HomeMy WebLinkAbout41738-Z �O�gl1FFQ�K��G� Town of Southold 8/23/2017
0
P.O.Box 1179
53095 Main Rd
®4A1 o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39166 Date: 8/23/2017
THIS CERTIFIES that the building HOT TUB
Location of Property: 3335 Laurel Trail, Laurel
SCTM#: 473889 Sec/Block/Lot: 126.42-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated -
6/15/2017 pursuant to which Building Permit No. 41738 dated 6/16/2017
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 Mcintyre,Janice
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47138 08-01-2017
PLUMBERS CERTIFICATION DATED
ed gignature
�o�SufFu���oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 41738 Date: 6/16/2017
Permission is hereby granted to:
McIntyre, Janice
3335 Laurel Trail
Laurel, NY 11948
To: legalize "as built" hot tub as applied for.
At premises located at:
3335 Laurel Trail, Laurel
SCTM # 473889
Sec/Block/Lot# 126.-12-3
Pursuant to application dated 6/15/2017 and approved by the Building Inspector.
To expire on 12/16/2018.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO - SWIMMING POOL $50.00
Total: $550.00
Buildin for
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
S. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. /17
New Construction: Old or Pre-existing Building: y /(check one)
Location of Property: -3335' C iy re / /r c,,' I
House No. Street / Hamlet
Owner or Owners of Property: �� ✓\.► C e CSS 7' (^e—
Suffolk County Tax Map No 1000, Sectio/n— Z 6 Block / Z— Lot o -3
Subdivision L G..0 re L� n /- S Filed Map. �y 7� Z Lot: l f
Permit No. Date of Permit. Applicant: _3
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: (/ (check one)
Fee Submitted:$
pplicant Signature
pF SOUjyO�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �. ® Q _roger.richert(D_town.Southold.ny.us
Southold,NY 11971-0959 'Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: McIntyre
Address: 3335 Laurel Trail city Laurel st: New York zip: 11948
Budding Permit#: 41736-#41738-#41739 Section: 126 Block: 12 Lot: 3
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 X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 9 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors 1
Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 5 Twist Lock Exit Fixtures TVSS
Other Equipment: BP# 41736- Finish 2nd Floor Over Garage.
Notes: BP# 41737- Installation of 20KW Standby Generator with Auto Transfer Switch.
BP#41738- Provide 50A, GFCI Protected Disconnect within Sight of Factory
Built Hot Tub.
ALL- "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS".
Inspector Signature: Date: August 1, 2017
0-Cert Electrical Compliance Form.xls
SO(/ryo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION / �
[ ] FRAMING / STRAPPING [ FINAL #44 00.1
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
_REMARKS:
SdoAn N ✓
?� k6 is ��
DATE kh qo- INSPECTOR
FIELD TN'SI'E=ON REPIORIS AAS COtv�i► ,,N"� '
I'OUNDATxQN',(2N-b) i
ROUGH FR.AZ1 NQ& "�'" �✓
PLUMBl�'G -
i .
INSULATION PBA N.Y. ,
STATE ENE-ROY CQDE
KHAT l
G✓ S
FINA-L
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 N n
FAX: (631) 765-9502Suryey ✓
SoutholdTown.NorthFork.net' PERMIT NO.: 41:LVohl� Check /4
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application A
f-�f Flood Permit A
Examined ,20 1 1 Single&Separate ' A1101
�C Storm-Water Assessment Form *
Contact:
//'
Approved ,20 Mail to: n:�e 1ti(c'r ry r'l
Disapproved a/c-' 3 335 6e,, cl 7-rAl
Phone:6 3 S T 7 "d Z Z-
Expiration 120
t 11A1
B ' din nspector
APPLICATION FOR BUILDING PERMIT
Date Z i3 , 20-7
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. Everybuilding 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'Inspeetor 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,'ordinances,building code,housing code,and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
ignature of applicant or nam i a corporation)
3335 CCrc/ Tr-4� I L4�rP/ /yYii95'8'
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
D w fi(Z
Name of owner of premisesJ Cti�;C A4 S/1 bre—
(As on the fax/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.
1. Location of land on which proposed work wi be donee--
3 3 3S c re/ ��� L G���C 7/
House Number Street ";;,Hamlet
,• ,> - t•ot`i1 _°}'fir i'_. "3`4, �;Nt; •;b'• ° a' ;,
County Tax Map No. 1000 Section Z 6 Block ��' Lot eo
-- r:��+,ts' i•'EJB:,.�r��i.;x';i�^'o��§ri•§'n.,.5 •' _;,sae'•,.• ,
r
Subdivision (, J Q C Filed Map No./0 71 Z Lot
• s
2. State existing use and'occtipancy of premises and intended)ase and occup ncy of proposed construction:
a. Existing use and'occupancy ; n C,I 2 h,rM; t �;
b. Intended use land occupancy �Cti i
3. Nature of work(check which'applicable): New Building Addition Alteration
Repair 'Removal Demolition Other Work - u-6
(Description)
4. Estimated Cost Fee
(To be paid on,filing this ap�cti n)
5. If dwelling, number of dwellinZcc
,6.
