HomeMy WebLinkAbout37376-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
8/3/2012
CERTIFICATE OF OCCUPANCY
No: 35857
Date: 8/3/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
DECK
3750 Pine Neck Rd, Southold,
Sec/Block/Lot: 70.-12-9.6
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
7/9/2012 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:
"as built" deck addition with hot tub to an existing one family dwelling as applied for.
Lot No.
filed in this officed dated
37376 dated 7/19/2012
The certificate is issued to
Stathis, Christopher & Cahill, Diane
(OWNER)
of the aforesaid build'rog.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37376 8/2/12
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 #: 37376
Permission is hereby granted to:
Stathis, Christopher & Cahill, Diane
3750 Pine Neck Rd
Southold, NY 11971
Date: 7/19/2012
To:
install "As Built" Hot Tub on deck addition as applied for
At premises located at:
3750 Pine Neck Rd, Southold
SCTM # 473889
Sec/Block/Lot # 70.-12-9.6
Pursuant to application dated
To expire on 111812014.
Fees:
7/9/2012 and approved by the Building Inspector.
SWIMMiNG POOLS - ABOVE-GROUND WITH REQUIRED FENCING
CO - ADDITION TO DWELLING
Total:
$500.00
$50.00
$550.00
Building Inspector
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
l. 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. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees 1. Cer~fica~e.o~ Occupancy - New dwelling $25.00 Additions to dwelling $25 00, Alterations to dwelling $25 00
Swimming pool $25.00, Accessory bmldmg $25.00, Addtuons to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $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
I
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Date.
Old or Pre-existing Building:
Street
Block
Permit No. ~'"~Q ,'~'~ ~o
Health Dept. Approval:
Planning Board Approval:
(check one)
Hamlet
Filed Map. Lot:
Date of Permit. Applicant:
Underwritem Approval:
Request for: Temporary Certificate
Fee Submitted: $ 50. '~
Final Certificate:
(check one)
Town Hall Annex
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.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Diane Stathis
Address: 3750 Pine Neck Rd City: Southold St: NY Zip: 11071
Building Permit #: 37376 Section: 70 Block: 12 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
2,ontractor: DBA: Custom Lighting of Suffolk License No: 38893-me
SITE DETAILS
Office Use Only
Residential ~ Ind°°r M Basement ~ Service Only~
Com medcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicalph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCl Recpt
Main Panel NC Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures II Smoke Detectors
Recessed Fixtures[~ CO Detectors
Fluorescent Fixture ~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures [~[ TVSS
install 50a GFCI protected disconnect for self contained hot tub
Notes:
Inspector Signature:
Date: Aug 2 2012
81-Cert Electrical Compliance Form.xls
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY [
[ ] RRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) [
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] ROUGH PLBG.
[ ] INSULATION
[ ]FRAMING/STRAPPING [ ] FINAL
[ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) ~LECTRICAL (FINAL)
REMARKS:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork. net
Approved 7/~, 20 /~
Disapproved a/c
Expiration
t/l'l ,:o/p
PERMIT NO.
7576
JUL - 9 2012
BLOG DEPt.
TOW~ OF SOU~HOtD
Building Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before 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
Storm-Water Assessment Form
Contact:
Mail to: ~,~3bk[qO,~ ~L~d,,(
Phone:
APPLICATION FOR BUILDING PERMIT
Date ~lt~ t~ ,20 ]'7..
INSTRUCTIONS
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 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 inspections.
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~-~ ~1~,i S
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on wh~°9 proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
Block I~- Lot ~, ~
Filed Map No. Lot
State existing use and occupancy of premises and inJqnded use and occupancy of proposed construction:
a. Existing use and occupancy ~(r~,~e_ 4-Ait~.d,,d (.aqld-g4t_c~.
b. Intended use and occupancy ~ w/ ,J4<54.~, k0'~ 51~
Nature of work (check which applicable): New Building.
Repair Removal Demolition
Estimated Cost Fee
If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Alteration
(Description)
', · ~ (To be paid on filing this application)
Number of ~i~lling units on each floor
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front L/t~. ~/ ~ear_ ~ ~- ~" Depth
Height. Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height oc" Number of Stories
9. Size oflot: Front 15q. 'O' Rear
Rear /~a ! Depth
Depth /7/,
Rear
/¢
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 ~C Will excess fill be removed from premises? YES__
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address ~ (4 Phone No.
Address ]~[&-P~0 JCU64(-- Phone No
Address Phone No.
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 _ .xN~_.
* 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 survey.
18. Are there any covenants and restrictions with respect to this property? * YES__ NO ~
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY O~S:
~J~L~C.A/I ~ ~td.g./br being duly sworn, deposes and says that (s)he is the applicant
(Name of individuallsign{ng co~tr~ct) above named,
3ONNIE D. BUNCH
(S)He is the 1 .)Zc-~l~--g4r ~otary Public, Stato of New
York
(Contractor, Agent, Cor~rate Officer, etc.) NO. Ol EIU~185050
Qualified in Suffolk County ,~,,
(;ornmission Expires April 14,
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
performed in the manner set forth in the application filed therewith.
