HomeMy WebLinkAbout43143-Z 17,=27
Town of Southold
6/5/2019
P.O.Box 1179
o • S 53095 Main Rd
4,1 - �ao � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40433 Date: 6/5/2019
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 205 Pine Ave., Southold
SCTM#: 473889 Sec/Block/Lot: 77.-2-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/5/2018 pursuant to which Building Permit No. 43143 dated 10/16/2018
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:
ACCESSORRY IN-GROUND SWIMMING POOL,FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Murphy,Timothy&ors
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43143 12-04-2018
PLUMBERS CERTIFICATION DATED
A rSignatune
o�gu o��co 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#: 43143 Date: 10/16/2018
Permission is hereby granted to:
Murphy , Timothy
21 Clayton Ave
Floral Park, NY 11001
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
205 Pine Ave., Southold
SCTM #473889
Sec/Block/Lot# 77.-2-29
Pursuant to application dated 10/5/2018 and approved by the Building Inspector.
To expire on 4/16/2020.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
)I i14
ui dinspector
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: 1/zU_zjtt4w-
,> Old or Pre-existing Building: (check one)
.Swid-f 1A11y PWL
Location of Property: _-V6,! _79we 1411E
House No. Street Hamlet
Owner or Owners of Property: �y�,ty, � �� �� ��� -1c�tZPi4,Y
Suffolk County Tax Map No 1000, Section 77 Block Lot _,-057
SubdivisionvvSE s'3.q y ��7�� Filed Map. j 7Z 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: $ 6,0_ ,Z-V- e��,
Applicant Signature
pF SOU��®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q
Southold,NY 11971-0959 'c® ® �® roger.riche rt(&-town.south old.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Timothy Murphy
Address: 205 Pine Ave City: Southold St: New York Zip: 11971
Budding Permit#: 43143 Section: 77 Block- 2 Lot 29
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc License No: 4814-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1 st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 1 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 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 1 Twist Lock Exit Fixtures 11 TVSS Ll
Other Equipment In ground swimming pool to include, bonding, time clock, salt generator, pool light,
1-pool pump,2-GFCI circuit breakers
Notes:
Inspector Signature: Date: December 4 2018
81-Cert Electrical Compliance Form.xls
� t��4 tel./,
ho��OF SOGlyO�
* * TOWN OF SOUTHOLD BUILDING DEPT.
COY' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULAT N
FRAMING /STRAPPING FINAL- G �
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) n H
--------------------------------------
'FOUNDATION (2ND)
— � O
ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y-. y
STATE ENERGY CODE
N
FINAL
ADDITIONAL CO NTS
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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 R/
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey V111-
Southoldtownny.gov PERMIT NO. 4-3) Check
Septic Form
N.Y.S.D.E.C.
Trustees
3 C.O.Application V
�j D ��� Flood Permit
Examined V 20 t Single&Separate
Truss Identification Form
OCT ® 5 201 Storm-Water Assessment Form
B .DM;DEPT. Contact:
Approved
20,m_ `'$ la `jI ��OZI `ITO'�aD Mail to:
Disapproved a/c
hon )-73y-�CoGS
Expiration 1P 20
Buketor
APPLICATION FOR BUILDING PERMIT
Date /ez 3 , 20-E
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.
