HomeMy WebLinkAbout47799-Z -
�o�OgUEFal,f�od. Town of Southold 8/14/2022
a y� 33 P.O.Box 1179
53095 Main Rd
1 0 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43333 Date: 8/14/2022
THIS CERTIFIES that the building HOT TUB
Location of Property: 2905 Arbor Ln,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-7-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/21/2022 pursuant to which Building Permit No. 47799 dated 5/10/2022
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:
"as-built"accessory hot tub fenced to code as applied for.
The certificate is issued to Nasary,Veronica
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47799 7/18/2022
PLUMBERS CERTIFICATION DATED
th rize ini ature
Su�Fnt,��o TOWN OF SOUTHOLD
�o ay BUILDING DEPARTMENT
y s TOWN CLERK'S OFFICE
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#: 47799 Date: 5/10/2022
Permission is hereby granted to:
Nasary, Veronica
2905 Arbor Ln
Mattituck, NY 11952
To: Legalize as-built 8' X 8' hot tub at existing single family dwelling as applied for..
Additional certification may be required.
At premises located at:
2905 Arbor Ln, Mattituck
SCTM #473889
Sec/Block/Lot# 113.-7-25
Pursuant to application dated 3/23/2022 and approved by the Building Inspector.
To expire on 11/9/2023.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO- SWIMMING POOL $50.00
Total: $550.00
Building Inspector
OF SOUryol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G �Q sean.devlin(D-town.southold.ny.us
Southold,NY 11971-0959 �QIyCOU 'w`^�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Veronica Nasary
Address: 2905 Arbor Ln city.Mattituck st: NY zip: 11952
Building Permit#: 47799 section: 113 Block: 7 Lot: 25
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub X
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 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
Disconnect 2 Switches 4'LED Exit Fixtures 11 Pump
Other Equipment: Disconnect w/220GFI & 230GFI
Notes: " AS BUILT NO VISUAL DEFECTS " HOT TUB
Inspector Signature: Date: July 18, 2022
S.Devlin-Cert Electrical Compliance Form
OF SOUIyO i ► l �-
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# # TOWN.y//OF OUTHOLD BUILDING DEP .
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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 [ ] RENTAL
REMARKS: S �/�� � �
DATE 7 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(IST)
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FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y. y
STATE ENERGY CODE
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FINAL
IADDITIONAL COMMENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
'r�yf GTi N.et
Date Received
c
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector:
V77q MAR 2 1 909
BUILDING DEPT.
„Applications'and forms"must be filled out in`their entirety,Incomplete; TOWN OF SOUTHOLD
applications will not be accepted: Where the Applicant is not the'owner,on,-
dwrier's Authorization form(Page 2)shall be completed..:
Date:
OWNERS).OF',PROPERTY: .'
Name: 2���.0 �S SCTM# 1000- �_ 7-2 S
r
Project Address Q. ... ® .. ,/ 7Z/Tw - -
Phone#:6-- .. . 8 iO / .4J'�1
Mailing Address:..... .--�d✓� . /�/,L ... .� - / CL.. ./Y ....._ L- .�z.
CO.NTACTPERSON:
Name:
Mailing Address: ,� �P�x O D O !79-71
Phone#: / S8_ 6 1EI
L'
D
'DESIGN PROFESSIONAL,INFORMATION
Name: iZARe
Mailing Address: ogge
KZ
Phone#: /_ Em Y �.
CONTRACTOR:INF.ORMATION:.-... '-.,: .�, ,�: ,. ,, •.` .
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
'Other
Will the lot be re-graded? ❑Yes 9No Will excess fill be removed from premises? ❑Yes Mo
1
r
PROP.ERTY.INFORMATION
Existing use of prON /L Intende e o roperty /Gy
Zone or use district in which premises is situated; Are there any covenants and restrictions with respect to
C this property? ❑Yes XNo IF YES, PROVIDE A COPY.
Check Box After Reading:..The ownerJcontractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code.APPI CATIdN IS HEREBY MADE to the,Butldirik Department for the issuance of a Building P"ermit pursuant to the Building Zone
ordinance of the Town of Southold;Suffolk,County,New'York and other applicable laws,Ordinances or Regutatioris.for the construction of buildings,,
additions;alterations or for removal or demolition as hereindescrtbe'd.The applicant agrees to comply with all applicable laws,ordinances,building code,-
housing code and regulations and.to,admit authorizedinspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 230.45 of the New York State Penal Law.
