HomeMy WebLinkAbout43597-Z Town of Southold 9/11/2020
P.O.Box 1179
a
o ! S 53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 02627 Date: 9/11/2020
THIS CERTIFIES thalt the building IN GROUND POOL
Location of Property: 375 Southern Blvd, East Marion
I
SCTM#: 473889 Sec/Block/Lot: 21.-3-27.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/26/2019 pursuant to which Building Permit No. 43597 dated 3/29/2019
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 Misthos,Paul&Thalia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43597 7/1/2019
PLUMBERS CERTIFICATION DATED
a
ut d ignature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
moo �
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#: 43597 Date: 3/29/2019
Permission is hereby granted to:
Misthos, Paul
169-48 24th Ave
Whitestone, NY 11357
To: construct an in-ground swimming pool as applied for.
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At premises located at:
375 Southern Blvd, East Marion
SCTM # 473889
Sec/Block/Lot# 21.-3-27.1
Pursuant to application dated 3/26/2019 and approved by the Building Inspector.
To expire on 9/27/2020.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
1: $300.00
Bui ding Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
I I
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 Certificatejof Occupancy 4.25
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: 3�J� &JU-a-i 4WD E,NA4_A0r1
House No. n/ Street Hamlet
Owner or Owners of Property: 7 i-LlA e PA J(- 14tS 3S
Suffolk County Tax Map No 1000, Section Block 3 Lot o�1
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: $ ��
Applicant Signature
fjf so
Town Hall Annex Telephone(631)765-1802
54375 Main Road! Fax(631)765-9502
P.O.Box 1179 ! roger.richert(Ct-town.south old.ny.us
Southold,NY 11971-0959
MUM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Paul Misthos
Address: 375 Southern Blvd City: East Marion St: New York Zip: 11939
Building Permit#: 43597 Section: 21 Block- 3 Lot. 271
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Leo's Electric License No: 2199-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st 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
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks 2
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment In ground swimming pool to include, bonding, 1-pool light, control panel, 1-pool pu
1-Polaris pump,3-GFCI circuit breakers,salt generator,pool heat pump
Notes
Inspector Signature: Date: July 12019
81-Cert Electrical Compliance Form As
OF SOUIyOlo
# TOWN OF SOUTHOLD BUILDING DEPT.
courm,��' 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)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
CG �
DATE INSPECTOR<�` l
of50UTyO 3�-� ,stn, mv&
f # TOWN OF-SOUTHOLD BUILDING DEPT.
°`ycourm765-1802
INSPECTION,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. -
] FOUNDATION 2ND [ rFINAL7 ULN/C ULKING
FRAMING /STRAPPING [
[ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY-INSPECTION "
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
'FOUNDATION (2ND) Vy 'ren
ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
Matti
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ADDITIONAr,COMMENTS `
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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 3 sets of Building Plans
NTEL:-765-1802
PERMIT NO: Survey •
Check
Septic Form
N.Y.S.D.E.C. '
• -
Examined ,20 Contact:Trustees
Approved Z`� ,20 Mail to: G
Disapproved a/c
Phone:
Building Inspector
L MAA 2 6 2019 PLICATION,FOR:BUIL•DING,PER HT—
Date ���Z- 20 q
INSTRUCTIONS
TOWN OF SOUTH010 -
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plats,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 a�Certificate of Occupancy
is issued by the Building Inspector.
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,�Oidinances or
Regulations, for the construction of buildings,additions,or alterations or for removal or demolitio s herein described.The
applicant agrees to complyith,all applicable laws,ordinances,;building code,housing code,an re ations,,-and to admit
authorized'inspectors on premises,anddn building for necessary inspections.
(Signature o plicant or y ,if a corporation)
qzq jzj-z�A ,i! - P&W� 0 if 7&X
(Mailing address of applicant),
State whether applicant is owner, lessee, agent, architect, engineer,general,contractor, electrician,plumber.or.builder
r
Name of owner of premises PfiVL c A-uA
(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. 1443b- HT
Plumbers License No.
Electricians License No. 1430%- HE
Other Trade's License No.
