HomeMy WebLinkAbout43234-Z FULA�, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 43234 Date: 11/20/2018
Permission is hereby granted to:
Goodman, Sheldon &Audrey
7270 Sidonia Ct
Boca Raton, FL 33433
To: construct accessory in-ground swimming pool as applied for.
At premises located at: s. /0
1860 N Bayview Road Ext, Southold
SCTM # 473889 Norte( 11r_
Sec/Block/Lot# 79.-6-3.4
Pursuant to application dated 11/13/2018 and approved by the Building Inspector.
To expire on 5/21/2020.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
I in nspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is,
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. 11/13/2018
New Construction: Old or Pre-existing Building: Yj (check one)
Location of Property: 1860 N. Bayview Road Extension, Southold, NY 11971
House No. Street Hamlet
Owner or Owners of Property: Sheldon J. Goodman $Audrey R. Goodman
Suffolk County Tax Map No 1000, Section 79 Block 6 Lot 3.4
Subdivision Filed Map. Lot:
Permit No.-q& ` Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
FIELD INSPECTION REPORT7 DATE COMMENTS
FOUNDATION (1ST)
y
------------------------------------
'FOUNDATION (2ND) r7
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ROUGH FRAMING&
PLUMBING
fill—
INSULATION PER N.Y: y
STATE ENERGY CODE
CA
FINAL
DITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX.: (631) 765-9502z J2 Survey
SoutholdTown.NorthFork.net PERMIT NO. J � Check
Septic Form
O D.E.C.
Trustees
� o C.O.Application
j� Flood Permit
Examined v ,20 � Single&Separate
OV (� 2� Storm-Water Assessment Form
Contact:
C'a r4h�.
Approved ,20 � ���`� Mail to:
M c_
Disapproved a/c YQ�`
�® Phon
Expiration ,20
1346&AYpector
APPLICATION FOR BUILDING PERMIT
Date November 13 2018
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
c.The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 ojalterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, rdmances,building code, g co e,and regulati ,and to admit
authorized inspectors on premises and in building for ne ary inspections.
(Signature of app ' or name,if a corporation)
46520 County Road 48,Southold,NY 11971
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
AGENT
Name of owner of premises Sheldon J. Goodman &Audrey R. Goodman
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
1860 N. Bayview Road Extension, Southold, NY 11971
House Number Street Hamlet
County Tax Map No. 1000 Section 79 Block 6 Lot 3.4
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work(check which applicable): NewBuilding Addition Alteration
Repair Removal Demo'liti'n �4a Other Work Inground swimming pool
` ; ..7 (Description)
4. Estimated Cost Fee
(Tobe.,paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units-on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 151.84' Rear 150' Depth 432.66'
10. Date of Purchase 9/25/2013 Name of Former Owner Judith H. Bicker&Alvin A. Bicker
11. Zone or use district in which premises are situated R-40
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO X
13. Will lot be re-graded? YES NO X Will excess fill be removed from premises?YES X NO
Sheldon J.&Audrey R.Goodman 7270 Sidonia Court, Boca Raton Florida 33433 561-393-0087
14.Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO X
* IF YES,D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO X
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Ruth Love being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Agent
(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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day N yember 2018
THOMAS J.McCARTHY
Notary u .Ic,State d Non York Signature of Applicant
of u lic .N 6:-,r-o
�' Suffolk County �-.o.„�, ,r�0
r.o mmisslan[*,,,:.c3 23.t_
al
p
Scott A. Russell d°SUFR
'�v STOW�v1[��VA\'7[']E][�
SUPERVISOR � - ; - � Iw1[A\1vA\G]ElM[]ENT
SOUTHOLD TOWN HALL-P.O.Box 1179 0 _
53095 Main Road-SOUTHOLD,NEW YORK 11971 �i, Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANy OlF THE (FOLLOWING:
Yes No (CHECK ALL THAT APPLY)
[:]El A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑0 B. Excavation or filling involving more, than 200 cubic yards of material
within any parcel or any contiguous area.
❑D C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑E] D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
0 E E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
❑Fj] F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax,Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date:
District
NAME th Lov ,Agent 79 6 3.4 11/13/2018
Section Block' Lot
Contact Information
6312-765-5815 FOR BUILDING DEPARTMENT USE ONLY
C 1,p-N--j
Reviewed By:
Property Address/ Location of Construction Work: _ _ _ _ _ _ _ Date_ ��_�j�
1860 N. Bayview Road Ext., Southold Approved for processing Building Permit.
Stormwater Management Control Plan Not Required.
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM * SMCP-TOS MAY 2014
S.C.T.M. N0, DISTRICT:. 1000` SECTION: 79 -BLOCK:- `6 LOT(S):-3.4
NORTH B,AXVIE�V R-0A
EXT.
