HomeMy WebLinkAbout47607-Z ��o�c�11EFULKco Town of Southold 7/22/2023
P.O.Box 1179
C* x 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44339 Date: 7/22/2023
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 3705 Breakwater Rd.,Mattituck
SCTM#: 473889 See/Block/Lot: 106.-3-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/28/2022 pursuant to which Building Permit No. 47607 dated 3/28/2022
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:
accessory in-ground swimming pool fenced to code as applied for.
The certificate is issued to Thomas,Walter
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47607 6/27/2022
PLUMBERS CERTIFICATION DATED
th rize S gnature
TOWN`OF SOUTHOLD
BUILDING DEPARTMENT
y x' TOWN CLERK'S OFFICE
"o • SOUTHOLD, NY
' rx 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#: 47607 Date: 3/28/2022
Permission is hereby granted to:
Thomas, Walter
116 Juniper Ave
Smithtown, NY 11787
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
3705 Breakwater Rd., Mattituck
SCTM #473889
Sec/Block/Lot# 106.-3-27
Pursuant to application dated 2/28/2022 and approved by the Building Inspector.
To expire on 9/27/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
ilding Inspector
pF SOUIyo!
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviinCaD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Walter Thomas
Address: 3705 Breakwater Rd city:Mattituck st: NY zip: 11952
Building Permit#: 47607 Section: 106 Block: 3 Lot: 27
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Island Power Electric License No: 52729ME
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 1 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: Sub Panel 8 Circuit/ 5 Used, Salt Generator, Pump 220GFI, 1 Light Hayward-
Deckbox Tranny
Notes: Pool
Inspector Signature: Date:
June 27, 2022
S.Devlin-Cert Electrical Compliance Form
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SOUTHOIo 47
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160
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f # TOWN OF SOUTHOLD BUILDING DEPT.
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: oo" )
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# TOWN OF SOUTHOLD BUILDING DEPT.
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 [ ] RENTA
REMARKS: ,-Q
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DATE INSPECTOR r
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SUI-AjPOWCAULKING
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLAT_ION
[ ] PRE C/O [ ] RENTAL
REMARKS: - AR� '
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couff 631.765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULAT ON/CAULKING
[ ] FRAMING /STRAPPING [ FINAL PbW j��
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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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
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only R
PERMIT NO. D� Building Inspector: FEB-
DD
°Applications and forms must be filled out in their entirety. Incomplete BUILDING DEPT.
applications will not be accepted. Where the Applicant is not the owner,an TOWN OF SOUTHOLD
Owner's Authorization form(Page 2)shall be completed.
Date: -a -a�
OWNER(S)OF PROPERTY:
Name: � � � �� Cl� `�fMas SCTM#1000-
Project Addre4W &-i?AI<WO,� 90 Pk+- eV- �l`f )l9SZ
Phone#: 5lb- 319- 2,0 Email: :J1CS P.p C�40L.L43m
Mailing Address: 1� 2 A4. e-- ltd$-7
.-CONTACT PERSON:, =,
Name: Jt ��hlfl�� LS
Mailing Address: q2A jQ - 2'�A I 17dV
Phone#: �3�'7��--71$S )C— ( Email: PA-.e PDDI S)(Jrfi
DESIGN-PROFESSIONAL INFORMATION: _
Name: —F)\'3 r od Vie►I l�
Mailing Address: )4 &2-ec- L-iJ �)m�`l� ► 61-1 7
Phone#: (g3� �/2�F- 57� Email:
c6NTRACTOR INFORMATION:: . - --
Name: Attixic &Jh1A,a)s Vy,'cS
Mailing Address: gjcp A±- 2S-A PI 11-6— qau-
Phone#: Email: 6(7r(ee()4e—,OW e,}y,-
DESCRIPTION OF PROPOSED CONSTRUCTION
Y❑New Structure^❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
i other I�A(Wvoy►A\jIL Z 01Mmin101 1921)c $ JLI'D--x)r
Will the lot be re-graded? 1gYes El No (�,) A . I Will excess fill be removed from premises? )DYes El No
1
-PROPERTIVINFORMATION.,,
Existing use of property: Ie�2Q Intended use of property: (rl41nlg
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes i[No IF YES, PROVIDE A COPY.
,;
w Y.contractor,desi1 n •rofessionaiiis.res onsibie:for all drainage and stonm.water issues as providedtiy ?`
$��:Check Box;'Aft`er:Reading:;:rhe•o ne,/ / g I? p, , .
�? ..- _ r .�� Y
Chapter 236 of the Town Code.-APPLICATION'IS'HEREBY NiADE.to the 8uilding;Department•forthe issuance:of a,Building Permit'pursuant to tFie,B_uilding Zone{
Ordinance of the.Town of Southold,Suffolk,County,New York and other.applicable Laws,;Oidinances or Regulations;for the construction of buildin
Bs.;
,faddltions,akerations or for removal or demolition as,herein desctibed.'The;applicant agrees to comply with.all applicable laws,,ordinances,building+code;
h`ousing•code and:regulations and.to:adnik authorised inspectorion premises and'in building(s]for_necessary,inspei tiions.,False statements made,herein;arp�,-!
punishable;as a Class A misdemeanor pursuant to Section.21o.45'of th@ New YorkState Penal,Law:'
;r.
