HomeMy WebLinkAbout51598-Z *°F s°urya`o Town of Southold
* P.O. Box 1179
_ 0 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46377 Date: 08/06/2025
THIS CERTIFIES that the building GENERATOR
Location of Property: 360 Stephenson Rd Orient, NY 11957
Sec/Block/Lot: 17.4-12
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 12/06/2024
Pursuant to which Building Permit No. 51598 and dated: 01/30/2025
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. Maintain clearances as required- minimum 3ft to
combustibles.
The certificate is issued to: Minor RA Revoc Trust , Minor SK Revoc Trust
Of the aforesaid building..
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51598 7/29/2025
PLUMBERS CERTIFICATION:
Autho ' ed . ' ature
�apFS00Tyo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' o� 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#: 51598 Date: 01/30/2025
Permission is hereby granted to:
Minor RA Revoc Trust
PO BOX 68
Orient, NY 11957
To:
install generator as applied for.
Premises Located at:
360 Stephensons Rd, Orient, NY 11957
SCTM# 17.4-12
Pursuant to application dated 12/06/2024 and approved by the Building Inspector.
To expire on 01/30/2027.
Contractors:
Required Inspections:
Fees:
GENERATOR $125.00
ELECTRIC -Residential $100.00
CO-RESIDENTIAL $100.00
Total S32S.00
Building InspectorY�Y__
pF SO(/j�Ql
Town Hall Annex Telephone(631)765-1802
54375 Main Road CA
P.O.Box 1179 aQ Jamesh southoldtownny.gov
Southold,NY 11971-0959 QIyCOU 'N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Sheila Minor
Address: 360 Stephenson Road city:Orient st: New York zip: 11957
Building Permit#: 51598 Section: 17 Block: 1 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: G&S Electrical Con. Electrician: Rob Guarriello License No: ME-31568
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 Garage
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: 1 22kw Generac generator with 100amp breaker
Notes: GENERATOR
Inspector Signature: Date: July 29, 2025
360 stephenson rd
0f SOUTyO� .
* # TOWN: OF SOUTHOLD BUILDING DEPT.
Comm�f'' 631-765-1802
1NSPECTION
[ ] .FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [VilFINAL 10,-
[ ] FIREPLACE &-CHIMNEY " [ ] FIRE-SAFETY.INSPECTION
] -FIRE RESISTANTZONSTRUCTION" [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[. ] CODE VIOLATION [ ]. PRE C/O [ ]. RENTAL
REMARKS: MAII�Jvt '!'�"XA,/ el5 CoGtiv00,
s /ems
DATE _- INSPECTOR
DE SOUTyO� 61 5 g 3690 �Stwhe ri soo,
* # TOWN OF SOUTHOLDBUILDING DEPT. .
631-765-1802
INSPECTION .
[ ] FOUNDATION 1 ST/ REBAR [ ] 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:
DATE 715LI [6(!S INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
------------------------------------- -
FOUNDATION (2ND)
O
ROUGH FRAMING&
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE C73
�k
FINAL
ADDITIONAL COMMENTS
Qq30( J1
4�
o�guFFo I( TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
c of �a�g Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtommy.gov
Date Received
APPLICATION FOR BUILDING PERMIT a
For Office Use Only {+�—'
,t
DEC I :;
PERMIT NO. �I Building Inspector: IJ
p i 1
APpI'-' ops and'"forms,must be;filled out in the r,entirety:Incomplete ''t�
�.,,xrra [s.
applications.will not becepted: Where the'.Applicanfl"not the
ac owner,an
Owner's Authori m(Page 2)shall be completed
Date:
OWNERS)OF'PROPERTY ;
Name:Sheila Minor SCTM#1000-17 - 1 - 12
Project Address:360 Stepensons.Rd Orient NY 11957
Phone#:631-987-8300 , Email:
MailingAddress:PO# 68 Orient, NY 11957
CONTACT PERSON s k
.; .
Name:Jesse Gaffga
Mailing Address:3350 Grand Ave Mattituck NY 11952
Phone#:631-375-2737 Email:Jgaffga_@jtechssMcom
DESIGN.PROFESSIONAL INFORMATION
3;
r .r
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR'INFORMATION:
Name:J-Tech Surface Solutuion
Mailing Address:3350 Grand Ave Mattituck NY 11952
Phone# 631-298-4238 F!TailJgaffga@jtechss com�__m_
DESCRIPTION OF PROPOSED CONSTRUCTION
a �. .
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
H10therinstall Stand-By 22KW Generator $12000.00
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes 13No
1
PROPERTY INFORMATION £t
Existing use of property:Sill le family Intended use of property:Sln le famll
�. _9�.. .Y r...._._ _ _;. .gLe-L�.___.Y
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
residental this property? Dyes ®No IF YES, PROVIDE A COPY.
