The URL can be used to link to this page

Home My WebLink About41942-Z ' Town of Southold 7/21/2019 o�p Gy P.O.Box 1179 C* T 53095 Main Rd W. pip it t Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40530 Date: 7/22/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2720 King St, Orient SCTM#: 473889 Sec/Block/Lot: 26.-3-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/25/2017 pursuant to which Building Permit No. 41942 dated 8/31/2017 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: accessory in-ground swimming pool with fence to code as applied for. The certificate is issued to Narrow King LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41942 6/15/2019 PLUMBERS CERTIFICATION DATED Ct d ignature �o�gva�co 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#: 41942 Date: 8/31/2017 Permission is hereby granted to: Narrow King LLC 2720 King St Orient, NY 11957 To: construct accessory in-ground swimming pool as applied for with flood permit. At premises located at: 2720 King St, Orient SCTM # 473889 Sec/Block/Lot# 26.-3-7 Pursuant to application dated 8/25/2017 and approved by the Building Inspector. To expire on 3/2/2019. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Flood Permit $100.00 Total: $400.00 Building Inspector SO�j�� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 COU roper.richert(a�town.southoId.ny.us Southold,NY 11971-0959 CO 9N809� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Narrow King LLC Address: 2720 King Street city,Orient st: New York zip: 11957 Building Permit#: 41942 Section: 26 Block: 3 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Luna Electrical Corp. License No: 43117-ME SITE DETAILS Office Use Only Residential X Indoor 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 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 FixtureTime Clocks 1 Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, 2- GFCI Circuit Breakers, 2- Pool Lights, Gas Pool Heater. Notes: Inspector Signature: Date: June 15, 2018 0-Cert Electrical Compliance Form.xls pF SOUTy�� # TOWN OF SOUTHOLD BUILDING DEPT. `ylourm, 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) [ J ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 4'eL — DATE S 1 NSPECTOR t sour * # TOWN OF SOUTHOLD BUILDING DEPT. °rycou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING /STRAPPING [ FINAL irGU(� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 1 �►`�' h A�f�«ilJ Y 1f W bp&a IAMAVWL nqv4o. :v4pL PUU46 r vtr-z E: W&WvhAv Corn mP-k - D6 DATE INSPECTOR `�� a0E 50UTy - �o� olo TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ANSULATION [ ] FRAMING /STRAPPING FINALPOLo- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI9NVIOLATION [ ] CAULKING REMARKS: rt,/ l jvvwit 119DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS • � b FOUNDATION(1ST) ------------------------------------ C FOUNDATION (2ND) O gi 00 ROUGH FRAMING& y PLUMBING d✓ r n P,rr�cv CAX CAW et Df wet (t �r E �✓ IA/iM OD ND� D • S � f v�r¢.s I . sa Yyx flve- ' _ 13 Wt� v4w. 7c� LOOF FINAL ADDITIO AL COMMENTS cofQ-7.1',;� a —1 li2 Gpu C O z t IS - Cant �— siy 'b� wt m GJA"As — nh+zot isr- kpi W *--tqat ruVo+N w — " s N — `1-1- I ex�tins 3 ® y H d b H 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) 765-9502Survey L Surve y Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 