HomeMy WebLinkAbout37783-Z 4�gUFppt�. Town of Southold Annex 5/29/2013
y� P.O.Box 1179
co54375 Main Road
D Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36261 Date: 5/29/2013
THIS CERTIFIES that the building OTHER
Location of Property: 1140 Crown Land Ln, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 102.-7-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/28/2013 pursuant to which Building Permit No. 37783 dated 1/31/2013
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 Rapuano,Orazio&Rapuano,Julia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37783 04-30-2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
��o�guFfO(�c BUILDING DEPARTMENT
y` TOWN CLERK'S OFFICE
to $
�� • �� SOUTHOLD, NY
a,
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#: 37783 Date: 1/31/2013
Permission is hereby granted to:
Rapuano, Orazio & Rapuano, Julia
1140 Crown Land Ln
Cutchogue, NY 11935
To: construct an accessory Generator as applied for
At premises located at:
1140 Crown Land Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-7-11
Pursuant to application dated 1/28/2013 and approved by the Building Inspector.
To expire on 8/2/2014.
Fees:
ALTERATION OF ACCESSORY BUILDINGS $100.00
CO -ACCESSORY BUILDING $50.00
ELECTRIC $85.00
Total: $235.00
Building Inspector
n
oj-/
Form No.A; 3-I
r
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ��
TOWNHALI.
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 I%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$15.00
Date. i
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 1/,V O P j[o Al L%IJQ A A/L, y
House-No. Street Hamlet
Owner or Owners of Property: /a/q Z/d Rig Po"q/y 1
Suffolk County Tax Map No 1000,Section Block 017 Lot
Subdivision Filed Map. Lot:
Permit No. 3 72 7 9 5j Date of Permit. 3 Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ j a.�ZKV
Applicant Signature
SkiFFQj/(
Town Hall Annex 0� �Gy, Telephone(631)765-1802
54375 Main Road o Fax (631)765-9502
P.O. Box 1179 0
Southold, NY 11971-0959 �fj�� �.��� roger.richert(aD-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Rapuano
Address: 1140 Crown Land Ln City: Cutchogue St: NY Zip: 11935
Building Permit* 37783 Section: 102 Block: 7 Lot: 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential x Indoor x Basement x 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 Ceiling 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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: install 10kw standby generator with auto transfer switch
Notes:
Inspector Signature: Date: April 30 2013
Electrical Certificate.xls
OE SOUlyo�
COU
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
REMARKS:
DATE R INSPECTO
FIELD INSPECTION REPORT DATE COMMENTS
FOU"ATION(IST)
FOUNDATION(2ND)
• z
CA
ROUGH FI RATING& y
PLUMBING
• rl '
INSUL•ATION PER N.Y.
H
STATE BNEROY CODE a
FINAL
ADDITIONAL COMMENTS
l
C
3 0 u Cam--64- O
. rn
z
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
' SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. 3 7 Z°Q�3 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined r 120 Storm-Water Assessment Form
Contact:
Approved �� 20 Mail to:
Disapproved a/c
Phone: 3 1 D 7
Expiration 20 !'
