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34899-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34330 Date: 05/06/10 THIS CERTIFIES that the building HOT-TUB Location of Property: 5655 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 13 Lot 3 Subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 3, 2009 pursuant to which Building Permit NO. 34899-Z dated AUGUST 3, 2009 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 HOT TUB AS APPLIED FOR. The certificate is issued to ROBERT D & MARY SENA (OWNER) of the aforesaid building. SUFFOLK CO~]F~YDEPART~KNTOFHF~kLTHAPPRO~-AL N/A EI.Rt-rKICAL CBRTIFICATH NO. 2074946 06/05/07 PLU~ERS C~KTIFICATION DATED N/A Rev. 1/81 TOWN OF SOUTIIOIA) BUII,I)IN(~ I)I'~PAI~TM ENT 1'OWN 765-1802 .\lqqA('.\rl'lON l:¢)l.t CI.].ITIFICATF; OF OCCIJI:'ANI I In-, ~tl~plict/thm lnU:q bc Iillcd m hx t)pcxxthci ol ink and :qitmliucd Io thc HuiklmM Dc \. I. or ne,,,, bnildinff or new Ilse: I ]inal :~ursc5 of'pI'Ol¢crty v,'ilh HCC/ii'~tIC location olall buildings, property lines. hlpog:al*hic I'L':ItuFL'S. TOWN OF SOU[HOLD 2 t'inal App,oxal horn J leahh I)cph of' v, mcr supply and sewerage disposal (S-9 ~ \ppl{~xa] oI clcchicni in:qalhllion I'lOm Board ol J irc Lin(Ici'writers. 5 ~'ommc~ci~fl braiding, illthlsllial building, muhiplc residences a~d sinfilar buildings and installalions. o1( ode (nmpliancc lltm~ architccl o[ engineer responsible IUr ll~e buHdin5 n 5uhmil Phmnm~ Board %)proxal of'comlqCtcd site plan requirements. B. For existing buildings (prior lo April 9, 1957) non-conforming nses, or building~ and "pre-existing" land 2 X p:opc~ ly completed application and conscnl to inspect si?cd by linc applic~ml. IFa Ccrfilicatc ol ()ccul~anc ~ L o[I} o{ ('~:llil~<:~dc o1( )ccupancy - 5, 25 i [:lxhdcdL'cttificalcol'()ccupancy- $5000 '~[thdix ixion l i~;~h5 I)cpl..\ppn~xa[: t in\Icl v, I itel s ,'\pl~l o~, ;l I: final ( cllilicalc: (C[/CCk IlllC / BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by G & S ELECTRICAL CONTR. . SENA PO BOX 215 5655 NASSAU PT. RD SOUTHOLD, NY 11971, CUTCHOGUE, NY 11935 5655 NASSAU PT RDCUTCHOGUE, NY11935 [ slated at 2074946 2074946 Application Number: Certificate Number: S~cbon: Block: Lot: Building Permit: BDC: ns11 Residential 3000-4000 square ft. Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, A visual inspection of tine premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted ~n accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Cede Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 200?. ",tmc ©'IY Ra/e Rating C iLcp~il Iype \latin and Emergency Equipment Sensor 3 0 Carbon Monoxide Appliances ~lll(l Accessories ()~cn 2 0 40 Amps II>dt~) Massage l'ub (Fhcrapeutic) t 0 .x l,',t~t ran 6 0 F.II.P. I'ul nace I 0 Oil 5,1cn]l [Inh~qatma I 0 40 Amps I)[sh \kashcr 2 0 1.2 KW ,\ir Conditioner I 0 24.000 BTU \ii' ('onditioncr I 0 36.000 BTU ,,\i~ Conditioner I 0 48.000 B'IU AirConditioncr I 0 60.000 BTU Pool l lcatcr 0 Gas Pool Spa Bonding { 0 Wiring and Devices I)udct 142 0 Fixture seal I ixtur~ 142 0 hlcandcscent ( ontimlcd on Next I'agc 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU Of ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premmes owned by G & S ELECTRICAL CONTR. P.O BOX 215 SOUTHOLD, NY 11971, . SENA 5655 NASSAU PT. RD CUTCHOGUE, NY 11935 5655 NASSAU PT. RD CUTCHOGUE, NY 1!935 Application Number: 2074946 Certificate Number: 2074946 Secton: Block: Lot: Building Permit: BDC: ns11 '.)uscnb{d as a Residential 3000-4000 square lt. occupancy, wherein the premises electrical system consisting of e!ectrical devices and wiring, described below, located in/on the premises at: Basenlent. First I, Ioor, Second Floor, Attached Garage, Outside, A visual inspection of the premises electrical system, limited to dectricar devices and wiring to the extent detailed hereto, was conducted in accordance with the requirements of the applicable code and/or standard ircnnulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 2007. Name QIY Rate Rating Circuil Type Outlet 171 0 General Purpose Receptacle 90 0 General Purpose Switch 102 0 General Purpose [)immets 19 0 Receptacle I 8 0 GFC1 I teal lis[It, Veto 1 0 (iICi Circuit Breaker t 0 20a Disccnuuct 4 0 60a Air Conditioner btccephlcle 3 0 20a Pool/Spa her~ice i Phasc3W Servicc Rating 400 Amperes 5c~ x ice I)isconnect: 2 200 cb Mcte~s I 2 of 2 This certificate may not be altered m any way and is validated only by the presence of a raised seal at the location inSieated. :: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEI~MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34899 Z Date AUGUST 3, 2009 Permission is hereby granted to: ROBERT D & MARY SENA for : INSTALLATION OF A HOT-TUB AS APPLIED FOR. (THIS PERMIT REPLACES EXPIRED BP # 32412) at premises located at County Tax Map No. 473889 Section 111 pursuant to application dated AUGUST Building Inspector to expire on FEBRU2kRY 5655 NASSAU POINT RD CUTCHOGUE Block 0013 Lot No. 003 3, 2009 and approved by the 3, 2011. