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Home My WebLink About36636-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 7/11/2012 CERTIFICATE OF OCCUPANCY No: 35814 Date: 7/11/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: 1N GROUND POOL 315 Country Club Dr, Cutchogue, Sec/Block/Lot: 109.-3-2.28 Filed Map No. conforms substantially to the Application for Building Permit heretofore 8/18/2011 pursuant to which Building Permit No. 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 fenced to code as applied for. Lot No. filed in this officed dated 36636 dated 8/18/2011 The certificate is issued to Peter & Erica Harold (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36636 8/24/11 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 #: 36636 Date: 8/18/2011 Permission is hereby granted to: Harold, Peter & Harold, Erica 315 Country Club Dr C_ut_ch_ogue, NY 11935 To: construct an accessory inground swimming pool, fenced to code At premises located at: 315 Country Clu_b _Dr SCTM # 473889 Sec/Block/Lot # 109.-3-2.28 Pursuant to application dated To expireon 2/16/2013. Fees: 8/18/2011 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 Form No. 6 TOWN O~ $OU~HOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANcy This application must be fried in by typewriter or ink and submitted to the Building l)epamnent with the following: A. For new building or new use: 1. Final survey 0f 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 sewemgeqtisposal (8_9 form). 3. Approval of electrical installation from Board 0f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. C°mmemial building, indnstrial 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. B. For existing buildings (prior to April 9, 1957) non. conforming uses, or buildings and "pre-existing" laud uses: 1. Accurate survey of property showing all property lines,'streets, building 2md 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 thc 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 po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~ 2. Ce[tificate of Occupancy on Pre-existing BuiIding- $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 New Construction: Location of Property: .~ 15 House No. Owner or Owners o£Property: Suffolk County Tax Map No 1000, Section. Old or Pre-existing Building: Street Date. (check one) Hamle~ Fried Map. Lot: · Applicant: Underwriter~ Approval: Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Foe Submitted: $ 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.qer, dchert~town.so uthold, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Peter & Edca Harold Address: 315 Country Club Drive City: Southold St: NY Zip: 11971 3uilding Permit #: 36636 Section: 109 Block: 3 Lot: 2.28 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Big Blue Electric LicenseNo: 35348-me SITE DETAILS Office Use Only Residential [~ Ind°°r ~ Basement I~ Service Only I~ 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 Other Equipment: in ground swimming pool to include, bonding, 1 pool light Ceiling Fixtures ~r~l~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures I I CO Detectors Fluorescent Fixlur(~l Pumps Emergency Fixture Time Clocks Exit Fixtures [~l TVSS Notes: Inspector Signature: Date: Aug 24 2011 81-Cert Electrical Compliance Form '~~WNOF~(.~(~7~d? / SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) /~LECTRICAL (FINAL) REMARKS: DATE ,NSPECTOR~'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~LATIOI~ [ ] FRAMING / STRAPPING [~J~INAIAF~/~iN [ ] FIREPLACE & CHIMNEY [ ] FIRE S SPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION [ ] ELECTRIC~AL (~OUGH~ [ ] ELECTRICAL (FINAL) /~ARKS.~ ~-~-,~ ~ ,~ ~:~ DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH [ ] FOUNDATION 2ND [ ] I~U.J..ATION [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (I ] FIRE RESISTANT PENETRATION ] E~TRICAL (FINAL) DATE INSPECTOR 730 I~1~ BLUE ELECTRIC LLC Sb VILJ.