HomeMy WebLinkAbout50652-Z o�DSHFFO�KIpG,, Town of Southold
7/18/2024
P.O.Box 1179
v _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45367 Date: 7/18/2024
THIS CERTIFIES that the building HOT TUB -
Location of Property: 485 Old Woods Path, Southold
SCTM#: 473889 Sec/Block/Lot: 87.4-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/11/2024 pursuant to which Building Permit No. 50652 dated 5/10/2024
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"hot tub as applied for.
The certificate is issued to Hollander JR Liv Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50652 6/13/2024
PLUMBERS CERTIFICATION DATED
Auth riz d Signature
SUFFec,t TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
o • 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#: 50652 Date: 5/10/2024
Permission is hereby granted to:
Hollander JR Liv Trt
430 7th St
Brooklyn, NY 11215
To: legalize "as built" hot tub as applied for per Trustees approval.
At premises located.at: .
486 Old Woods Path, Southold
SCTM #473889
Sec/Block/Lot# 87.-1-4
Pursuant to application dated 3/11/2024 and approved by the Building Inspector.
To expire on 111912025.
Fees:
AS BUILT- SWIMMING POOL $600.00
CO- SWIMMING POOL $100.00
Total: $700.00
Building Inspector
SO!/T�,ol
0
Town Hall Annex ' Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 �� a0 Sean.devlin(&-town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Hollander JR Liv Trt
Address: 485-Old Woods Path City:Southold st: NY zip: 11971
Building Permit#: 50652 Section: 87 Block: 1 Lot: 4
WAS-EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS Built License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub X
Addition Survey Ej 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 CO 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: 250GFI Breaker
Notes: " AS BUILT NO VISUAL DEFECTS " Hot Tub
Inspector Signature: Date: June 13, 2024
S.Devlin-Cent Electrical Compliance Form
how%OE SOUlyO� J
TOWN OF SOUTHOLD BUILDING DEPT.
`ycnutm,�'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATIO CAULKING
[ ] FRAMING /STRAPPING [ FINAL T 7-v,g
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: ��v' ba/��
Tu Ae ahcAefco
DATE 5- ^a INSPECTOR
UF SOUfyO� C�V&� Lf
# TOWN, OF SOUTHOLD BUILDING DEPT.
um, 631-765-1802
INSPECTION '
[ ] FOUNDATION 1ST/ REBAR [ ] 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: U
lose
DATE °� INSPECTOR
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•COUPER L ALIMENTATION ELECTRIOUE AVANT D'OUVRIR LE C
•gISCONNECT POWER SUPPLY MORE OPENING(0YER. .BRAN(HER UNIOUEMENT A UN CIRCUIT MIS A LA TERRE, ECKO"
•CONNECT ONC`l TO A GROUND f D(IR(UIT. .UN RAC(OROJdENT INADEOUAT PEUT ENDOMMAGER CE CONTROL E 6rox
•tMPROPERYa1RING111A,M&GEI his(ONI Rot SYSTEM. .NE(Olinbl WNE NICE REPARABLE PAR L UTILISATEUR ETAN(HEDIIS"
.CONNIENT A LINE UTILISATION INTERIEURE SEUEEMENT OU SI INSTAIEE .
•NO USER SERVICEABLE PARTS INSIDE. (.
•SUIT ABLE F OR INDOOR USE OW OR WHEN INSl AILED .POUR REPLACEMENT UTILISER SEUIEMENT lE MEME TYPE DE F
UNDER A WEATHERPROOF SPA SKIRL. DU MEME COURANT NOMINAL
•UTILISER SEULEMENT DES(ONDU(TEURS EN CURVE CALIBRES A AR
S IDS(MAn(!ASSES
•FOR REPLACE KWN USE ONLY SAME"PE AND R 111NG OF FUSE. SELON R COURANT ADMISSIBLE A 60(300Y
•USEONl`I(OFFER(ONOamsRATE)AREAST105°(,BUiSI2EUONTHEBAS15 �SELONU (DURENTADMISNBLEA PR0TEGEPARUNDISiDNMURDIFFERENNELDFFUIFEALA
OF 60 C AMPAUTV,300V. TERRE IDOM DE(ASS[A
' •COtaNECT ONI_V TO AURCUII PROTECTED BY A(LASS A GROUND FAULT s
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FIELD INSPECTION REPORT DATE COMMENTS Lp
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FOUNDATION (1ST)
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FOUNDATION(2ND)
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PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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��o S�fr�i �ooyc TOWN OF SOUTHOLD—BUILDING DEPARTMENT
x Town Hall Annex 54375 Main Road P.,O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631) 765-95021.hips://www.soutlioldtownny.gov ,
Date Received
APPLICATION FOR BUILDING PERMITlu
For Office Use Only �.
PERMIT NO. Building Inspector: f I ?,i MAR 1 1 2024
App`IicaCions and:forms must be filled out in their entiri<ty Incomplete ��,c`fS >c
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a. `Ilea. oris'will"a w
t::�h`e;accep�edi-Wfere`EheApplicant:�fs'riot>t+he�owner;^;an •'fi'�:.+v^•k��r `�'
n' z";Ower's' u'h'or 'n r",m:Ra e'` lialhlie`c 1"t''d
Date: f' ZC)-Z'4r
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.OWNERSOPER -R. TY
Name: �, SCTM# 1000- *7 `
Project Address: 48574eJ9 O
Phone#: 977 217 Email: Q-'?d? a.
