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HomeMy WebLinkAbout44717-Z o�gUEFOt�-eaG Town of Southold 10/23/2021 y� P.O.Box 1179 0 53095 Main Rd o4 �oSouthold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42483 Date: 10/23/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1835 Park Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-2-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/12/2020 pursuant to which Building Permit No. 44717 dated 2/19/2020 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 Wade,Jeffrey&Wade,Mark of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44717 8/10/2021 PLUMBERS CERTIFICATION DATED A o iz d ignature �SUFFnt,r�vTOWN OF SOUTHOLD BUILDING DEPARTMENT y s TOWN CLERK'S OFFICE Py • a�� 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#: 44717 Date: 2/19/2020 Permission is hereby granted to: Wade, Jeffrey &Wade, Mark 235 E 22nd St#5G New York, NY 10010 To: construct accessoryinround swimming-g g pool as applied for. At premises located at: 1835 Park Ave, Mattituck SCTM #473889 Sec/Block/Lot# 123.-2-34 Pursuant to application dated 2/12/2020 and approved by the Building Inspector. To expire on 8/20/2021. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL ; $50.00 Total: $300.00 Buil ' nspector 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. 2© New Construction: Old or Pre-existing Building: (check ont) Location of Property: &k � AAdejn�k House No_ Stret Hamlet Owner or Owners of Property: �/(�� p� sza l`e--4 19' Wa Suffolk County Tax Map No 1000, Section a� Block Lot (' Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (ch one) Fee Submitted: $ // F nt Signature Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, a ' b A VIA 0—:� residing at ,:R-3--� f% -2-2'"P S�•� ��`i '� (Print property owner's name) (Mailing Address) S 6' do hereby authorize & LF— �'j 9 R A Vv -0.5-EIA 111 (Agent) to apply on my behalf to the Southold Building Department. 1131111 (Owner's Signature) (Date) m A 9 K W� (Print Owner's Name) E Registf mon#02LU6334610 V OTARY' � A Quamed in Nework Count u� R1°1B commisn F�cpires n/► 'r �V LK— w,ww ` ecember , ) 45113/ 2ply OF SOU��,®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® a®� sean.devlinttown.southold.ny.us c®UN�,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jeffrey Wade Address: 1835 Park Ave city,Mattituck st: NY zip: 11952 Budding Permit# 44717 Section: 123 Block. 2 Lot: 34 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Alan Hubbard Electrical License No: 4285ME 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 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment, Pump 220GFI, Heater, Ozone, (2) Lights Pentair Tranny 120GFI, Pool Cover w/ Key Switch 120GFI Notes Pool Inspector Signature: Date: August 10, 2021 S.Devlin-Cert Electrical Compliance Form OP SOUIyO� 4 -7 [ 7 TOWN OF SOUTHOLD BUILDING DEPT. °`ycoux►v,��' 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 l C> INSPECTOR } fjf so yO # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND '[ ] SULATION/CAULKING [ ] FRAMING/STRAPPING [ FINAL POLI [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ _] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI N [ ] PRE C/O REMARKS: coAz r qjQ 1 ♦• lirVt,, DaM tfNl4t-***' DATE INSPECTOR # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND , [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [( FINAL Ivbl [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION = [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [_ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ,DATE Io l ��( �� INSPECTOR fELD INSPECTION:l�EPoi& DATE ; COMMENTS Y FOUNDATION (IST) ------------------------------------ AC FOUNDATION (2ND) � o • y �t ROUGH FRAMING& t � PLUMBING