HomeMy WebLinkAbout44234-Z Town of Southold 11/13/2019
o -
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40848 Date: 11/13/2019
THIS CERTIFIES that the building HOT TUB
Location of Property: 15905 Route 25, Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.-1-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/5/2019 pursuant to which Building Permit No. 44234 dated 9/30/2019
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:
"AS BUILT"HOT TUB AS APPLIED FOR
The certificate is issued to Wines,Kevin&Kim
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44234 10-25-2019
PLUMBERS CERTIFICATION DATED
tho ' d Signature
,sr TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
CA
• ¢ 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#: 44234 Date: 9/30/2019
Permission is hereby granted to:
Wines, Kevin
15905 Route 25
Mattituck, NY 11952
To: legalize an "as built" hot tub as applied for.
At premises located at:
15905 Route 25, Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-1-5
Pursuant to application dated 7/5/2019 and approved by the Building Inspector.
To expire on 3/31/2021.
Fees:
AS BUILT- SWIMMING POOL $500.00
ELECTRIC $200.00
CO - SWIMMING POOL $50.00
$750.00
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- $100.00
3. Copy of Certificate of Occupancy-$.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: B �C?5_ /�/�'. / •��-Gy(
House No. / Street Hamlet
Owner or Owners of Property:_� . 61 �_f C
Suffolk County Tax Map No 1000, Section 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: $ 6)
,__�Z,,� ignature
sovr�®l
Town Hall Annex a ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® Q sean.devlina_town.southold.ny.us
Southold,NY 11971-0959 y
c®wn��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Kevin Wines
Address: 15905 Route 25 city,Mattituck st NY zip- 11952
Building Permit#• 44234 Section- 115 Block. 1 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc. License No: 4814-ME
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 X Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding 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 60A Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment 260GFCI Breaker as Disconnect, Bonding
Notes,
Inspector Signature: Date: October 25, 2019
S Devlin-Cert Electrical Compliance Form As
Of SOUTyolo LI 2
* TOWN OF SOUTHOLD BUILDING DEPT. -
765-1802
INSPECTION -
I
FOUNDATION 1 ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
{[ ] -FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION=
[
]-ELECTRICAL (ROUGH) ELECTRICAL (FINAL) 00
[ ] CODE VIOLATION ] PRE C/O �
REMARKS:
rr
�t0aj
DATE 2 INSPECTOR
�o�aOF 50p1�o�
# # TOWN OF SOUTHOLD-BUILDING'DEPT.
°`yrourm �� 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING /,,
[ ] FRAMING/STRAPPING [vi FINAL06 gui lf-97 l&
[ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION - [ ] FIRE RESISTANT PENETRATION
[ ] -ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE !D y INSPECTOR
----
# # TOWN-'OF 'SOUTHOLD BUILDING DEPT.
°`ycourm, ' 765-1802
= INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATIOWCAUULKn
[ ] FRAMING /STRAPPING [ ] FINALS
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[' ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
on
. L
l�
DATE INSPECTOR
FIELD INSPECTION REPORT -DATE COMMENTS
FOUNDATION (IST)
H
--------------------------------
FOUNDATION (2ND)
z
o
ROUGH FRAMING& y
PLUMBING Q
o
r
INSULATION PER N.Y. H
STATE ENERGY CODE
IF
FINAL
ADDITIONAL COMMENTS
VS
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ty
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: 631 765-9502 Survey
2 Y
Southoldtownny.gov PERMIT NO. �7 Check
Septic Form
N.Y.S D.E.C.
Trustees
C.O.Application
ba ^ , ai l' Flood Permit
Examined 20 Single&Separate
Truss Identification Form
ITUT CERT UAT Storm-Water Assessment Form
Approved 3 20101 OF U RPS' -C- Contact:
pp Mail to:
Disapproved a/c
Phone: � � } 7 ..
