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a°f 30 Town of Southold * P.O. Box 1179 �0 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46473 Date: 09/08/2025 THIS CERTIFIES that the building GENERATOR Location of Property: 50 Budds Pond Rd Southold, NY 11971 Seca lock/Lot: 56.-5-21 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 07/01/2024 Pursuant to which Building Permit No. 51083 and dated: 08/20/2024 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: Donna Blanchard Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51083 7/29/2025 PLUMBERS CERTIFICATION: utho ' Sign ture 'FFoi' 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 #: 51083 Date: 8/20/2024 Permission is hereby granted to: Blanchard, Donna 15 Alexandria Dr Pittstown, NJ 08867 To: Install a standyby generator accessory to a single-family dwelling as applied for. Must maintain minimum accessory setbacks of 5 feet. At premises located at: 50 Budds Pond Rd, Southold SCTM # 473889 Sec/Block/Lot# 56.-5-21 Pursuant to application dated 7/1/2024 and approved by the Building Inspector. To expire on 2/19/2026. Fees: ACCESSORY $125.00 CERTIFICATE OF OCCUPANCY $100.00 ELECTRIC $100.00 Total: $325.00 Building Inspector OF SO(/T�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q Jamesh _southoldtownny.gov Southold,NY 11971-0959 OIyCQUM�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Donna & Colin Blanchard Address:`�, a,5 ; �. ►���( 0L K 0% city:Southold st: New York zip: 11971 Building Permit#: 51083 Section: ` 56 Block: 5 Lot: 21 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: G&S Electrical Con. Electrician: Rob Guarriello License No: ME-31568 SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch 2008 UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 1 22kw Generac Generator with 100amp breaker Notes: GENERATOR Inspector Signature: Date: July 29, 2025 325 bay home rd OF SOUTyo� TOWN'OF SOUTHOLD BUILDING DEPT. 631-765-1802 jog INSPECTION. ' [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]ANSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] .FINAL [. ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY_INSPECTION [ ]` FIRE RESISTANT.CONSTRUCTION [ ] -FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ . ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ :] PRE C/O [ ] RENTAL REMARKS: Z/ G Loft ct :DATE t�7 'yOY INSPECTOR , pE SOUTyolo `J O -eQ3 v 6 �U �Vtc ✓! �L/ vl/1 �. # * TOWN OF SOUTHOLD BUILDING DEPT. co 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: IIIX 'A Mt ).v DATE off_ INSPECTOR AWU -,i .� � �Fy . . �..Alt, �• �..1. .. lop, r' Sw !.• '�. 1 ,'. ♦. .S �.I •i. f I ; k ► `f 'e" v� re+r fy.. .�. �+1, '>,�"� ,5�` -\�� �7I�� x- *�`' !k� p� 'f. ,�• 1 ,�• y, a .�. "' '� �� � � .. .Y� . 7" e �rt�'i i�',7{ J+' f• `- � •"" - A� • it y'�. '�:"• r Y 1 • . r r.c _ �"� t. IA•":.. w ��y� A� 1, <f ;@- ..i�r. 4AAr a .v,,.f :60% Vff k-�A1- Ad 615 Me Aliv 77 w 4 �- x'h S-P I�" +RT } �.<[ '. ,.._"{Qr.♦tom,:,f .d '` 7• JY r1. �F'f. v"`'"hy4 �.i, '',;,. "'+81N7t�, - :'.` ,fir .-si`•. i{�Z. 1' � � Y � �]tt,A� !C •t��� �Y PI4 `P T a'�,� (j Y' i L •. - �'"��i��,�b e yam` y • 'c�+^^�`A'i'�'nk'y'w�'9`.-fvl s� -r �•'� .,' �' 1 nI + •�� � / ..... _ ' M ;t Eti -:•' .a F� .,r•1 .J..L- ��,1. h'F 5;.' < _... �... :� i ♦ ti T ... T!, - w. f�M!' ' ��1`-tr �: y+�' ��•�i(y '+�., � F t �,'�c J �} '!I �y'�, �: 9`�\ _ .. 'Y,,.�• •wrr,, � MAT rf. FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) --------------------------------------- - FOUNDATION (2ND) Tm ROUGH FRAMING& PLUMBING Vl- INSULATION PER N. Y. STATE ENERGY CODE IF bye, FINAL ADDITIONAL COMMENTS ct - I 0 z M ........... ----------- tz o�g�EFOI�dOG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y� Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 01 �a Telephone(631) 765-1802 Fax(631)765-9502 https://www.southoldtomm.gov Date Received APPLICATION FOR BUILDING PERMIT Ml For Office Use Only D PERMIT NO.5)6 J Building Inspector: —ilk) JUL - 2024 gpplicati}or►s and forms must be filled dut in'thelr'entlrety, Incomplete j h ap'pllcations willjnot be accepted Where the Applicant ismot the owner,an , Owner's Authorization form(Page 2)�shall be'completed s BUILDING DEFT• .. 