HomeMy WebLinkAbout49669-Z It TOWN OF SOUTHOLD
BUILDING DEPARTMENT
r 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#: 49669 Date: 9/11/2023
Permission is hereby granted to:
Uoo'lidko, Michael w__
66-29 Hull Ave
..... ... .._.. _..�
Maspeth, NY 11378 ..... .... ..._.
To: Construct an inground swimming pool to an existing single-family dwelling as applied
for. Pool and equipment must maintain a minimum setback of 25 feet. Dry well is
required for pool backwash.
At premises located at:
4635 Mill Ln, Mattiuck
SCTM # 473889
Sec/Block/Lot# 107.4-2.3
Pursuant to application dated 8/8/2023 and approved by the Building Inspector..
To expire on 3/12/2025.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: _ m ITITmmmmmmmITmmmm$300.00
.............. _ -
Building Inspector
PROPERTY INFORMATION
Existing use of property: 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 EJ No IF YES, PROVIDE A COPY.
Check Bo .After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
apt"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
Cir ounce 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 Penai Law..
Application Submitted By(p Int ame): ` �r horized Agent ❑Owner
Signature of Applicant: Date: A-61
�
/ 2
J
STATE OF NEW YORK) ti
SS:
COUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(N me of individ alsigning contract)above named,
(S)he is the
(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 thi
ay of
otary Public
w " :C_
V ROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
ffr°SiIAIIIO
,
residing at ys 't/p &AeGl— IJPCt,—
`( 1( 0 "L f do hereby authorize /i to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
�n3
�Igna-t-67—re — Date
Print Owner's Name
2
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
tlA Telephone (631) 765-1802 Fax (631) 765-9502 lits s.//w�Ar . oiitl)oitlto�vra:n .aoov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only "4
PERMIT NO, I Building Inspector: AUG) 9 202 9
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an 13 TJ T1<1)TN('TD1�711.
Owner's Authorization form(Page 2)shall be completed.
Date:
, 4611JAX�[
OWN&(S3 0 ROPERTY:
j
Name: SCTM# 1000-
107—
N- 41
000- V7_
Project Address:
Phone#: _ Email:
ac
Mailing Address: "--S................. )C'
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email1P, :
DESIGN PROFESSIONAL INFORMATION:
Name;
Mailing Address:
Phone#:. - Em J1.
CONTRACTOR INFORMATION,
Name:
a p
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimate osI
5w
Will the lot be re-graded? ❑Yes Will excess fill be removed from premises? Dyes
1
U Young & Young, Land Surveyors :
� s, 400 OstrcvJider A�,e-nur, Piverh.ead, Neu, York. 11901 j
�IILiTit� - .
s 6:31--727-2.343
Ps
Alden W. 3"crr„tq. P-E' h LS. (19D8-f 994)
Hozoa�cf 1F. YO-Mzg, Lanni Surveyor
-•� Thomas C. ifulprr(, Professinira! Engineer
Schitttrr. Lana -';w-t,eyor
�Iancsi n� '
a9,
Icrtgi nrrring
$'ururl rne5 NOTES:
1. AREA = 5.0138 ACRES
2. LOT NUMBERS REFER TO SUBDIVISION - MAP OF "WOLF PIT POND-
o(\
�O� Q si' ESTATES” FILED JM THE OFFICE OF THE CLERK OF SUFFOLK COUNTY
ON JUNE 21, 1990 AS FILE NO. 89$3.
Q / 3. 8 = MONUMENT FOUND
++Sloe g4 ;•\ - 4. J = STAKE FOUND .
