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Home My WebLink About41314-Z ��g11FF0(�Cp�� Town of Southold 8/14/2017 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39122 Date: 8/14/2017 THIS CERTIFIES that the building HOT TUB Location of Property: 12990 Soundview Ave., Southold SCTM#: 473889 Sec/Block/Lot: 54.-3-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/17/2017 pursuant to which Building Permit No. 41314 dated 1/24/2017 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 HOT TUB AS APPLIED FOR The certificate is issued to Barnard,Jamie&Adrianne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41314 02-21-2017 PLUMBERS CERTIFICATION DATED uth ed Signature TOWN OF SOUTHOLD -' � BUILDING DEPARTMENT ` TOWN CLERK'S OFFICE o• - off, • i SOUTHOLD, NY 0 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#: 41314 Date: 1/24/2017 Permission is hereby granted to: Skeggs, Frances 12990 Soundview Ave Southold, NY 11971 To: install accessory hot tub as applied for. At premises located at: 12990 Soundview Ave., Southold SCTM # 473889 Sec/Block/Lot# 54.-3-10 Pursuant to application dated 1/17/2017 and approved by the Building Inspector. To expire on 7/26/2018. Fees: SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Bui ' pector 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$15.00 Date. e_CQ,nb-e1' olelm 0,016 New Construction: Old or Pre-existing Building: (check one) �/ q Location of Property: 1011010 5,bo,,�Vtelj House Nom-' Street Hamlet Owner or Owners of Property: `)GrvtL� d- M041r e Suffolk County Tax Map No 1000, Section 05"1,00 Block 06, 00 Lot o10. 000 Subdivision Filed Map. Lot: Permit No. [ 3 I Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ pp scant nature OF S0utr�,®l � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • �� roger.richert(a�-town.southold.ny.us Southold,NY 11971-0959 ®l�c®U 1 1`I0 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Barnard (Skeggs) Address:12990 Soundview Avenue City;Southold St: New York Zip: 11971 Building Permit#: 41314 Section: 54 Block: 3 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Tucker Electric Inc. License No: 4926-ME 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 TVSS El Other Equipment: Supply 50A GFCI Protected Disconnect for Self Contained Hot Tub Notes: c Inspector Signature: Date: February 21, 2017 0-Cert Electrical Compliance Form.xls 1. I BOE SOUL coulom,Nc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] NSULATIO N rV6 [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 44" DATE Io INSPECTOR OE SOUly�lo `- H O a 0UM'l,�c� TOWN OF SOU THOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) REMARKS: r--lilyf-i� tz, e� DATE INSPECTOR c rt o ^• ^ r � � � r• i i . • v fill At ' � , � 'fill - fill ' o fill fill J t 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. Trustees C.O.Application Flood Permit Examined '20a 20 Single&Separate JAN 17 2017 0 Storm-Water Assessment Form Contact: ff Approved 20i� • 1V��t�a' JG�Y1�I ��,�' Disapproved a/c �r�BUI�'I�I�GDE Oj,� TOWN®�s®u `�►�- �aa'3� ' Phone: Expiration _,20 , But ctor APPLICATION FOR BUILDING PERMIT A Date- ll��b�� 9A� , 2016 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 shal l 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 fo'r an addition six months. Thereafter, a new permit shall be required. a 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. Signature o 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 p cam; n e.f Name of owner of premises (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. Plumbers License No. . Electricians License No. Other Trade's License No. I. Location of land on which prpposed work will be gde:,d ( �So, vteLj {Ji@V1V� o v` d ` House Number Street ?. " `r; } „ l r;Drys,f Hamlet i1��.2,63y�e County Tax Map No. 1000 Section o''� V l Blo"ckj n 0 ea V Lot 010► ON) 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 b. Intended use and occupancy 3. Nature of work(check which applicable):New Building dition Alteration Repair Removal Demolition Other Wor- —r (Description) 4. stimated Cost id on filing this application) 5. If d elling, number of dwelling units : `j } umber of dwelling units`o41 each floor If gar e, number of cars �a)i, 1ds)iu 6. If business, mmercial or mixed occupancy,'specifygiature,and,exte t,of each type of use. 7. Dimensions of exi ing structures, if any: Front w ~{ ytti,. "Reams Depth Height Number of Stories Dimensions of same str ture with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construe 'on: Front Rear Depth Height Nu ber of Stories 9. Size of lot: Front Rea Depth 10. Date of Purchase Name o ormer Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordin ce or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be re ved from premises? YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. / 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO V * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BFREQUIRED. 