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1;50,00
OF LOCATIONS SHOWN.ARE FROM FIELD .OBSERVATIONS
PEREZ AND OR DATA•OBTAINED FROM OTHERS
AREA: 63,899.9 S.F. OR 1.47 ACRES ELEVATION DATUM: _________________________
UNAUTHORIZED A.LITERAT70N OR ADDITION TO THIS SUR x;ts A VIOLATION OF SECTION 7209 OF ,THE NEW YORK STA-TE EDUCATION LAW.' COPIES OF THIS;SURVEY
MAP NOT BEARING THE LAND SURVE'YOR'S EMBOSSED SEAL SHALL NOT BE 'CONSIDERED "TO`BE,A VALID TRUE COPY, 'GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE_COMPANY, ,GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITU770N, GUARANTEES,ARE NOT TRANSFERABLE,
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 'THE PROPERTY LINES TO -THE STRUCTURES'ARE FOR A SPECIFIC,PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT 7HE PROPERTY LINES OR TO GUIDE 7HE ERECTION OFFENCES, ,ADDITIONAL STRUCTURES. OR, AND OTHER IMPROVEMENTS.' EASEMENTS
AND%OR SUBSURFACE STRUffURES,RECORDED OR UNRECORDED ARE,NOT GUARANTEED UNLESS'PH YSICALL Y EVIDENT ON THE,PREMISES,AT THE TIME ;OF'SURVEY
SURVEY OF: DESCRIBED, PROPERTY CERTIFIED `TO: SHELDON J. GOODMAN;
MAP OF: AUDREY R. GOODMAN;
rILED: FIDELITY NATIONAL TITLE ;INSURANCE COMPANY;
SITUATED AT; SOTTHOLD
COURTESY WELLS FARGO _,HOME MORTGAGE;
TOWN OF. SOUTHOLD C❑P Y KENNETH' -M. WOY.CHUK L.S.
SUFFOLK COUNTY, NEW. YORK Land Surveying'sand ,Design
P.O. Box '3, Mattituck, .New York,, ;11952
FILE # 1'3-140 SCALE: 1 =40' 'DATE:, AUG., ',9, -2013 PHONE (631)- 298-158B, �F'AX (631),'298-1588'
'N. ,Y.,S. LIC,NO. 50227 maintaining the records,oP'Robert J, Hennessy
6A1
APPR VED AS NOTED
DATE: B.P.'# 9 �3 RETAIN STORM
VVATER I3UPJ0FF �
Lf
FEE: BY: aft j 'PURSUANT TO CHAPTER 236
NOTIFY BUILDING DEPAR ENT AT ' - OF THE TOUIW CODE.
765-1802 8 AM TO 4 PM FOR THE 4 :
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
.FOR POURED 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 CONSTRUCTION ERRORS. INSPECTION REQUIRED
--sfa..�:.=-• - .,.n>c:+nom;f.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES r ` IMA Im )l ;r
AS REQUIRED AND CONDITIONS OF N�CLOSE POOL TO CODE
E 6PON COifAPLETION
I RHDI D TOWN ZRA w, ;BEFORE"WATER°'
D
�Y.S,BSo
OCCUPANCY OR
USE IS UNL.AWFU6e
WITHOUT CERTIFICATC
OF OCCUPANCY
I
f
_DIVING BOARD SPECIFICATIONS
4(Y MAX LENGTH DIVING BOARD 81
JUMP BOARD 6'
I
P OF DIVING BOARD
'WATERLINE
6' 4' MINIER DEPTH
20' 8' 12' YPE II 4'-0'EEP END SLOPE
A-FRAM D Tet_ DECK SUPPORT DETAIL
carr Amm
6'
4, A-FMW
amm
R68TYPICAL PANM
MANDATORY ROPE AND (4) PLACES Pte'
FLOAT 12 INCHES FROM m
SLOPE CHANGE jtm,,& u+�F
srAr�
FINISHED FINISHED SWAM
DEPTH e• DEPTH 3'-4• g,_6,PANEL NOTES. MM rflic�"� A`""`�C"" rAsm�ro IMT
HEIGHT �nrc mrAuATM
I) THIS IS A TYPE II POOL, DEPTH AND SHAPE pF PppL
MEETS MINIMUM STANDARDS OF THE INTERNATIONAL
RESIDENTIAL CODE 2000 AG103.1 (ANSI/NSPI-5 1995) AND
BOCA 1996 FOR RESIDENTIAL USE WITH DIVING BOARD.
2 INCHES SAND 2) ALL A-FRAME BRACES WILL BE MOUNDED WITH
OR VERMICULITE A MINIMUM OF (1) CUBIC FOOT OF
4' 8' RETE, 13R A
14' 14, 6' POURED CONTINUOUS CONCRETE PENRIMETER COLLAR.
3) MAXIMUM DIVING BOARD LENGTH IS 8 FEET.
4) 'NO DIVING' LABELS MUST BE INSTALLED AROUND
WARNING! SHALLOW END OF POOL.
SWIMFAIAFE
DLS ARE R DEALER F GOR�SAFETOUS YN USED IMPROPERLY.
SM/IMMING PDDLS. n I$TFIE REA RESPOTXW NSIBILITY AREA, 800 SR, FT, I N T E R P 0 0
OFICIALS, BUILDERS AND HOMEDVNERS TD FOLLOW PERIMETERr 120FT.
RECOMMENDATIONS OF N.SP,I., ALL LOCAL VQLUMEr 30,500 GALS 20' X 40' RECTANGLE WITH 6' RADIUSAND EQUIPMENT MANUFACTURERS,
CORNERS & 8' FIBERGLASS STEP
DATEt 02/03/03 SCALE,NONE
DRAWN BYr T.F. ACADREFrSDR7Do4o