HomeMy WebLinkAbout47170-Z �SUEEoc, �
�D cpG Town of Southold 6/28/2023
P.O.Box 1179
C* 53095 Main Rd
�y� o� '� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44225 Date: 6/28/2023
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 16615 New Suffolk Ave,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-8-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/15/2021 pursuant to which Building Permit No. 47170 dated 12/2/2021
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 Bluebird NF LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47170 6/13/2023
PLUMBERS CERTIFICATION DATED
u ori a Signature
�g�fFQ[ TOWN OF SOUTHOLD
0
BUILDING DEPARTMENT
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 #: 47170 Date: 12/2/2021
Permission is hereby granted to:
Jeffrey, John
16615 New Suffolk Ave
PO BOX 338
New Suffolk, NY 11956
To: Construct in-ground gunite swimming pool at existing single family dwelling as applied
for. Maintain 5 feet minimum distance from rear and side property line for pool and
equipment.
At premises located at:
16615 New Suffolk Ave, New Suffolk
SCTM # 473889
Sec/Block/Lot# 117.-8-2
Pursuant to application dated 11/15/2021 and approved by the Building Inspector.
To expire on 6/3/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
pf SO(/r�Ql
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(aD-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Bluebird NF LLC
Address: 16615 New Suffolk Ave city:New Suffolk st: NY zip: 11956
Building Permit#: 47170 Section: 117 Block: 8 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Peconic Bay Electric Corp License No: 46360ME
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 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel X A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: Pump 220GFI, Rights 120GFI, Heater
Notes: Pool
Inspector Signature: o Date: June 13, 2023
S.Devlin-Cert Electrical Compliance Form
ofs0�ry L17I70 -16415 News' 44 �k
* # TOWN OF SOUTHOLD BUILDING DEPT.
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
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REMARKS: ooh sew
DATE / Z. INSPECTOR
0F50Ulyo�o
�v # TOWN OF SOUTHOLD BUILDING DEPT.
courm, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SUA 10 CAULKING
[ ] FRAMING /STRAPPING [ 4"*'FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATIO [ ] R C/O [ ] RENTAL
REMARKS:
l�c� Iiy •
DATE INSPECTOR
ho�aOF SOUIyOIo l 70 Ig lv t v 5'c,4 - —
'� TOWN OF SOUTHOLD BUILDING DEPT.
�yco 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: Tcc) v
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TOWN OF SOUTHOLD—BiJILDING DEPARTMENT
yg` Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtommU.gov
,nab'
Date Received
APPLICATION FOR BUILDING PERMIT
�/ For Office Use Only E C E n (] E
�!� Building Inspector: ® 11 �u� �C
PERMIT NO. � g p
NOV 15 2021
Applications and forms must be filled out in their entirety:Incomplete BUILDING DEPT.
applications will'not be accepted.Where the Applicant is not the owner,an TOWN OF SOUTHOLD
Owner's Authorization form(Page 2)shall be,completed.
Date:
OWNER(S)OF PROPERTY:
Name:Lucy Barnes FcTM#1000-117-08-02
Physical Address:16615 New Suffolk Avenue, New Suffolk NY 11956
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name:Constantine Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:917-509-8751 Email:c@rigasco.com
DESIGN PROFESSIONAL INFORMATION:
Name:Joseph Fischetti, P.E.
Mailing Address: 1725 Hobart Road, Southold NY 11971
Phone#:631-765-2954 Email:joseph@flschetti.com
.CONTRACTOR INFORMATION: '
Name:Constantine Rigas
Mailing Address:22260 Main,Road, Orient NY 11957
Phone#:917-509-8751 Email:c@rigasco.com
DESCRIPTION OF PROPOSED.CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
®Other Inground Pool $50,000
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ®Yes ❑No
1
PROPERTY INFORMATION
Existing use of property:Single Family Intended use of property:Single Family With pool
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ®No IF YES, PROVIDE A COPY.
