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Home My WebLink About38728-Z0 F04 �O to - Town of Southold 8/5/2015 G�.4�, P.O. Box 1179 0 0 ii 53095 Main Rd , : Southold, New York 11971 fil CERTIFICATE OF OCCUPANCY No: 37693 Date: 8/5/2015 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 975 Anderson Rd, Southold SCTM #: 473889 Sec/Block/Lot: 50.-1-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/11/2014 pursuant to which Building Permit No. 38728 dated 3/24/2014 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 AS APPLIED FOR The certificate is issued to Forestieri, John of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 38728 07-28-2015 (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 38728 Date: 3/24/2014 Permission is hereby granted to: Forestieri, John 975 Anderson Rd Southold. NY 11971 To: construct an In -Ground Swimming Pool in the required rear yard, fenced to code At premises located at: 975 Anderson Rd, Southold SCTM # 473889 Sec/Block/Lot # 50.-1-15 Pursuant to application dated 3/11/2014 To expire on 9/23/2015. Fees: and approved by the Building Inspector. SWIMMING POOLS - IN -GROUND WITH FENCE ENCLOSURE $250.00 ELECTRIC $100.00 CO - SWIMMING POOL $50.00 Total: $400.00 Building Inspector TOWN OF SOUTHOLD 40.�ob° cony 4 BUILDING DEPARTMENT ® TOWN CLERK'S OFFICE 0 0 4 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 #: 38728 Date: 3/24/2014 Permission is hereby granted to: Forestieri, John 975 Anderson Rd Southold. NY 11971 To: construct an In -Ground Swimming Pool in the required rear yard, fenced to code At premises located at: 975 Anderson Rd, Southold SCTM # 473889 Sec/Block/Lot # 50.-1-15 Pursuant to application dated 3/11/2014 To expire on 9/23/2015. Fees: and approved by the Building Inspector. SWIMMING POOLS - IN -GROUND WITH FENCE ENCLOSURE $250.00 ELECTRIC $100.00 CO - SWIMMING POOL $50.00 Total: $400.00 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. 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 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 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. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: 1 Location of Property: House No. Owner or Owners of Property: Old or Pre-existing Building: -7 s A M-er Date. �) — I I — 1/ (check one) �b /4c)L/� Street Hamlet �I D9/0 �'_o/? T/'C�' Suffolk County Tax Map No 1000, Section V Block Subdivision Permit No. Z Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate C) Fee Submitted: $ Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate (check one) K-,- Apollcant 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. riche rtp_town.so uthold. ny. us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: John Forestieri Address: 975 Anderson Road City: Southold St: New York Zip: 11971 Building Permit #: 38728 Section: 50 Block: 1 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: 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 INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 1 Twist Lock Exit Fixtures TVSS El Other Equipment: In Ground Swimming Pool To Include, Bonding, 1- Pool Light, 1- Salt Generator, 1- GFCI Circuit Breaker, 1 Heat Pump Notes: Inspector Signature: Date: July 28, 2015 Electrical 81 Compliance Form.xls pF SOUTyoI Comm ,�. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION IST ] FOUNDATION 2ND ] FRAMING/ STRAPPING ] FIREPLACE A CHIMNEY ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) ] CODE VIOLATION REMARKS: [ ]ROUGH PLUMBING [ ]71NAL ION [ [ ] FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (FINAL) [ ]CAULKING INSPECTOR rjf so c -b TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION IST FOUNDATION 2ND FRAMING/ STRAPPING FIREPLACE & CHIMNEY FIRE RESISTMT CONSTRUCTION ELECTRICAL (ROUGH) CODE VIOLATION REMARKS: ROUGH PLUMBING INSULATION ]FINAL FIRE SAFETY INSPECTION FIRE RESISTMT PENETRATION ELECTRICAL (FINAL) CAULKING FIELIy INSPECI'�QN REPT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRIG & PLUMBING INSUL• ATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 0 JD E( G s� 3� too . C�rn S TOWN OF SOUTHO BUILDING DEPART TOWN HALL SOUTHOLD, NY 119 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.Northl tMc EAR 1 1 2014 BLDG. DEPT. ork.net TOWdPERMrIT NO. Examined 20 Al Approved 0"-120 f I Disapproved a/c Expiration A4 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 MY S.D.E.C. Trustees C O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: Phone. �qK_ L40 N Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date 31 N 20 1� 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 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) ENv'_cs" POOL tO CODE U i ^ Jl:n�'LETION a �fii%oy'1li "dATER" (Mailing address of applicant) C i d ✓' r State whether applicant is owner, lessee, agent, .architect„ engineer, general con Tactor, ectrician, plum-b7er or uilder, - DATE . B P # S�_-._2 Name of owner of premises �(,�� % s sQ NOTIFY BUILDING DEF, R A.1vi" TGj 4 Ir -11411 i eri, Ti (As on the tax roll or If applic t is a co `poration, signature of duly authorized officer i,r�.�!►`. _ ' :D.