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HomeMy WebLinkAbout51748-Z �o4 of SOUTyo`o Town of Southold * * P.O. Box 1179 o� 53095 Main Rd er�, � Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46582 Date: 10/15/2025 THIS CERTIFIES that the building Swimming Pool with Fence-In Ground Location of Property: 1385 Jasmine Ln Southold, NY 11971 Sec/Block/Lot: 69.-3-24.7 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 02/10/2025 Pursuant to which Building Permit No. 51748 and dated: 10/14/2025 Was issued, and confonns 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: Mark Zablotny,, Kerri Zablotny Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 112595 9/4/2025 PLUMBERS CERTIFICATION: A thorize Signature aoFSaUryo�o TOWN OF SOUTHOLD BUILDING DEPARTMENT ' 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#: 51748 Date: 03/17/2025 Permission is hereby granted to: Mark D Zablotny 1385 Jasmine Ln Southold, NY 11971 To: construct accessory in-ground swimming pool as applied for. Premises Located at: 1385 Jasmine Ln, Southold, NY 11971 SCTM#69.-3-24.7 Pursuant to application dated 02/10/2025 and approved by the Building Inspector. To expire on 03/17/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total S400.00 Building Inspector 4 NASSAU ELECTRICAL ( _; ,:.. SUFFOLK INSPEC: T0RS OCT 14 2025 159 Route 25A, Building 1 Suite B Miller Place,NY 11764 Telephone:631 495 8136 Fax:631 509 4538 • E-Mail:Requests@SuffolkBEldjng Department CERTIFICATE OF ELECTRICAL COMPLIMetuthOld Applicant: Island Power Electric Corp. Certificate No.: 112595 Rough In Inspection Date: Final Inspection Date: Sep 04,2025 Application No.: Building Permit No.: Not Provided County Tax Map No.: This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described _ below,installed on-behalf of the applicant named above,-located-at the premise of and not after-the final inspection date above: Owner: Mark Zablotny Site Location: 1385 Jasmin Lane,Southold,NY 11971 Owner's Address(if different): ®Residential ❑Indoor ❑Basement ❑Service ❑Shed ❑Commercial 12 Outdoor ❑First Floor 12 Pool ❑Hottub ❑New ❑Renovation ❑Second Floor ❑Attic ❑Garage K ❑Addition ❑Survey ❑PV Solar ❑Generator ❑Conversion --- ----— - --- --- ❑Signs ❑Battery Storage Other: INVENTORY Single Phase 0 Heat Duplex Recpt Ceiling Fixture Dual Func Breaker Three Phase Hot Water GFCI Recpt 1� Wall Fixture Smoke Main Panel AC Cond Single Recpt 0 Recessed Fixture CO Detect Sub Panel AC Blower Range Recpt LED Lighting Smoke CO Combo Transformer Appliance Ckt Dryer Recpt Emergency Time Clock Disconnect 0 Switches 0 Twist Lock 0 Exit Fixtures 0 Pumps Pool GFCI Breaker 0 Heat Pump Electric Heat Pool Luminaire 0 Exhaust Fan Other Equipment: The electrical work and/or equipment described above were inspected and was found to be in compliance with local, , state and national electrical code requirements and this office. Applicant: Island Power Electric Corp. License No.: ME-52729 Date Printed: Sep 04,2025 Inspected By: Joe Coppola Signature: �I � Of SOUlyo6 TOWN OF 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: DID- 6,, DATE ANSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) -- - - --- - - - ------- -- --------- -� - ------ --------- -------------------------------------- FOUNDATION (2ND) ---- --_—___.. —_ -- --- -- -- -- ---- V C _ 10 cp ROUGH FRAMING& ------- — - - ------------ ---- ------ . 