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HomeMy WebLinkAbout49272-Z rte. TOWN OF SOUTHOLD BUILDING DEPARTMENT e� 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#: 49272 Date: 5/18/2023 Permission is hereby granted to: Nevin, Jennifer 100 Manhattan Ave Apt 405 Union City, NJ 07087 To: construct accessory in-ground swimming pool as applied for. At premises located at: 411 Sixth Ave, Greenport SCTM # 473889 Sec/Block/Lot# 42.-1-10 Pursuant to application dated 4/17/2023 and approved by the Building Inspector. To expire on 11/16/2024. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Tidal: $300.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ht!ps://www.southoldtownnv.izo Date Received APPLICATION FOR BUILDING PERMIT tf For Office Use Only L, Y It �1 PERMIT N0. L Building Inspector: Ile, APR 171r Applications and#orms muni be filled out in thei'r entirety.:lncomplete Owner's Authorization form(Page 2 shall be 6Mp ted not the owner,an A ti Date: / OWNER(S)OF PROPERTY: Name: ,I: SCTM # 1000- I/Z —/—/D 60L4A"1 y- .. Project Address: Phone#: � Email:9 vJvneS OYcOsrrmci �,C'�� Mailing Address: CONTACT PERSON: Name.: MailingAddress'?G --1z>C,X c� �u �,vs �' II9 3� Phone#: Email• ���c �on�`-n , rz�� 3 73y-- 7&�S DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION Name: Mailing Address:--p Phone#: �3�_73y-7���5 Email: nye. Y-, DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: other �" p rr �,000 Cao Will the lot be re-graded? Zes El No Will excess fill be removed from premises? Alles El No 1 1pPPERTY I I O kM TY I Existing xistin use o_f.__.r.oPe..rt.�Y: �.F� irTyUvcc ......... m..._. Intended use o._f prop � Zone or use district in which premises is situated.: Are there any covenants and restrictions with respect to this property? ❑Ye �XNo IF YES, PROVIDE A COPY. ck 80 h ' Aft0A eading: 1,6ipawnppsible Wall drainage and stearin waterissuas as provia'0d Ov eptar2A ofrfho wuun�.: lPPMCATi b7 i$HERMY A0 *.'ate Splldin VepaMnent for the4MOott Of a F100di p rnr It pursuaugrtttw,4 BuildingZone tPrr lnart�izf b t o wsi so t eld, Nk,C�t+rrty, �Ycar nrwd er appiieable ws, rwlisw Haas or a ui ion , r.t� anstxuc ar awl buaiidV'rr�„ udd�tiurws pl rdllo wr a emn�I r-rl msali jon wt herein described.The applicant agmes,1n comply urwl eNi bui1ldin code, housing iodU regulatloosandtoa4mit aullbs rbed Wspe0orson,prernisesand in bupldirt (s)for neressdry hispections.(False statement e40 horw�Are paunishable as a class A misdemea nor pursuant to Section 210.45 of the Never York State Penal Law. -c. k, 2(uthorized Agent El Owner Application Submitted By(pr��name): �n� ��"4 ' Signature of Applicant ' pate: STATE OF NEW YORK) SS; COUNTY OF _ w_) being duly sworn,deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)he is the (Contractor,Agent, Corporate Officer, etc.) .._._ _ .... .�._ ._ .WW_._ ..� 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 vrr /day of_ �. � 20-- m ......__._.. . blit PROPERTY TY O EAUTHORIZATION, 1 NOtIfY�r�0SW L. ofENew Ya* CS (Where the applicant is not the owner) NOW irtSW'*C COMWSSI10111 DOM M rCh 3,:L(11 l residing at _.. eenport NY 11944 Grant Jones g__...__._.���_... .. _..._.�, 411 6t Ave, t....___ _ .A.. �. _a..__._...... hereby authorize Gene f hituk ��io i, � � ,/" to apply on my behalf to the Town of Southold Building Department for approval as described herein. r 04/17/23 Date _ ... .. Grant Jones Print Owner's Name..._..... 