Loading...
HomeMy WebLinkAbout37978-Z ~yOFF!(,r Town of Southold Annex 9/11/2013 P.O. Boz 1179 54375 Main Road ~ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36498 Date: 9/11/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 2800 Camp Mineola Rd, Mattituck, SCTM 473889 Sec/Block/Lot: 123.-5-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/17/2013 pursuant to which Building Permit No. 37978 dated 4/26/2013 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 venerator as applied for The certificate is issued to Boyle, Donald & Boyle, Kathryn (OWNER) - of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37978 8/22/13 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 's ~ SOUTHOLD, NY a 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 37978 Date: 4/26/2013 Permission is hereby granted to: Boyle, Donald & Boyle, Kathryn _ _ _ 13 Hoffman St Maplewood, NJ 07040 To: install an accessory Generator as applied for At premises located at: 2800 Camp Mineola Rd, Mattituck SCTM # 473889 Sec/Block/Lot # 123: 5-4 Pursuant to application dated .4/17/2013. and approved by the Building Inspector. To expire on 10/26/2014. Fees: ACCESSORY $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 i Building Inspector sue. Form No_ 6 TOWN OF SOUTIIOLD 1P g~~ 1 . BUILDING DEPARTMENT I TOWN HALL ~ -lea - l °j 765-1802 APPLICATION FOR CERTIFIC~ITE 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: 1. 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 2110 of 1% lead. . 5. Commercial building, industrial building, mdltiple 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 Apri14, 1957) rion-conforming uses, or buildings artd "pre-existing" land uses: 1. 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -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:OQ Businesses $50.00: 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of.Occupancy - $25 4. Updated Certificate o€Occupancy - $50.00 5. Temporary Certificate o€Occupancy -Residential $15.00, Commercial $15.00 Date. ~1// 7 3 New Construction: Old or Pre-existing Building: ~ (check one) Location of Property: ~ ~ U 0 C!-II~I° /"1/ N 1QoL{ D }fA i i / i ~/Cl~ House No. Street Hamlet Owner or Owners of Property: ~ n ~ k.9 i i-l K y i.! ~ ~ Y c. c`_ Suffolk County Tax Map No 1000, Section / Block 5 Lot Subdivision Filed Map. Lot: Permit No. ~ Date of Permit. ~ ' Z ~ " ~-3 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: 1/ (check one) Fee Submitted $ _ ~p ~F~CP Applicant Signature ~ hO~~OF SOUjyolo Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ ~ Fax (631) 765-9502 Po. Box 1179 roger.richertl7townsouthold.nv.us Southold, NY 11971-0959 ~ i~ ~~OOUNT'i,~` BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SRE LOCATION Issued To: Boyle ddress: 2800 Camp Mineola Rd Ci[y: Mattituck St: NY Zip: 11952 Building Permit#: 37978 Section: ~ 23 Blodc: 5 Lot: 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE ConVactor: DBA: Laurel L'Ighting License No: SITE DETAILS Office Use Only Residentlal X Indoor X Basement Service Only Commedcal Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Additlon Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures SeMce 3 ph Hot Water GFCI Recpt Wall FlxWres Smoke Detectors Main Panel AIC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Bbwer Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtu Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Otlrer Equipment 20KW standby generator with 200a auto transfer switch Notes: Inspector Signature: Date: Aug 22 2013 81-Cert Electrical Compliance Fortn.xls TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT ~ ~ Do you have or need