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Home My WebLink About41958-Z Town of Southold 1/17/2018 o - P.O.Box 1179 co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39456 Date: 1/17/2018 THIS CERTIFIES that the building HOT TUB Location of Property: 1235 Cedar Dr.,East Marion SCTM#: 473889 Sec/Block/Lot: 22.-2-44 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/6/2017 pursuant to which Building Permit No. 41958 dated 9/11/2017 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 Menzel,Adam&Johanna of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41958 12-07-2017 PLUMBERS CERTIFICATION DATED Au h e Signature TOWN 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#: 41958 Date: 9/11/2017 Permission is hereby granted to: Menzel, Adam 18 Litchfield Rd Port Washington, NY 11050 To: install an accessory hot tub as applied for. At premises located at: 1235 Cedar Dr.,East Marion SCTM # 473889 Sec/Block/Lot# 22.-2-44 Pursuant to application dated 9/6/2017 and approved by the Building Inspector. To expire on 3/13/2019. Fees: SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 uilding In 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 I%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 $15.00 ate. � ( Z� � � � New Construction: Old or Pre-existing Building: (check one) Location of Property: Z3 5 cc- a—'r f�JZ SCC/�f' ` a✓� House No. Street Hamlet Owner or Owners of Property: A cLG,-.w? Cit zY �LSuffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. �h q6 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ s lican Signature Irg so Town Hall Annex Telephone(631)765-1802 54375 Main Road c� Fax(631)765-9502 P.O.Box 1179G • p �Q roger.richert(a�town.southoId.ny.us Southold,NY 11971-0959 c®UIV N e,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Adam Menzel Address: 1235 Cedar Drive city:East Marion st: New York zip: 11939 Building Permit#: 41958 Section: 22 Block: 2 Lot: 44 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Long Island Pool Care License No: 55615-H 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 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 40A A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Supply Power to Self Contained Hot Tub, 2- GFCI Circuit Breakers. Notes: Inspector Signature: Date: December 7, 2017 0-Cert Electrical Compliance Form.xls 50Ujy�� l # # C� \ 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) sr REMARKS: DATE INSPECTOR t TOWN OF SOUTHOLD BUILDING, DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] hmSULATION [ ] FRAMING / STRAPPING [ FINAL H6T_ [16 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ,/b 4� w DATE ANSPECTOR FIELD INSPECTION REPORT DATE COMMENTS S' FOUNDATION(1ST) � y -------------------------------------- FOUNDATION (2ND) tai O ROUGH FRAMING& IsJ PLUMBING y r INSULATION PER N.Y. y STATE ENERGY CODE I LAW- 1 • FINAL l ADDITIONAL COMMENTS r . 0.7 a 1500 PJA `-I q 8 a- - o f J y ' �C tai H 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 / Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application D ��a V Flood Permit Examined ,20 Single&Separate UTruss Identification Form Storm-Water Assessment Form Contact: Approv ,20 BUMDIING DEM Mail to: DgU2 16>f� isapproved a/c TOWN OF SOUTIHOLD (o.�j l 6,'5 –F� R 15 Phone: 1 ZN Expiration r-kBuilding Inspector CO ��ICATION FOR BUILDING PERMIT #s°� Date �z� ' - ' 20 .00 � 0 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 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. S,gifature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder o C-A-0 r Name of owner of premises '� �e ` (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. SS — Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed wor will be done. 12 House Number Street Hamlet County Tax Map No. 1000 Section �, Block``' -i ' 'o� " Lot r.st,_; f 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 (111 b. Intended use and occupancy 3. Nature of work(check which applicable):New Building ' 'on Alteration Repair Removal Demolition ther Wor � a.Ao O d (Description) 4. Estimated