HomeMy WebLinkAbout44126-Z �� gVFPQt � Town of Southold 8/29/2020
P.O.Box 1179
b
53095 Main Rd
o� p� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41395 Date: 8/29/2020
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 470 Goose Creek Ln, Southold
SCTM#: 473889 See/Block/Lot: 79.-1-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/15/2019 pursuant to which Building Permit No. 44126 dated 9/4/2019
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:
accessoryground swimming pool fenced to code as applied for.
The certificate is issued to Rubinstein,Richard&Alice
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44126 11/4/2019
PLUMBERS CERTIFICATION DATED
t Signature
�gUEot TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a 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#: 44126 Date: 9/4/2019
Permission is hereby granted to:
Rubinstein, Richard &Alice
27 W 55th St Apt 71
New York, NY 10019
To: construct accessory in-ground swimming pool as applied for per DEC & Trustees
approvals.
At premises located at:
470 Goose Creek Ln, Southold
SCTM # 473889
Sec/Block/Lot# 79.-1-5
Pursuant to application dated 8/15/2019 and approved by the Building Inspector.
To expire on 3/5/2021.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
9
Builhintor
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 Q
Date.
New Construction: J(oA- ... Old or Pre-existing Building: (check one)
Location of Property: 43_cO C C-e_e�
House No. �Stree�t� Hamlet
Owner or Owners of Property: g�9�'1
Suffolk County Tax Map No 1000, Section Block C\ Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Ap icant Signature
V,
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
, siding at q7 P AW ck-eeK
(Print property owner's name) (Mailing Address)
7( do hereby authorize
CtL-
(Agent) FMD f o eL 06!
our
to apply on m.,�behalf to the
Southold Building Department.
12
(Owner's Signature) (Date)
TI CA c,-ord -Vv� (q;(-(-11,C
(Print Owner's Name)
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Richard Rubinstein
Address: 470 Goose Creek Ln city Southold st: NY zip. 11971
Building Permit#. 44126 section 79 Block 1 Lot. 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA. Platinum East Electric License No: 34091-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1 st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures CO Detectors
Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 2
Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment Salt Generator Power Center, Pool Heater, 30OW Transformer for Pool Lighting,
Pump on 220GFI Breaker, Pool Lights on 120GFI Breaker, GFI on 120 Breaker, Intermatic Panel-
Notes 8 Circuits-4 Circuits Used.
New Pool
Inspector Signature: ate: November 4, 2019
S. Devlin-Cert Electrical Compliance Form.xls
# # TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
IN-SPECTI ON
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ '] FOUNDATION 2ND -[ r-FINAL
ULATIO LK G
]- FRAMING/STRAPPING [
[ ] FIREPLACE & CHIMNEY ' [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION-
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE I( 100 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION(IST)
H
--------------------------------------
FOUNDATION (2ND)
z
H
ROUGH FRAMING& y O
PLUMBING
1*1
r
INSULATION PER N.Y. y
STATE ENERGY CODE
c
FINAL
.ADDITIONAL COMMENTS
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1
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the,'following,before applying?
TOWN HALL Board of Health;
SOUTHOLD,N,h,11971 4 sets of Building Plans
TEL: (631) 765.1802 - Planning Board'approval
FAX: (631) 765-9502 ' Survey
Southoldtownny.gov PERMIT NO. Check'
r Septic Form `
MY S.D.E.C1
Trustees
C.O.Application
Flood`Permit
Examined '20 Single&Separate
Truss Identification Form
Storm-'Water Assessment Form
Contact:
Approved q [4 20 Mail to:
Disapproved a/c `` �� r
Phone:
Expiration ,20vo PO
h
B di ns ector
AUG 1 5 2019 APPLICATION FOR BUILDING PERMIT
- J Date AILAQ&k 20
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. Eyefbuilding permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or Lias 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, or 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 for necessary inspections.
1' (Signat re f a plicant or name,if a corporation)
(Mailing address of applicant)
J19sV
State whether applicarit is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
-(As on the tax roll or latest deed)
If applicant is a corporation; signature of duly authorized officer
(Name,and title,of co orate 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:
House'Number Street Hamlet
-County Tax Map No. 1000 -Section —49 Block Lot
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 V
3. 1 Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work 2- 'j -
4. Estimated Cost
`� 4 1 ` Fee (Desc`'t ption %
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
>garage, number of cars
-,6; ftbusiness, 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 Rear Depth
10 Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO
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? *YESK_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 O
* 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 �T Plr-k
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named, CONNIE D.BUNCH
Notary Public,State of New Yorn
(S)He is the No.01BU6185050
ZE�bntractor, Agent, Co rate Officer, etc.) Commission Expires Aorif 146*D
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 thi
day of 20L
elz�nrV4 /L
Notary,Public Si nature o Applicant
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): New Building Addition Alteration
Repair Removal • Demolition Other Work
p�
(Jest ption
4. Estimated Cost �t, d' - 0 Fee ;
(To be paid on filing this application)
5. If ZWplling, number of dwelling,units Number of dwelling units on each floor
. garage, number•of'cars,
6. l 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:wtith alterations,or"ad:ditions: Front Rear
Depth Height _ Number of Stories
8. Dimensions of entire new construction: Front_ `l Rear Depth
Height Number of Stories '
