HomeMy WebLinkAbout48443-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
" SOUTHOLD, NY
y
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 #: 48443 Date: 11/1/2022
Permission is hereby granted to:
2500 Soundview LLC
12800 Route 25
Mattituck, NY 11952
To: construct swimming pool addition to existing single-family dwelling as applied for per
Trustees & DEC approvals.
At premises located at:
2500 Soundview Ave
SCTM # 473889
Sec/Block/Lot# 94.-2-1.5
Pursuant to application dated 8/8/2022 and approved by the Building Inspector.
To expire on 5/2/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $:301.60
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO-ADDITION TO DWELLING $50.00
Total: $601.60
it-,
Building Inspector
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 his'//ww.southoldt «^ Lii . wv
Date Received
APPLICA1 ION FOR BUILDING PERMIT"'
For Office Use Only �,JG
PERMrf NO. Building Inspector: p:?a —ANG
NC3
TO'vv�-,OFSdU'RiOi.�..,
Applications and forms must be filled out in their entirety. Incomplete
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:2500 Soundview LLC SCrM#1000-473889 Sec./Block/Lot 94.-2.1.5
Project Address:2500 Sou ndview Avenue, Mattituck
Phone#:516-238-8151 Email:ncohen769gmail.com
Mailing Address:320 N Broadway #2, Hicksville NY 11801
CONTACT PERSON:
Name:Stephen Kiely / Kristina Martin
Mailing Address:POB 1861, Shelter Island NY 11964
Phone#:631-353-2461 Email:kristina.maj'disova@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Anthony Andrews
Mailing Address:158 County Rd 39, Southampton, NY 11968
Phone#:(631) 259-3959 Email:AnthonyA@DiLandroAndrews.com
CONTRACTOR INFORMATION:
Name:Schlesinger Pool Services Inc. / Brian J Schlesinger
Mailing Address:1361 Lincoln Ave. - Unit 5, Holbrook NY 11741
Phone#:631-981-0685 Email: II ha, �
DESCRIPTION OF PROPOSED CONSTRUCTION
*New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
El other Pools-
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? es ❑No
1
PROPERTY INFORMATION
Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? *Yes ❑No IF YES, PROVIDE A COPY.
R Check BOA Aellll Rea&l41 W The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by
Chapter 236 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 B e):Stephen Kiel
Y 'Au h rized Agent []owner
Signature of Applicant: "� Date: Td� I ( V 2 v
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Stephen F. Keely being duly sworn,deposes and says that(s)he is the applicant:
(Name of individual signing contract)above named,
(S)he is the Authorized Agent / Attorney
(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.
Kristina Martin Majdisova
Sworn before me this NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01 MA6422200
Iqqualified in Suffolk County
l day of q V 20 71 2 Commission Expitrm04J2ty2Vi
IAI
PROPERTY OWNIERcow AU M 0RI 'moo N
(Where the applicant is not the owner)
I, residing at r� 4 "4
�+
do hereby authorizeStephen Kiely to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
p
Own s Sig ure bate
Print Owner's Name
2 I
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NEW YORK STATE IEP R'rENT OF ENVIRONMENTAL NS RV VIII N
Division of Environmental Permits,Region 1
SUNY#Stony Brook,50 Circle Road,Stony Brook,NY 11790
P:(631)444-03651 F:(631)444-0360
www.dec.ny.gov
July 11, 2022
2500 Soundview LLC
320 N. Broadway #2
Hicksville, NY 11801
Re: Permit No. 1-4738-04882/00001
Facility: 2500 Soundview Ave, Mattituck
SCTM# 1000-94-2-1.5
Dear Permittee:
In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL)
and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit for the
referenced activity. Please carefully read all permit conditions and special permit conditions
contained in the permit to ensure compliance during the term of the permit. If you are unable to
comply with any conditions, please contact us at the above address.
Also enclosed is a permit sign which is to be conspicuously posted at the project site and
protected from the weather and a Notice of Commencement/Completion of Construction.
