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�o� CpGy� Town of Southold 8/10/2021 .� P.O.Box 1179 o y 53095 Main Rd Southold,New York 11971 f CERTIFICATE OF OCCUPANCY No: 42225 Date: 8/10/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2800 Camp Mineola Rd.,Mattituck SCTM#: 473889 See/Block/Lot: 123.-5-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/4/2020 pursuant to which Building Permit No. 45216 dated 9/16/2020 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 Boyle,Donald&Kathryn of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45216 10/14/2 0 PLUMBERS CERTIFICATION DATED Auth 'z Si ture IFF io o TOWN OF SOUTHOLD Gy BUILDING DEPARTMENT y TOWN CLERK'S OFFICE "o • r 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#: 45216 Date: 9/16/2020 Permission is hereby granted to: Boyle, Donald 2800 Camp Mineola Rd Mattituck, NY 11952 To: construct an in-ground swimming pool as applied for. At premises located at: 2800 Camp Mineola Rd., Mattituck SCTM #473889 Sec/Block/Lot# 123.-5-4 Pursuant to application dated 9/8/2020 and approved by the Building Inspector. To expire on 3/18/2022. 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 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. &.12,qr/zzj ��y-Cr�uv�D New Construction: „ Old or Pre-existing Building: (check one) poa— Location of Property: _agVo L.4-0-4p t-0A I&MA _JcD I�tr47Ti9�Gl� House No. Street Hamlet Owner or Owners of Property: %�A--jq&j .i xA , Uyj..,!�' Suffolk County Tax Map No 1000, Section 4 3 Block Lot Subdivision Filed Map. Lot: Permit No. S Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5V Applicant Signature Buildinft Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, c� on/A L T L-e c V4.- L:.:-residing at 2! e& 0 Cl�fi)— (Print properly owner's name) (Mailing Address) j� 7`T/ / U C (r, do hereby authorize 6 >-lur- 'i 6ZY-5 (Agent) to apply on my behalf to the Southold Building Department. (Owner's Signature) (Date) ®�l "3. (, jJ R (Print Owner's Name) q so Town Hall Annex r� ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 p ��p �® sean.devline-town.southold.ny.us ®WJ OG II tl 9� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To, Donald Boyle Address: 2800 Camp Mineola Rd city Mattituck st: NY zip: 11952 Budding Permit#: 45216 Section: 123 Block 5 Lot: 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Elec Tec Inc License No- 4814ME 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 X Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 1 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 11 Pump 1 Other Equipment: Salt Generator, Pump on 220GFCI Breaker, Pool Light on 120GFCI Breaker, Heater Notes: POOL Inspector Signature: Date: October 14, 2020 S.Devlin-Cert Electrical Compliance Form.xls pF SOUIHp�o 524 6 C� 1 # -TOWN OF SOUTHOLD BUILDING DEPT. °`yrouNn ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. : [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] 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 ! INSPECTOR �,� `�� NOE 50Gj � 'fo h� �O # TOWN OF SOUTHOLD BUILDING DEPT. Comm 765.1802 INSPECTION [ ] FOUNDATION 1,ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ _] SUL IO CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE &CHIMNEY " [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARK �V I( AA1 WWVA V '0 J DATE INSPECTOR SO(/T�o # * TOWN OF SOUTHOLD BUILDING DEPT. 49 o . `ycourm ' 765-1802 INSPECTION- FOUNDATION 1ST' - [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULAT OWCA [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & 'CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ j ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE aW" INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) -------------------------------- FOUNDATION(2ND) ROUGH FRAMING& PLUMBING INSULATION PER N.Y. y STATE ENERGY CODE ' YV FINAL y _ -ADD S' 0bi`t' & 0 . z • rn ct q y ' H • t�J 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 SoutholdtownnYgov 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 V 20 Mail to: �1.