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48593-Z
ho�aof s°ulyo`° Town of Southold * * P.O. Box 1179 0 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46161 Date: 05/13/2025 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1760 Crown Land Ln Cutchoszue,NY 11935 Sec/Block/Lot: 102.-7-8 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: Pursuant to which Building Permit No. 48593 and dated: 12/14/2022 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: Eric Klodnicki,Jennifer Klodnicki Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 45601 6/3/2021 PLUMBERS CERTIFICATION: Aut orized agnature ho.N,af So& TOWN OF SOUTHOLD BUILDING DEPARTMENT • y� TOWN CLERK'S OFFICE Comm SOUTHOLD, NY BUILDING PERMIT RENEWED (THIS.PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 48593 Date: 12/14/2022 Permission is hereby granted to: Renewal Date: 12/09/2024 Eric Klodnicki 1760 Crown Land Ln Cutchogue, NY 11935 To: construct accessory in-ground swimming pool as applied for. Replaces BP#45601. Premises Located at: 1760 Crown Land Ln, Cutchogue, NY 11935 SCTM# 102.-7-8 Pursuant to application dated and approved by the Building Inspector. To expire on 12/13/2026. Contractors: Fees: Renewal Fee $150.00 Total 1s0 Building Inspector o�sufFoi,��oG- TOWN OF SOUTHOLD �� y. .. BUILDING DEPARTMENT x' TOWN CLERK'S OFFICE Woy 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#: 48593 Date: 12/14/2022 Permission is hereby granted to: Klodnicki,Eric 1760 Crown Land Ln Cutchogue, NY 11935 To: construct accessory in-ground swimming pool as applied for. Replaces BP #45601. At premises located at: 1760 Crown Land Ln, Cutchogue SCTM #473889 Sec/Block/Lot# 102.-7-8 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 6/14/2024. Fees: PERMIT RENEWAL $150.00 Total: $150.00 r Building Inspector �Su TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • SOUTHOLD, NY 0 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#: 45601 Date: 12/23/2020 Permission is hereby granted to: Klodnicki, Eric 1760 Crown Land Ln Cutchogue, NY 11935 - To: construct accessory in-ground swimming pool as applied for. At premises located at: 1760 Crown Land Ln., Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-7-8 Pursuant to application dated 12/7/2020 and approved by the Building Inspector. To expire on 6/24/2022. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 otal: $300.00 v Buildi g pF SO!/r�ol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 c o sean.deviinO-town.southold.ny.us Southold,NY 11971-0959 o�yCOUM`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Eric Klodnicki Address: 1760 Crown Land LN city:Cutchogue st: NY zip: 11935 Building Permit#: 45601 Section: 102 Block: 7 Lot: 8 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 Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 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 Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks 1 Disconnect Switches 4'LED Exit Fixtures Pump 1 Other Equipment: Pump 220GFI, Intermatic Pool Panel 8 Circuit - 3 Used Notes: Pool Inspector Signature: Date: June 3, 2021 S.Devlin-Cert Electrical Compliance Form.xls S0Uly0� 7 (f'kiC�l"Al LA # # TOWN OF SOUTHOLD BUILDING DEPT. 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 REMARKS: DATE A INSPECTOR _ ` OF 50UlyO� # TOWN OF SOUTHOLD BUILDING DEPT.. o�m�a� 631-765-1802 INSPECT[ON [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [- ] I SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL 19f [ ] FIREPLACE & CHIMNEY [ ] -FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE S-A9 al-P . INSPECTOR FIELD:I1VSl'E 01�1 REFQIT- ' DATE FOUND.A 'ION(1ST) r.rr��.rrr.rrrrr.rrrrrr.rh.r,.rr.rwrr .• ... •. ...'' : ::.: .. , FOUNDATION(ZND) J r[n.. '.. . m. A ROUGH FRAMING PLUMBING �. lN9- 7;,kTION:PF,A N..Y. STATE ENER�,C7Y CODE :.. .tip.: •,. .. • .. �. �� ►rYC. S. n o, :v.(' J' Z1. 4 31 2. - �.. - O•. o�°SUFSDtx�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 y o�� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownn.gov . Date Received D LEAPPLICATION FOR BUILDING PERMIT ' �` For Office Use Only D C r _ 202 E1. PERMIT NO. Building Inspector: =Applications and forms must'be filled out in their"entirety Inco6riplete �4;'id7 'applications will,not be accepted'Vhere the Applicant is,not the,owner,:an :. Owner's.Authorization.form(Page 2)shall be completed. Date: 101- OWNER(s)OF PROPERTY Name: - SCTM #1000- Physical Address: ---- M-... . __. _n 'p...