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HomeMy WebLinkAbout38573-Z 'yyl Town of Southold Annex 1/31/2014 P.O. Box 1179 54375 Main Road tyli Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36748 Date: 1/31/2014 THIS CERTIFIES that the building GENERATOR Location of Property: 275 Waters Edge Way, Southold, SCTM 473889 Sec/Block/Lot: 88.-5-58 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/5/2013 pursuant to which Building Permit No. 38573 dated 12/16/2013 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 Corbin, Peter & Corbin, Annette (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38573 01-23-2014 PLUMBERS CERTIFICATION DATED A Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 38573 Date: 12116/2013 Permission is hereby granted to: Corbin, Peter & Corbin, Annette 59 Hickory St Englewood Cliffs, NJ 07632 To: install an accessory Generator as applied for At premises located at: 275 Waters Edge Way, Southold SCTM # 473889 Sec/Block/Lot # 88.-5-58 Pursuant to application dated 12/5/2013 and approved by the Building Inspector. To expire on 6/17/2015. Fees: ACCESSORY $100.00 CO - ACCESSORY BUILDING $50.00 ELECTRIC $85.00 Total: $235.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD 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 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 2/10 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, 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 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 >L Date. New Construction: j&jr e?a e? Old or Pre-existing Building: (check one) Location of Property: _275' 44 fuse Pax` 6 oe fs. ,ri,e House No. ---Street Hamlet Owner or Owners of Property: ,a n n e i i ee. #40,r-e- 6e" Suffolk County Tax Map No 1000, Section Slp' Block S Lot SSl Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant.. joy, Cry" ~_r 'k rA o11A Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ App scant Signature pF SO!/ryolo Town Hall Annex Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 e rogecrichertCaDtown.southold.nv.us Southold, NY 11971-0959 coufm BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Corbin Address: 275 Waters Edge Way City: Southold St: NY Zip: 11971 Building Permit 38573 Section: 88 Block: 5 Lot: 58 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893-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 INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Racal 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 trensfer switch Notes: Inspector Signature: Date: Jan 23 2014 81-Cert Electrical Compliance Form.xls o~,~,OF SOUT~ 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: -7 41*'~ &Z~ DATE INSPECTO FIELD RMUSWN REPORT DATE COMENTS UI ro FOUNDATION (IST) J C y FOUNDATION (2ND) x 0 J ROUGH FRAMING & c PLUMING s W INSULATION PER N. Y. y STATE ENERGY CODE y FINAL ADDITIONAL COMMENTS t .f Pyl L?l P V4 L/ O R m - J e ll~ i ~ TOWN OF SOUTHOLD BU[~1) G PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT ~i DEC -5 ton I I- 0 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.NorthFork. net PERMIT NO. S73 Check Septic Form N.Y.S.D.E,C. Trustees Examined, 20 Flood Permit Storm-Water Assessment Form Contact: Approved 620a Mail to: Disapproved a/c Phone: Expiration , 20 f /a& Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date 20 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. 