HomeMy WebLinkAbout45941-Z guEfOlKcoGy Town of Southold 12/18/2021
o
P.O.Box 1179
co
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42631 Date: 12/18/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 8300 Route 25, East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-7-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/2/2021 pursuant to which Building Permit No. 45941 dated 3/17/2021
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 Benidze,Koba
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45941 5/24/2021
PLUMBERS CERTIFICATION DATED 0 de
uth ri d ignature
�SpFFOtK�, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N Rz TOWN CLERK'S OFFICE
oy . opt 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 #: 45941 Date: 3/17/2021
Permission is hereby granted to:
Benidze, Koba
8300 Main Rd
East Marion, NY 11939
To: construct accessory above-ground swimming pool as applied for.
At premises located at:
8300 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-7-2
Pursuant to application dated 3/2/2021 and approved by the Building Inspector.
To expire on 9/16/2022.
Fees:
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Bu' n ector
pF SOUryol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �O sean.devlintS-town.southold.ny.us
COUNTI,a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Koba Benidze
Address: 8300 Route 25 city:East Marion st: NY zip: 11939
Building Permit#: 45941 Section: 31 Block: 7 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Home Owner License No:
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 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks 1
Disconnect Switches 4'LED Exit Fixtures Pump 1
Other Equipment: Salt Generator, Pump
Notes: Above Ground Pool
Inspector Signature: Date: May 24, 2021
S.Devlin-Cert Electrical Compliance Form.xls
OF SOUIyOI
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
: -INSPECTION
[ ] FOUNDATION 1ST [ ]. ROUGH PLBG.
[ ] FOUNDATION 2ND [�] SULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL A i&-. PMyE,'-_
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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VIC., 4vote.,
DATE INSPECTOR
,*OESOUTy� -I
�# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
j FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY { ] FIRE SAFETYINSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: .
C� s 19—tq 2e
DATE 2O Z INSPECTOR .-- `
�Of SOUTy
# # TOWN OF SOUTHOLD BUILDING DEPT.
Iou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ VINSULATION/C G
[ ] FRAMING /STRAPPING [ ] FINALP015t
[ ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE YS(100 INSPECTOR
OF SOUT�olo
# TOWN-OF SOUTHOLD .BUILDING -DEPT.
765-1.802
IN SPECT
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ NSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL9pj
[ ] FIREPLACE & CHIMNEY [ ] FIRESAFETY INSPECTION µ
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]
ELECTRICAL.(ROUGH) [ ] -ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
6N FT-N/
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DATE INSPECTOR.
FIELD.INSPECTION REPORT 'DATE COMMENTS
FOUNDATION(IST) —� y
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FOUNDATION(2ND) R7
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PLUMBING
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INSULATION PER N.Y. y
STATE ENERGY CODE
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FINAL. 0.
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631)765-1802 Fax (631)765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. 145q�� Building Inspector: MAR 2 2021
Applications and forms must be filled out in their entirety.Incomplete . ... ...
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(9)OF P14OPERTY:
Name: L/ SUM#1000-
Qfl
Project Address:
63 00 Nit k)
Phone#: Email:
ko gaig F9 yah&0 -6a"F
Mailing Address: g,3 -0 6ak-LAW 4LI I
CONTACT PERSON:
Name:
Mailing Address: 3 0
Phone#: --�'o 6q� Email:
7 'NIOB 1?100V-'(Iot
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#:
CONTRACTOR INFORMATION:
Name: 0)
C ,�
MailingAddress: ffiddli'l- �IoAhlt /115T
Phone#: -7,93 Email:
DESCRIPTION OF PROPOSED CNSTRLICT'ION
El New Structure PAdditioQ 0 Alterationf]Repair El emolition Estimated Cost of Project:
11rother VV-1 (M I h 61-, $
'V
Will the Int hP rp-ornrlpd? F-1VPr F-1 Nn Will Pyrp-,cz fill hp rpmnvPrI frnm nrpmip-,? MVP,, F-1Nn
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.
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 210.45 of the New York State Penal Law.
Application Submitted By(print name): . ��F ���t- ❑Authorized Agent Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF Su:E&
(Y � � 2e 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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before meth'
day of �'ti`1 ,20�
No Public
JEAMIARIE^moo Ne
Notary Pylic,State of�devd York
No,010D625'1238
PROPERTY OWNER AUTHORIZATION Qualified in Suffolk County
(Where thea romrnission Expires Nove� uer 14,20-L.
applicant is not the owner}
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
rl%►innlc Cinnn+3 r1n*n
a®�ufl Oc�c® BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
C x Town Hall Annex- 54375 Main Road - PO Box 1179
^� Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roQerrna southoldtownn ..aov— seandOa-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORfWATION (Ail Information Required) Date:
Company Name: O
Name:
License No.: email:
Phone No: ❑ 1 request an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (All Information Required) �.
