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Home My WebLink About38318-Z Town of Southold Annex 11/19/2013 P.O. Box 1179 ~e 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36611 Date: 11/19/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 390 N Sea Dr, Southold, SCTM 473889 Sec/Block/Lot: 54.-5-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/4/2013 pursuant to which Building Permit No. 38318 dated 9/13/2013 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 Belica, Paul & Belica, Deborah (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38318 9/24/13 PLUMBERS CERTIFICATION DATED Au thorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT J TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 38318 Date: 9/13/2013 Permission is hereby granted to: Belica, Paul & Belica, Deborah 129 Kilburn Rd Garden City, NY 11530 To: install an accessory generator as applied for At premises located at: 390 N Sea Dr, Southold SCTM # 473889 Sec/Block/Lot # 54.-5-18 Pursuant to application dated 9/4/2013 and approved by the Building Inspector. To expire on 3/15/2015. Fees: ACCESSORY $100.00 CO - ACCESSORY BUILDING $50.00 Total: $150.00 1 ~ Building Inspector Form No.6 TOWN OFSOUTHOLD BUILDING DEPARTMENT 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 user 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 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from:architect or engineer responsible for the building. 6. Submit'Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)'non-conforming uses, or buildings and "pre-existing" land uses: 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 I . 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 I 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. 4 1111_7 New Construction: /ryt ~?Old or Pre--existing Building: (check one) Location of Property: Z/J O House No. Street Hamlet Owner or Owners of Property: /elFc / Suffolk County Tax Map No 1000, Section Block Q 5 Lot Z_ Subdivision Filed Map. Lot: Permit No. 3$3 Date of Permit. 1-13 - /3 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board-Approval: Request for: Temporary Certificate final^^t T'~App (check one) Fee Submitted: $ cant Signature pF SO!/j~olo Town Hall Annex yy Telephone (631) 765-1802 54375 Main Road T Fax (631) 765-9502 P.O. Box 1179 G Q Southold, NY 11971-0959 • ~o roger. riche rtRtownsouthoId.nY.us Courm, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Paul Belies Address: 390 North Sea Dr City: Southold St: NY Zip: 11971 Building Permit 38318 Section: 54 Block: 5 Lot: 18 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpl 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 Other Equipment: 20KW stand by generator with 200a transfer switch Notes: Inspector Signature:e Date: Sept 24 2013 81-Cert Electrical Compliance Form.xls o~aoe soary~ iaP~ ® TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ) FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: ` DATE / Zi INSPECTOR FIELD ]lNSPXC NREPORT DATE COMMENTS w ro FOUNDATION (IST) a o FOUNDATION (2ND) W o Q ROUGH FRAMINQ & PLUMBING CA Cq INSULATION PER N. Y. STATE ENERGY CORD U y FINAL ADDITIONAL COMMENTS c - L e - ole- a 0 m ~z U~ • ~ z JEL Of SQ(/r~o r"'4~c1 h Town Hall Annex 4 41 Telephone (631) 765-1802 54375 Main Road ~~F2jxx s~sg.yg55og P.O. Box 1179 roner.richertrapto Southold, . UNY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~uM~ y Date: Company Name: e~ Name: License No.: Address Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name:~ *Address: { *Cross Street: Mgt *Phone No.: G3/~ 7G r 4:,r2 7 Permit No.: 395 l g Tax Map District: 1000 . Section: Block: Lot: / *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES / 0 Rough In Final *Do you need a Temp Certificate: YES /(!