HomeMy WebLinkAbout43555-Z I
i` �O�gUFFOdK�OG� Town of Southold 11/15/2019
3 �C
P.O.Box 1179
o • 53095 Main Rd
y�Ol �ao�i� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40858 Date: 11/15/2019
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 255 Founders Path, Southold
SCTM#: 473889 Sec/Block/Lot: 64.-2-32
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/6/2019 pursuant to which Building Permit No. 43555 dated 3/13/2019
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 IN-GROUND SWIMMING POOL,FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Feingold,Deborah
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43555 05-17-2019
PLUMBERS CERTIFICATION DATED CN
0 V ut oriz ignature
gUFFD�,�-C
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
c a TOWN CLERK'S OFFICE
P . 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#: 43555 Date: 3/13/2019
Permission is hereby granted to:
Feingold, Deborah
451 E 14th St Apt 12F
New York, NY 10009
To: construct an in-ground swimming pool as applied for.
At premises located at:
255 Founders Path, Southold
SCTM # 473889
Sec/Block/Lot# 64.-2-32 i
Pursuant to application dated 3/6/2019 and approved by the Building Inspector.
To expire on 9/11/2020.
Fees:
IN-GROUND SWIMMING POOL $250.00
O - SWIMM NG POOL $50.00
tal: $300.00
Buie ing Inspec
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:
I. 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.
S. 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$15.00 t
Date. t T
/1v-4rLvevM7
-New ConstructionL:�ka"&,/iuez pU,zOld or Pre-existing Building: (check one)
Location of Property: ,1-2-)0u77&715
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000,Section z Block r,2 Lot 3Z
Subdivision Filed Map. Ll Lot:
Permit No. a)�5 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: 1/ (check one)
Fee Submitted:$
Applicant Signature
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
CO-
P.O.Box 1179
Southold,NY 11971-0959 �® y® roger.richert(cltown.Southold.ny.us
ff
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Feingold
Address: 255 Founders Path City: Southold St: New York Zip: 11971
Budding Permit#: 43555 Section- 64 Block 2 Lot 32
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 X
New X 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
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment- In ground swimming pool to include, bonding, control panel, 2-GFCI circuit breaker
salt generator, 1-pool pump,gas pool heater,pool lights
Notes*
Inspector Signature: Date: May 17 2019
81-Cert Electrical Compliance Form As
�o�aOF SOUIyo�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. 4-5t,
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) �/j ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE f Z INSPECTORl7�-►
UE SOUlyO!
.TOWN OF-SOUTHOLD BUILDING DEPT.
co 7651802
1"NSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] NSULA ION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL&V
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[
]- CODE VIOLATION [ ] PRE C/O
REMARKS:
n n #
DATE INSPECTOR PA A4
FIELD INS�tCllC'�N REPORT DATE COMMENTS
031 FOUNDATION (1ST) rn
H
------------------------------------
(� d
'FOUNDATION (2ND) CIO
O
DO
CSA '
ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y-.
STATE ENERGY CODE
rE .
FINAL
ADDITIONAL COMMENTS �1
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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=Z
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
Southoldtownny.gov PERMIT NO. ��� 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-V—/—
Contact:
Approved ,20 1` Mail to:
Disapproved a/c
hone:�—� 2&G.-
Expiration ,20
Building Inspector
D
-
MAR - 6 2019 APPLICATION FOR BUILDING PERMIT
DateV1� , 20�
SUMDUi .3 INSTRUCTIONS
T WN OF SOUTiI'HOLD-
a. I his 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 dateAf 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.
L�-
(Signature of applicant or name;if a corporation)
-Pe AUX 9, 6v enllo�19,A/,-' 11143:5-
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises---DiE31 6RAA
(As on the tax roll or latest deed)
If appli is a corr iot si ature of duly authorized officer
r2�5
ame and title of corporate officer)
Builders License No. 7
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
yAr
House Number Street Hamlet
County Tax Map No. 1000 Section Block
.fioY vr_' ;o oir,s
_6!. Ss .3-.Q 00ugx3 rsot�2t;nn;��
Subdivision _Filed Map No. 9r3y Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy J 5Xggy /52, J2�3i7&W6E
b. Intended use and occupancyrX g>wzY i/U r"'zucu-t �'0'"H"Vc�7>4ZW_
3. Nature of work (check which applicable):New Building Le
it' n Alteration
Repair Removal Demolition or - vc1t� �i��na'-r/,vc' `auuL
(Description)
4. Estimated Cost 00o 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 27' Rear -20.7' Depth 36, Z '
Height Zy` Number of Stories
Dimensions of same structure with alterations or additions: Front __, _ ___ Rear
Depth Height Number of S,to,r'es
8. Dimensions of entire new construction: Front Rear \'-? Depth ; s
Height Number of Stories L
9. Size of lot: Front iY o, 7& Rear 77 Yom!` Depth /ZZ
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated `��S�i7rZn�ia�
12. Does proposed construction violate any zoning law, ordinance or 'regulation? YES NO
13. Will lot be re-graded? YES r' NO Will excess fill be removed from premises? YES X NO
14. Names of Owner of premisesM.nvz^N relwevyl-lAddress ZS5- ia-oWPL- > Psi-Phone No. 6! -24,.r 35/3
Name of Architect Address Phone No
Name of Contractoreny�-7�nc �z-, Lzop. Address?o a1x 9 �ew_r*L Phone No.G,3i-J3y 21fvS'
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_,y
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
,yS�S:
COUNTY OF5�-��
L�L�5- being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the � ��J
(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 wil I be
performed in the manner set forth in the application filed therewith.
