HomeMy WebLinkAbout40122-Z 4UFfip�., Town of Southold 5/2/2016
"�� P.O.Box 1179
. 53095 Main Rd
I. Southold,New York 11971
N'Zi 41,
CERTIFICATE OF OCCUPANCY
No: 38279 Date: 5/2/2016
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 715 Eastwood Dr, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 110.-3-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/18/2015 pursuant to which Building Permit No. 40122 dated 9/28/2015
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 1N-GROUND SWIMMING POOL AS APPLIED FOR
The certificate is issued to Fabio,Robert
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40122 12-15-2015
PLUMBERS CERTIFICATION DATED f
...4.4...!11
Au ed ignature
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TOWN OF SOUTHOLD
` a� BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
oy � t 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#: 40122 Date: 9/28/2015
Permission is hereby granted to:
Schillero Theresa Revoc Trt
85 Poplar St
Garden City, NY 11530
To: Construct accessory in-ground swimming pool as applied for.
At premises located at:
715 Eastwood Dr, Cutchogue
SCTM # 473889
Sec/Block/Lot# 110.-3-22
Pursuant to application dated 9/18/2015 and approved by the Building Inspector.
To expire on 3/29/2017.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Buildi : spector
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. I q
Z J/
New Construction: V Old or Pre-existing Building: (check one)
Location of Property: �/5571A—Pz ) 7j7 e-a7L.14,0c
House No. Street Hamlet
Owner or Owners of Property: -7c; .i - 1
Suffolk County Tax Map No 1000, Section ' 0 Block 3 Lot o�oZ
Subdivision Filed Map. Lot:
Permit No. Id l n d� - Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
I�
Fee Submitted: $ 5uUn
�hca Signature
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Town Hall Annex 41�® Telephone(631)765-1802
54375 Main Road C ' Fax(631)765-9502
P.O.Box 1179 � �' a� � i
Southold,NY 11971-0959 . oe
`N .., v ��./` roger.richertl�town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To• Robert Fabio
Address: 715 Eastwood Drive City: Cutchogue St: New York Zip: 11935
Building Permit#: 40122 Section 110 Block: 3 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc. License No: 4814-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
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 30-A NC Blower Range Recpt Fluorescent Fixture Pumps 2
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- GFCI Circuit Breaker,
1-Salt Generator, Gas Pool Heater
Notes:
Inspector Signature: Date: December 15, 2015
Electrical 81 Compliance Form xis
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,-cOUNIYt/.'
TOWN OF SOUTHOLD BUILDING.DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ]-ROUGH P BING
'' [ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING /STRAPPING [ FINAL
[ - ] FIREPLACE & CHIMNEY, [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REM , - KS:
KS:
7 ' 7140.-(9-1,-- I 'i j -4d--f- LI ... ii.__' -,::)
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DATE /
/ INSPECTOR( 1 lY #, .
--
'�4 SOf/Too•
TOWN .OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION : '-
[ ] FOUNDATION 1ST [ ] RO H PLUMBING
[ ] FOUNDATION. 2ND [ ] SOLATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
40
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DATE 1 INSPECTOR "4"..51
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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_ - Lf „ V -i„, _ . 'Survey
. ..
SoutholdTown.NorthFork.net PERMIT NO. U f Check V
, — !, ' '•:.:,', ' ,,, '' . Septic Form .
,
,
N.Y.S.D.E.C,
Trustees
g , ._ . C.O.Application
Flood Permit
,
Examined ' ' 4 '. ,20 Ii . Single&Separate
StormLWatef Assessment Form
Contact: -
ApprovedA2L,20_6 , „ , Mail to:
, .
Disapproved a/c ,
Expiration 37/q ,20
1
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,_Buil Ong n t.:ctor..
APPLICATION I FOR BUILDING'PERMIT
I.
t. ,
iril SEP 1 7 2015 L,/ , 20 /.
r3LDG DEPf - - '— INSTRUCrI:ION'S--- , —
Date 77/z,,,
. 5--
____. a.'191ThiS-application MUST be completely.filled in bytypeWriter or'ihirikand.submitted to the Building Inspector with 4
sets of plans, accurate FETED an—to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings onpreptises;relationship to:adjoining,premiSes.or public streets or
.. -
areas, and waterways.
c. The work covered by this apphcatiopmayfiotbe,commenced,beforeissuance of Building Permit.
d. Upon approVal of this application,the tillitaing Inspebtor 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 OccUpiedPiukd in whole Pi iti•ParilbeanY'purpose what so ever until the Building Inspector
issues a Certificate of Occupancy:
'
f.Every building permit shall expire if the work authorized ii, asfiot cornmencedwithin 12'months after the date of
issuance or has not been completed within 18 months from-such:a*if no zoning amendments or other regulations affecting the
property have.been enacted in the-interim,the Building InspeCtofimay 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,theBuilding 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 applicabletaws„Ordinances.pr
Regulations, for the construction of buildings,additions, or alterations 9*removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, Ordinance's,building',code,,houSing Code;and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections. '
. _ . .
