HomeMy WebLinkAbout47597-Z o�sUffOd�cOG { Town of Southold 11/1/2023
P.O.Box 1179
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"' x 53095 Main Rd
ao�A Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44708" Date: 11/1/2023
THIS CERTIFIES that the building INGROUND POOL
Location of Property: 4520 New Suffolk Rd,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 110.-8-28.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/24/2022 pursuant to which Building Permit No. 47597 dated 3/24/2022
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:
Accessory in-ground swimming pool, fenced to code, as ap lip ed for
The certificate is issued to Bayhaus Properties LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47597 10/06/2023
PLUMBERS CERTIFICATION DATED
Autho ize S gnature
TOWN OF SOUTHOLD
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Sao ' BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • � SOUTHOLD, NY
� f7 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#: 47597 Date: 3/24/2022
Permission pis hereby granted to:
Borkowski, Joan
PO BOX 122
New Suffolk, NY 11956
To: Construct in-ground vinyl swimming pool at existing single family dwelling as applied
for.
Minimum 10 foot setback from property lines required for pool and equipment.
At premises located at:
4520 New Suffolk Rd, New Suffolk
SCTM # 473889
Sec/Block/Lot# 110.-8-28.1
Pursuant to application dated 2/24/2022 and approved by the Building Inspector.
To expire on 9/23/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlin( -town.southold.ny.us
Southold,NY 11971-0959 COUmN�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Bayhaus Properties LLC
Address: 4520 New Suffolk Rd city:New Suffolk st: NY zip: 11956
Building Permit* 47597 section: 110 Block: 8 Lot: 28.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Gerard Electric 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 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: Intermatic Pool Panel 8 Circuit/ 5 Used w/Timeclock, 4 Lights 30OW Transformer-
120GF1, Heater 220, Pump 220GFI, Intellichlor Salt Generator, Waterbond
Notes: Pool
Inspector Signature: Date: October 6, 2023
S.Devlin-Cert Electrical Compliance Form
q SOUIyO�
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
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:
:rj Ad 4:1, LK�TW I
DATE 10 Ito J23 INSPECTOR
pF SOUjyO�
TOWN OF SOUTHOLD BUILDING DEPT.
IOU 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ Li""INAL XG►
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: �i� ��- �•D
DATE //- INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS ,
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FOUNDATION(1ST)
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FOUNDATION(2ND) 'Q 01
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INSULATION PER N.Y. Ql H
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ADDITIONAL COMMENTS (1
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o� oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
yam ' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownnygov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector:
V7E�7- l� U F E B 2 4 2022
Applications and forms must be filled out in their entirety. Incomplete ^;T ,-�,
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: / /31 12-Z
OWNER(S)OF PROPERTY:
Name: A1(:41Xjr. `L�/ f �� SCTM#1000- �fd _ ons _ 2C _
Project Address: �/$ Zo /� L vRen/A � /U -L-> /A
Ny b
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name: —�asc>m .-
Mailing Address: Ta .1-, z(h aA-6-A llq!, Z
Phone#: 631_ 2rz:Es _ !�/� y Email: Z
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: 01- Ori POO 102 f,
Mailing Address: , '
-O l�C, ��
Phone#: 6,.eb 1_ Zc)0 _ G/O/Gl Email: 5 %lidY
AUG OD�G�f-L
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other /h5-�-- 11 /B K3� 1/1h l ::E-& QUO( $
Will the lot be re-graded? ❑Yes tNo Will excess fill be removed from premises? Wes ❑No
1
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PROPERTY INFORMATION
Existing use of property: , Intended use of roe Vint,
i bE1LC P P rtY' ►b 2£ W / X34 14&,)
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes Ao IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code.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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name): �� r� �S eAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY F )
being duly sworn,deposes and says that(s)he is the applicant
(Name of iAdividual signing contract) above named,
(S)he is the (t)Iv
(Contracto'r,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
02 3 day of �2VG1 I v! 20 , o�
otary Pubic
PROPERTY OWNER AUTHORIZATION ALEXUSABIRKMIER
(Where the applicant is not the owner Notary Public-State of New York
) NO.Ot 816415618
