HomeMy WebLinkAbout39147-Z Town of Southold 3/2/2016
P.O.Box 1179
53095 Main Rd
'$+a�
ssSouthold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38128 Date: 3/2/2016
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 8680 Route 25, East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-7-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/21/2014 pursuant to which Building Permit No. 39147 dated 9/2/2014
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 Thomatos, Gerasimos&Thomatos,Irini
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39147 11/19/2015
PLUMBERS CERTIFICATION DATED
r
th rized ignat re
TOWN OF SOUTHOLD
PgoFFot,r�oG BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
0.0
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#: 39147 Date: 9/2/2014
Permission is hereby granted to:
Thomatos, Gerasimos & Thomatos, Irini
8680 Main Rd
East Marion, NY 11939
To: Construction of an in-ground swimming pool as applied for.
At premises located at:
8680 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-7-6
Pursuant to application dated 8/21/2014 and approved by the Building Inspector.
To expire on 3/3/2016.
Fees:
IN-GROUND SWIMMING POOL $250.00
CO - SWIMMING POOL $50.00
ELECTRIC $100.00
otal: $400.00
I in
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
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 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$15.00
Date.
New Construction: L- Old or Pre-existing Building: (check one)
Location of Property: 9 FSR 0 1 01n 'Po ad ► 11OL;,no
House No. Street ) Hamle
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section —Block '--- Lot
Subdivision Filed Map. Lot:
Permit No. Date of Pen-nit. – Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
01
V//,W, an VY1g rkl 17
SO!/j�®lo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.sox 1179 roger.riche rta-town.Southold.ny.us
Southold,NY 11971-0959
®lyc®UM`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Thomatos
Address: 8680 Route 25 City: East Marion St: New York Zip: 11939
Budding Permit#: 39147 Section: 31 Block: 7 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: JES Electrical Contracting License No: 4483-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding 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 A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 2
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment In Ground Swimming Pool to Include - Bonding, 1- Salt Generator, 1- Control Panel,
Pool Lights, 2-GFCI Circuit Breakers, 1-Pool Heater
Notes-
Inspector Signature: Date: November 19, 2015
Electrical 81 Compliance Form As
- oF so�ryolo
mocoulm,
o • ao
TOWN OF SOUTHOLD BUILDING DEPT. -
765-1802
JNSPECTION '
[ ] FOUNDATION IST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
1
39, 7� � �q SOia_ i�g
cou !/1,y0 O
�O
TOWN OF,SOUTHOLD,BUILDING DEPT.
76S-1802
INSPECTION
[ ] FOUNDATION IST [XROU PLUMBING
[ ] FOUNDATION 2ND [ ATION
FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
,REMARKS: XJ-Z- ---J cLi;e-�-- .
�0'04-Lc
Lw
DATE INSPECTOR
OF SOUI,y�lo
TOWN.- OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTIN
9
[ ] FOUNDATION 1 ST [ ] R GH PLUMBING
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL �-
i
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
FIELD INSPlCTXON REPORT I DATE COMMENTS
FOUNDAtION(1sT) J�l
1........................
FOUNDATION(2ND)
ROUGH FRAMING& y
PLUAMING
tai
WUL•ATION PER N.Y.
STATE ENERGY CODE
P
COA
FINAL
ADMIONAL COIVIlYIENTS '
IF
� z
rn
C6
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. Z� Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined _,20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved
_,20
Disapproved a/c'
P e: UU 2
1 2014
Expiration ,20
BLDG DEPT
TOWN OF SOUTHOLD
g nspe for
APPLICATION FOR BUILDING PERMIT
Date ��� , 20—H—
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.
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
shal I 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 HERBY 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. ill) /
1
ig atu o app i a or name,if a corporation)
PCZ�)Oe—I bqp :5064G JLAt yTI�71
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises _11—e n•e. chv\ 9i ke, 1�nO L�0S
(As on the tax roll or latest deed)
If applicant ' a rpor i si iatur f duly auth ized officer
(N e nd 41e ff corp rate 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: k V�
46-460
House Number Street Hamlet
Lot
County Tax Map No. 1000 Section Block ;a
Subdivision 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 6� 5
b. Intended use and occupancy ��Mfrww"-r w Vrlo1Gti✓'l 6 0� r; 4k''►c
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work yc-c-�
(Description)
4. Estimated Cost- ,Q�(� 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. - ► 'J
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 Rear
3t 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-y-
13. Will lot be re-graded? YES NO_Will excess fill be removed from premises?YES NO
14. Names of Owner of premises
X��%k Address (off® A RV Phone No.
