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Town of Southold 10/24/2017 3 P.O.Box 1179 a a • 53095 Main Rd y'yol Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39306 Date: 10/24/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 710 Old Menhaden Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.4-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/15/2015 pursuant to which Building Permit No. 40110 dated 9/23/2015 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 McNeill,Daniel&McNeill, Sophie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40110 05-10-2017 PLUMBERS CERTIFICATION DATED A t ed Signature o�SUl�,co TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 40110 Date: 9/23/2015 Permission is hereby granted to: McNeill, Daniel & McNeill, Sophie 184 St. John PI Brooklyn, NY 11217 To: construct an in-ground swimming pool as applied for. At premises located at: 710 Old Menhaden Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 111.-4-19 Pursuant to application dated 9/15/2015 and approved by the Building Inspector. To expire on 3/24/2017. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 tat: $300.00 Building 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. 'Swom statement from plumber certifying that the solder used in system contains less than 2110 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 Appfoval 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 cgmpleted 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. Certificaie 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- $100.00 3. Copy of Certificate of.Oecupancy-$_25 4. Updated Certificate of Occupancy- $50.00 5_ Temporary Certificate of Occupancy -Residential$15.00, Commercial$15.00 r Date. L/0//5 New Construction: LOt Old or Pre-existing Building: (check one) Location of Property: -210 ®fil�. 14eYV// e, f� Housd No. Street Hamlet Owner or Owners of Property: SWOlk County Tax Map No 1000,Section Block Lot / Subdivision Filed Map. Lot: Permit No. `-C d b Date of Permit. Applicant: Health Dept.Approval: Underwriter's Approval: Planning Board Approval: Request for. Temporary Certificate Final Certificate: (check one) Jvv Fee Submitted: $ �� Applicant Signature pF SO�jr�®� Town Hall Annex Telephone(631)765-1802 54375 Main Road cn Fax(631)765-9502 P.O.sox 1179 • �� roger.richertltown.southoId.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mc Neill Address: 710 Old Menhaden Road City: Cutchogue St: New York Zip: 11935 Budding Permit#: 40110 Section: 111 Block: 4 Lot: 19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: JES Electric License No: 4483-ME SITE DETAILS Office Use Only Residential X Indoor 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 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 Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, Pool Lights, Heat Pump, Pool Cover Motor, Salt Generator, 3- GFCI Circuit Breakers. Notes: Inspector Signature: Date: May 10, 2017 0-Cert Electrical Compliance Formas 400 OP SO(/Tyolo cOUM'I,�c� TOWN OF SOUTHOLD 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) EM PrIJ R ARKS. C':�A A I ��i iS Q ver DATE - INSPECTOR , OF SO�lyo� 1 r1�1 Ulm,0c� r TOWN OF SOUTHOLD 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: DATE 6 INSPECTOR ,.I �o��,oF so�lyolo TOWN OF SOUTHOLD BUILDING DEPT. 765.1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULAPOW N [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECT AL (FINAL) REMARKS: COA;?� 0 DATE INSPECTOR 1. 