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Home My WebLink About42029-Z Town of Southold 11/16/2018 P.O.Box 1179 53095 Main Rd hk,.*& Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40055 Date: 11/16/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1075 Clipper Dr, Southold SCTM#: 473889 Sec/Block/Lot: 79.4-17.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/2/2017 pursuant to which Building Permit No. 42029 dated 10/5/2017 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 Kelleher,Terence&Margaret of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42029 08-01-2018 PLUMBERS CERTIFICATION DATED nut ' ignature TOWN 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#: 42029 Date: 10/5/2017 Permission is hereby granted to: Kelleher, Terence 9 Brompton Rd Garden City, NY 11530 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1075 Clipper Dr, Southold SCTM # 473889 Sec/Block/Lot# 79.-4-17.5 Pursuant to application dated 10/2/2017 and approved by the Building Inspector. To expire on 4/6/2019. Fees: SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 A � BuiIdin nspector Form No 6 'r0wN or sourHOLD 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 aew 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 Certil'icafe-of Occupancy_x:25 _. _.... 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 p Date. /. �d, do)7 91 New Construction: Old or Pre-existing Building: (check one) Location of Property: /o?S ;/"ZD • House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000,91 Section 7 '1 — Block. 04 Lot / 7S Subdivision Filed Map. /! Lot: Permit No. Date of Permit. Applicant: CAr Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ !`,.e!' Applicant Signature pF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 iQ roger.richert(aD-town.southold.ny.us Southold,NY 11971-0959 Q �yCOUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Kelleher Address: 1075 Clipper Drive city Southold st: New York zip 11971 Building Permit#- 42029 Section: 79 Block. 4 Lot: 17.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor- DBA: J.E.S. Electric Inc. License No 4483-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 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 TVSS Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, 1- GFCI Circuit Breaker, Salt Generator, Heat Pump. Notes: Inspector Signature: Date: August 1, 2018 0-Cert Electrical Compliance FormAs oF souTyofo * # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 4zozl [ ] 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 1 INSPECTOR = SUP SO�TyO * TOWN OF SOUTHOLD BUILDING DEPT. °`"couHn 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�FINALA7;t--� LFRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: � CQAl-9Wt4Z -N A&q ul V�2A, �G c Y n K�J� S cllr' l� Ovvyl 'S 6ocxs+ -b &n c4- on 4& atl� Bit �W/UYW4 1 DATE INSPECTOR ho��pF SOUly�6 # # TOWN OF SOUTHOLD BUILDING DEPT. ��rou�nr 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION FRAMI NG / STRAPPING ( FINAL /G•' A%� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE al 7 g INSPECTOR �� SOF SO�Iy # # TOWN OF SOUTHOLD BUILDING DEPT. u►m � 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULAT ON [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ( ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: Q�N k • DATE INSPECTORY.%c IQ04 � � 1 a ti FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) y -------------------------------------- FOUNDATION -----------------------------------FOUNDATION (2ND) co 0 ROUGH FRAMING& PLUMBING '- uk INSULATION PER N.Y. y STATE ENERGY CODE 11114A boh on t ' FINAL �1 ADDITI ENTS r.% a o , � Z , X ,►0 r H � O z y d 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. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined �� ,20L-7 Single&Separate Storm-Water Assessment Form J Contact: Approved V '20/7 Mail to: Disapproved a/c Phone: Expiration 201 T D nspector DPPLICATION FOR EUILDING rERMIT SEP 2 9 2017 Date ,�� , 20 BUILDING DEPT. INSTRUCTIONS aTAPF§QWe 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 shat l 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) 9 loo off A*g 6, 1lr4T�i1.Cle- (Mailing address of applicant)/,),Y,l yq3 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o builde Name of owner of premises lte&�51/oe (As on the tax roll or latest deed) If applic i corp atign, signature of dul authorized officer � Ipladz (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 4 1. Location of land on which� �o work will be done: ic�7 House Number Street Hamlet County Tax Map No. 1000 Section�� Block � Lot S Subdivision Filed Map No. I of 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 (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 us.. 7. Dimensions of existing structures, if any: Front )c - P Depth_ Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of toi 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? YEy1 NO 14. Names of Owner of premiseKP,4066 Address Phone o. Name of Architect Address PhoneNo Name of Contractowat'rd ro✓bl hY_ 64145� Address 4 �_ Phone o. 4,2y—off to y .1-U4 7-1-i I--C-Je 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES—w * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE JkEQUIRED. 