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HomeMy WebLinkAbout40771-Z ���- ��4�gUGFOt,y�o�y Town of Southold 10/26/2017 P.O.Box 1179 0 co � 53095 Main Rd D'r,1 �aO�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39318 Date: 10/26/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 555 Kenneys Rd, Southold SCTM#: 473889 Sec/Block/Lot: 59.-7-31.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/2/2016 pursuant to which Building Permit No. 40771 dated 6/10/2016 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 Nicholson,Bryan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40771 07=20-2016 PLUMBERS CERTIFICATION DATED s A tho d Signature �suF�ncx�o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Py • o� SOUTHOLD, NY 'fpl 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#: 40771 Date: 6/10/2016 Permission is hereby granted to: Nicholson, Bryan 7310 197th St Fresh Meadows, NY 11366 To: construct accessory in-ground swimming pool as applied for. At premises located at: 555 Kenneys Rd, Southold SCTM # 473889 Sec/Block/Lot# 59.-7-31.2 Pursuant to application dated 6/2/2016 and approved by the Building Inspector. To expire on 12/10/2017. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 4 Bui ding Inspe r 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 (checkk one) �Q Location of Property: -�en►'� S /t 6D "L`* _ House No. I treet Hamlet NOwner or Owners of Property: ` V ` ch 4_�oil Suffolk County Tax Map No 1000, Section 6 Block Lot 3 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) I~ee Submitted: $ Applicant Signature pE SOUr�®lo Town Hall Annex Telephone(631)765-1802 54375 Main Road cn Pr Fax(631)765-9502 P.O.Box 1179 roger.riche rt(@-town.southold.ny.us Southold,NY 11971-0959 ®lac®UNT`1,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Nicholson Address: 555 Kenneys Road City: Southold St: New York Zip: 11971 Building Permit* 40771 Section: 59 Block. 7 Lot: 31.2 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 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling 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 1 Disconnect Switches 1 Twist Lock El Exit Fixtures TVSS El Other Equipment. Inground Swimming Pool to Include; Bonding, Control Panel, 1- GFCI Circuit Break( Heat Pump, 2-Pool Lights Notes: Inspector Signature: Date: July 20, 2016 z Electrical 81 Compliance Form.xls O SOF 30(/Ty �o� olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLSG. ( ] FOUNDATION 2ND [ ] NSULAT ON [ ] FRAMING / STRAPPING [ FINAL dd [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Gy) V L�l-UC54 DATE J� INSPECTOR rjf so cou TOWN OF-SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION IST I ROUGH PLUMBING FOUNDATION 2ND ] INSULATION FRAMING / STRAPPING ] FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: rllv� DATE t (If INSPECTOR�Z(192�_, FIELD WPE=ON m- vox D=-- COQ 'SS rouND, .,tloN(1ST) v ........... , Y+....YM.Y...Y. Y ROUGH YRAN2NQ PLUMBING -- b INSULATION PES.N.Y. , STATE ENERGY CpDF, , U;;,2f. Z r FINAL � ' tea 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 +�-C.._�S TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey_ C�.ts,rla SoutholdTown.NorthFork.net PERMIT NO. o Check i QQ Septic Form N.Y.S.D.E.C. Trustees C O.Application Examined 20� D [EVEOVE Flood Permit DD Single&Separate Storm-Water Assessment Form JUN w 2 2016 Contact: Approved 20 ) Mail to: )0j9 Disapproved a/c QD 3l�g SUMDING DEPT. Fee-vd�/e,, /V //M TOVi�NOFSO LD r� Phone: &3,1- 737 ' 76P OO Expiration 20Alix) ) e5 D&IV��I�o Buil g I p ctor APPLICATION F UILDING PERMIT Date j® �l , 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 de lition as herein described.The applicant agrees to comply with all applicable