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37737-Z
Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 2/14/2013 CERTIFICATE OF OCCUPANCY No: 36141 THIS CERTIFIES that the building OTHER Location of Property: 908 Birds Eye Rd, Orient, Date: 2/13/2013 SCTM #: 473889 Sec/Block/Lot: 17.-2-1.5 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 12/28/2012 pursuant to which Building Permit No. 37737 was issued, and conforms to all of the requirements of thc applicable provisions of thc law. The occupancy for which this certificate is issued is: accessory ~enerator as applied for Lot No. filed in this officed dated dated 1/8/2013 The certificate is issued to Joseph & Leslie LaVecchia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37737 2/4/13 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 #: 37737 Permission is hereby granted to: Chierchie, Steven & Chierchie, Patricia Date: 118/2013 PO BOX 400 Southold, NY 11971 To: install an accessory Generator as applied for At premises located at: 908 Birds Eye Rd, Orient SCTM # 473889 Sec/Block/Lot # 17.-2-1.5 Pursuant to application dated To expire on 7/10/2014. Fees: 12/28/2012 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: $100.00 $50.00 $150.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTM£NT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A; For new building or new use: I. Final survey &property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fira Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre~existing" land uses: I. Accurate survey'of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certi~cate of Oecupancy ~ New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate o£Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Oecupancy - Residential $15.00, Commercial $15.00 NewConsiruction: X~ Date. ~.~---~'2--ff- (-)._._, Old or Pre-existing Buildj, ng: (check one) 'HouseNo ~_Street ^ -- / ' A · ~ ~ ,, n ~.~ Hamlet t ~ y p ooo, sec.onB,& © , ot 0bi . V5 Subdivision Permit NO. ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submit:ed: $ -.~) , Filed Map. DateofPermit. /--C~._ I ~ Applicant: Underwriters Approval: Final Certificate: _~// Lot: (check one) ppi'cant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roqer r chert~,town.southold.ny.us CERTIFICATE OF ELECTRIClAL COMPLIANCE SITE LOCATION Issued To: Leslie & Joseph LaVecchia Address: 908 Birds Eye Rd City: Orient St: NY Zip: 11957 Building Permit Cf: 37737 Section: 17 Block: 2 Lot: 1.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Daniel Wilcenski Electric License No: 4723-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Se~vicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures ~ HIDFixtures ~ Service 3 ph Hot Water GFCI Respt Wall Fixtures Smoke Detestors Main Panel NC Condenser Single Recpt Recessed Fixtures CO De{ectors Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Respt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: stand by generator, 10kw generator with auto transfer switch Inspector Signature: Date: Feb 4 2013 Electrical_Certificate,xls TOWN OF SOUTHOLD BU I LDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c //g, 20/5 PERMIT NO. 3 7?3 7 ',.t /1 Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planuing Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form_ Mail to: 0~C 2 8 ~ FOIl BUILDING PERMIT INSTRUCTIONS a. This application MUST be completely filled in by typexvriter or in ink and submitted to the Building Inspector with 4 sets of plaus, accurate plot plan to scale. Fee accordiug to schedule. b. Plot plan showiug location of lot and of buildings ou premises, relationship to a{ioining premises or public streets or areas, and wate~ays. c. The work covered by fids application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Btfildiug Permit to the applicant. Such a permit shall be kept on the premises available for iuspection throughout the work. e. No building shall be occupied or used in whole or in part for auy purpose what so ever until the Building Inspector issues a Ceaificate of Occupancy. f. Every building permit shall expire if the work autl~orized has not commeuced within 12 months after the date of issuance or has not been completed withiu 18 mouths fi'om such date. If uo zoning amendments or other regulations