HomeMy WebLinkAbout45887-Z Hal Ir Town of Southold 3/5/2022
P.O.Box 1179
�. 53095 Main Rd
�A, { Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42895 Date: 3/5/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 425 Bay Ave.,East Marion
SCTM#: 473889 Sec/Block/Lot: 31.40-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/19/2021 pursuant to which Building Permit No. 45887 dated 3/5/2021
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 in-ground swimming pool fenced to code as applied for.
The certificate is issued to Johnson,Nicholas&Hudson, Samuel
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.-- 45887 6/16/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
SufFet TOWN OF SOUTHOLD
BUILDING DEPARTMENT
g TOWN CLERKS OFFICE
o1 . o� SOUTHOLD, NY
mol.* .�a
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#: 45887 Date: 3/5/2021
Permission is hereby granted to:
Johnson, Nicholas
PO BOX 144
Orient, NY 11939
To: construct accessory in-ground swimming pool as applied for.
At.premises located at:
425 Bay Ave., East Marion
SCTM #473889
Sec/Block/Lot# 31.-10-12
Pursuant to application dated 2/19/2021 and approved by the Building Inspector.
To expire on 9/4/2022.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
I,
Building Inspector
®��OF SOUry®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q roger.richertCaD-town.south old.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Nicholas Johnson
Address: 425 Bay Ave City: East Marion St: New York Zip: 11939
Building Permit#: 45887 Section: 31 Block: 10 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: LC Electrical License No: 38043-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1 st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel x A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect 11 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: In ground swimming pool to include, bonding, control panel, 1-time clock, low
voltage pool lighta, 1-pool pump,heat pump,3-GFCI circuit breakers.
Notes:
Inspector Signature: Date: June 16 2021
81-Cert Electrical Compliance Form.xls
0f SOblyo6
# TOWN OF SOUTHOLD BUILDING DEPT.
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co 765-1802 4ol
INSPECT.1-0N
]'FOUNDATION IST [ ] ROUGH PLBG.
]--FOUNDATION 2ND [ `] :INSULATION/CAULKING
[ ] -FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE &CHIMNEY ° .•{ ] FIRE SAFETY INSPECTION
{ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ J- ELECTRICAL (ROUGH) ) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE CpA Z INSPECTORvl
'fit=
pF SOUTyolo
# TOWN- OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ } FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] I SULATION/CAULKING
[ ] FRAMING /STRAPPING [ tA FINALS
[ ] FIREPLACE & CHIMNEY [ ] 'FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMA 12 KS: -
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DATE 12� INSPECTOR
f # TOWN OF SOUTHOLD BUILDING DEPT.
`ycoufm a 765-1802
I=NSPECTION
[ ] FOUNDATION 1 ST j ] ,ROUGH PLBG.
[ ] -FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING%STRAPPING [ FINAL PC)aL
[ ] FIREPLACE & CHIMNEY r [ ] FIRE SAFETY INSPECTION-
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE �1 �-1�ZoZZ,, INSPECTOR =
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
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TOWN OF SQUTHOLD—BUILDING DEPARTMENT
o '~ Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
` ��• 4� Telephone (631) 765-1802 Fax (631) 765-9502 https://wNNiv.southoldtownny.gov
For Office Use Onlyb�te'Rece6ive`'d' I f i �•-;
PERMIT NO. v Building Inspector: k/k IV
:.J -, FEB 19 _N
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.
P►PPLICATION FOR BUILDING PERNtIT Date: ' f 2 Z
WX
OWIyER(S)'OF PROPERTY y �fi s E 5
Name: ` ,° - ICJL.,S Tax Map#:SCTM # 1000
Physical Address: LI 2S_.. d
—st. ML Wil. ►') ti-411-Q,33
1 1,11,1.
Phone#: Email:
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Mailing Address: p
L1.25. . :._ _lv�i.._ .. 5't _i'YIGt 0.On_.. Nom_..
CONTACT PERSON
Name
Jca ara. Mia ran:rn o n.
Mailing Address.
