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Home My WebLink About35034-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 6/17/2011 No: 34998 Date: 6/16/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: HOT TUB 175 Burtis Place, Peconic, Sec/Block/Lot: 67.-4-15.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/30/2009 pursuant to which Building Permit No. 35034 dated 9/30/2009 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: hot tub with fence as applied for. The certificate is issued to Slavin, Eileen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35034 6/3/11 Authori~d 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. 35034 Z Date SEPTEMBER 30, 2009 Permission is hereby granted to: EILEEN SLAVIN 175 BURTIS PLACE PECONIC,NY 11958 for : INSTALLATION OF HOT TUB W/FENCE IN THE REQUIRED REAR YARD AS APPLIED FOR. REPLACES EXPIRED BP # 32474 at premises located at 175 BURTIS AVE SOUTH/PEC County Tax Map No. 473889 Section 067 Block 0004 Lot No. 015.001 pursuant to application dated SEPTEMBER 30, 2009 and approved by the Building Inspector to expire on MARCH 30, 2011. Fee $ 50.00 ORIGINAL Rev. 5/8/02 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. 32474 Z Date NOVEMBER 6, 2006 Permission is hereby granted to: EILEEN SLAVIN 73-37 AUSTIN ST -APT 2-J FOREST HILLS,NY 11375 for : INSTALLJ~TION OF HOT TUB WITH FENCE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. THIS PERMIT REPLACES BP 25444. at premises located at 175 BURTIS AVE County Tax Map No. 473889 Section 067 pursuant to application dated NOVEMBER Building Inspector to expire on MAY SOUTH/PEC Block 0004 Lot No. 015.001 6, 2006 and approved by the Aut]~orized Si~ t~ ~ Fee $ 50.00 ORIGINAL Rev. 5/8/02 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. 25444 Z Date DECEMBER 28t 1998 Permission is hereby granted to: for : BARBARA KUNEN 175 BURTIS AVE. PECONIC~NY 11958 INSTALLATION OF HOT TUB WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA. at premises located at 175 County Tax Map No. 473889 Section 067 pursuant to application dated OCTOBER Building Inspector. BURTIS AVE PECONIC Block 0004 Lot No. 015.001 14 1998 and approved by the Fee $ 50.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 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 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 Complianoe~from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property 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, Swimming 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 o£ Occupancy - Residential $15.00, Commercial $15.00 New Construction: "/ Old or Pre-existing Building: Location of Property~%j t~' House No. St~t omop Suffolk County Tax Map No 1000, Section Subdivision Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~0, ~ (check one) Hamlet Block V Lot Filed Map. Lot: Applicant: Undenvriters Approval: Final Certificate: / . (check one) ¥ ~'~Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ro.qer.richert~town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTItOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Eileen Slavin Address: 175 Burtis Place City: Peconic St: NY Zip: 1195~ Building Permit #: 35034 Section: Block: Lot: 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 Commerical Outdoor 1st Floor New Renovation 2nd Floor Addition Survey Attic Se~ice I ph L~ Heat Service 3 ph ~ Hot Water Main Panel NC Condenser Sub Panel NC Blower Transformer Appliances Disconnect Switches Other Equipment: INVENTORY GFCI Recpt Single Recpt Range Recpt Dryer Recpt Twist Lock GFCI protected circuit for portable hot tub [ Service Only ~ Pool Hot Tub Garage Ceiling Fixtures ~ HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture [~ Pumps Emergency Fixtures~._~ Time Clocks Exit Fixtures ~ TVSS Inspector Signature: Date: June 3 2011 81-Gert 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 REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY mE RESSTJ~'r CONS'mUCT~fl [ [ ] ROUGH PLBG. [ ] INSULATION [/~FINAL [ ] FIRES~..',~'INSFECTION ] RRE RESlST~U~T I~:NETRATION REMARKS: 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 [ ] ELECTRICAL (ROUGH) [~ELECTRICAL (FINAL) REMARKS: DATE~/ INSPECTOR~~ U__NDATIoN (1st) ~UNDATION (2nd) )UGH FRAME & .PLUMBING' NSULATION PER N. STATE ENERGY CODE 'FINAL ADDITIONAL FORH NO. I TOh'N OF SOUTHOLD BUILDING DEPARTMENT TO~/N RAIL SOUTHOLD, N.Y. 1197 I TEL: 765- 1802 .... .... . Di~ a/c .................................. 