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HomeMy WebLinkAbout37092-Z zr 4/16/2012 ,f�`s�EFpl�.c Town of Southold Annex a� aGy ; P.O.Box 1179 54375 Main Road tp Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35541 Date: 4/16/2012 THIS CERTIFIES that the building HOT TUB Location of Property: 350 Second Ave,Peconic, SCTM#: 473889 Sec/Block/Lot: 67.4-24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/16/2012 pursuant to which Building Permit No. 37092 dated 3/27/2012 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: hot tub as applied for. The certificate is issued to Goodheart,Leona&Goodheart,Bruce (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37092 4/11/12 PLUMBERS CERTIFICATION DATED 12 )A4ed gnature ra. TOWN OF SOUTHOLD �gUFFQtI(cO0 BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 37092 Date: 3/27/2012 Permission is hereby granted to: Goodheart, Leona & Goodheart, Bruce 19 Avon Rd Farmingdale, NY 11735 To: install a Hot Tub as applied for At premises located at: 350 Second Ave, Peconic SCTM # 473889 Sec/Block/Lot# 67.-4-24 Pursuant to application dated 3/16/2012 and approved by the Building Inspector. To expire on 9/26/2013. Fees: CO -ALTERATION TO DWELLING $50.00 SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00 Total: $300.00 I Building Inspector l� 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$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$15.00 Date. New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: 3 5 U N b AV 6 14 U( C House No. Street Hamlet Owner or Owners of Property: 6 R LA C 1= T `l C n W Suffolk County Tax Map No 1000, Section (0 7 Block D Ll Lot Subdivision Filed Map. Lot: Permit No. ��� Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary//Certificate Final Certificate: (check one) Fee Submitted: $ 51(,, Applicant Signature pE SO(/l�ol Town Hall Annex Telephone(631)765-1.802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.riche rt(a)-town.southold.ny.us Southold,NY 11971-0959 COMM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Goodheart Address: 350 2nd Ave City: Peconic St: NY Zip: 11958 Building Permit#: 37092 Section: 67 Block: 4 Lot: 24 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Anytime Electric License No: 40167 SITE DETAILS Office Use Only Residential X Indoor X 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 F1 Switches Twist Lock Exit Fixtures TVSS F1 Other Equipment: install GFCI protected disconnect for self contained hot tub GFCI protect existing lights in area of hot tub Notes: Inspector Signature: Date: April 11 2012 81-Cert Electrical Compliance Form.xls pF SO�ryolo 1 � ao comm,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: ,�T 4,ziTc DATE l ,v INSPECTO t g OF SO(/r�ol 0 cOUM`1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN L ION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS:- - cam/ DATE r �- INSPECTOR Z�i MLLD C1X+TRZPM9C DATA CDr NTS. FOUND;AtION(IS FMOATION(2ND) ROUGH FRAM TCF&' ►�� PLtTMI C, . c WSUL•ATZON PIM N.'Y. STATE E=GY+CODE. ' • , Ewa ADDITIONAL.CO '1ENTS 0 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. �Q%� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application (( Flood Permit --_-Examined20/� r - n h Single&Separate Li Storm-Water Assessment Form ntaIct: Approved 20� MR 16 2012 ail to. Disapproved a/c rWL(►R 0 TOWN OFSOUTHOLD Phone: Expiration 20 Building Inspector APPLICATION FOR BUILDING PERMIT Date ��LCIk �� , 20 1oZ 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. OCCUPANCY OR (Signature of applicant or name, if a corporation) ooIMMEDI'AT`ELY USE IS UNLAWFUL ENCLOSE-P.004 TO CODE_ UPONCOMPLETiON WITHOUT CERTIFICAT E (Mailing address of applicant) BEFORE "WATER" State whether applicant is owner, i see;i `e 1-are l�e1c engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED Name of owner of premises v C2�TE�✓?. :�B.P. # 7 (As on the tax roll or 1ffiE BY If applicant is a corporation, signature of duly authorized officer NOTIFY BUILDING DEPARTMENT F,T = 1802 8 AM TO 4 PM FOR Tl-iE FOLLOWING INSPECTIONS: (Name and title of corporate officer) 1. FOUNDATION - TWO REQUIRED Builders License No. FOR POURED CONCRE(E 1 :; 2. ROUGH-FRAi01NG.PLUIN'.3ING Plumbers License