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gtlFFGL,/( Town of Southold 12/30/2016 3 P.O.Box 1179 C= co 53095 Main Rd ay�os �ap� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38754 Date: 12/30/2016 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1250 Yennecott Dr, Southold SCTM#: 473889 See/Block/Lot: 55.4-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/6/2015 pursuant to which Building Permit No. 39674 dated 4/13/2015 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 Papantoniou,Anthony&Papantoniou,Anton of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39674 09-03-2015 PLUMBERS CERTIFICATION DATED ut rized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 39674 Date: 4/13/2015 Permission is hereby granted to: Papantoniou, Anthony & Papantoniou, Antonia 149-56 20th Ave Whitestone, NY 11357 To: Construction of an in-ground swimming pool as applied for. At premises located at: 1250 Yennecott Dr, Southold SCTM # 473889 Sec/Block/Lot# 55.-4-26 Pursuant to application dated 4/6/2015 and approved by the Building Inspector. To expire on 10/12/2016. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 ELECTRIC $100.00 Total: $400.00 Build ng Inspe 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 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: IoM) A!f—we Goff />IIle- 6FZ4_MeW House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block ©y Lot o?6 Subdivision // Filed Map. Lot: Permit No. 3 c l�� Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ Applicant *pF SO!/l�®! Town Hall Annex O Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 A • �� roger.riche rt(ab-town.southoId.ny.us Southold,NY 11971-0959 COUNOV BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Anthony Papantoniou Address: 1250 Yennecott Drive City: Southold St: New York Zip: 11971 Building Permit#: 39674 Section: 55 Block: 4 Lot: 26 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AVA Electrical License No: 46594-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 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 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment: In Ground Swimming Pool To Include, Bonding, Pool Cover Motor, 1- Control Panel Low Voltage Pool Lights, 1-Pool Heat Pump Notes: Inspector Signature: --- Date: September 3, 2015 Electrical 81 Compliance Form.xls J _ _ __ _ so(/l�o �o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ZFINAL H PLEIG. [ ] FOUNDATION 2ND ATION [ ] FRAMING / STRAPPING [ ] ,FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 0 m� &*i-. Lwt-f 5 ,mak / S le roV DATE INSPECTOR OF SOUlyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION?001[ ] FRAMING /STRAPPING FINAL i 00 1 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: � C�611no 61V45 Vol-, DATE 1 YK INSPECTOR t c STATE HNEROY • r mamll I' t Ord — • r � • -"e �► ��fit, � _ - - .. _ a ME Wo- • :nim' = I_! , _ .,' r 0 rj 0, 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. (� Check Septic Form N.Y.S.D.E.C. P Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact: Approved ,20 Mail to: C� � V"k) Disapproved a/c 90 113D ?C ��j ,J�Cp✓�u w� )/�J� Phone: bS( --7)L/- 7 W O Expiration ,20 Bui ing nspec or PPLICATION FOR BUILDING PERMIT APR `� 20�� �� Date cltg , 2045— INSTRUCTIONS a. is appTi�atio,51TMLto e co pletely filled in by typewriter or in`ink and submitted to the Building Inspector with 4 sets of plans, acattrate:'"1btF"`lacale. ee 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 shal l 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. e of applicant or name,if a corporation) a 7 f, IV (Mailing address of a i ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises &4nIP pa-m-De 10 lA (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. -�/&Cfl /b- Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 12670 VCAVi(60o7r- House Number Street 114Vi-V-H et, ,r?iii? 4,:f'IM . Count Tax Ma N 1 0s� ��R3 air t 1 County p o. 000 Section b����c;;�;��„(;����;x{.;`;`� Lot Z(D -acv.�.�� FIM�M1', tC•'ly,T.'is"4P.e1.�tt���,i f�t1'l Yl.`� Subdivision Filed Map No. Lot 2. State existing use and occ ipancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy -5i nq 62 f� I i ko H3M e b. Intended use and occupancy 5id!