3 SETS OF PLANS ............... SURVEY ........................ CNECK ......................... SEPTIC FOEN ................... NOTIFY: C*~L .q.~ :.%~.~... /~> /~ . . .... a. 'Ibis application must be ~,~letely filled in by type~iter or in ink and sul~itted to the Building Inspector 3 sets of plm~s, accurate plot plan to scale. Fee ~,'~rding to scbe~le. b. Plot plan ~ng lo,-~tion of lot aed of buildi~s on praises, relation~ip to adjoining premises or peblic streets or areas, and giviug a detailed deseription of la~ont' of property ~nst be dr~ on the diagram ~hida is part of ~his application. c. ll~e ~rk co,red by ~his applicatian ~ not be c~aced before isst~ace of Building Pemit. , d. Up~ approval of ~bis application, ~ Building Inspector rill i,,~,~ a Building Pemit to t~e applicant. S~ch l~mlt droll be kept on ~ p*~mises available for iuapection ~hmul~out abe ~ork. ~. No building ~hall be c~r~ied or used in ~hole or in part for any purpose ~iaatever ~mtil a Certificate of 0co~--~ simll have beon granted by I~e Building Inspector. AP~ICATIClt IS ~ PAIL to tbe Building I)eparu~ut for ~he isst~ee of a Building Pemit l~rst~t to the Building Z~e Ordinance of I~e To~ of 8eul~old, Suffolk Cmm~y, ~ York, ar~ o~her applicable L~s, Ordinates or P,~ulatiea~, for ~ cmstruction of buildi~s, additions or alterati~s, or for ramoval or ,~,,mlitian, as herein described. Tae applicant agrees to ~r,~ly ~ith all applicable la~s, ordinances, building code, housing code, and regulatians, ~ to ,~t~it angaorized inspectors on premises aed in building for secesaary insp~c, tiros. (Signature of applimt, or r,.~ if a eorperation) (Bailing ~4a,-ea,s of applicant) State ~lm~er a~plicanr is o~er, lessee, agent, architect, e~gianer, I~eral ~tr~tor, el~triei~, pl~r or hil&~ ................................... If ~li~t is a ~ratim, siam of &ly ~ri~ offi~r. ............................................. 06 U NCY OR (~ ~ titl~~~ ~ ~ . ~ ~UIRED REQUIREDUSE IS UNLAWFUL Li~ ~,,i~ ~ .................... :.,~. ~ ,., ~~~c.o. ALL ~N~U~ON SHALL MEET E[~c~[c~ ~ ~ ...................... ~E REQUIREMENTS OF THF N Y. ~r ~s ~ ~ ..................... ~TATE CONST~CTION & .............................................................. ~E.Q H Xfi .......................................... ~ ~r ~7~ ~ S~t ~et ~~. ~ ~i~ ..... ~. ...... mm .~ ............ ~ Z~.! ........ ~ivisim ...................................... [il~ ~ ~ ................ ~t ............... (~) State ~stig ~ ~ ~ of ~s ~ int~ ~ ~ ~ of ~ interim: ~. ~ ~ ~ ~ ...... <..~.- .... (~.~ ..................................... ~. ~t~ ~ ~ ~ ............. ~ ..................................... ~..~.... ~ (Description) 4. Estimated Cos fee T' (to be paid on fillng this appllcation) 5. If d~elling, ~ber of d~lllng onlts ............ l~ber of d~lling wits on eech fJoor ................ If garage, n~ber of cars ...................................... 6. If besieess, ~reiel or mi:~d eccupm~cy, specify nature ~nd extent of ex~h type of use ...................... 7. Oirmnsions of existing atmctorea, if any: Front ................ Rear ............... Depth ................. Ilelght ......................... Ix~nber of Stories ...................... l)i~enslone of sm~ structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Nmt0er of Stories ............... 8. Dimer~ione of entire new onustruction: Front ................ Rear ............... Depth .............. Deight ......................... l~er of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... I0. Date of Purdmee ..................... ~ of Former Omer ........................................ I I. ~ or use district in ~hich p~=,,iees a~ situated .............................................................. 12. Does pt~aoeed constveetlon violate any ~onlng 1~, ordinance or regulatiou: ...~..~. ................ 