HomeMy WebLinkAbout47516-Z ��o�OSUFFotkcp�y Town of Southold 2/4/2024
a P.O.Box 1179
N 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44922 Date: 2/4/2024
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 57856 Route 25, Southold
SCTM#: 473889 Sec/Block/Lot: 66.-2-2.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/4/2022 pursuant to which Building Permit No. 47516 dated 3/2/2022
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 Schaefer,Karin&Michael
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47516 12/21/2023
PLUMBERS CERTIFICATION DATED
r
Au on ed i nature
SoFK TOWN OF SOUTHOLD
�o�° 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 #: 47516 Date: 3/2/2022
Permission is hereby granted to:
57856 Main Rd LLC
c/o Giovanni Marciano
100 Garvies Point Rd Unit 1246
Glen Cove, NY 11542
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
57856 Route 25, Southold
SCTM #473889
Sec/Block/Lot# 66.-2-2.5
Pursuant to application dated 2/4/2022 and approved by the Building Inspector.
To expire on 9/1/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
pF SOUr��l
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlinO-town.southold.ny.us
Southold,NY 1 1 97 1-0959 Q�yCOUNT`I,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Karin Schaefer
Address: 57856 Route 25 City,Southold st: NY zip: 11971
Building Permit#: 47516 section: 66 Block: 2 Lot: 2.5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: Electrician: Island Power Electrical Corp License No: 52729ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1 st 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 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 2 4'LED Exit Fixtures Sump Pump 11
Other Equipment: 100A Sub Panel 20 Circuit, Pump 220GF1, Cleaner Pump 220GF1, Heater, Salt-
Generator, Timeclock, Lights On Hayward Deckbox Transformer 120GFI, Fence Bonding, Bond Te
Notes: " AS BUILT NO VISUAL DEFECTS " Pool
Inspector Signature: Date: December 21, 2023
S.Devlin-Cert Electrical Compliance Form
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# # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINALll?oto�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
in 66 A1' Q
DATE la INSPECTOR
r4_c�
ho��OF SOUTyo� l �j f/� ( V t7 �* T WN OF SOUTHOLD BUILDINtl DEPT.
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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
REMARKS: b(3►i
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f # TOWN OF SOUTHOLD- BUILDING DEPT.
co 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:
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# TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm,��' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATJI_ON/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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DATE INSPECTOR
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FOUNDATION
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ROUGH lNG,:
MUMBING
STATE ENERGY • B —
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TOWN OF SOUTHOLD BUILDING DEPARTMENT
a 'Town Hall Annex 54375 Main Road P. O:Box.1179.Southold,NY..1197i-0959 .
Telephone(631).76514902. Fax.(631) 765-9502 httns %%www.southoldtownny.;?ov
'Date Received
APPLICATION.FOR BUILDING PERMIT.
For office Use only . .
V
PERMIT NO: Building Inspector:'
. .
FEB 0 4 2022:•
BUILDING DEPT. ..
Applications and�form's must be filledgowt in�tfirei�enti� ty:lc�omplete" TOVIIi OF S
s .' fir.y .: .s d:,cc�rC tT ,.�` . OUTHOLD
agplieationskwillnotbelaccept�d �Wherethe�Ap�plicant;isinot,the!owner;.ari
T�
Owrier's Authoiiiation form'(Psoe� )bshall;be�con p teal, -.
Date:
OWNER(_S):'OF'PROP.ERT`� '
Name: SC�1/12.��2. SCTM#:1000= a ':!X;S, . :.
:Project Address: ?�. :.
57 ��(� : Win . ►20
Phone-#:.. �O=qbS=' JJ//312
� Email:-
G.
11 -39.z� .:
Mailir' 'Address':� .40•A e Stearn
;XONTACT PERSONc
Name:
-Mailing Address:
Phone:#: Email: .
DESIGN PROFESSIONAL INFORMATIONe
Name:,. .
