Loading...
HomeMy WebLinkAbout41139-Z �o�g�FFOt�.CpG Town of Southold 6/5/2018 P.O.Box 1179 �. 53095 Main Rd �4. oo� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39691 Date: 6/5/2018 THIS CERTIFIES that the building GENERATOR Location of Property: Munnatawket Ave.,Fishers Island SCTM#: 473889 Sec/Block/Lot: 6.-3-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/25/2016 pursuant to which Building Permit No. 41139 dated 11/2/2016 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 Holzner,Mark&Marshall,Leslie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41139 10/18/2017 PLUMBERS CERTIFICATION DATED uthorized Signature o�SufFoc�co TOWN OF SOUTHOLD BUILDING DEPARTMENT y a 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#: 41139 Date: 11/2/2016 Permission is hereby granted to: Holzner, Mark 164 Farist Rd Fairfield, CT 06825 To: install a generator as applied for. At premises located at: Munnatawket Ave., Fishers Island SCTM # 473889 Sec/Block/Lot# 6.-3-3 Pursuant to application dated 10/25/2016 and approved by the Building Inspector. To expire on 5/4/2018. Fees: ACCESSORY $100.00 RIC $85.00 C -ACCESS O Y UILDING $50.00 otal: $235.00 Building Inspector 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. -7 fl�_e. New Construction: Old or Pre-existing Building: (check one) Location of Property: VA Li tAA etA/;4tA k e' / A1 House No. Street Hamlet Owner or Owners of Property: 0A(AA k. 22 Suffolk County Tax Map No 1000, Section �p Block 3 Lot J Subdivision Filed Map. Lot: Permit No _Date of Permit. `� Applicant: C Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 50 icant Signature pF SO�T�®l Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G ® �Q roger.richertCD-town.southold.ny.us Southold,NY 11971-0959 COU BUILDING BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Holzner Address: Munnatawket Avenue city,Fishers Island st: New York zip: 06390 Building Permit#: 41 139 Section: 6 Block: 3 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Gary Rubertone Electric Inc. License No: 42329-ME SITE DETAILS Office Use Only Residential X Indoor X 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 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 FixtureTime Clocks Disconnect P1 Switches Twist Lock Exit Fixtures 9 TVSS Other Equipment: 20 KW Stand By Generator with Automatic Transfer Switch (200A). Notes: Inspector Signature: Date: October 18, 2017 IF 0-Cert Electrical Compliance Form(1).xis FIELD INSPECTION REPORT DATE COMMENTS 4 tv FOUNDATION (IST) y ------------------------------------ � C FOUNDATION (2ND) M z 0 t ROUGH FRAMING& H PLUMBING V4 W INSULATION PER N.Y: H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS s . 0 1� 1 z m Q 3 H d b H TOWN OF SOUTHOLD ILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT D �� =adym RV Do you have or need the following,before applying? TOWN HALLLLf) T Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 OCT 2 5 2016 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PER1Vgl DWr. Check TOWN OF SOUTHOLD N YS.Form rskl Trustees C.O.Application DD Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Formj Contact: Approved ,20 (� BUMDING DEPT. a. Disapproved a/c TOWN OF SOUTHOLD —' Phone: Expiration ,20A,� spe for APPLICATION FOR BUILDING P Date 2 , 20_0 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 app cant) �9w State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises r ( C.� _� x.) 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. a 2- Other Other Trade's License No •Location-of land,on•which,proposed work will be done: House Number ' Street Hamlet County Tax Map No. 1000 Section Block 3 Lot_3 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 (Description)---� 4. Estimated Cost N j', I ��• ee!