the following, before applying? TOWN HALL Board of Health SOfJTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. ~ VCheck Septic Form N.Y.S. D. E.C. Trustees JC.O. Application Flood Permit Examined~~,20~ Single & Separate Storm-Water Assessment Forin CJ Contact: Approved r air , 20 ~ Mail to: Disapproved a/c Expiration /X(o , 20~ ~i.5'rI100~+0~Nia101 ~ 1dLO sate Building Inspector ttOb ~ { ~ ~A~ LIGATION FOR BUILDING PERMIT Date ~f'~i7 ,20 J J'I i_~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. a The work covered by Chis application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in par[ for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in builcJing for necessary inspections. J ~J V - d ~ - (Signature of applicant or name, if a corporation) . a , _r o e cAr!° f7 1,u~otA F2oA t~ /7A i Tzi t/c/< pt Y 9SZ :.,r'- - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general c~l~PR'~uV~~ ic~.~}µmber or builder _ p w n! ~ l~ E ~(3~e P re~~9 7 S~ Name of owner of premises 7~a iv 61 c.?j ~ lCA z~'l'~' ~ N ~o-~X~'~:.. ~"~r!~- (As on the tax roll p latest t' F""' 'IFNT A7 If a licant is a eo oration, si nature of dul authorized officer ' ~ ~ " PP rP g Y FOLLOWINGIN,;-~r~iONS 1. FOUNDATION - T';'. , ?EQUir<~D (Name and title of corporate officer) FOR POURED CC _ E 2 ROUGH-FRAMild^ Builders License No. STRAPPING, ELEC i F, ;i~L 8 CAULKING Plumbers License No. 3. INSULATION Electricians License No. A. FINAL-CONSTRUC^C~',eELECTRICn~ Other Trade's License No. MUST BE COMPLt .l- C 0. s.,s„st,f;o'':;~ ALLCONSTRUCTIC~ ~^EETTHE 1. Location of land on which ro osed work will be done: REQUIREMENTS 0- ;.>F yr~w P P YOR~csT,pT~-NE1~ GR 2 k ~A h P N 1 /J E o L /Qo%~ l~ DESI~k~iR~col~sfF~ ~R~Ra. House Number Street Hamlet County Tax Map No. 1000 Section / p~ ~J Block ,S Lot Subdivision Fi1~d,NJap No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ a. Existing use and occupancy ~'Es / AEA i ~ A L b. Intended use and occupancy sA t~ ~ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 73A c K - G ~ ~E~zA %°2 (Description) 4. Estimated Cost D U Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 1 ~ 7. Dimensions of existing structures, if any: Front ~ ~ Rear 5 / Depth ~ 2 ~ Height Number of Stories 'z- Dimensions of same structure with alterations or additions: Front ~ Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear C~e~ljh 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~WiII excess fill be removed from premises? YES NO Do NA /Z - 14. Names of Owner of premises K9 : y Ry,,( ~ . R©rt epddress Phone No. Name of Architect Address Phone No Name of Contractor LAv.2eZ L ~ ~ H N C~ Address ~ 97 hA~N /2 A _Phone No. Z 9 ~ ~-f 3 / 3 Lgv2t t~ iv y 15 a. Is this property within 100 feet of a 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 of a tidal wetland? *YES NO~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on Survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF -S `'~FoL 17~n1 L1 L 1] ~ ay ~ L being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNfE D. BUNCH Notary Public, State of Now York (S)He is the ©t"~ ~ No. 09BU5185r150 (Contractor, Agent, Corporate Officer, etc.) ua me m u o ou Commission Expires Ain•i tit, ?~3 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 performed in the manner set forth in the application filed therewith. Sworn to before meth' 1(~ n_ ^ day of ~~l / 20~ \ \ Notary Public Signature of Applicant ( . , , ' i`' t,i t.. U~ 2q0. is 3~ ri .,.t~'2c fr +s L . ~ . p , Jr' } ~1 1j Ll n _ N T iJi ' f s;q.,a qty ~~i:2A;.~R,~{~~~X2.'i~~-9~/kl !S { i lip !a ~ _ "D Is;Aa~~ ~ s/ar Pn3Pir2%y L.:NC'-Z~F7 r- I _ ~ ~ ~ l~J7JS ,~f/s .