1. Location of land on which pro osed work will be done:
House Number Street Hamlet,
County Tax Map No. 1000 Section o`1� Block Lot o2
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy N-2 -�rrh���� �-.25�gQ„i�
b. Intended use and occupancyjC�L
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work 6j,m,,,j,4o, (�L 23-fY.p
(Description)H tkox 1 b C_
IJr�
4. Estimated Cost �7 030- 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 A ' Rear. 31 Depth 2b
Height Number of Stories
Dimensions of same structure witi!-Wterations or additions: Front Rear
Depth Height Number of Stories
S. Dimensions of entire new ce l: Front 73x� vil4 x J(p_L --D'e'pth `a'3'lz,�8 6,eP
Height - Number of Stories
9. Size of lot: Front 1 Rear. /25-5- Depth
a'
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situate(I
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be,re.,graded Q3X ON'-� Will excess fill be removed from,premises: �NO
14. Names of Owner of premises .PPAJL N16M:S Address 3K' &rt,,r-J. &-yrs Phone'No. 9t_7-f_'78- (0!S-2S
Name of teetP►41de&- `ihz,Ac ,b keihN Address 4 &2eL_ 1.,j 4+-V&Xhbn&No U3--72Y-'5-140 -
Name of Contractor AmhL LWA� ras Pa3,,s Address q2ot et 2_,�A- Phone No. 3)- 71NY 71&�-
Mille- Kacd A-! 1176Y
15. Is this:property within-100 feet of a tidal-wetland? *YES NO
o IF YES, SOUTHOLD TOWN TRUSTEES 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.
STATE OF NEW YORK)
SS:
COUNTY OF&Ff WI )
EDI&QS being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named, ,�`,�
(S)He is the "4L-X-
(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 to before me this
om-nro day of 20jq_
N tarry Public Si ature of Ap i t
9 MARGARE f A. KIDNEY
Q Notary Public-State of New York
No. 0l K16021 1 I 1
Qualified in Suffolk County
My Comrrussicn Expires March 8,20, 3
it
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BUILDING DEPARTMENT-Eldctrical ����,{ F,77
E�l
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road -
Box
o . IV92 1 2019
Southold, New York 11971-095
Telephone (631) 765-1802 - FAX (631) 765-9502
Mgerxi6hert
e-
an
APPLICATION-POR.ELECTRICAL INSPECTION
REQUESTED BY: Date."
Company Name: C
Name:
O�C Co!n
r
License No.: email:,
f rn Li
Address: jLl I ZCPN-1 11C,(0
Phone No.,�-
JOB SITE INFORMATION: (All Information Required)
Name: Q k;a
Address:
Cross Street:
Phone No.;
V
Bldg.Per 9:3 6A-7 email:
Tax Map. District: 1000 Section: Block: -Lot:. _,
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
C\"A
ca,
Circle All That Apply:
Is job ready for inspection?: YE / NO Rough In Final }
Do you need a Temp Certificate?: YES /(1Sg> Issued On
Temp Informatio'n: (All information reqUired)
SenA66ISize I Ph 3 Ph Size:,Z. A #Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected -Underground -Overhead
k1ppoergroprid Laterals 1 2 H Frame Pole Work done,on Serv(ce?-,, Y N,__
;.Additional lnfoemOtiom -
:PAYMENT'DQE WITH APPLICATION.
06
82-Request for Inspection FormAs
I
Scott A. lxussell d° '�� STORA�1CWA\' IER
SUPERVISOR AMIA.,NA.G lEMTENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER'236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOLES TMS )PROJECT INVOLVE ANY OF TM )FOLdLOWINQ
I
(CHECK ALL THAT APPLY)
Yes No
❑[2*A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑[fB. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑[ rC. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
d
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
[:]derosion hazard area.
E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
❑[YF. 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 wiffyour Building Permit Application.
APPLICANT. (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date:
District ^� �J
NAME: C 3
m — Section Block Lot
`g f **** FOR BUILDING DEPART ENT USE ONLY****
Contact Information:
rrelephm Numbed
Reviewed By:
Property Address/! /Approwed_ — _ _ Date_
1 i
Location of Construction Work: — — _ _ _ _ _ _ _
t� �1, for processing Building Permit.
p �p� Stormater Management Control Plan Not Required.
L � k4r �'` I1� Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
I
r SUFFOLK COUNTY DEPT OF LABOR.