CN�7vx ��5 Lei
(Signature of applicant or name,if a corporation)
tea. 3o x 9, 64:I/ ,c. ivy'
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
�'��N7i2�7yi2
Name of owner of premises TiMa7NY, �t�L, 'P,47iVex
(As on the tax roll or latest deed)
If app li t is a corpor ti ,_swat a of my authorized officer
an an title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section 7 Block &Z `Ljot'
Subdivision 444x6e 51W e 5�,fZ`S Filed Map No. 11,76 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 2 57,,)z v- , T1ls3Jne
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition
\ s r (Description)
4. Estimated Cost �� c�z),cy �- r Fee
(To1be paid on filing this application)
5. If dwelling, number of dwelling units umbUr.of-M Iling 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 j ' Rear 73` Depth 3/
Height 6��` 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 406 ` Rearebb ' Depth /Z6�
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 .X
13. Will lot be re-graded? YES 1X' NO Will excess fill be removed from premises? YES X NO
14. Names of Owner of premises -Address _2aya5P> �6,c Phone No._:526-37-5--2695
Name of Architect Address `5"� ` ' "97' Phone No
Name of Contractors°Aiyuc a4y,1_s Address rco.mar St /.cye,�ct<�=Phone No.Co3>-,�35 7�G
i>93r
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO _V
* 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-x'
* 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—W
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY yo ( I
r1,1/ 7Z4( being duly sworn, deposes and says that(s)he is the applicant
(Name ot individual signingcontract) above named,
(S)He is the //����Zj-I- ' l
(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 b fore me this /
day of
IRE
e or nature of Applicant
o. 505
Qualified in Suffolk Cour}( ,
Commission Expires Dec. 8,
Scott A. Russell ���°�u ��� STORN[WAXIER
SUPERVISOR o IMI AN A\G IEN[IEN F
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOZES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes No (CHECK ALL THAT APPLY)
❑ff A. Clearing, grubbing, grading or stripping of land which aff ects 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.
❑(ff 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.
❑EJ E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
DRF. 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.
APPLICANT (Property Owner,Design Professional,AgD,utn
Agent Contractor,Other) S.C.T.M #: 1 Date:
�9/ �
NAME L� 11U)4 l Y,_L_5 L7�� ���°°��yy�� �tiyct
-49 � /ff
(P,�� Section Block Lot
FOR BUILDING DEPARTMENT I-SE ON_Y
Contact Information
cra.iao�r Numtxu
Reviewed By: A I A
DaQ
Property Address / Location of' Construction Work — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
Stormwater Management Control Plan Not Required
— — — — — — — — — — — — — — — — —
�y�� �-�� �y ����� ❑ Stormwater Management Control Plan i�,Required.
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
guEFBUILDING DEPARTMENT- Electr hy
L1`Qt0 V
�p� C TOWN OF SOUTHO1- �r DD
Town Hall Annex - 54375 Main RoO Box 1179
Southold, New York 119f6F
59NOV 2 9 2018
,alp' Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richert(a�town.southoId.ny.q ,0Ri %7E x,
TOWN OF S0111ZOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BYDate. -
Company Name: G
Name: Lvov I
License No.: q—M'S7 email: eA���L;nc, Ejac'1 i
Address: e�eev Q_5 e. (v-cr
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: N U LN
Address: v
Cross Street:
Phone No.:
Bldg.Permit#: i4Z 143 email:
Tax Map District: 1000 Section: - Block: Lot:
11
B IEF DESCRIPTI N OF WORK (Please Print Clearly) rV% n1% Qno
Circle All That Apply:
Is job ready for inspection?: nYE / NO Rough In Fi
Do you need a Temp Certificate?: YE t�NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service- Fire Reconnect-Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional'Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
SURVEY
�UR�'�/® Y F CERTIFIED T0:PAULA M.BREEN
�I DOROTHEA P. NELSON
LOTS 63 THROUGH 72 INCL. WESTCOR LAN TITLE INSURANCE CO.
/��P OF BETHPAGE FEDERAL CREDIT UNION
�1�� JOB NO. 2012-107
GOOSE BAY ESTATES MAP NO.1176 -o�, -D
SITUTE A T FILED:NOVEMBER 13, 1934 ; � NA �
REVISIONS: ,r , .,ea - .- .r,�,���O •,
SOUTHOLD REV. CERTIFICATIONS 2115/2012
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C.T.M.DIST. 1000 SEC. 77 BLK�02 LOT 29 r�
15 8 0 15 30 45 60 75 90 105 120 135
SCALE., 1"=30` DATE:JANUARY 25, 2012
a4
LICENSE NO. 050363
LOT AREA:25,000 SQ.FT. =0.574 ACRE
HANDS ON SURVEYING
26 SILVER BROOK DRIVE
FLANDERS, NEW YORK .
