HomeMy WebLinkAbout47662-Z TOWN OF SOUTHOLD
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#: 47662 Date: 4/11/2022
Permission is hereby granted to:
Tuthill K & K Trust
...................................____._._._._._._._.______NNN�.�..... _..�....... ._..._..wwwww_.............wwwwwwwwwwwww �___
PO BOX 247
Whitefield, NH 03598 _ -----------------------------------------
.-_-_-_. _—._._.....---
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
67.5...Cedar....DrI....Mattituck........ _.._...m__ ..............................._._�. _ _www__
SCTM #473889
Sec/Block/Lot# 106.-11-7
Pursuant to application dated 3/11/2022_ and approved by the Building Inspector.
To expire on 10/11/2023.w_
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: _�...� $300.00
-------------
Bt i knagector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
." Telephone (631) 765-1802 Fax (631) 765-9502 Ligps.//N its to a ltt c v t yjqY
Date Received
�III'PL BUILDING IT
For Office Use Only C E
PERMIT NO. Building Inspects ra. _._... _ MAR 0 92022
Applications and forms must be filled out in their entirety. Incomplete ; i�N~�NN.DNN�NG DEPT
(, VVN OF,,3 UTH1&D
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name: �a2iS TV'T1I �—L SCTM#1000- 7
Project Address:
Phone#: Email: ,Pe4L'J
Mailing Address:
CONTACT PERSON:
Name: 4,F,1 j1 /_�/ r7iJ1�
Mailing Address:-7 <<, .D,r 9, �-C4+,X,L-�, i�yy� X1935
Phone#: Co 31 - �/-`rZ�� Email: rte�-
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address: �aCax cis �7�tw, AJY//y3S
Phone#: (� 31 - 7gzl -26 laS cl-P+C'n I i ru. n e-+
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
00ther =7-/4 $ �5'9'4)00,c2�
Will the lot be re-graded? ZYes 0N Will excess fill be removed from premises? IyYes ❑No
1
PROPERTY INFORMATION
Existing use of property: 5;vZy . Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes)Rj'No IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 286 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): 131Authorized Agent ❑Owner
Signature of Applicant. Date:
STATE OF NEW YORK)
SS:
COUNTY OF Z: 11k )
EJC?t7uC 614/7uk being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Z
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
a� day of lgcLrc1-, , 20 I:v ......-,7V1j1A
o a Public
STEVEN L. HARNED
PROPERTY NE f HORi I Notary Public State of New York
No.OI A607 t 848
(Where the applicant is not theowner) Qualified inSuffolkounty.
Commission ion Expires March 3, , 2„
residing at
do hereby authorize to apply on
my beh f 0 the Town of Southold Building Department for approval as described herein.
Zo 2 Z
Owner's Signature Date
Print Owner's Name
2
Telephone Number of authorized representative or licensed agent of insurance carrier:CarrierPhone
Please Note:Onlr insurance carriers and their licensed agents are authorized to issue the C-105.1 ftrin.Insurance brokers are NOT authorized to issue it.
C-105.2(9-17) www.web.ny.gov
Workers' Compensation Law
Section 57.Restriction on issue of permits and the entering contracts unless compensation is secured.
1.The head of a state or municipal department,board,commission or office authorized or required by law to issue any permit for
or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter,and
notwithstanding any general or special statute requiring or authorizing the issue of such permits,shall not issue such permit
unless proof duty subscribed by an insurance carrier is produced in a form satisfactory to the chair,that compensation for all
employees has been secured as provided by this chapter.Nothing herein,however,shall be construed as creating any liability on
the part of such state or municipal department,board,commission or office to pay any compensation to any such employee if so
employed.
2.The head of a state or municipal department,board,commission or office authorized or required by law to enter Into any
contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this
chapter,notwithstanding any general or special statute requiring or authorizing any such contract,shall not enter into any such
contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that compensation
for all employees has been secured as provided by this chapter.
C-105.2(9-17)REVERSE
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MAR g 9 2022
CORNER CONNECTION DETNL BUILDING 1;cPr.
r ema� —
69 e'•{�C —_.----_�--�••,-4T T••••—�•--�•____-- . TOWN OF SOU OLD
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SOUTH
EE
OLD
L SECTION co 1
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Complies With ��✓� `i, +�iZ�
2020 Code Section'3032.1'-303A Swimming Pools,Spas-and Hot Tubs
' Section R326 of the Residential Code of New York
----------- _a:--------------
Section 3'109 6 the Building Code of NeW York +
{ Section N1103-12(R403.12)Residential Pools and Permanent Residential Spas P00i VNE,NEC`�'ANGLE ��/� SCALE; :I TS'
Section 31093.12-3.109.7,4 Pools and Spas.Gates,Barriers �MES®EI:RK�SKID P.E.
Section G106 Entrapment Protection .. ®ATE; .
FICAL P • EL,STIFF ER Section G107 Alarms ;: 160 DEER DRIVE
Section E42b1—E4312 Electrical Connectioris tot Pools ILIA@ ITUK;NEW YORK 11952 DRAM R6 NUMBER
1 ' OF 1
NOTES:
i
1. DIVING BOARD TO CONFORM WITH ANSI/APSP/ICC-5 SEC 6
2. NO SOIL DISCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION
3. POOL MUST BE SURROUNDED BY A CONTINUOUS BARRIER CONSTRUCTED IAW REQ.OF SEC 326.4.2.1-R326.4.2.6 OF THE NYS RESIDENTIAL CODE(2020)AND ALL SECTIONS OF THE SOUTHOLD CODE
4. WALLS MAY SERVE AS PART OF THE POOL BARRIER AS PER SEC 326.4.2.8 AND ALL WINDOWS HAVE A SELF LATCHING DEVICE
5. ACESS GATES SHALL COMPLY WITH SEC R326.5.2 OF THE NYS RESIDENTIAL CODE(2020)AND BE SELF CLOSING,SELF LATCHING AND BE SECURELY LOCKED WHEN POOL IS NOT IN USE OR SUPERVISED. ALLL GATES ARE
TO OPEN AWAY FROM THE POOL AREA.
6. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECT A TEMPORARY BARRIER AROUND THE EXCAVATION IAW CODE OF THE TOWN OF SOUTHOLD.
7. POOL MUST BE EQUIPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AND SOUNDING AN AUDIBLE ALARM WHEN DETECTED THAT IS AUDIBLE AT THE POOLSIDE AND INSIDE THE
DWELLING.THE ALARM MUST BE INSTALLED,MAINTAINED AND USED IN ACCORDANCE WITH TEH MAUFACTURERS INSTRUCTIONS.THE ALARM MUST MEET ASTM F2208"STANDARD SPECIFICATION FOR POOL ALARMS".THE
DEVICE MUST OPERATE INDEPENDENT(NOT ATTACHED TO OR DEPENDENT ON)OF PERSONS.
8. POOL SUCTION FITTINGS(EXCEPT FOR SURFACE SKIIMERS)MUST BE PROVIDED WITH A COVER THAT CONFORMS TO ASME/ANSI Al12.19.8M OR A MINIMUM 18'X23"DRAIN GRATE OR A CHANNEL DRAIN SYSTEM.POOL
CIRCULATION SYSTEM MUST BE EQUIPTED WITH ATMOSPHERIC VACUUM RELEIF.SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME Al 12.19.17 OR BE A GRAVITY SYSTEM APPROVED BY THE TOWN OF
SOUTHOLD.POOL SALL BE PROVIDED WITH A MINIMUM OF 2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE.THE SUCTION'FITTINGS SHALL BE SEPARATED BY A MINIMUM OF T AND MUST BE PIPED SUCH THAT WATER
IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS).VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN ACCESSIBLE POSITION,MINIMUM OF 6"AND
NO'GREATER THAN 12"BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BEAN ATTACHMENT TO THE SKIMMER/SKIMMERS. A REQUIRED POOL ATMOSPHERIC VACUUM RELEIF SYSTEM SHALL BE INSTALLED AS PER
NYS RESIDENTIAL CODE R326.6.3(2020)AND IN ACCORDANCE TO TOW CODE
9. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS'OF NFPA 70(NEC),PRINCIPALLY ARTICLE 680 AND THE NYS RESIDENTIAL CODE SECTION 4102 THROUGH 4106.ALL ELECTRICAL DEVICES MUST BE
APPROVED BY UNDERWRITERS LABORATORIES AND BE PROTECTED BY A GOUND FAULT CURRENT INTERRUPER(GFCI).CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE PROVIDING POWER TO POOL
LIGHTING AND POOL EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4203.5. ALL METAL ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY BECOME
ELECTRICALLY CHARGED DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED.
10. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING CODE 608.
11. ALL PIPING IS DIAGRAMMATIC UNLESS OTHERWISE STATED.
12. WALKS, IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM THE POOL EDGE.
13. A MEANS OF EGRESS FROM DEEP AND SHALLOW ENDS MUST BE PROVIDED IAW ANSI/NSPI-5 SECTION 6.
14. CONTRACTOR TO PLACE THE POOL IAW TOWN OF SOUTHOLD CODE SETBACKS.
15. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY.
16 THE DESIGN IS BASED ON A DRAINAGE SOIL WITH<10%SILT.GROUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION. IF GROUND WATER EXISTS WITHIN 6'0"FROM GRADE,DEWATERING FACILITIES WILL BE
REQUIRED.
17 ALL GAS AND OIL WATER HEATERS(IF INSTALLED)FOR THE IN-GROUND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY CONSERVATION ACT(NAECA)COMPLIANT. POOL HEATERS SHALL BE TESTED IAW ANSI
Z21.56 AND SHALL BE INSTALLED IAW MANUFACTURERS SPECIFICATIONS.OIL FIRED POOL HEATERS SHALL BE TESTED IAW UL726.POOL HEATERS SHALL BE LOCATED OR GUARDED TO PROTECT AGAINST ACCIDENTAL
CONTACT OF HOT SURFACES BY PERSONS.POOL HEATERS SHALL BE PROVIDED,WITH TEMPERATURE AND PRESSURE-RELIEF VALVES.A BYPASS LINE SHALL BE INSTALLED FROM THE INLET TO OUTLET TO ADJUST WATER
FLOW THROUGH THE HATER.POOL HEATERS SHALL BE PROVIDED WITH THE FOLLOWING ENERGY CONSERVATION MEASURES:
17.1 ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE OPERATION OF THE HEATER WITHOUT ADJUSTING THE THERMOSTAT SETTING AND TO
ALLOW RESTARTING WITHOUT RELIGHTING THE PILOT LIGHT. AT LEAST ONE THERMOSTAL MUST BE PROVIDED FOR EACH HEATING SYSTEM.HEATED SWIMMING POOLS SHALL BE EQUIPTED WITH A POOL COVER.(exempt
FROM THIS ARE OUTDOOR POOLD)DERIVING 20%OF THE ENERGY FOR HEATING THE POOL FROM RENEWABLE SOURCES OVER AN OPERATING SEASON.
17.2 TIME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS,AND CAN BE SET TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER IN A
CLEAN AND SANITORY CONDITION IAW APPLCIABLE SANITORY CODE OF NEW YORK STATE.
18 BACKFILL WILL BE DONE WITH CLEAN EARTH FREE OF ROOTS AND DEBRIS. BACKFILL HEIGHT AND WATER LEVEL TO BE WITHIN 8"OF EACH OTHER. PLACE CONCRETE ON SANDY LOAM SOIL. CLAY TO BE REMOVED AND
REPLACED WITH SANDY LOAM.
19 THERE ARE MAIN DRAINS IN THIS POOL.THERE ARE TWO APPROVED SUCTION OUTLETS WITH A MINIMUM OF T OF SEPARATION. THE SUCTION OUTLETS ARE PIPED SO THAT WATER IS
DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM-RELEIF-PROTECTED LINE TO THE PUMP.COMP I WITH ENTRAPMENT PROTECTION AS PER CODE.
20 THE POOL WAS DESIGNED REFERENCES AS THE FOLLOWING:
20.1 THE RESIDENTIAL BUILDING CODE OF NEW YORK STATE(2020)SEC R326 �F D c- y,
20.2 THE ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE(2020)SEC R403.10 '�P C,1. ��fi0
C-D aW' 40
20.3 THE FUEL GAS CODE OF NEW YORK STATE(2020) `��
r ,+ ! i
20.4 THE NEW YORK STATE SANITORY CODE. s?
Ce
20.5 ANSI/APSP/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS. �%u `y._.. _ 'i' ,v �� POOL NOTES SCALE: NTS
20.6 BOCA CODE SECTION 421. pR 07 P�' JAMES DEERKOSKI, P.E. DATE: 10/2/2020
20.7 CODE OF THE TOWN OF SOUTHOLD ® SSO 260 DEER DRIVE
MATTITUK, NEW YORK 11952 DRAWING NUMBER
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