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HomeMy WebLinkAbout42801-Z �gUFFD�G�� Town of Southold 7/18/2018 P.O.Box 1179 0 C* 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39773 Date: 7/18/2018 THIS CERTIFIES that the building HOT TUB Location of Property: 1205 The Strand, East Marion SCTM#: 473889 Sec/Block/Lot: 30.-2-72 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/11/2018 pursuant to which Building Permit No. 42801 dated 6/18/2018 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: "as built"accessory hot tub as applied for. The certificate is issued to Whalen,Terrance&Ann of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42801 6/11/2018 PLUMBERS CERTIFICATION DATED 000 Signature o�SUFFot��oTOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 42801 Date: 6/18/2018 Permission is hereby granted to: Whalen, Terrance 14 First PI Garden City, NY 11530 To: legalize "as built" hot tub as applied for. At premises located at: 1205 The Strand, East Marion SCTM # 473889 Sec/Block/Lot# 30.-2-72 Pursuant to application dated 6/11/2018 and approved by the Building Inspector. To expire on 12/18/2019. Fees: AS BUILT- SWIMMING POOL $500.00 CO - SWIMMING POOL $50.00 Total: $550.00 B in pector 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. 31� ��, 220)6 New Construction: Old or Pre-existing Building: (check one) Location of Property: 12 O5 JC- Aaw'A L"r,f+.- EaA N\CLV 10Y► House No. Street Hamlet Owner or Owners of Property: evefnC M ArvVn M vJ Na e.v1 Suffolk County Tax Map No 1000, Section d Block a Lot o� Subdivision 0 Filed Map. Lot: Permit No. 41'a- 9 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: z Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 60 Applicant Signature Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® a� roger.richert(cD-town.southoId.ny.us Southold,NY 11971-0959 Comm BUELDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Whalen Address: 1205 The Strand city,East Marion st: New York zip: 11939 Building Permit#: 42801 Section: 30 Block: 2 Lot: 72 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Jim Shaw Electric License No: 33381-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 X 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 A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: Install Disconnect for GFCI Protected Self Contained Hot Tub. Notes: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS" Inspector Signature: Date: June 11, 2018 0-Cert Electrical Compliance Form.xls ",� vgnt oP souTyolo # # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING /STRAPPING [ FINAL '�� ` �v [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL "(FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: CT� lk.f . DATE INSPECTOR FIELD INSPECTION REPORT7 DATE COMMENTS FOUNDATION(1ST) H ------------------------------------ 'FOUNDATION (2ND) " � o O ROUGH FRAMING& y PLUMBING 1 INSULATION PER N.Y. y STATE ENERGY CODE ' - r 1 � � FINAL ADDITIONAL COMMENTS r d r s a 0 z � m O -s z 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 !t. 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey South oldtownny.gov PERMIT NO. b Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 201 L Single&Separate g , D D Truss Identification Form Storm-Water Assessment Form 1 ��9N 1 1 201 Contact: } Approved ,20 L dYL�., melt6 suaoimG DEQ• Disapproved a/c UI.D TOWN OF S Phone:_ 51(Q '699 413) Expiration 20 (A _a B ' pector APPLICATION FOR BUILDING PERMIT Date ,TL Y .� ! —, 20-18 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 stealI 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 issuanceor 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 Pepartment 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises evew ce. t.k Z .-, M W W, (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. 4Electricians License No. Other Trade's,License Na. - 1. Location of_land,on-whic proposed work will be done: 1 a o s ► ,d Lat m\e, 'EeAs4 Wty w'o,n House Number Street , , 1 Hamlet County Tax Map No. 1000 Section 3 Block A Lot �� Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and":pancy of proposed construction: a. Existing use and occupancy 5 i to -� I yl 5�q b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition,, Alteration Repair Removal Demolitionthen Work 444 TO (Description) Estimated Cost Fee .(.To�be_�aid on filing this application) If dwelling, number of dwelling units u ,Number-of dwelling_untsao each floor If garage, number of cars a'__i I If business, commercial or mixed occupancy, specify nature and extent of each type of use. Tp 7' Dimensions of existing structures, if any: Front D'x Rear 1 Depth Height Number of Stories iir. ;-art;m " 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 Storios' . a Size of lot: Front Rear Depth BYO. Date of Purchase Name of Former Owner X11. Zone or use district in which premises are situated > Does proposed construction violate any zoning law, ordinance or regulation? YES NO Z� Will lot be re-graded? YES NO • Will excess fill be removed from premises? YES NO X4/Names of Owner of premises Address Phone No. 