0 NC— Number of dwelling units on each floor
If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. N 19
7. Dimensions of existing structures, if any: Front -/ Rear /- Depth
Height Z Number of Stories -7110 o
Dimensions of same structure with alterations or additions: Front Rear
Depth Height E,5' �. lumber of Stories
8. Dimensions of entire new construction•: Front` ` G�LJ9 ' ' Bear Depth
HeightNumber of, � 9
9. Size of lot: Front D � 7 ?( Rear ��� Z' Z Depth
10. Date of Purchase-:5�n e- -2-,>3 Name of Former Owner' , 10Cc t)
1".. Zone or use district in which premises are situated
1 . Does proposed construction violate any,zoning ldw, ordinance or regulation? YES NO 0
I' . Will lot be re-graded? YES , NO�Will excess fill,be removed from premises? YES NO
r 3335 La✓rU Tom,.:l
1 . Names of Owner of premises-J�-%4e,• r-1-Address&,,rN A)r l t 9Y Y Phone No.6 3( Z S B' 7 2 Z
Name of ArchitectSw,e5 1—,)cc Address z C�`��� Lk done No G3i 72
Name of ContractorAddress Phone No.
1 a. Is this property within 100 feet of a tidal `wetland or a fres water wetland? *YES NO
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 ;• ,• 1
16. Provide survey, to scale, with accurate•foundation plan and distances to property lines.
I". If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
1 . Are there any covenants and restrictions with respect to this property? * YES NOZ—
IF YES, PROVIDE A COPY.
S ATE OF NEW YORK)
SS:
COUNTY OFS
-.e 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;
th it 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 pefore met '
�Z,0711 day o It, ti
j _ JENVER COLUMBUS -
Notary Public,State of New York
Notary 1 6279764 Signature of Applicant
Qualified in Suffolk County
Commission Expires April 15,20 .
Mar 13 17 09:14a Goodale Electric 6312985580 p.1
EXPLANATION AM LNT
0936'
OODALI~ ELE } RI jAL CONTRACTORS,'I
O.BOX 1190
:rr� TTITUCK,NY 119 -09
1-2-210
1NTCHECK/lam /' OOLLA�lS CHECK
fE HE
GRD-_R OF OESCRIPTIDN HUMBER MOUNT
UWB.
�-� - dam Aa
J U N 1 9 2017
r 'AAS E / i
} Aorgan Chase Bank,N A. BUILDING DEPT.
.wNi.Chese.con T, OFSOUTHOL
II■OD09 36u' 1:0 2 10000 2 Lo: 46 38 75
;EQUES� �_Q BY: --�% Date:
,ompany Name: — 1,ei2
lame: 1,41f r
icense No_: �" 3
.ddress: �� G
-hone No.:
OBSITE (INFORMATION: (*Indicates required information)
VIZ
Vame: � /t,
4ddress: L—
_#ross Street:,
'hone No.:
lermit No.- CM
ax-Map District: 1000 Section: Block: A d= Lot
3RIEF DESCRIPTION OF WORK (Please Print Clearly) Z;
Nease Circle All That Apply) -�
Is job ready for inspection: OYESNO Rough In Fin
Do-you need a Ternp Certificate: YES
'emp Information(if needed)
Service Size: 1 Phase 3Phase 100 150 200 300 350 . 400 Other
Vew Service: Re-connect- Underground Number of Meters Change of Service Overhead
,dditionai Information: PAYMENT DUE WITH-APPLICATION
82-Regaestfor lnspecGon Form
r
TOTAL PLOT AREA: 30.863
REV. DATE ITEM
NO.
LOT 10
Q-Q S89°44'10"E 180.00'
4�� FE0.9'S 4' HIGH www FENCE
CO
co oqol"f
J // 0 t `2v
v + 50.0, C=LOT1O
j
/v c FEf ON
i IS
601.03'
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. Of ` I
R=25.00 10 Nom = . 3Z5 I ,Q
L=36.34 �,� �Q o �zc • ate +` �v
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THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED.
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE
ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. NO OFFICIAL OF
THIS STATE, OR OF ANY CITY, COUNTY, TOWN OR VILLAGE THEREIN, CHARGED WITH THE ENFORCEMENT OF LAWS, ORDINANCES OR REGULATIONS SHALL
ACCEPT OR APPROVE ANY PLANS OR SPECIFICATIONS THAT ARE NOT STAMPED. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON
FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON
AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
SUFFOLK COUNTY TAX MAP DIST: 1000 SECT: 126 BLK: 12 LOT: 3
MAP NO: 10712 DATE: NOVEMBER 23, 2001 Wallace T. B an
Y aF NEp/
LOT(S): 1 1
Licensed Land Surveyor ,�� �� T. e � Q
MAP OF: LAUREL LINKS MAINTAINING THE RECORDS OF
BURTON, BEHRENDT & SMITH
LOCATION: MATTITUCK L [i A fi
TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, STATE OF NEW YORK 559Mid4&Road l'• is .
