HomeMy WebLinkAbout36607-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
8/14/2012
No: 35877
Date:
8/14/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
IN GROUND POOL
10415 Oregon Rd., Cutchogue,
Sec/Block/Lot: 83.-2-18
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/2/2011 pursuant to which Building Permit No. 36607 dated 8/4/2011
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.
8/14/12 corrected for Certificate of Occupancy number (replaces CO#35864)
The certificate is issued to Behr, June
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36607 9/12/11
Town of Southold Annex
P.O. Box 1179
54375 Main Road
Southoid, New York 11971
8/3/2012
CERTIFICATE OF OCCUPANCY
No: 35~B64~ _~ t.~lgl[ C~--4 q~F Date: 8/3/2012
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 10415 Oregon Rd., Cutchogue,
SCTM #: 473889 Sec/Block/Lot: 83.-2-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/2/2011 pursuant to which Building Permit No. 36607 dated 8/4/2011
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 ground swimming pool with fence to code as applied for.
The certificate is issued to Behr, June
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36607 9/12/11
~'~/ho"JS~gnatare
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 #: 36607
Permission is hereby granted to:
Behr, June
320 Riverside Dr
Riverhead, NY 11901
To:
In-ground swimming pool, fenced to code
Date: 8/4/2011
At premises located at:
10415 Oregon Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot # 83.-2-18
Pursuant to application dated
To expire on 2/2/2013.
Fees:
8/2/2011
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 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. Apprnval of electrical installation from Board o f 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:
I. 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
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 $5000;
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
Date.
New Construction: '-'~ Old or Pre-existing Building:
Location of Property: / ~)/o//-.%- ff-~/~'~ 3,/
House No. Street
Owner or Owners of Property: -~-)() A./~ ~
Suffolk County Tax Map No 1000, Section ~.~ Block
Subdivision Filed Map.
Permit No. ~/o (-) 7 Date of Permit. ~ ' 2 - /t/ Applicant:
Health Dept. Approval:
Planning Board Approval:
(check one)
Hamlet
Lot:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ _~'d9 , ,~k:::Lff
Final Certificate:
(check one)
~.-z.- Appli~i~nt s'[gna~ure-
Town Hall Anncx
54375 Main Road
P.O. Box I 179
Southold~ NY 11971-0959
Telephone(631)765-1802
Fax(631)765 9502
rofler, dched~town.southold.n¥.us
BUILDINGDEPARTMENT
TOWN OFSOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: d Behr
~,ddress: 10415 Oregon Rd City: Cutchogue St: NY Zip: 11935
~uilding Permit #: 36607 Section: 83 Block: 2 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc License No: 4814-me
SITE DETAILS
Office Use Only
Residential R Ind°°r ~ Basement ~ Service Only~
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 NC Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
protected.
Notes:
Ceiling Fixtures ~r~l~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures I I CO Detectors
Fluorescent Fixtur(~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures [~ TVSS
in ground swimming pool, including, bonding, 1 pool light, control panel, GFCI
Inspector Signature:
Date: Sept 12 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTH)N [ ] FIRE RESISTANT PENETRATION
'%~._~ECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
,.SPECTOR~~~:~
./
TOWN OF 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) ~ ELECTRICAL (FINAL)
REMARKS:
DATE ~'~//~///
iNSPECTOR~~:~~--~-
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSU~,Ai'ION
[ ]FRAMING / STRAPPING ~ ~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)
[ ] ELECTRICAL (FINAL)
DATE
'/ / ~ INSPECTOR
/
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU~--~I~
[ ] FRAMING / STRAPPING r//'r lN, L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUG~._ [ ~ECTRICAL. ~(FINAL)
REMARKS:
DATE __
~INSPECTOR ~~/,/~~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
Examined
Approved
Disapproved a/c
Expiration
,20 [J
AUG 2 2011
BLDG. DEPT.
°uT"°L
~['~3UILDINGyouPERMIT APPL1CATIONfollowing, CHECKLISfapplying.,
have or need the before
Board of Health__
Su~ey
Check
Septic Fern
N.Y.S.D.E.C.
Trustees
Flood Pe~it
Stem-Water Assessment Fern
Contact:
Mail to:
d~tor
Phone:
APPLICATION FOR BUILDING PERMIT
Date ~'// ,20 //
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 tltroughout 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.
ENC .OoE ~OQL~TO CODE
UfON COMPLETION ,
BEFORE'WATER" . ~'
ELECTRICAL
INSPECTION REQUIRED
(Signature of applicant or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general con~~ber or builder
"/'/ / ..... '~ ' J"~
Nameofownerofpremises ~o~ ~o&~ ~ NOT~v ;,,, .,.'
(As on the tax roll ........ ~u
If applicant is a co~)ry~ si~ature ¢'duly authorized officer FOLLo[MNG ~NS9fiCi
t~tle of comorate ~e~ n, ~u ~ U~ 2. ~ou~. ~t,?;k, 'T
' ' STR~pPlNG ~LECT~C
Builders License No. /~//. ~'-~ '~ '; ~ ~ 3 INSULATION t CAbLK~Ng
Plumbers License No. ~r , u i I wIUATE 4 Ftc<-
Other Trade's License No. - ....... v , ALL CONSTRUCTioN.s,AL~
REQUIREMENTS OF THE CO ,
~ORKSTATE ~T~ ..... DES OF NEW
I Location of land on which proposed work will be done: ~N ~ ~ .... LE FOR
....... ~ I ~ ER~s.
