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Home My WebLink About37352-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 3/26/2013 CERTIFICATE OF OCCUPANCY No: 36179 Date: 3/26/2013 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2470 Wells Rd, Peconic, SCTM #: 473889 Sec/Block/Lot: 86.-1-10.10 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/25/2012 pursuant to which Building Permit No. Lot No. filed in this ofliced dated 37352 dated 7/10/2012 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: 1N-GROUND SWIMMING POOL, FENCED TO CODE AS APPLIED FOR The certificate is issued to Vaccari, Lawrence & Vaccari, Christine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37352 09/25/2012 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 #: 37352 Permission is hereby granted to: Vaccari, Lawrence & Vaccari, Christine 2470 Wells Rd Peconic, NY 11958 Date: 7/10/2012 To: construct an inground swimming pool, fenced to code At premises located at: 2470 Wells Rd, Peconic SCTM # 473889 Sec/Block/Lot # 86.-1-10.10 Pursuant to application dated To expire on 1/9/2014. Fees: 6/25/2012 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 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCI. PpANcy Thi~ application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final sorvey of property with accUrate location of all buildings, property lines, streets, and unusual nature} or topographic featur6s. 2. Final Approval from Health D~pt. of water supply and sewerage-disposal (S~9 form). 3.. Approval of electrical installation from Board 6fFire Underwriters. 4. 'Sw.orn statement from plumber certifying that the solder used in system enntains 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. B. 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 c4~mpleted application and con.sent 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. Certificai~e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, 3. 4. 5 Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50 00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $:25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. · owner or Owners of Property: (~_~t~ l.,~ ~3 ~4 ~' t- · Suffolk County Tax Map No 1000, Section Subd/vision Permit No. 3'~'~ 5 ~~-- Date of Permit. Health Dept. AppWval: Planning Board Approval: Request for: Temporary Certificate q0 ,~00 Fee Submitmd: S Old or Pre-existin~ Building: (check one) Street Hamlet Block Lot Filed Map. Lot: Applicant:, Underwriters Approval: Final Certificate: V (check one) Ap,l~'~ ~ I Sigfiatnre 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 southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: L&C Vaccari Address: 2470 Wells Rd City: Peconic St: NY Zip: 11958 ]uilding Permit #: 37352 Section: 86 Block: 1 Lot: 10.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Sontractor: DBA: Raymond Electrical Cent License No: 5141-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ ServicoOnly ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixturest~lj~[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixtur(~] Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS in ground swimming pool and pool shed to include, bonding, 2-pool lights, l-light a filter, 1-pool control panel, I-GFCI circuit breaker, 3-deck lights, l-paddle fan Notes: Inspector Signature: Date: Sept 25 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INflATION FRAMING/STRAPPING [ -~/]~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION I ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~ ~ ~ DATE INSPECTOR TOWN, OF S~)UTHOLD BUILDING D~PARTMENT TOWN' I ALL gOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Approved 7 IO,20 JUN 55 2012 Disapproved ~/c Expiration t/! O, 20 [ q TOl'll; gl SOUIHOLD Building Inspector Dgard of H,alth 4 sets of Building Plan~ Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form dail to: Swim King Pools 471 Houte 7-5A ?