HomeMy WebLinkAbout45748-Z �fFO(kC Town of Southold
9/19/2021
P.O.Box 1179
53095 Main Rd
'jjjo ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42350 Date: 9/19/2021
THIS CERTIFIES that the building ABOVE GROUND POOL
Location of Property: 3865 Bridge Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 84.4-11.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/13/2021 pursuant to which Building Permit No. 45748 dated 1/28/2021
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 above-ground swimming pool fenced to code as applied for.
The certificate is issued to Caroli,Joseph&Kathleen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45748 8/13/2021
PLUMBERS CERTIFICATION DATED
Aut ori ed S ature
o�suF tK�o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C, z TOWN CLERK'S OFFICE
105s r SOUTHOLD NY
�ao�ifr
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#: 45748 Date: 1/28/2021
Permission is hereby granted to:
Caroli, Joseph & Kathleen
3865 Bridge Ln
Cutchogue, NY 11935
To: construct an above-ground swimming pool as applied for.
At premises located at:
3865 Bridge Ln, Cutchogue
SCTM #473889
Sec/Block/Lot# 84.-4-11.1
Pursuant to application dated 1/13/2021 and approved by the Building Inspector.
To expire on 7/30/2022.
Fees:
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 � sean.devlin(d-)town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Joseph Caroli
Address: 3865 Bridge Ln city:Cutchogue st: NY zip: 11935
Building Permit* 45748 Section- 84 Block: 4 Lot: 11.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Seance
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 1 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 1
Disconnect Switches 4'LED Exit Fixtures Pump 1
Other Equipment: Pump 220GFI
Notes: Above Ground Pool
Inspector Signature:
Date: August 13, 2021
S.Devlin-Cert Electrical Compliance Form
-
���� yO6
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ 4ANSLATIOWCAULKING
U
FRAMING/STRAPPING [ FINAL #g-- P(v�/
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[
]-FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
Svw
& ANi �n
Elio I
Tam Oa 07
1
DATE INSPECTOR
July 1, 2021
1
JUL 1 2021 `
TO: Southold Town Building Department
BTT'TT_.DT!VG DEPT.
FROM: Joseph Caroli T ryR
RE: Permit#45748
As per your direction, here is a picture of the alarm that is installed on the above ground pool on
our property at 3865 Bridge Lane. It is my understanding that this meets with your code
requirements. If so, please forward the c/o.
Thanks for all your help.
s �
4 ,
I
1
as n
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)----------------
---------------
it
u`r FOUNDATION(2ND)
Oo,
ROUGH FRAMING&
?' PLUMBING
T�Lr,
.rY11,:
7"
rlt ,
INSULATION PER N.Y.
STATE ENERGY CODE
a
' 1ci
'i FINAL
xri
[M
ADDITIONAL COMMENTS
Cb n
-
�ti,
r�=
Fj, V
4
l
o�SueFnt r�oo TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
S • ��. Telephone(631)765-1802 Fax(631)765-9502 hMs://www.southoldtom=.gov
�lpl•* ,�a
Date Received
APPLICATION FOR BUILDING PERMIT �% r�_
D)' cti !r:-J Vv'
For Office Use Only ; r.
PERMIT N0. Building Inspect JAN 13 2021
Applications and�forms must be filled ou't�in their'entirety.Incomplete .
r v•,.; a t,a ;•n
applications will'not be acceptedr'Where the Applicant isnot the ouvner,an
Owners Author on for coinpleted.3'
i m(Page 2)shall be
_
Date:
`OWNER(S);OF PROPERTY:
Name:Kathleen J Caroli SCTM#1000-
Project Address:3865 Bridge Lane Cutchogue NY 11935
Phone#:516-388-1767 Email:kathyjc@optonline.net
Mailing Address:3865 Bridge Lane, Cutchogue NY 11935
_-CONTACT.PERSON: 4-
Name:Kathleen J Caroli
Mailing Address:3865 Bridge Lane, Cutchogue NY 11935
Phone#:516-388-1767Email:kathyjc@optonline.net
-; - -
DESIGN PROFESSIONAL.INFORMATION:
Name:N/A
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:N/A
Mailing Address:
Phone#: Email:
DESCRIPTIOMOF PROPOSED,CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair El Demolition Estimated Cost of Project:
IN Other Above-around pool $12,000
Will the lot be re-graded? ❑Yes I■NNo Will excess fill be removed from premises? WYes ONO
. 1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
- --- - - --- --- - --- -- - - - - - - --
this property? ❑Yes ®No IF YES, PROVIDE A COPY.
