HomeMy WebLinkAbout46147-Z ho�apf SOUTyo� Town of Southold
* * P.O. Box 1179
53095 Main Rd
um v a Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46430 Date: 08/20/2025
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 535 Lighthouse Rd Southold, NY 11971
SecBlock/Lot: 54.-3-26.10
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/06/2021
Pursuant to which Building Permit No. 46147 and dated: 07/07/2025
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: Scott Samios , Linda Samios
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 46147 9/22/2021
PLUMBERS CERTIFICATION:
Aut orize ignature
��OFSO�ryO TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
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#: Date: 07/07/2025
Permission is hereby granted to: Renewal Date: 07/07/2025
Scott Samios
535 Lighthouse Rd
Southold, NY 11971
To:
Construct in ground gunite swimming pool at existing single family residence as applied for.
Premises Located at:
535 Lighthouse Rd, Southold, NY 11971
SCTIVI#54.-3-26.10
Pursuant to application dated 04/06/2021 and approved by the Building Inspector.
To expire on 07/07/2027.
Contractors:
Fees:
Renewal Fee $200.00
Total $200.00
Building Inspector
O�gVfF04 TOWN OF SOUTHOLD
y BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
"oy • 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#: 46147 Date: 4/26/2021
Permission is hereby granted to:
Samios, Scott
3 Dunsberry Rd
Bronxville, NY 10708
To: Construct in ground gunite swimming pool at existing single family residence as
applied for.
At premises located at:
536 Lighthouse Rd., Southold
SCTM #473889
Sec/Block/Lot# 54.-3-26.10
Pursuant to application dated 4/6/2021 and approved by the Building Inspector.
To expire on 10/26/2022.
Fees:
SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
OF SO!/j�ol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlin(cD_town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Scott Samios
Address: 535 Lighthouse Rd city:Southold st: NY zip: 11971
Building Permit* 46147 section: 54 Block: 3 Lot: 26.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electrical License No: 3897ME
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 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel I00'A A/C Blower Range Recpt Ceiling Fan Combo.Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump Ed
Other Equipment: Pentair Intellitouch Control System, Heater, Pump 220GFI, 30OW AJ Pool Trans-
former w/ (3) Lights , 100A Sub w/ 6 Circuits / 5 Used
Notes: Pool
Inspector Signature: ��— Date: September 22, 2021
S.Devlin-Cert Electrical Compliance Form
SOUIyO�
f # TOWN OF SOUTHOLD BUILDING DIEPT.
co 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: -
DATE Al /04,4 INSPECTOR
OE 50//lyo 4 b I lf 7 75—
# TOWN OF SOUTHOLD BUILDIN DEPT.
�`ycou►m ''� 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:
DATE Ile,211INSPECTOR
DOE SoOTy
� o
* # TOWN OF SOUTHOLD BUILDING DEPT.
co 765-1802
-. 1NSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG: _
[ ] FOUNDATION 2ND - [ ] �ULATIOWCAULKING_
[ ]' FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE &CHIMNEY j ] FIRE SAFETY INSPECTION,-
[ ] FIRE RESISTANT CONSTRUCTION -[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
RE R S:
DATE ����� INSPECTOR
/ ( I 0FSoUlyOlo
* * TOWN OF-SOUTHOLD BUILDING DEPT.
couff", 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ . ] FOUNDATION 2ND [ .] IN ULATION/CAULKING
[ ] FRAMING%STRAPPING [ FINAL 125f
[ ] FIREPLACE & CHIMNEY . . [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL.(FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL
REMARKS:
�c vs� h�
OIL- c.0.
DATE T��-�s INSPECTOR
Pool Alarm Safety
Made Easy
Alarma 45egura Y
be Fdtcil jartalac' 'n
j • � i -
I
Model PA-30 Meets Requirements of ASTM Standard F2209
- ` Modelo PA-30 Cumple requerimientos de la ASTM F22
FIELD:INSPECTION REPORT DATE
COMMENTS
4G
FOUNDATION(1ST) 3
----------------------------. ----- '' Y
FOVNDATION`(2ND)
ROUGH FRAMING:
PLUMBING.
• r
H
INSULATION.PER N.Y.
STATE ENERGY CODE
b
"•Sv�e�-tom °.
FINAL. Als 08 - ou .G/ .
