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HomeMy WebLinkAbout39442-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 1/22/2015 CERTIFICATE OF OCCUPANCY No: 39394 Date: 1/22/2015 THIS CERTIFIES that the building GENERATOR Location of Property: 555 Sound Beach Dr, Mattituck, SCTM #: 473889 Sec/Block/Lot: 99.4-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/10/2014 pursuant to which Building Permit No. 39442 dated 12/23/2014 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 TO A ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Livanos, Madeline (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 39442 01-20-2015 Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,NY iy5 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 #: 39442 Permission is hereby granted to: Livanos, Madeline 555 Sound Beach Dr Mattituck, NY 119521038 To: Installation of an accessory generator as applied for. At premises located at: 555 Sound Beach Dr, Mattituck SCTM # 473889 Sec/Block/Lot # 99.-1-23 Date: 12/23/2014 Pursuant to application dated 12/10/2014 and approved by the Building Inspector To expire on 6/23/2016. Fees: ACCESSORY $100.00 CO - AC $50.00 CTRIC $85.00 otal• $235.00 uilding 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. &Z2 New Construction :��,a,,�,,� ,, �ld or Pre-existing Building: (check one) Location of Property: j �5� e����«�� L�✓p .0 i,/ House No. Street Hamlet Owner or Owners of Property: ��y„1, Cjcs r d.�•r/.. id«tip Suffolk County Tax Map No 1000, Section Block /' Lot 2 3 Subdivision Permit No. Date of Permit. Filed Map. Lot: _ 1-2 Applicant:'' �7 Health Dept. Approval: Underwriters Approval:, Planning Board Approval: A�k Request for: Temporary Certificate Final Certificate: _ (check one) Fee Submitted: $ _ scant i1hature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax(631)765-9502 roger.richert(a-).town.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Livanos Address: 555 Sound Beach Drive City: Mattituck St: NY Zip: 11952 Building Permit #: 39442 Section: 99 Block: 1 Lot: 23 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE !Contractor: DBA: Custom Lighting of Suffolk License No: JI I t Ut 1 AILS Office Use Only Residential X Indoor Basement Commerical Outdoor X 1st Floor New Renovation 2nd Floor Addition Survey Attic INVENTORY Service Only Pool Hot Tub Garage 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: 20KW stand by generator with 200a transfer switch Notes: Inspector Signature: Date: Jan 20 2015 81 -Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 South oldTown.NorthFork.net PERMIT NO. A 20 a/c _ Expiration 120 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: Phone: '51S c,:-�-:30T it in ctor ELECTRICAL, ' ! INSPECTION FIE PLICATION FOR BUILDIN IT DEC 10 20,114 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 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. APPROVED aNOTED (Signature f applicant or name, if a corporation) 4�'3�,Y FE(Mailing address of applicant) NON; TIENT AT StafiS, "d hti�44 ins' 6wFiWt ffsee, agent, architect, engineer, general contractor, electrician, plumber or builder FOy�>1'ii1G i'r' ., ,hey, rvn rvvnL-v v . vim: -• 2 R IGi I Nae , ,�� er Qt premises 4. (JN,�L if amt eea.91i icfl eor oration V,LI'ST � (As on the tax roll or latest deed) ignature of duly authorized officer REQ(NILWOO WeTo€ tiEaffdfMer) B u URI< IS1` hge NOT 0)0 PluDff:MI LI.3>i}MQ -N&1•RUC i ION ERRORS. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY let County Tax Map No. 1000 Section 947 Block / Lot12 '7 Subdivision Filed Map No. &;7-2 _Lot / 7 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 Cosh .2 om e—, 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.&,, k 7. Dimensions of existing structures, if any: Front /f[ Rear Depth /lr . Height _N14 Number of Stories Dimensions of same structure with alterations or additions: Front Rear/4-4-- Depth /t(A, Height /V A1-- Number of Stories,i9. 8. Dimensions of entire new construction: Front *A- Rear Iffr.2 Depth A/4 - Height &A= Number of Stories Ao1A; , 9. Size of lot: Front;; /� Rear% Depth / e; 10. Date of Purchase Name of Former Owner l%<a// CJL.An 40,6,- 11. 0dl1. Zone or use district in which premises are situatedp� 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOLZ-1 13. Will lot be re -graded? YES NO�Will excess fill be removed from premises? YES NO 14. Names of Owner of premises /iAglf J.S Addressar (ar�� � � Phone No.6�/. Name of Architect Address Phone No Name of Contracto ,«.