` yi r "=)� `— 1 ►i It `(To b&e; id on filing this application) 5. If dwelling, number of dwelling units 'lumber--of dwellingJunits•on-each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature,dnd`ext'eiit'�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 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 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 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--,I,, * 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 0175AIR ) C`1 61N �Uk r+01()c, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the tf9l 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. Sworn to before me this TRACEY L. DWYER dayof fL evnk20 1� NOTARYPUBLIC, 01DW 306900 EW YORK N0. QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,4 2 Notary Public Signature of Applicant - i SQUryo` Town Hall Annex lR J Telephone(631)765-1802 i 54375 Main Road g P.O.Box 1179 G, 0 roger.richertfown sout�ioQ .ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION j • f REQUESTED BY: Date: 919---df(z' Company Name: Name: ' License No.: Z A"A Address: i ' Phone No.: I JOBSITE INFORMATION: (*Indicates required information) *Name: .40 (z- -t--o d c? *Address: *Cross Street: Alla .g *Phone No.: O, Permit No.: � Tax-Map District: 1000 Section: t Block: 3 Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) ! T - I - - - 1, (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 a 82-Request for Inspection Form OCT-25-2016 12:52 NORTHEAST GENERATOR 2033371284 P.10 ►ios'rr.javnNrr .._,.,. _,._ ..- ..— S 1 � 8 � I H ] ti V - _' ---------'---.._._... A,I..93r:)tr3s rma3urNDNvt�iOoa oil N 1 n b ! b l d d uwanz Town HallA rmex Telephone(631)765-1802 54375 Mai a Road awoajaxMviYNNnw Fax(631)765-9502 P.O.Box 1 '79 G Southold,NY 1 71-0959 ,_ cou (l co ), BUILDING DEP T OWN OF SO UT >_ — „_ — •� __ A r � •� 1 1 i `I 1 I t^ n 43HSJ ►ioi►s an.nNYr S .I 3 1 1 H J b V NV7d 3116 NO NY7d iDDN CVM jjllM V1 VNNA W Ir �C 1 �.._� a ); o r V- 7'ca+ `t AL �y 43145 _ TOTAL P.10 OCT-25-2016 12:51 NORTHEAST GENERATOR 2033371284 P.06 o�,°F sovr�®� � o Annex VgWOU)765-1802 n Road { 1179 Specification she ilk 11971-0959 Diesel generathb#46VOUTME UTHO V2203-M series engine 20 kW EPA emissions Description Cummins Power Generation commercial Control system -The PowerCommand®1.1 ,�.d. generator sets are fully integrated power electronic control is standard equipment and provides total genset system integration including generation systems providing optimum automatic remote starting/stopping,precise �, •performance,reliability and versatility for frequency and voltage regulation,alarm and status ' stationary standby and prime power applications. message display,output metering,auto-shutdown at fault detection and NFPA 110 Level 1 Features compliance. Kubota heavy-duty engine-Rugged 4- Cooling system-Standard integral set-mounted cycle,liquid-cooled,industrial diesel delivers radiator system,designed and tested for rated reliable power,low emissions and fast ambient temperatures,simplifies facility design response to load changes. requirements for rejected heat. Alternator-Several alternator sizes offer Enclosures-Optional weather protective and selectable motor starting capability with low sound attenuated enclosures are available. reactance 2/3 pitch windings,low waveform distortion with non-linear loads and fault Fuel tanks -Dual wall sub-base fuel tanks are clearing short-circuit capability. also available. NEPA-The genset accepts full rated load in a single step in accordance with NFPA 110 for Level 1 systems. Warranty and service-Backed by a comprehensive warranty and worldwide distributor network. #eaedb stilt Prime ratio g Continuous riMnS faate sheeft so ft SO HE 60 NE 60 Ns 80 NE s0 Ns MOM kW I kW IkV/U kW kV kW kV kW MAI kW kV 60 NE 60 NE DMMA 20 25 18,2 22. D-3373MOM Our enemy wadding for sou.- cumminspower.cam 02014 C,anminy Pgwpr Qpnaraticn Inc, t 8-15021(3/14) OCT-25-2016 12:51 NORTHEAST GENERATOR 2033371284 P.07 TdGenorMw set specification ® Telephone(631)765-1802 543MMap jgion class F%Wrgddiffion,no load to full load Southo tion a g� Frequency regulation ron)US Random frequenog variation Radio frequency emissions compliance Engine specifications BUILDING DEPARTMENT TOWN OF SOUTHOLD Bore 87.0 mm(3.43 In Stroke 92.4 mm(3,64 in) Displacement 2.20 litres(134.1 in) Configuration Cast iron,in-line,4 cylinder Battery Capacity 350 amps minimum at ambient temperature of-18"C to 0°C 0°F to 32" Battery charging alternator 40 amps Starting voltage 12 