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HomeMy WebLinkAbout36454-Z l�`Su FF p Town of Southold Annex 6/21/2012 �so� oGy� P.O.Box 1179 54375 Main Road o 11' Southold,New York 11971 4,1 CERTIFICATE OF OCCUPANCY No: 35760 Date: 6/21/2012 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 700 Orchard St, Orient, SCTM#: 473889 Sec/Block/Lot: 25.4-11.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofIiced dated 5/31/2011 pursuant to which Building Permit No. 36454 dated 6/7/2011 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: accessM in ground swimming pool with fence to code as applied for. The certificate is issued to Morton,Keith (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36454 6/4/12 PLUMBERS CERTIFICATION DATED r 0 riz Si ture ��S�FFo��co TOWN OF SOUTHOLD BUILDING DEPARTMENT co TOWN CLERK'S OFFICE o • SOUTHOLD, NY yfj�j 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#: 36454 Date: 6/7/2011 Permission is hereby granted to: Morton, Keith 108 E 91st St New York, NY 10128 To: construct an Inground Pool, fenced to code as applied for At premises located at: 700 Orchard St, Orient SCTM # 473889 Sec/Block/Lot# 25.-4-11.7 Pursuant to application dated 5/31/2011 and approved by the Building Inspector. To expire on 12/6/2012. 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. 'Swom 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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: -7 cx) 64- House No. Street Hamlet Owner or Owners of Property: k1cli 7�1 r Suffolk County Tax Map No 1000, Section ok D Block T Lot Subdivision Filed Map. Lot: Permit No. LI5.V Date of Permit. - 7'_ f f Applicant:_ Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check ne) Fee Submitted: $ O r (� ppli an Signature o��pF SO!/Tyol Town Hall Annex ~ o Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 aQ�` roger.rich ert a�town.southold.ny.us Southold,NY 11971-0959couffm BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Keith Morton Address: 700 Orchard St City: Orient St: NY Zip: 11957 Building Permit#: 36454 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: B J Electric License No: 2670-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only . Commerical Outdoor X 1st Floor Pool X 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 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 2 Disconnect Switches 2 Twist Lock Exit Fixtures TVSS El Other Equipment: in ground swimming pool to include, bonding, 2 pool lights, gas pool heater, cover motor Notes: Inspector Signature: Date: June 4 2012 81-Cert Electrical Compliance Form.xls OF SO�jyO�o O�yco ,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUG LBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING/STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL OUCH) [ ] ELECTRICAL (FINAL) REMARKS: K r b-z/— DATE - INSPECTOR r3f so O�yco ,� 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: 4• DATE �� INSPECTOR FIELD RiSFE OAT REPORT DATE COTIIl NTS. ro-MATION( ST) . .r.. +M � �•.rr��wo ,Croy. V C FOUNDATION(2ND) l O © H ROUGH MANUNG'& PUTADING �i INSULATION PEA N.Y. � H STATE ENERGY CODE. FINAL ZZ ADDITIONAL.COMMENTS . Lol rn tv 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. 0 6 f�y Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 lf f Storm-Water Assessment Form Contact: Approved /„ � ,204 Mail to:?6IA Cke) Disapproved a/c So 9 cry AD3q lyQdT#;f WI ptvi ' 7 (q Phone: �t' £�lz-0q Expiration I—V 20 E -� fS � W E Building Inspector ® MAY 2 7 2011 PLICATION FOR BUILDING PERMIT Date .120 INSTRUCTIONS BLDG. DFPT. Ia. Thi `r G T letely 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 vs - pm,alf yc-a66) iya/.4C USE S N q t A/� lM (Signature of applicant or name, if a corporation) 1A11 °U (aI�:41ZV ��=iCAT "IMMEDIA Y„ �y h�`� f 1��8 ENCLOSE I?OOL PTO COS. OF OCCUPANCY UpOhICOMPLETION (Mailing address of applicant) 'BEFORE"WATER" State whether applicant is owner, lessee, agent, architect, engineer, general contr- dt�c� t� 11er or builder DATE. .._/�7 // B P # Name of owner o premises �( FEE: BY (As on the tax roll or 15>♦ MENT AT AM TO 4 PM FOR THE If ap li orporation, signature of duly authorized officer FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED 1 (N and title of corporate officer) FOR POURED CONCRETE -7 2 ROUGH-FRAMING,PLUMBING, STRAPPING-ELECTRICAL&CAULKING Builders License No. 5�(/�rD�G G �f`p I 3 INSULATION Plumbers License No. 4. FINAL-CONSTRUCTION&ELECTRICAL Electricians License No. MUST BE COMPLETE FOR C.O. Other Trade's License No. ALL CONSTRUCTION SHALL MEET THEREQUIREMENTS OF THE CODES OF NEW EOUIRIEp YORK STATE. NOT RESPONSIBLE FOR 1. Location of land on which proposed wok will be done: DESIGN 0 TSTRnAl r MIfA KNOFF House Number Street Hamle�URSUANT TO CHAPTER 236 s , OF THE TOWN CODE. County Tax Map No. 1000 Section Z Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 61d61,6 JU►1 hwffaA d6 b. Intended use and occupancy Sl,nl4le 7,f((C-[' &opiudd6 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work' 1& n � �q (Description) ?CID/4. Estimated Cost �_ �� Fee �T (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 NOX- 13. Will lot be re-graded? YES NO,�d Will excess fill be removed from premises? YES NOX io&- Goy 91sr Pi(4 14. Names of Owner of premises 5. !i'6Aryl Address W lqy 1012-9 Phone No.91�-723- 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 >C * 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�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 NO_� * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) 7Z,xAk c-e— ?