HomeMy WebLinkAbout51002-Z of Sao ryo`o Town of Southold
* * P.O. Box 1179
�oA; 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47175 Date: 06/26/2026
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 425 Maple Ln Southold, NY 11971
Sec/Block/Lot: 64.4-2 5
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 06/14/2024
Pursuant to which Building Permit No. 51002 and dated: 07/30/2024
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 swimming pool fenced to code as applied for.
The certificate is issued to: John Rooney , Dorothy Phillips Rooney
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 113229 9/25/2025
PLUMBERS CERTIFICATION:
r
Autho ' d Si ature
TOWN OF SOUTHOLD
,;�suFfoc,�
y}� BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
oy • o� q�` 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#: 61002 Date: 7/30/2024
Permission is hereby granted to:
Rooney, John
PO BOX 1.622
Southold, NY 11971
To: Construct an inground swimming pool accessory to an existing single-family dwelling
as applied for. Pool and pool equipment must maintain a mininum side and rear yard
setback of 5 feet.
At premises located at:
425 Maple Ln, Southold
SCTM #473889
Sec/Block/Lot# 64.-1-25
Pursuant to application dated 6/14/2024 and approved by the Building Inspector.
To expire on 1/29/2026.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: $400.00
Building Inspector
NASSAU ELECTRICAL
SUFFOLK I N S P E C T 0 R S
159 Route 25A, Building 1 Suite B
Miller Place, NY 11764
Telephone:631 495 8136 • Fax:631 509 4538 • E-Mail:Requests@SuffolkBEI.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: Johnson Electrical Cont LLC Certificate No.: 113229
Rough In Inspection Date: Final Inspection Date: Sep 25,2025
Application No.: Building Permit No.: 51002
County Tax Map No.:
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described
below,instal:ed on behalf of the applicant named above,located at the premise of and not after the final inspection date above:
Owner: Dorothy Rooney
Site Location: 425 Maple Lane,Southold,NY 11971
Owner's Address(if different):
Residential ❑Indoor ❑Basement ❑Service ❑Shed
❑Commercial 0 Outdoor ❑First Floor 0 Pool ❑Hottub
❑New ❑Renovation ❑Second Floor ❑Attic ❑Garage
❑Addition ❑Survey ❑PV Solar ❑Generator ❑Conversion
- - - --- -- ----- ------------ ---------
❑Signs ❑Battery Storage ❑Safety Inspection Other::
INVENTORY
Single Phase 0 Heat 0 Duplex Recpt 0 Ceiling Fixture 0 Dual Func Breaker
Three Phase Hot Water GFCI Recpt Wall Fixture Smoke
Main Panel AC Cond Single Recpt 1� Recessed Fixture CO Detect
Sub Panel AC Blower Range Recpt LED Lighting Smoke CO Combo
Transformer Appliance Ckt Dryer Recpt Emergency Time Clock 1�
Disconnect 1� Switches t� Twist Lock Exit Fixtures Pumps Pool
GFCI Breaker 0 Heat Pump 0 Electric Heat Pool Luminaire 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: Johnson Electrical Cont LLC License No.: 58338-me
Date Printed: Sep 25,2025
Inspected By:Joe Coppola, .
Signature: Y
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(1ST) A \
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INSULATION PER N.Y. H
STATE ENERGY CODE 2
FINAL
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ADDITIONAL COMMENTS
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=�o�g°fF0(KcoG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
H Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y�o• �oo� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT EC E � W E
For Office Use Only R
PERMIT NO. I DO Building Inspector: `�U� 1 4 2024
Applications and forms must be filled out in their entirety. Incomplete Building Department
applications will not be accepted. Where the Applicant is not the owner,an Town of Southold
Owner's Authorization form(Page 2)shall be completed.
Date: 3
OWNER(S)OF PROPERTY:
Name: SCTM #1000`- 7 -'' -..-_----........--.------
Project Address:
Phone#: _ Email:
Mailing Address: �Z -/�c�n�_L _/.G�,2e.-,._.�� v.��._. ./l9�/_._
CONTACT PERSON:' '
Name: ------------.__..--------
Mailing Address: . ---
Phone#: 3_r._ 7�'1�'_�C _-.__.__--------------------.._. Email gCk i4-,X pe)4an I: r-le, n&1-
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address,--
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_o_ tee._ ..-�tJ _ - ----- --- -- ---- - ------
Phone#: L�31_-�3Y^7l��S� Email: �Ch� l�Ko���o�r►('� r)e^+�e�
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition [--]Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Will the lot be re-graded? 2Yes El No Will excess fill be removed from premises? des ❑No
1
PROPERTY INFORMATION
Existing use of property: ����i��ru,� ! Intended use f prop rty:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Ye o IF YES, PROVIDE A COPY.
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 210.45 of the New York State Penal Law.
Application Submitted By(print ame): 05�"�6\< WAuthorized Agent ❑Owner
Signature of Applicant: Date: &113 „2q
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New Y®rk
SS: No.01 BU6185050
Qualified in Suffolk County
Commission Expires Aprif 14,2��
COUNTY OF .
