HomeMy WebLinkAbout48377-Z �o�OSUµrl c y Town of Southold 12/13/2023
P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44819 Date: 12/13/2023
THIS CERTIFIES that the building GENERATOR
Location of Property: 855 New Suffolk Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 114.-11-22.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/23/2022 pursuant to which Building Permit No. 48377 dated 10/6/2022
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:
accessory generator as applied for.. Shrubs must be maintained to provide 36 inches of clearance.
The certificate is issued to Nine Raymond F Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43877 12/14/2022
PLUMBERS CERTIFICATION DATED
u hor ze Signature
TOWN OF SOUTHOLD
4FD1K�,oG�
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • � Q1 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 #: 48377 Date: 10/6/2022
Permission is hereby granted to:
Nine Raymond F Trust %
855 New Suffolk Ave
PO BOX 1401
Mattituck, NY 11952
To: install generator as applied for.
At premises located at:
855 New Suffolk Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 114.-11-22.4
Pursuant to application dated 8/23/2022 and approved by the Building Inspector.
To expire on 4/6/2024.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $235.00
Bui eng Inspector
pF SO!/jyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(.5-town.southold.ny.us
Southold,NY 1 1 97 1-0959 COU�'��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Nine Raymond F Trust
Address: 855 New Suffolk Ave city:Mattituck st: NY zip: 11952
Building Permit#: , 48377 Section: 114 Block: 11 Lot: 22.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Home Owner License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Generator
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 200A 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 Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 18kW Generac Generator w/ 200A Transfer Switch
Notes: Generator
Inspector Signature: Date: December 14, 2022
S.Devlin-Cert Electrical Compliance Form
OF SOUIyo� - - -
V # 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:
DATE ! INSPECTOR
OF SOUTy�Io V�j� a
# TOWN O� SgUTHOLD BUILDIN DEPT.
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) 4LECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O [ ] RENTAL
REMARKS:
DATE l , INSPECTOR
FIELD INSPECTION REPORT I DATE COMMENTS
04
Ul
FOUNDATION (1ST)
------------------------------------
CO �
FOUNDATION (2ND) S m
z
�o
H
ROUGH FRAMING&
PLUMBING c
V ► ,
r
r
INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
N
12 IyI22 - — G ci 1 r+
z
m
b
H
O
z
x
r�
x
d
b
H
°SUFFott� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 hitps://www.southoldtowmy.Rov
Date Received
APPLICATION FOR BUILDING PERMIT
zzFor Office Use Only
PERMIT NO. �J� Building Inspector: AUG 2 3 2022
rsuiLUING fir- •,.
Applications and forms must'be filled•out in their entirety.)ncomplete, „ TOWN OF SOUTFt'+,_L
applications will not be accepted. Where th'e'Applicant`is'not the owner,an,
Owner's Authorization form(Page 2)shall be completed,.`
Date:
O,WNER(S)OF PROPERTY.:'
Name-.Dorothy"Nine __....._._... _._.._ ......_...._..._-.__.._ , SCTM#1000-114-1-1-22.-4 ___._.._-.._-.__-_._.___._ ._._.._...__..
Project Address 4g55 New Suffolk Ave, Mattituck NY 11952
Phone#.....lfL�.�'-(�. U( _... ..... Email:. ._.... ® V) ._a_.. N)toi r_d �._.
Mailing Address:855 New Suffolk Ave Mattituck NY 11952
CONTACT PERSON:,;
Name:Jesse....Gaffga.....................
Mailing Address:3350 Grand Ave Mattituck NY 11952
Phone#: _....-.___._....__...._...._.....--".--.__......__...__._....... ...._..._._.._._ .Email'1g.___.._g_.._.@1_........ .. _ . �..._...
_ . 631-375-2737 aff a techss,com
DESIGN PROFESSIONAL INFORMATION::,
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:-
Name:J-Tech
Mailing Address:3350 Grand Ave Mattituck NY 11952
P one Olb._...._...._._.631-375-2737._..._...._..__..__..._........_..............._._ _.__. . .__._.. _ Email:J9aff9a.@Jtechss.corn. _._.__.._.__._.._....---...._-__..
#:
DESCRIPTION OF PROPOSED CONSTRUCTION_.
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
2 Other stand-by generator $12000.00
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes R No
• i "PROPERTY INFORMATION;..
Existing use of property:Sl,ngle,famfl-y, Intended use of property`Sing[e,,_fa.mily'..
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 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,.alfe'rations'or for removal or demolition as herein described.The applicant agrees to com' ply 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
u ishable as a Class A:' isdem`eanor ursuant to Section 210.45 of the New Y
P P • .
ork State Penal Law.
