HomeMy WebLinkAbout38054-Z Town of Southold Annex 9/21/2013
~ P.O. Box 1179
54375 Main Road
Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36522 Date: 9/21/2013
THIS CERTIFIES that the building GENERATOR
Location of Property: 200 Green Hill Ln, Greenport,
SCTM 473889 SecBlock/Lot: 33.-3-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/15/2013 pursuant to which Building Permit No. 38054 dated 5/28/2013
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 applied for.
The certificate is issued to Psaltakis, Bessie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38054 9/16/23
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
~9 SOUTHOLD, NY
a
.Z.h d~
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 38054 Date: 5/28/2013
Permission is hereby granted to:
Psaltakis, Bessie _
200 Green Hill Ln
Greenport, NY 11944
To: Install an accessory generator as applied for.
At premises located at:
200 Green Hill Ln
SCTM # 473889
Sec/Block/Lot # 33: 3-13
Pursuant to application dated _ 5/15/2013 and approved by the Building Inspector.
To expire on 11/28/2014.
Fees:
ACCESSORY $100.00
CO -ACCESSORY BUILDING $50.00
T $150.00
Buildin I
Form No. 6 _ D
TOWN OF SOUTHOLD ~,(,N/
BUILDING DEPARTMENT Y
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:
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 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similaz 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 Apri19,1957) non-conforming uses, or buildings and "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 $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00
Date. ~ i
New Construction: Old or Prie-LLexistiing,^,Building: (check one)
Location of Property: ~ OU ll'rP_2n nl I I t~(.l~le. ~ lsYeen ~O]'~ , ~ y
House No. Street'~ Hamlet
Owner or Owners of Property: ~°~C]\TCtiK\5
Suffolk County Tax Map No 1000, Section 33 Block ~ 3 Lot 33
Subdivision Filed Map. Lot:
Permit No. 3405 ~ Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: 1/
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
t Signature
~o~~oF so~ryolo
Town Hall Annex yy yy Telephone (631) 765-1802
54375 Main Roaa T T Fax (63I) 765-9502
N.O. Box 1179 G ~
sr~~tnoia, NY u9~1-o9s9 ~ • ~o rogecrichert(p)town.southold.nv.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Bess Psaltakis
Address: 200 Green Hill Ln City: Greenport St: NY Zip: 11944
Building Permit 38054 Section: 33 Block: ,3 -7-3~ Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AJ'S Power Inc License No: 35715-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
otner Eg~ipment: gKW stand by generator with 50a auto transfer switch
Notes:
Inspector Signature: ~-d-PF~~~ Date: Sept 16 2013
81-Cert Electrical Compliance Form.xls
e'~~~ soury~
TOWN OF SOUTNOLD BUILDING DEPT.
765.1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
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TOWN OF S'~OUTHOLD BUI~ DING PERMIT APPLICATION CHECKLIST
BUILDING D$PARTMENT ~ Do you have or need the following, before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 / Survey
SoutholdTown.NorthForknet PERMIT NO. .%}~n'~ 7~i Check
Septic Form
N.Y.S.D.E.C.
Trustees
~ Flood Permit
Examined J ~ G 20~ Storm-Water Assessment Form
Contact:
Approved J 20~ Mail to:
Disapproved a/c
Phone:
Expiration ,20_
~r_~ n ~ ~ III t~ ~ But ding In pector
I ( PLICATION FOR BUILDING PERMIT
I
MAY 2 2 2~ ~ Date 201.3
INSTRUCTIONS
BLDG. DEPT.
a. letely 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.
c. The work wvered by this 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 part 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 wmply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
APPROVED AS NOTED icantorname,ifacorporation)
DATE: z~ P. # :~8 J aV e c MG.~SG I}eGU4 N y 11758
(Mailing
address o~app icant)
FEE: ~ ~ BY:
State whether a B I~t? akdhitect, engineer, general contractor, electrician, plumber or builder
~~5~1~80r2d~8
Ap~ PM OR THE
I TIONS:
~FIIOlao7 0-RE(]tJtR1=
P RED CQ~ 1
Name of owner ~f ~e~ Ff}AIdfIR6~h981 SSG ~ 1 Ll k15
3. INSULATION (As on the tax roll or latest deed)
If applicant is a ~o>~~ttQp~y~~d~l,,}~}ttthorized officer
RF COMPLETE FOR C.O.
