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Home My WebLink About36759-Z FOt,f Town of Southold Annex 3/6/2012 P.O.Box 1179 co54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35471 Date: 3/6/2012 THIS CERTIFIES that the building HOT TUB Location of Property: 8908 Great Peconic Bay Blvd, Laurel, SCTM#: 473889 Sec/Block/Lot: 126.-5-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/30/2011 pursuant to which Building Permit No. 36759 dated 10/17/2011 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"hot tub as applied for. The certificate is issued to Robert Finn (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36759 10/21/11 PLUMBERS CERTIFICATION DATED Auth67dzed Signature " TOWN OF SOUTHOLD �gufFOLtCo� � BUILDING DEPARTMENT y 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#: 36759 Date: 10/17/2011 Permission is hereby granted to: Finn, Judith 8908 Great Peconic Bay Blvd Laurel, NY 11948 To: construct a hot tub as applied for At premises located at: 8908 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot# 126.-5-19 Pursuant to application dated 9/30/2011 and approved by the Building Inspector. To expire on 4/17/2013. Fees: CO - SWIMMING POOL $50.00 SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $500.00 Total: $550.00 Building Inspector Form No.6 r� TOWN OF SOUTHOLD j BUILDING DEPARTMENT L�(, 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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,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$15.000q/ Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: T toy Aecllr �Ir _ " e y^f House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block S Lot / Subdivision 2/ n Filed Map. Lot: Permit No. 3� ! Date of Permit. 10"17 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ TOO Applicant Signature pF SO!/ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G roger.richert(aD-town.southold.ny.us Southold,NY 11971-0959 olyC4U ,� BUILDING D$PARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Robert Finn Address: 8908 Peconic Bay Blvd City: Laurel St: NY Zip: 11948 Building Permit#: 36759 Section: 126 Block: 5 Lot: 19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: C-Cat Electric License No: 953-me 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 Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Self contained GFCI protected hot tub with remote disconnect Notes: Inspector Signature: ZDate: Oct 21 2011 81-Cert Electrical Compliance Form SOUryolo �ycouhm, ' TOWN OF SOUTHOLD BUILDING DEPT. �� 765-1802 p INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE 2"f `/ INSPECTOR ' pF SO(/l�olo cOUNiY,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING XFINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: �J flat �U� DATE INSPECTOR FIELD INSPECTON UrORT DATE COMMENTS v � FOUNDATION(1ST) - -------------------------------- FOUNDATION(2ND) � z � O ti ROUGH FRAMING& y PLUMING INSULATION PER N.Y. H STATE ENERGY CODE C FINAL ADDITIONAL COMMENTS rn z d I • TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST $UILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX: (631) 765-9502 Survey www.northfork.net/Southold/ PERMIT NO. 3� ZS Check Septic Form N.Y.S.D.E.C. Trustees Examined l� 20 f Contact: Approved 720(1 Mail to: Disapproved a/c Phone: Expiration 120 ` D EC E 0 V E !` Building Inspector SEP 99 2011 ICATION FOR BUILDING PERMIT BLDG.DEPT. Date S(?P" a LJ ,201L— TOWN OF SOUTHOLD INSTRUCTIONS t a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 amendment§'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. ignature of applicant or name,if a corporation) ELYrI ENCLOSE POOL TO CODE dg �t��o7tt / UPON COMPLETION (Mai ng address of applicant) Ore BEFORE"WATER" . State whether applicant is owner, lessee,agent, architect, engineer, general contractor,,11e trician, umber or builder APPROVED AS NOTED premises �� ✓ j-'� DATE 1O I? r1 6.P st_ �'i67jr-I Name of owner of As on the tax roll or lest deed ® _- If applicant is a corporation, signature of duly authorized officer NO"IFY E>',_!LDI ?FT ^4: AT (Name and title of corporate officer) . FU! i_c .ttil v tiUF�; ) , 1 