HomeMy WebLinkAbout45460-Z S11FEO � t Town of Southold
a�O� oGy� 12/14/2021
o -
P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42620 Date: 12/14/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 2590 Wells Rd., Peconic
SCTM#: 473889 Sec/Block/Lot: 86.-1-10.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/4/2020 pursuant to which Building Permit No. 45460 dated 11/18/2020
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 McGuire Eileen T Irry Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45460 10/18/2021
PLUMBERS CERTIFICATION DATED
th ri ed Signature
OF oI� TOWN OF SOUTHOLD
�pG BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
v� • 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#: 45460 Date: 11/18/2020
Permission is hereby granted to:
McGuire Eileen T Irry Trt
PO BOX 189
Peconic, NY 11958
To: construct accessoryround swimming in-g g pool as applied for.
At premises located at:
2590 Wells Rd., Peconic
SCTM #473889
Sec/Block/Lot# 86.-1-10.8
Pursuant to application dated 11/4/2020 and approved by the Building Inspector.
To expire on 5/20/2022. -
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Bui ding Inspector
Form 149.6
TOWN OF SOfjT. iOOI,D
TOWN 14ALL
765-4802
A]PIPLICATION FOR CERTIFICATE OF OCCUPANCY
Taft application must be fUltd-n t b3'. Ywriter or ink and submitted to the Building Department with the
A. following:
'o:c stew i uui iin : tt Use.
I. cW f PAY With� all bu and
pn_ I � T StIOII O f1' 0 1�rePe
s f r�atusc�al
2. Fig . ttatti�Bl
Approval
Or
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.Prtntprupertv;owner s name) - �A+Ia�l�tig Addrzss) 4
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"Southold 1341ding;Departinent:,.
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(Fant owner's Name
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OF SO(/rgol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 • Q sean.devlinl5_town.southold.ny.us
Southold,NY 11971-0959
olyCOU ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: McGuire Eileen T Irry Trt
Address: 2590 Wells Rd city:Peconic st: NY zip: 11958
Building Permit* 45460 Section: 86 Block: 1 Lot: 10.8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Morrison Electrical Consultant:License No: 48402ME
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 2 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 X A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer 100W UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 2 4'LED Exit Fixtures Pump L-11
Other Equipment: Intermatic Pool Panel 8 Circuit/ 8 Used, Pump 220GFI, 6 Lights on 100W tranny,
Salt Generator, Heater, Pool Cover 120GFI w/ Keypad in Shed
Notes: .Pool
Inspector Signature: Date: October 18, 2021
S.Devlin-Cert Electrical Compliance Form
OF SObIyO�
# # TOWN OF SOUTHOLD BUILD- ZINNG D
2°�ycourm��' 765-1802 ` '���
[NSPECTIO:N
[ ] FOUNDATION 1 ST [ } ROUGH PLBG.
[ ] FOUNDATION'2ND = ..j. ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] 'FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT"PENETRATION
js,& ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)-
CODE VIOLATION [ ] PRE C/O
REMARKS:_ '
c 0
sC, Old
k :. N UTA f C -0 �
0-,
DATE INSPECTOR
o�alaf SO(/1��
* TOWN OF SOUTHOLD BUILDING.DEPT.
�ycou765-1802
INSPECTION ' .-
FOUNDATION
1ST [ ] ROUGH PLBG.
,.] FOUNDATION 2ND [ ] NSULATIO CAULKING
[ ] FRAMING /STRAPPING [ FINALPM��
[ ] FIREPLACE-'& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRERESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[. ] .ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION(1ST)
------------------------------------
C
FOUNDATION(2ND) t=i
. � z
ROUGH FRAMING& y
PLUMBING
a
INSULATION PER N.Y. '
STATE ENERGY CODE
FINAL
n .
ADDITIONAL COMMENTS (�
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TOWN OF SOUTFIOL]D
13Uff DING DEPARTMEN r
TOWT1 BUILDING P'-RMT-RMTACHECKLIST
1� CKLIST
SOUTH6LD,NY 11971 Do You have or need the following,before applying?
TEL:(631)7 1802 Board ofHealth
FAX:(631)765-9502 4 sets of Building Plans_1
Soratholdtownny gov //„� Planning card approval
PEI11�Y'tl'N®, cT(`(�J Survey.
Check
Septic Form
NXS.D.E.C.
