HomeMy WebLinkAbout47250-Z g�EF01�-�oG Town of Southold 9/15/2022
P.O.Box 1179
0 53095 Main Rd
oy�j0 aohSouthold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43405 Date: 9/15/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 245 Royalton Row,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-7-19.30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/30/2021 pursuant to which Building Permit No. 47250 dated 12/21/2021
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:
as-built accessory in-ground vinyl swimming pool fenced to code as applied for.
The certificate is issued to Quigley,D&Kathryn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47250 8/19/2022
PLUMBERS CERTIFICATION DATED
Auth ri ed i nature
�o�SUFFot,r�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
"oy • �� SOUTHOLD, NY
poi � Sao
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#: 47250 Date: 12/21/2021
Permission is hereby granted to:
Marratime Cap LLC
71 15th Ave
Sea Cliff, NY 11579
To: Legalize as-built in-ground vinyl swimming pool at existing single family dwelling as
applied for. Additional certification may be required.
At premises located at:
245 Royalton Row, Mattituck
SCTM #473889
Sec/Block/Lot# 113.-7-19.30
Pursuant to application dated 11/30/2021 and approved by the Building Inspector.
To expire on 6/22/2023.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO- SWIMMING POOL $50.00
Total: $550.00
Building Inspector
pf SO(/j�olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviina-town.southold.nv.us
Southold,NY 11971-0959 Q�yC0UNT1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE -
SITE LOCATION
Issued To: D Quigley
Address: 245 Royalton Row city:Mattituck st: NY zip: 11952
Building Permit#: 47250 Section: 113 Block: 7 Lot: 19.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Ground Electric License No: 46309ME
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 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 11 Pump
Other Equipment: Intermatic Pool Panel, Pump 220GFI, 1 Light 30OW Tranny 120GFI, Salt Gene,
Auto Cover w/ Keypad 120GFI, Heater
Notes: Pool
Inspector Signature: ' Date: August 19, 2022
S.Devlin-Cert Electrical Compliance Form
SOUTyOlo .
# # TOWN OF SOUTHOLD BUILDING DEPT.
LO �o�r� 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGI- PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPINGKIFIRE
INAL P�.L
[ ] FIREPLACE & CHIMNEY S FETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE-VIOLATION [ ] PRE C/O [ ] RENTAL
REM S: -n� Fzc - Lg�6
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DATE INSPECTOR
� - - -
# TOWN OF SOUTHOLD BUIL NG DEPT.
`�coutme 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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 [[ ] PRE C/O [ ] RENTAL
REMARKS:
INSPECTOR
SOUTh�#
TOWN OF SOUTHOLD BUILDING DEPT.
�ycourm, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ rSAULATIOWCAULKING
FRAMING /STRAPPING [ NL P0�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION . [ ] PRE C/O [ ]' RENTAL
REMARKS:
1 � '
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DATE �a 'N� '� INSPECTOR 41
r
111
One1Ca
HM ENGINEERING P.C.
P.O.Box 914
EAST NORTHPORT,NY 11731
TEL:516-4765392
EMAIL:HMARNIKA@OPTONLINE.NET
November 15,2021
Town of Southold
Building Department
Town Hall
Southold,N.Y. 11971
Re:
Swimming pool Installation at:
Marrcon Development Corp.
245 Royalton Row
Mattituck,N.Y. 11952
Lot#1
Dear Sir or Madam,
I have reviewed the materials used for the above referenced swimming pool.
This is to confirm that the steel rebar for the subject swimming pool was .installed in substantial
conformance with the construction plans submitted herewith, dated 11/15/2021.
Very truly yours,
;Z77
oo'�z
gineering P.C.
tl e r • � • • r . • tl tl
YOUNAkti• (2ND.):' -' '-* 10�
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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 hLtps://Nvww.soutliol.dtowiiny.,aov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector:
NOV 3 0 2U21
M-U
Aopllcation�,,a-hd forms:must be filled alit ehilret .lnc�mpiei� 131-111-DiNG U*;'T
.51� y
appli,eatio- TOWN OF SOUTHOLD
'Pswill,—
no beacc6ot6d.,Where,th'dApplicant Js,:Ootthe o'w'nerian
o
wne k-Author1i4t1ohfoir4( 'ageZ)shall, :+c'oinpleted.'
Date:
?,R
OWNER S) OPERTY:
Name: SCTM#1000- 0,30-
Project Address:245 R
Phone.# Email:
.............
