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HomeMy WebLinkAbout51145-Z aof SO&I `o Town of Southold * * P.O. Box 1179 2+�, c�kl 53095 Main Rd Ulm, Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46800 Date: 01/20/2026 THIS CERTIFIES that the building GENERATOR Location of Property: 300 Harbor Rd Orient, NY 11957 Sec/Block/Lot: 27.4-5 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 07/01/2024 Pursuant to which Building Permit No. 51145 and dated: 09/03/2024 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 at existing single-family dwelling as applied for. The certificate is issued to: Allecia Family Trt Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51145 1/15/2026 PLUMBERS CERTIFICATION: uthorize Signz Lure Ofso�,yo TOWN OF SOUTHOLD BUILDING DEPARTMENT ' 4 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#: 51145 Date: 09/03/2024 Permission is hereby granted to: Allecia Family Trt 300 Harbor Rd Orient, NY To: Install standby generator at existing single family dwelling as applied for,with flood permit. Premises Located at: 300 Harbor Rd, Orient, NY 11957 SCTM#27.-4-5 Pursuant to application dated 07/01/2024 and approved by the Building Inspector. To expire on 03/05/2026. Contractors: Required Inspections: Fees: ACCESSORY $275.00 CO-RESIDENTIAL $100.00 ELECTRIC -Residential $100.00 Total $475.00 Building Inspector Y SO!/ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 UNT`I1 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Sandra Allecia Address: 300 Harbor Rd city: Orient st: NY zip: 11957 Building Permit#: 51 145 Section: 27 Block: 4 Lot: 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Electrician: DAK Electric License No: 5120ME SITE DETAILS Office Use Only Commercial Indoor X Basement Service Solar Residential X Outdoor X 1st Floor Pool Battery Storage As-built X Renovation 2nd Floor Hot Tub EV Charger New Addition Attic Spa Generator X Survey X Mezzanine Garage X I Dock INVENTORY Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures CO Detectors Heater Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen Transfer Switch 200 Mini Split Dryer Recpt UC Lights Fridge AutoCover ARC Blower Heads Switches Pucks Lights Dishwasher Mini Fridge GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp. ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier Other Equipment: 22kW Generac Generator w/200A Transfer Switch Notes: AS BUILT NO VISUAL DEFECTS " Generator Inspector Signature: Date: January 15, 2026 *OF SOUJyOIo # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 << � INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKI G [ ] FRAMING /STRAPPING [ VrFINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: - w 5 Aw, 4k DATE ! Il!jr- 24 Y INSPECT OF SOUTy�� �r�� , # T6WN O� SOUTHOLD BUILDING DEPT. courm��'` 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: DATE INSPECTOR Form Insti! ctions U.S. DEPARTMENT OF HOMELAND SECURITY OMB Control No.1660-0008 Expiration Date:O6/3012026 JUL - $ 202� Federal Emergency Management Agency 0 National Flood Insurance Program ELEVATION CERTIFICATE l3uiiding®epe RTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 a� i#,���f'ttTis� leva Copy � tion Certificate and all attachments for(1)community official, (2)insurance agent/company, and (3)building owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name: Sandra Allecia Policy Number: HG. DUIIUIIIy OLICCL MUUICJS t1lILAUUIIIy HfR., unlL,JUILU,dllUJUI DIUy. IVLJ.)ul r.v. MUULU di U Dux Company NAIC Number: Aln 300 Harbor Road City: Orient State: NY ZIP Code: 11957 A3. Property Description (e.g., Lot and Block Numbers or Legal Description)and/or Tax Parcel Number: 1000-27-04-05 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.): residential A5. Latitude/Longitude: .Lat.41.131291 Long.72.295809 Horiz'. Datum:ONAD 1927 ®NAD 1983 OWGS 84 A6. Attach at least two and when