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42236-Z
TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy,• o�* ASOUTHOLD, 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#: 42236 Date: 12/13/2017 Permission is hereby granted to: Benway, Leslie 3320 Oregon Rd Mattituck, NY 11952 To: legalize "as built" hot tub as applied for. At premises located at: C) L n 3320 Oregon Rd, Mattituck �.( SCTM #473889 Sec/Block/Lot# 100.-4-7.1 Pursuant to application dated 12/13/2017 and approved by the Building Inspector. To expire on 6/14/2019. Fees: AS BUILT-ACCESSORY $500.00 CO - SWIMMING POOL $50.00 Total: $550.00 Building Inspector OF SOUTy�6 # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH-PLBG. [ ] FOUNDATION 2ND . [ ] SULATTIION/� A FRAMING/STRAPPING [ FINAL 143 6V ff � [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: n �pPA ' DATE INSPECTOR W�� L;'A OF SO!/r�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box'1179 G Q (p • � �� roper.richert7town.Southold.ny.us Southold,NY 11971-0959 �Olyr OUNTTV BUILDING DEPARTMENT . TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Leslie Benway Address: 3320 Oregon Road city:Mattituck st: New York zip: 11952 Building Permit#: 42149 & 42236 section: 100 Block: 4 Lot: 7.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: REP Electric License No: 46288-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 X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt 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 2 Twist Lock F-1 Exit Fixtures 11 TVSS Other Equipment: "AS BUILT"- "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS" Notes: BP#42149 - Inground Swimming Pool to Include: Bonding, 1- Pump, Sub Panel, Time Clock, 1- Pool Light, Gas Pool Heater, 1- GFCI Circuit Breaker,.7- Deck Lights. BP# 42236 - 50A GFCI Protected Circuit for Self Contained Hot Tub.. Inspector Signature: Date: December 12, 2017 0-Cert Electrical Compliance Form.xls FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION (1ST) y ------------------------------------ d 'FOUNDATION (2ND) j' m4 0-11 o ROUGH FRAMING& G PLUMBING y 1 INSULATION PER N.Y-. H STATE ENERGY CODE � 1 4- !� 0 FINAL ADDITIONAL COMMENTS 12" 14,7 q Ll(/q Iff V> kb t 0 � z � y k� C t2i �d H i TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do yl u have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,INY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 766-9502 Survey Southoldtownny.gov PERMIT NO. Check j Septic Form N.Y.S.D.E.C. Trustees C.O.Application l V Flood Permit Examined ,20� Single&Separate D Truss Identification Form - DEC - 7 2017 ' I Storm-Water Assessment Form ING IDffr* Contact: Approved ,20 I $�� Mail to:1�� Disapproved a/c TOWN OF SUIJT�OLD (n3 l ) "7 3 y =1[p 00 ICPhone: Expiration ,20 Bui din nspector i APPLICATION FOR BUILDING PERMIT Date , 20 R- INSTRUCTIONS i a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building lnspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot p',lan showing location of lot and of buildings on premises,relationship.Ito 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. Uponiapproval of this application,the Building Inspector will issue a Building Permit to 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 permit 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. Thereafter, 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 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 for necessary inspections. I (Sigrat re.oQapplicant or name,if a corporation) © . (Mailing address of app cl ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on thV tax roll or latest;deed) If applicant is a corporation, signature of duly authorized officer j (Narne and title of corporate officer) Builders License No. (erg Plumbers License No. Electricians License No. G 2.%g--9-4 I Other Trade's License No. 1. Location� of land on which proposed work will be done: House Number Street Hamlet (��County Tax Map No. 1000 Section c Block ? Lots 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 b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work �Dy( \\ ( N�- (Description) 4. Estimated Cost r'f-: Fee 'aid�`n filing this application) p� g 5. If dwelling, number of dwelling units `I�urjnber of dwelling units o h floor If garage, number of cars I,, 6. If business, commercial or mixed occupancy, specify naTp ..and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rdar Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear 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? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or 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 NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF- t�) being duly sworn, deposes and says that(s)he is the applicant ( ame ft i di ' signing contract)above named, (S)He is the (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 th's "7 day of 2A_ 20 17 TRACEY L. DWYER Notary Publ c NOTARY PUBLIC,STATE OF NEW YORK Signature of Applicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2— Form No.6 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. 6. 