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HomeMy WebLinkAbout37745-ZTowu of Southold Anuex 8/14/2013 P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36447 Date: 8/14/2013 THIS CERTIFIES that the building ACCESSORY Location of Property: 5115 New Suffolk Rd, New Suffolk, SCTM #: 473889 Sec/Block/Lot: 110.-8-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application For Building Permit heretofore filed in this officed dated 1/11/2013 pursuant to which Building Permit No. 37745 dated 1/11/2013 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 storage buildine as aoulied for. The certificate is issued to Gleason Living Trus[ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED (OWNER) 37745 7/15/13 Towu of Southold Auuex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 8/14/2013 No: 36448 Date: 8/14/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 5115 New Suffolk Rd, New Suffolk, SCTM #: 473889 Sec/Block/Lot: 110.-8-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/11/2013 pursuant to which Building Permit No. 37745 dated 1/11/2013 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 anulied for. The certificate is issued to Gleason Living Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37745 7/15/13 PLUMBERS CERTIFICATION DATED --_ - C Au o ' Si ture TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,NY (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37745 Permission is hereby granted to: Date: 1 /11 /2013 Gleason Living Trust 5115 New Suffolk Rd PO BOX 336 New Suffolk, NY 11956 To: construct a 20' X 24' accessory storage building as applied for amended to install an accessory generator; two COs required At premises located at: 5115 New Suffolk Rd, New Suffolk SCTM # 473889 Sec/Block/Lot # 110.-8-34 Pursuant to application dated To expire on 7/13/2014. Fees: and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO -ACCESSORY BUILDING 1/11/2013 ACCESSORY CO -ACCESSORY BUILDING ~-~ ELECTRIC ~'`rP'3 6 s Total: $292.00 $50.00 $100.00 $50.00 $85.00 $577.00 ~~.~~~ Building Inspector Farm No. G TOWN OF SOUTIiOLD Bl1lLDING DEPARTMENT TOWN HALL 765-1802 APPLSCATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of 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 Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than Z/ I 0 of I % 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, ar buildiags and "pro-ecisting" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completrd application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall slate the reasons therefor in writing to the applicant. C- Fees I. Certificate of Occupancy -New dwelling $SOAO, 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 ;. Copy of Certificate of Occupancy - $.25 4. Updated Certificate ofOccupancy - $50.00 S. Temporary Certificate ofOccupancy -Residential $15.00, Commercial $15.00 Date. January 10, 2013 New Construction: Old or Pre-existing Building: (check one) Location of Property: 5115 New Suffolk Rd, New Suffolk House No. Street Hamlet Owner or Owners of Property: Thomas III & Nancy Gleason Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: 110 Block Filed Map. Lot Lot DateoFPetmit. Applicant: West Creek Builders Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) __sr Ly plicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 ~O ~ ? o ~ ~. ~O! ~ ~~ Telephone (631) 765-1802 Fax (631) 765-9502 roaer.richert(a~town.southold. nv. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Tom Gleason Address: 5115 New Suffolk Rd City: New Sufolk St: NY Zip: 11956 Building Permit #: 37745 Section: 11 Q Block: 8 Lot: 34 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: oBA: Glens Electric License No: 4770-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commertcal Outdoor X 1st Floor Pod New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures HID Fixtures Service 3 ph Hot W afar GFCI Recpt 3 Wall Fixtures 3 Smoke Detectors Main Panel AIC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 1-70 A/C Blawer Range Recpt Fluorescent Fixture 3 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment: 48 KW stand by generator with 600a transfer switch and fused 600a disconnect garage/storage building, i~xhaust fan Notes: Inspector Signature: ~o,,,~`-,~J~d Date: July 15 2013 EleIXdcal Certificate.xls T -~~~ 37?