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HomeMy WebLinkAbout50810-Z ��o��guFFO(w Town of Southold 8/31/2024 a P.O.Box 1179 0 0 { 53095 Main Rd goy o� I Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45498 Date: 8/31/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 200 Deer Run, Southold SCTM#: 473889 Sec/Block/Lot: 79.4-17.20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/17/2016 pursuant to which Building Permit No. 50810 dated 6/11/2024 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: accessory in ground swimming pool with spa fenced to code as applied for. The certificate is issued to Koke,Michael&Jennifer of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41107 5/2/18 & 8/27/24 PLUMBERS CERTIFICATION DATED Autho ized S ature o S FFQ�,co TOWN OF SOUTHOLD a aye BUILDING DEPARTMENT y x 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#: 50810 Date: 6/11/2024 Permission is hereby granted to: Koke, Michael PO BOX 1035 Southold, NY 11971 To: construct accessory in-ground swimming pool fenced to Code as applied for. Replaces BP#41107 At premises located at: 200 Deer Run, Southold SCTM #473889 Sec/Block/Lot# 79.-4-17.20 Pursuant to application dated 10/17/2016 and approved by the Building Inspector. To expire on 12/11/2025. Fees: PERMIT RENEWAL $150.00 Total: $150.00 Building Inspector guFFnt,� TOWN OF SOUTHOLD 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#: 41107 Date: 10/25/2016 Permission is hereby granted to: Koke, Michael PO BOX 1035 Southold, NY 11971' To:' construct accessory in-ground swimming pool fenced to Code as applied for. At premises located at: 200 Deer Run, Southold SCTM # 473889 Sec/Block/Lot# 79.-4-17.20 Pursuant to application dated 10/17/2016 and approved .by the Building Inspector. To expire on 4/26/2018. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Bui ing Inspector Form No.G TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 5. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate.of.Occupancy.-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. New Construction: X Old or Pre-existing Building: 1 (check one) Location of Property: ZOO bzev L � -- M bl G� House No. M i Street Hamlet Owner or Owners of Property: I' 1 L�1 -� Ko Suffolk County Tax Map No 1000, Section 777 Block Lot /_7 , Z O Subdivision �p.�:�+►t ,� , fe Filed Map. Lot: 3 Permit No. `` Date of Permit. J© L4 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: 1/ (check one) Fee Submitted: $ AfAgant Signature OF SD(/r�ol ti o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �� • �o Jamesh@southoldtownny.aov BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Micheal Koke Address: 200 Deer Run city:Southold st: New York zip: 11971 Building Permit#: 41107 Section: 79 Block: 4 Lot: 17.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: All Wright Electric Corp. Electrician: Rich Wright License No: 43459-ME 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 1 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: 2 240v pumps,1 gas heater,1 blower,4 pool lights, 1 panel, 1 salt gen, 2 transformers 1 control panel Notes: POOL/SPA Inspector Signature: Date: August 27, 2024 200 deer run pF SOUr��l Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 oQ roger.rich ert(c)-town.southold.ny.us Southold,NY 11971-0959 00UNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Michael Koke Address: 200 Deer Run city,Southold st: -New York zip: 11971 Building Permit#: 41107 Section: 79 Block: 4 Lot: 17.