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Home My WebLink About51117-Z TOWN OF SOUTHOLD A. y„ BUILDING DEPARTMENT TOWN CLERK'S OFFICE � SOUTHOLD NY r z:,is ��y4 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 #: 51117 Date: 8/22/2024 Permission is hereby granted to: Stork, Ryan 275 W 10th St Apt 5B New York, NY 10014 To: legalize "as built" generator as applied for. At premises located at: 1140 Park Ave, Mattituck SCTM #473889 Sec/Block/Lot# 123.-8-1 Pursuant to application dated 7/11/2024 and approved by the Building Inspector. To expire on 2/21/2026. Fees: AS BUILT-ACCESSORY $250.00 ELECTRIC $200.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $550.00 Building Inspector jai r TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-095 Telephone (631) 765-1802 Fax (631) 765-9502 w.sautholdtc Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only 1 ` D) PERMIT NO. 4 Insp BuildingectoC: J � J U I_ 1 1 2024 Applications and forms must be filled out in their entirety. Incomplete BUILDING INEPT. applications will not be accepted. Where the Applicant is not the owner,an TOWN X SOIJTII0I Owner's Authorization form(Page 2)shall be completed. Date:7/11124 OWNER(S)OF PROPERTY: Name:Ryan Stork SCTM# 1000-123-8-1 Project Address: 1140 Park Avenue, Mattituck Phone#:631 684 9293 Email:admin@permitguy.org Mailing Address:PO Box 1445, Westhampton Beach, NY 11978 CONTACT PERSON: Name:Steve Caputo Mailing Address: PO Box 1445, Westhampton Beach, NY 11978 Phone#:631-684-9293 Email:admin@permitguy.org DESIGN PROFESSIONAL INFORMATION: Name:WORK DONE Mailing Address: Phone#: I Email: CONTRACTOR INFORMATION: Name:WORK DONE Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition MAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $N/A Will the lot be re-graded? ❑Yes I�No Will excess fill be removed from premises? IYes ®No 1 PROPERTY INFORMATION Existing use of property: S�' Intended use of property: S�j Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes S'No IF YES, PROVIDE A COPY. [9Check 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): azx cc4fJ C> �horized Agent ❑Owner Signature of Applicant: 1 Date: STATE OF NEW YORK) COUNTY OF " ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing c ntract)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 ��ay of t , 20-)A- otary Public ,JACQUELINE CLAIRE ICRM4ND Id(�/ARY AFC,STATE IMF hY1=UU"YCRK ' PROPERTY OWNERAUTHORIZATION a�Jra' I" 64359 7 Quallfletl In Suffolk County ( pp owner) M Comm, slon Ex Ires 07/05/2026 Ryan Stork residing at 1140 Park Avenue I, Mattituck do hereby authorize Steve Caputo to apply on my behalf to the o n Southold Building Department for approval as described herein. O ner' Sign tu�re ate P'int Owner's Dame 2 Board of Zoning Appeals Application AUTHORIZAT (Where the Applicant is not the Owner) AL .--residing at It 40 PqA Av. (Print Property owner's name (Mailing Address) do hereby authorize—S—TC (Agent) to apply for�on my behalf from the Southold RMHUVI "PICals. ......... --- ,W" iers ignature) _,A , L ............. N SURVEY OF PROPERTY RK A V E N U E AT MATTITUCK A P TOWN OF SOUTHOLD "SOU T H ROAD" SUFFOLK COUNTY, N.Y. 1000-123-06-01 unUTY SCALE 1=40' POLE APRIL 9, 1998 Ng8'5T00"E 254.50' AUG. 14, 2014 it MARCH 22, 2017 (CER71ACA71ONS) tsw FE JANUARY 18, 2018 (PROPOSED GARAGE) z WOOD GATE FEB. 5, 2018 (GARAGE STAKES) 0 MARCH 9, 2018 (FOUNDA710N LOCATION) ', MAY 17, 2024 (ANAL SURWY) f 1 1.7E re 11111 > 1 o N syw PAm 14rE POOL 1 Ma MW c� y 10 O A. . tun 3 '` 2 SmeY7R CAR ,� GARAGE BUILDING D F64a on o SEPTIC LOCATION �y rti A. e' Lucy?` ORA VEL g DRIVEWAY �i i sr, 19, 24' D y LP 1 36, 38' 1 LP 2 31 37' m �1 Z parr s lam•1 t 1 SEP77C SYSMU AS INSTALLED tV TA p (1) 1000 GALLON SEP77C TANK � s 1�1 c � o"'al (2)8'DIAMETER X 6'DEEP LEACHING POOLS �i a c V 8 oRnEwAr r mv ` SCDHS. REF. no, R10-18-0002 9. ♦ 2 STY. FR. HSE t 4LI' CER77AED TO. e4e' sts' ABS7RAC7S, INCORPORA70 fiPST AMER/CAN 777LE INSLb4ANCE COWANY RYAN STORK or 1 zow x s 1 LOT NUMBERS REFER 10 'MAP OF MARRA700KA PARK'FILED IN 7HE X scrAws I,w A►or ow SUH.C" CGUN/Y a&NK'S CPF/Ct . .- - - AN NOV. 1, 1905 AS MAP Na 4SO FLOOD ZOIE WE �w Fr. Zcw LTB S'5"w 7W LOW-a A rLUL fi: Zr OM WA ALOW SrA WALL) xr ZONE VE EL.a jw _.