~~~ o~~~~l~ ~~~ ~,~~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. 57~. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH( [ } ELECTRICAL) REMARKS: DATE INSPECTOR 3~ ~ ~~~ o~,~oFS~,y~ ®~ ~~,~.~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ] F UNDATION 1ST [ ]ROUGH PLBG. [ ] OUNDATION 2ND [ ]INSULATION [ FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION DATE ~ 3 INSPECTOR [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) ~,~,pF S01/ly ~c ~~ ~~ \~ Mn TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE & CHIMNEY [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) j~°] ELECTRICAL (FINAL) REMARKS: ~u~ ~~ - b~ DATE 7 ~ I~ INSPECTOR ~ ~,~,OF SO//j~o ~ ~S~ ~®~ ~~~~.~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTIO [ ]FOUNDATION 1ST [ ] ROUGH P G. [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) ~~ ~~ I~ i J'+ ~~~rtot~ cs~'~ a ~ ~ ,~"'"'~--'- V'~ ,~-~-" C. ~& ~,ovc~g~ .---- YLUN~ ~t~.~ z- 7~ n~S~Tic~ ~ cove ~. sx~'t'~ std' ~ ^, ~, ~-, Via' ~~ I k> 5, `~ o ~~ -a. , r Z TOWN OF 50UTHULD BUILDING PERMIT' APPLICA'f10N CHECKLIST Bl11LDINC DEPARTMENT Do }ou have or need the following, before applying? TOWN HALL noaril of Health __ _ SOIiTHOLD,'' NY l 1971 d sets ttf BuiMing Plans TEL: (631)765-1802 .Planning Board approval FAX: (631) 765-9402 _ Survey _ _ _. . SoutholdTown.NorthFork.net PERMIT NO. 377~~ Chrsk_ _ Septic Fonn _ N.Y.S.D.E.C. 't'rustees C.O. Application Flood Pemtit _ _ Examined. ~~ / . ?0._J~ Single & Separate-- . ./ Stomt-Water Assessment Form Contact. Approved __ ~ ~/ . 20 (,~ Mail to: West Creek Builde[s_ Disapproved a/c _ PO 13ox 25fi, New Suffolk. NY 11956 _ __ Plrone:_ 631-334-9205 Expiration-. 7 ~ ~o~ Attn: Gary 5teirtfeld __- - -.- Buildidg Inspector ,-„ 3' ~ ~ ~- a ~-. .1 ICATIUN FOR BUILDING PERMIT ~, ~~~~-.-t~ ~ ,1 ~I,~ [)ate January 10 ~0 13 ,~ ,AN ~ 0 2013 '~ INSTRUCTIONti a. This 3 plication M complete filled in by h•pewriter or in ink :md submitted to the Building Inspector with d sets of plans. acct ogpfei}'~~~sm~' ~' according to~schedulr. ~' h. Plot plan shovs'ii +' ion of lot and of buildings on premises. rclationsbip to atljuining premises or public streets or areas. and wa[epvays,: c. The work covered by this application may not he rnnnnenecd before issuance of Building Permit. d. Upon appmval of this appticatirnL the Building Inspector will issue a Building Pennil to the applicant. Such. a permit shall be kepi on the premises available fir inspection throughout the x+urk. e. No building shall. be occupied or used in whole or in part for any purpose g hat so ever uptil the Building Inspector issues aCertificate ofOccupancy. - f. Every buildinb permit shall expire if the work authorized hos not commenced within 12 months after the date of issuance or has nor been completed within 18 months-fiont such date. li' no zoning autendmentsor otltet regultttidns atTecting the property have been enacted in the interiia, the Buildiog.lnspeMOr inay authorize. ;n writing, the. extension of NtC permit for en addition5ix-mttttths=-Ther"eafter,'a new permit slutll be required. _ APPLICATION IS HEREBY MADE to the Building Dcpartntent for the issuance ofa Building Permit pursuant to the Building Zone Ordinance of the Tgwn of Southold,~SutTolk County. New York, and other applicable~Laws. Ordinances or Regulations, for the constntction of buildings, addiNOns. or alterations or for pcmovpl or demolitictn,as herein described, The applicant agrees to comply with all applicable laws, ordinances. building, code, housing~Cpda and regulations. and to admit authorized inspectors on premises and in building for necessary inspectiau., We~t.Creek 'Iders. LLC (Signature of applicant or name, if a corpotationl PO Btix 256, New Suffolk. NY 11956 (Mailing address of applicant) Stale