HomeMy WebLinkAbout40693-Z p�g�FFft,I-Ca� Town of Southold 8/17/2016
0
P.O.Box 1179
co 53095 Main Rd
Dy,;r ' �pp`� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38451 Date: 8/17/2016
THIS CERTIFIES that the building GENERATOR
Location of Property: 785 Albacore Dr, Greenport
SCTM#: 473889 Sec/Block/Lot: 57.4-16.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/6/2016 pursuant to which Building Permit No. 40693 dated 5/12/2016
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 Bayles Donald M Rvc Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40693 08-04-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
�gvFFot��oTOWN OF SOUTHOLD
a�a BUILDING DEPARTMENT
y 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#: 40693 Date: 5/12/2016
Permission is hereby granted to:
Bayles Donald M Rvc Trt
PO BOX 396
Southold, NY 119710396
To: install an accessory generator as applied for.
At premises located at:
765 Albacore Dr, Greenport
SCTM # 473689
Sec/Block/Lot# 57.-1-16.3
Pursuant to application dated 5/6/2016 and approved by the Building Inspector.
To expire on 11/11/2017.
Fees:
ACCESSORY _ $100.00
GF -ACCESSOR-Y UlflbING $50.00
JE ECTRIC $85.00
T tal: $235.00
Building Inspector
Foy m No 6
TO«IN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN BALL
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-
ollowing: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. C6pS" f-Certifrcafe of Ocduparicy-T-25" -
4. Updated Certificate of Occupancy- $50.00
5- Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
ate lo
New Construction: Old or Pre-existing Building: (chec ��o®®ne)
Location of Proper�i. 2,&-- �iZ � 5 ��h/�4,011
House No. Street Hamlet
Owner or Owners of Propert eyr Gh r
Suffolk County Tax Map No 1000, Section J�� Block. Lot 1 le •3
Subdivision Filed Map. Lot:
Permit No. V N ( Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
-------- ----- ------ - -------- ------------ - -------------- -------
Fee Submitted: $ T T
V
Applicant Signature
pF SDUry®�
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179Q
Southold,NY 11971-0959 r1h �® roper.riche rt(cr)town.southoId.ny.us
c®l6BB�� N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Donald Bayles
Address: 785 Albacore Drive City: Greenport St: New York Zip: 11944
Building Permit#: 40693 Section: 57 Block 1 Lot. 16.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Wright Electric License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New X 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 11 TVSS
Other Equipment: 7 KW Standby Generator with 50A Auto Transfer Switch, 8- Circuit Load Center
Notes:
Inspector Signature: Date: August 4, 2016
00Electrical 81 Compliance Form.xls
SOUTyolo
# • �#
rouhm,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION .
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
REMARKS: >
rgof
DATE ! INSPECTOR�ER2;L:��
FIELD 3 sPE4 ON R- EVOR'I' AAT
FOUNDATION(1ST) %
w ww www}}ww w,rw w,tiw}m}w}mow Yw wb}w
FOUND�,TS4T`r(2N15) . . �
0
OPy
SOUGH FRNITNC�&
PLUMBING
INSULATION PEA N.Y. y
STATE ENERGY CODE �
i
FINAL
o
z
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do 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 C,a
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single& Separate
Storm-Water Assessment Form
tom— i f Contact:
Approved ,20 Y� Mail to:
Disapproved a/c
Pel : 74�6,-t'0 71
Expiration I ,20oil
(�
D 19CD Building Inspec
M AY - 6 2016 APPLICATION FOR BUILDING PERMIT
DING DEPT. D) ,6 , 20 i�
BUILDING
TOWN OF SOUTHOLD 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.
(Signature of applicant name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
d t�riP r
Name of owner of prem ? Al t/, 7n(5 ✓ 1
CJ (As on the tax roll or atest deed)
If applicant is a corporation, signature of-duly authorized officer
(Name and title of corporate officer)
Builders License No:
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done: LY
.