�°moi Address/►� �1 tK Phone No. kzo e A�,.1, 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 NO -->L * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: CNTY OF �6(&j D &U 1.4 QALL� being duly sworn, deposes and says that (s)he is the applicant (Name o individual signing co ract) above named, (S)He is the L' U/ L //-a L ZVA— (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. Swo n t before met day ofL 20/ ISH VAN IDUZER nature Applicant commissw Y Town HaU Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ro erAchert IoWn sou�th�oQd ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY:./ Date: Company Name: , JName: License No.: Address: Phone No.: —r ,5 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: vvv oucuon: _ y y block: Lot: ,,? *BRIEF DESCRIPTION OF WORK (Please Print Clearly) zz (Please Circle All That Apply) Is job ready for inspection: (Y9/ NO Rough in Final *Do you need a Temp Certificate: YES / Temp Information (if 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 Additional Information: PAYMENT DUE WITH APPLICATION W 82=Request for Inspection Form Scott A. Russell SUPERVISOR SOUTHOLD TOWN HALL - P. O. Box 1179 53095 Main Road - SOUTHOLD, NEW YORK 11971 r 5TO)KNIWATIER, NIA\N A(G IENHEN T Town of ,Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes IVO (CHECK ALL THAT APPLY t ❑( A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. 00 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. E 100 feet of horizontal distance. �]® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. } ❑� E. Site preparationwithinthe one -hundred -year floodplain as depicted on FIRM Map of any watercourse. i El F. Installation of new or resurfaced impervious surfaces of 1 000 square feet or more, unless prior approval of a Stormwater Management ; Control Plan was received by the Town and the proposal includes in-kind.replacement- of..impervious surfaces. .-.-.------- ---------------------------- --- ------ Land answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, ure, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your protect. nswered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan ompleted Check list Form to the Building Department with your Building Permit ADDlication_ APPLICANT: (Prorty pwner, Design Professional, Agent, Contractor, Other) NAME: Ile Contact Information — — — — — — — — — r.— - —/— — — — Property Address / Location of Construction Work FORM ' SMCP - TOS MAY 2019 S.C.T.M. 1000 Date District 6A7 Section Block Lot FOR. Bull -DING DEPR7: IEly".i USE O_NL,f '';" Reviewed By:[I/ Date- Approved for processing Building Permit. Stormwater Management Control Plan Not Required- Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT so f) ,i ol d6mc 4�-. 71N-77�7- r� FORMER OWNER N E ACR. a j 7G� %,0025 4# W{` 1 v'e v h; i s ct W 76 S W TYPE OF BUILDING 'RES. A10 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ,r t �©d00 c +? 1...... 4 i(LU /17 !"J"�G1 J. _ ©�G } L +.'LQfd Ito)0UI' Awe `9� /l)o0 / T MM 06 (y�/�] )�] Y 40 V y4 V "'%'� //7y.n jpy{ ,�.�.'Jq �^}�' /} l .Ji/ 4i 4/l ✓ �./ r 4 # wr r*. Ao,{ ,,. 4'/'—C - Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total Amps% -V"OOW W WO "Vow —T — Foundation Both Floors -4 M. Bldg. 1 Extension 'Nsement Ext. Walls 4- Uh A 1 4 1 -4— -4- Amps% -V"OOW W WO "Vow 166 7? 4 1 Foundation Both Floors -4 M. Bldg. 1 Extension 'Nsement Ext. Walls Interior Finish Extension E Fire Place Heat Porch Roof Type Porch Rooms 1st Floor Dreeeeway Patio Driveway Rooms 2nd Floor Dormer Garage 0. B. To a 140' Amps% -V"OOW W WO "Vow No ME INIEIEIMMMMMMMMMM INIMINNIMMINEINIMMING 1■MININNIM■ININ■ SE■ IMMMMMMMMMM EMM IMMMMNIMEIMNIMOMM 1■NINIM■ININEIrlim om ii 1MM■■MMMMMM ■■■ I■■MM■MMMMM'NME ININIMM■sM�MRM= 0 Fuel Type GE Power Management Watts' LP/NG Engine Operation Voltage Amps (240V) Alternator Voltage Regulation Full Pressure Lubrication Electronic Governor Fuel Consumption (at 1h Load ) Fuel Consurpption4 (at Full Load) Weekly Exerciser Sound Rating Hour Meter Overcrank Protection Dimensions (LxWxH) Weight (Generator Only) Warranty' Included Extras Transfer Switches QY C"t (631) 765-2702 Oboe 516 X313179 SII - f I -/'cA� LIMITED ___ GGGG iA WARRANTY Propane ILP Vapor), NaturaLGas (NG(' Whole House SymphonyTM II Automatic Transfer' Switch 15,120 ILP) 17,000 (LP) 20,000 (LP) 13,608 (NG) 15,300 (NG) 18,000 (NG) 993cc 993cc 993cc Commercial -Grade VanguarcITM V Twin Fully Automatic 120/24OV-At; Single Phase, 1.0 pf' 63 (LP), 57 (NG) 71 ILP), 64 (NG) 83.3 (LP), 75 (NG) Brushed Automatic Yes - Yes 68 ft'/hr, 74 ft3/hr, 83 ft3/hr, 1.89 gal/hr (LP) 2.06 gal/hr (LP) 2.31 gal/hr (LP) 156 ft3/hr (NG) 170 ft3/hr (NG) 187` ft3/hr (NG) 109 ft3/hr, 118 ft3/hr, 135 ft3/hr, 3.03 gal/hr (LP) 3.28 gal/hr (LP) 3.75 gal/hr (LP) 240 ft3/hr (NG) 248 W/hr (NG) 260 ft3/hr (NG) Yes 69.1dB(A) at 7 meters, 3600 RPM, per ISO 3744 Yes Yes 48"x34"x31" 484 lbs. 484 lbs. 500 lbs. Premium 5 Year Limited Each system includes,a Whole House SymphonyTM II switch, hour meter, battery charger, synthetic oil and basic wireless remote monitor Package options include either a 100 Amp, 200 Amp or Dual 200 Whole Home Automatic Transfer Switch. 