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HomeMy WebLinkAbout41007-Z Town of Southold 3/13/2020 P.O.Box 1179 ; 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41143 Date: 3/13/2020 THIS CERTIFIES that the"building IN GROUND POOL Location of Property: 9100 Route 25, East Marion East Marion SCTM#: 473889 Sec/Block/Lot: 31.-8-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/15/2016 pursuant to which Building Permit No. 41007 dated 9/21/2016 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 Bauso, Gregory of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ; ELECTRICAL CERTIFICATE NO. 41007 09-18-2018 PLUMBERS CERTIFICATION DATED I Aifthdriz4 S ature �S�FEo �o TOWN OF SOUTHOLD BUILDING DEPARTMENT ca 'TOWN CLERK'S OFFICE 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#: 41007 Date: 9/21/2016 Permission is hereby granted to: Baxter, Ernest 9100 Main Rd East Marion, NY 11939 To: remove existing swimming pool and construct a new accessory in-ground swimming pool as applied for. At premises located at: 9100 Route 25, East Marion SCTM # 473889 Sec/Block/Lot# 31.-8-3 Pursuant to application dated 9/15/2016 and approved by the Building Inspector. To expire on 3/23/2018. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Buil 'ng Ins or 'Fo'rm 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 2110 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, im Swming 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-Certif cat-of Ocdupancy-$25*' _ 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. 7 New Construction: t^i Old or Pre-existing Building: (check one) Location of Property: �/00 N/00 - MAYICliox) House No. / Street Hamlet /� Owner or Owners of Property: l> ` 1ALCS Suffolk County Tax Map No 1000, Section ( Block of Lot (� Subdivision Filed Map. Lot: Permit No. `O 0n Date of Permit. Applicant: 0�, �©dC ✓ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature rjv so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q Southold,NY 11971-0959 , roger.richerta@town.southold.nV.us C®U BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To* Gregory Bauso Address- 9100 Rt 25 City: East Marion St: New York Zip: 11939 Building Permit#: 41007 Section 31 Block: 8 Lot 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA- North Fork Pool Care License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1 st Floor Pool X New 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 2 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 2 Disconnect Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment. In ground swimming pool to include, bonding, control panel, 4-GFCI circuit breakel salt generator,pool lights, heat pump,cover motor, 1-filter pump, 1-spa pump Notes Inspector Signature: Date: September 18 2018 81-Cert Electrical Compliance Form As loo OF SOUIyO� # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [- ] FOUNDATION 2ND [ ] I ULATI N [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: fkfefAric &4,�� lS to Y � � V1(41v e - 9Q fmrnv#A I T6, 6LFO�w oil DATE INSPECTOR $9 OF SOUIy�� # TOWN OF SOUTHOLD BUILDING DEPT. `yco 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) J�`J ELECTRICAL (FINAL) [ ] CODE VIOLATION [` ] CAULKING REMARKS: G� DATE I l rl INSPECTORC-r SOUIyOIo * TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ' ] .I ULAT N/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ J FIREPLACE & CHIMNEY [ ] FIRE"SAFETY INSPECTION" [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: r!lz DATE INSPECTOR V/t, r • t: I ma i t STATE ENE ROY C'ODF, u 7w 7w .9 FRI am t'�WIN � s v -.1 u � r i • 1 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 SoutholdTown.NorthFork.net PERMIT NO. 7 -7 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application ® � Examined 20 Flood Permit l , Single&Separate Storm-Water