HomeMy WebLinkAbout41012-Z Town of Southold 10/20/2016
C3P.O.Box 1179
"5 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38609 Date: 10/20/2016
THIS CERTIFIES that the building GENERATOR
Location of Property: 65 Rambler Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 88.-5-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/19/2016 pursuant to which Building Permit No. 41012 dated 19/26/2016
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 Genovese Living Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41012 10-06-2016
PLUMBERS CERTIFICATION DATED
Or Authorized Signature
��� gUFFOtq- TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . 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#: 41012 Date: 9/26/2016
Permission is hereby granted to:
Genovese Living Trust
65 Rambler Rd
Southold, NY 11971
To: install an accessory generator as applied for.
At premises located at:
65 Rambler Rd, Southold
SCTM # 473889
Sec/Block/Lot# 88.-5-27
Pursuant to application dated 9/19/2016 and approved by the Building Inspector.
To expire on 3/28/2018.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $235.00
Build Ins ctor
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: d or Pre-existing Building: `� (check one)
Location of Property: S -� - �f4 1 (D
House No. Street �` Hamlet
Owner or Owners of Property: 6*; � a4,i d Jc aA L 7,,noy/,P,P2 e_
Suffolk County Tax Map No 1000, Section Block Lot 2
Subdivision Filed Map. Lot:
Permit No. I Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ rj
Applicant Signature
VjV so
Town Hall Annex Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179 �� roger.riche rt(dNown.southold.ny.us
Southold,NY 11971-0959
®lyC®U 9�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Genovese Living Trust
Address: 65 Rambler Road City: Southold St: New York Zip: 11971
Budding Permit# 41012 Section: 88 Block: 5 Lot: 27
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Frank Fenoy License No: 4718-ME
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 FixturesTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 20 KW Standby Generator with Auto Transfer Switch.
Notes,
Inspector Signature: Date: October 6, 2016
0-81-Cert Electrical Compliance Form.xls
pf 50(/Tyolo
0eou
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL)
REMARKS:
DATE G)6 h INSPECTOR
QLD lr7sPimw=POxx AA= C01v S
FOUNDA•�=N (1ST)
.............
FOUNDA,TTOI`r (2N13) '� �
z
ROUGH YR4rY�Cr&
INSULATION PDA N.-Y. r �
STATE EN-MOY CODB V
SAL
• �7�7,Agq���bbo,,999 z
rn
Q• 2
i
7
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
SoutholdTown.NorthFork.net PERMIT NO. i � !1 - Check
: . Septic Form
i N.Y.S.D.E.C.
Trustees
r� C.O.Application
Flood Permit
Examined ,20 Single&Separate
' Storm-Water`Assessment Form
r Contact:
Approved ,20 } Mail to:
Disapproved a/c
Phone: a a�
Expir
® '
pectorSEP •-
19 209 APPLICATION FOR-BUILDING VERMIT'
W"ING DEM Date `9 , 20
TOWN OF50MO INSTRUCTIONS--- ,
a. This application MUST be completely-filled in by'typew'rifer'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 iri'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 suthorized'has_not commenced within•12'months after the date of
issuance or has not been completed within 18 months from sucli:date:If no zoning amendments or other regulations affecting the
property have been enacted in theIriterim ,the Building Inspectox;rnay`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 B.uildiugj).epartmenvfgr.the issuance of a Building Permit pursuant to the
vy
Building Zone Ordinance of the Ton;of;S,outhold,Suffok-.County;New York;.and other.applicable'Laws,;Ordinancesfor
Regulations, for the construction of buildings,additions, or alteri&ins or�for removal or demolition;as herein described. The
applicant agrees to comply with all applicable laws, ordinances,buil''ding,code,,housing code,-and•regulations,and to.admit
authorized inspectors on premises and in building for necessary inspections.
.(Signature of applicant or name,if a corporation)
$00 7tvi) NY III )/
_ '(Mailing add er ss`of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
65ov V1 N&� UST
Name of owner of premises ~1 ee�
'(As'on'the tax'roll-or latest 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. 1 —' fyl 4
Other Trade's License No.
