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Home My WebLink About38872-Z��,vfF04 Town of Southold �� P.O. Box 1179 53095 Main Rd Southold, New York 11971 No: CERTIFICATE OF OCCUPANCY 37679 Date: THIS CERTIFIES that the building IN GROUND POOL Location of Property: SCTM #: 473889 Subdivision: 125 Robinson Ln, Peconic Sec/Block/Lot: 98.-5-12 Filed Map No. 7/28/2015 7/28/2015 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/2/2014 pursuant to which Building Permit No. 38872 dated 5/9/2014 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 of the aforesaid building. Smyth, Richard & Smyth, Linda SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 38872 8/7/2014 Au'izO SijWature Permit #: 38872 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) Permission is hereby granted to: Smyth, Richard & Smyth, Linda 26 Waterview Ave Massapequa. NY 11758 Date: 5/9/2014 To: construct an accessory inground swimming pool, fenced to code At premises located at: 125 Robinson Ln. Peconic SCTM # 473889 Sec/Block/Lot # 98.-5-12 Pursuant to application dated 5/2/2014 To expire on 11/8/2015. Fees: and approved by the Building Inspector. SWIMMING POOLS - IN -GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 ELECTRIC $100.00 Total: $400.00 Building Inspector Foran 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: I. 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 2110 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 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. Certificaie of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, f 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-existiri/Building: , (check one) CLocation of Property: 1�.uvyir� Housd No. Street Hamlet Owner or Owners of Property: Aual/' Suffolk County Tax Map No 1000, Section % /� Block ®} Lot 0 Subdivision Pennit No. Health Dept. Approval: Planning Board Approval: Filed Map. Lot: Date of Permit. Applicant; Request for: Temporary Certificate Fee.Subrnitted: $ Underwriters Approval: Final Certificate: (check one) b Applicant Signature" Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roger.richert@town.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Smyth Address: 125 Robinson Ln City: Peconic St: NY Zip: 11958 Building Permit #: 38872 Section: 98 Block: 5 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Messina Electric Inc License No: 43108 -me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Heat Duplec Recpt Ceiling Fixtures HID Fixtures Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors A/C Condenser Single Recpt Recessed Fixtures CO Detectors A/C Blower Range Recpt Fluorescent Fixture Pumps Appliances Dryer Recpt Emergency Fixtures Time Clocks 1 Switches Twist Lock Exit Fixtures TVSS in ground swimming pool to include, bonding, 1 -pump, sub panel, 1 -salt generator 1 -salt generator, 1 -heat pump, 3-GFCI circuit breakers Notes: Inspector Signature: Date: Aug 7 2014 81 -Cert Electrical Compliance Form.xls d� C61i co TOWN OF SOUTHOLD BUILDING. DEPT® 765-1602 REMARKS: 14 w 7z��- TOWN OF SOUTHOLD BUILDING. DEPT. 765-1802 INSPECTION ]FOUNDATION IST ROUGH. PLUMBING FOUNDATION 2ND IN TION FRAMING/ STRAPPING INAL FIREPLACE4 CHIMNEY, I FIRE SAFETY INSPECTION FIRE RESISTMT ZONSTRUCTION FIRE RESISTMT PENETRAMON ELECTRICAL (ROUGH), ELECTRICAL (FINAL) CODE, VIOLATION CAULKING REMARKS: 17 - DATE NSPECTOR,' FMLD R SPEC I pr; REPORT DATE COMI i FOUNDATION (1S7) �1----T---------W6 FOUNDATION (2ND) ROUE- H FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY COVE ' Y MNAL TOWN OF SOUTHOLD BUILDING DEPARTMENT . TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown:NorthFork.net_ Examined ' ° ° 20 ° s Approved qq 20 Disapproved a/c Expiration? 