3 ,20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved ,20 Mail to: - Disapproved a/c Phone:,3 W�H t 3 Expiration 120 [EC[E D Bui tng Inspector [a D AUG 2 5 2011 APPLICATION FOR BUILDING PERMIT BUILDING DEPT. Date , 20 � TOWN OF SOUTHOLD 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. (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 AiAr r o w 4 'ti; L L C (As on the dx roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. � 2 Q Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: a? act' Q s+-. ® g: House Number Street-) Hamlet County Tax Map No. 1000 Section �o Block ��j Lot 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 Addition Alteration Repair Removal Demolition Other Work Nle S',vc +��., poe/I (Description) IJ 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. FrontF�e�r� Depth Height Number of Storiest, 8. Dimensions of entire new construction: Front Rear th Height Number of Stories 9. Size of lot: Front Rear Depth ®'i `.`'q Ipt r 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 r"'-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 ' f * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. v— 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, (S)He is the (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 t 2<U day of 20_ Notary Public Sign pplicant Town Haft hex Jtg Telephone(631)765-1802 54375 Main Road g 02 P.O.Box 1179 G ro er richer down So Ctottl.n .us - Sorrtizold,NY 1197I-0959 /�o L`, EUIMING DOMTN EW TOWN OF SOU IROLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. Date: Company name: _i=a agan, Name: VAT C 4N,V;4P 4- License No.: 4311-7- 04 E Address: �Q 5 Phone No.: 53S- tagq`1 JOSSITE INFORMATION: (*Indicates required inforrnation) =Name: *Address: C7 S y 1 Cross Street: *Phone No.: Permit No.: A/ aL Tax-Nlap District: 1000 Section: (p Block: 3 Lot: � *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: OYESNO. Rough In Final *Do-you need a Temp Certificate: YES NO Temp Informat'son(if needed) *Service Size: 1 Phase 313hase 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 9 C"e� 82=Request for rnspecUon Form V - 1 � J �� ,•7 � I i)+ fl I l;,ll. 5)115 I10111 —' P o. flox 1171► OWV CLERK �' �' � Snulluilil Nc� Durk 1 � Fax (5 10) 7'65-I ItE.G15rRAR OF VITAL.STATI511CS �..1 MARRIAOF OFrICI'R Tcicphonc (5 16) 76.5. 1 RECORDS MANAGEMENT OFFICER l :.4 y FREEDOM OF INI-ORMAnON OFFICER 0 FFICE OF THE TOWN CLERIC TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 : RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of., the Code of the Town of Southold: "Floodplain Development. Permit / J I application" (FDP(93) ] , and ';'Certificate of Compliance fir Develc-pment in Special Flood Hazard Area (C/C(93)) . J 1 KEG. G. Ger' TOW;;OF SOU-PiOLD Audi�th T . Terr Y Southold Town Clerk August 25 , 1993 APPLICATION PAGE I of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION I GENERAL. PROVISIONS (APPLICANT to read and sir )- 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein_ 3. If revoked, all work must cease until permit is re=issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. S. The permit will expire if no work is commenced within six months of issuance. 