2 "+� DATE(MMIDD/YYYY) CWID" CERTIFICATE OF LIABILITY INSURANCE 04/18/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME Lauren Murphy P ONS I Roy H Reeve Agency,Inc. 6,31 2'98-4700 (631)29838'50 APG Naa Ekr; ( ) LA 350 Ne PO Box 54 EAO RE ,a: imurphy@royree:ve.com 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC# Mattituck NY 11952 wsuRERA: Valley Forge Insurance Company 20508 INSURED '..INSURER B Chlluk Pools Ltd. INSURER C: PO BOX 9 INSURER D: INSURER E Cutchogue NY 11935 INSURERP, COVERAGES CERTIFICATE NUMBER: 01:2321518551 REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LNTR AUW65UBH POLICY EFF POLICY EXP R TYPE OF INSURANCE INSO WVD POLICY NUMBER MM/DD/YYYYI (MMIDD/YYYY. LIMITS XCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 13AWGE TO KEN I FV CLAIMS-MADE ©OCCUR 100,000 P'R[MIS-S T�rca�nulrmmrx� $ X Contractual Liability MED EXP(Any one person) $ 15,000 A 6018146726 03/15/2023 03/15/2024 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 0 JERO ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER AUTOMOBILE LIABILITY �'OMt&INED SINGLE LIMIT $ Eix aM�{Wtkwiv4 ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED ROPE R'r'Y I,nFAMACE; $ AUTOS ONLY AUTOS ONLY I7ksr ecc7elrynL UMBRELLA LIAB OCCUR EACH OCCURRENCE s EXCESS LIAB OLAIMS-MADE AGGREGATE $ TDED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE NIA L.EACH ACCIDENT $ ''.OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (AGORD 101,Additional Remarks Schedule,may be attached If more space Is required) Re: Grant Jones,411 6th Street,Greenport,NY 11944 CERTIFICATE HOLDER, CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD „�cnoxa LOT 39 , S 75”13'20"E 3'20"E asPwoLr 150.00' DRNEWa � I ��Gsco y°xv' ti cmcAlm azYwrw` 365»— — °— wow/mm O I 2 oI g I� �wT WOAD FRAME 5z- 1 NV w 30' I W 4,% I � 0 7 /fa r3� g o RESIDENCE ' F— 0 calm J 1. Is LmaLaw COOP-6 F 751"1 20 no" -r i 5 7.00 04 ff"m 'OZ LOT 41 �t SURVEY OF MAPLE STREET LOT 40 FM# 851 IN DATE FILED DEC 12. 1927 SUBDIVISION MAP PART OF SURVEYED: 12 DECEMBER 2007 GUARANTEED To: ESTATE OF THOMAS F. PRICE, SR. JENNIFER A. NEVIN SCALE 1-- 20' GRANT 0_ JONES SITUATE COMMONWEAITHO ANTITLE D E INS. CO. GREENPORT, TOWN OF SOUTHOLD AREA = 7"500 S.F. tifleOR WELLS FARCO BANK. NA. SUFFOLK COUNTY, N.Y. 0.172 ACRES OVAR,WTM M&CAF0 WR9 CW SMAL4 MN SURVEYED FOR: JENNIFER A. NOON � ', AWD,AW Y GRANT 0. JONES SURVEYED BY PANY. =KRWENTAt AGENCY„ STANLEY J. ISAKSEN, JR- LFW NC 116At9,RON, or LJSrED H4REW. AW P.O. BOX 294 M 7W ASSrs:VUS Or retf LEAUNG INS171V . 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" '::OWN ra�aeniea�ar3iiirsiii : .-. 1 �� �� -34 r Eno. �a0�,:�lrsv._• ''. .: - - :: p1�R:FU�GBM.�•-. .` -'- �saps _ � ���o s�ar����.a�:- ..,:: -• add �o Mi&FAWLDMNG 80ARD P NTS JIM tigmim r .epees �rt�•»Ud ew.ve _ _ is -r9 r�sa3�.rear�acs ' Q918IWB�ID16Ft - ovum e� ram o CORNER COWN9080N WARL , 884�NOY87��11 PT TCO .._____.. POOL SECTION 1 Co lies-With : . FQ !-::.� ..�•V'i r OF ! 1 2020 Code Section'3032.1 303A Swimming Pools,Spas and Hot Tubs Sgction-11326 of the-Resideritial Code of New York Section 3109 of the Building Code of New York Section N1103-12(R403.12)Residential Pools and Permanent Residential Spas POOL I PE:RECTANGLE . REV. S LE: NYC' {, Section 3109,3.12-3109 A Pools and Spas Gates,Barriers ,A E§'WERWISKII,P.E. Section G106 Entrapment Protection - ®A . TYPICAL P M EL 81100HER 'Section G107 Alarms : ' 260 DEER DRIVE Section E42b1-E4312 Electrical Connections for Pools MA` TITUK,NEW YORK 11952 DRA1l NS NUMBER 1 OF 1 a NOTES: 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 Al12.19.17 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 3'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 BE AN 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.COMPLIES 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 20.2 THE ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE(2020)SEC R403.10 F 1)�UQ �Q C DE /r0 'F 20.3 THE FUEL GAS CODE OF NEW YORK STATE(2020) co 20.4 THE NEW YORK STATE SANITORY CODE. Lu _,r 20.5 ANSI/APSP/ICG5 STANDARD FOR RESIDENTIAL IN GROUND SWIMMING POOLS. n Mal t. ? POOL NOTES SCALE: NTS t� px n ,� z JAMES DEERKOSKI, P.E. 20.6 BOCA CODE SECTION 421. �'F� !Y �c, DATE: 101212020 20.7 CODE OF THE TOWN OF SOUTHOLD ?� 260 DEER DRIVE MATTITUK, NEW YORK 11952 DRAWING NUMBER 2 OF 2 l L4✓IRIa