^c %~~tr~iz ~~~Z-n f~ G. l.l~ _rZ,~ ~J J Y' ~ D f , 1` y% ~ Go NC. WAi~G5 !o ~ 1!~ ~ l (t F fY 't~ hJ i ~ ! L~ ~ i ~j~ ~ ~ I!}` ~ . ~ I C~+',v~ 737.6xx TC cCr.AU4. Rowe , - "SAM? tilt,. (y(,.A faaA~~ z~ ra>r ¢~~w;r ;F w.v ~ , y~ l rh%~~1 C ~ 4' i.. i' °~w ~ t-= . 37g7~ GENERAC' 17/20kW available accessories _ MINI # laredea oe:erteno. 5619 26R Wet Ce8 Battery Every standby generator regdres a battery to start the system. rxnerac offers the recommended 26R wet ceq battery fe use with all air-coded standby product 6212 Cdd Weatiler KK tt the temperablre regdaAy faAs blow 32° F, irlatall a cdd weather led to malmain optimal battery and dl temperatraes. Kd catsists d a battery wanner and oil filer tceater wiM bold-in filerrtlostals. 5621 Alailiary Transfer Switch Contact The alndiary transfer swgch tamed lei[ alkaws the transfer switch to lock out a single large electrical load Ktt you may not need. 5639 -Bisque Fascia Base Wrap Kd' The fascia base wrap snaps together around the bdtom the new air coded generafare. This otters a 5666 ~ on 211kV~ sleek conkaured appearance as weR as ofledng protactlan irom rodems and insects by covering the NFting holes bca[ed in the base. 5703 -Bisque tt the generate encbsure is scratched a damaged, tt is impatam to touch-up the palm to gated from 5704 -Gray Paint Kit" future corrosion. The Perim ktt includes Ble necessary palm to properly mdmain etouch-up a 9anerator encbsae. 6484 -17kW Generac's schedded rroimenance ki6 provide all the hardware necessary to perform complete routlne 6485.20kW Scheduled Makdenance Kit mailrtanance on a Generac automatic standby gerlera[ar. 5928 Wireless Remote Comple[Ny wireless and battery powered, Genarac's wreless remote monitor provides you w8h instam status imorma6on witllom ever leaving the house. Na compatible with CarePower a Eco(~en systems. Remotety conorol generator functions witil the advanced modeFs LCD display. In additlm to remote 5951 Advanced Wireless Remote testing d the generator, set the eacercise cycle and maimenarlce kderval reminders. Not compatlbk wiN CeePower a EcoGen systems. The PMM Starts Kit consists of a 24V, field installed transtortner that enables the use d the 24V Power 6199 PMM Starter Kh Managemalt Modules (PMMs). This kit includes one PMM. The standard contrdler (witllout starter led) can corltrd two HVAC loads witll no additional hardware. Power Management Module (50 Power Managemerd Modules are used in conjurlctlon with the Smart Swdeh ro increase tts power 5937 management capabititles. tt gives the Smart Switch addhtional power managemem flerdbitiry not toatd in arty otiler transfer switch. Not compatbe wiN pre-wired swdches. Generac's Mobile: Link device allows you to check Itle status of yea generates from anywhere that you 6463 Mobile: Link° Device have access m an Internet connection from a PC a witil arty smart device. You will even be notified when a change M the generator's status cecurs via email or tent message. " Note: Bisque kits are used in conjunction witll steel enclosures. Grav kits are used in conjunction wtth aluminum enclosures. f~1111P.OAlOOR Darien antl soecifiratian anrearo dBnre weAOM notice. pmereions shwm ale appm4male. Con6IX your Gecerec tlealer MCemifiee OlaMnos. WNOT LSE TNESE nIN1FF1&IONS rmfl INSfALIATION PURPOSES. en. Izs.11 1z1e R~ al 0 ]91.6 Ize.al GENERAC' o L o 0 842 Pa 7 ~e~~ PEAOMVA tY~ MINIMUM IIB.9] I FCT clmF \/IFW GFlf1NT VIEW GENERAC• Generac Power Systems, Inc. • S45 W29290 HWY. 59, Waukesha, ve 53189 • generac.com 5+2013 Generac Power 9velema. Mc, as reaerye6. MI soecmcanwN are sufiyci 1o cNan6e NANOM IN6ce. BWetln 01979905By-A PrINW in U.S.A. 02/11/13