HomeMy WebLinkAbout48620-Z oy Town of Southold 10/4/2023
o P.O.Box 1179
� T ti
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44638 Date: 10/4/2023
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 900 Fox Hollow Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-6-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/27/2022 pursuant to which Building Permit No. 48620 dated 12/19/2022
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"alterations, including HVAC,to existing single family dwelling as applied for.
The certificate is issued to Inn the Vineyard Matt LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48620 9/1/2023
PLUMBERS CERTIFICATION DATED
A o 'zed i ature
r
=g1FQiK� TOWN OF SOUTHOLD
�o�S�foG
y BUILDING DEPARTMENT
C, TOWN CLERK'S OFFICE
SOUTHOLD, NY
dol oil
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#: 48620' Date: 12/19/2022
Permission is hereby granted to:
Inn the Vineyard Matt LLC
900 Fox Hollow Rd
Mattituck, NY 11952
To: Legalize "as built" HVAC unit to an existing single family dwelling as applied for per
manufacturers specifications.
*Amended to legalize "as built" interior alterations.*
At premises located at:
900 Fox Hollow Rd, Mattituck
SCTM #473889
Sec/Block/Lot# 113.-6-22
Pursuant to application dated 9/27/2022 and approved by the Building Inspector.
To expire on 6/19/2024.
Fees:
AS BUILT-ACCESSORY $400.00
ELECTRIC $180.00
CERTIFICATE OF OCCUPANCY $50.00
AMENDMENT TO PERMIT $466.09
Total: $1,096.09
JAZ
Building Inspector
�o�SufFDllr TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
C* 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#: 48620 Date: 12/19/2022
Permission is hereby granted to:
Inn the Vineyard Matt LLC
900 Fox Hollow Rd
Mattituck, NY 11952
To: Legalize "as built" HVAC unit to an existing single family dwelling as applied for per
manufacturers specifications.
At premises located at:
900 Fox Hollow Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-6-22
Pursuant to application dated 9/27/2022 and approved by the Building Inspector.
To expire on 6/19/2024.
Fees:
AS BUILT-ACCESSORY $400.00
ELECTRIC $180.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $630.00
Building Inspector
pF SOUlyol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 iQ sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Inn the Vineyard Matt LLC
Address: 900 Fox Hollow Rd city:Mattituck St: NY zip: 11952
Building Permit* 48620 Section: 113 Block: 6 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL'ELECTRIC CODE
Contractor: Electrician: Wilcenski Electric License No: 4723ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New Renovation X 2nd Floor Hot Tub
Addition Surrey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 64 Ceiling Fixtures 7 Bath Exhaust Fan 3
Service 3 ph Hot Water Gas GFCI Recpt 15 Wall Fixtures 6 Smoke Detectors 4
Main Panel 200 A/C Condenser 2 Single Recpt Recessed Fixtures 61 CO2 Detectors
Sub Panel 100 A/C Blower 2 Range Recpt Gas Ceiling Fan 1 Combo Smoke/CO 4
Transfer Switch 2Q0 UC Lights 12' Dryer Recpt 30AX2 Emergency StrobeHeat Detectors
Disconnect Switches 53 4'LED 6 Exit Fixtures Sump Pump 11
Other Equipment: Fridge, Oven, DW, Micro, Hood, 2- Mini fridge, W/D-2, Smart Toilet-3, Floor Heat-3
Notes: AS BUILT NO VISUAL DEFECTS " Whole House Renovation
Inspector Signature: Date: September 1, 2023
. S.Devlin-Cert Electrical Compliance Form
SoUr/� 4 "
Town HaltAnnex Telephone(631)765-1802
54375 Main Road Fax(631),765-9502
P.O.Box 1179Q<G �
"Southold,"NY 1 1 97,1-0959
' 1V 1__7TVE \ 1177"
I "BUIL'DING DEPART1b1ENT.
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UTHOLD
JUL 1 1 2023
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BUILDING DEPT.
cIRTIFI`cATIo"lv
Date: '�. •
Building Permit"No.
Owner."Verbs ,C_c: " /vii C,(y
.((Please print).
