HomeMy WebLinkAbout46097-Z S �
Town of Southold 6/6/2021
o P.O.Box 1179
o • � 53095 Main Rd
y�jOl ,taoir' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42053 Date: 6/6/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 705 Highland Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-8-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/8/2017 pursuant to which Building Permit No. 46097 dated 4/16/2021
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 Miller,John&Florence
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46097 11/20/2017
PLUMBERS CERTIFICATION DATED
I
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nature
�SafFoc��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N z TOWN CLERK'S OFFICE
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#: 46097 Date: 4/16/2021
Permission is hereby granted to:
Miller, John
705 Highland Rd
Cutchogue, NY 11935
To: Construct accessory in-ground swimming pool as applied for.
Replaces BP#41970
At premises located at:
705 Highland Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 102.-8-1
Pursuant to application dated 4/16/2021 and approved by the Building Inspector.
To expire on 10/16/2022.
Fees:
PERMIT RENEWAL $150.00
Total: $150.00
Buil i g nspector
TOWN OF SOUTHOLD
��o�SUFFo�,r�oo BUILDING DEPARTMENT
TOWN CLE'RK'S OFFICE
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#: 41970 Date: 9/14/2017
Permission is hereby granted to:
Miller, John
705 Highland Rd
Cutchogue, NY 11935
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
705 Highland Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-8-1
Pursuant to application dated 9/11/2017 and approved by the Building Inspector.
To expire on 3/16/2019.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
BWi ctor
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.
New Construction: �,y Gn Id or Pre-existing Building: (check one)
Location of Property: 26r,57 zm
House No. Street Hamlet
Owner or Owners of Property: ZY0, A.) /—///-Z,&-7Z
Suffolk County Tax Map No 1000, Section /p Z_ Block 0 Yj Lot D I
Subdivision g?41,tz jyy'D 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: $ /�J
Applcant Signature
pF SOU��®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 ® a� roger.rich ert(a)-town.southoId.ny.us
Southold,NY 11971-0959
Comm
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John Miller
Address: 705 Highland Road city.Cutchogue st: New York zip: 11935
Building Permit#: q 6(D`17 411-9-�Section: 102 Block: 8 Lot: 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: Electric Tec. Inc. License No: 4814-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: Inground Swimming Pool to' Include: Bonding, 1- Pump, Pool Lights, 2- GFCI Circuit
Breakers.
Notes:
Inspector Signature: Date: November 20, 2017
f
0-Cert Electrical Compliance FormAs
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TOWN OF SOUTHOLD BUILDING DEPT. '
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
6/14e�
DATE 1 INSPECTOR
pF S0l/Jy��
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] -FOUNDATION 2ND = [ ] I ULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL Pm�
[ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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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 o/
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey ✓
SoutholdTown.NorthFork.net PERMIT NO. 70 Check ✓
Septic Form
N.Y.S.D.E.C.
Trustees
D ���Q(�j C.O. Permit v� Flood Permit
Examined 20 0 Single&Separate
� P' Zo�7 Storm-Water Assessment Form
Contact:
Approved ,20� Mail to:
Disapproved a/c DUMPING DEM
TOWN OF$pjJ'r$ULD
hone &3j-73Y- ,?&&5__
Expiration ,20 .
Buil i or
APPLICATION FOR BUILDING PERMIT
Date 9/ , 20_ZZ
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 Budding 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 complefed 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 Southpld,Suffolk.County,New York, and other applicable Laws, Ordinances or
Regulations, for the construction of building's,additions,or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws,'ordinanees,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
r�iy7-5 7z)z
Name of owner of premises -_-S00/V 14 j LZe-Z
(As on the tax roll or latest deed)
If applicant 's a corporji , s' n�Xlre of duly authorized officer
ame and tit e 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:
D &uic/I-- 6
House Number Street Hamlet
County Tax Map No. 1000 Section /'/JZ_ Block - Lot, .{,
Subdivision Filed Map No. Lot.
2. State existing use and occupancy of premjises and intended use and occupancy of proposed•construction:
a. Existing use.and occupancy / g7,oi2y E. 2c-�r�7c�c
b. Intended use and occupancy/ 54g7,
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal i DeTolition-:- ,k ¢$,��-��,� e,� {Vj�or.1�__ -��
+,.--
4_j �# t (Description)
4. Estimated Cost / .ay i r f Feer .,
rn a y - (To'beUaid on'fifing'this application)
5. If dwelling, number;'of dwelling units Number of dw@fffig units on each floor
If garage, number,of cars
• �,.,_, rte, -.
,6.1 If business, commercial or mixed occupancy, spe6fy�:n4tur0,and:exterlt of,-each type of use.