Mailing Address: �G� 5— 7 a0IV
TAC PS
Name: P !4 6116 .
Mailing Address: Q 7 -6 G `l 9-7f
Phone#: 6 GS8— Emai . .4Oe2 .P, Zd Alf 7-
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Name:
Mailing Address:
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Phone#: �r 73lJrj Email:
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N R GTQ,R I. F.ORIVIATLO.N ;`":-:':;.,._.�:,°:;, .:.:,,�;::::.
Name:
Mailing Address:
Phone#: Email:
DSCFiIP1? PItOPOSED?;CON5TR;U.C1'IbN ':,:::';_; .:
,
ONew Structure ❑Addition ❑Alteration El Repair ❑Demolition Estimated Cost of Project:
;'Other J7 F� LT Gr O/I✓ „0�C.� $
Will the lot be re-graded? ❑Yes;4_No Will excess fill be removed from premises? ❑Yes ZNo
1
PROPERTY INFORMATION
Existing use of property.- ,., Intended use of property:� rl ON
�
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
9-4 O this property? [= Yes U(No IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractor/ciesign 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 a nd 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 inspector:on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 220AS of the New York State Penal Law.
Application Submitted By(print name): "LCl)�,J.t!�L 14• CZ XA'uthorized Agent ❑Owner
Signature of Applicant: �V Date:
STATE OF NEW YORK) CONNIE D.BUNCH
SS: Notary Public,State of New York
60
COUNTY 0FY461 COL 6 No.09 Suffolk CO
�_) Qualified In Suffolk CountyDa�•
Commission Expiros April 14,2
AllC1111 '— 04• !f IHI-7�G being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the /Q,'5A_. 17— _
(Contractor,Agent, Corpo-ate Officer,etc.)
of said owner or owrers,and is duly authorized to perform or have perfo-med 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:he application file therewith.
Sworn before me this
n I `p L &V/A�
day of (�Gy c-G� � L ,20� �'Ir—
Notary Public
PROPERTY OWNE It AUTHORIZATION
(Where the applicant is not the owner)
fib15,4Qesicling at Z4— ae U P.4 _
S�O('1 Ul N/ do hereby authorize� 11 C .AEG' A- e/A14114 to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
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owner's Signature Date
Print Owner's Name
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BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
0 2 Town Hall Annex - 54375 Main Road - PO Box 1179
cv ® Southold, New York 11971-0959
O� Telephone (631) 765-1802 - FAX (631) 765-9502
iamesh(a-southoldtownny.gov - seand(o-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: d J
Phone No.:
Bldg.Permit#: �j0 `a. 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 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals D 1 R2 D H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION 5r`61�y
p� C�.V;10 4161)
nSp on
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
o • ,, Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
{' ja mesh(aD-southoldtownny.gov — seand(-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: mr-
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: j l�
Address:
Cross Street: J
Phone No.:
BIdg.Permit #: �jC� `a. email: shop
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#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 F12 H Frame M Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION 51%6117-y
$Z 0 ?& CQIr,%4 k 0'14'5 l
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Panel
Fans Mini Fr. W/D Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Water Bond
Carbon Micro GrbDis Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit
Blower
AC AH Hood Blower ,
Service Amps Have Used
Sub Amps Have Used
Comments
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ON GRADE FLOOR PLAN SCALE: 1/4" = 1'-0" �•/ u� Q�, O
SCALE: 1/4" = 1'-0" En
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COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
AND CONDITIONS OF
AS REQUIRED C
- CROSS SECTION ELECTRICAL
SCALE: 1/4" = 1'-0" , INSPECTION REQUIR ,D DRAWN BY: MH
. NING600
12
UTNOLD TOWN TRUSTEES
�: �• , :. ' APP 0 ED AS NOTED 3/30/2022
,�., _ .��,�-;� - � - ' • ��;. e. � ;�, DATE .P.#
SCALE: SEE PLAN
- • ,__ ___-____-_-__- '� �" FEE
Non BUILDING DEPARTMENT AT c;I
V 631 765-1802 6AM TO 4PM FOR THE �P -
�1l ,t. iq 11,1".�_tt* .•gy"� _�-.�• -:'ram ."' - p4 - FOLLOWING INSPECTIONS: �.^ J.U ���o SHEET NO:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE rn
a _ •41,•- , Al 2. ROUGH FRAMING&PLUidIt31NG ,nr�, f p/� 1 r
�• g 3. INSULATION altVUf"/11�1� i � �iS
SITE PHOTOS 4. FINAL-CONSTRUCTION MUST U�� �; UNLAWFUL A 2
�. .�
BE COMPLETE FOR C.O. SIONP�'
SCALE: NOT TO SCALE r WITHOUT CERTIFIC�'T
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES Or NEW
YORK STATE. NOT RESPONSIBLE FOR OF OCCUPANCY
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