..A ONA
C.UIVINII;NTS
Ll
z
o��g�fFO(�coG TOWN OF SOUTHOLD—BUH.DING DEPARTMENT
y= Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 hops://www.south6ldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
..3 lE,..E
PERMIT NO. Building Inspector: APR — 6 202' (T`
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 2)shall be completed.
Date:3/26/21
OWNER(S)OF PROPERTY:
Name:SCott Samios scrM#1000-084-03-026.10
Physical Address:535 Lighthouse Road, Southold NY 11971
Phone#:917-514-5461 Email:
Mailing Address:535 Lighthouse Road, Southold NY 1-1971
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:PO Box 616, Southold NY 11971
Phone#:631-765-2954 Email:jqseph@fi§phefti.com
CONTRACTOR INFORMATION:
Name:Constantine_Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:917-509-8751 rimq@rigasco.comail:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
®Other Pool $60,000
Will the lot be re-graded? ❑Yes R No Will excess fill be removed from premises? ®Yes ❑'No
1
PROPERTY INFORMATION
Existing use of property:Single.Family Intended use of property:Single Fat ily W/P001 -
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.
8 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 210AS of the New York State Penal Law.
Application Submitted By(print me): BAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF )
QA being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)bbove named,
(S)he is the N,
(Contractor, gent, 8rporate 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 20
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
SEE ATTACHED AUTHORIZATION
2
Building Department ARRUSIHOn
AUTHORIZATION
(Where the Applicant is not the Owner)
I, c j;ah9lj;Ading at 535 Lighthouse Road Southold NY 11971 do hereby authorize
Constantine Rigas to apply on my behalf to the Southold Building Department for any permits needed.
- l *?,I Lt. Z 0
(Owner's Signature) (D e)
fco
(Print Owner's Name)
i
�i
A;' �Fa1 r .=?.``�� ILDING DEPARTMENT-Electrical inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
sj ,,` • °= Southold, New York 11971-0959
o ,ir, `• ,N CYO 1
� T'
phone (631) 765-1802 - FAX (631) 765-9502
S.O -rooerrla�i_southoldtownnv.Qov--�_seandO-southoldtownny.c.ov, if
• i
APPLICATION FOR ELECTRICAL INSPECTION f
ELECTRICIAN INFORMATION (All Information Required) Date: 7 /10 /21
Company Name: Paul Burns Electrical Contractors Inc `
Name: Bob Burns
License No.: 3897-ME email: pburnsjr@optonline.net
Address: PO Box 1061 Southold,NY 11971
Phone No.: 631-365-4735
JOB SITE INFORMATION (All Information Required)
Name:-. Samios j
Address: 535 Lighthouse Road Southold
Cross Street: Old North Road
Phone No.:
BIdg.Permit#: email:
i
Tax Map District: 1000 Section:_ Block: Lot:. orb
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Pool wiring A/C condensers
Circle All That Apply:
Is job ready for inspection?: �YESNO Rough In Final t:
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 Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
.PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs ��
6
S�yfFptr ' �� ILDING DEPARTMENT-Electrical Inspector
r : G TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Imo• Southold, New York 11971-0959
'DGphone (631) 765-1802 - FAX (631) 765-9502
` O rogerre-southoldtownnv..,4ov: ..seand(aD_southoldtownny.aov
::APPLICATION FOR ELECTRICAL INSPECTION.
ELECTRICIAN INFORMATION (All Information Required). Date: 7 /10 /21
:Company Name: , Paul Burns Electncal.Contractors.Inc
. .. . .......
Name. Bob Burris.
License`No . 3897-ME email pburrisjr@optonhrie net K
Address 'PO Box 1061 Southold,NY 11.971
Phone No.: 631-365=4735
JOB SITE INFORMATION (All Information Required)
or
Address: -535:L hthouse Road . Southold
e
_............. .... . _. .. ..... ,. _... . ..;.
Cross Street: Old North Road
. '
Phone No
Bldg.Permit#: 1 `J email
Tax Map Dlstnc#: 1000 Seoton Block of fib,. :
BRIEF DESCRIPTION OF WORK(Please Print Clearly) .
