HomeMy WebLinkAbout37870-Z .s�'guFFal,� Town of Southold Annex 3/18/2014
god c�Gy P.O.Box 1179
$ 54375 Main Road
o • -V Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36812 Date: 3/18/2014
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 285 Richmond Ln,Peconic,
SCTM#: 473889 See/Block/Lot: 86.-1-4.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/7/2013 pursuant to which Building Permit No. 37870 dated 3/15/2013
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 Logan,Thomas&Logan,Jill
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37870 8/28/13
PLUMBERS CERTIFICATION DATED
Aut Si atur
TOWN OF SOUTHOLD
�� ay BUILDING DEPARTMENT
y z 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#: 37870 Date: 3/15/2013
Permission is hereby granted to:
Logan, Thomas & Logan, Jill
14 Hudson Rd
Bellrose Village, NY 11001
To: construct an accessory 20' X 40' In Ground Swimming Pool, fenced to code as applied
for
At premises located at:
285 Richmond Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-1-4.3
Pursuant to application dated 3/7/2013 and approved by the Building Inspector.
To expire on 9114/2014.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
Form No.6RO� ;',�I�
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 w Ting 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$15.00
Date.
New Construction: Old or Pre-existing Building:" (check one)
Location of Property: �4S �i p '+'n •J � g-�o✓) f C �
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000,Section ) Block Lot ,
Subdivision Filed Map. Lot:
Permit No.Bol 8*�7 o Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
pplicant Sigature
�o,*pF SO�ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Po.Box 1179 roger.riche rt(a-town.southo Id.ny.us
Southold,NY 11971-0959
olyOwn
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Tom Logan
Address: 285 Richmond Ln City: Peconic St: NY Zip: 11958
Building Permit#: 37870 Section: 86 Block: 1 Lot: 4.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ CoraZZini Electric License No: 33419-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 gas 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 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches H Twist Lock Exit Fixtures TVSS
Other Equipment: in ground swimming pool to include-bonding, 1-pool light, 2-time clocks
2-GFCI circuit breakers, 1-chlorine generator
Notes:
Inspector Signature: Date: Aug 28 2013
81-Cert Electrical Compliance Form.xls
7� > 0 - - -
�aOF SOUTb
o�y000NiV,��
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL
[ ] FOUNDATION 2ND [ ] INS
[ ] FRAMING /STRAPPING INA
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
CZ�2
DATE INSPECTOR
. �oF so
��'�c0UNT1,Nc�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSU ON
[ ] FRAMING /STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
0
REMARKS: ' ` Ck
R
h
DATE INSPECTOR
OF SO(/T�o�
�o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) �] ELECTRICAL (FINAL)
REMARKS:
DATE Z7 INSPECTOR
rv, )7 o OF SOpr,��
cOUHi'1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING /STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) z
ELECTRICAL (FINAL)
REMARKS:
DATE 3 110 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) � J
d�
FOUNDATION(2ND)
o
y
ROUGH FRAMING& FIN
PLUAMING
INSULATION PER N.Y.
H
STATE ENERGY CODE
FINAL w/
ADDITIONAL COIV MNTS
_4100r 3 _�. o
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rt .
a
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TOWN-OF SGUTHOLD .- BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying`
TOWN HALL B94rd ol;Health
SOUTHOLD, NY 11971
v4 sets of Building Plans
TEL: 631 765-1802 ---- ---
Planning Board approval I
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. 3 7 r7V Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit I
Examined J ,20 Storm-Water Assessment Form
Contact:
Approved �2o L Mail t
Disapproved a/c 471 Route 25A
_ PAR? Point, NY 11778
Expiration j 5,20
Building Inspector
APPLICATION FOR BUILDING PERMIT Date {� , 200
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 pen-nit
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 datg of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations afecting 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, Ordinance 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.
Va l P (Signature of ca name, if a corporation)
ab 7 x`i t � - � } - tad ��11wl
< ; 8 �. 1 il' ad e s o a Iic° '1 '
BLDG.OUT. ��'s' � "r 4t��Ey°�,me" Pal
�State whether ap licant is pyy,�prGles8l� a rchitect, engineer, genontractor, e ec an, plum er r builder
FE ; BY
bAk
ELECTRICAL NOTIFY BULDNO E)fflt\R T V:-++ir
Anrar�r� T_ m -
H�a�tr��.r
Name of owner of premises
( n the tax roll or latest deed)I` '
If applicant is a corporation, signature of duly authorized officer
1,__ ,+ JAULKI'....
PP g Y vop� E ATELY�� T
t1 OL TO CODE 3; INSULV' '
(Name and title of corporate officer) upON COMPLETION 41 I=INAL_Q0NSI Rcl�:.tt '1`4 t.EL CTRIG+
i BEFORE"yyATirA" h1�13T }t��#�.tc!i � a ®,
l yL ALLY®NIRUTIaN 5l`, cl '�� TTbE
Builders License REQUIREMENTS OF
Plumbers License No. YORK STATE, NQ'r AE5P0'NS1KE FOR
Electricians License No�, DISIQN OR CONURV,,;lUN ERR IRS,
Other Trade's License No.
I
1. Loca 'on o land on w 'c proposed work will Pe done.
House Number Street Hamlet PURSUANT TO CHAR .R 236
< Block 0 I " Lo THY O
ODE.
County Tax Map No. 1000 Section R/
T .
