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HomeMy WebLinkAbout40206-Z ��g11FF0L,��orK Town of Southold 11/20/2015 P.O.Box 1179 W 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37914 Date: 11/20/2015 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2605 N Bayview Road Ext, Southold SCTM#: 473889 Sec/Block/Lot: 79 -2-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed m this office dated 10/23/2015 pursuant to which Building Permit No. 40206 dated 10/23/2015 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 The certificate is issued to Hocker,John of the aforesaid building SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37432 04-18-2013 PLUMBERS CERTIFICATION DATED Aut S atu TOWN OF SOUTHOLD ���l�c�Gs BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . SOUTHOLD, NY BUILDING PERMIT 1 (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit# 40206 Date 10/23/2015 Permission is hereby granted to Hocker, John 2605 N Bayview Rd Ext Southold, NY 11971 To Construction of a In-Ground Swimming Pool, with Fence & Gates to N.Y. State Code, as applied for.Replaces BP# 37432 At premises located at 2605 N Bayview Road Ext, Southold SCTM #473889 Sec/Block/Lot# 79.-2-10 Pursuant to application dated 10/23/2015 and approved by the Building Inspector To expire on 4/23/2017. Fees PERMIT RENEWAL $12500 Total $12500 �I Bui my In cter i �o�guFFotq�oTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE uoi x "oy • oP SOUTHOLD, NY dol ,w �a 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# 37432 Date 8/8/2012 Permission is hereby granted to Hocker, John & Hocker, Patricia 2605 N Bayview Rd Ext Southold, NY 11971 To Construction of a In-Ground Swimming Pool, with Fence & Gates to N.Y. State Code, as applied for. At premises located at 2605 N Bayview Road Ext, Southold SCTM # 473889 Sec/Block/Lot# 79.-2-10 Pursuant to application dated 7/26/2012 and approved by the Building Inspector To expire on 2/7/2014. Fees CO - SWIMMING POOL $5000 SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $25000 Total $30000 I a Building Inspector i t Form No 6 TOWN al<soUTxoLD 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- For ollowingFor new buzildipg 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 2110 of I% lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliatice-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, 19S7) non-conforming uses,or buildings and"pre-existing"land uses: 1_ Accurate survey of property showing all property lines,streets,ibuilding and unusual natural or topographic features_ _ 2- A properly cpmpleted 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 Ire-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 `il.C.Z .26 Jew Construction. i Old or Pre-existing Building. (check one) -oration of property: ® /� ousel No Street Hamlet owner or Owners of Property: � C& ' ;uffolk County Tax Map No 1000,Section Block Lot /69 subdivision Filed Map. Lot: I 'etmit No.3-7 ��, Date of Permit.8 ` 1 Applicant: Wth Dept.Approval: Underwriters Approval: 11anning Board Approval: y / ,equest for. Temporary Certificate Final Certificate- V (check one) ee Submitted $ 150- Applicant Siirnatuie SUFF01K Town Hall Annex p� COGS Telephone(631) 765-1802 54375 Main Road c Fax (631)765-9502 P O Box 1179 0 • Southold, NY 11971-0959 'y�JjQ� `ta0�' roger richertCa)town Southold ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To John Hocker Address 2605 North Bayview Ext City Southold St NY Zip 11971 Budding Permit# 37432 Section 79 Block 2 Lot 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA Paul Burns Electrical Cont License No 3897-e 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 1 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture , Pumps 1 Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks 1 Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment in ground swimming pool to include, bonding, 2- GFCI circuit breakers Notes Inspector Signature Date April 18 2013 Electrical—Certificate As s a A) cou TOWN OF SOUTHOLD BUILDING DEPT. Al 765-1802 INSPECTION I FOUNDATION IST ROUGH PLI3G. FOUNDATION 2ND INSULATION FRAMING/STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION bKELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: <77>�f�,f� —z—r— DATE —I NSPECTO UOUNi'1,0 - TOWN OUTHOLD BUILD G DEPT. 765-1802 IN TION , [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING /STRAPPING FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: �Ae-- P/; /c fe <0 ja C�79- /�lb 61-Ki c DATE � � INSPECTOR f — zOF SOUry�lo cOUNi`l,N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROH PLUMBING [ ] FOUNDATION 2ND [ ] 1 SU 1 7 [ ] FRAMING / STRAPPING [ FINA [ ] FIREPLACE & CHIMNEY [ ] FIRES NSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 4-0 DATE.