HomeMy WebLinkAbout48111-Z �o��S�FF02 Ckc Town of Southold 12/22/2022
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P.O.Box 1179
53095 Main Rd
yay0� ,�ao�r Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43720 Date: 12/22/2022
THIS CERTIFIES that the building HOT TUB
Location of Property: 1000 Wells Rd., Laurel
,SCTM#: 473889 Sec/Block/Lot: 126.-3-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/24/2022 pursuant to which Building Permit No. 48111 dated 6/24/2022
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 as applied for.
The certificate is issued to Piscatelli,Michael&Heather
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48111 10/5/2022
PLUMBERS CERTIFICATION DATED
0 Aori ed i ature
�s�F4 els. TOWN OF SOUTHOLD
Sao cyay BUILDING DEPARTMENT
C* s TOWN CLERK'S OFFICE
�y • � . 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#: 48111 Date: 7/26/2022
Permission is hereby granted to:
Piscatelli, Michael
360 Westview Dr
Mattituck, NY 11952
To: legalize "as built" hot tub as applied for.
At premises located at:
1000 Wells Rd., Laurel
SCTM #473889
Sec/Block/Lot# 126.-3-4
Pursuant to application dated 6/24/2022 and approved by the Building Inspector.
To expire on 1/25/2024.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO- SWIMMING POOL $50.00
Total: $550.00
Btng Inspector
pF SOUjyo!
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 roper.riche rt(CD-town.southoId.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Michael Piscatelli
Address: 1000 Wells Road City: Laurel St: New York Zip: 11948
Building Permit* 48111 Section: 126 Block: 3 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub X
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 60a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Self contained hot tub (manufactured), with, 60a disconnect, 50a GFCI circuit
breaker
Notes:
Inspector Signature: Date: October 5 2022
81-Cert Electrical Compliance Form.xls
II OF SOUTy� --
# TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ULATIOWCA/ULKrIINNG
[ ] FRAMING /STRAPPING [ FINAL go`�ls�`r
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
,ery
DATE INSPECTOR
OF SOUlyolo
* f TOWN OF SOUTHOLD BUILDING DEPT.
`ycouNr+��'' 631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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:
DATE INSPECTOR
FIELD INSPECTION REPORT F DATE COMMENTS
FOUNDATION(IST)
--------------------------------------
FOUNDATION (2ND)
z
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y
ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y. H
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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uFl?0( IVIT ING DEPARTMENT-Electrical Inspector
p0V, TOWN OF SOUTHOLD
stA®-s&` -5 w Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roaerresoutholdtownny.gov- sea ndC@.southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 6/23/2022
Company Name: DAK Electric
Electrician's Name: Mike Piscatelli
License No.: 5120-E Elec. email:mpiscatelli@optonline.net
Elec. Phone No: 631-872-7313 DI request an email copy of Certificate of Compliance
Elec. Address.: 1000 wells road ,Laurel ny 11948
r
JOB SITE INFORMATION (All Information Required)
Name: Mike Piscelli
Address: 1000 Wells Road, .Laurel NY,11948
Cross Street: Bray Ave
Phone No.: 631-872-7313
Bldg.Permit M NM email:mpiscatelli@optonline.net
Tax Map District: 1000 Section:126 Block: 3 Lot:4
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Spa Tub (�LL; /+
Square Footage:
Circle All-That Apply:
Is job ready.for inspection?: Fv� YES 0 NO r-1 Rough In r-j Final
Do you need.a Temp Certificate?: FI YES FV-�NO Issued On
Temp Information: (All information required)
Service SizeF-11 Ph❑3 Ph Size: A #Meters Old Meter#
❑New ServiceQFire Reconnect[]Flood Reconnect ElService ReconnectnundergroundQOverhead
#Underground Laterals 1 2 0 H Frame Ej Pole Work done on Service? Y RN
Additional Information:
PAYMENT DUE WITH APPLICATION
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
C�
2, Town HO Annex 54375 Main Road P. 0.Box 1179 Southold,NY 11971-0959
Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtownny.go
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only D
PERMIT NO. Building Inspector: JUN 2 4 2022
I V
BUILDING DEPT
iII6d,6ut:ih'the1r,dnbretq.J
r-� TOWN OF SOUTHOLD
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Date:
Y�
WNER(S
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Name; M#1000-
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Project Address:
1-4
Phone#: Email:
Mailing Address:
RS
Nam
_e:
Mailing Address.
