HomeMy WebLinkAbout45956-Z �o�ag�ff01�kc rt Town of Southold 3/27/2022
a y� P.O.Box 1179
o _ 2-1 53095 Main Rd
�j�l �aof Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42957 Date: 3/27/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 53559 Route 25, Southold
SCTM#: 473889 Sec/Block/Lot: 61.-4-9.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/3/2021 pursuant to which Building Permit No. 45956 dated 3/19/2021
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 Howard,Brian&Mitsotakis,Demetra
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45956 3/22/2022
PLUMBERS CERTIFICATION DATED
0 A ori ed i ature
�o�suefotrr�oTOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
C x TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
y'jJpl� yah;
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#: 45956 Date: 3/19/2021
Permission is hereby granted to:
Howard, Brian
86 85th St
Brooklyn, NY 11209
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
53559 Route 25, Southold
SCTM # 473889
Sec/Block/Lot# 61.4-9.3
Pursuant to application dated 3/3/2021 and approved by the Building Inspector.
To expire on 9/18/2022.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 ® �@ sean.deviinO-town.southold.nv.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Brian Howard
Address: 53559 Route 25 City:Southold St: NY zip: 11971
Building Permit#: 45956 Section: 61 Block: 4 Lot: 9.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Gerarti Electric License No: 40564ME
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 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 100W UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 1 4'LED Exit Fixtures Pump 1
Other Equipment: Intermatic 8 Circuit/ 8 Used, Intermatic Pool Tranny 100W 3 Lights, Pool Pilot -
Salt Generator, Heater, Pump 220GFI,.Pool Cover 120GFI w/ Keypad
Notes: Pool
•
Inspector Signature: Date: March 22, 2022
S.Devlin-Cert Electrical Compliance Form
-
# # TOWN OF SOUTHOLD BUILDING DEPT.
ev765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL P
[ ] FIREPLACE & CHIMNEY f ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: I lh i
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DATE I 110M INSPECTOR
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# f TOWN OF SOUTHOLD BUILDING DEPT.
co765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/C IN
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY ION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
R ARKS: _ bdvve V
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DATE INSPECTOR
-
# # TOWN OF SOUTHOLD BUILDING-DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST, [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: �om 1i
DATE 3 ZZ 2,2, INSPECTOR f
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FIELD INSPECTION REPORT DATE COMMENTS -
FOUNDATION(1ST) H
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FOUNDATION(2ND)
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ADDITIONAL COMMENTS
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o�oSUFfoiK�oG TOWN.OYSOUTHOL]D.:-BUILDING:DEPARTMENT
y. $; Town Hall Annex.54375-1b_Iain Road R. . Box 1179•9outh6ld,NY 11-971-0959
o� Telephone (631) 765 1802`'Fax,(631) 765-9502-https://www.southoldtownn M.90V
Date Received
PPLICATLON.- 0.9...P.,PJ'LDING;PERMIT;,,. . .
:Foe Officeluse only
PERMIT NO. Building Inspector: Y
MAR - .�
2021
rApplicatlons antl forms must be'filled out�n'their en"�ire�,lncom'plete�
t1'� u, �r 1 r r t t Y r,dti ,,q r dam,,,�•r"+ -��GwS,"'r i+�w�w}'L''7tl m w" aq.{ ✓�,tiA n: +;
•applications will not be accepted�W�he�e��he-Appl�cant;�s nqf the ownerr an��'�;; -�-=�1:._ r,,. �, .-,,��
-� a s a t k t -.. -.,- ,ru'�C,m�cL�.:° wr. ��. t a s��ir�+ rvh, <-tib r'1L� �,:_( ,�� ti �:�r•�
Owner's Au`�horraation tform(Pagezj shall�e compi"e��,��,,��, �� "��� w
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Date: j-
OWNER(S)OF RROPERTV z,� . . ,�'._ .:x �• E vf,<a.0 G,. x ._.1.._. � . ",ter 5 kr TiFt�:�. xrry�P}
Name: SCTM#1000- .v
Project AddressA,
Phone#: ; _
� r mail:
.._ �q . _r. _._:_-__.____..____._
Mailing Address:
xJt � a � a. lnmr 3 E,v k7'+'�,k 5t 5:��+-� a+ :::'a, r rr �`�,^ 2 'v�.nt ;r ti^� f1 k rc^�^ r r, .�F, s ✓m T.[
CONTACT PERSON t �� ut t� , r< rM1
C .r "Ct�li.,::.