1 PLUMBINGCA 'r -------- ------------------- - ------- INSULATION PER N. Y. STATE ENERGY CODE FINAL -- ---------- - ----- — - ADDITIONAL COMMENTS Q rn Q z � d TOWN OF SOUTHOEO—BUILDING DEPARTMENT a Town Fall Annex 54375 Main Load P. ®. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 hops•//www.southoldtow=.aov Date Received APPLICATION FOR BUILDING PERMIT Q 20�5 I� For Office Use Only � 0 PERMIT NO. Building Inspector: e(mQnt Applications and forms must be filled out in their entirety. Incomplete BT jn oW f DePa �td S�ut� applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNWR ) OF PROPERTY: I- II Name: mkRKo- k 2�Z t ,..q46 W-n SCTM# 1000- Project Address: t3K �asmioe- Ln JQU ��� V�Y �1971 Phone#: &3!-56 - ( qoq Email: Mailing Address: CONTACT PERSON: Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION:' , Name: Mailing Address: Phone#: Email: .CONTRACTOR INFORMATION: . Name: 0� h/A,cOS � IS Mailing Address: Zoy R}- ,25A- l ) I&- Aaee- �'Y 1176V Phone#: �o31—�L -�]��J� �(_� Email: ©V771Ce- C PidL!S 'I DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: lather I fl�f�ru� 1i►r\y� �i—s,min r�V &OL Will the lot be re-graded? Yes El Rot-*a Uhly Will excess fill be removed from premises? Yes ONO 1 PROPERTY INFORMATION Existing use of property: �jl�2a�� Intended use of property: �e �z Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes [>Vo IF YES, PROVIDE A COPY. AChdck'BOX After j eadeng: The3ownier/contractor/design professional is responsible forall 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 otherapolicable Laws,Ordinances or Regulations,for the construction.of buildings,. additions,_alteraiions or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,-ordinance's,building code; housing code and regulations acid to admit authorized inspectors on premises and in,building(s)for necessary inspections.False staternents made herein are I.punishable as a Class A misdemeanor pursuant.to Sectiom216.45 of the New'York Staie:Penal Lave. Application Submitted By(print name): K 2A ❑Authorized Agent owner Signature of Applicant: 4"-1 Date: STATE OF NEW YORK) SS: COUNTY OF 0if 01-le ) rnQaL,_ ;Uolo4-nq being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)albove named, (S)he is the 0 Hw- (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 therewith. Sworn before me this day of 2026' No ary Public MARGARE'r A. KIDNEY Notary Public—State of New York No. 01 K16021 I I t Qualified in Suffolk County PROPERTY OWNER AUTHORIZATION My Commission Expires March 8,202J (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 s , �oS11F�0[,��oQ BUILDING DEPARTMENT-Electrical Inspector fo�0 Gym'' TOWN OFSOUTHOLD Town Hall Annex-54375 Main Road - PO Box 1179 o ® Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date: c/�Zpl 5 Company Name: Electrician's Name: j-- License No.: Xr- ,c;Q3 Elec. email: " <o,�c Elec. Phone No, G31, gZg,-`l(,7(D ❑I request an email copy of Certificate of Compliance Elec. Address.: 70-3 C'�rnsew•c�� z ,�'a S�fau/c_:r /vy 1f73 JOB SITE INFORMATION (All Information Required) Name: /? , s'K ,e-b/or711 Address: Z p7 Cross Street: Phone No.: (�,3j U. yv9 BIdg.Permit#: 517-48 email: /�� r/,/�-f/,7� ,���,/. Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): �s 17r,r" /i7 i.t:ze.-C ��O/ •��cr/.