't��iVC�ATi"�, "1Nr ''�QUiF<trJ FOR POURE. .' .:)N(. ' .' c Builders License No. 2. ROUGh `h tv iv ,PLIU."161NG, Plumbers License No. STRAPPING. ELECTRICAL&CAULKING Electricians License No. 3. INSULATION Other Trade's License No. 4. FINAL-CONSTRUCTION &ELECTRICAL MUST BE COMPI ETC FOR C 0 1. Location of land on which proposed work will be done: ALL CONSTRUCTIO S 1ALL N1F=T THE IRE S THE CGLES OF NEW House Number 9treef [ki8l R.CO STRUCTlON ERRORS. County Tax Map No. 1000 Section Lot Subdivision a 1`mow i:� 11.0 I ��9 ��t��eLMap No. Lot � --9� ;moo v � (Name) WITHOUT UT CERTIFICATE ELECTRICAL INSPECTION REQUIRED C C e ) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: dJ, - a. Existing use and occupancy re5l b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work of }u to (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-X,/-- 13. Will lot be re-graded?YES NO_ZWill excess fill be removed from premises?YES NOS_ CM 14.Names of Owner of premises 7�� Address �1��[ Phone 4&i .6 31' Sd 7'`1 S � 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. STATE OF NEW YORK) SS: COUNTY OF SuN f�J�V�J1'h R ljJJ being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,Agent,Corporate Officer,etc.) sfsaid owner or-when,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. Sworn to before me this g qA day' of y�el ber 201L_ JUd�,�l1 �,IJ J Notary Public ' . __qA=g6S_ignature of Applicant BAW"OL44MN W Public Ng"OK _ No0 1i kC "=- U Commisslon Evi"Od CONSENT TO INSPECTION the undersigned,do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (ore)the owners)of the premises in the To f Southold, located at d fCc, ( , which is shown and designated on the Suffolk Codnty Tax Map as District 1600, Section Block S ,Lot� . That the undersigned(has) (have)filed,or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: T' Tip. That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property,including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application,including inspections to determine that said premises comply with all of the laws,ordinances,rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections,do(es)so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. /1Z Y� Dated: l � � (Sign e) (Print Name) (Signature) (Print Name) SOUp��lo Town Hall Annex { Telephone (631) 765-1802 5A375 iVhun Road a(631)765-(50` roger richert(a}own.sout�ol�d.ny.us P.O.Box 1179 Southold,NY 11971-0959 0 UId�I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: o� ym C' r Date: Ix� It Company Name: & Name: License No.: Address o Z Phone No.: Am JOBSITE INFORMATION: (*Indicates required information) *Name: J AOAM"i &1A1 *Address: �cm,-Y is-zGAV 114-0 LRvi��2 *Cross Street: sz *Phone No.: Permit No.: Tax Map District: 1000 Section:. Block: Cj Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: (rE_S3Y NO Rough In Final *Do you need a Temp Certificate: YES (Ng/ Temp Information (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 APPLICATION 82-Request for Inspection Form r SURVEY OF PROPERTY AT LA UREL 3 TOWN OF SO UTHOLD y 6 SUFFOLK COUNTY, N. Y. 1000-126-05-19 SCALE: 1' 30$ 'Q �'�• O AUGUST 10, 2011 �QO 6 '�'S�. `ZS��p A gGU /7, 01 BCER TIFICA TION) Aug. 24, 2011 (cerlilicalion added) of \ Sept. 6, 2011 (easeinenls)S oysr. Sept. 9, 2011 (revisions) 0 . 'moo t6�6 �2. 6' 2� a\ �o CERTIFIED TO, 0o6,. P�\O �7 ., ROBERT W. FINN QP QF FIDELITY NATIONAL TITLE INSURANCE COMPANY � o v �4 S �P a 9 \ oo c��PG�c, S7 SO, \ `'a,GP a8 0, c�QP O F P�st�, \9@ \\ <p ��• J` ter AREA 17,151 sq.ft. to tie line ME LOT NUMBERS ARE REFERENCED TO "MAP OF \off PROPERTY OF A. L. DOWNS FILED /N THE OFFICE 1 OF THE SUFFOLK COUNTY CLERK ON AUG. 14,1929 j o ,_� �0• � �� AS MAP NO. 21 NO. 49618 ANY AL7ERA77ON OR ADD17ION TO THIS SURVEY IS A VIOLATION OF SEC77ON 72090F 7HE NEW YORK STATE-EDUCA77ON LAW. \ �e �.�0 !v PECONIC C. EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77FICAT70NS .2Q n� (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF \ \ �g� V P.O. ' BOX 909 SAID MAP OR COPIES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR ® = MONUMENT 12JO TRA VELER STREET WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 11=186 ., i