HomeMy WebLinkAbout36578-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
10/27/2011
CERTIFICATE OF OCCUPANCY
No: 35259
Date:
10/27/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
IN GROUND POOL
750 Shipyard Ln, East Marion,
Sec/Block/Lot: 38.-7-10.7
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/22/2011 pursuant to which Building Permit No. 36578 dated 7/25/2011
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:
in ground swimming pool fenced to code as applied for.
The certificate is issued to
Llukaci, Albert & Joti, Leokratia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36578 10/21/11
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36578
Date: 7/25/2011
Permission is hereby granted to:
Llukaci, Albert & Joti, Leokratia
24 Maple Ln
East Marion, NY 11939
To:
construct an inground swimming pool, fenced to code as applied for
At premises located at:
750 Shipyard Ln
SCTM # 473889
Sec/Block/Lot # 38.-7-10.7
Pursuant to application dated
To expire on 1/23/2013.
Fees:
7/22/2011
and approved by the Building Inspector.
SWIMMiNG POOLS - iN-GROUND WITH FENCE ENCLOSURE
CO - SWIMMiNG POOL
Total:
$250.00
$50.00
$300.00
Building Inspector
~orm 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 0f propeay with accurate location of all buildings~ property lines, streets,.imd unusual nsterat or
topographic features. '
2.Final Approval from Health Dept. of water supply and sewerage-disposal (8_9 form).
3.Approval of electrical installation from Board 0f Fire Underwriters.
4.Sworn statement from plumber certifying that the soldor used in system contains less than 2/10 of 1% lead..
5. Commercial building, industrial building, multiple residenoes and similar buildings and installations, a ceCdfieate
of Code Compliance from architect or engineer responsible for the building.
6,Submit Planning Boast 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. Aceurate survey of property showing all property lines,'streets, building and:unnsufil natumi or topographic
features. '
2. A properly completed appiication 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 po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00:
2. Ceytifieate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $ 25
4. Updated Certificat~ of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
ate> 0'-It
New Construction:
Old or Pre-existing Building:
House No. ' Street ?
Suffolk County Tax Map No 1000, Section
Subdivision
Health Dept. Approval:
Planning Board Approval:
.Date of Permit.
(check one)
]Lot
Block .'-~
Filed Map..
Applicant:
Underwriters Approval:
Request for: Temporary Certificate
Foe Submitied: $ ~ · '
Final Certificate:
(check one)
/ ' Applican! Signa'h~- ·
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765- 1802
Fax (63 I) 765-9502
ro.qer, richort~town.southolct, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Albert Llukaci
Address: 750 Shipyard Ln City: East Marion St: NY Zip: 11939
Building Permit #: 36578 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 ~ 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 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 [~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures[~ Time Clocks
Exit Fixtures ~ TVSS
in 9round swimming pool, to include, bonding, 1 pool light, 1 GFCI circuit breaker,
1 pool pump
Notes:
Inspector Signature:
Date: Oct 21 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROU~ PLBG.
[ ]FOUNDATION 2ND [ ] 1~iSULATION
[ ]FRAMING / STRAPPING [~/]/FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL(FINAL)
[ ] ELECTRICAL (ROU~GH)~
REMARKS:~_
DATE
INSPECTOR
N OF SOUTHOLD BUILDING DEPT. 765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~ELECTRICAL
(FINAL)
REMARKS:
DATE
iNSPECTOR~~~-~-~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HA~L
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (651) 765-9502
SoutholdTown. NorthFork.net
PERMIT NO.
^pproved
Disapproved
APPLICAT )N ]FOR. BUILDING PER.MIT
Date
INSTRUCTIONS
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applyin§?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
Flood Permit
Sterm-Water Assessment Form
Contact:
Mail to:
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets ofplaus, accurate plot plan to scale. Fee according to schedule.
b. Pict 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 par~ for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
£ 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 fi.om such date. lfno 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 cfa Building Permit pursuant to the
Building Zone Ordinance oftbe Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, '~ .., alterations or for removal or demolition as herein dascdbed. Thc
applicant al; ;~_t, r~ ~cas, building code, housing code, and regulatious, and to admit
authorized ~ ~ ~ sary inspections, t / I /
ENCLOSE POOL,TOCOD I/ [ ~l"X['~l i;' ,, ..7;\//~%1'~, " I/(Signatereof~pgl~l~l~~r~
- , ' 2_5..0
,/
State whed ~~00~J~er, general contr~i:~~aYrmbu'~/,-4' '
, OUILUINU DEPARTMENT AT
(pLO UPANCY . _785-1802 8 AM TO4 pl~l FOR THE
PULLOWING INSPECTIONS:
Nameofownerofpremisus/4li .rt- LILI C'.l 1. eOUnDarlON.Twn OU, . n
(As'on tl~elta~ roll or latest deco, OR POURED coN~R~-]2E
If applicant is a corporation, signature of duly authorized officer 2. ROUGH'FRAMING. PLUMBING
(Name and title or co ll ,t&llCAL
Ucense NSPECTIOhl g F. OUIRED
STRAPPING. ELECTRICAL & CAULKING
3. INSULATION
4, FINAL- CONSTRUCTION & ELECTRICAL
MUST BE COMPLETE FOR C 0
Plumbers Ltc nse NO ...... -~. ..... , '~ ,,. ALL CONSTRUCTION SHALL MFET THE
Electncmns L]c~nse~o. · , ::v, ~,e:~ . ~QUIREMENTS
Other Trade's L~.~O~ ~['~ YORK STATE NOT RESPONSIBLE FoROF THE COD~S OF
NEW
1. Locatirm&l~d on which ~ ~r~lJ be done: . ~ ~SIGN OR CON~TR~TIO~
House Numger/ ~ Street Hamlet
CountyT~MapNo. 1000 Section D~ Block D7 Lot
Subdivision Fil~ Map No. Lot
2. State existing use and oceupancy of premises and intended use and oceupancy of proposed coastruction:
a. Existing use and occupancy ]{e~i l~t~,F~ .
