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Home My WebLink About44458-Z FF Dt,fC Town of Southold o� oG 1/21/2021 3o y� P.O.Box 1179 e 53095 Main Rd oy o�4� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41748 Date: 1/21/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1055 Old Farm Rd., Orient SCTM#: 473889 Sec/Block/Lot: 26.4-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/18/2019 pursuant to which Building Permit No. 44458 dated 11/25/2019 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 Cedar Farm LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44458 11/16/2020 PLUMBERS CERTIFICATION DATED rAi)., ho ' e gnature 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#: 44458 Date: 11/25/2019 Permission is hereby granted to: Cedar Farm LLC 63 N First St Brooklyn, NY 11249 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1055 Old Farm Rd., Orient SCTM # 473889 Sec/Block/Lot# 26.-4-3 Pursuant to application dated 11/18/2019 and approved by the Building Inspector. To expire on 5/26/2021. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Building Inspector Form 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 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 Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. C//// 1 New Construction: Old or Pre-existing Building: (check one) Location of Proptccv v AN 00-0_4& House No. Street Hamlet Owner or Owners of Property: � �! r5 Z-C_C Suffolk County Tax Map No 1000, Section / Block Lot 3 Subdivision / Filed Map. Lot: Permit No. J Date of Permit_ Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: 7� Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature soU��®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road MW Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � Sean.devline-town.Southold.ny.us COW, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Cedar Farm LLC Address: 1055 Old Farm Rd city,Orient st: NY zip: 11957 Building Permit#: 4445$ Section. Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA- Platinum East Electric License No: 34091 ME 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 Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel X A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches 4'LED Exit Fixtures Pump 1 Other Equipment, Intermatic Pool Panel, Heater, Pump, Salt Generator All on 220GFCI Breaker Notes: " AS BUILT, NO VISUAL DEFECTS " Pool Inspector Signature: Date: November 16, 2020 S.Devlin-Cert Electrical Compliance Form As laF SOUTyOIo # TOWN OF SOUTHOLD BUILDING DEPT. °�ycourm N�' 765-1802 INSPECTION [ ] FOUNDATION 1ST ` [ ] ROUGH PLBG. A - 1 FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL pmt-_� [ ] FIREPLACE & CHIMNEY [ ] 2 FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] RE;C/0 REMARKS: 0 ec, C - � t DATE INSPECTOR lafs Ll qG6 10 '3�S 0 tjj 'TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 - INSPECTION I FOUNDATION 1ST ROUGH PL13G. FOUNDATION 2ND INSULATIOWCAULKING FRAMING fSTRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O REMARKS:- NZ DATE INSPECTOR L4 qLi Jeffrey Sands Architect February 6, 2020 1055 Old Farm Road Orient, NY 11957 RE: Swimming pool rebar inspection Attention Town of Southold Building Department: Upon inspecting swimming pool rebar at the above mentioned property I find all to have been installed to meet current building code requirements. Sincerely, VED ARc QC){ 04 SOF NES Jeffrey Sands Architect FEB 2 1 2020 6 Evergreen Lane, East Quogue, New York 11942 phone-631-375-5997, fax, 631-576-8916 email— sands(chotmail.com 's IT _ FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) ------------------------------------ C FOUNDATION (2ND) z ® o . G H ROUGH FRAMING& PLUMBING c ®r INSULATION PER N.Y. y STATE ENERGY CODE p fig 1 JC/ boe FINAL 1t color ADDITIONAL COMMENTS U 'i o Z m IX � O ® z x 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 Suryey Southoldtownny.gov PERMIT NO. Check. Septic Form N.Y.S.D.E.C. Trustees C.O.Application r "it f J Flood Permit Examined ,20 'r ! �_3 ; : 'j l Single&Separate 1 � Truss Identification Form ®v 18 2019 Storm-Water Assessment Form Contact: U Approved 20 �t.,� 1 :�, ;: 3'. = Mail to: I ja Disapproved a/c Phone:_6 31-- 5177-06757_ Expiration ,20 Buildiffg Inspector APPLICATION FOR BUILDING PERMIT Date October 29th 2019 INSTRUCTIONS a. This application MUST be completely filled in by typewriter'oi in ink'and submitted to the Building'Inspector with4 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 applict or name,if a corporation) 449 Main Street, reenport NY 11944 (Mailing address of applicant) State whether applicant is owner, lessee, agent,architect, engineer, general contractor, electrician,plumber or builder Design-Budd Contractor Name of owner of premises Cedar Farms LLC;C/O Aosta LLC (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer Dave M Murray;President (Name and title of corporate officer) Builders License No.51443-H Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1055 Old Farm Road Orient House Number Street Hamlet County Tax Map No. 1000 Section 26 Bl'ocko4; r_ .:'r{1=`; Lot 03 Subdivision l ct 15a V"'q J Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occu ancy of proposed construction: a. Existing use and occupancy fp ILL-2 2 b. Intended