whether applicant is owner. lessee. agent. urchilrct. engineer. general contractor. elec;frician, plumber or builder Contractor None of owner of premises Thomas III & Nancv Gleason _ iAs rnt the tax roll or latest Jeed) If applicant is a corporation. signatw•e of duly authorized ulticcr Gary.Steinfeld, Partner (Name and title of corpgrate ctf7icer) Builders License No. 41503-H Plumbets License No. Electricitvts'License No. Chher Trade's License No. 1. Location of land on which proposed work will he done: House Street Hamlet County Tax Map No. IOOp Section 1:10 Block 08 Lot 34 Subdivision N/A Filed Map No. 4ot; ; , , ~~ ~ !. 2. State existing use and occupancy of premises and intrndud use and ottapancy of proposed construptigg: ,. a. Existing use and occupancy . Single FamilXRe~idence t - -- ~ ~.. h. Intended use and occupancy Single F milt' Residence ~ 9tor84(e Barn ~ , 3. Nature of wort: (check which applicable): New- Building Addition Alteration Repair .Removal Demolition Other Work Storage Bam (Description ) 4. Estimated Cost $50.000 Fee (To be paid on tiling this application) ~. If dwelling. nwnber of dwelling units Number of dwelling units on each door If garage, number of cars 6. If business.tommercial or mixed occupancy. specify naatre and extent of each type of use. 7. Dimensions of existing structures. if any: Front Rear Depth Height Number of Stories *Set3 Attached Survey Dimensions of same structure with alterations qr additions: Front NIA Rear Depth Hei~fht Number of Stories R. Dimensions of entire: new construction: Front ,20' Rear 20' • Depth 24' Height 18' 2° Number of Stories 1 9. Size of lot: Front 802' Rear 325' ~ Depth 1.407744,657 sq. tt. ] 0. Date of Purrhasc March 21.2001 Name of Former Uwner• Wickham I I. 7.one or use district in which prcmiscs arc situated AC ,~~ .. 13. Does purposed construction violate any zoning Imv. ordinan~e'ot'regulation'? YES X NO ,: 13. Willlot he re-graded? YES, NO~_Will excess lill'be rrtndved'from premises" YES X NO 5115. New Suffolk Rd 14. Names of Owner ol'premises Tom Gleason Address New SufFo~k+ ~1`V' Phpue No. '516-356-7621 Name ot;Architect Addrc~s ,,,. _„~; phy~~ Ho Name ot'Conttactor West Creek Builders Address~l O BgX256. , . Phpne No 631.-334-9205. ,, - ~ + . ,New Suffolk, NY 11956 15 a. ls, this property within 100 feet of"a tidal wetland tlr a tiedltvVater wetland'? "YES X NO , " IF YI;~. SQUTHOI;B TOWiV'T[2U5TEES ~@'D.E.C; PERMITS MAY BE REQUlRF.D. b. Is this property within 300'feft oi'-d tidal wetland? * YES X - N0 * IF YES. D.E.C. PERM[TS MAY BE RF.Ql11RED'. - *Proposed Storage Bam is not within 100' of tidal wetland or freshwater wetland. 16. Provide survey, tq gcale, with accurate foundation plan and distances to property lines. 17. !f elevation at any point on properly is at 10 feet or below, must provide topographical data on survey. 18. Arc there any covenants and restrictions with respect to this property' * YES NO X * !F YES. PROVIDER COPY. STATE Oi' NEW YORK} SSi COUNTY OF ) Garv Steinfeld ~' ''' being duly sworn. deposes and .ays that (s}he is the applicant (Name of individual signing rnntract) alwae named. - ~ " ' (S)Hc is the Contractor (Contractor. Agent, Corymmte Officer, etc.) of said owner or owners, and is duh authori7xd to perti~rm or have perfiumed the said work and to make $nd tiln th's application: that all statements contained in this application arc true to the bell of his knowledge and belief: and that the work wilLbe . performed in the manner set forth in the application filed therewith, Sworn,?P before me th r `~- day of 20 [,~ /~ t ry Public" "Mary pchlic, Slate 0f New4ork'' Signature of Appli nt,' „a O,D06095328, Suffolk C ~~~rm [xplres July 7, 20 ~~'~ Town of Southold -Chapter 236 - Stormwater Management ~ *p~ SWPPP -Storm Water Pollution Prevention Plan Assessment Form GIIVERAL INFORMATION: (All Requested In formation is Required for a Com lete A plication) APPIJCANf wtN¢: Qreer-Anent-eer./bM~wWAw 1ldroteGwl Prewrgoawatctrtana.ntlr.aApgls.nq West Creek Builders Thomas Gleason 'PO Box 256, New Suffolk, NY 11956 115 New Suffolk Rd, New Suffolk, NY 11956 631-334-9205 `«866-352-5112 «516-356-7621 ras« `-""` a westcreekbuilders.com a'"* Pr°0`°~~e`5115 New Suffolk Rd New Suffolk NY ~~°1p00°dcoO1tr01'0°'*c°"ti'•r1°~3DO~a~~ +.