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Home My WebLink About36158-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 6/21/2012 No: 35762 Date: 6/21/2012 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1710 TRUMANS PATH EAST MARION, SCTM #: 473889 Sec/Block/Lot: 31.- 12-15 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this officed dated 1/19/2011 pursuant to which Building Permit No. 36158 dated 1/28/2011 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 ~round swimmin~ pool with fence to code as applied for. The certificate is issued to John & Terry Gorga (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36158 5/27/11 ~ignatur~ 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. 36158 Z Date JANUARY 28, 2011 Permission is hereby granted to: JOHN C~RGA 1710 TRUMANS PAT E MARION,NY for : CONSTRUCTION OF AN INGROUND SWIMMING POOL AS APPLIED FOR at premises located at 1710 County Tax Map No. 473889 Section 031 pursuant to application dated JANUARY Building Inspector to expire on JULY TRUMANS PATH EAST MARION Block 0012 Lot No. 015 19, 2011 and approved by the 28, 2012. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOIA) BUILDING I)EPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicatiou must be filled in by typewriter or ink and submitted to tile Building Department witb tile 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 featurcs. 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. 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 dcnied, the Buildiug 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, Swimming pool $50.00, Accessory building $50.00~ Additions to accessory building $50.00, Businesses $50.00. 2. Certificatc of Occupancy on Pre-existing Building - $100.00 3. Copy o£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: House No. Street Owner or Owners of l'roperty: _~.-~%r~,- % ~ ~VV/ Suflblk Cnunty Tax Map No 1000, Section ~ } Subdivision Permit No. llcalth Dept. Approval: Planning Board Approval: Old or Pre-existing Building: Date of Permit. Block _ ~/~ Filed Map. Applicant: Underwrilers Approval: (check one) Hamlet [.ot Lot: Rcquest for: Temporary Certificate Fcc Submitled: $ Final Cel~tificate: (check one) ~-c ~ ;,~ppl~canananananananananaC~S~-g,~-atui.e Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 Fax (631 ) 765-9502 roger, richert~,town.so uthold, nv. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: John Gorga ~,ddress: 1710 Trumans Path City: East Marion St: NY Zip: 1193c. ]uilding Permit#: 36158 Section: 31 Block: 12 Lot: 1.~ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE ,~ontractor: DBA: Elec Tec lnG 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 Service 1 ph L~ Heat Service 3 ph ~ Hot Water Main Panel NC Condenser Sub Panel NC Blower Transformer Appliances Disconnect Switches Other Equipment: INVENTORY GFCI Recpt Single Recpt Range Recpt Dryer Recpt Twist Lock 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 consist of, bonding, I pool light, 1 pump, I time clock switch, I recpticle, 2 GFCl circuit breakers Notes: Inspector Signature: Date: May 27 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION REMARKS: ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING / STRAPPING FIREPLACE & CHIMNEY FIRE RESISTANT CONSTRUCTION ELECTRICAL (ROUGH) ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION FInE RESISTANT PENETnATION ELECmlCAL (FINAL) DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION ~"FINAL [ ] FIRE SAFETY INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) [ ] ELECTRICAL (ROUGH) REMARKS: DATE INSPECTOR FIRLD DATE COMlVIENTS FOUNDATION (IST) FOUNDATION (ZND) ROUGH FRAMING & PLLrMBING ]INSULATION PEi% N. ¥, STATE E1N-ERG¥ CODE , ~o, FINAL ,~-,,~ , ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined [{~t~ .20 // Approved //~b/i 20 [/ Disapproved a/c Expiration PERMIT NO. .2 (~/5~/ Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans I. Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ///~ ,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 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 ! 8 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. 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, 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 laws, ordinances, building code, housing code, and regulations, and to admit p~m~se~n~ln lng fbr necessary inspections. )(5(../,..: oi:t ~/~,~ ~,~ I ~ ~ ~ q om? (Signature of applicant or nmne. ifa corporatinn) ELDG DEPT. ~ ' , . , I ~'- . . . k.. -~ I ;. '(Mailing address of applicant) T0'/'Q'i 07 '~0LEHOLD State whether applicant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or builder APPROVED AS NOTED DATE' Name of owner o f premises (As on the tax roll or latest dee4b~-iF~ ~UtLDiNG DEPARTMENT AT 765-1802 8 ~ TO 4 pM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~ REQUIRED FOR POURED CONCRETE 2 ROUGH- FRYING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3 INSU~TION ~ FIN&L - CONSTRUCTION & ELECTRICAL MCST ~E COMPLETE ~OR C O ~L~T~ICAL ~LL CONS'~U~nO~ ~ MEET THE REOL ~R[ ',~ENTS ~, Lo~.fion ofla~d o. whi~ proposed work ~~ION REQUIRED ~o." S~TE ~OT.ES~O~S,~ ;O~ If appl~C/q,,qt is a cor, gpra/hon:.~ig~tu/re of duly /J_.