HomeMy WebLinkAbout45786-Z O�Og11�FOl,f�o Town of Southold 12/8/2022
a Gym P.O.Box 1179
y $ 53095 Main Rd
a
�'ifj01 �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43670 Date: 12/8/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 535 Sigsbee Rd.,Laurel
SCTM#: 473889 Sec/Block/Lot: 143.-2-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/10/2017 pursuant to which Building Permit No. 45786 dated 2/5/2021
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 Sigsbee RD Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 776 10/ 0/2007
PLUMBERS CERTIFICATION DATED
uth rizo6 S gnature
TOWN OF SOUTHOLD
�o��SUFFO1Kcoy
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 45786 Date: 2/5/2021
Permission is hereby granted to:
Henry, Christine
535 Sigsbee Rd
Mattituck, NY 11952
To: CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR.
Replaces BP# 33334
At premises located at:
535 Sigsbee Rd., Laurel
SCTM # 473889
Sec/Block/Lot# 143.-2-10
Pursuant to application dated 2/3/2021 and approved by the Building Inspector.
To expire on 8/7/2022.
Fees:
PERMIT RENEWAL $150.00
Total: $150.00
Building Inspector
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 33334 Z Date AUGUST 22 , 2007
Permission is hereby granted to:
CHRISTINE HENRY
535 SIGSBEE ROAD
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR
at premises located at 535 SIGSBEE RD LAUREL
County Tax Map No. 473889 Section 143 Block 0002 Lot No. 010
pursuant to application dated AUGUST 10, 2007 and approved by the
Building Inspector to expire on FEBRUARY 22 , 2009 .
Fee $ 250 . 00
Auth ize Signature
,V
ORIGINAL
Rev. 5/8/02
SUFFOLK B.UR[- AU . , :l .V
is F ! i i{ : . FFR
INS PI. r_, 1 9 7
v it s , 2022.
40 Nottingham Detre,Middle Island, NY 11953 7'c. Wit'S�DEP}
Telephone:$314958136 • Fax:631 880 6455 • E-Mail!SBEIGS@gmad-com n-►OI-£ F:
} CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: Leos ElectricCorpCertificate No..
tiC7765
Rough In Inspection Date: October 20 2007
Final Inspection Date:
October 20,2a07
Application No.: 7765 Building Permit No.: 33334
Suffolk County Tax Map No.: 143 3 10 ?�'
i
of electrical equlpmentz',d lir.-:
work described below, installed by the applicant named above, loca
This Certificate of Electrical Compliance is limited to the inspection and compliance ted at the premise of and not after the final
inspection date above;
{
:u Owner: Christine Henry Y i
Site Location: 535 Si sbee R , N Y 11952 `
,. t1 oad Mattitelcly F .
Owner's Address (if different):
tai [aResidential Indoor
•,^p: ❑Basement Shed it
Commercial
Outdoor y.
[�First Floor Pool
Htmub
New Renovation []Second Floor AtticEl Garage s
[:]Addition ❑Survey Other.:
..-....
IM
{{ INVENTORY
r Sin8le PAase Heat Duplex Reopt . Ceding Flxture
MID Fftureg r
Three Phase
Fta!1Alater GFG Rcpt .1 W&I!Fbcpue Smoke -^
M4 1n Panel AC Cond Stn
h�. 9kPt 1 Reoessed Phare CO Detect
Sup Panel field AC BWwer Range Rpt Fltwretraertt Pumps 1 `
"s Transformer Appliarmoea Dryer Recpt .. i;Lni
E" 9i Time Clods 1
:? DigpprrneCi Switches 7 Twist Lack
Exit Postures 11/55 "
,-' GFG Breaker Heat Pum
z$ P EWcft Meal Poo!Luminaire ;1 F chant Fat c a
j x Other Equipment
The electrical work and/or equipment described above were Inspected and appear to be in compliance
. with local, state and national el trical code requirements and this office.
