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Home My WebLink About49711-Z g�EE01 Town of Southold 10/4/2023 P.O.Box 1179 y 53095 Main Rd • o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44636 Date: 10/4/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 1635 Meadow Beach Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 116.-7-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/18/2023 pursuant to which Building Permit No. 49711 dated 9/18/2023 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: accessory generator as applied for. The certificate is issued to Forchelli,Rosaria I of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49711 9/29/2023 PLUMBERS CERTIFICATION DATED A t or ed Signature �o�SUEFoi TOWN OF SOUTHOLD BUILDING DEPARTMENT CO TOWN CLERK'S OFFICE 1 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#: 49711 Date: 9/18/2023 Permission is hereby granted to: Forchelli, Rosaria 5 Danton Ln S Lattingtown, NY 11560 To: install generator as applied for. At premises located at: 1635 Meadow Beach Ln, Mattituck SCTM #473889 Sec/Block/Lot# 116.-7-8 Pursuant to application dated 8/18/2023 and approved by the Building Inspector. To expire on 3/19/2025. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $235.00 Building Spector o��oE so�ryol h O Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlinl�D-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Rosaria Forchelli Address: 1635 Meadow Beach Ln city,Mattituck st: NY zip: 11952 Building Permit#: 49711 Section: 116 Block: 7 Lot: 8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: G&S Electric License No: 31568ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Generator X 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 StrobeHeat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 24kW Generac Generator w/200A Transfer Switch Notes: Generator l _ Inspector Signature: Date: September 29, 2023 IV S.Devlin-Cert Electrical Compliance Form so TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION I FOUNDATION 1ST [ I ROUGH PL13G. FOUNDATION 2ND [�JVNSAULATIOWCAULKING FRAMING /STRAPPING FIN L bZWA/Avt-___ FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O RENTAL REMARKS: DATE — INSPECTOR SOUTyO� i q l f I 1 (05`� C e-^� - # f TOWN OF SOUTHOLD BUILDING DEPT. / G � / coum,��' 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 [ I }� PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR MELD INSPECTION REPORT DATE COMMENTS •v J FOUNDATION (IST) -- ------------------------------------- C FOUNDATION (2ND) z _ o y ROUGH FRAMING& y PLUMBING J 1 - r INSULATION PER N.Y. STATE ENERGY CODE v FINAL ADDITIONAL COMMENTS g� 9 g-1)3 jA p ccs mac. 4$ ads 2e e Icy 9 - _ ca S C\ ct.(� rn 1 � b y � O z �x d n� ►o y d , o�g1�fFOLK�OG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y� "Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 N 2 oy • o�� Telephone(631)765-1802 Fax(631)765-9502 hqps://www.southoldtowrmy.gov Date Received APPLICATION FOR BUILDING PERMIT D �� V For Office Use Only A U G 1 L9 20 23 LD PERMIT N0. qjJJ( Building Inspector: Applications and forms must be filled out in their'entirety'IncompI to B�"D�O DEQ' applications will not be accepted::',W -Lee the Applicant is-not the owner;an T®��°e `�' �� ' Owner' 'Authorization,forni'(Page.2)'shall s� Date: 0WNER(S).,OF PROPERTY:` Name:Jeff Forchelli SCTM#1000-116-7-8 Project Address:1635 Meadow Beach Ln Mattituck NY 11952 Phone#:516-652-2492 Email:NiCky345@aol.com --------__ Mailing Address:1635 Meadow Beach Ln ON ACT`PERSON,. C T Name:Jesse Gaff9ar._.......__,........_.._..._-M.,...,...._....._........_..,,.._.........._.._.._.,......._......._....-_ ..,...._......... Mailing Address:3350 Grand Ave Mattituck NY 11952 Phone#: Email:jg...__....g»..._.@j. __ . »_.._._. _.._»..._....631-375-2737 ._. ----------- .__.-... ._. ._ _._. �_._. w._»_.. _.-........ aff a tech...... ._._ .....__..,...___ .. ........._.. F 0RMAT Ni `D SIGN PROFESSIONAL, .O M IO Name: Mailing AddreWs.'-,1.1 r4'}19 Vi �� u.:'t j .5,i._�. �..f:s�.. •s4.