9. Size of lot: Frorft° Rear Depth
-------------
tJ=; s
10. Date of Purchase Name of Former Owner
11. Zone,or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or:r,•ggulation ,YES. .,; NO •.
13. Will lot be re-graded? YES NO Will excess fill be.removed from-premis,es?YES NO
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, feet of a tidal wetland or,a freshwater wetland? *YES�N0
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C."PERMIAY BE REQUIRED.
b. Is;this,prop erty,within,,3 00,feet,of a tidal.wetland? *,YES T--NO
* 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 r*estrietio6with respect to this property? * YES NO
* IFXES, PRO'V•IDE A COPY.',
STATE•OF NEW'YORK)
SS:
COUNTY OF )
:;,,being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, CONNIE D.BUNCH '
Notary Public,State of New York
(S)He is the No.01BU6185050
ZOontractor,Agent, Co rate Officer,etc.) Commis sio�i°l xoife�A%L unly
2Q-4Z
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 thi
- 54 day of 1.20 N 1 r
-�/ //
4-1
Notary Public Si nature o Applicant
,JFSOUTHOLD BUILDING PERMIT APPLICATION CHECK__
,A)ING DEPARTMENT Do you have or need the following,before applying?
JWN HALL Board of Health
SOUTHOLD, NVA
j'.;1971 4 sets of Building Plans
TEL: (631) 765-4902 Planning Board approval
FAX: (631) 765-9502 Survey
Southoldtownny.gov PERMIT NO. OC Che6kSeptic Form
NX S.D.E.C.
Trustees
C.O.Application
FloodPermit
Examined 20_3 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
q A Contact:
Approved 14 20 Mail to:
Disapproved a/c
Phone:
Expiration 20
r
Bi dY nS ector
L AUG 1 5 7.019 APPLICATION FOR-BUILDING PERMIT
Date.A 10 .32019
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-appkcation 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 dateAf 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 HEREB')'MADE to the Building be'partffien I t'for the issuance of a Building Permit,pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk'County,NewYork, and other applicable Laws;Ordinances or
Regulations, for the construction of buildings, additions, or 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 for necessary inspections.
(Signatire Wla plicant or name, if a corporation)
a, 365
(Mailing address of applicant)j19'r;V
0(3
State whether applica t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
U
Name of owner of premises
(As on the tax r6_11 or latest deed)
If applicant is a corporation,,'0g,pature of duly authorized officer
(Name,qR lide','of c'or', orate officer)
_P
Builders Li&nse No.,
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section -49 Block Lot
�• .r51/t :jz:•i:y _1* .._ _. ` �..�j� i� ,�• .'t��,�.nP:• - •�''',.�`w�` ' - �'�°!ii il�r _. --'.��', i'� ".
., ` •• �stfai�\ 'l`aY'�����r v'" ,may W'`v -,�3����~f 'f+5• � , `;5'�'��6 •?�� ��
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BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD,NEW YORK
PERMIT NO. 9106 DATE: OCTOBER 18,2017 '
ISSUED TO: JOHN RUMPLER
PROPERTY ADDRESS: 470 GOOSE CREEK LANE,SOUTHOLD '
1
SCTM# 1000-79-1-5
AUTHORIZATION
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 18,2017, and
s in consideration of application fee in the sum of$250.00 paid by John Rumpler and subject to the Terms and
Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the ;
following: s
Wetland Permit to construct a 161x32' in-ground swimming pool with a 4'wide on-grade brick f K
walk around pool; install an 8'x8' pool drywell to contain pool backwash; install a 6'x8' pool '
equipment area; and install 4' high pool enclosure fencing,and as depicted on the revised
project plan prepared by McCarthy Management,Inc.,received on December 13,2017,and
stamped approved on December 13,2017.
" L IN WITNESS WHEREOF, y Corporate t
the said Board of Trustees hereby causes its Co orate Seal to be affixed
and these presents to be subscribed by a majority of the said Board as of this date. .
