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HomeMy WebLinkAbout37084-Z Town of Southold Annex 5/4/2012 g�►EF�CA'c P.O.Box 1179 54375 Main Road csy • Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35577 Date: 5/4/2012, THIS CERTIFIES that the building HOT TUB Location of Property: 940 Oak Dr, Southold, SCTM#: 473889 Sec/Block/Lot: 80.-2-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/23/2012 pursuant to which Building Permit No. 37084 dated 3/23/2012 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 Robert&Ann Burke (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37084 5/3/12 -- PLUMBERS CERTIFICATION DATED r 1 Auth e Si ture TOWN OF SOUTHOLD o�gUFFO(,� F' ha BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . SOUTHOLD, NY 00 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 #: 37084 Date: 3/23/2012 Permission is hereby granted to: Burke, Robert & Burke, Anne 13 Narwood Ct Merrick, NY 115663947 To: hot tub as applied for. At premises located at: 940 Oak Dr, Southold SCTM # 473889 Sec/Block/Lot# 80.-2-8 Pursuant to application dated 3/23/2012 and approved by the Building Inspector. To expire on 9/22/2013. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Building Inspector 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 J. 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 D �/�K AIlif- 5©Ce I o House No Street /Hamlet Owner or Owners of Property: � � 1�7 Ki= �f/� C (� I2 IC r- Suffolk County Tax Map No 1000, Section �� Block 'vL Lot Subdivision 2�/ Filed Map. Lot: Pennit No. t3 / 0 eq Date of Pen-nit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: licant Signature °F SOuryo Town Hall Annex ~� l� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 aQ roger.riche rtn-town.southold.ny.us Southold,NY 1 1 97 1-0959 CoUNTY,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Robert Burke Address: 940 Oak Drive City: Southold St: NY Zip: 11971 Building Permit#: 37084 Section: 80 Block: 2 Lot: 8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: home owner DBA: License No: 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 1 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: supply GFCI protected power to self contained hot tub, including bonding Notes: Inspector Signature: Date: May 3 2012 81-Cert Electrical Compliance Form.xls \1 . pF SO�T�OIo `"0 G Q T0WN OF SOUTHOLD BUILDING DEPT. 765-1802 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 "� INSPECTORS -_ o��pF S0(/T�ol --- - TOWN OF SOUTHOLD BUILDING -DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ZFINAL LATION FRAMING/STRAPPING [ [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR 0.0 MD IN Olt 3tEPt29C D= C�D'IlY1!tTS. • � � . • fro . mUN AtION(1ST)..• �. .. - z FOUNDATIEQN(2ND) m ROUE$mome& y PLUMING D MOMA M PVM-No Y. STATE EMGY CiDDE• Q FINa ADDITIONAL.C.OMNlENTS m z 7i O WN 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 i^ CAk� TEL: (631) 765-1802 Planning Board approval Ur P t (-"LVq FAX: (631) 765-9502 Survey SoutholdTown.NorthForlc.net PERMIT NO. Check ',),�-111 , Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact: _ Approved ,20 Mail to: dI' l '3 Disapproved a/c �� RulpoD CYG/??rC�C A/!l✓�� Phone:4,16—(PQJ q 4L6 Expiration ,20 D E C E Building Inspector 01 (BAR 2 a 2012 APPLICATION FOR BUILDING PERMIT Date , 20 BLDG.DEPT. INSTRUCTIONS TOWN OF SOUTHOLD 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. i-nature of applicant or name, if a corporation) r�A Jew D 0-b cT- 22 cck, e a d-t-�, (Mailing Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder �W Name of owner of premises (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. Electricians License No. Other Trade's License No. 1. Location of land on which roposed work will be done: '71/a C?A-k 'P A VJr- Sou-rtb( House Number Street Hamlet County Tax Map No. 1000 Section MY Block �� �� Lot Subdivision Filed Map No. Lot ' 2. State existing use and occupancy of pre 5es and intend e use a d occt ancy of proposed construction:. a. Existing use and occupancy t U V) 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 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 ci i Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear i` ''a" De tki ft ? 1 + !! Height Number of Stories f. 9. Size of lot: Front Rear Depth ,. - a & 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 y 13. Will lot be re-graded? YES NO `� Will excess fill be removed from premises? YES NO y 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�EQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO C/ * 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 NOA * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, CONNIE D. BUNCH Notary Public,State of New York (S)He is the "pie-�Bd6;@�85^ (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County Commission Expires April 14,204— 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. Sworn to before me thisA ��� day of 20 �- Notary Public Signature of Applicant So. .,moo ono Town Hall Annex 54375 Main Road �3 6 P.O.Box 1179 G Q ro er.rich 6 Southold,NY 11971-0959 APR 2 'R 2012 BUILDING DEPARTMENT BLDG. DEPT. TOWN OF SOUTH013) TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: D Er I E *Address: *Cross Street: l�&O JS1-. 5 *Phone No.: (/ l - C2�1/�- y ✓ r� Permit No.: Tax-Map District: - 1000 Section:. Block: Lot: /)o , MC *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: (91 NO Rough In CFi 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 of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION .82=Request for Inspecton Form SURVEYOFPROPETY LOT 169 17, 18 MAP OF REYDON SHORES FILED: JULY. 1, 1931 — MAP #: 631 c�Ll LOT is SITUATE BAYVIEW o MON. TOWN OF SOUTHOLD S 70 30 00 E _ 165,00 _ _ _ _ END. SUFFOLK COUNTY, N. Y. FFN ..N. 0; S POST AND RAIL FENCE p 7: S FE ►S.C. T.M.#: 1000—080—02—08 LI3T 1 6 3.7' S 3.5' W SURVEYED: AUGUST 13, 2010 O CDCD _ CI 37.22' POST AND RAIL FENCE I ^ D I Ln DECIfffl Rj cV v LLJ �ICK LOT 17 c; 1 1/2 STORY MASONRY PATIO G CONCRETE DRIVEWAY CD O � OI PILLAR FR. RES. 19.65' I CDCDLANDING 3 O Ln CD - - - - & STEPS CE �. - - - - - - - I (� 0 v 20.92' 52.0' Z I 37.58 00 I GUARANTEE TO: LOT 18 _ N GARAGE N I PARAGON ABSTRACT INC. FIDELITY NATIONAL TITLE INSURANCE CO. N N TBD O L27N POST AND RAIL FENCE 1 1' N - 20.92' 9 3� ROBERT E. BURKE AND ANNE M. BURKE N 70°30'00" W 165,00' 3�, °' FND. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF NEW YORK STATE EDUCATION LAW. ' LOT 19 COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID COPY GUARANTEES INDICATED HEREON SIGNIFIES THAT THIS SURVEY WAS PREPARED I I IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS AND THAT CERTIFICATIONS SHALL RUN ONLY TO THE PARTY FOR WHOM THE SURVEY IS PREPARED AND ON THEIR BEHALF TO THE TITLE COMPANY GOVER— NMENTAL AGENCY AND LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFER— ABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY NOT SHOWN ARE NOT CERTIFIED. THE OFFSET (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION SEAL SCALE: �c of KE`"�o� MICHAEL K WICKS, INC. 1"=20' LAND SURVEYING AUG. 13, 2010 N. Y.S. LIC. # 50390 DRAWN BY: 200 BELLE VIEW AVENUE, ysFQ LAND S��J� CENTER MORICHES, NEW YORK 11934 SHEET: VOICE. 631.874.0156 - FAX. 631.909.3845 1 OF 1