affecting the propeay have beeu enacted in the interim, the Building Inspector may authorize, in writing, the exteusion of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICAT[ON IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the Boilding Zone Ordinance of the Towu of Southold, Suftblk County, New York, and other applicable Laws, Ordinances or Regtfiations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, oldie, building code, I~ousi~ code, ~ld regulations, and to admit authorized inspectors on premises and in building fo~ necessar~'iqspections. ~ (]' t~ f~ ~ = (Si=nature of applicant or name, ifa corporation) State whether applicant is owner, lessee, agent,~shit~/~ngineer, general co~'~~~pYamb=~ NO i iF f R~I DING DEF A:-, ~ , (As ~n[the tat roll or latea d~ed~ ~ . , . , r If applicant is a corporation, s~gnature of du y authonzed~'ficer 2~-:, ;~,~,,- ~ "'"-.,, , G, P=o. "~' .... (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. S-,'-RAPFqNG ELECTRICAL & CAUL 3 INSULATION 4 FINAL- CONSTRUCTION & MUST BE COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEt.`, YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Locatioj~ of~rtd o~n which proposeckwork will be done: ~ -- -- [ /I A House Number St~et Hamlet / { ~ county Tax Map No 1000 Secton k IN~m['~,'~57~?U2~[:~ Lot 0~[.OO~ ,20 Subdivision Hied Map No. Lot 2. State existing use and occupancy of premise} and intended use and occupancy of proposed construction: a. Existing use and occupancy ~"t.,.~ (~9---rx ~ b. Intended use and occupancy "~'%C~00,/xCX, 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ 1%x~ , 5. If dwelling, number of dwelling units If garage, number of cars ~ Fee Addition fi Altera_~on other Work~X~x. qj~e~ c58,q,0.A,c~"x . (} (Description) 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 4¢ (To be paid on filing this application) Number of dwelling units on each floor 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Rear Depth. Height Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO__ 13. Will lot be re-graded? YES NO__Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES __ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate lbandation plan and distances to property lines. 17. If elevation at an,,,' point on property is at 10 feet or below, nmst provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES. PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) CONNIE D. BUNC~ Notary Public ~!~mte of ;, ,'.~vv York NO. O Qualified ;2,~,ffol,k Co~mty Commissio~ _, 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 knowledge and belief; and that the work will be perlbrmed in the manner set forth in the application filed therewith. Sworn to before me this day of.~0-qs-,~}::~ 20 loX_ Notary Public Signature of Applicant Town ~ Ann~ 54375 Mair~ Road P.O. Box 1179 Smlthold, NY 11971-0959 BUII~I~G DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: License No.: No.: t- '~ ~ J" -L~ JOBSITE INFORMATION: (*Indicates required informatiorO *Cross Street: *Phone No.: ~ k~-~ %- ~ ~ 0 3 ' · Pete No.: T~,Map District: 1000 . Se~ion: Ok~.~o Block: ~ .~ *BRIEF DESCRIPTION OF WORK (Please Print Cindy) (P!~e Cl~e NI That ~ply) *Is ~b ~ady for i~e~i~: ~0 *~-~ n~ a T~p ~te: ~S I NO Lot: 0 0~, · Temp Information (If needed) *Service Size: 1 Phase 3Phase *New Service: Re-eonnect Additienal information: Rough In '~ 100 150 200 300 350 .400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 824Request for Inspection Form GE Home Generator c .? :~ems 10,000 Watt Home Generator System Operator's Manual m m m m mm Product Specifications Rated Haximum Load Current' (at ~$'C/77'F, LPIk at 2~O Volts Rated AC Voltage Phase Rated Frequency Normal Operating Range Output Sound Level Shipping Weight 41.7 Amps 240 Volts Single phase 60 Hertz -20°F (-28.8°C) to 104°F (40°C) 70 dB(A) at 23 ft. (7 m) at full load 401 lb (182 kg) * Natural gas rating will depend on specific fuel but typical demtes are between 10 to 20% off the LP gas ratin~ 11~is generato~ ~s rated in acce~¥~ ~,~ ':'~ ~.*~e~^ ..~e~s. I.e~'OLu~Je~ 2200 (statJonasy e~gine generat(x assemb~ and CSA (Canadian Standards ~sock~onl stando~ C22.2 No. ~.00-~ ~motors and 25 FOR AND F)LED OF SOUTHOLD~ CL~flK~ OFFICe. N / O~ F STERN' ~R STEVEN CNI£RCH;E JUNE 2'q, 1986 · ..., .~ 4. 1986 TO N G V