HomeMy WebLinkAbout48321-Z �o�Os11FFOt�-coG Town of Southold 10/12/2024
a y� P.O.Box 1179
0
53095 Main Rd
�4gj01 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45661 Date: 10/12/2024
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1365 Donna Dr., Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.46-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/12/2022 pursuant to which Building Permit No. 48321 dated 9/22/2022
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:
"as built'repiars to existing in ground swimming pool and pool fence replacement as applied for.
The certificate is issued to NoFo Haven LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48321 8/2/2024
PLUMBERS CERTIFICATION DATED
th 0-
no ignature
Fat,r
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
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#: 48321 Date: 9/22/2022
Permission is hereby granted to:
Andrews, Jonathan
1365 Donna Dr
Mattituck, NY 11952
To: legalize "as built" repairs and pool fence replacement to existing accessory in-ground
swimming pool as applied for. Additional certification may be required.
J
At premises located at:.
1365 Donna Dr., Mattituck
SCTM #473889
Sec/Block/Lot# 116.-16-13
Pursuant to application dated 8/12/2022 and approved by the Building Inspector.
To expire on 3/23/2024..
Fees:
AS BUILT-, SWIMMING POOL $500.00
CO- SWIMMING POOL $50.00
Total: $550.00
Buil ing Inspector
o��OF SOUl��l
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Ca�
�� • �o sean.devlintown.southold.ny.us
Southold,NY 11971-0959
�ycou�m,��'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: David Mangiamell
Address: 1365 Donna Dr city:Mattituck st: NY zip: 11952
Building Permit#: 48321 Section: 115 Block: 16 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Primary Electrical Solutions License No: 58071 ME
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 CO 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 1 4'LED Exit Fixtures Sump Pump
Other Equipment: Aqualink Pool Panel 12 Circuit/ 10 Used, (2) Pumps 220GFI, (2) Heaters- One is
240GFI the other is Gas, (4) Lights 120GFI, Waterbond Ionizer
Notes: Pool
Inspector Signature: Date: August 2, 2024
S. Devlin-Cert Electrical Compliance Form
of SOOIy
&7Z,7?4 -44 �d'/1/�D✓� G�
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] 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:n4i , b Af 01 c(l
r
ov�,-j r c enAac
vlt!� di I..zr ba f
7T�
fag&mo
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DATE D INSPECTOR
50Ulyolo C4 �!/ I /-; �f� Q L/�_/ 1p--
# # TOWN OF SOUTHOLD BUILDING DEPT.
�yco 765-1802
INSPECTION
=
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ : ] FOUNDATION 2ND [ ° ] INSU_LATIOWCAULKING
[ ]` FRAMING/STRAPPING [ ] FINAL
[ ] 'FIREPLACE & CHIMNEY J- ] FIRE.SAFETY INSPECTION t
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ PRE C/O
REMARKS: oa
DATE INSPECTOR
rF SOUTyO� LJ U� `7 1
# T�-011 WNIOF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] 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:
DATE Z INSPECTOR
ho��OF SOOTyo�
# # TOWN OF SOUTHOLD BUILDING .DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ]' ROUGH PLBG.
[" .] FOUNDATION 2ND [. ] I ULA IOWC ULKING
[ ] FRAMING /STRAPPING [ FINAL�X&4/YMYS 0
[ . ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION'
[ ] FIRE RESISTANT CONSTRUCTION [. ] FIRE"RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: (CID ow Sf,(&t,
WA
rN
DATE O" INSPECTOR
1
V,�
i
FIELD INSPECTION REPORT DATE COMMENTS
OQ _
FOUNDATION (IST) CJ�
--------------------------------
FOUNDATION(2ND)
1
z
_ O
V1 y
ROUGH FRAMING&
PLUMBING
kA
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INSULATION PER N.Y. H
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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o�gufFOtK�,o TOWN OF SOUTHOLD—BUILDING DEPARTMENT
a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 httys:-//www.southoldtowm.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only4A j
® E
PERMIT NO. Building Inspector: AUG q()q7 DD
Applications and forms must be filled out in their entirety. Incomplete, BUILDING DEPT.