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 da:a 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?E& '6CAd C416 being duly sworn, deposes and says that Whe is the applicant (Name of individual signing contract)above named, CONNIE D.BUNCH Notary Public,Slats of NM York (S)He is the No.0113U61 (Contractor,Agen Corporate Office etc.) ue Commission Expires April 14,2 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 th it the work will be performed in the manner set forth in the application filed therewith. Sworn to before ine t is day o N 200— Notary Public Signature ofApplicant Scott A. Russell �a°S� '� ST�O>]E�I��1 WAXIER, SUPERVISOR < < EAWIE1�'T AM A\1�A\ G] SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d '0 �, ` 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 ❑EVA. Clearing, grubbing, grading or stripping of land which affects more ❑[D/ than 5,000 square feet of ground surface. B. Excavation or 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 ❑E� erosion hazard area. E. Site preparation within the one-hundred-year f loodplain as depicted ❑don 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 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. APPLICANT. (Property Owner,Design Professional,Agent ontractor Other) S.C.T.M. # 1000 Date. Dulnc _2690 NAME. , Section Block Lot )R RUIL[.)I`(x 1.)F:P�I?'1' 1C�;"I [.:SE ONLY ..,.,. �� Contact Information: W� �( Reviewed By. — — — — — — — — — — — — — — — — — — Date: Property Address / Location of Construction Work. — — — — — — — — — — — — — — — — — n� Approved for processing Building Permit. D Stormwater Management Control Plan Not Required. pLl /(' ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM * SMCP -TOS MAY 2014 <o Town Hall Annex Telephone(631)765-1802 54375 Main Road G (631)7 Lh If] P.O.Box 1179 rtxler.richert aC'taown.sou o .nY.us Southold,NY 11971-0959 Old BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ��,�/��,� /�� Date: 02 Company Name: Name: oYAD ,fig"OrE License No.: Address: o &V61✓!e . o 9— Phone No.: &31-59-7- 71D3 JOBSITE INFORMATION: (*Indicates required information) *Name: _ral l<� /le.C.(, Aa *Address: p *Cross Street: _ *Phone No.: �[' / - 7� -5Par7 Permit No.: Tax Map District: 1000 Section: 701 Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) � ,��`(� �`�i►�t' (Please Circle All That Apply) *Is job ready for inspection: YES/ Rough In Final *Doyou need a Temp Certificate: YES/ O Temp Infonmation (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 APPLICATIO I V 0 82-Request for Inspection Form b In V I CP. 0 was over /00' SCDHS REF # R10 - 98- 0132 Ax wen o ver /50' 0 ' loop� �a 10 CERTIFIED TO., ESTHER C. PILLES FIDELI T Y NA TIONAL TI TL E INSURANCE epi` COMPANY OF NEW YORK N oma, :i, NORTH FORK BANK 00. ANY Al.TERAT/ON OR ADDITION TO THIS SURVEY /S A VIOLATION 0 R l: OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, 9v EXCEPT AS PER SECTION 7209-SL49DIVIS/ON 2. ALL CERTIFICATIONS EO �S'qAVD UN ARE VALID FOR THIS MAP ANMD COPIES THEREOF ONLY F WHOSEASNarlV1 COPES APPEARS HE SSED SEAL OF THE S0?VEYOR URE ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' MUST BE USED BY ANY AND ALL SURVEYORS UTILIZANG A COPY L'- �0 OF ANOTHER SURVEYORS MAP. TERMS SUCH AS 'ANSPL D'AND Qom/ h' \�Q ! `�r' 30 - 3s � ` — BROUGHT-TO-DATE ARE NOT 4N COMPLIANCE WITH THE LAW. Fs� 'a°a / l am familiar with the STANDARDS FOR APPROVAL V ss s AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES v ?;.?s. ��'�• y �� and will abide by the conditions set forth therein and on the permit to construct. SUR VEY OF PROPERT Y fT BA YVIEW 4# TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 79 - 04 - 17.5 Q P�� 4� SCALE 1" = 40' AUG. 31, 1998 /k,s. _ Pr' DEC. l7, 1998 (conc. foundation 1 MAR. 9 1999 (CERTIFICATIONS) '3`' The locations of wells and cesspools JUNE 9, 1999 final ) shown hereon are from field observations � and or from data obtained from others. pE F N we 3 Petr �, �' NOTE: t.OT NUMBERS REFER TO M�1P OF HARBOR S. NO. 496/8 L,AGNT ESTATES, SEC. FOUR FILED y MAR. l 1984�s6, AY Tt� SUFFQLK GOUNTY CLERK'S OFF/Ck P CONI T P.0 �Q� •Sz,, i• _ AS MAP NO. 7703 (516) �o� P. 0. B 496%'5 Q,F� EOLEAVNA71 A RENCED 1230 TR AREA = 42,082 sq. ft. SOUTHOLD, N l 98 - 292 t North Fork Pool Care r)co 44-14`'o sG} ` /��? go L� A OCCUPANCY OR 01 vb S7-e?USE IS. UNLAWFUL 00yWITHOUT CERTIFICATE 3 s� ,► OF OCCUPANCY a 0RETAIN STORM WATER RUNOk ?e�T - 1 11PURSUANT TO CHAPTER 236 a / - � �I OF THE TOWN CODE. /Q /0 �� I ENCLOSE BOOL TO CODE UPON G OMPLETION lo�� 1111E".WATI=R" y ti t�Att ELECTRICAL ip'` �tC INSPECTION REQUIRED �o�'� cc _ APPROVED AS NOTED a,� A I DATE: 5J� B.P.a FEE:c�.�.-_D� BY:- NOTIFY BUILDING DEPri;:WENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE v 2. ROUGH - FRS:! A PLUMBING COMPLY WITH ALL CODES OF 3. INSULAT,' NEW YORK STATE & TOWN CODES 4. FINAL - J MUST AS REQUIRED AND CONDITIONS OF BE COM, t... ALL CONST SHALL MEET THE -S6��H9 REQUIREMEN .� G=THE CODES OF NEW �SOUfiH6l9�9WNRINII�G$OARD YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. S0I1 aUT0WT-RWEES DATE: • SIZER ., SHAPE: SWIDER PATfERN:,,..., WALL PA'1'�'Ept v FLOOR PAT EPJ*. a - CORNERS. DEPTM:r. - HUNG OVERLAP (drde one) 20 GAUGE 27 GAUGE (dtds or*)