~5) Temp Information (if needed) *Service Size: 1 Phase 3Phase 100 150 200 30 350 .400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION IIMequest for Inspection Form TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST 'BUILDING DEPARTMENT Do you have or need the following, before applying ? i OWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. 3F 3/,{ Check 100 ':~-O 4- Septic Form N.Y.S.D.E.C. Trustees Examined It ,203 Contact: Approved 2015 Mail to: 11Jze Disapproved a/c r.• Phone:r li3J 7/7~ i uilding Inspector R SEP 2013 APPLICATION FOR BUILDING PERMIT ~ - I VLF Tn Date 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 covered 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 a Certificate of Occupancy is issued by the Building Inspector. 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 building for necessary inspections. (Signa re of applicant or name, if a corporation) 5i r- (Mallmg address of applicant State whether applicant is owner, lessee, agent, architect, engineer, gener &Ltpj, electrician, plumber or builder GlDhir C~°s.isse%d~ SATE 3~13BP k 5$ 318 BY Name of owner of premises EE: NOTIFY @Ul6$ING (as on t66 tax fk44ab@te V q i. FOLLOWING INSPECTIONS If cant is a poration, si ture o duly autho d officer 1. FOUNDATION - TWO REQUIRED G FOR POURED CONCRETE ROUGH - FRAMING, PLUMBING, (Name and title of rporate officer) STRAPPING, ELECTRICAL & CAU /LNG 3 INSULATION Builders License No. 9 4 FINAL -CONSTRUC?i^"~!°,E_FC;-., MUST BE COMPLETE r r; Plumbers License No. CCNSTRUC REQUIREMENTS Electricians License No. `"ORK STATE. NOT H,_,: DESIGN OR CONSTRU_ i Other Trade's License No. ELECTRICAL 1. Location of land on which proposed work will be done: / INSPECTIONP, REQUIRED House Number Street I3amlet County Tax Map No. 1000 Section ~y Block O Lot_ Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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. 7. Dimensions of existing structures, if any: Front Re Depth Height Number of S Dimensions of same s Ore with alterations o dditio : Front Rear Depth Height Numb r of Stories 8. Dimension of en 're new st cti o Rear Depth Height N ber of Stories 9. Size of t: Fro t Rear epth 10. Date of urchase Name of Former ner 11. Zone or us district in which premises ated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded Will excess fill be removed from premises: YES NO 14. Names of Owner of premises ` Address 39~J Nf~ phone No./.?/-~/ Name of Architect Address Phone No Name of Contractor~d, a L e , Addres a2~e Phone No7Gs 271J2 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant ame o individual signing tract) above named, (S)He is the / ~?~-t P~ ? (Contractor, Agent, Corporate Officer, etc.) 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~iffore me this day of 20 J 3 Notary Public SANDRAi.BERRY 1gnature of Applicant Nouq Poik, state of New Yak No.01BE4694689 ~4lowuwr~l o S.C. TAX No. 1000-54-05-18 rrY~`• SCALE 1"=40' J _ ; MAY 1 1 , 2010 fi x~ ? ? ? NOVEMBER 3, 2010 STAKE SANITARY SYSTEM WALL V ? MARCH 12, 2071 STAKE EAST PROPERTY LINE, WALK RADIUS &•BE n ~O (4J ? OCTOBER 5, 2011 FINAL SURVEY 144 ? ? ? S oti eg `50• CERTIFIED T0: ? ? 2 `~61 AREA = 42,598 sq. ft. O~ YIL ; ? ¢N, 60,• PAUL BELICA 1.001 ac. @ °~q, ? ? y ,f- f DEBORAH BELICA e \ A 44( Fo SEPTIC SYSTEM TIE DISTANCES f'A COVER HOUSE CORNER"A" HOUSE CORNER"B" HOUSE GORNI O `SO• f<<• 9~y s? SEPTIC TANK O :6. ~`•R tRa r ""a~ OUTLET COVER 35.5' 30' d' 00 •.q _,B °F x, } INFILTRATION CAMBER `r iy y w4 .i' it 33' 28' 28' CORNER 1 INFILTRATION CAMBER CORNER 2 37' 28' 28' S~OPC7' a.