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Home My WebLink About31369-Z, �gUFFat, ,yrCDG� Town of Southold 5/28/2015 -� P.O. Box 1179 p s 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 37578 Date: THIS CERTIFIES that the building HOT TUB Location of Property: 555 Red Fox Road, Laurel SCTM #: 473889 Sec/Block/Lot: 125.-2-1.22 5/28/2015 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/12/2005 pursuant to which Building Permit No. 31369 dated 8/15/2005 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: accessM hot tub as applied for. The certificate is issued to Andrew & Deborah Hickox of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 31369 5/22/2015 Authorize Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold; N.•Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31369 Z Date AUGUST 15, 2005 Permission is hereby granted to: ANDREW C HICKOX J 555 RED FOX ROAD LAUREL,NY 11948 for -. INSTALLATION OF AN ACCESSORY HOT TUB AS APPLIED FOR at premises located at 555 RED FOX RD LAUREL County Tax Map No. 473.889 Section 125Block 0002 Lot No. 001.022 pursuant to application dated AUGUST 12, 2005 and approved by the Building Inspector to expire on FEBRUARY 15, 2007. Fee $ 150.00 Aut ORIGINAL Rev. 5/8/02 i Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 pF SOINC (/TyO 6% a� COUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roger. riche rt(cD_town.southoId. ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Andrew Hickox Address: 555 Red Fox Road City: :Laurel St: New York Zip: 11948 Building Permit #: 31369 Section: 125 Block: 2 Lot: 1.22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: "AS BUILT' DBA: License No: Residential Commerical New Addition X Indoor Outdoor Renovation Survey Heat Duplec Recpt SITE DETAILS Office Use Only Basement Service Only 1st Floor Pool 2nd Floor Hot Tub X Attic Garage I k, VA fly to]:VA Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Self Contained Hot Tub with Power Supplied By a 50A GFCI Protected Circuit Breaker as Disconnect Notes: Inspector Signature: Date: May 22, 2015 Electrical 81 Compliance Form.xls 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: 1. Accurate survey of property showing all property lines, streets, building and. unusual natural or topographic featu res. 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 .I. 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 Date. New Construction: Old or.Pre-existing Building: (check one) Location of Property: , SJrS 9-aci `Fo K kc L l House No. Street Hamlet Owner or Owners of Property: 'I > c—tc..J Suffolk County Tax Map No 1000, Section % 2 Block 2 Lot Subdivision _Filed Map. Permit No. rcJ-.Date of Permit. Applicant: Health Dept. Approval: Planning Board Approval: Request for: ' Temporary Certificate Fee Submitted: $ Underwriters Approval: Lot: Final Certificate: (check one) Applicant Signature 313 6 7 -7— �a •�o,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ [ ] FOUNDATION 2ND [ [ ] FRAMING/ STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: LIM ] ROUGH PL13G. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE INSPECTOR OE SOUr,�o� ��'YCOnuty N�� TOWN OF`SOIJTHOLD BUILDING'DEPT. 765-1802 INSPECTION ] FOUNDATION tST ] FOUNDATION 2ND ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) ] CODE VIOLATION REMARKS: r [ ]ROUGH PLUMBING [ ]INSULATION [ ]FINAL I l FIRE SAFETY INSPECTION C l FIRE RESISTANT KELECTRICAL (FINAL) [ ]CAULKING DATE INSPECTOR FIELD INSPECTION REPORT I DATE. COMMENTS FOUNDATION (1ST) ------------------------------------ _�S) FOUNDATION (2ND)UV z ROUGH FRAMING & ]PLUMBING 0 Vi t4 � y d INSULATION PER N.Y. STATE ENERGY CODE -3 FINAL D ADDITIONAL COMMENTS 0 T< O z �m ux1 y d tl7 b H TOWN OF SOUTHOLD BUILDING ..VEPARTMENT TOWN`GALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ i Examined 20 Approved / 20 Disapproved a/c PERMIT NO. 8 V569 Expiration )� 20 2361PLI (CA' 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 Contact: Mail to: Phone: vC 7 FOR BUILDING PERMIT INSTRUCTIONS Date 20 a. This applica�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) Mai � 0 4 -� 1 Re CD Ta"z .. P�c et ZA4aeC4 (Mailing add ess of applican State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ` "6rcw -I- L r-cJ, h� • }-I c,k �� (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 which proposed work will be done: 5�5 S ReA Fox koc A JD,uve-k House Number Street Hamlet County Tax Map No. 1000 Section Block Subdivision (Name) Lot I , a �- Filed Map No. _ ,Lot,.. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy. 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work k-loV Tim 4. Estimated Cost Fee (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units 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 r Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 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 Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor 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 * 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. STATE OF NEW YORK) COUNTY OFS "t SS: r being duly sworn, deposes and says that (s)he is the applicant ame of individual signing contract) above named, (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 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 before me thi day of 200 Notary Public BARBARA ANN RUDDER Notery Public, State of New York No. 4886806 Qualified In Suffolk Countya,�,,j geolmleeten R'.. pirol April 141 m ��- � -,,N, - \� "�!� Signature of Applicant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 rED BY: Name: No.: No.: Telephone (631) 765.1802 (630765- 5Q�, roaer.dchert _#own.sou o .ny.us BI1Ii<,I3ING DEPARTUTNT TOWN OF SOL"OLD APPLICATION FOR ELECTRICAL INSPECTION JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: `Phone No.: Permit No.: Tax -Map District: Date: Oq ti 1.-%� �• f-},� L leo az ,fS�r 72-d row /3LDRJN� L4�re_ - &3)- 99e- y7Yy G 3369 1000 Section: /L7 Block: 1 Lot: /. t2 *BRIEF DESCRIPTION OF WORK (Please Print Clearly) f�oT ,TJX A (Please Circle All That Apply) Is job ready for inspection: �/ NO. Rough In F aP *Do. you need a Tem p Certificate: YES ! dp Temp Information Qf. needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re -connect Underground Number of Meters Change of Service Overhead Additional Information: _PAYMENT DUE WITH APPLICATION B Request forInspecUon Four Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 o��OF SOUly�l h O CA BUILDING DEPARTMENT TOWN OF SOUTHOLD 1st NOTICE September 24th, 2008 Andrew & Deborah Hickox 555 Red Fox Road Laurel, N.Y. 11948 RE: 555 Red Fox Rd. (Hot Tub) SCTM # 125. -2-1.22 Telephone, (631) 765-1802 Fax (631) 765-9502 Dear Mr. & Mrs. Hickox, Please be advised that your Building Permit # 31369 issued August 15th, 2005 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 December 30th, 2008 BUILDING DEPARTMENT TOWN OF SOUTHOLD Andrew d Deborah Hickox 555 Red Fox Road Laurel, N. Y. 11948 RE 555 Red Fox Rd. (Ho t Tub) SCTM: # 125. -2-1.22 2nd NOTICE Telephone (631) 765-1802 Fax (631) 765-9502 Dear Mr. d Mrs Hickox, Please be advised that your Building Permit # 31369 issued August 15th, 2005 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to the use of the structure. To renew your Building Permit, please submit a fee of $150.00; at time we can schedule an inspection by one of our Building Inspector's If you have any questions, please call us at 765-1802. Respectfully, SOUT14OLD TOWN BUILDING DEPT Ce /J�. o') y Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 July 6, 2009 Andrew Hickox 555 Red Fox Road Laurel, NY 11948 BUILDING DEPARTMENT TOWN OF SOUTHOLD TO WHOM IT MAY CONCERN: Telephone (631) 765-1802 Fax(631)765-9502 The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. V A fee of $25.00 Final Health Department approval. Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit: 31369-Z Hot Tub a Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 August 23, 2011 Andrew Hickox 555 Red Fox Rd Laurel, NY 11948 BUILDING DEPARTMENT TOWN OF SOUTHOLD TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. /A fee of $25.00. Final Health Department Approval. Telephone (631) 765-1802 Fax(631)765-9502 Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate Of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 31369 — Hot Tub Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 May 8, 2012 Andrew Hickox 555 Red Fox Rd Laurel, NY 11948 pF SOUj,�o� 1� IyCOUNTI,� BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax(631)765-9502 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: 6��`Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact you-r.electrician) P A fee of $25.00. %C-1 CL at �� I \4 Final Health Department Approval. Plumbers Solder Certificate. (AII_permits involving plumbing after 4/1/84) 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: 31369 - Hot Tub TOWN OF SOUTHOLD PROPERTY RECORD CARD ..v OWNER STREET j VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. S W // TYPE OF BUILDING RES.�v" r 0 SEAS. j VL. FARM COMM. CB. MICS. Mkt. Value. LAND IMP. TOTAL DATE REMARKS ® eTi G !sem .. �' 9 '� E f ' �../0c) *4/0D—L1a r Tillable(p®�� 39 FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland A-Oo DEPTH House Plot ' . BULKHEAD Total ■■S■■■■.___ N 'i lfl O f ormetly Q Oo. of NOW .\ Sagan �f— `ocR\sc\y e5 1 3 of pct \ 5gh 2 r°v� pathY , \ 5 WoY aow of Pc+E oR�v�wPY \\9 �20 \I'�• \ toNE A?51Z 68oOa .� 25 L 2 1 � n Ol 1 � OCD ZO /c 252 cr m N 0 La \ O :.r (�4fw a r - HQ T�/. Feq ZZ N use GA4� N %4 CP Z CP o IPA-, 00 _ v0s� o^ Os f°fc�s�ly 4 �� 1 .►�O . ...so \ . cAP R V S NOTED DATE: v 16 B.P. 4 FEE: __ 3Y:..- NOTIFY Uil_D!N:3 D; PARTMENT AT 765-1802 8 AM TO 4 FM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE =0R C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ODZONE '� � FLO LY WITH CHAPT R „46N COMP FLOOD DAMTOwN CO ENT TIO SOUTHOLD compt_Y WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS RE/Ui�ED AND CONDITIONS OF ,.-,NNINGBOARD SOUTnii! , �Vv u ; pCS i EES N.Y.S. DEC ALL CONSTRUCTION SHALL MEET.THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. OCCUPANCY OR USE IS UNLAWFUL WI THOU CERTIFICATE 0F.0CGUPANCY 111MMEDIATELY11 ENCLOSE POOL TO CODE UPON ISOMWATERN BEFORE UNDERWRITERS CERTIFICATE' REQUIRED Weight: 575 lbs. (261 kg.) Water: 200 gallons (7571.) �'l�trfir�q�re • Seating: Bi7Level ripen. Bench Seats Size: 79" (201 cm.) octagon x 35" (89 cm.) Weight: 575 16s. (261 kg.) Water: 325 gallons (1,230 1.) Prima Contempra Ultra jet Total 16 26. Pump Total 2 3 Air'assageTM Therapy, - S Turbo Foot MassagerTM - - Waterfall jet - Stainless jet Trim' 0 01 . Mood Light S S ModonGlowTM Lighting SafetyGlowTM Lighting ,0 0 Illusion LightingTM Aromatherapy 7. :SoundWaveTM Audio 1.1'. Ozone Purification. Economy,.Control $ n `Deluxe Control � S � � t Y A. Prima Cnnm-rnper . lHu;r jet Total 22 26 Pump Total 2 3 Air'assageTM_Therapy - S. Turbo Foot Massager TM Waterfall jet Stainless jet Trim 0 0 � �j Mood Light S S V _ MotionGlowTM Lighting - 0 SafetyGlowTM Lighting 0 0 _ } Illusion LightingTM - �w7•! Aromaiherapy - SoundWaveTM Audio - 67 Ozone Purification 0 . 0 Economy Control S - -51 Deluxe Control S Secondary Control 0 Warranty. 35/15/5 Seating: Captain's Chair, Lounge, & Contoured Seats Size: 93" (236 cm.) x 93" (236 cm.) x 38" (97 cm.) Weight: 865 lbs. (392 kg.) Water: - 525 gallons (1,987 1.) Prima Contempra Ultra jet Total 37 37 52 Pump Total 2 3 4 Air'assageTM Therapy - S S Turbo Foot MassagerTM - - S Waterfall jet 0 0 0 Stainless jet Trim 0 0 0 Mood Light: S S - MotionGlowTM Lighting - 0 0 SafetyGlowTM Lighting .0 0 0 Illusion LightingTM 0 0 Aromatherapy - S SoundWaveTM Audio - - 0 Ozone Purification 0 0 S Economy Control S - Deluxe Control ' - S S Secondary Control - 0 S Warranty 35/15/5 �'l�trfir�q�re • Seating: Bi7Level ripen. Bench Seats Size: 79" (201 cm.) octagon x 35" (89 cm.) Weight: 575 16s. (261 kg.) Water: 325 gallons (1,230 1.) Prima Contempra Ultra jet Total 16 26. Pump Total 2 3 Air'assageTM Therapy, - S Turbo Foot MassagerTM - - Waterfall jet - Stainless jet Trim' 0 01 . Mood Light S S ModonGlowTM Lighting SafetyGlowTM Lighting ,0 0 Illusion LightingTM Aromatherapy 7. :SoundWaveTM Audio 1.1'. Ozone Purification. Economy,.Control $ n `Deluxe Control � S � � t Y A. C4 a� ; r t i= Y4