HomeMy WebLinkAbout50614-Z oll ��� TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
max;:ti 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#: 50614 Date: 5/2/2024
Permission is hereby granted to:
N i ka ki s� Peter..................�������.............��
A._ . ............. ...W................
264 Mill Sp_rin.9....R.d................. _ �.....�
. _. _
_ .... ...........
Manhasset, NY 11030
. _.................................................. ....... ._.._ ......... _.,, ..�..._.._. ..�. .
To: Install a generator to a single-family dwelling as applied for.
At premises located at:
365mmChablis Path, Southold.... _.,, � .. w„_mm_ ... .....
M #473889 SCT.�.�.�.�.�.�.�.......... n_...... ....._�...................... ._ .._.... .............
.....................
Sec/Block/Lot# 51.-3-3.2
Pursuant to application dated 3/22/2024 and approved by the Building Inspector...............
To expire on 1w1w/1/2025.
Fees:
ACCESSORY $125.00
CERTIFICATE OF OCCUPANCY $100.00
ELECTRIC $100.00
Total: ....n_...................._....a.
........................
.$325.00
Building Inspector
� x 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 http1-//www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only °
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PERMIT NO. Building Inspector:
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Date:
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Name. - SCTM # 1000-
Project Address:3 - CI W6 PA/ 4 / 0 1 0e) ( � fy
Phone#:
Mailing Address:
CONTACT PERSON:
Name:
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Mailing Address:
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Phone#: Email:
DESIGN PROFESSIONAI`1NFORMATIQN:
Name; t S — l—��ev $C c4 SU�Ct✓ice.
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Mailing Address.
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Phone#:9/ G C�l?Zf Email: ��D�(�-e'{ � es1)j�� ��
CONTRACT OR;IINFORMATION:
Name„ G—
Mailing Address:
Phone#: Email:
DESCRIPTION OF,PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project;
Ike
Will the lot be re-graded? ❑Yes .-,- Will excess fill be removed from premises? ❑Yes tALO,
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�P OPE T1(t
R FORMaTI
Existing use of property: ` Intended use of property:
Zone or use district in which premises is situated: Are there any covenant and restrictions with respect to
this property? ❑Yes o IF YES, PROVIDE A COPY.
❑ ecl< A EC �aS�il� The t�wner/contrasfor/design prat sx n 11s`rez; on ibl 'f r 11 fra1hoge a�td$,tplm w t �issues ns, ra�raded b�
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arp�+lt+�nt 5gree�#o c:r �Yr�I��(�' a(�app(Icabf,�l�d arx�s,4fu�(di►��code.
ho�fsirfg u�dc�r�d uaY orbs ao edmuth rued ins'gckvrrf Ifremiand m bfi��ling�s�1 rrf�ca ry 1nstfections I alsa statdtnents'inade f�+f�in ire
emean6r,i„
unls�atiie aka c as5lmrsd ursuant to S�cb6ri 214.45 of LheN4ir YorkStat :FeriaY law ,, ;
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Application Submitted By(print name): (✓ �' t�--e ❑Authorized Agent n e r
Signature of Appli Date: 3 a
STATE OF NEW YORK)
' /SS:
COUNTY OF SIkF� cal _ )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 0w
(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 cof I" 4 arc L 20�
N a y Public
7 TRACEY L. DYNYER
N'OT ARY'PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
PROPERTY OWNER AUTHORIZATION QUALIFIED IN SUF FOLK COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRESJUN 30,2�(�
I, residing at
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
ri
� trata�iroak C Jkwiity
263 Route 25A
WadingRive1;NY11792
631-886-1984
March 20, 2024
To whom it may concern:
Re: 365 Chablis Path, Southold, NY 11971
To Whom it May Concern:
Mesta Plumbing & Heating LLC hereby certifies that the gas
test was conducted at Re: 365 Chablis Path, Southold, NY
11971 for 12 hours -4.5 lbs and there were no leaks.
If you have any further questions, please don't hesitate to
contact me at (631 ) 886-1984 or
George Almyroudis
Master Plumber NY License #44809-MP
Task 87# 666425
S. Hampton License #RP90022
2x 1, r
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Y Southold, New York 11971-0959
µ Telephone (631) 765-1802 - FAX (631) 765-9502
"" "amesh southoldtownn . ov— sea nd@southoldtownn . ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email;
Elec. Phone No:6 ( - p-7- 9 ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
i
Address: 3 "
Cross Street:
Phone No.: ,.-.
Bldg.Permit #: (j email: • °
Tax Map District: 1000 Section: 5 j Block: L ot: 3-02
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
y p Issued On
Temp Information: (All information required)
Service SizeF-11 Ph 3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 M2 H Frame R Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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NOTIFY BUILDING DEP��RTNiEN AT
Z m v ;I I i 631-765-1802 8AM TO hPM FOR THE
z o j I i FOLLOWING INSPECTIONS:
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FOUNDATION -TVUO REQUIRED
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FOR POURED CONCRETE
mm
y ROUGH-FRAMING&PLUMBING
j`/ 0 " I INSULATION
I FINAL-CONSTRUCTION MUST I
POOL BE COMPLETE FOR C.O.
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—�e•—to• '� I ; ALL CONSTRUCTION 6HALL MEET THE I
I ' REQUIREMENTS OF Tk CODES OF NEW I
' YORK STATE. NOT RESPONSIBLE FOR
NEW GENERATOR ! i
T—e Model No.G0070432 I i DESIGN OR CONSTRUCTION ERRORSI
Serial No.3006105192 s�
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GENERATOR
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Serial No. 300 1105192
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0 Product Overview 22KW/999 GUARD+200A SE T/SW AL
Max. Cont. Power (LP) Max. Cont. Power (NG) Model Number Serial Number
22 kW 19.5 kW G0070432 3006105192
Max. Cont. Amps (LP/ Main Line Circuit Connection Type Connection Device ID
NG) Breaker
91.7/81.3 100 amp WIFI 20:f8:5e:47:0e:66
Battery Type Oil Type
Group 26R, 12v, 540 Check chart in manual Signal Strength Firmware Version
CCA 24% 1.18.25
Oil Capacity Oil Filter P/N
1.9 quarts 070185ES
0 Product Overview
Air Filter P/N Spark Plug #
OJ8478 OG0767A
1h MANUALS
NG Consumption-50% NG Consumption-100%
228 ft3/hr 327 ft3/hr
LP Consumption-50% LP Consumption-100%
92 ft3/hr 142 ft3/hr