Application Submitted By(pri t ame):Jesse Gaffga BAuthorized Agent El Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
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 Ass/ ,20 ZZ
Notary Public
FRo
L.McDonald
,STATE OF NEW YORK
No.01MC6224291 PROPERTY OWNER AUTHORIZATION
Suffolk County
res June 28, 20 _ (Where the applicant is not the owner)
Dorothy Nine residing at 855 New Suffolk Ave
Mattituck, NY 11952 do hereby authorize Jesse Gaffga to apply on
my beh If to the Town of Southold Building Department for approval as described herein.
8ja3 /Z, Z
Owner's Si ature Date
Print Owne s Name
2
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr@southoldtownny.gov - seand@southoldtownn .gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 8/22/2022
Company Name: Dorothy Nine Homeowner installed
Electrician's Name:
License No.: Elec. email:jgaffga@jtechss.com
Elec. Phone No: 631-375-2737 ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Dorothy Nine
Address: 855 New Suffolk Ave Mattituck NY 11952
Cross Street:
Phone No.: 631-298-8825
Bldg.Permit#: 7 email:
Tax Map District: 1000 Section:74 Block: 1 Lot:42.5
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install 18kw Generac Stand By generator
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES 0 NOF 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 1 2 D H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
`II
�,��I/ �����
��
�����
�-=�.� _ �
� ,
, ;
i
IV - -
E30UNDARY LINE ALTERATION _48
� 4,��
51TUATE : MATTITUCK C A I C :_r IOL� MA PON��
�"� � � C .� qL� 25
TOWN : 5OUTHOLD
5UI`I`OLK COUNTY, NY S P ' SITE 5 �?.. 25 v N c�uFFOLKAVE O
SURVEYED 10-01 -2014 m
�1
A
roadwayF-0
N, 25
SUFFOLK COUNTY TAX # rrn Z
,4
1000 — 1 14 — I I — 22. 2 77(;°26'La "L�a�b E�
1000 - 1 14 - I I - 9.6 7 5° aA 5 DP.P.1N KEY MAP
�,_-
o
! "=GOO'
APPLICANT: Jo.
j o
13400 MAIN ROAD CORP. °�'N a �° 0
I STORY `�
Z C�i MASONRY ° RI
Oo o BUILDING
p " A efF I°
o °
N s'
O 'I
O DRAA,N
LAND NOW OR FORMERLY OF , 5EFPC
MICHAEL Z.11ERBERT 25.G 5,4 5 1.8
N CONC. N
PARKING LOTPARKI NKI N\_T�LOT 2+ SPACES
""' N
24 SPACES
YD
O w
�— A
5EPTIG
03
AX LOT 9.G Iz
� ➢ a
LAND NOW OR FORMERLY OF' OY�
9. ' 70
G WOOD MN C a O
13200 MAIN ROAD CORD
NE
° ll {w n
— EXISTIN PROIPER LI
/N84°50'00 E 83.07' cn
o 70
O rn
01) _
0
3 N v
w 6l C
O
d-
N O
N tAl 7056 owt�y OF
O 6 , 71 AND NOw�NK tyG.
WpOD
0 7041 12011W 93.48' N
PROPOSED PROPERTY LINE
u- OPIFT i
O v �
C) o CONC GARAGEE
0
zti � �QCP
o
> W rAX LOT 22.2 N N 30.0 O
0 — o o CSC
— rn N p
Ip O O
— Oo N
O rn
N O FRAME 0 p
C) GARAGE rn 0
z STONE DRIVEWAY
3_,3 24.0
w
EXISTING AREAS: I
O
O
3
AREA OF EXISTING TAX LOT 22.2 FOR NINE = 48,247 Sq. Ft. OR 1 . 107G ACRES ZONEHB
AREA OF EXISTING TAX LOT 9.G FOR REEVE = 3G,3G4 Sq. Ft. OR 0.8348 ACRES N8G00910011W 98.801
PROP05ED AREAS:
z
m a
AREA OF PROPOSED TAX LOT 22.2 FOR NINE = 38,989 Sq. Ft. OR 0.8951 ACRES Z ° T o
AREA OF PROPOSED TAX LOT 9.G FOR REEVE = 45,G22 Sq. Ft. OR 1 .0473 ACRES p co°vcRo o 0
O 70
° �� ��x o "— cv -n
ZONING: o a
I T ➢ rn
TAX LOT 22.2 LIES IN ZONE HB LU z Z O ° 0 P
TAX LOT 9.G LIES IN ZONE HB o Z z `� 1 o Z
BOTH LOTS ARE IN SCHOOL DISTRICT 9 3 <0 t0 m N T
O 18.0
BOTH LOTS ARE,IN FIRE DISTRICT 30 o I SCREEN CONC.