Mailing Address: -71 /5t* eve-,?LA-e 15,e4 CliigF, t%ly //577,9
7�4
Name. J\A p, r (p,-, Ace L),q-p p
Mailing Address:,, -7
Phone#: (o3(-_3g-q Sven
Email: S LJ,)-e e -C LJ �;;F> 0 01
.4 t
IONALJNFORIt VT-6
Name:
Mailing Address:
Phone#: Email:
ONTRACT-OR1*ORM4i
Name:
Swun.�n' -s".. P0,01--Stry-i. ce.,
Mailing Address
: ill -.�T ' fi , -0+�.brc).&K,- N� ' J )-�-*I-
A.0 -Mur C�
'Gh-,.-S., - -+V . K(
..P.ho e ne,#.:+ Email: sPool S\1 c@
64 OF ORO" iii
I)ESCRIPTI POSE CQNST
EINewStructure ElAddition P-Alteration DRepair ODemolition Estimated Cost of Project:
Elother 1 Q Poo I TXU Ve4anqle w 4A (m&,4c coal'( S $ 3 -M
S
.............................
Will the lot be re-graded? ElYes EJ No Will excess fill be removed from premises? E]Yes E]No
Existing use of property: Intended use of property:
..............
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? E]Yes []No IF YES, PROVIDE A COPY.
................
2
ARE
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Application Submitted By(print name): j DAuthorized Agent EZw- ner
Si gna t u r e of A pp I i c ant- Date: ///js/2,,-y
STATE OF NEW YORK)
COUNTY OF
oft sAl'iA-frou IN rel"P\ being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the '4)oqw—
(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 20�-/
Ngtqry Public
XTE
i............p-P Deborah Orlowski
NOTARY
uy Public.State of Now y6fjc
Notary
No.01OR6280392
PUBLIC f
PROPERTY OWNER AUTHORIZATIM". Qualifled in Suffolk Coluity
%(Where the applicant is not the owner) Commission EXPffcs 05/13/28�7_�
residing at_ -71 3� (21 Af-'
L,
/K 7 9 do hereby authorize �WeMW /&V -<qVIce– to apply on
t
my behalf to th n of Southold Building Department for approval as described herein.
77;e�
Owner's Signature Date
Print Owner's dame
2
.moo FFOC �� BUILDING DEPARTMENT- Electrical Inspector
�O Gym" TOWN OF SOUTHOLD
N = Town Hall Annex - 54375 Main Road - PO Box 1179
o Southold, New York 11971-0959
Telephone (631) 765=1802 - FAX (631) 765-9502
roaerr a southoldtownny.gov — seand(w.southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
Address:
Cross Street:
Phone No.:
Bldg.Permit#: 4 '1 Q 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 ❑Rdug,h1n.. ,. . . ' ;p❑ Final
Do you need a Temp Certificate?: . E:]",YES.[:] NO 'Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑'Flood;Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 01 2 H Frame Pole Work done on Service?=.sM Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT # Address:
Switches
Outlets
GFI's I
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop - Transfer
AC AH Hood Service
Amps Have Used
Special:
Comments ^� l 4 6�
PROPERTY LINE
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CONTRACTORS SPECIAL POLICY DECLARATIONS PAGE
Renewal Declaration
. , "UTICA.FIRST INSURANCE COMPANY ',
CONSTITUTED IN OHIO AS
UTICA FIRST INSURANCE COMPANY(MUTUAL)
Home Office-5981 Airport Road,Oriskany NY 13424 Direct Billed-Insured
Mail Address-P.O.Box 851 Utica'NY 13503-0851 .
Policy Number: ART. 5129110 02'
Renewal of Number.
NAMED INSURED AND MAILING ADDRESS tNumoer8tr¢et ToweorClty.
GROUND ELECTRIC 'stm°.apcodr. Agent' 2260000
-PAUL CLARK DBA NORTHEAST AGENCIES INC
22 RAYMOND'AVE -8209 IBM DR BLDG 102, STE 100
MIDDLE ISLAND NY 11953 CHARLOTTE, NC 28262
POLICY PERIOD:12:01.A.M.Standard Time at the Location of Deslghated Premises.
05/17/21 ;05%1722
From To - .
".Item Prof ' Rate .Const Description and Location
'
Class Group d Loc
of Pro e ati .
-PR` 04Description:,ELECTRICWORK-NO BUR:.,..
Loc
`ation: RAYMOND AVE .
MIDDLE--ISLAND,"NY. :1.1953
County: SUFFOLIE
AGREEMENT
In return fOF YQUr payment d" e Fequ red we
we provide the`insurance described in this policy.