~• * +Deo 110 08 sr+Da~u°°acre''r`°"as°op`aoav°'s°'"~acoav~°°"m`~ seTre ~.. -S.T w m..e. raaae,w ret..w.sn I...»ac.a:..~..:w..c«+.nr...,:a.w..DI.b.MCrasw.w: _Construction of 20 _x 24_Stora~e Barn West Creek Builders - Ga Steinfeld __ -Excavate and Backfill for Foundation 'PO Box 256, New Suffolk, NY 11956 ----~----~-~°-~___-..___.__..~_______________ -Silt Fence around Excavation Slte «631-334-9205 Fe`«866-352-5112 ___ __ _ All Run Off from Pro osed Builtiin to be R p e-~ _ _ --- - ---------- ----------- ------ a westcreekbuilders.com Contained o n Site which encompasses ra.e. a Pwsons Rapoeaa. w inabnwee a awnr,.,a a e~.eened Pr.w~: Ga Steinfeld -West Creek Builders ___ _ _ _ _ "- ---------- - _ _ _ 17 Acres of Porous Well Drained Soil_ _ `PO Box 256 New Suffolk, NY 11956 =_No R1~o-Qff_ Will_Flow_toAd~acent_____ __ S.rprwr.« Ps,« 631-334-9205 866-352-5112 Properties or Public Roads (1,000+ feet ---- - -- - a-w« ~ a westcreekbuilders.com ___ from_Proposed_Structure)._______ _ ~ ------ Pr paPiwrr~/44.657/17.1 Tendle.~Grouande 700S.F. ------ ,.. ,..~: o:.,.e.,, -------- ------._.__...---___--- Pmjea Duratwc Sbrt E,N _.-..__________________..___..___. _-_.__.._.._ _ r""'dpiedl 120 Days °°~ 2/2013 °"" 6/2013 WIII thh Project oB+arD. fire (SJaMore Acres al Q ~ ._..-~---....____..-...._-._-.- MyDneTYneDuHrgtlrePropossdDwslopmenl? Ves No ____.._____.. _-______.____-... _._____ p Ya«Meeee M.wtlr. Fale.N,el _.....___,._..__._....__.,___.._______._______________ a. Does the Apppcartt have a QWMed Yatpector On 1~7 Steft To C d d th R i 7 Y d I d -' ~ ' on u e equ re es nepac oro 1 0 D. Does ttts SWPPP Iralicde Hew FraqueNly ab Site ~ O Lb! u.. NA11ai s dttsrMa,rt aeu Pobnwty InP..bawsweww..me, wer.e,: Inspectbrm w0 occtr arM Per Whet Petbd of Tsne 7 Yn No N/A c. Doea the SWPPP Adequately Idantly IJ Temporary aMror PermanerttSd StabaRrabn Measures? Yes tto -------"""'-""-'"'---'--`---...-----.....-____.....---_- d. Does the SWPPP Adequatey klenoyy a Complete ~ 0 _. -.... - - - - -- -.. _ _ . _.......... _ Project Phassq Plan 7 Yu No e. Does tha SWPPP Indlate AdditlonN Site Speaac Q Q nowt or aePaeNd webrawy: te9. nat., »sidi tibd ~spsireaa Praakee argil Wi4 De Utlllzedb Protect Water QUaMy? Yes No f. Has the Applicant SWmltted a Completed DEC Notice Of Intara and SWPPP Aaapmrtce Fonn for Revbw Q [-] type a In,pWw ww.roeq. tp. tab,, Ge,k, e.y, Pew, send, rn,.t,w..wab,a_~ Dy the Town d Soumdd ? Yw No S7 A"IE OF NF.W YORK, (- ~ ~ ~ ~ COUNTYOF.... . . ,. ..........SS •t~t I, ... Gary Steinfeld _....._...,,.,, Demg duly swum, deposes and u s that 1 she is the a Y PplicantforPermit , txra.aNalde,regNnpD,a,,,.vl nrtd thazheJshe is the ........................................._ Contractor .......~.~....~.."..~ ......................................................._.........._... (Owrrr, CaiMaNOr, Aaer,l, wpwem OMCw,ele) . Owner and/or representative of the Ownv or Owners, and is duly authorised to ptdfomt or have perforated ttce said wtxk and to make and fde this apphwtion; that all statements contained in this application are true to the best of his knowledge and belief; attd that Ilre work will be rforaxd in the manner set forth in the appliotiat Fded herewith. S b f worn to c c~, me this; I ~ y ..............1Q...._~..............-d-yof..~JC~I(hJ.~l!~.- .._......,201.Y o~~7 Notary Public... .. ... .. .................t;pgfJ:•DflROSi(f°--- .... ............. ---//"""-`~-•••••.`•.••..--~- tsiemue a A.r~d) awnas .--_-_ ......~ a,aawa.ncmrvram: array No. O1D06095328, Suffolk Cou ty Term Expires July 7, Z0 {,~ Town Hall Mnez 54375 Main Road P.O. Box I l79 Southold, NY 11971-0959 ~O~~~F SOUryo~ ~ f ~~-Bttl,~.,~>~ BUILDING DEPAR'C&IENT TOWN OF SOUTHOLD Telephone (631) 765-1802 roger.richert(a'~~o~vn ~~ou~~io9~d. nv. us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Z ~ Company Name: /`r,u 6 - Name: ~ '~ca License No.: Address: o i 3a vft`tlP KT" N Phone No.: ~ _ JOBSITE INFORMATION: (*Indicates required information) *Address: 5i ~S N~ 5~~-- ~~ , *Cross Street: ~/~~ L,~qy~ *Phone No.: ~/ L ~ ~5~, - ~.,G,oZ,j Permit No.: ~ ~~~~ Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~ ~ ~H ~u~~ ~~/6iy~N ~.u~TN ~5,.