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HomeMy WebLinkAbout42251-Z ���O��EFOt,�coG Town of Southold 10/31/2019 3 y P.O.Box 1179 0 d' ? 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40804 Date: 10/31/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 20 Vincent St., Orient SCTM#: 473889 Sec/Block/Lot: 26.-1-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/15/2017 pursuant to which Building Permit No. 42251 dated 12/20/2017 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,FENCED TO CODE,AS APPLIED FOR The certificate is issued to Shayne,Jeffrey&Karen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42251 10-15-2019 PLUMBERS CERTIFICATION DATED th0 d Signature Q�SOFFot,r�oTOWN OF SOUTHOLD . BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • SOUTHOLD, NY .rho/ VX' 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#: 42251 Date: 12/20/2017 Permission is hereby granted to: Gesell, William 11 Harrison Ave Red Bank, NJ 07701 To: construct an in round swimming g pool as applied for. At premises located at: 20 Vincent St., Orient SCTM # 473889 Sec/Block/Lot# 26.-1-6 Pursuant to application dated 12/15/2017 and approved by the Building Inspector. To expire on 6/21/2019. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 otal: $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 I% 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$15.00 / Date. 12 -420 J` New Construction: Old or Pre-existing Building: (check one) Location of Property: .�QJ UI .,e���� �2<<„ House No. /Street Hamlet Owner or Owners of Property: ^P Suffolk County Tax Map No 1000, Section Block t Lot 2 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: V Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ Applic t Signature OF SO!/j�®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • moo@ sean.devlinA-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jeffrey Shayne Address: 20 Vincent St city,Orient st. NY zip- 11957 Building Permit* 42251 Section 26 Block. 1 Lot 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA. New Power Electrical License No- 4702-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X 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 1 Recessed Fixtures CO Detectors Pool Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO f Other Equipment* Pool Heater, Pump, Intermatic Panel, Pump on 220 Breaker, Heater on 215 Breaker, Lights on 115 Breaker, Bonding Notes* Pool Inspector Signature: L6 Date: October 15, 2019 S Devhn-Cert Electrical Compliance Form As oesou oy�0 ryO # # TOWN OF SOUTHOLD BUILDING DEPT. courm� 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLSG. [ ] FOUNDATION 2ND [ ] I ULAT N [ ] FRAMING /STRAPPING [,,,(FINAL 7w� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR V, a ho��Of SOUTyo� Li sl-c�l * TOWN OF SOUTHOLD BUILDING DEPT. �ycourm l 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) ELECTRICAL (FINAL) Foo V [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE l INSPECTOR € F FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) -------------------------------------- FOUNDATION -----------------------------------FOUNDATION (2ND) ® C � 5r ROUGH FRAMING& t4 PLUMBING y a INSULATION PER N. Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS C� 1 -23-101 Yfr4 0 �z rn 111D. 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 appVoval FAX: (631) 765-9502 / Survey So utholdTown.NorthFork.net PERMIT NO. �! Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application_i Flood Permit Examined ,20 D Single&Separate_; V n Storm-Water Assessment Form VContact: Approved 9-0 ,20 , DEC Mail to: Ja It i�( !Iow Disapproved a/c IS-S , P D�G DE". Phone: T® OF SOUTH®�D Expiration 120 Buildin nsp ct APPLICATION FOR B LDIN T Date 120 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 go 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 Insp�ctor may authorize, in writing,the extension of the permit for an addition six months.Thereafter, a new permit shall be requitled. i 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. (Signattire f applicant or ame,if a corporation) J /?y c r�IWao1%�4. �/[�(� ► y � G (Mailing address of-41pplicantJ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ' Name of owner of premises '3'e ,r e Al S' �,Cu (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. 