HomeMy WebLinkAbout42024-Z ®�SU�F° coG Town of Southold 12/29/2017
y� P.O.Box 1179
53095 Main Rd
�4%01 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39429 Date: 12/29/2017
THIS CERTIFIES that the building HOT TUB
Location of Property: 950 Wells Rd, Laurel
SCTM#: 473889 Sec/Block/Lot: 126.-3-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/28/2017 pursuant to which Building Permit No. 42024 dated 10/4/2017
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 Piscatelli,Michael&Heather
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42024 10-11-2017
PLUMBERS CERTIFICATION DATED
utho ed ignature
0
TOWN OF SOUTHOLD
�oo� may 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#: 42024 Date: 10/4/2017
Permission is hereby granted to:
Piscatelli, Michael & Heather
950 Wells Rd
Laurel, NY 11948
To: install hot tub as applied for.
At premises located at:
950 Wells Rd, Laurel
SCTM # 473889
Sec/Block/Lot# 126.-3-5
Pursuant to application dated 9/28/2017 and approved by the Building Inspector.
To expire on 4/5/2019.
Fees:
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00
CO - SWIMMING POOL $50.00
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. 17
New Construction: / 106 Old or Pre-existing Building: (check one)
Location of Property: 1 0 Go-p—1 IS R O , LA u 0e./ 16V
House No. Street Hamlet
Owner or Owners of Property: 00,'t�C
1i9/ff�/� PIS C i9�{��;� ✓
I Suffolk County Tax Map No 1000, Section Block o Lot
Subdivision Filed Map. Lot:
Permit No. '%.-YDate of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: r/ (check one)
Fee Submitted: $ � -
App icant ignature
pE SOU��®!
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® aQ roger.richertRtown.southoId.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Piscatelll
Address: 950 Wells Road city,Laurel st: New York zip: 11948
Building Permit#: 41624 & 42024 Section: 126 Block: 3 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: DAK Electric License No: 5120-E
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 FixtureTime Clocks 1
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: BP#41624 - Inground Swimming Pool to Include; Bonding, Control Panel,
1- GFCI Circuit Breakers.
Notes:
BP# 42024 - 50A GFCI Protected Circuit , Circuit for Self Contained Hot Tub.
Inspector Signature: VDate: October 11, 2017
0-Cert Electrical Compliance Form.xls
50dryolo
gum,
TOWN OF SOUTHOLD BUILDING DEPT.
6')� `e5 k4 �J-:,—> 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:
d x.,
r
DATE /&'/I INSPECTOR
SOUTyOIo
o�yCOU�,N�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL /'fad
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[. ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE Y Y INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
------------------------------------
FOUNDATION (2ND) t�
z
ROUGH FRAMING& F5 y
PLUMBING
r
INSULATION PER N.Y. H
STATE ENERGY CODE
on I
C."
01�Q/•
FINAL Koff
- o
ADDITIONAL COMMENTS
m
y
O
- z
d
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 se of Building Plans
TEL: (631) 765-1802 Planning Board approval'
FAX: (631) 765-9502 � ey (�
Southoldt6wnny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
stees
C.O Application
Flood Permit
Examined /D f4 —,2010 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 04 20 I Mail to:
Disapproved a/c /1
11 1 ,-1 Iq Phone:_ �r g
Expiration 120
Bui in spector
D
o
SEP 2 7 2017 PLICATION FOR BUILDING PERMIT
Date 12- , 20
Bi1ILDING DWT. INSTRUCTIONS
wN OF.SOUTT"OLD
a. T� icat�on 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 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.
Signa ure of fppIicant Q pqiam e,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises / +, �C ���Ale 1CC
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Narne and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No. S/ZU-C
Other Trade's License No.
1. Locati n of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section Z .� �;Blo,"ck �� �' Lot �� y
io
s
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 ition Alteration
Repair Removal Demolition Other Work v
(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.
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 St"orje's:`fj
i!
8. Dimensions of entire new construction: Front Rear `' Depth
Height Number of Stories (; q
9. Size of lot: Front Rear Depth
RT
10.