-AL LAW,Ora ON A&V 14:20N. GREA T PECONIC BA Y 0 MONUMENT ELEVA7701VS k CONTOURS ARE REFERENCED TO N.aVD 29 FL000 ZONE FROM ARM MAP NUMBER 3610300482H ANY AUERA710N OR ADOIDON 70 71dS SURVEY IS A NOLA7/0N ,� 49618 OF SECMW 7209CF IKE NEW YORK STA7E'EDUCABOW LAN ECEPT HEREON AREAU PER D FOR M M CMW DCCOPIES OAU,CERF d Y DNS PECOI AREA'S 137,087 80 Fr. � - - - SAND MAP OR COPIES BEAR 7W IMPRE55ED SEAL OF THE SURWYOR � (6 ) 765= 2D FAX(631) 765-1797 IWIOSE SIGNAWRE APPEARS HEREON To 77E LINE P.a Box 909 - ao7rn�MY If971 r 98-151 a P.M. CONDITION REPORT Date:0522/2024 Job#:32271 608 Johnson Ave,Suite 6 Tech:Andre LeGette Bohemia,NY 11716 Ph:631-567-2700 Fax:631-563-4473 powerprogenerators.com NAME: Stork,Jennifer ADDRESS: 3500 Marratooka Road MAKE: CUMMINS _ Mattituck,NY 11952 MODEL NUMBER: C20N6HC SPEC/SERIAL"NUMBER:F180369753 Check Radiator Core For obstruction: Not Applicable Check Antifreeze Protection: Not Applicable Check Coolant Level and Add as Needed: Not Applicable Test Coolant Inhibitors and Add as Needed: Not Applicable Check Condition of Radiator Cap and Seal: Not Applicable Check for Coolant Leaks: Not Applicable Check Belts and Adjust Belt Tension as Needed: Not Applicable Check Water Connections: Not Applicable Tighten Hose Clamps as Needed: Not Applicable Check Jacket Water Heaters: Not Applicable Check Oil Level in Governor: Not Applicable Check Brushes and Slip Rings: Completed Drain Water From Fuel Filter and Day Tank: Not Applicable Lubricate Rear Bearing of Generator: Not Applicable Drain Water in Exhaust Moisture Traps: Not Applicable Check Air Cleaner Indicator: Not Applicable Check Turbocharger: Not Applicable Adjust Governor Control for Optimum Performance and Frequency: Not Applicable Check Remote Fan Motors,Thermostats,Circulation Pumps and Solenoid Completed Valves: Check Day Tank Pumps and Alarms: Not Applicable "i If Test Specific Gravity of Batteries: Not Applicable Check Battery Voltage: Completed Check Electrolyte Level and Add Water as Needed: Not Applicable Check Flexible Fuel Lines: Completed Check Fuel Level In Main Tank LP 60 Check for Leaks in Complete Fuel System: Completed Check Battery Charger. Completed Check Battery Connections,Tighten and Clean: Completed Check Flexible Exhaust Couplings; Completed Check Air Cleaner Seal: Completed Check and Tighten Loose Electrical Terminals: Completed Check for Loose Relays: Completed Lubricate Governor Linkage: Completed Check Vibration Mounts: Completed Check Insulation on Generator Leads: Completed Check for Dirt or Oil Buildup on Generator: Completed Check for Oil Leaks; Completed Check and Clean Crankcase Vent/Breather: Completed Walk Around Inspection of Complete Installation: Completed Run Generator Until Normal Operating Temperature is Reached: Completed Check for Abnormal Vibration; Completed Check Cranking Termination: Completed Check Engine Instruments: Completed Check for Abnormal Noise: Completed Check for Abnormal Exhaust Characteristics: Completed Check Exhaust for Abnormal Discharge: Completed Check Inlet and Discharge Louvers: Completed Check for Excessive Crankcase Blow by: Completed Adjust Voltage for Proper Output: Completed Re-check for Oil,Water and Exhaust Leaks With The Engine Running: Completed Stop Engine and Check Shutdown: Completed j Place all Switches in Proper Operation Mode: Completed Complete Overview of System: Completed Provide Full Report and Provide any Recommendations: Completed Change Lube Oil and Filters: J Replaced j Check Lube Oil Level: I Replaced i Check Air Cleaner Elements: j Replaced j Perform Oil Analysis: j Not Applicable i Change Fuel Filters: � Not Applicable — j-� Check and Clean Primary Fuel Filter: j Not Applicable I , Remove Valve Covers,Check Valve Clearance as Needed: Not Due at this Service Visit — i i Check Rocker Arms for Wear and Lubrication as Needed: Not Due at this Service visit I � � Replace Valve Cover Gaskets as Needed: i Not Due at this Service visit Perform Gas Engine Tune up: Completed j i Legally Dispose of all Materials: Completed r j Check Operation of Automatic Transfer Switch: Completed i Run Hours 167.5 I Labor Hours 1.25 Travel Hours 2 i Accepted,By: i