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Home My WebLink About42388-Z �o�SUFfO(� Town of Southold 9/18/2018 0 P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39896 Date: 9/13/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 735 Corey Creek Ln, Southold SCTM#: 473889 Sec/Block/Lot: 78.-4-24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/6/2018 pursuant to which Building Permit No. 42388 dated 2/15/2018 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: accessory in-ground swimming pool as applied for. The certificate is issued to Holley,James&Danielle of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42388 9/10/2018 PLUMBERS CERTIFICATION DATED th riz ignature gUFFut/( TOWN OF SOUTHOLD BUILDING DEPARTMENT y} TOWN CLERK'S OFFICE oy • 1 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#: 42388 Date: 2/15/2018 Permission is hereby granted to: Ferlin, Dennis 735 Corey Creek Ln Southold, NY 11971 To: construct accessoryinround swimming-g g pool as applied for. At premises located at: 735 Corey Creek Ln, Southold SCTM # 473889 Sec/Block/Lot# 78.-4-24 Pursuant to application dated 2/6/2018 and approved by the Building Inspector. To expire on 8/17/2019. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $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 P� �wDate. �N�"'V New Construction: P0'0 - Old or Pre-existing Building: (check one) Location of Property: 735 (Do yt-q CJ&A l o,3 k 52 1t �(c&)\j '1 q-1 1 House No. I Street Hamlet Owner or Owners of Property: -j6j e 011ty Suffolk County Tax Map No 1000, Section `? j Block OJ4 Lot Subdivision Filed Map. 'lLot,:: Permit No. �i Date of Permit. Applicant,��n -, 6'o r h 1IQD),o . Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate (/ Final Certificate: (check one) Fee Submitted: $ 5b Applicant Signature '�pF SO�jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 �cOl�� o roger.riche rtCc�town.south old.ny.us 41JNTY, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: James Holley (Ferlm) Address. 735 Corey Creek Ln City: Southold St: New York Zip: 11971 Budding Permit#. 42388 Section. 78 Block 4 Lot: 24 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: JES Electric License No: 4483-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X 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 1 Disconnect Switches 1 Twist Lock Exit Fixtures �] TVSS Other Equipment: In ground swimming pool to include, bonding, control panel, gas pool heater, 1-pool pump,salt generator, 1-GFCI circuit breaker,pool lights Notes. Inspector Signature: Date: September 10 2018 81-Cert Electrical Compliance Form.xls SOUTH # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: Ulk 6/ 0 "m vi LY DATE INSPECTOR OF SO(/T�°� * TOWN OF SOUTHOLD BUILDING DEPT. • ao 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 2� [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) I l CODE VIOLATION [ ] CAULKING REMARKS: C< aEC DATE INSPECTOR i FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) OQy -------------------------------------- 'FOUNDATION -----------------------------------'FOUNDATION (2ND) 0. U' 1 ROUGH FRAMING& -� N PLUMBING H INSULATION PER N.Y-. H STATE ENERGY CODE r a �v FINAL ADDITIONAL COMMENTS vT kvkc Y7e s G 9— &e- as � o � z �f 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 1 Surve South oldt wnny.gov PERMIT NO. Check Septic'Form N.Y.S.D.E.C. Trustee's C.O.Application Flood Permit Examined ,20 Single& Separate Truss Identification Form Stone-Water Assessment Form Contact: ,, n Approved 120J 0 Mail to: L'6JA � c s Disapproved a/c ND Phone: �n f—p� -f —44(X'"1' Expiration ,20 LL g Inspector �3 'f LICATION FOR BUILDING PERMIT FEB - 6 2018 Date � � , 20 INSTRUCTIONS a. ThTb9c9Tb4 %Rompletely 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. (Signature of applicant or name,if a corporation) 977W P 01)3 M ,lei A' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises mes pi ie (As &the tax roll or latest deed) If applican s a corpor�' n, gnature of duly authorized Z�r e V (N e and title of corporate officer) Builders License No. Plumbers License No. Electricians License No.