Pool wiring -A]C condensers
C111"cle All That Apply-
Is job ready for inspection?: YES 1 NO Rough an Final
Do you need a.Temp Certificate?: YES / NO Isslaed:On ,
s,
Temp information:. (All Information required)
Service Size I-Ph. 3 Ph Size A # Meters OId:Meter#:
_ F
New Service=Fire Reconnect-Flood Reconnect-Service Reconnected- Underground Overhead
#Underground Laterals . 1 2 H Frame' Pole Workdone on Service? Y N .
'Additional l nformation:
PAYMENT DUE WITH.APPLICATION
Z
,_XVV
Request for Inspection Form.xis ��,
PERMIT# Address:
Switches
Outlets'
GFI's I `
Surface
Sconces
AH's
UC Lis
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro . Generator
Combo Cooktop Transfer
AC AH Mini
J
Special: f
�-�Comments: � 4E�,°��/�✓` LSD � ��
SURVEY OF
0
MINOR SUBDIVISION FOR'
LIGHTHOUSE ROAD 26, LIMITED LIABILITY COMPANY
r� SITUATE
SOUTHOLD, TOWN OF SOUTHOLD
,�,. O �v ":• SUFFOLK COUNTY, N. Y.
SURVEYED FOR : LIGHTHOUSE ROAD 26, LIMITED LIABILITY COMPANY
OO �O JOSEPH & MARYANN SAWICKI, Jr.
.Y nc rANx
q TM 1000-054-03-026.1
ry �,
o•
ti CESS ZONE AC
7
b
SURVEYED 24 APRIL, 2001
30' SCALE DETAIL SCALE 1'_150'
AREA = 234.265.05 SF
OR
5.378 ACRES
ELEVA77ONS SHOWN OBTAINED FROM
SUFFOLK COUNTY DEPT. OF PUBLIC WORKS
HIGHWAYS DIVISION EAST END
TOPOGRAPHICAL MAP
MADE FOR 700 BEE REAL rY
CORP.A SOUMOLD
FILE!9J96 '
FILED 8/11/93
e
LOT I
N/r ENOSK/ '
0
�E
3� I� \ Lor.2
s3
y3 1g . �+' 71
r0� ` EL
z 2 STORY O
.P WOOD FRAME
N RESIDENCE EL 313(n A
L T J Asp•
4 I E 941'32, � 0 7J
�
a
A
\ It Po
N/F SEPEN05M 0 �, / , w ,, �(1a R�
u EL a0
�.4��
Lu N/r CALLAHAN
N/r SEPENOSYI
GUARANMES INDICATED HIRE ON SHALL RUN -
40MY TO IHE PERSON FOP MHOM PIE SURLEY
IS PREPARED AND ON NS MALF TO THE
I HEREBY CERTIFY THAT THE ADDLE SURVEY RILE COMPANY.GOVERNMENTAL AGENCY, SURVEYED BY
WAS COMPLETED BY M£ LENDING INSRTUnOV.IF LISTED HEREON,AND
AND MONUMENTS AS H SHORN 7HU5(N)HAVE WARµ �NOT T ANC, To"I DQN STANLEY J. 1SAKSEN, JR.
BEEN SET AS SIfOMM - AW)IO 4 WSnTURONS OR SUBSEOUENT OWaRS P.O. BOX 294
&WALIWNEW SUFFOLK, NY 11956
SURwr IS
aAlOALIERAncF 5E ADanav ro nns 631-73 5835
suRlfr rs A HLtAnew of sEcncw rms or
WE NEW YORK STATE EDUCAnON LAW.
COPIES OF MIS SURLY MAP NOT BEARING
rw LAM
SWWYORS EMBOSSED SEAL SHALL
La
NOT BE aWSNRED rO BE A VALID MU£ CENSE AN SURV OR
GUARANTEED TO cp'� NYS LTC. N0. 49273
LIGHTHOUSE ROAD 26, UMI7ED LIABILITY COMPANY
✓OSEPH&MARYANN SAWICKI, Jr.
PECONIC ABSTRACT, INC. NOTE.' 1. 27 AUGUST, 2001 LOCATE POURED CONCRETE FOUNDATION.