No. ����;� � � = Electricians License No. x STRAPPING, ELECTRICAL&CAULKING 3. INSULATION Other Trade's License No. 4. FINAL CONSTRUCTION&ELECTRICAL MUST BE COMPLETE FOR C.O. 1. Location of land on which proposed work will be done: ALL CONSTRUCTION SHALL MEET THE •; • s '36—© LQ AO t,�06 1 REQUIREMENTS OF THE CODES OF NEW FOR House Number Street R CONSTRUCTION ERRORS: l County Tax Map No. 1000 Section �p� Block Lot AA� Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use a d occupancy of proposed construction: a. Existing use and occupancy I h t CA b. Intended use and occupancy 46T I V 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 CCi 7S'3 .J .. 6. If business,,commercial or:Nixed 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 topographicalat � xi survey: ' J 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEVr,YVIO . PCIA SS: COUNTY,OF __.. ... �� `t.=i .-..•. �..�- -.--w :.' -' ' being duly sworn, deposes and says that(s)he is the applicant � '.' :t 4 'f-i .. 'ill: .. 1 (Name of iridividual'signing contract)above named, CONNIE D.BUNCH Notary public,State of New York r; (S)He is the No.01BU6185050 countif A , (Contractor,,Agent, Corporate Officer, etc.) Commission Expires April 14,2 of said owner or.owners5:and:is_ddly aut66i ied to perform or have performed the said work and to make and file this application; that all statements contained inthis 4RUli'dhi d►1 are true to the best of his knowledge and-'belief; and that the work will be performed irhthe'manner�&forth iriihe app'licatfon filed therewith. Sworn .t}�1/4�before-me thi IV `I I ' r „ 3 day of . 20,� Notary Public Signature o pplicant I Town of Southold Erosion, Sedimentation & Storm Water Run-off ASSESSMENT FORM o �}- PROP81n LOCATION. S.C.Tld;t THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A R(1�Y�D 7 STORM-WATER,GRADING,DRAINAGE AND EROSIIpN CONTRQL PLAN � �1tr T e3 i on �io--t~— CERTIFIED BY A DESIGN PRQFESsioNAL iN THE STATE OF NEW YORK. i SCOPE OF WORK - PROPOSED OONSTRUMON MW# / WORKASSESSMENT Yes No ) a- What is the Total Area of the Project Parcels? Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within Generated by a Two(21 Inch Rainfall on Site? the Scope of Work for Proposed Construction) (S-F r acres) (This item will include all nun-off created by site — b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of i construction activity? (SF./ACM) impervious surfaces.) j PROVIDE BRIEF PROJECT DESCR1pTION(P,oriCeAd6iamal?ages r 2 Does the Site Plan and/or Surrey Show All Proposed Drainage Structures Indicating Size 81.orattion?This ❑ Item shall include all Proposed Grade Changes and I N STi A e L: ,4'Fi o iy of Ap-r r U 13 w Slopes Controlling Surface Water Flow. i 3 Does the Site Plan and/or Survey describe the erosion j 9x 1 S%/N 6 C.C R 66-Iy 1517— /N i�O 1%C 14 and sediment control practices that will be used to a control site erosion and storm water discharges- This R N b R 6Q U I tZ G0 EC EC 1/Z j Col}L L,�0 4 item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there Is a change to the Natural E,dsting Grade Involving more than 200 Cubic Yards of Material within any Parcel? i t 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand ❑ ` (5,000 S.F.)Square Feet of Ground Surface? ! 6 Is there a Natural Water Course Running through the ! Site? Is this Project within the Tnrstees jurisdiction General DEC SWPPP Requirements: orwithin One Hundred(100')feet of a Wetland or Submission of a SWPPP Is required for all Conshudion activities Involving sal Beach? El disturbances of one(1)or more acres Including disturbances of less titan one acre that 'T Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen preparation feet of Vetticai Rise to Inciuding Contraction activities involving soil disturbances ces of less than one(i)acre where One Hundred Fifteen of 15)feet of Distance? a the DEC has determined that a SPDES permit is required for storm water discharges. (SwPPP's Shall meet the Minimum RmFiretnants of the SPDES General Permit 8 Will Driveways,Parking Areas or other impervious i for Storm Water Disehargesfrorn Construction activity-Permit No.G13-0.104 M.) - Surfaces be Sloped to Direct Storm-Water Run-Off a i.The SWPPP shall be prepared prior to ate submiaal of the NOL The Not shall be into and/or in the direction of a Townright-of-way? submitted to the Department prior to the wmnencenuent of wnstruction activity. 