N
wd Applicant Leos Electric C ,`
kr� License No.: 2199
A Inspected By Caepe Su Date Of Certificate: Oct 28,2007
ifs• ti ��
•i Signature: kc
.�
OF SO(/lyolo
� 33 �-
��y�ourm,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ �] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE INSPECTOR
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FIELD INSPECTION REPORT DATE I COMMENTS X
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FOUNDATION IST
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: 765-1802 y Survey
PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ,20 Contact:
i
Approved ,20_)' Mail to:
Disapproved a/c
Phone:
Building Inspector
X17 !� APPLICATION FOR BUILDING PERMIT
Date �' 9' Q , 20
INSTRUCTIONS
Sr.�0_Q
a 'al3�p�l�ication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of ans, 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 applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy
is issued by the Building Inspector.
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 applicable laws, ordinances,building code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. /
(Signature of applican r name,if a corporation)
4 29 gt a5A- pk� g6j,2 i 176V
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, Plumber or builder
Name of owner of premises 1 i�1` �11�P� f112
(as on the tax Yoll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. to - �1
Plumbers License No. rr��
Electricians License No.
Other Trade's License No.
1. Location of land on which proosed work will be done:
3S Si S&-e- C, ?TITl1GJlC�
House Number Q Street
County Tax Map No. 1000 Section 143 Block riot's'`°S
oSubdivision (Name) Filed Map rr;FZMLr•t.r
a :
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy YZeS i r�enlu-,
b. Intended use and occupancy. K sl(3Q tt- SWammirJQ, A6
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work ooc- Ko x TO
(Description)
4. Estimated Cost l Z,ow—' Fee
(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 40 ' Rear .2() Depth '38 r
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories N'
8.• Dimensions of entire new construction: Front �ir Rear 16, Depth 3(,
Height v1Z 6' Number of Stories
9. Size of lot: Front 60, Rear X50' Depth ��fl
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: Ho
13. Will lot be re-graded P& A- Will excess fill be removed from premises• YES NO
i'Yln�-rUelc_-
14.Names of Owner of premises 4-6-n►ff. )-619 Address 6K &gS9&6 phone No. 248-123 2-
Name
Name of Architect Address Phone No
Name of Contractor &cvrkvL Eow4wos Address T 054 Phone No. '74q-r7 1 eS
M%Nlec PbQ 1,VJl7(Oy
15. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES 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 on survey.
STATE OF NEW YORK)
SS:
COUNTY OF (�)
LOWA-I-Q-6 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn o before me this
day of 'j 20
Dat A• «�
N tary Public Sign e of Applicant
MARGARET A. KONEY
Nobly Public-State of New York
No. 01 K16021111
Qualified in Suffolk County
My Commission Expires March 8,2Q�
i j
Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM
Yes. No.
EXEMPTIONS:.
A. Does.this project meet the.minimum standards.for classification as.an Agricultural Project.
Note: If you.answered.Yes.to any.of the.above,a Storm-water,.Grading,Drainage.&.Erosion Control Plan is not required.
-----------------------------------------------------------
ACTIONS.REQUIRING THE.SUBMISSION OF A STORM-WATER GRADING.DRAINAGE &EROSION.
CONTROL.PLAN.CERTIFIED.BY A DESIGN.PROFESSIONAL.IN.THE.STATE.OF NEW.YORK..
Item Number:. (A Check Mark (J).for each question is,required for complete.application). Yes. No.
1. Will this.project retain all Storm-Water.Run-off generated on Site?
(This:will include.all run-off created by site clearing and/or construction activities.as.well as.all
Site.Improvements and the permanent creation of impervious.surfaces.).
2.. Will this.project require any land filling, grading or excavation where.there.is.a change to the
natural existing grade.involving more.than 200.cubic.yards.of material within any.parcel?
K Will this,application require land disturbing activities.encompassing an area
of five.thousand(5,000).square feet of ground surface.or.morel
4. Is there.a Natural Water course.running through the.site.or is this.project within
One hundred(100)feet'of wetlands or a beach? ❑
5. Will there be site,preparation on slopes which exceed fifteen(15).feet of vertical rise to
One.hundred(100).feet of horizontal distance? ❑ /
6.. Will driveways,.parking areas or other impervious.surfaces direct Storm-Water Run-off
into.and/or in the.direction of a Town Right-of-Way?
