HomeMy WebLinkAbout42397-Z F04C-01 Town of Southold 4/16/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40330 Date: 4/16/2019
THIS CERTIFIES that the building HOT TUB
Location of Property: 405 Cedar Point Dr W., Southold
SCTM#: 473889 Sec/Block/Lot: 90.-2-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/8/2018 pursuant to which Building Permit No. 42397 dated 2/16/2018
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 HOT TUB AS APPLIED FOR
The certificate is issued to K Mac Reality LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42397 04-02-2019
PLUMBERS CERTIFICATION DATED
o ' ed Signature
Town of Southold 4/16/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40331 Date: 4/16/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 405 Cedar Point Dr W., Southold
SCTM#: 473889 Sec/Block/Lot: 90.-2-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/4/2017 pursuant to which Building Permit No. 41628 dated 5/11/2017
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:
ADDITIONS AND ALTERATIONS INCLUDING SCREENED PORCH, FIRST AND SECOND FLOOR DECKS,
AND OUTDOOR SHOWER TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to K Mac Reality LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41628 04-02-2019
PLUMBERS CERTIFICATION DATED
o ' ed Signature
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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 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 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
7D .
New Construction: Old or Pre-existing Building: (check one)
Location of Property: (' Cedar �B`r+. nywe S2 p
House No. Street Hamlet
Owner or Owners of Property: k.ey i n Mc- Dir Kno- it
q
Suffolk County Tax Map No 1000, Section {1C) Block Lot 7
Subdivision Filed Map. Lot:
e
e it N
lth o. q`7 Date of Permit. Applicant:
Dept.Approval: Underwriters Approval:
PI ning Board Approval:
R q est for: Tempor ICertificate Final Certificate: (check one)
F e Submitted: $ U
Applicant Signature
of TOWN OF SOUTHOLD
aye . BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Qy.• ®� 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#: 42397 Date: 2/16/2018
Permission is hereby granted to:
K Mac Reality LLC
5 Acorn Ln
Commack, NY 11725
To: install hot tub as applied for.
At premises located at:
405 Cedar Point Dr W., Southold
SCTM # 473889
Sec/Block/Lot# 90.-2-27
Pursuant to application dated 2/8/2018 and approved by the Building Inspector.
To expire on 8/18/2019.
Fees:
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
- 1
SOUlyOlo
# TOWN OF SOUTHOLD BUILDING DEPT.
�ycoutom 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [ FINAL Tv�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH). [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE 1,04 Cl INSPECTOR
pF S
Town Hall Annex Telephone(631)765-1802
54375 Main Road CO- Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ,r® a® roger.riche rt(a)town.soLitho Id.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To K Mac Realty LLC
Address: 405 Cedar Point Dr W City: Southold St: New York Zip- 11971
Building Permit#: 42397 Section: 90 Block: 2 Lot: 27
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: East County Electric License No: 1005-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub X
Addition Survey X 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 11 TVSS
Other Equipment. "AS BUILT" "ELECTRICAL SURVEY' "NO VISUAL DEFECTS"
Notes* install GFCI protected disconnect for self contained hot tub, (2-GFCI circuit breakers)
Inspector Signature: Date: April 2 2019
81-Cert Electrical Compliance Form.xls
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST)
--------------------------------------
FOUNDATION (2ND) �
z
0
O
ROUGH FRAMING& y a
PLUMBING
-
INSULATION PER N.Y. H
STATE ENERGY CODE
V J
FINAL
ADDITIONAL COMMENTS
a. - t� r `R 3 116
rn
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- d
b
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL 'r
SOUTHOLD,NY 11971 `4 ets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
AP
plication
'W—ooermit
Examined ,20_tb_ D Single&Separate
t :� D
Truss Identification Form
Storm-Water Assessment Form
FEB ® 8 201
• n 6,, 1� Contact: A I
Approved 'I� dl ,20 1 I,F3Ti `�`FFG;_711�,1 � �of i n Oc Du N C
A+I+•1 iL'�i i�rF .. •
Disapproved a/c TOWN OF SOUTHOLD ��� �►�I ( Acow*14. .
Phone:4r/4 99 7 $ D y
Expiration ,20r P'll
B44dspector
APPLICATION FOR BUILDING PERMIT
Date Z ' , 201_&_
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 permit 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.
/�Zr
y
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Locationdi land on w h pA0/NTroposed work
rdL dgAre� _,, , +:►•(�a / 11-71 .
