Loading...
HomeMy WebLinkAbout40166-Z �o FFQ1i�CoGy Town of Southold 9/8/2016 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38504 Date: 9/8/2016 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 695 Pine Neck Rd, Southold SCTM#: 473889 Sec/Block/Lot: 70.-5-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/1/2015 pursuant to which Building Permit No. 40166 dated 10/13/2015 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 Osmer,Mark of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40166 04-13-2016 PLUMBERS CERTIFICATION DATED Auth6ezed Signa ure x.Ffo4� TOWN OF SOUTHOLD Q�SO � BUILDING DEPARTMENT c TOWN CLERK'S OFFICE 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#: 40166 Date: 10/13/2015 Permission is hereby granted to: Osmer, Mark 8413 Fazio Dr Wilmington, NC 28411 To: construct an in-ground swimming pool as applied for. At premises located at: 695 Pine Neck Rd, Southold SCTM # 473889 Sec/Block/Lot# 70.-5-32 Pursuant to application dated 10/1/2015 and approved by the Building Inspector. To expire on 4/13/2017. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00- Building 300.00-Building Inspector Form No.6 Tb WN 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 fo)lowing: A. For new building or new. use: 1. Final survey of property with aecurate-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©f Fire Underwriters. 4. 'Sworn statement from plumber certifying that the solder used in system contains less than 2110 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"Lind uses: 1. Accurate survey of property showing all property lines,streets,buildin_g and-unusual natural or topographic features. 2. A properly c-,pmpleted 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. Certificaie 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. Certifieate of Occupancy on Pre-existing Building- S100.00 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. e?01'5" New Construction: I& Old or Pre-existing Building: (check one) i Location of Property: House No. Stree�t/� Hamlet Owner or Owners of Property: MA11 4"/G Suffolk County Tax Map No 1000,Section 76 Block Lot L� Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: f �0L, Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for- Temporary Certificate Final Certificate: (check one) Fee Submitted: Z,d-, Applicant Signature pF SO(/P�®l Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • �Q roger.richert(aD-town.southold.ny.us Southold,NY 11971-0959 ®l�C®wn�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Osmer Address: 695 Pine Neck Road City: Southold St: New York Zip: 11971 Building Permit#: 40166 Section- 70 Block: 5 Lot: 32 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Hubbard Electric License No: 4709-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 X 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 A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 60A A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include Bonding, 1- Pump, 1- Pool Light, Salt Generator,2-GFCI Circuit Breakers. Notes: Inspector Signature: Date: April 13, 2016 Electrical 81 Compliance Form.xls r _ OF SO!/jy�lo 40(6� 00UMY,0c� TOWN, OF SOUTHOLD BUILDING DEPT.- 765-1802 INSPECTION [ ] FOUNDATION 1"ST- [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION ] CAULKING REMARKS: DATE ' �� INSPECTORS SOUry cOUNTY,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION , [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOL ION [ ] CAULKING REMARKS: 0 .00 C DATE ? "' i' INSPECTOR FSO UlyOlo H O o 0 TOWN OF SOUTHOLD BUILDING DEPT. -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ZNAL �) C [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: eq � DATE D8 0! G INSPECTOR ' GaoF 30 qo H O holy 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 - INSPECTION 65-1802 - 1NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL /-e C [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 100, DATE INSPECTOR ��� ( rn W 1 apt SOUTyo coo UOUNi`I,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 - INSPECTION 65-1802 - 1NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATIION [ ] FRAMING / STRAPPING [ FINAL (;"t [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: W �' �� DATE INSPECTOR �� l� � a 1. 1 oil r STAiTBENERoYCbDz ..c. .mai ..— .�Myir o �..