HomeMy WebLinkAbout48241-Z FFOIA.�oG� Town of Southold 12/6/2023
do P.O.Box 1179
C* T 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44801 Date: 12/6/2023
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 500 Grove Dr., Southold
SCTM#: 473889 Sec/Block/Lot: 80.4-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/20/2022 pursuant to which Building Permit No. 48241 dated 9/1/2022
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 Costagliola,Anthony&Mary Ann
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48241 11/29/2023
PLUMBERS CERTIFICATION DATED
0 ()hor' a Signature
TOWN OF SOUTHOLD
ao�gUFFOlKCO�y� BUILDING DEPARTMENT
CE
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 #: 48241 Date: 9/1/2022
Permission is hereby granted to:
Costagliola, Anthony
280 9th Ave Apt 15D
New York, NY 10001
To: construct accessory in-ground swimming pool as applied for. Swimming
pool and pool
equipment must have a minimum 10' setback from lot lines.
At premises located at:
500 Grove Dr., Southold
SCTM #473889
Sec/Block/Lot# 80.4-22
Pursuant to application dated 7/20/2022 and approved by the Building Inspector.
To expire on 3/2/2024.
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Buil ing Inspector
hO��pF SOUT��I
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 1 1 97 1-0959 �� �o sean.devlinitown.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Anthony Costagliola
Address: 500 Grove Dr city:Southold st: NY zip: 11971
Building Permit#: 48241 Section: 80 Block: 4 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Gerard Electrical License No: 40564ME
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 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: Intermatic Pool Panel 8 Circuit/4 used, Intellichlor Salt Generator, (4) Lights 30OW
Transformer 120GFI, Pump 220GFI, Auto Cover w/ Keypad 120GFI
Notes: Pool
Inspector Signature: � Date:
November 29, 2023
S.Devlin-Cert Electrical Compliance Form
ho��OF SOUTyO� Si / �GU —` —
# TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm,��` 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] 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: as L
uc, . O
DATE INSPECTOR
ho�aOF SOUTyO�
'�� ( 0� Gro Or J
} # TOWN OF SOUTHOLD BUILDING DEPT.
courm1 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: P-0o
DATE-----(-�---��-------INSPECTOR--- --- ----- - - - ------------
1� ` rE SOUTyO� - --
# TOWN OF SOUTHOLD BUILDING DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULATION/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:
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INSPECTOR
o�aOF Soblyp L4 8,001 1 ��- �' �l ru'V1(7, -
* # TOWN OF SOUTHOLD BUILDING DEPT.
Courm, 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:
,A
p 01 d4
--DATE r 2 - 10 - INSPECTOR
apF SOUTyo<o
* TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ✓] FINAL tee; All
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] -ELECTRICAL-(ROUGH)- [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: CaVG°4- �u��7� �✓e- !�-�a�
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FOUNDATION (1ST)
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;o�gUffOlK�OG; TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y; Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 httns://www.southoldtowrinY�ov
Date Received
APPLICATION FOR BUILDING PERMIT
D
EC
JUL.2
For Office Use Only
0 1 .
PERMIT NO. Building Inspector:
BUILDING DEPT.
Applications and forms must be filled out in their entirety.Incomplete TOWN OF SOUTHOLD
applications will not be accepted.,Where,the Applicant is not the.-owner,an
-O,wnees Authorization form,(Page 2),shall be completed.
Date:c � ... CO ZZ
,.OWNER(S)OF PROPER
Name: S SCTM#1000-C)8Project Address:
Phone#: 3� _ Email:
Mailing Address:
'CONTACT PERSON: _
Name: ,n =
Mailing Address: 0
0
Phone#: l Email:
r
DESIGN PROFESSIONAL INFORMATION: .
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: lVcA C_
Mailing Address: ( CAD
Phone#:431 `� ! �.— � Email: ec�
DESCRIPTION OF PROPOSED,,CONSTRUCTION
El New Stru re ❑A diti n ❑Alter n ❑1R�pair Demolition Estimated Cost of Project:
❑Other 'a
Will the lot be re-graded? es ❑No Will excess fill be removed from premises? es ❑No .
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property?,
p p y., ❑Ye o IF YES, PROVIDE A COPY.
J ,
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 B in na pp y ): rQ1,Y
n- ►uthorized Agent ❑Owner
Signature of Applicant: Dater
STATE OF NEW YORK)
SS
CID UNTY0F'5 D I )
•� W (t�s being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the ((�n-r
(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/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
Notary Public
0gt WE ok,,,�
Debora!Odowski
Notary Public,State of New York
PROPERTY OWNER AUTHORIZATI `l�, *' No.OlOR6280392
PLBLIC
Qualified in SMIL.County
''.,4Eir'i cP� COmmisabn m 05/13/20 S
(Where the applicant is not the owner) ., ,.•�� � ,�
I, residing at Kb b VE e-1
C-r=� do hereby authorizel("11 tY�10�T1E V0V',`— � �
l to apCLply on
my behalf to the Town of Southold Building Department for approval as described herein. .