Sincerely,
r i
1 d 4a� M
Victoria Panicola
Environmental Analyst Trainee 1
cc: Stephen Kiely, BoEH, File
9tAtd L!h
aarr�rueprdar F`tt+airottmerafl
Conservation
NEW YORK STATE DEPARTMENT Or ENVIRONMENTAL CONSERVATION
Facility DEC 11) 1-4738-04882
PERMIT
Under the Environmental Conservation Law
Permittee and Facility Information
Permit Issued 'ro: Facility:
2500 SOUNDVIEW LLC 2500 SOUNDVIEW LLC
320 N BROADWAY UNIT 2 2500 SOUNDVIEW AVEJ1000-94-2-1.5
I-IICKSVILLE,, NY 11801 MATTiTUCK,NY 11952
Facility Application Contact:
STEPHF,N KILL,Y
PO BOX 567
MAT I'ITUCK, NY 11952-0567
Facility Location: in SOUTHOLD in SUFFOLK COUNTY
Facility Principal Reference Point: NYTM-E: 706.773 NY'I'M-N: 4544.269
Latitude: 41'01'24.3" Longitude: 72°32'26.3"
Project Location: 2500 SOUNDVIEW AVL, MATTITUCK. SCTM# 1000-94-2-1.5 UNNAMED
POND
Authorized Activity: Installation of a new 10'x24'x4.2' in ground vinyl pool, 4' pool fence, pool
equipment, patio and drywell. All work must be done in accordance with the two page plan, page one
prepared by Ward Brooks, last revised on 5/25/2022, and page two done by Suffolk Environmental
Consulting, Inc, last revised on 4/15/2022, and both pages stamped NYSDEC approved on 7/11/2022.
VAP
...... � _..... _Permit Authorisations............. .................� ...
Freshwater Wetlands - Under Article 24
Permit ID 1-4738-04882/00001
New Permit Effective Date: 7/11/2022 Expiration Date /l1 tIlt)2wT
NVSIDEC 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: SHERRI L RICHER, Deputy Permit Administrator
Address: NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony B ,')o ,NY 11790 -3409W,
Authorized Signature: µ Date -7/ / 10 Z2—
....m . ._ _ ._.
Page 1 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVA'T'ION
Facility DEC ID 1-4738-04882
Distribution List
S"IT?PI114,*N KIELY
Habitat
bile
Victoria Panicola
Permit Components
NATURAL RESOUItCl3 PERMIT CONDITIONS
GENERAL CONDITIONS, APPLY TO ALL AUTI-IORI%ED PI;ItMITS
NOTIFICATION OF O'1 HER PI RMI"1"I'l l; OBLIGATIONS
- NATURAL RESOURCE PERMIT CO...... _ ...l
CONDITIONS - Apply to the Following
Permits: FRESHWATER WETLANDS
- �ee.... �... m.. m....., . ....� ..... .. �_...
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. Conformance With Plans All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the applicant or applicant's agent as part of the permit application.
Such approved plans were prepared by Ward Brooks (Page 1 of 2, last revised 5/25/22) and Suffolk
Environmental Consulting, Inc (Page 2 of 2, dated 4/15/22).
4. Planting Requirement All plantings shown on the approved Proposed Planting Plan must be
completed as a requirement of this permit. The "area of revegetation" and the "proposed 15' buffer"
shown on the plan must be allowed to grow in naturally and remain undisturbed.
5. Seed, Mulch Disturbed Areas All areas of soil disturbance resulting from this project shall be
seeded with an appropriate perennial grass, and mulched with straw immediately upon completion of the
project, within two days of final grading, or by the expiration of the permit, whichever is first.
6. Temporary Mulch, Final Seeding If seeding is impracticable due to the time oi'year, a temporary
mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather
conditions favor germination and growth but not more than six months after project completion.
Page 2 of 6
NEW YORK STATE, DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC iD 1-4738-04882
7. Minimum '%► Vegetative Cover Suitable vegetative cover is defined as a minimum of 85 % area
vegetative cover with contiguous unvegetated areas no larger than 1 square foot in size.
8. Area Planting Specifications The revegetation area shall be planted as follows : as shown on the
approved Proposed Planting Plan.
9. Silt Screen Prior to commencement of any construction activities, a continuous line of silt screen
(maximum opening size of U.S. Sieve #20) shall be staked downslope of any ground disturbance, as
needed.
io. Silt Screen to Be Recessed Silt screen shall be recessed six inches into the ground.
11. Maintain Silt Screen The screen shall be maintained, repaired and replaced as often as necessary
to ensure proper function, until all disturbed areas are permanently vegetated. Sediments trapped by the
screen shall be removed to an approved upland location before the screen is removed.
12. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or
excess excavated materials shall be immediately and completely disposed of on an approved upland site
more than 100 feet from any regulated freshwater wetland. 'These materials shall be suitably stabilized
so as not to re-enter any water body, wetland, or wetland adjacent area.