Plumber: ete f't C' >1 eSSe
--- (Please print).,
I certify that the solder used in the water supply system contains less-than 2/10 of 1%
lead.
(P umbers Sign te)"
Sworn to before ,,
BL4
day"of."
°��
Notary Public'''' _ County, ;
OF SOUTyO� -- -
# # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ]-
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:
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DATE I INSPECTOR
' OF SOUTyO�
# * TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST= [ . ] 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 q [ ] PRE C/O
REMARKS: �� `��L7 m o4foz
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DATE INSPECTOR
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* TOWN OF SOUTHOL `�BUILDING DEPT.
coumv, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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 x PRE C/O [ ] RENTAL
REMARKS: Vi
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DATE INSPECTOR
SOGTyolo
TOWN OF SOUTHOLD BUILDING DEPT.
��y�0urm� 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/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:
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DATE �-{ 'Yl INSPECTOR
�IJ� �p�aOF 50G1y�� -
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm ' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/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: Rgmvlv�At h
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DATE INSPECTOR
OF SOUTyO� I � -
# TOWN OF SOUTHOLD BUILDING DEPT.
°`yco631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) LECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O [ ] RENTAL
REMARKS:
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JAMES J. DEERKOSKI P.E.
260Deer Drive
Mattituck,NY 11952
(631) 774 7355 ( j �
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Date: September 26, 2023 l�U
OCT 3 2023
To: Southold Town Building Dept.
BUMDEXG DEPT.
Re: Insulation Inspection TOWN;,.•�s,�.,� .
Permit#48620 I'T1
900 Fox Hollow
Mattituck,NY 11952
To Whom It May Concern:
This letter certifies that an Insulation inspection was performed on the above mentioned
unfinished side of the Basement and All Spray Foam Insulation was installed as per plans
and meet all State and Local Building Codes. Also D315 Intumescent Ignition Barrier
Coating was applied on top of the Spray am as per manufacturers Specs. Any
questions feel free to call.
Sin erely,
P E()F NEW
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oN James Deerkoski P.E.
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JAMES J. DEERKOSKI P.E.
260Deer Drive
Mattituck,NY 11952
(631) 774 7355
Date: September 26, 2023
To: Southold Town Building Dept.
OCT 3 2023
Re: Insulation Inspection
Permit#48620 _ IJ { ' 'Io
900 Fox Hollow 's
Mattituck,NY 11952
To Whom It May Concern:
This letter certifies that an Insulation inspection was performed on the above mentioned
unfinished side of the Basement and All Spray Foam Insulation was installed as per plans
and meet all State and Local Building Codes. Also D315 Intumescent Ignition Barrier
Coating was applied on top of the Spray Foam as per manufacturers Specs. Any
questions feel free to call.
ncerely,
OF NEtV
�<P 3 D SFS �O
�0N am s J Deerkoski P.E.
OA �5p2
���S
JAMES J. DEERKOSKI P.E.
260Deer Drive
Mattituck,NY 11952 f '
(631) 774 7355 �� L
Date: September 26, 2023 OCT 3 2023 J�
To: Southold Town Building Dept.
DEPT.
Re: Insulation Inspection
Permit#48620
900 Fox Hollow
Mattituck,NY 11952
To Whom It May Concern:
This letter certifies that an Insulation inspection was performed on the above mentioned
unfinished side of the Basement and All Spray Foam Insulation was installed as per plans
and meet all State and Local Building Codes. Also D315 Intumescent Ignition Barrier
Coating was applied on top of the Spray as per manufacturers Specs. Any
questions feel free to call.
Sin rely,
OF NES
�•. F'Q�ro J e Deerkoski P.E.
Z ea:t
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R� sS10NP�
. ivy hill road cert v ®one
1 of 2
EAst End In's�uf 66
1977 Main Road, Laurel NY 11948
CERTIFICATE OF
DATE OF INSTALL:8/1/2023
PROJECTINFO
900 FOX HOLLOW ROAD
MATTITUCK, NY 11952
1 9 •' 4 -
1"
BASEMENT 21-13 CLOSED 2 NOMINAL R-14
FOUNDATION CELL SPRAY
WALLS FOAM
.-----".... ..................•..................... ...... - .................