laws, ordinances, building code, ho b c nd regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si ature f applicant or name, if a corporation) f o &'F 70 n l C �'g (Mailing addres4 of a plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ` f -a c IJ"C.4 SOQ (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. y� %/Q — Plumbers License No. Electricians License No. V (o 2 88 -- M-C Other Trade's License No. 1. Location of land on which proposed-work will be done: SSS V 1r\u`S C\1 House Number 1 Street ' ` " ' ' ' ' Hamlet County Tax Map No. 1000 Section 5`co) c, -, -=rr'Bhock'1111 p'—t- Lot ti ,C`c'•c3+li ,:-1+-tip;'' �b,!._,_.i,nig• '- 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 w 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work i nom\ Pao nc�e- 0- 0� r.•- �� 5 (Description) 4. Estimated Cost 41.7.py© ��� ( 'Bol be paid on filing this application) 5. If dwelling, number of dwelling units �-�_ t NI raber,,of dWelling.uiltts on each floor If garage, number of cars �`lyto 6. If business, commercial or mixed occupancy, specigy natire anrd=�-?eht of each type of use. U•.:n015�1 Fl J'U u 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 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 Will excess fill be removed from premises? YES X NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor c,(-C— Address Qio-- 1W Phone No. (oS Sova\c1 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NOA 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 A 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 NOoov�— * IF YES, PROVIDE A COPY. STATE OF NEW YORK) S: COUNTY OF;� 1D,ri! P being duly sworn, deposes and says that(s)he is the applicant (Name of indiviLlhal signing contract) above named, (S)He is the `PGOL C0Wj—.e/fCi v� (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_ p day of 20 1(0 TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW Y lAaW - W NO.01 DW6306900 ota Pu i QUALIFIED IN SUFFOLK COUNTYSigi ature o pplicant COMMISSION EXPIRES JUNE 30,20� Scott A. Russell ATF O)IKI��JMA FIEIK SUPERVISOR �vl[A1�A\�G�IEI�vJ[�EN�C' SOUTHOLD TOWN HALL-P.0-Box1179 Town of So u th o l d 53095 Main Road-SOUTHOLD,NEW YORK 11971 CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ❑[ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surf ace. ❑�B_ Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. Ej Ef C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑E2(D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E][3""E. Site preparation within the one-hundred-year floodplain as depicted - - -on FIRM­-Ma-p-of-any wat-e-r-course- ❑E a/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. S.GT.M. #: 1000 Date APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) Dutnct NAME a•�o Section Block Lot FOR BUILDING DEP ARTMLNT US11- VNL't' '7 3�, -uaao Contact Information lC 1 7ck.A.me��mxd - Reviewed By: Date. Property Address / Location of Construction Work- — — — — — — — — — — — — — — — — — ❑ Approved for processing Building Permit. .�iAP73 — — Stormwater Management Control Plan Not Required So-TI*Z?L,,. A-I j7 / ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM 0 SMCP -TOS MAY 2014 - �o��OF SO�lyol 0 Town Hall Annex R Telephone(631)765-1802 - 54375 Main Road ax QQ P.O. Box 1179 Gt ® r0 er.ncherttaws S 76t_95, Southold,NY 11971-0959 , Irou D 0p BUILDING DEPARTMENT JUL 5 241 TOWN OF SOUTHOLD INGDEPT- APPLICATION FOR ELECTRICAL INSPECTION �1g�IFSOU®UPHO TOWN®F SLD REQUESTED BY: PC Date: Company Name: 2 Name: F42-77 - License License No.: Address: -:F'o G©x Phone No.: 6 7 6 p L JOBSITE INFORMATION: (*Indicates required information) *Name: fZ l C- *Address: - `uAj V 5L O *Cross Street: *Phone No.: 6 G/ Permit No.: O _�7 