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Home My WebLink About35548-ZTown of Southoid Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 8/19/2011 No: 35155 Date: 8/19/2011 THIS CERTIFIES that the building IN GROUND POOL 75 DEER RUN SOUTHOLD, N.Y. 11971, Location of Property: SCTM #: 473889 Subdivision: Sec/Block/Lot: 79.-4-17.22 Filed Map No. conforms substantially to the Application for Building Permit heretofore 4/30/2010 pursuant to which Building Permit No. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for Lot No. filed in this officed dated 35548 dated 5/12/2010 which this certificate is issued is: accessory in ground swimming pool with fence to code as applied for. The certificate is issued to Butkovich, Ronald & Butkovich, Margaret (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIHCATION DAIED 35548 7/19/11 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. 35548 Z Date MAY 12, 2010 Permission is hereby granted to: M & R BUTKOVICH 75 DEER RUN SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL AS APPLIED FOR, FENCED TO CODE at premises located at 75 DEER RUN SOUTHOLD County Tax Map No. 473889 Section 079 Block 0004 Lot No. 017.022 pursuant to application dated APRIL 30, 2010 and approved by the Building Inspector to expire on NOVEMBER 12, 2011. Fee $ 250.00 / Authorized Signature COPY Rev. 5/8/02 Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPP~NCy 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 0fproperty with accurate location of all buildinga~ 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 electric*i iustatlation from Board 0f Fire Underwriters~ 4. Sworn statement from plumber certifying tha) the aolder used ia system contains leas than 2/10 of 1% lead. 5. Commercial buildiag, industri*i building, multiple residencea 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. 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, streeta, building an6 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 of Occupancy - Residential $ i 5.00, Commercial $15.00 ~// Date. ~ '- ~ - Old or Pre-existing Building: (check one) House No. Street OwnerorOwnersofPmperty: t0')~.~ ~ (~Drl~ Suffolk County Tax Map No 1000, Section ~q New Construction: Location of Property: Subdivision PermitNo. ~5(_~.~ DateofPermit. S-i2'- lO Hamlet Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ ~t~. ~/ Block . ~ Lot ~ '7: L2- Filed Map. Applicant: Underwriters Approval: Final Certificate:~// (check one) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (63 I) 765-1802 Fax (631) 765-9502 ro.qer, richertC, town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Ronald Butkovich &ddress: 75 Deer Run City: Southold St: NY Zip: 11971 3uilding Permit #: 35548 Section: 79 Block: 4 Lot: 17.22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: G&S Electric LicenseNo: 578-e SITE DETAILS Office Use Only Residential R Ind°°r ~ Basement ~ Service Only~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures~ CO Detectors Fluorescent Fixture ~_~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures LJ TVSS in ground swimming pool, to include, bonding, 2-control panels, 2-GFCl circuit breakers, 5-pool pumps, 1-blower, 3-pool lights, electric pool cover Notes: Inspector Signature: Date: July 19 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 [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: INSPECTOR ~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~SULATION [ ] FRAMING/STRAPPING [//~FINAL....~ ~-~ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~-~~ DATE ~ ~/~'~//~// INSPECTOR TOWN OF S_OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Exammed 5~! )---, 20 /0 Approved 5//.