INSULATION PER N.Y. STATE ENERGY CODE • r 1 FINAL � ADDITIONAL COMMENTS n �aVt C)o cl (,o 0 I IIfZ 2 � e� 0 Z m N l z x � b 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. Check Septic Form N.Y.S.D.E C. Trustees C O.Application Flood Permit Examined_4,�'. , ,20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: I r Appioved �4_,20 a Cie, I'�J5r,­,' LLC r) Disapprove' Y7 ��nw��d (Tl, chL lCc_ Gmw_NT ri Phone:& �®`� Expira on 20 BuilrVng Inspector FEB 1 2 2020 • APPLICATION FOR BUILDING PERMIT Date , � . ' - • - INSTRUCTIONS 20 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, a d other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions,or alterations or for rem al or de olition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,h sin od , and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. q �� (Sig ture of applicant or name,if a corporation) lah&0 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder t A , Name of owner of premises ��rk 1� A�1`, vv (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land 0.which proposed work will be.done- - ,Ave-. House Number Street Hamlet County Tax Map No. 1000 Section C�3 Block Lot �� 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 n Alteratio Repair Removal Demolition Other Work S 150 (D ription) 4. Estimated Cost 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 .v Dimensions of same structure with alterations or additions: Front Rear �'Meight Depth Height Number of Stories( imensions of entire new construction: Front Rear Depth Number of Stories l6 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 Naive of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NOA—_ * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *,YES N� * 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 ) I o� being duly sworn, deposes and sa s that(s he is the applicant COyNNIE D.BUNCH (Name of individual si contra bo e med, Notary Public,State of New York No.01BU6185050 (S)He is the Qualified In Suffolk Conntv (Coctor,Agent, Corporate Officer, etc.) Commission Expires April 14,2O�W 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 th 1 a--' day of -(.lrJ YUkQ U 20130 kn' Notary Public -Si ature of Applicant 1 Scott A. Russell �a°Su k y STO]RMWA�C'JE)E� SUPERVISORJ � � z 1��1[A\�A\G]ENC]ENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold - l CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE E ANY OF THE E ]FO LILOWING: Yes No (CHECK ALL THAT APPLY) ❑ 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. ❑N C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑n D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑M E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑ ] F. Installation of new onresurfaced 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 Check List Form to the Building Department with your Building Permit Application. APPLICANT (Property Owner,Design Profess' al,Agent.Contractor,Other) 'Sy�.C.T.M.Q#: 1000 Date: District NAME: ��i"1 '�Jr�✓1 ��s'�lA Z�.•� �� o Section Block Lot /�!p isaeiure' .. FOR BUILDING DEPARTMENT USE ONL I Contact Information lsd I V ( ' IM Reviewed By: — — — — — — — — — — — — — — — — — — Date Property Address/ Location of Construction Work. — — — — — — — — — — — — — — — — — (� Approved for processing Building Permit ]� ��`� ���- Stormwater Management Control Plan Not Required — — — — — — — — — — — — — — — — ❑ Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 i AUG - 4 << ��OS�FfO(�-CO 2021 BUILDING DEPARTMENT- Electrical Inspector Gy TOWN OF SOUTHOLD cm LTtT`li�T?