8 Check+BOX`After Reading.'The'owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
CBapter 236 of the{Town Code.:APPUCATION IS HEREBY iV1ADE to;the,Bwldmg;Department for theassuance of a Building Permit pursuant to the Budding'Zone
`Ordinance of the Town of Southold Suffolk County;Nevir`York and other applicable laws,Ordinances or`Regulations„for tfi"e construction of buildings,
additions,`alterations"or for renfoval or demolition as herein`desciiti'ed.The'apphcant`agrees to".co'mpIj With°all applicable laws,.ordinances,•building code,,::;-
pousmg code and regulatlons'and to admit authorized inspectors on'premises and in buildmg(s)'for necessary inspections False statements madeiierein,are ,
r?punishableas a'Class A misdemeanor pursuant to'Section 210.45 of the New York State Penal Caw:'
Application Submitted By(prin ame):Jesse Gaffga BAuthorized Agent ❑Owner
Signature of Applicant: Date:~ �� —'�✓�J
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
��612 20L2j �
VICKI•t BERRY Notary Public
Notary Public- State of New•York
No- 01 BE6070081
'Qualified in Suffolk Count PROPERTY.OWNER AUTHORIZATION
ommission Expire"s: - -a081here the applicant is not the owner)
, Sheila Minor residing at 360 Stephensons Rd
Orient, NY 11957 do hereby authorize Jesse Gaffga to apply on
my b half to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Sheila Minor
Print Owner's Name
2
O�OS�FFO(�-C BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
00 Town Hall Annex- 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
4 Telephone (631) 765-1802 - FAX (631) 765-9502
iamesh southoldtownnkgov - seand(a-southoldtownny_ggov
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 El request an email copy of Certificate of Compliance
Elec. Address.: 250 Budds Pond rd Southold NY 11971
JOB SITE INFORMATION (All Information Required)
Name:. Sheila Minor
Address: 360 Stephenson Rd Orient NY 11957
Cross Street:
Phone No.: 631-987-8300
Bldg.Permit#: 5\5cl email:
Tax Map District: 1000 Section:17 Block: 1 Lot:12
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install 22KW Stand By Generator
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES NO ❑Rough In 0 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 M 1 2 H Frame 0 Pole Work done on Service? Y DN
Additional Information:
PAYMENT DUE WITH APPLICATION
®S�gFEpl,�co BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
y Town Hall Annex- 54375 Main Road - PO Box 1179
^+ Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
a-
iamesh(cDsoutholdtownny_aov - seand@southoldtownny.aov
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: Sheila Minor
Address: 360 Stephenson Rd Orient NY 11957
Cross Street:
Phone No.: 631-987-8300
Bldg.Permit#: 5\5�16 email:
Tax Map District: 1000 Section:17 Block: 1 Lot: 12
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install 22KW 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 0 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 F12 n,H Frame M Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Panel
Fans Mini Fr. W/D Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
i
Combo :r.Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps �p Ha�v(e� Used
Comments fro
0014
,11pf 4-1*04 •N. •. JFG LANDtoo
tlp�M �d
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(Buffo!: co. Pled 000A rco: 4Z)
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4e8e, 0.934 Acre (7-0 fie line) `'�a?
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• vs surveysd ,pef•obaY l2, /9?3 RpgD '
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2ed�rietc• Vag}r:'i.uy'� st,c: .
- Licegaed Lcr1d.'�r�veyora.• .
N. Y.' .
4
APPRO ED AS NOTED ¢
DA B.P.# s U
FEE s s�� BY:
NOTIFY BUILDING DEPARTMENT AT OCCUPANCY OR
631 765-1802 8AM TO 4PM FOR THE USE IS UNLAWFUL
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO RE01'Pc:D WITHOUT CERTIFICk
FOR POURED CONCRET"
2 ROUGH-FRAMING&PL'.)- OF OCCUPANCY
3. INSULATION
4. FINAL-CONSTRUCTION MUST
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 ELECTRICAL
AS REQUIRED AND COOWN CODES NDITI NNS OF
INSPECTION REQUIRED
SOUTHOLD TOWN
SOUTHOLD T PLANNING BOARD
SOUTHO OWN TRUSTEES
N,YS C
OLD HPC
CHO
10�261<,W ■ ® ■
'Home Stanidbv Generators
® I e e261XX kW
Generator Only Model 7171 7223 7226 7042 + 7209 7290
Generator/100 Amp Select 7172 7224 i
Circuit Switch Model
; ! -
i
i
Generator/200 Amp Service Rated Load f i f
7043
Shedding Smart Switch Package Model j I 7225 I 7228 I 7210 J 7291
Voltage(Single Phase) j i 120/240
Amps @ 240V LPG j 41.7 58.3 ! 75.0 � 91.7 i 100 � 108.3
Amps @ 240V NG 37.5 j 58.3 i 70.8 } 81.3 87.5 93.8
i
Engine/Alternator RPM { 3600/3600
Engine j Generac G-Force
Engine Displacement ! 460cc i 816cc 999cc I 999c
Fuel Consumption @ 1/2 Load- i
NG cu.ft/hr i 101 i 195 j 169 1 228' 203 ( 203 i 188
! t I I 1 i
Fuel Consumption@ Full Load-
NG cu.ft/hr I 127 f 256 247 1 327' 1 306 306 333
Fuel Consumption @ 1/2 Load- i 36(0.97) 65(1.81) 62(1.70) j 92(2.53)' I 92(2.53) 75
LPG cu.ftthr(gal/hr) i !
Fuel I Consumption @ Full Load-
P 54(1.48) 112(3.07) ( 110(3.02) II 142(3.90)' i 142(3.90) j 132
LPG cu.cu.ft/hr(gal/hr) i
Quiet-Test Mode j Yes
db(A)at Exercise , 57 55 57 i 57 57
db(A)at Normal Operating,Load 61 65 67 I 67 67
Enclosure Aluminum
Enclosure Color i :Bisque
Warranty 5-Year Limited
Dimensions-L"x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727)
Weight(lb) j 338 j 385 420 j 466' ; 445 455 518
Mobile Link Wireless Connectivity i Yes
*7042 2&7043-2 specifications
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S45 W29290 Hwy.59,Waukesha,WI 53189 m
n
www.Generac.com 1888-GENERAL(436-3722)
201902144 REV 06/06 GENERAC® o
02022 Generac Power Systems.All rights reserved. c
Specifications are subject to change without notice. N
0