HomeMy WebLinkAbout45100-Z 4.�gugF44,�t�ri Town of Southold 11/24/2020
' P.O.Box 1179
C2
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41638 Date: 11/24/2020
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 6405 Alvahs Ln., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 101.4-16.7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/5/2020 pursuant to which Building Permit No. 45100 dated 8/12/2020
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:
accessorin-iround swimming pool fenced to code as applied for.
The certificate is issued to Lonergan,D Revoc. Tr
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45100 9/25/2020
PLUMBERS CERTIFICATION DATED
4
t o ' Signature
xir TOWN OF SOUTHOLD
�S�FFot,� BUILDING DEPARTMENT
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#: 45100 Date: 8/12/2020
Permission is hereby granted to:
Hagzan, Donna
6405 Alvahs Ln
Cutchogue, NY 11935
To: construct accessoryinround swimming-g g pool as applied for.
At premises located at:
6405 Alvahs Ln., Cutchogue
SCTM # 473889
Sec/Block/Lot# 101.-1-16.7
Pursuant to application dated 8/5/2020 and approved by the Building Inspector.
J
To expire on 2/11/2022.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
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 I%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,K7dditions 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.
New Construction:
Old or Pre-existing Building: eck one)
Location of Property: tz4ay,
House No. Stre t
amle
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section 0 Block Lot
Subdivisiony ,
i/ M Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwritefs Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: V/ (check one)
Fee Submitted: $
Applica t ' nature
BuildinLr Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I, di g at �&��: A
rint property owner's name) (Mailing Address)
do hereby authorize
(Agent)
to apply on my behalf to the
Southold Building Department.
Owner's Sig a e (Date)
DID e
(Print Own ' Name)
f SOUr�®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.deviina-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Lonergan D Revoc trt
Address: 6405 Alvahs Ln city:Cutchogue st: NY zip: 11935
Building Permit#: 45100 Section 101 Block 1 Lot 16.7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA. Prime Electric Inc License No: 52402ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 1 4'LED Exit Fixtures 11 Pump 1
Other Equipment, Intermatic Pool Panel, Pump on 220GFI
Notes: Pool
Inspector Signature: Date: September 25, 2020
S.Devlin-Cert Electrical Compliance Form As
SOGIyO� y L( L4
# # TOWN OF SOUTHOLD BUILDING DEPT.
ycou765-1802
-1 NSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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 �.�
REMARKS:
DATE INSPECTOR ._
f ,'w %f SOUTyo!
TOWN OF SOUTHOLD_ BUILDING DEPT.
4 •
765-1802
INSPECTION .--
I
FOUNDATION 1ST [ ] ROUGH PLBG.
[` ]. FOUNDATION 2ND [ ] IPSULATIOWCAULKING
[ ] FRAMING /STRAPPING FINAL eff
[ -] FIREPLACE & CHIMNEY [ ' ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
urni
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMlUENTS • �
FOUNDATION(1ST)
-------------------------
FOUNDATION(2ND)
cl
ROUGH FRAMING& ��
PLUMBING '"3 �•
INSULATION PER N.Y. y
STATE ENERGY CODE
oeu
FINAL
ADD _iWAL, CnI%MENTS
Vl-
� o
UA—
I
H
N
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) 765-9502 Survey
Sotitholdtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined '20 Single&Separate
Truss Identification Form
LLL����-77 IL11\V/
Stonn-Water Assessment Form
( ntact:
Approved V 2,- 20 AUG 2020 Mail to.s—v jnA
Disapproved a/c T-71 kki
$ ,I� DEPT. Phone: ll 4
:
Expiration ,20 V� '` " ' '
1-MOLD j 11 �J o�
Building ector
APPLICATION FOR BUILDING PERMIT
Date � ,201W
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 pen-nit 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.