R
2. State existing use and occupancy of premises it ded use d 0 CU al1C Of TOpOSed comfuctioH,
a. Existing use and occupanc
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Additio Alteratio
Repair Removal Demolition Other Wor
tj—�-L—z�(Descript on)
4. Estimated Cost C I 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 N�l
13. Will lot be re-graded? YES NOY Will excess fill be removed from premises? YES I ;- 6
14. Names of Owner ofUIA4�hn
mises dress l`1T1U� 12S f -01 khZ Xo')'ll�
Name of ArchitectAddress Phone No'
Name of Contractor Address 101 B!m Phone No.-' —u _
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetl d? * S 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 N0�
* 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 OFF
being duly sworn, deposes and says that(s)he is the applicant
(Name o4inividual signing contr ct)above amed,
(S)He is the DW,V)6K
(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 ap is knowledge and belief; and that the work will be
performed in the manner set forth in th .�-applicat�$ rewith.
M)TARYR"`STAIEOFNEW1fM
Sworn t efore me th ;S�lFFQL Kuhn
day of 20 ) UC!#OIMI6231657
No ry Public Signature of Qplicant
a:
ho0pF SOUIyOIo
Town Hall Annex Jf Telephone(631)765-1802
54375 Main Road y xxW1)7
o6SP.O.Box 1179 roger.rlchert OUgE ny.us
Southold,NY 11971-0959 'r
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY 1-,ez ���az.:,.' 7, Date:
Company Name: �o-..A or_";t e
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: y� 6
*Address: s i G / Z
'°Cross Street:
*Phone No.:
Permit No.: 7�?
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
/Alti
(Please Circle All That Apply)
*Is job ready for inspection: VSS
NO. Rough In F'nal
*Do-you need a Temp Certificate: 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
}i LOT 3
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s
PECQNTC
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PUMP
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O Co
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L O Z_
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DRYWELL Ln
W
VINYL COVERED STEPS }
DIVERTE DEEP WATER RETURNS z V
VALVE O 0 O
3'-4"H2O 7'-6"H2O
N op
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FILTER
a' s' r zo'
A CHECK VALVE
L •]•
i ' ;'a _ = a " s ,: TO RETURNS ® A� . .®
`tea,
CONC. PLUMBING SCHEMAT1
PLAN
20 x 40 Rectangle NOT TO SCALE -;,
OF
NOTES
WATER LINE 1. ALL CONSTRUCTION IS TO BE IN ACCORDANCE WITH THE RESIDENTIAL CODE
OF NEW YORK STATE-2010 AND THE ANSI/NSPI-5-03 STANDARDS FOR
r ll RESIDENTIAL INGROUND SWIMMING POOLS FOR A TYPE 11 POOL.
I 11 '4 2. STRUCTURE IS DESIGNED FOR USE BELOW GRADE AND ONLY IN AREAS WHERE I I
THE GROUND WATER TABLE IS A MINIMUM OF 4'-8"BELOW THE PROPOSED p.
-III I— COPING AND WALKWAY FINISHED GRADE. �T
m (BY OTHERS) O U7
N 10 3. BACKFlLL WITH CLEAN EARTH,FREE OF ROOTS AND DEBRIS. DO NOT ALLOW C L O Z
2"to 4"SAND BOTTOM WATER LINE THE HEIGHT OF BACKFlLL TO EXCEED THE HEIGHT OF THE WATER IN THE POOL •—�v J
GRADE BY MORE THAN 8", OR THE WATER TO EXCEED BACKFlLL BY MORE THAN 8" LLI
FORMED CONCRETE STEPS 4. PLACE CONCRETE ON SANDY TO LOAM SOIL. REMOVE ANY CLAY DEPOSIT AND Ln qj
Ov
E COMPACT CLEAN BACKFlLL. CL O N C"
SECTION A ROLLED FOAM BETWEEN O F...
LINER AND CONCRETE 5. WALKS TO BE SMOOTH,NON SKID TYPE,SLOPED AWAY FROM POOL. p[
SCALE:1/8"=1'0° FORM TIES
6. WATER DISPOSAL SHALL BE LIMITED TO OWNERS PROPERTY IN ACCORDANCE
a ` \ WITH LOCAL REGULATIONS.
3500 PSI POURED CONC. io
TOP OF WALL WATER LINE 2"RETURN LINE / CO 7. PROPERTY OWNER IS RESPONSIBLE TO INSTALL PERMANENT FENCE AROUND Lu }
POOL IN ACCORDANCE WITH THE NYS BUILDING CODE,APPENDIX G,SECTION Z
AG105. PERMANENT ENCLOSURE MUST BE COMPLETED WITHIN NINETY DAYS z v�
VINYL LINER AFTER THE DATE OF COMMENCEMENT OF CONSTRUCTION. E'- W Z Ln
4' 12' 4' _ a �� Q t,J> O O
2"TO 4"SAND <// 8. THERE IS NO MAIN DRAIN IN THIS POOL. SUCTION FOR POOL WATER LLJ
Z Q N
4 a a ; CIRCULATION IS PROVIDED BY THE SKIMMERS ONLY. THIS MEETS W r
°D / REQUIREMENTS OF RC-SECTION AG106 FOR ENTRAPMENT PROTECTION. _ M
^
O=a/ �M
9. THIS POOL SHALL BE EQUIPPED WITH AN APPROVED POOL ALARM WHICH IS - ne
m L M
CLASSIFIED BY UNDERWITERS LABORATORY,INC TO REFERENCE STANDARD Q J F--
ASTM 2208 ENTITLED "STANDARD SPECIFICATION FOR POOL ALARMS,"AS Ln °L
ADOPTEDIN 2008. ��- C)
SECTION B WALL SECTION 10. ATEMPORARY ENCLOSURE,OR4FTFENCE SHALL BE INSTALLED AND
SCALE:1/8"=V-0" REMAIN IN PLACE THROUGHOUT THE PERIOD OF CONSTRUCTION OF THE 7_J7_33013
SWIMMING POOL, OR UNTIL THE COMPLETION OF A PERMANENT ENCLOSURE.