��s%moi (Name. and .title,of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. °fin •� 1. Location of land on which propo House Number Street 11 be done: County Tax Map No. 1000 Section 0 Block M'Et'OVM INSPECTIONS 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3. INSULATION 4 FINAL - CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C 0 ALL CONSTRUCTION SHALL MEET THE - REQUIREMENTS OF THE CODES OF NEW YORK STAT NOT RESPO ;S i`. _i 'rc)P, DESI ONSTRUCTIOI�. ER 0 , �� STORM WATE NOFF Ham1RURSUANT TO CHAP It OF THE TOWN CODE. Lot S -S, Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and!,Ozoupahcy'6.f4, proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable)• ew Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee (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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stores Dimensions of entire new construction: F B i 1J Depth .4eig.LI.t 9. Size of lot: Front 10. Date of Purchase ame of Former Owner 11. Zone or use district in which premises are situated Depth 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_ 14. Names of Owner of premises Address. Name of Architect Address Phone No Name of Contractor Address Phone No. 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. QS7 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) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of Now York No. 01 St161 60 (S)He is the Qualified In &Molk County (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14, 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. Sw rn t ,before me this day of20 Notary Public r Signature of Applicant Scott A. Russell SUPERVIS®R SOUTHOLD TOWN HALL - P. O. Box 1179 Telephone #: (631) - 765 -1560 MICHAEL.COLLINS@TOWN.SOUTHOLD.NY.US James A. Richter, R.A. Michael M. Collins, P.E. 53095 Main Road - SOUTHOLD, NEW YORK 11971 Fax #: (631) - 765 - 9015 JAMIE.RICHTER@TOWN. SOUTHOLD.NY.US Office of the Engineer Town of Southold STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET ( TO BE COMPLETED BY THE APPLICANT) 1 URM " SMC:P - ' 1 U5 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: Por) L Cdr',(,;�' NAME: -3-0d.,L) ADDRESS: 9 71'7 C) fW, z) R�, ADDRESS: 9:251' A0W LN) K-11), zvd -rn' T&�c e /0 i //9sp So.- -f-1 o c,� 1(et 7 Telephone Number: 3! 0d Telephone Number. b / 7(S`3- 7j 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 11" Envelope & Appropriate Postage. DATE: j Property Address / Location of Construction Work: (_6 - SCTM#: 1000 J� District Section Block 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. A Completed Sto a er Revi C cklist. If No or NA are Indicated, Justification is Required. ING DEPARTMENT USE ONLY **** 4A(I Date: 3 ** FO=Required: Reviewe6Addit" ved: nal Information 1 URM " SMC:P - ' 1 U5 JAN 2014 � ® STORMWATER DATE: S C T M *: MANAGEMENT 1000 District Section CHAPTER 236 CONTROL PLAN CHECK LIST APPLICANT. (Property Owner, Design Professional, Agent, Contractor, Other) NAME: 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 Plan drawn to scale Not Less that 60' to the inch MUST show all of the following items: If You answered No or NA to any Item, Please Provide Justification Here! If you need additional room for explanations, Please Provide additional Paper. YES NO NA a. Location & Description of Property Boundaries "=IF-71 b. Total Site Acreage. c. Existing - Natural & Man Made Features within 500 L.F. of the Site Boundary as required by § 236-17(C)(2). d. Test Hole Data Indicating Soil Characteristics & Depth to Ground Water 00 e. Limits of Clearing & Area of Proposed Land Disturbance. 00 f. Existing & Proposed Contours of the Site (Minimum 2' Intervals) 00 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. = _—A LL )'); j. Location of proposed Soil Stockpile Area(s). 00 11 k. Location of proposed Construction Entrance/Staging Area (s). S 1 L ve 1. Location of proposed concrete washout area(s). 00 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. 00� 3. Details & Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to: 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.) 0� 00 0O� I- UKM # S W LY Check List - ' i US JAN 2U14 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NX 11971-0959 Telephone (631) 765-1802 oroger.richertwnsouf1r015.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION ESTER BY: �—o tt/L,/ �'� 5p_( Company Name: Name: License No.: Address: 'Phone No.: v✓ /V JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax -Map District: Date: 7 V -5- ?C- - 1000 Section: 5 Block: Lot: _ 5 -- *BRIEF DESCRIPTION OF WORK (Please Print Clearly) poot- f_(_Fc__/VsLVL (Please Circle All That Apply) *Is job ready for inspection: VES / NO Rough in Final *Do- you need a Temp Certificate: 60 Temp Information (if 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: .82 -Request for lnspecdon Form PAYMENT DUE WITH APPLICATION a - Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 June 30, 2015 John Forestied 975 Anderson Rd Southold NY 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD TO WHOM IT MAY CONCERN: Telephone (631) 765-1802 Fax(631)765-9502 The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: pplication for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All 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. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 38728 — Swimming Pool 0 CL z H W F- WI , n2 +Nrai scinm 0 1000 -50 -1 - i5 AREA= 20,2D2 Sq.B 047 Agree. ■-oo:crotefior�aneattamQ C • .tptplpe�cd WDGALLACHER SURVEYOR 0 FLORENCEORIYE MANOW41" N.Y. I IND (011-074-000 t hum sk2M "Al } t d N gave — — — — — — — — — -- — i.9' N 67005130" W 235.00, DONhtDLOM E Dune.OslADUMM SURVEYED: FEBRUARY 23,20% N .gy,Aw, ?oAp %VWd%VI6 1 esr rnvrr.nc I SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 0 k S T .rwia. we.riacr�w.wwo �osiwow�.esi �wrw+�m�waw..wr.. poD(, !fir X�5 a �r' S `7 /7 c`4/iOS WAI w C v-jL OALL a uOAI( rr 1 � b®iron fl OAL- �� r 0� WALC 0415