S~om to before me this I~-
-~ davy of ~ 20
Notary Public
~?$ ~ Ro~
P.O. Box
. So~thold, NY
Tclcphoa¢ (~31) 765-180<2
631 ?
BUILDING DEPA.R"IM.EZqT
TOWN OF $OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
D~ns.e No.: .
JOBSITE INFORMATION: (*lndi~tes required information)
*Cross Street: - '
T~ Map Dis~: lO00 8ecBon:
'BRIEF DE8CRIPTION OF WORK (Please Pdnt Cleady)
Block: I ~ Lot:_.C~,, [..," .
(Please Circle NI That Apply)
*is job ready for Inspection:
'Do
· you need a Temp Certificate:
Tempinformat!on (If needed}.
*Se~ce SEe: 1 Phase
*New Service: Re-connect
Additional Information:
82-Request for Inspection Form
/'~)/NO
Rough In
3Phase 100 150 200 300. 350 400 Other
Underground Numl~er of Meters Change of Se~ce Overhead
PA~YMENT DU_E WITH APPLICATION
Generated by CamScanner ~rom intsig.com
Z
AREA =- 2066~ eq. ft.
pINE NECK
ROAD
SURVEY OF PROF
A T SOUTHOLI
TOWN OF SOUT~
SUFFOLK COUNT)'
SCALE: ~'~
MA Y ~ 2003
cE~'re-'~ To,
I g_~ ~D(15TING HOU5E= II
I -~,1 STRUCTURE TO REMAIN, ,,
XN~LL AREA5
PARTIAL ELEVATION
h, I LO"
,SCALE: ~ :
HOT TUB TO REMAIN
5TATH 15 RESIDENCE
~XISTING HOUSE
TO REMAIN
[DqDTING GUDER
2
DECK
EXI5TING IflOT TUB
TO REMAIN; INDTALLDONE
AD PEP-. MANUEACTURER
5 PEcIFrCATIOND;
DAFL~TY COV~I~ iN ACCO~.DANCE
DECK PLAN
SCALE: 4h'= ILO"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
or: ?~,~' w"i
,~ P P?~OVg~) AS NOTED
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLO~NG INSPECTIONS:
% FOUNOATION - ~ REQUIRED
FOR POURED CONCRETE
2, ROUGH - F~ING~ PLUMBING,
STRAPPING, ELECTRICAL & CAULKING
3, IN~U~TION
4~ FINAL. CONSTRUCTION & ELECTRICAL
MUST EE COMPLETE FOR
ALL CONSTRUCTION ~HALL MEET THE
E[OU~REMENTS OF THE CODES OF NEW
V~R~ STATE NOT RESPONSIBLE FOR
OESIGN OR CONSTRUCTION ERRORS,
ELECTRICAL
INSPECTION F~EQUIRED
"IMI~ED~ATELY"
ENCLOSE P ,,:~ ~ O CODE
UPON C~' !:'*Z-ION
BEFOF~E "WAI ER"
d
PAGE:
GENERAL NOTE:
ELECTRICAL NOTE:
EXISTING FOUNDATION
TO REMAIN
OUTLINE OF
,HOT TUB ABOVE
FOOTING ¢ FP-.AME FLAN
h, I LO"
~CALE: 4 :
GrRDER ¢ I
50NOTUBE PIER
DEPTH TO TOP OF
CONC P. ETE FOOTING
RC OF NY5 APPENDIX G
CODE COMPLIANT
OUTLINE OF DECK ABOVE,
I O" BONOTUBE PIER
TO POU~ED CONCP. ETE
FOOTING, 42" BELOW
GRADE, TYPICAL ADL;
JJLJIJL
-Bi- qX7
JL"JLJL
mc 23E
EXISTING HOUSE~
NSTRUCTURE TO REMAIN,
,ALL AREA5
'~ JLL JLL '~
3E]E ]BE
JUL J~L
3BE 3BE
]DE ]BE
~UL 3BE
I
'1 N 2"× E~"ACQ m.J. ~G"O C.N
I
A5 PER
MANUPACTUF, E~
SAFETY COVER
DECK SECTION
h, = I '-0"
SCALE: ~
DECK ¢ POP. CH NOTES:
NAILING SCHEDULE
JOINT DEDC~PTION NAIL NAIL
CLIMATIC AND GEOGI~&PHIC DESIGN CR. ITER.IA
!D~SIGN LOAD CALCULATION5
MINIMUM UNIFORMLY DIBTP-.IBUTED LIVE LOADB
I GROUNB BNOW LOAD y.,/~( ~b~
I D~iGN CATEGORY a ,~
J WIND DFdED ~0~ )~0 mph
J~Posu~ CATEGORY ~
Z Z~
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