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HomeMy WebLinkAbout35956-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 5/1/2011 CERTIFICATE OF OCCUPANCY No: 34926 THIS CERTIFIES that the building Location of Property: Date: IN GROUND POOL 5/1/2011 435 Bay Road, Cutchogue, NY 11935, SCTM #: 473889 Sec/Block/Lot: 116.-2-11.1 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 10/7/2010 pursuant to which Building Permit No. 35956 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 fence to code as applied for. Lot No. filed in this officed dated dated 10/20/2010 The certificate is issued to Robertson, Mark & Robertson, Ann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35956 4/4/11 ed Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35956 Z Date OCTOBER 20, 2010 Permission is hereby granted to: for : ANN D TOBIN 520 FRANKLIN AVE GARDEN CITY,NY 11530 CONSTRUCTION OF ANACCESSORY INGROUND SWIMMING POOL FENCED TO CODE AS APPLIED FOR at premises located at 435 BAY RD County Tax Map No. 473889 Section 116 pursuant to application dated OCTOBER Building Inspector to expire on APRIL CUTCHOGUE Block 0002 Lot No. 011.001 7, 2010 a/id approved by the 20, 2012. Fee $ 250.00 Authbrized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOED BUILDING DEPARTMENT TOWi~ 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 sewerageqtisposal (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. Commemial 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 applicat/on and cor/sent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the rea.sons therefor in wr/ting to the applica ~t. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alten Swimming pool $50.00, Accesso~ building $50.00, Additions to accessory building 2. Certificate of Occupm~cy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Oocupancy - Residential $15.00, Commercial $15.00 o dwelling $50.00, BLDG. DEPT. IOWN OF SOUTHOLD Date._ 4- 2a,.It Hamlet ~pplicafna(ure Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ 0 -~ Subdivision Permit No. Health Dept. Approval: Filed Map. Date ofPermit, l~-2~O- / (-.-) .Applicant: Underwriters Approval: Final Certificate: / (check one) Lot: New Construction: '/ Old or Pre-existing Building: (check one) Location of Property: ~ ~ Iq? R ~ . ~ VT-&~F~F_,¢O~. House No. Street Owner or Owners of Property: ~qLSL5 'T' ~'~ g~9~t'~-~I~-'T;C::~ Suffolk County Tax Map No t 000, Section ] 1 (o Block ~ Lot lt. t To,m lta[[ Annex 54375 M;fin Road P.O. Box 1179 Soudmld, NY 11971-0959 Tclcphonc (631) 765-1802 l:ax (63 I) 765-9502 ro.qor, richert~town southo d nv us 1½UILI)ING 1)EPARTMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Robed[son Address: 435 Bay Rd City: Cutchogue St: NY Zip: 1193~ 3uilding Permit #: 35956-35876 Section: 116 Block: 2 Lot: 11.001 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: Tim Meskill DBA: License No: 5211-e SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commedcel Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~ Smoke Detectors Recessed Fixtures [~ CO Detectors Fluorescent Fixture ~.~ Pumps Emergency Fixtures~._~ Time Clocks Exit Fixtures ~ TVSS Other Equipment: swimmin9 pool and shed, pool includes-bonding, 2 lights, 2 twist lock recpticles fo~ pumps, 1 control panel, 1 GFI recpticle, 1 dead front GFCI, 3 GFCl circuit breakers, 1 heat pump,1 cover motor Notes: Inspector Signature: Date: April 4 2011 81-Cert Electrical Compliance Form 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 CONSTRUCl10N [ ]FIRE RESISTANT PENETRATION ~d~CTRICAL (ROUGH) [ ] ELECTR~AL (FINAL) REMARKS: __ INSPECTO~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH~LBG. [ ] FOUNDATION 2ND [ ] 1~ISULA'I'_ION []FRAMING/STRAPPING ['~FINAL ~ FIRE SA~-,- ~ 'f INSPECTION [ ] FmRE~CE & cHmm~' [ [ ]FIRERESm'AHTC0m'TRUCTHX4 [ REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOW1N HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c Expkafion {0 sets area. PERMIT NO. ~ ,~"' ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans planamg Board approval Survey Check Septic Form N.Y.S.D.E.C. Tmstees Storm-Water Assessment Form Contact: Mail to:~ Building Inspector PPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS tletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 e according to schedule. lot and of buildings on premises, relationship to adjoining premises or public streets or 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 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 c)~37and regulatio2~% ag~ to admit authorized inspectors on premises and in building for necessary inspecti~.)