Sworn o before me this
day of a ly r,� 201_�L_
G' Signature of Applicant
Notary Public,State of New Yo*
No.01906317036
Qualified in Suffolk County
Commission Expires Dec.22,20�
s
Scott A. Russell ,��°SUIFQIr STO]KI��J WA\T]EIR,
SUPERVISOR z 1\\4A\NAG1El\v1[]EN`]F
SOUTHOLD TOWN HALL-P.O.Box 1179 d
53095 Main Road-SOUTHOLD,NEW YORK 11971 4, Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
------------
-- - - -- ---- -- - -- - -
DOIES THHS PROJECT INVOLVE ANY OF THE FOLLOWING:
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.
El 3"'B' . Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
E]�. Site preparation on slopes which exceed 10 feet vertical rise to
/ 100 feet of horizontal distance.
[]SD. 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.
❑l Pf r . 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.C.T.M. #: I ustntnct
DDate:
NAME 'j-7-1 PZO`erye'Z.S L7�- � j _Z
iermu Section Block Lot
FOR BUILDING DEPARTMENT USE ONLY
Contact Information. Zf?i–73V-2L,f�
Telephone Numlxri
Reviewed By:
— — — — — — — — — — — — — — — —
Date: _� 7— 19
Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
'2.�5 Awz� &-R s pazzI Stormwater Management Control Plan Not Required.
it/'1 //�7> ❑ Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review)
FORM # SMCP-TOS MAY 2014
Electrical Inspector DEPARTMENT
��p 019 TOWN OF SOUTHOLD
' 9 2 Town Hall Annex- 54375 Main Road - PO Box 1179
h► Southold, New York 11971-0959
;0;' 0 lephone (631) 765-1802 - FAX (631) 765-9502
1 ' s6 roger.richert(a_town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED*BY: c
- - - -- Date- --
Company
ate: --Company •� - - --- - ---- -- ..-
Name: T
Name: V-' 6-1
-
License No.: " 1r�Ili cq-(s-' email:
Address: c 0 60 f
Phone No.: 3
JOB SITE INFORMATION: (All Information Required)
Name:
Address: �' e oL'i4n
Cross Street: L wn t--n
Phone No.:
Bldg.Permit#: �-{ ��j �j �j email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DSCRIPTION OF WORK(Please Print Clearly) n � �n� �I rn
0V
Circle All That Apply:
Is job ready for inspection?: QNO gh Final
Do you need a Temp Certificate?: YES NO 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
Request for Inspection Fortn.xls
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APO , VED A'S l e ED 0— CQIVIpLY WITH ALL CODES OF
►`, Bp."-- NEW YORK STATE &TOWN CODESOF
DATE.®. REQUIRED
AS
NOT11EY BUILDIN i P.El,ARTMENT AT
i65-1802 8 AM iC 4 PM FOR THE SO��.� STEES
FOLLOWING INSPECTIONS:
;. FOUNDATION - TWO RE-QUIRED '
FOR POURED CONCRETE
2. ROUGH - FRAMING E PLUMBING
3. INSULATiON
4. FINAL - C0N STRUCTION MUST
BE COMPLE c FOR C 0.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW �
YORK STATE. NG RESPONSIBLE FOR �� ',
DESIGN OR CONSTRUCTION ERRORS. 100 O
SAC 0 ODs
•',at®� SE
\0
V
OCCUPANCY OR
USE IS UNLAWFUL
V,�JIOTC OUT CERTIFICATEP�°.gyp
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18X36 18X40 18'-0" 36'-0" 3'•4" 8'-0" i0'•6" 13'-6" 8'3" 4'-0" 4'-0" 10'-3" 4'-0° T-0" 25,500
2OX40 20X44 2W.V 40-0" 3'd" 8-0" 12'-6" 13'•6° 10'3" '4'-0" 4'-0" 12'3" 4'-0" T-4" 32,000
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Complies With: _
rn
2016 NYS Uniform Code Supplement Sec 8326 " -"
' R326.3.3 in Ground Pools Shall Be in Conformance with ANSINNSPI-5
R326.5 Barrier requirements:Temp Pence must be installed at time of
Pool construction,and Permanent fencing is the homeowners responsibility
- R326.6 Entrapment Protection Installed
R326.7 Swimming Pool and Spa Alarms must be installed
' POOL TYPE: RECTANGLE REV. SCALE: NTS
2015IBCc ? JAMES DEERKOSKI, P.E. DATE:
Sec R 403.10.2 Time switches or other control methods that can run
TYPICAL PANEL STI FFN ER automatically tum off and on according toa preset schedule shall be 260 DEER DRIVE
installed for heaters and pump motors. Heaters and pump motors that
have built in time switches shall be in compliance with Sec R 403.10.2 ? i MATTITUK, NEW YORK 11952 DRAWING NUMBER
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