HomeMy WebLinkAbout50360-Z �o4*of Soulyo� Town of Southold
* * P.O. Box 1179
53095 Main Rd
uxtr. Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46431 Date: 08/20/2025
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 895 Jasmine Ln Southold, NY 11971
Sec/Block/Lot: 6 9.-3-24.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 01/22/2024
Pursuant to which Building Permit No. 50360 and dated: 02/21/2024
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: Nicoletta Stathakos
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 25-711 8/15/2025
PLUMBERS CERTIFICATION:
Aut oriz Sign ure
�o�SUFFnt,t�o TOWN OF SOUTHOLD
oy� BUILDING DEPARTMENT
N 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#: 50360 Date: 2/21/2024
Permission is hereby granted to:
Stathakos, Nicoletta
1023 79th St
Brooklyn, NY 11228
Teo: construct accessory in-ground swimming pool as applied for.
At premises located at:
895 Jasmine Ln, Southold
SCTM #473889
Sec/Block/Lot# 69.-3-24.1
Pursuant to application dated 1/22/2024 and approved by the Building Inspector.
To expire on 8/22/2025.
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: $400.00
Building Inspector
East End Inspection Agency, LLC
P.O. Box 35
East Quogue, New York, 11942 / E
(631) 594-2272 Fax(631) 594-2598
office@eastendinspectionagency.com East End Inspection Agency
CERTIFICATE OF ELECTRICAL_' COMPLIANCE
l
This Certificate of Compliance is limited to the inspection and compliance of electrical equipment and/or work
L'
described below, installed by the applicant and not after the final inspection date listed.
I
1 Owner: Nicoletta Stathakos Date: August 15, 2025
Address: 895 Jasmine La Certificate No: 25-711
Southold, NY 1197.1
Location of Property Inspected
895 Jasmine Ca"SoWhold,'Nevti York"99979
STCM Dist Section: Block: Lot: Permit Number 50360
[X]As Built
[X] Residential
[X] Swimming Pool [X] Bonding and integrity test D E C E 0 V E
GFCI Receptacles- 1 -Pool Lts-2 low voltage
Swimming Pool- 1-inground 4-Corners Bonded AUG 2 0 2025
Time Clock- 1-20Amp
Southold
.05 Ohms of Grounding Resistance Building Department
Town of S Southold
Switches-1
GFCI Breakers-3
Pool Pumps- 1 1 hp
Pool Heater- 1-Gas
.00 volts/Current
Special Rec. - 1-20 Amp
Date of Roughing Inspection: Date of Final Inspection: 8/14/2025
The electrical work and/or equipment described above-were inspected and appear to be in compliance with
local, state and.national electrical code requirements at the time of inspection.
Installer: Homeowner License Number: NIA
Electrical Inspector:
Edward Seltenreich
SOUTyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
o* ,INSPECTION
[ ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG.
] FOUNDATION 2ND [ V4SULATJOW AULKING
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [` ]. FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
e
REMARKS: q'i-kArt
DATE g )O INSPECTOR
OF SOUTyOlo o V �
* # TOWN OF SOUTHOLD BUIL&1 EPT.
10oo 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ 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:
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DATE INSPECTOR
Yr�y►a ,
MUM-
Taal Alarm Safety
14Vade Easy
Al a r7n,a Segura Y
bP Fricil�nertalac�i
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Model PA-30 Meets Requirements of ASTM Standard F2208
Modelo PA-30 Cumple reyuerlmlentos de la ASTM F2208
gill r �.
DOOR.WINDO
:;ATER HAZARD ENTRANCE t!
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pour Porte, part illori7et,fenetrd
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ISLAND POWER
`��frrRicattoR�' V
631-828-46760AUG 1 Z025
August l 1,2025 ,b Building Depart Town o rnenf
` v f Southold
Nicoletta Stathakos
895 Jasmine Ln.
Southold,NY 11971
I
i
We are confirming the completion at the above mentioned address that we have installed the pool bonding system
which meets the required safety standards to code.
Best regards,
IJohn Kromer
Island Power Electric Corp.
j License#: ME-52729
Email:islandpowerelectric@gmail.com
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FIELD INSPECTION REPORT DATE COMMENTS
C� ►o
W
FOUNDATION (1ST) -- -- - -- p� •�
- G
------------------------------------
FOUNDATION (2ND)
z
ROUGH FRAMING& - — --
PLUMBING -. -- V�
3
-.--- r N
-- - Zs-
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL •
V�
ADDITIONAL COMMENTS
ro
�o su oi�coG�..;. : : :•TOWN:OF SOUTHOLD.=•BUILDING DEPARTMENT.'
' Town.Ha11,Annex'54375 Main Road P.:O.'.Box 1179 Southold '"NY:1.1971,-0959. .