BASEMENT RIM 2LB CLOSED R-14
JOISTS CELL SPRAY
FOAM
.........••..............................................................................................................
BASEMENT DC315 18 MIL IGNITION
FOUNDATION INTUMESCENT BARRIER
PSE F NF�� WALLS PAINT
�g J EFS p
....................................................................................
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.................................................................................................................. •.....
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A o 502
DATE OF FIRE-BLOCK-8/1/2023
I Frank Fenoy Jr certify that project referenced above
was insulated as estimate signed by home owner/
builder,and that the install was preformed in
Authorized Signature
�'� Ac.
ELD INSPECTION REPORT DATE COMMENTS .-�.
FOUNDATION (1ST) y
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FOUNDATION (2ND)
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ROUGH FRAMING&
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PLUMBING
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INSULATION PER N. Y-. H
STATE ENERGY CODE
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FINAL y (/[o LJ S �'
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ADDITIONAL COMMENTS S
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=�O�gOFFO(KcoG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
H 2 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowm.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use OnlyIN
PERMIT NO. AQ Building Inspector: 4
SEP 2 7 202
'')
Applications and forms must be filled out in their entirety.'Incomplete BUILDING D'ci=;:
applications will not be accepted. Where the Applicant is not the.owner,an
.Owner's Authorization form(Page 2)shall be completed.' .
Date: q 91ac)L
OWNER(S)OF PROPERTY:
Name:,- ey- - --.._ y _...-....._..___-__ -.-___..._... SCTM-#1000- _ I 3- (o .� , - ..-__.__.._-_._.---._.._.__._--_--.
jAddress: _-.._
Project dre
— - -- _- ---- .bp -f- - - hDl b-> --2- -------- - - -- -- --- ---------_ ---- ------
Phone#: ) _ - Email_
--—----5__-C� a. -- ------ - - -__- I✓
-
Mailing Address:
4,V,
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email: J
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑�ew Structure
Addition ❑Alteration []Repair ❑Demolition Estimated Cost of Project:
P Other /`t'(, $ 1 of 00()
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes El 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 and restrictions with respect to
this property? ❑Yes ILNo 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
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 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(print name): l��j v� �a�a�V ❑Authorized.Agent' Wwner
Signature of Applicant: Date:
_--
CONNIE D.BUNCH
Notary Public,State of New irk
STATE OF NEW YORK) No.01BU6185050
SS: Qualified in Suffolk County `f
COUNTY OF ) Commission Expires April 14,2 l
y 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
il_:t�ay of 20 Q,
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
1n1CA SRnA residing at q00 `D�!10161 1 r J AY WC_11
do hereby authorize to 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
• y
, � F a BUILDING DEPARTMENT-Electrical Inspector
t TOWN OF SOUTHOLD
4
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
' �•.; .. rQgerrCc�southoldtownnv 0 o sea nd an►southoldtownnv aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali information Required) Date: 9 �,
Company Name:`�PLCom. s K 1e_C CA-1 � ..�;� �
Electrician's Name: `��., -�
License No.: T Elec. email: tLr, (� .1< -+/ c
Elec. Phone No: (�11. 2-3 (o, (Z��' E31 request an email copy of Certificate of Compliance
Elec. Address.: �. a . (3 �x �- 1-7 5�.��,, I I l
JOB SITE INFORMATION (All information Required)'
Name: V4.-(-, o-• I C-A
Address: F0 o Foy h I(��✓ /L lJ
Cross Street: M, I• e,- ,��4-0
Phone No.: 2 3 r.
