HomeMy WebLinkAbout41673-Z ��b��t1FFt1d����� Town of Southold 6/9/2017
P.O.Box 1179
53095 Main Rd
P4 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39004 Date: 6/9/2017
THIS CERTIFIES that the building HOT TUB
Location of Property: 305 Leeward Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 79.-7-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/23/2017 pursuant to which Building Permit No. 41673 dated 5/26/2017
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:
"AS BUILT"ACCESSORY HOT TUB AS APPLIED FOR
The certificate is issued to Gibbs,Kim
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41673 06-06-2017
PLUMBERS CERTIFICATION DATED
0 Oho ' d Signature
gUfFU( TOWN OF SOUTHOLD
BUILDING DEPARTMENT
20 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#: 41673 Date: 5/26/2017
Permission is hereby granted to:
Gibbs, Kim
305 Leeward Dr
Southold, NY 11971
To: legalize an " as built" hot tub as applied for.
At premises located at:
305 Leeward Dr, Southold
SCTM # 473889
Sec/Block/Lot# 79.-7-27
Pursuant to application dated 5/23/2017 and approved by the Building Inspector.
To expire on 11/25/2018.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO - SWIMMING POOL $50.00
Total: $550.00
i
Building Inspector
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. S-2-3-I-)
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3 p 5 LPiP,vj6L tP� L-b
House No. �/ Street Hamlet
f�
Owner or Owners of Property: (/h G I bb S
Suffolk County Tax Map No 1000, Section -71 Block Lot 2 7
Subdivision Filed Map. Lot:
Permit No. l l Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Sigpiture
pF SO!/��®�
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 • �� roger.richert _town.Southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gibbs -
Address: 305 Leeward Drive City: Southold St: New York Zip: 11971
Building Permit#: 41673 Section: 79 Block- 7 Lot: 27
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: "AS BUILT" DBA: License No:
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 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
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: GFCI Protected Disconnect for Self Contained Hot Tub.
Notes: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS"
Inspector Signature: Date: June 6, 2017
i
0-Cert Electrical Compliance Form.xls
SOUTy�I
o
N O
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ FINAL h 7h
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
( ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: ,h d
,;Vi \/ jJA
0 _ i
DATE 3/ INSPECTOR
OF SOUIyo�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ]-ELECTRICAL (FINAL)
REMARKS:
C
DATE INSPECTORT2
112•
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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) 765-1502 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. _1 6 3 Check
Septic Form
N.Y.S.15.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
T-)— • - Contact:Storm-Water Assessment Form
� �
Approved ,20 Ca
Disapproved a/c a I_
Phone:
Expiration ,20
�i3ng In pect
2® P ICATION FOR BUILDING PERMIT
MAY 2 3 2017 Date 5 � z � , 20 �7
INSTRUCTIONS
a.This0 completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, t �Fee according to schedule.,:
b. Plo sowing 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. ' '' !• • , — 1' ' '
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 complefed 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 building's, additions,or alterations or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws,'ordinanees,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 or builder
Name of owner of premises - V))m G),6b s
(As on the fax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and tit le)ofRgQ.porate,0_f_ )
Builders License
Plumbers License No:
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
ods- `;ee Uice rd- Sn �lc1 W`
House Number Street Hamlet
County Tax Map No. 1000 Section '–[ Block –7 Lot
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 occupancyrAQA,1jVncj
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair ; Removal _Demolition Other Work–�tD�--�-��
(Description)
4. Estimated Cost 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
,6.1 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 Numberjof Stories
!
Dimensions of same structure with alt'eraiions or-additions: Front Rear
Depth Height Number-df Storfes
8. Dimensions of entire new construction: Front' Rear` a` Depth
Height Number ofStories
9. Size of lot: Front Rear Depth
F' 4< V •
N Date of Purchase Name of Former Owner a
1 . Zone or use district in which premises are situated
12. Does proposed construction violate any.zTnirig law, ordinance-or regulation?YES NOh. i
13. Will lot be re-graded.? YES—NQ , ,Will excess fill.be removed from premises?YES NO
14. Names of Owner of premises " Address Phone,No.
Name of Architect 1; , s AddressPhone'No-
Name of Contractor` "
" � '' ' Ad'd'ress, : � MPhorie No,':
lf a. Is this property within 100 feet of a tidal wetiarid'o`r a fresYiwaterwetland?'*YES NO'
IF YES, SOUTHOLD'.TOWN TRUSTEES'&`tD.E.C: RED.
PERMITS MAY BE REQUI
b. Is this prop �>erty within,300 feet of a_tidal we'taiid?*`YES " NO' !
IF YES, D.E.C. PERMITS MAY BE REQ�UI'RE
16. Provide survey, to scale, with;accurate folindaiion plan and distances to property lines.
17. If elevation at any point on property is at 110 feet or below, must provide topographical data on survey.
i;
18. Are there any covenants and restrictions i th respect to this property? * YES NO
IF YES, PROVIDE A COPY.
,
S--ATE OF NEW YORK)
SS:
COUNTY OF )
M ff te(414 M LLS being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above;nam'ed, CONN19 0.BUNCH
Notary Public,State of Now York
(S)He is the No.01BUS185MQualifia in Suffolk CUU31ty
.
