HomeMy WebLinkAbout37146-Z SUFF04 Town of Southold Annex 9/25/2012
3 P.O.Box 1179
54375 Main Road
o g Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35971 Date: 9/25/2012
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1910 The Long Way, East Marion,
SCTM#: 473889 Sec/Block/Lot: 30.-2-128
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/10/2012 pursuant to which Building Permit No. 37146 dated 4/18/2012
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:
accessory in ground swimming pool with fence to code as applied for.
The certificate is issued to Galanakis,Emmanuel&Minardo,Marie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37146 6/13/12
PLUMBERS CERTIFICATION DATED
C
A,ufhpKzed S' ature
o�g11FFa(I(c0 TOWN OF SOUTHOLD
�� ay BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
`"off 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#: 37146 Date: 4/18/2012
Permission is hereby granted to:
Galanakis, Emmanuel & Minardo, Marie
69 78th St
Brooklyn, NY 11209
To: construct an Inground swimming pool fenced to code as applied for
At premises located at:
1910 The Long Way, East Marion
SCTM # 473889
Sec/Block/Lot# 30.-2-128
Pursuant to application dated 4/10/2012 and approved by the Building Inspector.
To expire on 10/18/2013.
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 2l10 of I Wlead.
5. Commercial building,,industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible€or 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: V Old or Pre-existing Building: ' (check one)
Location of Property: ��� L o I Ah
House No. 11 Street Hamlet
Owner or Owners of Property: E►' Md Wi L 6 0 lA n A KIS
Suffolk County Tax Map No 10.00, Section 3C7 Block Lot 126
Subdivision Filed Map. Lot: p riLLL
Permit No. '7 / Date of Permit. " ! Applicant: ¢ ,�� C 1 bl�x�G[
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ y
A plicant Signature
pF SOUT�,o
Town Hall Annex l0 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.riche rKED-town.southold.ny.us
Southold,NY 11971-0959
olyCOUM`1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Galanakis
Address: 1910 The Long Way City: East Marion St: NY Zip: 11939
Building Permit#: 37146 Section: 30 Block: 2 Lot: 12.8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: USI Electric License No: 2740-e
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 Wall Fixtures Smoke Detectors
Main Panel 1 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect R Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment: in ground swimming pool to include, bonding, 1-pool light, 2-GFCI circuit breakers
1-heat pump
Notes:
Inspector Signature: Date: June 13 2012
81-Cert Electrical Compliance Form.xls
Of SO(/r�olo
• �o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ FOUNDATION 1ST [ ] 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:
DATE INSPECTOR ;
oF sooryolo
olyCoutom'�
t / TOWN OF SOUTHOLD BUILDING DEPT.
7C5-1802
INSPECTION .
[ ] FOUNDATION 1ST [ ] 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:
9
DATE — INSPECTOR q r�
OF so�ryolo
� 00UMV,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION ...
[ ] FOUNDATION 1 ST [ ] ROUG PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRIC L (FINAL)
REMARKS: �—
�v "I DATE l � �— INSPECTOR
t
CMLD I�TSI .: ., .N59prMVT DA==
CCD'Ilo;� TS.
FOUNDATION(%ST)..
FOUNDAZ`N(2ND) '
ROUGH ECG&
PLUNFBiNG
INSUL•ATION PF32 N.Y.
FI
STATE MGY CODE• � �►
CMt
FINAL
ADDITIONAL.COMIMI:NTS .
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 3 sets of Building Plans
TEL: 765-1802 Survey
PERMIT NO. Check
Septic norm
TJX.S.D.E.C. _
'17nistees
Examined ,20 (2 Contact:
Approved ,20 r Mail to:
Disapproved a/c
" tof V(�1.3 Phone:
Cc E ' �(� Building Inspector
D .
APR 10 2012 PPLICATION FOR BUILDING PERMIT
Date &PIgA , S , 20 !a
BLDG.DEPT.
TOWN OF SOUT60LD INSTRUCTIONS
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 inspedtion throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy
is issued by the Building Inspector.
