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Home My WebLink About43714-Z �FFOt,f GSM Town of Southold 9/27/2020 P.O.Box 1179 W 53095 Main Rd �y,�� app }til Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41480 Date: 9/27/2020 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 50 Tepee Trail, Southold SCTM#: 473889 Sec/Block/Lot: 87.-2-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/29/2019 pursuant to which Building Permit No. 43714 dated 5/7/2019 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 Kelly,Paul of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43714 9/5/2019 PLUMBERS CERTIFICATION DATED ut d Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 5 • 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#: 43714 Date: 5/7/2019 Permission is hereby granted to: Kelly, Paul 8 Tide Ct Wading River, NY 11792 To: construct an in-ground swimming pool as applied for. At premises located at: 50 Tepee Trail, Southold SCTM # 473889 Sec/Block/Lot# 87.-2-19 Pursuant to application dated 4/29/2019 and approved by the Building Inspector. To expire on 11/5/2020. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 L $300.00 ( uilding Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN I4ALL w ` 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.aew use: 1. Final survey.of property with accurate location of all buildings, property lines, streets, and unusual natural or topographicofeatures. 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 oI Certiicafe'of"Occupancy= 23 _ _ . 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 / Date. New Construction: 7n P Old or Pre-existing Building: (check one) Location of Property: 5 Y1L 2.� 1 t House No. F Street Hamlet Owner or Owners of Property: 'Se4 �►-L—"'T Suffolk County Tax Map No 1000, Section i Block, Lot Subdivision Filed Map. Lot: Permit No. 4 Date of Permit. Applicant: KhA rl� Co Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Ofr SOU��®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G sean.devlinCc�town.southold.n us Southold,NY 11971-0959 y' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Paul Kelly Address: 50 Tepee Trail city Southold st: NY zip: 11971 Building Permit#. 43714 Section $7 Block. 2 Lot. 19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Yannucci Electric License No: 50592-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 X 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 1 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 Twist Lock Exit Fixtures Combo SD/CO Other Equipment. Pool Panel, Salt Generator, Time Clock, Pentair Heater, Pump w/ Single Use Outlet on a 220 GFI Breaker, Lights and GFI on a 115 Breaker, Bonding Notes* Inspector Signature: Date: September 5, 2019 S Devlin-Cert Electrical Compliance Form As SO9 3 7 / �o �pec-rpgoAl �O�aOF bly�lo / # TOWN OF -SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) fpo o L, [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATES INSPECTOR - # # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION r [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] -I ULATIOW AULKING [ ] FRAMING%STRAPPING [ FINAL [' ] FIREPLACE--& CHIMNEY [ ]- FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ]- ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS:_ no (�� Si U_ Ltvl Wk vex. �O Y / boy WL!> jv(jlr DATE INSPECTOR o��OF SOUjyo # # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 JNSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULAT 7AULKING [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE-& CHIMNEY" [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE-,RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 04 64-e.,, & SW 4r DATE- w INSPECTOR -`��• ��OE SOUTyo o TOWN OF SOUTHOLD BUILDING DEPT. couto 765-1602 INSPECTION [ '] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND- [ ] I SULA ION/CAULKING [ ] FRAMING /STRAPPING [ FINAL otl__* [ ] FIREPLACE & CHIMNEY [ ] FIRE'SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: QYN DATE INSPECTOR glyY1�� - FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) .................................... 