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 V * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF&JrC Jrj w) 1 e C,(2 K a I—tJ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 0ou0'r-r (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 fh day of QnU( V- _2017 TRACEY L. DWYER Notary Public PUBLIC,STA Signture o pli an NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2.Qjb *pF SO(/jyo`o Town Hall Annex" 1�f- J [[ Telephoiie(631)765-1802 - 54375 Main Road N �ax(631)765- 5Q2 P.O.Box 1179 G • aQ roger.richert(a5own.sout olld.ny.us Southold,NY 11971-0959 CO ^a UNTY, BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: *P&I ?aw1jo4 �� Date: � lq Company Name: Name: License No.: y Address: ;gam uTc-N 0 6. E A_)y / S Phone No.: 63?- 14173 -aeoI JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: C�"I ®c�r.�)v►�� tl-QJ a�� *Cross Street: Lo,v--Q *Phone No.: 6 31 - q 0 7— 5 3 V 6 Permit No.: � l 3--1 1 -1 Tax Map District: 1000 Section: Block:. Lot: j(� *BRIEF DESCRIPTION OF WORK (Please Print Clearly) 'g-Do C'FC.T S t9i9 �A�k (Please Circle All That Apply) *Is job ready for inspection: YES NO Rough In Cin *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 A�Y Gl� w� ales �w�r ,9 ct►�� 82-Request for Inspection Form 50 CA9),II Scott A. Russell ��-°S� � STOJ[LM[WATJEIK SUPERVISOR .9 z I��][A\NA\ G JEMtJENT SOUTHOLD TOWN HALL-P.O.Box 1179 Q 53095 Main Road-SOUTHOLD,NEW YORK 11971 'fiyl� Town of Sou th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) 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. ; F1B. Excavation or filling involving more than 200 cubic yards of material ❑dwithin any parcel or any contiguous area. C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. 0 d D. Site preparation within 100 feet of wetlands, beach, bluff or coastal ❑derosion hazard area. 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 Departm-ent-wiihyouur Building Permit Application. APPLICANT (Property Owner,Design Professional,Agent.Contractor,Other) S.C.T.M. °: 1000 Date: Dutnc[ NAME. �c3.vY1t`e Y\�.'f � 1 �o-�' ✓ _L0 r Section Block Lot Jr ] �J FOR BUILDING DEPARTNI. N"r LSL: ci\,L Contact Information: 516- Sad 33 T 1 Reviewed By: Property Address / Location of Construction Work: — — — — — — — — Date:— — — — — — — — — gg1,0 ,D 1vt�� 4 & e �/ ] Approved for processing Building Permit" �-��JA� d �J� u Stormwater Management Control Plan Not Required" -�ti�\�1 _ �� r� S1 Grn]Water T✓lanage;ilent CGnirGl Piu�� J RCyuid CL j (Forward to Engineering Department for Review) FORM x SMCP-TOS MAY 2014 1 µ= TOWN, OF SOUTHOLD"`PROPERTY-, =RECORD CARD I �,,,.�... OWNER STREET �l� y�VIUAG�� DISTRICT SUB. LOT FORA ER QWNE U N i ,� EJ� -ACREAGE 0 Q S - '=-- W TYPE OF BUILDING itt RES. e® SEAS. VL. jj< FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS y yo ®® 7 3a-b 7oC7 3 r 106 60- M as "L -c�ec�rc 3 ►�' g�- �'� !; , f)fAAI dwe.i I i nn �e e j> bA rs�- NEW NORMAL BELOW ABOVjj.5-/j,, FR T E O TES I y Farm Acre Value Per Acre Value FRONTAGE ON ROAD P Si _ f0 Tillable 1 BULKHEAD. r Tillable 2 DOCK cb �j�j I�/ '�''✓ Tillable 3 L ®Z _-Jdl) -� y,. Woodland Swampland //y Brushland y House Plot - _ z� Tota I fA. EAR To r 04 ■■■■ !y■■■■■■■E■■■■ L '...y ""L Y y •t - , mom ....■■._■_! ■ ■■■ No ■� NINON■■ ■ ■■■ ■ ■ ■■■■ ■■■■■■N■mom ■■■■■ ■■■■■■■■ ■ ■■■ s■■■■■■■Ii■ Foundation lJoth • —� /i ! lnterior Fire Place '• •oof Type •• •.• •• L ,,Mai rr •• , DrivewayS• f /s 01 00, 0 ci Ir . m APPROVED AS NOTED DATE: B.P. L ELECTRICAL FEE: * BY: INSPECTION REQUIRED NOT!FY BUILDING DEPART 'T AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE RETAIN STORM WATER RUNOFF 2. ROUGH - FRAMING & PLUMBING 3. INSULATION PURSUANT TO CHAPTER 236 4. FINAL - CONSTRUCTION MUST OF THE TOWN CODE. BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW � rb U I YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. b C CDv e COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF � 1AIM 7RA ARD S TAMTOVGr%&� OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Islandia Pools, Ltd. Sales Order 108 • - 108 Fishel Avenue Riverhead, NY 11901 Salesperson 1: Nicole Evans Phone: 631-727-6312 Fax: 631-727-8419 - �° a 000 Email:john@isiandiapools.com W_ ® �` Web:www_ish3ndiapools.com Revenue Center Sales Spa Bufifrog • Invoice 45325 Created: 12/14/2016 3:55:49 PM Completed: 12/17/2016 11:05:47 AM Customer,Id:3937895 Register RetlMgr JAMIE BARNARD Home: Cell: 516-322-3389 Work: SOUTHOLD, NY 11971 Fax: Qty Part Number Description Price Discount Amount 1 A6LSS BULLFROG SPAS A6LSS 10,303.25 10,303.25 Sub Total $10,303.25,, CORRECT AS SHOWN Total $10,383.25 Customer Signature State Tax $450.77 CWCounty Tax $437.89 Amount Due, $11,191.91 Amount Paid $8,4QQ,QB Pgyments ,Type _ ApprovalCode td-Numbers - ;laEeofTY .. . - Name Ametrcan Eiores 143230' T" -6mi w40b_e 12/47ma P Tom, -- wi7rkw p bt,�M Special Comments: THIS QUOTE-INCLUDES: STAINLESS STEEL JETFACE A900 PREMIUM COLOR CONTROL PAD 1 LEFT PUMP 2.5HP 240V 60HZ 2SPEED 4 JETPAKS OF YOUR CHOICE AUXILIARY PREMIUM CONTROL . PREMIUM EXTERIOR LIGHTING PREMIUM SURROUND LED LIGHTING QUIET CIRCULATION'PUMP WELLSPRING OZONE PURIFIER W/DEGRASSING SYSTEM COVERMATE COVER LIFTER DURASTEPS SPA STEPS SPA COVER Initials Invoice:45325 JAMIE BAPJWM Scdttrdgy December 17,2016 Page I of 2