HomeMy WebLinkAbout40686-Z EF041r Town of Southold 10/18/2016
P.O.Box 1179
53095 Main Rd
�4 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38601 Date: 10/18/2016
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 80 Garden Ct., Southold
SCTM#: 473889 Sec/Block/Lot: 63.-7-17.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/3/2016 pursuant to which Building Permit No. 40686 dated 5/10/2016
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 IN-GROUND SWIMMING POOL,FENCED TO CODE,AS APPLIED FOR
The certificate is issued to Sepe,Nancy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40686 07-26-2016
PLUMBERS CERTIFICATION DATED
- -Oo ' d Signature
p��F of loco TOWN OF SOUTHOLD
BUILDING DEPARTMENT
z 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#: 40686 Date: 5/10/2016
Permission is hereby granted to:
Gallo, Alfred
215 Raff Ave
Mineola, NY 11501
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
80 Garden Ct., Southold
SCTM # 473889
Sec/Block/Lot# 63.-7-17.5
Pursuant to application dated 5/3/2016 and approved by the Building Inspector.
To expire on 11/9/2017.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
i di�ng�Iecicr
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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: �f{Z°( U` &JA-Aa,,0
House No. Street Hamlet
Owner or Owners of Property: "Ale
Suffolk County Tax Map No 1000, Section �3 Block �7 Lot 17.
Subdivision Filed Map. Lot:
Permit No Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: °� (check one)
�d—
Fee Submitted: $ 0
Applic ignatUF61
so
Town Hall Annex Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179
roper.richert(,@-town.southold.ny.us
Southold,NY 11971-0959
COO,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Sepe(Gallo)
Address: 80 Garden Court City: Southold St: New York Zip: 11971
Building Permit#: 40686 Section: 63 Block: 7 Lot 17.5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: U.S.I. Electric License No: 2740-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 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 2
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks 1
Disconnect Switches r 2 Twist Lock Exit Fixtures TVSS
Other Equipment. Inground Swimming Pool to Include; Bonding, 1- Pool Light, Control Panel,
3-GFCI Circuit Breakers,Cover Motor,Salt Generator,Heat Pump
Notes:
Inspector Signature: Date: July 26, 2016
z Electrical 81 Compliance Form xls
so
ia_
Ile eoum,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION IST ] ROUGH PLUMBING
FOUNDATION 2ND INSULATION
FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION CAULKING
REMARKS:
DATE - INSPECTOR
pF SOU
qouO
N Comm
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ j-`FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
�r
DATE INSPECTOR 91 '
7
oF So�lyo�
o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I L ION
[ ] FRAMING / STRAPPING [ FINAL A
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRI AL (FINAL)
1
REMARKS:' cb � (0 k I
�- JAZ& C2 Z 9LAqy--JR
DATEO / INSPECTOR
• c t "
t •
i
'C
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 3 sets of Building Plans
TEL: 765-1802 lIl � Survey
PERMIT NO: l!! Check
Septic Form
• N.Y.S.D.E.C.
�j Trustees
Examined ,20� �C Contact:
Approved 326 D Mail to: j/
Disapproved a/c t MAY 3 201t
Phone:
WELDING DEP t
TOWN OF SOUT80
Building Inspecto
APPLICATION FOR BUILDING PERMIT
Date �`" , 201(j
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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 Perm_ it 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 a Certificate of Occupancy
is issued by the Building Inspector.
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 daLde;g2lations,
' ' in described.The
applicant agrees to comply with all applicable laws,ordinances,building code,housing`coand to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or e,if a corporation)
l I /T /1� pw�, ` Aq
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder, .
Name of owner of premises
(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.—
Plumbers License No.
Electricians License No. NCS
Other Trade's License No.
1. Location of land'on which proposed work will be done:
House Number Street Hamlet A 13 U;-11 I'v
County Tax Ma No. 1000 Section 3 Block 1 r';" 'I`7 `�
Subdivision p � Sa;r=f,,�.,s
Filed Map No. -r ; .:,L ;,._�a:�.-; r
< of,
(Name)
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. 5yv 111ffl1A1 ACq
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work—I n�0 j o V nye 6►mm I
1 � J"� (Description)
4. Estimated Cost � ����� If y ��sIFge
(to beipaid on filing this application)
