HomeMy WebLinkAbout43170-Z ��. FFfl��C� Town of Southold 5/10/2019
P.O.Box 1179
' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40374 Date: 5/10/2019
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 50 Laurel Way, Laurel
SCTM#: 473889 Sec/Block/Lot: 125.4-24.22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/17/2018 pursuant to which Building Permit No. '43170 dated 10/26/2018
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 IN-GROUND SWIMMING POOL,FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Mitchell,Andrew&Mary
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43710 04-29-2019
PLUMBERS CERTIFICATION DATED Un r\
u ho - e Signature
gUFFD�,�, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 43170 Date: 10/26/2018
Permission is hereby granted to:
Mitchell, Andrew
1303 Willow Pond Dr
Riverhead, NY 11901
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
50 Laurel Way, Laurel
SCTM # 473889
Sec/Block/Lot# 125.-4-24.22
Pursuant to application dated 10/17/2018 and approved by the Building Inspector.
To expire on 4/26/2020.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Bui ng Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN HALL
a 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.aew 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.
fi•
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 Certifi.cafe of Occupancy-�75'--
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
�v�u �wt�til Date.
10M.PhA
New Construction: POOL Old or Pre-existing Building: (check one)
Location of Property: 59 Lauff—I
House No. Sheet Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block ® Lot e cok
Subdivision Filed Map. Lot:
App � � A L �
Permit No. t� �I�� Date of Permit. licant: 'c�9` �
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: . /
Request for: Temporary Certificate Final Certificate: V (check one)
Fee Submitted: $ ,
Applicant Signature
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 ��B��Q� �® roper.richert(c�town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Andrew Mitchell
Address: 50 Laurel Way City- Laurel St: New York Zip: 11948
Budding Permit* 43170 Section- 125 Block 4 Lot* 2422
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Yannucci Electric License No: 50592-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 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 FixturesTime Clocks 1
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment: In ground swimming pool to include, bonding, control panel, 1-GFCI circuit breakel
1-pool pump, 1-gas pool heater,salt generator, low voltage pool lights
Notes
Inspector Signature: , . Date: April 29 2019
81-Cert Electrical Compliance Form.xls
SOUIy��
* # TOWN OF SOUTHOLD BUILDING DEPT.
`yCo 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE 12-4INSPECTOR i
{ OF SOUIyO
# # TOWN OF SOUTHOLD BUILDING DEPT.
°`ycourm��' 765-1802
INSPECTION.
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULAT O
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(1ST) C:) y
-------------------------
'FOUNDATION (2ND)
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STATE ENERGY CODE
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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
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.-
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
f� Contact:
4pproved lJ 20
Mail'to:s
Disapproved a/c
Phone:
Expiration ,20 �—
! I j Bu pector
� r
OCT 7 2018 L-APPLICATION FOR BUILDING PERMIT
%UIs, 3I yT 1;E,��'. Date �� 1 , 20�
''$- "' • yr r1 C.t_T INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
>ets 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
shal I be kept on the premises available for inspection throughouf 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-BuildingDepartment 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.
L CA
(Signature of applicant or name,if a corporation)
7CO HaiRd
(Mailing address of applicant)
State whether applicant is ow er; lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises J.
(As on the tax 'roll-or latest deed)
If applica is a corporaf n, signature of duly a thorized offcer
Ufa_
(Na e and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. 5V&q I — ff ,
1. Location of land on which proposed work will be d ne: ,
5•® v 8
House Number Street I Hamlet
County Tax Map No. 1000 Section Block 0 Lot
v uvua•a.+avu �--��-•-Y -
I
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 Wor ti d 2 nukjcJ I
(Description)
4. Estimated Cost 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.
7. Dimensions of existing structures, if any: Front Rear Depth
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 J14 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' X Will excess fill be.removed.from premises? YES NO
6®
14. Names of Owner of premises AM u AAddress kao I P B Phone No.
Name of Architect Address• Phone No
Name of ContractorbjDl-� o( M Address OHDO )-fQ/,3 Phone No. 01-M Ac?!
15 a. Is this property within 100 feet of a tidal wetland or a freshwaterwetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES I&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.A
* IF YES, PROVIDE A COPY. CONNIE D. BUNCH
Notary Public, state of New York
No.01 BU6185050
STATE OF.NEW YORK) No.
in Suffolk County
SS: Commission Expires April 14,2W
COUNTY OF L, j
R:50') 0:6r,,— being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the c I )'.�
(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.
Sworn to before me this
}I—R\ day of 20
�� Oan';;7 b--N
Notary Public Signat e�licant
Scott A. Russell 01 466 ST 01RJ\\\4WA\`]C']E]E_
SUPERVISOR � � MA NA\G]EAMI ENT
SOITI HOLD TOWN HALL-P.O.Box 1179 m
53095 Main Road-SOUTHOLD,NEW YORK 11971 2,,�0� Town of So u th o l d
i
CHAPTER 236 - STORMWATER MANAGEMENT WORD SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT EC T INVO LVIE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
❑Ej A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑� E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
S.C.T.M. ": 1000 Date-
APPLICANT (Property Owner,Design Professional,Agent,Contractor,Other) District
4 U118
NAME 1�
Section BlocF Lot
ukwurd <.x: 1'OR (i[ill_1}lett 1)1Wi'A1?)%,1EN') USE t)(\,1.1' . xz
Contact Information "°
f4161_�L NJ
alry,hrn,e Vumb.n
Reviewed By
— — — — — — — — — — — — — — — — — —
Date:
Property Address / Location Of Construction Work: ffj
— — — — — — — — — — — — — — —
4 Approved for processing Building Permit.
6�1J �j-�A1� Stormwater Management Control Plan Not Required
��.�� ) �� � ❑ Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
Jarski, John
From: Andrew Mitchell <ajml303@me.com>
Sent: Thursday, May 9, 2019 12:22 PM
To: Jarski,John
Subject: Fwd: Mitchell 50 Laurel 50, Laurel: UL2017 Door Alarms - Installed
Thank you for taking the time to explain the UL2017 door alarms requirements. I spoke to
technical support at Ring com and the system is not UL2017 certified. Therefore, I purchased
and 3 PoolGuard DAPT-2 UL2017 certified alarms and installed one on each slider. Pictures of
the documentation and installed alarms are attached.
Thanks again,
Andy Mitchell
50 Laurel Way
Laurel,NY 11948
1
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APPROV D AS NOTED
DATE: 6 eB.P.# 7d RETAIN STORM WATER RUNOFF
FEE: 4Db PURSUANT TO CHAPTER 236
BY. OF THE TOWN CODE,
NOTIFY 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
3. INSULATION ELECTRICAL
4. FINAL - CONSTRUCTION MUST INSPECTION REQUIRED
BE COMPLETE FOR CO.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
Rs,irn,- > •P. ; -LY" ,
COMPLY WITH ALL CODES OF ENCLOSE POOL TO CODE '
NEW YORK STATE & TOWN CODES `UPON COMPLETION
AS REQUIRED AND CONDITIONS OF BEFORE "WATER"
ARD-
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OCCUPANCY O
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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DATE:
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