HomeMy WebLinkAbout43856-Z o�aUfFnce TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
C* s TOWN CLERK'S OFFICE
SOUTHOLD NY
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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#: 43856 Date: 6/13/2019
Permission is hereby granted to:
Schultheis, Gerard
45 Holden Ave Ext
Cutchogue, NY 11935
To: construct accessory in-ground swimming pool as applied for.
At premises located at: \
45 Holden Ave, Cutchogue !J — K)D-r 841L-T_ l ljj
SCTM # 473889 U5
Sec/Block/Lot# 110.-2-5
Pursuant to application dated 5/30/2019 and approved by the Building Inspector.
To expire on 12/12/2020.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building nspector
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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 p
Date. '5/30 I /
New Construction: 17
,t POO I Old or Pre-existing Building: �/ (check one)
Location of Property: 4,S Wder, yr EA, CV+c�oq,� loy 1193,6—
House
193,6—House No. �, Street II Hamlet
Owner or Owners of Property: G 2 ro.rd C A r'yl yn M. Sc n J('�`1 e I's
Suffolk County Tax Map No 1000, Section 00 Block 02 Lot 0,57
Subdivision Filed Map. Lot::
V�5R5� ��
Permit No. Date of Permit. Applicant: mrd 5C A J Ae;S
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
q P
Fee Submitted: $ 15/
/"
Applicant Signature
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
y
.................... ........ .......
'FOUNDATION (2ND)
' O
1
ROUGH FRAMING&
PLUMBING
INSULATION PER N. Y; y
STATE ENERGY CODE
, c c I
FINAL
ADDITIONAL 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 appy al
FAX: (631) 765-9502 Survey ✓
Southoldtownny.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
Storm-Water Assessment Form
2 Contact: �^
Approved ✓ ,20 N Mail to:&e-roA Sc k V l+6-t
Disapproved a/c: O Holdef Aye F-A CV+C.6414 A1-Y.11q$S
Phone:
631- 734--7265 —
Expiration 120
Buil nspector
SAY 3 0 2019 KATION FOR BUILDING PERMIT
ti Date M Ay .3 0 , 20_L�_
ti�L:;��i;^ y • INSTRUCTIONS
TOWN OE SOUTH
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, 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.
,Zo-�—J
(Signature of applicant or name,if a corporation)
46 A v# Fx+.Cv+c► o 10, 11x.5
(Mailing ddress of a plicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
a w heir II
Name of owner of premises Ge.Mvrl iN C-Arolyn M. S,-NV
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and,title of orate officer)
Builders License No.,
Plumbers License No:
Electricians Licensd No:"`'"-
Other Trade's License No.
1. L cation of land on which proposed work will be done:
House Number Stree Hamlet
County Tax Map No. 1000 Section 10 Block 02 Lot 05�
Subdivision Filed Map No. Lot
2. State existing use and occupancy of pre ises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 2 5 jd 4y' 7r j
b. Intended use and occupancy Re Side n+41 1
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work 57w t;n nrn,na POO
( escription)
4. Estimated Cost �Jr000 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 74 Rear 74 Depth 40
Height 23 Number of Stories / I,/?-
Dimensions
I,/Z
Dimensions of same structure with alterations or additions: Front 79 Read, 74-
Depth
4Depth 401 231 Number if 5toriye"sfrrl i , '��2 ;s
8. Dimensions of entire ew con ruction: Front Rear �41 t Depth 4 -47) F r
Height Number of Stories '
9. Size of lot: Front 160,03 ' Rear 1 :S2 .58 Depth 10 181, 69
10. Date of Purchase 2 0 01) Name of Former OwnerSv-qcn
r►cr Wr' •
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->�-Will excess fill be removed from premises? YES-NO
Gtraytl i Carolyn C dro
14.Names of Owner of premises Sc1►y I -1-1��is AddressS1den FxA, "l�hor No. 63I'7,34'-7?.6�
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
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:
Ge
OF c) I
1.3 e cot J G VI C1 I �-Q l,) being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the CONNIE D BUNCH
(Contractor,Agent, Corporate Officer, etc.) Notary Public,State of Nems vnr�
No.01 BU6185050
of said owner or owners,and is dulyauthorized to perform or have performed the said ual i��;r,�1 in uffolk li; ,�)-0
p p I jrt L i W44 11 e 14is 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.
orn to before me this
day of 20�
Notary Public Y ignature of Applicant
Scott A. Russell O°SUFFQ STOIRIMMATIER,
SUPERVISOR � I� AamAIEENT
SOUTFIOLDTOWN HALL-P.O.Box 1179 Town of Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971 O
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT)
DOES THIS PROTECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
❑ O A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑[4 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 Informatlon, 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 wiff—your Buililing Permit Application.
S.C.T.M. #: 1000 Date-
APPLICANT:
ate
APPLICANT: (Property Owner,Design Professional.Agent,Contractor.Other) District
NAME: rA SC lI I fk2 t S 110 —QZ QZ ✓ I
Section Block Lot
FOR BUILDING DEPARTMENT USE ONLY
Contact Information
rrkym,�v.mtr.i
Reviewed By:
Date:
Property Address /Location of Constriction Work: Approved for processing Building Permit. —
Stormwater Management Control Plan Not Required.