�T ` wn Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 a�.1j01a0`�� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerlD-southoldtownny.gov — seand(a)-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 08/04/202;1 Company Name: Alan Hubbard Electrical Contracting Name: Alan Hubbard License No.: zf� mc— mail: hubbardrads@aol.com Phone No: 631-697-1715 cell e I request an email copy of Certificate of Compliance Address.: 126 Clover Place,Aquebogue, NY 11931 p (3 G da JOB SITE INFORMATION (All Information Required) Name: Jeffrey Wade Address: 1835 Park Avenue, Mattituck, NY 11952 Cross Street: Marratooka Rd. Phone No.: 646-717-4420 Bldg.Permit#: 44717 email: jeffwade212@gmail.com Tax Map District: 1000 Section: 123 Block: 2 Lot: 34 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Electrical installation.to support inground pool Check All That Apply: Is job ready for inspection?: ❑✓ YES ❑NO ❑Rough In ❑✓ Final Do you need a Temp Certificate?: ❑YES -W]NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Met er# ❑New Service ❑ Service Reconnect ❑ Underground []Overhead # Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx IZA PERMIT# Address: Switches -- ----------- ------------------ ------ ------------------------- ------------------------- f)utlets CFI's Surface Sconces HH's - UC Lts Fans Fridge HW Exhaust , Oven Dryer Smokes. DW Service Cafban -- -Ge - - -- - Micr6- rreratar Combo - Cooktdp Transfer AC AH Mini Special: Comments J ) o, L �` al\ 0 F FR,gNKLIN A SCROLL, JR- c t: - g41'5o100.00' SURVEY OF PROPERTY" E N 85 SITSIATE MORI FOUND.3 S. UFIER RD MON.EN' MATTITUCK 00S. D 0 o o TOWN OF SOUTHOLD zo SUFFOLK COUNTY, NEW YORK 0 00 S.C. TAX' No. 1000--123-02-34 a SCALE 1 "=30- 00 ' JULY 20, 2018 rn o AREA = 25,000 sq. ft. 0.574 cc. D�ORRVON TAOION N A. TSURVEY IISAVIOLAIONF �'Z-3 ESECTION DUG oN LA COPIES THE NEW YORK STATE [, O COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR SHALL BE coNSIOEREDOBEAALIDD TRUE _ L]Cq ONLY TTHHEESPERa.SOONN�WHOM THE SURVEY IS D, AND OEr�FTANCOMPANY. GOVRNMENENCY D ON m lb LENDING INSTITUTION LISTED HEREON, AND tg TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. to THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS'OF RECORD, IF ANY. NOT SHOWN ARE NOT GUARANTEED. rn sn Poo\ 14.3• .�'JLF=,�.;rr.:.:;;s;• `` �/� _ _ APT�ONPREPARED 'a• ro ® STANDARDS FOR TITLE SURVEYS AS ESTABLISHED • ":;'�.>' '^'= TA_ BY THE LI.A.LS, AND AND ADOPTED ' -��n '{,- •` '�•, ///T FOR SUCH USE E ( yOR� LAND .: pyo .^.z°tiY•: s' fff TITLE ASSOCIA m• 36.7 CONK STEP A. �+ ❑ 1 STORY I J 3Ti.1' RAZ + FRAME HOUSE 1 O1 y A ` 005 24-3, 12.2' ^? 20.7 BRICK dsTEPs IRRIGATION S ',•d5$�• coNc. f o✓coNTROL covER 2 Y.S. Lic. No. 50467. a ~Nc. wAuc' �°� 104.15 ■ 5 85-41'50" w Nathan Taft Corwin 111 W Land Surveyor SET REBAR FOUND WITH CAP '°; S 85041 "50's W n�E ERI° 100.00 CONC. MON. SP L EDGE OF PAVEMENT ConstrrictioR Layout r- e :• Title 5ury — Subsii&ons — Site Plans — ay n ~ ••,i ' '' 's.- ' �' a ` '. PHONE (631)727-2090 lax (631)727-1727 =° RK AVENUE [� OFFICES LOCATED AT AfAfLlNG ADDRESS PARK 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 _ I, D� ELECTRICAL RETAIN STORM WATER RUNOFF INSPECTION REQUIRE® PURSUANT TO CHAPTER 236 r OF THE TOWN CODE, � 1 � luj jt x ® APPRO ED AS NOTED COMPLY WITH ALL CO NEW YORK STATE & TOWN CODES DATE: a�B.P.# 7 AS REQUIRED AND CONDITIONS OF f7 ,,._---m---�------••----� t FEE: BY. I� NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE '4 SO{} -�_ h}fdi '60ARD FOLLOWING INSPECTIONS: �. TEES 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING ti 3. INSULATION OCCUPANCY OR 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. USE IS UNLAWFUL ALL CONSTRUCTION SHALL MEET THE M�„ ,„,�.__ -•� �-- -�--�---��- " ' REQUIREMENTS OF THE CODES OF NEW WITHOUT CERTIFICATE YORK STATE. NOT RESPONSIBLE FOR ;� NIEMATELY' DESIGN OR CONS i RUCTION ERRORS. �, osE;POOLTOCODE OF OCCUPANCY ?ON COMPLETION FORE"WATER J