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HomeMy WebLinkAbout40841-Z ����,0�'U�F�I'�Co�y Town of Southold 8/18/2016 � � P.O.Box 1179 ' � 53095 Main Rd �y�rj�� ��,0`�� Southold,New York 11971 � CERTIFICATE OF OCCUPANCY No: 38461 Date: 8/18/2016 THIS CERTIFIES that the building GENERATOR Location of Property: 430 Bailie Beach Rd., Mattituck SCTM#: 473889 SecBlock/Lot: 99.-3-4.14 Subdivision: �led Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/13/2016 pursuant to which Building Permit No. 40841 dated 7/19/2016 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 Wallace III, George&Lisa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40841 7/19/2016 PLUMBERS CERTIFICATION DATED uthorized Signature �S�Ffo��� TOWN OF SOUTHOLD �,�o �Gy BUILDING DEPARTMENT - � � TOWN CLERK'S OFFICE �'oy . o�� SOUTHOLD, NY �ol � ,�a 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#: 40841 Date: 7/19/2016 Permission is hereby granted to: Wallace III, George 430 Bailie Beach Rd � Mattituck, NY 11952 To: install generator as applied for. At premises located at: 430 Bailie Beach Rd., Mattituck SCTM # 473889 Sec/Block/Lot# 99.-3-4.14 Pursuant to application dated 7/13/2016 and approved by the Building Inspector. To expire on 1/18/2018. Fees: � ACCESSORY $100.00 ELECTRIC $85.00 CO -ACCESSORY BUII,DING $50.00 Total: $235.00 Buildi ector 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 Deparhnent with the following: A. For new building or new use: 1. Final survey of properiy 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. � �/ �(r� New Construction: ✓ Old or Pre-existin Buildin : check one g g � ) Location of Property: �7')�j(� ,��i..+t�i� �'�� �� � /�t�.�i`}1J�1� House No. Street Hamlet Owner or Owners of Properly: ��,�'� q L j3 � ��� I� Suffolk County TaaL Map No 1000, Section / y Block �c� Lot �i � Subdivision ►�e.-� SJL�-�z. � � �� FiledMap. 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: $ �j'� � ' .� � �� � Applicant Sign re ., ��,pF SOUr�,o ,`o lo Town Hall Annex � � Telephone(631)765-1802 54375 Main Road N � Fax(631)765-9502 P.O.Box 1179 � � a@ roqer.richert(c�town.southold.nv.us Southold,NY 11971-0959 � OIycOUNT`1,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To George Wallace Address: 430 Bailie Beach Road City: Mattituck St: New York Zip: 11952 Building Permit#: 40488&40841 Section: 99 Block: 3 Lot: 4.14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: �BA: Wildwood Electric License No: 4836-E SITE DETAILS Office Use Only Residen4al X Indoor Basement Service Only Commencal Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding 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 TVSS ome�eq��Pme�t: gP# 40488 - GFCI Protected 60A Disconnect for Self Contained Hot Tub. Notes: BP#40841 -20KW Stand By Generator with Automa6c Transfer Switch. Inspector Signature: Date: July 19, 2016 OOElectrical 81 Compliance Form.xls .:�..�. FI�LD ITCS'�'��CDN��OT�C�' AA� � �i +CO�t�,�N'1'� � �' � • . • , � � , . • • , , • �a � �'4U.i��1'#�OI�i (1S'� , . _ . , , , � ' �� - , •- --........ , _.._.v�_....__� . ,' . C � �0'(JNDh�'i'XQI`X (2NI5) . , � , . '� M , • , 1 , . o . . , . , � . � , ` ' � � • . . � . � � ' ' . ' . � ' ' ' � ROUGH FR�C�& • . , , � . � � . � � � • �� PLU•MBTN'G � . � , � �-*-�--'�-r , �� � � , ' . .