HomeMy WebLinkAbout48275-Z suFPU[kc Town of Southold
3/25/2024
a .c P.O.Box 1179
0
53095 Main Rd
oy�o� ap� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45069 Date: 3/25/2024
THIS CERTIFIES that the building GENERATOR
Location of Property: 925 Willow Terrace Ln., Orient
SCTM#: 473889 Sec/Block/Lot: 26.-2-31
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/l/2022 pursuant to which Building Permit No. 48275 dated 9/8/2022
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.
The certificate is issued to Lewis,Evan&Ors.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48275 3/12/2024
PLUMBERS CERTIFICATION DATED 17
)Aukho i d Signature
�o�suf i c TOWN OF SOUTHOLD
Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • �� _ SOUTHOLD, NY
aO �
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#: 48275 , Date: 9/8/2022
Permission is hereby granted to:
Lewis, Evan
40 W 24th St Apt 9E
New York, NY 10010
To: install generator as applied for. Must maintain minimum 10' setbacks from lot lines.
At premises located at:
925 Willow Terrace Ln., Orient
SCTM # 473889
Sec/Block/Lot# 26.-2-31
Pursuant to application dated 8/1/2022 and approved by the Building Inspector.
To expire on 3/9/2024.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $235.00
Building Inspector
o��pF SOUT��I
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 .r�ly� � �o Sean.devlin(&-town.south old.ny.us
�UNT`I,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Evan Lewis
Address: 925 Willow Terrace Ln city:Orient st: NY zip: 11957
Building Permit#: 48275 Section: 26 Block: 2 Lot: 31
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: DAK Electric License No: 5120ME
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 Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 22kW Generac Generator w/200A Whole House Transfer Switch
Notes: Generator
Inspector Signature: Date: March 12, 2024
S. Devlin-Cert Electrical Compliance Form
SO #
TOWN OF SOUTHOLD BUILDING DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL 6
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE w INSPECTOR
OF SOUIyo� �8 Z7 57 L/� {� frjr��/✓
# TOWN OF SOUTHOLD BUILDING DEPT.
coulm", 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 [ ] PRE C/O [ ] .RENTAL
REMARKS: �•+ Rrt'o'IZ
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FIELD INSPECTION REPORT I DATE COMMENTS
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STATE ENERGY CODE
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o�g�FFOtK�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT
In Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631)765-9502 hgps://www.southoldtomM
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only irDJ
E C E U �7 n
PERMIT NO. Building Inspector: l� II 1V/
AUG 0 12022Li
Applications•and,fo,rms m,u,st,bg filled out:.initheir entirety,Incomplete BUILDING DEPI'
applications will not be.accepted. Where the'Applicant is not the owner,an' lvlf oFso1mow
'Owner's.Authorization form(Page 2)shall be completed.,
Date: (9—�
' l
OWNERS)OF PROPERTY:
Name:En_Lewis _ _ _ _ scTM#1000-26 - 2 -w31
ProjectAddress:925 Willow Terrace _ _Orient,NYp 11957
Phone#: q �� , Email: .e�a
Mailing Address:
CONTACT'PERSON: -
Name:Jesse Gaffga
Mailing Address:3350 Grand Ave Mattituck,__..�___NY__11__9952
_T
Phone#:631-375-2737 _ Email:jgqffgq@jtechss.com
DESIGN PROFESSIONAL-INFORMATION:
Name:
Mailing Address:
Phone#: Email:
'CONTRACTOR INFORMATION:
Name:J-Tech
Mailing Address:3350 Grand Ave Mattituck, TNY 11952
Phone#:631-375-2737 Email:' aff a 'techss corn
DESCRIPTION OF PROPOSED CONSTRUCTION:,'
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
ROther 22KW stand by generator $15000.
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
1
.'PROPERTY INFORMATION_'.
Existing use of property:Single-family-., __.. _ Intended useof property:Single
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.