13. Equipment Storage 100' from Wetland,Water Body All equipment and machinery shall be
stored and safely contained greater than 100 feet landward of the regulated wetland or water body at the,
end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the
regulated area.
14. Work Area Limits Any work, disturbance, and or storage of construction materials shall be
confined to within the limit of clearing and ground disturbance shown on the approved plan.
15. State Not Liable for Damage The State of New York shall in no case be liable for any damage or
injuiy 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.
16. 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 of this perinit, the structure, rill, excavation, or other
modification of the watercourse hereby authorized shall not be completed, the owners, shall, without
expense to the State, and to such extent and in such time and manner as the Department of
Environmental Conservation may require, remove all or any portion of the uncompleted 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.
Page 3 of 6
95
NEW YORK STATE: DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04882
17. State May Require Site Restoration lfupon the expiration or revocation ofthis permit, the
project hereby authorized has not been completed, the applicant shall, without expense to the State, 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
former condition. No claim shall be made against the State of New York on account of any such
removal or alteration.
18. Precautions Against Contamination of Waters All necessary precautions shall be taken to
preclude contamination ofany wetland or waterway by suspended solids, sediments, fuels, solvents,
lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials
associated with the project.
GENERAL CONDITIONS- m . .... .. .
[111-17-1 , ,- ......... ............-----------Apply to ALL Authorized Permits:
I. 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).
'File permittee shall provide a person to accompany the Department's representative during an inspection
to the permit area when requested by the Department.
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 Transfers 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 Pen-nit Administrator
NYSDEC Region 1 Headquarters
SUNY , Stony BrookJ50 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: Freshwater Wetlands.
Page 4 of 6
da
NEW YORK s'rA`iTE DEPARTMENT OF ENVIRONMENTAL CONSERVA'T'ION
Facility DEC ID 1-4738-04882
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
grounds for modification, suspension or revocation include:
a. materially Use 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 environlTlental conditions, relevant
technology or applicable law or regulations since the issuance of the existing permit;
e. noncompliance with previously issued permit conditions, orders of the commissioner, 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.
PERMITTEE OBLIGATIONS
...... OTIFICATION OF OTHER.,.. �........��_e.__��m..__ ®.. ® ®... m.
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. ']'his 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 responsible for obtaining any other permits, approvals, lands, easements and rights-of-
way that may be required to carry out the activities that are authorized by this permit.
Page 5 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4735-04882
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 party to the
permit.
Page 6 of 6
NOTICE OF COMMENCEMENT OF CONSTRUCTION
RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0272
Bureau of Ecosystem Health-NYSDEC E-Mail:dec.sm.R1MHP-BEH@dec.ny.gov
SUNY at Stony Brook
50 Circle Road
Stony Brook, NY 11790-3409
PERMIT NUMBER: EXPIRATION DATE:
PERMITTEE NAME&PROJECT ADDRESS: . _
CONTRACTOR NAME&ADDRESS:
TELEPHONE:
Dear DEC:
Pursuant to the special conditions of the referenced permit, you are hereby notified that the authorized activity shall commence on
_,,,_,,,,,,,,,,,,,,,,,,,,,,,,_. We certify that we have read the referenced permit and approved plans and fully understand
the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the
permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions,The permit,
permit sign, and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both
signatures required)
PERMITTEE; DATE
CONTRACTOR: DATE
THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE
PROJECT AND/OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE
THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT
THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH
PERMIT CONDITIONS.
Cut„along this line X .,X ...... X ......._ .. ... ....X.. � .e..... _ X......................... .... X ..
,.. X
NOTICE OF COMPLETION OF CONSTRUCTION
RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0272
Bureau of Ecosystem Health-NYSDEC E-Mail:dec.sm.R1MHP-BEH@dec.ny.gov
50 Circle Road
Stony Brook, NY 11790-3409
PERMIT NUMBER: EXPIRATION DATE:
PERMITTEE NAME&PROJECT ADDRESS:
CONTRACTOR NAME&ADDRESS:
TELEPHONE:
Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on
_....._,..........._„__,,,ww,We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures
required)
PERMITTEE: DATE
CONTRACTOR: DATE
THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE,
MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT.