Name: eJ J -
Mailing Address: 4 �� h•�
Phone#: .Email: ,
IN4 yi�
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DESIGN PROFESSIONAL FORMATC f } ax �Ik
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Name:
Mailing Address:
Phone#: Email:
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CONTRACTdR INFOItMATIOfU �, �, amu., , , s y t x # � F ;, � + � ; ti�a
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Name: O -
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Mailing Address: . � D ��
Phone#: Email:
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ESCRIPTIOOF PROPOSE®CONSTRUCTION �
N ��� r 'f�" � $ '
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r_r .r t ,�"�.fis>-'.. = '}h '1 ...:.';fib-°' ..,.,.�,t,. ��7t", 1.�'*'�"s. `�^,f�Y..mac. � '•'J-.._.c.; �7....r�'F�..1 i-....�'"'-s.':.,: �' --��."` «.aN�.Z.. ;'><
❑New Structure ❑Addition ❑Alteration .❑Repair'❑Demolition "' Estimated Cost of Project:
I�the �sY#�L-(_ $
�N�('�Dt�nl �c�J�mVYl�hla '[ 1�
Will the lot be re-graded? ❑Yes'po Will.excess fill be removed from-premises? ❑Yes § o
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yP�tOPERT�If°INFbRV(�TIQflI°,� �� 1 a
oi74'�.,e i s,✓,..., t'^.r'A„? �"?r. �� 'i°.h w:Gd,4i� ... d4_ , ,.•}:
Existing use of._.property: J , — 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 l9f4o IF YES, PROVIDE A COPY.
<... Kw...� z..a,� . � 3ttia 'r ,'. �}„-x+ s .....,�..1, +..i
a Oheck 60>�After I eadIng":}The oirui er/contractor/design profess 0(�alris r 5p►Asibte o�ail=ilfaiclage and storm:water issues as pro nded by
talld 4 �. - r r
;Chapter 236 ofthe Town Cade APPLICATI�N15 irEREBY°MADE to the Builtl ng De pa rtmWenkfor the�isWance of a Building Permd pursuant to the:Bwldmg zone
ordinance of the Tnwn of.Southold;Suffolk;Coiynty,+New York and'other appRcabiel aws'Oidinancesor�R°egulatwns,for ttie'construction ofbwtdmgs,
atldrtlons,alteraUois or for_removai or demakon as herein described The aplplicant agrees to comply wttFe all apphcabie awl ordinances,buiilmg code;
_housmg code and regulations and to admfiauthonzed msped(rs,on premises anil n buddmg(s)for necessary mspedions False statements made herevi are
.p F.. .s' a.d m •r �4. +S a 7T5 ri .au e,rry � s i u �£ .Sta eaPe`rial ia'inr '��' R w"�` 1 +;+..�',�."'fvy i.:; -s t y r r
ums'h�ableas a Class A misdemeanfor uanetoSedion<210 5 ofthe.I�ewk of � . � L xs_
Application Submitted By(print name): �} � � [Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
COUNTY OF )
being duly sworn, deposes and says that(s)he is the applicant
(Name of indi (dual signing c ritract)above named,
(S)he is the V-V®�-O--re D lC-p—1�--
(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
day of ���Y 1 20
Notary Public
°TRACEY L. DWYE:R
Y PUSLIC,STATE OF NEW YORK
PROPERTY OWNER AUTHORIZA No.01DW6306900
(Where the applicant isnot the ownerTUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,22
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
.r r
4 FORM `r�'e of E a t
ExiAIq use°of property;: lntended Use 6f property:°
Zgne or use d stritfi in which premises is sitiiafedt Are fliers ariy covenants acid restrictionswith respect to
titis:p.roperty7 Mias'0% IF YE!,,AM15EA:CORY
Ci C4ici. z3, ftirr;tieaIrrg;ThePpmEr(cvtsctvr«$► RrE4��t`fresi?giblr?foc �{ `r'afiasendsiurinw�tec€Sue'spravided`Isy
thapter5oflheTatrrncade APPCICATIONISH�REBYNiAf7EtetisaBuildmglJtiepartnter{Lordl�2issuanoeaPa$U�3d�nPetmikputsuar�tta#S��Eiil[dtng;2orfe'
Ordhsanseoiij�e'avmf5outttcftf5uftoik,Cd�lnly�Nev{ rkand4theR -EAP.$licabie�laws60rd �arns�rre'guf�tTonsonttecenstNctlanof.6ulidfiigs;
additten's.,afteLaticns or. rNiA o'r'j'd616p dT..'a ere�t�demifsed app nt agireesto c+5ptpt i il,apP ale la +s�-oYdinattces;htilldiilg egde;
h. 4W �. ..tit i �t � Jr' d .L. l ,. `
houstngcodeanci;ssyfatons$ndtto dmitaurhvrieedin,Siectersottyremises, +inbnift7ing(s}for,.necMf.Yjn49edotisFaisestatet egtsmade'fiereErtara.
•punr�hatife ase CtassAmisdi: R4a rpiiisuan�ta S>rc4'�onZid.�S of ttt�lWylvrl�Stafe�eh�1 iata� y��f
Appticatloii Submitted 8 `(prnt Warne}': � ' ' 6C OORC �j7C1'4.�, uttorizec{Agent i❑Owter
.Slgnature-of Appiicanfi. Date:;
STATEOF:NEW YCIAK)
SS..
COUNTY OF, 1
.beifg:dulysworn,deposes-,and�says°that(s)he is the aAgpnt
(Name of individual 5igning_cohtract)above named;
{5}he'is'the. .
