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Home My WebLink About40520-Z E04tq Town of Southold 5/16/2017 P.O.Box 1179 t 53095 Main Rd Southold;New York 11971 CERTIFICATE OF OCCUPANCY No: 38949 Date: 5/16/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1050 Hyatt Rd, Southold SCTM#: 473889 Sec/Block/Lot: 50.4-13.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/4/2016 pursuant to which Building Permit No. 40520 dated 3/11/2016 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 Fried,Paul&Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40520 06-07-2016 PLUMBERS CERTIFICATION DATED oriz Signature Fat/( TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE y 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#: 40520 Date: 3/11/2016 Permission is hereby granted to: Fried, Paul & Elizabeth 17 Bailey Rd Millburn, NJ 07041 To: construct accessoryround swimming in-g g pool as applied for. At premises located at: 1050 Hyatt Rd, Southold SCTM # 473889 Sec/Block/Lot# 50.-1-13.1 Pursuant to application dated 3/4/2016 and approved by the Building Inspector. To expire on 9/10/2017. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Bui nspector 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 '4 Date. New Construction: Old or Pre-existing Building: "✓ (check one) Location of Property: 10.5o c� Ot House No. Street nn �� Hamlet Owner or Owners of Property: � � [AA �{ . ¢,,n t1 R-4e-\ Suffolk County Tax Map No 1000, Section Block 61 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: 'n d -pod 6ti�w Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary.Certificate Final Certificate: (check one) Fee Submitted: $ OD ppli ant ignature ®��pF SOl Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® roger.richertRtown.southold.ny.us Southold,NY 11971-0959 ®lac®U BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To O'Brien/Fried Address: 1050 Hyatt Road City: Southold St: New York Zip: 11971 Budding Permit#- 40520 Section- 50 Block- 1 Lot: 131 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: REP Electric License No- 46288-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 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 2 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect LEI Switches Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include; Bonding, Pool Lights, 1- Blower, Gas Pool Heater, 1-GFCI Circiut Breaker, 1-Control Panel Notes. Inspector Signature: Date: June 7, 2016 z Electrical 81 Compliance Form(2)As OF SOol UTyOIo �c c OUNiV, .TOWN OF SOUTHOLD BUILDING DEPT. 76S-1602 INSPECTION [ ] FOUNDATION 1ST [ ] 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' SOplyo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH-PLEIG. [ ] FOUNDATION 2ND [ ] SULATIIOW N [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: wir.� C ISS& Iry ol DATE y� �' INSPECTOR o �Y� f SOUly� �o �o coulm,� TOWN OF-SOUTHOLD BUILDING DEPT. 765-1802 -INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION ] FRAMING / STRAPPING [ FINAL 7;-( [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN L) REMARKS: fy0it-t- bAW(441 CD919 DATE �� ' INSPECTOR Y: Y � u . . .• . Y . r � s• I • 1C I � - _ Y A 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 G� ll�� Surve SoutholdTown.NorthFork.net PERMIT NO. �✓ 2v Check 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� Mail to:O NI-0 J Ptwt,HA& Disapproved a/c PD X 30, &ZyrJiG AOL( {YDS Phone:L11 73 -76(,)O Expiration V ,20L7- D [D9N"40%q[R j ) Bu mg In ctor 0MAR ® d 20S APPLICATION FOR BUILDING PERMIT BUILDING DEPT. Date—y}'f�,d_�jl , 20� TOWN OF SOUTHOLD 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, ulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature 7W-4 lic t or name,if a corporation) 4 (Mailing addre4fif applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises L-17 p ,G2 i C ftJ (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. Z10-9<O —l-1 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: /06-0 //VA T,Pow House Number Street r«>` • ; y"' Hamlet County Tax Map No. 1000 Section 6-0 Block{ D/ Lot /3. / Subdivision Filed Map No. Lot r Y 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 St4jMM/nf,.,- &0C_ (Description) 4. Estimated Costtij�j ig vG. ' 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. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories �. ��.� f,rte Y�w�� ,•-s ,r'•� Dimensions of same structure with alterations or additions: Front b� A .Rear d Depth Height Number of Stotibs °� f 8. Dimensions of entire new construction: Front Rear Dep'th� 9 ` Height Number of Stories 9. Size of lot: Front Rear Depth a-�'F 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_ a 13. Will lot be re-graded? YES )0 _NO Will excess fill be removed from premises? YES NO >a 14. Names of Owner of premises L z- D`4 i&n/ Address I05-b Ik PkT 20(� Phone No. 5F/7 3 2Y' d VL6 Name of Architect Address Phone No Name of Contractor t�&W91 Pont—Y—W 6r Address F6 &tic X65 Phone No. Pe,cm-i« N, 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO_>,::5> * 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 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 day of 20CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Notary Public alfted in S County �Signatur Ap icant Commieeion Expires April 14,2cj Scott A. Russell ,��0s111FQ'r 5TOIRIM[\�r�A\'7C']E]R� SUPERVISOR ' I��l[A\lam A\G►]EM]EN'7C' SOUTHOLD TOWN HALL-P.O.Box 1179 0 53095 Main Road-SOUTHOLD,NEWYORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORD SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE ]FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑0A. 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. ❑[P C. 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. ❑tp 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. APPLICAN 1 (Property Owner,Iksign Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date s� District ✓ NAME Ael t/BGG' D 0/ � Section Block Lot FOR BUILDING DEPARTMENT USE ONLY**** Contact Information g�� 1�p n.imno�num kd \ \Y,�", l Reviewed By: — — — — — — — — — — — — — — — — 1 Date: _ r7 Property Address/Location of Construction Work: — — — — — — — — — — — — — — — — — /D� � Approved for processing Building Control Permit. cwGG Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — Stormwater Management Control Plan is Required. (Forward to Engineering Department for Revicw,) FORM * SMCP-TOS MAY 2014 Y OF SOUTyo Town Hall Annex 11 ( J [ Telephone(631)765-1802 54375 Main Roadmax(631)765- 5 P.O.Box 1179 G _ Q roger.richert(a)town.sout�old.ny.us Southold,NY 11971-0959 Q y BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. , ( C, 2( C Date: Company Name: REPL L Name: License No.: Address: Phone No.: �03 JOBSITE INFORMATION#: (*Indicates required information) *Name: L -Z, *Address: 0, *Cross Street: ,D I *Phone No.: 6, Permit No.: 4 fl a D Tax-Map District: - 1000 Section:- 5-0 Block: ` Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) C e (Please Circle All That Apply) *Is job ready for inspection: YE NO 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 4dditional Information: PAYMENT DUE WITH APPLICATION e1. 9 �J-12- 1 � 82-Request for(nspecfion Form v 0`� D [�C[Eo'V[E Q MAR - 8 2016 BUMDnvG DEPT.. TOWN OF SOUTHOLD N ��?@$�� y ,x X �„ SURVEY OF PROPERTY AT HORTON'S POINT DY�,�fp TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000--50-01-131 SCALR 1'=30' S7j7�y sa,1y XLY 14 1011 Off" A, -M4.2011(CERMCA-MNSADOM) 0 � S se { AT?T � X14, NY l CERMUT)TO• PAU FRIED ELIZABETNO'BRIENFRMD OWNEN7 ABSTRACT.INC. COMMONWEALTH LAND TOLE MURAPCE COMPANY •f \� �SS�4 �EDFNe O mac• '-� AREA-53,323 80.FT. .Y.S LIC.NO 49818 ANr ALEERAOQY CR AMIXW MOOS SUR/Lr IS A NCIAMW EC S, P.C. or SECIMY 2w""NEW 1DFR SrA1e CWW4V LAW erc,pr AS Pa,SECWH 7.W-SV=WSkW a.ALL carnno<noNS (01)765-5020 FAX(511)765-1797 ■=MONUAlENT NIVCCW ARE VAND M naS MAP AND CCPZP V OWW CMY v P.O BOX 809 _ •�REBAR OSE MAP NL"SAP tqS H «&s"`"f JfC SVR1�'a` soi°1 NOLO N TRAVELER Y- 1119971 08-209 - road APPROVED AS NOTED ELECTRICAL DATE: �.P.# �So�D INSPECTION REQUIRED FEE: Z) D BY: _4w, NOTIFY BUILDING DEPARTM AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: - 1. FOUNDATION - TWO REQUIRED RETAIN STORM WATER RUNOFF FOR POURED CONCRETE PURSUANT TO CHAPTER 236 2. ROUGH - FRAMING & PLUMBING OF THE TOWN CODE.:: 3. INSULATION 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 � APIA TJE LY�� DESIGN OR CONSTRUCTION ERRORS. ENCLOSEvpTO CODE UPON COMPLETfbf4_ �BEPQRE' WATER COMPLY WITH ALL CODES--OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF �tlfi�®t6ZBA S18tB`T�If�1'RUUSTEES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PQOL AND PROMEIM 170 OCNFOM tU N.Y. STATE RESIDENTIAL SEC_TICN 6106 000E APPFNDx)C G Md'EDITION - Et47[RAmwr PRCTDC' cN RDQ(z1RFD` ! POOL TO OCNFORM 70 ANSI/NSPI SI7NDARDS A6103.1 SECTICN 6107 i POOL ALARM REQUIRED -- -36`J QA ids 10` l�rpQr� • V1t.1yt_•L�t�� ' � � • _ 'TYPl _ 3 •��.•-final t_ F��-r�e Pvr�ni� Nisi T��-ami �°°G�\c�e `�'� I _ {_ Tit,. - - - -o:.�•.L, . iT AVt 'Dt�PTt-3 CSF Pct-yt� f'pk:. 'LSE-CtC L�-�rs�- � blVtt.sG �.OA�►1 .-.� V�D1S'1Z3�F3t�� a,2T1-� .Circ .�ttu Amo tK AT 8t,�••T to �,F. R �n�-Z rr ,4�, ,t,,.e.�,��1.%Si• .ten^,hi%�,:• 1 , i