•a 1 D I I i fg I - - 3. Nature of work(check which applicable):New Building Addition Alteration Repair Rem val Demolition Other Work 4©xyy ,Gaol Vins4 (Description) 4. Estimated Cost 5v ® . C)D 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. • I 7. Dimensions of existing ist uctures, if any: Front Rear 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 &0 ' 1 ' 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_X_ 13. Will lot be re-graded?YESX NO Will,excess fill be removed from premises?YES NO X 14.Names of Owner of premises-&y fao90tnJ6n�o .Address 1 ZSb yEn,lucco-M Phone No. Name of Architect Address Phone No• Name of Contractor•CASile" MQZ� Address 4(&:52-o Phone No. -+3q-`+(a0O' Sou�.o�d. • 15 a: Is this property within 110-0-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„X * IF YES, D.E.C.PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, ith accurate foundation plan and distances to property lines. 17. If elevation at any point o property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants end restrictions with respect to this property? YES NO� * IF YES, PROVIDE A CO Y. STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant Name of indiAt6al signing contract)above named, (S)He is the ��IZ- (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and iis 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 belie_f;.and that the work will be performed in the manner set forh in the application filed therewith. Sworn to before me th' ,'i _day of r I 20 6 CONNIE D.BUNCH Nota fV P ,Stets of Notary Public QuaRFINo.0f B n&jk85� Signatu p icnt a Commission E)Orm April 14, 'I 'r 5�6 > Scott A. Russell J� ST(0)][ZlA\SVA\X]EJK SUPERVISOR o I\M[A\N AG]EI\M[IENT z SOUTHOLD TOWN HALL-P.O.Box 1179 Q{ 53095 Main Road-SOUTHOLD,NEW YORK 11971 ,,y�o fid` Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) - - -- - - - - ------ - -- - --- - --- - --- --- -- DOES THIS 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. ❑ B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑EfC. Site preparation on slopes which 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. t ❑�E. Site preparation within the one-hundred-year floodplain as depicted ❑( ( on I~IRM Maprof-any wate eou ]F Installation of new or resurfaced impervious surfaces of 1,000 square feet- or more, unless prior approval of a-Stormwater Management- r 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 l� c, 7- DistrictDistrictNAME: r l 0 5��J �o L a Section Block./Lot J K- I.-OT --� / ? /_/� FOR T DLIG EP:;1 1�11� '� USE ONIL Y "x{ Contact Information ((/✓l- ✓�� �lGry�, \� Reviewed - - — — — — — — — — — — — — — — — — Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — t Approved for processing BU ing Permit. Stormwater Management Control Plan Not Required. S101YA a _ I(CJ21! ® Stormwater Management Control Plan is Required (Forward to Engineering Department for Review) FORM * SMCP-TOS MAY 2014 i of soUry®` � o ' Town Hall Annex Telephone(631)765-1802 64375 Main Road c� flax(631)765- 0 rgerrchen.Sgg �P.O.Box 1179 rtW .nV.us Southold,NY 11971.0959 BUaDING(DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: A V�1 ��/ec/xs� L., A7, 5�fvf. Name: LuaS / Gt` o��aGr License No.: I Address: j Phone No.: - - I- i JOBSITE INFORMATION: (*Indicates required information) *Name: A n A-hoc�Q *Address: t •E�I�ECo ® ► I *Cross Street: �" �h; I I 900J *Phone No.: i Permit No.: Tax-Map District: 1000 Section: CESS Block:_ Lot: 26 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) f (Please Circle All That Apply) *Is job ready for inspection: YES/g Rough In Final *Do-you need a Temp Certificate: YES! 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 Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form �� a t w 1 i J a 5 b x ? , Sr• 61 r ; "5 : ten( p�am#e',w.•rtw.r}x.az,.'q"�'t`( k 4 ¢ Jt t 2 G 'met a✓ a t t n . u t v , t ..............rt> � 7 s f x 128993 SE OF NFh, fit' Q I --•A �, E•p . L ILCO o Q• P•�O. 4926'' a��0 EASEMENT '�E:,: �• LAN 5'3 Q ! p•'100,910 Pipe Q a FNO. 4 W I oa `G O a I a�Q Fp_j -110 Y N,660 33 e\\ -• MOA. YON. 3 .' f ^� FNO •� O' � �M . ~gyp``, �..