/G
Application Submitted By(print na�my�e): /�C�� , jKAuthorized Agent ❑Owner
,/i
Signature of Applicant: a X` Date:
STATE OF NEW YORK)
SS:
COUNTY OF tQ45jL,0CII )
M/C/14"Z_ 14, 1CI&A('// being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the A&I
(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 /114&C/V , 20211�_,
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, V&SOONIC4 AlASWRy residing at f70 4yPB01e 44/V4
&N227r?/Cle MY do hereby authorize �I rl-1i411-CIZ A klH,41 ce to apply on
my be alf to the Town of Southold Building Department for approval as described herein.
Owner's Signature G Date
oyeolylCh N4.S'x,?Z
Print Owner's Name
2
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BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
®� �0 ? Telephone (631) 765-1802 - FAX (631) 765-9502
roaerrCa�southoldtownnv.aov - seand@southoldtownnv.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: fj(/ 1CC� f /6
Electrician's Name: ���� G-zf,.,A _4 1c
License No.: t-/:2z3-/,11 ,r,7 Elec. email: tVi (C-6�,1/Gt �j��.t-�, ,� �o c u
Elec. Phone No: Z3/- -2'31, 6 7FF 01 request an email copy of Certificate of Com liance
Elec. Address.: T Lc),
JOB SITE INFORMATION (All Information Required)
Name: A�
Address: 5 U S
Cross Street: ,� ek
Phone No.: S I �, . 2-
Bldg.Permit
-
Bldg.Permit#: email: A Z
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ® YES ONO ❑Rough In ® Final
Do you need a Temp Certificate?: ❑ YES LTJ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Siz A # Meters Old Meter#
❑New Service Fire Reconnect[]Flood R connect❑Service Reconnect nderground❑Overhead
# Underground Late als 1 2 H Frame Pole Work done on Service Y N
Additionallnformati L
PAYMENT DUE WIT APPLICATION
`o $To�l
ho 0 , p
f'jSU�FgL�Y{t. BUIWING DEPARTMENT- Electrical Inspector
,V ' TbWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
�7 Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrasoutholdtownny.aov — seand(Qsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: / �Z
Company Name: U/ c��„
Electrician's Name:
License No.: L f-7 Z3- M ;c Elec. email: 4)1 +C'254,A.!/G1 um-tL"o . c
Elec. Phone No: j/• -2r3 b_ 6 01 request an email copy of Certificate of Com liance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
Address:
Cross Street:
Phone No.: j 2-
Bldg.Permit
Bldg.Permit#: 4-7 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ® Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph3 Ph Siz A # Meters Old Meter#
New Serviceb Fire Reconnect[]Flood R connect OService Reconnect nderground❑Overhead
# Underground Late als 1 '2 H Frame 7 Pole Work done on Service Y N
Additionallnformati
PAYMENT DUE WIT APPLICATION
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PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
LIC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special:
Comments:
FRANKLIiv
& ARLIN BOECKMAN
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APPROVED AS NOTAD OCCUPANCY ORUSE IS UNLAWFUL
DATE: -S, B.P.# WITHOUT CERTIFICATE
FEE: `9 5SO-O—ZbY: ®�
NOTIFY BUILDING DEPARTMENT AT OCCUPANCY
-'�5-1802 8 AM TO ; PM FOR THE
F-")LLOWING INSPECTIONS:
FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
L. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL ,- CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE COMPLY WITH ALL EOF
COp
REQUIREMENTS OF THE CODES OF NEW "NEW YORK STATE $ TCODOWN 8 OF
YORK STATE. NOT RESPONSIBLE FOR AS REQUIRED AND.CONDITIOCODES
NS OF
DESIGN OR CONSTRUCTION ERRORS.
SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
N
Additional N.Y.S.DEC
Certification
May Be Required.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
"IMMEDIAT'v OF THE TOWN CODE.
ENCLOSP-P66L'T 'COIF,
UPON.COMRJ,E,'fIOI
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