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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 / ..-,..~,,%,.~.~ / I ' ~ _-' U ' 1-- Il / ~P. PANEL STIFFNER , ~l ' I~~~:, / ' "~ '" ~:~- SECTIONS ' ~~~ / ' ~/ Ill ' , ....... - ~ / ~' ~ I~"~-~ II ..... .. tJ ~ / ~-= /11~""~"~'"~ . .11 II I~ / ~~ " "~XI ~ ' ~ " - ~~ ~ . .. .,, I - ! I - = - . - ~t~ . / ' ! ...,,'' · /~ICALWALLSECTIONAT'A'F~F ............. ~,L ............. ~~;~' i~. I~ ~,.s" ] / - ~u~ CON,ClaN DETAIl I ~ ~.~~;~ · I I ~~. P.[ ~ ...... ~ ~~Y~I~