Name of Architect Address 17-300 -A*-qX plc Phone No
Name of Contractor`N la\ 041 n Pru.1_ Address 3S1'Y�n_�Phone No. (��1-(ogd f SZC7f
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO__X__
* 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-7AS-
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
�^
SS:
COUNTY
COUNTY OF
Ua—\- tv\�M�q3 k being duly sworn,deposes and says that(s)he is the applicant
(Name of indivi ual signin contract)above named, I
(S)He is the �,�1 Cb-1�-�6�r—
(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 this
"/_day of u S 20
ew York '/'/LIotar PubliA�,V!ICK
Qualied in Su olounAlto
yy lg u plicant
Commission Expires July 28,20 ,C-
l SU S S ['01PLIM \� Ak IER
. Scott A. Mussell
SUPERVISOR � _ MA,1N,Ax-G lEACENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of,So utho ld
CHAPTER 236 - STORIV WATER MANAGEMENT-WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES TMS M JECi' IlOTi7o- L—VF' �F— p� �07iI@IG: —
Yes No (CHECK ALL THAT APPLY)
❑M A. Clearing, grubbing, grading or.tripping of land which affects more
than 5,000 square feet of ground surface.
❑ A B. Excavation or filling involving more than 200 cubic yards-of material
within any parcel or any contiguous area.
E]W C. Site preparation on slopes which exceed 10 feet vertical rise to -
100 feet of horizontal distance.
® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ . Site preparation within the .one-hundred year floodplain as depicted
on FIRM Map of any watercourse.
: Elp F. Installation of new -or resurfaced impervious surfaces of 1,000 square -
( feet or more, unless prior approval of a Stormwater Management
t Control Plan was received by the Town and the proposal includes
i
in-kind replacement of impervious surfaces.
- If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
S.C.T.M. 1000 t�
APPLICANT. (Property Owner,Design Professional,Agent,Contractor,Other) = District
NAME L, 1 ---� 0 ( —
�,�t Section Block Lot
"'FOR.BL)ILDJNG DEPARTMENT USE ON-LY"
Contact Information }- Vi► - - �' - �`��
nccpmnc N.mocr)
y_- - - Reviewed By-
- — — — — — — — — —
- - - - - - - — — — — — — — —
Date-
Property
atePro ert Address / Location of Construction Work: — — — — — — — — — — — — — — — —
r �y► � - ` y — -` ( —dtroved for processing Building Permit_
� q
� Stormwater Management Control Plan Not Required.
w, — — — — — — — — — — — — — — — — —
�_ Stormwater Management Control Plan is Required_
(Forward to Engineering Department for Review.)
FORM SMCP-TOS MAY 2014
pF SI?UTy
!o
Town Hall Annex Telephone(631)765-1$02 �r
54375 Main Road �,ax{631)765-85 i
P.O.Box 1179 G @ roQer.riChert _lox, outll0 5.y.Us j
Southold,NY 11971-0959 � � �O J
BUJIDING DEPARTMENT
TOWN OY SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Date:
Company Name: .
I tie
Name: -
License No.: 4
Address: l
Phone No.: �=
JOBSITE INFORMATION: (*Indicates required information)
*Name: AA j
*Address:
*Cross Street: 9
*Phone No.: o
Permit No.. G 24Z
Tax-Map District: 00 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection:
YES/ NO Rough In Final
*bo you need a Temp Certificate: YES/ NO
Temp Information Qf needed)
*Service Size: 1 Phase 3Phase 100 150 , 200 300 350 . 400 Other
I:
*New Service: Re-connect- Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
I �, . .�
B241equest for Inspection Form �G SJ
TOWN OF SOUTHOLD PROPERTY .RECORD CAR®
OWNER STREETC� � VILLAGE DIST: SUB. LOT
-31
FORME OWNER tt N E
'U l YY1 Z��'10 S �✓�;CJ�I/(_GL77JS � � - Lc ACR.