- ~----f_/~f~ ~2'~-~ _//'7-~c:55 auth°ri~i~l~'~g'~iATELY" '~(Name and t~t[e of corporate of'ricer) ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" Builders License No. / Plumbers License No. Electricians License No. Other Trade's License No. House Number Street CountyTax Map No. 1000 Section ~,-~1 Subdivision ~o/4,o ~_~_,,~.~-- ,t~J~t~9~ CONSTRUCTION ERRORS. Hamlet RET:~,IN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 Block /z-- OL$~E ~ CODE. 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 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 Dernolition Fee Addition Alteration '-" (Description) (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 ,~O Height /5'" 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 oflot: Front /~73..../8' Rear .5'~D' Rear Depth Depth 10. Date of Purchase Name of Fenner Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO .2 13. Will lot be re-graded? YES X NO__Will excess fill be removed from premises? YES )( NO__ 14. Names of Owner of premises 25o,~,o Name of Architect Name of Contractor ~/>z~ 'P,~_5 15 a. Is this property within 100 feet eta tidal wetland or a freshwater wetland? *YES * 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. Address/?/a -z~/-~,~ ?,*z,* Phone No. Address ~',~ ,~,~%,~¢,.~r' Phone No Address 9'o ~ ~ d,~o~-,,~Phone No. ~__~' 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 10 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 X STATE OF NEW ~ORK) SS: COUNTY OF . ) ~-t50~_~,~_~ ~p//~'LJ/-_ being duly sworn, deposes and says that (s)he is the applicant (Name 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 perform 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 peribrmed in the manner set forth in the application filed therewith: Sworjo~before me this. ~t~ dayof ~ b~f'ry~P~lic ~ -~'¢/'~ign t~ure of Applicant .oWn of Southold Eros,on, Sed,mentah°. & S.torm-Water Run-Off ASSESSMENT FOR.".". ~.~ .~. /~ /~ _ ~ ~-WATE~G~ING~D~GEANDEn~,nNCO~oLp~. ~-ms~ ~on 6;~ ~ G~K rlPI~D BY A D~IGN PRO~IONAL i ~ ~ ~ '" PKUPE~IONAL IN THE a. What is the Total Area of the~Projest (rnclude Tolal Ama of a# Parceis located wlthln 1 b. What Is the Total ,,~,,rea of Land Cleertng and/or Ground Disturbance for the co~c~an ac.~r~ Site Improvements ar~'Ule permanent creation of Dralnaoe Sb'uch. u'e,~ Item shall include afl P--mp~ed Grade Changes and Slopes Controlling Surface Water Flow. 3 Does the 8ire Plan and/or Survey dsecn*be ~he erosk~ contro{ site eroslan and strum water discharges. This item must be maintained throughout U~e EnUm ~ Period. 4 w,i,,is P,.oj~ Requ~.ar, t.~ R,ing. G~,ng or ExcevaUan where there is a change to the Natural Existing Grade InvoMng inure than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing ActJvftles Encompassing en Area in Excess of Flve Thousand (5.000'S.F.) Square Feet of Ground Surface~ ' 6 Is there a Natural Water C~ume Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100~) feet of a WeUand or Beach? 7 Wilfthere be Site preparation on ExisUng Grade Slopes which Exceed Fifteen (15) feet of VerUcal Rise to One Hundred (100') of Horizontal Distor!ce? 8 WiJl Dr{veways, Parking Areas orother Impervious into and/or in the direcUan of a Town r{ght-of-way? 9 w,i U~e Project Require.the FiacementofMateda~, Rernd~ of VegetaUpn and/or the Constr~tian of any Item Within the T--Right-of-Way or Road ShoOder NOTE: Aa~(~) FORM - 06/10 STA~E OF NL'V~ YORK, ~ ~ COUNTY oF ....... .~.~J.!~..; ......... ss q~t I ...~.~....~ Z~ ~ ~g d~y s~m, de~s =d ~ ~t h~e ~ ~e appU~t for Pm~ (~.~ ~ .... ...................... ...... , (~- ~:~'~'~. ~i .................................... ~t ~c ~ ~l ~ ~o~ in ~ ~ set f~ ~ ~c app~don ~ hcm~. S~m to ~ mc ~s; No~ ~b~c- . ~ . ....... .................... No. 01D06095328, Suffolk Count~ Term Expires July 7. 20 ( [ Town Hall Annex · ~,375 Main Road P.O, Box 1179 · Sou~old, NY 11971~59 Telephone (6~1) 765-1802 BUILDING DEPARTMENT TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION BY: Company Name: NO.: Date: ~- \(~)- ~1 JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: Permit No.: ~:) ~-"~) Tax Map District: 1000 Section: ~ I *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (*Indicates required information) Block:, '1,,% Lot: (Please Circle All That Apply) *Is job ready for inspection: .*Do you need a Temp Certificate: YES / NO RoUgh In Final Temp'lnformation (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Additional InfOrmation: PAYMENT DUE WITH APPLICATION 82-Reque~t-f~r InspectJon Form // SUFFOLK CO. HEALTH DEPT. AII~p~oVAL H. $. NO.. .... STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOGAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOI.,K CO. DEPT. OF HEALTH SERVIC[,.~, . , ~lq Westphalia Rd. SU~'FOLK ~-~'~v~a~,~. N. gF SERVICES -- FOR. APPROVAL OF co.sT..cT,o. OA~: ,~/~ ~'/,~ AIq~ROVED: ~ ~( L~ SUFFOLK CO. TAX MAP D~SIGNATION: mST, ~T. ~.~c~, POOL DIMENSIONS TYP. PANEL STIFFNER I/\~\/I ~' FRAME BA.~E / 1117 TYPICAL WALL SECTION AT 'A' FRAME B POOL PLAN G MIN. 2" 'T~ICK VERMICULITE ~.. AGGREGATE TA, MPERED E SECTIONS CORNER CONNECTION DETAIL DIVING BOARD N.T.S. POOL COMPLIES wrrH ANSI 5t4, APENDIX G DESIGN IS ACCEPTABLE FOR ALL COMMON 8OIL CONDITIONS K L M :~OOL TYPE: RECTAGLE I REV. ~ES DEERKOSKI, P.E, 260 DEER PATH MA3-nTUCK, NEW YORK 11952 S~-..ALE N.T.S. DATE ~ D~U~,WING NUMBER OF