HomeMy WebLinkAbout43035-Z Town of Southold 10/2/2018
o P.O.Box 1179
53095 Main Rd
p4,1 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39926 Date: 10/2/2018
THIS CERTIFIES that the building HOT TUB
Location of Property: 7540 Main Bayview Rd. Southold
SCTM#: 473889 Sec/Block/Lot: 78.-7-48
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/31/2018 pursuant to which Building Permit No. 43035 dated 9/12/2018
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 Zakarin,Gary&Eileen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43035 09-24-2018
PLUMBERS CERTIFICATION DATED
u ho ' e Signature
sa X TOWN OF SOUTHOLD
c42 BUILDING DEPARTMENT
a ' ' TOWN CLERK'S OFFICE
Ca
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#: 43035 Date: 9/12/2018
Permission is hereby granted to:
Zakarin, Gary & Eileen
185 E 85 St Apt 35B
New York, NY 10028
To: legalize "as built" hot tub as applied for.
At premises located at:
7540 Main Bayview Rd. Southold
SCTM # 473889
Sec/Block/Lot# 78.-7-48
Pursuant to application dated 8/31/2018 and approved by the Building Inspector.
To expire on 3/13/2020.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO - SWIMMING POOL $50.00
Total: $550.00
spector
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$15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 7 l / �v � (// Hamlet
House o. Street Halet
mlet
Owner or Owners of Property: G
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. D Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
Appli ignature
pF SOUjyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G Q
-�► • yo
Southold,NY 11971-0959 roper.richert(a�town.southoId.ny.us
OlyC
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Gary Zakarin
Address: 7540 Main Bayview Rd City: Southold St: New York Zip: 11971
Budding Permit#. 43035 Section 78 Block 7 Lot 48
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: RJ Corazzini Electric License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1 st f=loor Pool
New Renovation 2nd Floor Hot Tub X
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding 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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS El
Other Equipment. "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes, GFCI protected disconnect for self contained hot tub,2-GFCI circuit breakers
Inspector Signature: Date: September 24 2018
81-Cert Electrical Compliance Form As
hO�apF SOUTyO�
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
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)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR 0'
�apF SOUIyo
# TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm��'
765-1802 ,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULATION
[ ] FRAMING /STRAPPING [ FINAL hW_Tva1s M-
[ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
�6+ T/6 -(s O K
DATE 01 INSPECTOR IDJAA -�
• _ 4
FIELD INSPECTION REPORT7 DATE COMMENTS
FOUNDATION(IST)
H
---------------------------------
'FOUNDATION
------------------------------'FOUNDATION (2ND) cm
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y-.
STATE ENERGY CODE c n
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FINAL
ADDITIONAL COMMENTS
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FAX: (631)765-9502 Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
t N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20_LS Mail to:
Disapproved a/c
Phone —
Expiration 20
D 5VIE i du' ngspector
AUG 3 1 2018 APPLICATION FOR-BUILDING PERMIT
Date 20-
I7 .�DIT IIEPT. INSTRUCTIONS
_i1,1aenLD
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`(ounty,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 bode,and regul ' s, d to admit
authorized inspectors on premises and in building for necessary inspections.
i ture f plica or name,if a corporation)
( ailing address of applicant
lum
ter
o"r builder
State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician,p
Name of owner of premises /6",
(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. /fi d UJ j
Electricians License No. J
Other Trade's License No. -7 �/� 71
b. Intended use and occupancy �I,)
3.` Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other 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.
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 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 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 sure
18. Are there any covenants and restrictions with respect to this property? * YES NO
*IF YES,PROVIDE A COPY.
CONNIE D. BUNCH
STATE OF NEW YORK Notary Public,State of Near York
No.01 BU6185050
Qualified in Suffolk County
COUNTY OESU kfr Commission Expires A�pn'I 14L2���
being duly sworn,deposes and says that(s)he' e applicant
(Name of individual signing contract)above named,
(S)He is the
(Contractor,Agent,Corporate Officer,etc.) _
of said owner or owners,and is duly authorized to perform or have performed t e sa ork 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.
BUFF�K BUILDING DEPARTMENT - Electrical Inspector
�p TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
o Southold, New York 11971-0959
p Telephone (631) 765-1802 - FAX (631) 765-9502
mal ' roger.rich ertCd town.southoId.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:" /'�o�j - -- f r �; Date: -
Company Name: C014 22, /���r•�
Name:
License No.: email: „
Address: Ar`l DUV //
Phone No.: - -33 S
JOB SITE INFORMATION: (All Information Required)
Name: VV V V
Address: 4-oafk Id
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: `? & Block: -7 Lot:
11
BRIEF DE CRIPTION OF WORK (Please Print Clearly) �5A
(54neC uo�
Circle All That Apply:
Is job ready for inspection?: YE I NO Rough In Final '
Do you need a Temp Certificate?: YES /
Issued On
Temp Information: (All information required).
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION t
Request for Inspection Form.xls J�
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0 3P£ 70.Os A, +0
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SITUATES
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AP ROVED AS NO D
DATE: 714?
B.P.# `�C�3J
FEE:-Ji hz BY:�m
NOTIFY BUILDING DEPART ENT AT
765-1802 8 AM TO 4 PM FOR THE ELECTRICAL
FOLLOWING INSPECTIONS: INSPECTION REOUIREO
1: FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
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.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
.l J fl
v T ARD
J S
N S DEC - -
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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