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BOARD OF SO
UTHOLD TOWN TRUSTEES b w
,, SOUTHOLD,NEW YORK y"
".° a PERMIT NO. 10147 DATE: MAY lli 2022
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"1 ISSUED TO: 2500 SOLND"EW 1,111
Vff PROPERTY ADDRESS: 2500 St1lDNl}'l'1E A l i"il 11 M,ATTITUCK ' S �tv I V
SCTM#: 1000-9 -2-1.5
AUTHORIZATION
�qP held on ivlav l S. 2022. a n �
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and i
¢r a P accordance with the 1 Resolution of the Board of Trustees adopted,at the aneeting _.�.w, .. and in
consideration of atppiictatioia fee tri iiia sum of LOO paid by DO,Sts�,dla wa�,ev ,lel C and ssal act to clic`1"i arts "" Z
.� a' p � •
k
and Conditions Mated an ilia Resolution, the Southold Town Board of Trus
authorises and „ermits the
following: i
13 ^"" ,
s e A Wetland Permit to install a proposed 10`10"x24'0"in-ground pool; install a proposed I72sq.ft.
rr masonry pool patio against east side of pool; remove 2Ssq ft of existing westerly 2sq ft. patio � a"~" �"
"�
`r and reconstruct existing patio to be a 271sq.ft.masonry patio, install a drywall for pool
backwash;install a pool equipment area; install 4' high'pool enclosure fencing; a 4'wide access
path topond; and to establish and perpetually maintain ra 15'wide vegetated non-turf buffer
along the landward edge of the extreme pond water height; and as depicted on the survey
prepared by Ward Brooks,Land Surveyor of Land Survey Long Island.com,last revised May
i 25,2022,and stamped approved on June 15,2022; and the landscaping plan prepared by i � Na
17',R It Suffolk Environmental Consulting,Inc.,dated April 15,2022 and stamped approved on Jun105M-al"A
e
r � 15,2022.
.r
x �4�ax� n
e IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these a� a
xs resents to be subscribed by a majority of the said Board as of the year and day first above written. 'q:
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,y C�'" �`''� „y,,, l �y. ,��a^r� Y1� ,y� ��d •...�+.,r w.-r' wM:.,TM"�"'„�'. "�;h•�N �C'�,,, �Y'r.� 'u�""ear r N nh �,.*�'i. �*;J^,. a �,Yr".,,,,a
TERMS AND CONDITIONS
The Pennittee ISQQ _t25QO Soundyicv
York as part of the consideration for the issuance of the Pen-nit does understand and prescribe to
the following:
That the said Board of Trustees and the Town of Southold are released from any and all
damages,or claims for damages, of suits arising directly or indirectly as a result of any
operation performed pursuant to this permit, and the said Permittee will,at his or her Own
expense, defend any and all such suits initiated by third parties,and the said Permittee
assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees
of the Town of Southold.
2. That this Permit is valid for a period of 24 months,which is considered to be the estimated
time required to complete the work involved,but should circumstances warrant, request for
an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to
maintain the structure or project involved,to provide evidence to anyone concerned that
authorization was originally obtained.
4. That the work involved will be subject to the inspection and approval of the Board or its
agents,and non-.compliance with the provisions of the originating application may be cause
for revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work herein
authorized.
6. That there shall be no interference with the right of the public to pass and repass along the
beach between high and low water marks.
7. That if future operations of the Town of Southold require the removal and/or alterations in the
location of the work herein authorized,or if, in the opinion of the Board of Trustees,the work
shall cause unreasonable obstruction to free navigation,the said Permittee will be required,
upon due notice,to remove or alter this work project herein stated without expenses to the
Town of Southold.
8. The Permittee is required to provide evidence that a copy of this Trustee permit has been
recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to
the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar
days of issuance of this permit.
9. That the said Board will be notified by the Permittee of the completion of the work
authorized.
10. That the Permittee will obtain all other permits and consents that may be required
supplemental to this permit,which may be subject to revoke upon failure to obtain same.
11. 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 party to the permit.
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t BUILDING DEPARTMENT-Electrical Inspector
TOWN OFSOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
.. ro err solholdtawnn . ov seand nvgov
.