5. If dwelling, number of dwelling units K_Numbpr of,dwelling
If garage, number of cars �'' � °`k°� urutson each floor
6. If business, commercial or mixed occupancy, specifymatilre ai d,',Fiterit�of each type of use.
7. Dimensions of existing structures, if any: Front 6'S Rear P�, Depth
Height Number of Stories I
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear 3o Depth 3`IZ��3
Height Number of Stories
9. Size of lot: Front IZS 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: (Vo
13. Will lot be re-graded A)t_ (' Will excess fill be removed from premise : YES NO
�
Gfe c{
14. Names of Owner of premises ICU ,Address YnaPhone No. 02-30J_ 6W
Name of Arc�t r4l�3 D Qe,jl & Address 62w J-J (§wrYkk jPhone No 63)-72Y—Vd-e
Name of Contractor ►. cos .oz Address L?A C1-.Z Phone No. 631 -71V-7 J 0-
Ifill-ec-e�.4ca
15. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE RpftRED
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.
STATE OF NEW YORK)
SS:
COUNTY OFJ(�'L)
50kgfi my sworn, deposes and says that(s)he is the applicant
(Name of individual signing &A-tact;Z5,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
day of 20 _
Notary Public ignature of Ap ' ant
4 MARGARE f A. KIDNEY
Notary Public-State of New York
No. 0l K16021111
Qualified in Suffolk County
My Commission Expires March 8,204
Scott A. Russell
ioy513R° �� ST�O�][�.I��1 WA\' 1E1K
SUPERVISOR MANA(Gr]EMTENT
SOUTHOLD TOWN HALL-P.O.Box 1179 ZeO
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORD SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOLES TIES PROJECT INVOLVE ANY OF THE FOLLOWING
Yes No (CHECK ALL THAT APPLY)
[] A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
0[2�'13. Excavation or filling involving more than 200 cubic yards of material
®[Z( within any parcel or any contiguous area.
C. Site preparation on slopes which exceed 10 feet vertical rise to
100 f eet of horizontal distance.
®E(D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
®[3E. Site preparation within the one-hundred-year floodplain as depicted
y p p ted
on FIRM Map of any watercourse.
®ff 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 Professional,Agent,Contractor,Other)
S.C.T.M. #: 1000 Date.
Dstnct
NAM& - rhe '7 ITS' 5-r31(a
�rntl Section Block Lot
100, ****FOR BUILDING DEPARTMENT USE ONLY****
Contact Information
Telephone Number)
Reviewed By:
Property Address/Location of Construction Work: Date: 5-3- 6—
Sun � �. - Approved for processing Building Permit.
J ` Stormwater Management Control Plan Not Required.
I1 4�/ Stormwater Management Control Plan is Required
® (Forward to Engineering Department for Review.)
FORM * SMCP-TOS MAY 2014
OF s�iryD.a
l
5975 Main Road � TeIePbone(681)76$1802
�q Q�
P.O.Dnp 1179 it 8r .hart W{1�1�U 1tn IC1 11u u8
So,rthoid.NY 11971.11949
BUBDING DEPARTMENT \
TOWN OF SOUMOLD I
PLiC� ION FO ®
. _ R i ECT tIC/LI SPECTION
REQUESTED BY: (Dr i A�1 Date: -'1 b Li �.
Company Mame: IF, �
—,
Name: E E w)qR 0
L'+canse No..
ddress:
Phone No. � �
JOBSITE INFORMATION: (*Indicates required infi,rrmaxion)
*Name: d° V f-;e?e
""Address: D to . oa1✓�-7
*Cross Street: j �✓ '
*Phone No.: to7 (p 3 r v 1 ja Q
Permit No.:
Tax-Map District: 1000 Section.
Lot:
*BRII_F DESCRIPTION OF,WOI RK(Please Print Clearly) 61 r n
aJeomee Ozw-phv-1, el)Aq��, oxl-o (e)vel
Measo'Circle All That Apply)
Is job ready for inspection. YES t O Rough in Final
*Do,you need a Temp Certificate: YES! NO
Temp Inkttnedon(it needed)
*Service Size: 1 Phase 3 2hase 100 150 2011 300 350 400 �Xher
SIN Sen**: Re-wnnecst i)nderground Number of Mayers Change of Serv'ice' Overhead
Additional Information: PAYIiAENTbllEi:WITH APPLICA'#•!O�!
bis cee,� n -
82=Reo t for Inspecdon Form
ed'4
11-00P
go—,iM
/A
"M rt "e4s",
Rs ell,
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-----------
SuffolkCounty Executive's Office ®f Consumer-'Aifilealrs
VETERANS MEMORIAL HIGHWAY HAUPPAUGE,
NEW YORK 11788
DATE ISSUED: 5/1/80 No. 2740-ME
SUFFOLK COUNTY
Master _electrician License
EDWARD S REIFF
This is to certify that
doing business as UNDERGROUND SPECIALTIES INCfi `
'
having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in
accordance with andd-subject to the provisions of applicable laws, rules and regulations of
the County of Suffolk, State of New York.
