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51262-Z & 51263-Z
aoe saulyo`o Town of Southold * * P.O. Box 1179 oAk, 53095 Main Rd CO IM N Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47138 Date: 06/15/2026 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 510 Sleepy Hollow Ln Southold, NY 11971 Sec/Block/Lot: 7 8.4-10.8 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 08/21/2024 Pursuant to which Building Permit No. 51262 and dated: 10/08/2024 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: Trevena Yong , Carlos Fernandez-Aller Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51262 8/28/2025 PLUMBERS CERTIFICATION: Auth riz d ignature �o-,oaf soulyo(o Town of Southold * P.O. Box 1179 �oA,: 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47140 Date: 06/15/2026 THIS CERTIFIES that the building HOT TUB Location of Property: 510 Sleepy Hollow Ln Southold, NY 11971 Sec/Block/Lot: 78.4-10.8 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 08/21/2024 Pursuant to which Building Permit No. 51263 and dated: 10/08/2024 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 inground hot tub at existing single-family dwelling as applied for. The certificate is issued to: Trevena Yong , Carlos Fernandez-Aller Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51263 10/08/2025 PLUMBERS CERTIFICATION: utho ' ed Si tore �aoFso", TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE ���'��ournv."� 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#: 51263 Date: 10/08/2024 Permission is hereby granted to: Trevena Yong 101 Leonard St Apt PHA New York, NY 10013 To: Install in ground hot tub at existing single family dwelling as applied for. Premises Located at: 510 Sleepy Hollow Ln, Southold, NY 11971 SCTM#78.4-10.8 Pursuant to application dated 08/21/2024 and approved by the Building Inspector. To expire on 04/09/2026. Contractors: Creative Environmental Design Work: (631)734-7923 PO Box 160 Peconic, NY 11958 Required Inspections: FOOTING/REBAR, ELECTRICAL-ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL, Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Accessory $100.00 Total $400.00 Building Inspector ,O'afSOU,o`o . TOWN OF SOUTHOLD BUILDING DEPARTMENT • ' TOWN CLERK'S OFFICE io 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#: 51262 Date: 10/08/2024 Permission is hereby granted to: Trevena Yong 101 Leonard St Apt PHA New York, NY 10013 To: Install in-ground gunite swimming pool at existing single family dwelling as applied for. Premises Located at: 510 Sleepy Hollow Ln, Southold, NY 11971 SCTIVI#78.4-10.8 Pursuant to application dated 08/21/2024 and approved by the Building Inspector. To expire on 10/08/2026. Contractors: Creative Environmental Design Work: (631)734-7923 PO Box 160 Peconic, NY 11958 Required Inspections: FOOTING/REBAR, ELECTRICAL-ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL, Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Tota I $400.00 "_�)A'_ — Building Inspector OF SOUr�,�l � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Q Southold,NY 1 1 97 1-0959 �y�OUNT`l,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Trevena Yong Address: 510 Sleepy Hollow Ln City: Southold St: NY Zip: 11971 Building Permit#: 51262 Section: 78 Block: 1 Lot: 