Owner's Signature Date
C-05-Tpr&) La LA
Print Owner's Name
2
=o��gllFFOIKCOGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
h z Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y�• a��� Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtowLmy.gov
Date Received
APPLICATION, FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector:
Applications and forms must be'filled out'in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an ,
Owner's Authorization form(Page.12)shall be completed.
Date:
OWNER(S).OF PROPERTY:.
Name: SCTM#'1000-
Project Address:
Phone#: Email:
Mailing Address:
CONTACT.PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
------------
Mailing Address:
CONTRACrtOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ❑No
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Town Hail Annex i Telephone(681)7651802
54375 Main Road �,. (6st)76 51A ny.us
P.O.Box 1179 roaenrichertta�°7town.sou
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOW'OF SOUI HOL D
APPLICATION FOR ELECTRICAL INS
PECTI0N
REQUESTED BY: Date:
Company Name: �n 2-r) Ej..EC �1 )L
Name: Iq- I V1'CCA 12
License No.:
Address: v Qa EEA
Phone No. 3 -
JOBSITE INFORMATION: (*Indicates required information)
*Name: Al—ntDfl Q
*Address:
Cross Street:
`Phone No.:
Permit No.:
Tax-Map District: loan Section: 0 B O Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) `�p„I U
(Please Circle All That Apply)
*Is job ready for inspection: YES/ Rough In Final
*Do•you need a Temp Certificate: YES i
Tamp Information(if.needed) -
*Ser Ace Size: 1 Phase 3Phase 100 150 200 300I 350 400 Other
*New Service: Re-connect. Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
9
82=Request for Inspection Form
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Town Hall Annex l ii _'.. L Telephone(68l)765--1802
5 U3 HMox�11�� G roa'er.riChertQ#"(691)76JAol6.ny l!S
own sou
Southold,NY 11971-0959
i•
TOW'®IF SOUTHOL D
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: 04�2-n fti) 91Aaz eICflL
Name: �, q p 1�.I V1 C-C-1
AD
License No.:
Address:
Phone No.: -
JOSSITE INFORMATION: (*Indicates required informatferi) '
*Narrle: r
*Address: -�S-C)p
*Cross Street:
*Phone No.: 6 31 - Lq ®f
Permit No.:
Tax-Map District: 1000 Section: Block: Lot: �Z
`'BRIEF DESCRIPTION OF WORK(Please Print Clearly)
1 pn L4 1
-- � POOL
QPiease Circle All That Apply)
*Is job ready for inspection: YES/ Rough in Final
"Do-you need a Temp Certificate: YES I
'amp Information(If.needed)
*Ser ice Size: 1 Phase I 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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BUILDING DEPT
TOWN OF SOUTHOLD
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APv,nOVED AS NOTED
DATE: �°� B.P.#
FEE:.- /�� BY: ELECTRICAL
NOTIFY.,BUILDING DEPARTMENT AT NSPECTION REQUIRED
765-1802: 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH -.-FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTR!'7T!i)N MUST
BE COMPLETP "= . O. �:•°Ln"rfESj-(
ALL CONSTRUCTi -!ALL MEET THE POOL
REQUIREMENTS OP THE CODES OF NEW
a POOL T(�;CODE.
z , COIMPLET-lol
YORK STATE. NOT RESPONSIBLE FOR � aRE"WATti ��>>'
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES _ L
AS REQUIRED AND CONDITIONS OF �d6I 4- ail etLI,I�pVVI��I�
_Tl IT OL=N 7aa ,'VN"h'1
S81N}gL $WN P�fdNII�IC�BOARD m s�- ha v� m
�� UIUSSTEES v 6 'i S '�a 4w� I'L I,heS
N.
OCCUPANCY OR
USE IS UNLAWFUL_
WITHQ' UT C.ERTI.FICA-
0;' OCCUPANCY
i
700 Main Road
Mattituck,NY 11952
Office:631-298-4014 I
i Info@NorthForkPoolCare.com
r
{ JUL 2 091199
� (¢ BUILDING DEPT.
a
TOWN OF SOUTHOLD
- . Pool Walls are 10"thick at a height of 48" (Four Feet)
- Walls are formed and poured with 3500 PSI Gravel Mix Concrete
- #3 Rebar is placed inside the wall. Horizontally(doubled) at the top and
bottom of the wall. Also,vertically every four feet at maximum.
• - A sand bottom is installed for pool door. A vinyl liner is installed on top
of sand and concrete.
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