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HomeMy WebLinkAbout41892-Z �p�0$UFF�I'�COG. Town of Southold 5/22/2018 "M y� P.O.Box 1179 y ,? 53095 Main Rd �'f �ap� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39655 Date: 5/22/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1710 N Bayview Road Ext, Southold SCTM#: 473889 Sec/Block/Lot: 79.-6-3.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/16/2017 pursuant to which Building Permit No. 41892 dated 8/17/2017 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 Singer,Michael&Keenan,June of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41892 11-02-2017 PLUMBERS CERTIFICATION DATED A th riz d Signature �g� TOWN OF SOUTHOLD BUILDING DEPARTMENT 10 TOWN CLERK'S OFFICE oy • 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#: 41892 Date: 8/17/2017 Permission is hereby granted to: Behrmann, Robert 159-02 28th Ave Flushing, NY 11358 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1710 N Bayview Road Ext, Southold SCTM # 473889 Sec/Block/Lot# 79.-6-3.2 Pursuant to application dated 8/16/2017 and approved by the Building Inspector. To expire on 2/16/2019. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 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. $I l b 11 New Construction:W Pooh Old or Pre-existing Building: (check one) Location of Property: 1-710 Ajo r lGl �y;cw •1?ocs� L X kA6t�k S 0-tLsdd House No. St eet Hamlet Owner or Owners of Property: M(C 0Ytg2 SIN6-c—A_ �1 U MC LL-Z7X� Suffolk County Tax Map No 1000, Section —79 Block Lot Subdivision Filed Map. Lot: Pen-nit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: n / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ Applicant S' ire �®'\\pF SO!/r�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 • aQ roger.richerta—town.southold.ny.us Southold,NY 11971-0959 Q lyCOMM,N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Singer Address: 1710 N Bayview Road Ext. city,Southold st: New York zip: 11971 Budding Permit#: 41892 Section: 79 Block: 6 Lot: 3.2 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 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 9 TVSS Other Equipment: Inground Swimming Pool to Include; Bonding, 2- Pool Lights, Control Panel, Gas Pool Heater, Pool Cover Motor, 2- GFCI Circuit Breakers. Notes: Inspector Signature: — Date: November 2, 2017 0-Cert Electrical Compliance Form.xls g� pE SOblyolo H O i holy 0�1,N .TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INS TION [ /FOUNDATIONlSTA4ftvo_*ll'[ ] ROUGH PLEG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL,(ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR 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%�[Z a0F SOOT # * TOWN OF SOUTHOLD BUILDING DEPT. `^ourm,��'' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2NDI[ SULATION/� [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION , [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: lfZ Wyk`til/ y �a AAjl(e,�, _b Y' "v-;- mta rA j S m 13 u�v� d0 S DATE INSPECTOR VA�& OE 50GTyo� # TOWN OF SOUTHOLD BUILDING DEPT. `ycourmN�'' 765-1802 INSPECTION- I FOUNDATION 1ST ( ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING /STRAPPING [ FINAL xe...* [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: r DATE ! INSPECTOR FIELD INSPECTInN REPORT PAT.V C MMENTS FOUNDATION(IST) H ------------------------------------ FOUNDATION (2ND) V, o H ROUGH FRAMING& PLUMBING H ' W r INSULATION PER N.Y: STATE ENERGY CODE 1 Fwv t ,rvl to FINAL j lS ADDITIONAL COMMENTS - - o 1a 1. 