HomeMy WebLinkAbout37146-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
9/25/2012
CERTIFICATE OF OCCUPANCY
No: 35971
Date:
9/25/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
IN GROUND POOL
1910 The Long Way, East Marion,
Sec/Block/Lot: 30.-2-128
Filed Map No.
Lot No.
conforms substantially to the Application for Building Penmit heretofore filed in this officed dated
4/10/2012 pursuant to which Building Permit No. 37146 dated 4/18/2012
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 in ground swimming pool with fence to code as applied for.
The certificate is issued to
Galanakis, Emmanuel & Minardo, Marie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37146 6/13/12
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 #: 37146
Permission is hereby granted to:
Galanakis, Emmanuel & Minardo, Marie
69 78th St
Brooklyn, NY 11209
Date: 4/18/2012
To: construct an Inground swimming pool fenced to code as applied for
At premises located at:
1910 The Long Way, East Marion
SCTM # 473889
Sec/Block/Lot # 30.-2-128
Pursuant to application dated
To expire on 10/18/2013.
Fees:
4/10/2012
and approved by the Building Inspector.
SWIMM1NG POOLS - 1N-GROUND WITH FENCE ENCLOSURE
CO - SWIMMING POOL
Total:
$250.00
$50.00
$300.00
Building Inspector
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAdNCY
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: 1. 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 insmllation 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 ceifificate
of Code Compliance from architect or engineer 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 rises:
1. Accurate survey of property showing all property lines, strects, building and:unusual natural or topographic
features.
2. A properly completed app}ication 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. UpdatedCertificateofOccupancy- $60.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Owner or Owners of Property: ~-I~ltll0?ll~t
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building:
House No. Street
Subdivision
Permit No.
Health Dept. Approval:
· Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ¢~'D, ~/
DateofPermit. [/- i~; -~ ! ~
Date. 12
(check one)
Hamlet
Block ~ Lot
Filed Map. Lot:
Applicant: ~/blCa:~
Underwriters Approval:
Final Certificate: /'
(check one)
A~plicant Signature
Town Hall Anncx
54375 Main Road
P.O. Box I 179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (63 I) 765-9502
ro,qer, richert~town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
mued To: Galanakis
~,ddress: 1910 The Long Way City: East Marion St: NY Zip: 1193.c
~uilding Permit #: 37146 Section: 30 Block: 2 Lot: 12.~
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: USI Electric LicenseNo: 2740-e
SITE DETAILS
Office Use Only
Residential I~ Ind°°r l~ Basement [~ Service Only~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
Service 1 ph
Service 3 ph
Main Panel
Sub Panel
Transformer
Disconnect
Other Equipment:
1-heat pump
INVENTORY
Hot Water GFCl Recpt
NC Condenser Single Recpt
NC Blower Range Recpt
Appliances Dryer Recpt
Switches Twist Lock
Ceiling Fixtures ~8 HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed FixturesR CO Detectors
Fluorescent Fixture ]-----I Pumps
Emergency Fixtures[__I Time Clocks
Exit Fixtures [__l TVSS
~n ground swimming pool to include, bonding, l-pool light, 2-GFCI circuit breakers
Inspector Signature:
Date: June 13 2012
81-Cert Electrical Compliance Form.xls
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
/ INSPECTION
[~/] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH)
REMARKS:
[ ] ROUGH PLBG.
[ ]INSULATION
]FINAL
]FIRE SAFETY INSPECTION
]FIRE RESISTANT PENETRATION
[~)~ ELECTRICAL (FINAL)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO~I PLBG.
[ ] FOUNDATION 2ND [ ]/~I~RJLATION
[ ] FRAMING/STRAPPING [~/] FINAL
( ) FIREPLACE & CHIMNEY [ ) FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION ( ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [.~ ELECTRIC~AL (FINAL)
REMARKS: ~'~-- ~~~ ~ ~~ _
DATE
T~WN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO.
