HomeMy WebLinkAbout41347-Z FGJAI . Town of Southold 6/23/2017
0 �� P.O.Box 1179
0
53095 Main Rd
o4,i �a� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39028 Date: 6/23/2017
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1360 S Harbor Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 75.-7-1.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/1/2017 pursuant to which Building Permit No. 41347 dated 2/3/2017
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:
ACCESSORY IN-GROUND SWIMMING POOL,FENCED TO CODE AS APPLIED FOR
The certificate is issued to Guthrie,Bronwyn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41347 05-31.-2017
PLUMBERS CERTIFICATION DATED
11�dk \�-���
00
ho d Signature
guFFn��c 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#: 41347 Date: 2/3/2017
Permission is hereby granted to:
Guthrie, Bronwyn
PO BOX 1114
Southold, NY 11971
To: construct accessory in-ground swimming pool, fenced to code, as applied for.
At premises located at:
1360 S Harbor Rd., Southold
SCTM # 473889
Sec/Block/Lot# 75.-7-1.2
Pursuant to application dated 2/1/2017 and approved by the Building Inspector.
To expire on 8/5/2018.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
11u,Cg 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$15.00
/ Date.
New Construction: Old or Pre-existing Building: (check one)
Location of PropeCo c-) 5 C\
House No. \ Street / Hamlet
Owner or Owners of Property: �� ,`���'lcyr�2. �' S'�gQyJ�.1 t� CTy �Sc
�LSuffolk County Tax Map No 1000,Section .S Block Lot ) • 2-
Subdivision Filed Map. Lot:
Permit No. ( Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ 15 L)
jpplicant Signature
OF SO!/��®l
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 • �Q roger.richert(,5-town.southoId.ny.us
Southold,NY 11971-0959 Q
On ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Guthrie
Address: 1360 South Harbor Road City: Southold St: New York Zip: 11971
Building Permit#: 41347 Section: 75 Block, 7 Lot: 1.2
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 X 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 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks 1
Disconnect 11 Switches Twist Lock El Exit Fixtures TVSS
Other Equipment. In-ground Swimming Pool to Include; Bonding, 2- Pool Lights, Chlorinator,
1- GFCI Circuit Breaker.
Notes:
Inspector Signature: Date: May 31, 2017
0-Cert Electrical Compliance Form.xls
BOE SOUI
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] KU O
[ ] FRAMING / STRAPPING [ 'FINAL Wr
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
• r • • a
IN5,1ZATION
r�
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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 ets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 (Vrvey
So utholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Application
Flood Permit
Examined ,20 � -Single&Separate
D t -Water Assessment Form
-
Approved
E 6 1 2017 Contact:
Approved ,5 ,20� Mail to:t�5t&-2VD Pool-
Disapproved
OVL /Pai✓tr
Disapproved a/c BUILDING DEPT. P-eCoO< ` mi llfi?'
TOWN OF SOUTHOLD Phone: 0/-73 y 7/00
Expiration .120
Buil n ector
APPLICATION FOR BUILDING PERMIT
Date p2 , 20�_
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, buildingcode,hous' e and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
r
(Sign r of-•applicant or name, if a corporation)
I(gy
(Mailing address o plicant)
i
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
0 DV CDN'f eP�7Z��
Name of owner of premises A,fi�i7,�SCc Bron iVA Qu&
((As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of rorporate officer)
Builders License No. 7p
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
Ar o .�iTL "y /V," &W c tW
House Number Street Hamlet
County Tax Map No. 1000 Section 75� Block"'"' ,V;7' r`' 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 occupancy ?-Pldel'ee
b. Intended use and occupancy d "-
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work A0 xP !/ I- Gi>✓lc Si✓i� �
0 . (Description) NO
4. Estimated Cost �-Otil2
'3 - 1` ` ' �- a ik�(IT be paid on filing this application)
5. If dwelling, number of dwelling units Number of e114,"ddr its on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, spec+fy natg„remapda.e tent of each type of use.
