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
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e
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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
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SURVEY OF CERIF]EO TO:
LOT 5
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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
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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
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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
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