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: All Wright Electric License No: 43459-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures CO-Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks 1 Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, 1- G.FCI Circuit Breaker, Low Voltaic Pool Lights, Gas Pool Heater. Notes: Inspector Signature: Date: May 2, 2018 0-Cert Electrical Compliance FormAs hO��pE 50UTyo`o f \ • �o (ql UNi'I,p� TOWN OF SOUTHOLD BUILDING -DEPT. . - 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: GliL DATE r INSPECTOR �t ho��OF SOUTyo6 # # TOWN OF SOUTHOLD BUILDING DEPT. `yco 765-1802 r JNSPECTION .' � [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE ?i INSPECTOR �-` OP SOUTyolo yogi * .-.TOWN -OF SOUTHOLD BUILDING DEPT. u�ma� 631-765-1802 -INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [. ] FRAMING/STRAPPING [�/FINAL le:gp [ ] FIREPLACE & CHIMNEY [ ] 'FIRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ .] FIRE RESISTANT PENETRATION [ ] -ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS_ : -DDoQ- &-4aem5 bsk­o( as Ul, aoll aiwol" 6yt &B ivoz_5 a-p4 r ea/ a4z.Q . -/o, 4 e S7V Gt- _S alm - W r 4a-_z LI 46 � I�1, Sri 2�c�z.. w Gt,�a.-� Pba Wk �D ��� G�l-2�ti— �6U¢_ CL,��I�W�S �4a�, - • DATE -o?O—oZ INSPECTOR 72AN-n-, 5 910 souryolo # # TOWN. OF S.OUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [�INAL - Re IhS�Ped [ ] fIREPLACE4 CHIMNEY. [ ] ,'FIRE SAFETY'INSPECTION [ ] FIRE RESISTANT CONSTRUCTION -[ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) - [ ] CODE VIOLATIOW [ ] PRE C/O [ ] RENTAL REMARKS: _6�4C 2l (,PJe 4 C�4 /C eeaCc�Q. Sao-ae"t wakg a,/owm r-01.2ok ltegfgte� 1'4 144 1�a r2 u AM c lA44 4,e , Ae— DATE INSPECTOR q Sol/, 6Hlo P,L � # # TOWN OF SOUTH.OLD BUILDING DEPT. 631-765-1802 .I N-SPECTl0N [ ] FOUNDATION 1 ST/REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND. . [ ] INSULATION/CAULKING ' . [ ] FRAMING/STRAPPING [ ] FINAL [ ] 'FIREPLACE &-CHIMNEY [ j FIRE-SAFETY INSPECTION ] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL(ROUGH) [ . ] ELECTRICAL (FINAL) [ ] CODE.VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: C� ate, idt bn vA (4-4 . , DATE R' oZ 'a INSPECTOR A� USA R. E. ZALOGA -ARCHITECT 1375 North Sea Road 44 Southampton, NY 11968 631-283-8228 f 631-283-8235 10 July 2024 RE: 200 Deer Run Southold,NY 11971 To Whom It May Concern,: Casual Water Construction built the swimming pool and spa at 200 Deer Run, Southold NY 11971. The pool and spa rebar were installed per New York State code and the approved drawing. Please feel flee to contact me at my office if you have any questions. Sin erely, Lisa R.E. z a oga,lu. License: 026443 eD q E.2,14 co 7 —A AUG 2 2 2024 Building Department Town of southold % -. 0264 OF N . #' Akaa . � s '.Y; .. _ .LL- $, f �. • • 1 • . �'� w y �,+:�� � (''��n ` •�it , - Fes � 1 op- VA • • • 1 • r *y i �.. t. � '�l��+�7.�r`ls�.ifi. ,.1TtL_� t.' � .0 � ��. ;R, _ ,- .., .�. ��• si: �_. --- —.ram — r t � 1� r J .j L Zi i I , 1 i Ct y Y .