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HomeMy WebLinkAbout36807-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 1/30/2012 CERTIFICATE OF OCCUPANCY No: 35401 Date: 1/30/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: POOL HOUSE/CABANA 310 Huntington Blvd, Peconic, Sec/Block/Lot: 67.-4-8 Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this officed dated l 1/4/2011 pursuant to which Building Permit No. 36807 dated 11/10/2011 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: "as built" nonsleeping pool house with no bedrooms. The certificate is issued to Conlon, Nancy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 1/27/12 R 10-05 -0071 8/12/1 I 36807 1/11/12 ~~:~r 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 #: 36807 Date: 11/1012011 Permission is hereby granted to: Conlon, Nancy 245 1st St Cutchogue, NY 11935 To: construct non sleeping pool house "as built" per health department approval ( no bedrooms) At premises located at: 310 Huntington Blvd, Peconic SCTM # 473889 Sec/Block/Lot # 67.-4-8 Pursuant to application dated 11/4/2011 To expire on 5111/2013. Fees: and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: $1,044.80 $50.00 $1,094.80 Building Inspector Form No. 6 TO'WN 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 ComplianceTrom architect or engineer responsible for the building~ 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" land uses: 1. 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. Ceytificate 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 $15.00, Commercial $15.00 New Construction: Location of Property: ¥ House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ & 70. 7 Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: Street Date. //- /q~ // (check one) DateofPermit. //-/~ ~// Block Filed Map. Applicant: Hamlet Lot 2' Lot: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ~'~"'0 , t,o/~ ? Final Certificate: t..~' _ (check one) Signature Town 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.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Nancy Conlon ~,ddress: 310 Huntington Blvd City: Peconic St: NY Zip: 11958 ~uilding Permit #: 36807 Section: 67 Block: 4 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: as built DBA: East Manor Electric inc License No: 3691-e SITE DETAILS Office Use Only Residential I~ Ind°°r l~ Basement ~~l Service Only~ Corn medca[ Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY 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 ~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixture~ Time Clocks Exit Fixtures [~ TVSS as built-pool house, 1-paddle fan, 1 exhaust fan, 1 well pump Notes: Inspector Signature: Date: Jan 11 2012 81-Cert Electrical Compliance Form CERTIFICATION Date: //271~(~1~ Building PermitNo?: 3 (0 ~0~ ~ ~ Owner: Plumber: '~';le~e ~in~t~' I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. bers Signature) Sworn to before me this day ~.~ ~ , 20~--~ Notary Public, BETGY A. PERKIN$ Nem~ Public, Stme ol New Yed~ No. 01PE6130636 Qualified in Suffolk Counl~ Commission Expires July 18, ~.~ ~J 3 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ [ ] RRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [~] ELECTRICAL (FINAL} REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNOATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] ~.ATION [ ,/J~FINAL [ ) FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ) FIRE RESISTANT PENETRATION [ ] ELECTRI.CAL,(~ROUG~H) [ ] ELE ~CTRICAL (FINAL) REMARKS. ~- -d~ _~ --~-~ ~'-~-~-- :.,. - ';/:~, , / ~ - ._-~// DATE INSPECTOI ANGEL B. CHORNO ARCHITECT 51020 MAIN ROAD $OUTHOLD NY. 11971 (631) 765- 6530 FAX (631) 765- 4643 January 18~,2012 Town of Southold Building Department. Re: Conlon Pool House # 1000-87-04-08 Att.: Mr. Gary Fish JAN ] 8 20~2 BI DG. DEP~, 'tOWN OF SOU~'HO[D By this letter, I affirm that the work was performed in accordance with with the Building Permit # 36807. Sincerely, Angel B. Chorno, AIA TG WN O,F SOUTHOLD BL~,9ING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined } //#', 20 /! / Approved t/,I¢,20/I Disapproved a/c Expiration f///~,20 /j~ 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: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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 for 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 c.ons_~~ns, or alterations or for removal or demolition as herein described. The applicant agrees ~ ~ ~! a~pii~ab~la~s~rdinances, building code, housing code, and regulations, and to admit anthorized inspe!! )~~ ftttnecessary inspections. R ( ---- C''~ ~G'-b~bRE ~ ¢ .......... ['&~atur~ofapplicant or name, ifh corporation) SOLDER U, TESTING BEFOR,_ ~v, z ,,'~z ,"~, ,,-R1~ .... ~ , (Mailing address of applicant) / SURPLY SYS, TEM .CAI NOT. o stal~l~.I~,l~l~j~tl~L,'~l,~lessee, agent, architect, engineer, general contraCtOr-, ~I?cl, rTdi~n, ~'lh'~'b'~or builder 0~'~ D--~ ' t ' ' ' am o own ,o pr m s s (As°nthetaxr°ll°rla+[~O'J~xN~ G ~ I'o, ' INqPECTIONS: If applicant is a corporation, signature of duly authorized officer 1. F ObNDAT;~N- ~ RFOUIRED 1. Location of land on which proposed work will be done: House Number Stl'eet County Tax Map No. 1000 Section ~70~01' : Block Subdivision .... Y'~ ~;~'j~,,,~ a, Filed Map No. INSPECTION R UIRIED FOR POURED CONCRETE 2, ROUGH - FRAMING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3. INSULATION 4. FINAL - CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C 0 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NE.", YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRO_RS. Haml~et~ Lot ~? Lot (N amc and title °f c°rp°rate !