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HomeMy WebLinkAbout43005-Z Town of Southold 11/28/2018 P.O.Box 1179 53095 Main Rd # Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40073 Date: 11/28/2018 THIS CERTIFIES that the building HOT TUB Location of Property: 9475 Route 25, Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-6-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/28/2018 pursuant to which Building Permit No. 43005 dated 9/6/2018 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 HOT TUB AS APPLIED FOR The certificate is issued to Hughes,Michael of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43005 11-27-2018 PLUMBERS CERTIFICATION DATED \k-\-1tV-0A&0 ccSignature - " 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#: 43005 Date: 9/6/2018 Permission is hereby granted to: Hughes, Michael PO BOX 1282 Mattituck, NY 11952 To: install hot tub as applied for. At premises located at: 9475 Route 25, Mattituck SCTM # 473889 Sec/Block/Lot# 122.-6-14 Pursuant to application dated 8/28/2018 and approved by the Building Inspector. To expire on 3/7/2020. Fees: SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 ui ' nspector 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 l C� l �✓ Date. New Construction: /�,�`/ Old or Pre-existing Building: �� (check one) Location of Property: % til 5- Vr Al, House No. - ( - Street j Hamlet Owner or Owners of Property: l (,Vl� I�l� S-C I,(0 k-P � Suffolk County Tax Map No 1000, SectionBlock Lot Subdivision Filed Map. Lot: Permit No. �W Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ !go X Applicant Sign re SOUlyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 G Q Southold,NY 11971-0959 �� • �o roger.riche rt(D-town.Southold.ny.us �y�4UNTY,�� BUILDING DEPARTMENT TOWN OF SOUMOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Michael Hughes Address. 9475 Route 25 City- Mattituck St: New York Zip 11952 Building Permit#- 43005 Section. 122 Block: 6 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA. Tucker Electric License No. 4926 SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub X 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 Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: Supply 50a GFCI protected disconnect for self contained hot tub Notes. Inspector Signature: Date: November 27 2018 81-Cert Electrical Compliance Form.xls OF SOUTyo� # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 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: T 7L-/6 u6 DATE INSPECTOR (4 * # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING /STRAPPING [ FINAL g©/ 1/ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: jcAllO DATE 8 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(1ST) y ------------------------------------ ' � C 'FOUNDATION (2ND) 41 ROUGH FRAMING& .r PLUMBING ty 41 • N INSULATION PER N.Y-. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 77— 5- 8 c qa 3 .r J T •� z W v � • t 40 d b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL TP a>d of Health SOUTHOLD,NY 11971 _ rnQO U �XC& M-Oets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502S�vey Southoldtownny.gov PERMIT NO. q:56L664ec1�. SCPtik,Form Pq-Y-.S-D.E.C. $ _ Bvi V-rn S C.O plication • �/� Permit Examined V47 20&- Singe&Separate 30 + TMRridentification Form S�vo meter Assessment Form Contact: Approved \ Q� �(� �> l VL>lre-c-2 46QVUGS i Disappro a < , f ^^nn fit AR Phone: Expiratio ,VN T�G� t Builthector Ir APPLICATION FOR BUILDING PERMIT Date �3 , 20 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections (Signature of applicant or n e,if a corporation) o r ��- y (Mailing address of applicant) State whethera plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0(A),Alo--c Name of owner of premises ['VJC�A `t 1 `x.52 G't GS (As on the tax roll or latest eed) 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 Qn Jkl ns-d kbe done: Jtff� „ r House Number �` Street f Y\ Hamlet /v County Tax Map No. 1000 Section l �� Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occup cy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy D uJVL� � 3. Nature of work(check which applicable): New Building Addition �lteyation Repair Removal Demolitionther Work -M�j (Description) Estimated