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 $IS.00,Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: '�j2� -�— �� (� �Cflk_ House No. � - tr�eet Hamlet Owner or Owners of Property: L r, r Suffolk County Tax Map No 1000, Section Block_ -71 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 6l Applic nt Signature 11fFOt�� Town of Southold 12/22/2017 o. y 53095 Main Rd �,. Southold,New York 11971 o 631-765-1802 COMPLAINT To: Benway, Leslie Complaint#: 2012-268 3320 Oregon Rd SCTM#: 100.4-7.1 Mattituck,NY 11952 Follow-up Inspection Date: 7/25/2012 Location: 3320 Oregon Rd PLEASE TAKE NOTICE, a complaint has been registered against the location described above, in that the above named individual(s) did commit or permit to occur the following offense: Inspector Gary Fish reports deck and trellis constructed without a building permit. This condition constitutes a violation of: TOWN OF SOUTHOLD CODE 144-8(A)(1) To Resolve: Property owner has ten days from receipt of notice to file for building permit and renew existing expired permit or legal action will be taken. TOWN OF SOUTHOLD CODE 144-15(A) To Resolve: Property owner has ten days from receipt of notice to file for building permit and renew existing expired permit or legal action will be taken. When on 7/11/2012,I did observe the following: Inspector Gary Fish reports deck and trellis constructed without a building permit. This property will be re-inspected for compliance on: 7/25/2012 Damon Rallis . Town Hall Annex Telephone(631)765-1802 W75 Main Road G r0 er.riche ( P.O.Box1179 �' �OQ Southold,NY 11971-0959 DD i NOV 1 4 2017 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION TOWN OF SOUTHOI.D REQUESTED BY: Date: Company Name: ,_S� Name: License No.: Address- i•' 'Phone No.: . -64 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: � *Phone No.: 9 1 I-A --1�1� Permit No.: 2. Tax-Map District: 1000 Section: )D-o Block: Ooo Lot: , Co'l *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ( - -Yo r (Please Circle All That Apply) Is job ready for inspection: YES NO Rough In Final *Do•you need a Temp Certificate: YES f. Temp Information (if-needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 0 .82--Request for Inspection Form �`��� •sr:�v+�t5•t:stiff,<•r: jj�I�.�•. •. ..... .. .. .. ..5.r5. .. .. i Ill,Y.,... .5 n .. , .. ........ .. , �. r. ` tF TITLE NO. 82-52-3861>2 82-52- 38643 SI ROA \ 992 531� 0•630 65 a I ON R 500-00 Ism 03 z N.6 N Q l� o I , � � .��.� PARCEL � •� 30 '`• ' N N rn c� >a...w..... I _ _ •I o f ° Y- oto 85 , 3,5 c SURVEY FOR AT MATTITUCK DATE MAR. 2s, Is82 TOWN OF SOUTHOLD SCALE: 1"-40' SUFFOLK COUNTY, NEW YORK No. 82-32 *UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED 70: SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, USLfFE TITLE INSURANCE CO.OF NEW YORK 1*COPIES OF THIS SURVEY NOT BEARING THE LAND _ ' SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL JOHN IdAR1AARELLIS NOT BE CONSIDERED TO BE A VALID TRUE COPY. """ *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO L THE PERSON FOR WHOM THE SURVEY IS PREPARED, `, ;",rj-Yr ? N� AND ON HIS BEHALF TO THE TITLE COMPANY GOVERN- MENTAL AGENCYAND LENDING INSTITUTION LISTED HEREON,'AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS, *DISTANCES SHOWN HEREON FROM PROPERTY LINE SI TO.EXISTIN.G STRUCTURES ARE FOR A SPECIFIC ", +�i=,•. : I PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES, )' NOTE: a -MONUMENT SUFF.CO.TAX MAP- DIST. SECT, BLK. LOT ` 1000 100 04 OT 04 P/0 06 •�'UNG YOUNG '.44RIVERHEAD,NEW YORK,00 OST ANDER AVEN" ALDEN _ _TOTAL 1aV-,N: 22,948 S.F. � '� ' W YOUNr.PRnt=ccctnNA, euni��r�r� 6ad APP AS NOTED DATE; a iROVED3 B.P.# c�(�`� FEE.. � a.� BY. NOTIFY BUILDING DEPAP FM_ENT AT . 765 7180,2, 8 AM TO 4 I'M FOR THE ELECTRICAL POLL- ING:ANSPECTIONS; . INSPECTION REQUIRED 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE A. ROUGH FRAMING & PLUMBING 3. -INSULATION 4. FINAL - CONSTRUCTION MUST 'BE"COMPLETE FOR C.O. RETAIN STORM WATER RUNOFF ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW PURSUANT TO CHAPTER 236 OF THE TOWN CODE, YORK STATE. NOT RESPONSIBLE FC'R DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CC* DITIONS OF `36 BOARD _ ISTEES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICA OF OCCUPANCY Dec 13 2017 11:02AM HP FaxEast End Pool Nng 6318761191 page 1 Dec 131710:34a East End 631-779-2715 p.2 Ptot-P-Defivei.,11 Instt-tictions Utopia Genevir and Utopia Niagara _ _,; Dis? enslYans / [,, s C� WTE AN dh msions aria approxirr►ate;measure yourVa bGh"malring r= aificaf design orpat'hway decisions. . Ex{emal Sconce Light /'�%` •7 ✓ 1� ARONT VIEW l M. (97eeN F s(asp) ELECTiiM CUT01JT t 05 SB 75�(BOTH SIDES) ut WEN atem Criem) 51 Uxm? SPAORAM wmxalon: OVERALL 9' f7Jls+n PEDESTAL_ 84 Mum) � OVERALL SCU TOM VIEW PEDESTAL FlECTR1CA1 E=TRICAL RM ET mprTS OUTLET / AIRISM ® AIR DENTS DOOR S10E - NOTE:Wa&ins Manufactw9ng CorparaMn requires that the Geneva and Magara be installed on a mininnwm f thick rleinfuced oonm to pad or sbvcturally sound deck able to support the°dead weight"found in t e spa spedfic9on dmrt. WARNING:The Geneva and Niagara must riot be shimmed in any moaner. OIMrIo r-