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ctl1FOlA'�, Town of Southold 4/1/2022 P.O.Box 1179 cm CW*'. • 53095 Main Rd � 1 A Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42960 Date: 4/1/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 63875 CR 48, Greenport SCTM#s 473889 Sec/Block/Lot: 40.-1-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/16/2019 pursuant to which Building Permit No. 43670 dated 4/24/2019 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 Reba Green LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43670 9/9/2019 PLUMBERS CERTIFICATION DATED o 'ze Si- ature Lam' TOWN OF SOUTHOLD ®�gllffUl,t�ay�� BUILDING DEPARTMENT TOWN CLERK'S OFFICE y • 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#: 43670 Date: 4/24/2019 Permission is hereby granted to: 63875 Route 48 LLC 209 W 97th St Apt 7B New York, NY 10025 To: constuct an in-ground swimming pool as applied for. At premises located at: 63875 CR 48, Greenport SCTM # 473889 Sec/Block/Lot# 40.-1-21 Pursuant to application dated 4/16/2019 and approved by the Building Inspector. To expire on 10/23/2020. Fees: IN-GROUND SWIMMING POOL $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. eatures: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. Swom 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. New Construction: c 1 Old or Pre-existing Building: n(check one l� Location of Property: P House No. Street Hamlet Owner or Owners of Property: �C.�� v , C II -- Suffolk County Tax Map No 1000, Section `�� Block ©� Lot QA Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ,/ (check one) Fee Submitted: $ ✓tJ Applicant Signatur SOUIy� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 0 • iQ roger.riche rt(cD-town.south old.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: 63875 Route 48 LLC (Barnes) Address: 63875 CR 48 City: Greenport St: New York Zip: 11944 Building Permit#: 43670 Section: 40 Block: 1 Lot: 21 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Paul Burns Electric License No: 3897-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only 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 1 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect 11 Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment: In ground swimming pool to include, bonding, control panel, 3-GFCI circuit breaker 1-time clock, 1-recpticle, 1-pool pump,pool heat pump,4-pool lights, 1-GFCI recpticle Notes: Inspector Signature: Date: September 9 2019 81-Cert Electrical Compliance Form.xls OF So(¢�o * TOWN OF SOUTHOLD BUILDING DEPT. cou 765-1802 INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION : [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING RE A S: 62 DATE INSPECTOR r,jf SO TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION f - FOUNDATION 1 ST ROUGH PL13G. FOUNDATION 2ND LKING - SULP FRAMING /STRAPPING V�IFINAL FIREPLACE & CHIMNEY J--'FIRE-�SAFETY INSPECTION FIRE-RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O REMARKS-: ('*N ti 1) �fA AVA9, VavA 1*/� -0 ��KA PATE - INSPECTOR 91 l vlsf S a 0 II TOWN OF SOUTHOLD BUILDING.DEPT. 76S-1802 INSPECTION - ., ] F.OUNDATION 1ST [ ] ROUGH PLBG. [ ] - FOUNDATION 2ND . [ ] INSULATION/CAULKING' [ ] FRAMING/STRAPPING [ ] FINAL ] FIREPLACE& CHIMNEY [M ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION - [ ] FIRE RESISTANT PENETRATION [ ] E CTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ CODE VIOLATION [ ] PRE C/O REMARKS: -L (o DATE L01,0 INSPECTOR FIELD INSPECTION REPORT RATE COMMENTS v � l FOUNDATION (1ST) �— 'FOUNDATION (2ND) CIO ROUGH FRAMING& PLUMBING OQ INSULATION PER N.Y: y STATE ENERGY CODE lbei Ise i� FINAL ADDITIONAL COMMENTS G 612-0110 tica it'll�� 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 r Survey Southoldtownny.gov PERMIT NO. Check Septic Form -N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 220 Single&Separate Truss Identification Form Storm-WaterAssessment Form ��11 ; Approved 20 Contact: � � Mail.to:�-p�' '` Disapproved a/c � i Phone: Expiration ,20 [� Building Insp ctor APR 1 6 2019 APPLICATION FOR BUILDING PERMIT' Date t, �� ,20_l INSTRUCTIONS TOWN OF 800J.. 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,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 de,and regulations, and to'admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant e,if a corporation) (AMing address of applicant) State whether applicant is owner, ssee, age t,k9rchitect, e weer, general contractor, electrician,plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation,,signature of duly authorized officer (Name and title of corp ate o cer) Builders License No. ' Plumbers License No. Electricians License No. Other Trade's License No. 1. Locations of land on w 'ch proposed work will be done:, House Number Street Hamlet County Tax Map No. 1000 Section ' L\iz) Block �\ Lot . Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises-and intendeda and Qccupancy of proposed construction: a. Existing use and occupancy '( \ b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition er Wore uot- - Gi��— (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 Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stor�es`�-= r ' 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth jt 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 NOill excess fill be removed from premises?YES NO L-J&A 14.Names of Owner of premises Address A&!