Loading...
HomeMy WebLinkAbout36410-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/3/2013 CERTIFICATE OF OCCUPANCY No: 36223 Date: 5/3/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: 1N GROtYND POOL 1195 Goose Creek Ln, Southold, Sec/Block/Lot: 78.-8-8 Filed Map No. conforms substantially to the Apphcation for Building Permit heretofore 5/10/2011 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 ofliced dated 36410 dated 5/23/2011 The certificate is issued to Kelly III, Mortimer & Kelly, Kathleen (OWNER) of the aforesaid building. SUFi~OLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36410 7/11/11 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 #: 36411) Date: 5/2312011 Permission is hereby granted to: Kelly III, Mortimer & Kelly~ Kathleen PO BOX 391 Southold, NY 11971 To: construct an inground swimming pool, fenced to code as applied for At premises located at: 1195 Goose Creek Ln, Southold SCTM # 473889 Sec/Block/Lot # 78.-8-8 Pursuant to application dated To expire on 11121/2012. Fees: 5/10/2011 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 SOU'THO]ED 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 (8-9 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. Commemial 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. 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 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 $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 New Construction: Location of Property: Date. J Old or Pre-existing Building: (check one) //q5' House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision PermitNo. '~, ~/I t9 DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate _ Fee Submitted: $ Block ~' Filed Map. D-' ~ 2 ~-// Applicant: Underwriters Approval: Final Certificate: Lot (check one) ~'- '~ Appli(~alit gig-nature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 ro,qer r chort~town.southold.n¥.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: M&K Kelly Address: 1145 Goose Creek Lane City: Southold St: NY Zip: 11971 Building Permit #: 36410 Section: 78 Block: 8 Lot: 8 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 ~ Indoor ~ Basement ~ Service Only Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeiliflgFixtures e~ HiDFixtures Service 3 ph Hot Water GFCl Recpt Wall Fixtures ~.~ Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixtur Pumps Transformer Appliances Dryer Recpt Emergency Fixtures~.~ Time Clocks Disconnect Switches Twist Lock Exit Fixtures L.__J TVSS Other Equipment: in ground swimming pool to include, bonding, l-pool light, l-control panel 1-OFCl circuit breaker Notes: Inspector Signature: Date: July 11 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUNDATION l ST [ ] ROU~.BG. [ ] FOUNDATION 2ND [ ]~SULATION [ ] FRAMING/STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRIC~I~ (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS./~ ~- //"~ ~ ~ DATE INSPECTOR,~~/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOU.DAT~O. ~ST [ ] ROU~q. PL.G. [ ] FOUNDATION2ND[ ]~U~ [ ] FRAMING/STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFE'I~ INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: / / DATE ,._~/~//( 9,, INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined 5/~Z-,~, 20 / / Approved J/'~.~20 // Disapproved aJc Expiration / Fg- 20 /g- 10 2011 BLDG. DEPT. TOWN OF $OUTHOLD PERMIT NO. 