6_ Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE,TO THE BEST OF MY IWONVLEDG -TRUE AND ACCURATE. (APPLICANTS SIGNATURE) DATE i SECTION l: PROPOSED DEVEI oPT+LENT r, �c completed by APPLICAN'n NAME ADDRESSTEL PH E APPLICANT ki .S tG 1�Jc-I� �orts� d( lei / G �' BUILDER ENGINEER PROJECT LOCATION: To avoid delay to processing the application, please, provide, enough information to easily identify the project ide urban areas, the location- Provide the street address, lot number or legal description (attach) and, outs c distance to the nearest iatcrsecting road or well-known landmark A sketch attached to this application showing (hc projcd location would be hclpH. CIL 11 FDP(93) APPLICATION PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxcs)- A. STRUCTURAL DEVELOPMENT ACTIVTTY STRUCTURE TYPE i�!! New Structure PCOU Ni Residential (1-4 Family) ❑ Addition O Residential (More than 4 Family) ❑ Alteration ❑ Noo-residential (Floodproofing? O Yes) ❑ Relocation O Combined Use (Residendal & Commercial) O DemdGtioa ' P ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park?. ❑ Yes) ESTIMATED COST OF PROJECT SP•00 B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining O Drilling O Grading O Excavation. (Except for Structural Development Checked Above) O Watercourse Alteration (Including Drudging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Roam, Street or Bridge Construction } ❑ Sus//division (New or Expansioo) / Of p.dividual Water or Sewer System G Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3: FLOODPLAIN DETERMINATION o be•com Ictcd bv LOCAL ADMIM TRATOFZ The proposed development is located on FDZM Panel No. . Dated The Proposed Development: O Is NOT located in a Special Flood Hazard Arca (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERNUT IS REQUIRED). ❑ Ls located in a Special Flood Hazard Arca. FIRM zone de signalion is 100-Year flood elevation at the site is:" Fl. NGVD (MSL) O Unavailable ❑ The proposed dcvclopmcnl is located in a floodway FBFM Panel No Dated ❑ Scc Sc.coon 4 for additional instructions SIGNED DATE Y r � APPLICATION 4 PAGE ] OF 4 SECTION d ADDITIONAL. INFORMATION REQUIRED (To he completed by LOCALADMINIST'RATOR) The appbcant must submit the documents checked below before the application ran be processed. O A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. O Development plans,drawn to scale, and specifications,including where applicable: details for anchoring structures, proposed elevation of lowest floor(including basement), types of water resistant materials used below the fast floor, details of floodproofing of utilities located below the first floor and details of enclosures below the first floor. Also O Subdivision or other development plans (If the subdivision or other development cxeeeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if(hey arc not otherwise available). O Plans showing the extent of watercourse relocation and/or landform alterations_ ❑ Top of now fill elevation Ft. NGVD (MSL). Ft: VD ( )MSL . For ❑ Floodproofing protection level (nNG on-residential only) floodproofed structures, Applicant must attach certification from rngislered engineer or - architect. C1Certification from a'registered engineer that the proposed activit}f' in a regulatory floodway viill not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this funding must also be submitted. O Other- SECTION 5 therSECTIONS PERMIT DETERMINATION Uo be completed