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52868-Z
�o�aeF sooryo`o Town of Southold * * P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47107 Date: 06/03/2026 THIS CERTIFIES that the building AS BUILT GENERATOR Location of Property: 230 Booth Rd Southold, NY 11971 Sec/Block/Lot: 54.-7-6 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/01/2026 Pursuant to which Building Permit No. 52868 and dated: 04/15/2026 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. Maintain 3 feet clearance to combustibles as required. The certificate is issued to: Alice Kramer Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52868 6/l/2026 PLUMBERS CERTIFICATION: A thorize Signature �aofSnuTyo TOWN OF SOUTHOLD BUILDING DEPARTMENT • k, 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#: 52868 Date: 04/15/2026 Permission is hereby granted to: Alice Kramer PO BOX 277 Southold, NY 11971 To: legalize an "as built"generator as applied for. Premises Located at: 230 Booth Rd, Southold, NY 11971 SCTIVI# 54.-7-6 Pursuant to application dated 04/01/2026 and approved by the Building Inspector. To expire on 04/14/2028. Contractors: Required Inspections: Fees: As Built Generator $250.00 CO-RESIDENTIAL $100.00 Total $350.00 ------- ------------------- Building Inspector SOUjyo�o Town Hall Annex Telephone(631)765-1802 54375 Main Road cn P.O.Box 1179 iQ Southold,New York 11971-0959 ���COUNVI BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Alice Kramer Address: 230 Booth Road city: Southold St: NY zip: 11971 Building Permit#: 52868 Section: 554 Block: 7 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Electrician: Owner License No: SITE DETAILS Office Use Only Commercial Indoor Basement Service Solar Residential X Outdoor 1st Floor Pool Battery Storage As-built Renovation 2nd Floor Hot Tub EV Charger New Addition Attic Spa Generator Survey X Mezzanine Garage Dock INVENTORY Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump Service 3 ph Hot Water GFCI Recpt 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: 1 14kw generac generator with 60 amp breaker Notes: AS BUILT GENERATOR Inspector Signature: Date: June 1, 2026 �aOF SOGTyo 6�� FC69 �O 6O6 # # TOWN OF SOUTHOLD BUILDING DEPT. `y^ou , 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) [}9 ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL R ARKS: G�6v� 1�uiaclkout •+�, PQA%eL roo e u90 2� dA boAA ek CIPOLLAA r �a{t�' -ern, lf5(,ov%vvs , - o mmql 6,J [Alf- f 1 er'l DATE o2 INSPECTOR "�Lj OE SOUTyO� # TOWN OF SOUTHOLD BUILDING DEPT. OKA °`ycou 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ �NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Clcc u z IIZ-1� a� -A2 c. 0- DATE INSPECTOR SOUTyo� Sa �?6 30 ©©f� �d , * # TOWN OF SOUTHOLD BUILDING DEPT. 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 REMARKS: el-a,f or T5 to he �I-t ok vi k re -VL _ °r +v OC4c to a -6,n*64rfjq 4VOLLK&J5 OF Toroid, I' c q a 0-�o at t �6k5 yo,vv,ot,e� r'o a�- 0 r �-J AT A uts e- DATE " �rl - INSPECTOR 600+L PA. ho��pF SOUTh°�o * TOWN OF SOUTHOLD BUILDING DEPT. courm��'' 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 .REMARKS: bu' k Ue v\ DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS Jro t� FOUNDATION (1ST) ------------------------------------ C FOUNDATION (2ND) z 0 G J vtROUGH FRAMING& PLUMBING O r INSULATION PER N.Y. H STATE ENERGY CODE A4,0t;A,fu ik cow hv� !/ems Xcoz- FINAL ADDITIONAL COMMENTS t( v y �Z m � ro ON O z x r� H x C Cif ro H ��S�EFpl�.CO BUILDING DEPARTMENT- Electrical Inspector a4 Gym TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 o '2 Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: zf6 Z6 Company Name: y �� 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: it�lC� Law Address: �0 J�5DOr Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: 7 Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): k� 6 Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ 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 R H Frame D Pole Work done on Service? MY N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D PanelPump Exhaust Oven Sump Heater Trnsfmr Smokes DW 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 az L44 d9h a�'� C) ap I ;o�oSutFot,Kok TOWN OF SOUTHOLD—BUILDING DEPARTMENT V-Z �2 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 hgps://www.southoldtownU.