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 v/ Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20// 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 adjdining 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. "IMMEDIATELY" ENCLOSE P~,CL TO CODE UPON COMPLETION ALL CONS i, ,~ ~:,LL (Signa~e of applicant or ~me, ifa co~oration) MEET THE EEQU~E~: 5~T~ OF T~o ~o~ ~ ~~ .V~//~ CODES OF NE~/;C/< SLATE. (Mailing ad&ess ofapplic~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED (As on thc tax roll or latest a~¢d) ~ ~ BY ~ Ifapplic~t is a co~oyatjon,~i~ture ofdul~i~ ,~m FEE: h . / ~ ~ ~/~/ ~ _~yv~r midol ~ NOTIFY BUILDING DEPARTMENT AT ~ ~- . ~ ./~, ~/~/~d .... ~ ...... I 765-1802 8 ~ TO 4 PM FOR THE (~ ~d t,t]~ of co,or~t~ omc~r) UCC I~ UNLAWFU~ FOLLO~.O INSPECTIONS: / WITHOUT CERTIFI( u.eo CO.C.E*E STRAPPIN~ ELECTRICAL & CAULKING E]ectfici~s License No. 3. I~TI~ Other Trade's License No. RETAIN ~ I UHM WATER RUNOF~' FIN~- CONSTRUCTION & E~CTRICAL ~ST ~ ~ F~ C.O l. Location Dried on which proposed work wi~T T0 CHAPT~ 236 ~~ SHALL //~ /- -- ~ 0/'iffE~hWN CODE. REOUIR[M/NTS Or *Hr House Nmber S~eet ELECT~CA~m;oh OR %ONSTAGC hON- Subdi~si0n ~TC~ go.c= o~-~ ; .~t 2. State existing use and occupancy of premises and intended use and °ceupancy °f pr°p°sed c°nstructi°n: a. Existing use and occupancy _~ 4. Estimated Cost 5. b. Intended use and occupancy_~ ...... Nat~e of work (check wMch applicable): New Building Repair Removal Demolition _~~~ (To be prod If dwelling, nmber of dwelling units Number of dwelling units on If garag bet of ca e, num rs If business, commeruial or Dimensions of existing structures, if any: Front p,'~ Height ,..2~ ' Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth', ~D ' Rear Depth Height 8. Dimefl~6fllt, Ol'~llir~ew construction: Front Height:: ........ '~. iOV Number of Stories Depth Number of:Stories ,,i ~ Rear i , 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 3~ NO Will excess fill be removed from premises? YES ~q' NO 14. Names of Owner of premises / ~ __ Name of Architect Name of Contractor r'~,:~ ~,.~ ~ z_,,r~. Address / -Phone No. Address _-o-~,~.-,> Phone No Address ,'?o '~ ,, eore.~_~,.~ Phone 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. I~ 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. 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 · IF YES, PROVIDE A COPY. NO X STATE OF NEW YORK) SS: COUNTY OF ) ~r~r/,/'~__~5::g.2:~ ff']/..//~'6dq/ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)ne is the (Contractor, Agent, Corporate Officer, etc.) 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. Sworn to bef~e'e~e this (.. / / T~rm I~.X~iras ~a't 31. -~i~,~ ~,~ TOwn of So.uthold ) Ere, sion, ~edimentation & S~orm-Water Run.~ff AS~SSMENT FORM ~A~ OF ~ FORM - 061t'~ / Notary Public, State of NewYo~ Qualified in Suffolk County No. 01SC4725089~ Term Expires May 31, Town I-Iall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLr~ ~PPLK~^T]ON FOR ELE~T~K~^L ~NSPE~T~ON Name: BY: Name: No.: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: (*Indicates required information) 1000 Section: --~ *BRIEF DESCRIPTION Of WORK (Please Pdnt Clearly) Block: '~ Lot: ~) - (Please Circle NI That Apply) *Is job ready for inspection: ,Do you need a Temp Certificate: Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 *New Service: Re-connect Underground Additional InfOrmation: ~)1 NO Rough In YES / NO 150 200 300 350 400 Number of Meters Change of Service PAYMENT DUE WITH APPLICATION 82-Request for I~on Form DEC-I-E~4 11:87 FROM:PECONIC SURVEYORS~ P [G31) 76.5-1797 T0:12124938670 P. 1 . OS6.~ 'GO t ~o '% ~lOIf FLOOD ZONES FROM F~tI~ MAP NO. 36103C0166 $ MA Y ~ 1998 SURVEY FOR ~ ~.~.~.~,~,. MORT/MER KELLY & KA THLEEN KELLY AT BA YVIEW TOWN OF SOUTHOLD SUFFgLK.COU~TY, N. Y, I00O 78 08 08 SCALE~ I"= 30' NOV. 6~ 1987 P'E. CONIC .~URI~.YOR$ ,[ ENGtNEER$~ P.C. P.O. BOX 909 POOL DIMENSIONS I I I I BO~D I POOL PLAN TYP. PANEL STIFFNER H G I , E..~;~-~---~-~ ~/'~"%~ --kl .~-~ I · - I I ~ ~ I. ., · , / , , ~ I~~ I~. s~ .Ts ' I ~PICAL WALL SECTION AT A F~ME CO-NER C~N"-CTIO ...... ........... ,.._ '