• .y r V l • a .r l' 4/ —77 v �.�.ay�� '�-,L. .��� � �1:`t. Y,' ♦i\F �'�K. - �i�� i.� .'r�'". y1,�Irr '� � •�i= f 1 a �^y.� - ,( ,y' � " •A r��,,�. ��' mow. • ...�,v_.r��aM .4'.�� � .P',' �+,. - ., lei �_.. t ,. , ;��, ttoA �, 1 ,i'� i' ;►1�f ��I��, ;; , lip 5 r �`i ! nQ� , x --•+ —� ��.+ , n ,may. _ ,:jay-���w .. _�2•..- �'�_ + .r• � 7 j:41�i. 1 � ' � �, /fir. .} � r f�F 41, �� ) li �/ 1 +s f .1 0 al AV lit Ar- AF ! � L, V Pb Ar .y �' • � ��;� y � �✓ ' .yam �� } _ � •%� ���"'111���"' ��� .. ``I Ar + 1 , y �1 R r �r ICY �uruW C � "�Fr��.:. � rya�'•: i T ipz. t � V ty .. t « ' r• � ` 1 C i ' Ali l EN ES D E � � 0 � � -- --- ASTM F2208 F MODEL LBPABCHU01/ ASTM F2208 is A l.iG 1 9 LBPABCPU01 Meets requirements of ASTM MODELO LBPABCH(�0 p CPU AS Safety Specification F2208, requisitos de la es ec �e 6Z� mple los MC de ASTM. P 1 gundad F2208 exr� Alarm level is 85dB at 10 Feet (3 rn), Et nivel de alarma es de 85dB a 3 metros(IO pies). Niv ez IP68 IP68 Waterproof -- Waterprooi _— Certification IP68 Resistente al agua IP68 P FCC — --- FCC BCone° Home Unit model: LBPABCHU01 FCC ---- —_ 1 BConee Home Unit FCCID:2AOXNBCHUI Modelo de la unidad domestics BCone:LgpgB_ FCC Contains FCC ID: CHU01 Modele L QOQWFM200 Identificador FCC de la unidad domestics BCon •. Unite de r 2AOXNBCHUI e • Contient F Contiene el Identificador FCC:QOQWFM200 BCone Pool Unit Model: LBPABCPU01 Modelo de la unidad pars piscina BCone": BCone Pool Unit FCCID:2AOXNBCPUI LBPABCPU01 Modele Unite Identificador FCC de la unidad para piscina BCone: Unite de piss 2AOXNBCPUI This device complies with part 15 of the FCC Rules. Este dispositivo cump(e con la parte 15 de las _ normas de la FCC. Cet appareil est ' IC Canada ID — — _ Regles de la FCC BCone Home Unit IC:27681 BCHU1 IC Canada ID ---- BCone Home Unit Contains IC:5123A-WFM200 Unite de maison BConea°cont en8 IC.SHUI Identificador de lade, BCone Pool Unit IC:27681-BCPU1 IC de la unidad do, Unite de piscine BCone®IC:27681-BCpUl A WFM200 La unidad domes[i, 5123A-WFM200 IC de la unidad Para This Class B di ital a 27681-BCPUl g apparatus complies with Cet appareil num6rique de classe 8 est coniorme a Cet a Canadian ICES-003. — la norme canadienne ICES-003. ppareii numrne,% ItnPortant:This device is not intended of con(orme a la norme h replace any other safety consideration;that sus ort nte:Est,nguna dis(ra consideration de n __Importante:Este dispositivo no pretende important.Cetute apparel Pool covers,locks,and so forth,and some Seguridad;es decir,supervision de aduitos, rempfacer louse autre cc Poodevlc o may not detect gradual entry, socorristas,cercas,puertas,cubiertas de l6tuC'est es,ba surveillance , piscina,cerraduras,etc.,y es posible ue err ures,etc. etres,couve. aigunos dispositivos no detecten una4 serrures,etc. n entr ns a, — -- entrada gradual. pas detester une entree pn 1C t o :S A BCone'Nome Unit:TA-2021 3116 Approved BCone'Pool Unit:TA-2021/949 A pprovedC IE 7119Y)o Y _-Mp�T-- - Alig Y _ AUG Bullding Department Town of Southold! ` low 411W Po. NO# IZI FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) co O � --7--------------------------------- 'FOUNDATION(2ND) No ROUGH,FRAMING& PLUMBING H ' � 6 C • 5� l2 �c CP�2 c .� c.