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
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V
FINAL
Ah 7h r
ADDITIONAL COMMENTS
s 06 r Cc 5 ✓W alqP 37 43�
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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.
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OCCUPANCY O
r r+ USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
-I op
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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