13. ~/ill lot be reg~nded .................... ~/ill e~cess fill be removed f,<,a premises: YES NO 14. Names of Owner o1~ p~cmai~ ........................... A&/reee .............................. Phone I~o ...... , ........ liare of Architect .................................... Address .............................. Phone No ............... ~ of Contrsctor ................................... Mdress ............................... Phone lqo ..... .~. ........ 15. Is this p,~erty within 300 feet of a tidal wetland? * YgS .......... NO .......... PLOT DIAGRAH Locate clearly and distiontly all Imildlngs, ~hether existing or propased, anti indicate all set-back dimensions from property lines, gi~e street and block t~nber or description according to dee~, and sho~ street names and indicate ~bether interior or corner lot. ,~ w ~- ....... · · .... ..................... being d. y (lime of i~ividual slgnlt~ above n~d, is tbe ............ .................................................................... (ConLractor, ~t~ Corporate o[[icer, etc.) of ~id ~r or ~rs, ~ is &ly ~t~rl~ to ~rfom or h~ ~r[o~ Om ~id ~ ~ Lo m~ ~ file this a~licatlon; that ~lI star--ts ~ta[~ in ~is ~.i~ti~ ~ that t~ ~ will ~ ~rfo~ in tbe n~,n~r mt forth in ~e ~li~ti~ f~l~ ..... -....... ....... Oay of ..................... Town Hall Annex 54.375 Main Road P.O. Box 1179 Southold, NY 119'/14)959 Tdephone (631) 765-1802 ro~or, richertd, t~ (wn~s) oTu~oS~(~.ny, us BUII.DI~G DEPARTMF2qT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION BY: Company Name: Date: Name: Ucense No.: ~,ddress: Phone No.: *Address: *Cross Street: *Phone No.: Permit No.: Tax. Map District: JOBSITE INFORMATION: (*Indicates required information) *Name: /"zc 1000 Section: Block: Lot: *BRIEF DESCRIPT. J~N OF WORK (Please Print Cleady) · (Please Circle NI That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If. needed} *Service Size: 1 Phase 3Phase *New Service: Re-connect Additienal Information: 100 Underground YES / NO Rough In YES / NO Final 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 824~'equest for Inspection Form To~vn Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 0959 Fax (631 ) 765-9502 Telephone (6311 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 13th, 2006 Eileen Slavin 73-37 Austin Street Apt # 2J Forest Hills, N.Y. 11375 RE: 175 Burtis Pl. (Hot-Tub) SCTM# 067 0004 015.001 Dear Ms. Kunen, Please be advised that your Building Permit #25544 issued December 28th 1998 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $50.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York I 1971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD May 13, 2011 Eileen Slavin 175 Burtis Place Peconic, NY 11958 TWO WHOM IT MAY CONCERN: / The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) c/ Electrical Underwriters Certificate. A fee of 50.00. [~-- '~-' / \ __ Final Health Department Approval. __ Plumbers Solder Certificate. (Ni permits involving plumbing after 4/1184) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 35034-Z hot tub ..%' OWNER STRE~ /?~- VI LLAGE DISTRICT SUB. LOT 77 '~ ~ F~MEI~ OWNER N S W TYPE OF b~llDl~G RES. LAND SEAS. IMP. VL. 3// TOTAL /ac' / AGE NEW NORMAL Farm Acre Tillable 1 Tillable 2 FARM DATE BUILDING CONDITION BELOW Value Per Acre COMM. IND. I CB. I MISC. REMARKS ABOVE Value Tillable 3 Woodland S~ompl~nd Brushland House Plot Total Extension Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place Healt Porch Attic Porch Rooms 1st Floor Breezeway Potio Rooms 2nd Floor Garage Driveway TOWN OF $OUTHOLD ROPERTY RECORD CABD / ,. Ow~E?., STREET /,:,.. :.:~ DISTRICT~ SUB./ J~oT OF $OUTHOLD PROPERTY REC;OI~D CARID / /~ _ ~? z/_/F' TOWN tO~NER FORMER OWNER ~ STRE r / VILLAGE DISTRICT SUB. ACREAGE ,//~/ LoT ~ AGE BUILDING CONDITION NEW Farm Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushlond House Plot Tctol IMP. NORMAL VL. ~././ ~/ FARM TOTAL DATE BELOW Ac re Value Per Acre REMARKS ABOVE Value L~ND N S W TYPE OF BUILDING RES. SEAS. cOMM. I IND. CB. MISC. Extension Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place He~ Porch Attic Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor (~a rage Driveway ..73. 3