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 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 building for necessary inspections. (Signature of applicant name ' a corporation) ~ (Mailing HT~ls'yl7YS~~~)~.!~ T- State whether applicant is owner, lessee, agent, architect, engineer, general contracto~etrt is uttet~ilde 3 y iiin~ ~ / ~As~ ~c ii yn GI' ni ? ~e~ac~?~? FEE 1-1 BY~ NOTIFY 6 L TNU Name of owner of premises o&,2 765-1802 8 F,M TO 4 PM I -fOttR ,Af!MF--IN ; PE6-T-IAN. (As on the tax roll or latest deed)FOUNDATION - TWO REQUIRED If applicant is a corporation, signature ofdu,J[y an officer FOR POURED CONCRETE 2. ROUGH - FRAMING, PLUMBING, (Name and title of corporate officer) STRAPPING, ELECTRICAL & CFUL> 3. INSULATION Builders License No.~2(1G04-%,N TO.,ATr. 4. FINAL -CONSTRUCTION&ELECTRIG Plumbers License No. MUST BE COMPLETE FOR C.O. Electricians License No. ~XV~ 93 - M ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. REQUIREMENTS 0' l k C^r' S r c Y0,; ;r;11E N' DESIGN OR I . Location of land on which proposed work will be done: r2-7 ~ C?a i ~sr~~,. G? ~ r~ i~ ie~q ~i House Number Str t Halx11e1 County Tax Map No. 1000 Section Block ~r Lot S e Subdivision Filed Map No. 1n~ , n t ?tQL' txd. ai',n ; ,arrr:nw,7 tiAl 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 u Number of dwelli g nits on each floor If garage, number of cars 6. If business, comme al or mixed occupancy, cifyyn tuyEand extent o each type of use. 7. Dimensions o existin structures, if any; Y Rear Depth Height NuWWr Stories I/ V Dimen ons of me str i0 with alterations or additions: ront Rear Dept Height Number of Stories 8. Dim nsions of mir new construction: Front Rear Depth Hei ht Number of Stor 9. Size lot: Front Re Depth 10. Date of hase 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_NOWill excess fill be removed from premises? YES NO ,q.nneTie 14. Names of Owner of premisesA `er -Address ,27acs L/4/ 4/,ex Phone No. 2O/ 7f(7 73-09- Name of Architect Address Phone No Name of Contractor rz Address~yicrK9SeuY!?OPhoneNo.5t6 bas'71n 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 NOS * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY .OF being duly sworn, deposes and says that (s)he is the applicant (Name of iin~divid~ua igning contract) above named, (S)He is the i4 0~? (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 before me this s~ day of SEC . 20 13 Notary Public ignature of Applicant CATHERINE CHAUDHLIN Nnhry Public, The SWe of Now Yak No. 01CHt82MM 1]AMM In fik" Canly L1y CWm*Ww Elp w Am 96, 7011 rJV so Town Hall Annex 41 Telephone (631) 765-1802 54375 Main Road C/~ P.O. Box 1179 ro-ger. richertif_xo'W3n)s7o66oikoed. ny. us Southold, NY 11971-0959 enum BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: Address: I[Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: ('vare_ (31 *Address: *Cross Street: *Phone No.: -7 1 -7 2- Permit No.: -3 Tax Map District: 1000 Sectio in~ Lot~ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) -M k<~V - W, (Please Circle All That Apply) *Is job ready for inspection: YES / NO Rough In Final *Do you need a Temp Certificate: YES / NO Temp Information (If needed) *Service Size: I Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Numberof.Meters ChangeofService Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form ATER T .a - W-EDGE WAY - - - - - - - 1 (50' AIDE) -r - n,aa 6 ,f Yam See TE 9U6 fee.ee' _YdIR nan / 6~\pr YOM. 0 N eE'PE'10 I Abe.eP' 1 1 ~I 'aerie Ipj arms p1~~~ ~ •em l ,1 1 Oe ~ ¢>a vmc AO 11k jj/ 1~' GGG / / qI{ AM 1 A a3 (te.e ` ~ ~ ~u Cd 17{ II 2 1 - ~ - V ewre u v tes'q aM/'. i P K /_oXn ' a .ru. rm g rm O®arroY ONtr ar lu.e9 ~ ~ n°a" T~ 8 / SURVEY OF CERIF]EO TO: LOT 5 uw 1EFR? WA~ 7A fYf N0. 