� I ' �� � . � 'I � ' . � . � ., , ' , � � I, � �-� . . �� . , . � ' � , , � , . ' � I • � , , i, , , ' � � . � � �� Ti�SULATION PE�.N,�''� . ' � . � � � � L STATE EN�E�2;GY C�4S�E . , .' , , , , . .j , �� � � , � � . � • , , � , . �INA� � ' • � � , , ' • , ' , � ' � i' . ,' ' � . �• � � � . , , , , ,.: , . , I . , , i , � ' z� � T� , ,. . � , , � �� ���� r '�°' • . , � „ . . ° �� . ., , r .� . � � � ., . , , � � , , . �. , ; ' . . � . � , � , , i , ,. , . . . , z � N , .. , ,, , � � , � �� � , . . . . . , , - � , , � . , . , , . . . � . . , 1 , i , . ; , , , � I , . . . .. � .� � � . , . , . , . � , . �' � � � � ' � � , , ' , ' � z . � . � , , ' , , � � . . , , . ; . , , , , �� i ,. .1� ., . , � � � i ,..� 7 � i � ' � i • . . i ' ' I � . . � y , I , , � ' • ' i TOWN 6F�SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST ; BUILDING DEPARTMENT Do you have or need the following,before applying? ,. � TOW1V HALL Board of Health ' SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631� 765-1802 Planning Board approval � FAX: (631) 765-9502 OQ� Survey i Southo1dTown.NorthFork.net PERMIT NO. D Check ; Septic Form � N.Y.S.D.E.C. I Trustees � C.O.Application � � ���o�� Flood Permit Examined 20 Single& Separate D Storm-Water Assessment Form � � � JU� � 3 2��6 Contact: Approved ,20 Mail to: �,�� 6c./o� (�'•-��► � � Disapproved a/c ��.fl�'�'D�' �C�17����.,� /�� ���'�Z I ��Q�$O �� Phone: ��`. c�qc�, �`389 � Expiration ,20 i � Bu spector �I APPLICATION FOR BUILDING PERMIT I ` ��� Date �J/�J �� , 20 I�v �, INSTRUCTIONS '! � a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 I 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.U on a roval of this a lication the Buildin Ins ector will issue a Buildin Permit to the a licant. Such a ermit � P PP PP � g P g PP � P i shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in v✓hole or in part for any purpose what so ever until the Building Inspector i issues a Certificate of Occupancy. i 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 properiy have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an 'I 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 reg�!lations,and to admit authorized inspectors on premises and in building for necessary inspections. , G� � � igna p cant or name,if a corporation) �� �a�l;� 6�h ��., M�����1�' (Mailing address of applicant) I/��� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder D w� Name of owner of premises ��� � �!`�� VV ���-�� (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer � I (Name and title of corporate officer) � Builders License No. Plumbers License No. i Electricians License No. � Other Trade's License No. 1. Location of land on which proposed work will be done: I T.�� . Gl i,)� �eO.C:� /�• �Gt.-/7�`�G J�- House Number Street Hamlet County Tax Map No. 1000 Section /��D �— 9°� Block �.� Lot �, �� I� � , i . i � 'f Subdivision��tk)�. /�; 1�,s Filed Map No. Lot '� ', a ' ; 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ', a. Existing use and occupancy �,;,,,�, 6,�.,,,�_ �� � i b. Intended use and occupancy ' 3. Nature of work(check which applicable): New Building r/ Addition Alteration �� Repair Removal Demolition Other Work G���-�r � • (Description) ' 4. Estimated Cost �/D�p �J� �� Fee `� � c�0 '', (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. ', A ! ', 7. Dimensions of existing structures, if any: Front /V � Rear _-Jepth � Height Number of Stories � ��, Dimensions of same structure with alterations or additions: Front DV�G4 Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase �� a d�3 Name of Former Owner G—�`Z�'P���-- 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?I'ES NO ✓ 14.Names of Owner of premises �e��tt���c�cz�C�ddress y3° ��'l•� �-�� Phone No. ��sl.a9� ,�73� 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 rJc� � * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE Fj,�QU:RED. 