(Sig atur appl i�)41t or name,if a corporation)
(Mailing address o a licaut)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises en ki.-e, L T/n
(As oh e tax rol r latestdeed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporateofficer)
Builders License No. yJ �
Plumbers License No: T
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
b,2-,
Hou N tuber Street Hamlet
County Tax Map No. 1000 Section 0 Block Lot 0 i /
: x
Subdivision Filed Map No. Lot
2. State existing use and occupancy of p emises a 'ii intended us and oc upancy of proposed construction:
a. Existing use and occupancy ��S .
b. Intended use and occupancy tL, Y q® b"e a?p I
f
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work Eb>]
(Description)
4. Estimated Cost Fee
(To be 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 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 NOX
13. Will lot be re-graded?YE� NO Will excess fill be removed from premises?YES NO
14. Names of Owner Add
top's
remise � � ress qbs-,� t vbjlu ( nye?�o. ��J 49 :5`3t��
Name of Architec `� res6?73 k;5 hone No6 3 (o)(.P M
Name of Contractor '�_ - Addres '�� i �c a�A�- Phone No.(�3 t '? — '%�Z-
15 a. Is this property within 100 feet of a tidal wetland or a freshwate 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__�<
* 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
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF_
being duly sworn,deposes and says that(s)he is the applicant
(Na e of individual signing contract)above named,
(S)He is the1N/ �
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perfor have performed the said work and to make and file this application;
iQ�ir
that all statements contained in this application are\tl�1�K � C� pf his knowledge and belief;and that the work will be
performed in the manner set forth in the applicatdirlh�.''.���
4401673A657 •�
Swornbefore met N QUA FcooN� M
day° 2( s.SUFFOO.
ca
Notary P blic i��iq�E„OF NGdre o pplicant
Scott A. Mussell ,��°SU '�� STO]ELI��][WA\T]ER
SUPERVISOR 5 AM1A NA (Gi]EAM[IENT
SOUTHOLD TOWN HALL-P.O.Box 1179 1
53095 Main Road-SOUTHOLD,NEW YORK 11971 ' o� - Town o,f'Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT IMTOLVE ANY OF THE F'OLILOwING:
Yes o
(CHECK ALL THAT APPLY)
❑ 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
within any parcel or any 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, bluff or coastal
erosion hazard area.
❑ E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
❑ 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,Conti actor,Other) S.C.T.M. #: 1000 Dale
// District o„
6)
NAME -DL a1 e- lid in etre a U
N.1) Sec ton Ili ock Lot
C 9 /� **** FOR BUILDING DEPARTMENT USE ONLY****
Contact Information Z 9 f 7-7 4. 2�7 40—
(fcic{Iwne wr4.1
Reviewed By:
— — — — — — — — — — — — — — — — //
Date
Property Address/Location of Construction Work.
— — — — — — — — _ 9 J!D— — — — —
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
{ BUILDING DEPARTNIENT-Electrical I
Sl
�?•- TOWN'OF SOUTHOLD l
'*P
; : ` Town Hall Annex- 54375 Main Road B 179
w . - Southold, New York 11971-0959 ° E� 8 2020
Te_ lephone (631) 765-1802 - FAX (631) 765-9502
'4� r
, ro err southoldtownn ov - seand sou wT�t VF '-
T1)ID
APPLICATION FOR ELECTRICAL INSPECTION
'ELECTRICIAN INFORMATION (All Information Required) Date: 115 =_O•
•
Company Name: l w1 O
Name: r
License No.: c52L} 0 2 email:initf . f\M O . V)2_
Address:
)2-
Address: $o � o JbY »�7
Phone No.: -fig
JOB SITE INFORMATION (All Information Required)
Name: "-v In (�no, 0 0_f).c. L 0 nt(, (U'\
Address: I OL)OS )V a-h S C 0-+C,h 0 u N l
Cross Street: '
Phone No.:
Bldg.Permit#: -Lfto )V5 ) 00 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly) CGkNpo of')
-2 +-i Gn I tDOM 11 h O
1
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
Request for Inspection Formals \Z ��
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BUILDING DEPARTMENT-Electrical 1cwt r"'►s~� ( "' �f+ f_
w Off' �Gy'` TOWN OF SOUTHOLD i
v Town Hall Annex- 54375 Main Road O Bo�E�1719 2020
Southold, New York 11971-0959
�• � +` o��:�' Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr@southoldtownny.aov seand0southAl t wnriyTgov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: pq 115 1202-0,
Company Name: l it O
Name: l all r
License No.: email:fni 6M S-
1 Yjl
Address: $p Q 1brO& 11`7
Phone No.:
JOB SITE INFORMATION (AII Information Required)
Name: Ina Q an, L O n!e '� M. ,
Address: f V CZ YI S Ln C l 1.+Ch O L1 C- N
Cross Street: M'16Lt
Phone No.:
Bldg.Permit#: - )�5 ) O Q email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
OW-
�1
Circle All That Apply:
Is job ready for inspection?: YES % NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A #Meters Old Meter#
New Service - Fire Reconnect-Flood Reconnect-Service Reconnected- Underground - Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION re
Request for Inspection FormAs
THW INDENTT)REin ade the <G-t da nfAo7• Wo Thousand Twenty
BETWEEN I3330NAIA.HAGZ�IN;eitireatl; 'i;eeiding44 6405Alvahs•lane,Cutchogue,New York 1193.5-
53,`pauoft4e first part;anit
DIANE LONERGAN REVOCABLE TRUST AGREEI&MENT OF MAY 9,2002.DIANE LONERG&N.
