HomeMy WebLinkAbout41294-Z �O�gUFF�(�CpG. Town of Southold 2/22/2017
y P.O.Box 1179
53095 Main Rd
�'yA �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38838 Date: 2/22/2017
THIS CERTIFIES that the building GENERATOR
Location of Property: 830 Poquatuck Ln, Orient
SCTM#: 473889 Sec/Block/Lot: 27.-3-4.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/11/2017 pursuant to which Building Permit No. 41294 dated 1/18/2017
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 Rotella S J&E T QPRT 2008
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41294 02-15-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature .
�SVFFill TOWN OF SOUTHOLD
BUILDING DEPARTMENT
o TOWN CLERK'S OFFICE
oy_• ®; 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#: 41294 Date: 1/18/2017
Permission is hereby granted to:
Rotella S J & E T APRT 2008
C/O Stephen Rotella
101 Central Park W Apt 16G
New York, NY 10023
To: install generator per manufacturer's specifications as applied for.
At premises located at:
830 Poquatuck Ln, Orient
SCTM #473889
Sec/Block/Lot# 27.-3-4.2
Pursuant to application dated 1/11/2017 and approved by the Building Inspector.
To expire on 7/20/2018.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CO -ACCESSORY BUILDING $50.00
Total: $235.00
Buil in nspe
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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 >!2
Date.
New Construction: Old or Pre-existing Building: (check one) /
Location of Property: fixwa al Alo�
?�
House No. �pStreet Hamlet
Owner or Owners of Property: <:::9W
Suffolk County Tax Map No 1000, Section Block Lot _
Subdivision Filed Map. Lot:
Permit No. Taqq Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: y (check one)
Fee Submitted: $
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SOUry®l
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 • a� roger.richert(cD-town.southold.ny.us
Southold,NY 11971-0959 Q
lie UNT`1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Rotella
Address: 830 Poquatuck Lane City: Orient St: New York Zip: 11957
Building Permit#: 41294 Section: 27 Block: 3 Lot, 4.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Laurel Lighting Inc. License No: 4718-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 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 AIC Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock El Exit Fixtures 11 TVSS 11
Other Equipment: 20 KW Standby Generator with Auto Transfer Switch
Notes.
Inspector Signature: Date: February 15, 2017
0-Cert Electrical Compliance Form.xls
pE SOpryolo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL -
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
REMARKS:
K /-c,L-,-t-
DATE ` �� 7 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST) y
�t
------------------------------------
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FOUNDATION (2ND)
O
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ROUGH FRAMING&
PLUMBING
9
INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
IN ADDITIONAL COMMENTS C'
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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
ql2qSoutholdTown.NorthFork.net PERMIT NO. (e Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Storm-Water ssessment Form
Contact: 6o 3 f ::�
Approved ,20 Mail to:
Disapproved a/c
7a ��
Phone:
Expiration ,20
o 6
Bui mg ctor
JAN 1 1 2017 APPLICATION FOR BUILDING PERMIT
BUILDING DEPT. Date /0 120 / 7
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 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 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 w proposed work will be ne:���'`
House Number eet Hamlet
County Tax Map No. 1000 Section Block Lot ��
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premiises and intended use and occupancy of proposed construction:
a. Existing use and occupancy � 5 - 662-o LP
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 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 r'` i `�° }_' . _'Rear. V t
Depth Height Number'df-Stories
8. Dimensions of entire new construction: Front Rear 'Depth is
Height Number of Stories
9. Size of lot:Front Rear Depth rt
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 premiseala ✓'�} llam AddresPhone No. -'13—M/l
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, 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)
,�S:
COUNTY /,
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(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. 1
Sworn to before me this
day of 20
otary Public' Signature of ac, ate of New York
Notary
No.01 BU6185050
(qualified in Suffolk County
Commission Expires April 14,2� v
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Town Hall Annex J C i S Telephone(631)765-1802
54375141ain Road v, ax(63 1)765-"5�2 '
P.O.Box 1179 G� ro_q nrichert(a7`fown.soutfio d ny us
Southold,NY 11971-0959 'r
coUN.t'[,��
BIIILDING DEPARTMENT
TOWN OF SOUTHOLD I
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY- - I
Date:
Company Name:
Name: I-
License No.: -
i.
Address:
Phone No.: I
JOBSITE INFORMATION: (*Indicates required information)
*Name: &Led I Li
*Addeess:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: 9Block:_ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Al C 2 arf v 2
(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
Additional Information: PAYMENT DUE WITH APPLICATION
i-
82-Request for Inspection Form
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APPROVED AS NOTED
DATE: a.P.#
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FEE: BY:- E(LEC P A9..
NOTIFY BUILDING DE- AT ��®P
765-1802 8 AM TO 4 PM FOR THE INSPECTION REQUIRED
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST RETAIN STORM WATER RUNOFF
BE COMPLETE F09 C.O. PURSUANT TO CHAPTER 2;;:
ALL CONSTRUCTION SHALL MEET THE OF THE TOWN CQDE.