BIdg.Permit#: � email:
Tax Map District: 1000 Section: Block: ( Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
L1 Elly a!O t4 tgU( V f W 4& �-4 A2vlf,
Circle All That Apply: S uare Footage: 10
Is job ready for inspection?: ® YES❑NO []Rough in Final
Do you need a Temp Certificate?: YES NO Issued On
Temp In rmation: (All in rmation required)
Se ice SizeC]1 Ph�3 Ph ize: A #Me. I's Old Mete
❑New Servi Fire Reconnect[]Floo Reconnect Oservice Reconn C]Underground verhead
#Underground La als 1 2 H Fra Pole Work done on Se ce? Y N
Additional Informatio
WNW DUE WITH APPLICATION
pot ��- -3 `a
2 � � �
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s�
UfFO�k�; BUILDING DEPARTMENT,- Electrical Inspector
TOWN OF SOUTHOLD
ak o
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York-1 1971-0959 .
Telephone (631) 765-1802 - FAX (631)765-9502
rogerr(a)_southoldtownny.gov -- seand(a�southoldtownny,.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (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.:
JOB SITE INFORMATION (All Information Required)
Name:
Address:
Cross Street:
Phone No.: .
Bldg.Permit #: email:
Tax Map District: 1000 Section: Block: Lot:
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)
1 Ph❑3 Ph Size: A # Meters Old Meter#
Service Size❑
El New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT # /„/ Address:
Switches I
W- 1
qq
Outlets, 1
I
GFI's�
L
Surface ! 1 C v+v
Sconces
H H's
ucits P IJAI,
Fans I ' Fridge HW Lf
Exhaust Oven W/D-�7AIA" --22OvA—
Smokes I� DW 7 II Mini 4)) e
L�
Carbon ' Micro Generator
Combo Cooktop Transfer
AC AH ti Hood I Service
Amps Have Used
Special: t' ' C) qe)
Comments
6/'� J-6 (�� �
Dwyer, Tracey
From: Veronica Nasary <veronica.nasary1 @gmail.com>
Sent: Monday, December 19, 2022 3:02 AM
To: Dwyer,Tracey
Subject: Ac permit
Hi
I'm checking on the permit for the AC for veronica Nasary 900 foxhollow road Mattitick The generator was denied I'm
going to remove it Can you let me know about the AC permit application please
Regards
Veronica Nasary
Sent from my Whone
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders
or unexpected emails.
1
1
Bunch, Connie
From: Veronica Nasary <veronica.nasary1 @gmail.com>
Sent: Friday,August 4, 2023 1:38 PM
To: Bunch, Connie
Subject: Nasary 900 foxhollow
Attachments: ivy hill road cert.pdf
Connie
Can you please add this to my file
This was one of the items John said I needed to do.
Can you confirm please this is acceptable?
Does he need to come back?Or do I need to send photos in addition?
Regards
Veronica Nasary
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or
unexpected emails.
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1
Bunch, Connie
From: ' Bunch, Connie
Sent: Thursday,August 31, 2023 10:32 AM
To: 'Veronica Nasary'
Subject: RE: Permit 900 foxhollow
Hello,
We have the electrical form and you had final electric inspection on 6/23/23 but it didn't pass so you need to
schedule a re-inspection of that. John did not approve the Insulation report from East End Insulation. It needs
to be certified by a New York State licensed architect or engineer if you have further questions,John will be
back off the road this afternoon.
Best Regards,
Connie Bunch
Southold Town Building Dept.
-----Original Message-----
From: Veronica Nasary<veronica.nasary1@gmail.com>
Sent: Wednesday, August 30, 2023 6:06 PM
To: Bunch, Connie <Connie.Bunch @town.southold.ny.us>
Subject: Permit 900 foxhollow
Connie,
Can you explain what exactly I need from the electrician?
John said I need an "electric certificate"
What exactly is that? Is there a form that needs to be filled out by the electrician?
Thanks for your help with this
Regards
Veronica Nasary
Sent from my iPhone
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unknown senders or unexpected emails.