volt,negative ground Fuel system Indirect Injection;low or ultra low sulfur,number 2 diesel fuel Fuel filter Single element,spin-on fuel filter with water separator Air Cleaner type 2VL replaceable element Lube all filter typeis Spin-on,full flow Standard cooling stem High ambient radiator Alternator specifications Design BruShless,4 pole,drip proof,revolving field Stator 2/3 pitch Rotor Single bearing,flexible discs Insulation system Class H Standard temperature rise 125•C standby at 40°C ambient Exciter type Torque match(shunt) Phase rotation A(U),B M,C Alternator cooling Direct drive centrifugal blower fan AC waveform total harmonic distortion r 7%no load to full linear Toad,<3%for any single harmonic Telephone influence factor(TIF) c 40 per NEMA MG1.22.43 Telephone harmonic factor <3 Available voltages 09 flz Three phase IIn"Qutral/line-line 00 Itz Single phase lino-neultral/line-Nne e 120@08 a 139/240 • 240/416 347/600 120/240 • 120/240 Delta • 220/380 • 277/480 Note:Consult factory for other voltages_ Generator set options and accessories Cnslne Alternator Generator set ❑PowerOommand Network ❑ 120 V 1000 W coolant C7 105°C rise ❑Battery Communications Module heater ❑ 120 V 100 W anti- ❑Battery charger (NCM) Fwel swam condensation heater l7 Enclosure:aluminum,steel, ❑Aemote annunciator panel L7 24 hour Sub-base tank 1)Single phase weather protective or sound E3 Spring Isolators (dual wall) Exhaust$ystQm attenuated ❑2 year prime power warranty ❑ Regional fuel tank code Q Engine exhaust muffler ❑ Export box packaging ❑2 year standby power warranty kits (mounted)) ❑ Main line circuit breaker ❑5 year basic power warranty ., Note:Some options may not be available on all models-consult factory for availability, Our energy working for you." oumminvower.com 02014 Cur mdns Pourer Qemiatton Inc, I S-1582}(9114) OCT-25-2016 12:51 NORTHEAST GENERATOR 2033371284 P.08 •Une-to-line and Line-to-neutral AC volts •3-phase AC current requency tai kVa e data Town Telephone(631)765-1802 oltage 54375 '; d� oil pressure Fax(631)765-9502 P•o• lant temperature Southold, - Ir speed PowerCommand control is an integrated �► 44 1� or data set control system providing voltage regulation,e •Genset model data protection,operator interface and isochronous •Start attempts,starts, running hours goveming(optionan.Major features inH ;DING DEPAR'F1`6 $illistory • ® Battery monitoring and testing featj"f�i'I)�( Mo st SOU�� odbusinterface starting control system. -0 15ata�ogging and fault simulation(requires InPower •Standard PCCNet Interface to devices such as service tool) remote annunciator for NEPA 110 applications. Digital governing (optional) •Control boards potted for environmental protection. •Integrated digital electronic isochronous governor •Control suitable for operation in ambient a Temperature dynamic governing temperatures from-40°C to+70°C(-40 IF to +158°F)and altitudes to 5000 meters(13,000 feet). Dlgltal voltage regulation • Prototype tested; UL,CSA,and CE compliant. •Integrated digital electronic voltage regulator •InPower'-PC-based service tool available for •2-phase line-to-line sensing detailed diagnostics. •Configurable torque matching Operator/display panel Control functions •Manual off switch •Time delay start and cooldown •Alpha-numeric display with pushbutton access for .Cycle cranking viewing engine and altemator data and providing . PCCNet interface setup,controls and adjustments(English or .(2)Configurable inputs international symbols) •(2)Configurable outputs •LED lamps indicating genset running,not in auto, •Remote emergency stop common warning, common shutdown,manual run a Glow plug control(some models) mode and remote start Options •Suitable for operation in ambient temperatures from -20°C to+70°C 0 Auxiliary output relays(2) • Sargraph display(optional) © 120/240 V, 100 W anti-condensation heater AC protectlon 0 Remote annunciator with(3)configurable inputs and (4)configurable outputs •Over current warning and shutdown 0 PMG alternator excitation •Over and under voltage shutdown 0 PowerCommand Watch web server for remote •Over and under frequency shutdown monitoring and alarm