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only �'`� h PERMIT NO. Building Inspector: APR 1 2026 Applications'and forms must be filled out in their entirety:Incomplete-' applications will not.be accepted.Where the Applicant Knot the'owner,an r Owner's Authorization form(Page.2)shall be completed, o t;� aaRv� Date: OWNER(SJOF PROPERTY: Name:Alice Kramer SCTM# 1000= Project Address: 230 Booth Road Southold NY 11971 Phone#:631-765 5699 Email remarke@optonline.net Mailing Address:Box 277 Southold NY 11971 CONTACTS PERSON: Name:Alice Kramer Mailing Address:Box 277 Southold NY 11971 Phone#:6317765-5699 Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CO NTRACTOR.INFORIVIATIONE - Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION 'E]New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ther �o.1/` $ Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ONO IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner]contracfor/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 Zone Ordinance of the Town,of Southold,Suffolk,County,New,York and other applicable Laws,ordinances or Regulations,for the construction of buildings, additions,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 authorised inspectors on premises and in building(s)for necessary inspections.False statements made hereintare punishable as`a Class A rnisdemeanor pursuanrt to Section 210.45'of the New York State Penal Law Application Submitted By(print nam ): Alice Kramer ❑Authorized Agent BOwner Signature of Applicant Date: CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01BU6185050 SS: Qualified in Suffolk County COUNTY OF ) Commission ExpiresAprll 14,2�_Qb 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.) 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 145t—day ofAJQ� 20�)L9 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 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 2 230 Booth Road Southold NY 11971 a I J � T 230 OC(Afl Rd +' OF 4 .l AP DIVED AS NOTEDQ` DAM B.P./ ��kiw 3�3FEE `U BY6 NOTIFY BUILDING DEPARTMENTAT OCCUPANCY 631-765-1802 SAM TO 4PM FOR THE OR FOLLOWING INSPECTIONS: ��� �� UNLAWFUL1. FOUNDATION-TWO REQUIRED, FOR POURED CONCRETE WITHOUT CERTIFICATE 2. ROUGH-FRAMING 8�PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST OF OCCUPANCY BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES AS REQUIRED AND CONDITIONS OF VOLD WN ZBA WN PLANNING BOARD WN TRUSTEES C c� GENERAC bwner's Manual Automatic Standby Generator 771 0 0 Home Standby Models: 8kW to 20kW A NOT INTENDED FOR USE IN CRITICAL,LIFE.SUPPORT APPLICATIONS. A ONLY=QUALIFIED ELECTRICIANS OR CONTRACTORS SHOULD=ATTEMPT <:, y; INSTALLATION C UL �. DEADLY=EXHAU$T FUMES! OUTDOOR INSTALLATION ONLY! - _ LISTED,.>_... Reference all.a ro nate documentation This manual should remain:with-the unit...._.... pecifications _ Generator Model 8kW 11 kW 13kW 14kW 15kW 16kW 17kW 20kW Rated Voltage 240 Rated Maximum Load Current(Amps)at 240 33.3 45.8 54.2 56.3 62.5 66.6 70.8 83.3 Volts(LP)' 55 Am 60 Am 60 Amp 65 Amp 65 Amp 90 Amp Main Circuit Breaker 35 Amp 50 Amp P P 1 Phase Rated AC Frequency 60 Hz Battery Requirement Group 26R,12 Volts and 525 CCA Minimum(Generac Part No.OH3421 S) Weight(unit only in 3601163.3 407/184.6 4351197.3 4351197.3 4711213.E 4711213.E 47 t/213 6 451/204.6 lbs./kilos) Aluminum- 4371198.2 Enclosure Steel/ Aluminum Steel Steel Steel Steel Steel Steel Aluminum Normal operating This unit is tested in accordance to UL 2200 standards with an operating temperature of-20'F(-29°C)to 122'F(50'C).For areas where tem- Range peratures fall below 32'F(00 C)a cold weather kit is highly recommended.When operated above 771 F(250 C)there may be a decrease in engine power.Please reference the engine specifications section. These generators are rated in accordance with UL 2200,Safety Standard for Stationary Engine Generator Assemblies,and CSA-C22.2 No.100-04 Standard for Motors and Generators. 'Natural Gas ratings will depend on specific fuel Btufjoules content.Typical derates are between 10-20%off the LP gas rating. ••Circuits to be moved must be protected by same size breaker.For example,a 15 amp circuit in the main panel must be a 15 amp circuit in the transfer switch. 2.4.2 - Engine Model 8kW 11 kW /14/15/16/1 20kW Type of Engine GH410 GT-530 GT-990 GT-999 Number of Cylinders 1 2 2 2 Displacement 410cc 530cc 992cc 999cc Cylinder Block Aluminum w/Cast Iron Sleeve Recommended Spark Plug RC14YC BPR6HS RC14YC RC12YC Spark Plug Gap 0.76mm(0.030") 0.76mm(0.030") 1.02mm(0.040") 0.76mm(0.030") 12 VDC Starter Oil Capacity Including Filter Approx.1.5 Qts./1.4L Approx.1.7 Qts./1.6L Approx.1.9 Qts/1.8L Approx.1.9 Qts/1.8L Part#070185F Recommended Oil Filter Part#OE9371A Part#OE9.371A Part#OJ8478 Part#OJ8478 Recommended Air Filter Engine power is subject to and limited by such factors as fuel Btu/joules content,ambient temperature and altitude.Engine power decreases about 3.5 percent for each 1,000 feet(304.8 meters)above sea level,and also will decrease about 1 percent for each 6°C(100 F)above 150 C(600 F)ambient tem- perature. The specification sheet for your generator was included in the documentation provided with the unit at the time of purchase. For additional copies,consult your local Authorized Service Dealer for your specific generator model. 8 Automatic Standby Generator Owner's Manual