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HomeMy WebLinkAbout45016-Z �o��SpFfO 1r Town of Southold 6/29/2021 y P.O.Box 1179 0 o _ g 53095 Main Rd ygj01 �o�r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42135 Date: 6/29/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 485 Pine Rd, Southold SCTM#: 473889 Sec/Block/Lot: 54.-9-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/15/2020 pursuant to which Building Permit No. 45016 dated 7/23/2020 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 Paul,Ari&Jennifer of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45016 1/5/2021 PLUMBERS CERTIFICATION DATED 0r' Signature TOWN OF SOUTHOLD fFQjjr :. BUILDING DEPARTMENT TOWN CLERK'S OFFICE Ca 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#: 45016 Date: 7/23/2020 Permission is hereby granted to: Hano, Gregg 579B Heritage Hills Somers, NY 10589 To: construct accessory in-ground swimming pool as applied for. Must maintain 10' side and rear yard setbacks. At premises located at: 485 Pine Rd, Southold SCTM # 473889 Sec/Block/Lot# 54.-9-3 Pursuant to application dated 7/16/2020 and approved by the Building Inspector. To expire on 1/22/2022. Fees: SWH"ING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Buil g 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. —4 `\t _o New Construction: V Old or Pre-existing Building: (check one) Location of Property: J1 ss– 5p� ►�1c1 House No. Street Hamlet Owner or Owners of Property: , Jai 1c1 Suffolk County Tax Map No 1000, Section D- Block Lot .3 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: $ 5L) Applicant Signature Building I)ep:trtment Application JUL 17 2020 AUTHORIZATION (Where the Applicant is not the Owner) ,TROLD T1 T eVl v*r N4 I residing at �IC PICC .4 Y01 —v (Print property owner's name) (Mailing Address) do hereby 4uthorize (Vu Df( 4 (Agent) to apply on my behalf to the Southold Building Department. (Owner's Signatwe) (D te) (Print Owner's Name) OF SO(/ly®� Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ro Southold,NY 119711-0959 ger.rc` ® a® C®UNNT'11,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Hand (Paul) Address: 485 Pine Rd City: Southold St: New York Zip. 11971 Building Permit#. 45016 Section. 54 Block: 9 Lot- 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor. DBA: REP Electric License No: 46288-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 Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 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 Fixtures Time Clocks Disconnect Switches ri Twist Lock ri Exit Fixtures 11 TVSS Other Equipment In ground swimming pool to include, bonding, control panel, 1-pool pump, gas pool heater, 1-low voltage pool light,2-GFCI circuit breakers, 1-GFCI recpticle Notes* Inspector Signature: Date: January 5 2021 81-Cert Electrical Compliance Form xls r OF SOGIy�� # # TOWN OF SOUTHOLD BUILDING -DEPT. 765-1802 INSPECTION 16 " LA:1�7 [ ] FOUNDATION 1ST ['" ] ROUGH PLBG. [ ] .FOUNDATION 2ND [ ]---INSULATIOWCAULKING [ f FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ J .FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE f _ l INSPECTOR laf s TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 4',<0 - ,INSPECTION I FOUNDATION I ST ROUGH PL13G. 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: DATE INSPECTOROJ�, - * # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND - [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINA 400_ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION, [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: _ DATE INSPECTOR FIELD INSPE TIONAEPORT DATE COMMENTS FOUNDATION(1ST) -------------------------------- FOUNDAhON (zND) O ROUGH FRAMING& PLUMBING y 1 W INSULATION PER N.Y. ' y STATE ENERGY CODE ow i FINAL AD lay rut cl 6 �A 11419, owl 11 2-0 �7 o m - 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. 119 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 9J 20 Mail to Disapproved a/c Phone: Expiration ,20 (d_ �1 �` V [2" D � ED) Bui ns ctor JUL 1 5 2020 PLICATION FOR BUILDING PERMIT Date 3 , 20,:�O BEg,I91NG DEPS 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 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. (Signatu o applicant or name,if a corporation) e�.fix �%q lyonn�c,Ny )175 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Jt�l V� 0_c (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. P62gJO Plumbers License No. Electricians License No. Other Trade's Lie i`iL•._1:-`.moi�'ifR l \ �i'.`I 1. Location . land orifih'�lch'; 4Q�oed work will be done: House Number Street _ Hamlet County Tax Map No. 1000 Section Block 9 Lot��j 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 Other Work ifJ Y v Vin Svk-,tmg-)W4 eco IloX3�O(Description) 4. Estimated Cost �j�, ®� 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 3 -_- Rear Depth Height Number of St©rfes 8. Dimensions of entire new construction: Front Rear i Depth Height Number of Stories ; ' r , 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 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.C. PERMITS MAYREQUIRED. 