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 ba
g for necessary inspections.
bPANCY OR
saIM EM/4TELYMJJS E I UNLAWFUL (Signature of applicant o ame,if a corporation)
ENUP09 00L TO ETION VVITI_, � I CE € SAT a r (J lc7
fJPONCOMpLETIOAi. r
BEFORE"WATER"" ;•`� ' I ,
0ATE' _ ;
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e c ai,f, iilder
C�1 FEE_Z53— �..BY
Oft{�CAPOiR NOTIFY BUILDING D€P,��9'MJENT-e-T —
FOLLOWING NSP �OR' E
Name of owner of premises EMOA Q nU& �/} Q Aq KI S ECTIONS;
�n KE RED
(as on the tax roll or lateslF ObURED Cf)`NCR�te
2. ROUGH•FRAMING PLUMBING,
If applicant is a corporation, signature of duly authorized officer STRAPPING,-ELECTRICAL 8 CAULKING
3. .INSULATION -..•.yu,�.
A, FINAL-CONSTRUCTION&ELECTRICAL
(Name and title of corporate officer) MUST BE COMPLETE POP P
Builders License No.-
ALL CONSTRUCTION SHALL MEET THE
Plumbers License No. REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
Electricians License No. o2NO-M15. DESIGN OR CONSTRUCTION ERRORS.
Other Trade's License No.
RETAIN STORM WATER RUNOFF
1. Location of land on which proposed work will be done: PURSUANT T" CHAPTER 236
H .;TOWN CODE.
House Number Street ' ;,:
County Tax Map No. 1000 Section 30 ELECT,RI Block o� ,L 4 o�,_ _j_', ,
Subdivision Filed Ma I°
(Name) __ .
f
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy mwAeA
b. Intended use and occupancy 9_f,SlQ9An,_ft?_. pWvnmwo Q0c
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Worlc'�nggg,lnn ViAVL' SWV?nm�N�-(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 R1, 3(p Rear Depth 311:4 (o
Height Number of Stories
9. Size of lot: Front ocb Rear Depth 320
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: No
13. Will lot be re-graded An, Agot QLkq Will excess fill be removed from premises: ES NO
)910'rk L ,vq Witt'
14. Names of Owner of premises�ALAt4Pcr,tS Address__EAsr MA,2►or� Phone No. �!'17- 270- W3
Name of Architect` homi s D Qe,11u 1 Address 4 &2&4ti M hone No -72477988 .
Name of.Contractor ,X Mg.. Ias Address 24 Phone No. NY-11 gT
15. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED',' r ti4Y
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 OF6Ur-A)tk
Alen� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the t✓OICFt'►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-themanner set,forth in-the;application filed therewith.
Sworn to before'me-this •-
day of 200
No,ary Public Signature o pplicant
MARGARE'r A. KIDNEY
.Ndtary Public-State of flew York
No. 01 K16021111
Ouaiified in Suffolk County.
My Commission Expires March 8,201:::C
Town of Southold
y Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.c.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
Ol 00D �0 a Ia.� STORM-WATER,;GRADING;,DRAINAGE,AND EROSION CONTROL PLAN
` I gs-firTe—t Section floc — Lot. CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF.NEW YORK.
SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT 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 o�51 too Generated by a Two(2")Inch Rainfall on Site?
the Scope of Work for Proposed Construction) (S.F.ram) (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 ,L
and/or Ground Disturbance for the proposed It7T�7 Site Improvements and the permanent creation of
construction activity?' impervious surfaces.)
(S.F./Acres)
PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) 2 Does the Site tunes Ilan ndicating
Sizeey &Locaw Alltion?
Proposed
n?This
Drainage Structures Indicating Size&Location?This
Item shall include all Proposed Grade Changes and El
18 3b I nggoipo Slopes Controlling Surface Water Flow.
/� 3 Does the Site Plan and/or Survey describe the erosion
��WtmmIN4 PWL W\T* * and sediment control practices that will be used to
� �n /y� control site erosion and storm water discharges. This-1y Wk— 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,lnvolving 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
Site? Is this Project within the Trustees jurisdiction D
General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or
Submission of a SWPPP is required for all Construction activAes 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 ommon plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to D ✓
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.
