HomeMy WebLinkAbout52696-Z of souryolo Town of Southold
* P.O. Box 1179
53095 Main Rd
ZrC'ouxr i Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47120 Date: 06/08/2026
THIS CERTIFIES that the building Swimming Pool with Fence- In Ground
Location of Property: 305 Old Shipyard Ln Southold,NY 11971
Sec/Block/Lot: 64.-5-4
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 01/05/2026
Pursuant to which Building Permit No. 52696 and dated: 03/02/2026
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: Katharine Mesquita
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL.CERTIFICATE: 52696 04/02/2026
PLUMBERS CERTIFICATION:
Au on d i afore
ofSO�ryo<o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
`l • .�� SOUTHOLD, NY
*coulm
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#: 52696 Date: 03/02/2026
Permission is hereby granted to:
Katharine Mesquita
24 Stuart PI
Manhasset, NY 11030
To:
construct accessory in-ground swimming pool as applied for.
Premises Located at:
305 Old Shipyard Ln, Southold, NY 11971
SCTM#64.-5-4
Pursuant to application dated 01/05/2026 and approved by the Building Inspector.
To expire on 03/01/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
-- -- ---/------------------
Building Inspector
SO!/jyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn
P.O.Box 1179
Southold,New York 11971-0959 Owl
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Katherine Mesquita
Address: 305 Old Shipyard Ln city: Southold St: NY zip: 11971
Building Permit#: 52696 Section: 64 Block: 5 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: Ryleigh Electric Inc License No: 57215ME
SITE DETAILS
Office Use Only
Commercial Indoor Basement Service Solar
Residential X Outdoor X 1st Floor Pool X Battery Storage
As-built Renovation 2nd Floor Hot Tub EV Charger
New X Addition Attic Spa Generator
Survey Mezzanine Garage Dock
INVENTORY
Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures CO Detectors Heater
Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel X A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads Switches 1 Pucks Lights Dishwasher Mini Fridge
GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI ERV Exit Lights 1 Bath Exhaust Hood Dehumidifier
Other Equipment: Intermatic Pool Panel 8 Circuit/5 Used, Pump 220GFI, Heater, (2)Lights 120GFI
Bonded (2) Lights and (4) Corners
Notes: Pool
f
Date: April 2, 2026
Inspector Signature:
OA
Iftag SOUT�O� --
# WN OF SOUTHOLD BUILDING DEP
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
LECTRICAL (ROUGH) ELECTRICAL (FINAL)
] CODE VIOLATION ] PRE C/O [ ] RENTAL
REMARKS: /
UPC
DATE INSPECTOR
pF SOUTyO�
# . # TOWN OF SOUTHOLD BUILDING DEPT.
cou�m��'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN L TION/CAULKING
[ ] FRAMING /STRAPPING N. FINAL
T,��
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] ' FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: o VfAtiZl &vL^ — L
a�
DATE INSPECTOR
FIELD INSPECTION REPORT DATE
COMMENTS
�m
FOUNDATION(IST)
S �
I ------------------------------------
� c
FOUNDATION (2ND)
z
CN o
c7
Cn
O �
ROUGH FRAMING& ¢
PLUMBING
C1
vl
r
INSULATION PER N.Y.
STATE ENERGY CODE
v
FINAL
ADDITIONAL COMMENTS rl%
-a- h2c r� 2�G l 1 fib "
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-
a�o�° TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�� • o� Telephone (631) 765-1802 Fax (631) 765-9502 htips://www.southoldtownny.go_v
Date Received
APPLICATION FOR BUILDING PERMIT R
(� VP2
E
p For Office Use Only S25
PERMIT N0. ✓+ `'C Building Inspector:
Baaiiding Department
Applications and forms must:be filled out in their entirety. Incomplete T®iWn itlf Southc�P: ;
applications will not be accepted. Where the Applicant is'not the owner,an i
Owner's Authorization form(Page 2)shall be completed. ;
i
DEC L3O 2025
Date: �l Z
OWNER(S).OF PROPERTY.-.' {{,
Name:
Project Address:
Phone#: Email: �lJ
Mailing Address:
CONTACT PERSON:
Name: ti(Innc�
Mailing Address: 3( ko v-I---e.- I 1 I I-f-A—�
Phone#: G 3 ( — 3(o o— 6(0 3 0 } ( Email: P oo) f-e c-h c),,n 1- 0
DESIGN PROFESSIONAL INFORMATION:
_... \
Name:
Mailing Address:
Phone#: �._ ...._ .. .,.0. U.-7 O Email:
-
CONTRACTOR INFORMATION:
Name: P o o) e c�-h b
Mailing Address:
Phone#: (� I— (o —(D �0 3 O C�o-I- ( Email: ou 1 fCc�o Wvq 1..�.... ..M./'�(
DESCRIPTION OF.PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair El Demolition Estimated Cost of Project:
l7'Other S w i eot>L `n ( y n
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? []Yes ❑No
1
i f.