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date: 7/27/2022
Company Name: The Electrical Wizard
Name: John Dowling
License No.: 39151-ME email: johnnykid08@gmaii.com
Address: POB 597,Patchogue 11772
Phone No.: 631-687-7848
JOB SITE INFORMATION (All Information Required)
Name: 2500 Soundview LLC (application c/o Stephen Kiely&Kristina Martin)
Address: 2500 Soundview Ave,Mattituck
Cross Street:
Phone No.: 631-353-2461
Bldg.Permit#: TWVY3 email: kristina.majdisovafgrnail.corn
Tax Map District: 1000 Section: 94 Block: 2 Lot: 1.5
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Pool installation
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 FormAs
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RESIDENCE
q91443' LOCATION
2500 SOUNDVIEW AVENUE
MA7rITUCK,NY 11952
Q:) Archit,d,Note,
CONTRACTOR RESPONSIBLE
FOR VERIFYING
ALL
DIMENSIONS IN FIELD
21-0 22'-8 1/2' 12' 16'
No. I— Data
�T!
4i7 H�_ 01 Patio Plan 10.11.22
G CI PROPOSED PARTIAL
IN-GROUND POOL _:=,----PROFpSED
i —STONE PATIO.—
H7777 P.T
EXISTING
STONE PATIO
PROPOSED
STONE PATIO
RE
Scale: AS NOTED
Data; 10111r2022
PROPOSED PATIO
PLAN+SECTION
&NA _PROPOSED PA7.PIM
Al 00
_
POO.COMPONENTS METRIC SERIES/52"WALL HEIGHT/POOL SIZE/WATER GALLONAGE
ENGINEERING NOTES I CORNER CONNECTOR E7RRUSION(4)CONNECTS STRAIGHT WALLS
NOMINAL SIZE STRAIGHT PANELS #OF A-FRAMES VOL.44"OF WATER
1) POOL CAN BE INSTALLED IN GROUND,PARTIALLY IN GROUND,OR ABOVE-GROUND 2 STRAIGHT WALL PANELS-2TOBPANELS JOIN TOGETHER ONEACH SIDE
WHEN POOL IS INSTALLED ABOVE GROUND,SURFACE ON WHICH THE POOL WILL STAND 3 SPLINES-4 ARE SLID IN AT EACH JOINT TO CONNECT WALL PANELS 8'X 12' 10 6 2,724 GAL.
MUST BE ABSOLUTELY LEVEL AND SOLID 4 COPING FINISH CAP-ATTACHES TO VERSATILE BASE FOR FINISH PREFERENCE
2) POOL CAN BE USED IN-GROUND UNDER THE FOLLOWING CONDITIONS 5 VERSATILE COPING BASE-SECTIONS MOUNT OVER WALLS TO HOLD LINER 12'X 16' 14 10 5,373 GAL.
A) FILL POOL WITH WATER BEFORE BACKFILLING 6 CONCRETE-ANCHORS AFRAMES
B) BACK FILL MATERIAL TO BE POROUS OR GRANULAR(NO CLAY OR LARGE ROCKS) 7 SHROUD-(OPTIONAL)COVER FOR A-FRAME 12'X 24' 18 14 8,022 GAL.
C) POOL TO REMAIN PERMANENTLY FILLED 6 SIOMMER-CONTINUALLY REMOVES SURFACE DEBRIS
D)DRAINAGE MUST BE SUPPLIED USING DRAIN TILE OR CRUSHED STONE TODRAIN g INLET-RETURNS FILTERED WATER TO POOL 4 16'X 28' 22 18 12,403 GAL.
WATER AWAY FROM POOL IF HIGH GROUND WATER OR SURFACE WATER IS ANTICIPATED, VINYL LINER-FRS INSIDE POOL TO FORM A WATERTIGHT SqN
OR IF POOL IS INSTALLED AT THE BASE OF A HILL OR IN A CLAY CONDITION 16'X 32' 24 20 14,161 GAL.
E) SLOPE DECK SURFACE"PER FOOT AWAY FROM POOL
F)AN 8"CONTINUOUS CONCRETE BOND BEAM(COLLAR)MUST BE POURED AROUND THE ,� WATER LINE
ENTIRE PERIMETER
3)WHEN PANELS ARE JOINED USING SPLINES,THE ASSEMBLY IS ELECTRICALLY BONDED.