93M d b 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 SoutholdTown.NorthFork.net PERMIT NO. d Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Examined Flood Permit ,20� Single&Separate V D Storm-Water Assessment Form D AUG 16 2017 Contact: Approved ,20� Mail to:160L- V iM6( Disapproved a/c (b &)Y� 31A 'to>J,c- TOWN OF SOMO 1 D Phone: (031.-7 3q'Z(00 D Expiration ,20 Buil ' n for APPLICATION FOR BUILDING PERMIT Date Aw,",- Iu , 201-1_ 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, anlations, and to admit authorized inspectors on premises and in building for necessary inspections. . a (Signature of p i t or name, if a corporation) P� 3bq PELON[ (Mailing addrA of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder S W c M nn l n1(T PU v L- Go N i 2ifLZ u(L Name of owner of premises Ivy I<[+A-L--L— S r M&r 2 (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1 -71 0 r1 orc--)l iGt4qyLew 2oaf� ��c s�o,J SovtT�F��,i� House Number Street ; , ;;; ;.Hamlet County Tax Map No. 1000 Section 7 ` " '"'_B Lot 3. 2 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 )9)c 3!, s ClLeZ _sub,M61ti(a&Pxx.. (Description) 4. Estimated Cost 9010op be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwellin its on each floor If garage, number of cars ,_:(, 6. If business, commercial or mixed occupancy, spe_ify a ire and extent of each type of use. 7. Dimensions of existing structures, if any: Front ' r 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 NO 14. Names of Owner of premises M icj tAEL,s I N GtL Address lu Pg mturti Pi)(.j—, Phone No. q17. 35,S 36,71 Name of Architect Address`00"' oao(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 NOkO_ * 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 \70 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY 6&6 � , being duly sworn, deposes and says that(s)he is the applicant (Name of individual sign' contract) above named, (S)He is the Contract , 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 �� day of 20 ACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 Notary Pub (c QUALIFIED IN SUFFOLK COUNTY Sig tune o plicant COMMISSION EXPIRES JUNE 30,201b "rte•-; SIFORJAWAIFEIK Scott A. Russell �V SUPERVISOR �,�J i MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 y Fir 53095 Main Road-SOUTHOLD,NEW YORK 11971 ��iy��S Town of Southold CHAPTER 236 - STORIV WATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) I)® THIS1PROJ PROJECT RNVOLV E ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ®[9/A- Clearing, grubbing, grading or stripping of land which affects more �� than 5,000 square feet of ground surface- ; ❑[3 B. Excavation or f illing 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- i ❑Ea/D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ErE. Site preparation within the one-hundred-year floodplain as depicted -... _.L - - =en F1RM---N4ap=-of-any-wal-erc--auarse-Fe _ -- -- --------_--- -__ : - ❑ 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.C_T.M. : 1000 Date. APPLICANT_ (Property owner,/Design Professional.Agen Co tracto they) �/(� District NAME CS { fV G.© ( ®6 ot2 S I IO I� Section Block FSR BLiILUiG 1)LPARTIENT USE UAL Contact Information: - TanAn.e. Reviewed By: W - - — — — — — — — — — — — — — — — — Date_ f � ��- , � Property Address / Location of Construction Work: — — — — — — — — — — — — — — — Approved for processing Building Permit. 010 34N Ifo t"&o Io&& LVA3t_C/" Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required_ (Forward to Engineering Department for Review) FORM SMCP -TOS MAY 2014 1 Z�sorry Town Hall Annex 54375 Main Road me � � -D P.O.Sox 1179 G� Q f0 enrichtOWn_SOutlO .n .US ',s+ • O i Southold,NX 11971-0959 �y�4Ulf1`I,� OCT 1 0 2017 BUIMING DEPARTMENT 33UILDING DE,PT- TOWN OF SOUTHOLD 'I'0W''�1i OF SOUT]ROL13 APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. 