Cost Fee . (To be paid on filing this application) / If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each` ise. XDimensions of existing structures, if any: Front Rear Depth H e ia ht Number of Stories Dimensions of same structure with alterations or additions: Front Roar Depth 59 ,( Height 35Numbert?f Mesr- a � -' Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front Rear Depth /i'9;..Date of Purchase Name of Former Owner 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 -rket,-P e SAddressq N'�Yl Phone No. Name Address Phone No �^ 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 ✓ 6() * IF YES, PROVIDE A COPY. 1 i I 4Gc- 0") a X t 6 STATE OF NEW YORK) Ace- S 6 i moj P --rcv►� �)COUNTY OFNLA a t- kov js e ©r Pxl s4vl &cr-, Tu being duly sworn,deposes and says that(s)he is the applicant (Name of individual sigqinj contract)above named, (S)He is the = uDocr (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 performed in the manner set forth in the application filed therewith. Swornto before me this day of 20J *2a a 12-iV A A) c6z IJ TRACEY L. DWYER Notary Pub NOTARY PUBLIC,STATE OF NEW YORK Signature of plicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,24a.oL t 100 .00 13UILDING DEPARTMENT Electrical Inspector r S�FF p� TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 SEP 2 Southold, New York 11971-0959 wo • €°4THp ( ) 631 hone�e 765-1802 - FAX (631) 765-9502 a�v gs roger riche rtna town_south old.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: V(- 2-!-R- k Date: Company Name: e " Name: License No.: _ c �a ry, email: 6- Address: C Phone No.: JOB SITE INFORMATION: "" (All Information Required) f Name: IGV�-e( Address: 7 5 Mai✓► ACI ,�va_- ' Cross Street: Phone No.: Bldg.Permit#: 14,330Q5' email: vv ®C.tb�, Tax Map District: 1000 Section: Block: (p Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) vn L T Aho r TTc I �.c yet Circle All That Apply: Is job ready for inspection?: YES ! O Rough In Final ' Do you need a Tem�Certificate?: Y / NO Issued On Temp Information: (All informatio required) Service Size 1 Ph 3 Ph Si A # Meters Old Meter# New Service - Fire Reconnect- Flood e sect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional'Information: PAYMENT DUE WITH APPLICATION Request for Inspection Formals � a � 5URVEY OF PROPERTY 51TUATE: MATTITUCK TOWN: SOUTHOLD N 5LPFOLK COUNTY, NY SURVEYED 01-24-200"1 W E SUFFOLK COUNTY TAX # 1000 - 122 - 6 - 14 S C RTW=1Xk Mchael H"Ovs— TheeSe g$Ug1C8 Commonwealth Land Me hmm oe Company#RHO73MB67 Counkywide Home Loans Of 1 n1n �� i •�'1 1' �/ tti1 � F1' 1 i \ "'\ 0.0\4 \ S polo � QG� I tpo 4 t� ri11I,,•1� \ �1 �, ` �q t„ \\ (�� �hl•'m \ � f 1p� p � V '�1A "00A � CX1 �I,re•• 0.14 00w 1ydtM`n'� AW 11,' b1 �y ,. ,,va a., \ 5�oNOUS� i 0 ars 0� � p nra� m W�^ 00 Op + a ° w OA� Caney ,e�9 / pplo 60Oa 0� P,yQ 0 1MWtIip.11.G d4rvY100 R OGGkbn b a...,.y mOp bMf1'19 O vbl04an d M�n.tl=, M]O. 1'11 .O Y-k xkae ea-d0 , -Omy cap1.1 hpn w R I d MM N-4 r.p-M.G rtlM 11 RI(f'NI d Ih.IRd WwyR1 51prp.tl NOI 111411 p pp111tl.Ntl b b.Wlltl k1.. copy. vrulleGtwl..lactll.G n...a•1.1gx1 we all pr.pR.e r ar<Raar..��1 w..- stnMg COG.el Pratvw IR L[ntl E'/"M OmP1.tl C� °Y w H.•.Yak xa4 A„xblbn d{'rO1Mbn01 NOTES: Lv G a,r.y.+ ` c.1 rrtllwM Mall rn m y b w P••1•^ier•110T w Wwy k R.pG�.tl, ■ MONUMENT FOUND 41 oq.rcy oM r.e1'y IIAl101tlOn"11144 11...MOM b w o4M)W.d w Irlarlg MNutan Gerenletl- tn.1.w•w ao.r�ee4 b tltlaklwlm N1tIWk1.w 0 PIPE FOUND Area = q,5gl sq. Ft. OR FOU Acres JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC 56ALE 1"= 30' RIVERHEAD,N.Y. 11901 _ 369-8288 Fax 369-8287 REF.\\Compagserver\pros\06\06-258.pro 1 LI�17 DAS NOTEDDATE: B.P. RETAIN STORM WATER RUNOFF FEE: to BY; PURSUANT TO CHAPTER 236 NOTIFY BUILDING DEPAR NT AT OF THE TOWN CODE. 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST ELECTRICAL BE COMPLETE FOR CO. INSPECTION REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONIIITIONS OF �`SOttfiHBEBi$«,'�, DEC S OCCUPANCY OR U S IS UllE-AWFUL WITHOUT CERTIFICA I OF OCCUPANCY Shop Home and Garden 6-Person Square Hot Tub at Lowes.com q3o� Page 1 of 3 FREE PARCEL SHIPPING WITH MYLOWE'S. GET STARTED > 091toOpen until 10PM! 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