HomeMy WebLinkAbout50333-Z ho4,of SouTyo� Town of Southold
* * P.O. Box 1179
�0 53095 Main Rd
Ulm Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46074 Date: 04/01/2025
THIS CERTIFIES that the building HOT TUB
Location of Property: 555 Fasbender-Ave Peconic, NY 11958
Sec/Block/Lot: 67.-6-4.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 01/11/2024
Pursuant to which Building Permit No. 50333 and dated: 02/12/2024
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: Jason Graves
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 50333 3/26/2025
PLUMBERS CERTIFICATION:
V.
A t ed Signature
Suffo�K TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,NY
dal ya.
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#: 50333 Date: 2/12/2024
Permission is hereby granted to:
Graves, Jason
550 Fasbender Ave
Peconic, NY 11958
To: legalize "as built" hot tub as applied for.
At premises located at:
555 Fasbender Ave, Peconic
SCTM #473889
Sec/Block/Lot# 67.-6-4.1
Pursuant to application dated 1/11/2024 and approved by the Building Inspector.
To expire on 8/13/2026.
Fees:
AS BUILT- SWIMMING POOL $600.00
CO- SWIMMING POOL $100.00
Total: $700.00
Building Inspector
SO(/T�ol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • Q
Southold,NY 11971-0959 �Q a
�y�OUNTY,N�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jason Graves
Address: 555 Fasbender Ave City: Peconic St: NY Zip: 11958
Building Permit#: 50333 Section: 67 Block: 6 Lot: 4.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: as built License No:
SITE DETAILS
Office Use Only
Indoor Basement r Service r Solar F
Outdoor W 1st Floor (— Pool r Spa F
Renovation F 2nd Floor I— Hot Tub r Generator r
Surrey Attic r Garage ri Battery Storage r
INVENTORY
Service 1 ph F Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph 1- 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
Other Equipment: 6 Circuit Sub Panel / 2 Used 240GFI Breaker
Notes: " AS BUILT NO VISUAL DEFECTS " HOT TUB
Inspector Signature: X Date: March 26, 2025
Sean Devlin
Electrical Inspector sean.devlinCaD-town.southold.ny.us
555FasbenderHotTub
' qv SOUIyO� -
# TOWN OF SOUTHOLD' BUILDING-DEPT.
coorm,�F'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ 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 C [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE INSPECTOR ��
OF SOUIyO�
TOWN OF SOUTHOLD BUILDING DEPT.
coum,� 631-765-1802
o 77 INSPECTION ' —
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ]. FOUNDATION 2ND [ ] PgULATIOWCAULKING
[ ] FRAMING/STRAPPING [ )FINAL �6T -TV
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] .FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
r
DATE 6 INSPECTOR
It 1 t¢/J.gr a .f{�,_W:f: r ,�( rr "� iL. \ ' i.r ► Lw
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1
FIELD INSPECTION REPORT DATE COMMENTS
01
FOUNDATION (1ST)
-------------------------------------—
FOUNDATION (2ND) --- --- -- — — --- -- --- ----- ._. dam
cl,
cn
ROUGH FRAMING&
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
on
FINAL
ADDITIONAL COMMENTS
50 a
0
CA ;mu
�ao�oguFFot r�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtowngy.go
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT N0. 1563-3,5— Building Inspector: JAN 1 1 pO24
Applications and'orms must 6e filled out in their entirety.Incomplete
applications will not be accepted.`,Where the Applicanvis not the ownerr an
Ownees'Authoriiation'form(Page 2)shall'be completed.
Date:
OWNERS)OFPROPERTY
Name: _HSG_IJ _2APEW SCTM#1000-
Project Address:
Phone#: Email:
.._ex�w_S� _c.o _
Mailing Address:
CONTACT PERSON:'
Name: 'A
Mailing Addresor Y51
s: V.
Phone#: S �, — Email:
DESIGN PROFESSIONAL'INFORMATION:
Name:
Mailing Address:
Phone#: Email:
,CONTRACTOR INFORMATION.
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION.OF,PROPOSED CONSTRUCTION
❑New Strucptve ❑Addition ❑Alteration epair ❑Demolitio Estimated Cost of Project:
Other tTO Cod
Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ONO
1
i
-PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes [:]No IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/coritrictor/desigm professional iIsresponsible forall 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 pursu ant 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,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 buildings)for necessary inspections.False statements made herein are .
punishable as a class A misdemeanor pursuant to Section 210.4S of the New York State Penal Law.