I
PROPERTY iNFORMATtON JA -426.
Existing use of property: intended use of property:
• r
Zone or use district in which premises is situated: Are there any covenants and,reArictions',With respect to
this property?
p perty. []Yes Ao IF YES,PROVIDE A COPY.
59
Cheick Box After Reading he owner/,"P".ctor/design profes3lonai is responsible for all drainageand storm water issues irovided by
thapter 236 of the Town code APPt1CATION IS HEREBY MADE to the BuHdinDepartmeM for the:issuanee:of a Building Pernik pursuant to the Building Zone
Ordnance oftheTown of Soiitlwid,$ufEolk,Cou4tf/,Heir York and otherappra$le taus,Ordmanoes Retulati fiarr the consvuefion of 6u ,
addit►oe�s alterat o►fa re�novat ordemoBbci�as herait desort�etL irie appr�am aoinfdY�`�aPp,11ca6te iaw�,m�d�anoes,bviidu!S Dade, ,.
housin code and UlaEions:and to atlm�t au�orited i premises add in 6uildingls)ioti r►ecessary inspections Falsestaterneits made Herein are
g ,. reg nspectorson
punishable as a ga3x A:misde�neanor:purwant to Section 210 45 nfthe New:York State penal taw`
Application Submitted By(print name): Q? &Authorized Agent ❑Owner
Signature of Applicant: Date:
NINA JOSHI
STATE OF NEW YORK
) Notary Public. State of New York
SS: No. 01J05028173
COUNTY OF k ) Qualified in Suffolk County
commission Expires 05123/
1 lwrl�� ', ILI�S�U being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he 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 therewith.
Sworn before me this
day of
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not they owner)
1 residin at �D f4lqad &//0Z.
, residing
VV
at_
hereby authorize V avAe7-pa,' 0 to apply on
my behalf to the Town of Southold.Building Department for approval as described erein.
I 2�p
Owner's Signature Date
�6'17e
Print Owner's Name
2
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
w.. .-�. _- ..r_..._...._.. -._.._. ._ - . _. ....... .__ ...._.v.. ,.-_- .-m..._..,. , ..._ this property? ❑Yes R!"No IF YES, PROVIDE A COPY.
B Check Box After heading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 oftheTown Code: APPLICATION IS HEREBY MADE to the Building;Department for the issuance of a Building Permit,pursuantto 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 orjor 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 State Penal Law.
Application Submitted By(print name): authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
S e-P 14 A--,---o being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the ` c ,:•,�,-
(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 r2 er 20 ZS/ oij
` Notary Pub'"
JOS 7�10MIANO
Notary Pute of NewYork
No379243 P PERTY OWNER AUTHORIZATION
Qualififolk CountyCommission August 13,20� here the applicant is not the owner)
residing at w�_
do hereby authorize �:�'I1)/ � �C'}` {'-GQ 'J 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
BUILDING DEPARTMENT- Electrical Inspector
APR 2026 TOWN OF SOUTHOLD
C= Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 4/2/2026
Company Name: Ryleigh Electric, Inc.
Electrician's Name: Mike Pistone
License No.: ME-57215 Elec. email: mike 9 ryleighelectric.com
Elec. Phone No: 631-591-0462 El I request an email copy of Certificate of Compliance
Elec. Address.: 247 Portion Rd. Ronkonkoma, NY 11779
JOB SITE INFORMATION (All Information Required)
Name: Kate Mesquita.and Arioch Griffiths
Address: 305 Old Shipyard Ln.