~ ~'J~c~riiii U~LAW~L Builders License No. i,~IIT[.I¢ \1 IT P,r- BTI EIF'ATE Plumbers License No. Electricians License No. Other Trade's License No. 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 r30~ 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration OtherWork r~t~f4.~fc~ ~cOl ~OOJ (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 o~ dr Rear ~ ~ Depth Height ,31 Number of Stories 2.-- 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 9. Size of lot: Front ~'0 ! Rear .Depth Rear ¢0' ~'~ Depth 10. Date of Purchase ~- C:9 Name of Former Owner W'/z '/~Z"'z~ff-"ff' / 11. Zone or use district in which premises are situated ,/~_--,~r2~/~-t Z~o','~ / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO__ 13. Will lot be to-graded? YES__ NO '/'Will excess fill be romoved from premises? YES L/NO__ 14. Names of Owner of promises IQa IY~ c~<rr/ Name of Amhitect Name of Contractor ~9061 - C}n Address 37o~,~,q~-~,/3/~{Phone No. al. z7 Address Phone No Address Phone No. 7 3P'/~t3~ O 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/~// * 1F YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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 smweY. 18. Are there any cOvenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY 0 ~1~ NO Pos I sworn, deposes and says that (s)he is the applicant '(Name of i~hdual signing contract) above named, (S)He is the Q~-.-~) h,.) ,.2~ f~ __ (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 true 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. S~to before me this t~x,~ ~ t day of ~] 20 '( Oual~ In 8~lk ~ ~ X ~ ~mm~sion ~ res Ju~ 18, ~' ~ of Applicant 12-16-11;14:11 ; 7271661 # 1/ 2 Tm~ Hall Annc~ 54~7~ Main Ro~d RO. Box 1179 $outhold, NY 11971-0959 Telepho~ {6~l) BUII.DING DF, PAR~ TOWN OF ~OUTHOLD APPLICATION FOR ELECTRICAL INSPI~CTION REQUESTED BY: :ompanyName: J~o..s't- ~"?o_,w~. {?/~,~-r,~- ~, ~lame: ~)/~ ,~ · //~_ License No.: phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: · Address; ~/0 · Cross Street: *Phone No.: · Permit No.: '~ ~ ~ 7 Tax Map District: 1000 Section: (~ ~ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Block: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information(If needed] *Service Size: 1 Phase 3Phase (~INO YES ~ 100 150 200 Rough In ' ~"~1~ *New Sen/Ice: Re-connect Additional Information: 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION (TEST HOLE DUO BY McDONALD OEO$CIENCE ON DECEMBER 6, 2005) 121' X x% (LOCATION PROVIDED BY OWNER) BUILDING COVEP, AGE MAP No. 2 OF PECONIC SHORT FILE No. 654 FILED SEPTEMBER 1! ZITUA TED A T PECONIC DESCRIPTION AREA % LOT COVERAGE HOUSE 926 sq. fi. 7.8% POOL HOUSE 528 sq. ff. 4.4% DECKS & PORCHES 610 sq. ff. 511% PROPOSED POOL 64 sq. ff. 0.5% TOTAL (BUILT AREA) 2,128 sq. ff. 17.8% TOWN OF SOUTHOL SUFFOLK COUNTY, NEW S.C. TAX No. 1000-67-0 SCALE 1':20' JUNE 19, 2000 UGUST 1, 2005 ADDED ADDITIONAL SURROUNDING WELL DECEMBER 13, 2005 ADDED TEST HOLE  JANUARY 25, 2006 ADDED WELL & CESSPOOL MEA: AREA USED FOR BUILDING COVERAGE: FEBRUARY 7. 2006 SHOW DISTANCES FROM WELLS Ti FEBRUARY 9, 2006 SHOW SEPTIC TANK TO BE RE APRIL 1.3. 2006 FOUNDATION LOCATION AREA = 11,8B7 sq. ff. 0.275 cc. CERTIFIED TO: FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW PECONIC ABSTRACT, Inc. NANCY CONLON NOTES: 1. ELEVATIONS ARE REFERENCED TO 1929 N.G.V.D. DATUM EXISTING ELEVATIONS ARE SHOWN THUS: ~ 2. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM F OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 5. SEPTIC SYSTEM STRUCTURES TO BE ABANDONED ARE TO BE PUMPED C[ AND REMOVED AS PER S.C.D.H.S. SPECIFICATIONS. PREPARED IN ACCORDANCE STANDARDS FOR TITLE M UM k Y Ll D BY AND ~1~ THE L.I.A L S~u'~. FOR SUCH USE DY ~ TITLE ASSOCLATI UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO 8E A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY ~S PREPARED. AND ON HIS BEHALF TO THE TffLE COMPANY. GOVERNMENTAL AGENCY AND LEND~NG INSTITUTION LISTEDHEREON. AND TO THE ASSIGNEES OF THE LENDINO INSTI- TUTION. CERTIFICATtONS ARENOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. N.Y.S. Lic. No. Nathan Taft Corwi[ Land Surveyor Successor To: Stanley J, Isoksen, Jr. L.S. Joseph A. Ingegno L.S Title Surveys -- Subdivisions -- Site Plans -- Construction PHONE (631)727-2090 Fax (631)727- OFFICES LOCATED AT MAILING ADD~ 1586 Main Rood P.O. Box 1 Jomesport, New York 11947 Jomesport, New Yc NANCY CONLON RESIDENCE HUNTINGTON BOULEVARD SOUTHOLD, N.Y. STEPHE~N ROSSETTI - ARCHITECI 28 TURTLE COVE DRIVE SOUTHAMPTON~ N.Y. December 29, 2005 11104/2011 14:19 MOORE LAN OFFICES (FkX)6317654643 P.002/003 ,i :: ..... . .:. . . · '-..: POOL HOU~IE.."' NANCY CONLON RE,S, IDEN. C. E m T OTON soUTHOLD.,,,N.Y.