HomeMy WebLinkAbout44104-Z F tG Town of Southold 10/23/2019
P.O.Box 1179
coo
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40796 Date: 10/23/2019
THIS CERTIFIES that the building HOT TUB
Location of Properly: 685 Track Ave, Cutchogue
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
8/15/2019 pursuant to which Building Permit No. 44104 dated 8/27/2019
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 HOT TUB AS APPLIED FOR
The certificate is issued to Edgett, Scott
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44104 10-17-2019
PLUMBERS CERTIFICATION DATED
uth riz gnature
c
o�gfjzw' 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#: 44104 Date: 8/27/2019
Permission is hereby granted to:
Edgett, Scott
685 Track Ave
Cutchogue, NY 11935
To: install a hot tub as applied for.
At premises located at:
685 Track Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot# 137.-1-22
Pursuant to application dated 8/15/2019 and approved by the Building Inspector.
To expire on 2/25/2021.
Fees:
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspec 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 T" (check 0,e ,&-�yn
1
Location of Property: 5
House No. Street
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Lot C7
Subdivision Filed Map. Lot:
Permit No. V Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary
�Certificate Final Certificate: (chec ne)-
Fee Submitted: $
Applicant Signature
oF soUry®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �o sean.devlinCD-town.southold.ny.us
Southold,NY 11971-0959
®l�C®UNn��
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#• 44104 Section 137 Block- 1 Lot 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub X
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 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
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 2 Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment. 220 GFCI Breaker and 230 GFCI Breaker Used as Disconnect
Notes " AS BUILT " " NO VISUAL DEFECTS " Hot Tub
Inspector Signature: Date: October 17, 2019
S.Devlin-Cert Electrical Compliance Form.xls
OF 80Ulyo� - 9910 (q
# TOWN OF SOUTH LD BUILDING DEPT.
co 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) LECTRICAL (FINAL)
[ ] CODE VIOLATION ] CAULKING
REMARKS:
0
DATE- d INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST) ® y
--------------------------------------
FOUNDATION (2ND) �y
z
o
y
ROUGH FRAMING&
�]
PLUMBING 0
INSULATION PER N.Y. �7
STATE ENERGY CODE
s .
FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT 00VU51— 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 Suryey
Southoldtownny.gov PERMIT NO. v( y�d 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
Phone•-IN ��'� g ,
Expiration - 20r �,e 4��A rY
y �L to NLA FUL
14 ns 'tor `'
1
AUG 1 5 2019 APPLICATION FOR BUILDING PE � ��� 6i � CERTIFICATE
PA
;i:J" 1��1ry�CT 1Da °'1= Date v N ' 203IN SOU` �`"�' 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 c de, and regulations, and to
authorized inspectors on premises and in building for necessary inspections.
ignature of applicant or name,if a corporation)
APPROVED AS NOTED
DATE: �(Z7(I Q R # G 2 (Mailing a ress of applicant)
FE : 2z c
State wh t r.�ap'u4tv�� o�vPIA7"le e; nt, architect, engineer, general contractor, electrician, plumber or builder
�0 8/1tl TO A nen
FOLLOWINC,,"IPdSPCf;110N ;
Name of•o ✓�'Ii�"iiff7aJ1�isI )I E
FOR POURED CONCf ETE (Aso the tax roll or Tates
If appli8ar5%J9A�a &(atth'6ffi3 §igri' 'tWVl[Q6duly authorized officer kY WITH ALL CODES OF
3. INSULATION NEW YORK STATE & TOWN CODES
N" taii •tit`IeTJTF6 'bya,163o�fificer) AS REQUIRE ITIONS OF
Builder ei�` 1cfr�L f' � �Q SOUTHOLD OLD T06A
I�UfT �F,41 h E! THE
Pl ectri i ��'��e N qY _ a= a NEW OLD TOWN PLANNINGi
Electri 'ieiagge _ 800
Other ThIdc�erLs,.8 . , -
i NERR ONR S.
SOUTHOLD TOWN TRUSTEES
1. Location of,land on which proposed work will be done:
&Ea ie-)
C- Q( )e
House Number Street ` Hamlet
County Tax Map No. 1000 Section \ Block ' Lot
Subdivision Filed3�ap No. Lot
2. State existing use and occupancy of pre t es a d i ten ed use and occupancy Apzoposed 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
(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 Rear Depth
Height 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 Rear Depth
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 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
* 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) (;0NNiE C.BUNCH
SS: Notary Public,State of New York
COUNTY OF ) No.01BU6185050
Qualified in Suffolk County C
Commission Expires Auril 14.2
being duly sworn, deposes and says that(s)he is the applicant
(Na metofamdrviaia";I's"tgnOg 6oiiIM t) above named,
( )Heisrthe,
(Contractor,Agent, Corporate Officer, etc.)
