE ENERGY CODE
OPV ( IMI—Z
FINAL
ADDITIONAL COMMENTS
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H
o��g�fFD1K�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y2
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowpny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. 1 9 0 I Building Inspector:
Applications and forms must be filled out in their entirety. Incomplete 1 MAR 2 9-'2023
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. �`? Pl�"Isj
Date: �j— Z — IL3
OWNER(S)OF PROPERTY: q
Name:0 _ . _. _ 1000
Project Address: ._Z� — � - - - - 1 -- . - ��. � -- -------- - - -- --
Phone .d.�9�.
Mai .. - - Email: IN,
_�SaJ_d� . .�..�_ l/�✓�
Mailing Address: �" c
Mai --- ---- � - s'b 02- ._-�� -rte �J � - - (�OC� 1 -
--vJ� - --
CONTACT PERSON:
Name:
Mailing Address: l
Phone#: Email)
DESIGN PROFESSIONAL INFORMATION:
Name: n�
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: '
Name: `
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other GC,'�kc, (c G' CLC:: $ J UD t (SD
Will the lot be re-graded? ❑Yes1Xlo Will excess fill be removed from premises? ❑Yes fflNO
1
PROPERTY INFORMATION
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? -E:]YesxNo 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
Cha er 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 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( i na Q tl\C1S (4e�vp ►ut orize Agent ❑Owner
Signature of Applicant: 1/ Date: 3 Z�
STATE OF NEW YORK)
SS:
COUNTY OF \ )
"►"!/ Nt!Zl�W\ being duly sworn deposes and says that(s)he is the applicant
(Name of individual si ing contra abo)/a 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
'a5�k
day of , 20
o a ub Ic
JEANMARIE ODDON
Notary Public,State of New York
PROPERTY OWNER AUTHORIZATION No.010136251238
Qualified in Suffolk County
(Where the applicant is not the owner) Commission Expires November 14,20 Z
I, \ �S� �aC �. residing at � SO \�' v rv� o� N
do hereby authorize KI<-V J4� ` "`�tZ2o�t,_ , to apply on
m half to thewn of Zuthold Building Department for approval as described erein.
Z L
Owner's Sig ture Date
Lc sk yU�cati0,4
Print Owner's Name
2
.ti �U��pEco__ BUILDING DEPARTMENT- Electrical Inspector
G$ TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
-1a` ��p� Telephone (631) 765-1802 FAX (631) 765-9502
z
rogerr(@,southoldtownny.gov gov - seand(o southoldtownnv-aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORM�►TION (All Information Required) Date: ,
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOS SITE INFORMATION (All Information Required)
; n
Name: e,-�F c, 61- ,AS ,.-
Address: n: `�' ;t-�3� c �y
Cross Street: , -� ., ` , ; ,
Phone No.: � to-° r,- a t €� s .C'l 1 y `.sok
BIdg.Permit#: gg d f7 gemail: a,,c- °4�t. .�! �' �,��.. � rs.l'��: '..
Tax Map District: 1000 Section: 4d Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please,..Print Clearly):
rvi
Square Footage: OUb
Circle All That Apply:
is job ready for inspection?: ® YES ❑ NO ❑Rough In F Final
Do you need a Temp Certificate?: � YES �NO Issued On
Temp lnformatiorta (All information required)
Service SiizeR1 PhF-]3 Ph Size: A #Meters Old Meter#
New Service0 Fire ReconnectE]Flood ReconnectOService Reconnect EJUnderg round DOverhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? . Y N
Additional Information:
PAYMENT DUE WITH APPLICATION et4A-4..
0) 1W, 0 q
OC
�Z k W GJ � ��-c
2� r l �nf�✓
• g OFF1 c C
In response to the question regarding the generator size located at the noted property:
Generac Emergency Generator- Natural Gas Powered -
Model-G0070432
Serial Number-30073345327
Size-22kW, 200 Amp
Sealed Exterior Unit
Thanks,
Nick Mazzaferro, PE
ATTENTION: This email came from an external source. Do not open attachments or click on links from
unknown senders or unexpected emails.
APPROVED AS NOTED COMPLY WITH ALL CODES OF
-3- a3 NEW YORK STATE &TOWN CODES
DATE=6.P.# AS REQUIRED AND CONDITIONS OF
FEE O•DO BY SOUTHOLD TOWNZ�
NOTIFY BUILDING DEPARTMENT AT
FOLLOWING INSPECTIONS: FOR THE SOUTHQLDTOWM4 �80AID
1. FOUNDATION-TWQ REQUIRED
FOR POURED CONCRETE SOUTHOLDTOWNTRUS'[EES
2. ROUGH-FRAMING,PLUMBING,
STRAPPING, ELECTRICAL&CAULKING N.Y.S.DEC
3. INSULATION '{
4. FINAL-CONSTRUCTION &ELECTRICAL
MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE ELECTRICAL
REQUIREMENTS OF THE CODES OF NEW INSPECTION REQUIRED. ,
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
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20275 Main RD—Orient
Generator
FMA`= wr'DESCRIBED PROPERTY
L®CATED AT VILLAGE OF ORIENT,
TOWN! OF SOUTHOLD, GUAR, TO:
CO. OF SUFFOLK, ST. OF N.Y'. WILLIAM W.SCHRIEVER
SCT A10• 1000- 17- 03® 07 OYSTERPON DS LLC
FIDELITY NATIONAL TITTLE INSURANCE COMPANY
SCALE: 9"=30'
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N 8800710"1w r'" owvGSTasrs tIt159 250.00 _. .._.._.. _.
.._ ca4tc canes U/P
IN ROAD (SR 25) r_
THE OFFSETS OR DIMENSIONS SHOWN HERON FROM THE PROPERTYUNES TO
THE STRUCTURES ARE FOR A SPECIFIC PURPOSES USE THEREFORE THEYARE
NOT INTENDED TO MONUMENT THE PROPERTYUNES OR TO GUIDE THE ERECTION
OFFENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT
UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THIS SURVEY IS A VIOLATION OF
-CONC. AOAlUAEAT TYPICALSECTION 769 SUDIVISON 20 OF THENEW YORK STATE EDUCATION LAW. COPIES lis7't#I'�T;I r/B
OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR l � -,-2` •• '
EMBOSSED SEAL SHALLNOTBECONSIDEREDTOBEAVAUDTRUECOPY. LAND\80,k1(EYOR_;WL1" 0869
CERTIFICATIONS 1NDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM SURVEYED:12 JAN 2019 P.A. B0\)('-'10,4;RlQp E,;l :Y 11961
THE SURVEY IS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY,GOV- 61-840"
ERNMENTAGENCYAND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONSl
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS
56
NO RESPONSISRITY/S ASSUMED BY THE UNDERSIGNED FOR ANY SURFACE
SUBSURFACE,AERIAL EASEMENTS,SUBSURFACE UTILITIES AND/OR
STRUCTURES IN OR OUT OF EASEMENTS IF SO PROVIDED.
SCTM 1000-17-03-07