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Home My WebLink About36373-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 11/22/2011 CERTIFICATE OF OCCUPANCY No: 35299 Date: 11/22/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: IN GROUND POOL 1205 Edwards Ln. Orient, NY 11957, Sec/Block/Lot: 18.-3-19 Filed Map No. conforms substantially to the Application for Building Permit heretofore 4/26/2011 pursuant to whieh 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 36373 dated 5/10/2011 The certificate is issued to Suspenski, Stephen & Suspenski, Catherine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36373 6/10/11 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 #: 36373 Permission is hereby granted to: Suspenski, Stephen & Suspenski, Catherine 34 Drake Ln Levittown, NY 11756 Date: 5/10/2011 To: construct an inground swimming pool, fenced to code as applied for At premises located at: 1205 Edwards Ln. Orient, NY 11957 SCTM # 473889 Sec/Block/Lot # 18.-3-19 Pursuant to application dated To expire on 11/8/2012. Fees: 4/26/2011 and approved by the Building Inspector. SWIMM1NG POOLS - [N-GROUND WITH FENCE ENCLOSURE CO - SWIMMING POOL Total: $250.00 $50.00 $300.00 Building Inspector 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 Undenvriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I0 of 1% lead. 5. Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance'from architect or engineer responsible for the bnilding~ 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laad 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. UpdatedCertificateofOccupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: ~Old or Pre-existing Building: House No. Street Owner or Owners of Property: .~p ~fl~x.a4Q · Suffolk County Tax Map No 1000, Section Subdivision Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate F~e Submitted: $ ~) ' Date. D-- /0 - // (c~eckone) Hamlet Block % Lot /LQ Date of Permit. ,~--/O -/? Filed Map. Lot: Appli t: Underwriters Approval: Final Certificate: ~(check one) Town 1 lall Annex 54375 Main Road P.O. Box l17g Southokl, NY 11971-0959 Tclcphonc (631) 763-1802 Iqkx (631) 763-g302 ro.qer, dchert~town southold.ny, us BI !ILDIN(; 1)EI'AIITMI~;NT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: S & C Suspenski Address: 1205 Edwards Lane City: Odent St: NY Zip: 11957 Building Permit #: 36373 Section: 18 Block: 3 Lot: 19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Elec mec Inc License No: 4814-me SITE DETAILS Office Use Only Residential ~ Ind°°r ~ Basement 3 Service Only~ Corn medcal 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 A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures I~I HID Fixtures Wall Fixtures ~ Smoke Detectors Recessed Fixtures ~l CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixturel~I Time Clocks Exit Fixtures [~J TVSS in ground swimming pool to include, bonding, 1 pool light, 2 GFCI circuit breakers Inspector Signature: Date: June 10 2011 81 -Ced Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~I~ATION [ ] FRAMING/STRAPPING [//]"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUG/~I. BG. [ ]FOUNDATION 2ND [ ] ~,~IJLATION [ ]FRAMING / STRAPPING [t/,]"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: TOWN OF SQUTHQLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined 5/(~? ,20 { Approved 5] [ 0 , 20 [ ( 1 Disapproved a/c Expiration 1[/10,20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need tile following, before applying? Board of Health 4 sets of Building Plans Planning Boar~pproval Survey 1/' _- Check d/ Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: APR 2 6 2011 · [3LD6 DEN TOWN OF SOL!TH0ID Building Inspector kPPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS //~/ ? ,20// a. This application MUST be completely 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 Ibr 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. "IMMEDIATELY" OCCL;~ OR p, o 5 ,._ ENCLOSP: POOL TO GODE U S E iS U N LAWFUL (Signature of applicant or name, ifa corporation) uPON COMPLETION BeFORE"WATER" '~I.