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Home My WebLink About36759-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 3/6/2012 No: 35471 Date: 3/6/2012 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building HOT TUB 8908 Great Pcconic Bay Blvd, Laurel, Sec/Block/Lot: 126.-5-19 Filed Map No. conforms substantially to the Application for Building Permit heretofore 9/30/2011 pursuant to which Building Permit No. Lot No. filed in this officed dated 36759 dated 10/17/2011 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" hot tub as applied for. The certificate is issued to Robert Finn (OWNER) of the aforesaid builcYmg. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36759 10/21/11 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 #: 36759 Date: 10/17/2011 Permission is hereby granted to: Finn, Judith 8908 Great Peconic Bay Biv.d Laurel, NY 11948 To: construct a hot tub as applied for At premises located at: 8908 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot # 126.-5-19 Pursuant to application dated To expire on 4117/2013. Fees: 9/30/2011 and approved by the Building Inspector. CO - SWIMMING POOL SWIMMING POOLS - ABOVE-GROUND WITH REQUIRED FENCING Total: $50.00 $500.00 $550.00 / 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 Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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 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 cousent to iuspect 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 $25.00, Additious to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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 New Construction: Location of Property: ~'~t~ House No. Owner or Owners ofProperty: ~(~ Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: / 'Street /2( Subdivision PermitNo. 3(~ ~?Z~ ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~--~ {~')/5,~u/3~__ · Date of Permit. 10-1 7- ][ (check one) Hamlet / S Block Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: [~ (check one) dffApplicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971 0959 Telephone (63 l) 765-1802 Fax (631) 765-9502 ro,qer, dchert~town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTItOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Robert Finn ~,ddress: 8908 Peconic Bay Blvd City: Laurel St: NY Zip: 11948 ~uilding Permit #: 36759 Section: 126 Block: 5 Lot: 1~ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: C-Cat Electric License No: 953-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 Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel AJC Condenser Single Recpt Sub Panel AJC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~s~l~l~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS Self contained GFCI protected hot tub with remote disconnect Notes: Inspector Signature: Date: Oct 21 2011 81-Gert Electrical Compliance Form 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) ~ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR~--"~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD ~UILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Exaroined [°/I '[ , 20 ~ { Approved /o/['l' '~20 {I Disapproved a/c Expiration ]~ [~ '~ 20 'l ~ 2 9 20II B£DG DEPr. TOWN OF SOUTHOLD PERMIT NO. fl(~ BUILDING PERMIT APPLICATION CHECK.LIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Cheek Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector [CATION 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 3 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 construction of buildings, additions, or alterations or for removal or demolition as heroin 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. O~,Signature of applicant or name, ifa corporation) (~aigng ~d~lre~'s of appiicani) builder NC OSa POOL TO COVE uPON cOMPLETION BEFORE "WATER" State whether applicant is owner, lessee, agent, architect, engineer, general contractor,,~le.c~cian,,pJumber or ') t- O ..fft-- APPROVED A OrED Name ofownerofpremises ~0/t/t~ ,/~/~ DATE /~ (As on ~e tax roll or 1~ deed) If applic~t is a co~omtion, silage of duly au~ofized officer N :~',F, ~.' (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. County Tax Map No. 1000 Subdivision (Name) Location of. land on which proposed w.ork will be done: House Number Street ' ':} ~ i ¢: !xj ,~ ~d~JJrt~l!-:Map ~o. , HOUT CERIIFIUATE 2 Ri)CCh :~-(d,;~z. PLJMBING. STRAPPING. ELECTRICAL ~ CAULKING 3. INSU~TION 4. FINAL- CONSTRUCTION ~ ECECTRICAL MUST BE COMP~ E*E zO~ C 6 ALL CONSTRUCTOrS'ALL g'r~T THE Eot Lot ELECTRICAL INSPECTION REQUIRED 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 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) Fee (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. Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Depth Rear 9. Sizeoflot: Front Rear Depth 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 NO v'/Will excess fill be removed from premises? YES NO V 14. Names of Owner of premises j-l,4j/['~, /l~,~.f/ Address%~-tt~ ~?~'ff P. hone No.~/* 8~0 y-~'c_~- Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO __ * 1F 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. 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. STATE OF NEW YORK) COUNTY OF ~'tv~;~l~ S)S: "~ JR ~/'Od~') being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of-said owner or-m~a~s, 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 tree 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 Ot//6 dayof 5e'. l f 20 II Notary Public Signature of Applicant CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (pre) the owner, s) of the premises in the Town, of Southold, located at which is shown and designated on the SuffOlk Co(torY yax Map as District 1600, Section?~-j~,_~ ,Block ~ ,Lot /fi; That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: tYt ~ 7"~_~ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, roles and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. Dated: (Simaature)r-- (Print Name) (Signature) (Print Name) Town I IMI Anm~x 5d,375 Main Road P,O. Box [179 Simd~old, NY 11971-0959 l elcl)holw (531) 765d802 · ~'a:*: (631 } _roqer.nchert~,town.soutnom.ny.us REQUESTED BY: Company Name: Name: BUILDING DEPARTMENT TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Date: License No.: Address: Phone No.: OQ.~2~'. ~iA~/_~ (~ ~ 751 ~ l ~/"/' ./ JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: 1 ~ Block: Lot: Iq *BRIEF DESCRIPTION OF WORK (Please Print 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 *New Service: Re-connect Additional Information: 3Phase 100 Underground ES NO Rough In 150 200 300 350 400 Other Number of Meters Chan9e of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form AREA= 17,151 eq. ff. lo tie line LOT NUMBERS ARE REFERENCED TO 'MAP OF PROPERTY OF A. L. DOWNS FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK ON AUG. 14~929 AS MAP NO. 21 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A ~IOLATION OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIt4SION 2, ALL CERTIFICATIONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR F~HOSE SIGNATURE APPEARS HEREON. · = MONUMENT N \ \ SURVEY OF PROPERTY A T LA UREL TO'tN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000--126--05--I9 SCALE: 1'--30' AUGUST 10, 2011 AUGUST 17, 2011 (CERTIFICATION) Aug. 22, 2011 (corner set) ~ug. 24~ ~011 (cerfificofion odded) Sept. St ~011 (e~eme#ts) SepL 9, EOII (revisions] CERTIFIED TO~ ROBERT 1~'. FINN FIDELITY NATIONAL TITLE INSURANCE COMF,,4 N Y (~30 7~-~o~o :A~ (~0 7~-~ P.O. HOX 909 1230 TRA~LER S~EET ~o~o~O, N.~ .~7~ 11-~86'~''