House Number Street Hamlet
County Tax Map No. 1000 Section Block / Lot ���.�
Subdivision ,& , goeet Filed Map No. 3c9,5:V Lot 37
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 Wor•1 - ,, 6-
' escription)
4. Estimated Cost � �`b� 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.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stdrieg$ P' „
8. Dimensions of entire new construction: Front Rear Depfji
Height Number of Stories
9. Size of lot: Front Rear Depths
10. Date of Purchase 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 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
* 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 individual signing contract) above named, CONNIE D. BUNCH
S He is the Notary Public,State of Now York
( ) >�h el- No.01 BU6185050
(Contractor,Agent, Corporate Officer, etc.) OuaAfied in Suffolk County
Commission Expires April 14,24;G O
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
16 // day of 20�
Notary Public Signature of A licant
�O��pF SQ�ryolo ',
Town Hall Annex J t I t Telephone(631)765-1802
54375 Main Road u, m�ax(631)765-y95Q�
P.O" Sox 1179 G� • roger"richert(a�town-so utho .ny.us ,
Southold,-NY 11971-0959
�Irow,� I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: f Date: /V ay 1,(5
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE fNFORMATION: (*Indicates required information)
Name:
*Address: '
*Cross Street: ��
`Phone No.:
Permit No.: 8
Tax-Map District: - 1000 Section: Block: Lot: lC�
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(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: 1 Phase 3Phase 100 150 200 300 350 400 Other
'New Service: Re-connect Underground Number of Meters Change of Service Overhead
kdditional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
LOTS 3/ $ 34
A-1.4,0 OF%TOV7NO1.0 sHORE$.i:
L9LE0/M eW A/7 r CLERA4 0A~ 4&W.29,/963 AS*Mp No,9858
-r/70.4 7W /N
h CA AIA L ELECT A ARSHAMOMAQUE
p,� �j' ` q cSVFFOLK COUNTY NEW YDRI�
� SP ECTEO-A'� Rai QVRF-0 MAGE FO,iQ
S 63=52=,30 E Z20.DOS DONALD 4e VIR41NZ4 BAYLES
A0,OO• 8!/tKNF■D //0.010' SURVEYED BY
DONALD M. 6AMOS M/DOGE /S1.QND/ N.Y.
F3FnPESs/oNgt A-MAEp 0LAND SURYEYD,Q
§��1 eeeed.,aa\6®p NAY.L/CENSE NOTE.'.2BB//
nO
=a+er� 7 DA
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Q�_
a ■ ■ /ND/CATFS LONG MOy.
is gig
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y " .STEEL P/PE
uSE
n LOT 3/ A� 4�� taTIFIC
PORc� - F CCP CV
DECK 1 ZB.6
o APPROVED AS NOTED
_ti / srY. FR
FyEL. 3 p��r� "trti��.Y 1[�I!-;-H ALL CQgJpESn �F �e �` DATE:6'92-I(- B.P.#�c�6�13�
TATE &
V ao FL.E[,J2./ oEca rj
�iCl- Ifl —�� P J FEE: l BY: � — —
�„- AS REQUIRED A h F NOTIFY BUILDING DEPARTMENT AT
SO v' 765-1802 8 AM TO 4 PM FOR THE
7 1 ;rein��P eNNIN BOARD FOLLOWING INSPECTIONS: ,
- 1. FOUNDATION - TWO REQUIR
BCS ijun n i LV0,1WTRT�EE, FOR POURED CONCRETE
2. ROUGH - FRAMING & P MBING
N 63=s2=3o rt. 240;oos® y rATIP
0�
4. FINAL - CONSTRUCTION MUSTD�L
BE COMPLETE FOR C.O. aa��
ALBACORE DEQ///E ALL CONSTRUCTION SHA LJ1�ET THE
REQUIREMENTS OF TH DES OF NE r
YORK STATE. NOT ONSIBLE R
DESIGN OR CON%Z1 UCTION ORS. ;
Proposal
Date: 4/27/2016
ABOWright Proposal Number:
624
ELECTRO
,
South Fork-631.353.3911
North Fork&Shelter Island-631.298.7700
Fax:631-259-3445 Prepared for:
Ply Box 1657,Southampton,NY,11969
Don Bayles
44� GENEIR=' ,^, 785 Albacore Dr,
AUTHORIZED SERVICE DEALER
t Southold,NY
Proiect Name:
Terms: Proposal Terms
Item'
Description Total '
Consulting Project Note:200 amp Square D q0 Panel-Existing 6 circuit transfer switch.
Generators 1-Generac Guardian 7 KW Air Cooled Generator:Amperage rated at 25 amps*EGD
2,044.QOT
Fully Automatic Operation-Includes Automatic Transfer Switch
eThe most affordable standby generator system on the market
Generac OHV Air-Cooled Engine
*Cast iron cylinder walls provides durability&long engine life
Revolving Field Alternator Design w/Automatic Voltage Regulation
*Operates 25%more efficiently than a revolving armature generator
*Prevents damaging voltage spikes
Digital LED Controller
*Provides system info without having to open the gen enclosure
Galvaneal Steel Enclosure&Composite Mounting Pad
*Will not rust&is ideal for harsh and coastal installations
Enclosed Critical Grade Muffler
*Provides quiet operation and provides added safety
Includes 8 Circuit Load Center Style Auto Transfer Switch(50A)
*Pre-wired(30'from ATS to Gen,&2'fro S to Mai Panel)
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EEforward
DATE: Total :
business with you.This pricing
3o days only. *This proposal is valid for 3o days and Is not binding without
a signature and the required deposit returned to us.
*Ali balances are due the same day of completion. x
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