CEJ 0 �2 N� - 3EStormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM " SMCP-TOS MAY 2014
J
E EVVED SURVEY OF PROPERTY
N V-27.3' r AT CUTCHOG YE
°�ANP�e�`� �P EL25.4' TOWN OF SOUTHOLD
UI°F.CO„� _ ,;71” = . ,�.E� o `vN�I P 15 .58 x o SUFFOLK COUNTY, N. Y.
`.
OFFICE OF IV',_ J,ATEE 'MPTTw
d1000-110-02-05
'"0°b m` D �o"E _ 1- _ N c 0 SCALE.- 1' 30'
7F�T HOLE DATA G"�� `` N75`31 o y r sZ° r1' e sa °P� P� r,i �' v MARCH 24, 2010
BY McDONALD GEOSCIENCE
MARCH 14 2010 EL78.4' ® fi g�aG•� m gf• + o i �`
2 r 35.0'
EL 2
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DARK BROWN LOAM OL 0 b WATERLINE y
0.51 (A p�OpG�CJS�`
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BROWN SILTY SAND SII6�R� �r •.
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R° DRYWELL `:i+ EL28.1' t�O
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PALE BROWN ANE TO MEDIUM SAND SP -� D T STHOLE LP. 1,W0 GAL EL28.6'
p Z ;A� �O�\EL22 7' SEPTIC TNK. OS
17' C 0 -D �
NO WA7ER ENCOUN7ERED U0 G) D Z '�V, OG� 8' DIA.X 1?'
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(A
D NC � SUFFOLK COUNTY DEPARTMENT OF HEALTH SEF:Y96E�
N •�O„��''� PER�JIlT AOR APPROVAL CO�laTr�,UTiOFIe�R�
565 A < < SINCLE �rSMENCE ON}L 7
EL23.8' O
g. ER Its �d � AT!! &J
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V%10i p�81. APP ; YES ��
EL 22.s
�Q FOR
EXPIRES THREE i A9,3 FIRO , DSrtt FE
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I am familiar with the STANDARDS EDR APPROVAL PUBL�G
AND CONSTRUCTION OF SUBSURFACE• SEWAGE OF`SFE y
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES C5 T• �� �� 0.
and will abide by the conditions set forth therein and on the
permit to construct. AREA= 14,342 SQ FEET R.
The location of wells and cesspools shown hereon are ROOF RUNOFF - MOUSE= 2,272 sq.ft. x I x 0.17 = 386.2 cu./I.
from field observations and or from data obtained from others. DRIVEWAY - 1125 sq./l. x I x 0.17 = 191 cu.Il.
577 cu.ll. �tC.�' P X49618
ANY ALTERAT70N OR ADDITION TO THIS SURVEY IS A VIOLATION 577/42.2 = 14 VF ECONIC
OF SEC710N 7209 OF THE NEW YORK STATE t'DUCA n0JV LAW. PROVIDE 2- DWs. /- 8'Ox8' dp. I- 8'O# 6' dp. (631) 765-5020 54 65-1797
EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS P.O. BOX —5
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF PROPOSE[) LOT COVERAGE : 2,272 SQ. FT./ 16% 1230 TRAVELER STREET
909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM 10-115
WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971
r +
APP OVED AS NOTED
DATE: 49113114 B.P.#
FEE: =166 BY.
NOTIFY BUIt'DING DEPARTMENT AT RETAIN STORM WATER RUNOFF
765-1802 8 AM TO 4 PM FOR THE PURSUANT TO CHAPTER 236
FOLLOWING INSPECTIONS: :Y
1. FOUNDATION - TWO REQUIRED OF THE TOWN CODE.
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
DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL
INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOrtTT1�OCDIOGGf �S�EES ee DLATELV!
nor ENCLOSE POOL TQ GQ �,
v
N.r�v�� ,,,,4'VP®N COMPLAETI ,
��Yy.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
MVY) I pb6114- nee- encjalure
FIBERGLASS SWIMMING POOL- 12' wide x 24' long
• Depth will vary from 4'-0" to 8'-0"
• Pool will be a 1-piece structure made entirely of fiberglass materials
• Pool will be layered with 6 layers: Gel coat surface layer, Vinyl Ester Resin
for corrosion resistance, chopped fiberglass for strength, Hand laid woven
roving at stress points, Structural comb supports and Chopped fiberglass
strength layer
• Construction will comprise of the following steps: 1) Excavation, 2) Set &
level pool, 3) Install pools plumbing & filter system, 4) Backfill and compact
pool shell, 5) Install any desired concrete pavers and 6) Install required pool
fence
• Provide 2 HP Excel Professional Grade pool pump or equal
• Provide 30" Hayward Top mount sand filter or equal
• Provide 1 Grey Aqua Genie Skimmer and 1 Grey Return or equal
• Provide In-Line Auto chlorinator
• Provide Automatic Pool Cleaner
• Provide 1 pool stainless steel pool ladder
Pool may be located any place within the required setbacks. If any drywells or
drainage pipes interfere with the pool location, they must be relocated and
drainage pipes must have the required slopes for drainage.