10.8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Platinum East Electric License No: 34091 ME SITE DETAILS Office Use Only Indoor Basement F Service r Solar (— Outdoor 170 1st Floor F Pool Spa Renovation I— 2nd Floor F- Hot Tub F Generator (— Survey rF-1 Attic rr-1 Garage ri Battery Storage r INVENTORY Service 1 ph (— Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph F Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fad Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Other Equipment: Pentaire Intellicenter Pool Panel 10 Circuit/ 10 Used, Pump 220GF1, Heater220GFI, Autocover 120GF1 w/ Key Locked Switch, Waterbond Ionizer Notes: Inspector Signature: X Date: August 28, 2025 Sean Devi. Electrical Inspector sean.deviin(D-town.southold.ny.us 510SleepyHollowPool pF SOUr��l Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • O Southold,NY 11971-0959 a CDUNV BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Trevena Yong Address: 510 Sleepy Hollow Ln City: Southold St: NY Zip: 11971 Building Permit#: 51263 Section: 78 Block: 1 Lot: 10.8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Platinum East Electric License No: 34091 ME SITE DETAILS Office Use Only Indoor (— Basement r Service (— Solar r Outdoor 1st Floor r Pool F Spa r Renovation 2nd Floor I— Hot Tub FV-' Generator Survey rr Attic ri I Garage rl Battery Storage INVENTORY Service 1 ph I— Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph I— Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 1 4'LED Exit Fixtures Other Equipment: Pump 220GFI, Blower 220GFI, Heater 220GFI, (1)Light on 30OW Trans, Waterbond Ionizer Notes: Hot Tub Inspector Signature: Date: October 8, 2025 Sean Devlin Electrical Inspector sean.deviin(D-town.southold.ny.us 510S IeepyHol IowHotTub OFSOUIyO� '2-62, SI 2-b - 5 p 5Lac 1 yb-jjoVi # # TOWN OF SOUTHOLD BUILDING DEPT. �ou 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: C t al C .2/n DATE `? INSPECTOR Of 50Uj '5LOpq # # TOWN OF SOUTHOLD BUILDING DEPT. 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: e� -421 -� io(c ot'- DATE INSPECTOR �o�aOESOUTyOIo 51 TOWN OF SOUTHOLD BUILDING DEPT. o m 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: foo (Lt d DATE a3 a INSPECTOR a0FSOUTH ✓� /Q/0UJ �1a�� s� �� # .TOWN OF SOUTHOLD BUILDING DEPT. coo 631-765-1802 . INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] 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: T DATE INSPECTOR AAn.4 rq, ,, OF 50(/Ty�� # # TOWN OF SOUTHOLD BUIL`� � PPT. "coulm,��' 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 �Ps REMARKS: -O DATE INSPECTOR �o' AF S00TyOlo 1�3 --- - �t 116 "V * TOW OF SOUTHOLD BUILDIN P . Cou � 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 rl PRE C/O [ ] RENTAL REMARKS: C� 44 le 7D '�/A- &OS6 DATE INSPECTOR *OF SObTyO� - # # TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/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: I � � .. r DATE INSPECTOR . SOUIyOIo - --- —-- -- - — ---- -- -- # # TOWN OF SOUTHOLD BUILDING DEPT. - cou 631-765-1802 w�Y INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG: [ ] FOUNDATION 2ND VFINAL ULATION/CAULKING FRAMING /STRAPPING PPf 99 [ ] FIREPLACE & CHIMNEY [ ] FIRE.-SAFETY INSPECTION { . ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION: [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [. ] CODE VIOLATION [ ] PRE C/O' [ ] RENTAL REMARKS: L �/ a fAkn�:- OY4 DATE y Y _ INSPECTOR Robert I. Brown Architect, P.C. 205 Bay Avenue,Greenport,NY 11944 info@ribrownarchitect.com 631-477-9752 November 20, 2024 �� 0 CT - 7 2025 Town of Southold Building Department Southold,NY 11971 N.ffleging Dep-aF'zm nt Re: Yong Residence Pool and Hot Tub 510 Sleepy Hollow Lane Southold,NY 11971 Building Permit Nos 51262 d 51263 To whom it may concern, This letter is to confirm that based on my inspection of this project,and to the best ofmy knowledge,belief and professional judgement,the reinforcing bars for the swimmingpool and hot tub, as installed comply with the plans and applicable building codes. If you have any questions,or require additional information,please feel free to contact me. Thank you for your attention to this matter. Sincerely, AR gl4t 1.BR of ¢O R, r _ / 1634'1 vOQ �rFOF tip . Robert Brown,A.I.A. Cc: Creative Environmental Design,David Cichanowicz FIELD INSPECTION REPORT DATE COMMENTS \` b FOUNDATION (1ST) --- 3 -------------------------------- FOUNDATION (2ND) �6 k z � o o � ROUGH FRAMING& PLUMBING v 5 r t� INSULATION PER N.Y. STATE ENERGY CODE l o FINAL ADDITIONAL COMMENTS Q VD S " ec4yt c- Q.ec 10T674 P co rn . C � 1 � y O � z x x d • r� b FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION (1ST) 4k ------------------------------------- FOUNDATION (2ND) z � o acn ►-3 ROUGH FRAMING& y V PLUMBING i O d � r INSULATION PER N.Y. S "� STATE ENERGY CODE t 7 FINAL ADDITIONAL COMMENTS e� « 4 12S 109: c� � o z b a �r \i i TOWN OF SOUTHOLD—BUILDING DEPARTMENT ' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 • 0�� Tel phone (631) 765-1802 Fax (631) 765-9502 https://Www.southoldtowiiny.gov j I Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ! D PIERMIT NO. Building Inspector: l I A U G ? 1 2024 Applications and forms must be filled out in their entirety. Incomplete applications will not.. a accepted. Where the Applicant is not the owner,an Owner's Authorizati n form(Page 2)shall be completed.. BUILDING DE Date: TOWN-)F SO DI 0� OIWNER(S) OF PRO ERN: Name: Trevena Yong SCTM # 1000- i 78.-1-10.8 Pr o ject ress: 5 0 Sleepy Hollow Lane, Southold, NY 11971 31-73 -7923 (Agent) Email:creativeenvdesign@yahoo.com M�alling Address: P O. BOX 160, Peconic, NY 11958 CONTACT PERSON-. ` I Name: David Ci hanowicz/ Creative Environmental Design Mailing Address: P.O. BOX 160, Peconic, NY 11958 Phone#:631-734 7923 Email: � creativeenvdesign@yahoo.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email i -,CONTRACTOR INFORMATION: Name: Creative Environmental Design Mailing Address: P.O.. Box 160, Peconic, NY 11958 Phone#:631-734 7923 Email:creativeenvdesign@yahoo.com DESCRIPTION OF PROPOSED CONSTRUCTION i ❑New Structure ❑ ddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Other POOH $ Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? ❑Yes ONO I I 1 i PROPERTY INFORMATION Existing use of property: Residential Intended use of property:ReSlGlerl-- tial Zone or use district in which premises is situated: Are there any covenant and restrictions� Ith respect to this property? ❑Yes VNo IF YES, PROVIDE A COPY. heck B x After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues Is as provided