+vrsv, r Phone#: ,;; � ., 4 Email• rY�•.ar rr M.,3 :.rrs'�:+ r',a`•;;-3 s;]2Yy1,Ri,�a�. - -- CT INFER A �I CONTRA OR M ON•=' , T Name:,]-Tech Mailing Address:3350 Grand Ave Mattituck NY 11952 Phone#:631-298-4238FF pffgq@jtpchss.com _...__..__�..__...»_..._..w___...»._.___ _.._...... .. n..._._.. . ..........,.._.. 4 DESCRIPTION OF-PROPOSED CONSTRUCTION ❑New Structure ❑Addition .❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOtherNew24KWGenerator $12000.00 Fit e lot be re-graded? []Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 t ;.PROPERTY INFORMATION- � �� U Existing use.of prop erty:Single.-Famll.y_ Intended use of property:singl,e.,Famliy._.__.,,,___^__„_ Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. 8'Check.BoxAfter.Readin' rThe'owner contractdr desi"n"rofe `' g. / /, g p, ss�onal is responsiblef6t all drainage and storm water,issues at provided by Chapter,236 of the Town Code.,APPLICATION 15 HEREBY.MADE to the Building Department for the issuance of a Building"Permit pursuant to the Building Zone Ordinance of-the TownpfSouthold;.Suf_fo lij:counij,NewY6i, and other applicable ii 'laws;Ordinances-or Regulations;for the construction of buildings;, additions;afterations_oi.forremoval'or,demolition as herein described.The'applicant agrees to,con`iply with all applicable laws;ordinances,building`code,? Housingtc6de,A4__iegulations,and to'admit a iidiized inspectors on premises and in buildings)for necessary insp a ons'False statements made herein are ;punishable ata Class A niisdemeanorpursuant to Section 210:45:of the New Xork.1tate Penal-Law: , Application Submitted By tint name):Jesse Gaffga BAuthorized Agent ❑Owner Signature of Applicant: Date: j�+ STATE OF NEW YORK) cc -- SS: COUNTY OF Jesse Gaffga being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (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 day of 2023 ° �.PERKINS N ubllc,State of New York No.01 PE6130636 PROPERTY OWNER AUTHORIZAT101013811fied In Suffolk Count (Where the applicant is not the owNT"Misslon Expires July 18, G�O„ZIS Jeff Forolelli residing at 1635 Meadow Beach Ln Nmy Jesse Gaffga do hereby authorize to apply on behalf to the T n f Southold Building Department for approval as described herein. wner's Si nature Date Jeff Forchelli Print Owner's Name 2 BUILDING DEPARTMENT-Electrical Inspector y TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o . Southold, New York 11971-0959 'y p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cDsoutholdtownny.aov - seandasoutholdtownn ..gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: G&S Electric Electrician's Name: Rob Guarriello License No.: 31568ME Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: Budds Pond Rd Southold NY 11971 JOB SITE INFORMATION (All Information Required) Name: Jeff Forchelli Address: 1635 Meadow Beach LN Mattituck NY 11952 Cross Street: New Suffolk Ave Phone No.: 516-652-2492 Bldg.Permit#: !:�q-1 j email:nicky354@aol.com Tax Map District: 1000 Section:116 Block: 7 Lot:8 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install 24KW Standby Generator 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) Service Size❑1 Ph❑3..Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground.❑Overhead #Underground Laterals Ell 2 0 H Frame Pole Work done on Service? MY EIN Additional Information: PAYMENT DUE WITH APPLICATION I l BUILDING DEPARTMENT- Electrical Inspector A, TOWN OF SOUTHOLD {i Town Hall Annex- 54375 Main Road - PO Box 1179 ' `o Southold, New York 11971-0959 ,fir Telephone (631) 765-1802 - FAX (631) 765-9502 ro err southoldtownny.gov a seand@southoldtownn y�.gov ' APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: G&S Electric Electrician's Name: Rob Guarriello License No.: 31568ME Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: Budds Pond Rd Southold NY 11971 JOB SITE INFORMATION (All Information Required) Name: Jeff Forchelli Address: 1635 Meadow Beach LN Mattituck NY 11952 Cross Street: New Suffolk Ave Phone No.: 516-652-2492 Bldg.Permit#: 40,111 email:nicky354@aol.com Tax Map District: ' 1000 