LIABILITY INSURANCE.
COVERAGE:.,:. LIMITS::- ANNUAL
PREMIUM
Each:Occurrence Limit ;'$::1;,800;0.00. .,. /per occurrence
Medical Payment Umif Yper person
General.Aggregate Limit
' (t thertharrftducts/Completed Work) $2,.900,000,--
Aggregate,Ll
;(Products/Completed Work) $,2;000,000.
Fire legal Liability---
..60"Ooo• 1per.occurrence
Personal and Advertising Injury - .$.`,i;000;000: /per occurrence
Property Damage Deductible $ : .ro0o included
PROPERTY INSURANCE
COVERAGE DEDUCTIBLE LIMIT '•AUTOMATIC• REPLACEMENT . ACV PROTECTIVE ANNUAL
IN . . .'.COST' :.. DEVICES PREMIUM
INCREASE
Building t ..
Business Personal.Property
Loss of Income
_[36siness Personal P.roperty-
_: _
Off Premises;
FORMS AND ENDORSEMENTS - SEE FORMS INVENTORY PAGE
ANNUAL
FORM NUMBERL DESCRIPTION PREMIUM
BAI-.1• Blanket Additional Insured (Cori.tractors) Included
$150 Minimum Retained Premium ANNUAL
Name and Address SUBTOTAL $ 982.00
of Mortgagee: NYS Fire Feet S 0.00
POLICY TOTAL $ 982.00
c
Our Authorized Representative
Countersignature Date 03/16/21
APDEc(0118) INSUREC.COPY ' .
CCUPANCY OR
APPROVED AS NOT D rUst IS UNLAWFUL
DATE: a �- �B.P:# a2 a;VITOUT CERTIFICATE
=EE0575—y BY: OF OCCUPANCY
NOTIFY BUILDING DEPARTMENT' AT
765-1802 8 AM TO 4 PM FOR-THE
FOLLOWING INSPECTIONS;
1. FOUNDATION -;TWO REQUIRED
FOR POURED CONCRETE:'
2. ROUGH FRAMING & PLUMBING
3. INSULATION
4. FINAL -'CONSTRUCTION .MUST
BE COMPLETE FOR C.O. - C1_-)h4PLY WITH ALL CODES OF
ALL CONSTRUCTION SHALL MEET THE NEW YORK STATE & TOWN
CODES
REQUIREMENTS OF THE CODES OF NEW AS REQUIR�DAND CONDITIONS OF
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD
"IMMEDIATELY" SOUTHOLD TOWN TRUSTEES
�.E9"L698 POOL TO CODE N:Y.S.DEC
UpON,.deW.LETION
°11VATER" .
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 230
OF THE TOWN CODE.
�� �R�Qunitu
Additional
Certification
May Be Required.
i
r �
POOL NOTES:
1.POOLAND PROPERTY TO CONFORM TO 2020 NYS UNIFORM FIRE PREVENTION AND BUILDING
FILTER PUMP TRACK FOR CODE,TOWN OF SOUTHOLD CODE AND 2017 NATIONAL ELECTRIC CODE.
VINYL LINER 2.POOL SHALL CONFORM TO ANSI/APSP/ICC 5 STANDARDS R326.3.1.
RETURN SKIMMER 3.SECTION R326.7 POOL ALARM REQUIRED.
RETURN (�') VINYL LINER 4.POOL SHALL COMPLY WITH BARRIER REQUIREMENTS SECTION R326.4.
10° S.POOL SHALL COMPLY WITH 2020 ENERGY CONSERVATION CONSTRUCTION CODE OF NYS
3,500 PSI SECTION R403.10:
FOAM PADDING _ A CONCRETE POOLS AND PERMANENT SPA ENERGY CONSUMPTION(MANDATORY).
i
__ I e SECTION R403.10.1 HEATERS
a. SECTION R403.10.2 TIME SWITCHES
I I PRuPOSED VINYL SECTION R403.10.3 COVERS
I SWIMMING POOL6.REBAR SHALL BE 3"MIN.CLEAR TO EARTH.
3� 64,$ S.E. 18' TO#4 REBAR °'. e' 7.LOCATION OF PROPOSED SWIMMING POOL AND POOL EQUIPMENT BY OTHERS AND SHALL
P, MIDDLE ° 42" COMPLY WITH ALL LOCAL ZONING REQUIREMENTS.
(MIN.) I I & BOT. a &ALL DRAIN COVERS TO MEET ALL REQUIREMENTS OF THE VIRGINIA GRAEME BAKER(VGB)POOL
I DUAL MAIN DRAINS WITH tr e AND SPA SAFETY ACT.