1 mgm ID c M •' � r u 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) 765-1502 Planning Board approval FAX: (631) 765-9502 / Survey SoutholdTown.NorthFork.net PERMIT NO. i� l 0 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form ontact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration A ,201 Building Inp for SEP 15 2015 APPLICATION FOR BUILDING P T Date I� , 20 BLDG DEPr INSTRUCTIONS T,awP.OF 0t;W111 C a. Tris application MU S I e 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,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. Cly (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o uilder Name of owner of premises D,40 (As on the tax roll or latest deed) If a plicant is corporation, signature of duly authorized o ficer (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 whit pro osedwor will be n amlet u.: House Number Street yz'y ;,` ".;,; H �'; . County Tax Map No. 1000 Section /J Block%'`�'"may 'I'''"`1" Lot l 9 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 Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 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. s 7. Dimensions of existing structures, if any: Front >2 �� Depth 3® vo g, 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 NO `710 o(, 41eV#rtVWf.0A> 14. Names of Owner of premises�)fAiJ .i.- e-A. %LL Address 155,4�. Pos`�Ji. . Phone No. q/l- 37 /�P1� Name of Architect ;:,.° . Address - Phone No Name of Contractor Ole`. loyt eAlC' r ' Address ! 700 AUJ- Phone No. (v3l Zel 15 a. Is this property within 100 feet of'a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEE'S &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 * 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 (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 o before me this 07-W-) day of 2/l 20 /.- dh'� �ArCONNIE D.BUNCH r of Now Nota Public �' � Signature of Applicant Notary No.01 BUQ1(6060 g pP OuallBsd In Suffolk C6unty CoMmiaelon Expires April 14,2�� Scott A. Russell Ir ST01R.MWAX]EIK SUPERVISOR MA NA\G]EAM[IEN'7F SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SKEET ( TO BE COMPLETED BY THE APPLICANT ) ROES THIS PROJECT HWOLVE ANY OF TBE FOLLOWING: Yes I No (CHECK ALL THAT APPLY) ❑ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑ d B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑[ C. Site preparation on slopes which exceed 10-feet vertical rise to 100 feet of horizontal distance. ❑[]/D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑[ E. Site preparation within the one-hundred-year floodplain as depicted ❑EiFon FIRM Map of any watercourse. . Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unlessrior a roval 'of a Stormwater Management P PP _ g , 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: /``rr Dis[r t /�q NAME: D0L 4� L t�7 � E7 Section Block Lot FOR BUILDING DEPARTMENT USE ONLY**** Contact Information. �23 f /0// Gekphme Number) Reviewed By: Date Property Address/Location of Construction Work: — — — — — — — — — — — — — _ _ _ otdb ElApproved for processing Building Permit. Stormwater Management Control Plan Not Required. �V MLc' 0g' 7— ���� Stormwater Management Control Plan is Required. ® (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014, of S Town Hall Annex 4Telephone(631)765-1802 54375 Main Road ,ax(631)765- P.O.Box 1179 • Q roger.rlCilertipwn.SOUt1105Q5nV us Southold,NY 11971-0959 Cob BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �' l �,��� Date: Company Name: Name: ; License No.: Address: r,2(o APIV- Phone No.: (®3 _ �_ -1 10 3 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: O f *Cross Street: TO AIL *Phone No.: q1_7-37V- 36Y Permit No.: p Tax-Map District: 1000 Section: Block: 0 Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) LP*26-C (Please Circle All That Apply) *Is job ready for inspection: YES / O Rough In Final *Do you need a Temp Certificate: YES O 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 YVv r 82-Request for Inspection Form K TOWN OF SOUTHOLD - PROPERTY aREC CARD L(6�-i o OWNER STREET -7,7/0 VILLAGE DIST. SUB. LOT f' .�r d l ' 1 G�l�l !��` r cif ItIl,"17d ales] Ae 0 v L e- FORMER,QW4R11V-V'tm,ft. (<ivkA' N E A n,n to,-P � &ivcl S W TYPE OF BUILDING I'l %.1 RES. ,,, SEAS. L. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS d1f J . - - , I C4 17oo 1 00 !S2-coa /v/ 4'?)XtL& 40 o c3 7500 A 1*AGE BUILDING CONDITION A4,(-- AleiP $ZJ7- NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable I 4- 1 h Tillable 2 luk %j Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH W46K"EXb Total DOCK sr �tit 4.. "t ..�t ! � r~f'� •�•tr:••.tl� 'i r'.Y'.:S}\.} i t 'C�.h. $ COLOR nci '%s1 r f :.yC, ^yy�a`F,'.A/�,. t. 1 i t; - t`'{'y'i,. '+x•n`�'f}t''i. .. ':d�' °�r .1_�{:is '^ s•✓f'r e\ '" e,3�L'p •'iiv�ik� Ni \{ t k 31 -;F, li:cd '"`�"" �r'•':0.�{s` '�"r,�'.Y.'1'-•, t � i�,,�5 %fl;�L' .'Iv`, i:,•�.. �.} "a i�. __ �.i�...�..,:1'� ,X97.,3`'�'i•gf'�,'�'�tie��',.���'� { 4 f.'F,,:S. ,/;� `�,?��• 's='`\�':'€r,: _ :.+3:7 t3t�: 5�:,< - .r`- •Runt ,a��. Y s.`r,•ga}7 r.'; t:,$��f' — ;� Sys• ir" y�+.;;%`'+; __. _ .. .. , .:(amu.,,�,,�..�'.r�•; „�1;�><'a�' ,�` I lD i F��?�aTRIM - — F; "p�1- ` IAtI} 9k tl�ll z. G ifs ^ate,"'.-; - •� {�!•, <ti;'?34. �"� ( L�� . i t��6„°i/'i;.�a .9 YLit� . 'i ��4 t ry �t' 'Cb'".f'fw;.:•'�t-iJE+., -_ .—.. _ t �._._ 3IIV ° _ _ td}}f�J, ``�e"'A” _ (['.^0.•`2•;A- _ -- '�`Gpnr'�ic'•�'�:-"+y:�'13'4'w"'�'�t�._i3�+�,��R-ds`�"a'`a'd.5"{,.rzr*.�aa...,,�.�'���':�' T E't}•'i,�.' :, _ - ~'�-,:.? 'fvv:y`eRv l'Xk• '�,.a.a�,:' :�.>•�"a`.-04SL > l^ - . .- ,• - -.;'l.,r;�we;>.t"rx n.;.1�aa.=.��ssyy y. ^._ '4Y,^a e6`g+ y - 4 � J"r Yj/";e „ig" "?T.•,¢,+ �Fsl�:..F.'�^-!S;'"t's+:a��,� - t., _ �� "` - '.� =r<ut�.""t��*i'Zr�P,,`;.•kt,. t°'T. �:��a"'B�`�'al'� 111-4-19 3/03 M.�B d� 17; 3 Foundation Bath Dinette Extension �' ` �s 3a 12:51 15 s'� � / asement Floors K. f c Extension !J" ` °� J xt. Walls v l S l O ' Interior Finish �(� LR. ,/ Extension ire Place �( � Heat �( ens DR. �, . ype Roof Rooms 1st Floor BR. Porch J3-_ 1Za ` 392 �a 96 ecreation Room Rooms 2nd Floor FIN. B. rp$Za1+r _ Porch �ormer �✓: , Breezeway riveway lax /yVzi Garage P� = //' ��7 / ZS' 116.3 Patio O. B. Total 17-5-30 ; CO;L t !_1 �'?��I�I ALL CODES OF �/�'�� NEW YORK STA I-E � TO�IP�! CODES AS REQUIRED e, �,Te OF ' 'WRRD N, 0'aClr CICI 7L 1,A 3 t S. U�' 'NGS-©N COMP A ERN f' �(�t��'dP 'vy C �� r 'S AP RQ ED AS NOTIM ,r DATE:. t .P.# f�16 �' �c�fL►c Gc SLI FEE r NOT Y BUILDINC, DEPARTMENT AT 6o" d 765-1802 8 ANI TO 4 PM FOR THE (�tq FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED -- ----- ---- ---- -- FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. 1"O ALL CONSTRUCTION SHALL MEET THE w REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. OL lYr/ �� OCCUPANCY OR USE IS UNLAWFUL larWITHOUT CERTIFICATE 5A A: 3� °,�- OF OCCUPANCY ELECTRICAL NPECTIU[,-v READ 0 SHAPE.,_ BORDER PATTERN: WALL PATTERN. 9 aayy PATTERN, 1 PLOO 9 A E N, CORNERS: DEPTH:—. HUN(` OVERLAP (drdis one) 20 GAUGE 270AUGE Orcle ®n@) L4 7 - `N F ` l 4