REVOCABLE TRUST,DIANE WNERGAN,TRUSTEE,currently residing,at 7 Kyle Road,
Mei imack,N Hsemps i g4;par%-ai•the:sgco4d part,
WITNESSETH that#h _pa 40f,,tW.Srst�alit itr,to�ideration of Ten I?ollsrs and o�hec valu$We
eonsiileration`paid b the pasty ef'the second part;does hereby grant:aad release-gnto'tlee party of the
second part;.the-helm orsacoessonand-assigns_�a�ti partyofthag".10:gartforever,
Ail that cexta�in pqt,piece,or parce�•Qf ltaiii;= itl�the°iiuilding�and improvemenits ttiei�on=Erected;
=situiate,lyiu�`and Tieing in;t4e Torvu,of'izouthold;Cupnty_of Suffotk,arid�-StateofNew York,-,k�iow�i and
desi�aated;as•I:4it No.-5 as shown ou-au-a certaiII map eatided,--ims Snbdiyls oiu map of :
1'toperdes":a3id filed in,the Suijfolk odrity Clerk's Uifice on'Mgy 27,19pZ,.as.Map Nb.3225,said lot
being more;particular bow�ded and ilescritied;as forth ou"5ebedale A Desctipti�in�,at#aeled
-Hereto and madoFa part hereof..
Poemises>iocatedat 6405A1v U i4-Cutehogue lliew•Yetk1193!5,,.1053
TAX 3VI PDLSItaN 'ION;Dislr�et,ln Seedort,lOL00-Btoek,Q1:Q0=7�ot 016:007,
Mo :pm, LADED T'O BT i►e imne=prtmises conveyed,Wthe party of the�sfpart bar a deed-of
Kostas M, y-lonas,which deed is dated July 16,1993 and-recorded in the office of the Clerk of the County
-of-Suffolk on August 4,1993 in Liber 11638 at page 924.
SUBJECT Many of facts"peraraie suety might show.
SUBJECT TO Covemn*e0ements,and restriction$of record affe ft,tlie,prendses still iu-effect,if- .
SU$JECT TO applic able municipaltuilding,and zoning ordinances and/or regulations of#he1M"m of
Southold.
TOGETHER with all right,title audinter•es4_if any,of the party of the first part in and to any streets
and roads abuttang the above described premises to the center lines thereof;TOGETHER with the
appurtenances and all the estateand-rights.ofthe party of the first part in and to said premises;TO
RAVE AND TO HUED the premises hereiei:granted auto the party of the second part,the heirs or
successors and assigns of the party of the Second part forever.
AND the party of the first part covenants-that the party of the first part has not done or suffered
anything whereby the said premises,have)Teen encumbered in any way whatever,except as aforesaid.
AND the party of the.firsC-part,;in compliance with-Section 13 of the Lien Law,covenants that the party
ofthe firstpart*Ml hold the•tight_to receive such
�onsideration;as°a txus�fund=ta be�applied;�firstfQrtle purpose qf-paying`=the cost ofttie-i�npra�exnent-
ani WAapply,the same first to,the jiymenr of`dei cost 416-smprovemenfbeforeusing any part of the
total'of the Same for any other purpose.