//7INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS f FOUNDATION(IST) � ------------------------------------ FOUNDATION(2ND) z 00 O [Q vc ROUGH FRAMING& y PLUMBING Q INSULATION PER N.Y. STATE ENERGY CODE 4 C r V FINAL Ah 7h r ADDITIONAL COMMENTS s 06 r Cc 5 ✓W alqP 37 43� r �f tV ;4n ' TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form NYSDEC Trustees Flood Permit Examined 20-1� Storm-Water Assessment Form Contact Approved t/ 120 �` Mail to Disapproved a/c Phone 17 Expiration t, ,20 t C EJ �17 i U V �� Building Inspector D l J U L 2 6 2012 I PPLICATION FOR BUILDING PERMIT Ddte �Y v22(p , 20 Id— BLDG DEPT INSTRUCTIONS TOWid Of SOtj1Tjg01 D,�_ 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 add ommg 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 Thereaftei, a new permit shall be required APPLICATION IS HEREBY MADE to the Building Department foi 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 A)o"-r// `0/1C (Signature of applicant or name,if a corporation) �7CP AC-,4) 2) AAV ,��c c/C � - (Mailing address of applicant) //f�j State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises S011AJ (As on the tax roll or latest deed) If applicant is a corpor tion, nature 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-orposed work will be done \ . (00,57 //�01-7-1,f/brlyl/,&J I ®t t7,my e. / House Number Street Hamlet County Tax Map No 1000 Section 0 7 q Block C�, Lot 1 Subdivision Filed Map No Lot 2 State existing use and occupancy of premises and intended use and occupancy of Inroposed construction a Existing use and occupancy b Intended use and occupancy ,41 3 Nature of work(check which applicable) New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4 Estimated Cost 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 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use 7 Dimensions of existing structures, if any Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions Front Rear Depth Height Number of Stories 8 Dimensions of entire new construction Front e4o 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 regulation9 YES NO 13 Will lot be re-graded9 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 18 Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY STATE OF NEW YORK) S COUNTY O being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, C®NNIE® BUNCH (S)He is the Notary Public,State of New York No 01BU6185050 (Contractor,Agent, Corporate Officer, etc) Qualified in Suffolk County Commission Expires Apel 14,'2 d_b 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 before me this day of 20 �-- Notary Public Signature of Applicant J �°° r Town of Southold - Chapter 236 - Stormwater Management f � � SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL T INFORMATION: (All Requested Information is Required for a Complete Application) I APPIJCA NAME: Owner-Agent-Consultant-Contractor or Other (CndeOne) Property OWNER:(IfDiffe ntthan Applicant) AJn rvV,,V `(�,9 y� A14—C 3 o.t7 t . /' /�e!J a Adaress • (00, rt It t'/� � C/VfL� I i Telephone#: ® Fax#/_�` ,/�` / Telephone P Fax# E-Ma' k C� T ) t t r ,¢�/�� �GY���a� E-Mal: r Pr0pedyAddress- BriefDescription of Constnxhon Activity,Proposed Structural BMN Soil i s C.T.M.#: 1000 ( Stabal)ahon BMPs,Project Scope and/or Sequence of Constn)chon Adh-Ay tftbiet Section Block tat OWN?"Adfflft iPnm=Needw) Name of Contractor and/or Contact Person Responsible for Implementation of SWPPP: Address: ---------^--------------------------^------- Telephone#• Fax# -------------------------------------------- E-Mail ------------------- E-Mal ------------ I Name of Persons Responsible for Installation 6 M�Intenance of Erosion Control Preetice: -------------------------------------------- ------------------------------- � ( + ---------^------------------------------ Address: Telephone# Fax# I 1 ) -------------------------------------------- E-Mail- ---------- ------------------ Total Arad of All Total Area of Land(3 -------------------------------------------- eanng Project Parcels and/or Ground Disturbance (SF/Ayes) ----------------- (SF/Avas) Pro)ectDuration Start End (Anbapated) Date Date i ' I ----------------------------- ! Will this Project Disturbe five(5)or More Acres at -------------------------------------------- Any One Time During the Proposed Development? Yes No if YES Please Answer the Followingl _______ + --------- ----------- ---------- a Does the Applicant have aQualified Inspector On 571 Staff To Conduct the Required Inspections? Yes No b Does the SWPPP Indicate How Frequently the Site U List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands Inspections will Occur and for What Period of Time? Yes No I c Does the SWPPP Adequately Identify All Temporary 0 ------------------------------------------------ , and/or Permanent Sol Staballzabon Measures? Yes No ------ ---"---------------------------------------,� i I d Does the SWPPP Adequately ldenhfyaComplete � --- ---- ------------- --------- ; 1 1 Project Phasing Plan? Yes N Status of Im acted Waterbod e Does the SWPPP Indicate Additional Site Specific Q P y leg TMDL,303(d)Listed,Impaired—) Practices that Will be Utilized to Protect Water Quality? Yes No I , f Has the Applicant Submitted a Completed DEC Notice ------------- --'-'----'-�- ------------ i j Of Intent and SWPPP Acceptance Form for Review �J ® Type of Impacted Waterbody,leg Lake Creek,Bay,Pond„Sound,Freshwater Wetland_) by the Town of Southold 9 Yes No --------------- S7?i1'F,OF NEW YORK,COUNTY OF J��� v `�`— Notary u Ic, tate o New ork SS No 01BU6185050 I Q Qualified In Suffolk County �� I /fiat I, bei duly sworn,deposes ancQsa�sttP�ieJFsl� feica�� l�teFPernnt, drvif (Name of tnduacum l signing Doen And that he/she is the „.. . (Owner,l:ontractor Agerit,Corporate Officer etGj»••.•».•.»•..•..•••••.. ......•.....•...••.»•. i I Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to C 1 make and file flus application,that all statements contained in this application are true to the best of lns knowledge and belief,and 1 that the work will be performed in the manner set forth in the apphcation filed heremth. Sworn to before me this; ( I ! - .2-.(e i + Notary Public - a (signature of Apprmant) ' SWPPP Assessment FORM: 03-12 f OF SO�jlyo! � o Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road N _�aY(6311765`95Q P.O.Box 1179 G rogerrichertS6iJLOWn.SODU701 .ny.us ! Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Q 2 � "Company Name: ����( �u J^J Cit C, l �n fw{v�/1 /n Name: License No.: Address: e s ou lo& 1 Phone No.: 36s-- y? 3 j JOBSITE INFORMATION: (*Indicates required information) *Name: -J o h n 46 e�A e4 *Address: a rtk 3ow,w CSO; *Cross Street: `Phone No.: Permit No.: Tax Map District: 1000 Section: _ Block: Lot: 1 6 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) E Pa0 / (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough Final *Do you need a Temp Certificate: YES/ NO 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: PAYMENT DUE WITH APPLICATION 82-Request for Inspechon Form ( (� (fib ���� Southold Town Building Department �01os fffiz tcoGy P.O.Box 1179 Permit#: 37432 53095 Mam Rd ySouthold,New York 11971 Permit Date: 8/8/2012 (631)765-1802 Expiration Date: 2/7/2014 Parcel ID: 79.-2-10 BUILDING PERMIT RENEWAL LETTER Dated: 4/8/2015 Applicant: North Fork Pool Care Location: 2605 N Bayview Road Ext, Southold Work Description: IN GROUND POOL Construction of a hi-Ground Swimming Pool, with Fence& Gates to N Y State Code, as applied for A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Hocker, John&Hocker, Patricia Address: 2605 N Bayview Rd Ext Southold,NY 11971 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold, New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. J at4g���1'I J saG1J�r_n� ,. ��� ,/ "� �1C�� J•�rj�. ,},�IOC�♦'y aA9 -Rsut Oulp,ref eyt jo ssa.J,�=sa^1 uOwaTj Palsl u I Oµr.il'Ui°..^ $6t6 JS^..Jl) _ ap PuaA2U9Ooaryuouufoso8 Auea,c., �� + 4` - ---J� !� ••-'yi OL901llugsq sly uo oue psror- Js � , ` G} AOAIns stat Ujc4M.01 uosJ-e a�l c T t a 7)a t Y+•-2 G N = f NOS � �.`;c 1 `=v�A uruI-r-L, uoa�sy pa:eo�oul seat `,a Mn s .klao ann a Is. W.us4s IZo3 `�£' � i SC7 �y�Mg 5' '>Cl�taS wrrn�t;rf?Cj" 3� dt Jo less pa;,ues.ofo 8tueagjou tau ,ur aiu }o UOgI�A JO�1G , -cJSot � - - �! IU n N N 'j r�.l p ,S�Z•l i. 111 r `i tt� S � � 3„o�bp 69S OCCUPANCY O r r+ USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY -I op I- C�p I ae orrom 0 r APPROVED AS NOTED d' DATE 9-F^I-9--B P # � COMPLY WITH ALL CODES OF FEE A;- O"o BY NEW YORK STATE & TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS REQUIRED 65 1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS HADA1 FOUNDATION-TWO REQUIRED SOUTHNG BOARD POR POURED CONCRETE2 RO'iGH-FRAMING,PLUMBING, SOOTES STRAPPING ELECTRICAL&CAULKING 3 INSULATION ism S DEC . MWDIATELYy w 4 FINAL CONSTRUCTION&ELECTRICAL 14N�LO5E POOL TO CODE, MUST BE COMPLETE FOR C 0 PSI IETION ALL CONSTRUCTION SHALL MEET THE gE�O�.��EH„ REQUIREMENTS OF THE CODES OF NEW ELECTRICAL YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS gNSPECTON REOUBRED NAMED �7/''►�-c� ®�� a r �>ati°e+08 DATE: / / SIZE: x_ e SHAPE! ye BORDER U 6''\0 G M, WALL PATTERN; FLOOR PATTERN: CORNERS" RS" ------------ � r HUNG OVERLAP (circle one) 20 GAUGE 27 GAUGE (circle One) e P