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HomeMy WebLinkAbout42402-Z � �0"4'F Town of Southold 5/31/2019 P.O.Box 1179 o • ph53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40424 Date: 5/31/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1625 Chablis Path, Southold SCTM#: 473889 Sec/Block/Lot: 51.-3-3.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/21/2018 pursuant to which Building Permit No. 42402 dated 2/21/2018 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 Boger, Scott&Gerarda of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42402 05-28-2019 PLUMBERS CERTIFICATION DATED 4 uth riz d §ignature s�Frnc� TOWN OF SOUTHOLD ON BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . SOUTHOLD, NY ypta1 � �pp�` 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#: 42402 Date: 2/21/2018 Permission is hereby granted to: Boger, Scott PO BOX 1603 Southold, NY 11971 To: Construction of an in-ground swimming pool as applied for. Replaces BP# 39751 At premises located at: 1625 Chablis Path SCTM # 473889 Sec/Block/Lot# 51.-3-3.6 Pursuant to application dated 2/21/2018 and approved by the Building Inspector. To expire on 8/23/2019. Fees: PERMIT RENEWAL $125.00 Total: $125.00 Building Inspector S� FF oto TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o 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#: 39751 Date: 5/11/2015 Permission is hereby granted to: Boger, Scott & Boger, Gerarda PO BOX 1603 Southold, NY 11971 To: Construction of an in-ground swimming pool as applied for. At premises located at: 1625 Chablis Path, Southold SCTM # 473889 Sec/Block/Lot# 51.-3-3.6 Pursuant to application dated 5/1/2015 and approved by the Building Inspector. To expire on 11/9/2016. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 tal: $300.00 Buildin s e or--"" 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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: /���' eW4A'4f° �. l_xo House No. ,� Street Hamlet Owner or Owners of Property: Se-err L�,eIZ41144 Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Ap i t Signature so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® Southold,NY 11971-0959 ® ® roger.riche rtAtown.south old.ny.us ��c®� 9� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Scott Boger Address: 1625 Chablis Path City: Southold St: New York Zip: 11971 Building Permit* 42402 Section: 51 Block- 3 Lot 36 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: HOME OWNER DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1 st Floor Pool X 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 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 1 Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks 1 Disconnect Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: In ground swimming pool to include, bonding, control panel, 1-time clock, 1-GFCI circuit breaker,salt generator,gas pool heater, 1-pool pump,2-low voltage pool lights, 1-GFCI recpticble Notes: Inspector Signature: Date: May 28 2019 81-Cert Electrical Compliance Form.xls E Y � Y Of so(/Tyo * # TOWN OF SOUTHOLD BUILDING DEPT. °ycou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ULA ON [ ] FRAMING /STRAPPING [ FINALPWL---� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: orp1r �n�l'K DATE INSPECTOR OF SOUTyo� * * TOWN OF SOUTHOLD BUILDING DEPT. °ycou765-1602 INSPECTION 0 [ ] FOUNDATION 1ST [ ] ROUGH PLRG. (� [ ] 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: 14" 6y- cac-te� DATE / / INSPECTO� ' IC 1 r 1 ON STATE ENERGY C • r _ I ME MURMA I • � o 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. �J� -�(� Check Septic Form N.Y.S.D.E.C. Trustees Examined 120 Storm-Water Assessment Form 1 1 S�_ Contact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration ,20 1 L Building Inspector - rrp I PPLICATION FOR BUILDING PERMIT 1 2015 � Date 20 INSTRUCTIONSa3i�rrMUST- e 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 Biuilding 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. (Signature of applicant or name,if a corporation) lMgi SON9700,ky //97/ (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 Plumbers License Electricians License No. Other Trade's License No. 1. Location of land on which proposed wo&will be done: House Number Street Hamlet County Tax Map No. 1000 Section 5'/ Block 3 Lot Subdivision &WeWzyt/vi/.Q1Z ylfG+ Filed Map No. Lot (Name) `l 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 Addition Alteration Repair Removal Demolition Other Work 11000/4- (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 zle' Rear Depth Height -,2- 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 111a,0:7, Rear /��'6 Depth /?0 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 165-145A.1 ",4.4- 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO-X- 14. Names of Owner of premises�W7-9- � Address Phone No. ✓/-�-65--26�� _ 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 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 ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, C®tVN1E Q.BUNCH (S)He is the Notary PW11%State of New York No 01RU6185M (Contractor,Agent, Corporate Officer, etc.) oua#W in Suffolk County Commission Expires April 14,2 a(- 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 day of 20 � Notary Public Signature of pplicant Scott A. Russell o �1F ST�O�][�I�W WA IEIK SUPERVISOR IM[A,NA,G IEIM11EN'7F SOUTHOLD TOWN HALL-P.O.Box 1179 c 53095 Main Road-SOUTHOLD,NEW YORK 11971i9i� Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑ 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 ❑13/ 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. ❑�. ite preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. 