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
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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
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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
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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
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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:
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DATE 7 ~ I~ INSPECTOR ~
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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)
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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 ,-„
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ICATIUN FOR BUILDING PERMIT
~, ~~~~-.-t~
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~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
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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)._______ _
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Pr paPiwrr~/44.657/17.1 Tendle.~Grouande 700S.F. ------
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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
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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, (-
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•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.
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worn to
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~ y
..............1Q...._~..............-d-yof..~JC~I(hJ.~l!~.- .._......,201.Y o~~7
Notary Public... .. ... .. .................t;pgfJ:•DflROSi(f°--- .... ............. ---//"""-`~-•••••.`•.••..--~-
tsiemue a A.r~d)
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......~ 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~
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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
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JUL 2 2013 %`,
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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
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PROPOSED DEVELOPMENT AREA
AREA = 218,007.51 sq. ft.
(TO T1E LINE) 5.005 aC.
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5115 NEW SUFFOLK ROAD
NEW SUFFOLK, NY 11956
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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
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' 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 "==
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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.
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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. - _-