HomeMy WebLinkAbout47745-Z �o��Sj�FFDL Town of Southold 10/29/2022
o P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43 544 Date: 10/29/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 705 Lighthouse Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 54.-3-26.9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/24/2022 pursuant to which Building Permit No. 47745 dated 4/27/2022
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 fenced to code as applied for.
The certificate is issued to Parker,Sheri
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47745 8/9/2022
PLUMBERS CERTIFICATION DATED
AuAio 'ze SignaVel
'SUFE- TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N z TOWN CLERK'S OFFICE
oy • ��: SOUTHOLD, NY
sol � Sao ;s
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#: 47745 Date: 4/27/2022
Permission is hereby granted to:
Parker, Sheri
705 Lighthouse Rd
Southold, NY 11971
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
705 Lighthouse Rd., Southold
SCTM # 473889
Sec/Block/Lot# 54.-3-26.9
Pursuant to application dated , 3/24/2022 and approved by the Building Inspector.
To expire on 10/27/2023.
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE. $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
pF SOUT�oI
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 aQ sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959 OI�CQU�s��
BUELDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Sheri Parker
Address: 705 Lighthouse Rd city:Southold St: NY zip: 11971
Building Permit#: 47745 Section: 54 Block: 3 Lot: 26.9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: LC Electric License No: 38043ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling.Fan Combo Smoke/CO
G
Transformer UC Lights Dryer Recpt Emergency FixturesE Time Clocks
Disconnect Switches 2 4'LED Exit Fixtures Pump
Other Equipment: Intermatic Pool Panel 8 Circuit/ 5 Used, 2 Lights 120GFI, Heater, Salt Generator, 22
Pump 220GFI, Auto Cover 120GFI, w/ Key Locked Switch
Notes: Pool
Inspector Signature: Date: August 9, 2022
S. Devlin-Cert Electrical Compliance Form
SOF SO', l L/ li-AAOUS2
ho� o�o H-7 7 115 .�
* # TOWN OF SOUTHOLD BUILDING DEPT.
°yCIOU �'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: d ot,
CA l I �
DATE Z INSPECTOR
o�aOF SOUIyo 7 q,;7 �O L,
TOWN OF SOUTHOLD BUILDING DEPT.
`ycou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ . ] INSULATION/CAULKING
[ . ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ?01 PRE C/O [ ] RENTAL
REMARKS: O�-ti
DATE INSPECTOR ooe
UP SOUTyo�
* TOWN OF SOUTHOLD BUILDING DEPT.
courm, 631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ WFINAL fid�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION �1 [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE INSPECTOR
Jeffrey Sands Architect
May 14, 2022
[ECROVE
Property/swimming pool location: OCT - 5 2022
Sheri Winter Parker
705 Lighthouse Road BUDDING DEPT.
TOWN Off'SO OILD
Southold, NY
RE: Swimminq pool rebar inspection
Attention Town of Southold Building Department:
Upon inspection of swimming pool rebar and drywell at above mentioned property, I find all to
have been installed to meet current building code requirements. -
Sincerely,
E ARc
Y M,,
S�2o �C)
a —{
(PP
o27894
OF N ENN
Jeffrey Sands Architect
6 Evergreen Lane, East Quogue, New York 11942 phone-631-375-5997, fax, 631-576-8916
email—Jeffrey sandsD-hotmail.com
FIELD INSPECTION REPORT I DATE COMMENTS
ro
FOUNDATION (1ST)
I ^ �
------------------------------------
C
FOUNDATION (2ND)
z
�o
G (�
y
ROUGH FRAMING&
PLUMBING y
1
N
r
INSULATION PER N.Y. �3
STATE ENERGY CODE
ak-
�
FINAL
ADDITIONAL COMMENTS
b o
� X
o ro
x
d
ro
�coGy TOWN OF SOUTHOLD-BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
y�o as Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldto=.gov
Date Received
APPLICATION FOR BUILDING PERMIT
4 F r Office Use Only R
PERMIT NO. Building Inspector: MAR 2`4 2022
V_/ -
Applications and forms must be filled out in their entirety. IncompleteTOWN F G D HOLD
applications will not be accepted. Where the Applicant is not the owner,an ,
Owner's Authorization form(Page 2)shall be completed.
