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HomeMy WebLinkAbout39724-Z ��Q�gUFFOt,� Town of Southold 10/23/2019 3 P.O.Box 1179 a co _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40797 Date: 10/23/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 685 Track Ave, Cutchouge SCTM#: 473889 Sec/Block/Lot: 137.4-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/1/2015 pursuant to which Building Permit No. 39724 dated 5/1/2015 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 Edgett, Scott of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3972 08-13-2019 PLUMBERS CERTIFICATION DATED tho ' Si ature �SOFFot,r�oTOWN OF SOUTHOLD a�0, Gy 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#: 39724 Date: 5/1/2015 Permission is hereby granted to: Edgett, Scott 685 Track Ave Cutchogue, NY 11935 To: accessory in ground swimming pool with fence to code as applied for. At premises located at: 685 Track Ave, Cutchouge SCTM # 473889 Sec/Block/Lot# 137.-1-22 Pursuant to application dated 5/1/2015 and approved by the Building Inspector. To expire on 10/30/2016. Fees: IN-GROUND SWIMMING POOL $250.00 -ACCESSOR G $50.00 Total: $300.00 Building Inspector 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 OccupancZ5 -_-_-_-.-- 4. Updated Certificate of Occupancy- $50.00 5---empom y–Certificate_oLOccupanc-y=Residential-$15.00,_Comm-ercial$L5.00 Date. < 271 2.0 IS New Construction: Old or Pre-existing Building: (check one) Location of Property: COS5 R kALK- AJle CK;(G1tE)gA A t_- House No. Street Hamlet Owner or Owners of Property: S cait ej ce*- Suffolk County Tax Map No 1000, Section 1'3'7 Block O( Lot 22 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: $ Applicant Signature Of sOUy�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • i� sean.devlin(aD_town.southold.ny.us l'�C®UNTV,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. Scott Edgett Address: 685 Track Ave city Cutchogue st: NY zip. 11935 Building Permit#: 39724 Section: 137 Block: 1 Lot: 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor. DBA: Platinum East Electric License No: 34091-ME 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 X Attic Garage INVENTORY Service 1 ph X Heat 60A! Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures CO Detectors Sub Panel X A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks 2 Disconnect Switches 2 Twist Lock Exit Fixtures �] TVSS Other Equipment: 8 Circuit Pool Panel, Salt Generator, Pump, Pool Heater, Pool Cover, Pool Cover swi- (KEY), Pool Light Switch, Bonding, 220 GFI Breaker for Pump & Salt Generator, 260 Breaker for Notes. Heater, 120 Gfi Breaker for Pool Cover and Lights Inspector Signature: Date: August 13, 2019 S Devlin-Cert Electrical Compliance Form.xls 3 SOF SOUjy cOUM'1,0c� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI N- _ [ ] FOUNDATION. 1 ST [ IRO GH PLUMBING [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE &.CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE -7, 3 INSPECTOR OF SOUIyOIo # TOWN OF SOUTHOLD BUILDING DEPT. coulm, 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) Toe-1 [ ] CODE VIOLATION [ ] CAULKING REMARKS: Af DATE INSPECTOR �� OF SOU ryO # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOL ION [ ] CAULKING REM RKS: &c-vifi Com✓ �i tl� 14 DATE 61140INSPECTOR FIELD XNSPE4=01'?ME110P.T DATE CO�vIl1JT,NTS FOUNDATION(1ST) co q> FOUNDATION(2ND) trt p rA ROUGH FRANMCx& _ H PLUMBING 1 t� INSULATION PElk N.Y. H STATE ENERGY cbm 44 zz FINAL owl I �► rn 0 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL i, : ; s, :f;Board of Health SOUTHOLD NY 11971 :4 sets of Building Plans S. TEL: (631)765-1802 Planning Board approval FAX: (631) 765-9502 SuveY. South oldTown.NortfiFork.net PERMIT NO. �� � �� Check j, ;i!SeptioFprm N.Y.S.D.E.C. fr .