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Home My WebLink About35935-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 10/19/2011 No: 35248 Date: 10/19/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: 1N GROUND POOL 230 JENNINGS RD SOUTHOLD, Sec/Block/Lot: 54.-7-3 Filed Map No. conforms substantially to the Application for Building Permit heretofore 9/30/2010 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 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 35935 dated 10/12/2010 The certificate is issued to Bevelaqua, Frederick (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35935 9/27/11 AuthtSrized 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. 35935 Z Date OCTOBER 12, 2010 Permission is hereby granted to: JOBES (BEVELAQUA) 230 JENNINGS RD SOUTHOLD,NY for : CONSTRUCTION OF A/q INGROUND SWIMMING POOL, FENCED TO CODE AS APPLIED FOR at premises located at 230 JENNINGS RD SOUTHOLD County Tax ~ap No. 473889 Section 054 Block 0007 Lot No. 003 pursuant to application dated SEPTEMBER 30, 2010 and approved by the Building I~L~pector to expire on APRIL 12, 2012. Fee $ 250.00 Authorized Signature COPY Rev. 5/8/02 Form N~. 6 TO~N OF SOUl. OLD. 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 D~pt. 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 Complianen'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 proper~y showing all property lines, streets, building and unusual natural or topographic features. 2. A properly ¢0mpleted application and consent to inspect signed by thc applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees ~. (Certif~rt~"6fOE~up~ - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, ~3.wimming pool $5~0.007, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~ 2. Cert"~'r~i'fi~ tcat6~f-O~cccupancy 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 $15.00, Comm~cial $15.00 New Construct-o~%_ ~ ~ o L, Location of Propertbc~ ~ ~3 t5 House No. Old or Pre-existing Building: '~ ~ ~ x~ t x ;~ '~reeX~---OSit (check one) -- t Hatmlet owner or Owners of Prope~' Ir VZ.E' B Suffolk County Tax Map No 1000, Section Subdivision Pormit No. ~'~ ~ ~ -~ '~ Date of Permit. Health Dept. Approval: Filed Map. Lot: Applicant:. Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ _~). ~ Final Certificate: (check one) Applicant Signature To~vn Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 Telephone (631) 765 1802 Fax (631) 765-9502 ro,qer, richert~,town southo d ny us BUILDING DEPARTMENT TOWN OF 8OUTI-IOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Fred Bevelagua &ddress: 230 Jennings Rd City: Southold St: NY Zip: 11971 Suilding Permit #: 35935 Section: 54 Block: 7 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical 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 Other Equipment: 1 heat pump Notes: Ceiling FixturesL.__I~ ~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixtur~ Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS in ground swimming pool, to include, bonding, 1 pool light, 2 GFCI circuit breakers Inspector Signature: Date: Sept 27 2011 81-Cert Electrical Compliance Form INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANI' PENETRATION [ ] ELECTRICAL (ROUGH) ~ELECTRICAL (FINAL) 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 [ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION 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 FIRE RESISTAKI' CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) 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 a/c Expiration .IO BUILDiNG PERMIT APPLICATION CH'ECKLISq 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.A~ I fi- ~/,,. Phone: t Buil&'~'~-/nspector ' ~ ~~~, //~PPLICATION FOR BUILDING PERMIT ~ ~'~\ ~_? 