/*~/~ ~Tc~o~ ~. ~~,(TER RUNOFF
House Number Street P~NT TO CHAPTER 236
County Tax Map No. 1OOO Section ~.~ Block ~OFTHETOWN~E.
Subdivision Filed Map No. Lot
State existing' ' use and occupancy of premises and' intendedi[0}tse_and occupancy of proposed construction: a Existing use and occupancy /~'..~:~r.~- :w.~ '~/~z-
b.
Intended
use and occupancy/3 ?,~¢? ~,7 :~o-~.~r~- zo~?.~ !/aa<;~2~,o> x~o,~.,~,,~,.~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost4~/'~ 000. oo
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
~,~d_d~n. _Alteration.
~('~OTher Wor. LD.~x.~.~~,o.t~_ ~o~,o,-t,,~ r~.,_r__
(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 /-/R
Height _.25-/ 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
9. Size of lot: Front /.5-O ' Rear /,:ff-3 ' 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? YES NO 5/
13. Will lot be re-graded? YES k/ NO Will excess fill be removed from premises? YES.A/ NO
14. NamesofOwner ofpremises xo~,c~j-~,~ ~-,e~e Address~,~ffoz~r,,~.-o. Phone No. /~2¢P/- ~t>6,j
Name of Architect Address c,-~,-~ Phone No
Name of Contractor ,,~,~Jc.*z ,~o ~.-, z-rD. Address '-~p ~.'~-e ~,'-'-'*e; ,~ Phone No. ?~?~.~ ~-~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 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
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
NO ,~
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, aud,,r~iari~tions with respect to this property? * YES
· IF YES, PR(~,rCIOB ~J~;~.~"4 '~' --
STATE OF ~W YO~)
CO~TY OF¢~k ~S:
NO ~
/~ .X~, z~J~t./c~- /~'-/A~'~ being duly sworn, deposes and says that (s)he is the applicant
~N~me of individua~si'gning contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly'authorized to p.erform or have performed the said work and to make and file this application;
that all statements contained in this application are m~e to the best or'tis knowledge and belief; and that the work will be
performed in thee m~forth .i? the'applicaQ°~filed therewith.
\~ ~ay p f~f~ ~ff ,~_~,,J~ .20}..[.'
-"'~~~- *'~- .~,";C, State of NewYo¢ ~ ~ - -
// Nota~ Pubhc ~io~ in Su,olk CounW -- ~i~t;re of Applicant
/ / // No. O1SCa7250~
~ / ~ ExO~ros Ma~ 31, ~
Erosion, SedimentatiOn & S~orm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION:. S.CT.M.~ THE FOLLOWING A~TIOHS MAY RE~ UIRE THE SUBMIS~N OF A '
/~//,~ ~'~ ~ ~ .S~m~WA'rER' GR~omG~ DP'~,HAGE AND E~OSIO" CONTROL PL~'
s~oa mocx. ~;eKIll'l~ BY A DESIGNPROFES~JOHAL IH THE STATE OF NEW YORK.
$COPF. OI~(OIU[- PI~OI~O$~Z)CONE~B[TC]/ON ~#/WOIU[,~;SM]Q~TT f Y, No
CO~ ~ ..........................................
L.
FORM - 06~ 0 / / Notary Public, State of New York.
L/ /,' Qualified in Suffolk County
No. 01 SC4725089
~/ Term E~piras May 31, ~ t'~,
Town Hall Ann~
54875 Main Road
P.O. Box ! 179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLI~
APPLICATION FOR ELECTRICAL ~NSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
Date:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Cross Street:
*Phone No.:
Pe~it No.:
Tax Map Dis~ct: ~0~
(Please Circle All That Apply)
*Is job ready for inspection:
,Do you need a Temp Certificate:
Temp Information (If needed}
*Service Size: 1 Phase
*New Service: Re-connect
Additional InfOrmation:
~NO
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
~o
/
/
SURVEY OF PROPERT
SITUATE
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YC
S.C. TAX No. 1000-85-02-'
SCALE 1"=20'
JUNE 3, 2010
AREA = 22,492 sq. fl,
0.516 ac.
CERTIFIED TO:
JUNE BEHR
JOHN BEHR
UNALONORIZED AL'I~RATION OR ADDmON
TO THIS SURVEY IS A VIOLATION OF
S~CllON 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP HOT BEARING
THE LAND SURVBYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID 11~UE COPY.
CER~FICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
I$ PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
L~NDING INS~TUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDtNG INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
PREPARED IN ACCORDANCE W111-1 THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHE
BY THE L.I.A.L.S. AND APPROVED AND ADOPTED
FOR SUCH USE BY THE NM YORK STATE LAN[
TITLE ASSOCIATION.
Nathan Taft Car'
Land Survey4
T~tle Surveys -- Subdivisions -- Site Plans -- Cons:
PHONE (651)727-2090 Fax (65
O~FRC__E$ LOCA~D AT &tAll IN~
POOL DIMENSIONS
TYP. PANEL STIFFNER
TYPICAL WALL SECTION AT '~' Fp,~,MF
I
B
POOL PLAN
D
H G
SECTIONS
CORNER CONNECTION DETAIl ~"
N.T.S.
P.E.
DI~MgG NUMBER
: 11~52 OF