Loading...
HomeMy WebLinkAbout35620-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 11/28/2011 CERTIFICATE OF OCCUPANCY No: 35356 Date: 11/28/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: IN GROUND POOL 272 BREAKWATER RD MATTITUCK, Sec/Block/Lot: 113.-3-7.4 Filed Map No. conforms substantially to the Application for Building Permit heretofore 5/24/2010 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: in eyound swimming pool with fence to code as applied for. Lot No. filed in this ofliced dated 35620 dated 6/7/2010 The certificate is issued to Briggmann, Richard & Briggmann, Lori (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35620 4/13/11 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~3ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35620 Z Date JUNE 7, 2010 Permission is hereby granted to: RICHARD T BRIGGMANN MATTITUCK, NY 11952 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED TO CODE at premises located at 272 BREAKWATER RD County Tax Map No. 473889 Section 113 Block pursuant to application dated MAY 24, 2010 Building Inspector to expire on DECEMBER MATTITUCK 0003 Lot No. 007.004 and approved by the 7, 2011. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SoIYrHOLD BUILDING DEPARTMENT TOWN HALL 765-1502 APPLICATION FOR CERTIFICATE OF occUPANcy This application mu~t be filled in by typewriter or ink and submitted to the Building Department with.the fallowing: A. For new building or new use: 1. Final survey of property with accUrate'location of all buildings, propetW line, a, streets, and unusual natural, or topograpkic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form). · 3.. Approval ofeleclrieal installation fi.om Board 0fFire Underwriters. 4. 'aw.om statement from plumber c~ttifying that tho solder nsed in system contains less than 2/10 of 1% lead. 5. Commoroial building, industrial building, mtiltiple reaidenoe~ and similar buildings and installations, a certificate of Code ComPliatme'from architect or engineer responsible for the building; .6. Submit planniug Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957} don-conforming us~, or buildings and "pre-existing" land uses'.' - 1. Accurate survey of property showing all property line~, streO, a, building and unuau:i! natural or topographic features. 2. A properly c~mpleted application and consent to inspect signed by the applicant Ifa C~rtific~t~. ,fro ..... a;ic=l~ denied, the Building lnspector shall stat~ the reason~ therefor in writing to the appl :~-~. ~ (~ [~ ~ ~ [~ ~'~1 C. [e.esSC~ew7~n~e~f'~?$~.a~y~Ncc~wsd~tw;~u~?~i$n5~.~A~diti~nst~dwe~ing$5~.~.~A ~alln:~ili2ig~00,1~] ~ ' ' 'g p - , ry ' ' g $50.00, A~dditious to aecessory buildi~ ,t,.~$5q.00, Businesses $50.00,.[ 2. Certificate of Occupancy on Pm-existing Building - $100.00 L_ ' ] 3. Copy of Certificate of Occupancy - $:25 BLD¢ DEPI, . 4. Updated Certificate of Occupancy - $50.00 IOWN 0[ SOLI~OLB · 5_ Temporary Certificate of Occupancy - Residential $15.00:, Commercial $15.00 Date. ~ New Construction: Location of Property: Own6r or Owners o? Property: Suffolk Co.uaW Tax Map No 1000 8abdivisiua P~'mit No. ¢ fib ~C) Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ ~-~. OD _a~ Old or P,~3~--existing Building: Hous~ No. ]~-O R ~: Street Date of Permit. (check one) ~ f._/.,.~/~ ~/~7 3,/i. Hamlet Lot: , Filed Map. UnderwrR~ Approval: Final Certificate: I.