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HomeMy WebLinkAbout49545-Z o�suFFot,��o o Town of Southold 8/2/2024 a� yt P.O.Box 1179 0 53095 Main Rd �a5% Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45419 Date: 8/2/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 68555 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 33.-5-13.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/27/2023 pursuant to which Building Permit No. 49545 dated 8/4/2023 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: in-ground swimming pool with spa to an existing single family dwelling as applied for. j The certificate is issued to Henry,Paul of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49545 10/26/2023 PLUMBERS CERTIFICATION DATED th riz d mignature �- - TOWN OF SOUTHOLD o�g�EEO(,�co �� ay BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE SOUTHOLD, NY ?Ipl� pr 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#: 49545 Date: 8/4/2023 Permission is hereby granted to: Henry, Paul 68555 CR 48 PO BOX 2111 Greenport, NY 11944 To:, Construct an in-ground swimming pool to an existing single family dwelling as applied for. Pool and pool equipment require 25 foot setbacks. i At,premises located at: 68555 CR 48, Greenport SCTM # 473889 Sec/Block/Lot# 33.-5-13.1 Pursuant to application dated 6/27/2023 and approved by the Building Inspector. / To expire on 2/212025. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Building Inspector oE so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G sean.devlinitown.southold.ny.us Southold,NY 11971-0959 �4UNT`1,0 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Paul Henry Address: 68555 CR 48 city:Greenport st: NY zip: 11944 Building Permit#: 49545 Section: 33 Block: 5 Lot: 13.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: LC Electric License No: 38043ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Spa X 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 11 Sump Pump Other Equipment: 40A Sub 20 Circuit/ 3 Used, AquaLink IRS 12 Circuit/ 8 Used, Auto Cover 120GFI, Pump 220GFI, Blower 220GFI, 7 Lights 30OW Transformer 120GFI, Spa Pump 220GFI, Heater' Notes: Water Bond, Salt Generator Pool & Spa Inspector Signature: Date: October 26, 2023 S.Devlin-Cent Electrical Compliance Form OF SOUTyO� # # 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: 0 k2 � DATE °I °I INSPECTOR OE SOUTyO� # # TOW OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] 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 [`j PRE C/O [ ] RENTAL REMARKS: OL u Q C ,2 0f/ br-6 4dE_ C`-v�d Ca tJ I l" /I DATE 03 A,225 INSPECTOR ov of So�T # # TOWN F SOUTHOLD BUILDING DEPT. �o • �o 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 [ ] PR /O [ ] RENTAL REMARKS: DATE INSPECTOR r� g SOpTyo�o #: # TOWN OF SOUTROLD BUILDING DEPT. �ycoo 631-765-1802 �c INSPECTION a� [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ - I FOUNDATION 2ND. [ ] SULA .ION/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: ® V� ��' l S C&D / Qn r DATE ZO INSPECTOR Of SOUIyo� TOWN OF SOUTHOLD BUILDING DEPT. °yco 631-765-1802 -'r INSPECTION * ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ -]. SULA ION/CAULKING [ ] FRAMING /STRAPPING [ FINAL ;;pf� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION - [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: � � C DATE INSPECTOR Jeffrey Sands Architect August 14th , 2023 Property/swimming pool location: Paul Henry 65888 Route 48 Greenport, NY RE: Swimming pool rebar and dWyell inspection Attention Town of Southold Building Department: Upon inspection of swimming pool rebar and drywell at above mentioned property, I find all to have been installed to meet current building code requirements. Sincerely, cc �'�p� •'.14 �, Jeffrey Sands Architect DEC WE A U G 2 3 2023 Building Department 'town of Southold 6 Evergreen Lane, East Quogue, New York 11942 phone-631-375-5997, fax, 631-576-8916 email—ieffrey sands(5hotmail.com / 749 MELD INSPECTION REPORT ATE m COMM TS FOUNDATION(IST) H ------------------------------------ FOUNDATION (2ND) cq ROUGH FRAMING& CC) PLUMBING r INSULATION PER N.Y. H STATE ENERGY CODE 'r Ul vv u,:>vya vow y . opv FINAL ADDITIONAL COMMENTS o 5 A o L -, ti tot, —►- Is - H 9J O V-, z �x d b H t o�SUFfoc r�o.*� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �'y.• �� Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny_izov Date Received APPLICATION FOR BUILDING PERMIT EVE [ For Office Use Only . �j PERMIT NO. 5 ✓ Building Inspector:--.J& JUN 2 7 2023 � 9t ncomple e;<,:-;,,;::,,,�. 'a` `catiorisinill not- cce 'e E.,'; BU1sL��G ppla b'e a (fit d:">Whee=the i4ppl canf3is not ttie2ovine� ,ah', w ers�Auth, riz o .fo �`e-2 -shall=becom to"ted:� p, Date: ,OWNER"S.OF•PROPER:, » Name: SCTM#1000- ® �- _ C1, III Project Address:(.65 � TV CY n A- L 13"` Phone#: Email: TOL �" YYl I 0 c r1 -MC 01 1(- Mailing Address: � Gvtf-o too, /' :•..,y. w-4 ;, .., ,,. m. ..,:.,[.,, e<,- �«,r.. '.?::;',r�+,yz,, o-s:�x,'�rr"...: ,.CONTA£T PERSO N.,. .. .,r,.t ,-,.,s t,>.: S.,. ;: .a;•.,.. ".:.,., ,[ aE.'-,.,�pv:ti' .�r,'�'Z;<tii iP4; ".%^E'." r.'i '=?'^� .,a r c t ..:,,:; .�..-<::,o-.:;vr:,..,,.:e>,,.,r,.,,,•..e,l^,r .�:�. •-;x e'., j;ip;"::;, Name: •v- i nD Mailing Address: ipelroescON) r ,N r 1(iLf Phone#: J 3. O Email: ..QESlG[N O.EES ONA �''Name: Mailing Address: Phone#: Email: NT ACTOR#N O MATT." N Name: �r Q. Mailing Address: (�pit),, X) �� Q2 L �P - Phone#: ''1 U�J`- 1 U �d�� Ema . �Co � l`t�ZS rf..,. .'!.:..;.'.,:". .=".: r,':,.;r� '..i'..,Jri`if'� ':✓s;'PR STR iFwr,?e,;:g.2�;g,:;a:�„ ...�". ,a"'', :,.,,;;/,'. 'ifs",'✓:. Y�t'T: �;DESGRIIPTION'Of: O..O C'P SED. ONCJCTION:? k- „n El New Structure ❑Addition ❑Alteration ❑Repair ❑DemolitionWi�YA-� Pr ` Estimated Cost of-Rroject: LA Other I�l '�C a L`fuY l SS ur,�IE S��mrn n` Q� $ -� Will the lot be re-graded? ❑Yes)Vo Will excess fill be removed from premises?Wes El No_ 1 Buildine Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, fix. OCA V` residing at_ �a.'5-�7 Rex,, TD (Print property owner's name) (Mailing Address) do hereby authorizec�� (Agent) 6&Ina �� (��U V1 to apply on my behalf to the Southold Building Department. JU (O er's Signature) (Date) (Print Owner's Name) '3" i BUILDING DEPARTMENT- Electrical Inspector a � a. , . TOWN OF SOUTHOLD " . .14 Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ' f Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr c southoidtownn .gov — seandasoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 09/08/2023 Company Name: LC Electricical Contracting Inc. Electrician's Name: Leonard Cancellire Jr. License No.: ME-38043 Elec. email:office@ icelectricalcontracting.com Elec. Phone No: 631-874-0485 211 request an email copy of Certificate of Compliance Elec. Address.: 22 Woodbine Lane, East Moriches, NY 11940 V JOB SITE INFORMATION (All Information Required) Name: Henry Address: 68555 CR 48, Greenport, NY Cross Street: Phone No.: Bldg.Permit#: 49545 email: Tax Map District: 1000 Section:33 Block: 5 Lot:13.1 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): In-Ground Swimming Pool Square e: Circle All That Apply: l lla 5p0 p Is job ready for inspection?: YES ❑ NO R]Roug In 9 11q ❑ 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 n2 H Frame El Pole Work done on Service? Y N Additional Information:Bonding Inspection Request. Thank you. Donna PAYMENT DUE WITH APPLICATION f8 ? 31"- too Igs 41' rt C 4- W5 40 1 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 1 1 971-0959 ;<< Telephone (631) 765-1802 - FAX (631) 765-9502 K `jY roesrrtu sou3.holdtownnv.rov se�;il��r)southoldtownLy qov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date- 09/08/2023 Company Name: LC Electricical,Contracting Inc. Electrician's Name: Leonard Cancellire Jr. License No.: ME-38043 Elec. email:office @ Icelectricalcontracting.com Elec. Phone No- 631-874-0485 01 request an email copy of Certificate of Compliance Elec. Address.: 22 Woodbine Lane, East Moriches, NY 11940 JOB SITE INFORMATION (All Information Required) Name- Henry Address: 68555 CR 48, Greenport, NY Cross Street- Phone No.