Application Submitted By(print ame) ❑Authorized Agent Owner
Signature of Applicant: f(J / Date:
STATE OF NEW YORK)
SS: '
COUNTY OF ��t=�' )
Y ALA-''?—� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing.contract)above named,
(S)he is the �hlrv�22'
(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 2o22-
wai—
MARGAREr A. KIDNEY Notary Public
Notary Public State of New York
No. O l K160211 11
Qualified in Suffolk County PROPERTY OWNER AUTHORIZATION
My Commission Expires March 8,20a (Where the applicant is,not the owner)
1, 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
�o�Og�fFOA4�oGy BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
C* Town Hall Annex - 54375 Main Road - PO Box 1179
o _ Southold, New York 11971-0959
y o� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr6a southoldtownny.gov - seandCD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: (� pew GII4t\C
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Complance
Elec. Address.: P d -
JOB SITE INFORMATION (All Information Required)
Name: Wool 2r- -T V- Q V-e-)A 5
Address: d 5 Yeak t,✓AJzr 1"A4 i CIS (ll
Cross Street: a �� V�
Phone No.: >I b— 3( R— ?-'160
Bldg.Permit#: L1 -7 6 GJ email: j K 54P(2 6to p
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 Ph❑3 Ph Size: A # Meters Old Meter#
r-1 New Service❑Fire Reconnect[:]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? DY N
Additional Information:
P �s �l ```'` �
RI PAYMENT DUE WITH APPLICATION
JUL 15 2022
r
BUILDDtPl
ING
TOWN OF SOU'V;AO
LF
SU�Fpj�. BUILDING DEPARTMENT- Electrical Inspector
�O� cOGye TOWN OF SOUTHOLD
C* Town Hall Annex - 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
44 Telephone (631) 765-1802 - FAX (631) 765-9502
1 " rogerr(c)-southoldtownny.gov -- seand(a)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#: 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 PhF—]3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 FJ2 H Frame Pole Work done on Service? Y RN
Additional Information:
PAYMENT DUE WITH APPLICATION
� �a Jae
SwI `
ry � s U Jq4
ARTHUR EDWARDS POOL & SPA CENTRE
929 ROUTE 25A
MILLER PLACE, NY 11764
516-744-7185 FEB 2 6 2022
FAX-744-0174 H 0
BUILDING DEPT
APPLICATION FOR A SWIMMING POOL PERMIT: SOUTH&by°FSOUTHOL0
TOWN OF SOUTHOLD
MAIN ROAD (P.O. BOX 1179)
SOUTHOLD, NY 11971
(631) 765-1802
PAPERS ENCLOSED:
j APPLICATION FOR OUTDOOR POOL PERMIT
[ V CERTIFICATE OF WORKER'S COMPENSATION
[ CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE OF DBL INSURANCE
[ SUFFOLK COUNTY LICENSE
4 SETS OF STAMPED PLANS
�l 3 SURVEYS with FILTER LOCATION
j $400.00 CHECK FOR PERMIT FEE
77
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MAR - 1 2022 Ct:
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JAP R® ® AS NOTED
DATE: B.P.#
FEE: ` �® BY: OCCUPANCY OR
NOTI 765-1862.BUILDING
4 N
PM FOR THE USE IS UNLAWFUL
FOLLOWING INSPECTIONS: ELECTRICAL
1. FOUNDATION - TWO REQUIRED WITHOUT CERTIFICA, INSPECTION REQUIRED
FOR POURED CONCRETE OF OCCUPANCY
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTICN SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
RETAIN STORM WATER RUNOF1=
PURSUANT TO CHAPTER 236 ENCLOSE POOL TO GODS
COMPLY WITH ALL CODES OF OF THE TOWN CODE. ®N GflMIN
PLETI�
"WATER",_-
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
,SOUTHOLD TOWN?BA
Su .�_ G BOARD
SOUTHOED 6�TEES
N.Y, -
A
B.
Rsbmrn
MD
>to <J-
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To FVh. From
FMw A Puny
To To Rt.
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Plan A Piping.. Arrangement
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5E p,TE OF
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Section B—B �. P=C. .0 C
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10
MAR - 1 2022
Section A—A
Typical' Wall Section sroNA�/
iSIZE A `B C D E F G H AREA CAP _r�}-e
fFEET FT FT FT FT FT FT FT FT SQ.FT GAL. ``JJ`` P>:onem YlV J ,,,, /� /�
16 X 32 16 32 8 14 6 4 4 8 512. 21,000 ��&A 1 W Q P, -e/, OCC
+ POOL&SPA CENTRE 1d�
j 16 X 36 16 36 121.14 6 4 4 8 576 21,600 PERMACRETE WALL SYSTEM
mate
. 18 X 30 18 30 13 10 4 3 3 12 462 15,600 929 Route 25A Miller Place NY 11764 ( )
i
20X44 20 44 20 14 6 4 5 10 880 15,600 (631) 744-7185 FAX (631) 744-0174 l,(�
j 24 X 44 24 44 18 14 8 4 8 10 798 35,000 Suffolk License #4436—HI
Nassau License #HI74450000
! 24 X 48 24 48120116 8 4 6 10 900 38,500