HomeMy WebLinkAbout41851-Z �p��11�FOl�ca�� Town of Southold 11/9/2017
a P.O.Box 1179
a
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39331 Date: 11/9/2017
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 8175 Skunk Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.-4-22.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/27/2017 pursuant to which Building Permit No. 41851 dated 8/1/2017
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 Caskran,Ronald&Marianne
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41851 10-03-2017
PLUMBERS CERTIFICATION DATED
A th ed Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 41851 Date: 8/1/2017
Permission is hereby granted to:
Caskran, Ronald & Marianne
8150 Skunk Ln
Cutchogue, NY 11935
To: construct an in-ground swimming pool as applied for.
At premises located at:
8175 Skunk Ln, Cutchogue
SCTM #473889
Sec/Block/Lot# 104.-4-22.4
Pursuant to application dated 7/27/2017 and approved by the Building Inspector.
To expire on 1/31/2019.
Fees:
CO - SWIMMING POOL $50.00
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
Total: $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. 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: c Old or Pre-existing Building: (check one)
pt1VL
Location of Property: 916V
House No. Street Hamlet
Owner or Owners of Property:'ZoAJ 64,S4.Z14W
Suffolk County Tax Map No 1000, Section 16,V Block Lot
Subdivision r Filed Map. Lot:
Permit No. [ 551 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$5 d
Applican Signature
ftc
so
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® a� roger.rich ert(d-)town.so Litho Id.ny.us
Southold,NY 11971-0959
c®UN�Y9�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Caskran
Address: 8175 Skunk Lane City,Cutchogue st: New York zip: 11935
Building Permit#: 41851 Section: 104 Block: 4 Lot: 22.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc. License No: 4814-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
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 Fixture Time Clocks 2
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, 3- GFCI Circuit
Breakers, 1- "Polaris" Pump, Salt Generator.
Notes:
Inspector Signature: Date: October 3, 2017
0-Cert Electrical Compliance Formas
so
Teou
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST ROUGH PLEIG.
FOUNDATION 2ND INSULATION
FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
1 �I OF SOUL
� o
TOWN OF SOUTHOLD BUILDING DEPT. .
765-1802
INSPECTION- .
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
( ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION -
[ ] FIRE RESISTANT CONSTRUCTION. [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
t
1
DATE INSPECTOR
r •
FIELD INSPECTION REPORT7 DATE COMMENTS
b
FOUNDATION(IST)
------------------------------------
d
FOUNDATION (2ND) t�si
'O
ROUGH FRAMING& y
PLUMBING
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INSULATION PER N.Y. H
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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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 sets of Building Plans ✓
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 t � Survey �
Southoldtownny.gov PERMIT NO. ` 1 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&+Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved ,20 \ � Mail to:
Disapproved a/c
Phone: Z_J�
Expiration j 1 ,20AI-
1 mg Ins
DR
D
APPLICATION FOR BUILDING PERMIT
Date Z 20 / z
,JUL 2 7 2017 INSTRUCTIONS f
6aftpV�UST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of 11 s'scale. Fee according to schedule.
,gnj"�VTWMV n owing 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.
(Signature of applicant or name,if a corporation)
-sox aLe5
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
C0AJ / 9o'R
Name of owner of premises `i2oAl @//5K7,46)
(As on the tax roll or latest deed)
If applica is a corp n, nat e ofuized officer
ame and title of corporate officer)
Builders License No. 7Z4
Plumbers License No.
Electricians License No.
