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Home My WebLink About51115-Z �o�apf SOUIyo`o Town of Southold P.O. Box 1179 �o� 53095 Main Rd NV. Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47077 Date: 05/20/2026 THIS CERTIFIES that the building GENERATOR Location of Property: 825 Munn Ln Orient, NY 11957 Sec/Block/Lot: 17.-2-7.1 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 07/10/2024 Pursuant to which Building Permit No. 51115 and dated: 08/22/2024 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: "As built" generator as applied for. The certificate is issued to: Rowsom AF Irry Trt Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51115 10/8/2024 PLUMBERS CERTIFICATION: ut rize gnature TOWN OF SOUTHOLD BUILDING DEPARTMENT y 2 TOWN CLERK'S OFFICE way • 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#: 51115 Date: 8/22/2024 Permission is hereby granted to: Rowsom, Andrea PO BOX 119 Orient, NY 11957 To: legalize "as built" generator as applied for. At premises located at: 826 Munn Ln, Orient SCTM #473889 Sec/Block/Lot# 17.-2-7.1 Pursuant to application dated 7/10/2024 and approved by the Building Inspector. To expire on 2/21/2026. Fees: AS BUILT-ACCESSORY $250.00 ELECTRIC $200.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $550.00 Building Inspector so�ryQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(-town.southold.ny.us Southold,NY 11971-0959 Q coUN1�1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Andrea Rowsom Address: 825 Munn Ln city:Orient st: NY . zip: 11957 Building Permit#: 51115 section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X 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 CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch 150A UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 20kW Guardian Generator w/ 150A Transfer Switch Notes: AS BUILT NO VISUAL DEFECTS " Generator Inspector Signature: e: October 8, 2024 825Mu n nGeneratorElectric ho�aOE SOUtyo� # TOWN OF SOUTHOLD BUILDING DEPT. cout N 631-765-1802 INSPECTION .. [ ] FOUNDATION 1 ST/ REBAR ' [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKIING [ ] FRAMING /STRAPPING [V FINAL l�� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] :FIRE RESISTANT CONSTRUCTION [ ]' FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: l6Av(Pfir\) h � • DATE 9 101 wly INSPECTO hod o� * TOWN OF SOUTHOLD BUILDING DEPT. "IOU 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:. 6�eoe,JGt, O/ OrbLL&IJ 40 DO IA 4,1 i v\ Iloi r�csl rouvAA ra4 4o Trc&y,5-Per- iwi4�� ineeo� �rook4 io 5ey\.Lt'exAo f- dl to A cces a-vx e.t wa-Ae ' 6nd, n4eotS 4d 9,0 fir- K rer ocA-( pce#-a, r a16w®ram DATE °� INSPECTOR rjf so yo{o 1 I l S &2_5 A-"Aof1 Lit # # . TOWN OF SOUTHOLD BUILDING DEPT. "CO 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/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 REMARtKS: A 5 Z&42t yoo r TA k tr A JA #AULPo v�J /�266J41 , OA ke J&telvE4, / t 50 Ara � �' k Qf� DATE �1 INSPECTOR ' _ oF souryo C 1 �� UN # TOWN OF SOUTHOLD BUILDING DEPi. cou►��a 631-765-1802 INSPECTI-ON [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ]. FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ]- FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION" [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) I>ULECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O [ ] RENTAL REMARKS: GG S ? 9 _ P DATE --.INSPECTOR �apF SOUTyo # TOWN OF SOUTHOLD BUILDING DEPT. `ylou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULAGTION/CAULKING [ ] FRAMING /STRAPPING [ .FINAL c� M [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 4 DATE INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS ' b FOUNDATION (1ST) ------------------------------------ ,.b FOUNDATION (2ND) z �o H ROUGH FRAMING& 1 PLUMBING 5 . � v �A O r INSULATION PER N.Y. y STATE ENERGY CODE 1 V FINAL �v ADDITIONAL COMMENTS c z � z x — x d ro H 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 htt s//www.soutlioldtownn .gov p � ) � ) P�= Yam_ Date Received APPLICATION FOR BUILDING PERMIT ® E C E 0 V [� For Office Use Only J U L 1 0 2024 PERMIT NO. Building Inspector: Building Department Applications and forms=must.be:filled out-in their entirety Incomplete"' ; Town of Southold applications will not be`accepted.°Where the Applicant.is not'tfie p'*ner,an Ownees'Auithori=ation form(Page 2)shall be completed. Date:07/09/2024 OWNER(S)OF`PROPERTY; Name:ROWSOM AF IRRV TRT SCTM#1000-17.-2-7.1 Project Address:825 Munn Lane , Orient, NY 11957 Phone#:631-965-3993 Email:prowsom@gmail.com Mailing Address:PO Box 119, Orient, NY 11957 CONTACT-PERSON Name:peter Rowrsom Mailing Address:203 4th St, Greenport, NY 11944 Phone#:631-965-3993 Email:prowsom@gmail.