HomeMy WebLinkAbout36348-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
5/11/2012
CERTIFICATE OF OCCUPANCY
No: 35593
Date: 5/11/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
1N GROUND POOL
2755 Westview Dr, Mattituck, N.Y. 11952,
Sec/Block/Lot: 107.-8-7
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
4/1/2011 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:
accessory in ground swimming pool with fence to code as applied for.
Lot No.
filed in this officed dated
36348 dated 4/26/2011
The certificate is issued to
Vasilakos, Van & Vasilakos, Cheryl
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36348 5/18/11
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 #: 36348
Date: 4126/2011
Permission is hereby granted to:
Vasilakos, Van & Vasilakos, Cheryl
2755 Westview Dr
Mattituck, N.Y. 11952
moz
construct an inground swimming pool, fenced to code as applied for
At premises located at:
2755 Westview Dr, Mattituck, N.Y. 11952
SCTM # 473889
Sec/Block/Lot # 107.-8-7
Pursuant to application dated
To expire on 10/25/2012.
Fees:
4/1/2011 and approved by the Building Inspector.
SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE
CO - SWIMMING POOL
Total:
$250.00
$50.00
$300.00
Building Inspector
Form No. 6
TOWN OF SOUTItOLD
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. 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 mmsual natural or topographic
features.
2. A properly completed application and consent to inspect 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 $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
New Construction:
Location of Property:
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building:
g75-6~ ~/~TV~Z~D
House No. Street
rote. q -. ! II
(check one)
Hamlet
Block
Lot 7
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Sabmitied: $
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Date of Permit.
Lot:
(check one)
..- ~??~,///.. /:,-/
~pphc4ant Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York I 1971-0959
Telephone (631 ) 765- 1802
Fax (631 ) 765-9502
ro.qer, richert~town.southo d ny us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Vasilakos
Address: 2755 Westview Dr City: Mattituck St: NY Zip: 11952
Building Permit #: 36348 Section: 107 Block: 8 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pumillo Electric LicenseNo: 2300-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 AJC 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 ~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures[~ Time Clocks
Exit Fixtures ~ TVSS
in ground swimming pool to include, bonding, 1 pool light, 2 GFCI circuit breakers
Notes:
Inspector Signature:
Date: May 18 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] Ro/u/Gfi PLBG.
FOUNDATION 2ND [ ]/~ISULATION
FRAMING/STRAPPING []/] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
[ ) FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION (
( ] ELECTRICAL (ROUGH) [
REMARKS:
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ~,~ELECTRICAL (FINAL)
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
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
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 76S-1802
FAX: (631) 76S-9502
SoutholdTown.NorthFork.net
PERMIT NO.
Examined
Approved
Disapproved a/c
Expiration
4~Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do yot~ hive or need the following, before applying'?
Board of Health
4 sets of Building Plans ~,/
Planning Board approval
Survey v/
Check ~
Septic~orm
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ~/Z? ,20//
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 pemfit
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 mnendments 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, Suffblk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein 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.
OCCUPANCY OR
"IMMEDIATELY" USE IS UNLAWFUL(Signature'ofapplicant or name, ifa corporation)
ENCLOSE POOL TO OODI '
UPON COMPLETION ' -T' i, 1T lQ. ~ CT! r" t~
BEFORE "WATER" ~ , ,, , -,: ,.. ,,'-..r~d)
· . , --,,.: (Mailing address of applicant)
r:..,, ,-,'.-",.. ,
TED
If applicant is a corpojatiOn, $ign~ure of duly authorized officer
'(Name and title of corporate officer) FOUNDATION. tt.,~ ~
FORPOURED CO~,'~ rE
Builders License No. /~//_~ ?-/-/ STRAPPING, ELECTR,c~ t CAULKING
Plumbers License No. ~1 I=CTRICAI. 3.
4. FINAt.CON$TRuc7iC, : :LECTRI
Electricians License No. ~M~,',,-~'rlt~M ~:~iIiRED M.U~.TilECONI~[ET= FL. ~.Z CAL
Other Trade's License No. "'"' .............
REQUIREMENTS OF T~- ~TTHE
1. Location of land on which proposed work will be done: "'3~ STA,'[ ~. :,3ES OF NEW
Hr~use Number Street Han{l~tlAIN ;~ I UHM WAI'I:P1 HUNOI-I'
County Tax Map No. 1000 Section
Subdivision'T3_';Eo~o,~25 /.,*~3,>5 ..
