HomeMy WebLinkAbout40124-Z _ ���UFFOI,�Ca� Town of Southold 7/18/2016
,o� y� P.O.Box 1179
U'' �' ' S3095 Main Rd
�y�,�� ��p�� Southold,New York 11971
,�
CERTIFICATE OF OCCUPANCY
No: 38391 Date: 7/18/2016
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 900 Lilac Ln, Cutchogue
SCTM#: 473889 SecBlock/Lot: 104.-1-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in tlus office dated
9/17/2015 pursuant to which Building Permit No. 40124 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 IN-GROUND SWIMMING POOL, FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Sweeny,Robin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40124 12-15-2015
PLUMBERS CERTIFICATION DATED �
.
.
Aut ' ed Signat e
o�gUFFot,��,o TOWN OF SOUTHOLD
�,� �y BUILDING DEPARTMENT
� � ; TOWN CLERK'S OFFICE
oy . o�� SOUTHOLD, NY
�iQl � .�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#: 40124 Date: 9/28/2015
Permission is hereby granted to:
Sweeny, Robin
900 Lilac Ln -
Cutchogue, NY 11935 �
To: Construct accessory in-ground swimming pool as applied for.
At premises located at:
900 Lilac Ln, Cutchogue
SCTM # 473889 '
Sec/Block/Lot# 104.-1-30
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 - SWINIMING POOL $50.00
Total: $300.00
Build ector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWIV HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ii�k and submitted to the Building Department witli 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. Swonl 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 Apri19, 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. � 2 �
New Construction: " Old or Pre-existin Buildin : check one
g g � )
Location of Property: ��'La G%L!�C'_ L�-it/'� ��J7G�.��7!��
House No. Street Hatnlet
Owner or Owners ofProperty: �1�';���(� ��iL:��7(�'Lj'
Suffolk County Tax Map No 1000, Section � / a�' Block � Lot 3 �
Subdivision Filed Map. Lot:
Permit No. Z Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate:_� (check one)
Fee Submitted: $ �j� ��
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App icant ignature
�o��pF SO(/j�,ol
Town Hall Annex o Telephone(631)765-1802
54375 Main Road � � Fax(631)765-9502
P.o.BoX ii�9 G • a� roqer.richert(a�town.southold.ny.us
Southold,NY 11971-0959 �`
ol�cOUM`I,N�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
►ssued To: Robin Sweeny
Address: 900 Lilac Lane City: Cutchogue St: New York Zip: 11935
Budding Permit#: 40124 Sect�on: 104 Block: 1 Lot: 30
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: EIeC TeC 111C. �icense 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 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 A/C Blower Range Recpt Fluorescent Fixture Pumps p
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 2
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
otne�eq��Pme�c: In Ground Swimming Pool to Include, Bonding, 2- GFCI Circuit Breakers,
1-Salt Generator, 1-Gas Pool Heater
Notes.
Inspector Signature: �� Date: December 15, 2015
Electrical 81 Compliance Form.xls
L
� �o��Of SOOTyolo .
# #
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- ��y�OUNiN,�`�
- ` TOWN OF SOUTHOLD BUILDING DEPT: `
765-1802
� INSPECTION -.
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUIdDAT10N 2ND [ ] IN ULATIOIeI
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ - ] FIRE�SAFETY IMSPECTION
� [ ] FIRE RESIST�INT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
.
REMARKS: � M- . "�'�'"'�e
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL � ' � . ;�; ��,*�,' F ' ' •`� � �1 � � ', , •� ' Board o;�Health '
SOUTHOLD, NY 11971 _ , 4 sets,of Building Plans.
TEL: (631) 765-1802 . . � - . Planning Boar approval
FAX: (631) 765-9502__ � __ . . 1 'Survey' '
SoutholdTown.NorthFork.net PERMIT NO. � Check
. r � , .�j ��; . , , , 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� � � ' �i , � �� - Mail to•
Disapproved a/c '
' ; ' � , . ,; _._.. . . , ' � ' • t Phone:,T._�!'��(.�(L 7 �
� �L��_ . . J
Expiration ,20� ��� � �' � �
� �--- - —' , ., � . ju: � , , � . . �
�` [�; ;�,� �, �, ;� ��� • �'E: '1` � �,;., . ;� Buildin� . s _._r... . _.`-' �
� ' � ' ,
� - PP.LICATION-FOR BUILDING�PERMIT' ' � � ��
S�P 17 20�5 _ . _ _�- �t-�: , r ��., _ . �� _._ - �
". � Date , 20 /
- ��oc ���Pr _ _- (`" ; �' INSTRUCTION5-- � �`�`'"' - - - - - `
���� ���on�1Gl�e com letel filled in b �ewrifer-or'in ink'and_submitted to the Buildin Ins ector with 4
—�-�ri�`aPIsf��t P Y. Y`t}'P ` g P
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:b,e commenced;before.issuance of Building P,ermit.