F7DELITY NAnONAL�77TLE INSURANCE COMPANY OF NEW YORK 2. 10 MAY, 2002 FINAL SURVEY . 01C1037
s
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CO ITIONS OF
APPROVED AS NOTED SOUT TOWN ZBA
DATE: •a(D 3-I B.P.# UTHOLD TOWN PLANNING BOARD
FEE: �0-0•2D BY: SOUTHOLD TOWN TRUSTEES
NOTIFY BUILDING DEPARTMENT AT N.'(-S.DEC
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 - CONSTRUCTION_MUST OCCUPANCY OR
BE COMPLETE FOR C.O. USE IS UNLAWFUL
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW WITHOUT CERTIFICATE
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. OF OCCUPANCY
RETAIN STORM WATER RUNOFF Additional
PURSUANT TO CHAPTER 236 Certification
OF THE TOWN CODE. May Be Require(,
` IMPAEDIATELYf•
ENCLOSE POOL T O CODE
UPON COMPLETION
BEFORE"WA"DER"
EL6CMW- r=
• ,tip / RIGAS
atOC DESIGN/BUILD
Joseph Fischetti, P.E.
PROFESSIONAL ENGINEER
1?` x 52' pool in rear yard, 0
set back at least 25' from.property line. y 3/26/21 -
1 Fencing to code around pool. N
535 Lighthouse Road
Drywell for pool backwash rri C5 N Southold NY 11971
and pool equipment. O Rear Yard Liner--
` 44
411- �--.. 0 2 , . PROJECT TEAM:
Designer/Builder
Water, Electric and Sanitary in +
front yard as per owner and previous RIGAS Co
surveys
main road,orient ny 11957eyS and away from excavation � � � � �^ .....�� "��� 631323 8022
and pool construction. °" �Z fiZ - � / '�..� �'��
N �
Engineer
h W C
Joseph Fischetti;P.E.
NE P.O.Box 616,Southold NY 11971
� � `�a / r• «0�1 i �P � jo9 631765 2954
IL
fi00
/ A ss10NP� SITE PLAN
4 RIGAS
DESIGN/BUILD
Joseph Fischetti, F.E.
PROFESSIONAL ENGINEER
11'x 52'gunite pool,54"constant depth. New Fence around pool,4'high with gate,all to code
Pool structure to be placed on undisturbed soil;Sand or sand and gravel(5P,SW:ASTM standards)Engineer to be notified if conditions are encountered.
.3/26/21
. .. B•-fi-lf-7;-IF-t-lf-_-)l-1•-if-P-1 :.- _ .. -.,'_ .. :. _ .. _ - ._. .. .... .. ... .. •. .. .-
535 Lighthouse Road
Southold NY 119 71
o
PROIECTTEAM:
Designer/Builder'
RIGAS CO
22260 main road,orient ny 11957
5
2' 631323 8022
Engineer
Joseph Fischeild, P.E.
P.O.Box 616,Southold NY 11971
® • ! Qf NE�r�O 631765 2954
4 LED Lights 7 Returns 3 Skimmers �� re"I8C
o �+
m
tiip,QA' P 1
Np SSID�P
S
RIGA
DESIGN/BUILD
Joseph Fischetti, P.E.
PROFESSIONAL ENGINEER
3/26/21
coping-- water line
535 Lighthouse Road
36"
Southold NY 11971
water depth 54
<.12� PROJECT TEAM:
<--12"
Designer/Builder
<--12"
RIGAS CO
22260 main road,orient ny 11957
631323 8022
�12"'
.L Engineer
Joseph Fischetti, P.E.
P.O.Box 616,Southold NY 11971
OF NE yy L 631765 2954
�%S�y��0�
P2
�.-A��ESSIONP~
RIGAS
- 1 Tx 52' Gunite Pool, reinforced with #4 rebar DESIGN/BUILD
- 22" Beam with 5" thick walls and floors Joseph Fischetti, P.E.
PROFESSIONAL ENGINEER
22"x12" reinforced pool ool - plater Line Tile with Plaster Interior Finish
g
beam with (4) #4 rebars continuous - 3 5kimmers, "I Returns 3/26/21
535 Lighthouse Road
Southold NY 11971
' plater Line Dashed
•b'a. a.. �:.
PROJECT TEAM:
54
�•�. Designer/Builder
`'•�r i'::, RIGAS CO
` 22260 main road,orient ny 11957
! a 631323 8022
. . n.+ :;; :. ' v •:• .1 ;,;: - •; Engineer
Joseph Fischetti, P.E.
P.O.Box 616,Southold NY 11971
F NEyyY 631765 2954
8 thick gunite walls and floor with #4 rebars at o
10"OG, each way Vertical & horizontal y
V
P3
AOF SIONP