REQUIREMENTS OF THE CODES OF NEIN
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
S�!I7N !�?r11AlAI�!AA��iuin n�eRD
finl dun
TOWN
Tnl STEES _
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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odk-R]N STANDBY GENERATORS 20M STANDBY GENERATOR
{ BRIGGS
RECOMMENDATIONFUEL PIPE SIZE -T(CAPACITY IN THOUSANDSOF = ■ - I 2GkW' STANDBY GENERATOR
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• Making these models 501/o quieter than most portable generators • Powerful VTwin OHV engine
TRANSFER SWITCH,SPECIFICATIONS •The unique design pushes engine exhaust out the front,directly away • Easy conversion between natural gas(NG)and liquid propane
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Number of Protected Circuits IN-HOME ESTIMATE! GENERATOR SET RATINGS
Symphony®II Whole House 800-743-4115, 44
LIQUID PROPANE I NATURAL GAS I LIMITED WARRANTY3
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MODEL VOLTAGE PHASE HZ BREAKER, LP kW LP AMPS NG kW NG AMPS PARTS,LABOR,TRAVEL ,
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( Fortress 120/240 1 60 100 20 B3.3 18 75 6 Year
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Disclaimer:Not for Prime Power or use where standby systems are legally required,for serious ? 040336
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POST OFFICE BOX 702
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Copyright 02016 All rights reserved BS1007-D-11/16
'This generator is rated in accordance with LIL(Underwriters Laboratories)2200(stationary engine generator assemblies)
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The installation manual contains specific instructions related to generator placement in addition to NFPA 37,including the
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BPIGGG-TGP STANDBY GENERATORS 20kW STANDBY GENERATOR GP�G�'�-�'�GP STANDBY GENERATORS 20kW STANDBY GENERATOR
SPECIFICATIONSENGINE ■ ■ ■NAL INFORMATIO
ENGINE LUBRICATION ! OTHER FEATURES v, CERTIFICATION
Engine Model Briggs&Stratton Vanguard- Oil Capacity(oz) 79 Enclosure Material Galvanneal Steel with Corrosion CARB Compliant Yes
Resistant Paint
Engine Model Type Trim Number 613275-0003-E1 Lubrication System Full Pressure Overcrank Protection Yes NFPA Approved Yes
Engine Speed(RPM) 3600 Recommended Oil 5W30 Full Synthetic Engine Warm Up(sec) 20 or 50 Automatic Transfer cUL Listed to CSA 22.2 NO 100.04 Yes -
Switch Controlled
Engine Fuel Liquid Propane(LPI or Low Oil Pressure Sensor Yes Engine Cool Down(min) 1 NEMA Compliant Yes
Natural Gas(NG)
"ALTERNATOR SPECS Y 26 or 56 Automatic Transfer
Engine Cylinder Configuration OHV _:-_ _ Response Time(sec) Switch Controlled EPA Certified Fuel System Yes
Manufacturer Briggs&Stratton Basic Wireless Monitor AVAILABLE•ACCESSORIES'
Number of Cylinders 2 Monitoring OptionsL
InfoHub""Monitor
Type Self-Excited, Rotation Field Maintenance Kit 6035
Displacement(cc) 606/993 Continuous Yes
Battery Charging
-._. - __ - --- --- —--_ _----__ -_- - _ - -- ----- -_- -----___. Fortress 6404
Voltage Regulator Automatic Cold Weather Kit
Bore&Stroke(in) 337/341 p WEIGHT AND-DIMENSIONS Briggs&Stratton 6231
Insulation Class F Assembled Weight(Ibs) 500 Basic Wireless Monitor 6229
Compression Ratio 85.1
CONTROLLER FEATURES _ Overall Dimensions(in) 50 5 x 32 9 x 31 InfoHub 6260
Governor Type Electronic
Hour Meter Yes Packaged Weight(lbs) 613 Remote Status Monitor 6144
Frequency Regulation +/-1 Hz
LED Digital Display Yes Packaged Dimensions(in) 68 1 x 41 x 39 5
Valves OHV with Hardened Seats
Fault Code Display Yes
Ignition System Fixed timing Magnetron®
Electric Ignition
Weekly Exerciser Yes
Starter Motor Rating Voltage 12 Volt 47" 31..
Battery 12 Volt
OPERATIONS
FUEL CONSUMPTIONI v _ SOUND RATING
' ePo
I AT 7 METERS 31"
50%Load 100%Load 64 dBA €
8
Liquid Propane B3 ft3/hr 2 31 gal/hr 135 ft3/hr 3 75 gal/hr °
Lowest measurement of 12 microphones around generator a
Sound level measurement at other locations around generator
Natural Gas 187 ft3/hr — 260 ft3/hr — may be different depending upon installation configuration a8
FORTRESS'
O
04 1 1
50.5" 32.9"
'Fuel consumption rates are estimated based on normal operating conditions 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 -
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