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION::, . . . Name: Mailing Address: Phone#: Email: DESCRIPTION,AF PROPOSED'CONSTRUCTION ❑New Structure ElAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther Generator $ Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? E]Yes ONO 1 - pROPERTY INFORMATION. . Existing use of property:Residential Intended use of property:Residential 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. M Check box After Reading: The ownei/contractor/design professional is responsible for all diainane and'storm water Issues as proWded.by Chapter 236 of the town code.APPUCATION 15,HERERY MADE to the Building Departinentior the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New Vorkand Ether applicable taws Ordinances or Regulatlons for,the'constmu tlon of buildings, , additions,alterations ai fbr removal or demolltionas herein descrlbed.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(s)for..necessary,Inspect_lons:False statements made herein are punish able;as a lass A misdenieanorpursI ant to Section ZSOAS of the NOw.Varit state,Penal law: Application Submitted By(print name):Peter Rowsom ❑Authorized Agent ®Owner Signature of Applicant: Date: 07/09/2024 STATE OF NEW YORK) SS: COUNTY OF SL6g2 I IL } 'he l'Ct( XCLJSCnr-'% being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the GI.l.I -e r (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 J LJ 20 2:T- 1 tary Public �'j BRITTANY A CONRAD Notary Public,State of New York PROPERTY OWNER AUTHORIZATION Reg.No;01C06245154 Qualified in Suffolk County (Where the applicant is not the owner) Commission Expires July 18,20Z" I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 BUILDING DEPARTMENT-Electrical Inspector 4�d C�Gy� TOWN OF SOUTHOLD C> =� ' Town Hall Annex- 54375 Main Road - PO Box 1179 - Southold, New York 1 1 971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ' jamesh(-southoldtownny.gov- seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORTION#Information Required) Date: �f' a Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: -ikyoy� Address: s -Munii Zewe-- Cross Street: Phone No.: Bldg.Permit#: /l/S email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): As bu�# Square Footage: Circle All That Apply: Is job ready for inspection?: YES VO O ❑Rough In Final Do you need a Temp Certificate?: ❑ YES 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? Y N Additional Information: PAYMENT DUE WITH APPLICATION 2-1 (o PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. WAD Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks .- ERV Inst Hot DeHum Transfer HOT TUB/SPADisc Combo Cooktop Minisplit Blower AC A Hood Blower Service Amps Have Used Sub Amps Have Used Comments 61-&& tr s C�� O�SUFFOt��, BUILDING DEPARTMENT- Electrical Inspector y� �Gy4 . TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 lamesh(cDsoutholdtownny qov - seand(asoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORM TION t AI Information Required) Date: lJ� a Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: Bldg.Permit#: S/l S email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: 4FYES V O ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YESO 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? Y N Additional Information: PAYMENT DUE WITH APPLICATION / .?OJ J a Vg • 4 / J 4 dry/ ro ir® _ 31.3_ / J� SA- 000 bX V3 ®o� `�8 :& yy 1y \. o�. 4. O y / ' • s � �O 6B \ 4.2• r a am. as \�. %pA w 4 ,•4 4 �Cyn \ p 6 15 cfp AN 01, a • e� y0G _ cA �,\pR CO UP\ 4 FTC oSrOCKAD ,`: E A• 8 t1: ��` 11.g ��Sf � 1� WALL E ul Ell' 4f �IyOUSE • �. .� o : p4' O� m ID CD }- Foot . a '°• IN�ODND ��O Z (k ..A G .act a ,•� •5�, Qpz� •�. •7" Fe�pT^ w A •'' ' APRbN ai 37'ONE� \ ; P 4 s �. ' :• 5 WIDE RIGHT OF WAY , :• '' a . \ 4 G VEL ROAD ` •! ff �� G� \�� • c9, d V [� F" � UiILFTY POLE ULf5A 0 �9 a N/0/F AMORY H. MILLARD \ " w 3 07 . 39.2( ' . a A , a Z . 4 . . . s•xi, �w4' ,.°` APPRO ED AS NOTED .P it 5 S FE BY NOTIFY BUILDING DEPARTMENT AT 631765.1602 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO RFOI I!RFzD FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUIti.'3,�.".G 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE ELECTRICAL REQUIREMENTS OF THE CODES OF NEW INSPECTION REQUIRED YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODE; AS REQUIRED AND CONDITIONS OF /11UTH WN ZBA WN PLANNING BOARD WN TRUSTEES C OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATi- JF OCCUPANCY i 1 1 TRANSFER SYSTEM DATA •, -I SYSIFM vm T&GE , p� r. 7201_40-''` SLRI AL NU LR g73i38� -- ` DER �. f f '�L LISTED Line 2 pops - r SWi 1 CN ��`v VOLTS 'M fi lei i ce' S L ) °'c' Cox ;�•;,,. co"FEQ gw' ` USE , Fos fos' PA. SUIT AgL C'f' t ci "+ r , r d t r • r "+ AI I ., � G E N E RAC �, .�,� •�-,, MODEL 0062440 41 L - fi , r SERIAL 8749081 VOLTS 1.20 / 240 , FISTED BY . � AMPS 166 . 7 / 83 . 3 uthwrst Research Institute San Antonio , Texas CONTROLLER O J 8 3 71 A P / N �wRI ID No . 13204- 01 - 01 1 PH , 6OHz , RPM 3600 RAINPROOF ENCLOSURE FITTED Stationary Engine Generator Hssembly CLASS H INSULATION 0062440 RATEt AMBIENT TEMP - 25 C FOR STANDBY SERVICE (Manufactured By i.enerac Power systems , Inc . NEUTRAL FLOATING �thitewater , �tI MAX LOAD UNBALANCE 50% Compliant with Clause ( 2 ) MFG LOC : GEN WW of Sect-ion 4 . 1 . 4 of NFPA 37 GENERAC POWER SYSTEMS , INC WHITEWATER , WIS . 53190 U . S . A . COUNTRY OF ORIGIN USA OIL DRAIN