applications will not be accepted::,,Wheee the Applicant is:not the owne'r;:an'`''. TOWN OF SOUTH:-,'_D
OWner's'Authorizkion form(Page 2)shall be compl'e#ed:
Date:
OWNER�S),;OF;PROPERTY� f`°1z=t
fame: �4u1r �t.t> -t�. n. ,r�. :.%r'�G�_t SCTM#1000-
Project-ALLB'
{ S'+ 1 1dd �7.T7;?;7;�V i:.'i'.S:S=c I7�.7ldk,tiff iE{;V a
reS'� s'11
_...-._..._.�..._..___�__��`?�-�-�__ Af�� . --- ---.,._ -__ �. _•brick._... __.�_.__..f l.qY�._..._,_......�.__�..M_-____.�.__-._.
Phone#: Email: gI -C.d
Mailing Address:
CONTACT'PERSON:
Name: s '
Mailing Address:
Phone,#: Email:
DESIGN PROFESSIONAL INF.,ORMATION:,
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: _._f�
Mailing Address:
Phone#: ` Email: ` `-O�
'DESCRIPTION OF PROPOSED'. NSTRUCTION
❑New Structure ddition ❑Alteration Efokepair ❑Demolition Estimated Cost of Project:
❑Other Dcn� OUP�P, $
d ®Q� u
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes VrNo
1
.J
PROPERTY,INFORMATION
Existing use of property: c Intended use of property:
Zone or use district in which premiVes is situated: Are there any covenants and restri ions with respect to
this property? E]YesbRrNo IF YES, PROVIDE A COPY.
04
0 Check Box After Reading: The owner/contractor/design.professional is responsible for all drainage rand 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 tc the Building Zone
Ordinance of the Town of Southold;Suffolk,County,New York and other"applicable Laws,Ordinance's.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.
pp t��in ) D L�TAuthorized Agent ❑Owner
A lication Suomt name : f/ 6�C�/��� gentSignature of Appl Date: �\
STATE OF NEW YORK) NOTARY PU LIC,ST TE 0 NEW YORK
SS: Registration No.01JE6082703
COUNTY OF J ®�� Qualified In Suffolk County ,
—�j ) Commission Expires December 11,20!�t�
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
( is the
(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 there
Sworn before me this
day of �IGf�� ,20 47A
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, �►�: 7 L,:L- residing at t3 6!;_ Aa.,,, 1j, _ A49Lfftlf -(L �UY&4Y_1-
do hereby authorize�� L�/���n� c ��1� to apply on
my behalf to the Town f Sou Id Building Department for approval as described herein.
C�Q Owner's Sign tur Date
Print Owner's NamLy
2
® E C E E
` BUILDING DEPARTMENT- Electrical Inspector
_
-'D�OSU Cps UL 3 2024 TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
N Imiing Department Southold, New York 11971-0959
of Southold
p� Telephone (631) 765-1802 - FAX (631) 765-95d2
IameshCcDsoutholdtownny.gov — seand(cDsoutholdtownny.dov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN.INFO RMATION (All Information Required) Date:
Company Name: �f f1�nz l L leGly-%cel/ so�v�1-Z1111 S
Electrician's Name:
License No.: ��';17 Elec. email: l,'�o✓ ee 9 C
Elec. Phone No: / 0 7 41;xZc, Otrequest an email copy of Certificate of Compliance
EIec. Address.: v /9oX 3 yS Y� ll'Tn v
JOB SITE INFORMATION (All Information Required)
Name: D AV,J- "A0-7e1' a
Address: /3 6 S or�r�� ��� � •'�vc�C
Cross Street:
Phone No.:
Bldg.Permit#: �-f 2/ email:
Tax Map District: 1000 Section: Block: 6 Lot: /
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
1900 L^
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service0 Fire ReconnectF-1Flood Reconnect OService Reconnect OUnderground 00verhead
# Underground Laterals 1 02 H Frame Pole Work done on Service? DY N
Additional Information:
PAYMENT DUE WITH APPLICATION
10-2 G"F3'7
1,Z 1 12
q J1a5 f a•o(. rec*)o so?,-7
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL /�
Panel — p/�! a,
Fans Mini Fr. W/D Pump V
Exhaust Oven Sump Heater Aur 4- Ocz 1- 7
Trnsfmr� 2
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond \Z, Nil'
Lights � -l��y l
Heat Pucks
E RV - `"
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
i
�OSHUA R. WICKS I�.L.S.