50 �n - u 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 d(P Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises a:pd intended use a d occupancy of proposed construction: a. Existing use and occupancy S i•., �r w., 0�l3�e b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work S L5J1 10a.1 ( scription) 4. Estimated Cost FE e tp T5-Mpl•ai on filing this application) 5. If dwelling, number of dwelling unitsAI imber of dwelling units ©p a hch floor ! bU If garage, number of cars V I { I 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existingstructures, if an Front f5,'�M1_ °' °'i�':1 �`` y: �iRear Depth Height Number of Stories 1 I i Dimensions of same structure with alterations or additions: Front i Rear Depth Height Number of Stories r / t � 8. Dimensions of entire new construction: Front I Rear 3 Depth 3 r/Y -- Height Number of Stories I 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner I 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 t,'NO Will excess fill be removed from premises? YES VNO 1 14. Names of Owner of premises J eTC yNt Address I Phone No. S`/6 A LI $a 7!i 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 l� * 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? * �ES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFS&dC-3 bo n Le 1 o to > e being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing ontract)above named, (S)He is the (Contractor, gent, 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 this day of 20_ 4jarpv X 77mil/ TRACEY L. DWYE i Notary Pub NOTARY PUBLIC,STATE OF N YOR 81� ture nt NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,201 o��g�fFO(,�coG CIO W James Garretson,Chairperson � • '� Town Hall Annex Anne Surchin,Vice Chair �Ipl �.a4 54375 Route 25 Donald Feiler PO Box 1179 James Grathwohl Southold,NY 11971 Robert Harper Fax(631)765-9502 Gary Parker Telephone: (631)765-1802 Edward Webb www.southoldtownny.gov Damon Rallis,Administrative Assistant Town of Southold Historic Preservation Commission November 21, 2017 RESOLUTION #5.15.18.4 Certificate of Appropriateness RE: 20 Vincent Street, Orient, SCTM# 1000-26.4-6 Owner: Jeff Shayne RESOLUTION: WHEREAS, 20 Vincent Street, Orient,NY is on the Town of Southold Registry of Historic Landmarks, and WHEREAS, as set forth in Section 56-7 (b)of the Town Law(Landmarks Preservation Code) of the Town of Southold, all proposals for material change/alteration must be reviewed and granted a Certificate of Appropriateness by the Southold Town Landmarks Preservation Commission prior to the issuance of a Building Permit, and, WHEREAS, the applicant is required to install a pool fence to code on his property as part of a building permit for an in-ground swimming pool. WHEREAS, the applicant presented commissioners with two fence proposals, and, WHEREAS, a pre-submission conference was held regarding the matter on March 20, 2018 and a public hearing was held on May 15, 2018, and, WHEREAS, commissioners chose pool fence proposal#2 which was a cedar fence with 1.5 x 1.5 cedar spindles, 4 x 4 cedar posts, and 2 x 4 cedar rails. NOW THEREFORE BE IT RESOLVED,that the Southold Town Historic Preservation Commission determines that the proposed work detailed in the above referenced application meets the criteria for approval under Section 170-8 (A) of the Southold Town Code and, BE IT FURTHER RESOLVED,that the Commission approves the request for a Certificate of Appropriateness. f MOVER: Commissioner Webb SECONDER: Commissioner Surchin AYES:Feiler, Garretson,Harper RESULT: Passed Please note that any deviation from the approved plans referenced above may require further review from the comr Sign Damon Pe pplication Coord'nator •the Historic Preservation Commission Date: I w ► 2h f I ')Zk 4-X k CG:p1-,tL 2X S r 1n 0o� o��OF SO!/r�ol Telephone (631)765-1802 O Town Hall,53095 Route 25 Fax (631)765-9502 P.O.Box 1179 vs Southold,New York 11971-0959 �olyCo UNH SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION CERTIFICATE OF COMPLETION October 09, 2019 Jeff Shayne 20 Vincent Street Orient, NY 11957 (SCTM#1000-26.-1-6) This letter is to certify that you have completed your project to the satisfaction of the Southold Town Historic Preservation Commission in accordance with your Certificate of Appropriateness, issued on May 15th, 2018. Should you have any questions, feel free to contact me at the number above. Sincerely, Tracey L. Dwyer Administrative Assistant Southold Town Historic Preservation Commission CC: file, applicant 44 „_.