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 /I
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
c /
14. Names of Owner of premises C� PI�Scllk
Address gCz2 k-11 Phone No.l S/ ;?!22 qh
Narne 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
* 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 /K
* 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 /f
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFFd
Jce'�-/-P—` e being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the e�tJ71J�L'�
(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.
SworLIto before me this
day of 20_[]01;25� tq'TAIR-01 ,
GAIL DIGIAQMG
PUBLIC,STAT
Notary Public No. 01D16120253 1---sigilaiure of Applicant
oualified in Suffolk County
cbmm14819t1&plres December 20,2020
5 V s C 11
- OF SQY.
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-gg5Q9 I
P.O.Box 1179 • Q ro er.richerttoWn.soutllo n .us
Southold,MC 11971-0959 n� C;L
(�
l�i�Ul11 `` A (Jl ` `r
+'�6
'bl ,
BUILDING DEPARTMENT ] 00 i
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTIO
;
REQUESTED BY: , f
Pis ��i Date: ! I
Company Name: I.
Name: `S
i
License No.:
Address: LU q
Phone No.:
-JOBSITE INFORMATION: (*Indicates required information)
*Name: k-4 KI I-Pi 5e,+7-e4j.I
*Address:
*Crass Street: �L �,Z/L&F
*Phone No.: Lo 31 _9r2Z—73/3 —'
Permit No.:
Tax-Map District: 1000 Section: ZZ, . Block: L) OS-
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) i
C.yu�57izc.�'. of II
(Please Circle All That Apply)
*Is job ready for inspection:
ftYES/ Rough to Fi
*Do-you need a Temp Certificate:
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 er
*New Service: Re-connect Underground Number of Meters Change of Service Overhead ,6 % A2
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for inspection Form
APPROED AS NOTED
DATE: 7 )S.P.# � '7
FEE: e,no BY:.,--*NT
RETAIN STORM WATER RUNOFF
NOTIFY BUi+..j`,,` "ET AT PURSUANT TO CHAPTER 236
765-1802 8 ASI TO ,DV FOR THE OF THE TOWN CODE.
FOLLOWING, INSPr-CT►GNS:
1. FOUNDATION - TWO REQUIRED
FOR POURED " )"IrRETE
2. ROUGH - F,1i!" PLUMBING
3. INSULAT,' '
4. FINAL - ' i MUST ELECTRICAL
BE COM. INSPECTION REQUIRED
ALL CONST SHALL MEET THE
REQUIREMEN i.r THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR -1 ,
DESIGN OR CONSTRUCTION ERRORS. P
,y ' no U /Q<- lac Ic R
cover
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODE`
AS REQUIRED AND CONDITIONS &
RC
SOUTHOLD TOWN TRUSTEES
OCCUPANCY OR
USE IS UNLAWFUL
WITH NJT CERTIFICATE'
CO OCCUPANCY
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SURVEY OF PROPERTY
y PAGE 1 OF 2 _
�o ° SITUATED AT
LAUREL -
ti� TOWN OF SOUTHOLD
° SUFFOLK COUNTY, NEW YORK
y
S.C. TAX No. 1000-126-03-05
yy l SCALE 1"=40'
JANUARY 20, 2005
FEBRUARY 28, 2005 REVISED PROPOSED SANITARY SYSTEM
JUNE 5, 2016 UPDATE&ADD PROPOSED HOUSE
O
�Nv I � AREA = 19,208.08 sq. ft.
'd 0.441 ac.
A 141011001
c�o 0141 if, A-
0.
W sa �'• q�F!`y- sf; NOTES:
1j5 ° �Oi B '�a*'.�+0 1. ELEVATIONS ARE REFERENCED TO AN N.A.V.D. 1988 DATUM
/ y< 4n 0 EXISTING ELEVATIONS ARE SHOWN THUS:.=
Q++ 0 '�v� ro y 9 C'N PROPOSED ELEVATIONS ARE SHOWN THUS:52
p,° App y C`vN�� 2• IMINIMUM
TANK: 8E LONG, 4*3" WIDE,E6'FOR
EEP TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
N 0 n��pt V 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ff SIDEWALL AREA.
a 0° 2 POOLS: 6' DEEP, 8' dia.