possible four clear color photographs (one for each side)of the building (see Form pages 7 and 8). AT Building Diagram Number: 7 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s): 1075 sq.ft. b) Is there at least one permanent flood opening on two different sides of each enclosed area? (3Yes ONo ON/A c) Enter number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade: Non-engineered flood openings: 0 Engineered flood openings: 0 d) Total net open area of non-engineered flood openings in A8.c: 0 e) Total rated area of engineered flood openings in A8.c(attach documentation f) Sum of A8.d and A8.e rated area(if applicable—see Instructions): 0 A9. For a building with an attached garage: � a) Square footage of attached garage: sq.ft. '� ii� d/' b) Is there at least one permanent flood opening on two different sides of the attac � \� L&Z, l I C,V c) Enter number of permanent flood openings in the attached garage within 1.0 fo5 Non-engineered flood openings: Engineered flood openings: ,P d) Total net open area of non-engineered flood openings in A9.c: e) Total rated area of engineered flood openings in A9.c(attach documentation—s f) Sum of A9.d and A9.e rated area(if applicable—see Instructions): — SECTION B—FLOOD INSURANCE RATE MAP (FI B1.a. NFIP Community Name: Southold, Town of B1.b. NFIP Community Identification Number: 360813 B2. County Name:Suffolk B3.State: NY B4. Map/Panel No.: 36103CO68 B5.Suffix: H B6. FIRM Index Date: B7. FIRM Panel Effective/Revised Date: 9/25/2009 B8. Flood Zone(s): AE B9. Base Flood Elevation(s)(BFE)(Zone AO, use Base Flood Depth): EL 6 B10. Indicate the source of the BFE data or Base Flood Depth entered in Item 139: OFIS OFIRM IOC:nmmllnity natarminPri Other: Bl 1. Indicate elevation datum used for BFE in Item 139: ONGVD 1929 ONAVn lgsq ®Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? ®Yes ®No Designation ®CBRS OOPA B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? GYes ONo FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 2 of 8 FA Insti� tions U.S. DEPARTMENT OF HOMELAND SECURITY OMB Control No.1660-0008 Federal Emergency Management Agency Expiration Date:06I30I2026 - 8 2024 National Flood Insurance Program ELEVATION CERTIFICATE Building®epaPlevaltion RTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 Copy a'��1P��ts Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name: Sandra Allecia Policy Number: HG. DUHUI11y JUeei HUUICJS t111UIUU111y t-%PL., U1111,JUIIC,dl1U/UI DIUy. NU.)UI r.v. MUUW d11U DUx Company NAIC Number: 1,1n 300 Harbor Road City: Orient State: NY ZIP Code: 11957 A3. Property Description (e.g., Lot and Block Numbers or Legal Description)and/or Tax Parcel Number: 1000-27-04-05 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.): residential A5. Latitude/Longitude: Lat.41.131291 Long.72.295809 Horiz. Datum:ONAD 1927 ®NAD 1983 OWGS 84 A6. Attach at least two and when possible four clear color photographs (one for each side)of the building(see Form pages 7 and 8). AT Building Diagram Number: 7 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s): 1075 sq.ft. b) Is there at least one permanent flood opening on two different sides of each enclosed area? OYes QNo (3N/A c) Enter number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade: Non-engineered flood openings: 0 Engineered flood openings: 0 d) Total net open area of non-engineered flood openings in A8.c: 0 sq.in. e) Total rated area of engineered flood openings in A8.c(attach documentation-see Instructions): 0 sq.ft. f) Sum of A8.d and A8.e rated area(if applicable-see Instructions): 0 sq.ft. A9. For a building with an attached garage: a) Square footage of attached garage: sq.ft. b) Is there at least one permanent flood opening on two different sides of the attached garage? OYes ONo ON/A c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade: Non-engineered flood openings: Engineered