SURVEYED BY:J.R.W. DRAWN BY:D.T.O. 108 r;0.:lRWaz•azgo
P.O. BOX 593
Center Moriclies, N.Y. 11934
JoshualiWickB�gmail.com
0631-405-8100
GRAPHIC SCALE
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GUARANTEED TO. t
DAVID MANCIAMELI& HICER ABDALLAH
FIDELITY*NATIONAL TITLE INSURANCE SERVICES
J.P. MORGAN CHASE BANK N.A. {�tf yb 05t0�y �cE
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AC® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
2/24/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
.r SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: Angela Santana elo
UNFCU Financial Services LLC d/b/a Industrial Coverage PHONE FAx
62 S Ocean Ave Ste 1 �A/c.No.E. : 6 __7 6-7500 _ cac,No�631-736-7619
E-MAIL
Patchogue NY 11772 AooREss: cents@industrialcoverage.com
INSURERS AFFORDING COVERAGE NAIC#
INSURERA:Ohio Security Ins Co - 24082
INSURED JPGELEC-01 INSURER B:Safe CO Insurance Company Of America 24740
JPG Maintenance&Construction Corp. -- — ---
PO Box 386 INSURER C:
Ronkonkoma NY 11779 INSURERD:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:86136912 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
A X COMMERCIAL GENERAL LIABILITY BKS59537919 3/12/2022 3/12/2023 EACH OCCURRENCE $1,000,000
FIVI DAMAGES(Ea
CLAIMS-MADE OCCUR D
PREMISES Ea occurrence) $300,000
MED EXP(Any one person) $15,000
PERSONAL&ADV INJURY $1,000,000
G_E_N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY JE� LOG PRODUCTS-COMP/OP AGG $2,000,000
OTHER: $
4 AUTOMOBILE LIABILITY BAS59537919 3/12/2022 3/12/2023 COMBINED SINGLE LIMIT $1,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS _
X HIRED X NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
B X UMBRELLA LIAB X OCCUR US059537919 3/12/2022 3/12/2023 EACH OCCURRENCE $5,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
DED I X RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑ N/A —
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS.
54375 Main Rd.
Southold NY 11971 AUTHORIZED REPRESENTATIVE
USA
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
OUTFOIK County Dept.of
Labor,Licensing&Consumer Affairs
HOME IMPROVEMENT LICENSE
Name
ANTHONY BALDINO
This certifies that the This Name
bearer is duly licensed JPG MAINTENANCE&CONSTRUCTION
by the County of suffolk CORP
License Number:H-36958
Rosalie Drago Issued: 03/31/2005
Commissioner
Expires: 04/01/2023
•^1i i�r'. _ .1 �1. •l ss ip`i'• � �.�-YO•-�:. •ei��•-"•.." "e'P 1�t°�•. 'OGwp i-s, - rv,Jp p'p•� _ _
- - ::'e•9 T AP• _ "v1CTlT P/Are.a :° T !% a C•• 1°P°r:1*:~ .;�_.•i1 a°f r•a,4' e•.f /°p•6-.•''' i_s,_�••f AArrr1• m' :°1'T° 1°'0••'-` �.o !�orb o:;--„;y
',� /�� ,,r. �ap� �/• •ay\isi• �.� a\\T r, °,,: ^: °,� �/ia'a :yg4T srr,•,�,.::;., °\\T //y�d,' .'8°piM1 s,�.,• 'z\° �°�.: \:'
v � 4
n\k.k �+��;��?"h` •1 .� ''
r '�� .Rk�R�1L1? �Ci°:�w`.'39eRn3v'a..��F"i: ��'" �s3^'d['.•�E'^�'�^�''afiA�:P�,RhC� .eL�,..fa!�TM_v�T'..^`�"..�?3-"�^.�(C_.'�._..ru�,T1�_ r.1M^2,r..'•l'�. ,. _f
Suffolk County Department of Labor, Licensing & u
4, Consumer Affairs
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE NEW YORK 11788
w'
DATE ISSUED: 03/31/2005 No. H-36958 `
:\�T SUFFOLK COUNTY
• rr Home Improvement Contractor License
This is to certify that ANTHONY BALDING :.