�. �.Sri� fn INSULATION PER N Y SAP : STATE ENERGY C DE S R• n Ole- ,�v�c C'. 0• Ole- �0 .DooR d,e is as UGao/7 r2 [S ic.�a,es td w i-�dows c / • Sv�24ccc- w444AV- Alg FINAL S ea ,d soovl . +,o( S - i •/tG1v�Ce 5 �.. e-'n5 err--. ADDITIONAL COMMENTS -a - . o a Alum z rn ..figto•ao.a t /,/ t - peA b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPART�I ENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 I Planning Board approval FAX: (631) 765-9502 Suryey. Sou tholdTown.NorthFork.net PERMIT NO. / Check Septic Form 'N.Y.S.D.E.C. i Trustees C.O.Application Flood Permit Examined '20 Single&Separate Storm=Water Assessment Form L; Contact: • ' • Approved (J ,20 Mail to: Disapproved a/c 2 Phone: Expiration ,20 D LSD V `C2., B ilding_Ins ctor LICATION FOR_BUILDING PERMIT Date %� /�/ — , 20�(z BUILD��,IN GG���D��►►��EPPTT. INSTRUCTIONS - a. TIIVa is los�VTUST b Rmpletely filled in by typewriter,or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship,to,adjoining premises or public streets or areas, and waterways. c. The work covered by this application may,not be commenced before issuance of Building Permit. d. Upon approval!of this application,the Building Inspector will issue a'Building Perinif'tb the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so•ever until the Building Inspector issues a Certificate,of Occupancy. f.Every building 1permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date:If no zoning amendments or other regulations.affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit-for an addition six months. Ther'�eafter, a new permit shall be required. ' 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,or alferafions or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws,-ordinances,building code,housing code,and regula ions, and to admit authorized inspectors on premises and in building for necessary inspections. (Signatur pplicant or name,if a corporation) (Mailing address of plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician, plumber or builder d l_;o e V— nn Nam /0re of owner of premises 'V`l C.���— (As on'the iak•roll or'latest deed) If applicant is a corporation, signature of duly authorized officer (Name and titlelof corporate officer) Builders License No. 1. Plumbers License No. Electricians-License No. Other Trade's License No. 1. Location of land onii which proposed work will be done:�� J House Number Street Hamlet County Tax Map No. 1000 Section r7 (' :Block Lot 1-7 2 Subdivision Filed Map No. ) Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy P—e.4JLe ,, F b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work --, 1 4 (Description) 4. Estimated Cost rJ�=► c��>�� Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial`r mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of,existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with.alterations or additions: Front Rear Depth Height Number or.