B 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 Gass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
�� ,� �-2
Application Submitted By(print ame): Q � BAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
S• II
COUNTY OF 1J )
ConL+M* RJc being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing con above named,
(S)he is the lam'
(Contractor, gent, orporate 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
day of 2021 !L= c< 2113
Notary Public
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
(See separate owner authorization) COMMISSION EXPIRES JUNE 30,AD
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
R
I,Lucy Barnes,residing at 16615 New Suffolk Ave,New Suffolk NY 11956 do hereby authorize.
Constantine Rigas to apply on my behalf to the Southold Building Department for any and-all needed:.permits.
(Owner's Signa. (Date)
i
(Print Owner's Name)
&Wim h/DWY tel:
Cf BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerlDsoutholdtownny.gov — seand(D-southoldtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 2/7/23
Company Name: Peconic Bay Electric Corp.
Electrician's Name: Jose M. Umana
License No.: ME-46360 Elec. email:pecbayelec@gmail.com
Elec. Phone No: 631-987-4406 D I request an email copy of Certificate of Compliance
Elec. Address.: 218 Oak Ave, Flanders, NY 11901
JOB SITE INFORMATION (All Information Required)
Name: Lucy Barnes
Address: 16615 New Suffolk Ave, New Suffolk, NY 11956
Cross Street: 4th St
Phgne Noy`: 917-664-0926
SdgFerrrit;` : 47170 errm:ail lucybarnes@ mac.com
Tax Map District: 1000 SeWiAh Block.;8 Lot:2
1v9.
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Pool bonding and equipment wiring
Square-F-ootage:
Circle All That Apply: .
Is job ready for inspection?: ❑ YES 0✓ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑✓ NO Issued On
Temp Information: (All information required)
Service Size F11 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service[:]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals D 1 R2 D H Frame D Pole Work done on Service? DY N•
Additional Information:
PAYMENT DUE WITH APPLICATION as a 3 1T>0LcQ l0 d r
r.eC4 1 ()5 &30
6-P# 1411 -70
„ . � BUILDING DEPARTMENT- Electrical Inspector
22 TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger1D-south6ldtownny.gov - seand(i�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 2/7/23
Company Name: Peconic Bay Electric Corp.
Electrician's Name: Jose M. Umana
License No.: ME-46360 Elec. email:pecbayelec@gmail.com
Elec. Phone No: 631-987-4406 D I request an email copy of.Certificate of Compliance
Elec. Address.: 218 Oak Ave, Flanders, NY 11901
JOB SITE INFORMATION (All Information Required)
Name: Lucy Barnes
Address: 16615 New Suffolk Ave, New Suffolk, NY 11956
Cross Street: 4th St
f?hore No;; 917-664-0926
Biclg.Permit*: 47170 email;lucybarnes@mac.com
Tax Map District: 1000 Section:117 Block: 8 Lot:2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Pool bondingand equipment wiring
Square:Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES 0 NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES F,-/] NO Issued On
Temp Information: (All information required)
Service Size❑1 PhF—]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground[—]overhead
# Underground Laterals 1 FJ2 H Frame D Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION as 3 �q�cQ l 0
120
s �
N a
SURVEY OF PROPERTY
• AT NEW SUFFOLK
TOWN OF SOUTHOLD
"10� WA�"ED8t7PG SUFFOLK COUNTY, N.Y.
000-117-08-02
001 w asC0893�59'40� 1SCALE =20'
100.61 SCALE
APRIL 19, 2004
MARCH 21, 2020
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BUILDING DEPT.
TOWN OF SOUTHOLD
cER11Rm M.