7. Dimensions of existing structures, if any: Front``` 'n`" ```'�` ''`` `RearDepth
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
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
13. Will lot be re-graded? YES NO �O Will excess fill be removed from premises? YES?NO
mu+,1dz&4Y.-4
14. Names of Owner of premises Otmvlyn 6�u4ki c Address 13Go S•WtL� r b{ 5oyl /Phone No. f17- iW7-3�?O
Name of Architect Address Phone No
Name of Contractor (Va f o Address Pv dox 30 Ak-1 i,f Phone No. b;/-I37/ r64y
est 61d W�( 9;1-j
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO I
* 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_e_
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFaU d
Telt —bx I being duly sworn, deposes and says that(s)he is the applicant
(Name of individual ' ' ing contract) above named,
(S)He is the
(Contracto 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 2017
LA4 'fRACEYL. DWYER ,
Not y Public f , TATE OF NEWYORK
NO.01 DW6306900 t ' Signature of Applicant
QUALIFIED IN SUFFOLK COUNTYv
ggMMkgSIQN EXPIRES JUNE 30,ib,&
f
Scott A. Russell �� �� STO]E AWWA\r7 1E]E,
SUPERVISOR 0I�u][A\1NA�G�]EAKIENT
w
SOUTHOLDTOWN HALL-P.O.Box 1179 o Town of Southold
Main Road-SOUTHOLD,NEW YORK 11971 'L
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
__ —_ __—----—IDt®]E�--�'g3[Il�-�]Eg�7lE>✓'1�—IlI ®� —A_NY__0 THlE—lF 0LL0W1NG--_-- — --- = --- ---
Yes No (CHECK ALL THAT APPLY)
❑[A' 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.
E],Ej C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area. t
1:0-E'. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
I
E1,0 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
Dutnct hpn
NAME. r -� wk!. 0-1 . 4I �I
(P Section Block Lot
"' FOR FOR Bt_11LDING DEPARTMENT t.Sl:
Contact Information
rd.Ni
Reviewed B.
—T Date-
Property Address / Location of Constructlon Work: — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
Stormwater Management Control Plan Not Required
— — — — — — — — — — — — — — — — —
❑ Stormwater Manage;�e it Ccntrcl Paan i�Rcquired-
(Forward to Engineering Department for Review.)
FORM ' SMCP-TOS MAY 2014
i
i
Of SO�I�o`
Town Hall Annex Telephone(631)765-1802
54375 Main Road N max(631)765-9502
P.O.Box 1179 G� Q roger.richert�CUtown.southollid].ny.us
Southold,NY 11971-0959 ��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD a
- I
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
C l C Date: C 17
Company Name: G
Name:
License No.: � -
Address: l "V
Phone No.: 3 G
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: ) A O
*Cross Street: /1144 ,
*Phone No.:
Permit No.: ( '1`1
Tax-Map District: 1000 - Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Prin Clearly)
1
(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
o "0.
82-Request for Inspection FormP�
V) �� I
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TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
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SCALE 1"=30'
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APPROVED AS TOTED
DATE: B P COMPLY WITH ALL CODES OF
FEE: �• �v BY: NEW YORK STATE & TOWN CODES
NOTIFY BUILDING DEPARTMMT AT AS REQUIRED AND CONDITIONS OF
765-1802 8 AM TO 4 PM FOR THE `SB�f
FOLLOWING INSPECTIONS:
VL
1. FOUNDATION - TWO REQUIRED ARD
FOR POURED CONCRETE V1R0UMWVft8
2. ROUGH - FRAMING & PLUMBING
3. INSULATION N.Y.S.
-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 OCCUPANCY OR
DESIGN OR CONSTRUCTION ERRORS.
USE IS UNLAWFUL
RETAIN STORM WATER RUNOFF WITHOUT CERTIFICATE
PURSUANT TO CHAPTER 235 OF OCCUPANCY
OF THE TOWN CODE.