Expiration ,20
'n In-
91
a
D RICATION FOR BUILDING PERMIT
- JUL e 5 2019 Date 7-0 ,
20 1
INSTRUCTIONS
a. Th� pOajlte�
mpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, to 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,buildm code housi g code, and regulatio , and to admit
authorized inspectors on premises and in builrig�'f�rdn�csslaT�� set ���
hVEV1� YORK STATE & TO'�1lN CO
- A� REQUIRED ASVD CONDI
a ��� applicant or name,if a corporation)
MIM
P T®C®
UPON C STEtS (Mailing address of applicant)
State whether applicant is owner, lessPe�nPpt, nrrhitea ee , general contractor, electrician, plumber or builder
OW-4 c—,
Name of owner of premises (��,'A 0"l er APPR0V:D P-i S 1`407,1 D
(As on the tax roll or lat s c&eed)�Q (�
If applicant is a corporation, signature of duly authorized officer uo�E' `lam B.P.
FE.E-t__5_19
(Name and title of corporate officer) NOTIFY BUILDING -',�R_1 ?ENT AT��
Builders License No. 765-1802 8 AM TO d NA i'OR THE
Plumbers License No. FOLLOWING INSPEOI JO S:
1. FOUNDATION - TWO R QUIRED
Electricians License No. FOR POURED CC�i`yCf i`r�Tl:
Other Trade's License No 2. ROUCaH - FRA'iING E. PLUMBING
NS'
SULATION
1. Location of
hand on which propos3. ised work will be done: /� q NcyL p CO;,;"TRUC i ION MUST///l� M1 f-Tr_ _CVCR r' n
House Number Street ION SHALL 1'v1E.ET THE
REQUiREMEN TS OF THF L,U ES OF NEW
I County Tax Map No. 1000 Section �,5 ' Block YORK S I . Loi P S OINSIBLE. FOR
DESIGN OR COiNSTRUCTION ERRORS.
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 7�' �'�,vd
(Description)
4. E\1fgg
imated Cost Fee
(To be paid on filing this application)
5. elling, number of dwelling units Number of dwelling�units on each floor
age, number of cars
6. If busine s, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions ,f existing structures, if any: Front Rear ; Depth
Height Number of Stories
Dimensions ofs , e structure with alterations or additions: Front Rear
Depth Heighf' Number of Stories
8. Dimensions of entire ne construction: Front Rear ��� s -. 4 A Dyepti�).,
Height Number of Stories
9. Size of lot: Front Rear Depth t'it0 : JUL
10. Date of Purchase Name of Former Owner ,— :•
11. Zone or use district in which premise are situated
12. Does proposed construction violate any z ning law, ordinance or regulation? YES NO
i
13. Will lot be re-graded? YES NO Wil excess fill be removed from premises? YES NO
14.Names of Owner of premises Address Phone No.
Name of Architect ��dress Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a fres water wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMI MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES O
* 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,Qn,survey
- — a
18. Are there'any covenants and restrictions with respect to this property? *,_YES NOt.:
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
S:
COUNTY OF
I&Via u aeS 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.t before me this
� day of 20lot
otary Public TRACEY L. DW YE ignature of Applicant
VTARY PUBLIC,STATE OF NEW Y RK
NO.01 D W6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2_U2
$uEF�k BUILDING DEPARTMENT - Electrical Inspector
p TOWN OF SOUTHOLD
_ Town Hall Annex - 54375 Main Road - PO Box 1179
a • Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richertc�town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED-BY. Date: -
Company Name: (e 2C --Inc
Name: Y1
License No.: ( ^ fit✓ email: (2G�- Gln
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required) -
Name:
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: I Block: L t:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YE / N Rough In Final '
Do you need a Temp Certificate?: YE / O Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A Matera
New Service- Fire Rec - ood Reconnect- Service Reconnected - Underground - Overhead
# erground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
f
Request for Inspection FormAs o l
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S I T E EVALUATION /
, .,� ,�,. PRE - DELIVERY
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® How to make delivery and
installation of your new
hot tub fast, easy and
trouble-free.