Examined q[[?, 20 [Z
Approved q/Il(, 20 t ~" Mail to:
Disapproved a/c
V.,~t~ ~O/(,q ~3 Phone:
't
Building Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying ?
Board of Health
3 sets of Building Plans
Survey.
Check
Septic 7orm
N Y S.D.E.C,
Contact:
APR 1 0 20!2 FOR BUILDING PERMIT
-- Ctli/; ~dq.- Date . .,~.,
,20
a. This application MUST be completely filled in by typewriter or in Iffk and subraltted to the Building Inspector with 3
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 tiffs application may not be commenced before issuance of Building Permit.
d. Upon approval of tiffs application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspedtion throughout the work.
¢. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~nd other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein descri'bed. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and.xegulations, and to admit
authorized inspectors on premises and i, Al~i~in, g for necessary inspections.
ut,,,: ANC oa
"! ,, 35E i<;
MlaED! T_ E_L_Y_'_ , ,: UNLAWFL.. (Signature ofa~p~~o~oration)
ENCLOSE POuL/U
BEFORE "WATER" ': ' ~ -
State
whether applicant is owner, lessee, agent, architect, engineer, gene*al contra ; ~ftt"~r~C~r..l~ilder
Name of owner of premises
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
to~.~.uZ 8 AM-TO 4 ~M ¢Off-Ti~E '-
FOLLOWING INSPECTIONS:
~tflffiOndCc. gar J fltl/}l~.l<~ 1. rn~ i~D~,~,,' ....
.... zz'~r .....
(as on the tax roll or mtes~¢OURED OONCRE¢E
~, ROUGN.FRAMtNO, ~LUMBiNO,
STRAPPING, ELECTRICAL i ~AULKING
4 FINAL. CONSTRUCTION & ELECTP~Ca[
MUST
Builders LicenseNo.
Plumbers License No.
Electricians Lice~_se No.
-n/o -mE
,~L CONSfRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number ~treet ' t
County Tax Map No. 1000 Section
Subdivision
(Name)
RETAIN STORM WATER RUNOFF
PURSUANT T2 CHAPTER 236
~ ,/~l~J:~:.~ CODE.
Hamlet
Block ~ ELECTRI~o~L
State existing use and occupancy of premises and intended use and occupancy of provosed constmctilon:
a. Existing use and occupancy ~\~o
b. lntended use and occupancy g4.~q~00Ml'tm ~14~t~
Nature of work (check which applicable): New Building_
Repair Removal 'Demolition
Estimated Cost
If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work"~",,~ ~q~;~o
~' (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
Height Number of Stories
Rear ~ Depth__
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height
8. Dimensions of entire new construction: Front ] ~'~ ~{0
Height Number of Stories
9. Size of lot: Front ~0' Rear ~0'
Number of Stories
Rear _Depth
_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:
13. Will iotbere-graded ~O0c ~ (2~
· 14. Names of Owner of premises ~../~1.~4~ Address
NameofArchitect"Th,mqt~ B l~t. fl~ ~ Address
Name of Contractor/~ t~9~,~m ~ Address
15. Is this property within 100 feet of a tidal wetland? *YES
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
Will excess fill be removed from premises: (YES 'h NO
ql0 to, wq
~ M4-e..,o~ Phone No.
g ~ ~ ~hone 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.
STATE OF NEW YORK)
SS:
COUNTY OF~Of'"'~-x~ )
~ ~J ~O~4ct..l~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the 0__.O~
(Contractor, Agent, Corporate Officer, etc.)
· of said owner or owners, and is duly authorized to perform or have performed the said work and to ~nake and file this application;
that all statements contained in this application are tree 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 before me this a ,
day of
~' Notary Public 1
MARGARET A. KIDNEY
Nolary Public - Stale of flm. t York
No. 01KI6021111
Qualified in Suffolk County
My Commission Expires March 8,
Town of Southoid
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
~ :;= PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
Sec~on Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
SCOPE OF WORK - PROPOSED CONSTRUCllON ITEM # / WORK ASSESSMENT I Yes No
a. What is the Total Ama of the Project Parcels? Will this Project Retain All Storm-Water Run-Off
(include Total Area of all Parcels located within ~ ~1000 ~ Generated by a Two (2") Inch Rainfall on Site?
the Scope of Wor~ for Proposed Construction)
(S.F. I Ac~s) (This item will include all mn-off created by site
b.
