HomeMy WebLinkAbout52047-Z 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#: 52047 Date: 06/30/2025
Permission is hereby granted to:
Edward P Rittberg
640 Woodcliff Dr
Mattituck, NY 11952
To:
Install hot tub on grade at existing single family dwelling as applied for.
Premises Located at:
640 Woodcliff Dr, Mattituck, NY 11952
SCTM# 107.-8-12
Pursuant to application dated 06/02/2025 and approved by the Building Inspector.
To expire on 06/30/2027.
Contractors:
Required Inspections:
FOOTING/REBAR, ELECTRICAL- ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL,
Fees:
CO Swimming Pool $100.00
SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $300.00
Total S400.00
�� Building Inspector
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 htt , ://wAw outholdt:L)wrat py
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. U Building Inspector:— �� 2 2025
Applications and forms must be filled out in their entirety.Incomplete Building Department
applications will not be accepted. Where the Applicant is not the owner,an Town of Southold
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name: +6G�, f,� v�,( -V Ca r r,e, SCTM # 1000- 10-7 8 2
Project Address: 4,q0 + Y ao I ' ,f y, �LtQ,- C
Phone#: l C1 `t-q l 9Ct
Mailing Address:
CONTACT PERSON:
Name:. a &-r
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
DN Structur ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Cher L T ra 6 $
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes ❑No
1
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.
[l Check Box After Readirlg: The owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by
Chapter 236,of the yawn Coda:APpFICA LION is HERESY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the lrollrn of Southold; uffolk,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 building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal taw.
Application Submitted By nt name):-' V r ❑Authorized Agent 2/owner
Signature of Applicants Date:
CONNIE D. BUNCH
STATE OF NEW YORK) Notary Public,State of New York
No. 01BU6185050
SS: Qualified in Suffolk County
COUNTY OF ) Commission Expires April 14. 2(3
t jet &wit'_ being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the ow A)Ie 0-
(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
20
day of
Notary Public
PROPERTY OWNER ,AUTHORIZATION
(Where the applicant is not the owner)
1, 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
yr~~r+ �iA l "� DO•U�+Y
� C
A
C U
C2 SS
170
° ..
E w
r fAll
pda--Am
v. .w4
s� v ",� � �
ek, � fft BUILDING DEPARTMENT- Electrical Inspector
ell
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
r . Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
amesh southoldtownn ov - seand @ southoldtownn y. ov
;..,
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 41t - ,3 0 - .ZS
Company Name:
Electrician's Name: , ,_t U �jp
License No.: ,gip f, -53 q 4 2- Elec. email:
Elec. Phone No:6,. J �4, 2610 ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: ��,�.
Address: ° `+ t ,
Cross Street:
Phone No.: LLd q CI�Z
Bldg.Permit#: email:Ev
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?: 0 YES F] NO Issued On
Temp Information: (All information required)
Service Size1 Ph[:]3 Ph Size: A # Meters Old Meter#
❑New Service[:]Fire Reconnect[:]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 02 0 H Frame Pole Work done on Service? R Y ON
Additional Information:
PAYMENT DUE WITH APPLICATION
)e,w.-ot
APPROVED AS M
t��
.rATEB *. USE IS UNLAWFUL
NOTIFIP BUILDING�DEPARTMENT AT WITHOUT CERTIFICATE
6,31-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS.
1. FOI„iNDATION-TWO REQUIRED
FOR POURED CONCRETE
?, R")ii iGH-FRAMING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MFV THE
REQUIREMENTS OFTHE CODES OF NEW
" ORK STATE, NOT RESPONSIBLE FOR NEW DESIGN OR CONSTRUCTON ERRORS IRI
zm
1
ECLO SF- L T
IO OWE !27
COMPLETIONR
sm
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
i�
y ,� II
TA
500 SERIES
G RA N U 2 CORNER & FRONT LIGHTING
Specs
Seating: 6-7 Occupants Pumps: Pump 1 3.OHp/6.ObHp, 240V, 2Sp
Size (LxWxH): 92" x 92"x 38" Pump 2 3.OHp/6.ObHp, 240V, 2Sp
234 x 234 x 96.5 cm Voltage/Amps: 240V/40A/60A
Weight Dry/Wet: 893 /4208 lbs. Jets: 53
405/ 1909 kg
Gals/Liters: 399/ 1512
Features
AquaGlo'
Illuminated Adjustable Pillow
Aurora Beverage Coasters ' '
Aurora Cascade Water Features 2
Illuminated, Ergonomic Control Valves " C
Excel-Xk`Cabinet(Simulated Wood)
•
Freeze Protection •
Perma-Shield"Bottom Pan •
Premier Styled Cover •
Vita Dynamic Stainless Steel Jets
Steel Frame 1 [ 7 t
Northern Exposure"Insulation System •
Tactile Buttons with High Resolution LCD
Options
Champagne Air"' (10 air jets) •
Blower 1.51-1p, 1 Sp
24-Hour Circ Pump , ,
CleanZone' * '
CleanZone`'Ultra Dual Sanitization "
Vita Tunes"
nt,'m J,
ol
�L
�� �r;`r M r� � •
n
a
°Y