HomeMy WebLinkAbout43988-Z .r.�
� guFFOl,f�oG� Town of Southold
9/18/2020
0
P.O.Box 1179
a' T 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41454 Date: 9/17/2020
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1340 Ships Dr, Southold
SCTM#: 473889 See/Block/Lot: 79.-3-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/12/2019 pursuant to which Building Permit No. 43988 dated 7/19/2019
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 Almare LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43988 8/17/2020
PLUMBERS CERTIFICATION DATED
ut ed ignature
S�FFut�� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD' NY
'�{rr;arjr�
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#: 43988 Date: 7/19/2019
Permission is hereby granted to:
868 Broadway Corp
868 Broadway
New York, NY 10003
i
To: construct an inground swimming pool as applied for.
At premises located at:
1340 Ships Dr, Southold
SCTM # 473889
Sec/Block/Lot# 79.-3-22
Pursuant to application dated 7/12/2019 and approved by the Building Inspector.
To expire on 1/17/2021.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
Ot�gUFFD(,�coG TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 43988 Date: 7/19/2019
Permission is hereby granted to:
868 Broadway Corp
868 Broadway
New York, NY 10003
To: construct an inground swimming pool as applied for.
At premises located at:
1340 Ships Dr, Southold
SCTM #473889
Sec/Block/Lot# 79.-3-22
Pursuant to application dated 7/12/2019 and approved by the Building Inspector.
To expire on 1/17/2021.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
Form No.6
• J
TOWN Or SOUTHOLD
BUILDING DEPARTMENT
TOWN 14ALL
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.
S•
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. C6py 6f-C6rtifi—c fe ofUcdupanc-:-975•-' -=--
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 /
Date. e7 [� y
New Construction: Old or Pre-existing Building: (check one)
•So vT,��d �1�
Location of Property: �,�1Y -
House No. Street Hamlet
Owner or Owners of Property: r(p J ,1�X64,0U/-4Y C d Rp
Suffolk County Tax Map No 1000, Section 7 Block. Lot Z 2—Subdivision Filed Map. Lot:
-ZF
Peit No. Date of Permit. Applicant: /,�
rm4WO /COIN-4N0
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Ap cant Signature
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
f_4&Anv1a)/ (AR.P residing at gcp'? 13(2 -n( /,
(Print property owner's name) (Mailing Address)
1 ooa 3 do hereby authorize
(Agent)
to apply on my behalf to the
Southold Building Department.
it
(Owner's Signature) (Date)
D0UC*LA-> �GY
(Print Owners Name)
OF SO�p�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G ® sea n.devlin(Q-town.southold.ny.us
Southold,NY 11971-0959
®l�Comm,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Almare LLC
Address: 1340 Ships Dr City:Southold st: NY zip: 11971
Building Permit* 43988 Section. 79 Block: 3 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: JES Electrical Contracting License No: 4483ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Surrey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 4'LED Exit Fixtures 11 Pump 1
Other Equipment. Push Button Switch for 2 Lights, Salt Generator, Pump on 220GFCI Breaker,
Pool Heater, Intermatic Pool Panel
Notes: AS BUILT, NO VISUAL DEFECTS " Did Not See The Bonding
Pool
Inspector Signature: ( Date: August 17, 2020
S.Devlin-Cert Electrical Compliance Form.xls
# TOWN OF SOUTHOLD BUILDING DEPT.
u 765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION 2ND [ ] I SULA O
[ ] FRAMING/STRAPPING [ FINAL -
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARK
I Ci •
V✓ GJ - - u1
l
DATE INSPECTOR
OE 50GT,yo�
# TOWN OF SOUTHOLD BUILDING" DEPT.
`ycourm�F`' 765-1802
:
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND SULAT ON/CAULKING
[ ] FRAMING /STRAPPING [ FINAL .