/// ,~ ...... A/,0~n¢,/ ENCLOSE POOL TO ~DE UPON13 E F©.RCOMPLETtONE "WATER" (Mailing address of applicant) t~q/ State whether applicant is owner, lessee, agent, architect, engineer, genera] contractor, electrician, plumber or builder ~)bd ~ ~ UNDERWR TER$ C~RTIFICAT'_- (As on me tax roll If applicant is a cterporation, signature of duly authorized officer (Name find title of corporate offi~g}~(,3 Il ~ ~ U ¥ U H '!'-" ;: AWF[' Builders License No. C~./q/ f/~/-' , , ?'. ...... Plumbers License No. , : ' Electricians License No. z Other Trade's License No. [df' kdkaka U F'/.~NC~ f Location of land on which.proposed work will b~ done: House Number / Street County Tax Map No. 1000 Section Subdivision (Name) Block Filed Map No. FFF .~ 5-O. BY.~.~._;,~ N()ilFY BUILDING DEPARTMENT AT 7:,5 ~802 c AM TO 4 PM FOR THE ~JL ~ ',','i~'~O INSPECTIONS' r2t'~ '?N TWO REQUIRED S~;~PP!NG ELECTRICAL &CAULKfNG 3INSULATION 4FNAL · 30NSTRdCT~ON & ELECTRICAL ~c C O~,~PLETE FFR C 0 ALE CONSTRUCTION SNALg MEET THE REQUIREMENTS OF T..~ ~.: OF NEW B~ STATE NOT ~ESPONSIBLF ..... PURSUANT T APTER OF THE TOW CODE. 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructions. a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Addition Repair Removal Demolition Alteration OtherWork ~]ttO~t! Lt~a POor.. I - (DesCription) 4. Estimated Cost ~,,~ ~.,, 5. If dwelling, number of dwelling units If garage, number of cars Fee (To be paid on filing this application) Number of dwelling units on each floor 6. ': If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height_ Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Eltories 9. Size of lot: Front 10. Date of Purchase Dimensions of entire new construction: Front Height Number of Stories I°t/. Rear ('SO. -)r/~ q~OOr) Name of Former Owner Rear Depth Depth / ~' ~ Rear l 1. 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- aded9 YES NO .)(/Will excess fill be removed from vremises9 YES J~' NO 14. N~esofOwn~ofpremise~ Ro~dAddress~r ~o~ ~0neNo. N~e of Arc~tect Address Phone No Nme 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 d~t~lorfsm'vey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO__ · IF YES, PROVIDE A COPY. STATE OF~~.. VC~c: COUNTY OF ~/~_ ,7 ~ ~ '.t~ being duly swam, deposes ~d says that~heis theapplic~t (Nme of individ~l si~ing contract) above named, ~e is the (Con.actor, Agmt, Co¢orate 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 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. Swam to before me this Notary '_Public ~ ~, UMMER t Notary PuBlic - 8tote of New York ,,. bio. O1 U6182676 QualiFied in Suffolk County · : My Commission Expires March 3, 2012 Tovm I-bll Annex 54375 M~&~ Road P.O. ~ 1179 · Sou~oM, NY 11971-0959 Telephone (631) 765-1802 roRer, dchedd~w(~.~s) oTur~o~, ny. us BUII J]ENG DEPARTMENT TOWN OF SOUTHOLB APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: ~ddress: Phone No.: Date: lO-~7, lO . JOBSITE INFORMATION: (*IndiCates required information) *Name: /~)-A'/<' ~oa~"3 7go.J'., ~.* · ~d,~ *Address: ~g ~ ~ Ro. CuZ~ uw *Cross Street: ~ ~ 5~ & d ~ ~ ~ *Phone No.: C¢~c : ~o~ - ~/ -/qOl Tax Map District: 1000 Section: ) I ~ Block: oOO ~ // tqO ~ Lot: oIl. OOt *BRIEF DESCRIPTION OF WORK (Please Print Cleady) (Please Circle All That Apply) *Is job ready for inspection: ~Do you need a Temp Certificate: YES / NO Rough In YES / NO Final Temp'lnformation (If needed} - *Service Size: I Phase 3Phase 100 *New Service: Re-connect Underground ^dditional Information: 150 200 300 350 400 Other Number of Metem Change of Service Overhead WITH APPLICATION PAYMENT DUE ~ ~ 82-Request for Inspection Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 21, 2011 Mark Robertson 172 Argyle Road Stewart Manor, NY 11530 RE: 435 Bay Road, Cutchogue TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of 50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (AII permits involving plumbing after 4/l/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 35956-Z swimming pool ~T I' L,~L..f"-- L..,'~/'~I"~I I, I'N.I 5:,dFFOLK COUNT'( TAG< ~, 1000-[16-2-11.1 NOTES: N'iO NUI'dI~NT FOUND AP-~A = 26.241 S.F. cc 0.80 AC, IRE ®P-,APHIC 9CALE I"= 30' Lc:lnd Now or Por'mecl~ ot:: Norf. h Pork d,~ounb'"t.j Club S89°42' 10"E 153.78' House ,/ / /. / / / / JOHN C. EHLERS LAND SURVEYOR 6 EAST NL~[N STREET N.Y.S. LIC. NO. 50202 RIVERH~AD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Server\dkPROS\05-239.pro 20' H20 PLAN SECTION A TO?O 10' SECTION MIN. DIM. SECTION I5' WATER LINE MIN. DIM. SECTION WATER LINE MIN. DIM. SECTION NOTES FROM SKIMMER CHECK VALVE PLUMBING SCHEMATIC COPING ~ DON E BY O I'FIEP~S DIVING BOARD DETAIL CBy OTHERS) GRAPE · g WALL SECTION