(Contracto ,Ageiit, orporate Officer,etc.) Commission Expires April 14,
of said owner or owners, and is duly authorized toy perform or have performed the said work and to make and fileithis application;
th A all statements contained in this application are true,to the best of his knowledge and belief; and that the work,wil l be
p rformed in the manner set forth in the applicatidn filed therewith.
Sworn to be ore me this
r day of 20 _
Notary Public Signat e of A plicant!
i
SO�lyo! ;
Town Hall Annex p n�� 7
54375 Main Road TJ6K6 �%P.O.Box 1179 G ro er.ncherto�n .us i
Southold,IrIY 11971-0959
�+ • O _ I lr
MAY 2 ,;0 2017
i
W DING DEPARTMENT BUILDING DEFT.
TOWN OF SOUTHOLD TOWN OF SOUTHOLD i
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: g
. 'I-'lOVV12ouyQAz- Date: 5-23- 11 I
Company Name:
Name: 1 1 (� `610 S ,
License No.:
Address:
Phone No.: I
1
JOBSITE INFORMATION: (*,Indicates required information)
*Name: y-c M
*Address: j L_-C1eU_-CLr'6 L-�- Som W 1PU
*Cross Street: I u_C(D 65
*Phone No..
Permit No.:
Tax-Map District: 1000 Section:_ Block: Lot: -�-
J
j_ 1 I
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) (,'l5 Lc l r hD 4—
I
I
(Please Circle All That Apply)
Is job ready for inspection: YES/ 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 '
Additional Information: PAYMENT DUE WITH APPLICATION
D �
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82-Request for Inspection Form
TITLE NO, 52-48659 -FF;
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APPROVED S NOTED
05 V14 DAT E: B.P.
3
FEE: B'+''
I NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PNI FOR THE
COP,FPI_d, eV FF ALL CODES OF FOLLOWING INSPECTIONS:
NEW `; O;R 2+ TOWN CODES I. FOUPIDATION - TWO REQUIRED
AS RLQI-)IRE.D:;r�POLD
`' �' CTBA
S OF FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONS MUST
_ SOU i.iOLU T0i^IN f' idi�!NG BOARD BE COMPLETE FOR C.Q.
T Ll
I';:.��!I�TgIIS�'EES ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
a �_-�• r"• DEC YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
EL 'r �C L
jN PECTnoN EOLN 7-0
� CCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERT CATE
OF OCCUPAN
1 -
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
IMMMIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE"WATER"
Pontino, Susan
From: Mariah Mills <mariahmills@danielgale.com>
Sent: Tuesday, May 23, 2017 11:04 AM
To: Pontino, Susan
Subject: Gibbs hot tub
Hi Susan,
I took a picture of the brand name and included it here on this email along with some other photos. Looks like
it's one of the Paradise Series on their website. http://www.calderasl2as.com/shop
Kim has to close by July 1 or else she will lose her deal. Anything we can do to bump up her electrical
inspection would be so amazing. I appreciate all of your help on this.
Please confirm receipt of message.
Best,
Mariah
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Mariah J. Mills, CBR
Real Estate Salesperson
Silver Circle of Achievement
Daniel Gale Sotheby's International Realty
114 Main Street
Greenport, NY 11944
631.965.2557
631.477.0013
Visit My Website to Search Local Listings
What's Your Home Worth? Find Out HERE
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DIMENSIONS STYLE ENHANCEMENTS'
Seating Ca adty 7adults LCD Controls Ad
p vent6 LCD Coni'rol System; r~..�.
Dimensions 7'5"xT5"x36"/226cmx226cmx91cm Lighting SpaGloPLEDLiefitin tUitii121?a!nis-of-InteriorLight
Water Capacity 420 gallons Water feature - gl
p ty g (1l AcquarellalNaterfa!R,1tiiLEDI?ghting
Weight Dry:1,005!bs,/455ka Rlled'.5,735lbs./2•615kg Music-ready (4)Speakers(Optiottal)`r''`
Insulating Cover 3.5"to2♦5"tapered,2lb.-density foam core
PERFORMANCE FEATURES Cover Lifter Options ProLilN,ProLlft'RProLift"fil.orProLift'IV
Jets 40 Jets. Step Options EcoTech"or Polymer Step in Espresso,Coastal Gray Teak
24 Euro
6 VersaSsage"
4 AdaptaFio' COLORS
1 Euphoria" Cover ChestnuL Asti,Caramel
Pumps 2 ReliaFlo'Pumps Spa Shell White Pearl,Desert,Midnight Canyon,Tuscan Sun,Sterling Marble
1Dual-Speed 25HP(5.2BHP”) EcoTech'Cabinet Espresso.Coastal Gray.Teak
1 Single-Speed2 5HP(5 2 BHP*-)
Heater EnergyPro'Heater(4,000 Watts)
Electrical 230V/50 amp
Energy Efficiency Fu6y-insulated wth FberCor mmaterial.2 Ib,density
CEC-compliant
WATER CARE
Filtration 75 sq ft.filter
Water Care System Spa Frog'In-Iine-Bromine System(Cartridge-ready)
Ozone System Monarch'CD Ozone(Cotional)
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