Block
Filed Map No.
PURSUANT TO CHAPI£R 236
OF IHE TOLY~ ~i~DE.
Lot
2. State existing use and occupancy ofp~emises 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
Estimated Cost
If dwelling, number of dwelling units
If garage, number of cars
Demolition
Addition Alteration
(Descnpnon)
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 ff_~
Height /~ / Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front /d;~) / Rear /~)O /
Rear _Depth
Depth /'6~ /
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated '/~3/'D~.,7'//,~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO k/'
· '7'
13. Will lot be re-graded? YES ~ NO Will excess fill be removed from premises· YES..k' NO
14. Names of Owner of premises ~',~x~ t/As/z. ~'~5
Name of Architect
Name of Contractor/~/*/~ 'p~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. ls 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 lingsJ
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.~
Addressz?~,~-~oc~>~.o,z-~ ~. Phone No. ,~q~ -
Address /-,'.+z~,-/,5~-~- Phone No
Address '7~ -,~ox 9 e,_~a,~,~-Phone No. _~'5~-
18. Are there any covenants and restrictions with respect to this property? * YES NO
· IF YES, PROVIDE A
STATE OF NEW YORK)
COUNTY OF~~ ....----- '3:' ~
~ ~~ , being duly sworn, deposes and says that (s)he is the applicant
(~g~e ~findividual si~5~_' ' ~'ab0ve named,
(S)He
is
the
~:~~, Agent, Co,orate Officer, etc.)
of said owner or owners, and ~uth~e~ to perfom or have perfo~ed the said work and to make and file this application;
that all statements contained ~~o~are tree to the best of his ~owledge and belief; and that the work will be
~ j~. .
performed in t~ ma~er set ~~dcatlon filed therew,th.
Sw~tob~f~methis a'/~ . 7. [
~- - ~~t : ) ~S~'gnature a~pplicant
~. 01 ~
~~ TOwn of Southold
~'~' .~.~ Emsion,~ 5edimentati°n & 8~. otto.Water Run-Off ASS .ESSMENT FORM
5~PEO~WO~- PRO~S~ ~N~U~ ~/W~~ ] Y~ No
~P~.
~ to ~fo~ m~
FORM - 06110 ~. omL'm~""os
Commi~lort F_.,qY~res Dec.
T~m H~ll Alme~
P.O. Boz ll~
TOWN OF SOUTHOLD
APP.LICATION FOR ~ ~CTRICAL INSPECTION
REQUESTED
Namb:
G~ense Ne,:
Address:
i3hone No..:
*Address:
· *Cross Street:
*Phone No.: '
Pi~mit No.: .
Tax Map ~
JOBSI:TE INFORMATION: {*Indicates required information)
','Y ·
. ~ooo set, on:..I o -I -aleclc. '~
· BRIEF DESCRIPTION OF WORK (Please Print...Clearly) ~C~
100 150 200 300: 350' 400
Underground Number0fMet;m Change 0fSe~lce
.(l~ea~e.Cimle Alt That .ApplY)
*ls~ ready for inspect, n:
'remp-lnformation (If needed}.
%.~ervioe Si~.e: ' 1 Phase. 3Phase
*New Service: Re-connect
Additional Information:
O01er
o~e~ead
PAYMENT DUE WITHAPPL, ICATION ~-'~
~, FLV. ~I.L.L I I,.4C-,HAI'-4 )
/~,X3Z ,'4.,"'/~£uw~'])
'~L F~..,,.' 'fA'./' ,"4A.P EAT'A
POOL DIMENSIONS
TYP. PANEL STIFFNER
TYPICAL WALL SECTION AT 'A' FRAME
t I
B
POOL PLAN
~l MIN. 2* THICK VtLRUICL,IUTE
· ,~ ~F ~ AC-C.-.-.-.-.~REGATE TAMPERED
H G F E
TOP ~
SECTIONS
N.T.$.
CORNER CONNECT_ION DETAIL
POOl. COMPLIES WI"rH MI,SJ 61tl4, APENOJX B
DE~A(~4 ~ ACC~aTA~II.~ FOR
ALL COMMON
JAMES OEERI(OSKI, P.E.
260 DEER PA'Ilfl
MATTtTU~ NEW YORK 11952
D
N.T.S.
DAT~
DRAWING NUMBER
OF