Assessment Form SEP 15 2016 Contact: Approved ,20� Mail to: 81, Iz— Disapproved a/c BtqLM(" 1 VL TOWN OFSO Phone: Expiration 6 ,20 Build nspector APPLICATION FOR BUILDING PERMIT Date J f T , 20 /6 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 hasmot commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.1f 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) 9W Awo /6/ lw�l (Mailing address of applicant) 1657 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o builder Name of owner of premises (�A"o (As on the tax roll or latest deed) If appli this a cor ration, signat e of my authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which rop se4 work will be done: , House Number Street Hamlet County Tax Map No. 1000 Section 31 '-Bloc'k Lot 63 Subdivision Filed Map No. of i 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 Alteration Repair Removal Demolition Eh��, innrinad $ (Description) 4. Estimated Cost �� ` ' ` 4 1, ' sw,„'( b spa&d on filing this application) 5. If dwelling, number of dwelling units umber of dwelling unity n beach flo r If garage, number of cars c,t(E !- 1' #h ? ` I,1 6. If business, commercial or mixed occupancy, specify :i ,d eent7o each type of us . '�`•�t �+" j 4��4d�r t;}' `fir�;��+;d,�p� 7. Dimensions of existing structures, if any: Front Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number bf Stories 8. Dimensions of entire new construction: Front l Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name ofFormer Owner 11. Zone or use district in which premises are situated / 12. Does proposed construction violate any zoning law, ordinance or regulation?YES O l/ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES ✓ NO 14. Names of Owner of premises 6&6 � � Address Phone No. 1170 f0A'/03 Name of Architect Address t� Phone o Name of Contractori0eilVio/4 &4 U/65' Address Phone o. �— // i 15 a. Is this property within 100 feet of-a tidal wetland ora freshwater wetland? *YES 14 0 * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE jEQUIRED. 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 da.a on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO r✓ IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF U �� '110104 CA45� 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 th it the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi day oft 201 4A '�ALUJ L2/I No ary Public TRACEY L. DWYER Signature of Applicant NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2�]2 a t P A A 44 orA �I • e'' 1y � 9�" ,.. �' 11, 'orf'i1•' i 4 _ t r T 4 Wft r WIAF Scott A. Russell ,� OSS /r ST0IKMWA\T1E][Z 'SUPERVISOR MA\lam A\GIEM]ENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold d � CHAPTER 236 - ST®RMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING. Yes No (CHECK ALL THAT APPLY) ❑a/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. ❑(� , 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. [:][3/E. Site preparation within the one-hundred-yearP P floodplain as depicted on FIRM Map of any watercourse. [1131F. 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. #: 1000 Date. /DD tit a NA\•IE /v (( I�UYvl OD� �l�! c � t t/y ©c3 1! / i' 6,v?D� N' Section Block Lot 24 S= ''^^ (sq-t `) ****FOR BUILDING DEPARTMENT USE ONLY**** Contact Information 6 3/ Oa frdephm,e Number) Reviewed By: j — — — — — — — — — — — — — — — — - - — — — — Date_ q-15 15-�� Property — Address/Location of Construction Work: — _ _ _ _ _ _ OO � Dry 14'V Approved for processing Building Permit. � i'� Stormwater Management Control Plan Not Required. �� .�i21`c 6't "�`+ ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 Scott A. Russell , �°SU Ir Z) STORMWATIER. SUPERVISOR1\WAINAGIEMIENNT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town o,f Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES MS PROJECT INVOLVE ANY OF `IE FOLLOWING Yes No (CHECK ALL THAT APPLY) ❑&A. Clearing, grubbing, grading or stripping of land which affects more P g 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. Old . 