Cross Street: Lhommedieu Ln.
Phone No.: 631-449-3294/631-729-6161
Bldg.Permit#: 52696 email: katemesq(LDgmaii.com/ariochgriffithsCa)gmail.com
Tax Map District: 1000 Section: 4 Block: -5 Lot: q
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Bonding and electrical hook up of pool equipment
Pump, light, salt system, gas heater Square Footage:
Circle All That Apply: ❑Is job ready for inspection?: R1 YES [] Rough In NO ❑ Final
Do you need a Temp Certificate?: F-1 YES FV-] NO issued On
Temp Information: (All information required)
Service SizeF-11 PhFJ3 Ph Size: A # Meters Old Meter#
F-1 New ServiceE]Fire Reconnect[]Flood Reconnect Oservice Reconnect[lundergroundE]Overhead
# Underground Laterals F]1 F-12 R H Frame 0 Pole Work done on Service? Y r-IN
Additional Information:
PAYMENT DUE WITH APPLICATION
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POOL SIZE A' B' 'C " D E F' G H K L M GAL
18 X36 18 36 3'-4" 8 12 14 6 4 4 10 4 21,100 B
SKIMMER
A R IR LIED AS NOTED SUCTION
RETURN
DATE• RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
FEE BY OF THE TOWN CODE.
NOTIFY BUILDING DEPARTMENT AT
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS: *NO MAIN DRAINS ARE PROPOSED* A
B 1. FOUNDATION-TWO REQUIRED B
FOR POURED CONCRETE L!
2. ROUGH-FRAMING&PLUMBING
3. INSULATION SKIMMER RETURN
4. FINAL-CONSTRUCTION MUST Moron sucrloN
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE ELECTRICAL FILTER
REQUIREMENTS OF THE CODES OF NEW IIy�pECn®N REQUIRED
STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
NOTES: POOL PLAN
1 . WALLS SHALL BEAR ON UNDISTURBED SOIL
2. ALL CONCRETE SHALL BE PLACED AS A MONOLITHIC POUR
COMPLY WITH ALL CODES OF C
TOP,,MIDDLE,M NEW YORK STATE&TOWN CODES
TOP, AS REQUIRED AND CONDITIONS OF
1 ' &BOTTOM
3500 PSI CONCRETE SOUTHO TOWN ZBA D
1/4"ROLLED WALL �---
FOAM SO LD TOWN PLANNING BOARD
SO OLD TOWN TRUSTEES 20 OR 28 MIL
H G -
VINYL LINER F E
'` ' II 111—I I!T I S,DE�i
ourHOLo HPc SIDE SECTION
SCHD ACROSS CENTERLINE OF POOL LENGTH
2"SAND BOTTOM •;,s ;;. �11 1
MATERIAL
; —1lIII—I IF-Tim
il--II—T IIHI OCCUPANCY O
�I—�=1�IT1—III-11I�—Iii=1�1=T_I
I��!I I��I
i EI 1 1 I��I 11 I b�f I f I III 1T=1 I F=1
LJ� -1f-1�411=— CII.JTII1(�il���l USE IS UNLA FUL
�I I_ I— I I—I
h IHT I—II UNDISTURBED EARTH= WITHOUT CERTIFICATE AA i At11 �� I I=ri-_y. I
NCY KENNETH BARTHMAN,PE
OF OCCUPA
41 ROY DRIVE
TYPICAL WALL
N T S SECTION M K �S E"��F'9'� y�r COMPANY NESCONSET,NY 11767
L �L'A T B� ��� POOLFECTION
; I I
531 ROUTE 111
�.� HAUPPAUGE,NY 11788
GENERAL NOTES: ' `° r 631 3606630 EXT 1
CONSTRUCTION AND INSTALLATION TO BE IN ACCORDANCE WITH THE FOLLOWING CODES: END SECTION
1. SECTION 303 OF THE 2020 PROPERTY MAINTENANCE CODE OF NEW YORK STATE PREPARED FOR:
2. SECTION R326 OF THE 2020 RESIDENTIAL CODE OF NEW YORK STATE IMMEDIATELY" ACROSS CENTER OF HOPPER PAD 305 OLD SHIPYARD LANE
POOL TO CODE MESQUITA SOUTHOLD,NY 11971
ENCLOSE.