20 BUILDING PERMIT APPLICATION CHECKLIST Do yoir have' or:need the -.followirtg,'before applying? Boardi of )health 4 sets of Building Plans _ :Planning'B`oard approval Suryey ;PERMIT NO. � v�'_ "- 'Check ''w Septic Form N.Y.S.D.E.C. Trustees _ - Flood Permit- Storm-Water ermitStorm-Water Assessment Form" Contact: �-��}.�{.'1/:.. ',�� i .. .., s,l •- •�"� Mail to: Phone: ;B:u1=lgMgh4speetor;.,. , . .. I 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.. f : ' b. Plot plan showing• be" afion of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and The covered by this application may not"be commeribed-before issuance of B I ildin fJ ; waterways.} g 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 irispectio`n'througfoJ t`tl e 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 l 8 months from_such'd'ate If no,zoning_amendments or other regulation's^affectirig'the property have been enacted inJIiePuberim, the Building Inspector`rhay.authorize, in writing, the extension ofthe,perrriit,for,ari addition six months. Thereaftera new permit shall be required.>,, APPLICATION IS HEREBY MADE to thee Building w.....,. _.._..._ _ w......_...._.._._._____.. _. uilding Department for thehe issuance of a Building Permit pursuant to the Building Zone Ordinance,of the Town of Southold Suffolk,County,,.NevyxYozk, and;othe appl-icable Laws, Ordinances or Regulations, for the construction'of buildings, additions, or alterations or for removal,or,demolition-as herein deseribedjhe applicant agrees to comply with all applicable l' id" ing,eode, housing• code,.and regulations, and to admit authorized inspectfors,on�p gpjses-and-i din for necessary inspections'.', ; ';,;s°e'; 9 Name House-Number NO TIFY BUILDING DEPARTMENT AT of owner"ofWpremises a ��'� —� 765-1802 8 AM TO 4 PM FOR THE (As on the tax roll or latEkLd&6a)NG INSPECTIONS' ` '`" ` `-, '` If applicant i a co � ation, signa e of duly aiithorized" officer 1 FOUNDATION - TWO REQUiRED l / ��SI '>�"`� FvF POURED CONCRETE_ (Name and title of coir"' rate 2. BOUGH FRAMING, PLUMBING, STRAPPING, ELECTRICAL &CAULKING 3 • INSULATION, Builders License No. 4 FINAL - CONSTRUCTION & ELECTRICAL Plumbers, License No. tl : ;:•- trs: ,; :7•- . r;i • # MUST BE COMPLETE FOR C 0 ALL.004STRUCTIOIN SHALL MEET THE ` _ Electricians'License No.' " R`J'QrUIR(=f L08 OF''THE CODES OF Other Trade's License No. ✓(p 23 / 0W �i?� �1 "`' 'E. NOT`RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 1. Location of land on which proposed work will be done: A )&– RETAIN STORIVIVATER .RUNOFF ,< ° ?P—,C&vVANT JO -CHAPTER 236- 36_ HouseNumber Street Hamlet "'r ifltluvyl County Tax Map No. x1000 j Subdivision Section Block ®,- Lot_ Filed Map No. Lot M� ►� State existing'use andi 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 k" ' "Addition Alteration Repair Removal"" Demolition Other WorkZu Scd,`,wf a f'006 (Description) 4. Estimated Cost r ' Fee (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 V 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front �)(_ ,3i Height Number of Stories 91 Depth S/ Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height J.Number of Stories 9. Size of lot: Front Rear Depth. Rear 10. Date of Purchase Name of Former'Owner 1 .. - ' • 1 1 ,. . 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or'regulatiori? 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 -.,R- v� ,,.,S, I ¢/< Addressi v 'Phone No. Name of<Architect „ 1,: Addres&>� if;`'"P,'i``F?, : --v., Phone No Name of Contractor A06 Address' .}it>! '� ,Phone -No: 3/ 15 a. Is this'property withihr1,00 feet of,a tidal w6t1'arid'or,a°fresliwate'r wetland? *YES'` ., "NO- * I F NO-*IF YES SOUTHOID`'TO WN`TRUSTEES`&,D;E`.C`PERMITS.IVI AY BE REQUIRED.