7. Will this application requirethe placement of material,removal of vegetation and/or the
` construction of any.item within the Town Right-of-Way or road shoulder area?
(This.item.does.not include.the.installation.of driveway.aprons.).
8. Will there be.site.preparation within the one hundred(100).year.floodplain of any.watercourse?
Note: If.any answer to.questions one.through,eight is.answered.with,a check mark in the.Box,a Storm-water,Grading,
Drainage.&Erosion.Control.Plan is required.and must be.submitted for review prior to.issuance,of any building.permit.
-------------------------------------------------------------------
STATE OF NEW YORK, C��
COUNTY OF.
................. . �-- .............. ss
That I, ...........4.r� �yL........V�Nkq: ....................
being duly sworn, deposes and says that he/she is the applicant for Permit,
(Name of individual signing Document)
Andthat He/She is the ................................:.0. ................................................................................................................
(Owner,Contractor,Agent,Corporate Officer,etc.)
Owner and/or representative of the Owner or Owner's, 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 belier;and that the
work sill be performed in the manner set forth in the application filed herewith.
Sworn to before me this;
........... .................day of.� .��........ 20� AAAWET
A. KIDNEY
Notary Public: .... ...... .. :.. . .. Notary Public—State of New Yo�C
No. O l KI[662*1 I I I
Qualified in Suffolk County (Signature of Applicant)
My Commission Expires March B,201L
ARTHUR EDWARDS POOL & SPA CENTRE
929 ROUTE 25A
MILLER PLACE, NY 11764
516-744-7185
FAX-744-0174
APPLICATION 'FOR A SWIMMING POOL PERMIT: SOUTHOLD
TOWN OF SOUTHOLD
MAIN ROAD (P.O. BOX 1179)
SOUTHOLD, NY 11971
(631) 765-1802
PAPERS ENCLOSED:
APPLICATION FOR OUTDOOR POOL PERMIT
-EROSION SEDIMENTATION &WATER RUN ASSESSMENT FORM
[� :CERTIFICATE'OF-WORKER'S COMPENSATION
CERTIFICATE OF LIABILITY INSURANCE
Xlfl SUFFOLK COUNTY,LICENSE
SUFFOLK COUNTY PLUMBER LICENSE
SUFFOLK COUNTY ELECTRICIAN LICENSE
3 SETS OF PLANS
3 SURVEYS
LV
[ ] C.O.
[flu TAX BILL
[ ] $250.00 CHECK FOR PERMIT FEE
PLEASE CALL OUR OFFICE IF THERE ARE ANY QUESTIONS REGARDING
THIS APPLICATION.
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Southold Town Building Department
Permit#: 33334
54375 Main Road
co Southold,New York 11971 Permit Date: 8/22/2007
(631) 765-1802
Expiration Date: 2/22/2009
Parcel ID: 143.-2-10
BUILDING PERMIT RENEWAL LETTER
Dated:.7/28/2011
Applicant: CHRISTINE HENRY
Location: 535 SIGSBEE ROAD LAUREL,N.Y. 11948
Work Description: IN GROUND POOL
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR.
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: CHRISTINE HENRY
Address: 535 SIGSBEE ROAD
MATTITUCK,NY 11952
MATTI
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
�SUEFOLKC P.O.Box 1179
54375 Main Road Permit#: 33334
0
Southold,New York 11971 Permit Date: 8/22/2007
(631)765-1802
Parcel ID: 143.-2-10 Expiration Date: 2/22/2009
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 2/13/2012
Applicant: CHRISTINE HENRY
Location: 535 5IG5BEE ROAD LAUREL
Work Description: IN GROUND POOL
CON5TRUCTION OF AN IN-GROUND SWIMMING POOL A5 APPLIED FOR.
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: CHRISTINE HENRY
Address: 535 5IG5BEE ROAD
MATTITUCK, NY 11952
The permit listed above has expired. Please contact our office as soon as possible to begin
the renewal process. All work on the project must stop on the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
o�gUFFO(,�co� P.O.Box 1179 Permit#: 33334
y� 54375 Main Road
Permit Date: 8/22/2007
Southold,New York 11971
(631
) 765-1802 Expiration Date: 2/22/2009
Parcel ID: 143.-2-10
Dated: 6/11/2012
Applicant: CHRISTINE HENRY
Location: 535 SIGSBEE ROAD LAUREL
Work Description: IN GROUND POOL
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR.