�y • Telephone (631').765,=1802 ::Fax(63,1)765=9502:https://wwwaoutlioldtownngov.
:: . col,
Date Received. .
- APPLI.CATION FOR'BUILDING.•P•ERM.IT . .
For Office Use Only. :
PERMIT;NO: Buildinglnspector:
:. . .�: JAN 2 .
.
Applications and forms.must.be filled out in•their entirety.ancom'plete
::applications will not be.accepted. Where'the Applicant is not the owner;an,
Owner's'Authorf atioin,form:•(Page 2)shall be"completed t f 4 f
_pate:
OWNER(S):OPPROPERTYr
SCTM#-1000=.• — _
�:�o_ _:��d3' _��f�._
Project Address: 5:Y_�.J. m.�l�. _ � � l ac.-L .' '•!`S Iw1:Q7,L
Phone'#: 1' �-.. Email:
S` 1 -
: : : Mailing Address::
CONTACT'P_ERSON:
'.Name:- - - - :. :. � - -'-- - '. � ; ' : • . _ - � '
Mailin' 'Address-''0 :+p � . is I c. 7 T.
•Phone#: � . .Email: . . '-`__-�-_. ." : ,. . •
DESIGN PROFESSIONAL INFORMATION: :.' / `. . _. - :'.',. . • '.
' � : .Name: •�1� :�' � l �Y't ' '- :. : . ' , '. '- :. ', ... . : •
Mailing Address:: LtnJ.
•Phone#: :. ' � ._ -- . : .Email:P �~ � •
CONTRACTOR INFORMATION:� . �•'.'.; � : • ' ' �.'.; '. ::.:-:. ..� ; ;'.. ' : ; : :.. : '. . : ::• '.,-,�.'.: :' • , • ::� � �-.'
Name: _. •. . ..
`Mailing Address:
: . Phone
DESCRIPTION.OF.PROPOSED CONSTRUCTION
Structure Addition':EAlteration 'ORepair, ODemolition Estimate ost.ofProject;:
: ®Other .B,Scu.�t ' : : y► t �v�liilll��N'g. . Y�d+�C. Fj lam ) $ 3`!r
:.-Will lot`be:re-graded? C Yes (]No` P��L:, q 'I .Will excessfill-be removed from premises? Yes: ON,o
". ... : . . . •. "' PROPERTY INFORMATION " '.• .,. . '
Existing use.of.property:. Intended use. pro
Zone'or;wse distri.ct:in,wiiich premises,issituated:._ : Are there any coyenants:and restrictions:with iespect.to
.- - - 'this'property?.'DYes- o._IF.YES,PROVIDE A COPY:
0 Check Box After Reading: Th'e ownei/contractor/design piofessibnal is'eesponsible:for all-drainage and storm'water•issues'as provided by
Chapter 236 of'tFie 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 fob reinoval or demolition is herein described.The-applicant agrees.to'comply with all applicable laws;ordinances;building code,
housing code and regulations and to'admit authorised inspectors on,prerpises and in building(s)for necessary inspections.False statements made herein are
punishable as a Glass A misdemeanor pursuant to Section 210.45 of the Newyork State Penal.Law.,
Application Submitted By.(print name); : 6�1i'i4."In�iKc .'. DAuthoriiedAgent: . " Owner
_ )� "Q I2TCl+ _ _ _ _
Signature of:Applicant:: -_ .Date::- /`/b�'�
STATE OF.NEW PORK).'
: . ."COUNTY OF.
�QI2�'fA A` t,�c�?5. : :, being dul. .sworn:de oses and.sa's that s he is the applicant '.
(Name of individual signing.Contract)above named;'. :
mhe:Js the:.': d. .
::(Contrac tor,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'th.is
application;that all:statements contained:in.fhis.applicationdre true to.th'e best of his/her knowledge and belief;,and-
Ghat:tl ewoikwil.l be.performed.i.n'the`manse'setf'rth inthe:ap,plication-fileaherewith.
: . .Sworn before me this
Cl
of nL . • :20 .
. • ., . . . • . . . • otary Public..
VARGARE'F A.XIDNEY..'
. .otary.Public .State of New York
N.o,'0.IK'1:602-t-l:l:l:.. 'PROPERTY'OWNER:AUTHORIZATION . :.
Qualified.in.Suffojic Co,urity
A. .(Where the applicant.is not the'owner)
y.Commission.Expires March"13,20 .
b... 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
�osufFot,��o - BUIL DEPARTI�EIIAT`b'�Electrical Inspector
TOtOF SOUTHOA
o Town Hall A -54375 PO Box 1179
,y Southol Di `�t 971-0959
Teleph6RV(631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 07/09/2025
Company Name: Island Power Electric Corp.
