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HomeMy WebLinkAbout36083-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southoid, New York 11971 6/5/2012 CERTIFICATE OF OCCUPANCY No: 35735 Date: 6/5/2012 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 330 SUMMIT LA EAST MARION, SCTM #: 473889 Sec/Block/Lot: 38.-7-10.4 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this officed dated 12/3/2010 pursuant to which Building Permit No. 36083 dated 12/9/2010 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. The certificate is issued to Ali & Sengul Ergis (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36083 2/8/12 /~t3~~ure FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36083 Z Date DECEMBER 9, 2010 Permission is hereby granted to: S ERGIS 330 SUMMIT LAiNE E MARION,NY for : CONSTRUCTION OF A~N ACCESSORY INGROUND SWIMMING POOL, FENCED TO CODE at premises located at 330 County Tax Map No. 473889 Section 038 pursuant to application dated DECEMBER Building Inspector to expire on JUNE SUMMIT LA EAST MARION Block 0007 Lot NO. 010.004 3, 2010 and approved by the 9, 2012. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 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 1. new building or new use: Final survey of property with accurate looation of all buildings, pyoperty 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. $. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Complianoe from architect or engineer responsible for thc building. 6. Submit Pl.amng 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. 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 Old or Pre-existing Building: ¢ House No. Street New Construction: Location of ProPerty: Owner or Owners of Property: ~ Suffolk County Tax Map No i 000, Section Subdivision PermitNo..'3bd)~3 DateofPermit. /~7..~9/- Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ t~-c~//jCx.~. Date. (check one) Hamlet Block 7 Lot /Lg, Lot: Filed Map. Applicant: Underwriters Approval: Final Certificate: _ ~ (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qe r. richert~town.southold, nv. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mr & Mrs Ergis Address: 330 Summit La City: East Marion St: NY Zip: 1193~c Building Permit #: 36083 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: JES Rlectric LicenseNo: 4483-me SITE DETAILS Office Use 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 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 I I Smoke Detectors Recessed Fixtures[~ CO Detectors Fluorescent Fixture ~.~ Pumps Emergency Fixture!.~ Time Clocks Exit Fixtures ~ TVSS in ground swimming pool to include, bonding, 1-pool light, 1-GFCI circuit breaker 1-salt generator, 1-control panel (sub) Notes: Inspector Signature: Date: Feb 8 2012 81-Cert Electrical Compliance Form.xls [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~.:J~LECTRICAL (FINAL) REMARKS: DATE ---~ ~'~ INSPECTOR~'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING ,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPEC11ON [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE ~- ~-~-- / ~--- INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU~H. PLBG. [ ] FOUNDATION 2ND [ ] I!~ULATION,~ [ ] FRAMING / STRAPPING [ ~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICA~ (ROUGH) [ ] ELECTRICAL (FINAL) REMARK~ DATE y f INSPECTOR/~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING/STRAPPING [~/] FINA~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE 6/f/~~b~ INSPECTOR ~~ ~~ TOWN OF SOUTHOL BUILDING DEPART5 TOWN HALL SOUTHOLD, NY 1197 TEL: (6.tl) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFo DEC - 3 B~DG. DEH. k.net T0~E(Rlljltli~ ~ O Examined ...... ~/~, 20 ) 0 Approved /?