by C apter 236 of the To n Code APPLICATION IS HEREBY MADE the Building Department the issuance of a Building Permit pursuant to the Building Zorie' Ordnance of the:Taw of Southold,:Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions;alterations r for removal or demolition as herein described.'The applicant agrees to comply with all applicable laws,ordinances;building code; housing code and regu ations and to admit authorized inspettors.on premises.and in building(s)far necessary inspections.False statements made herein are: punishable as a Class misdemeanor pursuant to Section 210.45 of the New York State Penal Law.. 'i i Application Submitted B David Cichanowicz/Creative Envrionmental Design print name): BAuthorized A ent ❑Owner Signature of Applicant: ^�� Date: — 1 d 0)_1:.� j STATE OF NEW YO K) 1 i S: COUNTY OF Suffolk ) David Ci hanowicz being duly sworn, deposes and says that(s)he is the applicant (Name of individua signing contract)above named, (S)he is the Ag nt I (Contractor,Agent,Corporate Officer, etc.) 1 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 b performed in the manner set forth in the application file therewith. SI worn before me this day of 20_�A i PENNYLOUIS MAFFETONE• NotaryPubli NOTARY PUBLIC,STNTE OF NEW YORK Registration No 01 MA6402379 Qualified in &County P QPERTY QWNER AUTHORIZATION Comfnle-slon Expires Soh 2W (Where the applicant is not the owner) i revena ong 510 Sleepy Hollow Lane residing at , Southold, NY 11971 David Cichanowicz/Creative Environmental Desi n do hereby authorize 9 i �M 17. Ito apply on �Y heh�3lf o the To n of Sout"a;d t(.iilding DE:partment for approval as described herein. -' K P ? r Owner's Sign Date w` trevena Yong Print Owners Name I I i gUFFOt,y��, TOWN OF SOUTHOLD—BUILDING DEPARTMENT NT .4 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-09$9 d �� 631 Tel hone )�?}o p ( 765-1802 Fax (631) 765-9502 httns://wmrw southoldtownny g OV Date Received APPLICATION FOR BUILDING PERMIT y- ._.° } '0 For Office Use Only D PERMIT NO._ I(Q 3 Building Inspector: A U G ' 2024 - D Applications and for s must be filled out in their entirety. Incomplete applications will not tie accepted. Where the Applicant is not the owner,an Owner's Authorizati n form(Page 2)shall be completed. BUILDING DEPT. TOWN :)FSOLIT OI Date: ILA 0 r� i U OWNERS) OF PRO ERTY: Name: Trevena Yong SCTM #1000-78._1.10.8 Pl oject address: 5 0 Sleepy Hollow Lane, Southold, NY 11971 Phone#: 631-73 -7923 (Agent) Email:creativeenvdesign@yahoo.com Mailing Address: P O. Box 160, Peconic, NY 11958 CONTACT PERSON: Name: David Ci hanowicz/ Creative Environmental Design Mailing Address: P.O. Box 160, Peconic, NY 11958 Phone#:631-734 7923 Email:creativeenvdesign@,yahoo.com creativeenvdesign@yahoo.com DESIGN PROFESSIONAL INFORMATION: Name: i i Mailing Address: Phone#: Email: CONTRACTOR INFOF MATION: Name: Creative nvironmental Design Mailing Address: P.D. Box 160 Peconic NY 11958 Phone#: t 631-734 7923 Email:creativeenvdesign@yahoo.com DESCRIPTION OF PROPOSED CONSTRUCTION i ❑New Structure ❑ ddition ❑A terati n ❑Repair ❑Demolition Estimated Cost of!Project: Other $ I (�.