1. Locat'on of land on Aich prop sed work yAj be done:
C
House Number Street: Hamlet . . _.
County Tax Map No. 1000 Section Block Lot ��
C
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
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal' - Demolition Other Work
4. Estimated Cost-ft 3, �� 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, numbef'bf 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: FrontP'�^"I _: �1,ARai €
Depth Height Number-o tortes "Fr
ti# 4
61 U
8. Dimensions of entire new construct "� f ' '^� '
ion�,Front° •Reaf�• tDe`pth� � s.6��•
Height Number of Stories
9. Size of lot: Front
" Rear Depth
• F7 € h i +�1..va ailf3 4 wd?ti i.�Ise
10. Date of Purchase Name'of Forin`ex.Owner'
11. Zone or use district,in which premises dre�situated''t',".1-
12. Does proposed construc"tion'v olate any„zoning law,;ordiriance"or'regulation? YES NO
� 1 .
13. Will lot be re-graded? YES NO Will excess fill,be'reih'oved"from premises? YES NO
�p /� s i
14. Names of Owner of premises (�P fit✓ , ;Address 65 K lR/ ,Phone No.4_, �
Name of Architects Adddress. Phorie No
Name of Contractor ,s. Address- -Phone No.
15 a. Is this property'within 100 feet of,a tidal wetland:or,i freshwater'wetland?i*"YES- NO "X
* IF YES, SOUTHOLD TOWN TRUSTEES &.b.E:C: PERIVIITS+NIAY'BE�REQUIRED.-
b. Is this property'within 300'feet`of a tidal wetland? *YES NO ”
* IF YES, D.E.C. PERMITS MAYBE REQUIRED.",
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point'ori 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 1�
IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY 0 ffi-/
1 l" QV4e ..being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named; i is „t,CC1iJNIE®,BUNCH
(S)He is the Notaty PQb0 ,Stite of 50New York
50
(Contractor,Agent, Corporate Officer, etc.) Qualified in,SultOlK ounly
Commission Expires April 14,2 �
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 th's 9
1 1 day of 20 � o
Notary Public Signature of Applicant
-f
- laso
� o
Town Hall Annex 1 ( i Telephone(631)765-1802
54375 M;6n Road v, ax(63 i)70"� 5a2 '
P.O.Box 1179 G� Q roger.richert(a�`�fown
-SO uft�i 1 d ny us
Southold,NY 11971-0959 a0 _
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
IREQUESTED,BY. - Date:
Company Name: '
Name: -
License No.: L
Address:
i _
Phone No.: 15I'
JOBSITE (NFORIVIATION: (*Indicates required information)
*Name:
*Address:_- - --
*Cross Street:
'Phone No_: �.
Permit No.: "�--
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Pie-ase 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
Additional Information: PAYMENT DUE WITH APPLICATION
i -
31
82-Request for Inspection Form $ �5
LOT,AREA=,26,413 sq. ft:
MAIN BAYVIEW ROAD
S 68'00'30,"E 163.10' JR. ./
=2000'
L=31.42' o
A o 0.9' rI
48.
tn POM
29.7
3 22 1 i� 49' 73'
43
DWELL. � �N 3
o w
W 44.9' 5.Pq 13.7;
�i oGAR. ;o
►�
N U) 21.0'
m ~
N
m grovel—base O
z Z O 3 3
J �
� N
O
AIV. N, cPegd
Ss02'40 vrpQ ` _ c
N" LOT/y(�+48�23 � AMP
16 ,
OF , T wA�Ps A9 (IN FD. SM
FRONT
LARGE TREE
0
NOTE: CESSPOOL, SEPTIC TANK & WATER
SERVICE LOCATIONS BY OTHERS.