¥20 [ O D sappro~ed wc Expiration ///5;20/f APR 3 0 2010 BLDG. DEPI. IOWN O[ SOUTHOLD 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector ~ICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be cotnpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ofplans, 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 tbr 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, hopeSq~g c~ode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. {/ X~natur~ of applicant or name, ifa 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 I~'~ Ox'G O~cl' tic' 0,~ &~ I/~O f')O-A 6--- {5 ~qcli¢,.O 0 lC k'~ O (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House N ber Street Hamlet Section c} q Block t~ o'~+vo-e..A-i~/ ~.oc~, Filed Map No. County Tax Map No. 1000 Lot I q, 7- 2.. Subdivision ~o ~ cc, o~a /IX ~o Lot 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 1oo ~ l~r~3 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Addition Alteration Other Work ~ ' ~ (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (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 Rear Depth Height Numberof Stories : .. Dimensions of same structure with alterations or additions: Front Rear Depth Height. Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Sizeoflot: Front ~'3.gq ~ Rear S~o.'/'5~ Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ ~g crvho- ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO v'/ ! 3. Will lot be re-graded? YES NO '-/Will excess fill be removed from premises? YES ~/NO __ 14. Names of Owner ofpremisesm,~ (3mtl~.ec~-~--- Address fi-t3. (~c~: 5"2/' d0~%~hone No. NameofArchitect ~-ccu/lOro~'h? Ylqo4~ k.~ctnc~-- Address PO t'~3.~ &q/a4-Phone No 76~"' 0353 Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY Bx~,JkEQUIRED. 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 data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFgu.{2C.~W~_ ) ~Ov~l~ '~,~f~ V f C,~"~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ LO~o.Z' (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 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. Sworn to before me this [__dayof ]~ ,~. 20[0_ / /~ // ~ / Nota, ~c Cocaine LaRosg_ a~ ~ ~-- Vn~ ~g~ture ~ ~ NOTARY PUBLIG, ~o. 01~6059257 QuelE ed In Suffolk Cou~ Commission Exp r~ May of Applicant · John Bertani Builder Inc. 1380 Oakwood Drive Southold, N.Y. 11971 (631) 765-1594 FAX (631) 765-3916 May 12, 2010 Mr. Michael Verity, Chief Building Inspector Town of Southold Building Department P.O. Box 1179 Southold, NY 11971 Re: Butkovich Pool and Patio Application, 75 Deer Run, Southold Dear Mike: The following is the information you requested regarding the proposed pool at the Butkovich Residence: Pool Steel: Structural steel to be 3/8" re-bar on pool beam 3 run continuously: bent rods at skimmers and lights. Pool walls and floor rods to be 3/8' re bar 12 "on center vertically and horizontally. When pool is more than five feet deep adds one vertical rod two-foot below bond beam to floor to make wall rod 6" on center. Floor rods to be 10" on center both ways. Spa Steel: Structural steel to be 3/8" rebar. On the spa beam (3) run continuously: bent rods at skimmers and lights. Wall and floor rods to be 3/8" re-bar 12" on center, vertically and horizontally. Sincerely, J nA Bertani President Tovm Hatl Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971.-0959 Telephone (631) 765-1802 Fax (631) 765-95{}9~ roqer, richertC, town.southom.ny.us BUILDING D F~PARTMENrT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: JOBSITE INFORMATION: (*Indicates required information) *Name: ¢o~,J ~-~:> (~ cVt--~-~ U t~ *Address: 7S ~ /~ %O~V *Cross Street: ~¢~ ~¢~ *Phone No.: ~ ~1 ~ Pe~it No.: ~ ~ Tax Map District: 1000 Section: ~ ttqTt *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Block: L/ Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed1 *Service Size: 1 Phase *New Service: Re-connect Additional Information: 3Phase YES/NO ~...~.~6 ,-~ ~/, ~/_~ 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Town of $outhold .Mere Number: (NOTE: ^ Chec~k Mark (4r) for ~mch ques(j(m is Required for a Ooml~ete ApprK~lo~) Ye~ Ne. 1 Will It~ I:'mje~t ~t~n M S't(~nI-Wal~r Run-Off G~ted a Two ' ~ Item will Inctud~ ;dj n.,n.olf el'elated by SRe elmia~ ~;~1Tw~_~ .Lff~_.)' Inch ..l~.. fall Orl Si~e? . Imp~wmenl~ nnd ~e pemwnent ~reatJon ofimpervto~ .un'no~ ) Doe,, the ~ite Plan eJXl/o~ Survey ~ All Proposed DMInn~ ~TUC'IUmS Indl~eling 612~ & Lom~n? 3 WII Ih~ Proje;t Require any Land Filling, C*~dlng or Ex~va~ where ~em ~ ,~ c~mlge to Ihe Natural ..... E~a-t~g Grade InvoMng more fl'~an 200 Cuble Yards of I~al wrd~ any 4 WI~ bt~ App~caflon Requee Land Disturbing ~ Encontpa~ing an Area in EXOess of Five 'lltpusand (§,0gO) Square Feet or' Ground 8un'aoe? I~ th?e a Nature, I .Water Co~ae Running through the Site? I:~ this "r°Jec~ W~'n Ihe Tmatees JurlsdlcUon or within One Hui~red (100,) ~eet o[ a We,nod or Beach? 