'FOUNDATION (2ND-) ROUGH FRAMING& PLUMBING H INSULATION PER N,Y. y STATE ENERGY CODE �vr FINAL ADDITIONAL COMM J _ Cl A Inn c c/ 41 d 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 1 Survey Southoldtownny.gov PERNHT 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 ontact: Approved ,20 Mail to: Q� (� Disapproved c Q Phone: (p 1 -a98-- lo'r�1 Expiration 20 Building In ector DAPPLICATION FOR BUILDING T APR 2 9 2019 Date Apr 20� INSTRUCTIONS r'4.J��LVl11 completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of p ans,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. Norhf ez6 f?)DL (Signature of applicant or name,if a corporation) q7co e, ,J c� � mu (Mailing address of applicant) State whether ap licant 's owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises SCc RDr MAJ,6— (As on the tax roll or latest deed) If appli�an,is a co ration, sign re of_(�uly thorized officer 1 Cit° ame an title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 59(q 1. Location of land on which propose work will be : don 60 Oj )"J Q7 House Number Street Hamlet County Tax Map No. 1000 Section 8-7 Block. �p�, . . , Lot ��-/� Subdivision Filed Map No. Lot a 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�ZO— ) Sv-tr-0--�I (v (Descriptio 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 Sy(tories,- 8. Dimensions of entire new construction: Front Rear t i I I "Depth'- Height epth'Height (� I Number of Stones 9. Size of lot: Front----/8O- Rear ofa� Depth 10 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 premt'ses?YES V-'NO n Tit 14.Names of Owner of premises SC6-6-- Rel Address ,ck) A1y Phone No. (03t—666--"7gtoL3 Name of Architect Address Phone No Name of Contractor 1,j,�A ,)r KJ C ('A re Addresswo1�4 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 NOS/ *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 � 1(-'53,J p- l trs- being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the J,,j 0 f j- Clq lam. f S� (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 't1 day of M&D 20/8 Notary Pu c TRACEY L. DWYER Sign e of Applicant NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY �1 COMMISSION EXPIRES JUNE 30,2�p� Scott A. Russell �°51111Q'r ST0]kN[WA\T]E]k SUPERVISOR SOUTHOLDTOWNHALL-P.O.Box 1179 MANAGEMENT 53095 Main Road-SOUTHOLD,NEW YORK 11971 40 0 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES TMS PROJECT INVOLVE ANY OF nffi FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑�A. 'Clearin grubbing, grading g, g g, g ding 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. ❑LE C. Sitere aration on slopes P p which exceed 10 feet vertical rise to ❑d100 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑Q E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑E3"'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 A 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: Se District NAME: 10 S� QoZ O Section Block Lot FOR BUILDING DEPARTMENT USE ONLY** Contact Information: �— rrcicp7c,r Nvmbnl Reviewed By: — — — — Date: Property Address/Location of Construction Work: — — — — — — — — — — — — — — — — — Approved for processing Building Permit. Stormwater Management Control Plan Not Required. 071 Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 \00• BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roper.richert(a town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED-BY. V- Date: - Company Name: �.,, nKcc- LeC. i Name: License No.: 50�� Z—yo email: Q/,�� CJ cS�l e c�"f�C�, ' r►c.C o �-- Address: o 6.3e I-w•d-k-� ✓� 11� Phone No.: ( 3 L2- JOB SITE INFORMATION: (All Information Required) Name: 13.4Zmcr Address: rc> -re eq_ca_ r-L . Cross Street: Phone No.: Bldg.Permit#: j email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) (pool. L7-" leovnP Circle All That Apply: Is job ready for inspection?: NO Rough In incl Do you need a Temp Certificate?: YE%/ Issued On Temn Information: (All information required) - - Service Size Sizer-- --�+ Metersz Old Meter# New Se a econnect- Flood Reconnec - onnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? 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M7AL AIM =IRM M Pr P "IMM rtae�s+Ww 4urt,u r�As 'sets_ 4r gan L i APPROVED AS, NOT ED � CpMPLY WITH ALL CODES OF DATE:5 B P.# 3 NEW YORK STATE &TOWN CODES �co B� �pi� AS REQUIRED NOTIFY BUILDINC=, DEPARTMENT AT ARD 765-1802 801 TO PrA FOR THE S FOLLOWING- INSPECTIONS: S4STEES 1. FOUNDATION - TWOQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST U�Ai�4C i OR COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEF_T T��E � REQUIREMENTS OF THE ECODE 6OE FOR USE IS UNLAWFUL YORK STATE, NOT WITHOUT CERTIFICATE DESIGN OR CONSTRUCTION ERRORS. OF OCCUPANCY _ °°JwljMSDl��p CODEDIE oSE POFF ENCtO RETAIN STORM WATER RUN UpoN COMP ATEFV PURSUANT TO CHAPTER 236 OF THE TOWN CODE. OLUMCAL WSPECT[ON REQUIRED R � y - ---- - - -- -- - - - - -- -- - - -- ------ - -- - ---- ---- -- - - - �� : P/0 ! vc cry f d . 41so upr�tCnI t y o, ery Fag, a . �-qa�-q UP . � ,jh-I is � Fo r- a Uo t J!-e ' . . ' ' �., - size lc� ' x,�l� • r BORDER PATTERN�„ ,.,.,, ' . . 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