HomeMy WebLinkAbout36392-ZTown of Southold Annex
54375 Main Road
Somhold, New York 11971
2/6/2012
CERTIFICATE OF OCCUPANCY
No: 35432
Date:
2/6/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
IN GROUND POOL
310 Huntington Blvd, Peconic, NY 11958,
Sec/Block/Lot: 67.-4-8
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/25/2011 pursuant to which Building Permit No. 36392 dated 5/17/2011
was issued, and conforms to all of the requirements 0fthe 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.
The certificate is issued to
Conlon, Nancy
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36392
7/1 l/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 #: 36392
Date: 5/17/2011
Permission is hereby granted to:
Conlon, Nancy
245 1st St
Cutchogue, NY 11935
To:
construct an inground swimming pool, fenced to code as applied for
At premises located at:
310 Huntington ~lvd, Peconic, NY 11958
SCTM # 473889
Sec/Block/Lot # 67.-4-8
Pursuant to application dated
To expire on 1111512012.
Fees:
4/25/2011 and approved by the Building Inspector.
SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE
CO - SWIMMING POOL
Totah
$250.00
$5O.OO
$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 &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 Compliance from 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. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicam
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. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction:
Location of Property: ~ l0
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision ~' 5~ 6/
Old or Pre-existing Building: (check one)
~] Street Hamlet
]
~ OU0 ~ Block ~t ~ ~/¢ 7
Filed Map. 7/ Lot:
Applicant:
Undemfitem Approval:
Permit No. ~'~/r'; 3 C~ ,~ Date of Permit.
Health Dept. Approval:
Planmng Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate: (check one)
(- A~licaut Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971 0959
Telephone(631)765-1802
Fax(631)765-9502
retie r. riched~town.southold, ny. us
BUILDING DEPARTMENT
TOWN OFSOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Nancy Conlon
Address: 310 Huntington Blvd City: Peconic St: NT Zip: 1195E
Building Permit #: 36392 Section: 67 Block: 4 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc LicenseNo: 4814-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 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:
Ceiling Fixtures ~[~ HID Fixtures
Wall Fixtures ~ I Smoke Detectors
Recessed Fixtures ~J CO Detectors
Fluorescent Fixtur(~J~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures [~ TVSS
in ground swimming pool to include, bonding, 1-control panel
Notes:
Inspector Signature:
Date: July 11 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST I ] RO.~H PLBG.
[ ] FOUNDATION 2ND I ]~ULATION
[ ] FRAMING/STRAPPING [~ FINAL
[ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I.~.N$ULATION
[ ] FRAMING / STRAPPING [ ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAh(ROUGH) [ ] ELECTRICAL (FINAL)
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765lt 802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~JL,ATION
[ ] FRAMING/STRAPPING ~]~FINAL
[ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
R
DATE
INSPECTOR .J'~' ~
TOWN OF SOUTHOLD
BUILDING. DEPARTMENT
TOW~I HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.North Fork.net
Examined yJ~, 20 I/
Approved
Disapproved a/c
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Plamfing Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Penmt
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
q / zo ,20//
a. This application MUST be completely filled ill by typewriter or in ink and submitted to the Building Inspector with
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 wate~ays.
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 tbe work.
e. No building shall be occupied or used iu whole or in pan fbr auy purpose wbal so ever until the Buildiug Inspector
issues a Ce~ificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commeuced withiu 12 lnonths after the date of
issuance or has not been completed within 18 months fi'om such date. If no zoning amendments or other regulations affecting the
property have been enacted in the imedm, the Building Inspector may atahorize, in wrilmg, the extension of the pemqit for an
addition six months. Thereafter, a new permit shall be required.
~PLICATION IS HEREBY MADE to the Building Depmxment fbr the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or fbr removal or demolition as herein described. The
applicant ~ ~ t~o~[~i~ ~a~li~[laws, ordinances, building code, bousiug code, and regulations, and to admit
authorized [~s~c~s~,~m¢~e~hn~n~uU~ing for necessary inspections.
u uI .... t;l~ I~ I IM/AW:I j~ ~ (Sig~ureofapplicantorname, ifacom°ration)
Name
O~ owne~
o~ p~mis¢s
(As on the tax roll or late~ BUlLiNG D~A~ --
If applicant is a co~oration, signature of duly authorized officer FOLLO~NG INS~[C~:¢
(Name and title of co~orate officer) r,~: ,0,.~ bt' ~,
Builders License No. ~r ~'C~_
Plumbers License No. : '~ . ~ - '.' ,~ "~,~c:*''~tC~L
Electricians License No, 5':: ,:[: ': ~:~ ~ 0
Other Trade's License No. ;; d?M ':' . q,3h SHAd 'arET THE
k' )OIR[ UEN~S OF THE CODES OF NEW
~3RK ST:4E NOT RESPONSIBLE FOR
1. Location of land on which proposed work will be done: ,D C DES G-~R-- SIR '
House Number Street ~, , ~ Hamlet
CountyTax Map No 1000 Section ~7 0¢ Block INSPECI~N
Subdivision ~,~ Filed ~ ~ ~ Lot
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
Addition }0 oD [ Alteration
Other Work ~ (~ ~ rO-av~(Jk
(Description)
Nature of work (check which applicable): New Building.
