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HomeMy WebLinkAbout40961-Z sFFoc Town of Southold 6/19/2017 P.O.Box 1179 v 53095 Main Rd Southold,New York 11971 4� CERTIFICATE OF OCCUPANCY No: 39023 Date: 6/19/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1200 Mill Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 107.4-2.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/30/2016 pursuant to which Building Permit No. 40961 dated 9/2/2016 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 Schrader,Dennis&Smith,William of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40961 11-16-2016 PLUMBERS CERTIFICATION DATED tho ' d Signature �gtlFFat,��o TOWN OF SOUTHOLD BUILDING DEPARTMENT a 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#: 40961 Date: 9/2/2016 Permission is hereby granted to: Schrader, Dennis 1200 E Mill Rd Mattituck, NY 11952 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1200 Mill Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 107.-1-2.3 Pursuant to application dated 8/30/2016 and approved by the Building Inspector. To expire on 3/4/2018. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Buil ing 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. New Construction: `' Old or Pre-existing Building: (check one) Location of Property: ( �('� �(�� U JI 20� . CA CC4414 , Lb House No. Street Hamlet Owner or Owners of Property: uA CLr C'a1� Suffolk County Tax Map No 1000, Section C9VQ Block ti ot� Subdivision Filed Map. Lot: Permit No. 7 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: c/ Request for: Temporary Certificate Final Certificate: (check one() Fee Submitted: $ icant Si nature pF SO(/j��® Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® roger.riche rt( -town.southoId.ny.us Southold,NY 11971-0959 C®UNTI,� BUELDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Smith (Schrader) Address: 1200 Mill Road City: Mattituck St: New York Zip: 11952 Building Permit#: 40961 Section: 107 Block: 1 Lot. 2.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: East County Electric License No: 1005-E SITE DETAILS Office Use Only Residential X Indoor X 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 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include; Bonding, Pool Lights (Low Voltage), Gas Pool Heater, 2- GFCI Circuit Breakers. Notes: Inspector Signature: Date: November 16, 2016 0-Cert Electrical Compliance Form.xls OF SOplyo� H 0 OOUMV,a^c� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ SULATION FRAMING / STRAPPING FINAL foo( ] [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Lu K -6v J+ DATE )ll>tf INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) H ------------------------------------ 111 A C FOUNDATION (2ND) z `e o ®. ® SU C cn ROUGH FRAMING& y PLUMBING r INSULATION PER N.Y. H STATE ENERGY CODE 1 FINAL ADDITIONAL COMMENTS o L QD.w e * q IL91 R5o I I 7 r ri c0 0 i A O z b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health ,A&A SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802Planning Board approval FAX: (631) 765-9502 Survey Sou tholdTown.NorthFork.net PERMIT NO. Z Check ✓ Septic Form N.Y.S.D.E.C. r Trustees �✓ a�3' C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment FormqJ) Contact: Approved 20 Mail to: cit Disapproved a/c I o,®0 (5, M [)( 1Zvk A 644 4 vc<- Phone: t r o2 Q'R—357 Expiration ,204- 0 D i d' g ns ctor D° PPLICAT BUILDING PERMIT AUG 2 9 2016 Date , 20LL INSTRUCTIONS a. -Affo� i T be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pl �PPRcale. 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]sept 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 her ' described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regul ons,an admit authorized inspectors on premises and in building for necessary inspections. i ignature applicant or name,if a corpo n) Rd- Na JUellc .iJ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises W[ll t("(-kN_ C(M.A 4- t>e--J,1L/1"7 �t �f2ot�/2 (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. `ri( 1p Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which roppo�sed work will be done: .0 tx® i5cLS House Number Street Hamlet County Tax Map No. 1000 Section t ®6' 0 tRw:!!P_� of N aa-4,Ix s€:si:zsas�, SubdivisionQg4NC Filed Map No. Lot 2. State existing use and occupancy of premises a d intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancyy,A[• ��(fM1M[�^ FC O 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work ((AJ c c.Gs 191� (�De cr ption) 4. Estimated Cost 3 o 0 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 6- 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. AA 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stolres--irk 1 V 8. Dimensions of entire new construction: Front Rear 16 1 ! t Depth . Height Number of Stories 1 9. Size of lot: Front ( �C Rear l�o [ Depth o2 CO R- � O rl•�.