But ding Inspector
APPLICATION FOR BUILDING PERMIT
Date 20
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 pernvt 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 rname,ifacorporation)
//zo C.40 42� D MAD
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,el udder
OWA)674
Name of owner of premises LL6/1q o ZlQ ,f�(J%A yyd i "i a1
(As on on the tax roll or latest deed)
If applicant is a corporation,signature ofedul=y hgtl orized 6fficenY
t C J 1` ��� 1 ��.,'�
(Name and title of corporate o'1licer) J ti 1 !,n
Builders License No. _ STRAPPING, ELECTRICAL &CAULKING
i dal 1 .f� �� ip 1�° �� 3. INSULATION
Plumbers License No. b>L+1 G 1 G t 9 I ti" 1 C
Electricians License No. —,r° r-z,A_ `a ,a� ;; L,q.z�,$ 4. FINAL-CONSTRUCTION &ELECTRICAL
Other Trade's License No. ".-;'s ::',, �''�?eJ'3 `',;c g_„ � MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
1. Location of land own w ich�pr'opgsed work will be done: REQUIREMENTS OF THE CODES OF NEW
L �� L C�( � ES �R
House Number Street ?` r? Hamlet
County Tax Map No.1000 Section / Block o Lot p / LECTMAL
Subdivision Filed Map No. Lotj�E ;;�,
.e
2. State existing use and occupancy of premise a d intended use and oc upancy of proposed construction:
a. Existing use and occupancy ��/ V Ho/c,/C
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work//V STA llp` r� /(
vo 4. Estimated Cost � "J®a Fee (Description)
(To be paid on filing this application)
5. If dwelling,number of dwelling units I Number of dwelling units on each floor
If garage, number of cars__ y
6. If business,commercial or mixed occupancy,specify nature and extent 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 N 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 `/ 4 Name of Former Owner S E W 1 tsm y
I S vJ
11.Zone or use district in which premises are situated le q /
12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO V
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 QUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO ✓✓
*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 OF 5+ t= )p
S�� I 4- oC r4 AA A&.)O being duly swom,deposes and says that(s)he is the applicant
,i (Name of individual signing contract)above named,
onP 5
N (S)He is the /U
(Contractor,Agent,Corporate Officer,etc.)
o�No O of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
A 95 that all statements contained in this application are true to the best of his knowledge and belief,and that the work will be
,0. o. performed in the manner set forth in the application filed therewith.
Swornto before me this
9o- c R, 2-7 day of eJ71 N tLAR tl 20 13
0 on U4 of Public Signature ofAppli t
I - 31- [ 3
s
OF Ot/
Town Hall Annex
54375 Main Road jig i Telephone(631)765-1802
P.O.Box 1179 G; �� roger richertCa ov�m sort 5 nvus15
Southold,NY 1197I-0959
�i���Yi�'1`�s�"
BUff-DINGDEPAKfMWr
TOWN OF SOUTHOLD i
APPLICATION FOR ELECTRICAL'INSPECTION
REQUESTED BY: Date:
Company Name: •--
Name:
license No.:
Address:
Phone No,:
JOBS-ITE INFORMATION: (*Indicates-required information)
*Name: -lUL
� ?d9zia PH Puff ,)0
*Address: � � L /
*Cross Street: �(' J v� GO 6- Al L/'_ .
Q r II` al
..r
*Phone No_: (0.3 / - /2 3 �4 lO�7
Permit No.: g
Tax•Map District: iQuQ Section: /��ti Block: D :`� Lot
/
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
or PPC-6--
C 0e,1T"i
{Please Circle All That Apply)
Is job ready for inspection:
*Do-you need a Temp CertiFi YES/� Rough In Finalcate: �NO
Temp Information(If needed]
*Service Size: 1 Phase 3Phase 100 150 200 300 3$0 4QQ �,0
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information:
pAYME DUE WITH APPLICATION
824INUest for Einspeaflon Form
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PRODUCT MANUAL
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Item# 21952
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Engine Generac OHVI V Twin
Engine Displacement(cc) 530
Rated Watts(kW) 10kW(LP),9kW(NG)
Rated Watts LP(k" 10
Rated Watts NG(kW) 9
volts 240
Amps 41.6 LP/37.5 NG
Engine Cooling Air cooled
Start Type Automatic
Phase Single
Noise Level(dB) 63
Transfer Switch 200 A service rated Nexus Smart Switch
Fuel Type LP or NG
Enclosure Steel
Fuel Capacity(gal.) Continuous
Mounting Pad Composite
Battery Required Yes
Battery included No
Auto Shutdown Yes
Safety Alerts Yes
UL Listed Yes
Dimensions L x W x H(in.) 48 x 25 is 29
GENERAC
Shoo Generac
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