HomeMy WebLinkAbout45611-Z SUFFO(kC, Town of Southold
ao� oGy� 4/17/2021
P.O.Box 1179
C:'
• 53095 Main Rd
yjj01 �ao�. Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41959 Date: 4/17/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Properly: 23650 Route 25, Orient
SCTM#: 473889 Sec/Block/Lot: 18.-5-16.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/8/2020 pursuant to which Building Permit No. 45611 dated 12/28/2020
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 Reichard,Amy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45611 3/29/2021
PLUMBERS CERTIFICATION DATED
Aut o iz S'gnature
S�FFnt�c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
y�pl � ,�aolss
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#: 45611 Date: 12/28/2020
Permission is hereby granted to:
Reichard, Amy
550 W 54th St Apt 23T
New York, NY 10019
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
23650 Route 25, Orient
SCTM # 473889
Sec/Block/Lot# 18.-5-16.1
Pursuant to application dated 12/8/2020 and approved by the Building Inspector.
To expire on 6/29/2022.
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 DEPARTM ENT
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 fonn).
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
I. 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. a ` 1 0,10
New Construction: ,/ Old or Pre-existing Nc_�
Building: (check one)
Location of Property: II�� n \�'\ A
House No. StreetHamlet
! �Vt Owner or Owners of Property: P�-yk nn
Suffolk County Tax Map No 1000, Section `�� Block C5<�_ Lot tv i
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: $ :JD Q_.j- CL
Applicant Signature
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I,Array Reichard,residing at 23650 Main Road, Orient NY 11957 do hereby authorize
Constantine Rigas to apply on my behalf to the Southold Building Department for any permits needed.
20
4
(Owner's Signature) (Date)
(Print Owner's Name)
®� ®f S®Ulf®�
Town Hall Annex ,.ee�� ® Telephone(631)765-1802
54375 Main Road _ Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �� sean.devline-town.southold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Amy Reichard
Address: 23650 Route 25 city Orient St. NY zip 11957
Building Permit#: 45611 Secti( 18 Block 5 Lot 16.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Elec License No: 3897ME
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 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 A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures 11 Pump
Other Equipment: Heater, Salt Generator, Pool Tranny, Pump, Pentair Pool Panel 10 Circuit- 6 Used
Notes: Pool
Inspector Signature: Date: March 29, 2021
S.Devlin-Cert Electrical Compliance Form.xls
�aOF 50U1y�
h� 6
* TOWN OF SOUTHOLD BUILDING -DEPT.
765-1802
-
INSPECTION
[ ] FOUNDATION -1 ST : [ ] 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: [�
4AZi DY=4Z
DATE INSPECTOR
TOWN OF SOUTHOLD BUILDINGDEPT.
765-1802
INSPECTION
FOUNDATION 1 ST ROUGH PLBG.
FOUNDATION 2ND SULT;07WCAULKING
FRAMING/STRAPPING FINAL
FIREPLACE &-CHIMNEY FIRE-SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION PRE C/O
REMARKS: -
INSPECTOR
TE vv
'FIELD-INSPEC ION REPL pa, ' DATE � �EAfT3
FOUNDATION(1ST)
-----------------
FOUNDATION(ZND) �O �
ROUGH FRAMING&
PLUMBING
I1+dSUI,ATION PER N..Y.
STATE ENERGY CODE-.-.i
YN
IN
b
SU
i
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
Southoldtown_ny.gov PERMIT 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
Contact:
Approved 20J' .- Mail to:
Disapproved a/c ^-e
Phone:9 t — ' qa-<1
Expiration 20
B ctor
1 DEC - $ 2Q�D PLIC)MON FOR BUILDING PERMIT'
• _ Date 20`ti0
B"7`7 -21711. INSTRUCTIONS
��,�� -
Jt����4
i6:_�i
a. This application MUST be completely filled in by typewriter ofin 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 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 fot the'issuance ofa.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 applicant
or nfimar4fa corporation)
(Mailing address of applicant) .
State whether applicant 1A owner lessee, agent, architect, engineer, general contractor,electrician,plumber or builder,
Name of owner of premises A YA�A \ % C
(As on,the taxroll 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 Zicense'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 Block �� Lot
"Subdivision Filed Map No. Lot'
2. State existing use and occupancy of premises and intendeuse and occupancy of proposed construction:
a. Existing use and occupancy <-e tolv.XNAA
b. Intended use and occupancy -e e1�+
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition �Wor (�.
(Description)
4. Estimated Cost 0`)1Q;01 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 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 S
13. Will lot be re-graded?YES NO Wi11 excess fill be removed from premises?YES,%>4�0
14.Names of Owner of premises Address �� Phone No `� �
Name of ArckitCct l Address 6 Phone No Q:)�( v
Name of Contractor Address -4b,,oPhone No.fo' i( -'I'L`r - Sib2ti_
15 a. Is this property,within 1Q0 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &-D.E.C. PERMITS,MAYBE 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 OFQ:2,t, )
�� being duly sworn, deposesend sa s that(s)he is the applicant
ONNI D.BUNCH
(Name of individual signing contract)above named, Notary Public,State of New York
No.01BU6185050
(S)He is the G-C N0,01A. Qualified in Suffolk Counly JJ
Contr ,tor,Agent, Corporate Officer, etc.y ammissoon Expires April 14, 2U__ .
