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HomeMy WebLinkAbout45161-Z g�FFQd�- �o�o coGy Town of Southold 3/5/2022 P.O.Box 1179 o _ h 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42892 Date: 3/5/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 7280 N Bayview Rd, Southold SCTM#: 473889 Sec/Block/Lot: 79.-7-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/20/2020 pursuant to which Building Permit No. 45161 dated 9/3/2020 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 Danowski,Edward of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45161 9/25/2020 PLUMBERS CERTIFICATION DATED n \ 1 Auth ize Si a ure TOWN OF SOUTHOLD �o g�FFD� CGy BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • o� { 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#: 45161 Date: 9/3/2020 Permission is hereby granted to: Danowski, Edward 400 Deer Path Mattituck, NY 11952 To: construct accessory in-ground swimming pool as applied for. At premises located at: 7280 N Bayview Rd, Southold SCTM # 473889 Sec/Block/Lot# 79.-7-9 Pursuant to application dated 8/20/2020 and approved by the Building Inspector. To expire on 3/5/2022. 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. V/V Z, New Construction:��,,,,, Old or Pre-existing Building: (check one) Location of Property: ?jt290 !?.J House No. Street Hamlet Owner or Owners of Property: eus&.,gp Suffolk County Tax Map No 1000, Section Block Lot y' Subdivision Filed Map. Lot: s Permit No. 4, I � � Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) 1, L--P&, q-jjD 5 residing at ��ssy A/ fs '3� iuiL-zy 71;�> (Print property owner's name) (Mailing Address) �[1i>� u7, J✓L,i' //97/, do hereby authorize /7.:� � 5 (Agent) to apply on my behalf to the Southold Building Department. (Owner's Signature) (Date) (Print Owner's Name) SOUK,®l Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �l • CoQ sean.devlinAtown.southold.ny.us �OOUNTI,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Edward Danowski Address: 7280 N Bayview Rd city:Southold st: NY zip: 11971 Building Permit#: 45161 Section: 79 Block: 7 Lot: 9 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 Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 3 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 FixturesTime Clocks 1 Disconnect Switches 2 4'LED Exit Fixtures Pump 1 Other Equipment: Intermatic Pool Panel, Intermatic Pool Tranny, Pump on 220GFI Tranny, Salt - Generator, Lights on 120GFI Notes: Pool Inspector Signature: Date: September 25, 2020 S.Devlin-Cert Electrical Compliance Form.xls Of SOUIyo� H ALJ 72---60 /V # TOWN OF SOUTHOLD BUILDING EPT. `y�ourmN�' 765-1802 INSPECTION . . [ ] FOUNDATION IST [ ] 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 hoy��rtsF SOUTH°!o # * TOWN OF SOUTH.OLD BUILDING DEPT. courm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] R UGH PL13G.- ].' FOUNDATION 2ND [ ] NSULATION/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: r DATE �Y70 INSPECTOR FIELD INSPECTION REP;RT7 DATE COMMENTS FOUNDATION(IST) C FOUNDATION (2ND) ROUGH FRAMING& PLUMBING w ` �1 l INSI:LATION PER N..Y. y STATE ENERGY CODE ' f oew FINAL ADDITIONAL COMMENTS. 1 . Ll o ZZ �1 p x • y CC d • t�7 rd 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 PlanningBoard approval FAX: (631) 765-9502 Suryey a/ Southoldtownny.gov PERMIT NO. Check_ Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20�Z Single&Separate Truss Identification Form Storm-Water Assessment Form gb Contact: Approved 113 20 Mail to: 17i Disapproved a/c P71 —j2� &T7,nIJ04&6 nJy//935 Phone: �3/-73y-7GliS Expiration 20 D F� � � Bu' spector vD AUG 2 0 2020 APPLICATION FOR BUILDING PERMIT Date �'�/� , 20 20 BuffiDI G DEPT. INSTRUCTIONS 'rO�;.,.T x���r:,TiT$OLD a. Th,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, 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. l'�/n/Z Tax15 4j> (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder G�rU�2/�C.