�3� �'Sl� 5, A = STAKE SET
l
� ,W. r %
Q Q
NE
G '
V, s g �` 45893CID
yb
0 .4
tAND
� _
AUG. 13 -2U01 1 . GENERAL AMENDMENTS --
+1FJ RUG.. 7, 2001 FINAL SURVEY
y I SEE INSET
ULY 1. 1999 REVISEFOUNDD�AS PER H D.ON NCOMMENTS-R10-99-
JULY. _ - �-- Oi07
a ,� _ 29, 1999 S AK£D P POSED ROUSE
1. �. DATE: ;
0 535 59a'L RE\4SIONS: :
SURVEY FOR:
-
�, oI. ^ o Z to11 z; \ CONSTANCE M. ROS-NACK -
En 9 �� 4° �r ,M�. LOT 4 "WOLF PIT POND ESTATES"
At: MATTITUCK Town of: SOUTHOLD s
d✓� v o� cF•t � Suffolk County, New York
L N rs� 1000 107 4 2.3 i
�o ,� 5 5 I a`� ; ; �t"�a J= Suff. Co. Tax Map:
b
.Q O •��� �y r��� rt,� Cj1? � ,� 'SD?�� 5 ; �fl�,�^ DistrictSetl�n B�ocF lot
O �} S :. ��H \ F o CERTIFIED TO:
d�
O �f�"i p° , tE c 4 NA V 6� P air CONSTANCE.M. ROSNACK
WEBSTER BANK
� ,FIRST AMERICAN TITLE INSURANCE �I
COMPANY. OF NEW YORK� >
\\ SEE INSET p� '
-,SCALE: 1' = 30' � 4 DATE :JULY 15, 1998
SCALE :1" = 100' {
JOB NO.-. :98 - 0385 f
SHEET NO. :I OF t
s
NOTES
1. NO SOIL SURC-iARGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE 5HALLOW END,OR 6 FEET-OF EXCAVATION AT THE DEEP END.
2. THI5 POOL MEETS THE REQUIREMENTS OF AN51/APSP/ICC-5"AMERICAN NATIONAL STANDARD FOR RESIDENTIAL INGROUND SWIMMING V)
10" 40' 10" POOLS"AND 1396 BOCA CODE-5ECTION 421.DIVING EQUIPMENT 15 NOTALLOWED. O
3. SWIMMING POOL SHALL BE C014PLETELY AN D CJNTTNUOUSLY SVRROUNDED WITH A BARRIERCON5TRUCTED IAW REQUIREMENTS OIF
SECTION P,326 4.2.1 THROUGH(326.4,2.6 OF THE NEW YORK STATE RESIDENTIAL CODE(2020)AND IN CONFORMITY WITH ALL SECTIONS
OF THE TOWN OF SOUTHOLD CODE.DWELLING WALL(5)MAY SERVE AS PART OF THE POOL BARRIER AS PER SECTION 8326.4.2.8 AND a
Z4 CONDITION(1)ARE MET.OPERABLE WINDOW5IN THE WALL(S)USED AS A BARRIER SHALL HAVE SELF LATCHING DEVICE.ACCESS GATES o�f
SHALL COMPLY WITH SECTION R326.5.2 OF THE NYS RESIDENTIAL CODE(2020)AND BE SELF CLOSING,SELF LATCHING AND BE SECURE LY ^
LOCKED WHEN POOL 15 NOT IN USE OR SUPERVISED.ALL GATES ARE TO OPEN AWAY FROM THE POOL AREA. J
4. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECTA TEM?ORARY BARRIERAROUND THE EXCAVATION IAW THE CODE OF THE O
3'-6" 8'-O"
TOWN OF 50'JrHOLD. _
H2O H2O A 4 0
5. POOL MUST BE EQUIPPED WITHAN APPROVED FOOL ALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AND SOUNDING AN v 3
AUDI BLE ALARM UPON DETECTION THAT IS AUPI BLE AT POOLSIDE AND INSIDE THE DWELLING. THE ALARM MUST BE INSTALLED, a
MAINTAINEDAND USED IN ACCORDANCE WITH THE MANUFACTURERS INSTRUCTIONS. THEALAR.M MUSTMEETAS�TM F2208 _z Q Z
"STANDARD SPECIFICATION FOP POOLALARMS.THE DEVICE MUSTOPEPATE IN PEPEN DENT(NOT ATTACHED TO OR DEPENDENTON)OF x ry c
PERSONS. a!%
6. POOL SUCTION FITTINGS(EXCEPT FOR SURFACE SKIMMERS)MUST BE PROVIDED WITH A COVER THAT CON FORMS TO ASME/ANSI 0�>,
o A112.19.8M OR A MINIMUM 18"x 23"DRAIN GRAFE OR A CHANNEL DRAIN SYSTEM, POOL CIRCULATION SYSTEM MUST BE EQUIPPED WITH S u
ATMOSPHERIC VACUUM RELIEF IN THE EVENTTHE GRATE COVERS LOCATED WITHIN THE POOL BECOME MISSING OR BROKEN, SUCH In t C4
PLAN
VACUUM RELIEF SYSTEMS SHALLCONFORMWITHASM EA112.19.17ORBEAGRAVITYSYSTEM APPROVEDBYTHETOW NOF50UTHOLD.