~ ~,~><rr~ Q~-Ticrs ~q~.~ ~,~lrznv6 oc ~8' k.u..> K~ ~1~~ ~~.c~~aR. w,~h ~s-n-,o wraT ,~st~~C, zu„yGFI ~ruD sog P~o~v~1- (Please Circle All That Apply) *Is job ready for inspection: *Do-you need a Temp Certificate: Temp Information (If needed) *Service Size: 1 Phase 3Phase *New Service: Additional Information: YE NO YE5/~ 100 150 200 - S 2013 Rough In 300 350 400 Meters Change of Service Final Other Overhead BLDG. DEPT. 82-Request ror Inspection Fo TOWN Of SOli7H0f D ~wN w~ ~/£t¢5~ F~igvE /9 ~'/lrt~N?t/ bX~C.vs<o.tJ " /6(lfN~ ~ D d G/~~S ~1~~~' `~.. Cy3%~ ~s2- 6s gr ~'~~~'~~1~ ~~ i l JUL 2 2013 %`, ~~ - ---- Town of Southold -Chapter 236 - Stormwater Management CON'T'RACTOR CERTIFICATION STATEMENT Prior to the commencement of conatruedon activky, the owner or operator must Identify ALL contractor(s) and sub-contractors) that will ba responsible for installing, constructing, repairing, replacing, inspecting and maintaining the erosion and sediment control practcea Included ht the SWPPP; and tM contractor(s) and sub-cattraetor(s) flat will be responsible for wnsfnrcting the postconstructlon stormwater management practices included In the SWPPP. , The owner andbr operator shah have assh of the contractors and/or subcontractors Identify at least one person from /heir company that will be responsible !or implenrenttlon of the SWPPP. This person shall be known as the trained eontroctor. TM ovmer and/or operator shall erratrre that at least one trailed contractor is on sib on a ddy basis when soil dleturbanee aetivltles era being pertormed. The owner and/or operator shall have each of the contrecton and subeomractore iderdified above sign a copy of the following certflicalion statement blow before they commence any construction acWity: CERTIFICATION "I hereby cerlNy that I understand and agree to compty whh the terms and conditions of the SWPPP and agree to implement any corrective actions identified by the qualified kapector during a site inspection./ also understand that the owner or operator must compty with the terms and condldona of the most current versbn of the New York State Pollutant Discharge Elimination 3ystam ("SPDES"} general pennk for stormwater discharges from construction activities and that ft is unlawful for arty parson to cause or contribute to a violation of water quality standards. Furthermore, l understand that certifying false, {neorraM or Inaccurate infonnatlon is a vidatlon of the referenced permit and the laws of the State of New York and could subject me to criminal, cWll and/or administrative proceedings. " ~~,~i~2us~1~~ Partner 1/10/13 IYYE TiY: ..r In addklon to providing the certHkation statement above, this page must also identify the speel(le elements of the SWPPP that each contractor and/or sub- contractor will be responsible for. Specific SWPPP Element: __.,_ __Excavation through Completion of New_Structure _ _..____ ire... o..~w rr,.l _ _ _ . _ _ NAME and TITLE of the Trained Contractor(s) responsible for SWPPP implemematlon; Gary Steinfeld Partner 1/10/13 .~.: .w.: ...: NAME, address and telephone number of the Contracting Firm; West Creek-Builders. _ _,,, . _ _ _ _ _. _ _PO Box_256,_New Suffolk, NY,11956 _ 631-334-9205 Property Address and Suffolk County Tax Map Number of the site; 5115_New__Suffol_k.ftd,. n1_~W.S.Uf)Qlk, NY 1.1956_ _......... _.