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®ggFFO(,fc� Town of Southold Annex 9/11/2013 Gyp P.O.Box 1179 t 54375 Main Road 4 Southold,New York 11971 yy'�YQl � ,la�S r¢ CERTIFICATE OF OCCUPANCY No: 36498 Date: 9/11/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 2800 Camp Mineola Rd, Mattituck, SCTM#: 473889 Sec/Block/Lot: 123.-5-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/17/2013 pursuant to which Building Permit No. 37978 dated 4/26/2013 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: accessM generator as applied for. The certificate is issued to Boyle,Donald&Boyle,Kathryn (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37978 8/22/13 PLUMBERS CERTIFICATION DATED Authorized Signature oyoS�f of ��o. TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 37978 Date: 4/26/2013 Permission is hereby granted to: Boyle, Donald & Boyle, Kathryn 13 Hoffman St Maplewood, NJ 07040 To: install an accessory Generator as applied for At premises located at: 2800 Camp Mineola Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 123.-5-4 Pursuant to application dated 4/17/2013 and approved by the Building Inspector. To expire on 10/26/2014. Fees: ACCESSORY $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 Building Inspector Sv, � Form No_6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL ,1 ^(� . (3 765-1802 t APPLICATION.FOR CERTIFICATE OF OCCUPANCY This application must be filled-in by typewriter or ink and submitted to the Building Department with the following: Ar 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 2110 of 1% 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 E?.mpleted 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 S50.00, 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- f New Construction: Old or Pre-existing Building: (check one) Location of Property: 9 0 0 CA t1to /'71 /J 41 4A. 'i a C 1G House No. Street Hamlet Owner or Owners of Property: `'�,� IC9 i i l 9 Y A! b Y C, Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: © `l Z j3 Applicant:Permit No. � Date of Permit. 7 - • 'Health Dept.Approval: ' Underwriters Approval: Planning Board Approval: Request for. Temporary Certificate Final Certificate: (check one) Fee Submitted: Applicant Signature J" pF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CASouthold,NY 11971-0959 Q roger.riche rtO—)town.southo Id.ny.us ' �'� ��- �O BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Boyle Address: 2800 Camp Mineola Rd City: Mattituck St: NY Zip: 11952 Building Permit#: 37978 Section: 123 Block: 5 Lot 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Laurel Lighting License No: SITE DETAILS Office Use Only ; Residential X Indoor X Basement 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 RecHpt EmerHgency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment 20KW standby generator with 200a auto transfer switch Notes: Inspector Signature: ,w. Date: Aug 22 2013 V 81-Cert Electrical Compliance Form.xls r TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN FALL Board of Health SOi THOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 l4urvey SoutholdTown.NorthFork.net PERMIT NO. IVCheck Septic Form N.Y.S.D.E.C. (Trustees �1C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Approved ( o�p ,20 3 Mail to: Disapproved a/c Phone:a,� Expiration D 120 010H1(1OS10NMOl �//��—�✓� "1p" �� �� 1d30 '9018 Building Inspector L LICATION FOR BUILDING PERMIT F JDatesZI 7 , 20 1 S 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 pen-nit 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 pen-nit 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 pre ises;and in b,uil ing for necessary inspections. VV _ 1.1 LflNI�a��VVdF (Signature of applicant or name, if a corporation) 1 � g -ate 40la8! $,. pd .99� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general b�mber or builder �j I.✓!�! L i� DATE _. 63 f3 P , 3 7 Name of owner of premises 7)a IY A L--b ICA i�_12 y N UJ- (As on the tax roll ilt �� ARI DEP iVIENT Al- sa t �. If applicant is a corporation, signature of duly authorized officer FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED (Name and title of corporate officer) FOR POURED COR;' r T E 2. ROUGH-FRAMING. P_; .��!NG, Builders License No. STRAPPING, ELECTRICAL &CAULKING Plumbers License No. 3. INSULATION Electricians License No. ELECTRICAL A 4. FINAL-CONSTRUCTION & ELECTRICAL Other Trade's License No. _ MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SMALL NIEET THE 1. Location of land on which work will be done: REQUIREMENTS OF THE CODES OF NEW proposed YORK�T T . NGT RZG f) . `-;. .rOR Z a CA /I P t1 i tv &4 �q kc,/-I r- DE�f��i��c�><isf��r RCS. House Number Street Hamlet County Tax Map No. 1000 Section Block j Lot Subdivision Filed,Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ti a. Existing use and occupancy 4ES / 7-) A L b. Intended use and occupancy 5!1 P �- 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 'BA e-k- VP (Description) 4. Estimated Costg , �� D Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units / Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. r � � 7. Dimensions of existing structures, if any: Front Rear 5 7 Depth �} Z Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear �74Depth Sri-.. Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NOXWill excess fill be removed from premises? YES NO 14. Names of Owner of premises K9 %1-4 Rye 0•'R0yi-(Address Phone No. Name of Architect Address Phone No Name of Contractor/- 4u<&z L H%/ C7 Address / 5-7 Phone No. ,LA v2ti 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 REQUIRED. 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 s`` F-L' �anl A L 1j 3 ay L L being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONME D. BUNCH ( ) © � �� (Votary Public,State of New York S He is the No.01 BU6185050 (Contractor,Agent, Corporate Officer, etc.) Qualified in sooiK county Commission Expires April 14,2-d 3 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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me th' J day of 20j Notary Public Signature of Applicant �f 3 T. � (�y •�'l.I i-tw� �1f a pp_ � e� I C.~{�, _.......- -. .r_res+r..lr. C.-.-••_.tl•,+.Y�../ �u�.r�.w✓+...i 4..0.-.......n--i...-c...,w......,.-.w....,.<+..I ,.,.a._....._,...u..e... ... ... .. .. fit f� �`S, `� F �-•---•_{ `� --- �..i s�,AL�`.).5' ! 17•��'-l�f L.✓:r� � `p'��S°'P'�`0 A�G,����'C-�j�r�T� L i a 3 -D ;A,al G L S!•pC, pito P CK e L l N l+ FT .. `] foSF��'$,yA�•,�.. .wyp.-t.a ��.w y 5.^�`7.�:+(.L �t�' 8"`,•� �fii��.. �-9/VL "" v>�z.Laza9';- m> %JIPO Jrr f 25 MOT W WAY ID 37q ,7r3 GENERAL® t 17/20kW available accessories Model# Product Description 5819 26R Wet Cell Battery Every standby generator requires a battery to start the system.Generac offers the recommended 26R wet cell battery for use with all air-cooled standby product 6212 Cold Weather Kit If the temperature regularly falls below 32,F,instal[a cold weather kit to maintain optimal battery and oil temperatures. Kit consists of a battery warmer and oil filter heater with built-in thermostats. 5 of 5 5621 Auxiliary Transfer Switch Contact The awliliary transfer switch contact kit allows the transfer switch to lock out a single large electrical load Kit you may not need. 5839-Bisque Fascia Base Wrap Kit* The fascia base wrap snaps together around the bottom the new air cooled generators.This offers a 5666-Gray (Standard on 20k" sleek,contoured appearance as well as offering protection from rodents and insects by covering the lifting holes located in the base. 5703-Bisque * If the generator enclosure is scratched or damaged,it is important to touch-up the paint to protect from 5704-Gray Paint Kit r future corrosion.The paint kit includes the necessary paint to properly maintain or touch-up a generator enclosure. 6484-17kW Generac's scheduled maintenance kits provide all the hardware necessary to perform complete routine 6485-20kW Scheduled Maintenance Kit maintenance on a Generac automatic standby generator. 5928 Wireless Remote Completely wireless and battery powered,Generac's wireless remote monitor provides you with instant status information without ever leaving the house.Not compatible with CorePower or EcoGen systems. Remotely control generator functions with the advanced model's LCD display.In addition to remote 5951 Advanced Wireless Remote testing of the generator,set the excercise cycle and maintenance interval reminders.Not compatible with CorePower or EcoGen systems. The PMM Starter Kit consists of a 24V,field installed transformer that enables the use of the 24V Power 6199 PMM Starter Kit Management Modules(PMMs). This kit includes one PMM. The standard controller(without starter kit) can control two HVAC loads with no additional hardware. Power Management Module(50 Power Management Modules are used in conjunction with the Smart Switch to increase its power 5937 Amps) management capabilities.It gives the Smart Switch additional power management flexibility not found in any other transfer switch.Not compatible with pre-wired switches. Generac's Mobile Link device allows you to check the status of your generator from anywhere that you 6463 Mobile Link-Device have access to an Internet connection from a PC or with any smart device.You will even be notified when a change in the generator's status occurs via e-mail or text message. *Note:Bisque kits are used in conjunction with steel enclosures.Gray kits are used in conjunction with aluminum enclosures. dimpnsinnc Design and specifications subiect to change without notice. Dimensions shown are approWmate.Contact your Generac dealer for certified drawings.00 NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. 637. [25.11 1218 147.91 0 731.9 [28.81 GENERAL' 01 0 1 1101- 0 642 [25.31 76.213 1226 PEA GRAV 148.31 MINIMUM 1 1=1=T SU)F V11=W FRr1NT1/IFW GENERAC® Generac Power Systems,Inc. •S45 W29290 HWY.59, Waukesha,WI 53189 •generac.com ©2013 Generac Power SVstems,Inc.All dgbts reserved. All specifications are subject to change without notice. Bulletin 0197990SBY-A Printed in U.S.A.02J11A3