STRAINER :(VGB SAFETY• ° 9.SLOPE�PATIO SURFACE 1/4"PER FOOT AWAY FROM POOL.
I ACT APPROVED DRAINS) 10.BAC KFILLMATERIAL TO BE FREE DRAINING GRANULAR MATERIAL(NO CLAY OR LARGE ROCKS).
11.SUCTION OUTLETS SHALL BE DESIGNED AND INSTALLED IN ACCORDANCE WITH ANSI/APSP/ICC
STEPS 7,
12.ENTRAPMENT PROTECTION REQUIRED SECTION R326.5.
a 13.POOL WALLS ARE NOT DESIGNED FOR SURCHARGE LOADS EXERTED BY WHEEL LOADS WITHIN
SIX(6):FEET OF POOL WALL FROM CONSTRUCTION EQUIPMENT OR ANY OTHER LOADING
CONDITION IMPOSED ON THE POOL STRUCTURE BY EXISTING OR PROPOSED ADJACENT
STRUCTURES.
14.NO DIVING EQUIPMENT PERMITTED.
36' TYPICAL WALL DETAIL 1S:CONTRACTOR SHALL VERIFY SOIL BEARINGI.OADS PRIOR TO INSTALLATION OF POOL.
„ 16.CONTRACTOR SHALL VERIFY SOIL BEARING LOADS PRIOR TO INSTALLATION OF POOL.
SCALE: 3/4„ = 1 —0 17.THIS PLAN IS FOR CONSTRUCTION ON PROPERTY AT 245 ROYALTON ROW,MATTITUCK,N.Y.
11952 AN LY.
'18.REINFORCING STEEL SHALL BE INTERMEDIATE GRADE BILLET STEEL WITH A MINIMUM LAP OF
NOTE- NOTES: 30 BAR DIAMETERS.
THIS IS A NON-DIVING POOL NOT TO 'SCALE 1�NFTLLS SHALL BEAR ON UNDISTURBED SOIL
�H
2.ALL CONCRETE SHALL BE PLACEDASA MONOLITHIC POUR. 19. NI.ENG.INEERING,P.C.SHALL NOT BE RESPONSIBLE FOR CONSTRUCTION MEANS,METHODS,
TECHNIQUES OR'PROCEDURES UTILIZED BY THE CONTRACTOR,NOR FOR THE SAFETY.OFTHE
PUBLIC OR HE
EMPLOYEES,OR FOR THE FAILURE OF THE CONTRACTOR TO CARRY OUT
THE WORK IN ACCORDANCE WITH THIS PLAN.
. ” 3'-4" CONCRETE WALL c
.`6 TSECTIONSEE
HIS
SHEET) DEC
® 0 � 2021
_
1 1/2- TO WASTE
UNDISTURBED BUILDING DEPT.
EARTH ( BED PUMP HAIR & LINT STRAINER TOWN OF SOUTHOLD
• 30 61 g, • 19•
FILTER AUTO SKIMMER
3" COMPACTED
SAND
POOL
Lr
P-QOLeBACK TO
) L
-NOT TO SCALE POOL
GENERAL NOTE: PREPARED FOR:
ALL MANUFACTURED ITEMS AND CONSTRUCTION SHALL COMPLY WITH THE 2020 2 MAIN DRAINS WITH
RESIDENTIAL CODE OF NYS,INCLUDING THE SPECIFICATIONS IN SECTION R326. MARRCON-DEVE OP.MENT ORP. SCHEMATIC PIPING ARRAN fgENT HYDROSTATIC VALVE
D COLLECTOR
245 ROYALTON O1tV NOT TO SCALE IN GRAVEL BASE TUBE
M TTITUCK, N. . 11952
LT#1 , - .
j DATE: 1111512021
NOTE: ,�,�°' j HM ENGINEERING, P.C. SCALE: ASSHOWN
THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF HM ENGINEERING P.C.. ( �� - .P.O.BOX 914,EAST NORTHPORT,NY 11731 SHEET: 1 N 1
UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS ARE A VIOLATION OF SECTION 7209 OF THE e
NEW YORK STATE EDUCATION LAW.INFRINGEMENTS WILLSE PROSECUTED. oiD OUT RAISED SEAL AND BLUE SIGNATURE Tel:(516)476-5392 Fax:(631)980-7671 Email:hmarnika@optonline.net RESIDENTIAL CONCRETE
VINYL LINER POOL PLAN