Date: ��q
OWNER(S) OF PR PERTY:
Name: ( ,/ „ (D.t
JY SCTM# 1000-�� -3 - aG�
r V 1
Project Address:
Phone#: �;l -B49 Email:(E�k •fir
Mailing Address:
CONTACT PERSON: ,
Name: KnAnV� �r �n o
v
Mailing Address: i 1 r 119 [
Phone#: 0� I , _/ l Email: l 1 `'t
lY
um) ( �<C
—1 Div
DESIGN PROFESSIONAL-INFORMATION:
Name:
Mailing Address:
Phone#: Email-
CONTRACTOR INFORMATION:
Namelafig(_Vs
Mailing Address: I w J
Phone#: I _ Q? lc Email: S l C
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑ Ilteration ❑Repair ❑Demolition Estim a ostofProject:
0-70
Will the lot be re-graded? ❑Yes No 1.4 Will excess fill be removed from premises? es ❑No
1
PROPERTY INFORMATION '
Existing use of property: )� Intended use of property: 15,rvey h,0LWkK— u' ki, V1
Zone or use district in which premises i ituated: Are there any covenants and restrictions with respect to
Athis property? ❑Yes ENO IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By( rint name): in ��`��Y `o authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF-k6 )
Ina I'YIucuyi-D being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the An�Al� -
ontractor,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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
�
2ya"I" 0
day of /IC(/� 20 ���
Notary Public
£ZOZ'LL aunt sajidxE uoissiwwoo
Ajunoo�iognS ui pa le
£b££6MIA1,0'ON•69�1
)Pa1.MON 40 81e1S'oiignd tielON PROPERTY OWNER AUTHORIZATION
Ixsnoaw v HiaH31w
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
residing at .� lyL► <1 `20/
(Print property owner's name) (Mailing Address)
do hereby authorize Katrina Mercurio
(Agent)
to apply on my behalf to the
Southold Building Department.
� l
(Own is ignature) (Date)
(Print Owner's Name)
BUILDING DEPARTMENT- Elect i nspector
�
TOWN OF SOUTHO JUN 0 6 2022
Town Hall Annex- 54375 Main Road - PO �c„1,,'�J9
Southold, New York 11971-095wN of say nHoLo
Telephone (631) 765-1802 - FAX (631) 765-9502
roger r(&-southoIdtownny.gov — seand(cD-southoldtownny.gov
3..
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 5/26/2022
Company Name: LC ELECTRICAL CONTRACTING INC
Electrician's Name: LC ELECTRICAL CONTRACTING INC
License No.: ME-38043 Elec. email:OFFICE 9LCELECTRICALCONTRACTING.COM
Elec. Phone No: 631-874-0485 01 request an email copy of Certificate of Compliance
Elec. Address.: 22 WOODBINE LANE, EAST MORICHES, NY 11940
JOB SITE INFORMATION (All Information Required)
Name: PARKER, SHERI
Address: 705 LIGHTHOUSE RD., SOUTHOLD
Cross Street:
Phone No.:
Bldg.Permit#: 47745 email:
Tax Map District: 1000 Section: 5 Ll Block: 2) Lot: ,
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
IN-GROUND POOL
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES 0 NO ❑✓ Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES 0 NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground LateralsF11 2 H Frame Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
� po
11fF01
BUILDING DEPARTMENT- Elect ica'I<Inspector
TOWN OF SOUTHOLID
® - Town Hall Annex - 54375 Main Road - PO
Southold, New York 11971-096'q'1! ;'\1 C '�''}`
4,' Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCcDsoutholdtownny.gov - seand(a southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 5/26/2022
Company Name: LC ELECTRICAL CONTRACTING INC
Electrician's Name: LC ELECTRICAL CONTRACTING INC
License No.: ME-38043 Elec. email:OFFICE@ LCELECTRICALCONTRACTING.COM
Elec. Phone No: 631-874-0485 0 I request an email copy of Certificate of Compliance
Elec. Address.: 22 WOODBINE LANE, EAST MORICHES, NY 11940
JOB SITE INFORMATION (All Information Required)
Name: PARKER, SHERI
Address: 705 LIGHTHOUSE RD., SOUTHOLD
Cross Street:
Phone No.:
Bldg.Permit#: 47745 email:
Tax Map District: 1000 Section: Block: '�t) Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
IN-GROUND POOL
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES 0 NO 0 Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES F&�/] NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
[:]New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION LDO
PERMIT # Address:
Switches ,
Outlets
GFI's `
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special:
Comments rl
�� e
r �
S.C.T.M. N0. DISTRICT: 1000 SECTION: 54 BLOCK: 3 LOT(S):26.9
I
L07 2
N 48 055'10 E 450.45'
POST/WIRE FENCE ALONG LINE 0.4'S
0.2'W
x O
O � A
ELEC.
