HomeMy WebLinkAbout41332-Z G Town of Southold 2/22/2017
0
P.O.Box 1179
o - 53095 Main Rd
yfj�l �o�' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38837 Date: 2/22/2017
THIS CERTIFIES that the building OTHER
Location of Property: 545 South Ln, East Marion
SCTM#: 473889 Sec/Block/Lot: 38.-6-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/24/2017 pursuant to which Building Permit No. 41332 dated 1/30/2017
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 Fuller,Graham&Victoria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41332 02-16-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
gUfFOI 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#: 41332 Date: 1/30/2017
Permission is hereby granted to:
Fuller, Graham &Victoria
415 4th St#3
Brooklyn, NY 11215
To: install accessory generator as applied for.
At premises located at:
545 South Ln, East Marion
SCTM #473889
Sec/Block/Lot# 38.-6-6
Pursuant to application dated 1/24/2017 and approved by the Building Inspector.
To expire on 8/1/2018.
Fees:
ACCESSORY $100.00
ELECTRIC $85.00
CO -ACCESSORY BUILDING $50.00
Total: $235.00
BuiVInspector
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 $15.00
DatV. 01 — IN — 14
New Construction: Old or Pre-existing Building: (check one) q.�
Location of Property `"t S So U I� ('l C• CGS �/ cvr l�nn
House No. �` Strr",
Hamlet
Owner or Owners of Property: l '" �r��r r- "I, r
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (c eck one)
Fee Submitted:$
Applicant ature
OF SOU��®l
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • roger.richert(aD-town.southold.ny.us
Southold,NY 11971-0959 ;V1%
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Fuller
Address: 545 South Lane City: East Marion St: New York Zip: 11939
Budding Permit#: 41332 Section: 38 Block: 6 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Pro Electric License No: 33703-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 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 TVSS
Other Equipment: 20 KW Stand By Generator with Auto Transfer Switch
Notes:
Inspector Signature: Date: February 16, 2017
0-Cert Electrical Compliance Form.xis
A
SOUTyolo
ci
C�o
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:
DATE 7-- 16�z 7 INSPECTOR
FIELD MPEcgog n- OXx DA=4
Oj
...........�..
�'OUN'AA,TSQN' (2NI�) �
ROUGH FR4I12NQ
PLUMBTN'G �--
0.11
I NSYTLATSON•PEA N.Y.
STATE ENERGY C01)E ,
ANAL
AA-
60
pts,
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 Suryey
SoutholdTown.NorthFork.net PERMIT NO. Check_ a,�5
Septic-Form
N.Y.S.D.E.C.
Trustees
C.O.Application
�) Flood Permit
Examined �/ ,20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved 120L-// Mail to:
Disapproved c
Phone:
Expiration '20:6
PdA,)
���•O�� i nspector
D •
v D APPLICATION FOR BUILDING PERMIT
JAN 2 4 2017 Date 0 P , 20 4-
INSTRUCTIONS
D DING DEPT.
T �lii�T be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets S�p ans, 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.
(Sign u applicant or name,if a corporation)
gls5 y rzr �
(/ling//��es 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 whichproposed work will be done:
a
C(Li6
Alc
House Number Street Hamlet
66 , ,
County Tax Map No. 1000 Section Block Lot �!i'
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 ddition Alt ration
Repair Removal Demolition Other W__d-tq ���fC,' d
! (Description)
14. Estimated Cost Fee i
1 (To be paid on filing{this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor i
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
i Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories---s
4. , r
�8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. Size of lot: Front Rear 'Depth i
i
10. Date of Purchase n Name of Former Owner
111. Zone or use district in which premises are situated
12. Does proposed construction violate any,zoning,law, ordinance or regulation? YES NO
r
113. Will lot be re-graded? YES NO, • Will excess fill be removed from premises? YES 1 NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone Not.
1
15 Is this property within 100 feet of a tidal'wetland or a freshwater wetland? *YFS NO
* YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE UIRED.
i b. Is this property within 300 feet of a fidal wetland? * YES ' N,
* IF YES, D.E.C. PERMITS MAY BE-REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to-property lines.
I
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 i
f * IF YES, PROVIDE A COPY.
STATE OF NEW YORK) ;
SS:
COUNTY OF ) t
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.) j
IJ
of said owner or owners, and is duly authorized to perform or have performed the said work and to makeand file this application;
lthat all statements contained in this application are true to the best of his knowledge and belief; and that�he work will be
performed in the manner set forth in the application filed therewith.
i
�Sworrjto before me this
day of 0AX 20L7--
n CONNIE D. 13UNCH �
NO P blic,
Notary Public State of New York Signature of Ap licantl
i - No.01SU6,85050 p
Qualified in Suffolk County
COMM!ssiun Eppires Ap,!,, 14,2doh k)
i
Town Hail Annex J [ Telephone(631)765-1802
54375 Main Road (631)765-&5
P.O.Box Roo Q roger.richert town.soutlio .nV.us
179
Southold,NY 11971-0959
BUSING DEPARTNEENT
TOWN OF SOUMOLD
APPLICATION FOR ELECTRICAL INSPECTION
ESTED BY' P fW 5 LE-G 161 7 C, Date: 2" Q —16.