Other Trade's License No. ns 1<S46-Vile-
1. Location of land on which proposed work will be done:
9/Sy S AUA X L fAC-
House Number Street Hamlet
County Tax Map No. 1000 Section /U-� y Block + 1 �, 11 y
r",Os' "S:
Subdivision�4 A24%&2 Filed Map No. Lot Al 4,5'
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 5, z Z y ,ti?�uGc1
b. Intended use and occupancy/ saogy fiZ
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition er Wor �/V 4a2uc vja� �,,,,tia��, • aL
(Description)
4. Estimated Cost— J�1C� puv.UO 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.
7. Dimensions of existing structures, if any: Front >,Y. 7 ` Rear �/ ` Depth �fZ, s
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 - "-fi Depth
Height Number of Stories 1 d i s ='� '4`
V
9. Size of lot: Front Ivor Rear ` Depth 060 ` ",-�.
10. Date of Purchase 'Name of Former Owner
11. Zone or use district in which premises are situated �7�i7�7trli,� y
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOS
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES 6( NO
14.Names of Owner of premises-/ZejA) a sz7, A,y Address 9i,�go 5e.-A& [., Phone No.
Name of Architect Address Phone No
Name of Contractorao,o,,� PezFL6 zz Address'7,v *;-:kw 9 tehone No.&'31-73-V-7665
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO �C
* 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
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFu 1 )
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 to before me this
7 day of 20f�
Ah��,
Not Public S• 4atureofplic- -Y- — -Zant
SABRINA M BORN
Notary Public, State of New York
No.011306317038
Qualified in Suffolk County
Commission Expires Dec.22,2018
Scott A. Russell
sUPERVISOR MCA\NAG IEAM[IENIF
>y
SOUTHOLD TOWN HALL-P.O.Box 1179 Q
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
®ES—I('HRS—PROD ECT---I VOLVE ANY—O F—TH E--FOLLOV IgNG=
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.
El[3/B. Excavation or filling involving more than 200 cubic yards of material
❑� within any parcel or any contiguous area.
. Site preparation on slopes which exceed 10 feet vertical rise to _
100 feet of horizontal distance.
❑E D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ 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 Department with your Building Permit Application.
APPLICANT- (Property Owner,Design Professional,Agent.Contractor,Other) S.C.T.M. #: 1000 Date:
District L
NAME.
Section Block Lot
FOR BUILDINt.T DEPAf'FINIE NT LSE
Contact Information
06
Reviewed By:
- - - - - - - - - - - - - - - - - -
Date:
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
viApproved for processing Building Permit
5— Stormwater Management Control Plan Not Required
— — — — — — — — — — — — — — — — —
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM " SMCP-TOS MAY 2014
- - pr-
Town Hall Annex V q2
54375 Main Road
P.O.Box 11791 . r0 @ . e Own.SOUX50s S
Southold,NY 11971-0959 '� a
���pU11tY,� - OCT - 2 2017
WELDING DEPARTMENT MMMING DE PR
TOWN OF SOUMOLD TOWN OF SOUTHOLID
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: G7)n ((� �" Date:
Company Name: .-
Name:
License No.: —
Address: - �-} 2c�2 �-(,� �� ► n-9 .,
_ . l Qnj _
Phone No-: Ce 1 (C9 ce O/
JOBSiTE INFORMATION: (*Indicates required information)
*Name:= -- - O �f1 C"a n
--- ---- - _._
*Address: 5 N ,
_*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
4Q nk
(Please Circle All That Apply) r
*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
Put InIA
e2-Request for inspection Form
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CHICAGO 1771.E INSURANCE GOMPANY
(516) 727-4455
SURVEY FOR
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LOTS 4 81 5 {{NASSAU FARMS11
AT PeCON I C DATE DEC. 6, 1978
TOWN OF SOUTHOLD ' SCALE' 1"-- 40'
SUFFOLK COUNTY, NEW YORK NO 78-764
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SURVE r IS A vIOLAT10N OF SECTION 7209 OF THE'; CHICAGO TITLE INSURANCE CO.