~ (check one) Applicm~%ignature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 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: Briggmann Address: 272 Breakwater Rd City: Mattituck St: NY Zip: 1195~ Building Permit #: 35620 Section: 113 Block: 3 Lot: 7.z WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Raymond Electrical Cont. LicenseNo: 5141-me 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 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 Fixturel~j Time Clocks Exit Fixtures ~ TVSS swimming pool-to include, bonding, I GFCI circuit breaker Notes: Inspector Signature: Date: April 13 2011 81-Cert Electrical Compliance Form , ~ ./tOWN OF SO ILDING DEPT. SPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA,-,- ;,( INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~'] ELEq~, tqlCAL (FINAL) REMARKS: DATE ~ INSPECTO~ ' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~IU_LATION [ ] FRAMING/STRAPPING [~']'FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FiRE RESISTANT FENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR /~/i ~~ f/ / FOUNDATION OS'f) FOUNDATION (2ND) , ROUGH FRAMING & PLUMBING STATE EI~t~GY cODE · IX/ ADD1TION~ ~,' , ' TOWN OF S~TH'OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved Me PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans plarmmg Board approval Survey_ Cheek Sephc Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: ..~---~"A--'~ ~ n %~ I¢ [r~\l , [ Building Inspector ~ 3--1 ~/////APPLICATION FOR BUILDING PERMIT ~n~plfteo~lz,.fill..ll.e~d ~ ~b~yh~ap,,el~ter or in ink and submitted to the Building Inspector with4 b. Plot plan showing location of lot and of bmldings on premises, relationship to adjoining premises or public slreets 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, thc Building Inspector will issue a Building Permit to thc 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 ff the work authorized has not commenced within 12 months after thc date of issuance or has not b~n completed within 18 months from such date. ff no zoning amendments or other regulations affecting the properly have been ena~cd in the interim, the Building Inspector may authorize, in writing, thc extension of thc permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for thc issuance ora 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 conslruction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with ali applicable laws, oi~iinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and i~ building for necessary inspections. "IMMEDIATELY" OCCUPANCY OR (Sigmtm¢ of app]~cam/or z~mc, ifa con2orafion) eNCLO ,: e, rOCOOe I ISE IS UNLAWFUL UPON C.2 L,:PLETION State whether applicant is owr~! ]~e~ engineer, general contractor, electrician, plumber or builder , WAPPROVED AS NOTBD Nameofownerofpremisesr~tcht~------~Zl ~,G~/'~)o~ ~- ) O~--, (As on the tax roll dr latest ,dl~ed~E: If applicant is a corporation, signature of dul~NDlll~]~7~[Oll.,,- (Name and rifle of corporate officer) ALL CONST)iUCUON SHALL Builders License No. MEE'F THE REOI JIRF~4ENTS OF THE Plumbers License No. C©Dgg OF NEW YORK STATE. Electricians License No. Other Trade's License No. Location of land_.~ll,which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Block Filed Map No. N'7~ r 3UILDING ~ ~'A~TMENT AT 765 ~.q~ 8,A~gtl TF.g. PM FO~ FQ~',~ING INSPg, .' ~NS -1 FOUNDATION. TW) R~UI~D FOR PO~D CONC~TE 2. 8OUGH. FRA~G PLL'~G. ~BA~IN~. ~L~Rj~ ~ 5. If dwelling, number of dwelling units If garage, number of cars 2. State existing use and occupancy of premises mad intended use and occupancy of proposed construction: a. Existing use and occupancy 3. Nature of work (chcck which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Estimated Cost Z-~, (~O Fee ~5'~,~ (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 c~ ~ Rear ~ i Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stodes Rear 8. Dimensions of entire new construction: From Height Number of Stories Rear .Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed constmetion 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. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. t 5 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 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 * IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) - SS: COUNTY OF~ ~ . ~_OrZ_trtr '~ - v(~ i ~-~ :C~V~/Zx ~.lt,,) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing conlrnc0 above named, (S)He is the (? ~,~' kD $~ (Contr~tor, 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 line to the best of his knowledge and belief; and that the work will be performed in thc manner set forth in the application filed therewith. Sworn Io before me this · .. Notary Publi~ ' !© Szgnature of A~[cant CONNIE D. BUNCh Nota~j Public.State of New York No. 01BU6185050 Qualified ir] Suffo k County, x Commission Expires April 14 201 0~, Tom~ Hall Annex .~.~75 Maln Road P.O. Bo~ 1179 ~outhold, ~ 11971-09~ Telephone (~1) 76~-1802 BUILDING DF. PARTMF. aNT TOWN OF $OUTHOLn APPLICATION FOR ELECTRICAL INSPECTION *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: (*Indicates required information) 1000 Section: J ! ~ Block: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ',J J I (Please Circle All That Apply) *Is job ready for inspection: ,Do you need a Temp Certificate: ~)/NO YES ~ T®mp Information (ff needed] *Service Size: I Phase 3Phase 100 *New Service: Re-connect Underground Additional Information: Rough In Final 150 200 300 350 400 Other Number of Metem Change of Se~ice Overhead PAYMENT DUE WITH APPLICATION Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Date: Name: License No.: Address: Phone No.: *Cress Street: *Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: Le ~ Rat ~-~o¢'d ~.~ ~ *Address: LI.-?',.-~- "~ ~ ,~ ~'~-r ~. ~ ~ ~ ~ Permit No.: Tax Map District: 1000 Section: ~'l~ Block: Lot: -7' r *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) (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 100 *New Service: Re-connect Underground Additional Information: YES / NO Rough In YES / NO Final 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~"~ a~k ~1)~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN Di~blct S~tlon Lot CERTIFIED BY A DESIGN PROFESSIONAL IR THE STATE OF NEW YORK. CONSTRU(~'IljON ITEM # / WORK ASSESSMENT [ Yes No SCOPE OF WORK PROPOSED ,. What,thsTota,^.aof,haP ,.c, Pa ,s? (Include Total Area of all Pam~ls located w~thin ~ I Will this Project Retain All Sterm-Watar Rur~Off Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all mn-off created by site b. What is the Tota{ Aree of Land Cleadng (S,F./Acms)/ cleadng and/or ccnstruction activities as well as all and/or Ground Disturbance for the proposed F-J/~I Site Improvements and the permanent creation of construction impervious surfaces.) (S.F. 2 Does the Site Plan and/or Survey Show Ail Proposed PROVIDE BRIEF PROJ~;CT DE~CR][~/~[ON (Pr~,~ Add~.~ Pa.,,.. ~) Drainage Structures Indicating Size & Location? This Item shstl include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. / 3 Does the Site Plan and/or Survey deschbe the erosion and sediment control practices that will be used to /~ I I control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling, Grading or ~/) Excavation where there is a change to the Natural U' Existing Grade Involving more than 200 Cubic Yards __ of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ~ Encompassing an Area in Excess of Five Thousand I-I (5,000 S.F.) Square Feet of Ground Surface? -- 6 is there a Natural Water Course Running through the r=-=-I Site? Is this Project within the Trustees jurisdiction~ General DEC SWPPP Requirements: or within One Hundred (1 Off) feet of a Wetland or -- disturbancesofone(1)ormoreacres; includingdisturbancesoflessthanoneacre~hat 7 WilltherebeSitopreporationonExisfingGredeSIopes D are par~ of a larger cerumen plan that will ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to ~ncluding Construction