.�•r `:� j Trustees
Examined 1 C.O.Application
ti La Floodpernrit
1 2024 Single&Separate_
L Truss Identification Fon
O Stone-Water Assessment Form
Approved 2 �F ° Coaffict
r 'b6'tt PCCL, �t
`i::z.r' CO �`i►�hS Ooh l�ro
cr n etc
Expiration 20 Phone: & 3 ! �C'!S /Lk
Buil g:Inspector
�Fg;YC�Q1gONr1FOy8��IJIIILIDII�1�F�IBII/��'
�I�TlaucTd�l�� Date i I s 20_1=�,0
IL This_application MUST be completely filled in .
sets of plans,accurate Plot plan to scale.Fee tYPewriter or in ink and submitted-tathe Building
b.Plot plan showing locationof lot and o bmuig to schedule' Inspector with 4
areas,aad_waterways. g Plemises,relationship to ad'o'
C*Th workcovered by this p adjoining premises or public streets or
CL Upon approval of this aPPlicahon-may not be commenced before issuance of Building pert
shall be kept on the' appli�0°,the HwldiIIg Inspector•win,issue a BuiC' g erinit'.to_th
premises;avarlalslefor nspecgon through out the work chin P e'applicant.Such a permit
e 1Vo burldiag'shell be'Occupied or usedin-whole orin
issues a Certificate of Occupancy. 2,40"br any
f Every-buildin Y Purpose what-so ever until the Building Inspector
issuance.or has not been, d feted wi -8expire moatbs frohe work mu!*has not eorrunenced within
Prop,ertY have3been;enacted meths rete. u date If no zoning amendmlo r the date of
after
addition six mo rim;:the Building Inspeetcr may
'authorize,in regulations affecting the
ritiis.Thereafter,a new pennrt shall lie,reyu j writirig,,the exte
AP PLACATION IS HEREBY nsionofthe permit foran
Building Zone ordinance of Ore Town oA f So thorn S uildng Deparhnent for
4 � the-Issuance of a Buil
Regulahons,:for.the.constructionof buildin 'i N''I'o p -pursuant to the
applicant agrees to:comply witir all gs;,additions,or aly cable Laws,Ordinances and other:appl
applroable law or terahons;or for removal or demolrhon_.'asAerein described.The
authorized'inspectors oripremises and•n-buildng r.ne bwidmg,code,hoes .
m3' P ons. nig code,and regulations,and to admit
t'�_ � •7
(Signature of applicant oraa corporation)
-766
d Mor,
State whether . _ (1�e0�address of applicant)
applicant is owner,lessee,ager;architect,engineer,g� contractor,electrician,Plumber or builder
Name of own premises !
}f appli is a. (As owthe tax roll or latest.deed)
1 of duly authorized oi�cer
and title of co oral offic
B.uildefs Li.Teense No. � o
Plumbers License No. Lae
Electricians,License
Other Trade's License No.
4
1• Lo n�of lan on which p oseedd work will be done:
House Number l�
Street
• � Hamlet
County Tax Map No.1000 Section
Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and- use and occu
a. Existing use and occupancy l f Pressed construction:
b. Intended use and occupaney�p1
3. Nature of work(check which applicable):New Building
Repair Removal Addition Alteration
Demolition_O Work ZC,p /RX`�O
4. Estimated Cost Fee (Description)
S. If dwelling;number of dwellingunit (Go be paid on filing this application)
1f garage,number of ears Number of dwelling units on each floor
6. If business,commercial or mixed occupancy,specifynature and extent of each type of use.
7.,,Dimensions of existing
g s�etures,if any:Front gW DepthNumber of Stones
------------
DIM-ensions of same structure with alterations:or additions'Front
p HeightRear
lliumber of°Stories
8. Dimensions of entire new construction -Front
Height Rear Depth
Number of-Stones
9. Size of lot:Fronts
� Rear �� Depth
1.0.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�ili excess fill be removed from premises?YESNO
/
�� � �� (� _ •V
14.Names of Owner of premisesc,II�1 MC s �Name of Architect &o0e o. t /
Name ofContractor . a�: Address hone-No`es 1U Plione No. Z /
Mcs ,7-G-c
15 a Is this-Property within 100 feet of a tidal wetlend,or af4shwater wetland?'AYES NO_�
*1F YES,SOUTHOW TOWN TRUSTEE it&D E C PERA�I'I`$MAY BE TtEQLTIItED.
b.Is this property within 300 feet of a�A44 wetland?*YES NO
a IF YES,DAC.PERMITS MAY BE REQUAt .
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.