- BIdg.Permit #: 49545 email: Tax Map District: 1000 Section. Block: 5 Lot:13.1 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): In-Ground Swimming Pool Square e: Circle All That Apply: 1114510 S1 Is job ready for inspection?: YES ❑ NO Z Roug In 9 l iq j Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size[11 Ph 03 Ph Size: A # Meters Old Meter# ®New Service®Fire ReconnectE]Flood Reconnect®Service Reconnect®Underground[Overhead # Underground Laterals 1 2 H Frame LLPole Work done on Service? Y N Additional Information:Bonding Inspection Request. Thank you. Donna PAYMENT DUE WITH APPLICATION q 18 ?,3 'fl" 4 (od r�c c 461 itt'C7Rl�' DATE(MM/DD/YYYY► CERTIFICATE OF LIABILITY INSURANCE 05/24/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endoised. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nicholas Zulkofske _ Brookhaven Agency,Inc. PHONE 631 941-4113 FAX_Noy(631)941-4405 — 100 Oakland Ave,Ste 1 E-MAIL . cert_ificates@brookhavenagency.com Port Jefferson,NY 11777 INSURERS AFFORDING COVERAGE NAIC a INSURER A: Philadelphia Indemnity Insurance Company INSURED INSURER B: Merchants Mutual Insurance Company —_ Patrick's Pools,Inc. INSURER C: Wesco Insurance Company PO Box 3024 INSURER D East Quogue NY 11942 INSURER E: — INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR TYPE OF•INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER LIMITS )( I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 00O 000 DAMAGE TO RENTED A X Cont alMS-MADE [j]ctual Liability 00 occuR i PHPK2517025 !02/2812023 0212812024 MED EXP(Anv one ersoni $5 000 PERSONAL&ADV INJURY !$1 000,000 'GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 !iA PRO- M LOC I j ! PRODUCTS-COMP/OP AGG $2,000,000 El POLICY i OTHER. I S AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $5.001000 B X 'ANY AUTO l ! i BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS X I X CAP9267113 10711212022 07112/2023 BODILY INJURY(Per accident) $ A. NON-OWNED PROPERTYDAMAGE HIRED AUTOS !X I$ — AUTOS I l i I UMBRELLA LIAB i —{ OCCUR I ! EACH OCCURRENCE _$ i EXCESS LIAB CLAIMS-MADE! AGGREGATE S DFD , ' RETENTI N ! $ WORKERS COMPENSATION 1 X PER OTH- AND EMPLOYERS'LIABILITY YIN I ZANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT__ C IOFFICERJMEMBEREXCLUOED� Y❑ NIA WWC3647363 0511312023105113/2024 — ' I(Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE$100,0100 I DESCR scribe u F efPE ATIONS below E.L.DISEASE-POLICY LIMIT $500,000 I I I ! DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of Southold is included as additional insured per written contract. r CERTIFICATE HOLDER CANCELLATION Town Of Southold,Town Hall Annex SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 54375 Main Rd. ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE <BS> ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD APPROVED AS NOTED 5 COMPLY WITH ALL CODES OF DATE �23 B.P.# 5 NEW YORK STATE &TOWN CODES REQUIRED AND CONDITIONS OF FE 3DO+ ©D BY AS ;: .'. NOTIFY BUILDING DEPARTMENT AT SOUTHOLD TOWN ZBA 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED y SOUTHOLDTOWNPIANNINGBOARO .r; ; FOR POURED CONCRETE .� 2. ROUGH-FRAMING,PLUMBING, SOUTHOLD TOWNTRUSTES STRAPPING, ELECTRICAL&CAULKING { 3. INSULATION _J4.Y.S.DEC 4. FINAL-CONSTRUCTION&ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USE IS UNLAWLFUL ELECTRICAL WITHOUT CERTIFICATE INSPECTION REQUIRED OF O C C U PAN CY All exterior lighting Installed,,replaced or RETAIN STORM WATER pUWFF repaired shall conform N ASUANT TO CHAPTS 331 to Chapter 172 OF THE TOVIN CODE. of the Town Code •..� I- 1..: .1 �-_ ( -`�� .�: ''� . "� �` "i.� I I. I.� ! .I 'j f � I � - f-� I �.I 1- t � � I -,� :��.: � � .�-:. -- `.I. ;;=� ,-, I 1 . 00 00 ''jam_� /�>4Q t V -SG- Co F4 i y ° � �� f i � €- _.�..__•-�_ i_.#y _.},—i---�— 4 - �< i .) � � t I— I 'i ��_,.__. v 1 I i _� .�i s ! I � ! 1 � � R� I I f i t � ,il.__i._.._�-a.���`¢"" t t 6 I t I^_ I I I �.�1 �rc�^�• �;.;� r - I- •_�°` �- � t I I� I I - � ,� _� :�:.: .I - .�� �_.. � . •�I:: �:�. ..(,' ( ( � �• . .I t • �( t (-� - }: � � '� - __ - ::�- �`- :-��=.:�-'I . ��,�:°::;;,.:yc�::.;= - --•-�_--- �lDt�Y—.�_._ �l__�����..��...5_ �� (� 1 ��� � I i I I —l..____...1.—.1,-_.._L_._ _...�__�_� �__ _ - _L___._f � `— � r � 7 t L! 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