OO C METER r
N x i 0.7'W
C) H
O VEL DRIVEWAY z G�
�,10.3' GRA
X w 18.0' w 37.6' o z y y
o �y
Io 1.5' 0.7'W m
2.0'> '
20.0' U 13.1 o �O1
I� CI tp
0 l 0 1 8N FRAAiE =o -i rt
LOT 3 a o DWELLING 0 \ O �-
LOT 4 x Z I Q 3 Sri I oo 1705
C-)
( 3 x ^ 5.3 G m 00 m
L8.2'- 11.5' G•0 m IV m O
I 10.3' o F`' Z (Z) 2 .
> o n ~
O 8.9' 9.8-3.1' 6' 173.4.
�/ r ►r
TIR
ENCLOU RE GRAVEL20.0' O
O � o
12.3' W U.P.
6.8'N °�,° SHE
20.9'E x O
O
S ' RE FENCE ALONG LINE POST/ WIRE FENCE 3.2'NPI61 /WX X X X X X X X X XX X
TAT X X X
S 48°55'10" YY ASPHALT DRIVEWAY LOT 4 450,45' ASPHALT DRIVEWAY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - = - - - - - - - - - - - - - -
PIPE
THE WATER SUPPLY, WELLS DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 76,575.91 SOFT. or 1.76 ACRES ELEVATION DATUM: _________________________
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN '
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES. ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUffURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY ® CSURVEY OF: LOT 3 FNEIy, CERTIFIED TO: SHERI WINTER PARKER;
MAP OF:LIGHTHOUSE ROAD 26, LLC `P tN M WO 0
FILED: AUGUST 1, 2001 No.10656 _�� yy�� MAR''2 4 2U1
-DD
* r a BUILDING DEPT.
SITUATED AT: SOUTHOLD o TOWN OF SOUTHOLD
TOWN OF: SOUTHOLD a
SUFFOLK COUNTY, NEW YORK �s 0s 0682J� KENNETH M WOYCHUK LAND SURVEYING, PLLC
F N J� Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE #221-103 SCALE:1"=40' DATE:AUG. 5, 2021 N.Y.S. LISC. NO. 050882 PHONE (831)298-1588 FAX (631) 298-1588 ,
,i
7141ED AS NOTED
DATE: B.P.# 7 RETAIN STORM WATER RUNOFF
FEE: BY:
PURSUANT TO CHAPTER 236
NOTIFY BUILDING DEPARTMENT AT - OF THE TOWN CODE,
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION ELECTRICAL
4. FINAL - CONSTI PU'710N MUST
BE COMPLETE FCJ C.O. dNSPECTION REOUIRED
ALL CONSTRUCTION 'rTALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
ENCLOSE POOL TO 0&j-'
COMPLY WITH ALL CODES OF ,.UPON COMPLETIQIV,'
NEW YORK STATE & TOWN CODES . ORE
Ary
AS REQUIRED AND CONDITIONS OF
J -n
S ',,kB�6�P1Hd0 BOARD
SOIJTb��STEES
WH—.DK -
JCCUP.�NCY 4R_
USE IS -UNLAWPU;L
WITHOUT CFRTIFICA-
OF OCCUPMCy
U, mom► lam n, t ► -l_
f�w
1 •4 C
s. _
z�=, �r 'rias. .•{
}{ f
�- L~ _ _� _ t
in dvou 1,
7177 -
3n LE
-1 R�2
a, .. — —Iw BUILDING DEPT. i
Pl TOWN OF SOUTfiO D !
-
nye ,
-'S
ff ear s•' 4
r �
-
it all k tor
Co—
Ua
DO `Ip lI _ t , �r ,+_������ "' ��'y_,,{fi t - IV _
_ _ �� � + ' -�► -o- X89-��-o� -�-