r � i , . �. Y._ .. ,..�,� .
d. Upon appro'val of this application,the Bui�ding Inspector`will issue a Building'Permit to tlie applicant. Such a permit
shall be 1<ept on the premises,available for inspection throughout the�work. . -.1,. .
e.No building shall be occupiecl"or useii in wliole or iri pait�or any purpose what'so ever until the Building Inspector
issues a Certificate of Occupancy. • . • �
„ ��>
f. Every building permif shall expire if the work authorized�h'as_.t�ot co�menced within-12 months after the date of
issuance or has not been completed within 18 months,from such:d'ates-If no�zoning amendments.or other regulations affecting the
property have been enacted in the-inYerim,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�.I�epar,tment.for the issuance of a�uilding Permit pursuant to the
Building Zone Ordinance of the Town;of��Southold,�Su�folk"Coun,ty;;New-York;.and other;applicable;Laws,�Ordinances.,or
Regulations, for the construction of buildings, additio�s, or alter`�tio;ns or,,for removal or demolition;as herein describ,ed. The
applicant agrees to comply with all applicable laws, ordinances,buil'dir�g;code,housing code;and•regulations,�and�to admit
authorized inspectors on premises and in building for necessary inspections.
. . � . . � � � . � ' {�.�, ' �j�U,i� ��GY�L:� L�
,1 , { . (Signature of applicant or name,if a corporation) , �
� � .. , ' , �,, . , . '
�c� :�x 9, Gu�� ��. �/� //93�"
' "' � � � `-'� �' ' _ , `��' ' '(Mailing`addres's of applicant) ' .
, , , , ,
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
�-��,U 7��U12 � `
Name of owner of p'remises,. ��//.� �l�L��,�'. ,
� ` 3:
, �(A"s'on the tax roll or.latest-de�d)
If applic nt is a corpor t' n, s' na re of duly authorized officer '
c5
ame an tit e of corporate officer) � .' � � �'�� � �
Builders License No. ��/� 7—,� �
Plumbers License No.� � ' " � '`'�`� � •' '
Electricians License'No. � ' ` � �� ��' ' ' '
Other Trade's License No. '! '. t •
1. Location of land on which proposed work will be done:
���1� L./L�� L._J-►�A-f� GtJ`7,�/�v��L� � �
House Number Street Hamlet '
County Tax Map No. 1000 Section �O"� Block �J Lot��"`6.�� ' •
� � • - . . . . .
Subdivision_� 55/�r� �"�dv1� Filed Map No. ���g Lot �Z ,�
2. State existing use and occupancy,of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy�L,$7U y � i''�ES��t k'�'°-� " " ' •
b. Intended use and occupancy�? �j�rJ�y ��Z ����v � ,�i7`[,���/ �^2�,�,c,t�,�
, , ;: , , ��
3. Nature of work(check which applicable): New Builciing Addition Alteration
Repair Removal,��' Demolition t er Worl //+a-C.�i1� ,Sw,,ti��-/i,t�C� i�v��
• , � . - (Description)
4. Estimated Cost� ���'Ut,3� � Fee ����p�c�
, ' (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.
/ 1 �
7. Dimensions of existing structures, if any: Front �/. 7 Rear �/• J Depth ,�(e , � �
HE�ight Z;' � � Number of Stories 2 - �
Dimensions of same structure with alterations or additions: Front Rear
DE�pth Height �;�::i; � '` � ' >: fVumber of Stories
8. Dimensions of entire new construction: Front���;r ���va`��i <<�=3}' r Rear:s -A��}�.��+'; Depth
H�ight Number of Stories .
,'�;;;� g� ;• :r- �
9. Size of lot: Front /� ��� Rear :�.J?� ��„�t ±- • ; Depth__ /�''z r � ��
10. Date of Purchase � �t ��� Nam'e of Forz"ner Owner � ' �
t , , -;� `' • � ' ` .