Electrician's Name: Eric
License No.: ME-52729 Elec. email: islandpowerelectric@gmail.com
Elec. Phone No: 631-828-4676 01 request an email copy of Certificate of Compliance
Elec. Address.: PO BOX 591 East Setauket, NY 11733
JOB SITE INFORMATION (All Information Required)
Name: Nicoletta Stathakos
Address: 895 Jasmine Lane Southold NY 11971
Cross Street: Main Rd
Phone No.: 917-435-9707
Bldg.Permit#: 50360 email: nikistathakos@gmaii.com
Tax Map District: 1000 Section:069.00 Block: 03.00 Lot: 024.001
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Installation of inground pool electrical work.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 0 YES❑NO —]Rough In RI Final
Do you need a Temp Certificate?: ❑ YES R 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 Reconnect❑Underground[]Overhead
#Underground Laterals 1 2 El H Frame D Pole Work done on Service? n Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
\� 0 , Q,
O�OS�FFp BUIL DEPARTN►EI1AT'r.Electrical Inspector
Gy.00 TO OF SOUTHOA
O - Town Hall A n - 54375 �1d - PO Box 1179
;4 Southold AA1ti 971-0959
Teleph6mt(631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 07/09/2025
Company Name: Island Power Electric Corp.
Electrician's Name: Eric
License No.: ME-52729 Elec. email: islandpowerelectric@gmail.com
Elec. Phone No: 631-828-4676 01 request an email copy of Certificate of Compliance
Elec. Address.: PO BOX 591 East Setauket, NY 11733
JOB SITE INFORMATION (All Information Required)
Name: Nicoletta Stathakos
Address: 895 Jasmine Lane Southold NY 11971
Cross Street: Main Rd
Phone No.: 917-435-9707
Bldg.Permit#: 50360 email: nikistathakos@gmail.com
Tax Map District: 1000 Section:069.00 Block:.03.00 Lot: 024.001
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Installation of inground pool electrical work.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES❑ NO Rough In 0 Final
Do you need a Temp Certificate?: YES R]NO Issued On
Temp Information: (All information required)
Service SizeD Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service Fire ReconnectOFlood ReconnectOService ReconnectOUnderground QOverhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL Panel Cl y
Fans Mini Fr. W/D Pump KI) ,2-9 4F
Oven Sum er ,
Exhaust O p Heat
Trnsfmr
Smokes DW Generator Salt Gen ,�,%(�r� '
Carbon Micro GrbDis Water Bond ,j&A/5-9/'
Lights 'f ( �.-//
Heat Pucks ERV
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
1
JOSHUA R. WICKS P.L.S. 5UPVE' or PPOPEPn
cot I-hbp of
SURVEYED BY:J.R.W. DRAWN BY:D.T.O. JOB NO.:JRWs-0412 Southold Villas
P.O. BOX 593
Center Moriches, N.Y. 11934 Seth/ 2
]oshuaRWicka ftmail.com Fled:beast Cv?,1993 Man No.A R3R
4; 0631-405-6108
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DATE 5L7VE`W:09/2912022
\3 APR - 8 2024
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JASMINE LANE a
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NICOLETTA STATHAKOS
CHICAGO TITLE INSURANCE COMPANY /CFy fo,05ti025 yob
r ABSTRACTS, INCORPORATED SED`��S�Q'
ABSOLUTE HOME MORTGAGE CORPORATION. ISAOA
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NICOLETTA :STATHAKOS `: :: ' _ . e .' . . '. '
i :CHICAGO-.:TITLE:.INSURANCE'.COMPANY . � .1.:05I- ��o_ : :'.'.
ABSTRACTS. "INCORPORATED :' ... SfQ S�� . . 1'..
: : ' ' ION. .ISAOA : . '. ;
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ABSOLUTE'HOPE MORTGAGE•'-Cd APORAT
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�. .A.. EARIN.A.LICENSED LAND SURVEYOR'S SEA( IS A'-VIOLAnOfd OF. SECTkOYd 7209.•5U6=DMStON 2:OF NEW,.YORK STATE'EDUCATION LAW.(2) ONLY BOUNDARY SURVEY-MAPS:WITH THE:SURVEYOR'S:EAIBOS E
, ' (�)urvAun+oRlzED ALTERATI oR AODmoN,To This suRVEYCE WITH:THEy - :SEAL ARE-GENUIHE TRUE.AND'CORRECT�.COPIES OF,THE'SURVEYOR`S_OR(GIW4-.WORE(AND'OPINION:(g)�CrOt11FlCATtON9:ON'THIS BOT NDARY:SNUSR���.NIF0 UPJD HE SURVEY MAP P PREPIA-ACCCRDANE TITLE COMPAN RREN THE GOVERNMENTAL AGENCY AND TO�THE -
'"�,.' SURV£YS.ADOPTED.BY.THE NEW.YORK STATE ASSOCUTIONOFpRO[ESSIOPIAL;LAND'•SURVEYORS,INC.•THE CERTIFICATION 15.L1MffED 0 PERSO .