` ' b. Is tliis property` witluri'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 NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF ) ry beirig'duly sworn, deposes and say_ s that (s)he is the applicant (Name of individual signing contract) above named, c®NNIE D. BUNCH �/ Notary Public, Mate of Now York (S)He is the 0_)"--% C7�� e� No. 011 td69,85050 E)ua!Mad in Suffolk GO! RA ontractor,Agent, Corporate Officer, etc.)commission Expires April �4, 2_ 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 irie; this} — 6A— day of i ; . 20 Notary Public Signature of Applicant Scott A. Russell SUPERVISOR SOUTHOLD TOWN HALL - P. O. Box 1179 Telephone #: (631) - 765 -1560 MICHAEL.COLLINSSTOWN.SOUTHOLD.NY.US �- 1) Office of the Engineer Town of Southold STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET I I (TO BE COMPLETED BY THE APPLICANT) FURM 0 SMCF -TOS JAN 2014 PLEASE NOTE: All Contact & Project Information Requested by this FORM is Nessary for a Complete Application. APPLICANT: (property Owner, Design professional, Agent. Contractor. other) PROPERTY OWNER: (if Different from Applicant) NAME: Ajorrll f5uyk �boe- CAvlC- NAME: RdUI,4,1,-) S IIIY71-1 ADDRESS: 012DO i21A,-d /eZ'X), ADDRESS: /,F5 40,6ewSm-0 Mt*` ,4z4%%,' r(,-� 'Ae6&J"C z / exr &2 y Ilt —Z Telephone Number: /O)z Telephone Number: 773 - i4fl Completed Applications can be picked up at the Engineering Department after being notified by the Department, or; it can be Mailed to the Applicant with the submission of a Self Addressed 8.5" x I I" Envelope & Appropriate Postage. DATE: q/,2 7/1� Property Address / Location of Construction Work:-- / 0� Zw4P06' -e-cglu,'c, 11uJ-v zd,�T S C T M *: 1000 W- n li-2- District ectloll BkR!k Lot Required Documents for Stormwater Review: Copy of Complete Building Permit Application. Stormwater Management Control Plan. (2 Sets) Note: SMCP's are required whenever Grading or Excavations exceed 5,000 S.F, when New Impervious Surfaces are created, and/or when existing Roof Systems, Driveways, Patios or other Impervious Surfaces are Re -Surfaced. De Minimis Projects will NOT be Subject to the Submission of a SMCP During the Stormwater Review! Note: These Projects would be Limited to Interior Renovations, Replacement of exterior Doors & Windows, Deck Construction with Loose Fit Decking, Installation and/or Modification of Mechanical Systems or other similar Work. A Complete Description of the Scope of Work Proposed under the Building Permit Application. W—A Completed Stormwater Review Checklist. If No or NA are Indicated, Justification is Required. FO G N ERING DEPARTMENT USE ONLY Reviewed By: Date-, Atprov A tional Information Required: SWOMMUNG FUUL UNMEU� 9 60K URLY DD - -0 . r x 4' neep Precast Concrete Leaching Ring for Pool Discharge FURM 0 SMCF -TOS JAN 2014 � ® ®� STORMWATER DATE: S C T M#: - - MANAGEMENT 1000 District ection CHAPTER 236 CONTROL PLAN CHECK LIST APPLICANT. (Property Owner, Design Professional, Agent. Contractor, Other) -NAME: � r9� �� Telephone Number. Block -Lot - S M C P - Plan Requirements: The applicant must provide a Complete Explanation and/or validation of all Information Required by this Checklist if it has not been provided! 1. A Site Pian drawn to scale Not Less that 60' to the inch MUST1f show all of the following items: You answered No or NA to any Item, Please Provide Justification Here! If you need additional room for explanations, Please Provide additional Paper. YE NO NA a. Location & Description of Property Boundaries b. Total Site Acreage. c. Existing - Natural & Man Made Features within 500 L.F. of the Site Boundary as required by § 23&i7(cxz. d. Test Hole Data Indicating Soil Characteristics & Depth to Ground Water. e. Limits of Clearing & Area of Proposed Land Disturbance.'7L,71�0 f. Existing & Proposed Contours of the Site (Minimum z intervals) g. Location of all existing & proposed structures, roads, driveways, sidewalks, drainage improvements & utilities. h. Spot Grades & Finish Floor Elevations for all existing & proposed structures. 