by I,QCkL ADMINISTRATOR) I have de(ermined that the proposed activity. A. ❑ Is B. O Is not in conformance with provisions of Local Law 9_. The permit is issued subject to the conditions i 1 attached to and made part of this permi(. SIGNED DATE If BOX A is checked, the Local Admiaislrator may issue a Development Permit upon payment of designated (cc If BOX B is chocked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an apphcalion to the Local Administrator or may request a bearing from the Board of Appeals APPLICATION W PAGE 4OF4 APPEALS Appealed to Board of AppcalO O Ycs O No Hearing daft: Appeals --- Appioycd7 El Yes 9 pie Coaditioos SECTION 6 AS BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal WHazard Areas bottom of lowest structural member of the lowest floor, excluding piling and columns) is: Fr. NGVD (MSL). L Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL)- NOT' Any work performed prior to submittal of the above information is at the risk16 f the Appl,:'canl. SECTION 7 COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? O YES O NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YFS ❑ NO SECTION 8 CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRAT R Certifiicatc of Compliance issued: DATE: BY: Attachment B BAMP,LE CERTIFICATE jpF Hazard Area COMPLIANCE / for Development in a Special Flood e Iy I I „ 1 ' ',• I TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA rnWM"R MT-IST RTi-T-A THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO, PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: 0 NEW BUILDING O EkISTING BUILDING O VACANT LAND _ J THE LOCAL ADMINISTRATOR IS TO COMPLETE A., OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # -, 19-. SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: CIC ( 93 ) Zd sup T�=PT NO. luo�E- 5c�-(4AER' 109 Avg. ;sow.-Vlu's cr"plv AREA: INN A 4, C. All 0i to 09 6 Vil c__ r, S 410 SCALP: 6. INAUTHOPIZED ALTERATION 02 ADDITION FO TVIS SURVEY IS A.,VIOLAIIOM OF SECTION 710'OF JHI IIEV..YORK STATE, EDUCATION LAIV. COFIES OF 71115 S',12%1Y PAP NOT BEARING THE LAND St'.VVrr'!1,_-D SIA:OR - I �:r S'A L CONSIDERED CC. 01-1 V, _j M TO'BE A VALID T'-,*L r:-Fi 0 ). - - ! - - I , G U1P'rA!_-P UA,AI-T[!S ONLY 70 TUC 11 131",'m Tfir SURVEY • !S[&ZqA:W,A.L 1w 1,'....s To THE C-M.A',Y: AGINCY A4 1:L'Sol u!01 L S'i:,1, 100,AND THE AaS r -:S Or F.:. U AON.GUMAWL'S AR'NOT t • !ST ZP; orw "JAI . troy r J, -MR A PROVAX,.;OP.4[SN$TRU_ 1i O�'t4.Y�' y'; S y 1 r MiZ IiAtVA SUPPLY Ar4D EIRWAG2, DATE; IDW lii*YiSTEMS FOR THIS RE$1- ------7— cowarfm -ro THP Q Jia REF.,NO., STAOMD*OF SUFFOLK Cb CIMPt, APOROVzzi _A*j�ANTI r S.C.T.M. NO. DISTRICT: 1000 SECTION 26 BLOCK*3 LOT(S):7 (5p 5C�Ip PIPE S2 2y�D� - +�7 ., UP� OR'a, �'�'T a b / o PSE 652" w�j a UP q PNE - __121'x_j.. tyy R4 • -— DWELI1Hf'_-_ 3 J O - SHOWER _- C ch 7 a h '1' O P91E DO P4N N40'28'00"W PSE I-�1 THE WATER SUPPLY WELLS,DRYWEUS AND CESSPOOL f1ELD INSPECT & UPDATE 05-08-17 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA:21,129.5 S.F. OR 0.49 ACRES ELEVATION DA7UM. UNAU7740RIZED ALTERA71ON OR ADDI77ON 70 THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF 7HIS SURVEY MAP NOT BEARING,THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VALID 7RUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO,MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCE$ ADDITIONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE.Nor GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF. DESCRIBED PROPERTY CERTIFIED TO: FRANCISCO PINEDA; MAP ON FIDELITY NATIONAL TITLE INSURANCE FILED. SERVICES, LLC; SITUATED AT- ORIENT Tom OF- SOUTHOLD - KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Bos 153 Aquebogue, New York 11931 PHONE(831)298-1588 FAX(631) 298-1588 FILE 816-187 SCALE: 1"=30' DATE-NOV. 15, 2016 N.Y.S. LISC NO. 050682 n mintnhmin,the racoma of Robert 7.Hemeny&Eemeth IL woyehuk 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$15.00 / Date. New Construction: ✓ Old or Pre-existing Building: (check one) Location of Property: -�7 2Lo h �, o f tj I House No. S et Hamlet Owner or Owners of Property: A/la Lr r o W k h G L L G Suffolk County Tax Map No 1000, Section (p Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ pplic nature ST(0)JKIMWAT)E]EL Scott A. Russellav; � ( ( EIMUENT SUPERVISOR �, ,I� I I��lLAA1�A G� SOUTHOLD TOWN HALL-P.O.Box 1179 Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 ,6O/ ,) • , CMAWTER 236 - STORMWATER- MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) ]®DIES THIS gIS PROJECTINVOLV1E ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No []�A_ Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑2 B_ Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. E]ETC. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance- i ❑[►$"D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E][�E. Site preparation within the one-hundred-year floodplain as depicted '=en=F1W44\4ap of-any_,wateFc- ❑jj��FInstallation 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 }our Building Permit Application. S.C.T.M. 1000 Date: APPLICANT- (Property Owner.Design Professional,Agent,Contractor,Other) District ~ -7 NAME- NAME_ Section Block Lot ,amu Fl)R BIUIL DING DEPARTMENT USE ONLY Contact lnformatiorc Reviewed By. I — — — — — — — — — — — — — — — — — — Date: �� Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — Approved for processing Building Permit. kt� (� Stormwater Management Control Plan Not Required �i P IV Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM SMCP -TOS MAY 2014 •("- -�; ` � - :,S'�:z{£�'`I :^.-' -s w,r} ^F!, (�)• Sl- ''. - - •saoinaa� '�'� -,do � _. - - z. ,f,�vM• 'id�a 'ab M7o. Ans jJ)' '�� axa. of ma-IM93 �iKrril`=7� c1. /�, f lamps tram stNi and swateAs � a -34va amvAmp a0v Aldine ��t1(lllLJ ? ' `; zx pf ' •'• ',.i:< •� ti"��Qti•d•IQI�t�Zi.I.�NQ"JI`s1K�''fVAi7�d�, a03 sa�i �l r - - 3.y - .-4 ..`: .-i•'•P bbl � - a. '. _ ,,:- ' ' etn yrs-,,, >�,y [ ••- Sli.�' _y'y +�,. ti:., l�� gip;,- :•S. ., - � t,.L1V�x'2�,t� �.,� •, - 40 • •sncunmstil r,•Nau:cdv o `�-• �' '< ��_� _ ' J1gy#jsgwI!m-i•v S,-.mr:,va�-::g1m>,e •srr�'_ - t -' • - 1{5Ti Dh%1K :••1 10 si'•YSIV 911}qj�1 i7' `"�.r i:F• �'Y a � 4'�"� - f - : 7: (x, e. tlNb'Nor:v•c3ato.o,!nn•S•19..fd�+73'il - ,/} �. •' „�+r }}, y� •• (� v, . - OCIV PI 01 4r 7V i4 •,Y-",,+^4 sA,:v':Y:;i}llal' _ +.f'. .t ��•• *i a 7'�+ _ � ".�r,'w7 ^+-'!• !�"T '$, al A'h r`•': :� •d- , • 13n`.1f13 INl l'!',+-nb^r.••S-;.+7J1 Cl ANa � � •� 7 - - ;' '• tri Nnl-livu>NO'L::I J1'f.:.JN;S:1•Nwri •• -!: h, 1 '��+eyw..7ldt +7y�a o'7„L j '1. - r .-:t•Y-..<..� r •-St:O,t.l 0:7VA V 32.01 3j 1 �}�✓7 l�y '!! * w ' 03>13UISN70'1 t:.:",.