101F. 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. %k 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. APPLICANTiSe A'-7 j. Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date istnct NAME Section Block Lot gE26d CS,Sna,nfe, :" FOR BLiii-I`))i.Nu r)rPAl'TN11-:NT t.tiE t)N1_.T' Contact Information l✓l.j !/I�� "" 1 'telephone Numbcr Reviewed By: — — — — — — — — — — — — — — — — — — Date �--�l S✓ Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — A��,` Approved for processing Building Permit l� �y ✓T�� Stormwater Management Control Plan Not Required �V"� ��`9�� ❑ Stormwater Management Control Plan is Required (Forward to Engineering Department for Review) FORM * SMCP-TOS MAY 2014 so O ! Town Hall Annex 1t 1�C Telephone(631)765-1802 54375 Main Road N ,aaxx (631)765- P.O.Box 1179 GQ foger.rlChert 1pWrt_SOUt O ad nV us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD i APPLICATION FOR ELECTRICAL INSPECTION i REQUESTED BY: (J (A 9,L Date: Company Name: Name: License No.: Address-- Phone No.: JOBSITE (NFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: `Phone No.: 631 Permit No.: — 361151 - Tax-Map District: - 1000 Section: 5j Block: Lot: *BRIEF DES IPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough In Final C *Do-you need a Temp Certificate: YES/ NO Temp Information (if needed) i *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 82-Request for inspection Form �y�FFaI�Co BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 �'�O� Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(a-town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION A Date: �0_� �-7REQUESTED BY: Company Name: Name: 5evri" f�oC�E/L License No.: email: Sco C r�1•9�G • �� Address: a Phone No.: d 3/ - 6r- 7t G3/ JOB SITE INFORMATION: (All Information Required) Mame: Address: Cross Street: 6v.�vv�E�✓ Phone No.: 63/ -7G�'3 y� 63� 6�-26E'S/ • Bldg.Permit#: 2� o ?� email: �co�r�GGG�2�! remit.� Tax Map District: 1000 Section: 5-.( Block: 3 Lot: 3. G BRIEF DESCRIPTION OF WORK(Please Print Clearly) Circle All That Apply: Inal y Inspection?: read for Ins NO Rough In Is fob P Do you need a Temp Certificate?: YES t to Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: = # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground-Overhead # Underground Lateral's 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION `S _ C­P� g�5 82-Request for Inspection ForrnAs �� pr SOUryOlo Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • O Southold,NY 11971-0959 'Q 14 enu T i BUELDING DEPARTMENT TOWN OF SOUTHOLD May 10, 2019 Scott Boger PO Box 1603 Southold NY 11971 Re: 1625 Chablis Path, Southold TO WHOM IT MAY CONCERN: The Folio 'ng Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Electrical Underwriters Certificate 1✓l5P I5 ��,�/�� A fee of$50.00. Final Health Department Approval. l Plumbers Solder Certificate. (All permits involving plumbing after 411/84) Trustees Certif cate'Of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT —42402 — Swimming Pool G c O v � Q Fou�v0,9riav D i f SD LA1y vG �J LEW,q,O 9A C33696 OF MEW 0 . i �4C/r�Ye�YFo,�. �4TT��c7c�..��Q� �G�,� LA.�t/O�y��•ii�cu�.�% ZOO-- lidi9�9des• &T x77 •�oTT�GE.+'.A�Pr4 L' T6 Td��i�2r8.s� �,t y� C///C.4( TTG-e�iL�JU.p +uG•c fo �wvpT�dc/.�oC.vT/Cx�'�y3/� Grand Manhattan Dig Pian 32 23 24 201 16 12 a 0 ID cive ow v'W sy - 1 i 3' 9" DEEP 9" DEEP r - ---- - -- ---. __-- - -- --- - - ----. -_ . __. _- -- -- - --- - --- WATERS EDGE ` f - 33'-2" - OVER DIG 0 a 12 16 20 24 28 32 3'-11" 4'-0 4' 2" 4' 3 d'-5" 4-6�- 4'-s . 4'-943" a, +,�, 6. 33'-2@ 4" SAND BED 8 GRAND MANHATTAN 028 - DIT +�FKhifK:r F -• -'- ' SCALE 3;16"=1'-0" DATE 10-2F PROE � DRAWN BY KLB RASION AT j �- g P. �^QUES OF �0��E" ��' ��.r ALL CODES E g _ `fO�'�� ST &TOW(\ DF r,t ! Pv1 AY _ 2015 1' �1 .10 F B 'ILD�NG DE�;RTMENT AT �IEV�! - t i - 65 1302 8 AM TO 4 PVI FOP THE AS REQUIRES OLLOWING INSPECTIONS: L T0\01 L3J1 I;,FOUNDATION - TWO REQUIRED dN F { , FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING -' "` 1 - ` 1 -� INSULATION FIf�'AL - CONSTRUCTION MUST + I BE'AL FOR C.O. L CONSTRUCTION SHALL MEET THE l MAY - 4 2015 � �QUIREMENTS OF THE CODES OF NEW IDRK STATE. NOT RESPONSIBLE FOR SIGN OR CONSTRUCTION ERRORS.