S' - W TYPE OF BUILDING
l�'tOd rP
Dec(� w
RES. \S. VL. FARM % COMM. CB. `MISC. At. Value �`� e �' . '`.
LAND IMP. TOTAL DATE REMARKS
V V' V lJ
On
rw V * it
�
E•' 1 o aa�� B,U ,DI G C N 21 N a/igiv M 7 ,
' NEW OQ RM1Ln � O� T—L l2�(ps 1 �p – t ►'KJ � S I VI.0 �1 S
FARM
'Acre Value Per Value,
L✓ KkvAcre,53 2q4 %0
Tillable I,
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot r DEPTH
BULKHEAD
Total DOCK
------------
COLOR
L-1
FEE
TRIM
-N
7771;`
B Idg.
0 clation
Jxtension Both Dinette
'Extension Basement Floors
K.
c:�_ Ext. Walls aoo
Interior Finish I)
,Extension Lk.-
-544 Fire Place Heat
Porch 'Ile Type Roof Sc Rooms 1st Floor AA.1 DR.
BR.
Recreation Room Rooms 2nd Floor FIN. B.
Dormer
,Breezeway
Driveway
I
garage ---------
Patio
D. B.
'6tal
34
�� , � � = =_- - . K, . � � �■■■■■Iiia■■i�■11■■��:i�■■■■■■■■■■■■■■
CQLAWO ..
SLAB
Ext. Walls
V\Mlk Map
Fire Place
•
Me
.. V
H. ROY JAFM P.E.
82 EAGLE CHASE,WOODBURY,kY. 11797
" 5163640148
FAX 516.364-0158
Aug 18, 2014
._..Town-...of Sou-thold...
Dear' sir:
; t
This is to certify that the drainage facilities to be used
exclusively for the construction of a swimming pool on the
premises of
Thomatos
8680 Main Rd
East Marion, NY 11939,
will not require draining because the pool is constructed
with a vinyl liber. The' pool water will be continuously
recirculated through the filter and will be• reused from
year to year. . The-- drainage from the filter backwash is
nominal and will not interfere with the public water supply ,
'the 'existing sanitary facilities or public highways .
The proposed- pool measures C,8 3c -R. The soil disturbance
will be about llolf- square feet. Since this less than
5 , 000 square feet as out]ned in your Storm Water Management
code, no drywell ,is required.
Very truly yours ,
®f N EIy
Y
CO
H." Roy Jaffe, P.E. ti * �
v4741fl
��`�OFESSlO���'
APP OED AS NOTED WITH ALL CODES OF
COMPLY °
DATE: B.P.# NEW YORK STATE &TOWN CODES z # 2 �
nREQU6 09
IRED A
F � BY: ,G.� AS __j 4
NOTIF BUI ARTMENT AT 00g9� _
FOR
i m 1 c 6- s JAL 41.
FOLLOWING INSPECTIONS: 2— - e ES �, ' `� � d-A.
QO-
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETEO `+Q <
2. ROUGH - FRAMING & PLUMBING - -� co J
3. INSULATION
� N - � o- f ,, `� ► O O,�s�o�. 1 Q Q4
4. FINAL - CONSTRUCTION MUST Of ,► �►� N Q o p O J
BE COMPLETE FOR C.O.' A �5 � T e"• m O '
ALL CONSTRUCTION SHALL MEET THE Q Nd o •ate 01 � r � � tt _ �® o� ���
REQUIREMENTS OF THE ODES OF NEW �1Ns u, W ' W 5z-a o O^OZ I
YORK STATE. NOT:FES-PONSIBLE FOR
DESIGN OR CONS T RUCJION ERRORS. ° 2 W O Q�ac
9L \ RETAIN STORM WATER RUNOFF
oL fo0 a PURSUANT TO CHAPTER 236 „ oo• / vv�' o a
OF THE TOWN CODE. R plo
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OCCUPANCY OR
USE IS UNLAWFUL -Z--
WITHOUT CERTIFICATE
> � .>, - t '•#.ifs •'I
ANCY
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3' 04747Q �® 8630 Main Rd
East Marion, NY 11939
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