Tax-Map District: 1000 Sec ion: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YE / NO Rough In Final *Do-you need a Temp Certificate: YES/ NO Temp Information (if needed) "Service Size: 1 Phase Whase 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 oo , o � 82-Request for Inspection Form u 1 CERTIFIED TO BRYAN NICHOLSON OLD REPUBLIC NATIONAL TITLE INSURANCE CO EJOSPNC RMOA6HWONiNESCWAWAEHOSMBUTiN MAP1007 KENNEY/S ROAD S41°57'50"E 17500' EDGE OF PAVEMENT JOB NO 2014-231 i UIN mLE STAKE SET - - ��� - STAKES283.76' MAP NO.8901 FILED•FEBRUARY22,1990 Cl REVISIONS' PREP,FOR HEALTH PERMIT 215/15 1 Q LOC FOUNDATION 613/15 1 1 Oco Q Q0 ¢ o, cr U.1 O XRYPOLE qkFRg('osL.-Q VI A)YL- L IA)c» ~00 Sw1IYmito6- fav- O J N LICENSE NO:050363 N HANDS ON SURVEYING 26 SILVER BROOK DRIVE 1 1 FLANDERS,NEW YORK iVl 41.5' rF�ra x PQ®PJsla'11 3 11901 . L -369-8312-FAX(631)-369-8313 qW, MARTIN D.HAND L.S PSI e t 0.v1 PMfNi �R� u '` TEL:(631) i� W COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING ' NII 4 i O 0 THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE { 3 CONSIDERED TO BEA VALID COPYAND SHALL NOT BE USED FORANY PURPOSE. LOTAREA 80,001 SQ.FT.=1.837ACRES 1 ELEVATIONS HEREON REFER TO APPROX NAVD 1988 DATUMco m AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS NO SURFACE WATER EVIDENT WITHIN 300' ibh SURVEY OF LOT MAP OF 1 1 HENRYARBEENY SITUATE AT CONC MONJ JSTAKESET - SOUTHOLD TOWN OF SOUTHOLD ®e0e0s®•a®se®sa®®®sews®mso�s®al��®®®sa SUFFOLK COUNTY,NEWYORK N41"43'10"W 14118' UNE OFPLAMEDPINE MES(GEN66Wj SCT.M DIST..1000 SEC:59 BLK.07 LOT31 002 LAND NOWOR FORMERLY OF PEROTTI 30 15 0 30 60 90 120 150 180 210 240 270 SCALE*1"=60' DATE-AUGUST 12,2014 4 II L CERTIFIED TO.BRYAN NICHOLSON OLD REPUBLIC NATIONAL TITLE INSURANCE CO. - -LEXIS asNO,YIVATERA&S STREET ` KENNEY S ROAD s'rowNONrREs.c WA nwrERasrrusurroNMaRs aooT � D S41°57'50"E 17500' EOGEOFPAVEMENT JOB NO.:2014-231 _ _ UiLLRYWIE STAKE SET STAKE SE 283 76' MAP N0.:89 - FILED:FEBRUARY22,1990 Cl REVISIONS: i i Q L0�OUNDFOR AT ON 613115 IT 2/5/!5 04x0 Q� UTUTYPoLE IEE�PaS�'I� vo)yt_ L1Nt» N0Q Sw+mm1hob- TiXzlL- 0 LICENSE NO.:050363 N HANDS ON SURVEYING 3 P 26 SILVER BROOK DRIVE COACRUE FLANDERS,NEW YORK E fa po;64 �'x i I 1101 49 y�! �>b C���PM gN i ?F�)> TEL:(631)-369-8312-FAX XL W (631)-369-8313 m O {— - -1 COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING O THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE �.5 N_ D CONSIDERED TO BEA VAUD COPYAND SHALL NOT BE USED FORANY PURPOSE. Z i LOTAREA:80,001 SQ.FT.=1.837ACRES �' i ELEVATIONS HEREON REFER TO APPROX NAVD 1988 DATUM „ AND ARE THE RESULT OFACTUAL FIELD MEASUREMENTS. NO SURFACE WATER EVIDENT WITHIN 300' b � the C 3 C 3 SURVEY OF LOT2 MAP OF HENRYARBEENY SITUATE AT CONC MONJ STAKESET SOUTHOLD TOWN OF SOUTHOLD M!•• ••• •••••••••••••••I'OFPWJT•DPPIiNETREES(Go M S C.T.M.D SFT:1000 SEC.9 BLK..'007LOT31002 N41°43'!0"W 141.18' LAND NOW OR FORMERLY OF PEROTTI 30 15 0 30 60 90 120 150 180 210 240 270 SCALE:1"=60' DATE:AUGUST 12,2014 G e APPROVED AS NOTED DATE: © 6.p.# X7) Zz- ELECTRICAL FEE: o� ,6tBY: INSPECTION REQUIRED NOTIFY BUILDING DEPARTM AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPtCT10NIS: RETAIN STORM WATER RUNOFF' 1. FOUNDATION -,TWO.,REQUiRED PURSUANT TO CHAPTER 236 FOR POURED CONCRETE OF THE TOWN CODE, 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. 'WIM FM I TELY'T* ALL CONSTRUCTION SHALL MEET THE ENCLOSE,POOLTOCODE' REQUIREMENTS OF THE CODES OF NEW UPON COMPLETION YORK STATE. NOT RESPONSIDLE FOR �EEFORE"WATER". DESIGN OR CONSTRUCTION ERRORS. ` COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE AS REQUIRED AND CONDITIONS Q, C @r6-t6�IPl��I OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF,OCCUPANCY