Cost4S �._ ryrz- rY V1 j �£-� ' '= ; '`' F"s r 6 -��,' (T` lbe aid on filing this application) � � a 5. If dwelling, number of dwelling units } Number of dwelling unjts?gn each floor If garage, number of cars 'Q� 1 U 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front _ ,,•a x-r A .;f 1sRea>s" ,�, Depth Height Number of Stories 1 Dimensions of same structure with alterations or additions: Front f. Depth Height Number of Stories '.rR ' 8. Dimensions;of entire,new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth qf 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 A � COQ rtW� 14.Names of Owner of premises Fh�Y m MnZe I Address 1233" 4_Phone No. i Name 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 V * 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 OF I ror, being duly sworn, deposes and says that(s)he is the applicant (NarKe of individual signing contract)above named, (S)He is the C � (e - 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 57'—r' of v 20/ 140 jpw 7� Notary Public TRACEY L. DWYER ignature of Applicant NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2� :A 7 Y ST(0))E J\\4 VA�T)E1K Scott A. Russell SUPERVISOR ��, j ,)� �-L IWA\NAG 4 LY F�/ SOUTHOLD TOWN HALL-P_O-Box 1179 0`yr, Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 JS , am/O// 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 . . E]d A- Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface- ❑P� B. Excavation or f 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 ----- p:-ol"any=wat-e-Fc-aurse:-----------------..�____.------ ❑�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 Tau 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.C_T.M. : 1000 Date- APPLICANT. acr APPLICANT. (Property Owner,Design Professional,Agent,Contractor,Other) District Aq ,n/�jNAME ,e/-L i�r�� r� (/t`5—� v� @N� ection Block Lot Contact lnforrtut m `�`R Ii`-iIL D,\ca DLPARTMi;NT l.Si� UAL`:.` . Reviewed By- - — — — — — — — — — — — — — — — y:- - - - - - - - - — - - — - - - Dater�s— Property Address / Location of Construction Work: — rApproved — — — — — - - - - - - - - - — — for proce men Building Permit- - - -tormwater Management Control Plan Not Required. �� ,f "\� Stormwater Management Control Plan a Required. (Forward to Engineering Department for Review.) FORM A SMCP -TOS MAY 2014 Of SOUTyo �0 Town Hall Annex Telephone(631)765-1802 54375 Massa Road coo (631)765-95 P.O.Box 1179 G • OQ roper.rlchert(aownsoutlio9 .ny.us Southold,NY 11971-0959 NS f. BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION , REQUESTED BY. ��r�� \ev\ �So I C-14-( Date: Company Name: e Co ru Name: U.\ License No.: 5-S t. -PO A Address: S Phone No.: _ JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: /2'-.3 S G-4a C- J �� a r;y� y ` 1 �_ Cross Street: S o��h�� 1�d *Phone No.: Permit No.: L� g Tax-Map District: 1000 Section: ZZ Block: 'Z Lot:�� *BRIEF DESCRIPTION OF WORK(Please Print Clearly) E—1 (Please Circle All That Apply) *Is job ready for inspection: �/ NO Rough In Final *Do-you need a Temp Certificate: YES 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 D� 82-Request for inspection Form 'A V�,v, t 1, LT�,; "W� V`V�v 1�;- W". 47" '16 Y-A- VIA ASF 1,Z 1,2: A!e4 T- 11"Q ------------- C'u) 3t �A- ia "'VI, -A'l q, Z- tH 7 '7 F an- iw� Z ri -',Ml low 2-ft-km ,-VlfffA%r' RR", PIP- ^1 _GUARD (Model VI0 & ARIA (Mode1A�!+l1YA'N OU1Rtl Dimensions �� F01- TWO RF 1, � 1/,,, FOv4dDAT1O1� -CO JCCit�E NOTE:All dimensions are approximate;measure your spa (+`'i��rS 9 FOR FOUFV PLU1,R)G FRAiv11NG before making critical design or pathway decisions. " 2• RO,,�GH - �. it�suL��irae� �vcfio�� c�,us 4. CO�,s11rOR C.O. G BE C0�1QL�G rOH SHp,L L ALL COHS1ftU � OF�Ht C/OCLS , YORE STOR GO 71.75" m DOOR ° m pES1GH71.75"(182.2 cm) MAIN DRAIN 21.5"(54.5 em 1.75"(4.4 Cm)ELECTRICAL CUTOUT_ / 41^(104.1 cm) fy utOj"'. 52"(157.5 cm) SECONDARY DRAIN o'O0, F �i= sr FrX b O P O � (Bottom view) 18•(46cm) ... IB"146 cm) 415•(105 cm) 415'(105 cm) 87'(221 cm) DOOR SIDE 15 leveling points(place shims at illustrated locations). Page D- Instructions