Phone#: ` ` Email:
. e ( u...........3.D-..__�.�,. _. . _w_.._. _.._._.. _O F�i.G�. .. s. S.Ur1S . _U v-_.lS o cc)
DESIGN,PROFES510NAL INFORMATION
. .. �. . . �_... , ..,�`
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION
3
Name:
MailingAddress:
1111_
Phone#: 6�f 3 q 7.7 7... Email
�T►c e to .!o~T J" �I ,
DESCRIPTION,OF'PROPOSED C0N5TRUCTION r
.: . , ...:_ 1111.:.. .. ....:... ....
❑New Structure ❑Addition ❑Alteration ❑Repair F-1 Demolition Estimated Cost of Project:
I(Other Oi �' x LAO'O' Qj,lt'11-I-� ,: nW+ni1')'1',yLof OC)!] i $ �(17 , 00C)
... ..... .__�_ .� .- ..__........
.......... ., 1111.. _...._. .......
Will the lot be re-graded? ❑Yes 2<0 Will excess fill be removed from premises? Xes [:]No
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PROPERTY INFORMATION 4
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Existing use of property: Intended use of property
Date of Purchase: Name of Former Owner:
1
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) r t VIGhorized Agent DOwner^
Signature of Applicant: Date.
STATE OF NEW YORK)
SS:
COUNTY OF RLAE(ID K )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the �4 !
(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 me this
12L day of ')^P_l0 YUC Lyr,f , 20 1
Notary Public Olk
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@`R�►!r '
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PROPERTY OWNER AUTHORIZATION 5 c0
(Where the applicant is not the owner) '. j
residing at V2 S 7Z/ / 2V,1"�
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owr� rXignature Date
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Print Owner's Name
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APR 1 9 2021 4-"BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
ValFm y ; a: o� Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCaQ_southoldtownny.gov - seand(cz�,southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: f �
Company Name: ,
Name: L ,r.c�
License No.: _,
Phone No: &7;[- 01 request an email copy of Certificate of Compliance
Address.: lCJO
JOB SITE INFORMATION (All Information Required)
Name: t� J�In NS®ttJ
Address: Lf
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Cross Street:
Phone No.:
Bldg.Permit#: -7 email:
Tax Map District: 1000 Section: Block: Lot: DL
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: DYES F-]NO ❑Rough In ❑Final
Do you need a Temp Certificate?: DYES ❑NO Issued On
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter#
New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals 01 [:]2 ❑H Frame [—]Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
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FILTER NOTIFY BUILDING _= °TMENT AT
765-1802 8 AM- T FOR THE PIPING SCHEMATIC 2"PIPE
FOLLOWING INSPEC
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FOR POURED ,ATE
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OCCUPANCY2020 Residential Code Section 303.2.1 —303.4 SwimmingPools, Spas and H of NEw1' LINDERYlA . TO DECK
ooP ` DEE 0,p uarr FWURE BOX
Section R326 of the Residential Code of New York mak, R'rp� UGHT NICHE -'
Section 3109 of the Residential Code of New Yorkn r✓
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03coNRNvous vE Section N1103.12 (11403.12) Residential Pools and Permanent Residential Lt �'�. ----- LIGHT PIT DETAILS
nESATi oc .. .-•� 1JIS Lu
PMAAEMR BOND SEMS- • - -�.`-=; r Section 3109.3.1.2—3109.7.4 Pools and Spas Gates, Barriers LIGHT NICHE DETAILS (NTS)
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���w �`'_ Section G106 Entrapment Protection F� 0 2
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8'n+euL IWMLEDU !Illi A
P l Section G107 Alarms
Section E4201 — E4312 Electrical Connections for Pools - -
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r � ISI�! IIII Jasons Pools
s3siEEL-REBIVt -
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6-T074•RNTUS-5WV.LOWENDe C I'!!'1=1111 #3 STEEL REINFORCED
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DEPTH 5'-0" East Marion NY
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6 vuw O s'A.' .�ill 111
1I01 ii it HORIZONTAL 10" O.C. 10" O.C.
it
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!11,111 Ili!It Ill!!! VERTICAL 10" O.C. 5" O.C. POOL TYPE: 20 x 40 Gunite SCALE: NTS
FLOOR 12" O.C. e.w. OR 12" O.C. e.w. OR JAMES DEERKOSKI, P.E.
POOL WALL SECTION(NTS) MESH EQUIVALENT MESH EQUIVALENT 260 DEER DRIVE DATE: 2/16/2021
MATTITUK, NEW YORK 11952 DRAWING NUMBER
1 OF 2
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