{%?,,— i zm�y , ��, i �c g Disapproved a/c L' )7cj4oe9ejtF, n/L/ //935- Phone: /938Phone: 631-73`/--,7&Ce j Expiration ,20 I a Building Inspector D Lss V, D APPLICATION FOR BUILDING PERMIT SEP 4 2920 Date �'/�2g� 520 —2 � pN�S'-�.`J{ i�}/p+yy{' INSTRUCTIONS �� yJ A'Y N �:-JX �. `1"hi�gjpfjcp T be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets oTHans,accurate'pl6 pan 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 1.8 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 applicant or name,if a corporation) 9; L4_ /C Pl //s 357 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premiserbD a- V,471Aw7Zix/jF '2ky.,,,4 (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer Evia exlE (Name and title of corporate officer) Builders License No. /p/�7/if Plumbers License No. Electricians License 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 Sections Bllclz"'u✓' ,";R+t�` ����''���� `,��a;;fL, t 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 2 �ucC b. Intended use and occupancy/4'S74c-9 p/7, ec- IVr7l.1 iU-4 Zvi 3. Nature of work(check which applicable): New Building Alteration Repair Removal Demolition ther Work ���,,,oa (Description) 4. Estimated Cost 7_::''-&LO--0 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 ,5Z r Rear �� Depth j Height 2c) ' 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 /&U ' Rear &,& /3 ' epth v11i 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated � in�:�i✓�z 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ,X 13. Will lot be re-graded? YES >( NO Will excess fill be removed from premises?YES Y NO 14.Names of Owner of premises'Pot44,.-u -ryote.t Address,. ?suo wa Phone No. 201-39,Y-101- Name of Architect Address ""t°K Phone No Name of Contractor 44,7,.4c peyi.5 L,-,p Address Po azey 9 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 D� * 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 X' * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) 1(27 4I gAel- Z,6j'� � being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (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. Sworn to before me this 4"`- day of 20 '1!) 6&_AIA65Y4�J otary Publi __. ZZ STEVEN ARNED Notary Public State of New York Signature of Applicant No.0196071848 Qualified inSuffolk County Commission Expires March 3,liw Scott A. Russell °SU S STORMWAT)EW SUPERVISOR z MANAGEMENT T SOUTHOLDTOWN HALL_P.O.Box 1179 Town �f Southold Main Road-SOLT HOLD,NEW YORK 11971 O y cMPTER 236 - STORMWATER.MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOES TIES PROJECT INVOLVE ANY OF TIME FOLWWING: (CHECK All.THAT APPLY) ' Yes No _ E] 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. ®[ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ® E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. E]10 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 ct to all of the Date& County Tax Map Number!ons above, STOr! Complete tCb peApplicant6 does not apply toelow your projour ect. Signature, Contact Inform . If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Pian and a completed Check List Fortin to the Building Department vni your Building Permit Application. S.C.T.M. _ 1000 gate APPLICANT_ (Property Owner,Design Proiessionak Agent,Contractor,Other) Dlstrtct �1 103 .- 0 NAME: ((/ 9_c 1'i—�rt�Y1 `� Scction Block Lot 110 '**x FOR BUILDING DEPARTMENT USE ONLY Contact Information -73!Y- nkyc�v,� Reviewed By: - - — — — — — — — — — Da[e Property Address I Location of Construction Work: - - — — — — — — —EJApproved for processing Building Permit. Stormwater Management Control Plan Not Required. Stormwater Management Control Plan i5 Regwred. (Forward to Engineering Department for Review.) FORM SMCP-TOS MAY 2014 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_— seand(ccD-southoldtownny.gov APPLICATION. FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION w infowwoon Rwiuked) Date: (�— Company Name: Ekin'- 7e.c- - Name: b k License No.: email: G„�1�®P�\e,L • CO^n �1 -AW01, -- -- r-- Phone No.: iFVO 3 .16b SITE INFORMATION (Ait Information Required) Name: Address: i - Cross Street: A ex Phone No.: Bidg.Permit t. email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) F►-�trt� �� Circle All That Apply: _ Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YESI(!6) 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 idv Request for Inspection Form.xls lylA r L� cfac 1� �L66j�--6t-/- C"f) 2-0 DjT 1•-+{ t�� ate i r� i �- 4 � �''�' � �i�, j �'__� r��/ i °w i F __ �~ n" ' �--. I^j.�. �_...._....._........_...___—.�.e�- � � . Lj K3 ` _ e _ fir!r ca- 1e ., t'�r ai s --.- -. _ -- C J �-•� 3G •/6' � 7Z�� Y��'.""n �� � � if t 111 1 I �a j poLA �� 0 0✓�5ci7 J P R VEDAS NOTED C(11 +PLV WITH ALL CODES OF DATE a � a.P. � � NEW YORK STATE & TOWN CODES FEE. P,Y:.-. R� AS REQUIRED ON OF NOTI Y BUILDING DEPAR 1 i 1ENT AT _ - 755-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: NING BOARD �. FOUNDATION - TWO REQUIRED STEES FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.U. ALL CONSTRUCTION SHALL MEET THE OCCUPANCY C REQUIREMENTS OF THE CODES OF NcW q � �S U�A� © ��� YORK STATE. NOT RESPONSIBLE FOR �'q� �9 DESIGN OR CONSTRUCTION ERRORS. V.,fli-HOUT CERTIFICATE RETAIN STORM WATER RUNOFF d- OCCUPANCY PURSUANT TO CTER 236 OF THE TOWN CODE, E�EMCnVWWMN fk6QVMt0 I it - [)IA ENCnQSEOO TOo uPONMPLEINo E „WADER 4 STEP � ® E F G Il . K L M N GALLONS \O ® ; POOL SIZE ofnill W B 12X24 12X26 12:0" 24'-0" 3'-41° 6'-0" 6'.0° $'.0" 6°-3" 4'-0° 6'-0° 4'�" i'-0' 6'3U8" 1050 16X24 16X28 16'-0° 24'-0' T-®r 7'-0" 6'-0" 8'�0° 6'.3" 4'-0" 4'-0° 8'�" 4'-0' 6'�-118" 13.7b0 16tt32 16X36 16'-0° 32'-0' 3'-4° 8'-0" 81.r 13'-0° 6'�" 4'-0° 441" 8'-" 4'4' T-4" 1900 ��` 18X40 ` 18' 36`-0° 3'-4° 8'-0" 10' 13'x' 8'•3" 4'40" 4'-0" 10'x" 4'-V -T.4` 25,500 18X36 20X40 20X44 20'.0" 40' 3'.4° 8'-0" 12'6" 13'48° 10 4'-0' 4'-0" 12'-" 4'-0' Tr4" 32A00 16X34 16X38 16'-0° 34' 3'■4" 8'-0" 10'-0° 1 '�" 6'3"' 4'�° 4'-0° 8'�" 4'-0' T'r4' 20,900 20' 13'•6" 12' 4'-0' 4'-8' t7'�3" 4'-0' 7'-7�IY6" 58,750 1f30 26X54 25'48° 50.0' Y4" 30 30X64 30'-0' 60'-0° 3'-4' B-4i° 20'-0!' 15'-0' �' 4'-6" 41 6' 4'-0° 8',2318° 79.550 2� 14X28 14X32 94'-0" 28'.0" 3'-4" 6'-0' 8'.O" 12'-0' 4'�" 4'-0° 4'-0" 6'�° .4'-0° 6'3-1/16" 12,1 � � � �`` �� � 13 XZ6 12X30 13 26 3'.4" 8:-0" 10'.0' 4'-" 4'-0° 4'-0° V r 44 V-31116" 11,600 L 16X36 . 16X42 16 L 38 3'-/" 8'-0'° 74'-0" 14'-0° 6'-0" 4'-0" 4'-0" 8'.3° 4'-0° T4° fo ` yrs Mrd� AFF an ONO==up To _ �� CCII®Tyx4P-• ram mar GOP" are jzEraG 900 613L AME K / r TA auOUPetaasiCOaTBiG /® RUM will 1 1 e m VNn LHR • .•a -' a / wan.PARS. D11o1W& BOARD a i 14.1°.6. ® ' .Talmo I POOL PLAN 00, Sim /"=MUM MXD .r alau�u.lalr To-a:ati C .V= "zaM ®•1AWeTE-0.RIWOMMM MID 1-1 D WW jb0MXF"CAM TAMIGNu0snumn up=Im 60"M op L L To 11M.Wow 1"88 DMT®!1 Wag"W4 WP6CAd WALL SECTION AT"A" FRAME CAREa61E BOLTe G0 CORNER CONNECTION DETAIL POOL SECTION - E Dw TTP a FCFi9a — --- ----T'�------------- ,65 a mn"W�a k�$- Nemommum r Complies With: q r r S4eve'Pldttull r -' � :••� 1 LLJ LLj •2016 NYS Uniform Code Supplement Sec 8326 61�iddlethon Ave. ZcPF4 0 07 ��ti ' R32633 m Ground Pools Shall Be in Conformance with AidSl/NSPI-5 R3263 Barrier w4uiremwts:Temp Fence must be installed at time of ManOlville, NY 11949 Pool construction,and Permanent fencing is the homeowners responsibility R SSS NP ' -- -------- 8326.6 Entrapment Protection Installed -------------- - - R326.7 swimming Pool and spa Alarms must be installed POOL TYPE:RECTANGLE REV. SCALE: NYS 2015 MCC JAMES DEERK®SKI,P.E. Sec R 403.10.2 Time switches or other C011=1 methods that can nm ; ®ATE: 1 ���������� '����� automatically tum off and on according toa preset schedule shall be 260 DEER DRIVE installed for heaters and pump motors. Heaters and pump motors that �JIATTITUK, NEIN YORK 11952 DRA1�lII� 111UflflBER have built in time switches sball be in compliance with Sec R 403.10.2 1 OF 1