flood openings: d) Total net open area of non-engineered flood openings in A9.c: sq.in. e) Total rated area of engineered flood openings in A9.c(attach documentation-see Instructions): sq.ft. f) Sum of A9.d and A9.e rated area(if applicable-see Instructions): sq.ft. SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1.a. NFIP Community Name: Southold, Town of B1.b. NFIP Community Identification Number: 360813 B2. County Name:Suffolk B3. State: NY B4. Map/Panel No.: 36103CO68 B5.Suffix: H B6. FIRM Index Date: B7. FIRM Panel Effective/Revised Date: 9/25/2009 B8. Flood Zone(s): AE B9. Base Flood Elevation(s)(BFE)(Zone AO, use Base Flood Depth): EL 6 B10. Indicate the source of the BFE data or Base Flood Depth entered in Item B9: ®FIR ®FIRM ®('nmmllnity nP..tP.rminP..rt OOther: Bl 1. Indicate elevation datum used for BFE in Item B9: ONGVD 1929 ONAvn 1 ARR OOther/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ®Yes ®No Designation ®CBRS OOPA B13. Is the building located seaward of the Limit of Moderate Wave Action(LiMWA)? OYes ONo FEMA Form FF-206-FY-22-152 (formerly 086-0-33)(8/23) Form Page 2 of 8 Ford m Instructions ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No.: FOR INSURANCE,COMPANY USE 300 Harbor Road Policy Number. City: Orient State: NY ZIP Code: 11957 Company NAIC Number: SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: OConstruction Drawings* OBuilding Under Construction* IOFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al—A30,AE,AH,AO,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/Al—A30,AR/AH,AR/AO, A99. Complete Items C2.a—h below according to the Building Diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: NAVD Vertical Datum: NAVD Indicate elevation datum used for the elevations in items a)through h)below. (3NGVD 1929 GNAVn 1 ARR ®Other: Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? OYes ©No If Yes,describe the source of the conversion factor in the Section D Comments area. Check the measurement used: a) Top of bottom floor(including basement,crawlspace, or enclosure floor): 3.8 O feet O meters b) Top of the next higher floor(see Instructions): 11.8 O feet O meters c) Bottom of the lowest horizontal structural member(see Instructions): (3 feet ® meters d) Attached garage(top of slab): O feet O meters e) Lowest elevation of Machinery and Equipment(M&E)servicing the building (describe type of M&E and location in Section D Comments area): 5.0 ® feet O meters f) Lowest Adjacent Grade(LAG)next to building: ®Natural ®Finished 3.7 ® feet O meters g) Highest Adjacent Grade(HAG)next to building: ONatural ®Finished 7.8 ® feet O meters h) Finished LAG at lowest elevation of attached deck or stairs, including structural support: ' 4.2 Q feet O meters SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by state law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ®Yes ONo O Check here if attachments and describe in the Comments area. Certifier's Name: John T. Metzger License Number: 49618 L.S. Place Seal Here Title: owner Company Name: Peconic Surveyors Address: 1230 Traveler Street City: Southold State: NY ZIP Code: 11971 Telephone: 6317655020 Ext.: Email: peconicsurvey@optonline.net Date: 6/25/24 Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. Comments(including source of conversion factor in C2;type of equipment and location per C2.e; and description of any attachments): water heater EL 5.0, water tank EL 5.3, pump EL 6.3,washer and dryer EL 7.3,AC unit EL7.0, air pump EL6.3, gen. EL 6.0 elect. lift EL 6.6 FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 3 of 8 Form Instructions ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 BUILDING PHOTOGRAPHS See Instructions for Item A6. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE 300 Harbor Road Policy Number: City: ORIENT State: NY ZIP Code: 11957 Company NAIC Number: Instructions: Insert below at least two and when possible four photographs showing each side of the building(for example, may only be able to take front and back pictures of townhouses/rowhouses). Identify all photographs with the date taken and"Front View,""Rear View," "Right Side View,"or"Left Side View."Photographs must show the foundation. When flood openings are present, include at least one close- up photograph of representative flood openings or vents,as indicated in Sections A8 and A9. Photo One " t VIEW FROM NORTHEAST ----- 1111 NO U1t J Photo One Caption: Clear Photo One t VIEW FRO SOUTH y I" F � r � D Photo Two Caption: Clear Photo Two FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 7 of 8 Form InstrWctions ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 BUILDING PHOTOGRAPHS Continuation Page Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE 300 Harbor Road Policy Number: City: Orient State: NY ZIP Code. 11957 Company NAIC Number: Insert the third and fourth photographs below. Identify all photographs with the date taken and"Front View,"'Rear View," "Right Side View," or"Left Side View."When flood openings are present, include at least one close-up photograph of representative flood openings or vents, as indicated in Sections A8 and A9. Photo Three p. F /2 VIEW FROM NORTHWEST 4 ;� Photo Three Caption: Clear Photo Three yi F R VIEW FROM 4 '- SOUTHEAST ■ ra �I�- a� �-1 iy•�. Y Photo Four Caption: Clear Photo Four FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 8 of 8 0 d _ .� ram; � •Rf �F' tj " 145 4 � r-a •ice n n� . u i f s ,r,►,., .' � Tom,,„ ,.� � � ` �. '` � •♦', `•.. yea.fl�Y � - 27 oil •_r mot'' �q4 � / I. �i,/ y+ 2 g 1sf a ►:`fit A ;f'�' ,of 4 r EIIIIHIIII w �y a i r �y y ,r a t .✓ FIELD INSPECTION REPORT DATE COMMENTS C n .d FOUNDATION (1ST) -------------------------------------- FOUNDATION (2ND) t� z �U o O y ROUGH FRAMING& y PLUMBING I " 1 0� r INSULATION PER N.Y. STATE ENERGY CODE 1 ,` r i FINAL in i 01 --------------- ADDITIONAL COMMENTS 1 / 2 6 �Y ati`at, r% �.�i° 0 �' L- t L ✓e t p 8 vrtt z rn .7V y �O z x x d b TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631)765-9502 hLtps://www.southoldtowmy.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only �D)WE PERMIT NO. Building Inspector: r\ J U L 2024 Applications and,forms must be filled' ut'in-their entire.ty. Incomplete '-applications will not be ccepied'..,.,Wfi'er6 the 4000cphfls,not the owner,an Authorization form -.Owner's Auth'o (Ppgq,2)shall be completed. BUIELDINGDEPT. TOWN '-RF SOUTROT Date: -71 1 t26)y 6WNER(S),OFTROPERTY,': Name:Frank &Sandy Allicia SCTM#1000-27-04-05 Project Address:300 Harbor Rd Orient, NY 11957 Phone#:g17-560-2072 Email: Mailing Address:300 Harbor Rd Orient, NY 11957 CONTACT PERSON N am e:-Jresqe­Gaffga Mailing Address:3350 Grand Ave Mattituck, NY 11 952-*-,-----,—,—,-----^,--,-,-,,------"----,--"-,----"-,-,- ------------------- ------- Phone#:631- Email: �7� 2737 _@jtechss.com DESIGN;PROFESSION AL:INFORM4TIoN Name: Mailing Address: ­Phone-#: `CONTRACTOR INFORMATION: Name:J-Tech Surface Solutions Mailing Address:3350 Grand ave Mattituck, NY 11952 Phone#:631-298-4238 Email: - jgpffq?Qtechss COM DESCRIPTIONOF,PROPOSED:CONSTRUCTION r EINewStructure DAddition DAlteration DRepair ElDemolition Estimated Cost of Project: [i]otherGenerac Standby Generator 22KW $12000. Will the lot be re-graded? F-]Yes RNo Will excess fill be removed from premises? E]Yes RNo PROPERTY4 INFORMATION Existing use of property: Intended l ._ Intended use of property:single family_- 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. @,Check Box.After Reading,,fhe owner/contractor/design'professional is responsible for all drainage and storm water issues as provided by Chapter 236'of the Town Code.