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32412 Z Date OCTOBER 6, 2006 Permission is hereby granted to: ROBERT D & MARY SENA 68 2ND STREET GARDEN CITY,NY 11530 for : INSTALLATION OF A HOT TUB AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 111 pursuant to application dated OCTOBER Building Inspector to expire on APRIL Fee $ 150.00 5655 NASSAU POINT RD CUTCHOGUE Block 0013 Lot No. 003 3, 2006 and approved by the 6, 2008. Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTAI~I' CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [~FINAL ,~", [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: H ~- '--/'-~--- DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~/FINAL ~ / [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~/~/~ "7'- ~)\ INSPECTOR DATE FIELD INSPEC~TION ~IEPORT DATE COMMENTS FOUNDATION (1ST) FOUNDATION ROUGH F~G & PLUMB~G INSULATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved Wc Expiration ,20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~t,~/~ f'C/~,~ ~-~.. Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date a. This application MUST be completely 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 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 t 8 monthi .from such date. If no zoning amendments or other regulations affecting the property have beer~ enacted in the interim, the Buildigg 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 }~uilding 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, housi~lg code, and rggulatigl~ and to admit authorized inspectors on premises and in building for necessary inspections. ( 'gnature of app 'caXli~/or na]31q, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises '~ -]-~t (~A s o~n e 1:1~ ~est deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers LicenseNo. ElectficiansLicenseNo. Other Trade's License No. Location of land on which proposed work will be dojoe: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) III Block /3 . Lot Filed Map No. Lot a. Existing use and occupancy ,~/tO~C ~ b. Intended use and occupancy )"~'~ 3. Nature of work (check which applicable): New ~]~T g'IU ~ Repair Removal Demolition State existing use and occupancy of premises and intended use and occupancy of proposed construction: 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, co¢~Ingr, cial or mixed_ 9ccu_pan~cy,.apecify 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 Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories 9. Sizeoflot: Fron(-''~ Rear Rear Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~4~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO~ 13. Will lot be re-graded? YES NO t~Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner ofpre.mises $~/~ Address C,~l~g'~.~ C Ir'O-/' Phone No. F/'~' '?q~ ~' -~._{~L~ Name of Architect /~/,/ig Ig J'~. b/'~,~, '~- Addr e s s II.I",~l Phone No 7~4 --' ~ / d°f~ 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 ufa 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. STATE OF NEW YORK) COUNTY O~S: /~/rff~ J ~//~(.~7~.~ - being duly swum, deposes and says that (s)he is the applicant (Name of individual signing contract) above named~ (S)He is the /4./~7 ~/~-~7~-~ ~ (Co~ntractc~, ~gent, ~orporate O~ficer, 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 tree 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. Notary Ptibli~ ~- Hoter~/Publlo, Store of New York ~o 4~55~05 Oual~hed' ' in Suffolk CountY14 Commission Expires Apfll ,~* ~of Applicant Tonn ILdl Annex 5~.375 Main Road P.O. Box 1 S(mthold, Nh' 11971-095!1 Tclcp[tonc (631) 76.5-1802 I:ax (631) 76,5-9502 B1 !Ill)IN(; 1)FJ'ARTMENT TOWN OF SOUTHOLD May 4, 2010 Robert & Mary Sena 5655 Nassau Point Rd Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00 __ Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 34899-Z hot tub Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York I 1971-0959 Telephone (631 ) 765-1802 Fax (63 !) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 22nd, 2009 Robert & Mary Sene 68 2"a Street Garden City, N.Y. 11530 *FIRST NOTICE* RE: 5655 llJ~z~Pf-~-,. (Hot Tub) SCTM: # 1000-111.-13-3 Dear Mr. & Mrs. 5ena, Please be advised that your Building Permit # 32412 issued October 6th, 2006 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit, please submit a fee of $20~0; at that time we can Schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, 50UTHOLD TOWN BUILDING DEPT 5 $ 08'10'20" 1 .'.'.'F36'5,0" E 50.01' 50.0~ ~ '- W 2~ .5' m --'24.0' 1 STORY FRAME HOUSE & GARAGE APPROVED AS NOTED NOTIFY BUILD!N3 ';:~:~ 4RTMENT AT 765-1802 8AM TO 4 PM FOR THE FOLLOWING INSPECT~ONS: 1. FOUNDATION - TWO REQUIRED FOR POUREO CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION 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. COMPLY WITH ALL CODES OF NEW Y~.~K STA,,_ & TOWN CODES RL..~.,,~,:~ - ~,,,~ ,. "iS OF AS ..... ~ ,:",N° .... '"'- ~ _ _:2, "'":&NCY OR ~,. ~ ,:-. IS UNLAWFUL ~,, , ~-~,,.,,ui CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED .... ;,,STRUCTION SHALL ~l~::t ~HE REQUIREMENTS OF THE CODES OF NEW YORK STATE. "iMMEL;~A , ~LY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" FLOOD ZONE COMPLY WITH CHAPTER "4~" FLOOD DAMAGE PREVENTION $OUTHOLD TOWN CODE. ....... - .......... i ......... - WITH ASTM F 1346, AS LISTED IN SECTION AGIO7. : ..................... ~ ~~ Z). TO OF R~N6 TO BE 4~" (HZN.) ABOVE .... - - 'mN. REVISIONS: