HomeMy WebLinkAbout45259-Z ' En6�Fat TOWN OF SOUTHOLD
o`Qg�FBUILDING DEPARTMENT
W 2
TOWN CLERK'S OFFICE
o5 • �44SOUTHOLD, 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#: 45259 Date: 9/30/2020
Permission is hereby granted to:
Mullins, Dennis
43 Wellington Rd
Garden City, NY 11530
To: construct accessory in-ground swimming pool as applied for.
1
At premises located at: _
13565 Main Bayview Rd, Southold N��
SCTM #473889 u, L
Sec/Block/Lot# 88.-2-17.5
Pursuant to application dated 8/26/2020 and approved by the Building Inspector.
To expire on 4/1/2022.
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
TOWN18 z M u L-w N S POOL,
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)Bon-conforming uses,or buildings and"pre-existing"land uses:
1. Accurate survey of property showing all property lines,street,,building and unusual natural or topographic
features. 1
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
I. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. d
New Construction: Old or Pre-existing Building: (check one) (�
Location of Property: IF-A-
- AJ en J 6)l
House No. S Hamlet
Owner or Owners of Property: Z4UL,�Z- ,j
1
Suffolk County Tax Map No 1000,Section &15 Block 0 Lot
Subdivision Filed Map. Lot:
Permit No. 2�j Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: c c o e)
Fee Submitted:$
Akpkdnt Signature
f
1
Building Deyartment AgRUcadon
AUTHORIZATION
(Where the Applicant is not the Owner)
' r '
I, ,. _ residingat � V�Fw
(Print property owner's name) (Mailing Address)
201 do hereby authorizef4,A A9 v
r
(Agent) I
to apply on my behalf to the
Southold Building Department.
Owner's Signature) ( )
Penns R..lu V 01,
(Print Owner's Name)
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FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) -ILN �
FOUNDATION(2ND)
0�)
ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y. H
STATE ENERGY CODE
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sin iyj-., NQ1 (6LAL L7
FINAL
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: 631 765-9502 Surye
Southoldt wnny.gov PERMIT NO. bol Check
Septic Form
M'Vt L L, Trustees D.E.C.
Trustees
L
C.O.Application
Flood Permit
Examined � ,20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 120 O� Mail to:- HA1?4 SC(A/4(F-
Disapproved
Disapproved a/c
JK Phone: .3 4f 4�r
Expiration 20
it ector
q4 Z6
;APPLICATION FOR BUILDING PERMIT 07b 57
Date 1 9V , 20
AUG 2 6 INSTRUCTIONS
a. T tsrap l Lil— ctatio TAT be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of p ,accuratq-plot.p�ari.to scale.Fee according to schedule.
V 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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agen ,architect, gineer, general contractor, electrician,plumber or builder
Name of owner of premisesF�� G�1 L e-r L Ll
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location f land on which propo ed work will be don
House Number StreetQQ Hamlet
County Tax Map No. 1000 Section 8(9 Block Cp Z Lot 7,
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupanof oposed construction:
a. Existing use and occupancy (N� � FA IL .
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building ®Add ii on Alteration
Repair Removal Demolition Other Work
(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, co ia�or mixd o�ifany:
nspecify nature and extent of each type of use.
7. Dimensions o exls m�gistructuresFront 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 Nber f Stor' s
ft- U Kk/
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?YES NO_>!<Nill excess fill be removed from premises?YES P< NO
14.Names of Owner of premises H V 1 Address Phone No. I 03
Name of Architect ddress Phone No 3 7 V y Z
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 BF REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
—9s'—
• 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 P(
* IF YES,PROVIDE A COPY. CH
Notary Public, oD. f New York
No.01BU6185050
STATE OF NEW YORK) Qualified in Suffolk County
SS: Commission Expires April 14,2D-L)
COUNTY OF 5J C
MA- P11 161 being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing coni ract)abovt named,
(S)He is the Aga
(Con Tactor,Ag t,Co rate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief and that the work will be
performed in the manner set forth in the application filed therewith.
S�w,or,�nI tobeforebefore me this
day of 20-10
Notary Public Signature of Applicant
Scott A. el s STORMWATER
SUPF,RVISOR MANAGEMENT
SOUT HOLDTOM HWL-F.0.J<ox im
WO%Main Road-SOUMOM,Mrj yopXum Town of Southold
LULU]/V1 E60t----
CHAPMR 236 - STSTER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
DOES TMS PROJ= R%rVOLVIE ANY OF TIM FOLLOWwa-
Yes:,No "EM AU nMT AMY)
A. Clearing, grubbing, grading or-stripping of land which affects more
than 5,000 square-feet of ground surface.
0 B. Excavation or filling involving more than 200 cubic yards of material
within any parcel of 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
FMM-*%p of anywatercour-se.
F. Installation of new or resurfaced impervious surfaces of I,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 M ansWwed 1470 to au of the q aiffe,smi Cwplate flte Appumni mcm bobw wn m me
""
ftnatm, COMPA hfan=Um% Bak a Cuft T=Map Numba! C114Pta 2N d=ut aplft to yyW ,
m PXtWL
q- If you answered YO to ow or inure of the awe,]PIMM suln& Two copies of a Swmwater Mmagment Culum P&DI
and a aimplew chwk 11ftt ft=to the ftuftg I wiff your BuRft LeE!!ft Apowdon.
=A_NT,. Wmrenyowrxr. Amt S.C.T.M. 1000 Daus
NAME C-1.1t. A40 §a7i-A
0 q, Zf_?
0 Zo
RICCR- LM
FOR BUILDING DEPARTIVIENIT USE ONLY
— — — — — — — — — — — — — — — Reviewed Br.— — —
Property Address/Location of Construction worm. —- - - - - - - - - - - - - - - - -
Approved for procesbing Building permit.
Stormwater Management Control Plan Not Required.
LiStormwater Management Control Plan ts Required.
(Forward to Engineering Departnwnt for Review.)
FORM 5MCP TOS MAY 2014
P1 V t, L.i �J s Po oL.,
APPLICANT: S.C.T.M. #: 1000 CHAPTER 236
(Property Owner.Design Professional,Agent,Contractor,Other) - �p511 I
Stormwater Management Control Plan CHECK LIST
NAME- �(� Section Block Lot z S M C P -Plan Requirements Provide ONE copy of the Building Permit Application.
Date: * The applicant must provide a Complete Explanation and/or Reason foi not providing
7 ®1 all Information that has been Required by the following Checklists
Ji,�,naWrc TNeaAore,um r
t. A Site Plan drawn to scale Not Less that 60'to the inch MUSTIf You answered No or NA to any Item, Please Provide Justification Herel
YE NO NA
show all of the following items: if you need additional room for explanations, Please Provide additional Paper.
a. Location& Description of Property Boundaries 00
b. Total Site Acreage.
c. Existing- Natural & Man Made Features within 500 L.F.
of the Site Boundary as required by§236-17(C)(2)
d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water.
e. Limits of Clearing & Area of Proposed Land Disturbance. ✓00
f. Existing& Proposed Contours of the Site (Miniinuin z Interval) F
g. Location of all existing& proposed structures, roads,
driveways,sidewalks, drainage improvements& utilities.
h. Spot Grades & Finish Floor Elevations for all existing&
proposed structures.
1. Location of proposed Swimming Pool and discharge ring.
j. Location of proposed Soil Stockpile Area(s). •� ��
k. Location of proposed Construction Entrance/Staging Area(s). ✓��
1. Location of proposed concrete washout area(s). 00
M. Location of all proposed erosion&sediment Contiol measures. ✓ �0
2. Stormwdter Management Control Plan must include Calculations showing
that the stormwater improvements are sized to capture,store,and infiltrate
on-site the run-off from all impervious surfaces generated by a two(21 inch
rainfall/storm event.
3. Details&Sectional Drawings for stormwater practices at a required for approval.
Items requiring details shall include but not be limited to:
a. Erosion&Sediment Controls. �0
b. Construction Entrance& Site Access. 0�
c. Inlet Drainage Structures (e.g.catch basins,trench diains,etc.) 0�
d. Leach ing Structures (e.g.infiltration basins,swales,etc.)
****FOR ENGINEERING DEPARTMENT USE ONLY**** Additional Information is Required.
Reviewed & Stormwater Management Control Plan is Not Complete.
Approved By: — — — — — — — — — — — — — — — — — — — — — — — I
Stormwater Management Control Plan is Complete.
Date: I SMCP has been approved by the Engineering Department.
FORM * SWCP Check List-TOS MAY 2014
COMPLY WITH ALL CODES OF SITE DATA: SCTM: 1000-88-02-PL 17.5
NEW YORK STATE & TOWN CODES O
Cej AS REQUIRED AND CONDITIONS Gr STORM WATER MANAGEMENT DETAILS DESCRIPTION: AREA LOT COVERAGE: EXCAVATE: FILL: 0
PROPERTY: 146.210.0 SQ.FT. 3.3565 ACRES
-�1 T' `�l LOCATION: SF AREA: 100%RUNOFF AT DRYWELL DRYWELL
2"RAIN PER HOUR PROVIDE: CAPACITY: ESTIMATED AREA OF 10,000 SQ.FT.
n pn NEW ROOF AREA: 568 SQ.FT, 102 CU.YD. (1)8'dia.,4'deep 169 CU.YD, GROUND DISTURBANCE:
PROPOSED POOL 800 SQ,FT. (1)8'dia..4'deep 169 CU.YD.
TOTAL 1368 SQ.FT. (2)8'dia,4'deep
ALU I ��' I i �J cES EXISTING HOUSE: 2886.0 SQ.FT. 1.97%
-----..— SINGLE BEAD HALF ROUND GUTTER
APPROVED AS NOTED STANDARD 511 EXISTING SOUTH PORCH: 138.0 SQ.FT. 0.09% —
NOTES:
�{ I),EXECUTION: EXISTING EAST PORCH: 80.0 SQ.FT. 0.05% r
DATE: 3� B.P.# 4 PLY A).DO NOT BEGIN INSTALLATION UNTIL SUBSTRATES HAVE BEEN PROPERLY PREPARED. v
OCCUPANCY 2)PREPARATION: (3704.0) (2.11)
A).CLEAN SURFACE THOROUGHLY PRIOR TO INSTALLATION.
FEE: - BY: 0 R B).PREPARE SURFACES USING METHODS R:COMMENDED BY THE MANUFACTURE FOR
ACHIEVING THE BEST RESULTS FOR THE SUBSTRATE UNDER THE PROJECT CONDITIONS.
USE I Q.PAINT CONCEALED METAL SURFACES AND SURFACES IN CONTACT WITH DISSIMILAR
METALS WITH PROTECTIVE BACKING PANT.
NOTIFY BUILDING DEPART AT UNLAWFUL PROPOSEDPOOLHOUSE: 350.OSQ.FT. 0.24% 30CU.YD IS CU.YD. Q
765-1802 8AM TO 4 P FOR THE ''A).Pten°" w
A).PERFORM WORK IN ACCORDANCE WITH EDA HANDBOOK AND THE DRAWINGS. PROPOSED SHED: 56.0 SQ.FT. 0.041/b 10 CU.YD. $CU.YD.
FOLLOWING INSPECTIONS: WITH TI I).SHEETGUTTEMETALTO BE
EGTHS WIT H LEADVATERIGHT JOINTS.EVERY 40'OF RUN.
WITHOUT T C E R T I F! � 2).SHEET METAL JOIN LENGTHS D SO DER GUTTERS
JOINTS. T/1
1. FOUNDATION - TWO REQUIRED ' I e).COPPER/LEAD:F ASI AND SOLDER TERS TO DOWNSPOUTS AND V1
0 F OCCUPANCY ACCESSORIES PROPOSED POOL w/HOT TUB: 1000.0 SQ.FT. 0.68% 280 CU.YD. 65 CU.YD. O
B).ALUMINUM:RIVET AND CAULK WI'H A BUTYL SEALANT SLIP JOINT
FOR POURED CONCRETE '\ `°"NEDOWNS
3).CONNECT DOWNSPOUTS TO STORM OVER SYSTEM AS INDICATED.SEAL 0434-0)
2. ROUGH - FRAMING & PLUMBING CONNECTION WATERTIGHT. �..�
3. INSULATION MIDLAND PARKWAY WELLS TO BE 10'MIN. +).A)PROECT AWAY FROM HOUSE A).PROTECT INSTALLED PRODUCTSEPLACE AMA ED PLETION PRODUCTS BE RK ESUB).TOUCH-LIP,REPAIRDR REPLACE DAMAGED PRODUCTS BEFORE SUBSTANTIAL
4. FINAL - CONSTRUCTION MUST COMPLETION. PROPOSED DRYWELLS: (2)8'dia,4deep - 15 CU.YD. 5 CU.YD.
BE COMPLETE FOR C.O.
;;DRY
ALL CONSTRUCTION SHALL MEET THE {' TOTAL: 4538.0 SQ.FT. 3.09% 335 CU.YD. 90 CU.YD.
REQUIREMENTS OF THE CODES OF NEWtrI'MIM.H P E! Y'
YORK STATE. NOT RESPONSIBLE FOR ENCLOSE POOL TO CODE
DESIGN OR CONSTRUCTION ERRORS. :.";UPON COMPLETION MEETS&SOUNDSBY: PECONICSURVEYORS SURVEYDATE: NOVEMBER12,2004
r;BEFORE"WATER"
A
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236 N 30032'10" E 497.42' o C)
OF THE TOWN CODE. Z
a. 20' RIGHT OF WAY o ,�• 0 w
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COMMUNCATON.FdTRANSFORMER
- - - - - - - - - - -- - - - - -- - -ELECTRI^AL POWER CONSTR. A-,
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15' TREE LINE METER ANCE CA_ d
INSPECTION REQUIRED o - - - - - - - - - — -- - -- - - - - ` - �.
4'HIGH FENCING POOL E
cz-
(SPACING PER CODE) " IN SHED EXISTING SHED -_ "\
BE REMOVED I I • �
SELF-CLOSING& i I SX3, _ y _ - ` S 1 I \ J O
SELF-LATCHING/LOCKING, o
CPROPOSED
OVERED: 4xS'O.D. %
\ OIJTSWiNG GATES I1 ENTRY '- POOLHOUSE sH_- T E TOP
CONCRETET 1
^. h �X��f�. PATIO ON GRADE ,,\S �WASHOU'� S` SOIL ,E ;i ,� 1 L r•'I
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V' C 11 P S E I
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9� HOT TU E E I i
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EV�iE�.REEN %,v. EN ,\
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4. > LIMITS OF CLEARING TO BE
NO MORE THANFROM 1 \
' PROPOSED WORK AS
PORCH INDICATED ON SITE PLAN ` 1 U
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— — — — — — — — — — —%� — — — — — — — — — - --- — — — — — — - — — — ---- — — — — — — — — — — — — � \
I I COPING AS SELECTED
BY OWNER
- - - - - - - - - L - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - -I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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SWIMING POOL TO BE EXCAVATED ONE FOOT OVER DESIGN ALL FILL BENEATH CONCRETE SLABS TO BE COMPACTED IN (VARIUS) \ [�
SPECIFICATIONS AND SOIL TO BE LEFT ON PROPERTY.SOIL 12"LIFTS TO 3000 psi TO 95%DENSITY ASTM D-689. IT
TO BE STOCKPILED OR RUFF GRADED(AS PER OWNER)ON COMPACTION TEST REQUIRED(FEES TO BE PAID BY
THE DAY OF EXCAVATION ONLY UNLESS SOIL IS TO BE CARTED OWNER)TESTING TO BE PERFORMED BY SOIL
AWAY.SWIMING POOL STRUCTURE TO INCLUDE A MATT OF MECHANICS DRILLING,516-221-2333.GENERAL B"
3/8"STEEL REBAR TIED,10"ON CENTER FOR WALLS AND FLOOR, CONTRACTOR IS RESPONSIBLE FOR ARRANGING TESTING. V
5"ON CENTER FOR ALL TRANSITION BREAKS AND BOND BEAM. CA
THE POOL SHELL TO BE MADE OF 1-4 DRY GROUT GUNITE MIX x
SHOT INTO THE STEEL CAGE AT A THICKNESS OF NO LESS THAN GUN 1T E POOL
12"ON THE TOP EDGE OF THE POOL(BOND BEAM)AND NO LESS
THAN 8"ON THE WALLS AND FLOOR,INTERIOR FINISH OF POOL
TO BE"PEBBLE TECH"DURABLE FINISH.COLORS AS PER OWNER. 3/8" = 1WALE:
POOL SECTION G�,�ER N qRC
� ry S�titi% ,f
1/4" = 1'-SCALE: 7
4 -I DRAWN:
SCALE:
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JOB#:
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O P N ESHEET NUMBER:
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