2
PROPOSED 5OX FUTURE EXPANSION POOL
G ':'•; ':0 . �yo� ®PROPOSED 8' DU, X 8' DEEP LEACHING POOL
� :.,•'+::`.`::::.:.::C•:� a�+�.'`•';..�:_:;; � yo � D O`er '�
NO .;%O•;,},i:.:;••;i.' N Q \ �} lr. ®PROPOSED 1,=GALLON SEPTIC TANK
4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
:`;�% g�'�a•,.,;.y;;,:, yLt^ j OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
G ;;:U�ft+ <p �` 5. ALL PROPERTIES WITHIN 150' OF THIS PROPERTY HAVE SINGLE FAMILY DWELLINGS AND ARE
. + CONNECTED TO PUBLIC WATER EXCEPT IF OTHERWISE SHOWN HEREON.
:";,' ; ::a,;..;;;;';.•• CI S. THE BASEMENT WILL BE UNFINISHED AND USED FOR STORAGE AND UTILITY PURPOSES ONLY.
�,c+ >s •':::;''> :6• /'
0.:;c:t.�.:.' / / FooN, • �QES �OTRpASOS
ICwD
' I43 0� N
DRAINAGE SYSTEM CALCULATION3_r
ROOF AREA: 2,890 sq. 1t.
2.890�oNs;5i1%pN�� �' 'gIL'ItSES P 0v0 NP 492 cu.gft.f/42.2= 11.7 verNaal ft. of 8' dlo. leaching pool required
` ! )C +' V, \", PROVIDE (2) 8' dia. X 6' high STORM DRAIN POOLS
� 69,�7j+1Q PROPOSED 6' DU, X 6' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS:OO
5 DRIVEWAY AREA: 1,600 sq. ft.
00 Ep�No 0071• 880 sq. ft. X 0.17 - 150 cu. ft.
TLC150 cu. ft. / 42.2 = 3.6 vertical ft. of 8' dla. leaching pool required
s N/O1pNGELL0 Tlr'ST FCOLE ')DATA PROVIDE (1) 8' dia. X 4' high STORM DRAIN POOL
y O Arj M ANG J PROPOSED 8' DIA. X 4' DEEP DRYWELL WITH OPEN GRATE FOR DRIVEWAY RUN-OFF ARE SHOWN THUS:O
No TI�OM Ow�V. (TEST HOLE DUG BY nnt4At D GEOSCIENCE ON DECEMBER 31, 2004)
S ELi18.5' 0' PREPARED IN ACCORDANCE WITH THE MINIMUM
i , STANDARDS FOR-TDLE•SUBVEYS AS ESTABLISHED
�df GS BROWN SILTY SAND SM F�ORTMSU H U •gyµ�D NEyWyORI�hSTLAND
2.5' TITWTIO . ®�: y �'
AF 1- 0`• .41'
PALE BROWN FINE SAND SP
1 I 41 ,-s
WE• -13.8'HIGHEST EXPECTED GROUND WATER
C� I TEST WELL No. USGS 4059924072321501 S 39269-1 c; "rte k= y
i
EL 3,1' 15.4'
per^ f WATER IN PALE BROWN FINE SAND SP
y.N it �. �•:r. ..'t N. S. Lic. No. 50467
17' UNAUTHORIZED ALTERATION OR ADDITION
/%V�7�• ^�� TO THIS SURVEY IS A VIOLATION OF -
�•; SECTION 7209 OF THE NEW YORK STATE Y 1 ." P~
EOD°^n°N UW- Nathe"" Corwin III
COPIES OF THIS SURVEY MAP NOT BEARING
I THE LAND SURVEYOR'S INKED SEAL OR
EMBBOMM SEAL TR
BE CONSIDERED Land Surveyor
v IUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARm,AND ON HIS BEFHALF TO THE Successor To: Stanley J. leaksen,Jr. L.S.
I� TITLE COMPANY,GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S.
I LENDING INSTITUTION LISTED HEREON,AND
{ TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys-Subdivisions - Site Plans - Construction Layout
If TUTION.CERTIFICATIONS ARE NOT TRANSFERABLE.
PHONE (631)727-2090 Fox (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT- ANUNG ADDRESS
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16
Jamesport, New York 11947 Jamesport, New York 11947