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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