Owner: CHRISTINE HENRY
Address: 535 SIGSBEE ROAD
MATTITUCK,NY 11952
Your BUILDING PERMIT#33334 has been referred to me because you have not responded to requests
to obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or
occupied in whole or in part until a certificate of occupancy shall have been issued by the Building
Inspector."
Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of
Southold in the amount of$125.00 to renew the building permit, or legal action will be taken against you.
Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00
p.m.
Respectfully Yours, 2936
00�� 4786
711 297a
r.
Michael Verity: Chief Building Inspector
Southold Building Department
cc: Damon Rallis Zoning Inspector
Southold Town Building Department
�o�o UFF�t`�Co� P.O.Box 1179 Permit#: 33334
54375 Main Road
y r Southold,New York 11971 Permit Date: 8/22/2007
631 765-1802
Expiration Date: 2/22/2009
Parcel ID: 143.2-10
Dated: 1/10/2013
Applicant: CHRISTINE HENRY
Location: 535 SIGSBEE ROAD LAUREL
Work Description: IN GROUND POOL
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR.
7011 2970 0000 4786_2721
Owner: CHRISTINE HENRY
Address: 535 SIGSBEE ROAD
MATTITUCK,NY 11952
Your BUILDING PERMIT #33334 has been referred to me because you have not responded to requests
to obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or
occupied in whole or in part until a certificate of occupancy shall have been issued by the Building
Inspector."
Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of
Southold in the amount of$175.00 to renew the building permit, or legal action will be taken against you.
Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00
p.m.
Respectfully Yours,
a e
Michael Verity: Chief Building Inspector
Southold Building Department
cc: Damon Rallis Zoning Inspector
J11L '! fi 2021
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UP pN „�A
BEF�RE
>TAIN STORM WATER RUNOFF
TO CHAPTEN
UNDE WRITERS CERTIFICATE HE TOWN CODE.
REQUIRED
/Aluminum
F
B -- �---- - E jB
To Firer From
. �(Mar do Pump
To WaeW -To R.1rn,
(Dry Well Oprnal)
Rolled Wail Foa
Plan Piping Arrangement
Wail Seegon
Vinyl Lin /4 Rebar
APPRO ED AS
42"
COMPLY WITH ALL CODES O DATE: B.P.# 3333
NEW Ycc�.pUf.& CODES
z•son '5TL:L_`®�® BY 1 ,
AS REQUIRED AND CONDITIONS OF NOTIFY BUILDING DEPARTMENT AT
SOUTHOL DTOWN Z g 765:1802 8 AM TO 4 PM FOR THE
10" FOLLOWING INSPECTIONS:
SOUTHOLD TOWN FLA TING BOARD 1. FOUNDATION - TWO REQUIRED
SO'JHOLD TOWN TRUSTEES FOR POURED CONCRETE
Section A—A Typical Wall Seziti+offAMING & PLUMBING
N.Y.S.DEC 3. INSULATION
4- FINAI - t' NIc CTO UST
SIZE A B C D E F G H -AREA CAP. BE COMPLETE FOR C.O.
FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. 4L{ .�C;ICS' i:;.LL MEET THE
16x32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000 � �,'��7.QA� YORK STATE. NOT RESPONSIBLE FOR
UCTION ERROR
16'x36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600 Pool&SPA CENTRE S'
18'x36' 18 36 12 14 6 4 5 8 648 24,300 929 PERMACRETE WALL SYSTEM state
Route 25A Miller Place NY 11764 "( )
20'x4o' 20' 40' 16' 14' 6' 4' 6' 8' 800 30,000 (631) 744-7185 FAX (631) 744-0174 PhOIIe de
24'x44' 24' 44' 18' 14' 8' 4' 6' 10' 798 30,000 Suffolk License #4436—HI
24'x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30,000 1 Nassau License #H174450000