(� _ Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ❑No i 1 PROPERTY INFORMATION Finproperty: Residential Intended use of property: _ Residential c ict in which premises is situated: Are there any covenant and restrictions with respect to this property? ❑Yes No IF YES, PROVI :: DE A COPY. er Reading: The owner/contractor/design professional is responsible for all drainage and storm water issuds as provided by n Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Towr of Southold,Suffolk,county,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations r 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 stateme Punishable as a Class misdemeanor pursuant to Section 210.45 of the New York state Penal Law. nts made herein are C Application Submitted B David Cichanowicz/Creative Envrionmental Design print name): BAuthorized Agent ❑Owner Signature of Applicant: `i +1 Date: � STATE OF NEW YO K) S: COUNTY OF Suffolk ) David Ci hanowicz (Name of individual signing contract)above named, being duly sworn, deposes and says that(s)he is the applicant (S)he is the Ag nt (Contractor, of said owner or owners, and is duly authorized to perform oorrh haveperformed Officer, etc.) 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 b performed in the manner set forth in the application file therewith. Sworn before me this day of 20 I PENIV LOUI$ MAFFETONE Notary Publi NOTARY PUBLIC. ATE OF NEW YORK Reglatration No 01 MA6402379 QuaOfled In Suffolk County PROPERTY OWNER AUTHORIZATOON Commlealon Expires 3ph 2027 (Where the applicant is not the owner) Trevena Yong 510 Sleepy residing at Hollow Lanle, Southold, NY 11971 David Cichanowicz/Creative Environmental Desi n do hereby authorize 9 to apply on r"v 6eh31t co the Toy, n of Southo;d �iidding bE,partment for approval as described herein. Owner's Sign :+y;;:c -- Date Trevena Yong Print Owner' Name -.z BUILDING DEPARTMENT-Elec"IC2l his &r(r TOWN OF SOUTHOLD Town Hall Annex-54376 Main Road-P e B049 �7� 7 ?_�?5 �E ' . BoutholdfNew York 11 g71-OS5 0. . Telephone(631)766-1802- FAX(831)7 & f02 q n ant ltl A,:L tl9 APPLt ATl FOR IL INAPECTIt N EL�v niv0 N ,. ibRe.�TJON`(Al intormolon ROgUired) Dates Company fgami: r' PVC Etectriclan`s Name: Llcensa No.. (--3�0 'Elec. srnail: �: lnv/ea VW W. to uest n etnaii copy of Cert#ft a'of Compitancs Boo. Phone No: 1- a " JOB SITE INFORMATION (All Iftrmatich Requ}red) ,v s /� ✓v Ns►me: r Address: S 1 J t c L� o ✓'o cross street: Phone No.: &3i- small. Btdg.Permit# '. Tax Ma ct: 1400 Block- Section: Lot: iflICLU +QUAKE"FO AG .- eB.. BRIEF DESCRIPTION OF 1N AK, se Print C eerlyy}: POOL, � S uars.Fottd :B circle An Ttist Apply: Is job ready i'or inspection'?: YES: t4 Rough In Final Do you need a Temp Certificate?: " 'BLEB: N4 Issued On Tamp lnformatloln: (All I*rrfietlon requlmd) Servica Size `i Ph rJ3 Ph Size: ________� #MetBrs Did i'�teter# [].New Servlae[fim Reconnect[IF100d ReconnectaService Reconnect[]Undergmund[]Dwrhesd #Unde round:Laterals 1 2 H Frame0 Poie Work done on"S#rvics7 Y N Addit oval Information: PAYMENT Q E T APEL,IC T AID Cv'4� / (060 4� o w E ►r BUILDING DEPARTMENT-Electric , e i TOWN OF SOUTHOLD r 4375 Fain RoaJ-40 Bb�I W L,..) Town Hali annex 52025 SoutholdoMew York 11871.0959 Telephone 631 765-1802- FAX s sou old 4 0 rfrnent eoai — id APPLICATQ E08 ELE9TRI9AL1109 1109024 ELECTRICIAN INF RMATION (mi informa4lon Required) ®at®: 3 a Company Name: 1143 EI®ctrtcIan`s Name: Yf License No.: Mt'- $1 Elec.emall: g law"'ea5; tea. o� Elec. Phone No: 1• request n eMall copy of'Certlflc of Contp6fance Eiec.Address.: JOB SITE'INFORMATION (Au information Required) Name: iu s�/�e�C� Address: S f o a L/U o 0( Cross Street: Phone No.: Bldg.Pertnit#: ®mall: d a Tax Ma DIStrict: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INMUDE'SQUARE OOTAG (PI�Bse''Print Clebrtyy}: ,A Cu ZZ� Circle All That Apply: Is job ready for Inspection?: C] YES NO Rough In ® Final Do you need a Temp Certificate?: YES fUNO issued On Temp Information: (Ali Information required) Service Size ]I Ph[]3 Ph Size: ®._.� #I!lleters Old ®t®r# []New service®Fire Reconnect[]Flood Reconnect[]service Reconnect Underground averhead rAdd Undo�bdnal'lnfbrrhaflon: nd Laterals 1 2 H Frame Pole Work dune on Service? Y N it PAYME IT SUMTR 'PE31CATIORt +roc + I Oq (0 3 CPO / V1 BUILDING DEPARTMENT-Eled rtcal TOWN OF SOUTHOLD Town Hall Annex- 54375 Mein Road- ' Ba49111' 7� 7 ?np5 SeutB31 765-18 2- FAX(5317 Telephone t ) =9" M� � rra Xi-ord Ap..�_ rn.�r Q61 FQgELEC7RtCAL. SP TIC N r . �� .r�rt 1, (Al lnfor.-.Mt1©n Required) Date. CLCti►1 i� �� ������� (� Company Name; C. rectr1clan`s Name; Cleanse No.:�_�- . D ,_,.,_Elec 1 , DWI h @aS #ranee - Q uet n.eitrta#t dopy of a of Comp Stec. Phone No: 1 See.Address. JOB SITE INFORMATION (Alt Ini'llme#ion Raqulred) :Name: Au Address: sip - c LAV �L cross Street: Phone No.: Bidg.Perm#t M. emaiv. Lot, Tax MR Wstr'ict; BioG#c: _ . BRIEF DEBCR#PT# N OF VI�ORK, MULU E` QUARE 0 A ®5Se`Pr1nt Cieettyy): POOL, u�r+c�'Faota �: :1 irrcle All T7181 ApPlst. Final Is job ready for Inspection?: 9h rn Do you need a Temp Certlflcets?: YIS. lV4 Issued'�n [E3 p Inform lon. (All Inibmigon requlmd) Service SweC31 Ph rJ3 Ph Size: -sA Old Mets� New Ser%fto Fire Reconnect❑Flood Reconned[ISenrlce ReconnectQUndergmund Qd0fiead 1( N de ndLaterals I 2 H FramePots Word stone on Senwlce7 one Info ation: PERMIT# Address: Switches Outlets t GFI's Surface Sconces H H's 2 UC Lts Fridge HW POOL 1" Fans Mini Fr. W/D Panel Pump v�� Exhaust Oven Sump Heater < r Trnsfmr r Smokes DW Generator Salt Gen. Water Bond I e,,,l,y.�� Carbon Micro GrbDis Lights 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 BUILDING DEPARTMENT-EectfIC i j;§, W TOWN OF SOUTH OLD r € - 54376 Main Roe - 0 B 1'V19 2025 Town Hall Annex Southold!NSwr York 11971-0958 Telephone(531)765-1802 - FAX (631)98&-RW, rooerrCcDsoutholdtownnv Qov-seandt&aouthoWtow-TWA o-ti; APPLICATION FOR ELECTRICAL INSPECTION F ICIAN INF RMATION (Aii inib m uon Required) Date: 3 d — y Name: -s Name: Zf License No.: MLe-3 1011I Elec,®mall: a J 1v�2 5: I: . vo. o�► Elec. Phone No: 1• I request n®mall copy of Corn'#` a of Compliance Eloo Address.: JOB SITE INFORMATION (All Information Required) Name: A) .S 11 YIC""' Address: ) ce a C �U o �'" Cross Street: Phone No.- - - 0 73 0 BIdg.PSrm #: Small: Tax Ma Distric . 