'These generators are rated in accordance with UL 2200 and CSA Standard C22.2 No. 300-04. 'Installations must strictly comply with all applicable codes, industry standards, laws, regulations and provided installation manual. Running engines give off carbon monoxide, on odorless, colorless. poisonous gas so it is important to keep exhaust gas away from C �L U$ any windows, doors, ventilation intakes or Growl spaces. The installation manual contains specific instructions related to generator placement in addition to NFPA 37. including the requirement that carbon monoxide detectors be installed and maintained in your home � 0 I Warranty details available at ge.com/generotorsystems ' Fuel consumption rates are estimated based on normal operating conditions at 141ood. Generator operation may be greatly affected by elevation and the cycling operation of multiple electrical appliances - fuel flow rates may vary depending on these factors. r Is a trademark of General Electric Company and is under license by Briggs & Stratton Corporation Post Office Box 702 Milwaukee, wl 53201 USA Assembled in USA Y Briggs & Stratton Corp. reserves the right to make changes in specifications and features shown herein, or discontinue the product described at any time without notice or obligation. GESB0002-1/13 Fuel Type GE Power Management Watts' LP/NG Engine Operation Voltage Amps (240V) Alternator Voltage Regulation Full Pressure Lubrication Electronic Governor Fuel Consumption° (at i/z Load) Fuel Consu4ption4 (at Full Load) Weekly Exerciser Sound Rating Hour Meter Overcrank Protection Dimensions (LxWxH) Weight (Generator Only) Warranty` Included Extras Transfer Switches Quarter Consh cogn (631) 765-2702 Ofte 5-16)6 3179 SII _ C A WARRANTY 20 kv� Propane (LP Vapor), NatumWos (N -GP Whole House SymphonyTM 11 Automatic Transfer'Switch 15,120 (LP) 17,000 (LP) 20,000 (LP) 13,608 (NG) 15,300 (NG) 18,000 (NG) 993cc 993cc 993cc Commercial -Grade VangilardTM V Twin Fully Automatic 120/24OV-AC Single Phase, 1.0 pf, 63 (LP), 57 (NG) 7; (LP), 64 (NG) 83.3 (LP), 75 (NG) Brushed Automatic Yes Yes 68 ft3/hr, 74 ft3/h r, 83 ft3/hr, 1.89 gal/hr (LP) 2.06 gal/hr(LP) 2.31 gal/hr (LP) 156 ft3/hr (NG) 170 ft3/hr (NG) 187 ft3/hr (NG) 109 ft3/hr, 118 ft3/hr, 135 ft3/hr, 3.03 gal/hr (LP) 3.28 gal/hr (LP) 3.75 gal/hr (LP) 240 ft3/hr (NG) 248 ft3/hr (NG) 260 ft3/hr (NG) Yes 69.1dB(A) at 7 meters, 3600 RPM, per ISO 3744 Yes Yes 48" x 34" x 31" 484lbs. 484 lbs. 500 lbs. Premium 5 Year Limited Each system includes,a Whole House SymphonyTM II switch, hour meter, battery charger, synthetic oil and basic wireless remote monitor Package options include either a 100 Amp, 200 Amp or Dual 200 Whole Home Automatic Transfer Switch. r These generators are rated in accordance with UL 2200 and CSA Standard C22.2 No. 100-04. :installations must strictly comply with all applicable codes, industry standards, laws, regulations and provided installation manual. Running engines give off carbon monoxide, an odorless,colorless, poisonous gas so it is important to keep exhaust gas away from C�L os any windows, doors, ventilation intakes or crow) spaces. The installation manual contains specific instructions related to generator placement in addition to NFPA 37, including the requirement that carbon monoxide detectors be installed and maintained in your home TWO Warranty details available at ge.com/generotorsystems 'Fuel consumption rates are estimated based on normal operating conditions at 3h load. Generator operation may be greatly affected by elevation and the cycling operation of multiple electrical appliances - fuel flow rates may vary depending on these factors. Is a trademark of General Electric Company and is under license by Briggs & Stratton Briggs & Stratton Corp. reserves the right to make Corporation changes in specifications and features shown Past Office Box 702 herein, or discontinue the product described at Milwaukee, WI 53201 USA any time without notice or obligation. 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