WHEN THE POOL IS FULLY ASSEMBLED THE ELECTRICAL CONTINUITY MEETS THE ________________________________
REQUIREMENTS OF THE US NATIONAL ELECTRIC CODE. 5
4) CONSTRUCTION METHODS AND PRECAUTIONS ARE DICTATED BY GROUND AND SOIL T
CONDITIONS TO BE
EMPLOYEE OF RADIANTPOODETERMILSORTHEMANUFNED BY THE ACTUR ROFTHEPOOCTOR,WHO IS NOT LCOMPONENTS AGENT OR 3 9 8,, 121, 16', 18', 24', 281, 32'
2
8
SCOPING ,COPING �11 SAND
_. A-FRAME 7 I I I `f —III=III=1 EARTH_I=III=1 I I=III=1 I —III=1 I l f�.v I=1 1182
—I'`*1 I I I—I I i—III I I—� I �—III—III—III—I I—III—I I ''
BRACE
2"POLYSTYRENEP ANEL 2'POLYSTYRENE PANEL �,-3" ONCRETE
ABOVE GROUND INSTALLATION 144°
STANDARD ALUMINUM EXTERIOR A-FAMEBRAALUMINUM EXTERIOR VARIES OMPACTED SAND
A-FRAME BRACE BOTH SIDES FOOR HOPPERS RS BOTH SIDES
OR STONE DUST
kALN
SPLINE
A NON-DIVING POOL
USE OF DIVING EQUIPMENT
IS PROHIBITED
WALL PANEL SPLINE
CORNERANCHOR " COPING EXTRUSIONLATE WITH
R �ti•: •' ' INSERT
VINYL LINER
FILTER I III ALUMINUM SHEET SPLINE SPLINE
INLET PUMP FILL TO CONTOUR 1
OF SURROUNDING SLOPE SECTION A-A —I
SKIMMER WATER LINE 6"
"DRAIN PIPE
--------- ---------r----------------
TYPICAL FILTRATION SYSTEM ��/�i� I(JI �((�j WATER LINE 6• ACKFILL
`'�� � �I 1J � I I I WALL PANEL ANCHOR
® INSULATED FOAM CORE PLATE &
III•, � � ONCRETE COLLAR BOLTS
AUG 0 ' �17� I— 8 12^ 2"SAND A-FRAME
:�. ;'. �.��. • Y: s' I I I ° "'` a... EXTENDED
III AT . _
_ SPLINE
BUILDING I EPS — — — — STRAIGHT
II-r - - - - - I ►= - - - -
ME
OF NEbV TOI�IIJ OF SO THOLD 8"DEEP CONCR 4"DRAIN PIP I PANEL ASSFEMBLY
yo 1 I =—� — I —T—I I JOINTS
NDISTURBED EARTH III--III- -III- I I—III
EXAMPLE: PARTIAL IN GROUND INSTALLATION IN GROUND INSTALLATION
m
METRIC SERIES RECTANGLE POOLS
,o 09720'1 ��� 440 NORTH PEARL STREET
R�FESSIONP� ALBANY, NY 12207 DATE- 03/21/17 PERIMETER: VARIES F� GALLONAGE: DEALER
PHONE: 518 434-4161 x;�JCX sq.ft. x;�JCX al. xxxxxx
6/29/2022 '`' n ( ) CUSTOM FEATURES DRAWN BY: CHECKED BY: CUSTOMER
O 0 B" PART
432-6554 DAVE XXXXXX XXXXXX
PART NO. FILE NAME:
SCALE NTS XXXXXX PAGE 1 OF 1
BILL OF MATERIALS
QTY. ITEM NO. DESCRIPTION
14 52SO309875 52" PANEL STRAIGHT 3'-9&"
1 52SO209000 52" PANEL STRAIGHT 2'-9"
14 PANELS 1 PANEL 2 PANELS 2 52SO104000 52" PANEL STRAIGHT 1'-4"
I 2" �--2„ 2„ I
C _ I=I
--3�_g8��--i LZ-9"-Jf �-_I-���� 12 3142 METRIC OVAL A-FRAME
STRAIGHT PANELS FOR 1 SKIMMER MOUNTING KIT (AG or IG)W/ INLETS
ABOVE GROUND METRIC POOLS
1 HB-PMRC-Z METRIC RECTANGLE Z BOX HDWR. BUNDLE
2 HB-PMOV-006 METRIC OVAL 6 PANEL-PANEL JOINT HDWR. BUNDLE
I
4 CEC-PMRC CHANNEL, EMLD.CORNER: 0'-104" X 0'-22' X 0'-104", NO TAB
b NEt 4 CST0800 CHANNEL, STRAIGHT: 08' 00"
