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Home My WebLink About36986-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 5/29/2012 No: 35717 Date: 5/29/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ACCESSORY 1010 August Ln, Greenport, Sec/Block/Lot: 53.-4-44.29 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/9/2012 pursuant to which Building Permit No. 36986 dated 2/9/2012 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 hot tub as applied for. The certificate is issued to Spiro, Melissa & Voelker, Diana (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36986 5/24/12 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 #: 36986 Date: 2/9/2012 Permission is hereby granted to: Spiro, Melissa & Voelker, Diana 1010 August Ln Greenport, NY 11944 To: accessory hot tub as applied for. At premises located at: 1010 August Ln, Greenport SCTM # 473889 Sec/Block/Lot # 53.-4-44.29 Pursuant to application dated To expire on 8/10/2013. Fees: 2/9/2012 and approved by the Building Inspector. SWIMMING POOLS - ABOVE-GROUND WITH REQUIRED FENCING $100.00 CO - ACCESSORY BUILDING $50.00 ELECTRIC $100.00 B~ n~spec~,.~ __ 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: I. 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 frown plumber certifying that the solder used in system contains less than 2/I 0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or eugineer 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: I. 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 Occnpancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Switmmng 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 Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $ [ 5.00 New Construction: Location of Property: House No. OWner or Owners of Property: Permit No. 5 _(,9:~t9/% Health Dept. Approval: Planning Board Approval: Temporary Certificate Old or Pre-existing Building: Street Block Filed Map. Date of Permit. Applicant: Underwriters Approval: Request for: Fee Submitted: $ (check one) Hamlet Lot: Final Certificate: (check one) - /~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ro.qer, richert~,town.southold.n¥.us BUILDING DEPARTMENT TOWN OF' SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Melissa Spiro Address: 1010 August Lane City: Greenport St: NY Zip: 11944 Building Permit Cf: 36986 Section: 53 Block: 4 Lot: 44.29 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built 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 GFCl 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: provide GFCl protected power to self contained hot tub Ceiling Fixtures [~~~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixturel I Pumps Emergency Fixture~ Time Clocks Exit Fixtures TVSS Inspector Signature: Date: Ma)/24 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JL--AT[ON [ ] FRAMING/STRAPPING [/~IFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) R EMARK~~'~~~~~d~ DATE~//~///"/~/INSPECTOR ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING [ ] FINAL [ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ,~ ELECTRICAL (FINAL) REMARKS: FOUNDATION (IST) FOUNDATION (2ND) , ROUGH FI~G & PLUS'IBING n~SULAT~ON I'EI~ N. Y. STA~ E~ cODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (6.31) 765-1802 FAX: (631) 76S-9502 SoutholdTown.NorthFork.net E×amined ,20 Approved .20 Disapproved a~c Expiration , 20 PERMIT NO. BUII,DING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted lo the Building Inspector with 4 sets uf plans, accurate plot plan 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 luspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available fbr inspection throaghoul the work. e. No building shall be occupied or used in whole or in part lbr 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 aker the date of issuance or has nol been completed within 18 months fi'om 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. Tbereafker, a new permit shah be required. APPLICATION IS HEREBY MADE to the Building Depamnent lbr 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 buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildiog code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Sienature of applicator name, ifa corporation) al lng address of applicant) " State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /~'~./, 5~,4- '~/~O (As on the tax roll or latest deed) If applicant is a corporation, signature of dr 5 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 which proposed work willhe done: ~ House Number c] Street Hamlet ('ounty Tax Map No. lO00 Section ~5 Block ~ Lot z State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,t b. Intended use and occupancy ;707- -J--LJ2'>~ El?/4 -7' 5 I~ 3. Nature of work (check which applicable): New Building_ Repair Removal Estimated Cost If &veiling, number of dwelling units If garage, number of cars Addition Alteration Demolition Other Work ,ittoT -r tw B (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 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 Rear Depth 9. Size of lot: Front 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 Will excess fill be removed fi'om 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 ~vithin 100 feet cfa 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 cfa tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at i0 feet or below', must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individaal signing contract) above named, CONNIE D. BUNCH (S)He is the Notary Public, State of Now York ;4u. O i BU6i I:lly, Jl~O (Contractor, Agent, Corporate Officer, etc.) Ouali§~l in Sullolk County _ ~ Commission Expires April 14 fi~ of said owner or owners, and is duly authorized to perfbrm 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 know[edge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sw~rn, t~o before me thisc--- t . ~'i?ff4fl day of ~Ir..e~:9'~xC~-4 ~0~_ Notary Public Signature T.own of Southold Erosion, Sedimentat,on & Storm-Water Run.off ASSESSMENT FOR,~. F:ROP~RTY LOC. AnON: S.C.T,J~.~.. THE FOLLOWING AGTION~ MAY IEQUIRE THE S'mu~E, SION OF A ~ro~wA~., s~m% DmU~ A'D r~<,Xi,-~m..oL ~,~ [y, st~ secure clock Lot C~'~rs~u BY ADESIGN P~ IN ~. ~A~E OF .~ ~ c~m~,nm~ to mduc. ma po]mtan~ ~ storm ~ ~ a~p ~, am~e con~ltmce wilh I~e ~mm. a~d comJ~of~ o~ u~t~ pem-a. I~ ~ ~.e SWppp ~hd ~~~&C~ ~em ~ ~ ~~m of ~te~al ~.any Pam~ ~11 ~ ~ R~ui~ La~ Dislur~ng ActiVes (5,000 8.F,) ~re Is ~ a Site? Is ~ Pm~ ~n ~ T~le~ ju~dic~n ~ ~in Bea~? wh~ ~ ~fl~en (15) f~ of V~ ~se to J J ~1 Ddv~, Paring ~e~ ~ ~r Im~i~ ~ ~ ~ Re~ ~ ~ ~ M~t~l, 7 Sq'ATE OF NEV~ YORK. COUNTY OF ............. ,SS Sworn to before mc this; That I ............... i~'~'U'~'~'~ ................... being duly sworn, depo~c~ and says that hc/~hc is the applicant for Pcrmih And that hc/shc is thc Owncr md/or representative of the Owner or Owne~, and i~ duly authorized ~o perform or have performed the said work and to makc and fide thia application, ~hat all statcracr~ contained m II~ applicabon arc true to thc be~t of Iris lmowledgc and be li,~t~ and that thc wOrk'wifl be pcrformcd in thc manner sct fo~,h in thc application filed hercwkh. FORM - 06/10 CONNIE D. BUNCH Notary Public, State of New York No. 01BU6185050 Qualified in Suffolk Coun~ Commission Expires Ap6! t4 ~ Town Hall Annex 54375 Main Road P,O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765 - 1802 Fax (63 I) 765-9502 May 24, 2012 Melissa Spiro Diana Voelker 1010 August Lane Greenport, NY 11944 BUILDING DEPARTMENT TOWN OF SOUTHOLD TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) C/Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) __ Final Planning Board Approval. (Planning # 765-1938) __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. 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