11. Zone or use district in which'premises are situatecl�`.`��/7��i:�7i�.� '
12. Dc�es proposed constr"uc"tion'�v�iolate anyrzoning'law,;�ordinaric,'e'or'regulation? YES �� �NO�(
, , , � !. . . ,.�_,;:'� ., ,�. . ���.., . ,
13. Will lot be re-graded? YES�N,O , :Will excess�fi114be,`r mo,ved,from.premises? YES � NO
J14;..�.
14. Names of Owner,ofpx.emises��N ��;�?�`�r.N/.Address�l,JU. .L�4.�c, G!�-.vF',phone No.'���-� 3 � >��
, Name of Arch�itect � ' �� .��Add'r.ess.� ��� � �. ,�`�"U`'�' Phorie No "
N�me of Contracto�r�-i�.�1.0 �t�S��[.�7 � ��'j� A'ddress'?o 3c�����3}i^.'u�c��c�.�torie No.'���Z�
15 a. Is this property:within 100 feet of a tidal wetland�or a`�freshvvater'wetland?'*YES ' '�NO � ,
* IF YES, SOUTHOLD TOVVI��TRUSTEES�&.D,E:C:PER�VIIT'�'1I`vIAY`� E'REQUIRED:' � -
b. ]s this property'witl�in'300'feef'of a��tidal wetlarid?*`YES"''• �NO'� � ''' � " � �
* IF YES; D.E.C. PERIVIITS'1VIAY'BE REQUIR�D``:'�``,. ' "_. 1 . � � : ` •-... - � ' � , - �
� .. ... __ -:.,., , , , , . .
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
� .,��.� , -
17. If elevation at any p`oint�on prope`rty i`s at 10 feet or below, must provide topographical data on survey.
1,8. Are there any-c,ovenants and,restrictions with respect to this property? * YES NO D�
* IF YES, PROVIDE A COPY.
�. . r . - .... . . ��_ � ,i ., . . �_ . � , ,
STATE OF NEW YORK
COUNTY OF . . � ,�
�U�-���'L% �'j�-%�i,�� , . ..being,duly,sworn, deposes.and says that(s)he is the applicant
(Name of individual signing contract) above named, ' � • � �
� . ,�. . •.,� 'a ' �ti, ,, ,
. , �'�� � . � . �
(S)He is the ��),�������L�j`�
(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
perforrned in the manner set forth in the application filed therewith.
Sworn to fore me this �
y of 0 �� ' ' � , • . ,
L�< s %� �i \ �
��q�' ,�, � Signa`ture of Applicant
�,�t�ry Public,State of Neiv�Fotk - • , . ,
No.O1GL4879505
:�tiatitied in SuffolkCAu�tEll
t•^r.;;ssinr, Fxpires Dec.8,� �
J� .
�� J
Scott A. Russell ��°�U�`��� �'7C'�0�][�I��l[���A\�C')E][�
S�JPERVISOR � -� � I�u1[A\�A\�G��EI��][]E�'7C'
SOUTHOLD TOWN HALL-P.O.Box 1179 Q � �
53095 Main Road-SOUTHOLD,NE4�`YORK 11971 Town of So uth o l d
h, C�'
O,� �s.,�y,'�
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COIVIPL�TED BY TI IE APPLICANT )
� ��� 'T�](�5 IPlE3����'�' �l�T���IL��� �"�:�`Y L�IF 'd'I-l[lE lE'�I.lLO�'�dI�Tt3: ,
(CHECK ALL THAT APPLY?
Yes No
� ❑ A. Clearing, grubbing, grading or stripping of land which affects more
� than 5,000 square feet of ground surface.
❑[�B. Excavation or f illing involving more than 200 cubic yards of material �
; «�ithin any parcel or any contiguous area. - ,
� ❑�C. Site preparation on slopes �vhich exceed 10 feet vertical rise to
100 feet of horizontal distance. ;
� ❑[d�D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
� erosion hazard area. '
` ❑�. Site preparation within the one-hundred-year f loodplain as depicted
, on FIRM Map of any- ��-atercourse. - - - -- - - - - - -- - -
, ❑ 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 recei��ed by the Town and the proposal includes
' in-kind replacement of impervious sui-faces.
� If you answered NO to all of the questions above, STOP! Comp]ete the Applicant section below�viW your Name,
Signature, Contact Information, Date & County Tax Map Number! Cha�ter 236 does not apply to}�our 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 rvith your Building Permit Applieation.
