HomeMy WebLinkAbout46018-Z o�SUFfa i
Town of Southold 4/29/2022
0
P.O.Box 1179
v' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43019 Date: 4/29/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Properly: 2160 N Bayview Road Ext., Southold
SCTM#: 473889 Sec/Block/Lot: 79.-6-3.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/10/2021 pursuant to which Building Permit No. 46018 dated 4/1/2021
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 Bransbourg Gilles Rev Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46018 3/9/2022
PLUMBERS CERTIFICATION DATED
R� l
Autho ' d Si a ure
�o�suFFat��, TOWN OF SOUTHOLD
ay. BUILDING DEPARTMENT
CR 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#: 46018 Date: 4/1/2021
Permission is hereby granted to:
Bransbourg Gilles Rev Trt
162 Douglas St
Brooklyn, NY 11217
To: construct accessoryround swimming in-g g pool as applied for.
At premises located at:
2160 N Bayview Road Ext., Southold
SCTM #473889
Sec/Block/Lot# 79.-6-3.8
Pursuant to application dated 3/10/2021 and approved by the Building Inspector.
To expire on 10/1/2022.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
6
Building Inspector
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pF SO�j��,®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 • sean.devlin(a)-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Bransbou rig Gilles Rev Trt
Address: 2160 N Bayview Rd Ext city.Southold st: NY zip: 11971
Building Permit* 4601$ Section: 79 Block: 6 Lot: 3.$
I
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Gerarti Electrical License No: 40564
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 X Attic Garage
INVENTORY
Service 1 ph 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 Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 4'LED Exit Fixtures 11 Pump 1
Other Equipment: Pump 220GFi, Salt Generator, Heater, Automatic Pool Cover 120GFI w/ Keypad,
Lights Intermatic 100W Tranny
Notes: Pool
Inspector Signature: Date:
March 9, 2022
I
S. Devlin-Cert Electrical Compliance Form
qboil oy�NOF SOUTyOIo -- -
�
TOWN OF SOUTHOLD BUILDING DEPT.
couur+ 765-1802
4
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PL13G.
[ ] FOUNDATION 2ND - [ ] I SULATION/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: I �
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DATE O Z INSPECTOR
J pf SOUT �,Aqj
# TOWN OF SOUTHOLD BUILDING DEPT. -
765-11802
INSPECTION
[ ] FOUNDATION'1 ST [ ] 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: 1 _ v--4 Lol—
ace
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ti co
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4 j
DATE I t2V INSPECTOR
O�aDE SOUTyo t4
* * TOWN OF SOUTHOLD BUILDING DEPT:
cou765-1802
INSPECTION .
J --] FOUNDATION 1 ST [ ] 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 [ E C/O
REMARKS:
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DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS,
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FOUNDATION(IST) on
--------------------------\--------- �.
FOUNDATION(2ND)
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ROUGH FRAMING& H
PLUMBING
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INSULATION PER N.Y. H
STATE ENERGY CODE
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t Ila, + �!
FINAL. y
ADDITI
PNAL COMMENTS
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`moo �y TOWN-OF.SOUTHOLD.-BUIL ING.DEPARTMENT
Town Hall Annex.54375-iMain Road P. O:Box 1179'Southold,NY 11971-0959-
Telephone (631) 765.1802'"Fax (631) 765-9502 https://w.ww.southoldtowllq.90V
Date Received
APPLICATION.-FPIRAULLDLNG_P, MIT...
hamn
For Office;Use Only ,•
P _. . . .• - .� '�,.},-• MAR. 1 0 '2021
PERMIT NO. l Building.lnspector--
3
4 v \r
Applications and forms must befiilled puahtheJrentrety
applications will not be a"ccep/ted VhhereheApl�can ��no>v#lie owner,a�1xc _. _ s' °':.`_ ;;'., -,
•yZx,c t R.Xa ��l g��l ����`��S+.'x"'.tx e'�,'"r{s $yy1i�� 4.tt.�u'-u^�S. ,';o' - ..
Owner's Authoriiationform Pa e� �shall�e completetlr, � � r
irvt rr,far T , '`'-...t�_y_�..'r-t ���..'�i..+"J.';�?.�rc.bTyz.. _.�'As. �• dam-, �_
Date:
.OWNER(S)SOF'PROPEFtTY
Name: Zpu_112-1 SCTM#1000- o
Project Address_
Phone#: _ Email:
Mailing Address:
I'1 t^n�'7n- aJ-k,sc� j.. 'Sw�.-�-�•-5hsy1 , d �SiN 7f,3.a''"' 'Y'Eyf"S� t .,� +i
K M StP: V' P" •'T 'S_ -� h \fes'��r'� � },
n t��a��3 ��r,� �.�r ;.,�, � .� ���.�, r��,..�• -� , F • -Y ° ;�,� � � >r.�,, �.�
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Name:
Mailing Address- — - &C)-- _I -
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Phone#: Email:
i .. r...tp.,` � 3'+.. e-,'.}?'.t*w� ,�rv- e �r yti = X �t ei sk,'3 ;:+Y9yr y. z n. =YjA;'+ •r.