- s.c.r.a.a: 1000 1~_ 0~ 34 ------------ okbkt s.rllon aka la TM owner and/or operator shall effete AN tertlfieation statement(s) to the copy of the SWPPP that Is rrabttlrted at the construction s1te. If new or addNlonai wrrtrectore aro hired to implement measures IdentNled In the SWPPP after construction has commenced, they mwt also sign the certification attanent and provide the information listed stave. For protects whore the Department of Environmental Conservation regwst a copy of the SWPPP or inspacdon report, the owner and/or operator shall submit the documents In both electronic (PDF only) and paper format within five JS) bwiness days, unless otherwise nodfied by the Department. SWPPP Certification Statement FORM: 03-12 2 ~s n~ ~y~FYO~ Og '~,OR aZy~ cow, N N ~s9 R „~ ,w ~r~ °zw. ~tapr ~MD °~'MF ~~~r PROPOSED DEVELOPMENT AREA AREA = 218,007.51 sq. ft. (TO T1E LINE) 5.005 aC. /' .~ /~ 5115 NEW SUFFOLK ROAD NEW SUFFOLK, NY 11956 r i i i . / ~~ ~~ ~>a t' 4p6.8g, / ~, ~: ~ ~~ ~ ' ~ ' ~ ' .~, % ~~ ~` ~ ^^b` i ~ ~~ ~ i i ~ i !ti' h° ~ " P ~ :o ~ h ^~ ,~ h i ~ i O ,~ ~ ~ ~~CS ~. ~; ~ % .~ ~~ 0~ ~~ ~~ nm aw~cw~Y ~--[u~c emt r - ~ ~\ 1 ~ i ti ! o-- ' _ - _ _. Model: 48RCL Multi-Fuel The Kohler® Advantage • High Quality Power Kohler home generators provide advanced voltage and frequency regulation along with ultra-low levels of harmonic distortion for excellent generator power quality to protect your valuable electronics. • Extraordinary Rellablllty Kohler is known for extraordinary reliability and performance and backs that up with an industry-leading 5-year or 2000 hour warranty. • All•Aluminum Sound Enclosure • Fast Response Kohlers Fast-Response'" X excitation system delivers excellent voltage response and short-circuit capability using arare-earth permanent magnet (PM)-excited alternator. • Ouiet Operation Kohler home generators provide quiet, neighborhood- friendly performance. Generator Set Ratings Standard Features • Kohler Co. provides one-source responsibility for the generating system and accessories, • The generator set and its components are prototype-tested, factory-built, and production-tested. • The generator set accepts rated load in one step. • A standard five-year limited warranty covers all systems anc components. • puick-ship (OS) models with selected features are available. See your Kohler distributor for details. RDC2 Controller One digital controller manages both the generator set and transfer switch functions (with optional Model RX' transfer switch). Designed for today's most sophisticated electronics. Electronic speed control responds quickly to varvinq household demand. Digital voltage regulation protects your valuable electronics from harmonic distortion and unstable power quality. Two-line, backlit LCD screen is easy to read in all lighting conditions, including direct sunlight and low fight. • Engine Features - Powerful and reliable GM 5.0 Lliquid-cooled engine Closed-loop fuel control for long-lasting, clean emissions Simple field conversion between natural gas and LP vapor fuels while maintaining emission certification • Innovative Cooling System Electronically controlled fan speetls minimize generator set sound signature • Certiflcatlons The 60 Hz generator set engine is certified by the Environmental Protection Agency (EPA) to conform to the New Source Performance Standard(NSPS)forstationary spark-ignited emissions. = UL 2200 listing is available (60 Hz only) CSA certification is available (60 Hz only) Approved for stationary standby applications in locations served by a reliable utility source Natural Gas LP Gas 130=C Rise 130'C Rise Standby Rating Standby Rating Alternator Voltage Ph - Hz kW/kVA__ ~Am s ~kW(kVA Amps 120,'208 3 60 48160 167 50163 173 120(240 3 60 46/58 138 48160 144 4P7BX 277!480 3 - 60 48/60 __ 72 50/63 75 _ 2201380' 3 50 38,!48 72 39149 74 230(400 3 50 38!48 69 40/50 72 240.r416' 3 50 38/48 66 40/50 69 =Q78X 120246 1 6 /48 200 -48'48 200 s t' '~ ' ~s,_ ~~ ~ _ r .. ' S0 Hz models are factory-connected as 230,r4D0 volts. Field-adjustable to 2201380 or 2401416 volts by an authorizetl service technician. PATINGS. Pll three-phase units are raletl et C.B pourer feGpr. All single-phase units are rate0 at 1 p power faQpr. Srantlby Rdtlllgs: 518f:Cby fallnQS aGpiy Ic IWteilapons served py a 'e'SSbe c!rdY ep. x _ Tne startlby ratingrsapplioableto varyin9lcatlsvnth an average load Yettcr o!80°5 for thetluraticn otaxwerputage. NO pvenoatl capaciryisspeCfieofonnis!a0ng. Ratings are In aaromance v:;^.1503CUC' BS 551 a. AS 2]09. ana DIN 6271. GENERAL GUIDELINES FOR DERATING. AINWe~ Dente 1.3=, pe' tOD m!323 fl) alevatlon abate 200 m I556P ~ Temperature: Derete 80=~ par 70'C 118'F temperature aM~m 25 C I]]'F~. Avalabiliry Is sugect to cM1enge wicFOUt mice. The generator se: m1Jz-_.