-, Other Trade's,L•i'cense No.`} ' 1. Locatiori'of.'land,on,which- ropo'sed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Block 01-4 Lot c)/4 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 on Alteration Repair Removal Demolition ther Work (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. f i 7. Dimensions of existing structures, if any: Front 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 ? i i -- ' °Depth -' Height Number of Stories .- -1 C ,Y' r 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 NOA- 13. Will lot be re-graded? YES NOAWill excess fill be removed from premises? YES NO -y35 CAS OadK 1 ri 14. Names of Owner of premises �e! 0 2l Address )li'%/ Phone No.C2(a-'�qa-633 Name of Architect Address Phone No Name of Contractor iJ� -F,r� Address ®O P-+l t� Phone No. (a ac Pe-)J d� CAT- P Q, I ve \/ 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_)L_ * 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 NOA_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) S COUNTY OF tj :fAk i4m, D-_ j p-e�us being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the la— )—) (Contractor, Agent, orporate Officer, tc.) 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, ai hktt a(L r be performed in the manner set forth in the application filed therewith. NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 Sworn to before me this QUALIFIED IN SUFFOLK COUNTY MISSION EXPIRES JUNE 30,2_ ►�-Fh day of f,�l`VGtJl 20 ,$ �J Notary Publd Signature of Applicant Y 1A_ A. Russell S'J 'j-00- Sr1roIRIMMAXIER ScoLL SUPERVISOR co MAN A\G IEMCJEN SOUTFIOLDTOWN HALL-P_O.BOX 1179 0 Town of,Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 O ' CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) - - - --- -DOFS THIIc PROJECT' INVOLVE ANY QF *THE FOLLOWING: MECK ALL THAT APPLY ` Yes No D[I A. Clearing, grubbing, grading or stripping of land which affects.more than 5,000 square feet of ground surface. ; D[4 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. D ru C. Site preparation on slopes which exceed 10 feet vertical rise to ; 100 feet of horizontal distance. DN D. Site preparation within 100 feet of wetlands, beach, bluff or coastal { erosion hazard area. t D INE. 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 Ini'oxmation-,Date-&-Count-j�Tax-Map-Numbcr Cbapter-236-does-not-apply tour-pro' 5 If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Cbeck List Form to the Building Department with your Building Permit Application_ APPLICANT: (Property Owner.Design Professional,Agent,Contractor,Other) S.GT.lvl. 1000 Date P Y Dist 10 _ NAME: r e' Section Block Lot 0R BU1LDIi\1to DL P:iRT:HEN I IU",L 0' LV F CeNxt Informat:ort l!!�I ... �� Reviewed By: Date: Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — — — ' < Approved for promsing Building Permit. `7 ❑3 C _,iV — — Stormwater Managemem Control Plan Not Required. Slormwaier Management Control Plan a Required_ (Forward to Engineering Depat tment for Review) FORM ` SMCP- TOS MAY 2014 0, Town Hall Annex 41Telephone(681)765-1802 . 