•. _i Trustees' ' C.O.Application _ Flood Permit Examined / ,20;•r} ',i _•;; ;,1 . Single&Separate Stbhn-Water_Asses's`mentForm r / ✓ -Contact: Approved ,20 Mail,to: Disapproved a/c Phone: '' Expiration ,20 31' .__B nspTeSC:o, . „ 'APLICATONFORBUILDING.PERMITI -APR 2 2 2015 , Date hcj L- 22 ' 20 19 INSTRUCTIONS .3 a. Ibis app ication e completely filled in by;typewritep or in ink,and submitted to the Building Inspector with,4 sets of plans,accurate plot plan to scale.Fee according to schedule, w_- 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:beforeissuance of B1, iluilding Pers mit. d.Upon approval of this application,the'Bmlding Inspector will issue a Building Perimt'to the applicant. Such'a permit shall be kept on the premises available for inspection throughout the work. e.No building shall,be occupiedW`used,in whole o'r in part for.-ariypurpose what so ever'uAtil tlie'Building Inspector issues a Certificate of Occupancy. f.Every.building peimit shall expire if the work authorized'has not commenced within X12 months after the date of— issuance or has not been completed"within 18 months from such date.r`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 Dlepartment�for,the issuance of a Building Permit pursuant to.the Building Zone Ordinance of the Town of Southold,�Suffolk County,,New,Yori,and other,applicable Laws, Ordinances or Regulations,for the construction of buildings,additions,or alterationsror for removal or demolition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building,,00de,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) (Nlailing'address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder -f 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 No. Plumbers License No. i + Electricians License•No. Other Trade's License No. ti 1. Location of land on which proposed work will be doile:. 60, $5 House Number Street County Tax Map No. 1000 Section` 13-7 Block - 'v` Th i c a : 'S '°�' Lot Z Z __- t�•`S� ;Sf t/;, ,<--�.,e. :Ott." - •,:"9'�^s.. Subdivision Filed Map No. Lot 2. State existing;use and cccupancyofpremises and intended use and occupancy of proposed construction: a. Existing use and,,o'c'cupancy b. Intended use and.occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal ' Demolition Other Work e,yL. (Description) 4. Estimated Cost 7� D60 Fee (To be paid omfiling 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 ;3i-.:> •':'; 1 Number of Stories 8. Dimensions of entire new construction Front°`;'i.V,P %-'= � _'Rear• st �'� Depth •5 �1b�� Height Number of Stories t„ 9. Size of lot: Front 101) l Rear :I°&O, `a ;ks T,f r, Depth No 0 10. Date of Purchase :+' .'a iii. . t• ci ..J..: r i=t i t r ., :-r f 'Slli�-':• .:s r •i=}jrtr{ it1 I'M ,•, I"} 0% 11. Zone or use'di'strict- 'i-n which premisesy arse'`sittlated' �t,..�.. •i .o,ii' ' - ){'I .f:'!1 ..1; �"Iiw JTt'7' i Ei i t 'fJ iL! /r.rt .9' �jr 12. Does proposed construction,violate'dhy zoning law,,rordinance oriregulation?YES NO \I�'[� �'f,}1; ,�;ir/fl�i t`{ t,.?• ,, ;', !'li !,iiilr,i 'tr' .. 13. Will lot be re-graded?YES . NO,.K-Will excesslf�l,•besremoved from.•premises? YES+•X NO 14. Names of Owner ofpremises„S'ltv}4 r;t 1GLe-* •k Address,6Pj5,,.TRP;tk.i&V(F•j!Phone No. (x'31, '2-S'S 40 29 Name-of Architect—. k{'. _ ° k :.,:. (Address C-LdXko JL0_ ,.',�, Phone;No r Name of Contractor,{ '=,'=Address,>t 15 a. Is this property within l00 feet 6faIM6f wefland'o'r a'freshwate"fwdtlaridd-*YES i '` NO, * IF YES, SOUTHOLD'TOWN'TRUSTEES&6R.C.