HomeMy WebLinkAbout47364-Z ��o�aS�FFot,�cpGy Town of Southold 9/12/2023
P.O.Box 1179
o :W
` 53095 Main Rd
497
4% �a%v¢� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44534 Date: 9/12/2023
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1895 Pequash Ave, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-7-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/4/2022 pursuant to which Building Permit No. 47364 dated 1/20/2022
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 Brodsky,James&Hirsch,Huck
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47364 4/18/2023
PLUMBERS CERTIFICATION DATED
th rize 0gnature
TOWN OF SOUTHOLD
offact.
Q0, BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 47364 Date: 1/20/2022
Permission is hereby granted to:
Brodsky, James
1270 Skunk Ln
Cutchogue, NY 11935
To: Construct in-ground vinyl swimming pool at existing single family dwelling as applied
for. Must maintain 15 foot minimum setback from rear and side property lines for both
pool and equipment locations.
At premises located at:
1895 Pequash Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot# 103.-7-15
Pursuant to application dated 1/4/2022 and approved by the Building Inspector.
To expire on 7/22/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
�J�
Building Inspector
SO!/j�ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlina-town.southold.ny.us
Southold,NY 11971-0959
�yM1'JNT`1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: James Brodsky
Address: 1895 Pequash Ave city:Cutchogue st: NY zip: 11935
Building Permit#: 47364 Section: 103 Block: 7 Lot: 15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Gerarti Electrical License No: 40564ME
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 220x3 Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: Pool Panel 6 Circuits /4 Used, Pump 220 GFI, Heater, 6 Lights 120GFI, Salt Gene,
Water Bond
Notes: Pool
Inspector Signature: Date: April 18, 2023
S.Devlin-Cert Electrical Compliance Form
of SO(/T�°�
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802 /
C�
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
REMARKS:
i2weW4
N PEC
DATE. 1 S TOR
OE SOUIyo� Ll—7 C--,t4 I P-"Iq 5
* # TOW OF SOUTHOLD BUILDI G DEP .
`�courmN�` 765-1802
: :� I NSPEOTION
[ ] FOUNDATION 1ST i [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[
]' FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: c�oy
1QJ
o 4eAc
Le Le rl,
DATE 124, INSPECTOR
soUTyolo 4 (a Lf
# #
TOWN OF SOUTHOLD BUILDING Dig7T.
couffm 631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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: r�t�
DATE t INSPECTOR
�J� OF 50UTyOlo
TOWN OF SOUTHOLD BUILDING DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULAT ON/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:
om
DATE r0 ZOY INSPECTOR
Bunch, Connie
Thursday, 1 10:50 AM
ConnieTo: Bunch,
Subject: Pool inspection 1895 Pequash
John asked for the pic of the alarm below to complete our pool inspection. Please forward.
Jim Brodsky
1895 Pequash Ave
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y s' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
r�
Telephone (631) 765-1802 Fax (631) 765-9502 his://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
2 ®
PERMIT NO. ✓ Building Inspector: JAN 4 2022
Applications and forms must be filled out in their entirety.Incomplete TOWN OF SGUil-FOLD
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: /Z 12-7 12, 1
OWNER(S)OF PROPERTY:
Name: �11A�► r'O�S�` SCTM #1000-
Project Address:
Phone#: CC)>] 7 5, Z Z" Email: r
14, �(bcf'ski Gwoi( - cocA
Mailing Address:
CONTACT PERSON:
Name:
'004
0 —Q-ri
C.c-
Mailing Address: -7CXj a1, tA
Phone#: (��i Zq Q- 4/0 !�� Email: 1h4U /t�Gf �o�
a ct
DESIGN PROFESSIONAL INFORMATION: �(+�
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
fG
'
Name: bo 1 r w, cofie— � So L1 Pee rS
Mailing Address: 9 `0 .•falx, ���G( ,1,�rr� // JU 1419 5-2-
Phone#: C� ,1 Z,9e,_ lIG 1� 1°� Email: �-
J _�1Gi�r�i Qo �cl�c •Cdc-t
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
K-Other r1/n (�►-�r�+�h� Sw> y iii �oo j $
Will the lot be re-graded? ❑Yes XNo Will excess fill be removed from premises? kes El No
1
PROPERTCY iNftflittifl�4TiDtlF";;,` ' y
Existing use of property: Intended use of property:
124 1 6-1 E
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to i
this property? `Yes;]No IF YES,PROVIDE A COPY.