54375 Main Road G Q (631)76TA5oj� P.O.Box 1176 • roger.richertCaownsou o .ny.us Southold,NY 11971-0959 • S BUILDING DE,PAR119-NT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �� rl� �/��[, �� Date: Company Name: J66 Name: j 9- License No.: }Jr Address: Par- p�Q QJ 11122, Phone No.: G 3 1 - 618 7 - JOBSITE INFORMATION: (*Indicates required information) *Name: JAI. L *Address: *Cross Street: *Phone No.: I a 8 La -6,q39 Permit No.: Z Tax Map District: 1000 Section: 22 Block: OJ-4 Lot: CZ1 _ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) uN, (Please Circle All That Apply) *Is job ready for inspection: YES / NO Rough In Final *Do-you need a Temp Certificate: YES / NO Temp Information (If. eeded) *Service Size: 1 Phase 313hase 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 1 L 0, 824Request for Inspection Form � � N �� SC.D.H.S. Ri_F. NO. R10-07-0016 y ` n'Irjr ROAD i N v v 161 co Lar zl t6LL CDW�LU ') FC ' e ,:23,101. f M SURVEY OF PROPERTY MON A T BA YVIEW b o L FE " 85-03'40� l LP TOWN OF SO UTHOLD a,'N • o I. of S LPO SUFFOLK COUNTY, N. Y. v o Z 36.0iz 2 oQ w p g 1000-78--0424 o s.o' oo m x „ SCALE. V--40' MARCH 20, 2000 JANUARY 12, 2007 (PROPOSED HOUSE) m R s'0 ' O JULY 17, 2007 (FNDiN. LOC.) , �C, ` SEPTEMBER 10, 2008 ATT (FIPJL) SEPTIC MEASUREMENTS � I � (SEPTIC �s OCT.. z9, 2ooa rseMl V qa.0' e. rp� 6 _ '1 4° 'A ,e, C"1 6 30.4' � I wr N _ ccwcxr'Ere,DRI ST#I 536' 22' " 54WWAr �w r---- rC 5 arm k FT-#2 55' 27' 210.58' a'u �e cit a LP#I 72' 55' tai S 3b'31'100 W cnP.� LP- #2 62. EL }1.6' �/� sr' L(DWEL�1G) UkKNONN) � k -' 8 co SUFFOLK COUNTY QEPA�tThSEt�ft'C� hiva TH SE RNI-CIES �'c•� APPROVAL OF CONS7-:JC i E;;b;=�C,``-, FC•i� A SINGLE UateNQV 0 7 2008 i s.s.He,,.NG Qa--9�_ao i 6 ELEVATIONS REFERENCED TO AN ASSUMED DATUM. } The sewer d;: �and Mr4xr 6+tai lacdltles at u1iG" I am familiar with the STANDARDS FOR APPROVAL t,�p.ctsd androroa,'�hed b'V'Ls D_Pao_,gm°f "�r'+�r.,�� "�--•-� be�sl4dactor)r FOR A htP�Ci!v OF BEDROOMS. f t�F 1:E,��, AND CONSTRUCTION OF SUBSURFACE SEWAGE �' DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the aNaHer 1,+iibert.P.E. permit to construct. ^a 'ent_, ` The location of wells and cesspools shown hereon are \ �, from field observations and or from data obtained from others. \� � �. RS, P.C. ANY ALTERATION OR ADD17ION TO THIS SURVEY IS A VIOLATION O FAX (631) 765-1797 OF SECAON 7209 OF THE NEW YORK STATE EDUCATION LAW. P. 9 EXCEPT AS PER SECTION 7209—SUBDIWSION 2. ALL CERTIFICA770N5 1230 TRAVELER STREET HEREON E VALID FOR 774 COPIES BEARI THE IMPRESSED ISEA�OFE�HEOSURVEYOR FILED NLY Ir LOT UINBTHE SUFFOLK COUNTY CLERKS REFER To MAP OF y OFFICE ON AUG.' AREA-21,803 SO. F. SOUTHOLD, N. Y 11971 00-111 SAMAP 25, 1%7 AS FILE NQ. 4923. WHOSE SIGNATURE APPEARS HEREON. , 9 APRO ED AS NOTED DATE: 02 B.P.#t 3 ELECTRICAL FEE: BY: INSPECTION REQUIRED - T�- � NOTIFY, BUILDING DEPA =AT - 765-1802 "8-AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ` 2. ROUGH'-'FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST ENCLOSE BE COMPLETE FOR CO. COOL"i O CODE ALL CONSTRUCTION SHALL MEET THE UPON COMPLETION REQUIREMENTS OF THE CODES OF NEW BEFORE "WATER" YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF Aa (4al'o r b / NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF s .aBI�kIAE:B-�gWA4�,gt� � A13D SO�TROCUTpgp►q-� OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. P.OA NAME: I� r T SHAPE.- P-e, SWIDER PATTERN.,,,,.,, 9 WALL PAMA ' FLOOR PATTERN: CORNEM DEPTH:, i HUNG OVERLAP (drde ons) . . 20 GAUGE 27 GAUGE (drdm ons) I �' +� I '• Id ' L North" Fork Pool Care y q-i ck►} R d 73 5 C� ��K I"J s � y Idl 101.1 �=1 MY O I I'Ilr/ V