HomeMy WebLinkAbout40507-Z ,0 dp6; Town of Southold 6/3/2016
i® P.O.Box 1179
53095 Main Rd
VO 4' d ads 4 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38330 Date: 6/3/2016
THIS CERTIFIES that the building HOT TUB
Location of Property: 250 Pine Tree Ct, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 98.-1-7.11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/29/2016 pursuant to which Building Permit No. 40507 dated 3/3/2016
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:
"as built"accessory hot tub as applied for.
The certificate is issued to Lauren&Steven Beck
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40507 5/23/2016
PLUMBERS CERTIFICATION DATED
sr° J
Autho ( Signature
' gt1fF��X TOWN OF SOUTHOLD
� ca , BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oft
o 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#: 40507 Date: 3/3/2016
Permission is hereby granted to:
Gulmi, Joseph & Susan
250 Pine Tree Ct
Cutchogue, NY 11935
To: legalize an "as built" hot tub as applied for.
At premises located at:
250 Pine Tree Ct, Cutchogue
SCTM # 473889
Sec/Block/Lot# 98.-1-7.11
Pursuant to application dated 2/29/2016 and approved by the Building Inspector.
To expire on 9/2/2017.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO - SWIMMING P!. $50.00
Total: $550.00
/46'
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 naturalor 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. 4/c)- /i(o
New Construction: Old or Pre-existing Building: (check one)
Location of Property: /C".2 rtQ_ Ca1.c,U' Let
House No. Street Hamle
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section 97 Block ( Lot 1
Subdivision i Filed Map. Lot:
L
Permit No. o 5d Date of Permit. Applicant: W (\t‘ CP yuzky
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: a/ (check one)
Fee Submitted: $ 50
Loot
Applicant Signature
•‘, %pf SOUp5®
Town Hall Annex I4 �® �® : Telephone(631)765-1802
54375 Main Road % Fax(631)765-9502
P.O.Box 1179 co i
G roger.richert(a�town.southold.ny.us
Southold,NY 11971-0959 1,„ 7,,t% a®�1�
CU® i0
,VIII,'
,.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Beck(Gulmi)
Address: 250 Pine Tree Court City: Cutchogue St: New York Zip: 11935
Building Permit#: 40507 Section 98 Block: 1 Lot: 7.11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: "AS BUILT" DBA: Conway Home Improvemel License No: 13569-HI
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub X
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 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 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment' GFCI Protected Disconnect for Self Contained Hot Tub
Notes.
Ilk
Inspector Signature: �/ ireDate: May 23, 2016
z Electrical 81 Compliance Form(2)xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
, 1 FOUNDATION 1ST [ ] ROU PLUMBING
[ ] FOUNDATION 2ND [ ]JNIULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: /16T-- / (-tic r
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DATE ' 0______ INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH P ING
[ ] 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
(:=1"(REMARKS:
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST' [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION •
[ ] FRAMING /-STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
' [ ] ELECTRICAL (ROUGH) [c] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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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
"(05-0E-5: Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ',1 ,20 Single&Separate
Storm-Water Assessment Form
.__.." 3 l6 Contact:
Approved ,20 - Mail to: (t\ CDS
Disapproved a/c r0 Br tci OA-'.So 4Gice (('lit
n Phone: � �75 iij � O 3
Expiration ,(/ ,20
12 EE OV[
. all.P/
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i :ui • :: ► pector
FEB 2 9 2016 APPLICATION FOR BUILDING P
BUILDING DEPT. Date ca/a47.1.0) , 20/(0
TOWN OF SOUTHOLD 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
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.
