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42603-Z
��o�psuFF�t'�cp Town of Southold 3/2/2021 P.O.Box 1179 0 CIO, 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41866 Date: 3/2/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 645 Golf View Ct.,East Marion SCTM#: 473889 Sec/Block/Lot: 30.-2-133 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/20/2018 pursuant to which Building Permit No. 42603 dated 4/24/2018 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: "As built" accessory in-ground swimming pool, fenced to code, as applied for The certificate is issued to Thompson Design&Dev LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42603 03-01-2021 PLUMBERS CERTIFICATION DATED Aut o 'ze Signature Su�oc� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy,• 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#: 42603 Date: 4/24/2018 Permission is hereby granted to: Thompson Design & Dev LLC 1974 Decatur Ave Bellmore, NY 11710 fA To: legalize an "as built" in-ground swimming pool as applied for. At premises located at: 645 Golf View Ct., East Marion SCTM # 473889 Sec/Block/Lot# 30.-2-133 Pursuant to application dated 4/20/2018 and approved by the Building Inspector. To expire on 10/24/2019. Fees: AS BUILT- SWIMMING POOL $500.00 CO - SW MING POO $50.00 Total: $550.00 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. 1 0 New Construction: '' Old or Pre-existing Building: (check Je) Location of Property: House No. Street Hamlet Owner or Owners of Property: sc� Suffolk County Tax Map No 1000,Section 'bc:> Block Lot `f, 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: $ Appl' t Signature ®�a0r SO(/r�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® sean.devlin(aD-town.southold.ny.us Southold,NY 11971-0959 st° COUN N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Thompson Design & Dev LLC Address: 645 Golf View Ct city:East Marion st: NY zip: 11939 Building Permit* 42603 Section 30 Block- 2 Lot 133 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Dan Wilcenski Electric License No: 4723ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New 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 1 Wall Fixtures 3 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 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. Pool Heater, Intermatic Pool Panel(8 Circuit), Salt Generator Notes: " AS BUILT NO VISUAL DEFECTS " POOL Inspector Signature: Date: March 1, 2021 S.Devlin-Cert Electrical Compliance Form.xls ho�aOF 50Glyo� # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1602 INSPECTION - FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULAT ON� / [ ] FRAMING /STRAPPING [ FINAL OWE [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR OF SOGIyOIo � ��✓ VI ��T V ��i F/�/ — " * * TOWN OF SOUTHOLD BUILDING DEPT. - IOU wiv,��'' 765-1602 INSPECTION ,[ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT,CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: AA �fel C4 P DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) y ----------------------------- 'FOUNDATION (2ND) �y O ROUGH FRAMING& % t4 y v� PLUMBING C� ii -9� INSULATION PER,N.Y. 114 H STATE ENERGY CODEUAW= 4Ai�t,Z7) fio Ala 4� FINAL ADDITIONAL COMMENTS 660,Com" + C.- l©D C°)I ) 0 3 t� Z O d b H 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. ;2� Check Septic Form N.Y.S.D.E.C., Trustees, C.O.Application Examined 20n Flood Permit D IECF, Single&Separate D Truss Identification Form A P R 2 0 2018 Storm-Water Assessment Form l� Contact: Approved '20 D s) :!htnC5d/) Disapproved Je SOUTHOLD Phone: , 6 0(- Expiration 6 20 Building Inspec or 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 throughoufthe 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 Southld,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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises c�esJak 0 ry�. (As on th63ax roll or latest deed) pp icant is a co o on, si onze o icer (Name an o orate offic Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. L ation of land on w ich proposed work will be done: House Number Street Hamlet } County Tax Map No. 1000 Section —�� Block 2 Lot 6 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 ther Work � r� 0DO (Description) 4. Estimated Cost ��Fee'iy�. : •v ,�-`n _,bb paid on filing this application) If dwelling, number of dwelling units t a Number of dwelling unit on each floor If garage, number of cars '-'6:. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Frontf�`'ga` '' �'' is " Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories �. Dimensions of entire new construction: Front Rear Depth Height Number of Stories' Size of lot: Front Rear Depth . Date of Purchase Name of Former Owner 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.G. 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 OF0I J�Q C)f-\Q S 1 Y 'oYY =0f) being duly sworn, deposes and says that(s)he is the applicant ame of individual signing contract)above named, (S)He is the 0 t)o C' f C (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. 'TRACEY L. DWYER NO UBLIC,STATE OF NEW YORK Sworn to before me this 01 DW6306900 day of Y i ` 2016 UALIFIE IN SUFFOLK COUNTY N EXPIRES JUNE 30,2112 Notary Public Signature of Applicant a SO y} Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 *Southold,�4 7 .1 5� P ( ) Tele hone 631 765-1802 i i (631)765.-g.502. P.O.Box 1179 G . ,{► r r.richert(a town sou-0 ny us Southold,NY 11971-0959 BP MENT ` TOWN UTHOLD i BUILDING DEPARTMENT TOWN OF SOUTHOLD ' APPLICATION FOR ELECTRICAL INSPECTION I i REQUESTED BY: Mic Vp,.4t L.,Ji �5 Date: 10 I t o l Cn i Company Name: rvN j 1r,-.'e. W L k%o, Name: '(`�1�k� W% l� License No.. IL = M Address: �_ .S� Phone No.. I JOBS.ITE INFORMATION: (*Indicates required information) *Name:, ��1ot�nckI �' o`M Sova *Address: S Ga *Cross Street: mc��`^ Ste% •� *Phone No.: — �j'1 - _.. C��3 Permit No.: 42 i Tax-Map District: 9000 Section:, Block: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) l Is job read � f y for inspection: (YES�t Rough In Final *Do you need a Temp Certificate: Temp Information (if needed) *Service Size: 9 Phase 3Phase 100 150 200 300 350--1 X400 Irl rOt er.� rviRe-connect Undergroun Number of,Meters Change o1 CEE rvc� Additional In ormation: PAYMENT DUE WITH APPLI TION - 82=Requdst for Inspection Form _, s T f BUILDING DEPARTMENT-Electrical Inspector VTOWN OF SOUTHOLD ��, Town Hall bnnex- 54375 Main Road - PO Box 1179 tot, Southold, New Y rk 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro err south Idtownn . ov seand southoldtownn . ov i APPLICATION FOR EL �CTRICAL IN PECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: P Y �Ca,. wtlck, Name: License No.: 4J7 Z-3 - M l= email: Address: /3 ox ov s f-71 Phone No.: 3 - Z a z,9 JOB SITE INFORMATION (Ali information Regjl ired) Name: ons S u� �, t 'bC, Address: (� o/4 Vi rA,.) e-1-- F-47 t-,41A---r 0� . Cross Street: Phone No.: Bldg.Permit#: t�- ,2 (� 63 i email: Tax Map District: 1000 Section: 3 D Block: Z_ Lot: 133 BRIEF DESCRIPTION OF WORK (Please Print Clearly) f i i Circle All That Apply: I Is job ready for inspection?: S NO Rough In nal i Do you need a Temp Certificate?: YES / NO Issued On All information required) Temp Information: ( , - Service Size 1 Ph 3 Ph Size: - #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground- Overhead #Underground Laterals 1 2 H Frame Polo Work done n Service? Y N Additional Information: j E I �© 10 �i of i i cWITH E 10% ct\ P 3 E \ (SM) �NOE 418• 5N 3.0' Ow O� pE �Eo \ � �dF•'1G.� i PAF LE NE BROWN O ``\\\ \14O;e<1 Npw F�,,`E `� \ '� COARSE \P. Vb\\G O SAND WITH EROSION &SEDIMENT CONTROLS QOn P rFE\ _,: Nt3� C_ \ �� 10% GRAVEL ` (SW) Shall include but not be limited to: ,6\o� \ eSN,t M=.\ o_ �\ o, o A well maintained Construction Entrance'/ po l"� 5�5 cow Wire Backed Silt Fencltlg, stabilization & �� ♦_/ 550 Seeding of exposed and/or inactive soils. p. �Q4 SV.5 CDo �• 'Fog03 o��\ aR�R SAN/• _/ � \' � O � - �\ w o \\ pROp080 L V °EEo \ \ O 0 PROrawer. \y .