House Number Street s; ".,".,"Hamlet-,
Lot
County Tax Map No. 1000 Section "Block V :s' _ -
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Alteration
Repair Removal Demolition Other Work ?'N ty
(Description)
4. Estimated Cost ;-°--I c�-,ro /T Fyee:�,,�,�� s-T
s ((To be paid on filing this application)
5. If dwelling, number of dwelling units I } Number of dwelling its on each floor
If garage, number of cars °\ `j °
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
!rf} R(�.�-c+�.t �,Vi AIng���:pi
T-''Dimenisions of existing,structures, if any: Front INC.,y �� Rear Depth
Heigh'f( 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 Depth
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 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. PERMIT 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.
1'8. Are.there,any covenants,and'restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
S:
COUNTY OF S
( S -
Irj M 0 being duly sworn, deposes and says that`(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the • ] mo ,
-
(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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
SwoRto before me thi
fN day of 2 ° 20EY `L.'DWYER j.
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
Notary Public QUALIFIED IN SUFFOLK COUNTY Signature of Applicant
COMMISSION EXPIRES JUNE 30,2 f L&
12�
�o�'*0 SOUryo{
Town Hall Annear Telephone(631)763-1802 f
54375 Main Road ,ax 6h 99 !
P.O.Box 1179 G Q roger.dche(t IOWn�SOU O .r1V.US
Southold,NY 11971-0959 Q �O
. i
BUILDING DEPA.RTWffM i
TOWN OF S,OUT-HOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: -,::P7- 1
Company Name:
Name: F
License No.:
Address: Q�
Phone No.:
JOBSITE INFORMATION: (Indicates required information)
*Name:
*Address:
*Cross Street: rk
*Phone No.: 4-1 Vq 9- 533
-Permit No.: 4116,16 -
Tax-Map
16,1 Tax•Map District: 1000 Section:_ G ' Block: Lot:Q_
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
PACUZ.Z
(Please Circle All That Apply)
*Is job ready for inspection: �O Rough in Final
*Do-you need a Temp Certificate: YES! NO
Temp Information.(if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect- Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION sak 19
D
824Request for Inspection Form
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APPROVED AS NOTED
DATE; B.P. �3 RETAIN STORM tNATER RUNOFF
PURSUANT TO CHAPTER 236
-FEE:- BY: OF THE TOWN CODE.
-NnFY BUILDING DEPARTMENT AT
765-1802'-8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION TWO REQUIRED
FOR POURED CONCRETE
2. -ROUGH FRAMING & PLUMBING ELECTRICAL
3. INSULATION INSPECTION REQUIRED
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
"�6tf�hf8
SUUTRT
`�'OD�t6i6t�ldf6�{Pd�ARD
D ES
OCCUPANCY OR
USE IS UNLAWFU'
WITHOUT CERTlF;U-
OF OCCUPANCY
41
FLAIR°
�
Seating Capacity 6 adults
Dimensions Tx Tx 36"/2.13m x 213m x 91m
Water Capacity 310 gallons/1,175 Liters
Weight 930 tbs./420 kg dry,4,565 lbs 2,075 kg fitted*
Spa Shell Options Pearl,Platinum,Sterling Marblejuscan Sun
or Desert
x Everwood'Cabinet Options Coastal Gray,Espresso,or Teak finish
Hydromassage Jets-41 5 Combination XL jets
(with Stainless Steel Trim)
8 Combination jets
4
28 Directional Precision'jets
Waterfall Vidro"backlit ribbon waterfall
—3 Jet Pump I Wavemaster"8000,One-speed,2 0 HP
4�
Continuous Duty,4.0 HP Breakdown Torque
K3-
Jet Pump 2 Wavemaster'8200,Two-speed,2 0 HP
Continuous Duty,4 0 HP Breakdown Torque
Circulation Pump SiLentFto 5000'for quiet,continuous filtration
Flair shown with Pearl shell Effective Filtration Area 65 sq.ft top Loading
Water Care Systems ACE'Salt Water Sanitizing System or
(Optional) EverFresh'System with CD ozone
Control System 10 2020'230v/50amp,60Hz
V
Includes G F.C.I.protected sub-panel
5e V
Lighting System Raio'multi-color points of tight(30)
Heater No-Fault',4000w/230v
Energy Efficiency Certified to the APSP 14 National Standard and the
California Energy Commission(CEC)in accordance
with California Law
Vinyl Cover 3 5"to 2 5"tapered,2 lb.density foam core
Ash,Caramel,Chestnut or Evergreen finish
Cover Lifter(Optional) CoverCradle',CoverCradte 11,Liftn Glide',or UpRite'
Steps(Optional) Everwood or Polymer
Entertainment System Wireless Sound System
Flair shown with Pearl shell/ (Optional)
Teak cabinet and Everwood step
Includes water and 6 adults weighing 175 lbs each
Export models available in 230v,501-1z,1500w heater
HotSpring0
Every day made better' 0 2016 Watkins Manufacturing Corporation