Lt) 6vvvl n'
(Signature o applican .r .me, if a corporation)
CPO 2)04 lc Oca dot (ce ik.q. !(cl
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
ekilf-feke..-49 r-
Name of owner of premises 1,41cvt,, ____ n E-e-Cle..--
(As
on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer) ,
Builders License No. ( C((, q i#
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which roposed work will be done:
,, ,-6,17-_--(4,, ,,
House Number Street ,_ _;,Hamlef.Y!`, •
County Tax Map No. 1000 Section qBloek O.1:, ,A,;'- V , Lot 7 II i
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 S .�cLv O,vu i l C,sLe((i,"
b. Intended use and occupancy e,„„ a,,„„(
03. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work J)4 >o p-N Exi-> cfL
(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 /f ,i ~: ' Rear ./,-:11
Depth i Height Number of StiirtesI ra`
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth t.Li ki+Ci:i146:i1V?wa
10. Date of Purchase /0/5- Name of Former Owner ja�J�l� &I ,th,;c.
°t—S(4-504r
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO r�
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises er ci °4-,54-cc-e, Address Phone No.
Name of Architect Address Phone No
Name of,Contractor rjX ��,, , �'pt,t4x&y Address b', /1 p a- Phone No. &3( 3 71- Y a 3 s"
Some (.4 - 1171
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES VNO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES V 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)
SS:
COUNTY OF )
CC) dit(allilk being duly sworn, deposes and says that(s)he is the applicant
(Name of indivi.ual signing s , act) above named,
(S)He is the C
_htykj-l-reLe-12r9--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 thi
2...G\ day of I ,11 20 't :619,1(CivK C%�w-f j�f� or��r �.Buf Nev�I_ Notary Publio,State of Flew Yo 1CH ,
NotaryPublic n No.01BU61$5050
Qualified in Suffolk County Signature of Applic..
Commission Expires April 14,2 L-110,„
ifi*of 800-4,;
of
Town Hall Annex ; ' * Telephone(631)765-1802
54375 Main Road max(6311765-95
P.O.Box 1179 ;`G Q �� roger.richert(a�townsoutgany.us
Southold,NY 11971-0959 :04O'I1
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: w vL`�C�i,,\ C- 1 Date: c /moi
Company Name: Colvw_cty i_l_trat_e_ vtvioy.6
Name: �Ll �c CA,k,�, -
License No.: 1-1-T •
' r
Address: To &X_ o - ' d lac .. ! iii i(
Phone No.: / � qO-
JOBSITE INFORMATION: (*Indicates required information)
*Name: btu. G( •
*Address: � JJ ( v-
*Cross Street: �'� 7.6.4-Tr � •
*Phone No.: O. o
7
Permit No.:
Tax•Map District: 1000 Section: q - Block: 0) Lot: 'e-7, •
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) Oink d 04 -rum u (n
D n a u o d eh t q�k 5?cle
(Please Circle All That Apply)
*Is job ready for inspection: go, NO Rough In Final
*Do you need a Temp Certificate: YES I 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
4dditionai Information: PAYMENT DUE WITH APPLICATION
kfil/O
82-Request for Inspection Form Oe 1 (kit/
serffi ---
H TOWN OF SOUTHOLD PROPERTY RECORD CARD ?))
OWNER STREET 25O VILLAGE DIST SUB LOT
(ksan 8. graver Pyne -rPe- Cow(
ACR. REMARKS U
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TYPE OF BLD.
228/11 •G p# 3 (� os a t--c(o-fron S ® —re.pla r(s sP4 S 3Z7�
PROP. CLASS
210 21221aI P# 3;2157a accessory 3a.roL3e- -replaces gF 3 O7t
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TOTAL
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COMPLY WITH ALL CODES OF
APPROVED AS NOTED NEW YORK STATE & TOWN CODES
n �- FIs OF
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FE . _ e SOU T HOLT; 1 h :1.► BOARD
NOTIFY BUILDING DEPARTMENT AT
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FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIREDFOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
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BE COMPLETE FOR C.O. �'°E 'T I � `L
ALL CONSTRUCTION SHALL MEET THE SPFCTIMA1 REOLN-.ED
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OCCUPANCY OR OF THE TOWN CODE.
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