7. Dimensions of existing structures, if any:;Front Z,9 Rear 5-2,7 Depth 3 0
Height od' 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 NumbE;r of�Stories
9. Size of lot: Front Rear /�Fl `/''� Depth -,:?/y
I
10. Date of PurchaseName of Former Owner '
1 . Zone or use districtin which premises are,situated 2�3.a �s
1 . Does proposed construction violate-any,zoning low, oxdfnance-or xegulation?YES NOS X
13. Will lot be re=graded? YES •NO r , ;Will'excess fill,be removed from premises?YES X NO
14. Names of Owner of;premises-_muNt--3 Address 7L6--14,5 A:,- rz- Phone,N6.4`3 4 - 7�I
Name of Architect ' ,- k Address- """ Phone No,
Name of Contractoi,8gi 7LjK,P4,c,e s i_-7p, ' { I ' Address--Pb e) &,,/ei Jee,r ,Phone No:1,3J-735 7e,e's
1 a. Is this property within 100 feet of a tidal weilai3d,or a freshwater wetland? *YES NO' X
� , _
IF YES, SOUTHOLD',TOWN TRUSTE 'Ail6 .C. PERMITS MAY BBIREQUIRED.
b. Is this property wit�hin`300 feet of a tidal 'wet.aiid? *YES; NO
IF YES, D.E.C. PERMITS MAY BE REQUIRD,
1 . Provide survey, to scale, with accurate f6tindaiion plan and distances to property lines.
Y . If elevation at any point on property is at 110 feet or below, must provide topographical data on survey.
1 . Are there any covenants and restrictions Vlith respect to this property? * YES NO X
IF YES, PROVIDE A COPY.
S--ATE OF NEW YORK)
COUNTY OF�_�
W 1 being duly:sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above pam'ed,
(
S He is the '
(Contractor,Ageht, Corporate Officer, etc.)
of said owner or owners, and is duly authorized toy perform or have performed the said work and to make and filethis application;
th it all statements contained in this application are;true,to the best of his knowledge and belief; and th4t the work;wil I be
performed in the manner get forth in the application filed therewith.
Sworn before me this I '
ay of 20
Al L
oto o. 1 79505 Signature ofApplicantl
Qualified in Suffolk County
Commission Expires Dec.8, �
Scott A_ Russell � ��,
SUPERVISOR a IM[A\NA.,G]ENUEN T
SOUTHOLDTOWN HALL-P_O-Box 1179 '1
53095 741ain Road-SOUTHOLD,NEW YORK 11971
o - Town of Sroutho&
CI-LUTER 236 - STORM WATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT)
Yes No (CHECK ALL THAT APPLY)
F1[ A. Clearing, grubbing, grading or stripping of land which affects more
,/ than 5,000 square feet of ground surface.
F] B. Excavation or filling involving more than 200 cubic yards of material
within i any parcel or any contiguous area.
❑QfC_ Site preparation on slopes which exceed 10 feet vertical rise to
{ 100 feet of horizontal distance.
❑ Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
El 0"'E. Site preparation within the one
floodplain as depicted
on..FIRM Map of any watercourse.-
- i
®[�rF. 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 of a Stormwater Management Control Plan
and a completed Cbeck List Form to the Building Department_,&ilLyour Building Permit Application.
APPLICANT. (Property Owner,Design Professional.Agent-Contractor,Other) - S.C.T M. = 1000 Date
Dstrio
NAME �J9l/x 2ULL-e L771
Section Block Lot
r
170TH B"J"ILD11G ?JEFF`P"l-I \"1- l:�L. ;�`;l-;:
Cont,ci Information to 3l -73y-�106 S
Reviewed By_ Q C ,
— — — — — — — — — — — — — — — — — —
PrDate:o eny Address / Location of Construction Work. — — — — — — — — — — — — — — — — —
_ Approved for processing Building Permit
Stormwater Management Control Plan Not Required
— — — — — — — — — — — — — — — — —
,C/93� � Stcrm.vater 1`Aa;tage��e•„ Cci�t;al P.a:. •�P.c:,:.,,e;,
(Forward to Engineering Departmeni for Resew)
-ORM - SMCP - TOS MAY 201,1
a 1o
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SO�lyo -
Town Hall Annex 411 Telephone{631 . 65-1•$ 2
54375 Main Road . � QI� 1�!j
P.O.Box 1179 G rocier.richert _towns UtFi�ld• y.us
Southold,NY 11971-0959 �� : I I
1ilm U OCT 3 1
2017
BUILDING DEPARTMENT T.
TOWN OF SOUTHOLD �0'YIN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY.