t-?Wword"party",shall be construed as if in read„parfm"whenever the sense of this indenture so
.re �fic�• _�,
�.S
Il1T SOF the party of the first part has duly executed this deed the dxy and year fust
above e
-ZrT'P�tESENCE'OF=• - -
a
D01Vl M] GZAN
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STEWART''T'fTLE-1NStU ONCE COIIAPANY
SCHEDULE'A-Owcription
Idle Number.CBNY4789
ALLt#ia,prialn_lat,pies e.or par ofaand,?eftuabe,;lying and l Ing at Cutxhoque,In tt�e ToWh`�of
South*td,COunW OtSuffoik,and State of Nbw Ybfk,:known•and designated as aind•6y LaF'Na.$-a a.sfic�nm
oa a certain Wisp orrlitiesl,"IA "Subdi�ion Map'of East Coast Properties"and filed in the ON"of#fie
Clerk of the County of Suffolk on May 27,1992 as Map No.9225,being more particularly bounded and
described as follows:
BEGINNING at-a-point-bn.the westerly;sidadfAliis1Wb Lane,,A distance.+of'11322 feet-66 tlii f tithe
extneine northerly end`of'art arc'of a cute wtiicfi:connects ttie wedtWy-s ;of'Ahrali"s Lane with:th®
northerlyelilsof,lllliddle.Raafd;(C.R:�4gj, .
RUNNING THENCE 894461 dogma 19 minuWs 20 seconds=wad,,47g iEi1:{eat;
THENCE north.33 degiees 03 miriid -24'aeconi weati;,174 06 feet;
THENCE north 66 doi,"42jminutbi j0 seconds-east;,47&70 ireet to-the Westeii P,104",, aWd,�LdO;.
THENCE along the westerly.�slde;af Arab's Lane,south`31-degraes 27 ininates,50 seconds 6&8t 213M-
Beet to the point or place of 9EGINNING.
FOR;CONVEYAWNG(jNLY-jV:INTENpED-Tb BECONV§Vf D:TGGEI`HEftWTH.ALL-R!Oft.VL
EAND
IN'tEREST'QF;1N ANq?fl ANYSTREEfS;ROADS;*�kVFNUES ABti'ITII�C?fiE:AB01/ ;DESCRIBED
PREMt$ES,TO- wilidtNYE WE NE=THEREOF
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14 Penn PhzO,Sub 18W
Nero Yofk,NY 10122
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APPROVED AS NOTED
DATE: B.P.# RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
FEE: �°d� BY: OF THE TOWN CODE.
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
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 ELECTRICAL
REQUIREMENTS OF THE CODES OF NEW INSPECTION REQUIRED
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
ton Cfff" �A"BOARD l6-1 dSE P_OOL,i d'1 SJQ -
TH TREES r ; ; QN COMPLETION
� E0R122LVUAT, g
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICAT`
OF OCCUPANCY
II
NOTES
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1 NO SOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE SHALLOW END,OR 6 FEET OF EXCAVATION AT THE DEEP END
10" 36' 4' 10"
2 THIS POOL MEET5 THE REQUIREMENTS OF AN51/APSP/ICC-5"AMERICAN NATIONAL STANDARD FOR RE5IDENTIAL INGROUND SWIMMING O
o POOL5"AND1996 BOCA CODE-SECTION 421 DIVING EQUIPMENT 15 NOT ALLOWED
3 SWIMMING POOL SHALL BE COMPLETELY AND CONTINUOUSLY SURROUNDED WITH A BARRIER CONSTRUCTED IAW REQUIREMENTS OF Q
SECTION R326421THPOUCH P326426OFTHE NEW YORKSTATE RE5LDENTIALCODE(2020)AND IN CONFORMITY WITH ALL5EC11ONS Cl_
OF THE SOUTHOLD TOWN CODE DWELLING WALL(5)MAY SERVE AS PARTOF THE POOL BARRIER AS PEP.SECTION 9526 4 2.8 AND _y
CONDITION(1)ARE MET OPERABLE WINDOWS IN THE WALUS)USED AS A BARRIER SHALL HAVE SELF LATCHING DEVICE ACCESS GATES