g POOL SHALL BE PROVIDED WITH A MINIMUM OF 2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE. THE 5UCTIOIN FITTINGS SHALL BE
SEPARATED BY MINIMUM 0F3'AN1)MUST BE)I P E D SUCH THAT WATER 15 DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A
N.T.S. VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS) VACUUM/PRESSURE CLEANING FITIIING5 SHALL BE IN AN ACCESSIBLE
POSITION,MINIMUM OF 6"AND NO GREATER THAN 12"BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BEAN ATTACHMENTTO
THE SKIMMER/SKIMMERS.A REDUIRED POOL ATMOSPHERIC VACUUM RELIEF SYSTEM SHALL BE INSTALLED AS PER NYS RESIDENTIAL CODE
20'VINYL COVERED STEPS 8326.6.3(2020)AND IN ACCORDANCE WITH INC,VILLAGE CODE,
7. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC)PRINCIPALLY ARTICLE 680 AND THE NYS
Y N RESIDENTIAL CODE SECTIONS 4201 THROUGH 4206.ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES ANDv
in
BE PROTECTED BY A GROUND F.AULTCURRENT INTERRUPTER(GFC0 CURRENTCARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THO5E V
\ /
PP OVIDING POWER TO POOL LIGHTING AND POOL EQUI PMENT SHALL MEET THE 51EPARATION kEQVI kEMENT5 OF TABLE E4203.5.ALL N
2"TO 4'SAND BOTTOM Y METAL ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED "tT
DUE TO CONTACT WITH AN ELECTRICAL CIRCUIrSHALL BE EFFECTIVELY GROUNDED. v)
QJ
8. WATER SOURCE FILLING THE POOL SHALL BE EQJIPPED WITH A BACKFLOW PROTECTION DEVICE IA1W NYS PLUMBING CODE 608. C0 Ln
ry
SECTION A 9. ALL PI PING 15 DIAGRAMMATIC UNLE55OTHERWHSESTATED. i0
.s. V >-
N.T.5. 10. WALKS IF PRCVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM POOL EDGE. 0 =_ Z
WATER LINE TOP OF WALL 11. A MEANS OF EGRESS FOR DEEP AND SHALLOW ENDS MUST BE PROVIDED IAW AN5I/APSP/ICC-5 SECTION 6. O -
v Q V
4' 4' w Iv 12. CONTRACTOR TOPLACETHEPOOL LAW TOWN OFSOUTHOLDCOPE SETBACKS. p Qj M
13. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY.
't
m�
r;
15. THE DESIGN I5 BASED ON A DRAINAGE 501L WIT-I<10%SILT. GRCUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION, IFGROUNP
WATER EXISTS WITHIN 6'-0"FRDM GRADE,DEWATERING FACILITIIES WILL BE REQUIRED. rn
N
16. ALL GAS ANDOIL HEATERS(IFIN5TALLED)FOR FHE INGROUND 5WIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY t`
SECTION B CONSERVATION ACT(NAECA)COMPLIANT. POOL HEATERS SHALL BE TESTED IAW AN51721,56 ANP SHALL BE INSTALLED IAW
MANUFACTURERS SPECIFICATIONS. OIL FIRED PDOL HEATERS SHALL BE TESTED IAW UL726. POOL HEATERS SHALL BE LOCATED OR
N.T.S. GUARDED TO PROTECT AGAINST ACCIDENTAL CONTACT OF HOT SURFACES BY PERSONS. POOL HEATERS SHALL BE PROVIDED WITH
TEMPERATURE AND PRESSURE-RELIEF VALVES. FOR HEATERS NOT PROVIDED WITH AN INTEGRAL BYPASS SYSTEM. A BYPA55 LINE SHALL BE