3~3 %9~ ~ ~ Date ~ /~ ,20/0 X~ ~' - ~ ~ INSTRUCTIONs //- -- ¢~~etely filled ~ by t~ewfiter or in i~ ~d sub~ttea to ~e B~l~g ~spector with4 sets ~ms ap~ p , b. Plot pl~ showing location of 10t ~d of buildings on premises, relations~p to adjoined pre~ses or public streets or ~eas, ~d waylays. c. ~e work covered by this application may not be co~enced before issu~ce of Buil~g Pe~it. d, Upon approval of this application, the Building ~spector will issue a Buil~g Petal{ to the applic~t. Such a pemit shall be k~t on the premises available for ~spection ~oughout the work. e. No building shall be occupied or used in whole or ~ pa~ for any pu¢ose what so ever until ~e Buil~g ~spector issues a Ce~ificate of Occup~cy. f. Eve~ building pemit shall expire if the work authorized has not commenced wi~n 12 monks ~er ~e ~te of issu~ce or has not been completed with~ 18 monks ~om such ~te. If no zoned mendments or o~er m~lations ~fect~g ~e prope~y have be~ enacted in ~e ~tem, the Building ~spector may autho~ze; ~ writing, ~e extemion of~ pe~t for ~ addition six monks. ~e~er, a new pemit shall be required. ~PLICATION IS ~BY M~E to the Building DeP~ment for the issuance of a Buil~g Pe~t p~su~t to ~e Buil~g ~n60rd~ce of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ore,ced or Re~lations, for ~e consmction ofbuil~ngs ad~fions, or alterations or for remov~ or demolition ~ here~ described. The applic~t a~s to comply wi~ ~1 applicable laws, ordin~ces, buil~ code, ~ ~s~g code, ~d au~°fized ~spect°rs °n pre~ses ~d ~ b~l~g f°r necess~ inspe~ OCCUPANCY OR USE IS UNLAWFUL , WITHOUT CERTIFICATE OS~t2w~g~er?p~nYis o~er, lessee, agent, '~chtect, ~gUlatioas, and to admit (Mailing address of applicant) engineer, general contractorA[~l~ ~r~ builder (As on the ta~ roll or latest ~165~.l~028U81LDING ~B~,ARTMENT AT If applicant is a corporation, signature of duly autl~Se~:~im~,'¥- __.-. _. ,~l :TO 4 PM FOR THE ~,~, m, I~;,. I'ULkOIMNO INSPECTIONS: (Name and title of corporate officer) ~EOIJI~E~ 1. FOUNDATION - TWO REQUIRED Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. FORPOURED CONCRETE 2. ROU~. FRAMING, MJJlllllNG, STRAPPINGi ELECTRICAL & CAULKING 3. INSULATION 4 FINAL · ~gNg'rRUCTION & ELECTRICAL HUST EPLE-~ ~"~ C,O ALL C~ .... I~ ON Sd~t ,'FETTHE REQUIrL., S OF/HE CODES 0~: NFW 1. L~cation of land o~hich probosed work xtdl,~e ~[one: House Number S~eet I County Tax Map No. 1000 Section Subdivision (Name) Block Filed Map No. YORK S", ' ~OT.REqoONSI6[; 'R ~/' 0 }''[' D'EtqlqN"OR GuNSTRiJGTION ERRu~S Hmlet PURSUANT TO CHAPTER 238 OF 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 ~0~f14! ~ ,~ ~tSo ( Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work Estimated Cost 7_~ ~ O t~ d If dwelling, number of dwehing units If garage, number of cars Fee Alteratklg~ (De%~i~ption) (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 Height. Number of Stories Depth Height. 8. Dfinensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front Rear .Depth 10. Date of PurchaSe Name of Former Owner Dimensions of same structure with alterations or additions: Front Number of Stories .Depth Rea}' Depth 11. Zone or use disffict in which premises are situated 12. Does proposed construction violate any zomng 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 ofpremisesJ~ ~~ AddressO~0~l~vt~ ~-~7~ffZ~l~ohone No.57~ ~"~-~-- Name of Architect' Address -- Phone No Name ofContractor~5~t~- /-~x-~ Address/~pT$,*[~--,41/~ t~, ~ Phone No.7~,~') - 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 cfa tidal wetland? * YES__ NO __ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. . . i TAiO"iM 16. Provide survey, to scale, with accurate ~otmaation plan and di~e. KtO~ ~. lines. 17. If elevation at any point on property is at 10 feet or below, must-pr~dO~lpl~ical data on survey. STATE OE NEW YOlk) . cocn, rrY OF~ ~ ~ ~,. ~ ~ being d~g sworn, d~oses ~d says ~at (s)he is the applic~t ~~~~a~above (S)He is ~e '8~T~ ~ ~. "" O]RIUO]R:~ - HOl~&r, Agent, Coyote Office, etc.) to work dto .~at ~¢~~'~g.~c~on ~e ~e to ~e best offs ~owl~ge ~d he,cf; ~d ~t ~c work will b p~og~h~ ~ fo~ ~ ~application f~ed th~cwith. Swom to before me ~ " . , . day of M,.~t,~ 20 [0 o~m/Public State ~ N~ ~ No. 01H~051~1 ~ In 8~lk ~n~ tO ' ~mml~lon ~r~ D~ 4,~ ~ of~t Towa HaD Anm:~ S43R~ M,~n ltoad P.O. Bo~ I 1~3 1 2 2011 ' BLDG. DEPT. TOWN OF SOUTHOLO TOWN OF ~O~THOLD APP.UCATION FOR ~I-FCTRICAL IN6P£CTION JOBSITE I .NFORMATION: (*lndloates required Information) *BRIEP DE6CRIPTION OF WORK (Plesme *i8 Job ready for inapeGtbn: q)o* you m~l a Temp Oarlilkmta: T~q~ ~ (If-needed} Rough In Fired AddiQmmi. ~iEstllIMiOn: PAYMENI' DUE WITH kppIj~ATIO~, ! Roon yCircle Suite 840 201 325 //08 Rochelle Starr, CLU, ChFC Phoenix tlome Life Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765 1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 5, 2011 Frederick Bevelaqua 230 Jennings Road Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: '~,J~' Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (Contact your electrician) ~ 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 Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 35935-Z swimming pool LOT AREA -" 20,66~. SQ, FT. · NOTE: LOCATION OF WATER MAIN5 AND ADdOINERS WATER SUPPLY BY OTHERS AND ARE NOT GUARANTEED. NOW OR FORMERLY C. W BOOTH 0,5-82. PIPE FO. PIPE N. 48°53'40"E. S. 48°25'00.. W. 135.00' ....... ..... 610 2 STY. FR. DWELL .¢ II GAR 25.4' --- 35.0' 13500' 'FD PIPE TEST HOLE MAP OF OAKRIDGE HILLS O' -- Topsoil I a 5' Loom Sand 15' Ld Z 0 J u~ T'H'~ PIPE 14B.O0' ~L existing water main JENNINGS rhe existence of right of ways and or easemerru of record, if any, not shown are not 8uarantccd ROAD NOTE: CESSPOOL, SEPTIC TANK AND WATER SERVICE LOCATION BY OTHERS. ' OT NI ~MRER · LOT NI~MBER 6 FOUNDAIlON LOCAIlOH 7-6-2005 FINA, GUARANTEED ONLY TO FIDELITY NATIONAL TITLE INSURANCE COMPANY OF COUNTRYWIDE HOME LOANS, INC. CRAIG JOBES AND KIMBERLY JOBE% NEW tOR~ N.Y LIE NO 048992 ItAROI.D F. TRANCHON ,JR PENN LIC NO 21115-E JOB NO. 04 212 FILE NO, OAKRIDGE HILLS SURVEYED FOR CRAIG AND KIMBERLY JOBE5 LOT NUMBER 4 MAP OF OAKRIDGE HILLS SITUATED AT .cOIJTHOLD TOWN OF SOUFHOLD - SUFFOLK COUN1-Y, NEW YORk SCALE 1" ~0' DATE G .I .~004 FILED MAP NO. 5555 DATE 4-30-1962 TAX MAP NO. I000 54 - ? ~ ~ (RER ONLY) BISK.?t' HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR P.O. BOX 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 1 1792 63i-929-4695 '.'T YF'% C.A.L Bevelqua 230 Jennings Rd Southold, NY 11971