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v` ti ze
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at�an�ame.:a,7.i1:.��.`7xs�•rn `nrm�c^+c-xn•o.,,xn�,a 1, -r
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eJ�' i^ :l 1 �t�v ;� :� ' �. r•'-_? .�ti`
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Glenn Goldsmith,President 1.0114• Town Hall Annex
Michael J.Domino,Vice-President -�Q �' 54375 Route 25
P.O.Box 1179
John M.Bredemeyer III ; t Southold,New York 11971
A.Nicholas Krupski f _ �• Telephone(631)765-1892
Greg Williams Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
1732C Date: July 20,2020
THIS CERTIFIES that the construction of a 16'x32''in-Around swimming pool with a 4' wide
on grade paver walk around pool.• (excluding waterside portion of tiool)•construct a 349sg.ft. on-grade
paver patio with 83'x30' platform and "e s-, install an 8'x8'"pool dDyell to contain pool backwash;
install a 6'x8' pool equipment area"and install 4' high Wool enclosure fencing;
At 470 Goose Creek Lane.'SouthoId
Suffolk County Tax Map#1000-79-1-5
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated August 21,2017 pursuant to which Trustees Wetland Permit#9106 Dated
October 18,2017,was issued and Amended on March 23,2018 and Amended again on
February 12,2020 and conforms to all of the
requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is for the construction of a 16'x32' in- rg ound
swimming pool with a 4' wide on grade paver walk around pool; (not including waterside portion of
pool) construct a 349sq ft on grade paver patio with 83'k30' platform and steps,• install an 8'x8' pool
dry^yell to contain pool backwash. install a 6'x8' pool equi ment area., install 4' high pool enclosure
fencing.
The certificate is issued to Richard&Alice Rubinstein owners of
e afor d' perty�
Authorized Signature
i
Aft
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION somw
Facility DEC ID 1-4738-00497
PERMIT
Under the Environmental Conservation Law ECL
Permittee and Facility Information
Permit Issued To: Facility:
RICHARD RUBINSTEIN RUBINSTEIN PROPERTY
27 W 55TH ST APT 71 470 GOOSE CREEK LNjSCTM# 1000-79-1-5
NEW YORK,NY 10019 SOUTHOLD,NY 11971
(216) 403-0002
ALICE RUBINSTEIN
27 W 55TH ST APT 71
NEW YORK,NY 10019
Facility Application Contact:
THQMAS J MCCARTHY
46520 CO RD 48
2
SOUTHOLD,NY 11971
Facility Loc ' �3` lI SUFFOLK COUNTY Village: Southold
Facility P� 6pal Reference Point: : 717.318 NYTM-N: 4547.466
Latitu e.- - 2'58.0" Longitude: 7
Project Location: 470 Goose Creek Lane - Waterco e o I
Authorized Activity: Install anew pool, fence, decks and pool drywell. Create a 13.3-foot-wide non-
fertilized buffer of native vegetation. All authorized activities must be in strict conformance with the
attached plans stamped NYSDEC approved on May 21, 2019.
Permit Autllorl aions
Tidal WetlaiRds -Under Article 25
Permit ID 1-4738-00497/00009
New Permit Effective Date: 5/21/2019 Expiration Date: 5/20/2024
Page 1 of 6
Am
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
)facility DEC ID 1-4738-00497
NYSDEC Approval
By acceptance of this permit,the permittee agrees that the permit is contingent upon strict
compliance with the ECL, all applicable regulations, and all conditions included as part of this
permit.
Permit Administrator:LAURA F . • s &Veputy Permit Administrator
Address: NYSDJ C6f egion 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY 11790 -3409
Authorized Signature: Date 5-
Distribution List
THOMAS J MCCARTHY
Marine Habitat Protection
LAURA F STAR
e Com n
NATURAL RESOURCE PERMIT CONDITIONS
I
GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
NAT O - Pyo a olio img
1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous
location on the worksite and adequately protected from the weather.
2. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee
and contractor shall sign and return the top portion of the enclosed notification form certifying that they
are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion
of project, the bottom portion of the form must also be signed-and returned, along with photographs of
the completed work.
3. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to
escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete
trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or
waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms.
Page 2 of 6
Aft
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION v
Facility DEC ID 1-4738-00497
4. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from
construction of this project shall be completely removed from the,adjacent area(upland) and removed to
an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas.
5. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or
excess excavated materials shall be immediately and completely disposed of in an authorized solid waste
management facility. These materials shall be suitably stabilized as not to re-enter any water body,
wetland or wetland adjacent area.
6. No Disturbance to Vege°fated Tidal Wetlands There shall be no disturbance to vegetated tidal
wetlands or protected,buffer areas as a result of the permitted activities.
7. Storage of Eghipment,Materials The storage of construction equipment and materials shall be
confined within the project work area and/or upland areas greater than 75 linear feet from the tidal
wetland boundary.
8. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be
stabilized with appropriate vegetation(grasses, etc.)immediately following project completion or prior
to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours
or planting is impractical due to the season,then the area shall be stabilized with "straw or hay mulch-or
jute matting until weather conditions favor germination.