FINAL SURVEY 10-7-2002
THE E7COFA' tF M RK O OF-WAYS AND OR,F.ASE WEE LOCATED FOUNDATION 8-8-2002
OF RECORD."IF ANY. NOf SHOWf�ARE,NOT QUARII_ARFZIV.� - ,
THE OF7WS(OR DIMENS64S),SHOWN,HEREON 'F(t011`THE SMUCNRES TO-*E
PROPERLY ONES ARE FOR A.SPECSC°PURPOSE AN'D'U'SE AND 4HEREFDRE`ARE NOT JOB No. 01-543 FILE No. 779E
INnMEO TO OUW'1HE•ERECDON OF FENCES,REOVNINO WALLS, POOLS, PATWS, -
PLANING AREAS,ADDMON TO BUILDINM OR ANY MER CONSIRUCLLON. SURVEYED FOR 'FRANK & JOAN GENOVESE
UwmoRRm ALTERATION OR ADDti=ON TD THIs SURVEY IS A VIOLATION OF 8F=0N
7208 OF THE NEW-YORK STATE EDUGTKLN LAW.
QUOANTEES INDICATED HERON SHALL RUN ONLY TO THE PERSON FDR WHOM THE
SURVEY IS PREPARED.'AND,ON HIS`BEHALF TO iHE,MU,CDUPW-WjmMENTAL SITUATED-AT BAWEW
AGENCY AND LENDING INSIRTJTION LLS'IET) HEREON,AND 1T1 THE ASSMNEES OF THE
LENDINO INSIMMON. GUAutAi• =ARE NOT TRANSFERABLE TO ADDRION& INSIMMONS TOWN OF SOUTHOLD- - SUFFOLK COUNTY N.Y.
OR SUBSEQUENT-OWNERS.
COPIES OF THIS SURVEY-W NOT 99MG THE LAND SURVEYOR'S INKED SEAL OR SCALE 1" = 40' DATE 11-15-2001
'EMBOSSED SEA11.SHALL'NOT BE CONSIDERED,70 BE A-YA LJD,TRUE COPY.
. FILED MAP No. DATE -
CERTIFIED ONLY TO: TAX MAP No.(REF ONLY) 1000-88-5-27 'DISK 500
FRANK & JOAN GENOVESE
SUNRISE ABSTRACT CORP.
JP MORGAN CHASE BANK HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
P.O. BOX 616
F`7'7'> �6`^ 1866 WADING RIVER-MA"NOR,RD. WADING RIVER,
NEW YORK, 11792
9N.Y. LIC. No. 048992
HAROLD F. TRANCHON JR. PENN. LIC.:No.-2115''-E 631-929-4.695
APPROVED AS NOTED
DATEk6l
9.p.#
FEE: BY:
NOTIFY BUILDING DEPARTM AT
765-1802 8 AM TO 4 PM FOR THE RETAIN STORM WATER RUNri
UFF
FOLLOWING INSPECT!ONS: PURSUANT TO CHAPTER 236
1. FOUNDATION - TVrO REQU:RED OF THE TOWN CODE.
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST ELECTRICAL
BE COMPLETE F^Fi L.O. INSPECTION REQUIRED
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF TH=CODES OF NEW,
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODE<
AS REQUIRED AND CONDITIONS &
,spurn n Yrnni�i�Qe
C
HOLD TO SAES
. . .DEC
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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Hour Meter Yes
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Weight(Generator Only) 484 lbs. 484 lbs. 500 lbs.
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Transfer Switches Package options include either a 100 Amp,200 Amp or Dual 200
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assemblies?endCSA(CanadianStandardsAssociatronlstandardC222No.100-04(motors and
generators)
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_J a Fuel consumption rotes are estimated based on normo)operating conditions ot'k load Generator operation
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ltn It y• a zir" "" rates may vary depending an these factors.
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_ Is a trademark of General Electric Company
and is under cense y Briggs&Stratton
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changes in specifications and features shown
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herein or discontinue the product described at
Milwaukee,Wt 53201 USA g
;�...rte, any time without notice or obligation.
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Assembled in USA GES80002