/4—4m�- L— X/TJ
Phone#:
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[Email 114.p
PRPFESSIONAL �ORMATIOW
Name:
Mailing Address:
Phone#: Email:
NTibi6ftiIR,lNF0RlVlATibii:'
Name:
Mailing Address:
Phone#: Email:
SCRIPTIOND
El New Structure ElAddition DAIteration EIRepair 13Demo on Estimated Cost of Project:
ACIther 7-u coo
Will the lot be re-graded? E]Yes ONo Will excess fill be removed from premises? DYes ONO
-- -PROPERTY-INFORMATION ; " =
Existing use of property: Intended use of property:
Zone or use district in which premises is situated:µ Are there any covenants and restrictions with respect to
this property? ❑Yes E3No IF YES, PROVIDE A COPY.
Check'BdkA'f$er Redding: Tfie owner/contractor/deslgn professional Wresponsible for all drainage"and storrii.water issdes'as p rovidedb'
Y.
Chapter 236 of the Town Code.APRUCATiONiS HEREBY MADE to the Building Department for-the'lssuance of a Building Permit pursuant to the Building Zone =
-Ordinance of the Town'of-Southold,Suffolk,County;Neir:York and,other applicable La-ws,`Ordinai cee or Regulations,for-the construction'of bulldings,;�.'
additions;alterations or for removal or derrr
riolitioas herein described,The applicant agrees to comply with all applicable laws;ordinances;building code,
Housing code and regulations and to admit authorize-d inspectors on premises and in bupding(s)for necessaryinspections:False statements'made he_rein are"'
punishable as a Class.A.inisderheanor pursuant to section 210.45bf the New York State Penal 6W.- ,-
Application Submitted By(print name): ❑Authoriz d Agent Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
COUNTY OF SV S 0L)Lff
G )�S C-Ak being duly sworn,deposes and says that(s)he is the applicantm( ae of individual signing contract)abovenamed,
(S)he is the GrJ i2
(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 of20a�
, t ubl Odovati
Notary Public,SM of New York
No.010R6280392
PROPERTY®WRIER A►Ul'H®RBZATI `''` '' ` Qifeiiflediasul3olkCounty
Nb1Vw` t'o" CommiasipIIF.xp)re1+031f3rAl_-!�
(Where the applicant is not the owner)
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
pad
Fin
APPRO ED AS NOTED Portable Electric Spa
DATE: RGY GUID "
B:P:# ENE
FEE:� C� BY:
NOT IFY.'•BUILDING �:cPARTMENT A Volume
7654:1802' ..,8':AM TO PM FOR THE Manufacturer:Watkins Mfg.
FOLL:OWING.INSPECTIONS: Model: LS700/LS700DX/LS700PLU 270 102CL
1: FOUNDATION;- TWO REQUIRED Watts
w
FOR POURED CpNCRETE Standby power* >.
2, ROUGH.:,.FRAMING & PLUMBING
f{
3. INSULATION
4: FINAL CONSTRUCTION MUST
BE-.COMPLETE FOR C.O.
ALL:CONSTRUCTION SHALL MEET TiE 166 Watts ,
REQUIREMENTS'OF THE CODES OF N
YORK STATE. NOT RESPONSIBLE FCS
DESIGN OR CONSTRUCTION ERROR .
50 W Average Standby Power Range 450
of Spa Models
Maximum standby power allowed for thissrcespa under CalifomiaTrtle 20,andANSI/APSP-14:
jT96z@SWfflWnsumpfion in standby mode:
JCCU ANCY OR 1472 kWh
r kilowatt hour in our area) ;
Annual Standby Energy Cast'= 47?_ x Energy Rate(Cost Pe Y ,s
J6E IS UNLAWFUL *Date is based on standard test proc8dure for Portable Electric Spas as stipulated in ANSI!
APSP-14,Now This is the amount of power used at test conditions and does not include
- spa usage or extreme cold conditions.This data should be used only for comparison of spa
VVI C�RTIFI.CA I � models.Power is not monthly energy consumption.
�' Based on testing with the spa manufacturer's specified cover.This spa must be sold with this s
OF OCCUPANCY cover or amanufacturefsapproved equivalent
Tested Cover Manufacturer.Watkins Mfg.
Tested Cover Model:
Poweltma afallb rsed on standby testing aLe gp°F(WC).
Actual values will vary based on use.
This Label Must Remain Adhered to Spa until Point of sale.
152050141/
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
IAT
BOARD ENG `t S1 :P:QOL to ADE;. ELECTRICAL
"''j;: N eoMPi ETi ' ;
O E;'WAET71.Nt,,-.'INSPECTION REQUIRED
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