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.
Swt before met '
day of Le 20,:;ta
Notary.Public Signature of Applicant
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
rogerr@southoldtownny.gov - sea nd@southoldtownny.cov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 2110 /21
Company Name: , Paul Burns Electrical Contractors Inc
Name: Bob Burns
License No.: 3897-ME email: pburnsjr@optonline.net
Address: PO Box 1061 Southold,NY 11971
Phone No.: 631-365-4735
' JOB SITE INFORMATION (All Information Required)
Name: , Reichard
Address:_ '23650 Rt 25 Orient
Cross Street: Platt Rd
Phone No.:
Bldg.Permit#: 45611 email:
Tax Map District:. 1000 Section:_ Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Wire pool, bonding and Pool panel,/equipment
Circle All That Apply:
Is job ready for inspection?: YE NO' �RoughIn Final
Do you need a Temp Certificate?: YES / 0 Issued On
Temp Information: (All information required)
r
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
�ARequest for Inspection Form.xls \oo
J
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
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Or Joseph Fischetti, F.E.
/ PROFESSIONAL ENGINEER
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23650 Main Road
Orient NY 11957
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COMPLY WITH ALL CODES OF R I GAS
SURVIS OF PROVEIM NEW YORK STATE & TOWN CODES
oITUArr APPROVED AS NOTED AS REQUIRED AND CONDITIONS OF DESIGN/BUILD
TOWN OF SOUT11OLD x
SUFFOLK COUNTY, NEW YORK DATE: •� �U
SC TAX Ne 1000-18-05-1f 1 B.P.#
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feP5l.L.Y II ID,D h _ Joseph Fischetti, P.E.
FEE: BY: PROFESSIONAL ENGINEER
UTHOLD TOWN PLANNING BOARD
AD 4 a 13113.. It
Dan NOTIFY .BUILDING DEPARTMENT AT
ec.
765-1802 8 AM TO 4 PM FOR THE -rVTnWN TRUSTEES
""��r"°— FOLLOWING INSPECTIONS: AI v r nrr+
RE—RD.R/./R ANY EVIAO[TN RCICNARO
fiDl,II,U-4 DANK ITS SUCCCSSORS AYD/OR ASDIGIS IY,'T.b-DCS
❑DCUTY NATIONAL TITLE INSURANCE CCUPANY 1. FOUNDATION - TWO REQUIRED
rxtsmc Dcimlvc C'OtAnAcg FOR POURED CONCRETE ;
11/27/20
2. ROUGH - FRAMING & PLUMBING
- -- - 3.' INSULATION R°,gyp
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
23650 Main Road
ALL CONSTRUCTION SHALL MEET THE _
REQUIREMENTS OF THE CODES-OF-NEW--' ; ? '. 4 Orient IVY 11957
YORK STATE�O-T–REST O J IB EfFC� r' N. `"?
f_DESIGNV QED–GONSTMI CTION '+ER-ORS.
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OCCUPANCY OR _ t �F' �� 525 �� Engineer
Sa►a�,
USE IS UNLAWFUL �58TA730 W TDS,P Joseph Fischetti, P.E.
D.r-iI —r,:,CT P.O.Box 616,Southold NY 11971
4 WITHOUT CERTIFICATE 6317652954
ELECTRICAL
OF OCCUPANCY RETAIN STORM WATER RUNOFF iNSPECTION REQUIRED
PURSUANT TO CHAPTER 236
Nathan Taft Corwin III
OF THE TOWN CODE. e' .. . �� -'pSurveyor—_
Land
ENCLOSE POOL TO�Y
- CODE
,UPON COM
SURVEY
RIGAS
DESIGN/BUILD
New Fence around entire rear yard, Joseph Fischetti, F.E.
V PROFESSIONAL ENGINEER
4' high, gates to code
a�
N
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11/27/20
23650 Main Road
Orient NY 11957
28'
PROJECT TEAM:
Designer/Builder
�. RIGAS CO
22260 main road,orient ny 11957
a a 2 2 {�" 6313238022
Engineer
Q� 'jS O t
Joseph Fischetti, P.E.
A!P.0.Box 616,Southold NY 11971
' i 631 765 2954
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RIGAS
- 14' x 2V Gunite Pool, reinforced with #4 rebar DESIGN/BUILD
- 22" Beam with b" thick walls and floors Joseph Fischetti, P.E.
PROFESSIONAL ENGINEER
- Mater Line Tile with Plaster Interior f=inish
22"x12" reinforced gunite pool - 2 Skimmers, 'I Returns
11/27/20
beam with (4) #4 rebars continuous
23650 Main Road
Orient NY 11957
Dater Line hashed
d.•' 4° �' PROJECT TEAM:
I..'
54 � Designer/Builder
a• : RIGAS CO
• a 22260 main road,orient ny 11957
°'• O' • • 631323 8022
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5" thick unite walls and floor with #4 rebars at �°'°go 521
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10"00, each way Vertical & horizontal P2
RIGAS
DESIGN/BUILD
Joseph Fischetti, P.E.
PROFESSIONAL ENGINEER
coping
water line 11/27/20
23650 Main Road
I Orient NY 11957
12"
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PROJECT TEAM:
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Designer/Builder
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`P O.Box 616,Southold NY 11971
631765 2954
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