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Home My WebLink About37084-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/4/2012 CERTIFICATE OF OCCUPANCY No: 35577 Date: 5/4/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: HOT TUB 940 Oak Dr, Southold, Sec/Block/Lot: 80.-2-8 Filed Map No. conforms substantially to the Application for Building Permit heretofore 3/23/2012 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: Lot No. filed in this officed dated 37084 dated 3/23/2012 hot tub as applied for. The certificate is issued to Robert & Ann Burke (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37084 5/3/12 Auth~zed~Sigl~ture ~ 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 #: 37084 Date: 3/23/2012 Permission is hereby granted to: Burke, Robert & Burke, Anne 13 Narwood Ct Merrick, NY 115663947 To: hot tub as applied for. At premises located at: 940 Oak Dr, Southold SCTM # 473889 Sec/Block/Lot # 80.-2-8 Pursuant to application dated To expire on 9/2212013. Fees: 3/23/2012 and approved by the Building Inspector. SWIMMING POOLS - 1N-GROUND WITH FENCE ENCLOSURE CO - SWIMMING POOL Total: $250.00 $50.00 $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 of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifyiog that the solder used in system contains less thao 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer respousible 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 feattu'es. 2. A properly completed application and consent to respect sigued by the applicant. Ifa Certificate of Occupancy is deuied, the Building Inspector shall state the reasons therefor m writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelliug $50.00, Alterations to dwelliug $50.00, Swimming pool $50.00, Accessory buildiug $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate ofOccupaucy ou Pre-existiug 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: Old or Pre-existing Buildiug: Location of Property: C~Z/tO House No ~ Street Owner or Owuers of Property: 20/~r'"'/'~ ~t..~ Suffolk Couuty Tax MapNo 1000, Section ¢73~' Block Sufidivision Filed Map. Permit No. 3 70 ~ e'?/ Date of Permit. Health Dept. Approval: Applicao!: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fcc Submitted: $ Final Certificate: (check one) Hamlet Lot: (check one) i~ant Signatur{~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (63 I) 765 9502 ro.qer, richertCb, town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Robert Burke ~,ddress: 940 Oak Drive City: Southold St: NY Zip: 11971 3uilding Permit #: 37084 Section: 80 Block: 2 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: home owner DBA: License No: 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 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 Fixtures~_._~ Time Clocks Exit Fixtures ~ TVSS supply GFCI protected power to self contained hot tub, including bonding Notes; Inspector Signature: Date: May 3 2012 81-Cert Electrical Compliance Form.xls INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION I ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~/~ELECTRICAL (FINAL) REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-18O2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN/~ATION [ ]FRAMING/STRAPPING [,,~INAL ~r"~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ( ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUG~/~j [ ] ELE~ :.iCAL (FINAL) REMARKS: ~~~ DATE ~/~//~ INSPECTOR .~~ '~/~ ~'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined · 20 Approved Disapproved a/c ,20 Expiration .20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST DO you have or need the following, before applying7 Board of Health 4 sets of Building Plans Planning Board approval~~O* ?'t (---~ Survey. Septic Fora N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Sto~-Water Assessment Form Contact: ~ L -- g Mailto: d ~r [ BLDG. DEPT. TOVVI~ OF SOUTHOLD Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 53/~53 ,20/o%. a. This application MUST be completely filled in by typewriter or iu ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plau to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to a4joining 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 throughont the work. e. No building shall be occupied or used in whole or in pan for any purpose what so ever until the Building Inspector issues a Ceffificate 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 proper~ 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 Depamnent fbr the issuance ora 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 btfildings, additions, or alterations or for removal or demolition as heroin described. Tbe applicant agrees to comply with all applicable laws, ordinances, building code. housing code, and regulations, and to admit attthorized inspecto,'s on premises and m building fbr necessary inspections. ~~~ /~ignature of applicant or name, ifa corporation) (Mailing address of applicant) State xvhether applicant is owner, lessee· agent, architect, engineer, general contractor, electrician plumber or builder Name of owner of premises ~o ~£rT'- ~' ~ ~ ~°.Jt//~. /~ A'/~'~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on whicbgo, roposed work will be done: House Number Street Hamlet County Tax Map No. I000 Section ~ 7 ~ff""~.57 Block ~f'"'~ -- ~ Lot ~ Subdivision Filed Map No. Lot · State existing use and occupancy of preg~ses and. intende3 use apd occ.2~ncy o/f pr~. o~sed construction: a. Existing use and occupancy '-7)_ [ t06-!~ ~5"/kq4~/x/ ' '5' b. Intended use ~d occupancy ~(~ /~ 3. Nature of work (check which applicable): New Building. Addition Alteration Repair Removal Demolition Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (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 Height. Number of Stories Rear 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 Rear Deidtli 9. Size of lot: Front Rear .Depth Depth Rear 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 9// 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. 15 a. Is this property within 100 feet of a tidal xvetland or a freshwater wetland? *YES NO * 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. 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 NO · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of New York (S)He is the (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14, 2~/_.~.L~ ofisaid 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 applicatiou filed therewith. Sworn to before me this 0~)~ dayof ~£'~ 20l> Notary Public 0 W b~ cD SURVEY or PROPETY MAP FILED: JULY. I, 1931- MAP #: 631 52.0' S 70°30'00' E_ 165,00' mo. FE. POST AND RAIL FENCE FE.- 0.7' S 0.7' S 37.22' 1/2 STORY FR. RES. 37.58' W ~BRtCK PILLAR LANDING & STEPS N 70'30'00' FE. 3.7' 3.5' kIASONRY PATmO POST AND RAIL FENCE 19.65' CONCRETE DRIVEWAY 20.92' GARAGE 165,00' FE. 20.92' 1.1' N _i SITUATE BA YVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. S.C.T.M.#: 1000-080-02-08 SURVEYED: AUGUST 13, 2010 GUARANTEE TO: PARAGON ABSTRACT INC. FIDELITY NATIONAL TITLE INSURANCE CO. TBD ROBERT ~ BURKE AND ANNE ~ BURKE SE~~ SCALE:)RAWN Mwn~4EL K. WzcKs, nyc. ,---2o. )ATE: LAND SURVEYING ^uo. 1,3. 2010 N.Y.S. LIC. # 50390 BY: 200 BELi~ Vlg'lg AVENUE, CENTER MORICHES. NEW' YORK 11934 SHEET: VOICE: 63LB?4.0f56 - FAX: 631.909.3845 I OF I Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 APR 2 0 z(JJZ .., BLDG DEPI TOWN OF SOU[HOl D ro.qer, dch BUll.r~ING DEPARTMENT TOWN OF 80LrI'I-iOl.n APPLICATION FOR ELECTRICAL INSPECTION BY: Company Name: Name: License No.: Date: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: O_~/~(~; *BRIEF DESCRIPTION OF WORK (Please Print Clearly) / Block: Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: S/ NO ,,,E Temp Information (If needed] *Service Size: 1 Phase 3Phase 100 *New Service: Re-connect Underground Additional Information: Rough In F~'~ 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form