1 00 _ V�'Pate: /0/31 / 7 F Company Name: C Name: License No.: _ Address: o o k t Phone No.: ?to 7 03 Ll JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: j'Q 0 rc 14 � *Cross Street: *Phone No.: Pen-nit No.: Tax-Map District: 1400 ec ion: Block: V Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: 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 D , oa 82-Request for Inspection Form 0 G HEALTH DEPT. REF. NUMBER RIO-04-005,3 SURVEY OF PROPERTY N AT .BA YVIE Y TOWN OF SO UTHOLD SUFFOLK COUNTY, NY 1000-79-06-3.2 SCALE: 1'=50' MARCH 29, 2004 SEPTEWBER 9, 2004 (FNDTN. LOC) RO C,. -•:. G4=17 2rCA B I 2J' . .l 29' C 1 37 J4ai -- (x of M r� A Jr, eo � my 4*caw ry. 33 R, Op' JfO. �? } !s()N OFC, p. D• 1 , }� FWaPosEc� 3� } �ry SUFFOLK COUNTY TY C F=4 K 1 f0E'�° .. ';31 TI:SERVICES APPF2Oi%I a,t FOR r A 4!C-LE FAV..?L'? tESID��`;CE odw /aF ®ate NOV 6 ZOOS H.S.Ref.No.,�2,�Q o`� O 53 \ o �N 9 The ar age disposal and yr ter cuDply f�cll es at this location have been �G'J 3 4p 2O Inspected andlor cerdfied by tt,t;Departrrtent or other agencies and found to be satisfactory FOR A MAXWU; ©F, GEDROOMS. 150 OO, ai9. —42 Walter J.Hilbert. ., Office of Wastewater Management J Fl TEST HOLE DATA SEPTIC SYSTEM. FROM 'MINOR SUBDIVISION FOR (1) 1000 GALLON SEPTIC TANK MICHAEL WEINSTEIN" (2) 6' DEEP 8' DIAMETER LEACHING POOLS I am familiar with the STANDARDS FOR APPROVAL LOAM AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES 4' and will abide by the conditions set forth therein and on the i permit to construct. The location of wells and cesspools shown hereon are SAND �GRAYEZ from field observations and or from data obtained from others. OV NEVVIV Elevations referenced to on assumed datum. ANY ALTERA77ON OR ADDITION TO THIS SURVEY IS A WOLA TION �r OF S£C770N 7209 OF THE NEW YORK STATE EDUCA77ON LAW. EXCEPT AS PER SECTION 7209—SU601V7SION 2. ALL CER71RCA77ONS 14' . HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF IC NO. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ECONI P. WHOSE SIGNATURE APPEARS HEREON. LOT NUMBERS FROM "MINOR SUBDIVISION FOR MICHAEL WEINSTEIN" (631) 7 $ ) 765-1797 P.0. BOX t AtvD sv ®=MONUMEN T 1230 TRA VELE ET ARFA=6.1,cmc S0. FT. Sn(I mol n N Y I I Q71 04-134 - v AP R VED AS NOTED DATE: � B.P.� ,� FEE: O.6 BY: OCCUPANCY OR NOTIFY BUILDING DEP,8,R` T AT USE IS UNLAWFUL 02 GAM 10 4 FOR THE FOLLOWING WITHOUT CERTIFICATE FOLLOWING INSPECT;ONS: 1. FOUNDATION - TWO REQUIREDO{E OCCUPANCY FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - r,0� ION MUST BE COMPL;; : F"jti C.O. ALL CONSTRLC; N SHALL MEET THE REQUIREMEN;S OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR RETAIN STORM WATER RUNOFF DESIGN OR CONSTRUCTION ERRORS. PURSUANT TO CHAPTER 236 OF THE TOWN CODE. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF `iv,,, EQ ,l'E LT' ENCLOSE-POOLTO CODE 11PO�V COMPLETION U HOLD T SEF "WATER" ELECTRICAL INSPECTION REQUIRED • SECTION G1O6 EgRAR14E l' PR01=10N REQUIRED POOL AND PROPERTY TO COMOMm *('O N_Y. QrATE RESIDEIdMi =\ S&9�ION G1O7 ODDE APPEMIX G 20rcP EDITION Pd6t; ArARM REQUIRE Pox Io 4_To Aw T SPI SMgMRDS PW 03.1 SUE(FT) I I & I C a E f 1 0 A4 c". 71 bd§TAM IAO � ��S �. A AA, LUX- 3 cit-C� ��Io C1a;o a s� CCiq R2AL`Cd?TCSe T> @DLYSiPP RS CASED Ofd A URAtRfA6E gOdt. 47'4T$5< VLT_ ss-i C�fdl F�C dFi sp0UOCD WA.Tt=x ZOLCLL soar EX33T tcrilgM TwC tltcte%p�TLct :�3kS� � �xcav�sTlDr_rP cp&-*o rjArfR rLztsTs graT, g'_p-rCLOW .'cad; vw An r ` (/ e-•sae: _r�__�_-.1-.-_� __.r_._r_ _. ___ ._�_ 'urac!+�A��"gn mac_. 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