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HomeMy WebLinkAbout44921-Z o�S�FFOLk�oG Town of Southold 8/31/2022 P.O.Boz 1179 o • 53095 Main Rd 4rt� dao ¢i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43388 Date: 8/31/2022 THIS CERTIFIES that the building IN GROUND POOL Location.of Property: 8025 Main Bayview Rd., Southold SCTM#: 473889 Sec/Block/Lot: 78.-9-34.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/15/2020 pursuant to which Building Permit No. 44921 dated 6/25/2020 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 Camelo,Laura of the aforesaid building. SUFFOLK,COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44921 3/10/2021 PLUMBERS CERTIFICATION DATED A 6 ed i afore t TOWN OF SOUTHOLD o�g11FFOLI�Pr BUILDING DEPARTMENT a TOWN CLERK'S OFFICE ca 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#: 44921 Date: 6/25/2020 Permission is hereby granted to: Gibbs, Kim 8025 Main Bayview Rd Southold, NY 11971 To: construct accessory in-ground swimming pool as applied for. At premises located at: 8025 Main Bayview Rd., Southold SCTM # 473889 Sec/Block/Lot# 78.-9-34.1 Pursuant to application dated 6/15/2020 and approved by the Building Inspector. To expire on 12/25/2021. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Bui i spector Form 140.6 TOWN OF SOU THOLD BUILDING'09-PARTMENT TOWN 14ALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be Titled is by.typewriter or ink and submitted to the Building Department with the following: A. For new building ox aew use. 1. Final mevey-of:p,:. w topographic€encu ith accurate location of all buildings,property litter,scuts,and unusual natural or 2. Final Approval 0010 Tkalth Dept.of Wiates.su,. 3. Approval of electricgi instal Pply and sewerage-daspoW, (S-9 form). 4 Sw latxon Troia Board-of Fire U>iderwriters. om siateriient fco�n plumber certi�f g that the solder. 5, Comzt ercial buu+Idi` ,Used is system contains Its.U,a-n.X10 of l%lead. ofCode ng,indust l build,multiplu'r6dic�e Ow-aFicl si ailar btuldin s Cutarpltance rota:a t or and iasWlati©rts,a certificate 6t Submit Plantu Boaxd eaeer;raspDuA!d for the bdAi ig. W Approval ofcoalpletod-dte.Plan requirements. $• For eaastiug buddiug ;;(px ion. tlp ,t9s no �- Acc ey of poperty sko. *'00 �fis or buitdiV sped upkc-edst u!Ur laced uses: suN. features. pro 'y. `S� burldigg and unusual-natural or.topo hic a. A proPetlY copte :a1P c. ion a�O m denigd;the Bupg w01--by-ft rl g _< • .. r plicaut.If a a.ft a of Occupatto3' is�ng'to circ is applicant. C. Fees I. CGrtiii ;of " :OsY_hlovv°d S _ . :. sdtlit�wux,$ - - '010 Mew-t1w W- to4we jt-V09.009 {jl •' Xk oII'rP $6,0;00. ceaft3.4. MOW• Teanpo*y C.ertifoatic - 3i1". Q o'�006V W- idential Date. New Cbnstvuctioa:� � -� � Old or . Bixilg; (check one) Location of Px�opa�ty; � � 1 s�INif 504 Id A Owner or ownets-Of Prood-d . EL SuiNk County°Tax " 1000. — �g ) on Subdivision Block ® Lot �2 Z Fil6d gip• Permit No. --�_Lott Date of Perttut._ e ( Health Dept.Approval: —APPlicaat: /vhf Db Underwriters •. Pla�.n B_� APprwaI.` g Approval; Request for. Temporary Cerlfrc _. -- Final Certif' Ycate: (/ Fee Submitted:$ -------.- ___._ - ------- (check ontre Appli� t Signatu OF SOUT�oI Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q sean.devlin(d-)town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Lauren Camelo Address: 8025 Main Bayview Rd city,Southold st: NY zip: 11971 Building Permit#: 44921 Section: 78 Block: 9 Lot: 34.