�� '�1,u•;�.-jr,t'i�,z r 10. Date of Purchase Tn R- Name of Former Owner UQ- 0 l 11. Zone or use district in which premises are situated /29 o 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 W ; (1k av� ,,"It,L"i- 14. Names of Owner of premises bJ N u( _ Address NW-0 t� M( ) M Phone No. (M-c2 Name of Architect_l,-�&-c, QnA-,zj( tg&-be) Address ' v Phone No 6 3 ( -970!'-o'- Y(C Name of Contractor Address 14,LoA ,, vc Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO A/ * 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 t� * 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 Uj (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 thisn day of �V 20_L� Not Public Et19ic,S BRO a Si nature ofA licant —L y t+ipr2ry Public,Sta4e o1 New1lblk g pp No.01BR4908712 tl niMed in Suffolk Oosn2y f QoDm9nt On Eggms October 19,�.1e �6 Scott A. Russella` SUPERVISOR N � ��r i p I\M[A-NA\ G]Eh�IUE��C' SOUTHOLD TOWN HALL-P.O.Box 1179 �% v�a Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 y -� CHAPTER 236 - STORMWA.TER MANAGEMENT WORD SHEET ( TO BE COMPLETED BY THE APPLICANT ) - ---- --- - - -- -- - - ---- ---- -- -- - -- --- - - DOES IVIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No 1-1 WA_ Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface- F1 dB. urface- F1dB. Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. l�'1 C_ Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance- ; ❑Ef D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erasion hazard area. E E. Site preparation within the one-hundred-year floodplain as depicted _-en=FI Ma-p�of any,--w- --at-er-c--Qu-rsSe------- ❑�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 Applicantfsection 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. - S-C.T-M. 1000 Date APPLICANT: (Proper Owner, esign pCessiopal.Agent,Contractor,Other) District l .ler.," /� (a A j"3 3 t NAME �/ Section Block Lot w.Mo y F("R BUILDING DEPARTME`tT USE ONLY. Conwci In(orrtutiore Reviewed By: - - - - - - - - - - - - - - - - - — Date: ® (0 Property Address / Location of Construction Work: - - — — — — — — — — — — — IVApproved for processing Building Permit. 10-60 � # 1 5j I Stormwater Management Control Plan Not Required j( Stormwater Management Control Plan cs Required- u (Forward to Engineering Department for Review) FORM ' SMCP - TOS I\AAY 2014 Town Hall Annex l Telephone(631)765-1802 is 54375 Main Road ! P.O.Box 1179 G, Q rover richertCa O"sa io1d.nv.us E Southold,NY 11971-0959 BUILDING DEPARTN,lENT I TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ��� Date: p Company Name: -4 Name: License No.: Address: j Phone No.: _ l-. I JOBSITE (NFORMAT1ION: (Indicates required information) Name: *Address: /o�00 C�.a��;• M.t l I- �� M�-r i�-���L,1C _ i '`Cross Street: *Phone No.: (- _ 0 Permit No.: L40 Cho l- �- Tax-Map District: 1000 Section: Block: Lot: *BR7FDE8CRIPTION OF WORK(Please Print Clearly) OL (Please Circle All That Apply) Is job ready for inspection: YES/ NO Rough In fFina! *Do-you need a Temp Certificate: YES! NO !� Temp Information(If needed) i *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 Al 0\ 82=Request for Inspection Form \ � { i! \ I DATE: ' j 1 1 FEE: •DL ^Y: NOTIFY BUILDING T A? - �� jl 4c� l I] v.1'.,n q rj'-f.' t 765-1802 8 ASA t 0 4 Piv FOR THE FOLLOWING INSPECTIONS. r. I 1. FOUNDATION - 740 RE(, QED I rj I 1 I \ i7- FGR POURED CO`l;,R TE �1?'1„`!'t � I'��1 I I(G{ r JIi� !:t% `I! Vit/; y %', . OUCH - FRAMING & PLU`�Ew;NG �i; ;' '�.,•- F�z'�t- (��trC-hl \ I , �`�(� r.j., � 3 .1 .r ' , .. INSULATION t 4. FINAL - CONSTRUCT!ON fXJST -'1 BE COMPLETE c,,P C.O. 1I $ ALL CONSTRUCTION SHALL MEET THE I ' 1 C REQUIREMENTS OF THE CODES OF NEkN I �-- YORK STATE. NOT RESPONSIBLE FOR G i'jr-} DESIGN OR CONSTRUCTION ERRORS. r t ICOMPLY WITH ALL CODES OF C� - -- -- - - -------- --= l ------ ---- -' - __-- - __ NEW YORK STATE & TOWN COO ES ! - - AS REQUIRED AND CONDITIONS OF I ,, ril iViriY7 riV 1%r j i-Az' I '� ,7 __=- 985 OCCUPANCY OR - - -- USE IS UNLAWFUL CIL, WITHOUT CERTIFICATE oo OF nl` 1jPAN1 ELECTRICAL t INSPECTION REQUIRED RETAIN STORM WATER ttui ;r t PURSUANT TO CHAPTER 23 OF THE TOWN CODE. . t -- - ( - ” "RTI' BIZ I I� ENCLOSE;C<<vL TO CODE IepIC� UPON' CO";'PLETION ------ �- BEFORE 1 ATER„ S , Ir mP ���1 i1 -- i r I I I 'cc ¢ I �< Proposed In-groundro and '/ ' '' Swimming Poo EXI ►p 177 GrAQar I Schrader /. Smith Residence , - - - - - - 1200 East Mill Rd. Mattituck, New York 11952 Landcraft Environments ltd. 1160 Fast Mill Road,Mattituck,New York 11952 r _ Phone:631-298-3510 Fax: 631-298-3514 f IlC7I'I�1� landcraft2billl@aol.com O CKALF: DATE: PAGE: -Z / I ! As Noted 8/15/2016 1 '