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ALDEN W YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S LICENSE NO 12845
HOWARD W. YOUNG, LAND SURVEYOR
NYS LICENSE NO.45893
APPROVED AS 1140TE® oDE-S, OF
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DATEIJ_L-�I— NEW r_
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NOTIFY BUILDINGT AT
0 1 PM FOR THE %W
765-1802 8 AM T 5
Non-111"ll�_a
FECTIONS:,,'-
FOLLOWING INS
1. FOUNDATION _ TWO,REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING PLUMBING
3. INSULATION
4. FINAL - C'ONSTROCTION MUST
BE COMPLETE FOR C-O', OR
'TION SHALL MEET THE sJ
ALL CONSTRUCTION
i )bt8 OF NEW FUL
REQUIREMENTS,-OF TESPONS
BLE FOR SE IS UNLANYORK STATE. NOT RI ERRORS. OUT CERTIFICATE
DESIGN OR CONSTRUCTION ODA
OF OCCUPANCY
RETAIN STORM WATER RUN
NOFf711MMEDE y'
PURSUANT TO CHACRAFTERENbLOSE'POOL"rci,��,cit)k":-� tl-
THE Tom CODE. -UPON COMPLE'.tION
BEFOR�'
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POOL SIZE WITH STEL A B C 0 E F G H K L M N GALLONS
12X24 12X28 12'-0" 24'-0" 3,-4" 6'-0" 6'-W 8,40" 6'_3n 4•'0" 41 4"1 4,-0" 6'•3-U8" 9,050
16X24 16X28 16'•0" 24'-0" 3'-6"1 7'-0" 61-0" 8W' 6'-3" 4'0 4'0 8'3" 4'-0" 6'-3-118" 13,750
16x32 16X36 16'-0" 32•-0" 3'-4" 8'-0" 8,-6" 13'-6" 6'-3" 41-W 4'-0" 8'3" 4'-0" 7'4" 19,500 ��•
I n 3" , ,, I n , " , n " ' M
18X36 18X40 18-0 36-0' 3'4" 8--al 10-6 13-0 83 4-0 4'-W 10'-3" 4-W 7'-0 25,500 20X40 20X44 20'-0" 40'-0" 3'-0" W-V' 12'-6" 13'-6" 10'-3" 4-0" 4'-0" 12'-3" 4'-0" 7'•4" 32,000„ , 11 1 11 , nI n , nI 1 I , n1 „ I n , „16X34 16X38 16'-0 34-0, 3-411 8-0,� 10-0111 -6„ 63'„ 4-0n 4-083” 4�0'� -7-0 11 20,900rT
29M) 25X54 25-0" 50.0' 3'-0 $-6 20 13.6 12-3 4-0_ 4 17 3 4-0 7 73116 58,750 \
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30 60 30X64 30'-0" 60'-0„ 3'-0" 8-611 20'-0" 15'-0" 20'3" 4'-6" 4'1 IT-3" 4'-6„ 61-2-3!8" 79,550 \ \ I
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14X28 14X32 14'-0" 28'-0" 3'-4" 81-0" B,-0" 12'•0" 4'3" VI 4''On 6,-3" 4'•0" 6'31116" 12,100
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13126 12X30 13 26 34 6-0 8-0 10-0" 43 4-0 4-0 63 4-0 631116 11,600 nmav6�aiw I�<\\ L
16X38 16X42 16 38 3'-0" 8,-0" 14'•0" 14'-0" 6'-0" 4014-1113-1 4.0 7'-0" 22,000
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AUNCK 1 COATING
Complies With:
77-
Ill ILE
CP
2016 NYS Uniform Code Supplement Sec 8326 '
R326.3.3 in Ground Pools Shall Be in Conformance with ANSI/NSPI-5 �A 072
1 8326.5 Barrier requirements:Temp Fence must be installed at time of RO
i Pool construction,and Permanent fencing is the homeowners responsibility
R326.6 Entrapment Protection Installed
------------- -------------
---- R326.7 Swimming Pool and Spa Alarms must be installed
POOL TYPE: RECTANGLE REV. SCALE: NTS
2015 IECC JAMES DEERKOSKI, P.E.
Sec R 403.10.2 Time switches or other control methods that can run I DATE:
automatically tum off and on according toa preset schedule shall be 260 DEER DRIVE
TYPICAL PANEL STIFFf�EI
installed for heaters and pump motors. Heaters and pump motors that
have built in time switches shall be in compliance with Sec R 403.10.2 MATTITUK, NEW YORK 11952 DRAWING NUMBER
1 OF 1
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