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Generation Green Electric License No: 4483ME 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 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 Switches 4'LED Exit Fixtures Pump Other Equipment: Pool Cover w/ Keypad, Lights w/ Push Button Switch, Heater , Salt Generator, Time Clock, Intermatic Pool Panel 8 Circuit- 3 Used Notes: Pool Inspector Signature: Date: March 10, 2021 S.Devlin-Cert Electrical Compliance Form.xls OF SO(/Tyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 ��y00UM'10`� INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL Pum [ ] FIREPLACE & CHIMNEY,:�" [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REM_ARKS: ' r I c wt DATE INSPECTOR OF SOUTyo� —-- * # TOWN OF SOUTHOLD BUILDING DEPT. �o • ,o `ycourm N 631-765-1802 . INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULK [ ] FRAMING /STRAPPING [ FINAL Q2 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR # # TOWN OF SOUTHOLD BUILDING DEPT. `yco 631-765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSUL ION/CAULKING [ ] FRAMING /STRAPPING [ FINAL ot [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: UYN Fey l DATE Y1/ INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS -Z FOUNDATION (1ST) H ------------------------------------ FOUNDATION (2ND) z ' o , ROUGH FRAMING& PLUMBING H L INSOLATION PER N.Y. STATE ENERGY CODE hfAWA vnq-r�c a iv i FINAL , tqwe,-(A- -,ADDITIOIAL COMMENTS It It 0 U z4 Ztc �Z m b v� H . d t�7 b H TOWN OF SOUTHOLD • BUILDING DEPARTMENT BUILDING PERMIT APPLICATION CHECKLIST TOWN HALL Do you have or need the following,before applying? SOUTHOLD,NY 11971 Board of Health TEL:(631)765-1802 4 sets of Building Plans FAX:(631)765-9502 Planning Board approva,-- Southoldtownny.gov PERMIT NO. Survey Check Septic Form N.Y.S.D.E.C-- Trustees C.O.Application' Examined �200?6 �''" Flood Permit Single&Separate 1, Truss Identification Form Storm-Water Assessment Form Approved Q� Contact: 20 1��. --0 0 N Mail to: -)+I A� Disapproved a/c 7— Expiration Phone: Building-Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date 2o 7-0 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 shall be kept on the premises,available for inspection throughout the work. applicant.Such a permit 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 applicablelaws,ordinanc.es,.buildin authorized inspectors on premises and in building for necessary inspections. code,housing code,and regulations,and to admit nspections. lk�'D r TA3 (Signature of applicant or time,it a corporation) q7m Haiv, U LZA fL�c-le- Q 5-Z (Mailing address of'applicant) State whether applicant is owner lessee gent architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises AYNYV, (As on tthe If applicant is a corporation,signature of duly authorized officertax roll or latest deed) (Name and title=of corporate officer) Builders License No. Plumbers License No­-----------� Electricians License No I - . Other Trade's License No. 1. LocAtio—fland on w4ich propose wrorIt will be done: W71-IN inAWBAi ', )p cu.1*0 House Number Street Hamlet County Tax Map No. 1000 Section '78 Block__O_!? __Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended useand o ancy of proposed construction: a. Existing use and occupancy f>(0&L r b. Intended use and occupancy ��f�o�.l f�1N 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work /(p)(.SLD 1:� 4. Estimated CostFee (Description) � (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 HeightNumber of Stories Dimensions of same structure