~y Po!~t, NY 11778 631-744-8100 APPLICATION FOR BUILDING PERMIT,s1~ 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 oft. his 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 18 months from 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 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 inspe~ction.~..- ~--~/^ / ~ -^-- (Sign"fi~,.o~applic~to~n~,ifaco~oration) "iMMEI)IATE oo /4-Q ll,_x' t cM_.3ej 12. ENCLOSE POOL TO (Mailing address of applicant) ' ' UPON COMPLETION BEFORE 'yYATER' State whether applicant is owner, lessee, agent, arcmtect, engineer, general contractor, electrician, plumber or builder ~~ ................. --- APPROVED AS NOTED Name of owner of premises _1~ _ ! . 4. DATE . (As on the tax rOll or lhtest deedjrEE. ~25~0.BYE If applicant is a corporation, signature of duly authorized officer NOTIFY BUILDING D (Name and title of corporate officer) OCCUPANCY OFI Builders License ]~ ~"[J--~ USE-iS UNLAWFUL Plumbers License No. Electricians License No. Other Trade s License No. W THOUT 1. Locgt~iqq 9-fxl,a~d onlwl~ichptoposet~v,,ork 'frill be do~g AL House Number Street IN$H~ m J~ ~'~--~1~¢ CounWTaxMapNo. 1000 Section ~[~ Block [ Subdivision Filed Map No. 765-1802 8 AM TO 4 PM FOR THE OY}ING INSPECTIONS: UNDATION - TWO REQuiRED R POURED CONCRETE UGH- FRAMII~, PLUMJ)II~, STRAPPING, ELECTRICAL & C/~ULKIflG 3. INSUI.AIION 4. FINN. - CONSTRUCTION & ELECTRICN. MUST BE ~ FOR C.O. REQUIREMENTS OF THE COOE$ OF NEW YORK STATE. NOT RESPONSIBLE FOR · PURSUA IT HAPIF. R 236 Lot 2. Stat"e existing use and occupancy ofpremi e Ah!lddntendad l and,occupmacy 01 pr0p0 cfl £0n [ru£ti0n'. a. Existing usc ~d occupancy ~ Ir b. Intended use and occupancy ~ ~ ~ q¢ ~.~~ ~ r ' 3. Na~e of work (check which applicable): New Building Addition 4 ~lteration Repair Removal Demolition ' ~er Work ~D~/ ' 3 ~~ ~ ~ (Description) 4. Estimated Cost } ~, Fee ' (To be paid on filing tbs application) 5. If dwelling, nmber of dwelling units Nmber of dwelling ~its on each floor If garage, number of cars 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 Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height . Number of Stories Rear Depth 9. Size of lot: Front Rear .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? YES. NO~ 13. Will lot be re-graded? YES NO~zR~Will excess fill be removed from premises? YES .~ ,,~O~ 14 Names of Owner of ~remi~ess~ '2~/-'~ O c, Jl~ P-q~hone Not'WT,~/~ 2,.,~ Name of Architect ~ ~ t,q ,n ~ ~ Address t~ -J Phone No 5 5 / ~7_.l~rfi NameofContracto.~ ~ J_GeL~"- Address .1~..~..~ ,PdC. PhoneNo.~7'~"-I:-~lo,..__ 15 a. Is this property within 100 feet of a tidal ~) wedand or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY ~E~REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. z 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__ NO ~ · IF YES, PROVIDE A COPY. / STATE OF NEW YORK) ss: COUNTY OF ) _ I~1111~ III IIII1~//Nlmly ~ 1 1) [~0 ~ ~ ~ ~ bein ~dly sworn, aepo~es and says :hat (s)he is the applicant f~-of indiv[duaYsigning ~ofiWact) a~e nmed, (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 w~,x and to make and~ ~lication; that all statements contained in this application are ~ue to the best of his knowledge ~d belief; and that the work will be performed in the manner set fo~h in the application filed therewith. />~ dayof ~/~ 20 /~ N~tau Public ~ ~/ - ~ Signature of Applica~ Toga H~ Am~ 543'/$ Mein P,~d P.O. Bo~ 1179 Sou~l~dd, NY i 1971.