any Name: !1 Pan
- I�1�-u Z cQ a2,e�-`U• -. - - -
;e No.:
ss: ue o uC VY Ilq,3
No.: r-CJ 1 93 sg3 y1 �h�nc 631 2-ti 1 Oog
1�:l
'3ITE INFORMATION: (Indica t required information)
sss: Sys
C)C) r►4A
s Street:
ie No.: 3�l tl0i'�3 6
t No.: `-f
lap District: 9000 Section: Block: Lot:
:F DESCRIPTION OF WORK(Please Pr�'nt Clearly)
s Gl0 I,e n, C) W GC47 CTCLN r,
se Circle All That Apply)
ready for inspection: YES NO. Rough in Final
ou need a Temp Certificate: YES f NO
9 Information(If-needed)
ice Size: 1 Phase 3Phase 100 150 200 300 350 . 400 Other
Service: Re-connect Underground Number of Meters Change of Service Overhead
ional Information: PAYMENT DUE WITH APPLICATION f
=Requestfiorinspection Form 1 `�
Y -
S C.T M NO DISTRICT. 1000 SECTION:38 BLOCK:6 LOT(S) 6
LAND N/F
OF
JOHN KEATING
I&DANIEL
ND N/F dII oo,
OF
NEVIEVE MCMONIGG(LE FC ff PIPE
ca
1`4W 0 SLOE CF D/L
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'ni='= =:.,r=2 3T1''FRM'?=kn"t"T-'— - R LAND NIF
O vl,? 'DWELLING`- >-:ivvM;w, 10.1' OF
O m X545 - 3 0 a
=-- ANTHONY SALTALAMACCHIA
ELIZABETH STEMBUGLER
0 E-
LAND N/F = _H769 ' m
OF A Qi
ROBERT W DIXON W
REVOCABLE TRUST C
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g2,5-75'
1.
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OS PIPE
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-- - - - ---- - -
wooD RAIL
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1.2 Ni 5�2"46,3 0 ' clw
/ PIPE U.P.
� SO� 1 CRUSHED SONE .
U.P.
TOGETHER WITH AN
INGRESS & EGRESS EASEMENT
& BEACH RIGHT OF WAY
AS RECORDED.
LIBER 3267 PG.303 THE WATER SUPPLY, WELL$ ORYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA:8,162.50 SQ.FT. or 0.19 ACRES ELEVATION DATUM:
UNAUTHORIZED AL TERA DON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. 'COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TUVON
LISTED HEREON, AND TO 7HE ASSIGNEES OF 7HE LENDING INS71TU710N, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE£RECKON OF FENCES, ADDIBONAL STRUCTURES OR AND O77-iER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF. DESCRIBED PROPERTY CERTIFIED TO: ROBERT W. DIXON AND BONNIE
MAP OF. THOMPSON DIXON AS TRUSTEES U/A DATED
FILED 11/21/07 THE ROBERT W. DIXON REVOCABLE
SITUATED AT: EAST MARION
TRUST F S 0 ROBERT W. DIXON:
-
TOWN OF SOUTHOLD - "-- _ KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK . Professional Land Surveying and Design
{kyr �i/G P.O. Box 153 Aquebogue, New York 11931
FILE 014-168 SCALE: 1"=20' DATE NOV. 13, 2014 PHONE(831)205-1585 FAX(631)298-1588
NYS. LISC NO. 050882 maintaining the records of Robert J Hennessy&Kenneth M.noyehuk
Pad s 2:52 PM 61%50
northerntool com
Description Specs Q&A (� 2 Top
Features+ Benefits
• G-FlexTTM technology provides quieter operation and greater fuel • Quiet-Testm mode
efficiency e Mobile LInkTm cellular monitoring system capable
• Evolution controller
• All-weather aluminum enclosure OCCUPANCY O
USE-IS UNLAWFUL
Key Specs WITHOUT CERTIFICATE.
Item# 54315 StartType 0`° OC at,ACY
Manufacturer's Warranty 5 year limited warranty Phase Single
Ship Weight 471.0 lbs Noise Levet(dB) 63
Rated Watts(kW) 20 Transfer Switch Yes,200A
Amps 83.3 LP/75 NG Fuel Type Liquid propane,natural gas
Rated Watts LP(kW) 20 Enclosure Aluminum
Rated Watts NG(kW) 18 Mounting Pad Pre-attached composite
•-
------ ------
Surge Watts(kW) ' 20 Battery Required Yes
Surge Watts LP(kW) 20 Battery Included No
Surge Watts NG(kW) 18 Auto Shutdown Yes
Engine Generac OHV Safety Alerts Yes
Engine Displacement(cc) 999 UL Listed Yes
Volts 240 Dimensions L x W x H Sin_) 48 x 25 x 29
Engine Cooling Air
n�
ZO W coul 'O POMI,
AS J C�-
, ho ciSr Stu
DATE: B.P.#
FEE: BY:
COMPLY WITH ALL CODES OF
NOTIFY BUILDING DEPARTMEVTAT NEW YORK STATE & TOWN CODES
765-1802 8 AM TO 4 PM FOR THE AS REQUIRED AND CONDITIONS OF
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE:
2. ROUGH - FRAMING & PLUMBING BOARC
3. INSULATION uv
4. FINAL - CONSIR"UCTION MUST V D
BE COMPLETE Fr`^ C.O.
ALL CONSTRUCTION SHALL MEET THE JAN 2 6 2017
REQUIREMENTS OF THE CODES OF NEW RETAIN STORM WATER RUNOFF
YORK STATE. NOT RESPONSIBLE FOR PURSUANT TO CHAPTER 236
DESIGN OR CONSTRUCTION ERRORS. OF THE TOWN CODE. BUILDING DM.
IELECT=AL TOS OF SOUTHOLD
WSPE=0N REQU9RED