The URL can be used to link to this page

Home My WebLink About48454-Z �O�StlFFDsrr-s-` Town of Southold 4/24/2024 P.O.Box 1179 co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45144 Date: 4/24/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 490 Cedar Birch Rd., Orient SCTM#: 473889 Sec/Block/Lot: 15.-8-26.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/8/2022 pursuant to which Building Permit No. 48454 dated 11/3/2022 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 Simon,Michael&Lynn of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48454 7/27/2023 PLUMBERS CERTIFICATION DATED Au or' d Signatur o�SUFFo o TOWN OF SOUTHOLD rye BUILDING DEPARTMENT y s TOWN CLERK'S OFFICE o . SOUTHOLD NY r 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#: 48454 Date: 11/3/2022 Permission is hereby granted to: Simon, Michael_ 34 Amelia St North Caldwell, NJ 07006 To: Construct an inground swimming pool and code compliant fence barrier to an existing single family dwelling as applied for. Pool and pool equipment must maintain a minimum side and rear yard setback of 15 feet. At premises located at: 490 Cedar Birch Rd., Orient SCTM #473889 Sec/Block/Lot# 15.-8-26.3 Pursuant to application dated 9/8/2022 and approved by the Building Inspector. To expire on 5/4/2024. Fees: IN-GROUND SWIMMING POOL $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Building Inspector pF SO!/T�,ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a sean.devlin(-5-town.southold.ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Michael Simon Address: 490 Cedar Birch Rd city:Orient st: NY zip: 11957 Building Permit#: 48454 Section: 15 Block: 8 Lot: 26.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Gerarti Electric License No: 40564ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1 st 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 Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Intermatic Pool Panel 8 Circuits / 8 Used, Pump 220GFI, Heater 220, 4 Lights on 100wTransformer w/ Color Switch, Salt Generator Notes: Pool Inspector Signature: Date: July 27, 2023 S.Devlin-Cert Electrical Compliance Form �o�a0ES0bly0� Logo Ge o�ar�jt rG� 42 q 5� # # TOWN OF SOUTHOLD BUILDING DEPT. °`ycouHn��' 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 f4 ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 014D[NG DATE 1 3 INSPECTOR `F/ OF SOUIy�� L( L4 q o Ga jov-"�a�TOWN OF SOUTHOLD BUILDING DEPT. coorm��' 631-765-1802 INS-PECTION ._ [ ] FOUNDATION 1ST [ ] 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 [ ] RENTAL REMARKS: c� 2 DATE INSPECTOR SOUIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. co ��'' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ])ASULATIOWCAULKING [ ] 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: �� wit'n Av% ` Z DATE a �' ')O INSPECTOR pF SO//j�°6 �`� �� * # TO _IN O SOUT14OLD 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) N ELECTRICAL (FINAL) [ ] CODE VIOLATION [/ ] PR C/O [ ] RENT L REMARKS: - S� _4::5wA__L- DATE Z 9 INSPECTOR OF SOUlyO # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ p�rF'INAL �evv/ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 124 DATE INSPECTOR i FIELD INSPECTION REPORT DATE I COMMENTS FOUNDATION (IST) 3 ------------------------------------ FOUNDATION(2ND) z 