�APPLICATION.IS.HEREBY MADE.to the'Building'Department for the issuance of a Building Permit pursuant to the Building ione Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances.or'Regulations,for the,construction of buildings, - r addltlons,alterations>;orfor removal or,demolition as,'herein described.The applicant agrees to comply withal)applicable.laws ordinances,building code,f housing code and'.regulations:and to admit authorized inspectors.on premises and in•building(s)for`necessary" inspections.False statements made-herein are ;punishable as a Class A misdemeanor pursuant to Section 210A5 of the New York State Penal Law: ' Application Submitted By( 'nt name):Jesse Gaffga ❑Authorized Agent ❑Owner Signature of Applicant Date STATE OF NEW YORK) SS: COUNTY OF 3JK0\"- ) 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 day of�w 2Q '�_ /f �r� _/, 'PIP L f & PERKINS Public,State of New York No.01PE6130636 PROPERTY OWNER AUTHORIZATION Qualified In Suffolk Coun (Where the applicant is not the owner)Commission Expires July laz Sandy Allicia residing at 300 Harbor Rd Orient, NY 11957 do hereby authorize Jesse Gaffga to apply on my b alf to the Town outhold uil=Department for approval as described herein. �'). 12y Ow er s Signature Date Sandy Allicia Print Owner's Name 2 ��o�g�FFO(�`oGy TOWN OF SOUTHOLD—BUILDING DEPARTMEN_ T,;7 � a� \ Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY`+11071`©9� R F� Telephone (631) 765-1802 https://www.southoldtownn'`ygov ..s - Floodplain Development Permit Application PROPERTY INFORMATION: Flood Zone: FIRM Panel: TCTIVI#1000- 27- `f- Address: �50 0 "A(z5jD(z (Z d City: t') Zip:✓� N j CONTACT PERSON: '_[Name: S a r, I 'eO`A, [Phone#: ql_j r ;jbo -2072 Mailing Address: 561 M.e PROJECT,DESCRIP,TION:-.,] 9e ne fe4 SECTION A:STRUCTURAL DEVELOPMENT,(CHECK ALL THAT APPLY) , , Type of Structure Type of Structural Activity Residential (1 to 4 families) ❑New structure ❑ Residential(more than 4 families) ❑ Demolition of existing structure ❑ Combined use ❑ Replacement of existing structure ❑Non-residential ❑ Relocation of existing structure ❑ Elevated ❑ Addition to existing structure ❑ Flood proofed(attach certification) ❑,Alteration to existing structure ❑ Manufactured Home 1 Other: Gt'hCYa-'t►� ❑ Located on individual lot ❑ Located in manufactured home park SECTION,B OTHER DEVELOPMENT(CHECK ALL THAT APPLY) ❑ Clearing of trees,vegetation or debris ❑ Mining ❑ Grading ❑ Drilling ❑ Dredging ❑ Connection to public utilities or services ❑ Paving ❑ Placement of fill material ❑ Drainage improvement(including culvert work) ❑ Roadway or bridge construction ❑ Fence or wall construction ❑Watercourse alteration (attach description) ❑ Excavation (not related to a structured development) ❑ Other development not listed (specify): By signing below I agree to the terms and conditions of this permit and certify to the best of my knowledge the information contained in this application is true and accurate. I understand.that no work may start until.a permit is issued.The permit maybe revoked if any false statements are made herein. If revoked,all work must cease until permit is re-issued. Development shall not be used or occupied until a Cert.of Compliance is issued.The permit will expire,if no work is commenced within one year of issuance.Other,permits may be required to fulfill regulatory requirements.Applicant gives consent to local authority or representative to make reasonable inspections 'to verify compliance.