>- ELECTRICAL
E�1(-LOSE POOLTO CODE INSPECTION REQUIRED
UPON Op�LPLETiON
BEFORE"WATER",
C
' r Mll
Name: CONSTRUCTION DETAIL SHEET - HUNG LINER STEEL POOL00
�
adivlalonof Number- CONSTDET-STEEL
Cardinal Syetoma,Inc.
250 Route 61 South, Schuylkill Maven, PA 17972 • 570-355-4733 • fax; 570-335-1313 • CustomerService@CardinalSystemsinc.com
CORNER BRACKET
G'111�4 3/8" x 1" BOLT WITH THE CONSTRUCTION METHODS ILLUSTRATED APPLY
lye NUT & 2 WASHERSONLY TO NORMAL GROUND CONDITIONS. IF UNUSUAL
a� V� (TYP. 14 EA. CORNER) f - - --- SOIL CONDITIONS ARE ENCOUNTERED (I E. HIGH
ORGANIC MATERIAL, HIGH WATER LEVEL) ADDITIONAL
` MEASURES MUST BE TAKEN TO PROVIDE SUBSURFACE
CONDITIONS WITHIN THE STRUCTURAL CAPABILITIES
OF THE y1 � I
METHODS POFECONSTRL ANYAUDCTIIONNAREDTIOALPTHEARESPONSIBILITY
3/8" x 1" BOLT WITH II BIG VEE OF THE CONTRACTOR. (NOTE. DECK SUPPORTS ARE
t NUT & 2 WASHERS I 6" RAD. INSERT OPTIONAL.)
(9 PER JOINT REQ'D.) I
RADIUS CORNER POOL DECK INSTALLATION
COPING VARIES BY DECK TYPE
I E. CONCRETE DECK,PAVERS
WALL - STEEL 14 GA TYPICAL CORNER DETAIL
W/2oz. (G235)GALVANIZING (RECTANGULAR POOLS)
00 W "
3/8" x 2 1/2" BOLT W/NUT \> `
1- O
i Z "
W \ ) MIN. 6" THICK CONCRETE COLLAR °
CORNER REQ'D. AT BASE OF WALL PANELS
REINF. ROD COPING fj
SUPPORT DRIVE RODS THROUGH
BRACE TIE ` ♦ HOLES IN PANELS a
SUPPORT MAY BE ♦ INTO UNDISTURBED EARTH.
POST BOLTED TO THE ANGLE ` (CURVED- - 2" SAND OR VERM. CONC.
IN ANY OF THE PRE- `
PUNCHED HOLES. `�
TYPICAL WALL BRACE ASSEMBLY - -
CORNER BRACKET 3/8" x 2" BENT BOLT UNDISTRUBED
W/NUT & 2 WASHERS EARTH
Q PER JOINT)'
TYPICAL CORNER DETAIL BACKFILL TO N SAND, GRAVEL
OR OTHER NON-EXPANSIVE MATERIAL
CONCRETE DECK REQ'D. (GRECIAN POOLS)
WITH THIS TYPE OF INSTALLATION TYP. LINER INSTALLATION DET.
RIM-LOK COPING PLANNING NOTES:
#12-14 x 1" SELF DRILLING EXTRUDED ALUMINUM SET WIDTH OF POOL AT RIGHT ANGLES TO SLOPE
FASTENER (18" O.C.) FINISHED ELEVATION OF DECK TO BE 1'00" ABOVE
SURROUNDING GRADE
PROVIDE SWALE AROUND UPHILL SIDE OF DRAIN.
VINYL LINER SURFACE WATER AWAY FROM POOL.
(HUNG) CONCRETE DECK SHOULD SLOPE MIN 1/4" PER FOOT
AWAY FROM POOL Date: 3111/13
PLOT PLAN FURNISHED BY OWNER TO SHOW POOL
LOCATION AND ENCLOSURE.
POOL WALL PANEL ELECTRICAL, PLUMBING AND FENCING TO CONFORM TO Drawn By: SHAWN
ALL CODES.
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