HomeMy WebLinkAbout43401-Z SUFEni
otio 1pG Town of Southold 1/24/2020
a tP.O.Box 1179
o _ 53095 Main Rd
yl � � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41018 Date: 1/24/2020
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 180 Sunrise Way, Southold
SCTM#: 473889 Sec/Block/Lot: 91.-1-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/14/2019 pursuant to which Building Permit No. 43401 dated 1/17/2019
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 Fetyani,Ahmad&Marcella
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43401 01-22-2020
PLUMBERS CERTIFICATION DATED # n
Ao ize i ature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N; 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#: 43401 Date: 1/17/2019
Permission is hereby granted to:
Fetyani, Ahmad
308 E 109th St
New York, NY 10029
To: construct accessoryinround swimming-g g pool as applied for. Must maintain 10' rear
yard setback.
At premises located at:
180 Sunrise Way, Southold
SCTM # 473889
Sec/Block/Lot# 91.-1-16
Pursuant to application dated 1/14/2019 and approved by the Building Inspector.
To expire on 7/18/2020.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
Form No. 6
`l'.ovVN 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 tothe 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 0features.
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 6f'Certificafe of Occupancy-X2-5"* '- -
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$•15.00
N e\ �.",o M ILP Date.
"J
New Constructions Rn L Old or Pre-existing Building: (check one)
Location of Property: •12b .5,3 n L-vL,y
House No. / _Street Hamlet
Owner or Owners of Property: 0 / Fe— .it
'Suffolk County Tax Map No 1000, Section `7 Block Lot da
Subdivision 2 Filed Map. Lot:
�JPermit No. qO 1 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 SID
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road _ Fax(631)765-9502
P.O.Box 117
Southold,NY 119711-0959 sean.deviinCaD-town.southold.ny.us
I �` �
CoUff ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Ahmad Fetyani
Address: 180 Sunrise Way city,Southold st. NY zip- 11971
Building Permit#. 43401 Section 91 Block 1 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: JES Electrical Contracting License No: 4483-IVIS
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 X Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 2 Twist Lock Exit Fixtures ' 11 Combo SD/CO
Other Equipment Pool Cover w/ Keypad, 2- Pool Lights w/ Push Button Switch, Pool Heater,
Salt Generator, Pump, 230 GFI Breaker, 2- 120 Breakers, Bonding
Notes.
Inspector Signature: Date: January 22, 2020
S Devlin-Cert Electrical Compliance Form As
�o��OE SOUIyo�
# # TOWN _OF SOUTHOLD-BUILDING DEPT.
co765-1802
- INSPECTION
[ ] FOUNDATION 1 ST - [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ - ] SUL'AT ON/CAULKING - '
[ ] FRAMING /STRAPPING [ FINAL CEJ
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ °]
-FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
4� OaAt?l �
f/ • -
DATE lolwlev INSPECTOR
OE SObTyolo "e; L G [ �v g
* TOWN OF SOU HOLD= BUILDING DEPT.
coutim,N 765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
" [ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ . ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINALFoo
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE '�� C2 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
--------------------------------------
'FOUNDATION (2ND)
z
CIO
o
ROUGH FRAMING&
PLUMBING y
' � o
INSULATION PER N.Y: y
STATE ENERGY CODE
FINAL
a
ADDITION AT,COMMENTS
I-Il-_J6b E 'c
t Z
' m '
z
� i y
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
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
Contact: pp�
Approved 20� Mail to:Qn4k 1�Ur •n-
Disapproved a/c DOD 'm a o Ad t aWW<
Phone: j `�%3 W Lnq
Expiration 20 77
® 0 � u i ctor
JAN! 1 4 2019 D g
KATION FOR BUILDING PERMIT
_ Date �y 20�
DMDPITG'k--J''" INSTRUCTIONS
TOWN OF SOiJ'I'HOLD
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 code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
9-700 J1461,IJ gJ4&AIS
(Mailing address of applicant)
State whether applicant is owner lessee, agent, architect, engineer, general contractor,electrician,plumber or builder
�r(c�Jer'
Name of owner of premises ' -�
(Aso the tax roll or latest deed)
If applicaos a corpo ation, signatu of duly authprized officer
(1` me and title of corporate officer)Builders
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. Jy�
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section BlockLot � j
n
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 r110A!g� w1 M 1
(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
131e r Depth
8. Dimensions of entire new construction:Front �� Rear
Height ()l Number of Stories 0
9. Size of lot:Front r 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
f96 5fo
14.Names of Owner of premises Ho m i r vI Address S3u0)310 Phone No.-719-715 -(0335
Name of Architect Address Phone No
Name of Contractor )n f�nr 4T,4Address -73D h-f ai jJ 12 o Phone No. G,jl`cQ f-
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)
�f S:
COUNTY OF�O s
JA,50?J $-le&Q� being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)
)aabove named,
(S)He is the A in a;)C, CA T �0-5 e P
(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 o before me this
46 day o A(\. 20
Notary Public Signature of Applicant
CONNIE D. BUNCH
Notary Public,State of Neje York
No.01 BU6185050
Qualified in Suffolk County
Commission Expires April 14,2Lt-)-
Scott A. Russell Su STO]KI��J WAT EIK
SUPERVISOR AMIANAG!]ENCEN T'
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 ti�o� , Town ofSouthold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE .ANY OF 'I'I-3[lE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
❑ 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.