9. VwKnautaww&d"6� ,
approval from the depart e t ermit,modification, amendment).
10. Estahl Vegetated Buffer To pro he values of the tidal wetlands, a permanent vegetated `
buffer zone shall be established. There shall ben *sturbance to the natural vegetation or topography;
Within an area extending 13.3 linear feet as per plans dated November 7,-2018.
11. Install,Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt
fencing, etc., are to be placed on the downslope edge of any disturbed area. This sediment barrier is to
be put in place before any disturbance of the ground occurs and is to be maintained in good and
functional condition until thick vegetative cover is established. _
12. No Pd��a g s o � ai ib" g o W ' ectly or
indirectly into wetlands or protected buffer areas.
13. Plant Beach Grass American Beach Grass must be planted as per plans dated November 7, 2018.
18 inch centers may be used on landward slopes and level grades. The permittee shall maintain plantings
at a minimum survival rate of at least 85% for a period no less than 5 years.
14. Contain Exposed, Stockpile%Soilftc�,iQ"ne.
s All disturbed areas where s 'lbe temporarily exposed or
stockpiled for longer than 48 hourd big o s line of staked haybales/silt
curtains (or other NYSDEC approved devices)placed on the seaward side between the fill and the
wetland or protected buffer area. Tarps are authorized to supplement these approved methods.
15. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional
condition until the project has been completed and the area has been stabilized.
Page 3 of 6
Aft
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-00497
16. State Not Liable for Damage The State of New York shall in no case be liable for any damage or
injury to the structure or work herein authorized which may be caused by or result from future operations
undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no
claim or right to compensation shall accrue from any such damage.
17. State May Order Removal or Alteration of Work If future operations by the State of New York
require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the
Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation
of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause
loss or destruction of the natural resources of the State,the owner may be ordered by the Department to
remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State,
and if,upon the expiration or revocation,o�irse" t��� fill, excavation, or other
modification of the watercour reby authorized shall not be coinple e e owners, shall,without
expense to the State, and t • ch extent and in such time and manner as the ent of
Environmental Conservation may require, remove all or any portion of the uncon� ed structure or fill
and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall
be made against the State of New York on account of any such removal or alteration.
18. State AIA*y Require Site Restoration If upon the expiration or revocation of this perm.ii;the
project hereby authorized has not been completed,the applicant shall,without expense to the Stgte, and
to such extent and in such time and manner as the Department of Environmental Conservation may
lawfully require,remove all or any portion of the uncompleted structure or fill and restore the site to its
formet condition., No claim shall be made against the State of New York on account of any such
removal or alteration.
19.J Conformance With Plans All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the appy�eaY� ' l�t'ct3 � t��s � t� bn.
Such approved plans were prepared by John T. Metzger, last revised November 7, 2018 and pl '
plans, both stamped NYSDEC approved on May 21, 2019 .
20.'Precautions Against Contamination of Waters All necessary prec u gin shall be taken to
preclude contamination of any wetland or waterway by suspended so s, sediments, fuels, solvents,._
lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials
associated with the project.
GENERAL CONDITIONS - A ° L Aust o ized Permits:
1. Facility Inspection by The Department The permitted site or facility, including relevant records, is
subject to inspection at reasonable hours and intervals by an authorized representative of the Department
of Environmental.Conservation(the Department) to determine whether the permittee is complying with
this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301
and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection
to the permit area when requested by the Department.
Page 4 of 6
Am
NEW YORK STATE DEPARTMENT OF'ENVIRONMENTAL CONSERVATION �
Facility DEC ID 1-4738-00497
A copy of this permit, including all referenced maps, drawings and special conditions,must be available
for inspection by the Department at all times at the project site or facility. Failure to produce a copy of
the permit upon request by a Department representative is a violation of this permit.
2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly
provided for by the Department, issuance of this permit does not modify, supersede or rescind any order
or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination.
3, Applications For Permit Renewals,Modifications or Tr4nsfers The permittee must submit a
separate written application to the Department-for permit renewal,modification or transfer of this
permit. Such application must,;include any forms or supplemental information the Department requires.
Any renewal,modification or transfer granted by the Department must be in writing. Submission of
applications for permit renewal, modification or transfer are to be submitted to:
Regional Permit Administrator
NYSDEC Region 1 Headquarters
SUNY @ Stony Brookl50 Circle Rd
Stony Brook,NY11790 -3409
4. Submission of Renewal Application The permittee must submit a renewal application at least 30
days before permit expiration for the following permit authorizations: Tidal Wetlands.