Application Submitted By(print name):J<fQq E_� ❑Auth Drized Agent .20-%ner
Signature of Applicant: Date:
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
Qualified In Suffolk County
COUNTY OF
Commission Expires April 14,ZLa4
being duly 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 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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
rhday of 0(AOt '44 U L8&i�
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
�; v fat/( BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
=` Town Hall Annex- 54375 Main Road - PO Box 1179
Me Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
iamesh(cD-southoldtownny.gov- seand(aD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: coy �R- C-A-Zo ck`2�;�i I � L,�
Electrician's Name: 6 _ ,
License No.: ������JM Elec. email: e, Q `e `� e%r1 , Cps
Elec. Phone No: ❑I request an email copy bf Certificate of Compliance
Elec. Address.: 'S'jl� -e-y C ej R N
JOB SITE INFORMATION (All Information Required)
Name:
Address: `G
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: (o 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 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
r
, S�ffU1ilk" BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375.Main Road - PO Box 1179
• 1 Southold, New York 11971-0959
Telephone.(631) 765-1802 - FAX(631) 765-9502
fameshCcDsoutholdtownny aov— seand0southoldtownny.4ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: I ( aba
Company Name: COS. �IGL. ClwOL-2 �,L
Electrician's Name: i(L.1 6
Lev—
License No.: C— `� Elec. email: !fIC
{.
Elec. Phone No: ❑1 request an email copy ertificate of Compliance
Elec. Address.: sj`ZS �- ChLIn(Z 1v
JOB SITE INFORMATION (All Information Required)
Name: a a�
Address: t5 Gt kq,4—� C4W I'G
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: (o Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES❑NO a 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 Over ead
#Underground Laterals 1 2 H Frame M Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
HH's C [ l Gar S
UC Lts Fridge HW POOL
Fans Mini Fr. W/D PanelPump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
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
February 25,2024
V �
RE: 555 Fasbender Ave Peconic NY 11958 �
Susan,
We have enclosed a check in the amount of$1,750.00 for permits to legalize the hot tub and
Ductless A/C system. Please let us know if you need anything else.
Regards,
Kara and Jason Graves
l
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Acryfzc Swim Sera with Waterfall
DIMENSIONS:
7' 7'X 13'2'X 48" DEEP
231 Cm X 401 cm X 122cm DEEP
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APP OVED AS N o-�ED
DATE- XX B.P,#
FEE U BY:
t Maui NOTIFY BUILDING DEPARTMENT AT
a. N 631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION-TWO REOI.)'prn
FOR POURED CONCRETI=
dr f 2. ROUGH-FRAMING& PL(.
. o \ r) 3. INSULATION
4. FINAL-CONSTRUCTION MU ST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
26 Jets 2.- 6 HP Pump&Motor 75 sq ft Cartridge Filter YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
Sias �taciurefs
I - r mom COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODE
`= ---►� AS REQUIRED AND CONDITIONS 01
isir�
' Fuca: �s �� uscrues��s.
. aMc�ur000Rue� �,l�UI�NENTA5StM6UtS — SOUTHOLD TOWN A
ANI�SSGEUTEO
dgr«k t�°'rater SOUTHOLD TO PLANNING BOAR
I` -�;pttlRilbU18iD15BS'_i
SPA MAHUfACT11RERS, INC- — SOUTHOLD T N TRUSTEES
"60 we�a n R"d • cl ►vatcr,AFL 3376c.i (747)530.9493 • fax(727) 5394151 N.YS,DE
SO LD HPC
Sc
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA'
� - E C E V E OF OCCUPANCY
inT.
F EB 1 2 2024
Build-In.g r""P7111le"ISTIi ELECTRICAL
1 rrra s�� 3e�€traoDd dNSPECTION REQUIRED
2
NO RISKI
a , ver .
,il r r
' 'Keep cbildrerr away, cover wiii r,Qt support weighs
lemQV6,cover(s) completeijr before
errfiry of bathers..
Children or:objects.carinot-b6f..seeerVtander,eover.
s .ruse`o fbilovi ftt,*ucti ns imay result ih"
F' -injury or death.
This prodract,rribets r"equrrerrents specified.in
*TM F:". 346-91 fnr sunii nurn
safety label require -an s
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F E B 1 2 2024
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