(SWPP.P's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious
for Storm Water Discharges from Construction activity-Permit No.G13-0-10-001.) Surfaces be Sloped to Direct Storm=Water Run-Off
El V/,
1.The SWPPP shalt be prepared prior to the submittal of the Not.The NOI shall:be into and/or in the direction of a Town right-of-way?
submitted to the Department prior to the commencement of constriction 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 and/or' Removal of Vegetation and/or the Construction of any /
constructeO to reduce the pollutants in stone water discharges and to assure Item Within the Town Right of=Way or Road SFiotilderE] t/
compliance with the terms and conditions of this permit.In addition,.the SWPPP shall Area? this Item will NOT include of natlon orU Identify potential sources ofpollution which may reasonably be expected to affect the a of -)
quality of storm Water discharges. NOTE: If Any Answer to Questions One.through Nina ls.Answered with a Check Mark
3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance Is between5,000 S.F.&i Acre In area,
component shall be'prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plawls:Required by the Town of
that is knowledgeable in the prtnclples and practices of Storm Water Management. Southold and Must be Submitted for Review Prinr to Issuance of Any Building Permit
(NOTE: A Check Mark(,J)and/or Answer for each Quostioh is Required for a Complete Application)
STATE OF NEW YORK,
COUNTY OF............. ��...W� .........SS
iix� F.orlAxos.
That I................. ..............................................................being drily sworn,deposes and says that he/she is the applicant for Permit,
(Name of individual signing Document)
And that he/she is the .................................... Col�i �
(Owner,Contractor,Agent,Corporate Officer,etc:). ............................................
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 will be performed in the manner set forth in the application filed herewith.
Sworn to before me this;
.....................
day of..... .... ............................20.1
Notary Public: ...............Q..!� ... . ... .hMGAF.3ET A. MONEY.. ............. ....................................
Notary Public—.State of New York (Signature Applicant)
FORM - 06/10 NO.
01 o021111
Qualified in Suffolk County.
My Commission Expires March S,201�„
do �
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn - fax(631)765,g5t�
P.O..Box 1179 G r0 er.richertid0Wn.south0 nV us
..Southold,NY 1 1 9 7 1-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: :5 .�T. E 1-CC-w Ic,
Name:
License. No.: 2 74J N
Address: )Zg
Phone No.: (o31- 5y-(75�OD
JOBSITE INFORMATION: (*Indicates. required information)
*Name:,. 1�U1IIl1� -IALf�nlf(K1 S
*Address: I Q 10 `the L ONq w
*Cross-Street:
*Phone No.: 411 270- M3
Permit No.:
Tax Map District: 1000 Section:___. 3o Block: Lot: lad
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) � � ttia
nIc 6w^M►N(
WUl W\Z1* �R_nlec.
(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 of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
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':� INSTITTIONS OR SUBSEQUENT QWNERS,:' _ S$CALE: JAN 13 �I'98 I' N-� 8�
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Sldmmem Returns
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FYer do Pump
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(Dry Well OpUnal)
Rolled Wall Fna
Plan A Piping Arrangement
Wall Section
Vinyl Un 14 Rebor
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Section L—L 2.Son 3500 PSI. Concrete
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SIZE A B C D E F G H AREA CAP.
FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. Purchase
16X32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000 �
16'z36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600 POOL&SPA CENTRE Aaa
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PERMACRETE WALL SYSTEM �tte
Sta
18X36 18 36 12 14 6 4 5 8 648 24,300 929 Route 25A Miller Place NY 11764
20'x40' -20' 40' 16' 14'. 6' 4' 6' 8' 800 30,000 (631) 744-7185 FAX (631) 744-0174
Phone Zip COCIS
24'z44' 24' 44' 18' 14' 8' 4' 6' 10" 798 30,000 Suffolk License #4436—HI -
24'X48' 24' 48' 20' 16' .8' 4' 6' 10' 900 30,000 Nassau License #HI74450000