-PERMITS MAY"BE`REQUIRED: b. Is this property witliin'300'fee6of a't�id'al we'tl'aind?*.`YES rN0 * IF TES, D.E.C.-PERMITS MAYBE'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 andrestrictions with respect to this property? * YES NO� * IF YES, PROVIDE A COPY. t ' • '{' 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 Pefore me this 2 z1� day of ✓-I 1 20 t, ....wawa 0;BUNCH Notary PublicNotary Puboo,State of New York Signature of Applicant - No.01 SU6186060 I ' QWRW in Suffolk County )v Commisalon Expires A01 14, 1 Scott A. Russell 0°�� '� � STO]KAWWAT]E R, SUPERVISOR IWANAG]EAMI]ENT SOUTHOLD TOWN HALL-P.O.Box 1179 >rt 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) - - - - - - - - - - --- - ---- - - - - - - - -- --- -- -- --- -- -- - - -- - -DOES THS PROJECT ECT INVO LVE ANY OF THE 1F®ILILOWHNC: 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 within any parcel or any contiguous area. E][A 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 f loodplain as depicted - --on FIRM Map of any-watercourse - - ❑[P 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. APPLICANT (Property Owner,Design Professional,Agent,Contractor,Other) S. 1'& 7 '�: 1000 Date: l37 o,StilCt NAME 01 ZZ- t L LZ. 2D S ,r Section Block Lot (�/� �( FOR BUILDING [)EP RTNICN"I- (.'SL0NL�' •'`< Contact Information �P� 7_537- L6 1" t t I elrvhm �umEcd Reviewed By: — — — — — — — — — — — — — — — — — Date. Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — Approved for processing Building Permit. Stormwater Management Control Plan Not Required — — — — — — — — — — — — — — — — ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review) FORM * SMCP-TOS MAY 2014 - pf SO�pyO� Town Hall Annex 411 Telephone(631)765-1802 54375 Main Road y� ax(631 ` io C P.O.Box 1179 ro enrich tewrr Southold,NY 11971.0959 BUILDING DEPARTMENT 'SOWN OF SOUTHOYD G,,r�u ,�t T APPLICATION FOR ELECTRICAL INSPEC ION' REQUESTED BY: 1( -jT(t Date: _5--24-I I" Company Name: nJvti► � S C c 7c Name:- --- -- - - 1-- cF -" - - _ - - - - -- -- - - - --- -_ --_------------- - - License No.: Yrs C1 j ._ tr Address: 1-32-o K(--2A-V&-11 5 f 0 Sv✓_TffOW /), _ Phone No.: �, _ 1�Y'2- - JOBSITE INFORMATION: (indicates required information) `Name: S c o ff (-704 c 7 *Address: &8 !�_ 7-A^C(c +Ve U7c(404 Ue- *Cross Street: -sTc cL *Phone No.. 74 5--9 y Permit No.: 4) "7L Tax Map District: 1000 Section: 1317 Block: J Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Phase Circle All That Apply) *Is job ready for inspection: YES/ NO Rough In Final *Do you need a Temp Certificate: YES/ NO Temp Information (If needed) *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 P � (46 S(o IqL oF soUry®l � o Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road us Alc Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 Q a Ph July 21, 2015 BUILDING DEPARTMENT TOWN OF SOUTHOLD Scott Edgett 685 Track Ave Cutchogue NY 11935 TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: /Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4J1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Punning#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 — 39724— Swimming Pool :...:.. . ..., . . . - •" ..: ' WATER RUNOFF . . .: ... ....� :.' .:-: ,.: :..:. •:�:' _.;.;. ..: . CHAPTER 236 - :. .. .. . PURSUANT TO OF THE TOWN . ' . :...:- .. . ... - CODE - - ._:. •... :..;...'. ..... ... . . . ...._ . . .. . :: -.; - UNJLitVVRITERS CERTIFICATE - IRE RE U D R P` C mac. ��' r :w �..... � - AX �� GG A :' .::..s. - ........:.....:.: ....-.... ... :....- - .. ... _ _ • : - .. .. b q �J , - - " _ •. ' . 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