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MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS7ITUAON, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO:VERONICA NASARY;
MAP OF:
FILED:
SITUATED AT-MATTITUCK
TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Boa 153 Aquebogue, New York 11931
PHONE (831)298-1588 FAX (831) 298-.1588
FILE 222-155 SCALE:1"=40" DATE: NOV. 10, 2022 N.Y.S. LISC. NO. 050882 -M.teieina the record„of Robert J.H--y h X-th M.Weychuk
f
S.C.T.M. NO. DISTRICT: 1000 SECTION: 113 BLOCK: 6 LOT(S):22 '
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FEMA MAP#36103CO481H xis
EFFECTIVE 09/25/2009 FLOAT PILING THE WATER SUPPLY, WELLS, ORYWELLS AND CESSPOOL
6'x40' LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA:42,169.61 SQ.FT. or 0.97 ACRES ELEVA77ON DATUM:
UNAUTHORIZED ALTERATIOTJ OR ADDITIDN TO THIS SURVEY IS A OOLAROU OF SECTION 7209 OF THE NEW YORK ^AIG EDUCATION LAW. COPIES OF RNS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE PME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: VERONICA NASARY;
MAP OF:
FILED:
SITUATED AT.-MATTITUCK
\ TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
1
F
ILE PHONE (631)298-1588 FAX (631) 298-1588
1t #222-155 scALE:1"=40 DATE: NOV. 10, 2022 N.Y.S. LISC. NO. 050882 .int.lning the record.el Robert 1.H--y 8 Kenneth M.W.ych.k
4
GENERAC®
Ownei's Manual
For '
Automatic Transfer switch
100 m 200 Amp, Service Entrance 1 Non-Service Entrance
Model Number
RXSV9100A3
(Service Entrance Rated with Utility Service Circuit Breaker)
RXSC100A3
RXVVI50A3
(Service Entrance Rated with Utility Service Circuit Breaker)
RXSW200A3
(Service Entrance Rated with Utility Service Circuit Breaker)
RXSC200A3
SERIAL NUMBER:
DATE PURCHASED:
WWW.GENERAC.COM
888-436-3722
Para espanol , visita: http://www.generac.com/service-supporVUroduct-suggort-lookup
Pour le frangais, visiter : httg://www.generac.corn/service-su6port/product-support-lookug
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MOUNTING HOLES R1
06.35nnC00.25'1 _tea
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KNOCKOUT SUITABLE FOR' �
508.4mm[20.0'1 1', 1-1/4' 8 1-1/2' 438mm(17.24°]
CONDUIT SIZE 2-PLACES 0
m
° m
KNOCKOUT SUITABLE FOR
S�
1', 1-1/4' S 1-1/2' CONDUIT SIZE
2-PLACES
o e p�
OO
p 34mr,C1.3'3 TYPICAL p�
'd J
�180nnC7.09']� PADLOCK 372mr[14.6']
(CUSTOMER SUPPLIED)
LOCATION KNOCKOUT SUITABLE FOR
3/4' & 1' CONDUIT SIZE
v
7
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v
7
d
N
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3
cn
Operation
2. Confirm the generator MLCB (generator Testing The SACM
disconnect) is OFF (OPEN). A "Test" pushbutton is provided on top of the SACM to
3. At the controller, set the generator to AUTO mode. test the operation of the load shed functions. The test
4. Generator will start and run. Allow generator to run pushbutton will work when the ATS is in the utility or the
and warm up for a few minutes. generator position.
5. Set the MLCB (generator disconnect) to ON 1. Turn on the utility supply to the ATS.
(CLOSED). 2. Verify managed loads are powered and all LEDs
6. Set the main utility disconnect to ON (CLOSED). illuminate on SACM.
The system now operates in automatic mode. 3. Press the TEST button on the SACM.
4. Verify that all of the connected loads to be "shed"
Preparing for Maintenance become disabled.
5. After five (5) minutes verify A/C 1 is energized and
! fl � Status LED A/C 1 is ON.
Automatic start-up. Disconnect utility power and 6. After another 15 seconds, verify A/C 2 is energized
render unit inoperable before working on unit. and Status LED A/C 2 is ON.
Failure to do so will result in death or serious injury. 7. After another 15 seconds, verify Load A/C 3 is
(000191) energized and Status LED Load A/C 3 is ON.
8. After another 15 seconds, verify A/C 4 is energized
To turn the generator OFF: and Status LED A/C 4 is ON.