LCENSING 3 CONSUMM AFFAIRS
j7ALOGER
ASTER
LECTRICIAN
G BRUTTO
This certifies tt�t thebearer Is duty LECTRIC CORPORATION
licensed by the
County of Suffolk - 07/1C-fftb- 7/01/2019
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,IDB IVO. 99-26 REV 02/21/02
HMSE Loc TAX I.D. No. 1000-21-03-27
sAX l OT 25 TAX LUT 15
OCC RES VACANT
WELL.t SEPTIC NOT FOUND
N 89°57'40"E 125.19-
tt%o
1
50'ROW TO t02 4
ROCKY POINT ROAD
DRIVEWAY 5'RIGHT OF WAY
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PROPOSED
SINGLE FAMILY BAR
-�--^�--- DWELLING
i,,, "F.'1-R COUN'T'Y DEPARTMENT OF HEALTH SERVICES GAR 106 0
FERN?ISR AI'PWVAL OF COMMUCT MI IDR A
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DATE Wyly HSFREF.NO. w ,®? I�Q� rlc a
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U88R 9896 PAGE 28® ;
SEE FILE w p FdR Tairr HOLE INFO
ELEV IN ASSUMED DATUM
LOT
� FILE MAP No.6421 ?XW1
• d ��FOuoRion taws aloaorxnt ri■viottfDor►d�n Y20B � o OF: Loti1 C _ . ..
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t, mxmt"M I)MV U*IX0ftwrW8"WNW or anbowd EAST MARION, TOWN OF SOUTHOLD
,��OF NEN►} tet►aftm,or01"mi e.,alr wftmmftmo„umsoMeprap rtnatfsam I
i SUFFOLK COUNTY, NEWYORK
P ��►. *NOW PuWW Wd UM■V tl "w not oftr&d to guide ft amcb n of
ftgft rswravvmft,Dodi,Pon ' mm•dd m to tat aw.or mqother
Tne d nymdvmy, rwwwem nd of mm raw.rot.tnewn we SURVEY DATE: 4/19/99 : °�r'�,•�t;
CERTIFIED ONLY TO: f
! VNARRElI!P. WALKER DESTIN G. GRAF
_ LAMP SURVEYOR
733 Wyaaft t Pd
61b82f ft owffyak I I T70 ;
V.S.
COMPLY WITH ALL CODES OF
ENT NEW YORK STATE & TOWN CODES
rE �,U t_UIPIG �,EFARTMA
NOT FY pts, FOR TRE AS REQUIRED
765-�so2 s Ate, 10
FOLLOWING 1NSNECONR C�UIREp SO�NZBA
I FOUNDATION-RETE 4S00MMlIN MBOAAD
FOR POURED MING & PLUMBING SM&TeWHUTEES
2• ROUGH � � MUST
3. INSULAT,10,1 s NY. '
GOND IRUCTION
4. FIND • FOR MEET ,
C. � TRE
BE COMpL`fc SHALL
ALL CONSTRUCTION
OUIREMENTS OF TRESPONS g�E FOR
RE R ERRORS'
YORK STATE.' NOT ,
DESIGN OR CONSTRUCTION
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ENCLOSE POON
UPON COMPL' I
4 BEFORE'" AT
raa
23 j
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6 7 6 5 4
3 2 �
16'
H _
AREA= 1,074 sq.ft H
PERIMETER= 153
DS.CONC.= 17
REBAR= 23
FORM TIES= 219
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SIZE
SIZE A B C D E F G H AREA CAP. IL
FEET FT.FT.FT.FT.FT.FT.FT.FT.SQ.FT. GAL. rr�n..a LJ
12 X 20 12 20 8 9 0 3 3 6 240 8,000 /�L'� rd�. 3�s / 6wb
16 X 36 16 36 12 14 6 4 4 8 576 21,600 P()�L&SPA CENTRE
18 X 40 18 40 16 14 6 4 4 8 720 28,500 PERMACRETE WALL SYSTEM . �yy ,�,� PJ
929 Route 25A Miller Place NY 11764 `'
20 X 40 20 40 16 14 6 4 6 8 800 30,000 (631) 744-7185 FAX (631) 744-0174 ( I jqA
24 X 44 24 44 18 14 8 4 6 10 796 30,000 Suffolk License #4436—HI Pbw
24 X 48 24 48 20 16 8 4 6 10 900 31,0001 Nassau License #HI74450000