HomeMy WebLinkAbout42412-Z Town of Southold 7/26/2019
a P.O.Box 1179
� 53095 Main Rd
01'yfj® ®�, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40547 Date: 7/25/2019
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 400 Greenway W, Orient
SCTM#: 473889 Sec/Block/Lot: 15.4-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/16/2018 pursuant to which Building Permit No. 42412 dated 2/26/2018
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 Newell,Melanie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL.
ELECTRICAL CERTIFICATE NO. 42412 07-17-2019
PLUMBERS CERTIFICATION DATED
)& o ' ed Signature
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#: 42412 Date: 2/26/2018
Permission is hereby granted to:
Rigas, Alice
32-15 168th St
Flushing, NY 11358
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
400 Greenway W, Orient
SCTM # 473889
Sec/Block/Lot# 15.-1-18
Pursuant to application dated 2/16/2018 and approved by the Building Inspector.
To expire on 8/28/2019.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Bui rdingctor
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) -p
Location of Property: �' \�
House No. (j Street Hamlet
Owner or Owners of Property: 1
Suffolk County Tax Map No 1000, Section 1 Block Lot 06
Subdivision G -e�I� N(Pja Filed Map. Lot: r1
Permit No. M O Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 5 )
A p 'cant Signat re
oF sov��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q roger. -town.south old. us
Southold,NY 11971-0959 g y'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Rigas
Address: 400 Greenway West City: Orient St: New York Zip. 11952
Building Permit#: 42412 Section: 15 Block: 1 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Paul Burns Electric License No: 3897-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 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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment- In ground swimming pool to include, bonding, control panel, 4-GFCI circuit breakel
heat pump,low voltage pool lights
Notes:
Inspector Signature: Date: July 17 2019
81-Cert Electrical Compliance Form.xls
OF SOpTyolo
TOWN OF SOUTHOLD BUILDING DEPT.
�ycourm,a�' 765-1602
INSPECTION,
FOUNDATION 1 STT� ROUGH PLBG.
[ l
[ ] 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:
DATE INSPECTOR
OF SOUTyOIo -
# TOWN OF SOUTHOLD BUILDING DEPT.
°`ycou765-1602
INSPECTI-ON
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULA O
7.�
[ ] FRAMING /STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
liz/
4
DATE INSPECTOR
pF SOUTyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
courm, 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) LKELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTORQ q4iZt�
FIELD INSPECTION REPORT I DATE A CO NTS
A,/ u
FOUNDATION(IST) ,.,
_y
--------------------------------------
FOUNDATION(2ND) �
—c O
ROUGH FRAMING&
PLUMBING 4 •�
INSULATION PER N.Y: .�y
STATE ENERGY CODE
Yy"*TVwl4- v AAJ A-AU
FINAL
ADDITIONAL COMMENTS
'5, J�e®o p
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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) 765-95022 Survey
South oldtownny.gov PERMIT NO. 42qi2 Ca 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
Contact:
Approved_ 20 Mail to:
Disapproved a/c
r
Phone:
Expiration ,20
:ff
D B i m I ector
D
FEB 1 6 2018 APPLICATION FOR BUILDING PERMIT
D,'..:Y '. 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.
(Sigitatfire of applicant or name,if a corporate n)
� �nSOM C X00
(Mail address of applicant)
State whether applicant isowner, lessee, agent; architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises Q i
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.
' 4
1. Location of land on which proposed work will be done:
House Number Stieet Hamlet
County Tax Map No. 1000 Section \'"�> Block �L. Lot ��
Subdivision �-e-A A G4 c-� —W)&4- Filed Map No. Lot
2. State existing use and occupancy of premises and inten ed use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy i r\ ' \
3. Nature of work(check which applicable): New Building Adcti ion Alteration
Repair' Removal DemolitionOther Wo t r `-
--- (Descrip ion)
4. Estimated Cost- ZjQ 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 /J,,,"-,-) Rear '51 , Depth ``-
Height '"'� A Number of Stories - --T > :
Dimensions of same structure with alterations or additions: Frontn�._Rear,
Depth Height Number of�o,r es i` i ' `p
8. Dimensions of entire new construction: Front Rear '�'`1 Depth
Height Number of Stories
9. Size of lot: Front -C>"7 Rear V�S Depth
10. Date of Purchase Name of Former Owner 2s. 4
� = r d
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 NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises\&C f VA AddressAG� k�-Phone No. 0� ��`�•�P �5��-
Name of Architect Address Phone No
Name of Contractor (N`k-'kn v\ .` -lq;•C Address t Q ,-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 OF0 )
tm being duly sworn, deposes and sayd l�&ebbpplicant
(Name of individual signing contr t) above named, Notary Public,State of New York
No.01 BU6155050
Qualified in Suffolk County
(S)He is the Gornmiselen Expires April 14, ql�
( ontractor, Agent orporate 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
day of
INN Lr,�R
Notary Public \,.Sijt4br8of Applicant
OSUFFq;f � )
f c oit �i_ Russell IC'(0 R MMAT]EIK
SUPERVISOR � � 1��A\NA\G]EMUENT
SOUTT30LDTOWN]HALL-P.O.Box 1179 O_ �QWn �f>S`ou�holG�
53095 Main Road-SOUTHOLD,NEW YORK 11971 O '
CH"TER 236 - STORMWVATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
-- -- - - - - - ----- ------ -- --- -- -
DOES THIS PI�OJECY' INV )LVE AIS OF *TM IEOLLOWIING:
(C RECK ALL THAT APPLY
Yes No
❑T:A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑ B. Excavation or f illing 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 is
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,
l�naturer 6ontae�In#oxmation Date-&-Count-y-T�Map-Number —Cbapter-23�_does-not-app�,�f ur pra'rwt---
If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan
and a completed Cbeck List Form to the Building Department with your Building Permit Application.