~E LANE MAll]~tJCK NY 11~52-2334 Pay to the Order of PUN EI..EGTRICAL INSPECTION REQUESTED BY: Company Name: Name: License 'No.: AddreSS: Phone No.:. Date: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: · *Cross Street: · Phone No.: Tax-Map District: · 1000 Section: Block: · BRIEP DESCRIPTION OF WORK (Please Print Clearly) Lot ' ( .l: es e Circle All Thst Apply) *Is job ready for inspecaom *Doyou ~.c=! a Temp Certifl(mte: . Temp Information (if. neededJ *Service Size: 1 Phase 3Phase ~New Servk~: Re-connect Add .ifienal Information: 'YES I NO Rough In YES I NO 100 150 20O 300 350 4OO Underground Number of Meters Change of Service ' PAyMENT DUE WITH APPLICATION O~hGr 82~Request fo~ Inspeo~on Form TO,WN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined ~i! t .5 , 20 If Approved ~11 C,, 20 ~! Disapproved a/c Expiration ~/ I ~, 20 I '~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, 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 Single & Separate Storm-Water Assessment Form Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS (Name and title of corporate officer) Builders License No. /8=~pZ ~-~/-/ Plumbers License No. Electricians License No. Other Trade's l,icense No. 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 scbedule. b. Plot plan showing location of lot and of bnildings on premises, relationship to a4joiniug 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 ou the premises available for inspection throughout the work. e. No bnilding shall be occupied or used m whole or in pa~ for any purpose what so ever until the Bnilding 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 with in 18 months fi'om such date. If 110 zon lng amendments or other regulatious affecting the prope~?' have been enacted in the interim, the Building Inspector may authorize, in ~ riting, the extensiou of the permit for an additiou six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamnent for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordiuances or Regnlations, for the construction of buildings, additions, or alterations or lbr removal or demolition as hereiu described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code. aud regulations, and to admit authorized inspectors on premises and in building for necessary inspections. )CCd[2NCY OR t ,,iM EDiATELY'C jS~7 [~ :lilt ,~,~M~I H [,ENCLOSE POOLTOCODE (Signature ofapplicant or name, ifa corporation) ~ ~ *u~ ~'; UPON COMPLETION (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contracto~~,~ builder Nameofownerofpremises ~ , ~rl~ ~~ (As on the tax roll or lates~ee~5 ac ~5~luG DEPa~IMF< '~: '~d ~: &M cO 4 PM go;~ Il'applicant i~ ~a[?n, signat~duly authorized officer FOLt )WIN( ~NSPECTIONS ' ~~~ ' ~ 1. c, 'LJND/ ON TWO Ri-QUIRED F~ R ~C,~RED CGNCRETE 2. ROUGH. FRYING, STRAPPING, E~CTRI~ 3. I~ 1. Location qfland on which proposed work wilI be done: House Number I Street ELECTRICAL Section 4. FINAL. CONSTRUCTION & ELECTR: :L MUST BE C-~ E'II~ FO~ C.O, ALL CONSTRUCTION ~HALL MEET THF REQUIREMENTS OF THE CODES O: _ ~ YORK STATE NOT RESPONSIBLE FF ~ Hamle RETAIN sToRM- W-/¢i'IrF N 0 FF Filed Map No. v POFISUANT TO CHAPTER OF THB WN Lot County Tax Map No. 1000 Subdivision INSI ECTION REQUIRED ,/_/) .7 Block3 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 Demolition Addition Alteration (Description) Fee ~o 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 ~O5~ ~ 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. Sizeoflot: Front /'z?/.~''1 Rear /r-~O t Rear Depth Depth 10. Date of Purchase Name of Former Owner I 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES V/~NO Will excess fill be removed from premises? YES NO __ 14. NamesofOwnerofpremises }.;I..~.vall Address ,,,]o-o,w,z~.,~qv. o. Name of Architect c-, ~ Address Phone No Name of Contractor c::~~'~l:>h~--~ Address ~'~ ~¢,,/ \',&?,"S Phone No. 15 a. ls this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO __ * IF YES, SOUTHOLD TO, WN TRUSTEES & D.E.C. PERMITS MAY BE RE/QUIRED. b. ls this property within o00 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plwe~and:dist.a~gCO, t.p property lines. 