1. At the controller, turn the generator OFF.
2. Set the MLCB (generator disconnect) on the SACM Fuse Service
generator to OFF (OPEN). See Figure 4-2. A fuse removal and installation tool (A)
3. Turn the main utility disconnect OFF (OPEN). is included in the SACM housing.
4. Remove 7.5A fuse from the controller.
® -tea i esa aen
5. Follow maintenance procedure(s).
To turn the generator back ON:
1. Turn the main utility disconnect ON (CLOSED). E �_ SBaj BBQ
1. Install 7.5A fuse in controller.
2. Put the generator into AUTO mode.
3. Set the MLCB (generator disconnect) on the A
generator to ON (CLOSED). T�
The system is now in automatic mode. E` E2
T9
cmecrW
004437
Figure 4-2. Fuse Removal,and Installation Tool
If a fuse requires replacement, snap the tool free with an
appropriate tool such as diagonal pliers, and use it to
replace the fuse. The tool can be stored in the SACM
housing retainer directly above the fuses, with the large
thumb tab facing out.
Use only Generac replacement fuses—part number
10000005117, rated 240 VAC, 6.3 Amps, 10,000 AIC.
Alternative fuses are Littelfuse® 021606.3MXP or
Optifuse®FCD-6.3.
Testing The SMM
Refer to the SMM Owner's/Installation Manual for testing
procedure.
18 Automatic Transfer Switch Owner's,Manual
i
ROCL(A
r
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
APPROVED AS NOTED S REQUIRED AND CONDITIONS OF
DATE a+-) I" c� B.P. # 1v2LD y
�JO O �j SOUTHOLD TOWNZ8A
FEE: BY
NOTIFY BUILDING DEPARTMENT AT SOUTHOLD TOWN PLAMVI IG BOARD
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: SOUTHOLD TOWN TRUSTEES f
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE N.Y.S.DEC
2. ROUGH-FRAMING,PLUMBING,
STRAPPING, ELECTRICAL &CAULKING
3. INSULATION
4. FINAL-CONSTRUCTION &ELECTRICAL
MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW ELECTRICAL
YORK STATE. NOT RESPONSIBLE FOR INSPECTION REQUIRED
DESIGN OR CONSTRUCTION ERRORS.
Additional
Certification,
)day Be Required,
r -
RECOGNIZE •As AN INDICATION OF
j.
r, • ■ ,
INF•. M THESE INSTRUCTIONS
ARE is D AS AN.-AID
TO,QUALIFIED, LICENSED _
SERVICE PERSONNEL'1�013
PROPER INSTALLATION,
ADJUSTMENT, D
OPERATION
READ THESE INSTRUCTIONS
THOROUGHLYf a
A17EMPTING INSTALLATION.
OR OPERATION. FAILURE
TO FOLLOW
INSTRUCTIONS —
INSTALLATION,RESULT IN'IMFiROPER
-..
ADJUSTMENT, SERVICE,
OR MAINTENANCE
-
POSSIBLY RESULTING IN
ELECTRICAL
• \PERSONAL INJURY,'OR ;gSR001-011,_
DEATH.
Do not destroy this manual.
I '
EI � ,• � �_ � I I
EMI III
PleaseR rlace for
reference by a servicernan.'
indicates metric conversions.,
92-104921-09-15 • Printed in USA
;•,° s ISO 90Q�2Q08.
RHEEWSALES. COMPANY , INC .
Acoridiciona.dgr de .Ai.re -Central
Model 0:, RA1630AJINA
Tension Nomi nal : . ~ 208/230 .�,,. .f.
Frec:uenci a:,6o
Corrie Nomi na1,:'=.19119 . A
Re.qu.iere Tierra Fisica
ENSAMB'LADO. , EN MEXICO
Leer Manual.de .l,nstalaci6n y Qperacion Anexo
92-22050-20-01
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ELECTRICAL BOY(LEFT SIDEI -,A..SCnEHgtIG
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COMPONENT CODE NDTES:Z� Pa
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CC COMPRESSOR CONTACTOR 1.CONNECTORS SUITABLE FOO USE WITH COPPER CONDUCTORS EV Y.