-tc ries9 NVI F S,E iI:. `�`�:' 8. Dimensions of entire new construction:,Front Rear Depth it Height Number of Stories MrST , ' i«s' It CV 9. Size of lot: Front Rear / ` A � Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO')< Will excess fill be removed from premises? YESx NO 14. Names of Owner of premises Mj cW Address Phone No. &31— Name of Architect Address Phone No Name of Contractor Address' Phone No. 15 a. Is this property within 100 feet of a tidal wetland br a freshwater wetland? *YES 'NO * IF YES, SOUTHOLD TOWN TRUSTEES'& D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances•to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES X NO * IF YES, PROVIDE A COPY. �I � f � 7-h J r! �,r� STATE OF NEW YORK) (�.�I •U�,`I �2- SS: COUNTY Q9AU M(GYt cap �� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 2Dwoew­ (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi f± day of 20 jv "..'JAaw ZW TRACEY L. DMER Notary PublicO NOTARY PUBLIC,STATE OF NEW YO re of Applicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,20/9 oa-1�-15;11:4! 2593445 ; # 1/ 1 o��,qF SAUr r/ R n >�d +�t 'Pakphuue i I)7c►S-�848 �l/ 5�37�S� c1�1117ts ggy�pp n,r .riCh�rt n o no� . P.U.Box 1179 D ► � L241�r ,.� s ut d riy.0 *A, okPN71197E-09r9 2017 D TOWNRV DEpT BUILDING DEPARTME,NT 66 TOWN OF SOUTHOLD APPLIGAT19N FOR ELECTRICAL USPECTION REQUESTED BY: Date: 3��'�-t 1-,7 Company Name: +) \,A)rk \OC - Name: Wry Vift License Nn_: wt*£ Address. 12 0 1 crvtiJCvs Phone No.: t 5 3 — l I JOBSITE INFORMATION: (*indicates required information) *Name: 1 1G�gt �oY-e_ *Address: Do-eve vyl .., �Ab\c�, *Cross Street $r t q at V1 +^e_ Ilk- *Phone No.: I -) Mott r 3 a Y p EMI 1� Permit No.: -01 Tax Map UistriGt: 'i�00�0 Section: Block: Lot; *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All What Apply) e�rld *is job ready for Inspection: O Rough In Final *Do you need a Temp Certificate: YES Temp Inforntation(if needed) *Service Size: 1 Phase 3Phase 100 150 300 300 3.50 400 Other *Neva Service: Re-connect Underground Number of Meters Change of Service Overhead Addltlonal information. PAYMENT DUE WITH APPLI A[ON r� V-c4 -TCA CAD 82,RequeM for inepscUon Form \ I(O Scott A. Russell ,��°SU ��� ST0JKIA�1MAX]EIK SUPERVISOR M[ANAG]EMUEN T SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) ---BCD]ES—IlilS—P]E OJ ECT--I1 VOLVlE ANY O F--')(']H[]E—FO L]LOWING-. Yes No (CHECK ALL THAT APPLY) ®[ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑14KY B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑[� C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑L�kE. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ®I F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1 OOO Date: I K Di ri zv ( l / NAME: ( a O �_ miff �= 17 Se� Block Lot Sff '�j 1�'C}Fl.BUILDING DEPAT?"]'N�iLN`(� UPI: Q\L1' "':`: Contact In(ormatiore�,�-ll �31 —���' / ��� f Reviewed By: — — — — — — — — — — — — — — — — — — Date: Property Address / Location of Construct ion Work: — — — — — — — — — — — — — — — — 1r Approved for processing Building Permit. Z®� �� �' "� Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) ORM " SMCP-TOS MAY 2014 T SITE DRAINAGE; EST HOLE DATA (Suhdiviron.Yang t Yang,5urvegora) AREA VOLME(RsyeN DRAINAGE BTRUC VOW'IIE ��n0WS fPm l O T.H. u l T.H. 92 DRI Prat DMewp 3030 SF 1050 SFr JW R.e-sou OFSOIN Tm Rieflx 6ewR1 so,OF TOPSOIL 1 TOPSOIL p� 'I-P�i� al sF<LP Ran•10.4 CF SIN Trp Rrdfie 0 emd 29.1 CF FINE SAND LOAM DR3 GmF Omer 410 Y n/0 SP a Jii'Rm-115E g Dr'`T °J 17SA OF CLAY 4, pmegr/Hama 150 EP SYs T,P Trfx.,Saum}t S' C DR4 Ham/PaMn ISw sP WO SP•AC Rm-2413 