-i:Y.S J:i:09:V3•• •4 '. }; � - , `I: xo tvx c-A•I i:1c.,:n;13 13l,v1 Jill I F DNISY39 ION ddd AJASns slit 10 sndo:� 'n\V5 NOI1V7n03 f!>•Ai •t' '31V15 MCOA'.\3N JAL A0,65:-N011035 ,-X-•` `^f"'J ,•,u �„� •8 ��• ' i0 NO11V7CIKZ'sl 1 avis SIM of4}p!- No11f00V YO No11VY317V 03II80Nit1VNr. !I ; �h••Y - _ w _'a' ` Y' •• I. # - � 40 '•m ,dam vos (�1; t •yr 'fix � i n• : _ � Q t t _ --� �R � a5 �4 CL C�ft - W p - / \ I �I{} / F '1�.•'j�\may}. ;� ti• � ;N ,{ .. •-. N 2w t)'i"`.�.A a•-li },111••' � \ {•! U i 'd ;, •. @ Ila \Qm ' . a 1 is •+� '.� Y ,� �-� - �` >f Filt;'.Zt;dl;'{Sr*s T0,18(.317 ,:o ,tl)I I,) • t,�\{'.L, ,:�^t>:� ,t�-. L�_u.,s�p .,;i,._,. 3,,.• r��1.1� i,•/�% =�•.r71.�1.•',t3 3f1 f' t3Jti"J�J' !29e �o7=off=fit 'sant •a H q j V= � 43NA� 1a+ og L•oN s o dans S C T M NO DISTRICT 1000 SECTION 26 BLOCK-3 LOT(S)-7 `L°P kl Jl Y G iso - vu'c S252y00 UP Da l0 V 1 ^�I / O HPE 12' " ry`O- :,�, A U.P. m- ci zla i{. W SHOWER O a+ v ' � O x 'a h PPE rV N40-28"00"W vmc W 172.4b THE WATER SUPPLY, WELLS%DRYT7'ELLS AND CESSPOOL fIELD INSPECT & UPDATE 05-08-17 LOCATIONS SHOWN ARE FROM RELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS AREA:21,129.5 S.F. OR 0.49 ACRES ELEVA770M DATUM' UNAUTHORIZED AL7ERA770N OR &DI77ON TO THIS SURVEY IS A WOLA770AI OF SEC71ON 7209 OF THE NEW YORK STATE EOUCA71ON LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS771U77ON LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSDTUIION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIRC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE SIRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: FRANCISCO PINEDA; MAP OF: FIDELITY NATIONAL TITLE INSURANCE FLED: SERVICES, LLC; SITUATED AT ORIENT Tom OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK �fi G/ Professional Land Surveying and Design P.O. Boa 163 Aquebogue, New York 11931 FILE16-187 SCALE: 1 =30' DATE NOV 15, 2016 PHONE(631)298-1588 FAX(631) 298-1588 NY S LISG NO. 050682 the rceorde of Robert f Kenneeey&Kenneth Y.8o7ehok /fT 4reRtgt-5 Z'�io k-iNG SF, 000N i Y r 9 D FgN- gv[E DD APR - 1 2019 TOWN OF SOUTHOLD i(• SED NUMBER 0"-d le AP � VEDASNOTED �-- - - - - - - - - ,DATE: B.P.# l`-� – — — — I FEE:�b BY: 12"x 2"BLUE NOTIFY BUILDING DEPARTMEPT ATI STONE COPING,I I wuxx BY. PM prD L1 �� SCAM AS NO6 765-18D2 8 AM TO 4 PM FOR THE TYPICAL FOR PERIMETER � � AS NOTED •" FOLLOWING INSPECTIONS: I I REfII RNS e /� ' 1. FOUNDATION - TWO REQUIRED ,I (2) MAIN DRAINS I I � � laCt.M �'�/ FOR POURED CONCRETE SM- l� 4RCASM 2. ROUGH - FRAMING- PLUMBING 3. INSULATION zo I E _ 4. FINAL - nO),' - ION MUST BE COMPL : rjH C.O. ST(IMMERS ALL CONST; . ;.ON SHALL MEET THE ( e RECIUIREMEN;S OF THE CODES OF NEW ! ra llo YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. LIGHT z o FIXTURE ELECTRUCAL ��pp ��np �p nn O z gNSPEC700 �l REOI RED O t COMPLY WITH ALL CODES OF PROPOSED INGROUND POOL PLAN NEW YORK STATE & TOWN CODES SCALE: 1/4"= 1'-0" Z AS REQUIRED AND CONDITIONS OF Z �Q1�10Lp SOWN ZBA — — — — — — - — — — — — — L - ( \�SEE DETAIL 1F SHALLOW 0 G BOAR Q b FEET MIN.D - BASIC GRI(f`=#3:BARS SHEET A-101 @ 12"O.C:EACH WAY / $ EES �' �o DEEP END yr nen ADDITIONAL#3 BARS NO DIVING . . 