Repair Removal Demolition
Estimated Cost Fee
(To be paid on filing this application)
If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
It' business, commercial or mixed occupancy, specify nature and extent of ~agh fype of use,
Dimensions of existing structures, if any: Front Rear tt'~ - I~t'l~ _
Height Number of Stories ..... ~t~ ~
Dimensions of same structure with alterations or additions: Front
Depth' :: . - Height
8. Dimensi0n§,ofentire,. rte'g/construction: Front Rear
Height ' Number of Stories
9. Size oflot: Front q6 !
10. Date of Purchase 2- 0 o'7
~% b'.'t ~'E ~ ¥~Rear
Number of Stories
Depth
Rear q d , "1'} Depth
Name of Fommr Owner a ttrt,~/"
11. Zone or use district in which premises m'e situated P-e t,47/t Lc
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO ff. Will excess fill be removed from premises? YES
14. NamesofOwnerofpremises lqcmot~W-O'~1o~ Address 131Vet
Name of Architect } Address
Name of Contractor Address
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 ora tidal wetland? * YES__ NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
Phone No. ,.~2/[~'7 70,3
Phone No
Phone No.
NO I/
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.
l 8. Are there any covenants and restrictions with respect to this property? * YES NO v/'
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
(Name of individual
(S)He is tbe
~O N J 0 P'-) beiugduly sworn, deposes and saysthat (s)he is the applicant
signing coutract) above named,
(Contractor, Ag~fiat, Cmporat/e Officer, etc.)
of said owner or owners, and is duly authorized to perfbn'n 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.
Sworn to before me this--
"Notary Public
20 /[
Signature of Applicant
NO. 01B1[$0~9317'
Town Hall A~ex
· .~275 Main Road
P.O. Box 1179
· Somhold, NY 11971-09,59
Tclephor~ (6~1) 765-1802
BU'rLr~IN'C- DF.P~
TOWN O1~ $OUTHO~.n
A~PUCAT[ON ~O~ ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
*Name:
*Address:
· *Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 S~on: ~'
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
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 3Phase
*New Service: Re-connect
Additional Information:
100
Underground
82-Request for Inspection Form
~NO Rough In ~
YES I NO
150 200 300 350 400
Number of Meters Change of Sewice
PAYMENT DUE WITH· APPLICATION
Other
Overhead /~/
CHITUK POOLS LTD.
P.O. Box 9
Cutchogue, NY 11935
NAME/ADDRESS I
NANCY CONLON
310 HUNTINGTON BLVD.
PECONIC, NY 11958
Estimate
DATE ESTIMATE #
3/1/2011 I
DESCRIPTION
IN-GROUND SWIMMING POOL CONSISTS OF;
STEEL WALLS WITH HARDWARE
D.E. FILTER WITH BASE
H.P. HAYWARD PUMP
ALL PVC PIPING AND PLUMBING
27 GAUGE VINYL LINER
AUTOMATIC SKIMMER, 2 RETURNS
3 STEP LADDER
VAC SET, STARTER CHEMICALS
FOAM PADDING, POLARIS WALL FITTING
CONCRETE COLLAR AROUND BASE OF POOL
$1,000.00 TOWARD ELECTRICAL WORK
POOL SIZE 7 X 7 SQUARE - $6,000.00, 8 X 8 SQUARE - $6,400.00
ADD $1,700.00 FOR SALT GENERATOR WITH SALT
ADD $450 FOR BACKWASH DRYWELL (MUST HAVE)
ADD $1,450 FOR POLARIS AUTOMATIC POOL CLEANER
WINTER COVER NOT INCLUDED
EXCAVATION WORK AROUND POOL iS INCLUDED
CUSTOMER IS RESPONSIBLE FOR APPLYING FOR C.O.
SIGNATURE
· T.OWn of Southold
Erosion t~edlmen~aflon & Storm-Water Run.Off ASSESSMENT FORM
PROPER~'f LOCAT~N: S.CT.M. #: ' '
$COPIil OFWOllK. PROPOSF.,D CONSTRUCTION
P~OflDE BIIIEF PIO~CT DESC~UFflON ~e..
rrm~# / wo~,[~
·
s~ope~ e_.~a3,~ ~ We~ ~. '
~ Ped~.
~ ~ ~g ~ ~an ~0 ~c Y~-
of Mattel ~n any ~
~ . u o.F.) Square Feet of Grou~ Su~?
6 Is ~e~ a NaOmi Water ~ Ru~ ~.~e
Site? ~ ~ P~e T~~
~ea~?
TEST HOLE DATA
(TEST HOLE DUG BY Mq~ONALD GEOSCIENCE ON D£CEMBER 6, 2005)
x
/
/
/
/
~ JRVEY OF
LOTS 86 & 87
MAP No. £ OF
PECONIC SHORES
PILE No. 654 FILED SEPTEMBER 15, 1930
SITUATED AT
PECONIC
TOWN OF $OUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-67-04-08
SCALE 1 "=20'
JUNE 19, 2000
AREA = 11,886.89 Sq. fl; 0.273 ac.
CERTIFIED TO:
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
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 FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS,
$. SEPTIC SYSTEM STRUCTURES TO BE ABANDONED ARE TO BE PUMPED CLEAN
AND REMOVED AS PER S.C.D.N.S. SPECIFICATIONS.
UNAUTHORIZED ALTERATION OR ADDmON
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF '~HE NEW YORK STA*IE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR"S INKED SEAt_ OR
EMBOSSED SEAl. SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHAL~ RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
iS PREPARED. AND ON HIS BE. HALF TO THE
TITLE COMPANY. GOVERNMENTAL AGENCY AND
N.Y.S. Lic. No. 50467
Nathan Taft Corwin Ill
Land
Title Surveys -- Subdivisions -- Site Plons -- Construction Loyout
PHONE (651)727-2090 Fox (631)727-1727