17. If elevation at any point on property is at 10 feet or. b~lOw, must pr(~',~id~ topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YESv'/ NO__ · IF YES, PROVIDE A COPY. STATE OF'NEW YORK) 5 ..S.S.;_ COUNTY OF .) Fe..t ~' '1( 3 ~.r'O)J being duly swo,',,, deposes and says that (s,he is the applicant (Name of individual signing contract) above named. (S)He is the % (khY~_.~ ~ . (Contractor Agent Corporate Officer etc ) of smd owner or owners, and I~t~l-~l~{horrized to perform or have performed the sa'd work and to make and file this application; t mt a state,fire ~ifi~i's'~'~}ic~tion are true to the best of his knowledge and belief; and that the work will be performed m the ~q~ ?~%,~e aopl,cat,on filed therewith. Swors~ to before ~e t~ls App~nt ~mission ~ires August 31, 20 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.IIL ~. THE FOU.OW]NG ACTIONS MAY REQUIRE THE SUBMISSION OF A _~ '~ ~ ~ ~ S~O~-W4¥E~f GRADIHG~ DRAINAGE AND EROSION CONTROl. PLAH Dwmc~ Bk~.k tot ('=~ ~r~=u BY A DESION PROFESSIONAL IN THE STATE OF NEW YORK. SCOPEOFWORK - PROPOSED CON~'I'RUCrlON iTEM# / WORK ASSESSMENT [ Y~ No a. WhatlstheTot;dAmaofthe ProjeofPamels? (Indude Total .,a;es of all Parcels k~ated w~ln /.O~/~<,~ 1 V~"thlsPr°~ectReta~S~on~-Wof~Ru~-m C-eneratad by a Two (2") Inc~ Rainfall on S~ta? · /~.. b. What ls the To~ Area of Land Clsa~g ~F./A=~) ('l~ls ;tern will indude all run-off cteatad by slta and/o~ Ground Disturbance for the pmpesed construct;on ac~vtiy? ~/_,,;~2 ~',,~ Site Improvements and the permanent crea~on of impervious suKaces.) (S.F./Ac,.=) 2 Does the Site P~an and/or Survey Shaw M Propoesd PROV]]:);. BP3:Eff PRO.~C'~' DESC~ON (P~U*A,U~P.s..*N..,~d) Dralnagesb. uctumslndlcatJng Size& Loca~on?Thls Item shall include all Proposed Grade Changes and ..~.~),~,,<~,/,~/.,~ ~--.~ 3 Does the Site Pran and/oc Sun, eydesndhatheerosion and sediment cOnlml prac6cas that will be used to control site erosion and storm water discharges. This item must ha maintained throughout the En§m Constmctlon Pmtad. 4 Will this Project Require any Land Filling, Grading or Excavation where them is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Apptication Require Land Disturbing Activitios r~-~---i _z/ Encompassir~ an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water C°urse Running throngh the r~.~_.l / site? is this Project within the Trustees jurisdiction General DEC SWppp Requirements: or within One Hundred (100') feet of a Wetland or -- dlsturbaix:e$ of one (!) ~' more acres; including disturbances of less than one ac~e that 7 Will there be Site preparation co Existing Grade Slopes am part of a ledger common plan that will uPima ;oly disturb one or mom acres of land; which Exceed Fifteen (15) feet of Vertical Rise to blcluding Con sbtmtion ec~i~les involvimj so~ disturbances of less than ~ (1) ecru where One Hundred (100') of Horizontal Distance?~ -- V mqufmd, post-CmlSlmctlon strum vm{m' management pmctio~ thof w~l be used andler Removal of Vsgetatlon and/or the ConstnJction of any r~ STATE OF NEW ¥OAK,?,~ ~-~-~t-~t ~/ 'lhat I, ~ ................... b~in~ duly *worn, deposes and say~ that 1~4'sbe is the applicant for ?emait, . c~-~. ~'~.'~ ............................................. Owner and/or representative of the Owner or Owncr~, and i~ duly authorized to perform or have p~rformcd the ~aid work and to make and file this application; that all statemenB contained in ~ application are tree to the be,t ofhi~ knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to be[ore me this; FORM - 06/10 Qualified in Suffolk County Commission Expires August 31,-201~"~ b 50.( 42.400', CO SUPPLY SYSTEM EXCEED 2/10 OF d FINAL - CONSTRUCTION & ELECTRii MUST BE COMPLETE FOR C,O. ALi. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE COl)ES OF N YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. TESTING B COMPLY WITH ALL COD~ NEW YORK STATE & TOWl~ AS REQUIRED AND CONDIq SOU?HOLD TOWN ZBt SOUTHOLD TOWN PL/ ____ SOU~OLD TOWN TRL __ N.Y,S, DEC CERTIFICATION NAILING & CONNE¢ REQUIRED. ~J~I'AIN STORM WATER F PURSUANT TO CHAPTER OF THE TOWN CODE. 35.900' ELECTRICAL INSPECTION REQ[ 1 STY. FRAMED HOUSE b 171.500' LUB DRIVE 35.900' Z SITE PLAN SCALE: 1" = 20' TYP. PANEL STIFFNER BOARD POOL PLAN D SECTIONS