7 PORCH
_9 Q
BOTH LOTS ARE NOT IN A F.E.M.A. FLOOD ZONE Ge.O
2 STORY -mil
FRAME HOUSE ° N
"Unauthorized alteration or addition to a survey m t GARAGE m M
map bearing a licensed land surveyor's seal is a N N V'
violation of section 7209, sub-division 2, of the l O 0 18.0 O 27"O O 23.0
OG rl-- New York State Education Law." C
C{�/ I p
C.Ely �� "Only copies from the original of this survey
marked with an original of the land surveyors n
stamped seal shall be considered to be valid true z
v
copies" c D
"Certifications indicated hereon signify that this �� c
survey was prepared in accordance with the ex- a i
fisting Code of Practice for Land Surveys adopted 7a
by the New York State Association of Professional 58GO 10103'
�^ Land Surveyors. Said certifications shall run only 792.701
50 2 �y to the person for whom the survey
is prepared, I D
✓a�O�f1NE��j`�C' and on his behalf to the title company, governmen-
tal agency and lending institution listed hereon, and
o the assignees of the lending institution. Certifica-
tions are not transferable to additional institutions 58705 9 •0 It
NOTES: G V V
EDGE OF PAVEMENT
® MONUMENT FOUND JONN C . EhLERS LAND SURVEYOR NEW 5UF
WOOD FENCE FOLK AVENUE
a ❑
— CHAIN LINK FENCE
asphalt roadway
G EAST MAIN 5TREET N.Y.5. LIC. NO. 50202
RIVERt1EAD, N.Y. 1 1901 3G9-8288 Fax 3G9-8287
GRAPHIC SCALE I"= 40' loncgl5landland5urveyor.corn
14-188
- c
APP OVED AS NOT
DATE: B.P.
FEE:, - BY:-
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TU 4 F'M FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
.2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONS T E'!.':".`'ON MUST
BE COMPLETE ': --a
ALL CONSTRUCTK.;N SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
`Jul I I IM-,FDffi-PbWMNG BOARD
S . hn TOWN USTEES
N,Y.^ Er
JCCUPANCY OR
USE IS'-UNLAWFUL
WITHOUT CERTIRICA-,
OF'OCCUPANCY
ELECTRICAL
INSPECTION REQUIRED
10-24kW GUARDIANSERIES
Home Standby Generators
SPECIFICATIONS
0
Generator Only Model I 7171 7223 7226 7042 I 7209
Generator/100 Amp Select
Circuit Switch Model 7172 7224 - -
Generator/200 Amp Service Rated Load ( �"
7225 �` 228 7043 7210
Shedding Smart Switch Package Model
Voltage,(Single Phase) 2406,
i
Amps @ 240V LPG 41.7 58.3 { 75.0 91.7 100
.'Amps @ 240V NG 375.; 58.3 70.8 87.3 87.5
}
Engine/Alternator RPM 3600/3600
g 1 Generac G-En
Force
Engine Displacement 460cc 816cc 999cc
Fuel Consumption @ 1/2 Load:,
NG cu,ft/hr i 101_', 105 169, 228' i - 203. j 203
I
Fuel Consumption @ Full Load- 127 256 247 327* 306 306
NG cu.ft/hr
I_
:Fuel Consumption.@ 1/2 Load- { j
LPG cu:ft/hr:(gal/hr) 36(0.97)- 65(1.81) 62(1.70) ,: 92(2.53)' - 92(2.53)
Fuel Consumption @ Full Load- 54(1.48) 112(3.07) 110(3.02) 142(3.90)' 142(3.90)
LPG cu.cu.ft/hr(gal/hr)
Quiet-Test Mode Yes
db(A)at Exercise 57 55 57 I 57
db(A],at Normal"Operating;Load 61 65 67 ' 67
Enclosure Aluminum
Enclosure Color= Bisque
Warranty 5-Year Limited
Dimension's-If x W"x,H",in:(mm) 48 x 25 x 29(1218 x 638 x 727)_
Weight(lb) 338 385 I 420 466' 445 I 455
Mobile Link Wireless Connectivity IIII Yes
*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
www.Generac.com 1888-GENERAC(436-3722) GENERAC
°
201902144 REV 4/21
02020 Generac Power Systems.All rights reserved.
Specifications are subject to change without notice.