Qualified in Suffolk County
My Commission Expires Mar 22,2025
I, � 1 ,�✓ --� residing at —/�(Ac-Fb,�K
NO/0 do hereby authorize )3f)V--M ��E�pC_ to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
/ ti. - Z-5 'ZD 2 2--
f�� Owner's Signature Date
fAl1=I H-L� PLC-C-K10h1L
Print Owner's Name
2
B G DEPARTMENT- Electrical ca Inspector
OCT 3 202 TOWN OF SOUTHOLD
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Town Hall Annex - 54375 Main Road - PO Box 1179
co
BUrLDTNCDEff. Southold, New York 11971-0959
y�j0 a0� TONVI CF SOTIT4160hone (631) 765-1802 - FAX (631) 765-9502
rogerre-southoldtownny.gov - seandCa�southoldtownny gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: t�o 3 Z
Company Name: G eV� FA.eC-Q �C_ --T -w C_
Electrician's Name: (_Ock j Q.`v LCC t 0
License No.:—M F_- `t 05,4 Elec. email: C, rk-- �� ec_:�i C-C-1 0) C-1-M4L1 .(O
Elec. Phone No 6 ) 1 '-q� �(2� ❑I request an email copy of Certificate of Compliance
Elec. Address.: 3 L{ 8 W t ST O eer ����L I r'( 2
JOB SITE INFORMATION (All Information Required)
Name: �-
Address: t��Zy �� V
Cross Street:
Phone No.: 63 Z
Bldg.Permit#: ��5�� email: (,CC_�,L&V-t A,O 1,
Tax Map District: 1000 Section: Q Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Circle All That Apply: Square Footage:
Is job ready for inspection?: rYES❑ NO r—]Rough In F-] Final
Do you need a Temp Certificate?: F� YES FTNO Issued On
Temp Information: (All information required)
Service Size❑1 PhF—]3 Ph Size: A # Meters Old Meter#
❑New Service0 Fire ReconnectOFlood Reconnect OService Reconnect DUnderground DOverhead
# Underground LateralsF11 FJ2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION `
FFO 1311j",11j",UG DEPARTMENT- Electrical inspector
�s0'Asu l��®Gy OCT 3 2023 t K� TOWN OF SOUTHOLD
z Town Hall Annex - 54375 Main Road - PO Box 1179
o '* BUII,DTTGDEPT. Southold, New York 11971-0959
T01V. �CF S01TTT41&phone (631) 765-1802 - FAX (631) 765-9502
d ' rogerr(@southoldtownny.gov - seand(aD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali Information Required) Date:
CompanyName: e�uc� �-L�� c,c�l _-7 U c-
Electrician's Name: -2 0c'-Q b
License No.: to L- 't 0S�,4 Elec. email:
Elec. Phone No &b l 'J'J� x(21 ❑I request an email copy of Certificate of Compliance
Elec. Address.: 3 L� 8 W
JOB SITE INFORMATION (All Information Required)
Name: c_e J-V-�
Address: Q_C-) v
Cross Street:
Phone No.: 6,3 jL, L L
Bldg.Permit#: ��5�� email: LCC (,� ® � d
Tax Map District: 1000 Section: Q Block: Lot: a$ I
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: t YES F_� NO F Rough In ElFinal
Do you need_a Temp Certificate?: F-1 YES FINO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service0 Fire Reconnect 0Flood Reconnect Elservice Reconnect Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done,on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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Outlets i
GFI's I
Surface
Sconces
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UC Lts
Fans Fridge HW
Exhaust Oven WAD
smokes DW Mini
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■ =MONUMENT A' �9
WICKS ROAD
N.Y.S UC. NO. 49618
ANY AL7ERA77ON OR ADD177ON TO THIS SURVEY IS A V70LA77ON .YS UC. NO. 051132-01
OF SEC77ON 7209OF 7HE NEW YORK STA 7E EDUCATION LAW. PECONIC SUR RS, P.C.
EXCEPT AS PER SEC77ON 7209—SUBDIVISION Z ALL CER77RCA77ONS (631) 765-500 FAX (631) 765-1797
HEREON ARE VAUD FOR THIS MAP AND COPIES 7HEREOF ONLY IF P.D. BOX 909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYORM c'
WHOSE SIGNATURE APPEARS HEREON. AREAL I,863 SQ. F. SOU7HOLD, N.Y 1 971 T 21-051
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4
APPROVED AS NOTED OCCUPANCY OR
DATE:3'a - B.P.# USE IS UNLAWFUL
-EE:�J�lJD-B� BY: UL
\IOTIFY BUILDING DEPARTMENT AT WITHOUT CERTIFICATE
7�5-1802 8 AM TO 4 PM FOR THE OF OCCUPANCY
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED.
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION ,
4. FINAL -CONSTRUCTION MUST
BE COMPLETE FOR C:O.
ALL CONSTRUCTION SHALL MEET THE ,COMPLY WITH ALL CODES OF
REQUIREMENTS OF THE CODES OF NEW NEN/ YORK STATE & TOWN CODES
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR ..CONSTRUCTION ERRORS. AS REQUI ED AND CONDITIONS OF
SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD
SOUTHOLVOWN TRUSTEES
-M, MEDIATEL� N.Y,S.DEC
ENCLOSE POOL TO CODE
UPON,.COMPLETION
ER"
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
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700 Main Road
Mattituck,NY 11952 )
Office:631-298-4014
I 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.
• • - A sand bottom is installed for pool floor. A vinyl liner is installed on top
of sand and concrete.
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114
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