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 * 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 , (a A,I— �t1n W being duly swo'm,'deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the owyleY (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 P performed in the manner set forth in the application filed therewith. TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK Sworn to before me this NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY l i day of �l l(1� 20 "�� Y , CO ,MISSION EXPIRES JUNE 30,2W Notary Publi Signature of Applicant -eLeC-+r1'c, iOas cJOR-Q- - 2c, IS P,k P;A- IT,K!-I NT''-,' Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road -.'RO,,1 I S'outiiolci;,NevxYork,1>.1'97,1:-0959(631) 765-1802 - FAX (631) 765-9502 roger.richert(cD_town.south old.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY."-"-'---"'--- --------------------- Company Name: '1-- JIM SV%aw Me r' License No.: email: Address: I M�Clcjle6n Ito" Gveen w4 My 119 44 lPhone No.: 6$1 - 553 . 5341 Call JOB SITE INFORMATION: (All Information Required) Name: Anft-m viWen Address: 12 05 -VC-4. 5,6nnA Lo-ne.0 R-cy-SA NNmriani NY Cross Street: TC.4- L&,,%Q miew Phone No.: 641. 4 11 S 3 Bldg.Permit#: (WN'email:, mvjVyjen' A01.Com lTax Map District: 1000 Section: 'S 0 Block: Lot: -7;L BRIEF DESCRIPTION OF WORK (Please Print Clearly) WI!(� Circle All That Apply: Is job ready for inspection?: ES NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meterff New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead 1# underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION ICP XCP • �� 0 �,� Request for Inspection FormAs ,.,I ­ _ - oo-a6I LOT AREAI<20.483 sq-ff. \ MBER 123 �, L0�VPGpt1S It 645 z d •� �- _ M 0. 20.4' -A ur 2_STY.m 'fir I WP- 4.. AR.4' lU!— mT°' Tub an r_ dect CD o cn � b , UD ZZ r° z s _, N A t' � CJ r> r) no existence of rig t of ways and or eas me .,� ; . , > , I of record, if any, nol shown are not•g:lar rite d, x j NOTE: CESSPOOL,SEPTIC TANK,DRYWELL O M AND WATER SERVICE LOCATION BY OTHERS, 78• b' p ! s 4-20-2001 UPDATE SURVEY OPEN Sp PCE 2-22-2001 ADD DRYWELL 9-n-zom ro1AL 3URVEY .6,- 13 - 2000 FOUNDATION LOCATION pit Of"m (OR r uAdmoAd OUARANrT�3 IN0ICATM mtjR rk JOB NO. O FILE NO. VCN feEltioN TO TNF atom ERT SH&U 004 ORY To THE 19Zom roq WHOM TK'x v�¢Y Is ,las. SURVEYED FOR TERENCE M. 8 ANN MARIE WHALEN In:.Y t `Ost A t VWIC I'UR. I•AM, Am O N "M tOWt TO LOT NUMBER 86 rosF CT uss AND cu-z'f1:f TME rnzAC-T9 'Naar, mm"mm 71 MAP OF PEBBLE BEACH FARMS VIf NL*T rtfi`D D TO GU:� T}tE TAS ACS9••S`/ AND tL':�T.X9 INST- UTON O7 rL VX5, R!TAIN NO tU'ON W7M LEON, AND TO A'A�+JS, mxu, Pain r•,"TINO TNi tGSCT;'NUS OF Th: L,EN NNG, IMAS, AD:):',,0\ lO 0UriC1NOS W&TIiUTION CUA,il.NiCS AI:T I`O( TiWr.-2- KX TO a:XT-WM,: C11 suss:euEwti SITUATED AT EAST MARION 1n�sI;uTlOus JOAI;l�'J21M AIME(TION 432 Gtt4m,. \rJ3+41) TO TNS 3N 7,^ 11.6A TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. 7O:,GT?'J.�1.Cr �C7iav s: oo";� of TTII3 SR,�►'Ev nanr N3{ ►&1Y 11M srATi m=TtOK llJrL0u�M, IACP FtW EVOAL SCALE 1" = 40' DATE 5-I0-.20000 Ault *ter Ct cx Tn of A vat r1 tt-�•rPr+ FILED MAP NO. 6266 DATE 6-11-1975 GUARANTEED ONLY TO TAX MAP NO. 1000-30-2-72 (REF. ONLY) DISK 21f TERENCE M. 8 ANN MARIE WHALEN AMERICAN CONSTRuc`r N LENDING INC, HAROLD F. TRANCHON JR. P.C. CHICAGO TITLE INSURAE COMPANY • -NCLAND SURVEYOR 1666 WADING RIVER— MANOR RD. WADING RIVER, NEW YORK, 11792 LIC. NO;^048.992 516-929-4695 In ,.�... ... nd4a1 r Poad T. ED, AS NOTED POO.& DATE: B.P;� FEE: -Q _ BY: ®CCUPANCY lockirt avef", NOTIFY BUILDING DEPAR T AT USE IS UN LA V Y P I P 765-t802; 8 AM TO 4 PM FOR THE ,FOLLOW IN6 INSPECTIONS: WITHOUT CERTf r- -FOR POURED CONCCRETEUIRED OF OCCUPANCY 2. ROUGH---FRAMING & PLUMBING '3. _INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE' AS REQUIRED AND CONDITIONS Or �IdzA— ELECTRICAL H INSPECTION REQUIRED OUTpP Z7r0WftffltFEES f— Dr Wellness Therapy-G-2000 Spa ,�. 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GALLONS: 225 Gallon Capacity ELECTRICAL: Hardwired 230V 50 Ainp 3, ]3 3 I € I i 3 http Hwww.drwellnesstherapy com/hottubs/tub_tranq.php?id=101#box 1 1/2 6/11/2018 Dr.Wellness Therapy-G-2000 Spa The dimensions provided should be considered a guideline Actual dimensions may differ slightly from the dimensions provided because of variations in the manufacturing process The manufacturer reserves the right to male reasonable adjustments or substitutions at their discretion for refinements that improve the quality and performance of the product HOME FlOq TUBS SAi'\AS ARTMIF,S FACS SUPPORT P ARTS>I:PPL;FS FIN T)A DF.M.F.R A&C)T7US CONTACT`US ©Copyright 2013,Dr Wellness Therapy All rights reserved http//www drwellnesstherapy.com/hottubs/tub_tranq.php?id=101#boxl 2/2