� pQ \ \ o s S \stn T \ dai \\\20 \ \•/•i-� �•i• 01 �0 `� ,'—. •_$ o �g15t\ \ ood'c^ �pY �` Q\. \\ \ pROP pR\ v1P �+ � •6G• \ \\\ \\r grr0.TIP �' pR\N, ��� f�< \ a 6R� . �n \ \) PROpO pF c\�0�GQ � ape �\ / p Ln2 N \ � �9 � �yo PPrRoOVAL OF STOR WATER MANAGEtIEN Noeel �pOVIP CONTROL PLAN o n Co o �\do }ier?3b 0 o 10eD te: I /tOR �pSa Z, lee aargved by: \\ A„ C AOA N O01% jib \ \�\ N� v \ 6iF G°• \ t� > n O 0*C o✓ Co \ c3\ \•\�e a O( BOO{ S�{� Ga��,`.i�3 �6���.� ��\� / \ fi y C' \ Q�9,p0"� "Cre b��6 QF.R��`�� g> ��� t6o• i� CA 21 5 56V O e0 0 PROPOSED LOT COVERAGE: \\ \ FRENCH DRAIN DETAIL: i QQR®� �O ` � ?eLe HOUSE = 972 S.F. \ \ FRENCH-DRAIN PORCH = 86 S.F. 1 \ FINISHED DE 2- (RIP-RAP) TOTAL 1,058 S.F. OR .3% • jJ ;• NOV. 09, 2015 AMENDED PROP. STRUCTURES ; STORM WATER LEACHING POOL OCT. 13, 2015 AMENDED PROP. STRUCTURES �— — T\ DATE: AUG. 3, 2015 CAST IRON FRAME & GRATE REMOVE UNSUITABLE MATERIAL& JOB NO:2015-430 BACKFILL VIITH CLEAN SAND &GRAVEL CAMPBELL FOUNDRY, PAT. NO. 1007C I Survey for: NOTE- COVER VATH FILTER FABRIC y CERTIFIED T0: ALLOW 3” FOR FINAL PRECAST REINFORCED DURING CONSTRUCTION THOMAS J. THOMPSON THOMPSOIV ADJUSTMENT OF FRAME CONCRETE TRAFFIC TOP THOMAS J. CHICAGO TITLE INSURANCE SE DRAINAGE CALCULATIONS RVICES,/r_- 0.67' At i.� (POROSITY OF FRENCH DRAIN (0.390)) East Marion IQ REQUIRED: Town of ti "•i T,a s Southold LU - ® ® ® ® ® TENNIS COURT = 7000 S.F. �. - L;� ® ® ® ® M 6120 x 0.2 x 0.167 = 208 C.F. Suffolk Count New York t I• ® ® ® ® ® TOTAL REQUIRED = 208 C.F. y' ® ® ® ® ® w PROVIDED: S.C.T.M.: 1000-030.00-02.00-133.000 N ® ® ® ® ® < TENNIS COURT DRAINS =`. 190 L-F. x 2 x 2 76 J 50 0 50f;,, y V ROPED A -1 NOTED DATE: , B.P.tf �1 � COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODES FE-. BY:Z501— AS REQUIRED M40 C0NDffl0N6-GF- NO FY BUILDING DEPARTMENT AT 755-1802 8 AM TO 4 PM FOR THE $0ItTHOLD TOWN ZSA FOLLOWING INSPECTIGNS: }{ ivvVil ► BOARD FOUNDATION - TWO REQUIRED FOR POURED CONCRETE S09HOLDTOWN S 2. ROUGH - FRAMING & PLN. C 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW OCCUPANCY OR YORK STATE. NOZ RESPONSIBLE FOR USE IS UNLAWFUL OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE OF OCCUPANCY aags ��D'� EN CLOSE POOL TO CODE UPON COMPL T iON, BEFORE , n otf u o I if�q 41 X rT ' tE t ilk DIVINIG, BOARD 0-0 LADDER rT FiT JNG - LE: A INLET 6 A 7 01- AUTOIJA71,:' S INWER UNDERWI-TER O ! • LIGHT '1* ' - O .(OPTIONALj* Of O A MAIN DRAIN n is r I L13 PLAN .0CO f f 3- r.x r. CTION A—A TILE FACING (wATEP A 1. LINE% THE DESIGN IS BASED ON A DRAINAGE SOIL WITi, <10%SILT. I- *AST" FILTER • Z ,GROUND WATER SMALL NOT EXIST WITHIN THE LIMITS Or'THE pump- VjilR-B LINT .4 6'-O'BELOW CATC LE WAT E RING-FACILITIES WILL BE REQUIRED. J.... % AM I GRADE SPECIAL V E-XCAVATION. IF GROUND WATER EXISTS WITHIN -- WATER DISPOSAL. IS LIMITED TO OWNER'S PROPERTY WATER LIKE NO ALLOWED VATHIN 4'-0" OF SHALLOW ENDE 3 3 BARS RETURN TO. AND 6'-0' OF DEVP.END. CONT. BOND BEAU INLET- (GUNITE) SMALL MARBLE THE PHELIMATICALLY APPLIED CONCRETE ALL AROUND f- DUST MAI BE A 1:4 MIX WITH A MA'XIMUM 0 GALLONS OF N.i - v Z FINISH F 3 TIES IZ"OC AA WATER PER SACK OF CEMENT. AI"A)-T REINFORCING STEEL SMALL BE INTERMEDIATE GRADE BILLET STEEL WITH A MINIMUM LAP OF 30 BAR DIAMETERS. POOL WATER SUPPLY By CrWNER'S GARDEN HOSE. - .- ARRAUG)A'—ZNT:-�i .- -- i 1:- f SCHEMATIC--=PtPING- RADIUS VARIES POOL TO BE KEPT FULL DURING FREEZING WEATHER. r,-to 24" S-4AI_t-Ji E N D 4,f. PUIJP CAPACITY_To 25- UP ON DE_r -24-HOURSI -STEEL REINFORIC.E.11 :'r 5 Archltdct of Record Seal Signature PIK �,D A DEP -C 5'-0' Nicholas A. Vero, A + TH 0rAnt, 170 Q51 1z' 0C se cc Architect, PC M "NA WALL SECTION yn 'Ve VERT. Izooc cc 120 Mill Road B r Westhampton Beach,NY 11978 B— 12`70 C-.EACHWAY On T:631-288-1404 • FLOOR .� F:631-288-0549 E:nveroarch@aol.com "WESH QUIVJLLEKT