r 'r 4 CST0600 CHANNEL, STRAIGHT: 06' 00"
r a m rrro
2 CST0300 CHANNEL, STRAIGHT: 03' 00"
4
q(
`gip C� 72r�� �c� DL-1020 METRIC RECTANGLE POOL INSTALLATION MANUAL
0129/2022
METRIC SERIES: METRIC SIZE- DEALER: CUSTOMER NAME- RE,,
RECTANGLE 1 X24 BROTHERS3 COHEN
} 4 HOPPER INFO: STEP INFO:
` 00'-00" 8' STEP DRAWN BY- FINALIZED BY:
4 TICE ERIC
LIS," ADDITIONAL INFO. REV car. cHE S D:
aRA�N DATE: CHECK'D: FINAL DATE: HECK'D: S� ES
2/1512022 SID 03/10/22 SCS- REV DATE:
THIS POOL IS DESIGNED TO MEET OR MASTER NO; CUSTOM DRAWINGS: �g ry
EXCEED INDUSTRY RECOMMENDED 02 /28/22
SAFETY
SAFETY STANDARDS(ANSUAPSP-4
AMERICAN NATIONAL STANDARDS PERIMETER: AREA (Sq. I EST. GALLLON G®I. : �� ® PAGE:
FOR RESIDENTIAL ABOVE GROUND H 8 8
SWIMMING POOLS} 69'-11 3/8°' 267 7,313 OF
METRIC RECTANGLE
CORNERS
NON-DIVING POOL
USE OF DIVING EQUIPMENT
IS PROHIBITED
2
10 -1091
Li
TYPE I
!N GROUND
N
LINER
INER BEAD
FT7
POOL V_
WALL L-34---f
52" 33u
ACTUAL 46" g
PANEL 3" ALL DIMENSIONS ARE FINISH DIMENSIONS
HEIGHT COVE -- ---------------
F 4"
W__A_T_E__R_LINE -----------------------
41-211
T
Qrip,
N
. 2" SAND
'All
' ' flat
� iq,_
4 _ob�_
6/29/2022
0.
DE—ALM: CUSTOMER MAE
M MIC SERIES: MMIC SIZE REV.
FE.s
Rl RECTANGLE 11 X24 BROTHER,S3 COHEN
2
T,
HOPPER INFO:
S-MP INFO:
DRAWN BY. MALIZED BY:
001-001, 8STEP
TICE REVD ICHECK'D.
ERIC
p ffll)("D US" ADDITIONAL INFO. DRAWN DATE CHECK'D: M MAL—Dk't'-. CHECK'D: SID
2/15/20221 SD 03/10/22� SD- REV DA'L'E:
THIS POOL IS DESIGNED TO MEET OR MASTER NO: CUSTOM DRAWING:
EXCEED INDUSTRY RECOMMENDED 04/07/22
SAFETY STANDARDS(ANSUAPSP-4
,AMERICANE. -
MEPICAN NATIONAL STANDARDS PERIMUER- AREA �S_q. Ft):_ EST. C%AI_LLON (Gal.):
FOR RESIDENTIAL ABOVE GROUND 67785 MRE1075 I OF I
SWIMMING POOLS) 69'-11 3/8" 267 7,313
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1® 14
lols
4 8 8 6
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3 0 ; 8
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ENSURE GAPS ON BOTTOM CHANNEL__z
o ' N6,'14
ARE MEASURED AND SET USING FILLER BARS
j
-6/29/2022
METRIC SERIES: M-MIC SIZE. DE-ALER. CUSTOMER-WF4F-- REV.
RECTANGLE 11 X24 BROTHERS3 COHEN
HOPPER INFO: STEP INFO: DRAWN BY- FINALIZED BY:
8' STEP
`` 00'-00"
TICE ERIC
2 Sl A �w �g EL 1�lj K D:
REV MI. CHEC
p dlilUls' ADDITIONAL INFO. DRAWN DAM' I CHECKTD-- FINAL DATE: C I ECK'D: SID ES
2115/20221 SID 03/10/22 SD_ REV DATE:
THIS POOL IS DESIGNED TO MEET OR MASTER NO: CUSTOM DRAWING:
EXCEED INDUSTRY RECOMMENDED 02128/22
SAFETY STANDARDS(ANSI/APSP-4
AMEMCAN NATIONAL STANDARDS PAGE-
TS-q.-Tt GA—LUJO
SWIMMING POOLS) 267 7,313 2 OF 3
FOR RESIDENTIAL ABOVE GROUND
PERIMETER: N (dal 6 7 7 8 15, KARE1075
69'-1 1 3/8"