P8.Are there,any covenants and restrictions with respect to this *
*IF YES,PROUI1DE A COPY. pro YES NO_%e!L-'
STATEOF NEW yORR)
SS:
COUNTY OF,, ``
I,�a N A�
(Name of individual stgnmg contract)above being.duly swom,deposes and says that(s)he is the applicant
. named,
(S)He is the pP �1 �
(Contractor,Agent,Corporate g cer,rte.)
Of said owner or owners,and>s duly authonzed,to perform or have
Alhe said
tbal a11.-statements eontain,d m tlris•applijudoa arctrue•to t work;pdto make and file this
Perfoche best of. ledge and tielief;and that the work will b be 4ted•,m+,tlie.marmer s}et Earth in the:application.fileflhwve j&
Sworn to before,me this
day of 20
Notary Public
4Signet (Applicant
FEB 2 4 2022 f
Town MR A.mex � Tele 62 7651
54375 IY12in Road y ti ��phhone( 1) 6�5p-2192 t` •` ,Y.
P.O.Box 1179 M enrichert(C19IOW�SO(llilolUcnV il$
Southold,NY 11971-0959 -" "
BUHZING DEPARTMENT
TOWN OF S®UTtE® .IID .
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Flame: �q 2-7-) �C� ��L �5�•
Name:
License No.: M.C --
401K-1p 4
Address: Q,
Phone Plo.: &,,31 -33q
JOBSITE fNFORMATION: (1ndicates required information)
Name: �o•�{-tom � �I l�l� 1 ' l C�=�i i-4 �2t.
*Address:
Cross Street: l,3 P—D
*Phone No.: S— 1Z�
Permit No.: 4S p
Tax Map District: 1000 Section- _ Block: w Lot: D�$
*BRIEF DESCRIPTION OF W9,RK.(Please Print Clearly)
Maass Circle Ail That Apply)
*Is job ready for inspection: YES NO Rough In Final
'Do-you need a Temp Certificate: YES I� •
Temp Information(if needed)
*Service Size: 1 Phase Whose 900 950 200 300 350 400 Other
*New Service: Re-connect. Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICA"TION
82-Request for inspection Form
ti � �
May 18 2020 05:25PM HP Fax page 9
Scott A. Russell STORMWALTEk
SOUTHOM 0, MANAGEMENT
���-&MMWM WV0= n�
. 4 Town of Southold
Cry[ - SIMATra N"AAMMT WORK SST
(TO BE COMPLETED BY THE APPLICANT)
DOES TIS p�O3 lWMVE ANY OF TFIE F(3Id�OtiVli�Ttx
= Y No se cs AM MT AMP
A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of
Be EXcavation or filling involving more than 204
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. Siteration
Preps 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.13 , p
F. Installation of new or resurfaced impervious surfaces of 11000 square
feet or more, unless prion-approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replaceinent of impervious surfaces.
�(t
Tasebm ry= d bR! 1A[of to o t Man blow W&ym Aawe,
WWOM"Cod" ,ftW& mN".sat apP1P to> PrQleat.
=to e�•ar mann of f obss,Plewa ap�eP.di a
sad a oea�lgOt�Abeot u t.Adan to the � BWft
,, —� K'" ContY+ut Plan
o w"Dowhd int.PMUift 01W S.C.T.M. a: Iwo LIM
MW I� �' &6 AL l�
cm 31 -246 FOR BUILDING DEPARTMENT USE ONLY
n
- - — — — _ — — — -- - — Reviewed By;
PEODWYhddrem I It Co W _ _ _ _ _ Late:
WOOL,
Approved for processing BUIWftL Permit — —
&otmwater Masngement Control Plan Not Required.
&=Water Mm*mm Control Plaa is Required.