'fates f 7 v J f. f 'S Y #A r W TOWN >F SUUT (2 Date:6/242024 Jc) lsw�ci6 w-d Q OWNERS)OF PROPERTY ' ..4• .xis. 14 .t.. n fist Name:Donna & Colin Blanchard scTM#1000-56-05-21 Project Address:325 Bay Home Rd Southold NY 11971 Phone#:908-797-0539 ---------TEmail:dblanchard@embargmail_.com Mailing Address:325 BayMHomepRd Southold NY 11971 Name:Jesse Gaffga Mailing Address:3350 Grand Ave Mattituck NY 11952 Phone#:631-375-2737 Email:jgaffg Qtechss.com DESIGNPROFESSIONAl�INFORMATION f�� t Name: Mailing Address: Phone#: Email: Name:J-Tech Surface Solutions Mailing Address:3350 Grand ave Mattituck, NY 11952 Phone#:631_-375 2737 Email: fPga@jtechss com t � F PR! OPOS DESCRIPTION OED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: D Other Stand-by Generator $10000 Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes BNo N 3 Existing use of property: i' g ' Y Intended use of property: g le ' Y _ .._.s .n. le famwi.l. _ si n Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to __,.._ .._. ._ this property? ❑Yes ®No IF YES, PROVIDE A COPY. BsCheCk$OX After Reading the owner/eontractor/design professionalsis responsible foirtall drainage and storm water issues as provided by 2 4 e ✓ S i as 1 _ i Chapter 236'of the Town Cotle APPLICATION t5 HEREBY MADE to the Buildirlg£Department for the issuance of a Building Permit pursuant to the eutlO Zone,y Ordinance of the Town of SoutFiold,Suffolk,County;New York and ottVer applicable Laws,Ordinances or Regulations for the construction of buildings, �additions`alterations"odor removal or demokt�on as harem descnbedi The applicant agrees to co„mply with all applicable taws ordinances,bwldmg code, ;�,�' housing code antl regulations and to admit authorized inspectors on,premises and in pUilding(s)for netessary inspections Falsestatements made herein punishabI e as a Class A mistlemeanor pursuant to`5ection 210 45 of the New York State Penal Law Application Submitted By(print n e):Jesse Gaga WAuthorized Agent ❑Owner Signature of Applicant: Date: CP ay-8A3 STATE OF NEW YORK) SS: COUNTY OF 3,eq \\( ) Jesse Gaffga being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (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/her knowledge and belief,and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this G day of 20 7-Zl- L=-L �•w-..�..� Notary Public Bruce L.(McDonald NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 MC6224291 Qualified in Suffolk County ROPERTY OWNER AUTHORIZATION Commission Expires June 28, 20 (Where the applicant is not the owner) Donnel Blanchard residing at 325 Bay Home Rd Southold NY 11971 Jesse Gaffga do hereby authorize to apply on ehalf to the To f Southol Buildin3,Department for approval as described herein. (p��� 23 Owner's lgnature Date Donna Blanchard Print Owner's Name 2 O�OS�fF01* BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD o Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 1 , jamesh _southoldtownny.gov- seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ,ELECTRICIAN INFORMATION (All Information Required) Date: 6/24/2024 Company Name: G&S Electrical Contractor Electrician's Name: Rob Guarriello License No.: 31568-ME Elec. email: Elec. Phone No: 631-375-2737 ❑I request an email copy of Certificate of Compliance Elec. Address.: 250 Budd Ponds rd Southold, NY 11971 JOB SITE INFORMATION (All Information Required) Name: Donna & Colin Blanchard Address: 325 Bay Home Rd NY 11971 Cross Street: Phone No.: 908-797-0539 Bldg.Permit#: 510(3 3 email: Tax Map District: 1000 Section:56 Block: 05 Lot:21 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): install 22kw generac stand by generator Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES 0 NO -]Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES RV NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underg round❑Overhead #Underground Laterals 0 1 2 M H Frame Pole Work done on Service? DY FIN Additional Information: " PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector `'�O�®S ��®l✓ TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh southoldtownny.gov - seand(a�southoldtownny.gov -� APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 6/24/2024 Company Name: G&S Electrical Contractor Electrician's Name: Rob Guarriello License No.: 31.568-ME Elec. email: :5 1-AW t J- Q)0rA Elec. Phone No: 631-375-2737 El request an email copy of Certificate of Compliance Elec. Address.: 250 Budd Ponds rd Southold, NY 11971 JOB SITE INFORMATION (All Information Required) Name: Donna & Colin Blanchard Address: 325 Bay Home Rd NY 11971 .