act/vii/es involving soil dislurbances of less than one (1) acm where One Hundred (100') of Horizontal Distance? -- ~NPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Pan~ing Areas or other Impervious ,or Storm Water Discharges from ConstrucUon acflvtty - Permit No. GP-0-t 0-~0t.) Surfaces be Sloped to Direct Storm-Water Run-Off ~"/~ 1. The SWPPP shall be prepared ppar to the submittal of the NOI. The NOI shell be into and/or in the direction of a Town right-of-way? 2. The SWPPP shaft describe tbe erosion and sediment control practices ami where 9 Will this Project Require the Placement of Material, required, post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any I I consbucted to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder Identify potential soumes of pollution which may reasonably be expected to affect the STATE OF NEW YORK, ~ Vx/tLL ,C..k.~'~T-F~K..,',~ -('-H~_ COUi~/O F ....{~i~..--:.~...F.~..L....t~ ............ SS .-~ A ¢ ,<.c..~_% H c~-~ That 1 :.....~..~ ~.. ~..~-~. C~..~..~ .~..L-~... being duly sworn, deposes and says that be/~,[¥t~uull~ ~- ~.~:fl.~l.;~l;'~lil::tnt for Permit, f~)~ Nota~ Public, State of New Yo~ And that he/she is the ................................ .~.ca.v...~...E.47~, .................................................... .~..fllGI16.1&SOSll ..................... (Owner, C°ntraci°r. Agenl, C°m°mte Oacer, etc-) (Jualified in Saff0 k Couotv · P,0m is~ion EDir s ' . Owner and/or representative of the Om,er or Owners, and is duly authorized to peffomx or ~,~ve pe~omrr~e~el.~Od~;ff m,d to make and file this application; that all statements contained in this application are tree to due best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ~?tJ q-'th ........................· ._'~":~"': .......... ': day/.~ -''' '~'~t~-- '~"~ --~ ......................... 20.L.O '~-V , .................... Notary Public: .......... .................. FORM - 061t 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 November 14, 2011 BUILDING DEPARTMENT TOWN OF SOUTHOLD Lauri & Richard Briggman PO Box 853 Mattituck, NY 11952 Re: 272 Breakwater Rd, Mattituck TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: v~APplication for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. - Bob Fisher __ Final Landmark Preservation approval. BUILDING PERMIT: 35626 - Swimming Pool NO, DISTRICT: tO00 SECTION: .~t$ BLOCK: J LOT(S): 57.914.59 sq.ft. 1,35 acres S.C,T.M. NO. DISTRICT: I000 SECTION: t13 BLOCK: ,:3 LOT(S): 7.4 I' ~J LOT 25 I 125' o.5 E 25' R',ONT OF' ! ' S 8~30'4~ W ~ ~ ~ 174.8g' AREA: 57,914.4 S.F OR 1.33 ACRES UN~U~O~;ZgO ~L~ O~ ~OOm~ m TH~S SU~Y /S ~ ~AnON OF ~C~ 7209 Oh ~g NEW ~ STA~ gOUC~ L~ C~ES OF MAP NOT 8EARING ~E LAND SUR~Y~'S EMSOESED ~AL SHALL NOT 8E C~SIDEREO TO 8E 4 VALID roUE COPY ~ARAN~ES INDICA~D HEREON SHALL RUN ONLY m ~E PERSON ~OR ~ ~E SURLY IS,PREPAREO 4NO ON HIS BEHALF TO ~E ~AE COMPAN~ GO~RNMENTAL A~NCY AND LENOING INS~ON LIS~O HEREON, AND TO ~E AS~EES OF ~g LENDING INS~. GUARAN~ES ARE NOT ~ANSFE~ABLE. ~g ~FSE~ OR DIMENSIONS SHO~ HERE~ FROM ~g PR~ERTY LINES m ~E SmUC~RES ARE FOR A SPEOFIC PURPOSE AND U~ ~EREF~E THEY ARE NOT IN~NDED TO M~UMENT ~E PROPER~ LINES OR TO GUIDE ~g EREC~ON OF ~NCE5, 4DDIEONAL E~UC~RES OR AND O~ER IM~RO~MEN~. EASEMENTS AND/OR SUBSURFACE EmUC~RE5 RECOROED OR UNRECORDED ARE NOT CUARAN~EO UNLESS PH~ICALL Y E~OENT ON ~E PREMISES ~T ~E ~ME OF SURLY PUBLIC WATER 4VAILADLE ~ ~LL WA~R ~ INDI~DUAL SANITARY S~TEM ~ ELEV4~ FARM: ......................... SURVEY OF: DESCRIBED PROPER~ CERTIFIED TO: RIC~RD BRIGGMANN ~ LORI MAP OF: DRIGGMANN; FILED: SITUATED AT: MA~ITUCK TOWN OF: SOUTHOLD KENNETH M. WOYCHUK SUFFOLK COUNTY, NEW YORK ~~ ~nd Su~exiag and DeaJgn  Cal~e~tou, New Yo~k 11933 FILE ~ 99--45 SCALE: ]"----40' DATE: APR. 1, 1999 N.Y.S. UC NO. ~227 ~in~ ~e