3. SECTION E4201 OF THE 2020 RESIDENTIAL CODE OF NEW YORK STATE10747
4. SECTION Nl 103.12(R403.12) OF THE 2020 RESIDENTIAL CODE OF NEW YORK STATE UPON-COMPLETION ��, 0 ��� PREOCTANGLE-90'W/VINYL STEP REVISION: A
5. SECTION 3109 OF THE 2020 BUILDING CODE OF NEW YORK STATE BEFORE"WATER" �ty NAME DATE
6. SECTION R327 OF THE 2021 INTERNATIONAL RESIDENTIAL CODE �``_' 1 DRAWN KB 9/9/2025
7. SECTION E4201 OF THE 2021 INTERNATIONAL RESIDENTIAL CODE SCALE: NTS SHEET 1 OF I
A 1
=A31
531 Route 111
P" oft Hauppauge, NY 11788
LNG ISLANDS S AMMING POOL INSTALLERS (631) 360-6630 ext 1
MESQUITA, _., KATE& ROCK
305 OLDSHIPYARD LN
SOUTHOLD, NY 11971
To whom it may concern.
We will be away from the office for the winter. Please contact us on our cell phones for further
information.
Corinne Domiano 631-680-6501
Joe Domiano 516-512-4060
Thank you,
I/1 NVIZ0b
Corinne
JOB WORK ORDER
DATE 4 35650 Middle Rd Unit 3
Peconic, NY 11958 � �■
ARRIVED amjprfi
u inFo@morns-cesspool.com
LEFT JOB amipm CESSPOOL 2631-765-3300
■
MECHANIC ti r� morris-cesspool.com
HELPER
JOB NAME JOB PHONE [,C. 6
ADDRESS
Q S old
`j ❑LATE NIGHT
CITY ❑SUNDAY
S d []HOLIDAY
BILL TO PHONE
ADDRESS
[]NEW
❑REFERRAL
❑REPEAT
PUMPING
C o e,r ,'� �2 d Ce, oo S
LINE CLEANING v
SINK TUB TOILET
LABOR
OTHER
SUB TOTAL
TAX
NOTICE OF CONDITIONS TOTAL
Purchaser shall provide access to job site.it shall be the obligation of the Purchaser to Inform the Service DATE PAID
Company of any above or below ground or hidden perils.The Seller shall not be responsible for damage
above or below ground or to property or hidden perils.Signor assumes liability,both representatively and CHECK NO.
personally,for payment of the contract amount.Terms:2%per month on accounts over 30 days.
Purchaser will pay collection costs and attorney fees at 3%in the event the account is placed with the AMT.REC D.
attorney for collection PAYMENT IS DUE UPON RECEIPT
GENERATOR SIGNED STATEMENT
I, ,hereby affirm that I am the owner,or user,of the Individual Sewage Disposal Facility(septic tank/leaching
facilities)located at the address on the invoice and:(1).That the facilities to be pumped contain only sanitary sewage:(2).That I have not been notified by the Suffolk
County Department of Health or the Nassau County Department of Health to have this system pumped by a licensed industrial hauler.
That neither I nor any person in my family or in my employ have added any chemical solvent waste or industrial wastes of any kind to the facility to be pumped,and that I
make this statement knowing that the waste will be disposed of at a Municipal Septage Treatment Facility.In the event that any chemical solvent waste or industrial waste
of any kind has been added,legal action may be undertaken by the appropriate regulatory agency against any or all parties involved.
I hereb a f' un er p ry of perjury chat the Information provided on this form is true to the best of my knowledge and belief.False statements made herein are
pun is a meanor pursuant to Section 210.45 of the Penal Law."
C mer's SI ure Date
a c�9
305 Old Shipyard lane
Pool Permit-Outstanding Items Rental Permit-Outstanding Items
1
✓Certified Pool Alarm Installed
V/Line Repaired Smoke and CO2 Alarm Installed in Basement