What
is
the
Total
Area
of
Land
Clearing
cleadng and/or construction activities as Well as all
and/or Ground Disturbance for the proposed ~:)1~ ~ ' Site Improvements and the permanent craaEon of
construction activity? impervious surfaces.)
(s.F.,~,,) 2Does the Site Plan and/or Survey Show All Proposed
PROV'E)E BRIEF PRO. TECT DESCR[YTION (P~V, de.~dd~o,~ ~. N*~ded) Drainage Structures Indicating Size & Location? This / r~
-- Item shall include all Proposed Grade Changes and
0 ~ J~l X: 3~3 I n~~0Ji~c) Slopes Controlling Surface Water Flow.
·' ' · 3Does the Site Plan and/or Survey 0escdbe the erosion
~J~ I~ ~/,., ,,"/31~h,/t%l'~lN 0~ t~OC)L .J~ ~T~ and sediment control practices that will be used to
control site erosion and storm water discharges. This
Construction Period.
4 Will this Project Require any Land Filling. Grading or
Excavation where there is a change to the Natural r~
Existing Grade Jnvolving mare tha~ 200 Cubic Yards
of Matedal within any Parcel?
5 Will this Application Require Land Disturbing Activities
Encompassing an Area in Excess of Five Thousand~
(5,000 S.F.) Square Feet of Ground Surface?
6 is there a Natural Water Course Running through the
Site? IsthlsProjectwithintheTrusteasjurisdictionW V/'
General DEC SWPPP Requirements: or within One Hundred (1 Off) feet of a Wetland or
Submission of a SWPPP is required for al~ Construction acttvi~es thvolvisg soil Beach?
disturbances of one (1) or more acres; lacluding disturbances of I~s than one ac~e that 7Will there be Site preparation on Existing Grade Slopes
are part of a larger common plan that will u~mately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical PJse to ~
including Conslructton activities involving ~ disturbances of less than one (1) ac~e where one Hundred (100') of Horizontal DistanCe?~ --
the DEC has determined that ar SPDES permit is required for storm water discharges.
SWPPP's Shall meet the Minimum Requirements of the SPDES Generat Permit 8 Will Driveways. Parking Areas or other Impervious
for Storm Water Discharges fTom Construction activity - Permit No. GP-0-10-001.) Surfaces be Sloped to Direst Storm-Water Run-Off
?. The SWPPP shall be prepared prk~ th the submittal of the NOL The NOI shall be into and/or in the direction of a Town right*of-way?~ __'v
submitted to t~e Deparbnent prk~ th the commencement of c,o~s~uction activity.
2. The SWPPP &hall describe the erosion and sediment control p~ac#ces and where 9Will this Project Require the Placement of Material,
required, post-cons~uctton storm watsr managernent practtces that wal be used and/or Removal of Vegetation and/or the Constructien of any N
constructed th reduce the poiluthnts in stom~ water discharges and th ~,~sum Item Within the Town Right-of-Way or Road Shoulder
compllan(=e with the tem~ end condi~ons of this permit. In additfon, the SWPPP shall~
stATE OF NEW YORK, ~
coum ......... ............. ss
ThatI, ~ ~-13b/h'#.O$ bein dui swom de osesalldsasthath tsheis .... -
And that he/she is the ........................................
Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to
make and file this application; that all statement~ conta~ined in this application are tree to the best of his knowledge and beliefi and
that the work will be performed in the manner set forth in the application filed herewith.