Designed to Improve Your Life
Useful Details About the Spa, Continued
Approximate Min. Pad
Shipping Average
odel Length Width ie eight
Park Ave 79 in. 94.5 in. 37.5 in. 1,090 Ib. 3,497 Ib. 4 in.
Diamond (200.6 cm) (240.0 cm) (95.3 cm) (494.4 kg) (1,589.5 kg) (102 m
79 in 94.5 in. 1,090 lb. 3,497 Ib. 4 in.
Platinum (200.6 cm) (240.0 cm) (95.3 cm) (4 . g T02-mm)
79 in. 94.5 in. 37.5 in. 1,090 Ib. 3,497 Ib. 4 in.
Park Ave Gold (200.6 cm) (240.0 cm) (95.3 cm) (494.4 kg) (1,589.5 kg) (102 mm)
79 in. 94.5 in. 37.5 in. 1,090 Ib. 3,497 Ib. 4 in.
Park Ave Silver (200.6 cm) (240.0 cm) (95.3 cm) (494.4 kg) (1,589.5 kg) (102 mm)
Swim Spa 174 in. 88 in. 52.5 in. 3,000 Ib. 12,960 Ib. 4 in.
Trainer Diamond (442 cm) (223.5 cm) (133.4 cm) (1,360.8 kg) (5,891 kg) (102 mm)
Swim Spa 174 in. 88 in. 52.5 in. 3,000 Ib. 12,960 Ib. 4 in.
Trainer Platinum (442 cm) (223.5 cm) (133.4 cm) (1,360.8 kg) (5,891 kg) (102 mm)
Swim Spa 174 in. 88 in. 52.5 in. 3,000 Ib. 12,960 Ib. 4 in.
Trainer Silver (442 cm) (223.5 cm) (133.4 cm) (1,360.8 kg) (5,891 kg) (102 mm)
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OMS Ver.0002.16.00(Current) Jesse Pirir
Product availability and pricing subject to change. Rachel/Final
Quote Number:HWUL810
Architectural Project Plumber:
LINE ITEM QUOTES
The following is a schedule of the windows and doors for this project. For additional unit details, please see Line Item
Quotes. Additional charges,tax or Terms and Conditions may apply. Detail pricing is per unit.
Line#1 Mark Unit: Net Price: 1,956.1911
Qty: 2 Ext. Net Price: USD 3 912.3
FMRVIN 14 Gunmetal Gad Exterior
- y Bare Pine Interior
dad Ultimate Casement Picture
Rough Opening 72!'X 67"
Frame Size 71"X 661/2"
Gunmetal Clad Sash Exterior
Bare Pine Sash Interior
IG-lin
Low E2 w/Argon
Stainless Perimeter and Spacer Bar
7/8"SDL-With Spacer Bar-Stainless
Rectangular-Special Cut 4W4H
Gunmetal Clad Ext-Bare Pine Int
Ogee Interior Glazing Profile
Standard Bottom Rail
Black Weather Strip
Solid Wood Covers
6 9/16"lambs
As Viewed From The Exterior Hailing Fin
Entered As:RO
FS 71"X 661/2"
RO 72"X 67"
Egress Information .