000 S 'on: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUD �3QUARE FO TAO (Please'Print Clear}: CU S, lare-, 1Fobtag8: Circle All That Apply: 0 Final Is job ready for inspection?: YES�NO [3,Rough In Do you need a Temp CerEificete?: ' EI YES ENO issued On Temp lntormation: (All information required) Service Slze[11 Ph rJ3 Ph Size: #�� --Old III®ter# ❑New SsrAce[]Fire Reconnect[]Fiood ReconnectC]Service RsconnectC3Underground[]Overhead #U ndo nd Laterals 1 2 H Frame Poie Work done on Service? Y N Ad �,...W DUE WrTH AP�L.tCptTtON PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. WAD Panel Pump '� Exhaust Oven Sump Heater. Trnsfmr 7-2- G Smokes DW Generator Salt Gen. q�xcj GrbDis Water Bond (Ol'v �7,�f Carbon Micro Lights I Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower 1 AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments /lob Tab -a � PROVED AS NOTED • APPROVED AS NOTED 0 DA E: �'�•� B.P.# S���o� r-" ATE: D-�� B.P.# �/�G.> FE .(Jv By. N i BUILDING DEPARTMENT AT E ����_�W__BY: - _ OTIF�B r— ( 63 -7 5-1802 8AM TO 4PM FOR THE BUILDING DEPARTMENTAT 31-765-1802 8AM TO 4PM FOR THE 1. L WING INSPECTIONS: OLLOwiNG INSPECTIONS: 1. FOUNDATION-TWO REQUIRED 1, FOUNDATION- - L 2. ROUGH-FRAMING&PLUMBING FOR POURED CONCRETE FOR POURED CONCRETE ON TWO REQUIRED _ 0 ROUGH-F 3. IN ULATION FRAMING&PLUMBING 0 4. FI AL-CONSTRUCTION MUST 3 INSULATION B COMPLETE FOR C.O. 4 FINAL-CONSTRUCTION MUST A C NSTRUCTION SHALL MEET THE BE COMPLETE FOR\ �f�4 9 � __.-� . ;:.;. _ _ _-�_- _ - - - ►l. C.O. \ \ RE UI EMENTS OF THE CODES OF NEW A CONSTRUCTION SHALL MEET THE R QCONST CONSTRUCTION IOTHECODES YO K STATE. NOT RESPONSIBLE FOR Y OF NEW -\ RK STATE. NOT RESPONSIBLE FOR a ,- a DE IG OR CONSTRUCTION ERRORS -� �-� - -�.- � _ _ _ - - - \ ' ^ D!SIGN OR CONSTRUCTON ERRORS - �: �- - C PANCY coo �- \ OR o�.�--�,, ;;�� :�=�=°.6=�-� -� � � J CO PLY WITH ALL ES 0'' O G` - - , n � — NEW ORK STATE&TOWN CODES �° '� - 5 IS UNLAWFUL yAS RE DUIRED AND CONDITIONS OF o 0 0 = �\ ! - 9 OUT CERTIFICATE— S"OL'To'v""A I CATS SOUtHOLD TOWN PLANNING IMM soUTpoTOm TRUSTEES ', \ I N.Y.S.DEC ELY SMD O CODE E TION \ UP ON COI' :PL }3 -FORE iWA ER" \ \ RETAIN STORM WATER RUNOFF PL RSUANT TO CHAPTER 236 Of THE TOWN CODE. %wo Ali Ii III \ O i 'I `•-/ I ' / ■ \ \ \ CL / \ Lu- W 'I I lJ-. i III II , / \ / IL CS> I _ \ \ i i U I / . \ I , r > \ / V 1 �� � ♦ /< 0 c cu i 02, I uo) jM3 101ii U) - - / c: IP \ \ 1,.., .� u�',_. ,v.._,Y" -�' ,�>ti r°,' v, >'�+' !s a-X�. !1 y }�y� 'f" ., + '�;1a. + .,,;°i:, a+.+ _v i�;' + `�,�� ✓ :�,�,:�.t �,��°y, v ,. l � "�a.r t ,err \ i� '.'� '*-v'11 i 'lmw, i� . .�. �' \Yf_ t""`"P' '�J•: : -: Jn_�, ,.u, 'h:y. �'''.;,^�`i T p.'"'.0 - d:.., � ti,i;-'wy wwx-I i � „ _ t�"-✓y,. N\`\\� N-':�1t, �;,� :'�� F� ' .\ /\ _��.., , 'y "'r.y �•r: ./�ti' .�';/v' ,�', r/" /� � "F' /rti', // .-j,...i=..'}`i;" Jr,., ,// ;:�, , �' - ;; ,j;y.= / / / rtnj r- \ �\, - rt .r' ti � - � / � / \�-�'� ran.. `.�"~ �� i\ t : - ,✓ \ \ 1F>r;,, ,'i� } { .k1 X.t S� # �./\ X 4�' ^tik •1 'R`�(�4.1 TA`.,t 1 -/,� n`r^'X r�y'n f'./.. 1 r�. 'r..��Jtt fib'"f�' I _ — . _ - _ _-_ _ -_ _ . __ . _ _ _ / LL. V V N - O N N � O O . ■ O . _ O U) _ ■ > � II (1) co _ 0 U) PROVIDED CONTINUOUS PROVIDE PAVING TO MATCH TERRACE PROVIDE PRE-FAB POOL POURED GUNITE BOND OVER AUTOMATIC POOL COVER BOX WITH COPING 24" W. WITH BEAM AND HAUNCH WITH REQUIRED 5.5. 5UPPORT'S FOR PAVING BULLN05E EDGE AT REQUIRED REBAR AS ANCHORED INTO POOL 5'TRUCTURE. POOL (TYP.) SHOWN ',,-I " STONE COPING 2'-711 AUTOMATIC POOL COVER. — d RA— — Y, ml SPEC- IFICATION5 FO IZ GRADE . NU ACTURER'S ap R S E .. n —r .............. .................--................--..-...............-.-..-.............-................--.-................