HomeMy WebLinkAbout37097-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
7/20/2012
CERTIFICATE OF OCCUPANCY
No: 35835 Date: 7/20/2012
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 7745 Oregon Road, Cutchogue,
SCTM #: 473889 Sec/Block/Lot: 95.-1-8.2
Subdivision: 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 o£the applicable provisions of the law. The occupancy for
Lot No.
filed in this officed dated
37097 dated 3/28/2012
which this certificate is issued is:
accessory inKcound swimming pool fenced to code as applied for.
The certificate is issued to
Sandra Russo & Robin Young
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37097 4/30/12
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 #: 37097 Date: 3/28/2012
Permission is hereby granted to:
SANDRA RUSSO & ROBIN YOUNG
625 GREENWICH STREET
NEW YORK, NY 10014
To:
construct an inground swimming pool fenced to code as applied for
At premises located at:
7745 OREGON ROAD CUTCHOGUE
SCTM # 473889
Sec/Block/Lot # 95.-1-8.2
Pursuant to application dated
To expire on 9/27/2013.
Fees:
3/23/2012
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
I=orm No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Tbis application must be filled in by typewriter or ink and submitted to tile Building Department with the following:
A. For new building or new use: 1. Final survey of property with accm'atc 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 fi-om Board of Fire Underwriters.
4. Sworn statement fi'om plumber certifying that tbe solder used in systmn coutains less than 2/10 of I% lead.
Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliauce from architect or engineer responsible for the bnilding.
6. Submit Planniug Board Approval of completed site plan requirements.
B. For existing buildiugs (llrior to April 9, 1957) non-conforming uses, or bnildings and "pre-existing" land uses:
1. Accurate survey oF property showing all property lines, streets, building and unnsna[ natural or topograpbic
2. A properly completed applicatioa aad cousent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, tile Building Inspector shall state the reasons therefor ill writiug to tile applicant.
C. Fees
Certificate of Occupancy - New dwelling $50.00, Additions to dwelliag $50.00, Alteralions Io dwelling $50.00,
Swimming pool $50 00, Accessory building $50.00, Additions to accessory building $50.00. Businesses $50.00
2. Certificate ofOccupancy on PreexislingBuildmg- $100.00
Copy ofCer6ficate of Occupaucy- $.25
4. UpdatedCe~lificateo[Occupancy $50.00
5. Temporary Certificate of Occupancy Residential $15.00, Commercial $15.00
Old or Pre-existing Building:
Street
New Collstructioll:
Locatiou of Property: 7 7/7/~' House No.
Owner or Owners of Property: _ ~
Suffolk County Tax Map No 1000, Section
SulSdivision
Date of PermiL
~__(cbeck one)
PermitNo. 3 "7~) ?7
Health Dept. Approval:
Block _ [
Filed Map.
Applican!:
Underwriters Approval:
Hamlet
Lot:
Planniug Board Approval:
Request for: Temporary Certificate
I c'c St,h,ndted: $ ~'O. t~O . ~
Final Certificate: I~ (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, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Russo/Young
~,ddress: 7745 Oregon Rd City: Cutchogue St: NY Zip: 11935
Suilding Permit #: 37097 Section: 95 Block: I Lot: 8.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc License No: 4814-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 NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Ceiling Fixtures I.__IR[~ HID Fixtures
Wall Fixtures I ] Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur,~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Other Equipment: in ground swimming pool to include-bonding, 1 pool light, 3 GFCI circuit breakers
l-heat pump, 1 control panel
Notes:
Inspector Signature:
Date: April 30 2012
81-Cert Electrical Compliance Form.xls
765-18O2
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
[~LECTRICAL (FINAL)
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
] FRAMING / STRAPPING [
] FIREPLACE & CHIMNEY [
] FIRE RESISTANT CONSTRUCTION [
] ELECTRICAL (ROUGH)
REMARKS:
DATE
INSPECTOR
TOWN OF SOUT~H~O~DING DEPT.
~65-1802
INS ON
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~J~ATION
[ ] FRAMING / STRAPPING [ P,,]"FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] EL__ECTRICAL (FINAL)
REMARKS:~,~// /~¥-r' ~-~ ,~>? ~ ~/~~
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROU/~H~LBG.