Mailing Address:. :•
Phone# Email:
CONTRACT OR`INFORMATION:;' _
Name:
-�i2`fhtlrL-En,jr�ros
Mailing Address: QZ�. �ti— 2S/� r117w. .:
Email: CC p agc3 !'C 3>%r :.
Phone
DESGRIP,TION OF PROPOSED CONSTRUCTION
I]New.Steucture..QAddition: DAlteration ORepair Demolition Estimated'.Cost&.Projec' ..
Ego ther I/1QR�1rvp 1�1�Vi` �N�m�rri�✓g' Av: -- $ Ibi00lJ:�
Will-the lot be re-graded? Yes.�No. Will extess fillbe removed from premises? Yes ONo
�. . ��L A reams c�nl�t
PROPERTY_IN FORMATION' -
Intended use of property:
Existing use oy:: ory: :
.. f pro pert.. :.__:. .._.. ... Sleleiie.�. . �. :: -• .::..:...: ._ ... . ... _ 1�._.. . _. . ►mine.. : .
Zone or use districtin which premises is situated: Arethere any.covenants and,restrictions:with:respectto, _
this property? D.Yes- lo IF YES, PROVIDE.A'COPY: -.
❑ Check Box After Reading: The owner/contra'ctor/design professional is Iresponsiblerfoi alfdrainage and stanri;aater issues es pro4iile`d.by:}:•':,,
"'Chapter 236 of the:Town Code.APPLICATION IS HEREBY MADE to the Building Department for the issuance,of a Building Permit.pursuant,to•tlieaBulldin&Une";•
Ordinance of.'the Town of Southold,Suffolk;,County,New York'and other applicable Laws,'Ordinances orReguiations,for the.construction of buildings;.;,:,,:`- .
additions,alterations'or for removal or demolition as herein described.The•applicant agrees,to comply with alLapplicable laws,.ordinances,buildingcode,
housing code and-regulations and to admit authorized inspectors on premises and in buiiding(s)for necessary.inspections.False statements.made herein
punishable as a;Clas's A misdemeanor pursuant.to Section 210.45 of the New.York State Penal'Law:
Application Submitted By.�(pri.nt na. _ DAuthorized Agent : Owner.
Signature of Applicant:. Date: :
STATE'OF NEW.YORK)..
SS:
COUNTY OF ., J'�Ckc
Scm
2FF being duly.sworn' deposes and-says that(sft is the applicant
(Name' individual signing,contract)above named;
(S)he-is the.
Q YJ�l2.
(Contrac
tor,Agent,..Corporate.Officeri etc.)
of said owner or owners, and.is duly'8uthorized 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.o.f his/her,knoWledge and.belief;and
that the work will be performed in the manner set forth in:the application file therewith
Swiorn before me this
1 day of T�brLy, 20Z
MARGARE I- A. KIDNEY
Notary Public „
Notary:Public=State of New York
No. O:I.K1G021 1 H
Qualified.An Suffolk County PROPERTY OWNER AUTHORIZATION_
My Commission Expires March 8,20
(Where the applicant:is not the owner) .
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. .
.•'''df¢a�KC BUILDING DEPARTMENT- Electrical Inspector
0* ;R�
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
rogerrCcDsoutholdtownny.gov - seand c(D.south old town
nV.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.:N,6,6 4j;?7o EIec. email: �1t,4�pdu/�.2 C 0 G-&W
Elec. Phone No: 7(0 ❑I request an email copy,of Certificate of.Compliance
Elec. Address.: Z6 a Aly '79
JOB SITE INFORMATION (All Information Required)
Name:
Address: 7 6- ry41rf V&r a r/aL�
Cross Street:
Phone No.:
Bldg.Permit#: ���(o email:
Tax Map District: 1000 Section: ell (o Block: I Lot:
BRIEF,DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES rjo 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❑Underg round❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
sad 2�
�4cfc9cc �oy
j� ASwimming pool Bonding Integrity Test
iVame i VttECX� y Date: 12 )
Address: 67B
&tj4hold. fQ. ,jQ71
Inspection of swimming 600ls—No certificate of compliance will be issued without a valid bonding
integrity test performed by a licensed electrician and/or qualified testing agency.