0 y ROUGH FRAMING& - PLUMBING y 1 UV r INSULATION PER N.Y. STATE ENERGY CODE Iry OK f 3 � L FINAL /�I;� /✓aP�lL/fit. �t Gv Q-�lA2it�l //t S ll�• O� C.0. ADDITION COMM TS CIO zz �G e a veo — 3 10 c� �o � b z � x E� H x d b H ��ufFotK� TOWN OF SOUTHOLD-BUILDING DEPARTMENT O G co Town Hall Annex 64375 Main Road P. O: Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 76579502 https://www.southoldtownny_gov " f Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only SEP 0 0 2022 4-5 PERMIT NO. Building Inspector: � BUILDING DEPT Applications and forms must be filled out iii.their entirety.Incomplete TOWN OFSCuJ -SD1® applications will not be accepted. Where the Applicant is not the owner,an . Owner's Authorisation form(Page 2)shall be completed. Date: OWNERS)OF PROPERTY: Name: : SCTM#10007= _ Project Address: D Phone#: il: Mailing Address: _ 1> CONTACT PERSON: Na me: Mailing Address: Q o7tRoot-) r 4--f1 7- Phone#: ��ll�Z 1�.� Email �lZ� CD' 'DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR,INFORMATION:" Name: M-- Mailing Address: Phone#: _ - Y�. Email: jDot�_ mc-� �c� L� h DESCRIPTION OF;.PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑AI ation ❑Repair ❑Demolitio Estimated Cost of Project: OtherT"-'-rrKL.J_ Will the lot be re-graded? ❑Yes LQNo Will excess fill be removed from premises? Imes ❑No 1 . PROPERWINFORMATION,;. Existing use of property: jIntended use of property: Zone or use district in which premises is.situated: Are:there any covenants and restrictions with,respect to this property?M DYes �lo 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,NewYork•and other applicable Laws,Ordinances or Regulations,for 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,n building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New•York State Penal Law. Application Submitted By(print n e); t�sof� _PC'e� Puthorized Agent Downer Signature of Applicant: Date:; gA ZID Wiz: STATE OF NEW YORK) SS: COUNTY OF 51k L ) �- AL-0 � being',d:uly 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 o•r have performed the said work and to make and file this application;that all statements contained in this application are true to the'bes#of his/her owledge and belief;and that the work will be performed in the manner set forth in the application file therewith. �� i BARBARA H.TANDY Sworn before me this Notary Public,State Of New York No. 01 TA6086001 g _ _ , - ,. Qualified In Suffolk County O day of 20a� I Commission Expires 01/13/2O Cr Notary Public PROPERTY. OWNER AUTHORIZATION (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 , / !822-89'87 89:28 EDT Michael Simon +13732168483 PAGE 1/1 ``� ' L r 2 pp SEP 0 8 2022 I L_ BUILDING DEPT ' TOWN OF SOL)"V iOLD ' Town Hall 54375 Main Road oad R v Telephone(681)765-1802 �.yF•�i,1Z �95n2 - ! P.O.Sox 1179 G'' + �O roaer.richertcaltown18outnoltl ny us Southold,MC 11971-0959 ]BUHZING DEPAR' hUM TOWN V?SO TTHOLD APPLICATION F01 ELECTRICAL 1NS0ECTI0N REQUESTED,BY i Dame- Company Name: Name: License No.: Address: It Phone No. JOBSITE INFORMATION: (*Indicates required.informatfon) *Address: AMo �E, C � Lei *Cross street: t n,°I D *Rhone No.: 3l Zq 8 4014 Permit No.: a Tax Map District: 1000 Section: /S- Block:____mow Lot; *BRIEF DESCRIPTION OF WORK(Please Print Clearly) z-- (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough In Final *Do you need a Temp Certificate: YES/ NO Tamp Information(If.needed) . *Service Size: 1 Phase 313hase 900 950 200 300 350 400 Other *New Service: Re-connect. Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION o 82=Request forinspection Form 9 WA ��/ , � ram► �� r� w ��,�„y -l/ 'V . . D � r � � _G 070�0�Main Road ' SEP 118 7n79 I Mattituck,NY 11952 Office:631-298-4014 Info@NorthForkPoolCare.com BUILDINGDEP TOWN OFSOU7, BOLD Lh 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. ELECTRICAL . -•. INSPECTION REQUIRED ' APPROVED AS NOTED , i;oMP#.Y WITH ALL CODES 00-' DATE -3-a a B.P. ' S�{5 NEW YORK STATE &TOWN CODES FEED 330=BY AS REQUIRED AND CONDIUM Of ; 7thYY,'„rrPl NOTIFY BUILDING DEPARTMENT AT i 765-1802. 8 AM TO 4 PM FOR THE ��T I FOLLOWING INSPECTIONS: ____80MOLOMM 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 4 '� 2. ROUGH-FRAMING,PLUMBING, SOUfHOI�TDRU :_;`" STRAPPING, ELECTRICAU&CAULKING 3. INSULATION .Y.S.DECi ;s;:.:;.,,,,. • ;•; ::;: ":;', 4. FINAL-CONSTRUCTION .&;ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE "IMME lATELT REQ ENTS OF THE CObES-OF NEACI OSE•POOLTO CODE YORK S ATE. NOT RESPONSIBLE FOR UPON COMPLETION DESIGN OR CONSTRUCTION ERRORS. BEFORE"YV&TER" � i 'V AL i k i t Page 1 of I A . SUFFOLK CO:HEALTH DEPT. A"Rjb,. J H.S. NO. ��3 _ � r�ui r�. - .. ?Ock �( r and rLUk off' 15 +eek. f� ETATEMENT O# INTENT 1�q Z THE WATER SUPPLY ARID SE1if1[A,GI: Ll1•SPOSAL {-� SYSTEMS FOR THIS RESIDENCE WILL ''�� _ ., CONFORM TO THE STANDARDS OF THE lr j N,7§43,A E. _ 150.flt? #� - r i �-A ��• SUFFOLK Ca. 'DEFT. OF HEALTH SERVICES. 14 `` 10 lif APPLICANT wEU_ i _- _ -- — — -- SUFFOLK COUNTY DEPT. OF HEALTH A3 SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY Few-c �' ' a` � T: � t DATE: cpbt !/^ ./ - t - ' *.' ,t^ r�' Y-t 1-:4 H.S.REF. NO.: 14�so-259 i,iYl ttF T T tti �► ( � , rt SUFOM dbUPTY HEALTH DEPARTMENT APPROVE: 41} a�__• 18 #9$6 if. D. IMF. SUFFOLK CO. TAXMAP I ESt!,Nd1TIOM: , � - ' - the Ae a90 disposal and water supply ifl I?tST. SECT. PCL. fae tiofi for this locsatio�i hate beep . 41 -tom• ._ • 3 ac.3. inll ie ted by this department and Pound OWNERS ADDRESS. }i' zn ►, �`" �..?-mil L762L E� to atl9Paato 57,, rt,iD� fait•?• 72 eET O ;; `�.i• t d 2 a3�r4; 1i2 'SCALE 1K .. MEW #.. ? P. 0= t t 0 N P#pE TEST E "AM alftretion or adTition r rj;p-6011. to this survey is 0 viol2tion 0; S^Lql n 172 P cf the Now York Siam Edl:cafi nLevy. Copies OF this qvm map not bearing t4 tars:surv—ec;inked sevf or } s^,bmed seni sfszli riot ba<0s18idered to be a valid'tresr copy. Gua neen,in ed ti cat h&m.- shelf run onlyo t ! } ` 1 �'rw A t„� is aremr sd,and on his behalf to the `� Q I�8 . E L�'�t�it'+. O Ilia fz.�F=E Z' 0 NI EAt .�-,�Ak 4E V E.L Lr',�`_rj j'`� 1 titre compzry,(Soverrfi®nta9 agency arx4 y E t+ { _!POUF mw,D%P' fir£. y t ,!�,_,Y +i to drg 4sisn sts listed heron e� .-.(„� , c:,: �i� ::JE..,t-:��(� I• to thy.as;iSraas of the f®-rdinq irtsif- '""'` c-ua•an"eas are not ttansferobte, Le�j 1 Z 77-�..E_W 5-.9t763 raa' Inac�,,o¢ ^sti:a ticns or subs""" SEAL �O ��1, ^g��^;o� e it; - P ,wry tij'rt CD t"..+j 'f aSJ Y`a. :'..�L�,` l f- E :Y6V# "1i t - f P 17�'�E PAL R+D#?E�tICtC_ y A ! T{3Yy 15„P.C. if LICENSED LAND SURVEfORS GR-EENPORT NEW YORK ISUDYNE POST N12062 `