CC CHC CC BN CCH CMNKCASE EATER 2.NOT.CNPPESSGq 1HEAMALLY PAGIECTEB Ard ALL]PHgEE RAE
BL i [HC CRANKCASE HEATER CONTRDL PROTECTED UW'S PpMARy SIN4E PNASE COtO1 ALL
GND GROlM1Es[nAaalS D U(t[m�[ UTEECigv4TAGEu°'P-'S`E INTEH°IHn TIxL�PLa TC 60
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SR START RELAY wS
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ILS OT GAS SENSOR
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BK PR �®
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BR_-BROWN
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R�. m WA¢MmR'9{p7 TI ONO. HPC LOW VOLTgGE GY__GgpYREEN y---ATE �e
BK. ..�o o• I T]SL R -FACTORY STpNpARO _-YELLOW
SPT' Hcs -FACTDRY OPTIONOUR _ _
LP[ -FIELD INSTALLED
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gREMOTE AIR CONDITIONER
LDNEPCNExts GuisIDE I Rp INSLLI1DN AS OFURIGI,NAL IIBB C NINJ
WARNING WITH TH OUTDOOR ECM MOTOR
Q m Q ECIq(CAL e°x [JIB I -
QEQ -CABINET MUST BE PERMANENTLY 206/230 VOLT SINGLE PHASE
Q GRoLNDED ANu CONFORM TO I.E.C.,N.EC.,
C.E.C.AND LOCAL[ODES AS APPLICABLE. GR.BT oar GvNO, e
MCR 10-8-09 90-101229-2I 1-
03
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WIRING DIAGRAM A ® Qj Q 0 Q
COMPONENT CODE WIRING SCHEMATIC
NOTESe
CC COMPRESSOR CONTACTOR WIRE COLOR CODE
CHC CRANKCASE CCM [RANKCASE
HE
L CONNECTORS SUITABLE FOR USE WITH COPPER CONDUCTORS ONLY.
COMP COMPRESSOR 2.
CONTROL 2.COMPRESSOR MOTOR THERMALLY PROTECTED AND ALL 3 PHASE ARE BK BLACK GY GRAY R RED
GNO GROUND,CHASSIS PROTECTED UNDER PRIMARY SINGLE PHASE CONDITIONS. BH BROWN 0 ORANGE W WHITE
HOS HOT GAS SENSOR BL BLUE PK PINK Y YELLOW
HPC HIGH PRES.CUT-OUT CONTROL 3,CONNECT FIELD WIRING IN GROUNDED RAINTIGH7 CONDUIT TO G GREEN PR PURPLE
LAC LOW AMBIENT COOLING CONTROL FUSED DISCONNECT,VOLTAGE,HERTZ AND PHASE PER flgilNG
LPC LOW PRESSURE CONTROL PLATE.
OFM OUTDOOR FAN MOTOR
OPT OPTIONAL 4.LOW VOLTAGE R CIRCUIT TO RE N.E.C.CLASS 2 WITH A CLASS 2 ELECTRICAL WIRING DIAGRAM
PTCR POSITIVE TEMPERATURE COEFFICIENT RELAY TRANSFORMER Zq VOLT,
OL7,50 OR 60 HERTZ.
RC RUN CAPACITOR
RES RESISTOR 5.TO THERMOSTAT SUB-BASE,REFER TO SYSTEM SCHEMATICS OR REMOTE AIR CONDITIONER
SC START CAPACITOR SCHEMATICS ON INDOOR SECTION FOR LOW VOL iAGE[ONTAOL WIRING.
TB TERMINAL LBLOCK 6.BLACK WIRE FROM SR 15170 CC ITUDELETED WHEN PTCR IS USED. SINGLE PHASE
TO TIME DELAY CONTROL
DR.BY APP.BYOATS DWG.NO. REV
MB I-ze-Rz 90-23238-(dl 15
_ t
a
Desiq n Services
www.mchdesignservices.com
phone:
(631) 298-2250
-----; ;-----; ;-----; �-----; ;-----; �-----, email:
�--,--------------------- , �--;-------- �--,---------------------;-�--;--------------------;--�---;---------------------,- michael@mchdesignservices.com
1
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