5. Permit Modifications, Suspensions and Revocations by the Department The Department
reserves the right to exercise all available authority to modify, suspend or revoke this permit. The
gro�rrd��i�-xnmdi�c�atianuspensiar�oe�z� ienoluda
a. materially false or inaccurate statements'in the permit application or supporting papers;
b. failure by the permittee to comply with any terms or conditions of the permit;
c. exceeding the scope of the project as described in the permit application;
d. newly discovered material information or a material change in environmental conditions, relevant
technology or applicable law or regulations since the issuance of the existing permit;
e. noncompliance with previeusLysissue&pemiitteonditionscordersgaffith a iss oner.;,any
provisions of the Environmental Conservation Law or regulations of the Department related to
the permitted activity.
6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or
another permit condition. Applications for permit transfer should be submitted prior to actual transfer of
ownership.
Page,5 of 6
Am
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION C
`Facility DEC ID 1-4738-00497
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the
Department of Environmental Conservation of the State of New York, its representatives, employees,
and agents ("DEC")for all claims, suits, actions, and damages, to the extent attributable to the
permittee's acts or omissions in connection with the permittee's undertaking of activities in connection
with, or operation and maintenance of,the facility or facilities authorized by the permit whether in
compliance or not in,compliance with the terms and conditions of the permit. This-'indemnification does
not extend to any claims, suits, actions, or damages to the extent attributable to DEC's"own negligent or
intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under
Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights"provision
under federal or state laws.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of
their responsibility to comply with this permit, including all special conditions while acting as the
permittee's agent with respect to.the permitted activities, and such persons shall be subject to the Same
sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is respotisi6le for obtaining any other permits, approvals, lands, easements a -
way that maybe required to carry out the activities that are authorized by this penning
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands or interfere with the
riparian rights of others in order to perform the permitted work nor does it authorize the impairment of
any rights,title, or interest in real or personal property held or vested in a person not a parry to the
permit. .
Page 6 of 6
-4o- ��mk�
>
tV os13�� JIVI "E]K
- Scott A. Russell �'
SUPERVISOR _ ��/JCA�1�'A(G lEI��/l LENT
SOUTHOLDTOWN HALL-P.O.Box 1179 `6 TO w uthold
53095 Main Road-SOLrrl-IOLD,NEW YORK 11971
CHAPTER 236 - STORMWATER MANAGEM SHEET
(TO BE COMPLETED BY THE APPLICANT )
D®DS 'JIUS p�OJECT INVOI.,VE AIT ,OF
=F0L4L0�W::1N:G:::
(CHECK ALL THAT APPLY)
Yes No
E] A.-Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑ B. Excavation or filling',involving more than 200 cubic yards of material
parcel or an
within any p Y contiguous area.
❑ C; Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, jde
l
erosion hazard area.
E. Site preparation within the one=hundred-year floodpd
on FIRM Map of any watercourse.
❑ F:--Installation of new or resurfaced impervious surfacearefeet or more, unless prior approval of a Stormwater Control Plan was received by the Town and the prop
des
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! Cbapter 236 does not apply to your protect.
If you answered YES to one or more of the above,please submit Two copies of a Stormwater Managemcnt Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
S.C.T.M. : 1000 Date,
APPLICANT: (Properly Owner,Design Professlonal Agent,Contractor.Other) District
NAME `r r A `� �y k Section Block Lot
(� FOR BUILDING DEPARTMENT USE ONLY*'yy
Contact Information'(��` �� fl
n, Reviewed By:
- - — — — — — — — — — — — — — — Daie l t"1
Property Addre&s /Location of Construction Work: Approved for processing Building Permit. u —
N'
— Stormater Management Control Plan Not Required.
storm ater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM 8 SMCP-TOS MAY 2014 ;
1
APPLICANT; S.C.T.M. �: 1000 CHAPTER 236
(Property 0 E"Design PtoEession+i,Agent,Contrxetot,Other) �� �— 10,
"Stormwater Management Control Plan CHECK LIST
� se- ction B� Lot S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application,
NAME. P�°°"P��� The applicant must provide'a Complete Explanation and/or Reason for not providing
all Information that has been Required by the following Checklist!
g�a� <� mom,
1. A Site Plan drawn to scale Not Less that 60' to the inch MUST YES NO NA if You answered No or NA to any Item, Please`Provide Justification Herei
show all of the following items: If you need-additional room for explanations, Please Provide additional Paper,
a. Location &Description'of Property Boundaries
b. Total Site Acreage.
c. Existing -Natural & Man Made Features within 500 L.F.
of the Site Boundary as required by §23e-17(0(x).
d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. cs eJ�
e. Limits of Clearing & Area of Proposed Land Disturbance.
f. ExiCY
sting & Proposed Contours of the Site (Minimum 7 intervals)
g. Location of all existing & proposed structures, roads,
driveways, sidewalks, drainage improvements &utilities.
h. Spot Grades & Finish Floor Elevations for all existing&
proposed structures.
