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Home My WebLink About35915-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 5/20/2011 CERTIFICATE OF OCCUPANCY No: 34958 THIS CERTIFIES that the building HOT TUB Location of Property: 550 KRAUS RD MATTITUCK, Date: 5/20/2011 SCTM #: 473889 Sec/Block/Lot: 122.-4-38 Subdivision: Filed Map No. conforms substantially to thc Application for Building Permit heretofore 9/27/2010 pursuant to which Building Permit No. was issued, and conforms to all of the requircmcnts of the applicable provisions of thc law. The occupancy for which this certificate is issued is: hot tub as applied for. Lot No. filed in this officed dated 35915 dated 10/4/2010 The certificate is issued to Connell, Suzanne (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35915 12/3/10 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. 35915 Z Date OCTOBER 4, 2010 Permission is hereby granted to: SUZANNE H CONNELL 550 KP~AUS RD MATTITUCK,NY 11952 for : INSTALLATION OF A HOT TUB; ACCESS TO BE PROTECTED PER CODE at premises located at 550 KRAUS RD MATTITUCK County Tax Map No. 473889 Section 122 Block 0004 Lot No. 038 pursL~nt to application dated SEPTEMBER 27, 2010 and approved by the Building Inspector to exq~ire on APRIL 4, 2012. Fee $ 250.00 Authori z ed- Si~ature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG. DEPT. rO':VN OF SOUTHOLD 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 °f pr°perry with accurate location o f all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Appr°val 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 Pl.anning 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 0f pr0pertY 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, Swinv:ning 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 $ l 5.00, Commercial $15.00 Date. New Construction: Location of Property: Old or Pre-existing Building: House No. Street Owner or Owners Of Property: .. Suffolk County Tax Map No 1000, Section Subdivision Date ofPermit. Permit No. Health Dept. Approval: 'Planning Board Approval: Block Filed Map.. Applicant: Underwriters Approval: (check one) Hamlet Lot Lot: Request for: Temporary Certificate Fee Submitted: $ ~ . 0 o Final Certificate: (check one) Signature Town llall An]lex 51375 Mare Road P.(). Box 1179 Sin~lhold, NY 11971-09,5!t Tclcllhiinc (631) 765-1802 (631) 76,5-9,502 rofler, richert~town.southold.n¥.us BI IILI)ING I)EPAI~I'MENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Suzanne Connell Address: 550 Krause Rd City: Mattituck St: NY Zip: 11952 Building Permit #: 35915 Section: 1 22 Block: 4 Lot: 38 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Corn medcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: self contained hot tub with remote disconnect Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture~.~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures ~ TVSS Notes; Inspector Signature: Date: Dec 3 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [ ~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ REMARKS: ] FIRE RESISTANT CONSTRUCTI0# [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR ./~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net PERMIT NO. Examined ~ ,20/O 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 Flood Permit Storm-Water Assessment Form Contact: Approved lO/'z~ ,20 IQ Mail to: Disapproved a/c Phone: ,20 8EP 2010 / Buil'~ng Inspector ?LICATION FOR BUILDING PERMIT Date INSTRUCTIONS Expiration BLDG. DEPI. IOWN OF SOUIHOLD '~'/oQ-C., ,20 /O a. t ms apphcat~on MU51 be corn letely 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 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 Ibr the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of SouthoId, 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.,~~ OCCUPANCY OR "IMMEDIATELY" (Signature of applicant or name, ifa corporation) ENCLOSE POOLTO CODE USE IS UNLAWFUL U.ON BEFORE "WATER" ' f i I (Mailing address of applicant) CERTIFICATE UNDERWRITERSOERTIFICAIE ...... ~,, ! . REQUJREO . s( .,O i_ r: 0'kl(DiYowner, lessee, agent, arcnnect, engzneer, general contractor, electrician, plumber or builder APPROVED AS NOTED Name of owner of premises ~' o ~_ 04 N t.-~c- ~O/J Rg~/{ (As on the tax roll or latff~eed) ~- BY~ If applicant is a co~oration, signature of duly authorized officer NO r~FY BUILDING D~ARTMENT AT 7;,- '~n2 8 AM TO 4 PM FOR THE (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed w~rk,will be done: House Number Street 7CLLCTZNG INSPECTIONS 1 FOLJNDAT{ON- TVVO REQUIRED FOR POURED CONCRETE 2 ROUGH- FRAMING. PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3 INSULATION 4 FINAL. CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSI~I.E FOR r)~g~ nR cOn$.'t~. _L~T!_t'jN.. ERROR, S. Hamlet County Tax Map No. 1000 Section /o~(.-),, Block ~/ Subdivision Filed Map No. Lot ~'~ g Lot 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 /t/O7 7U-ZS" Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (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 Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories Rear DelSth 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 Name of Architect Name of Contractor Address Phone No. Address Phone No 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 Ry. QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERM1TS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate tbundation plan t{nd ~istances 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 · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) COUNTY o~S)s: being duly sworn, deposes and says that (s)he is the applicant (Name ofindividuaI signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) CONNIE D. BUNCH Notary Public, State of New York Qualified in Suffolk County Commission Expires April 14 2(D! 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 [his application are true to the best of his knowledge and belief; and that the work will be performed in thc manner set forth in the application filed therewith. Notary Public - ~gnature of Applicant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 · (631) 765- 50 roRer.rlchert~,~wn.sou{~o~.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Date: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: ~ ',.:, *Address: *Cross Street: *Phone No.: Permit No.: 3 5c~ J5 Tax Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK,(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES / NO Rough In Final YES / NO 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form qkmn llall Almcx ,5d373 Main Road P.O. Box 117!t Southold, NY 11!171 0959 Telephone (631) 76,5-1802 Fax (631) 7(3,3 9502 BI ;ILD1NG I)I,]'ARTMENT TOWN OF SOUTHOLD January 5, 2011 Suzanne H Connell 550 Kraus Road Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy ~J Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit:: 35915-Z hot tub TOWN OF SOUTHOLD PROPERTY RECORD CARD R~. ~ S~S. VL FA~ CO~ CB. MlCS. Mkt. Valu~ ~ IMP. TOT~ DATE R~RKS ~'~ 4=~ ~'~ N~ NOeL BELOW ~OVE Tillabl~ FRONTAGE ON WATER H~ P~ BULKH~D Toto~ ~ ~ ~ D~K M. Bldg. Porch Garage COLOR Foundation Basement Ext. Walls Fire Place Roof / /