. . . . .
'.1n ' 64/71.4! (27' /-7-7
. • - (Signature of applicant or name,if a corporation)
' ,i '.
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(Ve, '36X ? Z,,Z176/4-2,6 U6--,./Od//R3 5(Mailingaddress of applicant)
.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises,7_,073e-17..7 . ,2------,413/0 . „ :, . _
. .(AS-on'the tax roll latest"deed)
If applic nt is a corp Vion,sigRature of duly authorized officer
722t-'”
-,----4--,).
(Name and title of corporate officer) .
Builders License No. / /('3,7- /-J
Plumbers'License No." .. . '
.
Electricians License-1\1o. - - ,
. -, . -
Other Trade's License No. I: i
. ,
1. Location of land on which proposed work will be done:
7/.5 .
6q571...0e)e7) 2i D'On/.. CA)7C.1-/--(4
House Number Number Street ,-.. Hamlet ,
County Tax Map No. 1000 Section //le Block ..D ''' Lt'22---q'
o `
Subdivision. 2.EE7.5 A E Filed Map No. &8•T3 _Lot /3
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Z S7oZ f Z /2LTri)5LeE
b. Intended use.and occupancy Z-Sy jzy ,. /2e3aex-=L ?' Z
3. Nature of work (check which applicable): New Building Addlon Alteration
Repair Removal" Demolition ther Wo //
, , (Description)
4. Estimated Cost�/g vvv, vv Fee . I5vv,vv
(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 7O ' . Rear 6.0 ' 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• g= , ,Rear•• ; Depth
Height Number of Stories
•
9. Size of lot: Front /35-f Rear ./. .5 i: .:•; '.. • , Depth /SD
10. Date of Purchase •,.Nam'e of Fori er.,Owner . J' .. , •
11. Zone or use district•in which premises are isituated2e-3/29c)7i/ '
12. Does proposed coristructidn'vzo,late ariy zoning"laW,;ordinance'Ofregijlation?,'YES • NOX'
13. Will lot be re-graded? YES)' NO . ;Will excess fill be'removed from premises? YES X NO
14. Names of Owner:of.premises?ax3427. FAPiev: -Address 2i5e1i9w 4W? :Phone No. 5/a- Z- 3595
Name of Architect ; , ;: . .. ,Address..,.:: , . `` Phone No`
Name of Contractor -,71,4 . r�u�s' �.�. " •I!., Address-,—za 73a.e.0.i cy& *i&-Phone No.' 7145
15 a. Is this property within 100 feet of a tidal wetland ora-freshwater wetland?s*AYES' , `'NOX
* IF YES,.SOUTHOLD TOWN TRUSTEES &.D:E:C. PERMITS'`IvIA '`;BE'REQUIRED.' .
b. Is this properywithin'300'feet of a'tidal Wetland? '"‘YES " • NO Qe `''
* IF YES; D.E.C. PERMITS MAY REQUIRED:,..
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation'at any point oh 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 ASC
* IF YES, PROVIDE A COPY.
•
STATE OF NEW YORK)
COUNTY OF 4/ )
Eve,L 7t/r eJJ/-7UAe beingduly,sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the (t)/j)727/k6-70Z
(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 frle•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. '
S w r efore me this 1��
d, of ,�/ 20
.G4 y
NtRi1b1dL,Eyy Sig ature of Applicant
Notary Public,State of New York
No.01 GL4879505
Qualified in Suffolk Cou
Commission Expires Dec.8,
FQ
. `irr STO)RM[WAT]ER
Scott A. Russell � �� �,�
SUPERVISOR • * MANAGEMENT
SOUTHOLD TOWN HALL-P.O.Box 1179 « `_ ? +c
53095 Main Road SOUTHOLD NEW YORK 11971 v `' Town of Southoldrnio CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
❑[0A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
0E6. Excavation or filling involving more than 200 cubic yards of material
❑C. within any parcel or any contiguous area.
Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑� Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
007E. Site preparation within the one-hundred-year floodplain as depicted
-on-FIRM-Map of any--watercourse. - - - -- -
❑ c�F Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
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.
• APPLICA\T (Propel ty Owner Design Profess'onal Agent Contractor Othet t S T�� z. 1�( Dale
nc
Detrst
•ANIS e.44 i7t �,e-5 L 0 1'/L 3 Z z 9/6/i.S
.v.„ Section Block Lot
`%/G - - - - -
— io suiLDINt, tic.PART\1+-\f USE Ci\Lt }�*
Contact Information 73y—�7 t 6 5 Gz-f
di
13).
Date. q-
Property Address I Location of Construction Work.
1 Approved fol processing Building Peumit
7/5 .e/Q574J O7� '"72.IU , �A� Stoumw atei Management Control Plan Not Requited
Gv'c/-e.46 , ,Jy ,,935• ❑ Stotmmatet Management Control Plan is Requited
iFoi yard to Cugtneet irg Depdt tment for Re'.te''i
FOR\l SMC P-TOS MAY 2014
•
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Town� ll MainAnnex * • * Telephone(631)765-1802
' {631)76l5i�
P.O.Box 1179 ; G � �� ro4er.richertt�tOVVn.SOU O .nY.US
- .Southold,NY 11971-0959 , p ���
• : pit r;if
BUILDING DEPARTMENT
• • TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
•REQUESTED BY: 3 2 br i 4 3.-,-. Date: \ 5--
Company
Company Name:
Name: ((1(7-\ - Zrq rh hjrF i j- .
License No.: ' -i I"(1
Address: `t @-�euL S Pvve ® -R km2 cr-S �C . I Pc I
Phone No.: << (G -516 (q cJ orT ce PE-
JOBSITE INFORMATION: (Indicates required information)
'"Name: — tr€ ' C`I‘to(`Q
*Address: -715- Foc5-‘Z COt- j-Q_ fl ,
- *Cross Street: (L)cto
*Phone No.:
Permit No.: - LAG k.
Tax Map District: 1000 Section: • Block: - Lot:
`BRIEF DESCRIPTION OF WORK(Please Pint Clearly) �c-ex) ex Q>o(Wm1
113
(Please Circle All That Apply) . .
*Is job ready for inspection: - NO Rough In .
*Do need a TempCertificate: -
• y YE-, 0
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 r,`
-00)c
b
82-Request for inspection Form
MAY 1 a 11TLE NO, s-6I 42
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SURVEY FOR
' " ROBERT E.13 CAROLINE S.OVERDORF'F .
- - FLEETS NECK = ; ,c
TOWN OF, OUTHOLD€ SUFFOLK COUNTY,N.Y. ,• ..
- . G UA RA NTEED To: '
NOTE NOME TITLE DIVISION CHICA, . TITLE '
LOT NUMBERS REFER TO MAP OFEASTWOOD ESTATES, tNSURANCE GOMPANS' ,
FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY SCALE 1r14O� SOUTHOLD SAVINGS BANK''':
ON NOV.16,/962 AS MAP NO.3683. CCT. 3,1961
• =MONUMENT ; NOV,21,1967
. I Ate:6,966 A• LANG IC.NO. OR
N.Y.S.LtC.1dO.28T26
RI VERHEA D,N.Y.
ELECTRICAL
INSPECTION REQUIRED
RETAIN STORM WATER RUNOFF '
PURSUANT TO CHAPTER 236
APPRDV ® AS NOTED
OF THE TOWN CODE.
DATE: '.- _ Ei.P.# Ic ,
FEE:
BY: 11-
NOTIFY BUILDING DEPARTM-, AT
765-1802 8 AM TO 4 PM FOR THE .
li hili iATEL`Yrr
FOLLOWING INSPECTIONS: ,_.NCLOSEIPOOL TO CQOE
1. FOUNDATION - TWO REQUIRED UPON COMPLETION
FOR POURED CONCRETE BEFORE"WATER
2. ROUGH - FRAMING & PLUMBING :
' 3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW '
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
AS REQUIRED AND CONDITIONS OF
9Oifffle i f —
IOUTROLVIDWRANINGSOARD
iettlittDIOWNTRUSTEES
i
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE `
OF OCCUPANCY
4
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