I. Location of proposed Swimming Pool and discharge ring. 4 �
j. Location of proposed Soil Stockpile Area(s). `+
k. Location of proposed Construction Entrance/Staging Area(s). rC' ea g
1. Location of ro osed concrete washout area(s).
M. Location of all proposed erosion&sediment control measures.
2. Stormwater Management Control Plan must include Calculations showing
that the Stormwater improvements ace sized to capture,store,and Infiltrate
on-site the run-off from all impervious surfaces generated by a'two.(2'9 inch
rainfall/storm event.
rb.
s&Sectional Drawings for Stormwater practices are required for approval. '
s requiring details shall include but not be'limited to:
rosion & Sediment Controls.
onstruction Entrance &Site Access.
c, Inlet Drainage Structures (e.g.catch basins,trench drains,etc.)
d• LeachinS Structures (eq,Infiltration basins,swales,etc.)
7FFReGINEERING DEPARTMENT USE ONLY**** Additional Information is Required.
Stormwater Management Control Plan is Not Complete,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
jStormwater Management Control Plan is Complete•
SMCP has been approved by the Engineering Department.TOS MAY 2014
FORM 11SWCP Check List-
BUILDING DEPARTMENT- Electrical Inspector
OCT 2 9 2019 L__/ TOWN OF SOUTHOLD
a7
Town Hall Annex - 54375 Main Road - PO Box 1179
g Southold, New York 11971-0959
'111 (631) 765-1802 - FAX (631) 765-9502
roger.richertCED-town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: M f Date: _
Company Name: Fos r C l c
Name: Von+
License No.: ME email: /aft as 1 & X-abco cc
Address: PQ Sour L
Phone No.: &31 - -9(62Y
JOB SITE INFORMATION: (All Information Required)
Name: 4- 1V,911U_
Address: r ICtr L SOL,.-' OL/N
Cross Street:
Phone No.:
Bldg.Permit#: f-� f email: -- 54Ae'
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) C X /n0
Circle All That Apply:
Is job ready for inspection?: YES / 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 Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
9ell Cl)bs
Request for Inspection Form.xls I
D G/
F -
SURVEY OF PROPERTY
• N A T SO UTHOLD
° TO WN OF SO UTHOLD
�f *s SUFFOLK COUNTY, N. Y.
�� 1000-79-01-05
GO 1 O SCALE: 1'= 30'
Y" •r�y MAY 21, 1999
BUFFER TO BE JUNE 4, 1999 (PROP. DOCK)
PLANTED WITH NATIVE,
NON-FERTILIZED ' 2017
•3°� � � VEGETATION �I DECEMBER ,
Apk MAY 17, 2018 (PROPOSED DECK/POOL)
Ob �/ °N� y� i tGATE \ OCTOBER 18, 2018 (NGVD 29 10' CONTOUR,
N ISE 100, \ NOVEMBER 7, 2018 (LOT COVERAGE)
s--
NYSDEC Z
o o�� i APPRGVED AS PER TERMS EXISTING NGVD 29
AND CONDITIONS OF I
Q�� � � ,�2 PERMIT N - �!D DEC L 0 T CO I/ERa GE
/ p DATE til t
�'- W AREA SEAWARD OF NGVD-29
10' CONTOUR TO 77E UNE _
SOUTHOLD TOWN tioN�� �� ,�° eRo�G� \ �.��� � 8,952 SQ.FT.
�I eb`� �'oo �° HOUSE = 1784 SQ.FT.
= �` DECK = 327 SQ.FT.
LOT COVERAGE �pN •� UP y,�. \ 2Tff SQ.FT.
ExlsnNG. �' ` `', °
p ,� �` ��. / eJ I 2111/8952 = 23.6.E
AREA TO 77E UNE = 16,310 SQ.FT. � �S
EX. HOUSE, GARAGE = 2,425 SQ.FT. �. F� \� ` �• i 4' GATE NG1U 29-
EX. DECK = 327 SQFT o- �F°A �` �a� G'' d 1D' CONTOUR PROPOSED NGVD 29
sQ Fr. TOTAL EXISTING �y �� \�y� A��� ail DEC LOT CO VERA GE
�� �G \ `Lo ,y�� 1 •(� D�� AREA SEAWARD OF NGVD-29
2,752/16,310 = 16.8ZGip �� a' GATE boa G 1, U• 10' CONTOUR TO 77E LINE _
y T .g O 8,952 SQ.FT.
PROPOSED:
AREA TO 77E UNE = 16,310 SQ.FT. PROP. POOL
EX. HOUSE, GARAGE = 2,425 SO-FT. EQUIP. g�` \ �� I HOUSE = 1784 SQ FT.
PROP. DECK = 314 SQ.FT. W/FENCE 6'XB' PROP. �� i Q G i' <• °1 POOL = 512 SQ FT. -
PROP. POOL = 512 SQ.FT. r'c POOLt °� 'P�'P �` i;�t Q DECK = 314 SQ.FT.
SQ.FT. TOTAL W/pROPOSED DRYWELL \ L�IZ�' �pQ` 6 SQ.FT.
3,251/16,310 = 19.93b' a'9 ` G �FiV 2610/8952 = 29.2X
CERTIFIED TO- y� \
RICHARD KUDIN5TEIN co � V"
ALICE KUDIN5TEIN
F I DEL I TY NATIONAL TITLE I N5URANGE SERV I CE5, 'LLG F
0 �O
1
• = PIPE R1
i � � ��pF E�,
%� co'o�
ELEVATIONS REFERENCED TO NA VD 88 0' •
a
FLOOD ZONE FROM FIRM 36103G0166H c�
MAP EFFECTIVE DATE 5EPTEM15ER 25, 2009
ANY ALTERATION OR ADDITION TO THIS SURVEY 15 A ��PO NO. 4`lf
VIOLATION OF SECTION 7209OF THE NEW YORK STATE PEGO.1'i;; C P.G.
EDUCATION LAW. EXCEPT AS PER SECTION (631) 765 - 179-,
7209—5UDD I V 15 I ON 2. ALL GERT I F I GAT IONS HEREON ARE P � (631) 7 �Q�O
VALID FOR TH I5 MAP AND GMPRE55E HE SEOF OFONLY
THE SAID �� AREA = 16,c�1 �rQ FT. P.O. P>OX g0c1 -
MAP oR GOPIE5 DEAR TH 1230 TRAVELER STREET r
SURVEYOR WHOSE 51C7NATUKE APPEARS HEREON. t0 tieline, SOUTHOLD, N.Y. 11`171 �`R�—�1
APPRO ED AS NOTED
DATE: B.P.#
FEE:-Ob •bb BY OCCUPANCY OR
NOTIFY BUILDING DEPARTM NT AT ELECTRICAL
765-1802 8A TO 4P FOR THE USE IS UNLAWF��- INSPECTION REQUIRED
FOLLOWING INSPECTIONS:
1. FOUNDATION - T&O REQUIRED WITHOUT CERTIFICAT
FOR POURED CONCRETE OF OCCUPANCY
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR CO.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF DRAINAGE INSPECTIONS ARE REQUIRED r►J Mi I A -EJ,,,.Y"
NEW YORK STATE & TOWN CODES Contact TOS Engineering at 765-1560 before Ek�LQSE POOL To CPDE___-
Backfill,OR Provide Engineer's Certification �,I�"PON COMP L�'t IC)k
AS REQUIRED AND CONDITIONS OF that the drainage has been installed to Code.
8 n
RD
SOUTHOLD TOWN TRUSTEES
N.Y.S.DEC
32'
MANDATORY ROPE AND FLOAT 12
INCHES FROM SLOPE CHANGE A-FRAME DETAIL DECK SUPPORT DETAIL
SHORT BRACE
4'
g' A-FRAME
BRACE
16' 8' PAS / PANEL
8' —�-
4'
LONGBRACE
STAKE
HORIZONTAL
24' g� BRACE
NOTE
1) DEPTH AND SHAPE OF POOL MEET MINIMUM STANDARDS OF THE INTERNATIONAL
SWIMMING POOL AND SPA CODE 2015 FOR IN-GROUND SWIMMING POOLS,
2)A MEANS OF EGRESS FOR BOTH THE DEEP END AND THE SHALLOW END OF
THE POOL MUST BE PROVIDED IN ACCORDANCE WITH THE 2015 INTERNATIONAL
SWIMMING POOL AND SPA CODE SECTION 809.
3)EQUIPOTENTIAL BONDING MUST BE PROVIDED IN ACCORDANCE WITH THE NATIONAL
ELECTRICAL CODE NFPA 70,
FINISHED 3'-10' 4' PANEL 4)ALL A-FRAME BRACES ARE TO BE MOUNDED WITH A MINIMUM OF ONE CUBIC
FINISHED DEPTH fHEIGHT FOOT OF CONCRETE, OR A SIX-INCH THICK CONTINUOUS POURED CONCRETE
DEPTH 8' PERIMETER COLLAR.
5)'NO DIVING' LABELS TO BE INSTALLED AROUND THE PERIMETER OF THE POOL.
6)SUCTION ENTRAPMENT AVOIDANCE IS TO BE INSTALLED IN ACCORDANCE WITH
ANSI/APSP/ICC-7.