>Ur'� • Name of owner of premises Eby),4 -p =0 7t /-Vvo,,gsK 1 (As on the tax roll or latest deed) If applica us a corp on i ture of duly authorized officer ( ame air title of corporate officer) Builders License No. 1g-11,p-7Z.Z 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 Section 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 4,�r 6Z b. Intended use and occupancy/ 57uR!' F14' hWir4 G Z'y7& �w-L�r2vu.�� e? �Zex_ 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Qffer Wo (Description) 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 --;v' Depth '0:�y Height ,go ° Number of Stories ._2.. 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 ij9. Size of lot: Front ,l ati Rear /wDepth ikll %3 10. Date of Purchase Name of Former Owner `='= 11. Zone or use district in which premises are situated -Ife 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO >/ 13. Will lot be re-graded? YES X NO Will excess fill be removed from premises? YES Y NO 14. Names of Owner of premisesgsnwr2m :1. 7>AAv,,_,x,Address7Zuo i✓. gc> Phone No.G3!-&7z-_Ty77 Name of Architect Address s""' � Phone No Name of Contractor(,#%W qk,7,,j_s Address79, max 9 Phone No.la3/735-76657 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 X 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-,\--f * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) 45-04CA- % being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the &t 'Al)7ZA61 r47fZ (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 day of AIAQoAYF 2040 o ary Public Signa re o Applicant 2'®ut-IT Y 15a,6'-rT_ of ivqLlj 44 14A In`7�q?lJv 2 A_'C Aa_'o'-4 Russell 4- '� F O�JE���J[WA\` IEJK- Scott A. R. sUPERvisoR z . IM AN A(G]EMIEN T S5 Main LD TOWN oad-SOUMHALLD,NEW ox 1179 Town of Southold 53095 Main Road-SOLTI]30L17,NEWYORK 11971 _ CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOES TIES PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY - Yes No _ ® 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. ®tg 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. LX 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 NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number'. Cbapter 236 docs 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 Last For.-in to the Building Depa'!ment vrA your Building Permit Application- and *: 1000 Dates APPLICANT: (Property owner,Des gn Proressionat Agent,Contractor,Other) District NAME: 5 Section Block Lot pAn+a - �" FOR BUILDING DEPARTMENT USE ONLY Contact mormattoa rtarnn�v.ror.,t Rev-iewed By: — - - - - - - — — Date Property Address /Location of Construction Work: — — — — — — — — — — — — — — — — — Approved for processing Building Permit. �fsU �VU2T�� ��yU/c w s�`71 e — — Stormwater Management Control Plan Not Required. EvxStormaler Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM " SMCP-TOS MAY 2014 BUILDING DEPARTMENT-ElectricalrOV[EBo)xS,'4�i0t7@ �� TOWN OF SOUTHOLD Q 9 D Town Hall Annex-54375 Main Road - 2 2020 Southold, New York 11971-0959 Telephone(631) 765-1802-FAX(631) 765-9502 1r 1 =°. rogerr@southoldtow- nny., ov- seand s®�,th � THOLDJ APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ag Information Required) Date: Company Name: 1 e G -TC Name: License No.: V-1email: Address: Lk Q Phone No.: JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: c� t Bldg.Permit#: email: Tax Map District: 1000 Section: Block: `7 Lot: a BRIEF DESCRIPTION OF WORK(Please Print Clearly) O� Circle All That Apply: Is job ready for inspection?: ES NO Rough In Final Do you need a Temp Certificate?: YE NO Issued On Temp Information: (Ali 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 '9 ©o Request for Inspection ForrnAs d�� �� • '""` , UNAUTHORIZED 4LTERATION OR ADD1TON TQ:THtS SURVEY IS.A YIOLATIQk bF. RE'V75eO APR.19,19.7'6 5ECTlo1+ 7209 G THE'NESY'YORKSTATC EDUCATION LAW. CDPIE5 OF.;-THIS AUG 25,09'76 9URV.,EY fidAP NOT BEARING TtIE LAND 3URVEYOR•S INKED S$AL'OR:EiABOSSED [� SF.4L:SHALL NOT BE CONSIDERED 70 BEA VALID.TRUE COPY GLARANTEE3 A,. I INDICATED HEREONSHRLY ALL wONTa3HE 'PERSONFOR WHOM THE SURVEY IS: .fi / 'F7EfJAREO,AND Ok HIS:BEHAtF 70 THE,:TITLE COMPANY;GOVERNMENTAL AGENCY 1 y C! �9;•�O' � `,� AND.:LENOIIV(i�INST17'IJ�tON�USTE(3 HEREON AND;TO 7HE ASfi:f GNEEfi�F•fiHE. ��. 