❑� 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 floodplain as depicted
on FIRM Map of any watercourse.
❑ 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.
Date-
APPLICANT- (Property Owner,Design Professional,Agent.Contractor,Other) S.C.T.M. #: 1000
DisU ict
NAME. o ,7 o r LO CA -c 1V 01 !(y r o Ill
(P,,,,,) Section Block Lot
NS.d°l FOR BUILDING 1)1:�'AI?'I'�1Ly`'I- USE ONLY
� „tr
Contact Information 3 l '�7 8 _�0r
[`¢Iqb m Nm.tv;
Reviewed,By:
Date:
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
rD f�'U1J( — —�a��/`'�`� Stormwater Management Control Plan Not Required.
❑ Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.),
FORM # SMCP-TOS MAY 2014
O�OSllFI~ `SCO.. 'i;y4' i ty'I!'l,: ; (�`\BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
CD
C00
N7 2020 _ Southold, New York 11971-0959
� ��p� Telephone (631) 765-1802 - FAX (631) 765-9502
`= w'e'" �``'�f�0'(Iemc�southoldtownny.gov — sea nd(cr�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: J �5 1-P. c
Name: Jo
License No.: email:
Address: (p 49,a g L,, j `gyp
Phone No.: p
JOB SITE INFORMATION (All Information Required)
Name: p tisl
Address: n
Cross Street:
Phone No.:
BIdg.Permit#: 43LI 0 1 email:
Tax Map District: 1000 Section: , r Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
T— L
Circle All That Apply:
Is job ready for inspection?: YE NO Rough In Final
Do you need a Temp Certificate?: YE� Issued On
Temp Information- (All
(AII information required)
Service Size'o3 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 Ito
Request for Inspection Formals
f
10,
CD FIN. FL.
FIN-ORADEEL. T.5' CEDAR BEACH ROAD
�l�i�Yf_;fi a)1 ;r-:,-�_yi�if ' �rrL�.t' _' - ,•sW.�`h
1200 GAL it m ' PROP05ED 1 00 &AL --� TEST HOLE
S1=t?TIG TK EL 5.? ry 5EPTIG TANK' '
8' DIA. , b 6S` EL. 95'
L3=AGF#ING � 1-4 PROP05ED 8' DIPS., .
POOL ry r '- 10 X2'jEFP. DEPTH
LP' LEAGHIN5 POOL (TY''I
° 171AQ LP c4J :E, _ 5;c,% F1J711Ri<, .
CROUN7 WATER CL. 05' fix
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POSED SEPTIC SYSTEM 4 BEDROOMS MAXIMUM,- ° I S' �' SOUSE.GARAGE,X 0.1AND;
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4E 324/42.2=7.7VF
00 GALLOP{SEPTIC TANK PROP05ED
STEM SHALL BE CONS'T'RUCTED TO SCDHS Z Q PORCH PROVIDE'2 DRYWELLS,:$'
JIREMENTS AND STANDARDS FOR SINGLE 2 STORY
�� FRAME , � _ SEPTIC REQUIREMLIV'I'S:
Q.Y RESIDENCES, RESIDENCE �C)1,
12.0 LF MIN.REQULRL
JFFOLK COI F, t T OF HEALTH SERVICE p p P•F. "13.25 UP 1O 4 BIDROOMS
_ � 12.0 LF.PROVIDED
PrzpmiT FOR AP i AL OF CONSTRICTION FOR A H E (WELL �Y 4241' -
• ll? - U �HOUSE-) T� ,
SINGLt=FAm'wy REs &ucE ONLY, IL k) zDECK
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APPROVED AS NOTED
DATE: B.P.# 1' 3�
FEE:
LbbBY: t RETAIN STORM WATER RUNOFF r
NOTIFY BUILDING DEPARTMENT AT - PURSUANT TO CHAPTER 236 '
765-1802 8 AM TO 4 PM FOR THE r
FOLLOWING INSPECTIONS: OF THE TOWN CODE.
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - 'FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL-MEET THE
REQUIREMENTS OF THE CODES OF NEW ELECTRICAL
YORK STATE. NOT RESPONSIBLE FOR INSPECTION REQUIRED
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES IAT LY11
AS REQUIRED AND CONDITIONS OF f, ,
-EIgCL-OSE POOL TO CODE
4`I PON COMPLETION
�ORE'"1NATE�"`
S�#H IdIP BOARD r � E_
-----� S0�18tBT0g�ES
OCCUPANCY OR lo, rew- yard
USE IS UNLAWFUL
5tA
WITHOUT CERTIFICATE
OF OCCUPANCY
qlooAOA
P.O.# NAME- agrN
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