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Home My WebLink About38529-Z Town of Southold Annex 5/20/2014 P.O. Box 1179 �e 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36931 Date: 5/20/2014 THIS CERTIFIES that the building GENERATOR Location of Property: 1250 Mt Beulah Ave, Southold, SCTM#: 473889 See/Block/Lot: 51.-3-2.15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/12/2013 pursuant to which Building Permit No. 38529 dated 11/25/2013 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 Koch Jr, George (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38529 5/19/14 PLUMBERS CERTIFICATION DATED �AA,u,tthh�.o,rii::!� ,z,e.,di�-Sl,iig.n.a�tt,u�,r,�e TOWN OF SOUTHOLD r BUILDING DEPARTMENT TOWN CLERK'S OFFICE �T'fi SOUTHOLD, NY lop 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#: 38529 Date: 11/25/2013 Permission is hereby granted to: Koch Jr, George 1250 Mt Beulah Ave Southold, NY 11971 To: install an Accessory Generator as applied for At premises located at: 1250 Mt Beulah Ave, Southold SCTM # 473889 Sec/Block/Lot# 51.-3-2.15 Pursuant to application dated 11/12/2013 and approved by the Building Inspector. To expire on 5/27/2015. 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: 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 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 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: 1,,9&0 /4ZrtlLA,¢ ,9✓ cam T¢ t House No. Street Hamlet Owner or Owners of Property: 94oW_Qr4 �I,/- Suffolk County Tax Map No 1000, Section Block j Lot „Z Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 0 Applican Signature pF SO�ryol. Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179roger.riche rt(d-)town.Southold.ny.us G � Southold,NY 11971-0959 COUNT`I,Nct1� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: George W Koch Address: 1250 Mt Beulah Ave City: Southold St: NY Zip: 11971 Building Permit#: 38529 Section: 51 Block: 3 Lot: 2.15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Residential X Indoor 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 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: 17KW standby generator with automatic transfer switch Notes: Inspector Signature: Date: May 19 2014 81-Cert Electrical Compliance Form.xls OF SOUjyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: rf 41 /4 DATE 5 1 INSPECTOR ' FIELD lNff M N WORT DATE COMIVVIE�NTS U; tb FOUNDATION(1ST) �•`� FOUNDATION(2ND) . o ROUGH �•1 FRAAMC& PLUMBING INSULATION PIM N.Y. r STATE ENERGY CODE pr h FINAL ADDITIONAL COMMENTS I�� s n J o �z rn r.- • TOWN OF SOUTHOLD 1O,)—� 1 L BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT J Do you have or need the following,before applying? TOWN HALL --^'— 'L Board of Health SOUTHOLD NY 11971 �`�� 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey South oldTown.NorthFork.net PERMIT NO. Check TT Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 1( 20 _ n ,� ` Single&Separate Storm-Water Assessment Form ct: Approved 14_(_,20 �' , �Mail to: Disapproved a/c Phone: Expiration 20_JJ j Building Inspector APPLICATION FOR BUILDING PERMIT Date , 20 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 prernises, 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. (Signa re of applicant or name, if a corporation) (Mailing address of applicant) A1`e tuVii U ,..r State whether applicant is owner, lessee, agent, architeS ; r g ractor, electrician,plumber or builder NiOTI'.FY// BUILDING QEPARTMENT F,T Name of owner of premises O t o2G c765-1 02 84I081GTF4- r I , W, . t ,,tax.roll or laXpst deed) d4If applicant is a corporation, signature of da �tc v , FRAMING PLUf, t _R (Name and title of corporate officer) STRAPPING, ELECTRICAL & 0, lV KING Builders License No. / 3. INSULATION .y °°��• Plumbers License No. TION &ELE07r<ICAL Electricians License FOR C.O. No. 'o,-„o f UHION SHALL MEET THE Other Trade's License No. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR 1. Location of land on which proposed work will�e done: 12ZO M-r ReLo-Ald A VL Snc2T440 Ll� House Number Street Hamlet County Tax Map No. 1000 Section 0.dl Block ,3 Lot Subdivision Filed Map.No. Lot . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .Mended use and occupancy �_Sl b w�C,: 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work � �,✓c=z z+T�� 4. Estimated Cost Fee (Description) (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 f 6. If business, commercial or mixed occupancy, specify n*re and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories 2 Dimensions of same structure with alterations or additions: Frontn/o CNA�cT Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Ifa C4,9,1 QF— Rear Depth Height Number of Stories 9. Size of lot: Front p2� . 8 Rear -Z 6 . SS Depth 10. Date of Purchase=J",%tE 14Fjo 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 Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. (� 15 a Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓ 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 NM) SS: COUNTY OF ^�D being duly sworn, deposes and says that(s)he is the applicant (Name A individual signing contract)above named, (S)He is the (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 _r,a(3 day ofVtC TOT of New York Qualls d ing6WOU, �m�cmnn FY11i July , _ Notary Public S'gnature of Applicant OF SOV/ Town Hall Annex 54375 Main Road Telephone(631) Q! �Q 776o5UU-11802 P.O.Box 1179 ow9ro errictlertn otSouthold,M 11971-0959 nv us BUH.DJNG DEPARTMENT TOWN OF SOUTF[OLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: '�� // �✓ �� Date: Company Name: Ilk�t e p r) Name: , License No.: Address: Phone No.: ^ II JOBSITE INFORMATION: . (*Indicates� required information) *Name: G402 (iF 1'/ M c�C4 *Address: z--50 M r _Zi- Ca� ` *Cross Street: . 30 ��, A *Phone No.: Permit No.: Tax-Map District: 1000 Section:-�'p-�_ ------ Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) L,,V-f 7-AA L ��E k/ /�j6 Ll1�/ �r�✓r'��G (yam i✓c z!� i o.� i (Please Circle All That Apply) *Is Job ready for inspection: YES/ NO *I7o you need a Temp Certificate: Rough In Final YES!®O Temp Information(If.needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *ew Service: Re-connect Underground nde ro �9 Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 824Request for inspection Form �UVV r� t' ✓� — vc • - i SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. UY v ( 5U1Z E FOQ 5. I WBt r V(� . A ` s< Mo, s - _ Sy RAM 9 - 215.66 (ODS' 0-3 LL x a, �� _ d :�9t4 ATII . V oCKPct— g1T1BQI,lt 3 TT EEALTR DSPARTIId I # dA ,� L i��S �9$1 R. D. REF. #�.' _ Ei� n T } , ,_� _tet-�. _ t ThelseTcage sal and water supply > I:.. Pg►iGiti r. faa�#lities fo;' this location have befall 1t' i spected by phis depart ent and found _ to be satisfactory. ,j to vy R .1F THI�not SECTION TZOY Of THE NEW YOM STATE j N LL Chief of General Engineering _ MucApoN LAW. .rt k COltlijQF TIiiS StJRYEY MAP NOT �.-. �' { -Zg_ Ai','L r Services t3`— - Y'= .. TM[,AM SWEYOR'S INKS SEAL OR uj- _ G"10 SEM"SHALL NaT BE coNSIDEEib 19 Z oraX •, _ 1- z iY r �--r�;_n IY V';: ;c K. r �`�� '�- i+ , ;may T�C. � �{� �g ��•��> ,;. ��F_,�YALID T&UE GOD71: -Z8 _ �_A.C. `'r�S KZ�.,�Zle , 4 tixLl'�3 .rj,. dTs..,:r �l�f 4R �WOYII!-.�'4E.)4.I:A�•• �iF�KwTFU!-YREONSHAFfG'MMI-c�. i SOLAQ `J°1Cr o yf f 0i11Y JOE DE,".S +FDR YfHO1+T 7HE=SYItYt : ivy _ �T��V_t l�D O.�f1fS SEHAt):TO ll� °. tENWnCs�i:ST UttNYEAAWRFKF { �- a THE 4 LIF UM UND646 bMg P oo1TK21a i . 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' 60 inches Existing all 18 inches 60 inches � Minimum Distance / Clearance from windows, 36 inches Top of Generator 36 Inches doors,any openings in the wall,shrubs or vegetation over 12"in height Clearance from the ends and front of the generator should be 36 Inches.This These guidelines are based upon fire Winches would include shrubs,trees and any testing of the generator enclosure and kind of vegetation.Clearance at the top the manufacturer's requirement for air should be a minimum of 48 Inches from any structure,overhang or projections flow for proper operation.Local codes from the wall.The generator should not, may be different and more restrictive be placed under a deck or other than w at iS described here. structure that is closed in and would limit or contain air flow. 7. 48"Minimum 60"Reeen9rnendeeh ��—Minimum From Ends Generador 18 inches Minimum