12"O.C.AT TRANSITIONS ADD BARS 24"OF FROM FLOOR MAX SLOPE ARCHITECT OCCUPANCY OR MICHAEL J.GUIDO Jr. TYPICAL 10"THICK SHOTCRETE (GUNITE) W/ #3 BARS ADDITIONAL#• BARS ARCHITECT P.C. USE IS UNLAWFUL @ 12"O.C. EACH DIRECTION 12"O.C.AT TRP 4SITIONS 20POLKSTREET ROCKY POINT,NY 11778 POOL BOTTOM ESTIMATED b FEET ABOVE GROUND _0 (631)a49-5852 ATER. IF DISCOVERED OTHERWISE NOTIFY THE 5-0 ;- -,!9)•849-5135`',- WITHOUT CERTIFICATE - -• _ -;, OCCUPANCY ARCHITECT IMMEDIATELY %:. "i " ` •`-`yt IN HIGH WATER TABLE, INSTALL HYDROSTATIC VALVE EACH DRAIN PIPE SHALL NOT %{ AND ROCK PACK AT LOW POINT ENCROACH INTO GUNITE SHELL 69� _.. .� ➢,nom l '%`-`�1'..^'Y' 0�•� . v i f^ `•➢e `.�'* . 1' i--•• CIRCULATION PIPES, PROVIC (2) ANTI-VORTEXT CIRCULATIONS DRAINS ` hE °� L�L PER PUMP. COVERED WhTH PROVED A:SM.E.ANTI-ENTRAPMENT RETAIN STORM WATER RUNOFF ENCLOSE tBEOO�P�OIQN�� GRATES THAT ARE HYDRAULI=ALLY BALANCED AND SYMMETRICALLY PURSUANT TO CHAPTER 236 g FO E°WATER' PLUMBED THROUGH 'T' FITTIf �S_ DRAINS SHALL BE SEPARATED BY THREE OF THE TOWN CODE. r_ FEET IN ANY DIRECTION ' ,_ ,-,`:'' FLOOD ZONE {'� -POOL COMPLY WITH CHAPTER 148 PROPOSED I N G R O U N Q P O%i-L SECTION FLOOD DAMAGE PREVENTION SCALE: 1/4"= 1'-0" A-100 i SED NUMBER I - 4" GENERAL NOTES: a #3 BARS CONT. oaAw+BY PM 1. ALL CONCRETE DESIGN AND PLACEMENT SHALL COMPLY WITH LATEST EDITION OF THE ACI BUILDING CODE d• DAM 05-09-16 REQUIREMENTS FOR REINFORCED CONCRETE AND OTHER APPLICABLE LOCAL CODE 4 SC.,E AS NOTED 00 4000 PSI GUNITE �SEI�- 2. PLACEMENT OF CONCRETE SHOTCRETE,GUNITE...EXPOSED TO FREEZE/THAW CYCLES SHOULD ADHERE TO ACI a ftEMSED-_ GUIDELINES AS SPECIFIED aenseo-- 3. CONCRETE,SHOTCRETE,GUNITE COMPOSITION MUST ADHERE TO ACI 318-08 GUIDELINES AS WELL AS LOCAL a REMSM CODES,MINUMUM COMPRESSIVE STRENGTH SHALL BE 4,000psi R d d EMS - ensm:- 4. REINFORCEMENT SHALL BE DEFORMED INTERMEDIATE GRADE BILLET STEEL CONFROMING TO ASTM A-615 GRADE 60 FttE NhLE _ 5. FOLLOW ACI RULES AS TO TIES,ACHORAGE,SPLICES,CONCRETE COVERAGE AND REINFORCED SUPPORTS 6. REINFORCEMENT MARKED AS CONTINUOUS(CONT)SHALL BE LAPPED 36 BAR DIAMETERS AT SPLICES AND # 3 BARS 12"O.C. CORNERS AND HOOKED AT NON-CONTINOUS ENDS OR EXTEND 36 BAR DIA.UNLESS OTHERWISE NOTED EACH WAY o 7. SWIMMING POOL ELEVATION IS ESTIMATED TO BE APPROXIMATELY 6'FEET ABOVE GROUND WATER.IF CONDITIONS DIFFER NOTIFY THE ARCHITECT IMMEDIATELY e a z 8 SOIL CONDITIONS ARE ASSUMED TO BE ADEQUATE WITH A MINIMUM BEARING CAPACITY OF 1.5 TONS PER SF. IF WZ CONDITIONS DIFFER NOTIFY THE ARCHITECT IMMEDIATELY Q N THE INTENT OF THIS DRAWING IS TO SHOW THE GUNITE POOL AND REINFORCING. W ADDITIONAL REQUIREMENTS BUT NOT LIMITED TO,AND OUTSIDE THE SCOPE OF THIS DRAWING 10" o 0 ANY AND ALL ELECTRICAL WORK MUST BE PERFORMED BY A NYS LICENSED ELECTRICIAN IN ACCORDANCE Q O Q WITH APPLICABLE CODE Cw w • SWIMMING POOL MUST BE PROPERLY WIRED,BONDED,GROUNDED BY NYS LICENSED ELECTRICAN z O O _ Z CALL ODE BARRIERS,FENCING,ENCLOSURES MUST FOLLOW LOCAL BUILDING CODE,SAFETY AND CONSTRUCTION DETAIL 1 0 SCALE: I"= 1'-0" w 0 BENCH AND STEP OPTIONS: 1. UNDISTURBED EARTH MAY BE LEFT IN PLACE TO FORM THE STEPS OR BENCHES REINFORCED STEEL SHOULD BE ri ; ,;• < s ..�-. 4 PLACED AROUND THE STEP OR BENCH SHAPED EARTH(3"CLEAR FROM EARTH) ARCHITECT 2. THE EARTH MAY BE REMOVED AND BENCHES AND STEPS MAY BE FORMED OF SHOTCRETE(GUNITE)WITHIN THE MICHAEL J.GUIDO Jr. STRUCTURAL POOL SHELL.REINFORCED AT THE SURFACE OF THE BENCHES AND STEPS I ARCHITECT P.C. 1 20 POLK STREET ROCKY POINT,NY 11778 b631 899 5852 a g C3 j 8495854 r- k .^ /Al a c A-101