2 INCHES SAND 7)ALL WORK NOT SPECIFICALLY SHOWN IS TO BE DONE IN ACCORDANCE WITH THE
OR VERMICULITE REQUIREMENTS OF THE 2015 INTERNATIONAL SWIMMING POOL AND SPA CODE AND
ALL OTHER APPLICABLE CODES.
4' 6' 12'-6' 9'-6' 8)THE POOL COPING/DECK IS WITHIN 12 INCHES OF THE DESIGN WATER LINE
WHICH SATISFIES THE REQUIREMENT OF THE 2015 ISPSC SECTION 323.1 et seq
FOR HAND HOLDS,
INTERNATIONAL SYIMMING NOTES SYIMMING NSARE DANGEROUS WHEN USED IMPROPERLY.
NEVMANUFACTURERS) ANDDIVE IN THE HOW END OF THE ASSOCIATIONYOFOPOOLCOANDUL SPA11
WITH THE DIVING PROFESSIONALS (2O111AND SLIDE
EISENHOWERAVENUE POOL P ERIMETERi 9 6' I N T E R PL
ALEXANDRIA, VA 22314 (703-838-0083)PRIOR TO INSTALLING DIVING BOARDS AND/OR SLIDES ON POOL A REAi 512 Sq Ft
THIS POOL TO ENSURE THE POOL MEETS THE EQUIPMENT MANUFACTURERS MINIMUM STANDARDS FOR VOLUME, 22,700 APPR❑X. GAL. 48' WALL 16' X 32' RECTANGLE
ALLOWABLEPRODUCT
(S)INSTALLATION OF THEIR PRODUCS) ON THIS POOL. INTERNATIONAL SYIMMING POOLS IS
NOT RESPONSIBLE FOR THE POOL'S INTERIOR DETAIL, RATHER THE LINER MANUFACTURER MUST ENSURE
THE INTERIOR MEETS A.P.S.P. AND A.N.S. I. STANDARDS, IT IS THE RESPONSIBILITY OF POOL BUILDERS,
TOWN OFFICIALS AND POOL OWNERS TO FOLLOW ALL SAFETY GUIDELINES OF THE A.P.S.P., LOCAL DATEi 06/24/19 SCALES NTS
ORDINANCES, AND EQUIPMENT MANUFACTURERS.
CAD BYE P.T. ACADREFi 48RT-1632—A7
Y '
90 DEGREE 90 DEGREE
VERTICAL FILLER VERTICAL FILLER
8' 81 81
4' 48' WALL BILL OF MATERIALS
8' QTY, DESCRIPTI❑N
(2) 4' STRAIGHT PANELS
8' 35'-9 • (9) 8' STRAIGHT PANELS
(3) 90 DEGREE VERTICAL FILLERS
(1) 48' WALL 8' X 8' CORNER STEP
4' (REFER TO CS48,DWG,)
8' 8' 8' 48' WALL
90 DEGREE 8' X 8'
VERTICAL FILLER CORNER STEP
INTERP ❑ ❑ L
48' WALL 16' X 32' RECTANGLE
DATEi 06/24/19 fSCALEI NTS
CAD BY- P.T. ACADREF- 48RT-1632-A7
48' WALL CORNER STEP 8'
A 71-9# R6"
SECTI ❑ N A - A
N N N 1-Il•� 2
9• g
INISHED 9j• 4' 6/_21"
PANEL
DEPTH
9j' HEIGHT
8'-7a
9j'
ri ❑PTI❑NAL
10'-112"
BILL OF MATERIALS
QTY. DESCRIPTI❑N
1 TOP STEP L/H SIDE PANEL (1)
1 TOP STEP R/H SIDE PANEL (2)
12 1 L/H STEP SIDE PANEL (3)
3 1 1 R/H STEP SIDE PANEL (4)
11 --- 1 TOP STEP (5) NOTE, IF STEP IS ORDERED WITH ❑PTI❑NAL
6 `� 5 1 14 1 L/H SECOND STEP (6) LINER TRACK BEAD RECEIVER, PLEASE
NOTE IT IS ONLY INSTALLED IN L❑CATIONS
10 8 `\\ � 2 1 R/H SECOND STEP (7) HILIGHTED WITH THE DASHED LINES- ------
7
_----_
l0 ��\ �\ ���I 1 L/H THIRD STEP (8)
�\ 9\\ 1 R/H THIRD STEP (9)
`�\ ` 1 L/H BOTTOM STEP (10) I N T E R P ❑ ❑ L
13 11 `� 1 R/H BOTTOM STEP (11)
�� 4 1 VERTICAL FILLER (12)
1 STEP SUPPORT (13) 48• WALL CORNER STEP
1 6- RADIUS FILLER (14))K DATEj03/05/03 SCALEiNONE
❑PTI❑NAL DRAWN BY, T.F. ACADREF, CS48