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 OF $y F� 11 \�'<Z) being duly sworn, deposes and says that(s)he is the applicant (Name o ndividual signing contract !�v named, (S)He is the (Contractor,A ent, 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. LAUREN M.MCMSSICK Nary Public,State of Now Yd% No,09MC6342308 Sworn to before me this Qualified in Suffolk couny9 � Co day of 20 mmW9on Expires May A 202_ � � .+ Notary Public S nature of Applicant Scott A. Russell `' ST(0)1KA�J[WATIER, SUPERVISOR TWANA tGr1ENtJENT SOUTHOLD TOWN HALL-P.O.Box 1179 �7-� 53095 Main Road-SOUTHOLD,NEW YORK 11971 �� O 1 own of,SO1d thO ZG 04 CHAFTER236 , - STORMWATFR MANAGE-MENI'WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOES TMS PROJECT INv®I,VF- AINly of THE, FOLLOWING: I Yes No (CHECK ALL THAT APPLY) r Yes []MA. 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. EIPC Site preparation on slopes which exceed 10 feet vertical rise to i 100 feet of horizontal distance. it ElD. Site preparation within 100 feet of wetlands, beach, bluff or coastal i 0 erosion hazard area. �J E_ Site preparation within the one-hundred-year floodplain as depicted I f 1 on FIRM Map of any watercourse. E] 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 witb 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 last Porm to the'Duildiug Department with your Building Permit Application. pDesign 1 APPLICAM'. (Property Owner, Professional,Agent,Contractor.Other) Dstria ` � y NAME Section Block i�r.,rd _........,,. _ ... 170R i)i.!ILDING )}Cl AR'f.,1LIN f 'i(.. (/,14LY Contact lnformatwre ��1�____ly��"yv_,____ Reviewed By: Date. ProertyAddress; Location of Construcl,on 'Nork- _ ___.. _. -. _ flppiove(i for proce.,-wigo Bw'dtnc;Permit Slormwater Management Control Plan Not Pecii•red. Slot rw.,,ner Minigement Control Plar: r,RegtureO, (Forward to Fngineerinp,Dep,)rti,;eni `or Review) FORM SM, i)- .,_0`i JMAY ?till 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 rogerra-southoldtownny.gov—seand0southoldtownny.-gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Name: License No.: gro C� C'o Address: pt) 13M Phone No.: (c31-'7(,.,-7- (pc>*3-A JOB SITE INFORMATION (All Information Required) Name: UL.- Address: Cross Street: 12,,,4 o Phone No.: 6 3 24-2- 6 o) C/ Bldg.Permit#: LV50 I L' email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) Lo 0) Circle All That Apply: Is job ready for inspection?: YES/ NO Rough In Final Do you need a Temp Certificate?: YES/ NO Issued On Ternp, information- (All information required) Service Size I Ph 3 Ph Size: A #Meters Old Meter# New Service-Fire Reconnect-Flood Reconnect-Service Reconnected-Underground-Overhead 1#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: O 67 CIO PAYMENT DUE WITH APPLICATION Request for Inspection FormAs \V\V 'SURYEY OF PROPERTY _--------------------------- -_--N-- SITUATE: SOUTHoLD TOWN: SOUTHOLD SUFFOLK GOUNTY, NY W E SURVEYED MAY 15,2020 5' SUFFOLK COUNTY TAX# 1000-54-9-3 CERIUM 11: Ari pawl Jamffai Lariepaal Fug A®amcan lrWc IImaortenee CompanyWVF% - Na 1 Agency LH C P / /�� Frame D f .e. shed a fi fir" C 2j0 Q�0 c F' 7Qo^SN o. ` 'S 0 1 NOTC-9. �C?^ ■ MONUMENTr1 AREA=26 15 SF OR 0 61 ACRES JOHNC. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 1 GRAPHIC,56ALE 1"= 30' RIVERHEAD,N.Y.11901 631-369-8285 i REP.-TIGERIPROS%20-122 2020 I KJAJ APPROVED AS NOTED DATE: P.# ELECTRICAL FEE:• ®i BY: INSPECTION REQUIRED NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING-INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR CO. �r ALL CONSTRUCTION SHALL MEET THE ENCLOSE P004 TQ'tQDt REQUIREMENTS OF THE CODES OF NEW lF®N COMPLETION' EI�EQRE 'UVA1'6Fr` YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF �6dfi+f6L-I�TQ�&'NZBA�.� SDUTHALD TDWN_PLANNING BOARD e au SOUTHOLDZWN TRUSTEES r ! t r-Pa K ``UPANCY OR UNLAWFUL CERTIFICATE Oar -. 000PANCY RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE, Name: 16' X 36"RECTANGLE 6" RADIUS adowanat Number: 1636RECT cerasyawni%Iec. 2WROUWSa Scut#t;•SchuylldUMMatifPA 17972. 570985.4733• far.570485-1318* rta Systemisir c.conf: • -.ij 16' 8' 4' 8' 4' \ / 4' s 8' \ / USE A".FRAME BRACE AT PANEL JOINTS AS SHOWN 4' r-- -- � z 8' / 8' W , Z 3 D Z n j• 1` 36' 36' a 14' / 1 8' o 8' _ / in U Q Ld 8' ROPE 1• $' > 'x 12' 4' 4' ' =MR 0 4' 8, 4, L--------------- J 3._4, 41- PANELS TO' BE REMOVED - WHEN USING STEP OPTION r STEEL STEP OPTION#1 PLASTIC STEP OPTION#2rrh 5 1/4 5 1/4" 4' 14' ~ 4' 4' 16' STEEL STEP 4 SPSX3160XXXXX� 8' PLASTIC STEP 3'Reck-".,4 SIM Sti.Fi'. s,r beck.Area 480.0_ SQ. Fr. Gat2$' 'Perimeter:'A04=r, ' t Dilie =2t15/1s_ Area: 06.41 SWFT. 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EXISTING DECK 'oma 0 0 EX I STi NG � \ 1PSITE \ SCTM # 100W Property: 485 Pine Road Q` Address Southold, NY 11971 '.Q Owner: Ari Paul, Jennifer M. Lurie Paul 0 Surveyor: John C. Ehlers Land Surveyor C?b( 6 East Main Street Riverhead, NY 11901 Dated: 05 / 18 / 2020 Zoning: R - 40 Site Area: 26,515 sf, or 0.61 Acres SITE FLAK! SCALE: 1"= 20'-0" PA AUL RESID"' ENCE SOUTHOLD, NEW YORK DATE: 9/14/2020 U7,7, 1 5 220 URAL TALGAT ,..y :- `Tr ARCHITECT ^ s."; ^7� P 436 7th STREET GREENPORT, NEW YORK 11944 o�I ajJ (631)477-8963