1. Location of proposed Swimming Pool and discharge ring. - j. Location of proposed Soil Stockpile Area(s). C] k. Location of proposed Construction Entrance/Staging Area(s). P®® D T 1. Location of proposed concrete washout area(s). E2 V71= PROVIDE 3' Diameter M. Location of all proposed erosion & sediment control measures. 2. Stormwater Management Control Plan must include Calculations showing that the stormwater improvements are sized to capture, store, and infiltrate on-site the run-off from all impervious surfaces generated by a two (21 inch rainfall / storm event. U Concrete Leaching Ring for p9el Discharge LS ROL limited to: A well maintigined Construction Entrance, Wife 3. Details & Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to: Backed $M enat g—, stabilization & exPasecl afldj®t° inacUve a. _Erosion & Sediment Controls. b. Construction Entrance & Site Access. C. Inlet Drainage Structures (e.g; catch basins, trench drains, etc.) d. Leaching Structures (e.g. infiltration basins, swales, etc.) (2AZZ 77"0' e- )t 0 t — A0 FORM � SW CP Check List - -1-OS JAN 2014 r' Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NX 11971-0959 REQUESTED BY - Company Name: Name: M M Telephone (631) 765--11802 roger.richert Town soUfR05JA ny.us BUIMING DEPARTMENT S,' OF O s f° 1= INSPECTIONAPPLICATION FOR ELECTRICAL Date: F/21/,el *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax -Map District: No L1�2 &AI1 NAL (4-: POC -51/ 1000 Section- Block: Lot: (Please Circle All That Apply)l *Is job ready for inspection: *Do- you need a Temp Certificate: 1171,1 a ., P - ., Print Clearly) ( S?NO Rough In YES O *Service Size: - 1 Phase 3Phase 100 150 200 300 350 400 *New Service: Re -connect Underground Number of Meters Change of Service Additional -Information: PAYMENT DUE WITH APPLICATION Q 11912 ;�%,4,It/- /y+'►�, /- �vy��g& /'.. Final Other Overhead .V.,//- rlgv ) V 82=Request for Inspection Form �' VA � � � D p� a a tet= =043 ser FT• • SURVEY OF PROPERTY N RAIN RUNOFF 'CALCULATONS AT PECONIC HOUSE do GARAGE= 2,446 sq. ft. TOWN -OF SOUTHOLD 2446 x 1 x 0.17= 416 cu. ft. .416 / 42.2 — 10 VF SUFFOLK COUNTY, N. Y. PROVIDE 2 DRY WELLS 8' DIAMETER x 5' DEEP 1000-918=�M OR EQUAL SCA 1'=-90' AY IMF NGS �� gL{C wp1�) AV19 AUGGUST 30,, 2012 MOM) OCTOBER 2$ 2012 PROPOSED H (pVliS� MARCH 2$ �073 (REWSED HSE 1 ye -. (pUBUC WAS 'S vo:��!(( 0 05C: JA ®Lz -M1l A Q0 in P ® b 1 M m l LID N IF � � \ I am faml7iar with the STANDARDS FOk APPROVAL, AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct_ ELEVA77ONS REFERENCED TO N.A.VD. The location of wells, cesspods & public water shown hereon a from fleid observations and or from data obtained from others. LOT NUMBERS REFER, TO "MAP OF PECONIC BAY OAKS' FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON OCTOBER 18, 1961•AS FILE NO. 3434. ANY ALTFFARAN OR ADDIRON TO TMS SURVEY IS A VIOLARON of SEiCRQN 720W THE ALM VURK STATE EDUCAMW LAW. EXCEPT AS PER SEC IM 7209-SUWV790N 2.ALL CENDF 4 RDNS HEREW ARF VALID FUR TMS MAP AND COPIES lAW ONLY FSEAL OF RIE SURVEdt V PROPOSED SEPTIC SYSTEM (4 BEDROOMS) E1] 1,000 GALLON SEPTIC TANK 2 LEACHING POOLS 6' DEEP 8' DIAMETER TEST HOLE DATA _ BY McDONALD GEOSCIENCE - 7/27/12 EL „s DM IX BMW u,w 0. ORM r M SLT LL s P&E ®QOM Pam to rmnm sum SP S' EL 0.Y ,0. re UaM a Pua mON FIE m MRO S"M SP ,r SAID MAP OR Ce711110 •=MONUMENT IM/OSE 9OPMA RE APPEARS HERE1'AV. (631) 765-5O2O•FAX (631) 765-1797 P.O. BOX 909 1230 TRAVELER STREET2,2 225 SOUTHOLD, N.Y. 11971 A -P OATE-. U0 # t0 till pt, NAME: SIM, SHAM, BORDER PATIT.Eft, WALL PATTERN; PLOOR PATTERN; COANER&— DEPTH-.-- HUNG-' OVERLAP (cirda ona) 20 GAUGF.= 70AU-GE grole onq) �ICdAV�O SMY7- ! /a,5 Ko6ivL)<,xyO LAvJb- of;eow ,` A -).y I IgSe YA-) C (aA4( S5uj `nft" �oo L lCgrs� (5 --I)eo �1e qf 366 ()7-fb,-vv CrTYOefnl-e OA CC ger l / 0� u -)ACL Ile wr of L, -)4u