use and occupancy YY�SL. 3. Nature of work(check which applicable):New Building Alteration Repair Removal Demolition Other Work Pool ' ( escription) 4. Estimated Cost $60,000 Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units N Ver of dwelling units on each floor If garage, number of cars `} `' i Vpy,0 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 new construction: Front Rear Depth Height Number of Stories 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_t&_ 13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises 09 1:�e„na .L L C Address I Mw'A, 51'• 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 X * 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—QF Suffolk j6q' being duly sworn,deposes and says that(s)he is the applicant (game of individual signing contract)above named, (S)He is the President f Murray Design&B ' (Contract ,Agent, orporate 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 before me this 0to0! day of NQV f M Clr 2019 o'er jWtjjNs'o_tary Publi TRACEY L. DWYER Signature of Applicant NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2JO&O-1, i o r BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 o ® Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 Ol �' roger.riche rt(cD-town.south old.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: (-2-ho Company Name: v — RE-0721C Name: License No.: M t,_ 3�Q 9 email: a rv�t�r>°w s it •� crv. 6 Address: 3 / l- /l vv�(u�D �(J • S7 f' Phone No.: JOB SITE INFORMATION: (All Information Required) Name: -A (L -A-LI L(C Address: cr:0 R (W 12(en1 Cross Street: Phone No.: i - Yd-, Bldg.Permit#: LH qs& email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (PIP:),,L Print Clearly) (d� L-- ,t/ Circle All That Apply: Is job ready for inspection?: OE NO Rough InDo you need a Temp Certificate?: NO Issued On Temp Information: (All information required) Service Size 1 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: 1 r` PAYMENT DUE WITH APPLICATION L_), Vo 1 NOV 1 2 2020 Request for Inspection FormAs `- I J✓ +BuMnT E^;i kF "\* �g11FFl �►� BUILDING DEPARTMENT- Electrical Inspector ,y4 TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o • �'* Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(c-town.southold.ny.us APPLICATION FOR""ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name, A S Name: email: i�`► `3-Yrs.. .l u % eus Gordo. Address: 3 'Lk - -, f 00-1WJC- /v Phone No.: JOB SITE INFORMATION: (All Information Required) Name: A-(Z,1 u c Address: 00 _ R 1W R[env(— Cross Street: Phone No.: 6,3 k - I G-5- -R Yv� Bldg.Permit#: 9 Ll LIES email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (PI se Print Clearly) (oo �u� I�SP�c7d�- wr4s pow 3-(3-2n Circle All That Apply: Is job ready for inspection?: OES / NO NO Rough In Final Do you,need a Temp Certificate?: Issued On Temp Information: (All information required) Service Size 1 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 , ! ' NOV 12 2020 Request for Inspection FormAs TOWN O1'�0TP.fT10J,P PERMIT# Address: Switches Outlets G FI's Surface Sconces HH's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes QW - Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini Y Special: � r Comments: C� 'Z-Eoc>i�r � � A7 �� i Scott A. Russell °SU S STOR IM[WA\TJER, SUPERVISOR MANAGEMENT T SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 tik Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS, PROJECT INVOLVE ANY of THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑FA 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. ❑Q D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑EIE. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑Eg'*"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 question's 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. #: 1 OOO Date: ' /�/� 7 / D�ock l NAME. V /�t Gi1r� Qf (/P j� wrrmi Section Lot ` 1/C�G�—fd�lL� - �'g""°"' FOR BUILDING DEPARTMENT USE ONLY Contact Information q� ,'rdephone NumArrr /v'1 ] Reviewed By- s Date. Property Address /Location of Construction Work: — — — — — — — — — — — — — — — — Approved for processing Building Permit ISS6 o Fr,,r.•,s P, c—t Stormwater Management Control Plan Not Required — — — — — — — — — — — — — — — U6'i Y ❑ Stormwater Management Control Plan i�Required. (Forward to Engineering Department for Review) "zQRM SMCP-TOS MAY 2014 170.40 SOX 1"70 00° of PnV�..r�rr 'I 011. C N�J�26001 [E3t(� ELVR G#� • SQysr E;AIt_ FENG� p Q wet s- ` r•' uLd93LOT 320 ` F.K' ,,, \\ % 23.3 \�� oPaSED W � ae?o. ; i vrIMFLR• E 20.0 !� \\ .....�. ARF-A / \ •� 3 b1 NO / \\ J AMA 4r OF \ �A�10 �, ! QW / OI .,,,,.,• ,," ,'��9\ O til� / •�`...•.. r �. � MIM Ir. PAIa 1 scan 65toe9 �^' 2°k oa VACANT WOOD�p P� is a Bich-Chou: 1055 Old Farm Road Project Site Plan with Pool for Permitting v�Q/Fr MAR I ANNF— FAH5 APPROVED AS NOTED DATE: B.P.# FEE' BY: RETAIN STORK WATER RUNOFF NOTIFY BUILDING DEPARTM AT PURSUANT TO CHAPTER 236 765-1802 8 AM TO 4 PM FOR THE OF THE TOWN CODE. FOLLOWING INSPECTIONS: 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 AS REQUIRED AND CONDIT!ONS OF .rni iTunl n T IM 7 A vvv i�iv�u �v�-'rr-ccrT� fi6L�ifi�,�PL°L�NG BOARD PEJ " � { ,f X069, ' TRUSTEES j" %,PON COMPkCT� d' 74, OCCUPANCY OR USE IS. 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