doing business as JPG MAINTENANCE & CONSTRUCTION CORP
'.,, BHT fFojy'•� ;, ;•
having furnished the requirements set forth in accordance with and subject to the provisions of applicable
laws rules and regulations of the County of Suffolk State of New York is hereby licensed to conduct
business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. y
ty
••: •flPl i � f::•1.1 p4o! � .
NOT VALID WITHOUT Restrictions Additional Businesses
DEPARTMENTAL SEAL HI -GC
AND A CURRENT '
I CONSUMER AFFAIRS
a j ID CARD '
- ::,ale �� f a,,.�s. _ . •
Rosalie Dracgo
= Hffi'� j COnimtssioner
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AP ROVED AS NOTED
DATE: o�. oIBR# 3 ELECTRICAL
FEE: . r . — BY:--& INSPECTION REQUIRED
.NOTIFY BUILDING DEPARTMENT AT
-766.1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1- FOUNDATION,- TWO REQUIRED
FOR POURED 'CONCRETE.
2." ROUGH- FRAMING & PLUMBING
3.; INSULATION
.;-'' :
4. FINAL . CONSTRUCTION MUST EPJCLOSr POOL l O..CODE'..
, OMPLET, i:
BE:COMPLETE FOR CG.O. VON C
," `_epRE;£oWATFfl'9?y;=' '
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE; NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
f661 -kn cc M use
COMPLY WITH ALL CODES OF co'ey wl 026.?b /vYs
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDFTIONS OF f e- tt-Jpzahal ('D J-0-
SOUTHQLD T00 ZBA
SO R r''^" '";D1 NG BOARD LO)Ok a +
3OU1Q n+nwrJ TRUSTEES
N. wokK e-n o�larr�
re VU I real,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT GERTI 1CAT. Additional
.31F OCCUPANCY Certification
May Be Required.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE,
® IC II 1�l
AUG 1 2 2022QJ
*,�--- ,�* BUILDING DEPT.
BUILDING PERMIT APPLICATION SUMMARY P� OOL TMA-MIr)FR01ITH
THERE IS ANOTHER BUILDING PERMIT APPLICATION FOR THE HOUSE SUBMITTED ON
8/8/2022
SCTM#1000-115.00-16.00-013.000
PROPERTY ADDRESS: 1365 Donna Drive, Mattituck, NY 11952
HOME OWNERS: David Mangiameli and Higer Abdallah
The general project categories are as follows:
Replacement of plumbing and pool equipment, including: skimmers,jets, pump, and heater
Marble dusting of the pool surface and repair of coping
Repair of pool steps
Placement of electrical subpanel in the back yard at the northeast corner
Bonding of the pool
Placement of LED lights within the pool substrate
Replacement of circumferential 6' high backyard fence with Southold Town pool-compliant features
Dr. David Mangiameli
dmangiameli@NYBreastHealth.com
cell-631-574-0084
Mailing Address:
PO Box 587
Medford, NY 11763
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