Cl ch=6ck Onx After Rcmding, The ow9iey or/aeskfj}pg— Jfoi� '
dealtsita sniff sterin wem;tsua as Prevlded by
Ch3pto1236olth*TMACadaAPPtlCATMISIiMikfAMtaotft Depareramforth*lssv14;M 0Dt4111CPermit Pwsuardtothe BuildirigZone
Ordkoae-alUaaTaiarahSoircls�td,SeAfotk coucity,�trnayvHcariiiottxeraytpiYoYt*1j+r5tOrdiiossor7SyiRat]aQr,�aet9»aerarrcxtiwtolbu�Sdings;
add'diaru,*taiitions:afar rireaiy}iit or demaiduei ai"In dam'Ded.'(Se aiii[i 1i to tYxrigiy'iieifli ail opylfratle btivs,o manses,building code,
hausirg Lade asd rctuiations and to admit avtlsoeited inspettats ae andht eg(ti!off n-ww ary dyers,False state ems made herein are
�b1s as a WsS A misdm►eSna{uttsuteR�Sei�i&t 31AA5 ai.tP�li�X�ek StaKtt Ptais1�11sW`';
Application Submitted By(print name:N0QTjJ1FC jCf; .CACE1ZMC. uthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEL 0 K)
.3S•
COUNTY 0
being duly sworn,deposes and says that(s)he is the applicant
(Name of ind idual signing contract)above named,
(S)he is the � � e"
(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 D 20 2 ) �Pblic otary
P����r�T'�' :eL�1`i��(<��.(d1iT1-➢s,;(i(��i•i�l�s
(Where the applicant is not the owner)
l itVI lZrcdsy-!q residing at 19615 pc-nVd.Sti) Avenue
h"v-Q—t �". do hereby authorize M OKIVI EOR`C 1POO,. CA1-S i SI`1C to apply on
my behalf to the Town off Southold Building Department for approval as described herein.
- 2A
Owner's�{ Owner's Signature Date
Pant Owner';Name -�--
2
7Notary
BIRKMIER SZOZ'ZZ Jew sajldx3 uoisslwwo0�(W
Iauno0 rllo.4nS ul paypena
64156 t gc-State of ew York 2 t 9S li•9191.0'ON
uffolk Countytl�oA MaN)o a3e35-�ilQnd titl3oN
pires Mar 22,2025 a3wnle v SnX31V
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
C* i Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
4% �ao� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.gov - sea ndC@-southoldtownny aov
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: Jim ,A
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: 3 Block: 6`7 Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FO TAGE (Please Print Clearly):
Square Footage: J5
Circle All That Apply:
Is job ready for inspection?: E] YES F] NO -]Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size F11 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead .
# Underground Laterals 1 2 H Frame Pole Work done on Service? F1 Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
3,Dltaic�oad � - - i-�� Teleg�hone(6a�7&rrl�
P.O amYfl�B'- 'Pswt
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AP
]BEING
Tow(on?2-,-
�h"IN, ELEQ]�� F�MAL DN,11-NP�C�'��
REQUES'M air
cdmpa y.Name: ��➢ Vi e: .? r-
Nam®:
as N®o M�
Address: a
Phone V ft.
JOSflTE INFORM A`QICN: (*Inctestm fsqu h& aflon)
��9ee�®o frt reo���
ll ,Vis:
,:;Th-cne No.: — Z9 0
. dna
`'®R8IEF®1ESCFjpTj0N OF WORK QPfl s pdM C Lely$
gam amps Ago mat"A
°Us job ready for i ec,Wn: .
"Do-youIced Tamp ftcee: Rough on
100 160 200 No 35� , 401D Cir
New serow: Re-wnns4t. Undergmund Nufpber of Mebm ChgrQe cf SQNj0*
Add6fivna9 Infmmwon. PA1�MfEM'®UE Vtl�7°Q�AtPPLECAM6V
Fes:
82-R®que8t ice Fnspea9lon F=af�11 , l 5
nCT ?_ k 9n22 I
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All
Town MU Amu
s
APPLO TOW®up comm®IM
REQUESTM a?
company Name:
Name:
Lbefla B��'
Addre9c
Phos®80.: 8 _ � - Alt-
'Name:Ilamw
f-1 co�S
hong NO.:
J
Tax-Map owat.