Name: 0 C? 74— /3 rV/ D 2
Address: R3Q((� -1
Cross Street:
Phone No.:
B18g.Permit#: email:
Tax Map District: 1000 Section: Block: "Lot-
BRIEF
ot-BRIEF DESC •IPTION OF WORK (Please Print CI rly) S� (� 1 , _ d
cc� C l p �1�_ I c��
Check All That Apply:
Is job ready for inspection?: )FJE ' 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#
--AWIDA,A0A,10&^AAAAAAAAAAAA0A I9a&^AU^&[}}n&cAA�}a^I*I[-}aAAAAAAAU C^I @^M5
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information: Ponv° J
DAVRfl=fdT 111 M WITU ADDI 1rAT1r%1
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BUILDING DEPARTMENT-Electrical-Inspector
sUfFoco
�O Gy TOWN OF SOUTHOLD
o Town Hall Annex-54375 Main Road - PO Box 1179
as Y Southold, New York 11971-0959
ayep� Telephone (631) 765-1802- FAX (631) 765-9502
rogerrna southoldtownny_gov seandO-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFO WATION (Ail Information Required) Date:
Company Name: 0 W4 fy,
Name:
License No.: email:
Phone No: ❑ I request an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (AII.Information-Required)
Name: O L -
. .. . . . Address: 1
Cross Street:
- Y
.:Phone No.:
Bldg..Permit#: email:
Tax Map District: 1000 Section: Block: `tot:
BRIEF DESCRIPTION OF WORK(Please Print CI rly) S� (� C;97
Check All That Apply:
Is job ready for inspection?: ` E 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#
-=W0A,AOAI ^AAAApAR IAA0A:0&^AU^&[}}^&cAAARRpRAAW
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PERMIT# Address:
Switches I
Outlets t
GFI's I
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: /
C
Comments:
44,4 a�
SURVEY OF:
PROPERTY LOCATED AT EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C.T.M. # 1000-31-7-2
AREA = 25,37 4.9 SF.
SCALE: 1"=40'
NOTE: THE EXISTENCE OF RIGHT OF WAYS. O
WETLANDS AND/OR EASEMENTS OF RECORD
IF ANY, NOT SHOWN ARE NOT GUARANTEED. •w\ �'�
�. O O
2
LAND N/F
FRANCINE LEVINE
RSB, REVOCABLE TRUST
S
m�
D9'
Jy� 41 �*po5 Q Off:
< .Lm 2Z• pOF
SHED
C� ,p SHED O -
04,�r �
FRAME
ti< a a0
X612~C� f -
Ot ors,A yes
O �fpi `•, ,\�j1 GARAGE <F
t "D60
LAND N/F 0017DO
ALAN
ROGERS �' � C�,
O p A
op O
y
00 08075
LAN UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION \ �Q LAND
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. LAND N/F
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED DOUGLAS
OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. ROGER S
GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO
THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION SURVEYED B Y
LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS. PAUL B AR Y L S K I LAND SURVEYING
PATCHOGUE NY 11772
CERTIFIED T0: P
STANLEY J DYKOVITZ HONE 631-294-6985
FIDELITY NATIONAL TITLE INSURANCE COMPANY FAX 631-627-3166
KOBA BENIDZE PAUL@ARYLSKIoYAH00.COM
3123
JUNE 14. 2818
1
;APPRO ED AS NOT D
DATE: B.P.#
FEE: �` BY:
NOTIFY BUILDING -EPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPEC T IONS:
1. FOUNDATION - TWO REQUIRED RETAIN STORM WATER RUNOFF
FOR POURED CONCRETE PURSUANT TO CHAPTER 236
2. ROUGH - FRAMING & PLUMBING OF THE TOWN CODE.
3. INSULATION
4. FINAL - CONSTr=;_ICT'^N MUST
BE COMPLETE
ALL CONSTRUCTI-,;\ --,rALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
ELECTRICAL
INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
._ Z'-- +N3t�$WN�-BAS
'niA'N o4"G BOARD
r' USTEES
NXS.-DES
�pITOMiFtDi�k T ELY,
ENCLOSE POOL TO CODE;
..''tlPON COMPLETION
; EFORE"WATER°
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATC:
OF OCCUPANCY
N
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42-0"
_ "
4x Transitio 4x Transition stabilizer 24'
bottom track n n n n n
left and right - E
O 021' (5411)CL
\ y
Gap between
O , bottom tracks C
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0.698' �.
V
p R
0
O
cc
90'--*-1 Ox Bottom �i H
Track 021'
(56")
p p 1 Ox Stabilizer 24' N y
V � (55.875")
(d f;fr•
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zo LL a ;
WUj cc p 12x Straight side track 015' (37"
12x Straight stabilizer 16 (37.25"j
Perimeter 1300" (hole to hole) -Track length measured in track slot -All dimensions are in inches Z
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