\K\\M w, c being duly sworn, deposes and says that(s)he is the applicant (Name of individual signin contract) above named, (S)He is the A 6 vv:[C (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. Sworn to before me this day of 20 ROBINSON Notary Public State of New York No 01h06141351 Notary Public Qualified in Suffolk County Si na ure of Applicant Commission Expires February,Z1fl1L( a�guk Town of Southold w Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 0 PROPERTY^LOCATION: S C.rM;t: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Ol of , rJ STORM WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN -6 s�tr7ct ear atTn oc 'Uot'— CERTIFIED BY A DESIGN PROFESSIONAL iN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION TI'EM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain Ali Storm-Water Run-Off (Include Total Area of all Parcels located within fit/, 1 c 2 Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (s !�) 7 (This item will include all run-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 construction activity? impervious surfaces.) (S.F.!Apes) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (POMSArl6uertal Pages asN=W) Drainage Structures indicating Size&Location?This El ` � Item shall include all Proposed Grade Changes and N OW F — Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion ❑ 4 W 1#t uwJ(: PO4- and sediment control practices that will be used to control site erosion and storm water discharges. This 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 Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 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 M Site? Is this Project within the Trustees jurisdiction 5( General DEC SWPPPReguirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres: including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more arras Of land; which Exceed Fifteen(15)feet of Vertical Rise to including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit Is required for storm water discharges. El (SWPPP's Shalt meet the Minimum Requirements of the SPDES General Permit 8 Nil Driveways,Parking Areas or other impervious ❑ for Storm Water Discharges from Construction activity-Permit No.GP-0-10.001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the NO].The NOl shall be into and/or in the direction of a Town right-of-way? �- submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where Q Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used andfor Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants In storm water discharges and to assure 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?[ihls item wBl NOT Include the Installation of Driveway Aprons,) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions one through Nine Is Answered with a Chack Mark 3.All SWPPPs that require the postconstruction storm water management practice in a Box and the construction site disturbance Is between 5,000 S.F.&1 Acre In area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that Is knowledgeable in the principles and practices Of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark(J)and/or Armvar for each Quesffon is Required fora Complete Application) STATE OF NEW YORK, S. COUNTY OF...... � .L.............SS That T,.....Jk�T..!.�c(� ......... .L�(.K.1........................being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signtng Document) And that he/she is the ......A1-9 ....:....................................................................... (Owner,Contractor.Agent,Corporate Officer,eta) . Owner and/or representative of the Owner or Ommers,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 li'�knowledge acid belief;and that the work,41 be performed in the mariner set forth in the application filed herewith. Smrorn to before me this; .` y...... '..................day of.....r2tQ.........................UItIO�DF BINSON Notary Public State of New rk Notary Public: . ... ............................U-01hIM14135L... . ... ..... . ..... . ......................................... Qualdied in Suffolk Coun (Signature of Applicant) FORM - 06110 Town Hall Annex Telephone(631)765-1802 54375 Main Road y :� ,ax(631)765- 5�2, P.O.Box 1179 G rOger.richertCatown soutFi0 a nV Us Southold,NY 11971-0959 A BUILDING DEFARTt4ffM TOWN OF SOUTHOLD YA'15��_28PWQATION FOR ELECTRICAL INSPECTION REQUESTED BY. Date: Company Name: Ale Name: License No.: Address: Phone No.: . JOBSITE INFORMATION: (*Indicates required information) *Name: ,� yL-�0A A , ._ *Address: 'J©D '/� -'*Cross Street: *Phone No.: Permit No.: - '� S Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print ClearlIX {Please Circle All That Apply) *1s job ready for inspection: ES O Rough in Final *Do you need a Temp Certificate: YE Tomp 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 0 82=Request forinspection Form �� �/ V `�' oF so�ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G . Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 8, 2012 Keith Morton 108 E 91 st St New York, NY 10128 Re: 700 Orchard St.,Orient TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed). Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation.approval. BUILDING PERMIT : 36454 — In-Ground Swimming Pool POOL AND PROPfiM TO CCta7ORM TO N.Y. STATE RESIDENTIAL. 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