(Name ar~Kiti}pp~'p~pplt0td ar)MEET THE
Builders License`.'N6K BTTTE. Nrr RFSPONS!8LE FOH
Plumbers Licens~~66?ty ~:fi i5: Fs - . , ~~N EnriGn•~.
Electricians License No. ~L1
Other Trade's License No.
1. Lo anon of end on whi h roposed work will be one:
~00 csree n
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House Number Street Ham et
County Tax Map No. 1000 Section ~ 3 Block ~ 3 Lot 33
Subdivision Filed Map No. Lot
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Tam Ha8 Annex ~ Telephone (631) 765-1802
54375 Main Road ~ (631) 7
P.O. Box 1179 rOtlBr.rlCilettONrt1.SOUd101tl.nV.UB
Soud~oW, NY 1197!-0959 ~ '
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SUII.DING DFPARTMFSTT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
p ' ~
REQUESTED BY: -L~nThOhV ~C'Uffi Date: MQ 3, 2013
Company Name: ' Over Si-,c
Name:
License Na.:
dress: ~ $
ne No.: _
JOBSITE INFORMATION: (*Indicates required information)
"Name: ~ 5
*Address: ~ N ~
*Cross Street: p
*Phone No.. / - - OO~f
Permit No.: :1c O
Tax'Map District: 1000 Section: 33 81odc: Lot:! `
"BRIEF DESCRIPTION OF WORK (Please Prlnt Clearly)
r nska Il~ha~ c~-~ 8 Kty c~enrrnl f.tiA~?-~n ~-ih~ h., ' .v>Prrx{ar -nr~ -~trel~
(Please Circle All That Apply)
*Is job ready for, inspectfCin: YES / Rough In Final
*Do'you need a Temp Cert'rficate: YES -
Temp Information (!f~ needed) '
*Service Size: 1 Phase 3Phase 100' 150 200 300 350 400 Other
'New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additions! Information: PAYMENT DUE WITH APPLICATION
.82=Reque& for Inspecflon Fortn - ~
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~o~~OF SOUIyo
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Town Hall Annex T Telephorre (681) 765-1802
SPO. sox r`~ ~ roaer.richert~ovim
so~.nv.us ~
Southold. NY 11971-0959 I
BUIIDIIVG DFPARTMEdV'T
TOWN OF SOUTHO][.D
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: _~t~0i')V JC'Ut'~ Date: ~Q 3, 201,3 I
Company Name: ' Ot,~;er Shc
Name:
License No.: _ E
Address: 3$ f
Phone No.:
JOBSITE INFORMATION: (*lnd.icates required information)
*Name: P 15 1
*Address: h(~(') (~'-IrPnr~ ~ t'~y1e sY r~,r~, Ny
*Cross Street: f~Oml3~P~l~ ~11 ? ~
*Phone No.. ,3/ - ~l ~7 - OO~~o -
Permit No.: - ~
Tax Map District: 1000 Sect n: 33 Block: Lot: ?,3_
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
inS~Fall~harl crF SKI,t) ~ rxl f.~in~f?-l~ .~h~l h~. Cte~~
~t2~h7~'i/e/~
{Please Circle AN That Apply)
*Is job ready for inspectk5n: YES / O Rough In Final
*Do you need a Temp Certificate: YES
Temp Information (If needed)
*SeMce Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-oomect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
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.82~l2equestforlnspectlon Form
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SUFFOLK COUNTY DEPARTMENT
OF CONSUMER AFFAIRS
MASTER
ELECTRICIAN
ANTHONY SCOTTI
' This
Ceff~eS tlWi the weE AJS POWER INC
bearer is Bury
licensed by ~e
CauMy of Suffolk ~f~
R..6..rR ~l!
