Loading...
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