[' ] `FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]"FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) _ [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE. Y INSPECTOR
OE S00Tbp
# TOWN OF SOUTHOLD BUILDING DEPT.
°y�nurm '' 765-1802
J NS-PECTION
[ ] FOUNDATION 1ST [ Y.] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ]NSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) rpG&L/
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
WDLA/6 dT&UAI-a N'Diiv<
DATE INSPECTOR
Of So0Ty0
# # TOWN OF SOUTHOLD BUILDING DEPT.
�ycourm,��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ULATI N/ HULKING
[ ] FRAMING /STRAPPING [ FINAL 4
[ ] FIREPLACE & CHIMNEY` [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION`
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
FIELD]NSPECTION REPORT DATE COMMENTS
b
FOUNDATION(IST)
--------------------------------------
FOUNDATION(2ND)
z
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CY
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ROUGH FRAMING&
PLUMBING
(A
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INSULATION PER N.Y.
STATE ENERGY CODE
ffi-fiffiJ., kVI
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FINAL
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ADDITIONAL 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 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
Southoldtownny.gov PERMIT NO. JJJ 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:
Approved ,20 Mail to:
Disapproved a/c
Pho
Expiration ,20
T �
Building Inspector
PD
o- r
JUL 1 X2019 APPLICATION FOR BUILDING PERMIT
Date , 20
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 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 affectingite
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 ti1q
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.
• �i�E�e/0 ieon�AN�
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises F4P r oOXdAPWiO,Le C4/rP •
(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.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section `'7 q r Block,it �'� Lot
•t•-` i;,;.Si.;c.ISI ; . �}• . •
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 Z,j
(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
8. Dimensions of entire neconstruction: Front Rear Depth -7 LJ
Height Number of Stories 1.
9. Size of lot:Front 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
14.Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
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)
SS:
COUNTY OF
l.mi t d xom Aid being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract a ove named,
1�j 11
(S)He is the
(Contractor, en,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.
Swo to before me this
r day of 20��
%, CONNIE a.BUNCH
1114 ry Public, ate of New YoI
Notary Public No.01 BU6185050 Signature of Applicant
Qualified in Suffolk County
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SUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
AUG 2 7 20T_owtiN611 Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richert antown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: pr- r Date: g acs /
Company Name: i✓S
Name:
License No.: ?, email, JeS-e ,kJP- 6)
Address: a69q �tJ 1J D
Phone No.: `7
JOB SITE INFORMATION: (Ali Information Required)
Name:
Address:
Cross Street: 3110 JH/10S A)/IrE 5'0 UTrVd /-D
Phone No.: lv y( -.j"..3�Z - 4.j..f'
Bldg.Permit#: email: /ipm�n 4 ! /YIGtc�• Cd
Tax Map District: 1000 Section: 7 Block: Lot: o?2—
BRIEF DESCRIPTION OF WORK (Please Print Clearly) R
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 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
82-Request for Inspectlon FormAs
�yffQ(t BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
G 2 7 201Towri_Hall Annex - 54375 Main Road - PO Box 1179
� ,► a. AU
A Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roper.riche rtCcD-town.southoId.ny.us
5
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: pr- ErL L Date:
Company Name: .S
Name: n1
License No.: 3 email: { ,ki
Address: aPOD� tJ
Phone No.: (2,31 a0p_l
JOB
Q 1 -
JOB SITE INFORMATION: (AII Information Required)
r
Name:
Address:
Cross Street: „3S/4 .JH/�'S �D�1�E .So uTiYd /LP
Phone No.: 63"_rf
BIdg.Permit#: email:ZonoMR4 0 L / AJ- Cd
Tax Map District: 1000 Section: 7 Block: 3 Lot: o?2--
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply: .
Is job ready for inspection?: YES.!'NO Rough ln" Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information;i5)3
(All information required)
Service Size Ph Size: A #Meters bid 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
82-Request for inspection FormAs OD
C6�fov
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special:
Comments ��
on I
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