A low impedance instrument capable of measuring.01 ohm shall be used.
The lead conductor used in the measurement shall be calculated and deducted from readings.
A test of applicable test points such as filter motors housing,ladders,diving board,safety line eyelet,
water heaters or any other associated metal components shall be performed at least twice and tabu-
lated.
Readings in Ohms Readingsin Ohms
Point of Test Point of Test
TEST 1 TEST 2 TEST 1 TEST 2
e -000 -000
`,Po( .000 .000
aM o :nog
p. er Tnnrf •000 'coo
.000 -WD
Tool I.o� mf AD WD.
Loddy .601 .001
The resistance between any one points shall be low enough to eliminate any voltage gradients in the
pool area as prescribed in Article 680.26 Equipotential Bonding.
Spas and Hot Tubs shall comply with the provisions of Parts-I and II_of Article 680 except as modified by
680.42(A)and(0),680.43.fountains,.Signs Part V,Therapeutic Use Tubs and Pools Part Vi.
Test Data must be verified by electricians signature,license number and date.
.g 2 77-4 12 zl
Electrician Print Na a License Number Date
fi
(�.JRM Sat MOUL4,LU Irt33
Electrician i ature Address
Mail resui to: Electrical Inspectors,Inc.,300 East Meadow Avenue,East Meadow,NY 11554 or Fax(516)794-5854
E C E � U M E
DEC 2_, 2023
BuIldiineg
ovVii OR,Southold
ARTHUR:EDWARDSPOOL &:SPA.CENTRE
929. ROUTE 25A
MILLER PLACE; NY, 11764. :
516-744=7185
FAX-74:4-0174
APPLICATION.FOR A SWIMMING POOL PERMIT: SO
UTHOLD:"
TOWN OF SOUTHOLD -
MAIN.ROAD (P.O .BOX:1179)
SOUTHOLD; NY .11971
(631) 76.5-1,802.' ;
PAPERS ENCLOSED:
APPLICATION FOR OUTDOOR:POOL PERMIT;
CERTIFICATE.OF WORKER'S COMPENSATION. .
[ :. . CERTIFICATE-OF LIABILITY INSURANCE: . .
CERTIFICATE:OF:DBL.IN.SURANCE--
[�} SUFFOLK'COUNTY LICENSE
4.SETS OF:-STAMPED:PLANS
3, SURVEYS-with FILTER LOCATION
[ C.O.,
---TAX BILL'.'.
�. _ -:$400.00 CHECK FOR PERMIT.FEE
RZ,
117:7
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440
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S.C.T.M. NO. DISTRICT: 1000 SECTION: 66 BLOCK:: 2 LOT(S):2.5
MAIN ROAD
N
LAND N/F OF I
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457.30'
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PAVER PAip
ARVAT DRAMY PQt00lA -
PAVER PA71D �, k
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7HE WA7FR SUPPLY, MELM DRYWELLS AND CESSPOOL RI G N
LOCA77ONS 9f01NV ARE FROM RELD 019SERVA7IONS 0-p `'
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AND OR DATA 68TAINED FROM/ OTHERS q� IA tr
AREA:79,998.62 SQ.FT. or 1.84 ACRES ELEVATION DA7UM:
UNAWHO ZED ALRMUON OR ADDIAON 70 7HIS SURVEY IS A YOLAMW OF=11ON 7209 OF IRE NEW YORK STA7E EDUCANON LAW. CQWES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT SE CQN9M ED 70 BE A VALID 7RUE COIPY. GUARANTEES INDICA7ED HEREON SHALL RUN