'� hn�rit Date:
Company Name: — to -2C_ n C_-
Name:
License No.: _ VY\C
Address: � , - MY. ®j
Phone No.: ce( k g[.' - ---3 ��
JOBSITE INFORMATION: (*Indicates required information)
_-*Name:-- ---- -----
'Address:
---*Address:
*Cross Street:
*Phone No.: --
Permit No.: T-70
Tax Map District: 1000 Section:1O,9 e, Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) sp ` �lcv�n�►,ih�'e
(Please Circle All That Apply)
*Is-job ready for inspection: - OESNO Rough In - Final
*Do you need a Temp Certificate:
Temp-information (If needed}
*'Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
RICO if
coo
82-Request forinspection Form
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AP ROVED AS NOTED r�
DATE: B.P. v
FEE:; BY:
NOTIFY BUILDING DEPARTMENT AT ELECTRICAL
765-1802 8 AM TO 4 PM FOR THE INSPECTION REQUIRED
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL !' >' it)N MUST
BE COMFL-:` . #'J4 C.O.
ALL CONSTr . 01N SHALL MEET THE
REOUIREMEN:S OF THE CODES OF NEW RETAIN STORM WATER RUNOFF
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
L �°
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2, "
E� SE ,OOLTQCO. DE
- OARD PB O� COMPLETION
ORE ,WATER
`SBtf M T09PN7MES
OCCUPANCY OR
USE ,IS, UNLAWFUL
WITHOUT CWIFI�CATE
OF OCCUPANCY
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POOL SIZE INITt1 STEP A B C D E F G H tc L M N GALLONS D
12X24 12X28 12'-0" 24'-0" 3'-4" 6'-0" 6'4, g'-0" 93" 41•0" 4'40" 4'.3" 4'-0" 6-3-118" 9,050
16X24 16X28 16'-0" 24'4" 31-6" 7'-0" 6'4r, W.V. 6'-3" 4'4" 4'4" 8'-3" A'-0" 6'-3-118" 13,750
16x32 16X36 V-11" 32'-0" 3'-4" $'-g" g'-6" 131.6" 6',3" 414" 4'-0" $'-3" 4'-0" T4" 19,500
18X36 18X40 18'-0" 36'-0" 3'-4" 81-0" 10•-6" 13'•6" 8'3" 4'-0" 4'-0" 10'-3" 4'-0" 7'-0" 25,500
20X40 20X44 20'-0" 40'-0" 3'.4" W.V' 12'-6" 13'-6" 10'-3" 4'-0" 4'-0" 12'•3" 4'-0" 7'-4" 32,000
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16X34 16X38 1V-W' 34'-0" 3'-4" g=0X' 10'•6" IT-SP g'�D 414" 4'-0n $�3" 41-0X' 7',4" 20,900 �•••'• ruaA" //
2X50 25X54 25'•0" 50'-0" 3••'-4" "' 20' " 13'•6" 1213" 4'-0n 4'-0" IT-3" 4'-0" T-7-0116" 58,750
30 60 30X64 30'-0" 60'-0X' 3'-0" $-6X' 20'-0" 15'-0" 20'3X' 4'-6X' 4'-6X' '11'3X' 4'•6X' $'•2-318" 79,550
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14X28 14X32 14,-0" 28'-0" 3r-4" 6'-0" 8'-0" 12'-0" 4'3" 4'-0" 4,-0n 6'-3" 4'-0" 6'31116" 12.100
13 X26 12X30 13 26 3'-4" 6'-0" g'-0" 10'-0" 4'3" 4'-0" 4'-0" 6,-3X' 4•-0" 6'3-1116" 11,600 DnrwE�onw ��� a \%C/
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16X38 16X42 16 38 3'-4" 8'-0" 14'-0" 14'-0" 6'-0" 4'-0" 4'-0n g'3n 4'-0n T�" 22,000
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Complies With:
2016 NYS Uniform Code Supplement Sec 8326 1 FQcs
8326.3.3 in Ground Pools Shall Be in Conformance with ANSUNSPI-5 �1 A� 072
' R326.5 Barrier requirements:Temp Fence must be installed at time of 4q1
i Pool construction,and Permanent fencing is the homeowners responsibility
' -----_- R326.6 Entrapment Protection Installed
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------ R326.7 Swimming Pool and Spa Alarms must be installed 4
POOL TYPE: RECTANGLE REV. SCALE: NTS
2015 tECC JAMES DEERKOSKI, P.E.
Sec R 403.10.2 Time switches or other control methods that can run DATE:
automatically tum off and on according toa preset schedule shall be 260 DEER DRIVE
TYPICAL PANEL STIEFf�IER
installed for heaters and pump motors. Heaters and pump motors that DRAWING NUMBER
have built in time switches shall be in compliance with Sec R 403.10.2 ;� MATTITU K, NEW YORK 11952
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