JOHN A. JU REY
M MELODY JYMEY
OMNI RILE AGENCY
KEY i +—►far�a+ae WASHINGTON MUTUAL BANK
"—+—+—,_ rr RDEUTY NATIONAL 711LE INSURANCE COMPANY
• REBAR Fsxrw 'r11J0 —'
OF NEW YORK
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Ill - MONUMENT FOZy+� Or SECTION 7209 OF WE NEW VOW SMIE EDUCATION LAW,A V' "/ (631) OX 90920 FAX (631) 765-1797
"/ EarcEPr As PER sEcnaw 72x9-svedrrSON z ALL CERnACAnaws P.O. BOX 909
AREA-12,565 SQ. FT. HEQW ARE VAUD FOR THIS YAP AND COM THEREOF OKY If
SATO YAP OR COPIES BEAR WE IMPRESS®SEAL OF 7W SURWM71R 1230 TRAWLER STREET
NNQSE SONATURE APPEARS NERMA SOUTHOLD, N.Y. 11971 [04-157
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OCCUPANCY OR
APPROVED AS NOTED USE IS UNLAWFUL
DATE:. o�- R- " B.P.# WITHOUT CERTIFICATE
FEE: OF OCCUPANCY
NOTIFY BUILDING DEPARTMENT AT
765-1802.-4AM TO 4 PM FORTHE
FOLLOWING 'INSPECTIONS: .
1. FOUNDATION TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION CcmpLY WITH ALL CODES OF
4. FINAL - CONSTRUCTION MUST NEW YORK STATE & TOWN CODES
BE COMPLETE FOR C.O. AS REQUIRED AND CONDITIONS OF
ALL CONSTRUCTICN SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW SOUTHOLD TOWN ZBA
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
N'r:S.DEC
IMMEDIATELY"
,ENGL.OSE POOL TO COQ'
UPON COMPLETION RETAIN STORM WATER RUNOFF
B SPORE' PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
aWMCAL=PWn0N ReQUIRED
RIGAS
10�t� DESIGN/BUILD
' M'og NOV 15 2021 Joseph Fischetti, P.E.
y _ ILVO PROFESSIONAL ENGINEER
BUILDING DEPT.
TOWN OF SOUTHOLD
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- 11/10/21
j p 16615 New Suffolk Ave
6 New Suffolk NY 11956
AV
O3 13x43 pool in rear yard,set back at least 5'away .�
from all property lines and 20'away from all septic PROJECT TEAM:
Z and leaching pools. Fencing to code.
F�I Pool Equipment
L_—I � Designer/Builder
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d D ell as per code �� RIGAS CO
22260 main road,orient ny 11957
631323 8022
Engineer
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1725
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RIGAS
DESIGN/BUILD
Joseph Fischetti, P.E.
PROFESSIONAL ENGINEER
New fence and gate around pool, 4' high, all to code
Pool structure to be placed on undisturbed soil; Band or sand and gravel (5P, 51V : ASTM standards) Engineer to be notified if conditions are encountered. 11/10/21
3 LED Lights l Returns 3 Skimmers
16615 New Suffolk Ave
New Suffolk NY 11956
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PROJECT TEAM:
Designer/Builder
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22260 main road,orient ny 11957
631323 8022
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1725 Hobart Road,Southold NY 11971
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coping water line DESIGN/BUILD
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PROFESSIONAL ENGINEER
zz 11/10/21
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Designer/Builder
RIGAS CO
22260 main road,orient ny 11957
631323 8022
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DESIGN/BUILD
- 13' x 43' &unite Pool, reinforced with #4 rebar
- 10" Beam with 8" thick walls and floors Joseph PROFESSIONAL
ENGINEER ER
PROFESSIONAL ENGINEER
reinforced unite pool - Nater Line Tile with Plaster Interior f=inish
10111x`12" g
- 3 Skimmers, 7 Returns_ 11/10/21
beam with (4) #4 rebars continuous
16615 New Suffolk Ave
a..
New Suffolk NY 11956
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PROJECT TEAM:
:•` q: Designer/Builder
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d • ••. 22260 main road,orient ny 11957
v 631323 8022
d, Engineer
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1725 Hobart Road,Southold NY 11971
of NE 631765 2954
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b" thick gunite walls and floor with #4 rebars at IN �`� `} ° . "x �
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