with.alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Q Number of Stories, 9. Size of lot:Front lJ 2 8 • Rear �3 o q Depth Z� 10.Date of Purchase Name of Former-Owner 11.Zone or use district in which premises are situated. ci�-S+D E0 MIA i-- 12. .12.Does proposed.construction violate any zoning law,ordinance or regulation?YES NO_/ 13.Will lot be re-graded?YES 'V_NO Will excess fill be removed from premises?YES'' NO 14.Names of Owner of premises OAddress ©,,, e)� Phone No. Jo3I 09R 40l Name of Architect Address Phone No Name of Contractor q &r- cac Cst+> ddress oa p7c' Phone No. 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 MAY 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 ons ey. 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 � FC( lk-'>6 0 P n ejz-5 being duly sworn,deposes and says that(s)he is the applicant (Name of individual oosigning contract)above nammed," (S)He is the-Kor-4 PR-Ie- Rpe- t-e '"c• Pep—&AQA4 (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 knowledge and belief;and that a work will be performed in the manner set forth in the.application filed therewith. Sworn to before me this J.+h day of Mj2jj 20 acw tory Public L D � Sign a of Ap licant NOT UBLIC,STATE QF Nt W Y .� NO.01 DW63069-00 QUALIFIED IN SUFFOLK COUN' COMMISSION EXPIRES JUNE 30, May 19 2020 03:52PM HP Fax page 4 Building—Denartment Annlication AUTHORIZATION (Where the Applicant is not the owner) In,I ` } p residing at 0 1. nA::�Vt6w D`� f (Print property owners name) (Mailing Address)00 do hereby authorize A� /r/~— (Agent) to apply on my behalf to the Southold Building Department. l 110" 1410 (Owner's Signa ire) (Date) (Print Owner's Name) . . .{ Ati�:! 't;-euro f'.�;'+. ,• d;-..7 _.. i'_._a .j FEa. .2 4 2021 Town Mu Annex 54375 Maio Road -P-0-Bax 1179 Telephone(6alj`7651802 ` ?.:'i'„,';, ::kr Southold, 4 ro er.riche ow�nlsoiho�d. .us ; NY 1.19710959 O yQ i BUILDING DEPARTMNT TOWN Old”SO`UTHOLD APPLICATION FC}R EL,IECTRICAL INSPECTION REQUESTED BY �� ��� �• Company Name: n Pel C//'.cs J'-c� Date: Z Z 3 z �Q�iOh tZI'C.GYI Ti/GG�/� Name: a •�c.. License No.: - Address:, Z Co LL1 owl-, -, d'hone t40-: X031 Fjo�-{-4251 JOBS-- ITE INFORMATION: (*Incfacates required infor�natlon *Name: 01V'`Cass -Suet: • - �� � V: �•t. 'Phone Np.: 63 f Permwt No.: .-. q Z I Tax lMap©istrnict: 1000 _ Section: Block: Lot. *BRIEF DESCRIPTION OF WORK(Please print OJeariy� W6 )t (Please Circle All That APPIA *Is job ready for inspection: *pa"u.need a Temp Cer°tifrcate: lgi�NO Rough In Finch, YES/ NO , Temp Infermation(M-needed) f . *Service Size: I-L Pha 3Phase 900 950 200 300 350 400 *New Service: Re-count t. tlnde Other Underground Number of iMeters Change of Service Overhead Additional information: ' PAYiUIENT DEIE UVITH ApRLICATiON .X . 8?41ewest for inspection Form ` -�� QP ,�� -T,4 11�1 SZ BUILDING DEPARTMENT-Electrical Inspector A TOWN OF SOUTHOLD Town - Zq ;: T n Hall Annex - 54375 Main Road PO Box 1179 a Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 gaerrOlsouth...IdtDwM- .4ov— seand@so-utholdtownny.gov 13PL1Q-T ON: F-OR.;ELECTR,ICAL.Ii S'PECTfO'N: ELECTRICIAN IN'FORMi -TION (All lnformation Required) Date: Company Name: -- - Name: License No., J tf11 g -3�j� ail: Address: Phone'No.: JQ'B SITE I'N'FORMATION (All Information Required) - Address: Cross Street: Phone No.: 31 4014 Bldg.Perm it#: ZW. email: - Ta - .....r:...,� ft.PWA.a y;District:, 100 Block: BR'fEF DESCRIPTION OF WORK (Please Print Clearly) P '6gu-IPMC�J-r -3oAJDI,J Girdle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES VNO Issued On Telrf>Ip Information: (Alf information required) Service Size 1 Ph 3 Ph Size: _ _A #.Meters ... . Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected - Underground - Overhead Under ground..Laterals 1 . 2- '. -..,H Frame Pole Work done on Service? Y N Additional-Information: PAYMENT...QME_IMITI4AP_P_.LIOATION Request for Inspection Form.xls PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts E Fans Fridge d ' Exha ust" Oven Drye • +b,,iy.`.- .. }' :�}� �.z;y a M1: - r Smokes DVI/ Seivice' _:. Carbon __. _... r IVlicro Combo Cooktop y : _., :+z.. J Trapsfer =Ff.., 1. .;:'•Ii ,.,... . : Nl m Special .__.._._.. .. . ...__... __.._.. .,.__..:_.,_., w _ Comments: rCc! May 18 2020 05:18PM HP Fax page 2 Scout A. Russellour ' [' M ' ' ER 80H.-1'o.Bax 1179 MANAGEMENT ss=MWnitoad-80[9hIALD,1ii8W YORK 11971 Town of Southold CHAP'T'ER 236 - STORMWATER MANAGEMENT W--OR11C SHEET (TO BE COMPLETED BY THE APPLICANT) DOES TM ]PROTECT INVOLVE ANY of THE FOLLC WW&. Yes YA OMCK ALL TRATAPPLIn❑ . Clearing,.grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ` ❑ff B. Excavation or filling involving more than 200 cubic yards of material dwithin any parcel or any contiguous area. C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. 'j [,(D. Site preparation within 100 feet of wetlands beach bluff or coastal erosion hazard area. , [3[9'E. Site preparation within the one-hundred-year f loodplain as depicted } on FIRM Map of any watercourse. CJEJ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management i Control Plan was received by the Town and the proposal includes LIIn-kind replacement of impervious surfaces. �C Tt wed W0 tc aH of tiro gan&%s above,Site? [apmp[ate the Andaut,aortia bdow wlth yaa Name, 518WOe,Cantaet.Iaftmatien,Date a OWMVTOX llfap Naber! Q*Fter zse dot apply to year praeaet. It YOU aaaWUVd THI to am or marc rd dw-above,plem qubaaitT�copies d a Rtarmwater t Cont mi Plan and a Ilrt Form cite$tdldi�Hsi with Permit S.C.T.M. *: I000 Date, i�Y Prota�w .CanUactor,octlera !� ti�cti� 8 oc�c lot . canes 10t0rm.twm �1 ��° — FOR BUILDING DEPARTMENT USE ONLY **" i Reviewed By: i - - - - - - - - - - - - - - - - Property Address/Location of Constructg Work — — — — — — — — — — — — — — — — Z4��j A-W 'R Ay yi t--j. Approved for processing Building Permit. '` ❑ Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Requited. (Forward to Engineering Department for Review) FORM * SMCP-TOS MAY 2014 /yam/ _ _<Gs..R.'n F• ' �!5'" Atl`•'„+ .., - fy JIB_"" � i. Uj ..raN alit Otis oe IVIOAid je Ito JqM -Wig Sl Oli- r I �) wpoY J t • I Da- APPRO VED AS NOTE - DATE: J� B.P.-# „ RETAIN STORM WATER RUNOFF URSUANT TO CHAPTER 236 FEE: , ��, OF THE TOWN CODE. NOTIFY. BUILDING DEPARTMENT AT . 765-1802 8 AM TO 4 PM FOR THE N' FOLLOWING INSPECTIONS: . 1. FOUNDATION - TWO REQUIRED FOR POURED C()NCRETE 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 ZU T HOLD TOWN 7RA `""'T,1)1 T '" ING BOARD s..um 9D T�- �s �� :��aaf11113ti Y ENO � �s f11113ti RLY Q10 ,Za :.Ut?ON CiOMI'LE 'IQN :�4 "BEFORE."WATER°;;u_ . . OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY May 18 2020 05:28PM HP Fax page 13 C�tCL—'V -.,a (,JOIIS ox. a�- a h•tj�4- DF s s _ WAtfS 0X 4.r7ge nud >roti 3-1,0D P�� 61S`Ler �lr� Co i c rem . /,5 Placed fo,:Slo�e- o . r fC L -f 5p 0 f k-t cry(1. ls� (jer".11 y every R-�v r— Q �t r-r r5 (Qs�C- Fvr Pt Lr D�-1' f5 r�-' "' �S Fc)tj�, Poc)L Caf--v- NAM BATE. ., . ewar...eir.ro.. owe WAM FLOOR 9o° DEPTt: • 'y~ "• -, HUNCH OWRLAP ( � • 20 GAUGE 27 GAUGE IS • p