1 ; LENaIHGINS.71TUt10k GUARANTEES:ARENOTTRAN9F$RAgLE'TOAOQ1TIONAL' � ` 1N8Ti`TUTIQNS:OR SUBSEQUENT OfNN1:A5. .' _ ay`. Oy Q1 �I THE LOCATION OF WEi.GS ANO CESSPOOLS SIlOWN HEpEON ARE FfiOM FIEI:>] C� OBSERVATIONS ANO/OR FROM DATA OBTAINED FROM OTHERS �ry TFlEWATEA SUPPLY ANO SEWAGE OIfSPOSAL SYS4EMMS FOR TH15 AESIDENGE W1LL ' CDNft7RIH TO'7HE ST/►NDARDS QF THE SUFFOLK CQUNTY DE'AR�AENT OF HEALTH ! o SERVICES APPLICAh17' i ADaFiESS_. TEL. TreSi�?C • o l Z\ ` :0010. WA p9 i '9 y NOTES it M&WtNT O=STAKE ' EL VAT16NS-:SHOWN -tHUS: 35;0 ��++.' y y�y SUBDIV1S10N MA-9.FILED IN THE OFft.GE OF THE CLERK':OF-SUFFOLK C.OU.J!1TX dN NNE 4, 1971 )f = AS'FILE NO. 5"559 I r 411 !F' !>✓ 4, ti.O �p,'4f� Of .NES SURVEY FOa GU AN Tp O. Vii' tp,x ROY O JOH00IN JB T .1 TSE:; ilT0; Q Q COQ SHERRY A JOHNSON N as � � L h) IV� ��� IV 0 LOT 10 "LEEWARD 40" E$ �p'� � v V ACR .. AT BAYVIEW1 �� 4101 93 • � ,` �� � P,�3�''`�.. � ��`�• 458 � r , rr�'siuLnAT BAY V I E W D Rv I i Town of 5 O U TH 0 L D' ALDEN W. YOUNG, PROFESSIONAL { ENGINEER AND'L'AND SURVEYOR y`. N,YS.LIC NO.IZa46. 1' .. SUFFOLK COUNTY N Y. H-Y AS wYoukG; LaNDsuljvEYo� [r N'Y.S LIC NO 4S- 93 YOU 1VG. & YOUNG, LAND SURVEYORS ' 400 OSTRA NDER AVENUE R l V E RHEAD, NEW YORK / DATE SCALE NO DISTANCE TO &EAFEST WATER MAJN- 2t MILES FEB, 3, 1976 I°=64' 76-70 1 r i ' I 1 Dad APPROVED AS NOTED DATE: � B.P.-it FEE:--- t66 BY:--= , kETAIN STORM WATER RUNOFF NOTIFY BUILDING DEPARTMENT AT . PURSUANT TO CHAPTER 236 765-1802 8 AM TO 4 PM FOR THE OF THE TOWN CODE. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -. FRAMING & PLUMBING 3 INSULATION 4. FINAL - CONSTRUCTION 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. ELECTRI,AL INSPECTION REQUIRED COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF S t BOARD `,ENOLOSE POOL TO CODE- '#dN COMPLETdQN SO . USTEESOR�-WATaF� OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICA OF OCCUPANCY j1X4 P C D E p G H . 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B OT=ANSI r skou.Wwl W STiH03 • POOL PLAN Twim eft D CLL R. "NuB \ I Y fliOC Yle9e®&4N9 bl®•DN.-__._M amm . n W MASHM.IW► TD TOP GOMM M'I agm ZIE& a= ,=SA1110� cuovm f,� ■ To IRLaw LOAM MOLT®a MID'O{A . '�(p@CAL,yvALL SECTION'! AT"A"� FRAME --- _ If E x CORKER CONNECTION DETAIL POOL SECTION P&&= F a°cp PWM- �TOP�601TOr7 --rir---------.-�-- - ADWmaNO0&AW �0F EIVYMMIMMUNO C"Taft DE Complies With: Steve Tuthil :.• UlUl ell 2016 NYS Uniform Code Supplement Sec R326r - ' 832633 m Ground Pools Shall Be m Conformance with ANSYNSPI-5 6 MiddlethOrt Ave. 8326.5 Barrier requirements:Temp Fence must be installed at time of Manorville,NY 1194907 5 Pool construction and Permanent fencing is the homeowners responsibility OAR SSS NQy ' - R326.6 Futrapment Protection Installed ' -------------- --- ---- -- R326.7 Swimming Pool and Spa Alarms must be installed POOL TYPE:RECTANGLE REV. SCALE: NT$ ' 2015 W= JAMES DEERKOSKI, P.E. Sec R 403.102 Time switches or other control methods that can run DATE' ������PANEL�������� automatically turn off and on according toa preset schedule shall be 260 DEER DRIVE installed for heaters and pump motors. Heaters and pump motors that MATTITUK, NEW YORK 11952 DRAWIN NUMBER have built in time switches shall be in compliance with Sec R 403.10.2 1 OF 1