( J d Cross Street: Phone No.: 908-797-0539 Bldg.Permit#: 5 1 0(33 email: Tax Map District: 1000 Section:56. Block: 05 Lot:21 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): install 22kw generac stand by generator Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES F6-/] NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? F1Y FIN Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW. o Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments 0 �(� .1w 6V C� APPROVED AS NOTED 8 D2q B P # rj(0 03 COMPLY WITH ALL CODES OF o TE:_.---- NEW YORK STATE&TOWN CODES F E a�.0o BY: A REQUIR D AND CONDITIONS OF SOUIHOLDTOMA NOTIFY BUILDING DEPARTMENT AT SOO�TOO� 631-765-1802 BAM.TO 4PM FOR THE AM FOLLOWING INSPECTIONS: SMOLDTOWNTRUSM FOUNDATION;-TWO REQUIRED KUDM FOR POURED CONCRETE SOUIHO we ROUGH-FRAMING&PLUMBING INSULATION FINAL-CONSTRUCTION MUST BE COMPLETE FOR C-O- ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ELECTRICAL YORK STATE. NOT RESPONSIBLE FOR INSPECTION REQUIRED DESIGN OR CONSTRUCTION ERRORS :.r ol �I k . SURVEY OF LOT 191 K dlAP',0 i WIIILOW 'POINT ti s s FlLE No {452 F'M JUlY 16 1986 z ARSHfAIVlOMAQUE Re. t =TOWN'OF SOUTHOLD J;! SdtFQLK COUNTY, NEW YORK S C: TAX No 100Q=56:05-2tr SCALE Q. r j A JANUARY 23,`2002 '�v e•' � 000M 4 2017 UPDATE DULKHW AREA 000HA r.t �� •r •r 1Y � �4., � °� m ��`���� f EI�AiWNS,ARE REFE�R{CfA Td+M.A:l1D 19dQ.dATUtl .EIp51111G Ixrpa 'ARE SitOtiyN THUSIm. p ' iLe39.76 ; j� sr' �..\,�, ��/ _ +• • -. 1 r�� __ — _ LOT /8.i? �'� �' iy wt,�c; �x �� 4: T'20n, t h�/ % t 9,�1' 47.96 r U K!EGAD Ov W sm"+.+. ' .N j t \�s... /S�t �'`. Jf1, :� _..��✓ �A}If*V�q Nam..DMA A: suCY, aaMK..1D9..9fYl�IbEs':I1ltr m, � 'nZar1°`i°ic .. e�acr+raaam Mr. tn+mN r j ...,U, .,�: ,N,� , Nathan ;Wt Corwin "w .Nsw.ewmr,�nur ;t - *� +Land} Surveyor 57,.M ' � � � ►Dart(ragni-fnio � .n„4ugttr=fin; �1r -` i orriaatoo�nou U wue.ars� YM lt1 M. • e R ® d - ene ris Fm wandby G ra. 9REC I Nt,T fQR�'"(P-A64 Generator Only Model II I 7171 I 7223 I 7226 ; 7042 7209 7290 Generator/100 Amp Select Circuit Switch Model i 7172 7224 j Generator/200 Amp Service Rated Load _ I 7225 7228 i 7043 ; 7210 i 7291 Shedding Smart Switch Package Model i i i Voltage(Single Phase) llI 120/240 Amps @ 240V LPG I 41.7 58.3 75.0 91.7 100 ! 108.3 I 1 ' Amps @ 240V NG ; 37.5 I 58.3 70.8 ! 81.3 1 87.5 93.8 Engine/Alternator RPM ` 3600/3600 Engine Generac G-Force Engine Displacement i 460cc 816cc 999cc f 999c I Fuel Consumption @ 1/2 Load- i { NG cu.ft/hr 101 195 169 228 1 203 203 j 188 j Fuel Consumption @ Full Load- NG cu.ft/hr 127 { 256 247 327- I 306 j 306 333 Fuel Consumption @ 1/2 Load- 36(0.97) 65(1.81) 62(1.70) 92(2.53)' 92(2.53) 75 LPG cu.ft/hr(gal/hr) { i Fuel Consumption @ Full Load- i i LPG cu.cu.ft/hr(galJhr) i 54(1.48) 112(3.07) 110(3.02) 142(3.90),I 142(3.90) I 132 Quiet-Test Mode Yes db(A)at Exercise j 57 i 55 1 57 57 57 i db(A)at Normal Operating Load 61 65 67 67 67 Enclosure I Aluminum i Enclosure Color i Bisque Warranty i 5-Year Limited Dimensions-L"x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727) Weight(lb) ' 338 385 420 466- } 445 ! 455 i 518 i Mobile Link Wireless Connectivity j Yes `7042-2&7043-2 specrBcations NATIONWIDE DEALER SERVICE NETWORK Generac's commitment to service includes scheduled maintenance programs,warranty assistance and emergency service to ensure that Generac customers are never left powerless.The largest nationwide dealer network has factory-trained technicians on staff and maintains large inventories of Generac parts,components and accessories.Find a dealer near you at Generac.com. Generac Power Systems,Inc. S45 W29290 Hwy.59,Waukesha,WI 53189 www.Generac.com 1888-GENERAL(436-3722) GENERAC ® 201902144 REV 06/06 ©2022 Generac Power Systems.All rights reserved. Specifications are subject to change without notice. i, 1,