IN Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210A5 of the New York State Penal Law.
Application Submitted B (print name i /�
pP Y�p : ❑Authorized Agent BOwner) � - - - - - -- -
Signature of Applicant: ��—/� /� 9'` yn• Date: ,�j4-)�o I
STATE OF NEW YORK)
COUNTY OF SOON )
KIfA l e2h (a ro I 1 being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(ContraXa 'on
rate Officer, etc.)
of said owner or owners, and is duly authorizedve performed the said work and to make and file this
application;that all statements contained in thtrue to the best of his/her knowledge and belief;and
that the work will be performed in the mannerpplication file therewith.
Sworn before me this
day of Gt A coal 20 �-
Notary Public
DARLENE K BRUSH
Pt�®PER ®WNER Qa UT ®R0 7M NOI01BR6318051ewYork
(Where thXca t the O nor)Qualified in Suffolk County
y Commission Expires Jan 20,2023
I, resdo hereby authoto apply on
my behalf to the Town of Southold Building Depal as described herein.
Owner's Signature Date
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
021
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
-,,Telephone (631) 765-1802 - FAX (631) 765-9502
,_. rogerra(-southoldtownnygov a seand(,southoldtownny.gov
APDFI ATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Au Information Required) Date: 11S ddCP-!
Company Name: (:� 'q �;
Name: R. CQ J P n-i-i- ,
License No.: 7 we ._ email: S 16, 41o
Address: �z p� I S
Phone No.: �5_1 6 0 ,c-6 (to
JOB SITE INFORMATION (All Information Required)
Mame: o �_ (f P r-1-0 L_' l
Address: 396 s 0-t D(,J5--
Cross Street: �' s'
Phone No.:
BIdg.Permit#: IJ 9 7 44 9 email:
Tax Map District: 1000 Section: �� Block: Lot:
BRIEF DESCRIPTION OF WORD (Please Print Clearly) b0g6. W( (U 140 6
R,ve_- G
Circle All That Apply: <
Is job ready for inspection?: YES I NO Rough In Final
Do you need a Temp Certificate?: YES / NO 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
Request for Inspection FormAs
BUILDING DEPARTMENT- Electrical Inspector
T;t
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
96 Southold, New York 11971-0959
zk
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerre-south oldtown ny.g ov - seandC&,southoIdtownny.qo
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali Information Required) Date:
Company Name: � q � -
Name: 6o L) C1 L r---L"
License No.: 7 2? yte email: 16 4/ 9:-P-
Address: T--tA 0
Phone No.:
JOB SITE INFORMATION (Ali Information Required)
Name: o tn4 o-6 L- (
Address: (It D&J5-- 1 A -IJ C-5 co U
Cross Street: (2�f- 2S'
PhoneNo.:
Bldg.Permit#: H 9 7q 9 email: Lot:
Tax Map District: 1000 Section: Block:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) F&C& W( (UIA3 G
jU f\-) C:'
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES (jNOD Issued On
Temp 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
_# Underground Laterals 1 2 H Frame Pole Work done on Service? Y �N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form As
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
N�I'TVC
El
� -
WO.LLO9 C
' d�
19,
EXISTING
/ / 4PRD AS NOTED
REAR DECKDATE: B.P.#PROPOSED .' ♦ l ADDITION TOgy.
DEC
EXISTING 'EXISTING ONE-STORY BY:
BUILDING DEPARTMENT AT .
.�
. try
♦ FRAME HOUSE,$' 765-1802,'8•AM TO 4 PM FOR THE
�-sARAGI- FOLLOWING,.INSPE CGTIONS:
/
/ ♦ 1: FOUNDATION - TWO REQUIRED
/ � I ♦ �pA��,�'� \ FOR POURED CONCRETE
' PROPOSED �;f \ � p`G ♦♦ '2.-ROUGW=--FRAMING & PLUMBING
a � STEPS TO �� �� ♦ -� \ INSULATION'
♦ 4.=FINAL,%:CONSTRUCTION MUST
' GRADE ' ' ` S _
b• EXISTING BE COMPLETE FOR C.O.
d+ ♦ R�
STEPS TO BE ♦ \ ALL,CONSTRUCTION SHALL MEET THE
/ �C♦� REMOVED ���♦ REQUIREMENTS OF THE CODES OF NEW
♦ YORK- STATE, NOT RESPONSIBLE FOR
00 / FRAME WELL � ♦♦ DESIGN OR CONSTRUCTION ERRORS.