Section:116 Block: 7 Lot:8 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install 24KW Standby Generator Square Footage: Circle All That Apply: Is job ready for inspection?: ❑1 YES ❑ NO []Rough In ❑ Final Do you need a Temp Certificate?: ❑ YESRV NO Issued On Temp Information: (All information required) Service Size❑1 Ph R3 Ph Size: A # Meters Old Meter# ❑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 Z �I � w G� �n� �� I SURVEY OF LOT 22 N AS SHOWN ON A CERTAIN SUBDIVISION MAP ENTRLED•MAP OF HARBOR MEW AT MATTTIUCIC PILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY AUGUST 21,1987 AS MAP NO.8377 SITUATE: MATTITUCK w E TOWN: 50UTHOLD SUFFOLK COUNTY, NY s SURVEYED.03-0'1-2015 SUFFOLK COUNTY TAX MAP# 1000- 1 VG'-7-8 LOT 23 CERTIFIED TO: ROSARIAFORCHELLI p FIRST AMERICAN TITLE INSURANCE COMPANY O� ' FENCE ALONG PA. 5 35.1 .48' R=50.001 L=54.88' f E , 6V N 6? R=25.00' g � Zi 6' w �,s �� ras. Zi iso c9. ,— L=30.77'x` / q} ` 5TONE co 7c 0 -WETLAND- / f 71 C.D SGL O�, {%n�� RETAINING WALL DRAIN •? \\ Np5Enn6 GUY .i - ^7 �� {WIRE PAIN �. DRfy�YAY N8!00715O1h�� POIP`.�CE ALONG PA. VV 286.44' LAND NOW OR FORMECiRLYOF: u ,gun NOTE: JULIE E.AMPER JOHN C. EHLEP LAND 5URVEYOR •�t� ' !� � hew Tw.S,a:-FLu.clwn Lu.: • RCBAR ww+o JOSEPH A.LEE •�':n�,ami ro.mgxm m m.,�,.. � srur RNL reKz wNx ravc[ .��,I; •��.m . h,. v iii.w — M ALFENCE G EA5T MAIN STREET N.Y.S.UG.NO.50202 _ mrare'm•°:a«u•r h.°me s,..n°ewl.e Area =50,I I 1 sq.Ft. RiVERHEAD,N.Y. I 1901 3G9-8288 Fax 3G9-8287 a .=Area =1.15 Acres Ion Islandlandsurveyor.Golr �o' HI 9 IJ.:+ir alas FLOOD ZONE LINE ANNOTATED FROM FEMA F.I.R.M. NO.3G 103CO482H •°°;;;u„"„ °, :'; dh''; .. APP 0 ED AS NOTED DATE- B.p 0 FEE S b BY: NOTIFY BUILDING DEPARTMENTAT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES .AS REQUIRED AND CONDITIONS OF BQARD -�9di�5t�TOW�1`RtlSifES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICAi+ :DF OCCUPANCY ELECTRICAL INSPECTION REQUIRED 10-24kW GUARDIAN SERIES Home Standby Generators SP • �' 1 Generator Only Model ( 7171 7173 7176 7038 7042 7209 II` Generator/100 Amp Select i 7172 7174 7177 - Circuit Switch Model fI j If Generator/200 Amp Service Rated Load ! 7175 7178 1 7039 7043 1 - Shedding Smart Switch Package Model I i Generator/PWRview Automatic Transfer ! ! 7210 Switch-200 Amp Model V Voltage(Single Phase) 120/240 Amps @ 240V LPG 41.7 1 54.2 66.6 83.3 91.7 100 Amps @ 240V NG 37.5 54.2 66.6 75 81.3 87.5 Engine/Alternator RPM 3600/3600 Engine Generac G-Force Engine Displacement I 460cc j 816cc 999cc Fuel Consumption Ld 1/2 Load- ! iI NG cu.ft/hr 101 154 182 204' f 164 228" I 203 203 Fuel Consumption @ Full Load- 127 225 245 301' Il 287 327" 306. 306 NG cu.ft/hr ( j Fuel Consumption @ 1/2 Load- 36(0.97) 56(1.54) 62(1.70) 86(2.37)' 86 92(2.53)" 92 92(2.53) LPG cu.ft/hr(gal/hr) (2.36) (2.53) Fuel Consumption @ Full Load- 129.6 142.1 LPG cu.cu.ft/hr(gal/hr) 54(1.48) 90(2.45) 109(2.99) (3:56)` i 136(3.74) (3.90)" 142(3.90) 142(3.90) � 1 � a I � - Quiet-Test Mode Yes db(A)at Exercise 57 ({ 55 57 i 57 db(A)at Normal Operating Load 61 I 65 67 67 Enclosure Aluminum Enclosure Color Bisque Warranty 5-Year Limited Dimensions-IT x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727) Weight(lb) 338 ! 385 420 I 448' 436 466" 445• 455 Mobile Link Wireless Connectivity ! Yes I! i PWRview Home Energy Management Yes '7038-1&7039-1 specifications **7042-2&7043-2 specifications NATIONWIDE DEALER SERVICE NETWORK Generac's commitment to service includes scheduled maintenance programs,warranty assistance and emergency service to ensure /® that Generac customers are never left powerless.The largest nationwide dealer network has factory-trained technicians on staff and maintains large inventories of Generac parts,components and accessories.Find a dealer near you at Generac.com. Generac Power Systems,Inc. S45 W29290 Hwy.59,Waukesha,WI 53189 co www.Generac.com 1888-GENERAC(436-3722) GENERAC ® c (o 20190214190214 R4 REVV07/20 CC�' 02020 Generac Power Systems.All rights reserved. c Specifications are subject to change without notice. N U