No Egress inforr`nation available.' -- - - __ _-- _ _ _• - -_ _�___ . _ _ _
Line#2 Mark Unit: Net Price: 1,401.3
Qt : 2 Ext. Net Price: USD 2,802.6
MMVINilGunmetal Clad Exterior
R ., •e U e a•. Bare Pine Interior
2W1H- Rectangle Assembly
i—'11j'`•,` ❑ l-1 Assembly Rough Opening
! ! Unit:Al
0E1
i...,.....1L........! 1_..-J ' Clad Ultimate Awning-Roto Operating
As d From TM E°law Basic Frame 351/2"x 231/2" APR VE AS NOTED
Entered A5:RO VimaRough Opening 361/2"X 24"
FS 71"X 231/2" Gunmetal Clad Sash Exterior DATE: B.P:# a v�
RO 72"X 24'° Bare Pine Sash Interior
Egress Information Al,A2 IG-3/4" FEE:-IR BY:
No Egress Information available. Low E2 w/Argon -NOTIFY BUILDING DEPA95FNT AT
Stainless Perimeter and Spacer Bar 765-1802 8 AM TO 4 PM FOR THE
7/8"SDL-With Spacer Bar-stainless FOLLOWING INSPECTIONS:
Rectangular-Special Cut 4W3H l.-FOUNDATION FOUNDATION - TWO REQUIRED
Gunmetal Clad Ext-Bare Pine int FOR POURED CONCRETE
Dgee Interior Glazing Profile
Standard Bottom Rail 2. ROUGH - FRAMING g PLUMBING
Black Weather Strip 3. INSULATION
Matte Black Folding Handle 4. FINAL - CONSTRUCTION MUST
Matte Black Multi-Point Lock BE COMPLETE FOR C.O.
Aluminum Screen ALL CONSTRUCTION SHALL MEET THE
Charcoal Fiberglass Mesh REQUIREMENTS OF THE CODES OF NEW
Ebony Surround YORK STATE. NOT RESPONSIBLE FOR
Unit:A2 DESIGN OR CONSTRUCTION ERRORS.
Clad Ultimate Awning-Roto Operating
Basic Frame 351/2"X 231/2"
Rough Opening 36 Clad Sash
x 24" COMPLY WITH ALL CODES OF
Gunmetal Clad Sash Exterior
Bare Pine Sash Interior NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS
OMS Ver.0002.16.00(Current) Processed on:9/27/2017 3:50:36 PM %e 2 of 4
SOUTHOLD TOWN ZSA
SOUTHOLD TOWN PLANNING HOARD
OCCUPANCY OR SOUTHOLD TO'MTRUSTEES
USE IS UNLAWFUL N.Y.s.DEC
WITHOUT CERTIFICATE
OF OCCUPANCY
r:
y I/
OMS Ver.0002.16.00(Current) Juan Pirir
Product availability and pridng subject to change. Rachel/Final
Quote Number:HWUL81D
Architectural Project Number:
IG-3/00
Low E2 w/Argon
Stainless Perimeter and Spacer Bar
7/r SDI,-With Spacer Bar•Stainless
Rectangular-Special Cut 4W3H
Gunmetal Clad Ext-Bare Pine Int
Ogee interior Glazing Profile
Standard Bottom Rail
Black Weather Strip
Matte Black Folding Handle
Matte Black Multi=Point lock
Aluminum Screen
Charcoal fiberglass Mesh
Ebony Surround
Factory Mull Charge
6 9/16"Jambs
Nailing Fin
***Note: This configuration is certified to AAMA 450. Mull certification ratings may vary from individual
unit certification ratings.
Line 43MarAk Unit: Net Price: 1,565.711
2 Ext. Net Price: USD 3131.4
M"InN a Gunmetal Clad Exterior
" =°a• .•• n,,h•� Bare Pine Interior
Clad Ultimate Casement Picture
Rough Opening 72"X 48"
Frame Size 71"X 471/2"
Gunmetal Clad Sash Exterior
Bare Pine Sash Interior
IG-lin
Low E2 w/Argon
Stainless Perimeter and Spacer Bar
--
Rectangular-Special Cut 4W3H
Gunmetal Clad Ext-Bare Pine int
Ogee Interior Glazing Profile
As Viewed From The Exterior Standard Bottom Rail
Entered As:RO" Black Weather Strip
FS 71 X 471/2 Solid Wood Covers
RO 72"X 48" 6 9/16"Jambs
Egress Information Nailing Fin
No Egress Information available.
Project Subtotal Net Price: USD 9,846.36
0.000%Sales Tax: USD 0.00
Project Total Net Price: USD 9,846.36
OMS Ver.0002.16.00(Current) Processed on:9/27/2017 3:50:36 PM Page 3 of 4