'/ S SHED `�\ �\\ ♦`
GRAPES
♦�c'F r \ `.♦ - COMPLY WITH ALL CODES OF
\♦ // ,/ 0° ��
ASYORK STATE & TOWN CODES
S REQUIRED AND CONDITIONS OF
_�Jc ♦ { ' S6ffHT7MM MM BOARD
. , \ ��%�� \♦ /�.��♦� o, ,- S STEES
\� ♦' /
s
GRAPES
_�' I�t RETAISTORM!NATER RUNOFF/
` PURSUANT TD CHAP I TER 236
` \ ♦ /
= P
OCCUPANCY OR
° ' G USE IS UNLAWFUL
WITHOUT CERTIFICATr N
PLOT PLAN
Scale:1'_40'-O' I OF OCCUPANCY
' STAGGER
Z FASTENERS IN
4 -
2��
APPROVED AS NOTED Col-v;PLY WITH ALL CODES OF
��, NEW YODRK STATE & TOWN CODES
DATE:-1-2 --?/ B.P.# AS REQUIRED A IONS OF
FEE.�FY
B�' - SOUTHOLD TOWN
NOT BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE SOUTHOLD T PLANNING BOARD
FOLLOWING INSPECTIONS: SOUTHOL OWN TRUSTEES
1. FOUNDATION - TWO'REQUIRED
FOR POURED CONCRETE N.Y.S.DEC
2. ROUGH - FRAMING & PLUMBING R
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. IJ PAN CY OR
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW USE IS UNLAWFUL
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE
OF OCCUPANCY
;E THIN STORM WATER, RUNOFF
PURSUANT TO CHAPTER 236 ELECTRC4LINS
OF THE TOWN CODE. SON REQUtRE�
"IMMEDIATELY
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE
9/17/2020 AC-1pg
BIWTHERS 3
F061 Spe-d'sus slImea It qrv®
4021 Hempstead Turnpike 5640 Sunrise Highway
Bethpage NY 11714 Sayville NY 11714
(516) 735-7435 (631) 389-1818
TELEVISION ❑ RADIO ❑ REFERRAL ❑ PREVIOUS CUSTOME WEB ❑ OTHER ❑
DATE d� POOL CONSULTANT
NAME �.G 1 EIv1AILADDRESSr
STREETADDRESS �
�6 S c dPHONE q j
CITY t ZIP C06E 3, IC
V PHONE
SWIMMING POOL U COLOR Q f��� LINER
FILTER 1 C
_ 110
2 �S/✓iG�
sl �S _S '�D.E. S LB. ❑SAND LB.
ENTRY THRU WALL SKIMMER Y-P/6-F Wl/ ) LIST ITEMS&PRICE BELOW
VACUUM HEAD POLE HOSE x p
SANITIZATION SYSTEM`
CHLORINE/SANITIZER Na TYPE
WATER CONDITIONER LB. PH UP �_LB.
TOTALALKALINITY !D LB. PH DOWN LB.
GREENAWAY -24-V LB. ALGAECIDE
CHEMICALTEST KIT oFeFAFTER SHOCK RYSTAL BLUE
HAND SKIMMER THERMOMETER OTBATH
HEATING
ADDITIONS
l ss
DECK / COLO
SUBTOTAL 7 ;
FENCE COLOR TAX `
WINTER COVER o:; 5 o TOTAL
12 70
CHEMICAL KIT p (] • • ° ®° DEPOSITC� 'vv AS
POOL BASE ARGE I)-IC-
BALANCE
/G
BALANCE
f��7
THIS RECEIPT IS YOUR PROOF OF PURCHASE DELIVERY CHARGE
AND MUST BE PRESENTED FOR ANYANDALL SOO() . D O m l�, y7ILo
WARRANTY CLAIMS.CHEMICALS,COVERS, DATE DELIVERED
AND POOLALARMS ARE NOT RETURNABLE PAID IN FULL DATE ❑ P�75
CHECK El CA H l
The undersigned understands that this swimming pool is too shallow for diving and serious injury can result. m ' in or ' al di ion//w
cartons and are subject to a'15%restocking fee.Brothers 3 assumes no liability for improper installation andheToo lea��
pool area and check with local townships for required ordinances.Brothers 3 Incorporated is not affiliated with any professional contractors and
cannot assume responsibilities for errors in installation by homeowners or professional contractors.Please make sure that proper installation
techniques are followed when setting up your pool.No verbal agreements will take place of what is listed above on the purchase agreement.
X X I
I Have Read the Above t
Received &Date
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