9'.Fn'p&,P,creep) 253.6 d COARSE RED COARSE DR5 Htaw/Parek li,sP MI SP x At'Rem•1413 ��T..TyH 1S3.i d RED SAND 12' I SAND t GRAVEL HaoA Porch —d.d to erd G o'0 �dair Rod luroe Gdtma!Lsahre o0 111E d/Fl d Hn�t Cu ami a Stwtmer(T P3 LCcIGHT 5 ID t SAND SE GRAVEL ASSUMED DATUM I'MIN.1 V MAX. '�APPIC IT IT FF EL•303' CONCCRETE LOCKING CAST ;;,Al SWG CHRINEY DEPTH 'IRON GCOVER EL riB' INVERT EL•049 PIPE I14'PER PT. 4'D APPROVED CONCRETE MIN.PITCHzL -2L PIPE I/8•PBR FT. COVER INVER 1'ITCM _ _ 25A, UID PTH _ INVERT IIIVERT 7 BAFF m EL e25.9' PjL ri6.0' NEW SANITARY SYSTEM GAL.)' (2)LEACHINGPOOLSSINGLE FAMILY DWELLING,18)BEDROOMStJ� (550 S.F.) _ SEPTIC TANK.2000 GALLON 110'0.,Wl DEEP) r^V LEACHING POOLS:550 S.F. 51DEUIALL AREA �// i3'MIN. I (2)8' m x 11',DEEP LEACHING POOLS VVV 'COLLAR MEET ALL 5.C.DEPT.OF HEALTH SERVICES REGULATIONS. I i 3'011N.)TO HIGH —1r SEASONAL(1ROUNDWATER, •0, n.tu• LOT 1 S OPEN SPACE fca - - S?• 11a 1A, r'8e E a Ae.a• - - 7�fi N LOT T OPEN SPACE oO . Pool y ,, r illD LOT 4 l+ EXISTING SINGLE W/PUBLIC DWELLING V[1J✓ W/PUBLIC WATER el.]Q KR.. • �• Aq� aP�tlea �'r '' PROPERTY OWNER: MICHAEL 1 JENNIFER KOKE 4Ry r SITUATE,SOUTHOLD BAYVBEW) -P TOWN OF SOUTHOLD �' P• '-o AB3' SUFFOLK COUNTY.NEW YORK SURVEY INFORMATION: n�"71 •� ``� KENNETH M.DOYCHUK LAND SURVEYING LOT 2 PO BOX 153.AOUEBOGUE.NY I1131 VACANT SURVEYED,MAY 28,2014 ELEVATIONS.MARCH 16.201E ELEVATIONS REFERENCED TO NAVD 1998 Toat m86,00'�3R `Wl tid LOT NUMBERS SHOWN ARE FROM MAP ENITLEU aPe 5� •ZOUMA5 CONTRACTING CORP.' 2 .urb•a<A/Q ` g FILEO IN THE SUPPOLK COUNTY CLERKS ICE ON OCTOBER I,2004 As MAP H. RuN eI..A. SCTn91000-014-04-11.2 LOT AREA,82AOA SP Rm85.00' ZONING,AC 1�I'I5.L4 RICK R4 SITE PLAN gREDASTI.APLE RROAO c I" 50'-O' GR EENLAUN.NY 11140 f (931)154-5565 Y• MARCH IT,2015 r�s6B 1 srnHs sT•nP i JUFFOLK COUNTY D7.FA;,-,m idF H-E ALTS li r lCE5 -� 91 0 PERMIT FOR l;Pi 1.,.,'t,vi�., Tn '•• . U�'iDN FOR L=3�.4I w li,_.,,__.,L t4 R�45,00' NO 2m FOR MAXIf'.,^^•'. H�41 Y/F�ROga ;' "' C j EXPIRES T H R E 1•EAP5 F)?0'.S DATE OIVI?PF.CV.'eL NOTES: OWNERSHIP AND USE 00A OF DOCUMENTS THESE DOCUMENTS ARE COPYRIGHTED ©2016.BY THE ARCHITECT.DRAWINGS AND SPECIFICATIONS AS INSTRUMENTS S�°I�INTHEPR PEERRTYYOFTHE APB s0V�D A N UNIT D --I-- TYP BOND BEAM) ARCHITECT.THESE DOCUMENTS ARE NOT TO BE USED IN WHOLE OR PART;FOR ANY DATE: .P.# OTHER PRo.IECTS OR PURPOSES,OR BY #4 12" O.C. VERTICAL _ANY OTHER PARnEs,THAN THOSE _ PROPERLY AUTHORIZEDBYCONTRACT, FEE: 6 SY: 4-0" AUTHDUT THE ATIONOCIFlCWRrrTEN NOTIFY BUILDING DEI ARTS _ AT #4 12" O.C. HORIZONTAL— USAAUTHORIZATION OF R.EZALOGA-ARCHITECT. 765-1802 8 A►vl TO ?PM FOR THE UNITE WALL SYMBOLS FOLLOWING iNSPEC 1 IONS: #4 6" ❑.C. VERTICAL CAE 1. FOUNDATION - T11VO REQUIRED BRW„� FOR POURED :;ONC'RETE @ 48 BELOW GRADE XISTING NATURAL GRADE — — —HIDDEN LINE ABOVE 2. ROUGH - FRAI~AIR'G & PLUMBING R2' ❑R COMPACTED FILL -----HIDDEN LINE BELOW 3. INSULATION — —ALIGN 4. FINAL - CONSTRUCTION MUST � vuwoowLETTEJT 6E COMPLETE PC01 C.O. USA R.EZALOGA RA O DOORNUMBER ALL CONSTRUCTION SHALL MEET THE ELEVATION DATUM REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR H A DETAIL REFERENCE PROPOSED POOL SECTION A-I SHOWING ANDSH ET NO. o. DESIGN OR CONSTRUCTION ERRORS. AND SHEET NO. AA 1 SECTION REFERENCE _ SCALE:1/8"—1'-O" Oo A"SHEEDWG.N COMPLY WITH ALL CODES OF 40' DMRIORELEVAnDN NEW YORK STATE & TOWN CODES EGRESS AS REQUIRED AND CONDITIONS OF 14'-6" 25'-6" ¢� o �¢ ONO O GTE #4 12" Of j 08 SCFP SELF CLOSING i HOUR FIRE ' AASSSSEEMBUES ,w W aMe SORT T i r���T,JJJ r-, 0 FSG FRAMELEss SHOWER- w rr Z SAFETY GLASS V" ►IT-n nrn F-' � a ETBS ELONGATED SOILETBOWL STANDARD HEIGHT OCCUPANCY OR ETBC ELONGATED TOILET BOWL COMFORT HEIGHT' � V . NTRACTOALLEDBY USE IS UNLAWFUL cDNTRACTDR, MC MIRRORED MEDICINE 20' CABINETB_FINTO WITHOUT CERTIFICATE WALL)VERIFYTYYTYPE W,OWNER N TILED SOAP NICHE HH HANDHELDSHOWERHEAD OF�OCCUPANCY w � � ELECTRICAL O W INSPECTION REQUIRED o z W W O W w - 0 ` D. � ❑ o as z RETAIN STORM WATER RUNOFF cm = z Y N J Q PURSUANT TO CHAPTER.236 D_ LU Y co —J 06 OF THE TOWN CODE. 3 REBAR SCHEDULE ° `� - 1971 6 .EDIATELY"�= SCALE 1" - 1,_0„ DESIGNED 9Y: LRE2 4 - DRAWN BY. ENCLOSE OOL TO COPE,,, '' CHECKED BY: LREZ UPON COMPLETION PRINTErr+a+ane 'BEFORE"WAT.ERA �`' ` SHEET NUMBER PROPOSED POOL PLAN SCALE:1/8"=1'0" ® NOTES: OWNERSHIP AND USE OF DOCUMENTS THESE DOCUMENTS ARE COPYRIGHTED ©2016 BY THE ARCHITECT.DRAWINGS AND SPECIFICATIONS AS INSTRUMENTS OF PROFESSIONAL SERVICEAREAND SHALL REMAIN THE PROPERTY OF THE ARCHITECT.THESE DOCUMENTS ARE NOT TO BE USED IN WHOLE OR PART,FOR ANY OTHER PROJECTS OR PURPOSES,OR BY - ANY OTHER PARTIES,THAN THOSE ATER LINE PROPERLY AUTHORIZED BY CONTRACT, WITHOUT THE SPECIFIC WRITTEN AUTHORIZATION OF LISA R.E.ZALOGA-ARCHITECT. LISA R.E.ZALOGA RA - ETURNS 2 , RETURNS AN MAIN DRAIN . w op 0, ao 5' '}6' 1'}6'Li Ll Li O C7 0 1 P ❑-❑ L PLAN VIEW ° zN SCALE: 4" _ 1'-0" � 0 � wEn � z B" 9 1'-9"o e o e 1'-9" 3'-0" 10' 4'-3" 10" Z Lu GRAVEL UNDER V c/) GUNITE W Z r � 0of } z -7" 10'-9' 14'-7' I ofZ J n 0w J � EXCAVATION VIEW aW ° ° ° ~ wow ° o 2 � N = o _0„ ° Z SCALE: 4„ = 1, o o W 0al co U PROPOSED POOL PLAN & SECTION `" 4•};; :. A -�, �-,a,; DESIGNED BY: LREZ E. �l j<:l''".y p DRANM BY: JARS. !� y . C�c EDBY. LRLEZ SCALE:1/8"=P-O 11 -,"'%fin PWNTED tON4N8 SHEET NUMBER �OF ME AE N D N un 1101MENSIONE ARE TO GUNITE ec-wsov ma o wn Building Deparament Town of Sou POOL LAYOUT SCALE:1 a =I-o A .1 k _ t 1 Y_I:Im Y-IP COPING OVER HANGS GUNITE li' 1 2.12'COPING --- MORTAR (3)J4 BAR w—.unm ,y wne,.0 to 10}'BEAM e•G—C n- SECTION B SECTION A SCALE:1 4 1-0' SCALE:1 4 -l-0' y4 BARS 12-O.C. 8'WALL E.W.6'O.C. VERTICALLY AT rw.e wa nv.e,r sc cn DEPTHS OVER? NTERIOR FINISH FT. �'4 � 0 GUNITE ELEVATIONS SYMBOL KEY QUICK SPECIFICATIONS TOP STEP(24'RADIUS) 7�'BELOW BEAM v, A Po]n] r°r d LED NICHELESS LIGHT(5) SECOND STEP(12-WOE) 17'BELOW BEAM DIMENSIONS: 40'-0'X 20'-0' SIDE WALL DETAIL ream."4 C� SPA JET(12) THIRD STEP(12'WDE) 264"BELOW BEAM WATER DEPTH:3'-6'TO B'-0' SCALE:1 =1-o 0 HARTFORD LOOP(1) BOTTOM STEP(12-WIDE) 36-BELOW BEAM SURFACE AREA:800 SO FT p� � SKIMMER W/2'PORTS(2) SPA BEAN(10j"W10E) 18'ABOVE POOL BEAM PERIMETER: 120'-0'LINEAR FEET 9 L&1 I I I I I I I �II I I I ,I I I I ( DIRECTIONAL RETURN(3) SPA BENCH(18-W1DE) 23j'BELOW SPA BEAM TANK VOLUME: 33,900 GALLONS SCALE:1/4'a 1'-0' 11NI�N FORKS TWIN FORKS POOL& SPA SERVICE NO. REVISION DATE POOL LAYOUT KOKE RESIDENCE 601 x SERVICE 4.0 P.O.BOX 1308 x SOUTHAMPTON NY & 200 DEER RUN P-1 631-537-5732 SECTIONS SOUTHOLD NY 15-Ju1-24