50.5)0 eO1~.e SITUATE AT .as ~ ' _ PAYNEW REH~S ~•Vmo. A of Y W f .n:c2_ c rowN ac SOUTF o q,'.•. _ _-_.._.2 _ SUFr MUNFr NEW YORK ` _ _ - - F. DEC ]9.1958 MA^ NO.: 19OI _ ypyc. I--X' p1IT. AWI T3. P00.5 _ sccr WE. raao scc.ee sacs un se u n e--- PAT T. SECCAFRCO "SlRY':..Y.°Sf'~' 5 ~ PROFESSIONAL LAND SURVEYOR, P.C. we'° ue. r°Xr i usw 21" 1 n _ _ _ _ ~ ~.°e rOlbnplm aqy ~ [my au (LMrbS X.LVO. AIIU/ MCIC)163JJ0 R/1`lE JB-OEM p PECONIC BAY e _owu J6~. {M fa„Gn_ y r, N u - , Nn. Ossze LCRPTM! IOJ] Mr) YC I.LS. I.L 5URVEY OF LOT 5 N MAP OF TERRY WATER5 AT BAYVIEW FILED DEC,. 2q, Ig58, FILE No. 2801 w E 51TUATE, BAYVIEW TOWN, 5MTHOLD s SUFFOLK COUNTY, NY 5URVEYED: DEC. I6, 2009 SUFFOLK COUNTY TAX 1000-8H-5-58 CHA33 Ma ANN co C7HC C'OAHIN PHMA O INS N R09-URANCE (~DA9PANY VRR.EN0.3~0900643 22, C00®: ° 'roar @ ,07 fV s 4, . S2.731 5 NOTES: ¦ MOWMENT FOUND O PIPE FOUND 0,4550 5. F JOHN C. EHLERS LAND SURVEYOR Area 0.455 Acres GRAPHIC SCALE 120' 6FAS"IMAIN5lRM N. Y. S_ LIC. NO 91202 - - RIVERNBAD, N.Y. 11401 364-8299 F.. 1648281 NLP= G'\O utnrnln and SUjags\Own,r MV [Xt tnn enu\My Iknpba VMVVN 171,pm y IY j f 9 91 U III '6Vi @¢s p 4 ~0 ~n;ll lli°y''J)eyr ` m M 0 f.0 n I P f i q P NI ! ' r k',~II~ ~'EA a e I " 1 ,9 d auP„ Fuel Type Propane (LP) Propane (LP) Natural Gas (NG) Natural Gas (NG) Ge Power Management Whole House Symphonym II Automatic Transfer Switch d Watts LP/NG 15,000 (LP) 20,000 (LP) 14,000 (NG) 18,000 (NG) Engine 895cc 993cc k u g' y + Commercial-Grade VanguardT" V-Twin 4 f( Operation cs ~ Fully Automatic J f ! Voltage 120/240V AC, Single Phase, 1.0 pf ? Amps (240V) 62.5 (LP) 83.3 (LP) 58.3 ING) 75 (NG) l ( ( Alternator Brushed Voltage Regulation Automatic ` Full Pressure Lubrication Yes sy Fuel Consumption' 56 ft'/hr, 1.56 gal/hr ILPI 71 ft'/hr,1.97 gal/hr (L% = `f (at % Load ) 126 ft'/hr (NG) 160 ft/hr WG) Weekly Exerciser Yes : Q Sound Vaut~ Technology Yes Hour Meter Yes Remote System Low Oil Shutdown, Fail to Start, Low Frequency, Status Alerts Engine Overspeed, Low Voltage, Low Battery Voltage, Oil Temp High and Transfer Switch Fault Overcrank Protection Yes r"'~ ° Dimensions (Lx WxH) 48" x 33" x 30.5" with pad a IR ~rar . a ' , s I Weight (Generator Only) 592 lbs. 600 lbs. Warranty Premium 5 Year limited % " ' , ' d wz Each system includes a Whole House SymphonyTM 11 switch, Included Extras hour meter, battery charger, installation pad and synthetic oil Fuel consumption role' me estimated based on normal operating conditions at A load. Generator operation maybe greatly affected by elevation and the cycling operation of multiple electrical appliances-fuel flow rates may vary depending on these factors 0 This generator is rated in accordance with UL (underwriters wooratones) 2200 (stationary engine UM generator assemblies) and CSA (Canadian Standards Association) standard C22.2 No. 100-04 (motors and generators) , i l 5 11 II~, Is a trademark of General Electric Company I II I S and is under license by Briggs & Stratton Corporation ggs S Stratton Corp. resenres the right to make Post Office Box 702 charges in specifications am features sham Milwaukee, WI 53201 USA herein, or discontimre the product described at any time wit outnWoeor obilgaNOn. Assembled in USA GESeooo2-3/11 aA.N . «n.. ,b ' w