INSTALLED FROM INLET TO OUFLETTO ADJUST WATER FLOW THROUGH THE HEATER. POOL HEATERS SHALL BE PROVIDED WITH THE ,�♦
FOLLOWING ENERGY CONSERVATION MEASURES: V W)
a
CHECK VALVE
16.1 AT LEAST ONE THERM05TAT5HALL BE PROVIDED FOR EACH HEATfING SYSTEM. 00
COPING AND WALKWAY 10" � O
(BYOTHEKS) - 16.2 ALL POOL HE5,TEK5 SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR:EA5YACCE5S TO ALLOW SHUTTING OFFTHE CD
PUMP FROM SKIMMER cp
GRADE OPERATION OF THE H EATER WITHOUT ADJUSTING THE THERM05TAT SETTING AND TO ALLOW RESTARTING WITHOIUT RELIGHTING THE m
WATERLINE co
PILOT LIGHT. C_ r, r _ y
E. 16.3 HEATED SWIMMING POOLS SHALL BE EQUIPPED NITH A POOL COVER(EXEMPTED FROM THI5 REQUIIREMENTARE OUTDOOR POOLS �L '- m d °�
�TO DIci
DERIVI NG 205 OF THE ENERGY FOR H EATT NG FROM RENEWABLE SOURCES AS COMPUTED OVER AN OPERATING SEASON) � ''d 'T ai
DRYWELL VNDISNRBED EARTH / TIME CLOCKS SHALL BE INSTALLED 50 THE PUMF CAN BE 5ET TO RUN DURING OFF-PEAK ELECTRICA.L DEMAND PERIODS AND CAN BESET > }° r-
16.4 E a
3500 P51 POURED CONC. �d'
TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POCL WATER IN A CLEAN AND SANITARY CONDITION RAW APPLICABLE ¢ 3 o
DIVERTER O 'i
SANITARY CODEOFNEWYORKSTATE. = c d co a c°
VALVE B/8"KEBAB 2)NP. Y Z cD O o
VINYL LINER 17. THIS DRAWINGI5FOP,STRUCTVRAL5HELL ONLY. ALL ACCESSORI3ANDAPPURTEINANCESARE DEFINE[)BYOTHERS. •� = E y
a
0 O q
2'TO4'SAND 18. BACKFILL WITH CLEAN EARTH,FREE OF ROOTS AND DEBRIS. DO NOT ALLOW THE HEIGHT OF BACKIFILLTO EXCEED TIHE HEIGHTOFTHE W 't o d a p
FILTER -` WATER IN THE POOL BY MORETHAN 8", OR TH-WATER TO EXCEED BACKFILL BY MORE THAN 8" o )
19. PLACE CONCRETE ON SANDY TD LOAM SOIL, REMOVE ANY CLAY DEP05ITAND REPLACE W/COMPACTED CLEAN BACKFILL _ __ )
/ To RervRNs 20. THERE 15 NO MAIN DRAIN IN THIS POOL.SUCTION FOR POOL WATER CIRCULATION 15 PROVIDED BY THE SKIMMERS ONLY.THIS MEETS F,F/
CHECK VALVE) REQUI REM ENTS OF TH E NY5 RESI DENTIAL CODE-SECTION 8326.5 FOR ENTRAPM ENT PROTECTION. L GoTy "!/�. •C
PLUMBING SCHEMATIC S gy=m ER
21. THE POOL WAS DESIGNED IAW THE FOLLOWING: 73 j� BOJ
N.T.S. WALL SECTION 21.1. THE NEW YORK STATE RE5IDENTIALCOPE-SECTION R326(2020)
21,2. THE NEW YORK STATE ENERCY CONSERVATION CONSTRUCTION CODE-SECTION 8403.10(2020) -) g /I '•; ' D
N.T.S. 213. THE NEW YORK STATE FUEL GAS CODE(2020) i'1 t -r >
21.4. THE NEW YORKSTATE SANITARY CODE. 5 a
21.5. ANSI/AP5P/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SW IMMING POOLS. " z
a:.e• ••_afl
21.6. BOCACOPE-SECTION 421. ` # ;Rif,ae_J�✓ ��,,
21.7. CODE OFTHETOWN OFSOUTHOLD.
22. ALL BACKWASH TO BE SELF-CONTAINED ON-511TE. �
8475
23. POOL TO BE EQUIPPED WITH AN AUTOMATIC POOL COVER.