=-s- ~eserves Pe vght [o c4ange the tlesign or speafioatlcns without notice antl wdhout acy ed~gefcn o-"ac !'.. .v!-alspever. C0n!eC yam local KMler generator ¢stribu:cr !m aveileoillty G4-211 148RCL1 "== towrv of sauiltnin _ __.._. 09001 ~"' ~ !4~4~.....- _. ~, _. :ecs-reea Alternator Specifications Specifications Alternator Manufacturer Kohler Exciter type 8rushless, Rare-Earth Permanent Magnet ~eacs quantity. type ~1O7BX 4. 120/240 :P7BX 12, Reconnectable Votage regulator Solid State. VoItslHz ~osulation NEMA MGt =V~ateriai Class H Temperature rise t30`C, Standby Bearing. quantity. type 1, Sealed Ccupling Flexible Disc Amortisseur windings Full Voltage regulation. no-load to full-load _ 1.0% RMS Jaba:anced lead capability 100°6 of Rated Standby Current Cne-step load acceptance 100% of Rating Peek motor starting kVA. (35% dip for voltages below) 480 V. 400 V 4P7BX (t 2 lead) 180 (60 Hzj. 136 (50 Hz1 240 V 4C7BX (4 lead) 113 (60 Hz) • The unique Fast-Response"' X excitation system delivers excellent voltage response and short-circuit capability using a rare-earth.. permanent magnet (PM)-excited alternator. • Brushless, rotating-field alternator with broadrange reconnectability. • NEMA MG1 ,IEEE, and ANSI standards compliance for temperature rise and motor starting. • Sustained short-circuit current of up to 300°0 of the rated current for up to 10 seconds. • Sustained short-circuit current enabling downstream circuit breakers to trip without collapsing the alternator field. • Self-ventilated and dripproof construction, • Vacuum-impregnated windings with fungus-resistant epoxy varnish for dependability and long life. • Superior voltage waveform from atwo-thirds pitch stator and skewed rotor. Application Data Engine Engine Specitications 60 Hz 50 Hz Manufacturer General Motors Ergioe- model. type Industrial Powertrain Vortec 5.0 L 4-Cycle Natural Aspiration Cylinder arrangement V-8 7isp~~acemenL L (cu. in.) 5.0 (300) Bore and stroke. mm (in_) 949 x 88.4 13 74 x 3.481 Compression ratio g,4.1 Main bearings. quantity.. type 5, M400 Copper Lead Rated rpm 1800 1500 Max. power ai rated rpm. kW (HP) 66.4 (89) 54.5 Q3) °~stoq speed. mmin. (N-: m'ml 316 (1044) 265 (870) Cylinder head material Cast Iron Piston type and material High Silicon Aluminum Crankshaft material Nodular Iron va~~e iernaus(1 materiel Forged Steel Governor type Electronic Frequency regulation. no-load to full-load Isochronous Requency regulation. steady state x1.0% Frequency Fixed Air cleaner tvpe pry Exhaust Exhaust System 60 Hz SC Hz Exhaust manifold type Dry Exhaust flow at rated kW. msimin. (cfm) 13.3 (468) 10.6 (375) Exhaust temperature at rated kW, dry exhaust. C (=F) 716 (1320) Maximum allowable back pressure. kPa (in. Hg) 10.2 (3-0) Exhaust outlet size at engine hookup. mm;in.) 63 (2.5) OD Engine Electrical Engine Electrical System Ignition system Electronic Battery charging alternator. Ground (negatlve~positive) Negative Volts (DC) 12 Ampere rating 70 Starter motor rated ioitage (DCr f2 Battery. recommended cold cranking amps (CCA!_ Qty.. rating for -18`C (0`FI Cne. o"3C Battery voltage (DC) _ Battery group size 24 Fuel Fuel System Fuel type LP Gas or Natural Gas Fuel supply line inlet 1 in. NPT Natural gas fuel supply pressure- kPa (in. H,OI 1.74-2.74 i7-t1 i LPG vapor withdrawal fuel supply pressure. kPa (in. HpO) 1.24-2 74 (5.111 Fuel Composition Limits * Nat. Ges LP Gas Methane. °~i, by volume 90 min. - Ethane.. °% by volume 4.0 max. - Propane °~ by volume 1.0 max. 85 m~,r Propene. °° by volume 0.1 max. 5.0 max. C.y and higher. °-o by volume 0.3 max. 2.5 max. Sulfur, ppm mass 25 max. Lower heating value s MJ'm (Btwft )- ml^. 