[ ]FOUNDATION 2ND [ ]/INSULATION
[ ]FRAMING/STRAPPING [r'] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[]ELECTRICAL (RO~_ J ]~ ,~,EL/E~ECTRICAL (FINAL)
REMA~
TOWN O[* SOUTHOLD
BUI E'D1NG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
Examined _ ~, 20 t ~
Approved
Disapproved a/c
PERMIT NO.
BUll,DING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans v'/'
Planning B,~fd 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:
~ Building Inspector
~')~// /~PPLICATION FOR BUILDING PERMIT
,~ - "~¢ ~ - Inspector with 4
~~m~pletcly filled in by typex~ riler or in ink and submitted to the Building
sets of a]ans, accurate plot plan to scale. Fee according to schedule.
b. PIct plan showing location of lot and of buildiags on premises, relationsbip to a4ioining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced bcfbre 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 La' inspection throughout the work.
e. No building shall be occupied or used in whole or in pag lbr any purpose what so ever until the Building Inspector
issues a Ce~ificate 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
propeay have been enacted in tbe interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six montbs. Thereafter, a new permit shall be reqaired.
APPLICATION IS HEREBY MADE to the Building Depagment fbr the issuance cfa Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordinances or
Regalations, for the construction of buildings, additions, or alterations or [br 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" ~', "{ UNLAWFUL (Signature of applicant or name, ifa corporation)
ENCLOSE P~ TO CODE
UPON COMPLETION IT CERTIFICA o
State whether applicant is o~ner, lessee, agent, architect, en=ineer. ~eneral contr~p}~~D~mber or builder
Nameofownerofpremises ,~ '~5~ , '~'~2~ ~ ' ....
(~s on the tax roll or l~test ~d} Ar,~ ia 4 PM FUN
OL=,)¢qlNG INSPECTIONS:
If applicant is a corporatiop, ~nat~ ofdoly atttbm'ized officer
and title ~t corporate ofricer)
Builders License No. /LC'/F~7 //
Plumbers License No. m~ ~rvr r~c,-,~-'-r ,, TU
ELectricians License No. FRAM!NO !_F
Other Trade's License NIgF FOUNDA '.' HAS BEEN
1. Location of land on which proposed work will be done:
'
I louse Number Street
County Tax Map No. 1000
FOUNDATION- TWO REQUIRED
FOR POURED CONCRETE
2 ROUGH-FRAMING, PLUMBING,
STRAPPING, ELECTRICAL & CAULKING
3 INSULATION
4 FINAL- CONSTRUCTION & ELECTRICAL
MUST BE COMPLETE FOR C.C.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE NOT RESPONSIBLE FOR
~j~/~)~'RUC,ION ERRORS
Hamlet
ELECTRICAL
Section Block Ol ii, _. O
Subdivisiork~'~at~ ~' 97,~ ~x0 C'2.OB,-o ~.,,x~', Filed Map No. Lot ,_
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
5. If dwelling, number of dwelling units
If garage, number of cars
b. Intended use and occupancy 7~oo ..xTra,,, .~-'~,
Nature of work (check which applicable): New Building.
Repair Removal Demolition
Estimated Cost 2~/~,"-z9oo, oD Fee
Addition Alteration
~ (Description)
(To be paid on filing this application
Number of dxvelling 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 Z~'3 ~ Rear ~,~5-, "/~ Depth
Height _.,,o.2 i Number of Stories o.~
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
9. Size of lot: Front ~,.~.5--7- 73 ' Rear
Rear .Depth
Depth
Rear
10. Date of Purchase
Name of Former Owner
l 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordiuance or regulation? YES NO/,xd
13. Will lot be re-graded? YES/'~ NO Will excess fill be removed from premises? YES 5d NO
14. Names of Owner of premises ~ ~ Address 77~0~w =~. Phone No. ~/7- ~Og~ ~Z/~
Name of Architect Address ~ ~ Phone No
Name ofContractor~/~ ~ ~, Addressee ~ ~hone No. ~-2&&~
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. 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 5uryey.
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 )
/~/Jff~"~w~"- ~/.-/~tM~- being duly sworn, deposes and says that (s)be is the applicant
"~me 'of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perfortn 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 application filed therewith.