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 NEW YORK) SS: COUNTY OF�]��� L � �j� l��(�,��,Q,�Q, being duly sworn, deposes and says that(s)he is the applicant (Name of individual sigmng contract)above named, (S)He is the ���1(�� (Contractor,Agent, Corporate Off'icer, 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 tl;at the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this TRACEY L.DV�ER �� da of � 20 J(�,��7ARY P NO�01 DW6�i9��W�( K � Y �UALIFIED IN P RES JUNE 3 � � . ��MMISSION� �� Notary P c ' Signature of Applicant � � �i i I �O��pF SO�l�,ol � 0 Town Hall Annex l�[ �[ Telephone(631)765-1802 I 54375 Main Road N � ax(631)765- 5�2 � P.O.Box 1179 � fOqef.richert(a�tOW(1.SOUt O CI.IIy.US , G • �Q Southold,NX 11971-0959 O ����UNTI,�� BUILDING DEPARTMENT TOWN OF SOUTgIOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED �Y: ����� ��$,,�.,,�,_�,.�,, '�� Date: �1 - `?- l� Company Name: ����w��,� E��-G..��� ,��_ Name: ����� P��-.�•� 'S2 � License No.: t��,�6 Address: �'�.0: 3a�c So� wAoavG � �v� �D I �'��Z Phone No.: 31•- �a�- ��/�i' �.�/•-0?3.�-�all JOBSITE INFORMATION: (*Indicates required information) *Name: ���'b�e. � 1/�/ktL 1,�G� *Address: y3� Ai 1 o'a ��ey ,���, M���r�f��' *Cross Street: �(E�t�E f�� *Phone No.: ' s'/C�R ��3 - I��0 Permit No.: ��'�� Tax Map District: 1000 Section: BIocK: Lot: *BRIEF DESCRIPTION OF WORK Please Print Clearly) ��G-��,,� ���;���,�b,� A �"xT�r� l�o� 7'� `t' o�C� s`�v /-�-v�b�r�-�-aL ��v��� '�o��k (Please Circle All That Apply) *Is job ready for inspection: YE /,Pd�C� Rough In Final *Do you need a Temp Certificate: �-� NO � �' .� 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 Overhea � J Additional Information: PAYMENT DUE WITH APPLICATION ,�� o �°o� N' -Yi d � M L=��L- ��� -- ��(�, ��?1� ,�� �� � � �� � �k �� (�� `� 82-Request for Inspection Form �e�1 � `,,Xr � ���` REA C„ AREA • S�UI�V�EY O� RESERREDg.EATI�N �O JL � `� � PAgK & 111A1' OF , �����5����� ���,�5 REA..$' 12cj�� ' � ' FILE No. 7019 FILED OCTOBER 1 6, 1 981 - RESER�gD A �, SI T UA TE � �[A'��'I'�'�T C�K ,�o' � �, � � TOWfN 0� SOUTI�O�� N 6a �$ `� SI� ��OL� COI� N�Y, I� �W VO�� o� o� N� ��° �'�" �U+�� r � � S.C. TAX No. 1000-99 -03-4. 14 JNO .�PKE GD `'� � SCALE 1 "=30' F�OpO f' ,� , . _ �f � � . � ' ��, Fo�s• : ': �-' , ' ; 2 0� ,-: - � " No Qoo,. : 4,-� � � � OCTOBER 10, 2013 .� �� � ' ' \N�ROV �, FRp�� �� DECEMBER 1 , 2015 ADD PROPOSED DECK EXTENSION � .,�2 ,-, p16 5N � �90 i . - -" �\NKFENGE " GNPK,NO�P �°PK � �z/ �� � AREA = 25,000 sq. ft. �- 0.574 ac. � `•`� G p�N SZE �g�� a �J�� � GpO��F\�S�R 2�O, / a v � ' a c r � �9 5 a. � �N�MN�Q a � � // � o�cK o � �Z � � woo 453 a O � P0�'����G�N o RPM� °� • � a' a • $ � � � P�O E� �,�/ � F RPGE . ��o a �, ' -. / OR GP �2 0 �a • � N o��° o�N_ Z SSE g� �Z� 4 a � CER TIFIED T 0: P�o� ��0 �i ,22 `�,� N�� . � � c �� � `000 � � GEORGE WALLACE ��% y � Po �, ��� �- 2�ov��-`` , staPs < � � LISA WALLACE c o_ ,�oo � � �aR�N�� ��; � a a SUFFOLK COUNTY NATIONAL BANK � P P�,N-cE��� � � DECISION 2000 REAL ESTATE SERVICES, INC. o \ i Z9 9 �0��9j�P5 ��oO � � 9�'O a �. \ a y�� a � . o� � \ L � � F� v,�a PREPARED IN ACCORDANCE WITH THE MINIMUM .