SUFFOLK COUNTY MPT OF LABOR,
Additional Businesses
LICENSING&CONSUMER AFFAIRS
rL" MASTV
ELECTRICIAN
1%
NAM
EDWARD S REIFF
ce4fles that t'le
4,511
GENREADY, No.CIBA
rt = bearer Is duly
licensed by the
County of Suffolk
2740-ME
*A'P
.15,
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�o-
APP OVED AS TOTED
DATE: 5 �.P.it OCCUPANCY OR
FEE:. BY: USE IS UNLAWFUL
NOTIFY BUILDING DEPARTSiF AT WITHOUT CERTIFICATE
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: OE-OCCUPANCY
9. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING ELECTRICAL
3. INSULATION INSPECTION REQUIRED
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 RETAIN STORM WATER RUNOFF
DESIGN OR CONSTRUCTION ERRORS. PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF °,aIMME��A�'ELY"
ENCLOSE„POOL TO CODE'
6EBi�WfA` UPON COMPLETION
',BEFORE"WATER"
D +
'79
OUTHOLD TOWN TA S-
A
Sklmmom Rotuma
C D- /
B F Aluminum "
I>
E B
To FNEer Fmm
(��_�,y(�mor& Pump
To Wost. — `To Rotuma
(ft Wall 00-0
Rolled Wall F
Plan A Piping Arrangement
Wan Saatbn
VIIV G /4 Rebar
42" o f N�W Y
Section B—B 2.s MI. rwl. ro4xs �® w
Section A—A Typical Wall Section �4�ROFEs�`°
SIZE A B C D E F G H AREA CAP.
FEET FT. FT. FT. FT. FT. FP. FT. FT. SQ.FT. GAL. P. .a �hNe
16X32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000 �� �� &A 'D110 GAZwn f e�
16'X36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600 POOL&SPA CeMB
PERMACRETE WALL SYSTEM &J n�0
18'X36' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,300 929 Route 25A Miller Place NY 11764 Cftstate
'1 /
20'X40' 20' 40' 16' 14' 6' 4' 6' 8' 800 30,000 (631) 744-7165 FAX (631) 744-0174VZ� 3 - �J7 ' 10,71
24'X44' 24' 44' 18' 14' 8' 4' 6' 10' 798 30,000 Suffolk License #4436-HI
24'X48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30,000 Nassau License #HI7445OOOO
TOWN OF SOUTH®L® PROPERTY RJECOR® CAR®
OWNER STREET VILLAGE DIST. SUB. LOT
9
oar fc,
F M/ER OWNER' f N E ACR.
S W TYPE OF BUILDING
RES. SEAS. VL-' FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
l<
(Q !J""(J V Ira� �� /�rl'/���/d DO DI` dSfi2%IvB L .,:d � � d�--<3-''�CL� a ✓i-:.attn...� PTs€.,:s.L.s'PG?ta�'%I..g..r.`Zr
67 U ,7A-. %4 t41/
61w �l/�Jc�S' Sag 7e-/? ��G�ri t✓� /.
i
/�✓CJ / �� �W(J �y G t1 &x,- rf
1 ) (-)0 47 e,-7 68 Z[2-�I)b
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
r
House Plot BULKHEAD
Total
COLORS %; TRIM
i •
Vr
5,.;.:M^yr,;•:..:.^..+.�:.iriw'.:;..�-. -t-.�:_'::;b:.`.,•. •-.•-w'_.4,+�e - ,,mow':`• -
-
' •r-:{.��;t^;-.r.' - _ rte•-_ �-�`'��„+.n .w�F�-"�a.y":.".- �' + �
' • -." '�'"�� i i 3 ti's
—
.-Extension
Extension �' � �� ' � `�'Q �� — — ---
D- 5 — 2S 2 3 50
Extension 2 X f' /Z
�Ic. 1 16 -y am -.` . - /� _Foundation �? Both �iDinette
l -wc 1 a 12-5— Sv Basement llf4 Floors Da K.
Porch' y f �'�, �p � / Ext, Walls W, I(: / Interior Finish S. , LR.
Breezeway Fire Place Heat /y P3 dna DR.
Garage �, ,� 4/ OKI Type Roof Rooms 1st Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
—9-$--� G Dormer Driveway
Total
Let