U.C. , ,/, ,/02 Bayport, New York 11705
SURVEYED: OCTOBER 9, 2002 _ i
FINAL SURVEY 4/29/03 4, 05Qa�9 Joe°
UPDATE SURVEY: 5/5/17 (631)472-1770 , S
CERTIFIED TO: JANICE McINTYRE � LA'PdD
Fax 472-1771
SCALE: 1 " = 40.00' FILE NO: 02-399-1 1
4APPV D AS NOTEDDATB.P.
ELECTRICAL
FEE: bbBY: INSPECTION REQUIRED
NOTIFY BUILDING DEPARTMEN T
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - 74C REQUIRED
FOR POURED CON'CRET'E
2. ROUGH - FRAMING & PLUMBING
3. INSULATION RETAIN STORM WATER RUNOFF
4. FINAL - CON_TPjCTION MUST PURSUANT TO CHAPTER 236
BE COMPLETE 'r("l C.o. OF THE TOWN CODE.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
ARD
HOLD TOWN
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OFOCC,UPANCY
4�g> /0 2-;:7
M1• t[z. �t 1601 Lakeland Ave•Bohemia,NY 11716
631-HOT-TUBS • info@TheHotTubFactory.cotn p
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TheHotT1-h9-1tnry.com Date:
Rep: /
Name
� e Pay Type: Cash Check MC Visa Other
city Sla 'Vq Z,
checwcc# #
Phone Totathrbs Ito charge my eredd card fisted above.
Cell �— ey signing below I hereby auamr¢a nc.
E-Mail �
Fatp Date: CCV:
Source
❑ Special Order Floor Model ❑ In-Stock O Lounge
Model: VA-Lounge
,Brand: ❑s
Cabinet Color: Shell Color:
/' � Std
SS Jets: ❑ Std ❑ Option No Lighting Pkg: ( ❑Option
❑Std
24 hr filtration pumpV�No
Std El Option ❑ No Sanitation: °Odr'
o
Stereo: ❑ Ye ❑ Subwoofer / Cover: /Yes,
s ❑ No ��S�q's
Steps: ❑ No ❑ Upgrade:
Cover Lifter p
Start Up Kit: es ❑ No Mineral Cartridge:vj_��
I understand that the balance needs to be pawl pion to the tub being delivered into my backyard
1 — ers v® wee ,an a of u dory Ipp1ng or
G M 1 understand that I can attend Hot Tub Unwersity to team about operating and maintaining my hot tub(email invitations are sen
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�Tub
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can. n. reser c�-n.•3 i-a:W8 irrrra ;lac^ ti •,.r,:r.• i.I�nd•:a-,x. tl:.'� i�..'�v,w� a=,*•
50e/n discount on Wended watrantyat time of hot tub purchase. 0 Accept O Refuge V✓ �"'
/��, / (initials) 0
d��" V - S��Total: $ j�
Desired Delivery Date: ,pe—a6 4— e--ki—wantw$ $97.00
*Delivery fee is in accordance with attached Delivery Order Form
Deli`►ety: $ 300.00*
urs r n _ �..BFT AY..Gw�QuuteE p irh is
TgR;' ;z=
: a nns ttnrts �t+1 roximate 6 weeks from the odersNomtal deliverq time on special ordeal is app lY Net Total: $
dbs Inc.is not responsible for any delays in manufacturing,shipment or delivery.This urcludes anydby the manufactuaerg vendors trurck�g �.fired saeafhrr�ofGod orcorrditioffi rta4etia$Ij% $_j�o'
oby s control Customer moot take deliveay ofspecaal ordeal within 30 da}s of shipmaut being teteived Tax:wn 'rn .ni... •n five ti reed a naF�..�^F¢e== /jbss othmwisg spemfiad itt the ina�ia� a 3� �]' L/
dmyt All floor model sales are agreed attd secepted ia'as is"condition,whichincludes any defects andlor blemishes TOTAL:
$ C/'
not affecting operation of the product All products mnain the Property of TOtaluts Inc.until paid in fu1L Any
bounced checks,charge backs or disputes are lignueffialdy,considered noa-paymed and the mtomer agrees to Pay
all charges related to Total Inc. ve ft is pmperty,inciddutg all count casts and attorney's fees if necessary. DepoSit: $
]Pate:x
Balance OW-dd. /
Signature x
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Office Use: ❑POS 0 LTS ❑Sea I an O Warr ❑Re ❑LTS
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