�., � STANDARDS FOR TITLE SURVEYS AS ESTABIISHED BY THE L.I.A L S. AND APPROVED AND ADOPTED � � �� �� ��o � �J O' � FOR SUCH USE BY TH EW�YORK"SiAZE yLAND \ �� �Q a � � $ ,�a Z8, TITLE ASSOCIATION. ���g= J'���� � 3�a O �� m��a , P� ��J � 6 ��6 g��,�'t��"� G�,�"��`�,; a � �G � � � f"� � '�" M. �'w e o� � r� .f \ a `P��o V�10 Q �C � >`�f;,�..��� � 4v Fop�pE � � ;.�,.:.1,• � \ ' Q po�- �,� / r+ , r .,> � � U��'CN L��.� a � ' .. " � ~ �i�c�'�'�°'`-m �;' \ Pp5 v a ' a o � - ,�25 �� a . �� �,.���1'7 a fi �.�� ` � - ° ����s a < , a " � ' N Y S Lic No 50467 NO N�W�R�S� a av �� UNAUTHORIZED ALTERATION OR ADDITION R � TO THIS SURVEY IS A VIOLATION OF 0 � fo�NO '' �j �D��M�� b a a °q a � SECTION 7209 OF THE NEW YORK STATE N at h an T af t C o r w i n 'I' - EDUCATION LAW. � P�P� Q��O/ pE PP , ° �- � COPIES OF THIS SURVEY MAP NOT BEARING ' " �U� EO�E " � �( �� THE LAND SURVEYOR'S INKED SEAL OR ° a __ ��-� _� �LJ _ ____ _______T -- ---- EMBOSSED-SEAL-SHA6L-NOT-BE-CONSIDERED------ --� �an d -S-u r-v e y o r- pP----—S 6-�- e- -o-� -^ -a - � �" -�i , � TO BE A VALID TRUE COPY. /�F�i� � a � �- Y �'y.� CERTIFICATIONS INDICATED HEREON SHALL RUN 9�'% a < ��� �.c'(�-1`, �� ONLY TO THE PERSON FOR WHOM THE SURVEY a < ` d o' ° � � ��� af Y�� IS PREPARED, AND ON HIS BEHALF TO THE �� ��� TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdiv�sions - Site Plans - Construct�on Loyout aa LENDING INSTITUTION LISTED HEREON, AND g .. - �� TO THE ASSIGNEES OF THE LENDING INSTI- TUTION CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-2090 F�X (631)727-1727 1 . 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S ��Qqd � � �r,�_-- �r�ma Qc norm Wei ................................................... 80 �F� SMippin9 9 Ib(263 k91 ! r��'"�t�`�,1�,a l dE�at�3 ��(256 kgl � as roting will depend on specific fuel but typical derates ,,,,565 Natural g are be�w���0� ! �r;Y;,;�; �___...._..�.�.. ��a��t��n 30 to ZOgg off the LP gas rating, `���rr<�t���3��� ��,.F.c���t 4'�d�Q *IVorma l Ioo d=5 k W(1/4 l oad) f � �:�-,a;,��U�r�`� .� �, �rj�,.1 L't:tP?��^' � 1 �I EngineSpeciftcations Displacement.......................................................60.60 ci. � , ' ._��._.....60.60 ci.(993 ccl (993 CC� i �a'a�ern�nt.._..�--.-----�---� �....3.405 in.(86.5 mm) Bore......................................................................3.405 in. ($6.5 mml � Sv�z__------------��.'.�_�.... 3.366 in.(85.5 mm) Stroke..................................................................3.366 in. 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' ; . .............SW30 Synthetic Oil Type... ...................................................................SW30 Synth�tic C�p�atY r��9�n t��)._...__�.._��.....78-80 oz.(2.3-2.4 L) Oil Capacity ). , (with filter ............................78 - 80oz.12.3 - 2.41) � e Err Cover Bolt�___._.___,,,,,,,,,,,,,,,,,,,,220 Ib-in(25 Nm) En ine End � 9� Cover Bolt.................. I ...................220 Ib-in (25 Nm) tmon Service Parts , �pr 692519 nthetic Air Filter, O�Q ; � 100028 � 692519 � OiI--S � 842921 Ynthetic 100028 SparkPlug Oil Filter Plpf�num S 49�055 842921 � park Plug SOb6 � Resistor Spark Plug ce K� � 491055 6036 �on9 Life Platinum Spark Plu ' Maintena�ce 9 5066 ; Kit 6036 � ��tedin occo�donce�� ! I °q�9enerotors, UL Nnde •�� ---__�--_— - - - - -- k ; � 1� � � � APP OV D AS NOT�� DATE: �Z d�.P.# ELECTRICAL FEE: 02 S,�11 gY; INSPECTIOIV REQUlREt� NOTIFY BUILDING DEPARTME AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWiNG INSPECTIONS: 1. 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