ONLY 70 THE PENSON FOR NHOY WE SURVEY 1S PREPARED AND ON HIS BEHALF 70 THE RILE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSI17UIXW ZS�
US7ED HEREON, AND 70 THE ASSIGNEES OF 1HE LENDING INS717UR01M, GUARANTEES ARE NOT 7RANaMiABLE �
7HE 0073M OR bIMENSICWS SHOW HEREON FROM 7HE PROPERTY LINES 70 THE S7RUCTURES ARE FUR A SPEaRC PURPOSE AND USE 7HEREFW THEY ARE
NOT IN71NDED 70 MONUMENT 7HE PROPERTY LINES OR TO GUIDE 1HE EREC7/ON QF FENCES, ADD171ON&SINUCAIRES OR AND.07HER/AIPROMdENM EASE)WENIS
AND/OR SUB.SYURFMCE SIRWWWS RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT LW 7HE FRI WSES AT 7NE 77AE Q:*SURVEY � � 0.7'W
stiRvEy ORDESCMBED PROPERTY CERTIFIED TO: MICHAEL E. SCHAEFER;
MAP OR KARIN L SCHAEFER;
Fly: FIDELITY NATIONAL TITLE INSURANCE COMPANY;
SITUATED Ar:SOU1"FiOLD EMINENT ABSTRACT, INC.; I
TOWN OR SOUTHOLD
tF1LE
K COUNTY, NEW YORK EENNETH M WOYCEUH LAND SURVEYING. PLLC
Professional Land Surveying and Design
—153 sCl►LE 1"=40' DATE SEPT. 1, 2021 ' PAz�169 Aquebogue, New York 119SL --
N.Y.S, U51G�NO. oMEWm PUM ( Y�-1588 FAX(831)298-1588
AP VED AS NOTED
DATE: B.P.itFEE:- BY:
NOTIFY. BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE ELECTRICAL
FOLLOWING INSPECTIONS: INSPECTION REQUIRED
1. FOUNDATION TWO REQUIRED
FOR POURED CONCRETE
.2..ROUGH FRAMING & PLUMBING
3. INSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
EICLC-SE POOL TO CODE
UPON COMPLETION
—'c"-..
COMPLY WITH ALL CODES OF
"'BEFORE"WATER"
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
4DI 91:10I n WNI of ANAII G BOARD
SOl1�tifiRtlSTEES
OCCUPANCY OR
USE ,I-S UNLAWFUL
WITHOUT CERTIFICAT
OF OCCUPANCY
. . . . O.
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(FWr-t-Pump
To V
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.Plan Piping Arrangement
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42" . . . : '
Section B=B. �. PSl X
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BUILDING DEPT 043595: �C?
Typical Wa11 Section
ff TOWN OF SOUTHOLD SeCtiO.n. A'-A FSSIONP
L� .
SIZE : A. B C 'D . E F G --H .AREA CAP nn
FEET, FT 'FT' FT FT: ,FT. FT: FT: FT: :SQ.,FT GAL.-
14.X 20'. .14::20. 8 &. 2' 2-. 2: 8. 280... 9,500 �aF/ i7i`�Q�fO�QriL� 1 �O : I"l i.�► �(J:
FOOL&SPA CENTU ' .
Adder
' 16 X 36. 16 36 12 14. -6-, 4.'T 4• 8. 576 '21,600
PERMACRETE WALL, SYSTEM. : & ow
�.�. . ' .
18 X 36' 18 36 ,12. .14 , 6. 4 5' .8 648 y24300 29 Route..25A�.Millen Plaice NY 11764,
20�Xr44 .4.4 �201 5r °10 880- 36,300 (631 . 744-7185 FAX : 631. 744-0174
�: > ( ��4i
,0 Suffolk. License 4436
24'X 44 24'. 44L20
14 8'. 4 8 10. 798' 35,000 #
Nassau License #HI74450000
24 X 48 24 :48' :16 8 4 . 6 10 _.900 38,500 -