~T!, ~ ,~-v' iT CERTIFICATE 61: ,:),(i;i I?A.N CY (Mailingaddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general con~'0~/~'I~tber or builder Nameofownerofpremises .z) ~/~3z>/? ,/?V ~6~/?w,.)6KINOTIFY BU!L,qlN~ D ............ , t,~ (As on the tax roll o~_t~0~eo~l)~'r~ rD 4 PM FOR THE If ap 'cant is a co r 'on, ' ure of duly authorized officer ~ 1. FOUNDATION _ TWO REQUIRE/) ~ 7'~- ffY9/2,.=5) FOR pc), 'DE o c O',tame and title of corporate officer) 2. ROUGh ' ' ONCRETE ' STRAPP't . lNG, PLUMBiNG, 3.! INSULA FL LECTRICAL & CAULKING Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. INSPECTION REQ~JIRI~D l. Location of land on which proposed work will be done: / ~.,~7'"' House Number Street 4. FINAL - 2C '. ,rqUCTiON & ELECTRICAL MUST BE C DJFLETE FOR C.O. ALL CONS Tqt.,~ -ION SHALL MEET THE REOUIRE~EN tS OF THE CODE~ OF N~ YORK ST~ rE NOT RESPONSIBLE FOR ~ Tn eU~TER County Tax Map No. 1000 Section /& Block /)_~ Lot Subdivision Filed Map No. Lot 2. 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.~ 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost ~'/67//~,oa, ~o 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration (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 /,Z' Height ..2,~' / Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 9. Size of lot: Front ~O/5''/ 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 X/ NO Will excess fill be removed from premises? YES NO,~x/ 14. Names of Owner of premises Name of Architect Name of Contractor m,,,~,.,e Address ,,z~',e'a,~..~-~-,¢~.~" PhoneNo .... Address o ro,.--~ ~ Phone No Addressing, z:~o~' 5, ~.,ze~aC_~,,-Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS 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 .... NO X 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there arty .covenants, and restrictions with respect to this property? * YES NO ~ · IF YES, PROVIDE A ~OPY. STATE OF'NEW Y'ORK) COUNTY OF.~~ ..,,,:t]'. _~t~(ff~-~ d~52/-w'~r _~/./'7 I:>'7~'.~-_'/ , '.~ being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) abj~e named, //__ ____ (S)He is the {Contractor, Co.orate Of cCr, etc.) of said owner or owners, .and ~s duly authon~ ~effo~ or have perfomed the smd work and to make and file th~s application; that all statements'cO'tailed in rhis applicafion~tme to the best of his ~owledge and belief; and that the work will be perfo~ed in the manner set fo~h in the applic,~, filed therew~h. Town ~ Pamex 54375 Mi~ Ro~d P.O.B~ !179 Soulhold, NY 11971-0959 Telephone (~31) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHO~.D APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: No,: Phone No.: *Name: *Address: *Cross Street: *Phone No.: JOBSITE INFORMATION: (*Indicates required information) La, e.., Permit No.: Tax Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) Block: Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you nccd a Temp Certificate: Temp Information (If needed} - *Service Size: I Phase 3Phase *New Service: Re-connect Additional InfOrmation: 100 Underground f~l NO YES RoUgh In Final 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Ere, sion, SedimentatiOn & S~orm.Water Run'Off ASSESSMENT FoRM PROPERLY LO~'I~N: ~CT~ ~ THE FOLLOWING ~.B'rlOliS MAY REQUIRE THE SUBMI~IDN,OF A Block. LO( ~JUNAg. IN THE ~TAT~ OF NEW YO~J~ $COPEOI~V/ORK - PROPOSED COI~'~,I:JCrION ll"EM# / WORKA,.~fl~iT I ye~ No (dem~g a~Vor (x~mbm~m ~ ae weg a~ a~ 3 .~~~y~e~ ~ ~e ~g ~ ~n ~ ~y~ ~ ~ ~ ~d ~a SPaS ~b ~ ~~ · O~ H~ (1~ of H~tal.~? I r FORM - 06110 ~o. o~,o~ SURVEY OF PROPERTY AT ORIENT TOWN OF $OUTHOLD SUFFOLK COUNTY, N.Y. ,ooo-,a-oo-m YARCF/ 18, 2O05 AUG. 18, ROOSOoundn#en) from dole obla~ed fr~ ofbars./ ,. ~- , ~~;;~'10~-2~oI POOL DIMENSIONS -I'YP. PANEL STIFFNER TYPICAL WALL SECTION AT 'A' FRAME BOARD t i POOL PLAN A MIN. 2" THICK VERMICULITE AGGREGATE TAMPERED E SECTIONS CORNER CONNECTION DETAIL N.T.S. POOL COMPUES INITH ANSI 514, APENDIX G DESIGN ~ ACCEPTABLE FOR ALL COMMON ~OIL CONDmONS K POOL TYPE: RECTAGLE I REV. JAMES DEERKOSKI, P.E. 260 DEER PATH MA'rTI'IUCK. NEW YORK 11952 t S(~ALE N.T.S. DATE DRAWING NUMBER OF