Sworn to,be foy~'~t hi s
Notary Public, State o( New%rk ~
Gua',;f~ad in Suffolk CounW ~ - ~
Nota~ Pu~ No. 01SC47250~ - ~ S~mture of Applica~
/~ Term Expires May 31,~ ~ -
Town of Southold
~ Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERI~ LOOATJOId: $.C.T.M.~; THE FOLLOWING AGTIONS lllAy REQUIRE THE SUBMISSION OF A
-~TORM-WATEI~ URABING~ DRAINA6E AND EROSION CONTROL pLAN
$COPEOI~WORK- PROPOSED CONSTRUCTION iTEM#/WORKASSF3$MENT' I Yes No
a. WhatistheTo~alAmeoltheProjectParcsts? '~ W~llthisProjectRetainAIIsioml-WaterRun-OIf
(fnclude Total A~'ea of all Parcels Iocatsd within //, g.) / :~.-~ //~,~.Ganerated by a Two (2") Inch Rainfe/I an Site?
the Scope of Work for Proposed C~-~stmction)
~Pen4,ous ~rfa~es.)
~PR.O~,1]bE ]Bi~iF2F PRO~BC~ DF..SCR]]~/~ON r'~,~bA*~',~=~ ~'~**,, ~ 2 Does the Site Plan and/or Suwey Show NI Proposed /~,,,~
J~'~l-J~/ J.~/~,:~_/JZ~T~ ."/-'~-~,~'.q~-4/.~? : 3 D°estheSiteplanand/°rSuryeydescfibet'heer°sl°n
Excave§on where there ~ a change to the Na;oral
5 Will lhis Application Require Land Disturfling Agtivifies r'~
SWPPP's Shall meet the Minimum Requirements ofthe SPDES G~neral Peri, nit8 Will Driveways. parking Areas or other Impervious
r eq~/re~, P~t-c°nslr uoticr~ $i°~n water r~agement ~'acti~e$ that w~ll be used artier Removal of Vegetation ai~d/or the C<~stmction of any
ST^It oF ~rw ¥o~,
cotn, rr~ oF ........................................... ss
'that ~, ~....~..~.~2......~.~..~....~.~t~ bein~ duly ~om, depo~ and ~ that he/~h¢ is thc applicant for permit,
And that he/she is the
................................ (......~.- --.~;~:~ ~.~.~;,~i .................................
Owner and/or representative of the Owner or Owners, and is duly authorized to penCorm or have performed the s~Jd work and to
make ~nd file this application; that :.11 statcmen~ conlah~cd in this applica~on arc t~uc to thc be.st of lin lu~owledge and belief; and
that thc wnrk ~dll b/~i~ormcd in the manner ~et fo~ in thc applic~on filed herewith.
Sworn to before ote
FORM - 10
Town Eall Annex
543?5 Mai~ l~a
~t. DG D~.
TOWN 0F S0U~
Telephone (631) 765-1802
LA::~Ior ri`u-- _..~.F~x (631)
_ .
Bun.r~ING DEPARTMENT
TOWN OF SOUT~OLn
ON OR ELECTRICAL INSPECTION
*Address:
*Cross Street:
*Phone No.:
Permit No.: ~2-.~) ~ ,.~.~---~(~ --~
Tax Map District: 1000 Section: ~' .5
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
REOUESTEDBY: ~"c.5.~ -~r-;,~,,~,,~F.~ ~.,,~i' Date:
~mpany Name: ~ [~ - ~ · .
Name: ~~ ~~ ~ ,,
C
JOBSITE INFORMATION: (*!ndi~tes required information)
· Name: ~ ' ' ~
Block: / Lot:_.,~, ~
(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:
Rough In
YES ~
150 200
Number of Meters
3Phase 100 300 350 400 Other
Underground Change of Service Overhead
_PAYMENT DUE WITH APPLICATIOH
82-Reques~ for Inspection Form
SURV1E'r' OE PROPERTT
51TUATE: C_,,I.)TC,~
TC)I~,I: 5(:~THOLI2
5Ut=F=OLK C.,OUNTT, NY
c-'JJRVEYEO, DEC, FNI~E.R 8, 2OIO
f:/JFFOLK COUNTY TAX
I000 - qS - I -8,2
TO:
S,A..'NrDY RUSSO
ROB~ YOUNG
~:ql~.ST A,MF_,R~C.~uN 1i]iTL~
COMPANY OF ~ YO~m~
NOTE~:
· HONUHENT FODND
Ar'ec~ = 44,.251 ~. F.
Aeec~ = I.OIE~ Acres
®P. APHIC SCALE
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287
REF.-CADocuments and Settings\OwnerhMy DocumentsKMy Dropbox\10\10-195.pro
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