6 Will them be Site pre~amtfon on Existing Grade Slopes wNch E.~eed Fifteen (15) ~t of V~i ~ ~ One Hundred (100') of H~x'i~antal Distance? ? W~ [~ivew'a. ys, Parf~lg Arena ~- olher L'l~pen~fous' Surfaces ~e ~loped to Direct 8tom. Water Run-Off 8 W~ this Project Require O~ ~a~mem of Mate~al, Removal Of Veg~a. ~On and/or the Corrab'u~on of ~'" m' NOT I~clude the IIt~tallaflon of Driveway Aprom/.) 9 WiJ' this PmJe;t Require Site Preparation wffh. the One Hundred (t00) Year Roodpta~ of any Watercou~? NOTE: It' Amy AmSWer te Questions One through Nine Is Amawered with a Cheek Mark bt ~ Box. a 5loan.WaftS, Grading, s for c~ass/lleallon as an Rgdeolluml -- ~e~eofl, a 5torm-W. ter, Gr~llng, Dmlflage & Erosion Con~o! Plan is ~ ................. (Nam ~lmeVaue ~ ~' '--~ ....... ~m]g gray s~.~m, deposes a~<~ ~ay~ that ba/s~.e L~ Ifl¢ ~PpJ~m3t (Ovmer, o~, ~ Corl~al~ o~, at~) ......................... ~ ................... O~er a~d/or r~pmsea~ve o~ ~,e Owner of Ow~e~s, a~d is dul- audio-'-~ - ~ . ~ '~'u ~ Pen°tm o~ t~c p~Yormcd t~c ~d ~Ork a~d t~ make and file ~ application; that all statements contained in this ~tppltcallon are t~ue to t~he best of'his knowledge and beRef] and that ~e wod[ wal be perl~rmed in the manner set forth in the appllcalion rded'hevewflh. S'wom to bcl'om me this; .......... ................... .......................... . .......... tare MWOklLyork ~ ........................ Ou ' Commission Expims~, 2nt~.~ TOTRL. LOT AREA -- 6,3,771 SQ. FT. FC LoT NUI,~BER 4- $ 074-1'29''E NATURAL ~ UNDiSTU~EO V'E~'~TAnON RErEW'nON BUFFER N 7~05'20"W NOTE LOT CLEARING SHALL BE LIMITED TO 1 ACRE 296.36' / .x,,.-J o R=85.00' L=71.75' 1 82' 305.61' R=25.00' NORTH BAYVIEW NOTE: CESSPOOL, SEPTIC TANK & WATER SERVICE LOCATIONS BY OTHERS. ROAD UPDATE SURVEY 10-6-2008 CERTIFIED ONLY TO: RONALD ~ MARGARET BUTKOVICH FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK Ci]qBANK N.Y. LIC. No. 04-69g2 HAROLD F. TRANCHON JR. PENN. LIC. No, 2115-E JOB No. 04-262 FILE No. ZOUMAS CONTRACTING SURVEYED FOR RONALD & MARGARET BUTKOVICH LOT NUMBER 5 MAP OF ZOUMAS CONTRACTING CORP. SITUATED AT BAYVlEW TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. SCALE 1" = 60' DATE 10-15-2004 FILED MAP No. 11166 DATE 10-01-2004- TAX MAP No. (REF ONLY) 1000--79--4---17.2,,'g.. DISK 200,~ HAROLD F. TRANCHON JR. P.C, LAND SURVEYOR P.O. BOX 616 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 6,31-929-4695 k ~.E c~ ~ pE NI GE / / / L A OP F'OOL_ 5~C~-IOH- F~ t-E'VA'T t O H ~Z' 0" OCT 18 2010 PRO]ECT: 1~uT K_OU t oH CONCEPTUAL LANDSCAPE DESIGN: PLAN VIEW SCALE: I H = ~ 0 I ~ 0" REVISION: GRAY PROPERTY MAINTENANCE & LANDSCAPING, LLC 50800 MAIN ROAD - PO BOX 333 SOUTHOLD, NY 11971 631 - 765 - 0333 / p FLAHTIMG LA tv ~4 %E CT t OH - ELEVATION o~ Foo~ CUT · pOWH 'FO &'-O" AT LAN L A \v II OUT' D BLOG, DEPI, TOWN OF SOUTROtD PROJECT: [5 u T ~. o'q CONCEPTUAL LANDSCAPE DESIGN: PLAIV VIEW SCALE: I"= .~o' - O' DATE: ~- 2-'~- I o REVISION: GRAY PROPERTY MAINTENANCE & LANDSCAPING, LLC 50800 MAIN ROAD - PO BOX 333 SOUTHOLD, NY 11971 631 - 765 - 0333 N NAILING & CONNECTI~ ~ '~-~ ~ OF 0..;,,:, ... SF, IALL .-..j%- co~¢~1 r':c ~ r,,~ C.O. ~ ^LL C'~ONS~;J3~CTK',H ,~FI,~L M,EET THEiT'"~' £ MEE1 UIREMENTS OF THE RF ~! UrREM'~'NT$%bF ~ b~"DES OF NEW G' FODL - CO ~ EW YORK STATE. U DESIGN OR CONSTRUCTION RETAIN STORM WATER UNDERWRITERS CERTFIOA]L PURSUANT TO CHAPTER REQUIRED _NCODE. I / I I ,//1 ,/ / / / / / I I EEr~ I I~ ENGI~ ,~' Il I; L- A xv N IPRO'IECT: ~UTKOVI GM CONCEPTUAL LANDSCAPE DESIGN: PLAN V~EW GRAY PROPERTY MAINTENANCE & LANDSCAPING, LLC 50800 MAIN ROAD - PO BOX 333 SOLrFHOLD, NY 1197! 631 - 765 - 0333