11901
TEL:(631)-369-8312-FAX:(631)-369-8313
MARTIN D HAND L.S
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APPRO ED AS NOTED
DATE: B.P.# ?7
FEE: rU(J P.
ELECTRICAL
NOTIFY BUILDING DEFAR NT AT INSPECTION REQUIRED
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWC QEQUIRED
FOR POURED CON ,RETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE RETAIN STORM WATER RUNOFF
REQUIREMENTS OF THE CODES OF NEW PURSUANT TO CHAPTER 236
YORK STATE. NOT RESPONSIBLE FOR OF THE TOWN CODE.
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODE
AS REQUIRED AND CONDIT!ONS OF9aIAftlDa'.�)i A 9E LYoP
ENCLOSE-POOL TO CODE'
.UPON:COMPL'ETION
kBEFORE"WATER"':
O6b�f�9 S
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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00 VATH STEP A- B C D E F G H K L M N GALLONS
POOL SIZE
12X24 12X28 12'-0" 24'-0" 3'-4" 6'-0" 6'-0" 8'-0" 6'-3" 4'-0" 4'-0" 4'3" 4'-0" 6'-3-118" 9,050
16X24 16X28 16'-0° 24'-0" 31-V T-W 61-0" 8'-0" 6'-3" 4'-0" 4'-0" 8'-3" AW, 6'-3-IN' 13,750
16tt32 16X36 16'-0" 32'-0" 3'-4" 8'-0" 8'•6° 13'-6° 6'�" 4'-0" 4'-0" W-Y 4'-0" 7'-4" 19,500 /��
18X36 18X40` 18'-0" 36"-0" 3'-4" 8'-0" 10'-6" 13'-6" B'-3" 4'-0" 4'-0" 10'4" 4'-0" T4" 25,500 M
20X40 20X44 20'-0" 40'-0" 3-4° 8'-O" 12'-6" 13'-6" 10'T 4'-0° 4'-0" 12'-3" 4'4" 7'4" 32,000
16X34 16X38 1X38
'-4n B•A" 1p'-6n 1 '-6° 6'.3n 4'-p" 4'-0n 81,3° 41-9" I44" •10,900 �`•••••• suooN
2050 25X54 2 '-4" 13''6° 12'3" 4'-0" 4'-W 17'-3" 4'-0" T-7-MV- 58,750 \y��
30 60 30X64 3 '-4n "i 20'-0" 15'-0" 20'3" 4'-6" 4'-6n 1'-3" 4'.r 8-2-318" 79460
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14X28 14342 1W 6'-0" 6-0" 12'-0" 4-3" 4'-0n 4'-0n 6'-3" 4'-r` 6'3-1116" 12,100
13 X26 12X30 3-4 6-0' 8-0" 10-0" 4- 4-V 4-0" 63 4-0 63-1116 11,600 a16X38 16X42 3'-4" 8-0" 14'-O 14'-0" 6'-0" 4-0 4'-0" 8'-3" 4'-0" T3" 22.000
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Complies With: -
2 �:,_• rLd
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' -
2016 NYS Uniform Code Supplement Sec 8326 FpA ���
R326.3.3 in Ground Pools Shall Be in Conformance with ANSIINSPI-5 R�
P R326.5 Barrier requirements:Temp Fence must be installed at'time of
i Pool construction,and Permanent fencing is the homeowners responsibility
' ----_- R326.6 Entrapment Protection Installed
------- -----`y ------- R326.7 Swimming Pool and Spa Alarms must be installed NTS
_ POOL TYPE: RECTANGLE REV. SCALE: .
2015IECC JAMES DEERKOSKI, P.E.
Sec R 403.102 Time switches or other control methods that can run DATE' _
automatically tum off and on according toa preset schedule shall be 260 DEER DRIVE
TYPICAL PANEL STI FFN ER
installed for heaters and pump motors. Heaters and pump motors that DRAWING NUMBER
- ? have built in time switches shall be in compliance with Sec R 403.10.2 MATTITU K, NEW YORK 11952
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