notification(loose) •Over excitation(loss of sensing)fault o Auxiliary,configurable signal inputs(8)and •Field overload configurable relay outputs(8) Engine protection 13 Digital governing •Overspeed shutdown o AC output analog meters(bargraph) •Low oil pressure warning and shutdown - Color-coded graphical display of: •High coolant temperature warning and shutdown - 3-phase AC voltage •Low coolant level warning or shutdown - 3-phase current • Low coolant temperature warning - Frequency - kVa . High,low and weak battery voltage warning 0 Remote operator panel • Fail to start(overcrank)shutdown 0 PowerCommand 2.2 control with AmpSentry •Fail to crank shutdown protection • Redundant start disconnect •Cranking lockout •Sensor failure indication •Low fuel level warning or shutdown • Fuel-in-rupture-basin warning or shutdown For further detail see document 8-1531. Our eeeray worldne Tor you.' cumminupower.com 02014 Curnmim Power oeneration Inc 1 3-1582113/141 OCT-25-2016 12:52 NORTHEAST GENERATOR 2033371284 P.09 Applicable for supplying power to varying electrical t load for the duration of power interruption of a r utility source.Emergency Standby Power(S �F1"B"accordance with 180 8528. Fuel Stop pow i accordance with ISO 3046,AS 2789, DIN d ToW14aH Annex a ep one(631)765-1802 54 eidrunning power(STP): 765-9502 P� f1�1� ir s�u plying lying power to a cons l southoll� �ii�i rs. Limited Time Runni Dim'G' (LTP)is in accordance with ISO 8528, Prime power(PRP): Applicable for supplying power to vary U DEPART load for unlimited hours.Prime Powe � � accordance with ISO 8528.Ten perc a F SOUT Dim W Capability is available in accordance with ISO 3046,AS 2789,DIN 6271 and 88 5514. Base loot) (continuous)power(COP): This outline drawing is for reference only. $ee respective model Applicable for supplying power continuously to a data shoot for specific model outline drawing number, constant electrical load for unlimited hours.Continuous Power(COP)in accordance with ISO 8528,ISO 3046, Do not use for Installation design AS 2789,DIN 6271 and BS 5514, Dim 14A" Dim 11111, Dim r1C11 set Weight* Bet weight* Model mm n. mm In. men In.11 dry ku fibs) wet kg fibs) DSKBA 1700(66.9) 78r 01. ) 928(36.5) 5138(1252) Weights represent a set with standard features. See outline drawings for weights of other configurations, Codes and atandar'ds Codes or standards Compliance may not be available with all model configurations—consult factory for availability, This generator set is designed in facilities The generator set Is available Listed to UL certified to ISO 9001 and manufactured In UL 2200,Stationary Engine Generator facilities certified to ISO 9001 or 180 9002, 4 Assemblies. The Prototype Test Support(PTS)program verifies the performance Integrity of the Engine certified to Stationary Emergency U.S. generator set design. Cummins Power EPA New Source Performance Standards, Generation products bearing the PTS U.S. EPA 40 CFR 60 subpart 1111 Tior 41 exhaust emission symbol meet the prototype test levels.U.S.applications must be applied per requirements of NFPA 110 for Level 1 this EPA regulation. systems. The generator set package is available certified e All low voltage models are CSA certified to International for seismic application in accordance with the product class 4215-01. Building following Intemational Building Code: Code ISC2000,i8C2003,11302006,IBC-2009 and ISC20112. Woming:Back feed to a utility system can cause electrocution and/or property damage.Do not connect to any building's electrical system except through an approved device or after building main switch is open. North AM860% 1400 73rd Avenue N.E. Minneapolis,MN 55432 USA Phone 763 574 5000 Pax 763 574 5298 Power Our enow wodting for you Ca Generation 02014 CummlOa Power Generation Inc All rights reswvea. Cummins Powe 94neraboA&Ad Gummins aro registered traVemarKs of Cummine Inc.PowarCQmmpnd,AmpSentry,InPower and"Our anargy working for you."are trademarks of Cummins Powar deneraUon,other company,prohtuct,or servloo nomgs Wray be teadenwks a SWIM mute et Others.SpedMabena are subject to change without nobee cumminmpower.com 8.9502f W141