° °`ck h3 CORNER T3 N CAMBER 35• 33' 33' • ( INFILTRATION CAMBER =d2 ii g CORNER 4 40' 36' 36' "Is, ~2. STEPS v, w&a a Q2 r O a PREPARED IN ACCORDANCE WITH THE MINIMUM i ~¢T O STANDARDS FOR TITLE SURVEYS AS ESTABLISHED U' dry. BY THE LIA.L.S EO ANO ADOPTEO O'P O. FOR SUCH ~BYfT1.NEWYBKK STATE LAND TITLE 9<p~ ON, . 14 PS W WW 04, fie ')IIANIOSVp I/ N.Y.S. Lic. No. 50467 ~O' rVP~ THIS SURVEY AION °R A°°ITI°N 'f Nathan Taft Corwin III ONAUILHORIZED TO THIS IS IS A VIOLATION DJ ¢v SECTION 7209 OF THE NEW YORK STATE "°jO q Land Surveyor EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT ROARING •v THE LAND SURVEYOR'S INKED SEAL OR R R~1 EMBOSSED SEAT SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. 'Sid' b, Successor To: Stanley J. s0k5en, Jr. LS. CERTIFICATIONS INDICATED HEREON SHALL RUN y4POJ~0 Joseph A. IO9egno L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE tiP F Title Surveys - Subdivisions. - Site Plans - Construction Layout TITLE COMPANY, GOVERNMENT& AGENCY AND <O LENDING INSTITUDON LISTED HEREON. AND O°l PHONE (631)727-2090 Fax (631)727-1727 TO THE ASSIGNEES of THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Q~ \ OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 THE EXISTENCE OF RIGHTS OF WAY Jamespart, New York 11947 Jamesport, New York 11947 AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 09/04/2013 01:43 6317652702 TOM QUARTY 3d3 } 9 PAGE 01/01 r Q (631) 766&- oa 51fi) 3 lY IIMREa r, Vw.m4nrv - - - q I.. Fuel Type Propane ILP Vap r tiJYQ~'G(75,, GE Power Management Whole House SymphonyTM I ama114'ITr Itch Watts' LP/NG 15,120 (LP) 17,0 L 1 - , P) 13,608 (NG). 15,3 N) G) 993cc 9 Engine Commercial-Grad guaro V Operation Fully A tic - ` Voltage 120/24OV"At, Si Phase, i.0 Amps(24OV) 631LP), 57ING) 71(LP i$3: (NG) Alternator Sr C Voltage Regulation Aut i )t Full Pressure Lubrication I Electronic Governor Y 1.89 69ft'/hr, 79 ihi ! ri Fuel Consumption, c al/hr(LP) 2.06 (LP) 23 rLP) (at sh Load I 1S6 ft31hr (NG) 170 ft~ G)' IQ 1NG) e Fuel Consumption• 109 ft'/hr, 118 J~FIF. (at Full Load 1 3.03 gal/hr (LPI 3.28 go hr (LPI 3.7 I hr (LP) 240 ft'/hr(NG) 248 ft FI G) 26, i;(NG) 1,4 Weekly Exerciser Sound Rating 69.1d8(A) at 7 meters, RPM, per IS Hour Meter g a s, Overcrank Protection DimensionslLxWxHI 48'x 'kx31" Weight (Generator Only) 484 lbs. 48 Ids b(~ bs, Warranty' Premium Limited ;...1 y Each system includes a Vithdi 11( use Sympho N~ I switch, Included Extras hour meter, battery charger, etic oil and asi~ wireless remo o itor ti Transfer Switches Package options include a 100 Amp, par Dual 200 Whole Home otic Transt ;51 h, I Ilk .thesegennarvnaeraid'wvmAO.cewttntµ2200aW CfA AaMOrd Qi2 ao.100-M. li' a„nvllni.nrma.twwy.swMy.rtnm aoWSabirconn.innlnr.y stwM.nglm...np,Mlimm~•d mmHM I 1'rm TVwM. l.: p/nnl,ldlMmuseM OM rvdmnmenwodr. anodadvyr, WOdeu, vv'sammpvvreil'v i„gmlvMkhrepph owpy hpn li 4i wrywMdow[doer4NMAelheliMOMrtw[.M.plns,•b. ~YnYmin•mvmmlruney:,yyott~f~~ngK(ipni (o91Mr010r dsomnrtinaddilimkNWAU.iMlvdmolMr<oWemlMMOt<olaonnoMadrdrkttombrinsmWdaM inyourhemv I usm w>rvMydelaibewlvbkwvettM9eM+otafYrtvme I , 'ruAmnfumpHOnrplesonesluMtedbme0 ennvrmvlvpemtilgmndidonvvlkkad.atnerololoo<mtlonm tyomected I ~ byek+oaMpMdlp C!rolrpaolrotlonolmuXlokrkRkelaoplimex_IUd llowntnmoyvantleomdinovnM cten. I','+ ,,.I "nod trademark of General Electric Company aira=r license by Briggs & Stratton Sri SfrotlanQxp. reserves Mlo eorporallon M ineR dCOVwo and ghttomake wm Post Office Box 702 1 ar dumndnue tq arodu(t descdbedm MiIwgUkCC, W1$3201 USA wy<.~e wanai+t.adav aobl:yotan, s -+r' x Awemblerl in USA Gi3E0002-1/il