*BRD1F 01ESCMP"OON OF WORK(Poeskso 8jntC L.Sfly)
� o 'ct
Memo cls Ago- APPRA
18 Job vandy for€ no P NO Rough on � a
I Ps 960 2w . 400P
New Serow l awn . Underswund Number of Me�a
®A � �O�e Of� OveThead
�r�s��..e �o���- PAYMEN7 DHE wiT &tPPPLOCATION
uaamoa6609DetIC BOOL�AH�H➢�BRl�a�:
Gc�� l
PERMIT # Address:
Switches
Outlets
G FI's
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
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#
TOWN OF SOUTHOLD BUILDI G DEP V.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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
REMARKS:
No lla�js-
UVI
n4 Y oi� o v4lfl--�
o,A (VyVek IQ bac Arr overe't
DATE INSPECTOR
j2x�
APPROVED AS NOTED OCCUPANCY ORUSE IS UNLAWFUL
DATE: a a°ate B.P.# VVITHOUT CERTIFICATE
'EE: 5tv.".,BY:.. ..
NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY
76.5-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:`,',.,
t. FOUNDATION = TWO REQUIRED
FOR POURED -CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL :ONSTRUCTION MUST
BE (,GMPLETE FOR C.O. `COMPLY WITH
.ALL CODES OF
ALL COINS FRUCTION SHALL MEET THE ;NEW YORK(81- .r� & TOWN CODES
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR :AS REWRED AN' CONDITIONS OF
DESIGN OR CONSTRUCTION ERRORS. Af f ShcbaD TOWN ZBA
9000LD TOWN PLANNING BOARE
''�1111MEDIATLY" - S�UTHOLD TC'NN TRUSTEES
ENCLOSE POOL, -)CODE N.Y.S.DEC
UPON COMP:.:-:TION
'BEFORE"WA CER".
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
• OF THE TOWN CODE.
DO NOT PROCEED VI '" '
`OF FOUNDATION
�UNTIL
LOCATION
HAS BEEN APPROVED.
i
SURVEY OF PROPERTY
AT CUTCHOGUE
`" TOWN.K OF SOUTHOLD
�-"" SUFFOLK
», 10103-07COUNTY, N,Y,
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■ -A(oNuurNr CERTIFIED TO: Q
-HERANO nAc HUCK HIRSCH
tea,-unLITY PME JAMES M. BRODSKY /.' O
FIDELITY NATIONAL TITLE INSURANCE COMPANY 9`P1EOFNEI,
' gyp'-IIroRANr u
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LIN NUMBERS R!/C%1 ro'VAP of 070 CRFFN ACRES'RICO IN W SUfroLK l$ 2, p
COUMY OLCRXS OMCC ON XLY 17,1972 AS nl£No.0707. DWELUNO
ANY ALRRAna`M AONnON rO RMS SVRGEI•IS A UaAflW Or S[CnOV 7109 CV' PUBUc WATER !.NO. 49QIO
me NFw ttwx srAre FBNCAncw IAW.FxeErr As Pae s£enav 7aa9-sueMiHsxxr x AREA= 40,000 SO. FT. PE
ALL LYRnnCARONS N[REOW ARF VAOO Fal 1NIS,IMP ANO COPIES VIERFa'ONLY Ir RIME
SCAL Or WE SURIE (6Jq 7 ()765-1797
SND YAP Ole CO°/FS BEM R/E WPRLSS£0 w1R - P.O. 80X
9QM NNC APP£MS NBiCLW.
12JO TRAVELER STREET
souniaO,my 11971 20-046
i
Ar
WOOL,
Am-
700 Main Road
Mattituck,NY 11952
Office:631-298-4014
Info@NorthForkPoolCare.com
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- Pool Walls are 10"thick at a height of 48" (Four Feet)
.Walls are formed and poured with 3500 PSI Gravel Mix Concrete
#3 Rebar is placed inside the wall. Horizontally (doubled) at the top and
bottom of the wall. Also,vertically every four feet at maximum.
j _ • - A sand bottom is installed for pool floor. A vinyl liner is installed on top.
„ of sand and concrete.
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