Sworn to before me this; ~)
FORM - 06/10
<100211 I I
0ua#fled i~ ,~ff01k County
Town Hall Annex
54375 Main Road
P.O. Box 1179
Sou&old, NY 11971-0959
Telephone (631) 765-1802
ro.qer richertd~w(~n !~o~ u~o~, ny, u,~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name: D.. ~ ."f-
Date:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
(*Indicates required information)
S
lq o '-rae toaq
1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
Block: ~ Lot:
(Please Circle All That Apply)
*Is.job ready for inspection:
*Do you need a Temp Certificate: '
Temp'lnformation (If needed} -
*Service size: 1 Phase
*New Service: Re-connect
Additional Information:
YES / NO
Rough tn Final
3Phase 100 150 200 300 350 400 Other
Underground Number of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
ARTHUR EDWARDS POOL & SPA CENTRE
929 ROUTE 25A
MILLER PLACE, NY 11764
516-744-7185
FAX-744-0174
APPLICATION FOR A SWIMMING POOL PERMIT: SOUTHOLD
TOWN OF SOUTHOLD
MAIN ROAD (P.O. BOX 1179)
SOUTHOLD, NY 11971
(631) 765-1802
PAPERS ENCLOSED:
[~¢ APPLICATION FOR OUTDOOR POOL PERMIT
EROSION SEDIMENTATION & WATER RUN ASSESSMENT FORM
CERTIFICATE OF WORKER'S COMPENSATION
CERTIFICATE OF LIABILITY INSURANCE
SUFFOLK COUNTY LICENSE
SUFFOLK COUNTY PLUMBER LICENSE
SUFFOLK COUNTY ELECTRICIAN LICENSE
4 SETS OF PLANS - (3 STAMPED)
3 SURVEYS
APPLICATION FOR ELECTRICAL INSPECTION WITH $100 CHECK
APPLICATION FOR CERTIFICATE OF OCCUPANCY
C.O.
TAX BILL
$300.00 CHECK FOR PERMIT FEE
Suffolk County Executive's Office of Consumer Affairs
VETERANS MEMORLAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED:
5/1/80
SUFFOLK COUNTY
Master Electrician License
No. 2740-ME
This is to certify that EDWARD S REIFF
doing business as .............. _UN?ERGROUND SP_ E_C_IAL~!ES INC
having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN m
accordance with and subject to the provisions of applicable laws, rules and regulations of
the County of Suffolk, State of New York.
by,he C
2740-ME ]
Additional Businesses
! ) hector
B
B
Plan
Section B-B
Section A-A
Typical Wall
5qZE A B C D E F G H AREA CAP.
FEET FT. FT. FT. FT. FT. Fr. Fr. FT. sq.Fr. ~L.
1§x32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000
16'x36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600
18'x36' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,300
20'x40' 20' 40' 16' 14' 6' 4' 6' 8' 800 30,000
24'x44' 24' 44* 18' 14' 8' 4' 6' 10' 798 30,000
_24'x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30,000
PERMACRETE WAIJ. SYSTEM
929 Route 25A Miller Place NY 11764
(631) 744'-7185 FAX (631) 744-0174
Suffolk License #4436-HI
Nassau License #HI74450000
Piping
Section
Arrangement
SERVICES
APPLICANT ........
Lot 47
vAc,~N'[
45
Lot 4~9 sCl. ft.
AreO ¢ 258
44
,,
OF THE CLERK OF SUFFOL ~ COUNTY ON
JUNE II, 1975 ~S ~1~E ~
~: STAKE
L
YOUNG &
400 OSTRANDER AVENUE,
ALDEN W, YOUNG
SURVEY FOR:
WILLIAM SAUSMER 8~ PEARL. Sl
LOT 46"PEBBLE BEACH
^T EAST MAR I 0 N
YOUNG
SUFFOLK CO., N.Y. I
IN~[~TITU'T~ON$ OR SUBSEQUENT OWNERS. I = 40 JAN. 13, 1981 81 - 6