•l IEIdDING INSTftUIlON'LISiED'ON.THIS_BOUNDARL SURNEIP MAP•-(4)•'THE CERTIFICATIONS HEREIN ARE NOT-TRANSFERABLE..(5),THE'LOCATION'OP.UNDERCROUND:Il9PRWEMENT9 OR ENCROACHMENTSN HER ON'FRO '- HNOWN•AND OFTEN:TA.E.MOST RO ESTIMATED_ IF ANY'
:, UNDERGROUND IMPROVEI4ENTS OR,ENCROACHMENTS EXIST OR,ARE:SF1017N,,•THE INPROVEAfENTS OR,ENCROACHMENTS'.ARE NOL„COVERED bY'?H� Sl1RVEY.;(9)THE OFFS.ET'(OR'.DiMENSIONS)SHOWN HEREON'FROM THE STRUCTURES,TO•'TIiE.PROPERTY.LINES_ARE FOR A. -
T• ' .SPECIFIC PURPOSE•JWD USf AND THEREFORE ARE•.NOT------ED TO'GUIDE'THE.ERECTION'or 7EkES,'REDINING WALLS, POOLS; PATIOS PIAYTING.AREASi ADDITIONS TO BUILDINGS;AND AMY'OTMER;TYPE:OF Cr mnT CTION.(7)'FRO. I . CORNER.; . . MONUMENTS tYERE_NO
- _ --_.__— .._. . _...._. __ _�_..�_ —.— r..,-- .-..� ;..->• M ,;. —.M u..va i• _m e.eru_e —pennon,e emir .m Qm wbj AGC Nl1T f�IARANiCCA:' -.
ARTHUR:EDWARDS:POOL &:SPA.CENTRE' : :.
:. . : 92.9 ROUTE 25A
:MILLER PLACE;-NY: 117.64.' .. .._ :. .
516-744=7185 :.
FAX'744=0174
APPLICATION .FOR KS.WIMMINO-POOL PERMIT: :SOUTHOLD:" :.
-TOWN OF SOUTHOLD
MAIN.-ROAD (P.O ,BOX 11,7.9) .`
SOUTHOLD; NY -11971
:. (631).-76.5-
:. PAPERS-ENCLOSED-
:.
APPLICATION"F.OR OUTDOOR:POOL_PERMIT: ::
CERTIFICATE.OF�WORKER'S COMPENSATION'.'.
CERTIFICATE-OF'LIABILITY INSURANCE
CERTIFICATE'OF:OBL..IN.SORAN.CE
:SUFFOLK COUNTY.LICENSE , : .. . . . ... .
I ..4:SETS OF:$TAMPED PLANS.
3. SURVEYS:with�FILTER:LOCATION.
..
YV : ..
TAX BALL'. .. . . :. . ;
:1406.00':CHECK"FOR PERMIT.FE:E
APPROVED AS NOTED
OA • B.P.# 3Lp1�
FEE BY:
Av
NOTIFY BUILDING DEPARTMENT AT
631 76&1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS: ELECTRICAL1. FOUNDATION-TWO RE01!ICE=D
FOR POURED CONCRET_ INSPECTION REOUIRED
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 "UNEDIATELY"
DESIGN OR CONSTRUCTON ERRORS Ef CLOSE POOL TO CODE
UPON COMPLETIdN..
• .
COMPLY WITH ALL CODES OF BEFORE"WATER" .
NEW YORK STATE&TOWN CODES
AS REQUIRED AND COND TIONS OF
S IUTHOLD TO ZBA
SOUTHOLD T N PLANNING BOARD
SOUTHO OWN TRUSTEES
N.Y.S.D
so LD HPC
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA-,
OF OCCUPANCY
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
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Section A—A SSlONPL
SIZE A B C D E F G H AREA CAP
FEET FT FT FT FT FT FT FT FT SQ.FT GAL. pmvhow
'`r •JT/� �1
14 X 28 14 28 13 8 4 3 3 8 350 12,000 �y � - Am� g g 5 jas M Ise l�a.v2
POOL 8t' CUM16 X 36 16 36 12 14 6 4 4 8 576 21,600 PERMACRETE WALL SYSTEM 'h4L� NY
18 X 36 18 36 12 14 j6 4 6as 24,3:0 929 Route 25A Miller Place NY 11764 sue.
20 X 48 20 48 14 14 6 4 5 10 800 33,000 . (631) 744-7185 FAX (631) 744-0174 3r7l- 1 24- 1 1 q71
24 X 44 24 44 18 14 8 ±48 10 798 35,000 Suffolk License #4436—M
[— Nassau License #HI74450000
24 X 48 24 48 20 16 8 10 900 38,500