(Contractor,'Agent;�Cprporate.Officer,etc) .
of said owner or owners,and:is duly aUthorized to perform or haveTerformed the said work and`to make and file this
applicatlon;thaf all,sfateniehts coniained n this appilcation.are tr(ie.to::tho bes.tof hislhe`r kiio..wledge arid,belief,-and.
that tfie worts v►wili:be perforiYied in;th'e,manner sk.forth:in the application ffe therewith,,
- Sworn 6efare"me tFis
Notary Mlic
{Where the applicant is'hot the:,owner�
residing at .. .. ,
rte- ,a.
..do hereb authorize.
AMON pflL. � C'
Y to apply wri
MY.behalf fo' oltl f3u'sleling Departrrierit for approval es descriF ed:here n:
'' - - .�z
Qwner.s Signature Date
Print Ownees.'Name
0f SOUS®!o FEB 2 4 2022
Town Hall Annex Telephone(68ipqlg,n
63,]802
54375 Main Road
(G91)7P.O.HoxI17s �O�enrichertCa tom.SOv
Southold,NY 11971-0959
BvRDnvG DEPART
TOWN®IF SOUI HOL D
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: ��. f4C Ill, .,dC, ,
Name: _ l;sI�I.
License No.: M E —
Address: 9 <-120&K-r A .
Phone No.:
J0138IT'E INFORMATION: (1nalicates required information)
*Name-.
'Address:
*Cross Street:
*Phone No.:
Permit No.: �
Tax-Map District: 1000 Section: Block: If Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) L,_Vtb
jPlease Clircle All That Apply)
*Is job ready for inspection: YES' NO Rough In Final
you need a Temp Certifca#e: YES P�
Tamp Infanna#ion(if needed)
*Service Sim: 1 Phase 313hase 100 160 200 300 350 400 Other
*Nett Service: Re-connect. Underground Number of Meters Change of Service overhead
Additional Information: PAYMENT DUE WITH APPLICATION
824-Request t'or Inspection Form
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FINAL SURVEY 04-02-20
CARAOE FNoIOU LOC.0720-`99 7HE WATER SUPPLY, HILLS, DRY11VUS AND CESSPOOL
FOUNDATION LOC. DS-27-79 LOCA77ONS SHOWN ARE FROM FIELD ORSERVA7TONS
AREA:38,062 S.F. OR 0.87 ACRES AND OR DATA OBTAINED FROLT OTHERS
ELEVAAON DATUM: ASSUJAED
MAP Nor sLvA ALI£RA L N OR ADDI77 p TO THIS SURVFY IS A 410LA7J0N OF SECTION 7208 OF THE NEW YORK STATE EOUCA770N LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYDR S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID 7RUE COPY GUARAM7EES INOICA7ED HEREON SHALL RUN
ONLY TD rHE PEANDN FOR µ}AM TH£SURVEY IS PREPARED AND ON H15 BEHALF 70 THE RRE COMPANY, GOVERNMENTAL AGENCY AND LENDING ON SH7TON
LHE 0 HEREON, AND TO THE ASSIGNEES OF)NE
FR LENDING 1NSAIUDON, GUARANIES ARE NOT 7RANSK•ERABLE
INT OFFSETS OR D'0 NWMV SHOW HEREON FROM TH£PROPERTY UNES TD INE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE 7N£Y ARE
NOT WENDED SUSS 7D MONLAIENT THE PROPERTY ONES OR TO GUIDE THE£RECTION('FENCES, ADOI E FOR
A SPE I;?C U AND OTHER IMPROVEMENTS EY ARC 7S
AND/0R suBSLutFACE S7RUCYUR£S REC0ROE0 OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY TVIDQVT ON THE.pR£uISES AT WE TW OF SURVEY
SURVEY OF:DESCRIBED PROPERTY
MAP OF: CERTIFIED TO: BRIAN J. HOWARD;
efa. DEMERARA MITSOTAKIS;
U.S. BANK NATIONAL ASSOCIATION'
SITUATED AT:SOUTHOLD FIDELITY NATIONAL TITLE INSURANCE CO,;
TOWN OF:SOUTHOLD -
SUFFOLK COUNTY, NEW YORK RENNETHM TTOYCHUK LAND SURVEyrHG, PLLC
Protessionai Land Surveying and Design
RLE 28-78-2 scALEt"=3O' Mr 4/0 00a P.O. Hoz 153 Aquebogue, New York 11931
DATE:OEC. 14, 2007 PHONE (831)298-1688 FAX(831) 298-1588
N.Y.S. L1SG NR 050882 m.tntatn4c9 the=00rda of RobarL J.Hana.yy it$.nA.th Y.X.ychuk
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APPR VED AS NOT D
DATE: 3 ,� B.P.# S
FEE: -3 N BY:
NOTIFY. BUILDING DEPARTME AT
765-1802 '-8 AM TO 4 PM , JR THE RETAIN STORM WATER RUNOFF
FOLLOWING INSPECTIONS: PURSUANT TO CHAPTER 236
1. FOUNDATION - TWO REQUIRED OF THE TOWN COpE,
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. ELECTRICAL
INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
WN ZBA
8 ^' I� PLANNING BOARC
D TWN
@°IhP,M S ;°� I EL.Y
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA171-
OF OCCUPANCY
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