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
p 01day
of —J / P X_ , 20 a'�
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the,owner)
I, D7—fi<<,/ �iLf�LLi A; residing at 7 /�f LL 4'—,4/Njz SDoo—' 404b
do hereby authorize �¢�17c �UZJZ,S to apply on
my behalf to the Town of Southol Building Department for approval as described herein.
Owner's 1 nature Date
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Print Owner's Name
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: APPROVED AS NOTED
VING BOARD TO CONFORM WITH ANSI/APSP/ICC-5 SEC 6 DATE-7-3b 24 B.P # 100 L-
SOIL DISCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION OL MUST BE SURROUNDED BY A CONTINUOUS BARRIER CONSTRUCTED IAW REQ.OF SEC 326.4.2.1-R326.4.2.6 OF THE NYS RESIDENTIAL CODE(2020)AND ALL SECTIONS OF THE SOUTHOLD CODE FEE I d D'VO Bl(ALLS MAY SERVE AS PART OF THE POOL BARRIER AS PER SEC 326.4.2.8 AND ALL WINDOWS HAVE A SELF LATCHING DEVICE NOTIFY BUILDING DEPARTMENT AT
ESS GATES SHALL COMPLY WITH SEC R326.5.2 OF THE NYS RESIDENTIAL CODE(2020)AND BE SELF CLOSING,SELF LATCHING AND BE SECURELY LOCKED WHEN POOL IS NOT IN USE OR SUPERVISED. ALLL GATES ARE 631-765-1802 8AM TO 4PM FOITtHE
OPEN AWAY FROM THE POOL AREA. FOLLOWING INSPECTIONS:
RING CONSTRUCTION THE CONTRACTOR SHALL ERECT A TEMPORARY BARRIER AROUND THE EXCAVATION IAW CODE OF THE TOWN OF SOUTHOLD. FOUNDATION-TWO REQUIRED
7. POOL MUST BE EQUIPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AND SOUNDING AN AUDIBLE ALARM WHEN DETECTED THAT IS AUDIBLE AT THE POOLSIDE AND INSIDE THE FOR POURED CONCRETE
DWELLING.THE ALARM MUST BE INSTALLED,MAINTAINED AND USED IN ACCORDANCE WITH TEH MAUFACTURERS INSTRUCTIONS.THE ALARM MUST MEET ASTM F2208"STANDARD SPECIFICATION FOR POOL ALARMS".THE ROUGH-FRAMING&PLUMBING
DEVICE MUST OPERATE INDEPENDENT(NOT ATTACHED TO OR DEPENDENT ON)OF PERSONS. INSULATION
8. POOL SUCTION FITTINGS(EXCEPT FOR SURFACE SKIIMERS)MUST BE PROVIDED WITH A COVER THAT CONFORMS TO ASME/ANSI A!12.19.8M OR A MINIMUM 18'X23"DRAIN GRATE OR A CHANNEL DRAIN SYSTEM.POOL FINAL-CONSTRUCTION MUST
CIRCULATION SYSTEM MUST BE EQUIPTED WITH ATMOSPHERIC VACUUM RELEIF.SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME Al 12.19.17 OR BE A GRAVITY SYSTEM APPROVED BY THE TOWN OF BE COMPLETE FOR C.O.
SOUTHOLD.POOL SALL BE PROVIDED WITH A MINIMUM OF 2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE.THE SUCTION FITTINGS SHALL BE SEPARATED BY A MINIMUM OF 3'AND MUST BE PIPED SUCH THAT WATER
IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS).VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN ACCESSIBLE POSITION,MINIMUM OF 6"AND ALL CONSTRUCTION SHAD.MEET THE
NO GREATER THAN 12"BELOW THE MINIMUM OPERATIONAL WATER LEVEL.OR BE AN ATTACHMENT TO THE SKIMMER/SKIMMERS. A REQUIRED POOL ATMOSPHERIC VACUUM RELEIF SYSTEM SHALL BE INSTALLED AS PER REQUIREMENTS OF THE CODES OF NEW
NYS RESIDENTIAL CODE R326.6.3(2020)AND IN ACCORDANCE TO TOW CODE YORK STATE, NOT RESPONSIBLE FOR
9. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC),PRINCIPALLY ARTICLE 680 AND THE NYS RESIDENTIAL CODE SECTION 4102 THROUGH 4106.ALL ELECTRICAL DEVICES MUST BE DESIGN OR CONSTRUCTION ERRORS
APPROVED BY UNDERWRITERS LABORATORIES AND BE PROTECTED BY A GOUND FAULT CURRENT INTERRUPER(GFCI).CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE PROVIDING POWER TO POOL
LIGHTING AND POOL EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4203.5. ALL METAL ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY BECOME
ELECTRICALLY CHARGED DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED. COMPLY WITH ALL CODES OF
10. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING CODE 608. NEW YORK STATE&TOWN CODES
11. ALL PIPING IS bIAGRAMMATIC UNLESS OTHERWISE STATED. AS REQ IREDM�A�,rNruD CnnONDITIONS.OF
12. WALKS,IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM THE POOL EDGE. - sounw WNa
13. A MEANS OF EGRESS FROM DEEP AND SHALLOW ENDS MUST BE PROVIDED IAW ANSI/NSPI-5 SECTION 6.
SOUiNO MWNR MNG BOARD
14. CONTRACTOR TO PLACE THE POOL IAW TOWN OF SOUTHOLD CODE SETBACKS.
15. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY. NYS.DEC
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16 THE DESIGN IS BASED ON A 1RAINAGE SOIL WITH<10%SILT.GROUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION. IF GROUND WATER EXISTS WITHIN 6'0"FROM GRADE,DEWATERING FACILITIES WILL BE SOU MHPV
REQUIRED.