of said owner or„ y a
owners,�andl�s duluthorized to perform or have performed the said work and to make and file this application;
tlia't ad`1'statements contained in this application are true to the best of his knowledge and belief; and that the work will be
perform) dn filie'manner,set orth in.-the-application filed therewith.
worn to before me thi
day f 20t
Notary Public Signature of Apphcan
offals BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
c
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
app Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richert(a)_town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: -- � Date:
Company Name: 0 1
Name: -
License No.: `C- S email:
Address: (� FaM � � v
Phone No.: V7C
JOB SITE INFORMATION: (All Information Required)
Name: 'E(k6k
Address: e_
Cross Street: r l�
Phone No.: �-
Bldg.Permit#: _�� email:
Tax Map District: 1000 Section. Block: Lot:oqa
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
CA: n'
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 P 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
clyd- (
Request for Inspection FormAs f -7 II
JUltVhy Ur'
LOTS 65 & 66
NIAP OF
M. S. HAND
SECTION Mo. 2
ti
•vir �' c� flL£ No. 1260 FILED MAY 12, 1939
SITUATED AT
CUTCHOGUE
TOWN OF SOUTHOLD
-0'' / SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-137-01-22
�� aN SCALE 1"=30'
v � 5^ ! APRIL 24, 2007
•�V tipt Gr 00 / JUNE 26. 7015 UPDATE SURVEY
/�� �a` •. ♦ e>4 �S f, �t a 3 ,�' AREA = 434 .8 clt.
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CERTIFIED TO:
Y�< !1 o s 6O rlh SCOTT EDGETT
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LENEM0 INSTITUTION LISTED/IREDN.AND
TO'De ASTCHEES a THE LU.CYK:IILS7F PHONE(631)727-2090 FOR(631):
TUDOR,CERDACAPONS ARE NOT TRANS'EAA$E
TML EXISTENCE OF RIGHT OF WAYS LOCATED ECTED AT 1%UNE..
ANO/OR EASEMENTS OF RECORD.IF 1`585 Na0 Rood PO 8
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UTOPIA@ SERIES
GENEVA7
-F IAI
I I Geneva'shown with
Arctic WhitesheII&
Sand cabinet
Geneva shown in Arctic White shell
DIMENSIONS STYLEENHANCEMENTS
Seating Capacity 6 adults LCD Controls Advent"LCD Touchscreen Control with Auxiliary Panel
Dimensions T5"x 75"x 38"/226 cm x 226 cin x 97 cm Lighting SpaGlo'Multi-zone LED Lighting with
Water Capacity 410 gallons/1,550 liters 12 Interior Points-of-Light&4 Corner Exterior Lights
Weight Dry:1,000 lbs./455 kg,Filled:5,470 lbs, 2,485 kg On/Ready Light Lai go acrylic logo plate with On/Ready indicator light
Water Feature 1 Acquai ella Waterfall with LED fighting
PERFORMANCE FEATURES Music-ready 6 Speakers(Optional)
Jets 55Jets- Music Options Bluetooth Amp,Subwoofer
40 Euro Bottom Seal ABS Base Pan
4 VerSdSsage' Insulating Cover 3.5"to 2.5"tapered,2 Ib,-density foam cot e
4 AdaptaSsage"
1 AdaptaFloCover Lifter Options ProLlft`1l,PioLIft' III,orProLift',lV
'
2 Euro-PUISe' Steps(Optional) Avdnte"Step in Brownstone,Slate,&Sand
2 Orbi5sage-'
2 Euphoria!' COLORS
AtlasP Massage System 1 System Cover Chocolate,Slate,Taupe
Pumps ReliaFlo'2.5 HIP Single-Speed Pump Spa Shell White Pearl,Platinum,Tuscan Sun,Arctic White,
RellaFlo,2.5 HP Dual-Speed Pump Midnight Canyon
Circulation Pump EnergyPl0 Circulation Pump Avante'Cablnet Brownstone,Slate,Sand
Heater EnergyPro'Titanium Heater(4,000 Watts)
Electrical 230V/50 amp;GFCI Sub-panel(50 amp)Included
Energy Efficiency Fully-insulated with FiberCor"material,2 lb.density,
CEC-compliant
WATER CARE
Filtration 100 sq.ft.filter
Water Care Systems Freshwater'""Salt System Ready-
Ozone System Corona Discharge Ozone(Optional) calderaspas-
Filled weight includes the weight of the ocLupants assuming an average weight of 175 lbs www,calderaspas.corn
ReqwlrasFreshwater Salt System Kit
re,2019 WATKINS WFI I NI91, -REV