2 The SWPPP shall dewnbe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post—construction storm water management practices that will be used andlor Removal of Vegetation and/or the Construction of arty constructed to reduce the pollutants in storm water discharges and toassure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit In addition,the SWPPP shall Area?(ibis item wsl NOTInduOe tma Glshllotlon of Grtveway Aprons) El - Identify potential sources of pollution which may reasonably be expected to affect the quality of storm water dischergem ROTE: if Any Answer to questions One through Nina is Answered with a Cheek Mark 3.All SWPPPa that require am post-construction storm water management practice In a Bor and the eonaft"on cite disdabanee Is lichman 5,000 S.F.S i Aare in area, component shall be prepared by a quarffed Design Professional licensed in New York a Storm Water,Girading,Draunage S Erosion Control Plan is Required by thelrown of that Is knowledgeable In the principles and practices of Storm Water Management. Southold and Must be Submitted for Revlaw Prior to Issuance ofAny Building Permit (W M: ACAedcMark(4)andrirA=.erfuread QuesamisFL-WkedforoCampWApprkatlon) Fit JNGH STATE OF NEW YORK, Notary Public,State of New York COUNTY OF...........................................SS No.01 BU6185050 L E®mii Gov'b oeAzi Qualified in Suffolk County , .... _._.„„.....__.be dui saro Co mission E lies April 14f 2a. (Name itavidual signing Occurrent) y m,deposes an�says that he/she is the appLrant for Permit, Andthat heJeis the ........... �`)� ,.......... .........„......-.....„................................. 7i7WYtf?;Contreetui;Agpit,Ciwpo�esoffioer;e[a'j. Owner and/or representative of the 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 wilt be performed in the manner set fords in the application filed h 'th. Swotxm to before come this; .............�„ .„(..: ..............„..day ofr ......... .......................,20...1 NotaryPublic: ......... ...... ................„. . .............. ....................... l (S.•ature of Applicant) FORM - 06110 � o Town Hall Annex 41 Telephone(631)765-1802 54375 Main Road y dx(63 )76J;QP.O.Box 1179 OWOUor nS roger. ny us Southold,NY 11971-0959 coum,� BUILDING DEPARTMENT TOWN OF SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ��,� Jzc" (e �6t"r,; . Date: 3 Company Name: },�� Name: cis O License No.: Address: p b a- We 'tS l ` /►! . / l7 I'S� I. Phone No.: 6 3 y JOBSITE INFORMATION: (*Indicates required information) *Name: IYI f M rs -*Address: �►d- *Cross Street: *Phone No.: ��/�) ��� �15/ Permit No.: 13 Tax-Map District: - 1000 Section:---f.-_�. Block:- Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ?,,o v, �� Po tv-e r For /fob TA A-d+n+ both o AM GFS Om -5 Ile 041- D42ctk- a s blot Ty6 Ds�vr,nect,, (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 needed) *Service Size: 1 Phase' 3Phase 100 150 200 300 350 400 Other New Service: Re-connect Underground Number o eg�opeic Overhead Additional Information: PAYMENT 1 L�, APR 10 2012 �- II BLDG.DEPT. .82=Request for Inspection Form _ TOWN OF SOUTHOLD ��, Tiizs CD 1107Z _ \ _ Mr-,nl 14U filly.) V OD •� - - •1 ��!•FtOIU:LtifYl51'1•�IV i' { 1SSTz Stu +ai LO f I o �•' I 1 Pori_ ;` � •i ' o _ •) ;' � . N 1 � •, •;mot _' N ail•— Q�,ria�z'� �� .'� w :f . : . N� gn1^ J-41 -jo N°iJ v,,)O Si-7-IV?; q N l y�z►�► a� r auoyd #auo4d •00 ldap/'oo woij - of ®896e# are1J aloN XE=l A-1sod the 545 hot tub by Marquis Page 1 of 2 POI Search The ULTIMATE Hot Tub fxptefeaa! • home • hot tubs the 545 Hot Tub find a dealer • hot tub models The 545T"''hot tub accommodates a family with six seating positions a�a si not rh,eli and stands is o dazzling waterfalls,interior LED brochures , light,stainless•strgl jg"m,pillows,45 hydrotherapy jets including p neck jets.Plus you have the option to enhance your experience with ° color chooser the built-in steretit.With the new floatless lounge,the 545T" allows you to settle in and let your imagination carry you away.' 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