SHALL COMPLY WITH SECTION 8326.5 2 OF THE NYS RESIDENTIAL CODE(2020)AND BE SELF CLOSING,SELF LATCHING AND BE SECURELY J CO
P tizom Hz LOCKED WHEN POOL IS NOT IN USE OR SUPERVISED ALL GATES ARE TO OPEN AWAY FROM THE POOL AREA O
4 DURING CONSTRUCTION THE CONTRACTOR SHALL ERECTA TEMPORARY BARRIER AROUND THE EXCAVATION IAW THE CODE OF THE C)
TOWN OFSOUTHOLD C)-
5
5 POOL MUST BE EQUIPPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AND SOUNDING AN v v
AUDIBLE ALARM UPON DETECTION THAT 15 AUDIBLE ATPOOLSIDEAND INSIDE THE DWELLING THE ALARM MUST BE INSTALLED, Z QZ
o MAINTAINED AND USED IN ACCORDANCE WITH THE MANUFACTURERS INSTRUCTIONS THE ALARM MUST MEET ASTM F2208 �2 N 4>
"STANDARD SPECIFICATION FOR POOL ALARMS THEDEVICEMUST OPERATE INDEPENDENT(NOT ATTACHED TOORDEPENDENTON)OF Z:
v
B PERSONS O 8-
6 POOL SUCTION FITTINGS(EXCEPT FOR SURFACE SKIMMERS)MUST BE PROVIDED WITH A COVER THAT CONFORMS TO ASMEIAN51 Y
A11219 SM ORA MINIMUM 18"x23"DRAIN GRATE OR A CHANNEL DRAIN SYSTEM POOL CIRCULATION SYSTEM MIU5T BE EQVIPPEI)WITH
PLAN ATMOSPHERIC VACUUM RELIEF IN THE EVENT THE GRATE COVERS LOCATED WITHIN THE POOL BECOME M155ING OR BROKEN. SUCH 'tf c4
VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME A1121917 OR BE A GRAVITY SYSTEM APPROVED BY THE TOWN OF 50UTHOLP
NTS POOL SHALL BE PROVIDED WITH AMINIMUM OF2SUCTION FITFING5OFTHE ABOVE MENTIONED TYPE THE SUCTION FITTINGS SHALL BE
SEPARATED BY MINIMUM OF3'AND MUST BE PIPED SUCH THAT WATER 15 DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A
4'x8'VINYL VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS) VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN AN ACCE551BLE
COVERED BTEPS POSITION,MINIMUM OF6"AND NO GREATER hiAN 12"BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR RE AN ATFACHMENTTO
THE SKIMMER/SKIMMERS A REQUIRED POOL ATM05PHEPIC VACUUM RELIEF SYSTEM SHALL BE INSTALLED AS PER NYS RESIDENTIAL CODE
R326 6 3(2020)AND IN ACCORDANCE WITH TOWN CODE
" V
7 ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC)PRINCIPALLY ARTICLE 680 AND THE NYS
RESIDENTIAL CODE SECTIONS 4201 TI-iROVGH 4206 ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES AND IV
vBE PROTECTED BY A GROUND FAULT CURRENT INTERRUPTER(GFC0 CVRRENTCARRYING ELECTRICAL CONDUCTORS EXCEPT FOR TH05E 'CS
2"TO 4•SAND BOTTOM
PROVIDING POWER TO POOL LIGHTING AND POOL EQUIPMENT SHALL MEET THE SEPARATION REQVIREMENTSOF TABLE E42035 ALL
METAL ENCLOSURES,FENCES OR RAILINGS NEAR OR AD)ACENTTO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED
SECTION A DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED c/-
Ol
8 WATER SOURCE FILLING THE POOL SHALL BE EQUIPPED WITH A BACKFLOW PROTECTION DEVICE IAW NY5 PLUMBING CODE 608 (tiT
N T 5 `-'- m c: Z
9 ALL PIPING 15 DIAGRAMMATIC UNLESS OTHERWISE STATED 0 QJ
0
TOP OF WALL n- o
R v
WATER LINE 10 WALKS IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM POOL EDGE v Q 0
4' 6' 4' N 11 A MEANS OF EGRESS FOR DEEPAND SHALLOW ENDS MV5TBE PROVIDED IAW ANSI/APSP/ICC-5 SECTION 6 v C'_ QJ 0
a 0 O
W 12 CONTRACTOR TO PLACE THE POOL IAW TOWN OF SOUTHOLD CODE 5ETBACK5 d d U
i�
13 ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY
15 THE DE51GN 15 BASED ON A DRAINAGE 501L KITH<10%SILT GROUND WATER SHALL NOTEX15T WITHIN THE EXCAVATION IFGROVND
WATER EXISTS WITHIN 6'-O"FROM GRADE,DEWATERING FACILITIES WILL BE REQUIRED �y
SECTION B 16 ALL GAS AND OIL HEATERS(IF INSTALLED)FOP,THE INCKOUND SWIMMING POOL SHALL BE NAIIONALAPPUANCE ENERGY
CONSERVATION ACT(NAECA)COMPLIANT POOL HEATERS SHALL BE TESTED IAW ANSI Z21 56 AND SHALL BE INSTALLED IAW n
NTS MANUFACTURERS SPECIFICATIONS OIL FIRED POOL HEATER5 SHALL BE TESTED IAW UU26 POOL HEATERS SHALL BE LOCATED OR
GUARDED TO PROTECTAGAIN5TACCIDENTALCONTACT OFHOT SURFACES BYPERSONS POOL HEATER55HALLBEPROVIDEDWITH
TEMPERATURE AND PRESSURE-RELIEF VALVES FOR HEATERS NOT PROVIDED WITH AN INTEGRAL BYPASS SYSTEM A BYPASS LINE SHALL BE r
INSTALLED FROM INLET TO OUTLET TO ADJUST WATER FLOW THROUGH THE HEATER POOL HEATERS SHALL BE PROVIDED WITH THE V �
2,-2' FOLLOWING ENERGY CONSERVATION MEASURES A°
LVI
o
p
CHECK VALVE p
COPING AND WALKWAY 10" 161 AT LEASTONE THERMOSTAT5HALL BE PROVIDED FOR EACH HEATING SYSTEM o
(BY OTfiER$) 16 2 ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE � �k
PUMP FROM SKIMMER
WATER LINE GRADE OPERATION OF THE HEATER WITHOUTAP)U5TING THE THERMOSTAT SETTING AND TO ALLOW RESTARTING WITHOUT RELIGHTING THE z v
<- m
a PILOTLIGHT
ro D15PosaU 163 HEATED SWIMMING POOLS SHALL BE EQUIPPED WITH A POOL COVER(EXEMPTED FROM THIS REQUIREMENTAREOUTDOOR POOLS m ti v
DRYWELL ° DERIVING 20%OFT-HE ENERGY FOR HEATING FROM RENEWABLE SOURCES AS COMPUTED OVER AN OPERATINGSEA50N) W >
UNDISTURBED EARTH �-m cc q
•
164 TIME CLOCKS SHALL BE INSTALLED 50 THE PUMP CAN BESET TO RVN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS AND CAN BESET W ¢
3500 PSI POURED CONC a° - i TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER IN A CLEAN AND SANITARY CONDITION IAW APPLICABLE
VALVE
O 3/B'REBAR 2)1YP ;a , SANITARY CODE OF NEW YORK STATE 3 r-� s a
VALVE �yco to
VINYL LINER �a 17 THI5 DRAWING I5 FOR STRUCTURAL SHELL ONLY.ALL ACCESSORIES AND APPURTENANCES ARE DEFINED BY OTHERS i� 0,c)U cd
2'TO4'SAND W
FILTER °• 18 BACKFILL WITH CLEAN EARTH,FREE OF ROOTS AND DEBRIS DO NOTALLOW THE HEIGHT OF BACKFILL TO EXCEED THE HEIGHT OFTHE 04 o ..
WATER IN THE POOL BY MORE THAN B", OR THE WATER TO EXCEED BACKFILL BY MORE THAN 8" c
19 PLACE CONCRETE ON SANDY TO LOAM 501L REMOVE ANY CLAY DEP05ITAND REPLACE W/COMPACTED CLEAN BACKFILL r7
TO RETURNS I O
20 THERE 15 NO MAIN DRAIN IN THIS POOL SUCTION FOR POOL WATER CIRCULATION 15 PROVIDED BY THE SKIMMERS ONLY THIS MEM NEW �,
CHECK VALVE VERTICAL 3/8•REBARP�OC REQUI REMENTS OF TH E NYS RE5I DENTIAL CODE-SECTION R3265 FOR ENTRAPMENT P ROTECTION. = F O
PLUMBING SCHEMATIC (NOTSHOWN) !�
21 THE POOL WAS DESIGNED LAW THE FOLLOWING. ,(� a�-�NSM `
NTS WALL SECTION 211 THE NEW YORK STATE RESIDENTIAL CODE-SECTION R326(2020)
NTS
212. THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE-SECTION 8403.10(2020) ;J 213 THE NEW YORK STATE FUEL GAS CODE(2020)
W
214 THE NEW YORK STATE SANITARY CODE, a a_ W
e
21.5 ANSI/APSP/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS sS z
216 BOCA CODE-SECTION 421
217 CODE OF THE TOWN OFSOUTHOLD. 3 z?Y a4 Z
22 ALL BACKWASH TO BE SELF-CONTAINED ON-SITE HBO
�-T°ROFESS�
I