Ig-theck Box After Readiing: The owher/•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,bepartment for the issuance of:a.BuildingPermit'pursuant to.the Building.Zoriey;:,
,Ordinance"of the;Town of Southold;Suffolk,County;New York and other applicable laws,Ordinances or Regulations;for the construction of buildings;'
'additions,'alterations'dr 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�nd'in puilding(s)'fornecessaryinspections.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 rint name):Jes a Gaffga @Authorized Agent ❑Owner
Signature of Applicant: ...._._a. _ _.___ . ____ �....._._._.___-..___....... ._____. Date:�`UL�:_
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)heisthe 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 A c/G°u'g—/ 2Z--
Notary Public
Bruce L.McDonald
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.o C 1 PROPERTY OWNER AUTHORIZATION
Qualified in Suffolkk CountyuntY
Commission Expires June 28, 20 Z_11i2 (Where the applicant is not the owner)
I, 5Valn Lt I's residing at ct zs r tl l I Iota -irate Lzme-
06 eel- 1 V I I I Li do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
1,:06n,s
Owner's Signature Date
0.
Print Owner's Name
2
��l1¢FOI�-c BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
W' I" Southold, New York 1 1 971-0959
®�,�0® Telephone (631) 765-1802 - FAX (631) 765-9502
roqerr@south-oldtownny.gov — seand(@-southoldtownny.aov
APPLICATION FOR ELECTRICAL, INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 7/28/2022
Company Name: DAK Electric
Electrician's Name: Dave King
License No.: 5120 Elec. email:jgaffga@jtechss.com
Elec. Phone No: 6313752737 ❑I request an email copy of Certificate of Compliance
Elec. Address.: PO#1050 Mattituck, NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Evan LEwis
Address: 925 Willow Terrace Orient, NY 11957
Cross Street: h
Phone No.: qT—) - U '5-
Bldg.Permit#: email: cut—
Tax Map District: 1000 Section:26 Block:-2 Lot:31
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
install 22 KW Generac Stand By Generator
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑✓ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES a 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 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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SURVEY OE !.D�' �O
MAP OP Y��LLOIq TERRACE, 'SECTION ONE - " E
FLED 2Br!gb,FLE
SITUATE: ORIENT S
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-4MLK COUNTY,.1'11•
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APPR VED AS NOTED
DATE: ;o2 B.P:#
FEE: o� fir! BY:
NOTIFY BUILDINI C;=u4R T MENT AT
765-1802 8 AM TO I PM FOR THE
FOLLOWING INSPECT Oi NS:
1. FOUNDATION,- TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUC-,!)N MUST o
BE-COMPLETE ;.0. n..�
ALL CONSTRUCTION SHALL MEET THE !r I(/� x
REQUIREMENTS OF THE CODES OF NEW IPA ! �v
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. G r r
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODE.
AS REQUIRED A((yyND CONDITIONS OF
SO
._� GBOARC
EE n TOWN TRUSTEES
N.Y.S.Y.S.Dom_
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICr,T:
OF OCCUPANCY
ELECTRICAL
INSPECTION REQUIRED
10:241<W GUARDIAN SERIES
Home Standby Generators
SPECIFICATIONS(LPING)
� •
Generator Only Model 7171 7223 7226 Z042# 7209
Generator/100 Amp Select.; .
Circuit Switch Model '-7172 -7224 -
Generator/200 Amp Service Rated Load _ 7225 7228 7043 7210
Shedding Smart Switch Package Model
Voltage(Single_Phase)- :.`; . . .. - 120/240 ,
Amps @ 240V LPG 41.7 58.3 75.0 91.7 100
,
Amps®240V NG 37.5 58.3' : 70.8 , 81.3
Engine/Alternator RPM 3600/3600
Engine Generac G,Force
Engine Displacement 460cc 816cc 999cc
Fuel Consumption-@ 1/2 Load NG cu.ft/hr 101 195 169 228'- 203 203
Fuel Consumption @ Full Load- 127 256 247 327' 306 306
NG cu.ft/hr
Fuel-Consumption 1/2 Load- 36 0:9. ;65 1:81) 62( ) t
1.70 92 2:53 92 2.53+
LPG cu..ft/hr(gal/hr),. ( ( �. �__...)_..
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 57
dli(A)at Normal Operating Load 61 65. 67 67
Enclosure Aluminum
Enclosure Color, „ Bisque
Warranty 5Year Limited
Dimensions-if.x W"z H";in:(mm) „ 48Yx,25.x 29(1218 x 638 x 727)
Weight(lb) 338 385 420_ l 466" _I 445 t 455
Mobile Link Wire)ess Connectivity, "Yes.
*7042-2&7043-2 speclflcotions
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201902144 REV 4/21
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Specifications are subject to change without notice.