; ,�,PPLICA\T (Prope�ty O�uier,Design Profe�.s•onal _�eent,Contractu: Othe>> '5.�..T.�'�. �: 1�On Dale
� Diairtct
\A\16 �il—{/%Ul��m�,��)��L,S � �ec� Bl� l�.30 / �
� '— ��5 ' - -
����a�� �., / ,¢-> I=C?? �St;i�.�;l'�:t� �e.P.�=S�T�IE�"I' I;;��' C?'tiL1- "���
Centact Infnrmatioii ��7''�[p Cp� ij �� ��
�T.4yM•-,umbr' �/ �_�
Re��te��ed B�-: `�iT/)
- - - - - - - - - - - - - - - - - - Date ����'�5
Prope�tv .�dd�e55 / Lacat�on of Comtruct�on ��'ork. — — — — — — — — — — — — — — — — —
� .appro�ecl foi proces�ing Buildin�Pei nut
� �U1� �L�� y��� � Stoim«ate� �lana�ement Contiol Plan Not Requ�ied
��lJ7C�Ul"ge�,_, /1J�1 /l g 3� � Stoi nn�atei `•lanaaement Con�rol Plan i,Reyuu•ecl
(f��r��ard to CnUineerin�Depai tment for P�e:ie����
FOP�•1 '� S�9CP-T0� �I.�Y 201a
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� � ��o�so�r�o . � . , . .
,�o � .
Town Hall Annex � � Telephone(631)765-1802
54375 Main Road �9 2.
� P.O.Bo�c 1179 G � roqer.richertCa�town.southo�tl.nv us
- .Southold,lVY 11971-0959 0 � �� -
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� BUILDING DEPARTMENT
- � , TOWN OF SOUTH4LD �
� APPLICATION FOR ELECTRICAL lNSPECTIOIV
REQUESTED BY: �n�;, �ja �m ° _ . -
. '� �'�� J c� �ate: i t-o�? I� _
Company Name: �(.eL �.e� -- �
. Name: . c�an(�. e" ��ri ` �c�. .
{.ice�se No.: �j ( - � � _
Address: �J�25 ��1�r2C`�2� � � � `I C� . , -
Phone No.: ���� �j"l(p � o� C�lo�, �
�
.iOBSITE IN�ORMATION: �*Indicates required information) � - ,
__�Name::_.___ ----- - -------- - - - - -- . - ----- - - --_ . -- -- -:- --- - - --_ ___ _�
*Address: ' �� n,
� *Cross Street: � .�-�� , �
'`f�hone No.: �-r - � �
Permit No.: . � �
Tax Map District: 1000 Section: 81ock: � ��t: _
__________
*BRI�F DESGRIPTtON OF WORK(Please f�rint Clearly) _ `-n aY'��c� ��PMm in -_ ,
' , � - - - .,� : .
(Please Circle�411 That Apply) � - . -
,
�ls�job ready for inspection: � ES / O Rough In � . ina
*Do you need a Temp Certifica#e: ��� - - -
'femp�Information (if needed} � _ � • � _ ,
�`ServiCe Size: 1 Phase 3Phase 100 150 200 300� 350 400 � Other �
*New Service: Re-connect Underg�ound Number o�Me'ters Change of Service y Overhead �
dditiona[ Information: � � PAYMENT DUE WITFt APPLICATION , ��" (�q�1
�G �
� ��0 ��
� �
,92-Request far Inspectian Form . . l` �O��
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EDUCATION LAW. 0.5S .�
COPlES OF TNIS SURIiEY MAP NOT BEAR/NG z � 1.2�N I �
THE LAND SURI/EYOR S /NKED SEAL OR � �I P/0-PLOT 125 . �
EMBOSSED SEAL SHALL NOT BE CONSIDERED o LAND N/F OF GLOVER �
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GUARANTEES /ND/CATED HEREDN� SHALL RUN � I ���
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SURVEY OF: P/0 PLOT 125
MAP OF NASSAU FARMS KENNETH H. BECKMAN, L S
FILED MARCH 28, 1935 FILE No. 1179
SITUATED IN: CUTCHOGUE Surveying and Land Planning
1814 Middle Country Road
� TOWN OF: SOUTHOLD Suite D
Ridge, N.Y. 11961
SUFFOLK COUNTY, NEW YORK (ssi) 34s—s4z7 �,
FAX (631) 345-9429 '
DATE: 8/31/2011 JOB N0. 811-13707 SCALE: 1" = 20'
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