~59 T~p~:ee (~1) 76z-1802 rofler, richertCd~l~_~6~.nv,,~ BU~ING DI~ARTbiENT TOWN OF $OUTtiOLD .APPLICATION FOR ELECTRICAL INSPECTIOP *Name:. · *Address: *Cross Street: *Phone No.: Tax Map District: JOBSITE INFORMATION: ( ndlcates required information) - S~on: ~ B~:_ '~ / ~EF DESCRIPTION OF WO~ (Pl~se PH~ ~ady) Jl lot: (P;ea~e Circle All That Apply) *Is job ready for inspection: ,Do you need a Temp Certificate: Temp.lnformation (If needed) - .._) I ~(~)/NO Rough In Final *Service Size: 1 Phase *New Service: Re'mnnect Additional Information: 3Plmse 100 150 2OO 300 350 400 Other Underground Number of Metem Change of Sen, ice Oved*mad PAYMENT DUE WITH APPLICATIOH ~)c'i ?- Town Hall Annex 54375 Main Road P.O. Box 1179 Somhold, NY 11971-0959 Telephone (631) 765-1802 Fax (63 I) 765-9502 September 25, 2012 BUILDING DEPARTMENT TOWN OF SOUTItOLD Lawrence Vaccari 2470 Wells Rd Peconic, NY 11958 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: t,~-~pplication for Certificate of Occupancy. (Enclosed) (~_ Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) __ Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 37352 - Swimming Pool SUFFOLK COUNTY DEPARTMENT OF CONSUMER AFFAIRS HOMEIMPROVEMENT CONTRACTOR LICENSE RANDYT RODECKER This certifies that the bearer is duly licensed by the County of Suffolk STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la. Legal Name and Address of Insured (Use street address only) RANDY T. RODECKER, INC. DBA SWIM KiNG POOLS 471 ROUTE 25A ROCKY POINT, NY 11778 2. Name and Address of the Entity requesting Proof of Coverage (Entity being listed as the Certificate Holder) Town of Southold 530995 Route 25 PO Box 1179 Southold, NY 11971 I b. Business Telephone Number of Insured (631)744-8100 lc. NYS Unemployment Insurance Employer Registration Number of Insured 1716110 ld. Federal Employer Identification Number of Insured or Social Security Number 113092960 3a. Name of Insurance Carrier The First Rehabilitation Life Insurance Company of America 3b. Policy Number of Entity listed in box "la": DBL37154 3c. Policy effective period: 02/01/2011 to 01/31/2013 4. Policy covers: a. [] All of the employer's employees eligible under the New York Disability Benefits Law b, [] Only the fo ow ngclassorclassesoftheemployer'semployees: Under penalty of per. jury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed 8/31/2011 By Telephone Number 516-829-8100 Tit e_ Chief Executive Officer IMPORTANT:If box "4a" is checked, and this form is sigrl~J by the Insura~e carrier's auth~ized representative or NYS Licensed Insurance Agent I f box "4b" is checked, this cerUfl~ate is NOT COMPLETE for the purposes of Section 220, Subd. 8 of the Disability Benefits Law. PART 2. To be completed by NYS Worker's Compensation Board (Only if box "4b" of Part 1 has been checked) State of New York Worker's Compensation Board Date Signed By Telephone Number Title (Signature of NYS Worker's Compensation Board Employee) Please Note: Only insurance carriers licensed to write NYS Disability Benefits insurance policies and NYS Licensed Insurance Agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to Issue this form, DB-120.1(5-06) CONCRE~EWALLS ~.~,,,U Z / to D,SPOSAU -, IJ LJ Z~ 77" 3'-2" H20 ~ TORE~RNS PLUMBING 5CH EMATIC P~N ~ - ~ ~ POU~ CONC~ N 0 1 E~ ~ [~ ~ ~N~ ~ I WATER DISPOSAL SHALL BE LIMi~D TO OWNE~ PROPE:~ ~N ACCORDANCE WI~ VARIES 4' ' ~ IN ACCORDANCE WI~ ~E NYS BUILDING CODE, APPENDIX G, SECqON AGI~ Z ~ Z ' m ~ f- k VINYL LINER~ COMMENCEMENTOFCONSTRUC~ON ., 9. THE~E iS NO MAIN D~IN IN ~IS FOOL. SUC~ON FOR POOLWA~C[~CU~qON ~ ~ ~ ~ ~ SECTION B "STANDA~DSPECIFI~ON FORPOOLA~RMS,"~ADOP~DIN2~. q. A TEMPO~Y ENCLOSURE, OR 4 ~ FENCE SHALL BE INSTALLED AND ~IN IN P~CE CONCRETE WALLS '-6" H20 3'-2' H20 SURVEY OF PROPERTY $1TUA TED A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86-01-10.10 SCALE 1 "=40' AUGUST 5, 1999 AREA = 88.640.28 2.055 FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK LAWRENCE VACCARI CHRISTINE VACCARI N,Y.$. Uc. No. 49668 Joseph A. Ingegno Land Surveyor PHONE (811)727-2090 Fax (631)727-1727 gg~4El(