~'/_9_, 20 [ i) Disapproved a/c Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the tbllowing, betbre applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Mail to: Phone: t Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ,20/O 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 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 lbr 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 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. "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" (S~gnamre of apphcant or name, it a corporanon) F~Na,me of owner of premises ELECTRICAL (Mailing address of applicant) INSPECTION REQUIRED uml be%" State whether applicant is owner, lessee, agent, architect, engineer, general contract(~r, e. lec~,rician, p builder (As on thelax roll or late~ B~ I ~}, k- ~ H~ '~k , F AT If applicant isa co~oration, signaturoC~~j~o0~r 765-180, : -t THE FOLLOWll, 3 IN' okC FIUNU .... .'i .... ~ 1. FOUND. "O'. (Same andtit ¢ oroomo t ofdgE iS UN_AWPU= mR.ousg: = Builders License No. 'V~ '~.' , STRAPPING ELECTRIc-.. & CAULKING ' 3. I~U~UON Plumbers License No. [ j)' t~. , 4. FINAL. CONSTRUCTION & ELECTRICAL Electricians License No. MUST 8E COMPLETE FOR C.C. Other Trade's License No. ~ CONS~UCT~ ~LL ME~ ~ REOUIREMENTS OF THE CODES OF NEW 1. Location of land on which proposed work will be don~ ~__ Y~K STA~. ~T,~NSI~ F~ Number County Tax Map No. 1000 Section ~ ~ Block 0 7 OF THE T~ O0~.~ Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of pro2osed construction: a. Existing use and occupancy e,31}3~ ~1~1¢-~ b. Intended use and occupancy ~i~:::~.~ ,_<~/~tb-~ t.~L~ ~ ~:~~ Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost ~ ~5;), 0:99 If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work/~"l~_O (Desc~ption) (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 ofexistingstructures, ifany: Front 75 ~ Rear '~'~ ~r'~W Depth Height ~. '"/ {cT' Number of Stories 17_ Dimensions of same structure with alterations or additions: Front Depth. Height. 8. Dimensions of entire new construction: Front '~O Height ~' ~' ~'7" Number of Stories 9. Size oflot: Front ~-~7 ~ Rear ff~ Number of Stories 1'~7 Rear ZoO F7 Depth ~'~ Depth ['~ ~ ~7 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/~ 13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES ,~ NO ~'~. Names of Owner ofprenfises,%,~/ .~3'~j Address ~C' ,°---~dd/-~ r'hone No.~j~7 2"'ffl6 17 NameofArchitect t.A.[?-/~ '-~t~o47 Address,4-'7~ .'~.7~: PhoneNo Name of Contractor Address Phone No. 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 ora 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) S: COUNtrY OF~:~ r"- _///j,, c'Z_ ' .- ,'~---~ O,(~ ~ {/,E~ [, '-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individdal signing contracD~above named, (S)He is the (ContraCr6r, Agent, Corporate Officer, etc.) of said owner or owners, and is duly auth0riz&d to pertbrm or have performed the said work and to make and file this application; that all statements contained in this appll~tion are true to the best of his knowledge and behef; and that the work will be performed inl,hk manners'et'forth iz}~,tJl'b'gppljcation filed therewith. L I~ota~ Vu'l~l~c-k~ - Signat'Ore of Applicant / Town Hall Annex 54375 Main Road P.O. Box I 179 Southold, NY 119714)959 BUll .l~l~O DEPARTMENT TOWN OF APPLICATION Telephone (631) 765-1802 fo er dch ' "~' (631) 7651-.95Q2. , ,q · ert(~town.sou[noto.n¥.us FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: No.: JOBSITE INFORMATION: (*Indicates required information) *Name: ¥% .~ ~,~, ~c~ *Address: -~%c> <~,.~,~ "~ , ~. ~,~ *Cross Street: ~ ~ ~ ~ *Phone No.: A~ ~77 Pe~it No.: - ~ ~ Tax Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please PHnt CleaHy) (Please Circle All That Apply) *Is job ready for inspection: *Do you nccd a Temp Certificate: YES / NO Rough In YES / NO Temp Information (If needed] Final *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82~Request for Inspection Form 40' POOL SECTION . POOL ENCLOSURE --XISTI NE:, FENCE/ EXISTIN® PATIO NEW SI~II bth41 N® POOL 20'x40' EX ST N® SEPTIC ~T~- TANK / / ~o~ N 69'05'45" E 90.15' ' 0 0 0 0 0 0 0 0 0 POOL E~IPPfENT EXISTIN® ~RIVEI,",IA¥ SITE DATA SCTM # 1000-38-07-10.4 PROPERTY: 330 SUMMIT LANE ADDRESS EAST MARION, NY, 11939 OWNER: SENGUL ERGIS 330 SUMMIT LANE EAST MARION, NY, 11939 SURVEYOR: Nathan Taft Corwin III LAND SURVEYOR Jamesport, New York 11947 DATED: JUNE 30, 2005 ZONING: R - 40 SITE: 0.767 ACRES AREA UJ UJ (PUBLIC WATER IN STREET) BUILDING PERMIT CESSPOOLS .~ DRAWN BY: UT :-: ~ : TELEPHONE SHEET NO: SITE PLAN SCALE: 1" = 10'-0"