+ •'O•. ` .✓ACC " STOOP ' —45. ' 2.0 3 ayosa = cea- p R 2 STY FR.R4**. -70dL' 4 V F/F EL 18.65 0 ~ 4>:; O/F EL AM 4" • `[ •44. Sr LONG O 3'l ,O 4%4- 3 7 333 'PAD •rj 9TY O• e8-1is s �, k/STY • em WOW OECA' 44.9. WOW OfCN 970 r/l •�' Ads LP a r tIaFOft ss � 10 ��A2tt'il' 0 • t - M0N �No S.8B"57'30"W. 247.7 AND. N/F MOFFAT --5+ CERTIFIED TO: SOUTHOLD SAVINGS BANK PECONIC ABSTRACT CORPORATION T r , •, FIRST AMEIZICA*.TITLE INSURANCE ° COMPANY OF*FW YORK LO; 47 FOR: 7 ROBERT B ROSE BROWN ON MAP OF Ymvrco u PAR/ FILE N° 5187; FILED: OCT. 9,1968 ri—L+ n S/TUATED AT •7 �i land surveying co. opvUTHOLD 1719 north ocean avenue TOWN OF SOUTHOLD suite c SUFFOLK CO., N. Y. medford, new york 11763 (516) 758-5952 r•/NAL MRVEY-4-28-Bu Apr.24, 1987 Job NP 87-1714 UNDER CONST-9-3-87 1000-055-04-26 Scale: 1"- 503 F1VDL0C-6-2_)-87 NASSAU SUFFOLK BLUEPRINTING _ JDS XY)PSP The Association ®f Pool & Spa Professionals' Confers upon CJ Del Va lio the designation CBP Certified Building Professional. for meeting industry experience requirements, successfully passing a rigorous, objective examination, and pledging to uphold the APSP Code of Ethics. February 21, 2013 December 31, 2016 #1 Expiration Date - Director, APSP Career Institute H ALL CODES OF -1-E & TOWN (�oDES NOTE01 0 ST/1% j p ROWD AS NEW Y n AS REQUIRED- .!TIQNS OF DAT B.P. F BY —irloffIff"if 4N�UNSNARD NO F- BUILDING, DEPARTMENT AT 76 -1802 8 AM TO 4 I'MI FOR THE FOLLOWING INSPECTIONS: jrj�X�TRUSSTES E 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE' 2. ROUGH - FRAMING & PLUMBING 3. INSULATION ELECTRICAL 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR CO. INSPECTIUN', RELOW,RED ALL CONSTRUCTION SHALL MEET T14E REQUIREMENTS OF THE CODES OF NEW RESPONSIBLE FOR YORK STATE. NOT DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR I'JUMEDIATELY11 USE IS UNLAWFUL ENCLOSE POOL TO CODE UPON COMPLETION WITHOUT CERTIFICATE -,[3EFORE,' OF OCCUPANCY 3Fl�PiER 236 TOO THE TRUCTION APPLY *IRA ONLY CTTOSNORMAL GROUNDDCONDTIIONS. I UNUSUAL 3/8" x 1" BOLT WITH SOIL CONDITIONS ARE ENCOUNTERED (I.E. HIGH NUT & 2 WASHERS ORGANIC MATERIAL, HIGH WATER LEVEL) ADDITIONAL (TYP. 14 EA. CORNER) MEASURES MUST BE TAKEN TO PROVIDE SUBSURFACE CONDITIONS WITHIN THE STRUCTURAL CAPABILITIES pa�v OF THE PANEL. ANY ADDITIONAL PRECAUTIONS OR OFTHODS OF THE CONTACTORU(NOTE: DECKCTION ARE HSUPPORTSSARETM3/8" x 1" BOLT WITH OPTIONAL.) NUT & 2 WASHERS 6IG ADE INSERT POOL DECK (7 PER JOINT REQ'D.) S CORNER COPING - WALL STEEL 14 GA. TYPICAL CORNER DETAIL ° W/2oz. (G235)GALVANIZING (RECTANGULAR POOLS) > z MIN. 6" THICK CONCRETE COLLAR L% ° REQ'D. AT BASE OF WALL PANELS DRIVE RODS THROUGH o HOLES IN PANELS 3/8" x 2 1/2" BOLT W/NUT INTO UNDISTURBED EARTH. REINF. ROD 2" SAND OR VERM. CON . SUPPORT CURVED CORNER BRACE TIE SUPPORT MAY BE \ COPING BOLTED TO THE ANGLE POST IN ANY OF THE PRE- > EARTH PUNCHED HOLES. \ UNDISTRUBED TYPICAL WALL BRACE ASSEMBLY BACKFILL TO BE SAND, GAVEL L _ OR OTHER NON EXPANSIVE MATERIAL CORNER BRACKET TYP. LINER INSTALLATION DET. CONCRETE DECK REQ'D. 3/8" x 2" BENT BOLT W/NUT & 2 WASHERS (7 PER JOINT) TYPICAL CORNER DETAIL µ ' I RIM-LOK COPING -(GRECIAN POOLS) EXTRUDED ALUMINUM NOTES: #12-14 x 1" SELF DRILLING I I FASTENER (18" O.C.) SET WIDTH OF POOL AT RIGHT ANGLES TO SLOPE a^ I FINISHED ELEVATION OF DECK TO BE 1'00" ABOVE 2015 " VYNYL LINER SURROUNDING GRADE HUNG PROVIDE SWALE AROUND UP-HILL SIDE OF DRAIN. ( ) SURFACE WATER AWAY FROM POOL. - CONCRETE DECK SHOULD SLOPE MIN. 1/4" PER FOOT AWAY FROM POOL. i PLOT PLAN FURNISHED BY OWNER TO SHOW POOL -_ - POOL WALL PANEL LOCATION AND ENCLOSURE. RIM-LOK COPING DETAIL ELECTRICAL, PLUMBING AND FENCING TO CONFORM TO CARDINAL SYSTEMS ALL CODES. 250.RT. 61 S. (570) 385-4733 NOTES: OPTIONS EXTRA IF REQ'D. BY SITE CONDITIONS OR SCHUYLKILL HAVEN. PA. (570) 365-1318 FAX. r� WHEN SPECIFIED BY OWNER. DATE: 4 7 11 Tm-tONSTR. .DET. SHT. MEETS MINIMUM STANDARDS OF THE INTERNATIONAL RESIDENTIAL AT LEAST ONE MEANS OF EGRESS SHALL BE PROVIDED. s-0 NONE NUNG LINER STL. POO CODE 2006 AG103.1(ANSI/NSPI-5 2003) AND BOCA1996. OPTIONAL STAIRS OR LADDER I DPAwN SED Fl�E"""'�' CONSTDET