�L�.. NOON •. O, ON r 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.NorthFo rk.net PERMIT NO. =-2/ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 12 "` Dill, Single&Separate 6 I ®CT m �o�� Storm-Water Assessment Form G Contact: Approved ,20 - BLDG D — Mail to: �lr {�YIIP_f Disapproved a/c Phone: —q Q I`I Expiration ,2021 Building Ins ector APPLICATION FOR BUILD J Date C;r l , 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. Q (Signature of applicant or name,if a corporation) G 7tv Al o x) /qJ /�r�fT',P r� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises /�� s 14e (As on the tax roll or latest deed) If applicant is a co poration, signatu a of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Z.��Q ��;% 1. Location of land on whic �rop�sed workwill be done: oeael House Number Street Hamlets County Tax Map No. 1000 Section Block ,-, Lot jp2% 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 Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Nu betr olf dwe%g 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 /V x -X=F 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 removed from premises?YES NO � 14.Names of Owner of premises/fiyie Q � ra 1 ` Address JU' �l�rvi,Phone No. 0110-777— foo Name of Architect Address s°`- `"` Phone No Name of Contractor" - OngEEyve Address g7yo 10.,. Phone No. 4-3/1'a �viTT a`T� a d •l0�3'�- i� 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) n SS: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 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 f day of 2015 >' TRACEY L. DWYER Notary Public ,STATE OF NEW YORK Signature of Applicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2j0.2_ Cil 46� v Town Hall Annex 60GO 1802 54375 Main Road g P.O.Box 1179 A.n .us Southold,NY 11971-0959 TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. � pDate: Company Name: Name* : License No.: .. VIAr—, Address: T ]Phone No.: _ (r &+_ ISW 01 _ O JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: - Permit No.: LIC; Tax Map District: 1000 Section: . 76 Block: S'" Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) } 1 (Please Circle All That Apply) *Is.job ready for inspection: YE I NO Rough In Final *Do you need a Temp Certificate: YES 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 1�D- -- _ Scott A. Russell ��0; U Ir ST0]Kl��l WA\THK SUPERVISOR N AMIAIN A\.G IEAM[]EN F SOLTTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 ,ola Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) i ---- DOES TMS PROJECT RWOLVE ANY OF THE FOLLOWING: Yes NO (CHECK ALL THAT APPLY) [:]UA. Clearing, grubbing, grading or stripping of land which affects more ❑E� than 5000 square feet of ground surface. B. Excavation or filling involving more than 200 cubic yards of material �,/ within any parcel or any contiguous area. BIC. 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. ❑ E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑ 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. APPLICANT: (Property Owner Design Profession ,Agent,Contractor,Other) S.C.T.M. #: 1000 Dates District NAME: ° �Gl� ii �![`< l �,s/! l 6 15 Section Block Lot ` (� **** FOR BUILDING DEPARTMENT USE ONLY **** Contact Information: / — 2,2L 5/0/J/ Rekpbone Number) L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Reviewed By: _ _ _ _ _ _Date_ JD- 1- — Property Address/Location of Constructio _ Work: _ _ -- 2r6 �, _ Approved for processing Building Permit. Stormwater Management Control Plan Not Required. t ( Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 .9T• 70�..i,✓o SovT,�sLv .Sa�.� - .��' • /3i�/o�- •' -5���.e �o. T,vsc �,gv o�y�v,Qj►yo.�/�vis�'/000� S.Ec. 70 ,�K S L.7`�2 } _. d I �c, �'�a� •e.,� fO 4 , ' �� O Q40 � oma,• Q Z N It �. Lori o aI Q ; 14 41 ' •, �. � ;,. ":', • _ ., a '•o e\ X6 .0 ��%�,� ,�,•P✓,;�sy �,�..�� �„ :.�. �, Stat , o tiew York . Licensed Land Surveyors WILLIAMR. SIMMONS, 3rd No. 4S1-s7 li9i✓0 '_'d�f� n/ ' t J,vx o'sma OCCUPANCY OR A UNLAWFUL �� USE IS � dao ��c� WITHOUT CERTIFICATE ���� �, OF OCCUPANCY :_ ' c� s,�z -. COP,�pLY11VITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED 1 J v A ��J III Y Y fl V�1�1 j�(, gnirrini_�snu Ay�b}I ,�-$BARD r �I Ini n rr mini-roi�TEES APS OVER AS NOTED I L 7 DATE: B. P.# C/ FE BY: ml/19 L kC NOIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE oZ�6 �Toiy� of FOLLOWING INSPECTIONS: L L 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING �a ,/r '/7' p� 3. INSULATION 4. FINAL - CONSTRUCTION MUST q� BE COMPLETE FOR C 0. ` l� ALL CONSTRUCTION SHALL MEET THE v REQUIREMENTS OF THE CODES OF NEW pGF- YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. iI r' fa 14 Ja J� lol" 5A�bt -30 °'IMMEDIATEt ENCLOSE POOL TO."CODE 'UPON COMPLETION BEF0R5 AAWAATER° P.O. � � �,�:,.-_-. • . .: ' S6•i1�E: � . BORDER PATTERN-o. • WALL PA' i1 • FLOOR PATTERN; OORNEP�S: DEPT . HUNG ` OVERLY 20 GAUGE 27 (drd@ 01) TtoT- 9 . m • P