DESIGN..PROFESSIONALJNFORII%IAz101�l.�j �:� LL
. ati, aK,.x„
_J_
Name: _
Mailing Address:
Phone#: Email:
Name: �
Mailing Address:
#: j 7TT-
Phoneil:
-wv
DESCRIPTION OF PROPOSED CONSTRUCTIOJV
El New Structure ❑Addition ❑Alteration' ❑Repair ❑Demolition Estimated Cost of Project:
Other:4LNSIALL Jq XSO nC�� � 'SWIrnhitnt, PON—
Will the lot be re-graded? ❑Yes Nigro Will excess fill be removed from premises? ❑Yes o
1
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gab t ,iqn7tknN bPROPERG�1fiNFOR�VIT10Nrft
n
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenanzo
d restrictions with respect to
thiis'property? ❑Yes IF YES, PROVIDE A COPY.
� . .. i:rf� 'Y�d. +.p�
)] Cl,b&$fJX;Af48r R adtlig The aavnerfcontractor/design�cofessionai►s.resp *Ibld fona((`tA-ihage and storm water upsA,prouided by
'Chan*-238oftheTownCode APP 6CATIONISMEREBYIVIADEtoth'Bu�tdmgD�e artmeniforthe�i a aBntld�n permit ursuanttothe,Buildm zong
_yy "4 . ^f:.^ `s.S g P 4 g,
Ordinance of the Town of Southold,_5uffdk C �lntyj New Yorkand other appiipble aws,Ocdmances orRegulations,for the construction of bwldings,
addrttons,alterations or for removal or demolifion as herein descritiedrThe pphcant agrees to compSy w� a 1 applicable laws,ordinances,bmlding code;
housing code and regulations and t'o aimrt autfianzed inspectors on premises and in buildmg(s)for necessary mspecUons False statements made hereiri'are Y "
punishable as a Class A misdemeanor pursuantto Sediom210 45 ofthe New YorkStete Penal,law
Application Submitted By(print name):-4D6 E Authorized Agent ❑Owner
Signature of Applicant: Date: ?H 0-2-1
STATE OF NEW YORK)
COUNTY OF
being duly sworn, deposes and says that(s)he is the applicant
(Name of indiv' ual signin ract)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 me this
I day of I`� 1 C ��i1 1 , 20 Z1 aliji- rf,SI-Aj-0
�fiotary Public
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY OWNER AUT'HORIZAT'ION QUALIFNO.ION INN SUFFOLK LK C
UFFCOUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,2-Qa(�
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
D E C E
L
JAN 2 4 91199 `
BUILDING DEPT.
ISO TOWN OF SOUTHOLD
Town Hall Annex L
54375 Main RoadTelephone(6d1)7651802
' '
(G91)7 ?,
P.O.Box 11.?9 ��. rooer.riche town sa• a.0y.us
Southold,NY 119714959 ��
ulrn, ,
BLIUDING DEPARThEENT
TOWN OF SOUTHOLD
APP_LICATIQN FOR.ELECTRICAL LNSFiEQTIt3N
REQUESTED BY: Date:
Company Name: )q (t-T) E- L, C,
Name:
,
Name:
License No.: E'
Address: � $ �E5 y',2�•� �� �z-k- Z
Prone No.: 3 -�.3 - 3
OBSiV lNFE-nRMA'TION (* nclicates required inform.
. ation) .-
.�!�•l V 1 IA fA�-vyls�piu
` dres
4N
*Cr ��Aotre
ssSet .U� o
*Phone No.: _ S
Tax Map.District: 't000 Section: Biock: Lot: 3d `
*BRIEF DESCRIPTION OF WORK(Please print Clearly)
(Please Circle All That Apply)
`ls job r�eady.for inspedign: / NO Rough In Final
*Do you need a Temp Certificate, YES
Temp.Information.(if-no aded) ,
*S®rvmce Size:, 9 Phase 311hase .100 95Q 200 300 350 400 Other
*New Service: Re-connect. Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WiTI•i APPLICATION
• ,`�� \off `b
82=11equest for Inspecuon Foirn
PERMIT# Address:
Switches
Outlets
G F I's
Surface,
Sconces
H H's, .... ... ..
U C Lts .._. . .
Fans Fridge
Exhaust Oven W/D
Smakes DW Mini.
Car-b .' . ' ":`micro;._:.._ :Generator.
Comq Copktop _._ -jr_ansfer ^
.AC „�; �. < AH ._ .. .. .. _. , .Hood' _,.,..<. . ,_..... .. ._.. _ _ ..... ._, . :.Service....
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- Special:-...: � ,_. _�-...- � � � .....: .. .. . ._.. . ......_... ..._._.. : . ...._ . . . ...... . . - .... �..:._ _ ....�..._ _.....::.,�..
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Owner. address: ( �
19 r 8nyyi6w nvo.
001,D
! savr+tOld, N-Y 119'71
aand �Tel.'765-393T� g(X•(�1��•
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APP13AVED AS NOTED
DATE: S.P.4 {�
FEE: .6� F,Y.
NOTIFY BUILDING =11PARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: RETAIN STORM WATER RUNOFr
1. FOUNDATION - TWO REQUIRED PURSUANT TO CHAPTER 236
FOR POURED CONCRETE OF THE TOWN CODE.
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONS*-,;:. MUST
BE COMPLETE
ALL CONSTRUCTKI, SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF ELECTRICAL
NEW YORK STATE & TOWN CODES INSPECTION REQUIRED
AS REQUIRED AND CONDITIONS OF
.,SCI Thal(1 TOWN ZBA
T� ENING BOARD
' RUSTEES
ENCLOSE POOL TO CODE-
UPON COMPLETION
OCCUPANCY OR EFORE'wATER
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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