-. Application Submitted By(print name): Signature of Applicant: Date: to- Co��. �O��S�fFO(,�COGy BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD o Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 4 Telephone (631) 765-1802 - FAX (631) 765-9502 iamesh(aD-southoldtownny.aov - seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 7/1/2024 Company Name: DAK Electric Electrician's Name: Dave King License No.: 5120 Elec. email: Elec. Phone No: 631-375-2737 ❑1 request an email copy of Certificate of Compliance Elec. Address.: PO# 1050 Mattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: Sandy Allicia Address: 300 Harbor Rd Orient NY 11957 Cross Street: Narrow River Rd Phone No.: 917-560-0272 Bldg.Permit#: S t ! q- S email: Tax Map District: 1000 Section:27 Block: 04 Lot:05 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 0 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 D H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 1� owNeR AREA= 13,642 SO. FT (to tie line) FRANK $ �ANDRA - ALLECIA SURVEY OF PROPERTY 300 HARBOR LANE A T ORIENT ORIENT, N.Y. 1/957 TO WN OF SO UTHOLD ss� - SUFFOLK COUNTY, N. Y, 1000-27-04-05 v�L �, + �o.� SCALE. 1'= 20' 5 p J P ,S �• � �` MAY 13, 2013 JP�9 P,�OGoo 1C30 JULY 24,• 2013 (FLOOD 2013 TONE. ARMOR) & C:E.H.L.) �5 ; okF O STONE ARMOR - BOULDERS - 700 Ibs x 1000 O- Ibs rj /�i �� J �� PLACED AT TOE OF BULKHEAD �' o� V GI ��o 4'� i a < � � 2 9l •may o ,�J.�J • ' ,� ��� �k•1J ` �St ZONE AE(EL 6) 210 - A o p O 10. pp ll 2 ♦ �`04. \ 0. -OF New O ZONE VE O�A'C.Ebp'e�.�O � J.p� COASTAL ERCSION HAZARD LINE FROM COASTAL EROSfON. HAZARD AREA MAP PHOTO NO. 49-628-83 FLOOD ZONE ',FROM FIRM RATE MAP MAP NUMBER •� 36103CO068H; SEPTEMBER 25, 2009 ��� 1 40 4��s ' += WETLAND FLAG, LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED (=� BY SUFFOLK ENVIRONMENTAL CONSULTING, INC. ON APRIL 19, 2013 N. Y.S. C. N0. 49618 ANY\ AL7ERA, 170N,OR ADDITION TO THIS SURVEY IS A WOLA77ON ECONIC EYORS, P.C.� OF SEC77ON 72090F THE NEW YORK STATE EDUCA77ON LAW" (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL, CER77FICATIONS HEREON ARE.VALID FOR-THIS MAP AND COPIES THEREOF ONL Y IF P.O. BOX 909 SAID MAP OR COPIES BEAR 774E IMPRESSED SEAL- OF THE SURVEYOR 1230 TRA VELER STREET 13-156 WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y 11971 1 -1 P—nc� APPROVED AS NOTED DA • -3d mp. JV Y' OCCUPANCY OR FEE(o USE IS UNLAWFUL NOTIFY BUILDING DEPARTMENTAT 631-765.1802 8AM TO 4PM FOR THE WITHOUT CERTIFICATE FOLLOWING INSPECTIONS: OF OCCUPANCY 1. F0j Nln 8TION-TWO REQUIRED ';ZED CONCRETE -FRAMING&PLUMBING , 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. COMPLY WITH ALL CODES OF ALL CONSTRUCTION SHALL MEET THE NEW YORK STATE&TOWN CODES REQUIREMENTS OFTHE CODESOFNEW AS REQUIRED,,AND ND CONDITIONS OF YORK STATE. NOT RESPONSIBLE FOR SOUTHOLD TOWN ZBA DESIGN OR CONSTRUCTON ERRORS SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC SCHD RETAIN STORM WATER RUNOFF =. ,.. CHAPTER 23 PURSUANT TO C 6 .��tommy WITH OF THE TOWN CODE. F �LPARAGRIE IREVENTM /e V"-h �' -.i a s A Generator Only Model 7171 7223 ! 7226 7042 i 7209 Generator 1100 Amp Select 7172 7224 Circuit Switch Model ' Generator/200 Amp Service Rated Load ' Shedding Smart Switch Package Model 7225 ! 7228 7043 ! 7210 Voltage(Single Phase) 120/240 Amps @ 240V LPG 41.7 ; 58.3 75.0 91.7 ! 100 Amps @ 240V NG 37.5 58.3 70.8 81.3 87.5 Engine/Alternator RPM 3600/3600 Engine Generac G-Force Engine Displacement 460cc 816cc 999cc Fuel Consumption @ 1/2 Load-NG cu.ft/hr 101 195 169 228' 203 203 Fuel Consumption @ Full Load-NG cu.ft/hr 127 256 247 327' 306 306 Fuel Consumption @ 1/2 Load-LPG cu.ft/hr(gal/hr) 36(0.97) 65(1.81) 62(1.70) 92(2.53)' 92(2.53) Fuel Consumption @Full Load-LPG cu,cu.ft/hr(gal/hr) 54(1.48) 112(3.07) 110(3.02) 142(3.90)' 142(3.90) • Quiet-Test Mode Yes db(A)at Exercise 57 55 57 57 db(A)at Normal Operating Load 61 65 67 67 Enclosure Aluminum Enclosure Color Bisque Warranty 5-Year Limited Dimensions-If x W"x H"in.(mm) 48 x 25 x 29(1218 x 638 x 727) Weight(Ib) 338 385 420 1 466' 445 455 Mobile Link Wireless Connectivity Yes '7042-2&7043-2 specifications 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-tralned technicians an 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 etavdtv.Generae.carrt I888-GENERAC(436-3722) GENERAC ® 201902144 REV 4/21 ©2020 Generac Power Systems.All rights reserved. Specifications are subject to change without notice.