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TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 51589 Date: 01/27/2025 Permission is hereby granted to: Ronald G Falkowski 3160 S Harbor Rd Southold, NY 11971 To: install generator as applied for. Premises Located at: 3160 S Harbor Rd, Southold, NY 11971 SCTM#75.-7-5.1 Pursuant to application dated 11/26/2024 and approved by the Building Inspector. To expire on 01/27/2027. Contractors: Required Inspections: Fees• GENERATOR $125.00 ELECTRIC -Residential $100.00 CO-RESIDENTIAL $100.00 Total $325.00 Building Inspector 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 t1. :Z�WW otlwtho1c�t ���� � ,c��; a Date Received APPLICATION FOR BUILDING Ti For Office Use Only PERMIT NO. Building Inspector: 'd , C, Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an, Owners Authorization form(Page 2)shall be completed. Date:9/18/2024 OWNER(S)OF PROPERTY: Name:Ron Falkwoski SCTM#1000-075-7-5 Project Address:3160 South Harbor Rd Southold NY 11971 Phone#:516-635-3214 Tim ronfdog55@aol.com Mailing Address:3160 South Harbor Rd Southold, NY 11971 CONTACT PERSON; Name:Jesse Gaffga Mailing Address: 3350 Grand Ave Mattituck, NY 11952 Phone#:631-375-2737 Email:Jgaffga@jtechss.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:J-Tech Surface Solutions a Mailing Address:3350 Grand Ave Mattituck NY 11952 Phone#:631-375-2737 FEr�ai-l:jgaffga@jtechss.com DESCRIPTION OF PROPOSED CONSTRUCTION - ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Other New 14KW standby generator $13000 Will the lot be re-graded? ❑Yes RR No Will excess fill be removed from premises? Dyes WNo 1 PROPERTY INFORMATION Existing use of property:Single Family intended use of property:Single Family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes FNo IF YES, PROVIDE A COPY. 8 Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and stoma 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 taws,Ordinances or Regulations,for the construction of buildings, additions,aftentions or for neM0041 or demolition as heron described.The applicant agrees to complywith'allapplilcable laws,ordinances,building code, housing code mod regulations and toadmit authorbred Inspectors on premises and In bulldlogi'eifor rwassary lets nt.False statements made heroin are punishable as a Class A misdemeanor pursuant to Section 210AS of the New V464 State Penalstaw.,- - Application Submitted By(pr nt name):Jesse Gaffga IRAuthorized Agent ❑Owner Signature of Applicant: Date: 10j Z)Z y 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 ota PulAic 7-7`3l ". PERKINS PROPERTY OWNER AUTH®RIZATfoNWtary F c, State of New York R". 0 1 PEe-130636 (Where the applicant is not the owner) Qualf"ed in Suffolk Oou Commission Expires July 'I Ron Falkowski residing at 3160 South Harbor Rd I, Southold, NY 11971 Jesse Gaffga do hereby authorize to apply on my beh the To o South Building Department for approval as described herein. 7, Z Z, O r°s Ognature Date Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector 4,w, TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ° o Telephone (631) 765-1802 - FAX (631) 765-9502 Alf jamesh@si:)u,tholdtownny.gov - seand southoldtownn ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 11/24/2024 Company Name: G&S Electrical Contractor Electrician's Name: Rob Guarriello License No.: 31568-ME Elec. email: Elec. Phone No: 631-375-2737 ❑1 request an email copy of Certificate of Compliance Elec. Address.: 250 Budds Pond rd Southold NY 11971 JOB SITE INFORMATION (All Information Required) Name: Ron Falkowski Address: 3160 South Harbor Rd Southold NY 11971 Cross Street: Phone No.: 516-635-3214 Bldg.Permit#: email: ronfodg55@aol.com Tax Map District: 1000 Section:075 Block: 7 Lot:5 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install 14KW Stadn By Generator S uare Footage: Circle All That Apply: Is job ready for inspection?: YES Z NO [:]Rough In Final Do you need a Temp Certificate?: El YES Z NO Issued On Temp Information: (All information required) Service Sizer1 Ph R3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[:]Flood Reconnect❑Service Reconnect❑Underground Doverhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y MN Additional Information: PAYMENT DUE WITH APPLICATION cry n hire '"^�`� � .� ___•._.,�._. " ��� N v 0` 7Co Ln m G K C: . U3 rn mpp till", tjs fill, lit ,Ln d41Y ., Uri m A � � a A + 0 rr .e w M - AP OVEO AS NOTED B.P. FEE r � NOTIFY BUILDING DEPARTMENT AT 631 765-1802 8AM TO 4PM FOR THE OCCUPANCY OR FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED USE IS UNLAWFUL FOR POURED CONCRETE WITHOUTI ' 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST )F OCCUPANCY 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 CONDITIONS ELECTRICAL tTOWN ZBA INSPECTIO14REQUIRED TOWN PLANNING N ,$.DEC TOWN TRUSTEES OLD Hpc Generator Only Model 1 7171 i' 7223 t a7226 ; 7042 �; 7209 i 7290 Generator/100 Amp Select Circuit Switch Model 6 7172 7224 Generator/200 Amp Service Rated Load T72-25-1 7228 7043 0 7210 7291 Shedding Smart Switch Package Model 1 Voltage(Single Phase) 120/240 Amps @ 240V LPG f 41.7 58.3 75.0 91.7 100 108.3 Amps @ 240V NG 37.5 58.3 70.8 81.3 87.5 93.8 Engine/Alternator RPM 3600/3600 Engine Generac G-Force Engine Displacement 460cc 816cc 999cc i 999C i I Fuel Consumption @ 1/2 Load- 101 195 169 228• 203 203 i 188 NG cu.ft/hr i Fuel Consumption Ca Full Load- 127 256 247 327` 306 ; 306 333 NG cu.ft/hr Fuel Consumption @ 1/2 Load- 36(0.97) 65(1.81) 62(1.70) 92(2.53)' 92(2.53) 75 LPG cu.ft/hr(gal/hr) 6 Fuel Consumption @Full Load- 54(1.48) 1 112(3.07) y 110(3.02) 142(3.90)' 142(3.90) 132 LPG cu.cu.ft/hr(gal/hr) u Quiet-Test Mode Yes db(A)at Exercise 57 55 57 57 57 db(A)at Normal Operating Load p 61 ! 65 67 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) e Weight(lb) i 338 385 420 466` 445 , 455 518 Mobile Link Wireless Connectivity Yes '7042-2&7043-2 specifications NA 10IIII1`4 W 11D SERVICE 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 warww.Ceniraa:.ciorru 1888-GENERAL(436-3722) GENERAC ® � 201902144 REV 06/06 ©2022 Generac Power Systems.All rights reserved. Specifications are subject to change without notice.