33.2 (890) 84.2 (2260) * Fuels with other compositions may be acceptable. tt your fuel is outside the listed specifications. contact your local dlstribulor for further analysis and advice G4-211 ',48RC0 rt2t Application Data Lubrication RDC2 Controller Lubricating System Typ= Full Pressure Oil pan capacity. L (qtJ 4.7 (5.0) ou pan capacity wlm inter L (qt.) s.2 (ss) Cil Alter. quantity, type 1. Cartridge Ratliator System 60 Hz 50 Hz Ambient temperature, 'C (=F) 45 (113) Radiator system capacity, including ?ngine. L (gal.) 17 (4.5) Engine jacket water flow. Lpm (gpm) 117.3 (31) 98.4 (26) leaf rejected to cooling water at rated eVJ. dry exhaust. kW (Btu/min.) 48.4 (2750) 42.9 (2440) Water pump type Centrifugal Fan diameter. mm pn.) qty. 3 @ 406 (16) ran pcwer requirements (powered by zngine battery charging alternator) 12VDC. t8 emps each Operation Requirements Air Requirements 60 Hz 50 Hz Radiator-cooled cooling air. m"min. (scfm)~ 51 (1800) 51 (1800) Combustion eir m3/min. (cfm) 4.5 (159) 3.7 (132) Air over engine. m3/min. (cfm) 25 (900) 25 (9001 Air density = 1.20 kgrms (0.0751bm1ft3) Fuel Consumption? Natural Gas, m3/hr. (cfh) at °h loatl 60 Hz 50 Hz 100°6 19.8 (699) 15.8 (559) 'S°5 16.9 (598) 13.5 !478) 50;0 13.0 (461) 10.4 (368) v 25°~0 9.1 (321) 7.3 (257) Exercise 4.2 (147) 4.2 (147) LP Gas, m4lhr. (cfh) at % loatl 60 Hz 50 Hz 100go 8.0 (283) 6 4 (226) 75°-0 6.7 (235) 5.3 (188) 50`5 5.0 (175) 4A (140) 25== 3-4 (121) 2.7 1971 Exercise 1.5 (54) 1.5 (54) -- Nominal Fuel Rating: Natural gas. 37 MJ/ms ( 1000 Btu/h3) LP Vapor, 93 MJ~ms (2500 Btu/fts) LP vapor conversion factors 8.58 ft.3 = 1 Ib. 0.535 ms = 1 kg. 36.39 ft.3 = 1 gal. Sound Enclosure Features • Sound-attenuating enclosure uses acoustic insulation that meets UL 94 HFt flammability classification and repels moisture absorption. • Internally mounted critical silencer. Skid-mounted. aluminum construction with two removable access panels. • Fade-, scratch-: and corrosion-resistant Kohler cashmere powder-baked finish. Sound Data Model 48RCL sound level is 58 dBA during weekly engine exercise and 61 dBA during full-speed generator diagnostics _ and normal operation. Vonege 2S'd T.. r,eG o°a~~ t~, ° a= # a. „~ °., I'=~--6 The RDC2 controller provides integrated control for the generator set, Kohler Model RXT transfer switch. programmable interface module (PIM), and load control module (LCM). The RDC2 controller's 2-line LCD screen displays status messages and system settings that are clear and easy fo read. even in direct sunlight or low light. RDC2 Controller Features • Membrane keypad: OFF. AUTO, and RUN pushbuttons - Select and arrow buttons for access to system configuration and adjustment menus • LED indicators for OFF, AUTO, and RUN modes • LED indicators for utility power and generator set source availability and ATS position (Model RXT transfer switch required) • LCO screen: Two lines x 16 characters per line .. Backlit display with adjustable contrast for excellent visibility in all lighting conditions • Scrolling system status display Generator set status Voltage and frequency Engine temperature - OII pressure Battery voltage Engine runtime hours • Date and time displays • Smart engine cooidown senses engine temperature • Digital isochronous governor to maintain steady-state speed at all loads • Digital voltage regulation: ±1.0°! RMS no-load to full-load • Automatic start with programmed cranking cycle • Programmable exerciser can be set to start automatically on any any future day and time, and to run every week or every two weeks • Exercise modes = Unloaded exercise with complete system diagnostics Unloaded full-speed exercise Loaded full-speed exercise (Model RXT ATS required) • Front-access mini USB connector for SiteTech- connection • Integral Ethernet connector for Kohler`-` OnCue` • Built-in 2.5 amp battery charger • Remote two-wire start/stop capability for optional connection of Model RDT or RSB transfer switches All sound levels are measured at 7 meters with no load. See additional controller features on the next page. ca-zn 'aeacc. - _-