> 35715-ME
~„Y~,,. I mwr.+o+wn 09!01/2014
.Automatic Home Generator Systems
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Fuel Type Propane lLP VOpor, atural Gas INGI Pmpane lLP Vaporl. Naturol Gas INGI
GE Power Management Selected Circuits Symphony'" II Power Management
Watts'LP/NG B,OOOILP Vaporl 10.0001LP Vaporl
6.OCO INGI 9,000 ING1
Engine SOOCC 870c<
Briggs65tratton°Intek Engine Briggsfi8[ratton°Vanguord Engine
Operation Fully Automatic Fully Automatic
Voltage 120/240V AC, Single Phase 1.Opf 120/240V AC, Single Phase, l Opf
Amps 24WI 33.3 ILPI 41.71LPI
251NGf 3751NGI
Alternator Brushed Brushed
Voltage Regulation Automatic Automatic
Full Pressure
Yes ves
Lubrication
Fuel Consumption' 376 R'/hr, 1.04 gal/hr ILPI 42.8 ft'/hr L1B got/hr ILPI
tat V, Load f 94 fP/hr INGI ill ft'/hr INGI
Fuel Consumption' S6.4 ft'/hr, 1.57 gal/hr ILPI 65.6 tt'/hr, 1.829a1/hr ILPI
tat Full Load 1 121 fts/hr WGI 169 fN/hr INGI
Weekly Exerciser Yes ves
Enclosure Technology Golvanneal steel Galvanneal steel
with corrosion resistant paint with corrosion resislont point
Hour Meter Yes Yes
Overcrank Protection Yes ves
Dimensions ILx W xHl 28" x 24 4" x 33.5 28" x 24 4' x 33.5"
Weight 26216s. 2721bs.
(Generator Onlyl
Warranty' 4 Year limited 4 Veor Limited
100 Am0 Automatic Transfer Switch
50 Amp, 10 circuit with Symphony II Power Management
Transfer Switch Options
automOtit transfer switch 200 Amp Automatic Transfer Switch
with Symphony II Power Monagemem
Basic Wireless Monitor Yes Ves
Included Extras Eorh system includes an hour meter. Eoch system includes an hour meter,
battery charger and synthetic oil. buttery charger and synthetic oil.
= ibis qen raro~ Iz nred .n aacrdance wiU•. UL IUntlerwri;e~z Laboroto' esi 22001smt onoy ergme generaor
assembLesl antl CSA (Canadian S.ondards Associctionl standard C2L2 No.100-041motors and gen>ratorsl
= warru~:y detail ovoiloble at ge.com/generatasystems
msto!!puons must stncay comply with oil oppLmhle codas, mdusby stondords, laws, regmotio~s and
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The insmllotion manual contains specific los;ruc-ions related to generator placemen:In addition to !JFpA 3],
inUUding ;he reg~~remen! that mrbon monoxide cetedms be insmlled and mein:mr•.ed In your home
°FUel mnsumptio, rates are eIIimotec based on normal operating condi;lans aUSrood Generator opemLOn ~ ~
moy be grey^iy affected ay e'evaticn end the cycfirg operation o`rreL•iple eleancolapp'.mncez-luei riow LIbfF0
rotes moy vary tlepentlag on these lactors_
Is a bademork of General Electric Company
~ and is under license by Briggs & Stratton ed s e strouon cur the ri nt ro m~xe
Corporation 99hanges in spec ficotian~s ana (eeu res shover
Post ONice Box 702 herei.,. or discontinue the pmdud described at
yilwaukee. WI 53201 LSA any vme w~;haut notce or obbgeuen.
ASSembled in USA GESBOGa13/1f
SUFFOLK COUNTY DEPARTMENT
OF CONSUMER AFFAIRS
MASTER
~I ELECTRICIAN
ANTHONY SCOTTI
This certifies that the '"E""'
beafef IS dilly AJ'S POWER INC
licensed by the
County of Suftolk ~
35715-ME 09f7`N~
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c°"""'"°'"' ~ (E°"'""°"wre 09/01/2074