HomeMy WebLinkAbout40731-Z �o�guF of lk�o f Town of Southold 8/30/2016
P.O.Box 1179
y 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38483 Date: 8/30/2016
THIS CERTIFIES that the building HOT TUB
Location of Property: 4294 Wunneweta Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-14-27.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
_ 5/20/2016 pursuant to which Building Permit No. 40731 dated 5/31/2016
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:
ACCESSORY HOT TUB AS APPLIED FOR
The certificate is issued to Quartararo,Jay
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40731 08-10-2016
PLUMBERS CERTIFICATION DATED Ize
Autho&ff Signatur
�SOFFo�,r�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
D z TOWN CLERK'S OFFICE
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#: 40731 Date: 5/31/2016
Permission is hereby granted to:
Quartararo, Jay
570 Duck Pond Rd
Cutchogue, NY 11935
To: install an accessory hot tub as applied for.
At premises located at:
4294 Wunneweta Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot# 111.-14-27.1
Pursuant to application dated 5/20/2016 and approved by the Building Inspector.
To expire on -11/30/2017.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
7otal: $300.00
sting Insp ctor
Form No.6
To\N N or 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, 19S7) 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. C6py 6f Certificate of Oi cdfi ricy-x:25*' ='
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
t/ Date. 114A1 ,::;1)9 �1
New Construction: J l�� Old or Pre-existing Building: check one)
��
Location of Property: `�a�7" v4twwe TA
House No. Street Ham et
Owner or Owners of Property: Ly �0
Suffolk County Tax Map No 1000, Section WBlock / Lot o� .
Subdivision 11 Filed Map. Lot:
Permit No. b J Date of Permit. Applicant: F'� C
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: ✓ (check one)
mp ry
Fee Submitted: $
Applicant Signature
SOUr'y®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G • �Q roger.riche rt(a)town.soLitho Id.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Quartararo
Address: 4294 Wunneweta Road City: Cutchogue St: New York Zip: 11935
Building Permit#: 40731 Section: 111 Block: 14 Lot: 27.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: J.E.S. Electric License No: 4483-ME
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 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 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
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 50A, GFCI Protected Disconnect for Self Contained Hot Tub.
Notes:
Inspector Signature: Date: August 10, 2016
00Electrical 81 Compliance Form.xls
A 12 I �o��OF SOfn
UjyO`o
v` � • ao
o�yco ,
TOWN OF SOUTHOLD BUILDING DEPT.'
765-1802
INSPECTION-
I FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] IN LATION
[ ]
FRAMING / STRAPPING [VT FINAL
[ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION
� [ ] CAULKING
REMARKS: ��"` C'®•
DATE Me INSPECTOR `
SOOIyDIo
coulm,Nc�
V
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING _[ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE l� �� INSPECTOR
FIELD INSPWl%QN 1 P21tx DATM
F4UND4tiolq(1ST) J
FOUNDATION(2Nri)
I
ROUGH FRAD�C &
PLUM 1NG -�.— - •--�,•—
INSULATION 1'D+A N.Y. • , `�
STATE ENERGY C4DE
3v co .
FINAL I
1
ec
Ju -
m
. � o
I '
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. O'_r'_1,3 27— Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
D Flood Permit
Examined ,20 Single&Separate
D Storm-Water Assessment Form
O ( ( MAY 2 0 2016 Contact:
Approved ,20 Mail to:�70011*Q
Disapproved a/c � �
WNpF S0j,D Phone: 10��o>L� ` 0,41
Expiration ,20
Building In pec or
APPLICATION FOR BUILDIN IT
Date ;3 ;20 , 20/&
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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is c rpor ' n;signature of duly authorized officer
(Name acid title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Othe'r(Trade's'Llcerise No. q 6,93 9
LoQationrof:land,on,which proposed work will be d ne:
ti
House umber Street Hamlet
v County Tax Map No. 1000 Section 11 I - Block `� Lot v7 /
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
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition er Work & !� 6e A7-7' Z6
(Description)
4. Estimated Cost erg eel y=�-11 7 1
g � �;,,, g(To b�paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling u,''ts bn each floor
If garage, number of cars .a 4 _
�il)S u raa:
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front rj_uc tg9 x '� irar"�.T 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 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
13. Will lot be re-graded? YES NO Will excess fill be re/moved from premises?YES NO
14.Names of Owner of premisesT4'C umVl"Ap Address *,0c W&t Y✓lPhone No. b.31-73k1-R
Name of Architect Address 0 Phone No
Name of Contractor A2r cam- e*6 Address"a�AX9 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)
�SS.
COUNTY OF5A I
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(Contractor, gent,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 th�,�yoorkkwill b
performed in the manner set forth in the application filed therewith. fy®�'A�Y PUE CEEDWYER
STATE OF NEW YORK
NO,01DW6306900
Sworn tQ,before me this O LIMED IN SUFFOLK coui y
`dQ-r day of CI 20 1 1$8IQN EXPIRES JUNE 30,2a@
J�(Q(A
Notary Public Signature of Applicant
v� SOF Sol
�f tl Town Hall Annex 1 Telephone(631)765-1802
54375 Main Road N ,r (630765- �2�
P.O.Box 1179 • Q roger.richert(down.sout5o .ny.us
Southold,NY 11971-0959 )) QI�Co
G. BUILDING DEPARTMENT
f, 00 TO�Vl�I OF SOUT�iOLD
a' APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: 11100- L C�/ Date: �, �� o f6
Company Name:
Name:
License No.:
Address: -AlqE4✓/L AU6, lry! // 0,2,
Phone No.: 7l0 3 n V I CQ
JOBSITE INFORMATION: ('Indicates required information)
*Name:
*Address: `�->� Z?9!� IzAi�2 k)e7"�4- Ca
*Cross Street: i,440, ,y--
*Phone No.: &3 t - 73 q-
Permit No.: 6ei' lq 0 9 3 ( OR 5 rte.
Tax Map District: 1000 Section: / f Block:��_ Lot: 7,
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Poo L 1-VCCK W-C--6- AJO(t- 14) dt&� Or-
(Please Circle All That Apply) rr�CCs
*Is Job ready for inspection: YES /(! J Rough In Final
*Do you need a Temp Certificate: YES /(
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
d '
�1
82-Request for Inspection Form
f �
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S-C.D.H.S. No. R10-00-78
CER TIE IED TO.
JAY P. QUARTARARO —� OG116o� \
KAREN A. QUARTARARO oo� ey o�
WELLS FARGO BANK, N.A., ITS SUCCESSORS AND/OR ASSIGNS v' J � L� PQeP �Pe��aoLO'
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