__C�r. . ._ a�n.� I t 9.3 __.. _..___.._._. Phone#: l.� _-_�J,31. = Emai1:,Lvv L K10 ,_ o Mailing Address: CONTACT PERSON Name: ' l C Mailing Address: Ma Address .,..,._, n �,.wn. .—_... Phone#: Email: \�Q DESIGNPROFESSIONALINFORMATION , Name: Mailing Address: Phone#: Email: CONTRACT ORIINFORMATION:1, = � Name:/ Mailing Address: VC3 1 014� Phone#: Email: 53--b Lfo.1 _to3>I-. . - a .L I __._. DESCRIPTIO^r N OF`PROPOSED CONSTRUCTION r _.. = El New Structure ❑Addition ❑Alteration El Repair ❑Demolition Estimated Cost of Project: [VOther �rYlvYli I $ L1y.DDc> Will the lot be re=graded? ❑Yes No Will excess fill be removed from premises? Pes ❑No 1 PROPERTY INFORMATION . Existing use of property: Intended use of property: OY%C-Si" lovi d . V-Qlr-Q. � . . Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to __,....� this property? Eyes o IF YES, PROVIDE A COPY. ;5)ItheCIC ox After Reading: The owner/contractor/desiign professional is responsible for all drainage and storm water issue's as provided Gy ter 23"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 regulaftions and to,admit authorized inspectors on premises and in buildings)for necessary`inspections.False statements'made herein are .punishabie,as a Class Alm isdemeanor,pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): �h�)n 1 �a V'e_L; -Lb Authorized Agent ❑Owner Signature of Applicant: Date: "l L STATE OF NEW YORK) COUNTY OF A ) a / I�`eVV being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Avii - C ntractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly aut orized 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. S,worn before me this �/ day of , 20& Not y Public =01HE6122800 NDRIKS of New York PROPERTY OWNER AUTHORIZATION z800Myalified Feb 22n Suffolk y2021 (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 7 77- 7, 7 jj- �xr, 7f. - f 6 irs. T I 4% 4t I& A ti. 'y' "i t "t Ty 3� ihi�*t6i -a-, A 7 A, At, a 45 Im IF _5 17 Js- A j 4 Z 'dih t 'r -c O-Gnl, as f 7- T I e At 'A J-, 4 (�A j T fo Vs _pp 't x Is' t J, lit J 4 Ar a -k 4� 31 TV It x ,2oo �,,2 i a A -J,-A 1p, Fl -p fia 0 er.4 Ul V tz - - , ;� -v N� I A i, A 4 �p- g 41, k 46, Al k 7, Z j 'a A Ar mi Is t, f f A" 4 It j P*Mm m f tl 7 BUILDING DEPARTMENT- Electrical Inspector a TOWN OF SOUTHOLD APR Town Hall Annex - 54375 Main Road - PO Box 1179 9 2021 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 't. } rcige_rra-southoldtownny.gov seand(a�southoldtownn�gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali Information Required) Date: rj 1 Boa Company Name: LC Electrical Contracting Name: L rcw",f Cu�.✓ccd"� License No.: ME-38043 I email: office@ LCElectricalcontracting.com Phone No: '❑✓ I request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: 62fL © is Address: 1-7'� C'a�k.✓ 2,a7v Cross Street: Phone No.: _ Bldg.Permit#: 'y6-&0 1 email: office@LCElectricalcontracting.com Tax Map District: 1000 Section: It 9, Block: --2 Lot: .BRIEF DESCRIPTION OF WORK (Please Print Clearly) rloolel Check All That Apply: Is job ready for inspection?: DYES ❑NO ❑Rough In ❑Final Do you need a Temp Certificate?: DYES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground [:]Overhead # Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N Additional Information: _ PAYMENT DUE WITH APPLICATION q g Electrical Inspection Form 2020.xlsx L.f -' a BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD R ' Y Town Hall'Annex - 54375 Main Road - PO Box 1179 APR 9 2021 Southold, New York 11971-0959 b Telephone (631) 765-1802 - FAX (631) 765-9502 7L roge:rrCa outholdtownny•g ov (a�seandsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: y aLaa. Company Name: LC Electrical Contracting Name: . License No.: ME-38043 email: office@LCEloctricalbontracting.com Phone No: ❑✓ I request an email copy of Certificate of Compliance Address.: . 