��7cr��7- �51 r/c,'��zr��� U/��ral/C 7a Square Footage: Circle All That Apply: Is job ready for inspection?: ffyES❑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 Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals 1 2 H Frame M Pole Work done on Service? F1 Y nN Additional Information: PAYMENT DUE WITH APPLICATION QCC� C � M [ D 0CT 1 4 2025 Bu I,`s �1 ;J�'Partment To•f,. ';outhold ARTHUR EDWARDS POOL & SPA CENTRE 929 ROUTE 25A MILLER PLACE, NY 11764 516-744-7185 FAX-744-0174 APPLICATION FOR A SWIMMING POOL PERMIT: SOUTHOLD TOWN OF SOUTHOLD MAIN ROAD (P.O. BOX 1179) SOUTHOLD, NY 11971 (631) 765-1802 PAPERS ENCLOSED: W APPLICATION FOR OUTDOOR POOL PERMIT [d CERTIFICATE OF WORKER'S COMPENSATION [ CERTIFICATE OF LIABILITY INSURANCE [ CERTIFICATE OF DBL INSURANCE [ SUFFOLK COUNTY LICENSE [ I 4 SETS OF STAMPED PLANS 3 SURVEYS with FILTER LOCATION [ ] C.O. [� TAX BILL $400.00 CHECK FOR PERMIT FEE The locations of wells and cesspools SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES shown hereon are from field observations FOR APPROVAL OF CONSTRUCTION ONLY and or from data obtained from others. 93 SO 25 h- DATE_ HS. REF. NO. R^54•00 L_2198 gj 6S S 3 :. APPROVED <00 �o �a a .. a (6 5? RBg�. �• SUR VEY OF 3y. 3 LOT 7 WAP OF SOUTHOLD VILLAS, SECTION TWO" o FILED AUC 4,19,93 FILE NO.A-434 A T. SOUTHOLD �. u� TO INN OF SOUTHOLD oe� �- SUFFOLK COUNT Y, N. Y. ,S `# 1000 .69 03 — 24.7 8 c ` v Scale: 1" = 40' Mar. 15, 1993 0 t� Oct. 21, 1993 (foundation) l 0 , r^ May 11, 1994 (Etna!). •(� 6' vJ JULY 22,2014(CERTIFICATIONS ADDED) h0 • CERTIFY TO: D. 5;�M, ,4,k AREA = 23,475 s f t FDEL Y NATIO�" �f Ut-; E COMPANY cj• FLAGSTARBA •� 61000, 0�/�R . The water supply and sewage disposal = r1Vc�Y.S. LIC. NO. 49618 systems for this residence will conform e3,: w ,y B Prepared in accordance with the minimum standards for title surveys as established to the standards of The Suffolk County PE P.C. C;G+ Department of Health Services. f ELEVATIONS ARE REFERENCED 0/Qj0 by the L.I.A.L.S. and approved and adopted P(631)- 6�� 1)765-1797 TO AN ASSUMED DATUM. for such use by The New York State Land P.O.BOX 909 ' Title Association. 1230 TRAVELER STREET SOUTHOLD,NY 11971 .r i APPROVED AS NOTED DA ; B.P.0 Friul?ve' ' FEE By RETAIN STORM WATER RUNOFF NOTIFY BUILDING DEPARTME AT 631-765-1802 8AM TO 4PM FOR THE PURSUANT TO CHAPTER 236 FOLLOWING INSPECTIONS: OF THE TOWN CODE. 1. FOUNDATION-TWO REQUIRED FOR PO►_IRED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR ELECTRICAL DESIGN OR CONSTRUCTON ERRORS INSPECTION REQUIRED COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES AS REQUIRED AND CONDITIONS OF SOO TOWN ZBA LDTOWN PLANNING BOARD 9$ m,11AREDIATIE�Y„ '..J. OLD TOWN TRUSTEES ENCLOSE POOL-TC�jbO E . N,Y ,DEC y PQN'.GOMPL`E,TI�I ' S OLD HPC " = ' HO OCCUPANCY OR USE IS UNLAWFUL New York State Lair You Must Call 811 WITHOUT CERTIFICAI Before You Dig OF OCCUPANCY A o 13 B /A..nr.n A Mar Fran • F�9r!Purr! . T. Rrhnr (bry M Op1�r� Road Nd F Plan A Piping . Arrangement secum #4Ibbw _ 42" Section B—B r MW P=o"wds �{c& NEL/t REIN sd° P LU Section A—A Typical Wall Section 0435Qy \'ORncr=c k SIZE A B C D E F G H AREA CAP }�f� ,) ZAb FEET FT FT FT FT FT FT FT FT SQ.FT GAL. 14 X 30 14 30 10 10 7 3 3 8 420 12,000 ABUT 6... 13 J.T Je4 m�n e— L n POOL&SSA C�]'I'HB 16 X 34 16 34110114 6 4 4 8 544 21,00o PERMACRETE WALL SYSTEM s4e�0-6 18 X 38 19 38 14 14 6 4 5 8 684 24,0001929 Route 25A Miller Place NY 11764 ma.20 X 40 20 40 16 14 6 4 5 10 800 33,000 (631) 744-7185 FAX (631) 744-0174 24 X 44 24 44 18 14 8 4 8 10 798 35,000 Suffolk License #4436—M 24 X 48 24148120116 8 41 6 1 101 900 38,500 Nassau License #HI74450000