S.C.T.M. 'r: 1000 Date-
APPLICANT.
ate
APPLICANT: (property Owner.DesiignppProfe7sssioonal,Agent,Contractor,Other) ��DUtr;ct
NAME1J�v� 1� �`� Section B'l�ock Lot
w.
FOR BUILDING DEP ARTNIENT US!: ONLY .. -
Contact tnforrnatlorr 10M
Reviewed By:
Date:
Property Address/ Location of Construction work: — — — — — — — — — — — — — — — —
F] Approved for processing$control Permit. — — —
Stormwater Management Control Plan Not Requored-
�. ����� ❑ Stormwater Management Control Plan is Required-
(Forward io Engineering Depjr invent for Review.)
FORM SMCP- TOS MAY 201 a
o��t1ff01��o BUILDING DEPARTMENT-Electrical Inspector
STOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richert(d,town:southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Bob Burns Date: 4/1/2019
Company Name: Paul Burns Electrical Contractors Inc.
Name: Paul R Burns Jr
License,No.: 3897-ME email: pburnsjr@optonline.net
Address: PO Box 1061 Southold,NY 11971
Phone No.: 631-365-4735
JOB SITE INFORMATION: (All Information Required)
c
Name: Rigas
Address: 400 Greenway West,Orient NY
Cross Street:
Phone No.: 917-509-8751
Bldg.Permit#: 4;
q '��} email:
Tax Map District: 1000 Section: �� Block: 1 Lot
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Wire swimming pool
Circle All That Apply:
Is job ready for inspection?: (Y:�E / NO Couh:In Final
Do you need a Temp Certificate?: YES/ 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
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4'High Fencing Around P®®Y
P6 a
AP RO ED AS NOT D OCCUPANCY OR
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DATE: B.P. USE IS UNLAWFUL . � ��dM& t�s�e�ELY
� -ENCLOSE.POOL TO CODE'
UPON WITuTCERTI ��
NOTIFY BUILDING DEPAR NT AT � "WATER!",,
765402 8 AM TO 4 PM FOR THE , OF OCCUPANCY
FOLLOWING-INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST RETAIN STOR�JI WATER RUNOFF
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE PURSUANT TO CHAPTER 236
REQUIREMENTS OF THE CODES OF NEW OF THE TOWN CODE.
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
ELECTRICAL
COMPLY WITH ALL CODES OF INSPECTION REQUIRED
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
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11,262 Freedom 2.6 Small.Splash Pod �
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Perimeter: ��1Y 0"lin d� FFF__ �- hrr_lldr-{LC^h r,,T[lti r l"8'Leyr��/�V h y
13' ]-WIDE;rn ca r r .:L7 P. I 7i1 �,r.{
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Structural Layers
CENTURION CORE '-........
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StruetUral Layer
Vinyl Ester .....: Y
Corrosive-Resistant
Sealing Layer
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GREENWAY
WES
IGAS CO Proposed Gunite Pool 400 Greenway West 3/7/19
Orient, NY 11957
- 15'x 30' Ounite Pool (5' constant depth), reinforced with#4 rebar
- 12" Reinforced Beam with (4)#4 rebars continuous
- b" thick gunite walls and floors with #4 rebars at 10"OG, each way vertical & horizontal
-Water Line Tile with Plaster Interior f=inish
-2 Skimmers, 4 Returns, 1 LED Light
9 •
UP �
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RIGAS C Proposed Gunite Pool 400 Greenway West 3/7/19
Orient, NY 11957
52
Proposed Gunite Pool 400 Greenway West 3/7/19
RIGAS CO Orient, NY 11957