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Home My WebLink About39490-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 1/28/2015 No: 37399 Date: 1/28/2015 THIS CERTIFIES that the building GENERATOR Location of Property: 390 Park Way, Southold, SCTM #: 473889 Sec/Block/Lot: 70.40-39 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/5/2015 pursuant to which Building Permit No. 39490 dated 1/13/2015 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 Cappa, Ronald & Cappa, Suzanne (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 39490 0 01-21-2015 =r 4r� 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 #: 39490 Date: 1/13/2015 Permission is hereby granted to: Cappa, Ronald & Cappa, Suzanne 13 Little Harbor Rd Mt Sinai. NY 11766 To: Installation of an accessory generator as applied for. At premises located at: 390 Park Way. Southold SCTM # 473889 Sec/Block/Lot # 70.-10-39 Pursuant to application dated 1/5/2015 and approved by the Building Inspector. To expire on 7/14/2016. Fees: ACCESSORY $100.00 CO - ACCESSORY BUILDING $50.00 ELECTRIC $85.00 %�— Total: $235.00 Building Inspector Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 oF SO�Tyo� Telephone (631) 765-1802 Fax(631)765-9502 roper. riche rt(a)-town.southoId. ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Ron Cappa Address: 390 Park Way City: Southold St: NY Zip: 11971 Building Permit #: 39490 Section: 70 Block: 10 Lot: 39 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: BJ Electric License No: 2670 -me' Residential Commerical New Addition X Indoor Outdoor Renovation Survey Duplec Recpt SITE DETAILS Office Use Only X Basement X 1 st Floor 2nd Floor Attic 1zkVi4zk11*1:�l X 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 Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures Id TVSS El Other Equipment: 10KW stand by generator with 100a transfer switch Notes: Inspector Signature:Y:�� Date: Jan 21 2015 81 -Cert Electrical Compliance Form.xls 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: J9 c) House No. /f Streeo / Hamlet Owner or Owners of Property: 9cix) 04),(A� ao e Suffolk County Tax Map No 1000, Section O Block Lot L' 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: $ ww Alfplicant Si nature r4f s 0 COUNIM, ,-rOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION I ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY FIRE RESISTANT CONSTRUCTION ELECTRICAL (ROUGH) CODE VIOLATION REMARKS: ROUGH PLUMBING INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION ELECTRICAL (FINAL) CAULKING 1:-,71, �(,g DATE INSPECTO TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined , 20 Approved , 20 Disapproved a/c Expiration 7 20 BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. Q 1! JAN -5 2015,' 1- 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 Mail to: 1/61 C;'t / Tv- 3,0 APPLICATION APPLICATION FOR BUILDING PERMIT INSTRUCTIONS r 206 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 c de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of a plicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporatii6h, 1igh,4Wtd'`a'f duly authorized officer (Name and title c®rpra�e #ez) Builders License No Plumbers License No. Electricians License No. "d-67 D Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section .!0 Hamlet Block C () Lot Subdivision 2. State existing use and occupancy of premises a. Existing use and occupancy b. Intended use and occupancy Filed Map No. Lot intended use and occupancy of proposed construction: Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work C;1 v v'r)�= I (Descriptio 4. Estimated C 5 Fee (To be paid on filing this application) 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 Rear Depth Height' Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth HeightNumber of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner I l.'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 * 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, i 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 thge any covenants and restrictions with respect to this property? * YES NO * IF YES,',PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF & V lL'�� being duly sworn, deposes and says that (s)he is the applicant Name of individual signing contract) above named, (S)He is the CONNNIE D. BUNCH r Pulft Aft d Now York (Contractor, Agent, Corporate Officer, etc.) Ouumemw siNlod CwOmIssign E*M AO 14 01'l of said owner or owners, and is duly authorized to perform or have performed the said work and to make ani i Tethis 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 Wil-- - day of.,,) 0 f\ ,{ Cx (° 20 Notary Public 114 W 4 411 Signature of Applicant J Scott A. Russell 5� ;, j ST01KIM[��v1�\`7C'3E�E� SUPERVISOR ��[A�N.��{G�IEI�vlUE1�C' SOUTHOLD TOWN HALL - P. O. Box 1179 O r � f® 53095 Main Road - SOUTHOLD, NEW YORK 11971'�� Town of S'o a th o l d CHAPTER 236 - STORiVIWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOES THIS IPROJECr INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. 100 feet of horizontal distance. E161). Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. i ❑ d . Site preparation within the one -hundred -year f loodplain as depicted on FIRM Map of any watercourse. s 11F. 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. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a eomDleted Check List Form to the Building Department with'your Building Permit Application. APPLICANT: (Property Owner, Design Professiopal, Agent, Contractor, Other) NAME: -0r Contact In(ormatiom Property Address / Location of Construction Work: S.C.T.M.