-..........................--...-..................-.-...-...-.--.....................-...--...-......................................-.-....--.............................-.-.-._............................................... WATER LINE AND REQUIREMENT5--.. 3" CL #3 @ 1 2" O.C. VERT. PROVIDE CONTINUOUS POUR _ PROVIDE POURED STEPS INTO POOL WITH 5 EQUAL RISERS, TO BE POURED WITH #3 @ G" O.C. HORIZ: / BOND BEAM AND HAUNCH WITH POOL STRUCTURE WITH NO COLD JOINTS. MARBLE DUST FINISH ; :• / REQUIRED REBAR IN POOL MARBLE DUST FIN15H _ STRUCTURE BELOW FOR 1 2' 1 G' G' G' PAVING AS REQUIRED AT - _ •° - COPING SLOPE 4' PER FT. STONE TERRACE TO BE CONSTRUCTED AS A SLOPE 2" PER FT. MONOLITHIC STRUCTURE WITH SEAT POOL STRUCTURE WITH NO RADIUS 1 211 -- COLD JOINTS - TYPICAL B SLOPE 7/8" PER IT. SURROUND FOR POOL. - FLOOR b " COMPACTED GRANULAR 5ANQD GUNITE POOL STRUCTURE TO BE TYPICAL FLOOR - G" TH. � . DRAIN LINE FROM AUTOMATIC POOL - --- -- DRAIN FILL. COMPACT IN 1 2" LIFT5 _ CONSTRUCTED AS A CONTINUOUS SINGLE GUNITE WITH #3 REBAK5 AT G" COVER BOX TO DKYWELL TO 95% DENSITY. FILL BOTIH STRUCTURE WITH NO COLD JOINTS. UNDISTURBED SUBGRADE (TYP.)OC EACHWAY MIN. (TYP.) SIDES OF WAIL EVENLY (TYP-) PROVIDE REBAR AS SHOWN. POOL SECTION A - -- LIGHT 5 3/811 = 1 ' - ----- CONTROL PANEL 8' DIA. x 4' D DRYWELL FOR POOL BACKWASH - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ROT TUB PLAN = = = = - T -1 I POOL SKIMMER POOL SKIMMER POOL SKIMMER I I I I I I I I I I I I AUTOMATIC POOL COVER. i ( 40 - LOCATION I I I I I UNDERWATIER POOL I I LIGHT SWITCHED AT I I RESIDENCE PROVIDE PRE-FAB POOL COPING 2" x 1 2". WITH I I SHALLOW END BULL NOSE BOTH EDGES I p DEEP END WATER LEVEL: 4.5' DEEP N WATER LEVEL.: 8.0' PATIO PAVING DEEP I I I II T17.PROVIDE DRAIN WITH DRAIN ' GRADE I I I I COVER CONNECTED TO SUBSURFACE DRAINAGE I a PROVIDE CONTINUOUS POUR I DRYWELL (TYP.) G O BOND BEAM AND HAUNCH WITH I - I #3 @ 1 2" O.C. VERT. REQUIRED REBAR IN HOT TUB ° STRUCTURE BELOW FOR PAVING #3 @ G" O.C. HORIZ. AS REQUI RED.MONOLITHIC i STEPS INTO POOL I STRUCTURE HOT TUB I I STRUCTURE WITH NO COLD 5 RISERS I JOINTS HOT TUB SECTION B A I I I POOL RETURN POOL RETURN POOL RETURN I - - — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -J I Ll L - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - -- - - - - - - - - - -I I OOL COPING (TYP.) I NOTE: SEE SITE PLAN FOR LOCATION � 1= -J POIOL PLAN OF CODE COMPLIANT FENCE AND 3/811 = I , GATE, AND POOL EQUIPMENT. CLIENT/OWNER ISSUES REVISIONS PROJECT DRAWING No. CREATIVE YONG ,;< ,, ENVIRONMENTAL _v 510 SLEEPY HOLLOW LANE '` ``�'C;i` Robert I. Brown SOUTHOLD,NY u97i v ' >`� w 1 DESIGN SCTM No.1000- s-1-10.s Architect, P.C. NEW ' � ;R .-,, ' ; 239160 RTE225 20 Bay Ave. Greenport NY DRAWING TITLE > • SWIMMING '�� PECONIC, NY( info@ribrownarchitect.com POOL 631-734-79231 631-477-9752 POOL DETAILS _ creativeenvde.-sign@yahoo.com ATE IT IS VIOLATION OF THE LAW FOR ANY PERSON, UNLESS SCALE ACTING UNDER THE DIRECTION OF LICENSED ARCHITECT, Aug. 5 2024 TO ALTER ANY ITEM ON THIS DRAWING D ANY WAY.ANY , 3/8 �" _ �' AUTHORIZED ALTERATIN MUST BE NOTED,SEALED AND DESCRIBED IN ACCORDANCE WITH THE LAW. ' 4 {' `'�r� • / _, ` ,.mac •.�]I�. � ;; �, < � ' " . �' { 14 41 f � 1 }L p • — .tl - r �'. �� .cam `\� � I' �� r , ` '\a• `v' 'ra