17 ALL GAS AND OIL WATER HEATERS(IF INSTALLED)FOR THE IN-GROUND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY CONSERVATION ACT(NAECA)COMPLIANT.POOL HEATERS SHALL BE TESTED IAW ANSI
Z21.56 AND.SHALL BE INSTALLED IAW MANUFACTURERS SPECIFICATIONS.OIL FIRED POOL HEATERS SHALL BE TESTED IAW UL726.POOL HEATERS SHALL BE LOCATED OR GUARDED TO PROTECT AGAINST ACCIDENTAL
i CONTACT OF HOT SURFACES BY PERSONS.POOL HEATERS SHALL BE PROVIDED WITH TEMPERATURE AND PRESSURE-RELIEF VALVES.A BYPASS LINE SHALL BE INSTALLED FROM THE INLET TO OUTLET TO ADJUST WATER
FLOW THROUGH THE HATER.POOL HEATERS SHALL BE PROVIDED WITH THE FOLLOWING ENERGY CONSERVATION MEASURES:
17.1 ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE OPERATION OF THE HEATER WITHOUT ADJUSTING THE THERMOSTAT SETTING AND TO ELECTRICAL
ALLOW RESTARTING WITHOUT RELIGHTING THE PILOT LIGHT. AT LEAST ONE THERMOSTAL MUST BE PROVIDED FOR EACH HEATING SYSTEM.HEATED SWIMMING POOLS SHALL BE EQUIPTED WITH A POOL COVER.(exempt INSPECTION REQUIRED
FROM THIS ARE OUTDOOR POOLD)DERIVING 20%OF THE ENERGY FOR HEATING THE POOL FROM RENEWABLE SOURCES OVER AN OPERATING SEASON.
17.2 TIME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS,AND CAN BE SET TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER IN A
CLEAN AND SANITORY CONDITION IAW APPLCIABLE SANITORY CODE OF NEW YORK STATE.
RETAIN STORM WATER RUNOFF
18 BACKFILL WILL BE DONE WITH CLEAN EARTH FREE OF ROOTS AND DEBRIS. BACKFILL HEIGHT AND WATER LEVEL TO BE WITHIN 8"OF EACH OTHER. PLACE CONCRETE ON SANDY LOAM SOIL. CLAY TO BE REMOVED AND PURSUANT TO CHAPTER,236
REPLACED WITH SANDY LOAM. OF THE TOWN CODE
19 THERE ARE MAIN DRAINS IN THIS POOL.THERE ARE TWO APPROVED SUCTION OUTLETS WITH A MINIMUM OF T OF SEPARATION. THE SUCTION OUTLETS ARE PIPED SO THAT WATER IS
DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM-RELEIF-PROTECTED LINE TO THE PUMP.COMP I WITH ENTRAPMENT PROTECTION AS PER CODE.
20 THE POOL WAS DESIGNED REFERENCES AS THE FOLLOWING:
20.1 THE RESIDENTIAL BUILDING CODE OF NEW YORK STATE(2020)SEC R326 of I.D £W YOp
20.2 THE ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE(2020)SEC R403.10 . �YO�
2 3 THE FUEL GAS CODE OF NEW YORK STATE(2020)
26.4 THE NEW YORK STATE SANITORY CODE. r I ? `.i=
20.5 ANSI/APSP/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS. �% '� �_� POOL NOTES SCALE: . NTS
20.6 BOCA CODE SECTION 421. 07 P�' JAMES DEERKOSKI, P.E. DATE: 10/2/2020'
20.7 CODE OF THE TOWN OF SOUTHOLDOFESS� 260 DEER DRIVE
MATTITUK, NEW YORK 11952 DRAWING NUMBER
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POOL SECTION
Complies.With
2020 Code Section'3032.1`_303.4 Swimming Pools,Spas and Hot Tubs AROFESS%O P
Sdction'R326'ofthe-Resideritial Code of New York
_—_—__---- —===y------------- Section 3'109 of the Building Code of New York
Section N1103.12(R403:12)Residential Pools and Permanent Residential Spas POOL,' E.RECTANGLE REV. SCALE: NT$
Section31093.12-3.10974 Pools and Spas Gates,Barriers JAMES'DEERKOSKI,F.E.
Section G106 Entrapment Protection .. DATE:
TYPICAL PRIEk.$TIFFNER G107 Alarms 260 DEER DRIVE
Section t4201—E4312 bddiical Connections for Pools MATTITUK;NEW YORK 11952 DRAWING NUMBER
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