,J
,d
3. Nature of work (check which applicable): New Building Addition A~ter~t~n_~
Repair Removal Demolition Other Work ~~
~ - ~D~sc{ipti~n) '
4. Estimated Cost ~ i ~, 0 ~) O ' Fee
5. If dwelling, number o f dwelling units_
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type o f use.
(To be paid on filing this application)
Number of dwelling units on each floor
Depth
7. Dimensions of existing stroctures, if any: Front
Height Number of Stories
Rear
Dimensions of same structure with alterations or addj~tions: Front
Depth Height_ Number of Stories
Rear
8. Dimansions of entire new construction: Front Rear
Height Number of Stodes
9. Size oflot: Front ~ ~D Rear I ,~)O'~ Depth
.Depth
10. Date of Purchase ~C)o z~ Name of Former Owner tJ/) ~/~t~1-42/~ ·
I I. 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. NamesofOwnerofpremisesLL/~C~l' Address ' 'mapE PhoneNo. ~77~'~p~/---~
Name of Architect '--~ Address Phone No
NameofContractor C,t-Pr~ol +~L4IO Address~l~ne/~lp. (::~- ~//~,
15 a. Is this property within t 00 feet of a tidal wetland or a freshwater wetland? *YES __NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMtTS 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 data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO X~
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
~J~/l~ i ~ ,t~ ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(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 tbi~)13~l~C~.O~RA DY
that all statements contained in this application are tree to the best of his knowledge and belief; and that the work ~ill~i ~'i~7~24
performed in the manner set forth in the application filed therewith. NOTARY PUBLIC. STATE OF NEW YORK
Sworn to before me thi~
~('~ day of ,. )
· - Notary P~bli~
QUALIFIED t! SUFFOLK COUN.~I~
MY COMMISSION EXPIRES 11/24/~-~)J ~
Signature of Appl~a~ ~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Sou~hold, NY 11971-0959
Telephone (63l) 765-1802
· (631) 76& 50
ro.qer, r,chertt~.~wn.sou{~o~d.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOI,D
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Date:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section:
*BRIEF DESCRIPTION ~)~WORK (Please Print Cleady)
Block: ~ Lot:
(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
YES / NO
3Phase 100 150 200 300 350 400
Underground Number of Meters Change of Service
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
Other
Overhead
Town Hall Annex
54375 Main Road
P.O. Box 1179
Soulhold, NY 11971-0959
Telephone(631)765-1802
Fax(631)765-9502
October 17, 2011
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Albert Llukaci
24 Maple Lane
East Marion, NY 11939
TO WHOM IT MAY CONCERN:
The Following Item(s) 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. (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. - Bob Fisher
__ Final Landmark Preservation approval.
BUILDING PERMIT: 36578- In-Ground Swimming Pool
Lot 21
",,.- '(~)o~
J SUBDIVISION
THE OF[ICE O[ THE CLERK OF SUFFOLK COUN1Y Oh, M/,Y 21.
2002 AS FILE NO.
631- 727-2303
SURVEYOR'S CERTIFICATION
· Wi_ HEREBY CERTIFY TO ALBERT LLUKADI,
ANTIGE]NI LLUKAE:I, LEDKRATIA JDTI~ KDSTA
G. JDTI, LDNB BEACH MDRTGAGE & BTEWAI~9'
TITLE A[-~ENBY THAT 1HIS SURVEy WAS
ACCORDANCE WF[H THE CODE OF PRACTICE FOR LA'VD
ADOPTED BY THE NEW YORK STATE ASSOCiATiON Oc
PROFESSIONAL LAND SURVEYORS.
/
HOWARD W. YOUNG, N.Y.S.L.S NO. 45~95"
SURVEY FOR
ALBERT LLUKACl, ANTIlSONI LLUKACI,
LEOKRATIA dOTI & KOSTA G. dOTI
LOT 21 "SUMMIT ESTATES, SECTION 2"
At: East Morion, Town of Southold
Suffolk County, New York
County }ox Mop r)~,~,,~ 1000 s~t~o~ 38 B~o~ 07 ~o~ 10.7
I I i [ I-- gU R VI:-- Y ~
MAP PREPARED DEC 0 2004
SCALE 1" = 50' ...... ~- ~
JOB NO 2004 0754
DWO 2004_07~4_tiU(!_surye¥
ENGINEER'S SEAL
ALL MANUFACTURED ITEMS AND CONSTRUCTION SHALL COMPLY WITH THE RESIDENTIAL BUILDING CODE OF NEWYORK STATE 2010, INCLUDING THE SPECIFICATIONS IN APPENDIX G:
SECTIONG103 -SWlMMINGPOOLS; SECTIONG105 - BARRIER REQUIREMENTS; SECTIONG106 - ENTRAPMENT PROTECTION FOR SWIMMING POOL & SPA SUCTION OUTLETS; SECTIONG107 -SWIMMINGPOOL&SPAALARMS
Z
iOF1