> Scott A. Russell ti`a` SIF01K, j\\4WA\1F1E1K SUPERVISOR S �, J i IWA\NA(G)E1WIENT SOUTHOLD TOWN HALL-P-O.Box 1179 t0� ��r vis Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 .� CHAPTER 236 - STORMWA.TER MANAGEMENT -WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE (FOLLOWING: (CHECK ALL THAT APPLY) Yes No ®E 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. CSC. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance- El E3/D. istance_❑E3/D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E][]rE. Site preparation within the one-hundred-year floodplain as depicted F] r E . Installation of new or resurfaced imperyious 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 Tag 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. S.C.T.M. #: 1000 Date: APPLICANT_ (Property Owner,Design Professional,Agent.Contractor,Other) District r `a & l IO 12-—/ 5r I NAME i Section Block Lot Foy I�iiILD, f� DEPART' IE)NT ISE oNL;` Contact Informatiore Reviewed By: — — — — — — — — — — — — — — — Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — Approved for processing Building Permit. XO he ,,� — — Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM SMCP -TOS MAY 2014 R� BUILDING DEPARTMENT- Electrical Inspector F % D o� T TOWN OF 50U OLD H SAN 2 3 2p19 Towt1 Hall Annex - 54375 Main Road - PO Box 1179 • Southold, New York 11971-0959 � 1L �'Oephone (631) 765-1802 - FAX (631) 765-9602 �3ASpX roger richert(cr town.southoId.n .us ItO APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: j��� �`��`- Date: l 2-3 / Company Name: Name: V License No.: email: Address: I-}- Phone No.: > 7 JOB SITE INFORMAT-SON: (Alt information Required) Name. v , --•-� Address: I Cross Street: Phone No.: • Bldg.Permit#: 1— email: Tax Map District: 1000 Section: Block: Lot: BRIER DESCRIPTION OF WORK(Please Print Clearly) r w rry Circle All That Apply: Is job ready for inspection?: M:D1 NO 6o:u:g:h�l Final Do you need a Temp Certificate?: YES /(!p 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 o CP X�x 82-Request for Inspection Form.As \ �„r . ................ ""I= r=NC4r IN rtfolq I v r FENC Q4I ~STOCKADE FENCE AAS ALL,- z 6. 12 come FP BARN 42 RY FR A NSEL 9-1 20 � � `� � w � ° R Tip? cv &W P, 2 c v ?c-4-s-N.FTE SA B C 0 VE s%k Q(I A6 -00" 2:r.9 Fi sw lo-1 x S'L5-0 ISO Fe CNI oi c. A P. EA 131141 f %S-19 A FI-r A A, sp 0 .3 00 w ti 124. 18 -o tA AM a f no L 3 rooc 25-90 OF J- �ODES s OF AV Qvl- -F I -NT AT PA 7 PA j'IO FY Sul,J,!N FOR THE 765-1802 ic'PECTlONS' FOLLOWING i - - TWO REQUIRED I. FOUNDATION FOR POURED CoPK.,RETE ,2. ROUGI� - FRAMING & PLUMBING 3. INSULATION RUCT�,ON MUST 1v 4. FINAL - co,'IST LE-DIATELY' BE CONIpl_ETrr- FOR G.O. ET THE POOL TO CODE ALL cONSTRUST�F'TN ALLNIENCLOSE:cODES or-NEW UPON COMPLETION RFQUIR9AEN E BE SpoNsIBLE FOR YORK STATE- NOT R-c) S. DESIGN OR CONSTRUCTION ERROR RETAIN STORM P FF T PURSUANT TO CNAER 236 OF THE TGVVN CODE. 4��`� _.. , .... _• ., •. ,_. .. -r .-u � n�. e-.. .tYi-a`nS i e.....,r>. fan,r(. _..rnw ...,i...-r ,- _ a . ..� �,.. ... .._. ' DETAIL A WALL 1B�RAACE ASSEMBLY DETAIL I f —2' 6 �I GALVAN1 x '&E T CA. s��•} I I I I 14 GA. GALVANIZED STEEL WALL PANEL L B.I WALL BRAE ASSEMBLY 4210 CNCRE E UNDISTURBED EARTH I ' r - �N 2" BOTTOM MATERIAL---r 7_1/2 x 4 IP x 12" BE PLAT 3/D" REBAR 1 1/2" x 24" x 14 GA. GALVANRED ANGLE NOTE:. WILL TO BE SAND GRAVEL, ; QTHQR NON &AtJSIVE MATERIAL A- - - - --G — — — — — — — — —� ' •t ,<' '` .J 5`•.'';".Noll.",.;%.''` � ' * NO DIVING BOARD ALLOWED' = POOL SIE I A B C I D E F G J :H„ ;'•K• L 12 1 x 24'*l 1 4 62'r6 7 6. 6 10 14 x 26!*L 1-4- .26__ 10 7 6 6 2 6 6 6 9:'.'.3'6 �' _6 3/8" fi x3 t - :32 '14 6 - • 4 8• ' .6 ' 9 t4 16. x 36 16 36 12 1"4 6 4 8 4 8 3 '!'.39'4• '3 4 1x 36 1e 36 t 14s 4 4 103 CARDINAL SYSTEMS x 40 40 14 14 8 4 4 1Z 6 4 8 '5 $ ��. —NOTE— 284 s. Rr. a1 (717 -385"!4733 ` 0AD,INAL SYSTEMS IS NOT RESPONSIBLE FOR THE INTERIOR DIG SPECIFICATIONS ILLUSTRATED ON SM YLKILL HAVEN, PA. (71713"-1313 F! s•,.,!;:`C. IT, Re THEY SHOULD BE VERIFIED BY THE LINER MANUFACTURER TO BE SURE THEY MEET ri s,P.I: fo NoS.I STANDARDS. _ IF DIVING BOARDS �" 2-18-97 6 R. CORNET p '9�'AESsllt2f"AV BE;:USED WITH TH SE POOL5 PLEASE CONSULT THE MANUFACTURE'S INSTRUCTIONS c •,; ����yy�}j7k�IE''% 1I 5PA, D POOL'INSTITUTE'S MINIMUM $TANDAROS fR1QRJO INSTALLING DMNG S�E� N N'E. RECTANGLE. ,�,4r`4;y„tlWM nI�(I'. .I.�'iiN:'THESE%AOf1CS.-FOR.'INFbR►iATION f.RNf.FRNV'IR.NSPI%ti11NIU1111 4TANnARIIf. MINTK- " e' __•„_, _ _ _