�: 1000 Date: 7aDWrict ^ C- Section Block Lot "" F()iitJil_r)I �t:a ill::}' AI'151, 01NLY Reviewed 13y:. JA� � ...........__ —. V j....... �...../.. Approved for Buildinu 1'rr;nit. Storn.xater'vlart4 ent:;r,t Co? ioI Pian No Required. ❑`torr ,v tli'r tit E �C"Itr r f of IIOt i f t� i1l:f lSrCYd if 0> ',v,r;l ic) n , i; I'tP;- ..t.r.t fu Kcvitw) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telcphonc (631) 765-1802 rOQer.richertfcr -Ain s of ^ , ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: f Date: Company Name:�L-� Chi Name: License No.: z) Address: Phone No.: - alp eer v JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: �- Permit No.: 'AC] q G *Indicates required information) Tax -Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES ! *Do -you need a Temp Certificate: YES N Lot: Rough In Final 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 I7 .82=Request forfnspecGon Form ( Q, c �j LOT AREA_ 19 'SQ. FT; NE arc. -44.0' LOT NtJWKR 1 { S 83' 14'1 07E 120.00' tea#$.t'N- j. ff !M FV mom 0 _ t7 ,r to R. P104i illlyR ry JOP No. 14-39 FILE No. SOUTHWOOD ! e R ii i1i • •s i i s 1 tH FOR RONALD Mw'a w V i AT SOUNOW Iftm" OF $OUTM". SUFFOLK COUNTY. N.Y. DATE i i 70-.qO—,M DISK 2014 ! 0 RD.RIVER 141* Y Of i r « Ap. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE IFICATE OF OCCUPANCY OF TOVVN CODES AS 'DITIONS OF C7. DATE: FE N T" B c ALL REQ! i F YORK S,! f DE SIGN,; OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE IFICATE OF OCCUPANCY OF TOVVN CODES AS 'DITIONS OF C7. A% - Placement Placement of Standby Generator to REDUCE THE RISK OF FIRE NOTICE This Section is for Fire Hazard Safety Placement Only. Satisfying the standby generator placement, for the Fire Safety Hazard, does not guarantee that the Carbon Monoxide Hazard Safety Placement requirements are met. Please refer to Page 12 for Carbon Monoxide Hazard Safety Placement requirements. Requirements: NFPA 37 2010, section 4.1.4, Engines Located Outdoors. Engines, and their weatherproof housings if provided, that are installed outdoors shall be located at least 1.5m (5 ft) from openings in walls and at least 1.5 m (5 ft) from structures having combustible walls. A minimum separation shall not be required where either of the following conditions exist: 1. The adjacent wall of the structure has a fire resistance rating of at least 1 hour. 2. The weatherproof enclosure. is constructed of noncombustible materials and it has been demonstrated that a fire within the enclosure will not ignite combustible materials outside the enclosure. Annex A Explanatory Material A.4.1.4 (2) Means of demonstrating compliance are by means of full-scale fire tests or by calculation procedures, such as those given in NFPA 555, Guide on Methods for Evaluating Potential for Room Flashover. To comply with condition 2 above the weatherproof enclosure has been constructed completely of non-combustible materials and full-scale fire tests have been conducted to demonstrate that a fire within the enclosure will not ignite combustible materials outside the enclosure. A WARNING Exhaust heat/gases could ignite combustibles itor structures resulting in death or serious injury. • Exhaust outlet side of weatherproof enclosure must have at least 5 ft. (1.5 m) minimum clearance from any structure, shrubs, trees or any kind of vegetation. • Standby generator weatherproof enclosure must be at least 5 ft. (1.5 m) from windows, doors, any wall opening, shrubs or vegetation over 12 inches (30.5 cm) in height. • Standby generator weatherproof enclosure must have a minimum of 5 ft. (1.5 m) overhead clearance from any structure, overhang or trees. • DO NOT place weatherproof enclosure under a deck or other type of structure that may confine airflow. • Use only flexible fuel line provided. Connect provided fuel line to generator, DO NOT use with or substitute any other flexible fuel line. • Smoke detector(s) MUST be installed and maintained indoors according to the manufacturer's instructions/recommendations. Carbon monoxide alarms cannot detect smoke. • DO NOT place weatherproof enclosure in manner other than shown in illustrations. 14 Examples of standby generator locations to reduce the risk of fire: Vertical Clearances Legend for Generator Locations to reduce the risk of fire. A Standby weatherproof enclosure must be at least 5 ft (1.5 m) from windows, doors, any wall opening, shrubs or vegetation over 12 inches (30.5 cm) in height. B Exhaust outlet side of weatherproof enclosure must have at least 5 ft (1.5 m) minimum clearance from any structure, shrubs, trees or any kind of vegetation. C Standby weatherproof enclosure must have a minimum of 5 feet (1.5 m) overhead clearance from any structure, overhang or trees. NOTICE DO NOT place weatherproof enclosure under a deck or other type of covered structure that may confine airflow. Generator Installations NOTICE The figures below show the minimum installation distances allowed to structures and items listed in the legend. 5 it (1 ° Exhaust ° Direction ° 0 Standby 5 ft (1.5 Legend for Generator Locations to reduce the risk of fire. A Standby weatherproof enclosure must be at least 5 ft (1.5 m) from windows, doors, any wall opening, shrubs or vegetation over 12 inches (30.5 cm) in height. B Exhaust outlet side of weatherproof enclosure must have at least 5 ft (1.5 m) minimum clearance from any structure, shrubs, trees or any kind of vegetation. C Standby weatherproof enclosure must have a minimum of 5 feet (1.5 m) overhead clearance from any structure, overhang or trees. NOTICE DO NOT place weatherproof enclosure under a deck or other type of covered structure that may confine airflow. 18 in. 45.7 cm) min. 5 ft (f.5 m) Standby 5 ft (1.5 15