2;t-- w"n^,. JOB SITE INFORMATION (All Information Required) Name: , ® �� Address: Cross Street: Phone No.: _ Bldg.Permit#: email: office@ LCElectricalcontracting.com Tax Map District: 1000 Section: Block: Lot: .BRIEF DESCRIPTION OF,WORK (Please Print Clearly) Check All That Apply: Is job ready for inspection?: DYES ONO ❑Rough In ❑Final Do you need a Temp Certificate?: DYES ONO Issued On Temp Information: (All information required) Service Size ❑1 Ph. ,❑3 Ph Size: A # Meters Old Meter# New Service ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals 01 02 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION 6D Electrical Inspection Form 2020.xlsx �CX PERMIT# Address: Switches Outlets ; GFI's Surface Sconces H H's UC Lts / Fans Fridge HW Exhaust Oven D er ry Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini Special: Comments: Horton, LisaMarie From: Eric Klodnicki <ericklodnicki@gmail.com> Sent: Monday, December 12, 2022 9:59 AM To: Horton, LisaMarie Subject: Pool permit extension Hi Lisa Can I ask to extend an in-ground pool permit that is open at my home. Address is 1760 Crown Land Lane, Cutchogue NY 11935. I believe current permit expires 12/24/22. Any questions please let me know. Thanks very much! Eric Klodnicki 631-488-5316 ericklodnickikgmail.com sent from my Pixel 6 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. F'W'0J- 'z ot- AJ 16-D Horton, LisaMarie From: Horton, LisaMarie Sent: Monday, December 12, 2022 12:10 PM To: 'Eric Klodnicki' Subject: RE: Pool permit extension Hi Eric, I was hoping I could just extend this BP_number for you. Unfortunately, it looks like it was already extended once before. I would have to renew the BP for a fee of$150. If you are close to finishing up,you would not need to renew. Please let me know what you would like to do.Thank you, Lisa From: Eric Klodnicki<ericklodnicki@gmail.com> Sent: Monday, December 12, 2022 9:59 AM To: Horton, LisaMarie<lisamarieh@southoldtownny.gov> Subject: Pool permit extension Hi Lisa Can I ask to extend an in-ground pool permit that is open at my home. Address is 1760 Crown Land Lane, Cutchogue NY 11935. I believe current permit expires 12/24/22. Any questions please let me know. Thanks very much! Eric Klodnicki 631-488-5316 ericklodnicki@p-mail.com sent from my Pixel 6 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i AWFOLK CO. HEALTH DEPT AP �t MAP. OF - PROPERTY-1 .. „ ' IF.. LUV AQ't APR 17 1 , JjIqi . +�i. i .1: �, DEPT. rye 19'y f. - - . _ 3 E 3d� iLA ?-. �s ! _ �, �•�• TOWN Of SOUTHOLD THE WATER:,IPlt,Y AN r DISPOSAL ^J1�lP '01 SYSTEM THE THIS RESIDENCE Wf1.L txo �' --o.-...:.,,,. CONFORM TO THE STANDARDS OF THE -a 0'# '� ' ;, •E. stwrOLK Co. DEPT. OF HEALTH suflr*LK WUNTY DEPT. OF HEALTH R7� stavicas.-- f.OR APPROVAL OF a• ! 4 IEtctam ONLY 15 _ _ _• - t� � 0 � � % A.5.REF: Fwi. i • Iwnl .V.. 7. " _ AWFOLK CO. TAX MAP DftQiiATi&N: DfST. SECT. 9t.QCK P61. ^, oNE - STafair' j � �� .. .._. .1 .... .. z7AfU J'T — ^j t B�}Gib N Ot15 E - i i05"SK. a ts. , LF DOVE - - STAMP MAP.p► izNp.�ED--Sn �Y�T',t�7,►1986 1}},`�•_;.,. _ 1WALaL Lu ,SUi��fR'�' .fAN.34�t9��9 SEAL .: N&ANMR TO.5.0UTHOLD.5/.INGS fit Lar a of C 3 _ LANE•.�.F-i LED D #F•1 7"� '. . _}!r}Ai2�'1f3�(' T,t NC �- , MAP NC16W9. 2.31►3F.. t�.,• "" tt. ..�y. YAN YL. P.�: 'r t"A-A f' �A1h✓ cc • M"r Mgr• ` S l Li N LAND 9U*"VCWtS --- r. i tWORT NEW YORK � c r, 3379 o APPROVED AS NOTED DATE: B.P.# RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 FEE: 3b � " BY:NOTIFY. OF THE TOWN,BUILDING DEPARTMENT AT . 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 4. FINAL - CONSTRW7 ION MUST BE COMPLETE Ft ;.0. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. lRIMMil Ef-: IATELY., Ef'40LOSE POOL TO CODE ;'' CO UPON MPLETION __#BEFORE"WATER" COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF �SE�rHB ZBA "T I�P}ING BOARD S06T�OCD-TOWN-TRUSTEES - N.Y.S.DEC ELECTRICAL INSPECTION REQUIRE® OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICA OF OCCUPANCY -FN w6 (Zbt 0 -u Q.A juti�j— v� kwn 0 0 ' JY(A t'ja �-.__✓I4{-j J�,��I{:e•__:_.._-_:I..!j�k�_Ii_i t I�:I—_.-.....i_'`i-F'l't��_j ................. JQO �pg K- Pg.- ZOIN.'---NIB 4:2 VIM, 'W'k Mff F7- -7— vgvf"t" �04 Nil r�711 0-061 07! 11( iii g- '-V J\A 2 1�2p� (14 ;i L "i v 0" - . ,L , F , "?,f-iS ::�Av.2 17 � � E � E i E � i �� t � 4 _.�_--.- t _�i_--�..�— _ 1 i . % . � _. E E �Us�{���`4�` � 1- � i 1�+1 •C. 1 1�r t '�{6 . z ."Yin, a3 '_ ..(,.S•n. 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