�f- h e No.QW) 6�VIZ) Name of Architect• Address Phone No Name of Contractor k Address W- Phone No.c� 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 Y BE REQUIRED. b. Is this property within 300 feet.of a tidal wetland? * YES NO * 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 ) C:)Ac�A ^ being duly sworn,deposes and sa�ys that(s)he is the applicant (Name of individual signing con ac above named, �,QNNII=C'�#UMCH Notary Public,State of New York No.01 BU6185050 (S)He is the Qualified in Suffolk County . ontractor,Agent, orporate Office ,wissaon Expires Anrol 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 r- 20 Notary Public Signature of Applic t r' +r Scott A. Russell cY°SUff Q Ir sToi[] .M[WAXIEIR,- �][ANA\cG IEM[IENT SUPERVISOR � = I� SOUTEOLDTOWN BAIL-P.O.Box 1179 Town of Southold 53095 Main Road-SOUTHOLD,NEW PORK 11971 O CHAPTER .236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT ) DOES THIS pROjECT INVOLVE ANy OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No Clearing, grubbing, grading or stripping of land which affects more than 5,004 square feet of ground surface. ❑Ep. Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ ; Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ • Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ . Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. 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. ji 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 Pian and a completed Check List Form to the Building Department wiff your Building Permit Application. S.C.T.M. �`: 1000 Date APPLICANT: (PropeeM Owner,Design Professional ent,Contractor. the,) Dtsirlci NAME: co 1l r S Section Block Lot r,m , Ns— FOR BUILDING DEPARTMENT USE ONLY Contact Information 1� R.Icpbmr V�mbnl 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 o sUFfat �O BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD a Town Hall Annex - 54375 Main Roax~r \vE Southold, New York 1197 aa.:� -,� Telephone (631) 765-1802 - FAX ) 765-9502 roger.dcherttown:southo us UN ,20 9 APPLICATION,FOR ELECTRICAL INSPECTION_ , QUESTED BY: Bob Burns Date:. Company Name: Paul Burns Electrical Contractors Inc Name:. Paul R Burns Jr . License No.: 3897ME email: pburnsjra&optonline.net Address PO BOx 1061 Southold, NY 11971 Phone No.: 631-365-4735 JOB SITE INFORMATION: (All Information Required) Name: Barnes Address: 63875 CR48 Greenport Cross Street: Phone No.: Bldg.Permit#: . ,. � email: Tax Map. District: 1000 Section: EO— BRIEF Block:. _ Lot:. -_ DESCRIPTION OF WORK(Please Print Clearly) Under round service,swimming pool Circle All That Apply: Is job ready for inspection?: Y S NO Rough In Final Do you need a Temp Certificate?: ES NO Issued On Temp Information (All information required) Se Size 1 P 3 Ph Size: . 200 _ A #Meters. Old Meter#. ew Seryl - Fre Reconnect-Flood R nect-Service Reconnected - ndergroun Overhead #Underground Laterals _ 2 H Frame_ Pale - Work done on _ _ ice? -, Y N- .Add itronal Information-"'- PAYMENT DUE.VUITH APPLICATION. 82-Request for Inspection Form.xls o " I SO(/r�®l Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 iQ �ycoUNrl,a BUILDING DEPARTMENT TOWN OF SOUTHOLD STOP WORK ORDER TO: 63875 Route 48 LLC 209 W. 97t', St. Apt. 713 New York, New York 10025 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 63875 CR 48, Greenport, New York S.C.T.M. 1000-40-1-21 Pursuant to Section 144-8 of the Code of the Town of Southold, New York, you are notified to immediately suspend all work and activities until this order has been rescinded. BASIS OF STOP WORK ORDER: Construction without first obtaining a Building Permit on an accessory garage CONDITIONS UNDER WHICH WORK MAY BE RESUMED: When the Building Department has issued a Building Permit. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: 9/4/2020 a J $ri Se In pector COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODES A F1 P 1,10 WE.D A S ir,,O T E D IN AS REQUIRED AN&eeN5ffKM8-0F 4L-�!Jj B. w S0ffHA-MDWffZW I N _PAR T,%l I-E N T AT THE 8 AM Tip 4 P!Vl Fol SOUTROff WTIMES FOLLOWiNG iNSPECTIONS: I. FOUNDATION - TWO REQUIRED A FOR POURED CG .!CRET'I � ob 2. ROUGH - FRAMING & PLUil,,IBING 3. INSULATION 0-01 4. L - CONSTRUCTION MUST 00, BE COMPILE E F C,R C 0. ALL CONSTR078 TIO)N SHALL MEET TH E--- - 'ISIVIENTS OF THE CODE�O RE F"NEW QLJfR -YORK'STATI.F. NO T F A RESPONSIBLE DES.2N R`,-COi%l-STkCTION. ER f3e! M VVATER RUNOFF RETAIN STO� U IT TO CHAPTER 236 TOWN CODE. P 0'r T,HE R, UA[1, i - ELECTPICAL INSPECTION REQUIRED 5f wf� 4 OCCUPANCY OR 1. NE UNLAWFUL %sc, WITHOUT CERTIRCATE 000 S OF OCCUPANCY 0525"' 63875 Route 48 Survey 4/15/19 RIGAS C o Greenport NY 11944 Line 100'back from 12' top of bluff Proposed 15'x'10'Gunite Pool, set back 25'from property line and 105'back from bluff. IFR• .1 r w JooM t, anti � ,, ✓x, � t Old , 0 Proposed Pool Fence d a�d���� NEtq Proposed 4xb OWell Nen & Pool Equipment �` pA . 05 `Q�FESS1®P,P RIGAS CO 63875 Route 48 Proposed Pool - Plot Plan 4/15/19 Greenport NY 11944 - 15'x "10' Gunite Pool, reinforced with #4 rebar - 12" Beam with 8" thick walls and floors - Water Line Tile with Plaster Interior f=inish 12"x12" reinforced gunite pool - 4 Skimmers, 8 Returns, 1 Dual Main Drain, 4 Lights beam with (4)#4 rebars continuous .. q° dater Line Dashed -a P ! 8" thick gunite walls and floor with#4 rebars at �tg 10"06, each way vertical & horizontal ®� o�� � ffi <. LU .z ;... _ ®• 052g�® IGAS CO 63875 Route 48 Proposed Pool - Section 4/15/19 Greenport NY 11944