�...1 B:o ward to E t for RevicwI
FORM # ICP-'D 3 MAY E
J
1� BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
'� 04 Telephone (631) 765-1802 - FAX (631) 765-9502
roaerrftsoutholdtownnycioy seanddsoutholdtownnd aov
APPLICATION, FO -ELECTRICAL INSPECTI:OI :
ELECTRICIAN INFORMATION(Au Information Required) Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INf ORMATION (All Information Required)
Name:
Address: U ��
Cross Street: �c}D
'Phone..No.:- 631 —Z
Bldg.Perrriit#: �- (�(� email:
Tax Map District: 1000 _$elock: Lot: D v 8
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES/ NO Issued On
Temp Information: (AII information required)
Service Size 1 Ph 3 Ph Size: . A #Meters Old Meter#
New Service-.Fire Reconnect-,Flood Reconnect-Service Reconnected-Underground -Overhead
Unde,oround,Laterals 1 '2 H Frame Pole Work done on Service? Y N
Additional-lnformation:-
PAYMElff-131E_1AHTl APPLICATION
Request for Inspection Formals
5URV�Y Or- PROpr=RTY ad
51TUATEi RWONIC1-400O �O
TOM 501171 fOLD
�OL,G COUNTY, NY
SURVEYED 04-lei-2000
HD.04-26-OI,04-23-02,06-13-02, .I; + inn IU04 JUL I A 11-36
add'I topo 06-12-02, _ �r 0 Ca/ fJ/�� °� S
FOUNDATION LOCATION 06-15-03 -- r
FINAL 01-02-04
SUFFOLK COUNTY TAX a =. :. ..
1000-5b-1-10b
CERTIFIED TO, pF.
T. FOfn'�f i 1 S m
John
T McGuire :, .:: :a.r_;:, r.t L d Now or v�cOf 8 0
Bank OF Smithtown ._. -....• __...._�._ ��_ 4u istine vpGf.OT
COmmanwealth Land LpwrenGe I- .
Tltle Insurance Compony ,.
TIM N RN00001251
4•g7.65ft
,3911
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st• . `� ii9
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House
c3 �L Z I IQ �3
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(1 --_-v_-�L-_-____--__•- 709'
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we
5-1
o ' S6e43'52'W 462.07'
C) r I
Land Now or Formerly of
�•w � � Jennie Lee Pierce
NOTES, �x'•a�' �' „•,•�.�p�"".�'"�!•a`"
Q STAKE tj{e� i\.• LMD
Nw%bY"Y�•••'V1
AREA=89,14A S.F.or 2.0466 ACRE
JOIN C. EHLERS LAND SURVEYOR
6 BASTMAIN STRBBT N.Y.S.Lir-N0.50202
GRAPHIC SCALE I"-50' RrAMEBAD,N.Y.11901
369-8288 Fax 369-8287 %Mp&MTM M0S120-157bpm
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MQtn � N
M.
SITU TEcTopo �
LK COUMTY, Nr
SURVEYED 04-IA-2000, ••••.:•. •'-- , 2094 JUL I I A 11=3b
HD.04-26-OI,04-23-02,Ob-13-02.
add'I M��pa Ob-12-02 .._
FOUNDATION LOCATION Ob-18-09
SUFFOLK COUNTY TAX p
1000-86-1-108
a o.
of.
CERTIFIED TO: -- t, r
tt{{
_ IAaW Of�OO�a(l 8 m
John T.McLane _ _,. + :. tr,t ►- t5tm0 6�VOc I a
E!iWn T.MCC-ulre ...._�..� ...-........ ...»_._. �_ _�_, l_aWrence
Bank of 5mI town 6
Commonwealth Land
Title Insurance Company l97.65�
Title°RHB000125
drw
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5to + Nd:ru I
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6l�and Now or Formerly of
Jennie, Lee Pierce
NOTE5& A � "...a..
ey��...,..n, - prep] b1
\\. wYOii AM-271
�,��w•,9v.am�r
STAKE `�v
AREA=89,149 5F.or 20466 AGI:I: / ,\ JOHN C. EHLERS LAND,
11Ilw C/�i 1L®�
/VAC 6 EASTMAIN SIREU N.Y.S.Me.NO.sm
1 ,\ RIVERABAD,N.Y.11901
6RAPHIC 50ALE I"=5�r r1\ - 369-8289 Fax 369-8 %Xup seaveiwR05\20-1576.pro
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700 Main Road
Mattituck NY 11952
Office:631-298-4014
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APPROVED AS NOTED
DATE:22 � B.P.#
FEE: BY:
NOTIFY BUILDING DEPART ENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: ELECTRICAL
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE 90N REQUIRED
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRI`'TION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
°39M,hmEIATELY"; .
COMPLY WITH ALL CODES OF ENCLOSE POOL TO CODE-
ION
NEW YORK STATE & TOWN CODES JtJPON RE,"COMA TTR",
�,'c BEFORE__';WATER"
AS REQUIRFD AND CONDITIONS OF
T 'nWN ZBA
----- �u�! I 'fill. !a NING ARD
TRUSTEES
r
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OCCUPANCY OR OF THE TOWN CODE,
USE IS UNLAWFUL
WITHOUT CERTIFICATE"
OF OCCUPANCY
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