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. ain as Site preparation within the one-hundred-year f lood l P y p 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. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date- , 2 /1 � �J� Det ct NAb9E / (( �t1Y vL ✓E! 93lyc7C� ' Section Block Lot Contact InformaUoa FOR BUILDING DEPARTMENT USE ONLY**** ��/ ��j' ���� ff,kvh N..b n J Reviewed By: JA Date: q-1!5 Property Address/ Location of Construction Work: _ _ _ _ _ _ _ _ _ 9100 � �k} �y� Approved for processing Building Permit. ' Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 - �o'of SQ(/j�Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main RoadN • a63o1)7 P.O.Box 1179 roger.richertwn.so6u 95 ny.us Southold,NY 11971-0959 QI�C om �•` BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �� ,Ao( CAI Date: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: l QC7 Tax Map District: 1000 Section: Block: Lot: C *BRIEF DESCRIPTION OF WORKPlease Print Clearly) Z.� (Please Circle All That Apply) *Is job ready for inspection: YES /(gO Rough In Final *Do you need a Temp Certificate: YES Temp Infonmation (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION • 82-Request for Inspection Form Southold Town Building Department ��o�Og11EE0t,�coGy�� P.O.Box 1179 Permit#: 41007 C * E 53095 Main Rd C. P, Southold,New York 11971 Permit Date: 9/21/2016 (631)765-1802 Expiration Date: 3/23/2018 Parcel ID: 31.-8-3 BUILDING PERMIT RENEWAL LETTER Dated: 9/3/2019 Applicant: Baxter,Ernest Location: 9100 Route 25,East Marion Work Description: IN GROUND POOL remove existing swimming pool and construct a new accessory in-ground swimming pool as applied for. eAFE�E OF $125.00 IS REQUIRED TO RE W THIS BUILDING PERMIT. Lwner: Baxter, Ernest Address: 91 in Rd East Marion,NY 11939 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department,P.O. Box 1179, Southold, New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. SURVEY OF PROPERTY SITUATE EAST MARION TZ TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK .�, S-C.TAX No. 1000-31-08-03 S.C.TAX No. 1000-31-08-26 SCALE 1•-30• NNE 7,7016 AJ=DATA J Si L1i Iln 41m 4 M1 r.L \� � t000d1-0fl-m 6�Y m Vim'\ 1mal�o->-n H /iow9itO/imR�ef.�C \ �� St Ui Ma,1I5D-51-0btB z ed Ns S 5 j NYS Lt-Nh 50161 Nathan Taft Corwin 1H " ` 6 m Land Surveyor ro ff�,rrn mi„yc a tam 6 t!✓��t�a�W� 5�T¢9mkTA�SLS IEYo.6N�AW�i¢®t xo Tdb 9�a—4Ad�'se�a00—9a A®—O»chm laps mmn ra Im tlwmmrac P1mtfE(611)ro-7As0 r(63t)7v-tm 11E F>tsttk]LE 6110115 4•aT 6iR5 ia'OHl R PA 8.WH Um/0�f�ID0M15 lF�.6 1516 Itr�Rd Ba la Uf!10!9WM I¢Ipt quPallftn ,��Nv TmL I1fM .kmryuT.IYs Tak IIW1 A4 ,may_ ELECTRICAL. INSPECTION REQUIRED foo RETAIN STORM WATER RUNOFF OCCUPANCY ®R PURSUANT TO CHAPTER 236 OF THE TOWN CODE. USE IS UNLAWFUL a WITHOUT OERTIFICATE APPROVED AS NOTED � $- F OCCUPAcNCY DATE: �.P.# b FEE: -��Bv: '�� �� LY®a �[ NOTIFY BUILDING DEPARTbW AT ENGLQS OOL TO CODE 765-1802 8 AM TO 4 PM FOR THE rr- 09JO 'COMPL'ETIQf FOLLOWING INSPECTIONS: Bi?G�Rt< WAjR, C� 1. FOUNDATION - TWO REQL"=F J -FOR POURED CC"'"o::-1 2. ROUGH = FRAV,. ,�,t �,I-iNG 3. INSULATIOP �C) 4. FINAL :td ST o Q CALL CD'--.,-_ �3-kL .IE'- TH `�U �7� �a, Y. Fr :i�fRE', - .._ :.0L)[=S OF NEVJC/� iESPONSIBLE F (� OR CONSTRUCTION ERRO COMPLY WITH ALL CODES OF J NEW YORK STATE & TOWN C,0 r� _ 1�u AS REQUIRED ,AND CONDITIONI�' LEg lam/ TO ,O2r� 14" RETAIN STORM WATER RUN FF r, PURSUANT TO CHAPTER 2 OF THE TOWN CODE. /07" 5A41) 3(jTTe)r,L "q 700 WA 7J Grp, y . P.fl,dI w NAME: - srzF� . � SHAPE., BORDER PATTERN WALL PAT AM— /FLOOR PATTERN. CORNERS: NUNQ OVERLAP (ckdo one) . 20{GAUGE 27 GAUGE (mss one) rr t0 o L.. J