HomeMy WebLinkAbout49771-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#: 49771 Date: 9/22/2023
Permission is hereby granted to:
Case CK Irry Trt
c/o Constance Ellis
1870 Jacobs Ln
71 ..�......... _.....�.
Southold,.. NY 11971 ....�.........� ......_ ..�..a._ _...._ ._
To: Construct an accessory inground swimming pool to an existing single-family dwelling
as applied for. Pool and pool equipment must maintain minimum setbacks of 15 feet.
At premises located at:
1870 Jacobs Ln, Southold
SCTM #473889
Sec/Block/Lot# 79.-7-28
Pursuant to application dated „8/30/2023 and approved by the Building Inspector.
To expire on _ITIT 3/23/2025
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: ..._...r $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 )itt.)s:f/ rww.sotlthol towiiii
r}5
Date Received
APPLICATION FOR BUILDING PERMIT
EC" E0VE
For Office Use Only
PERMIT NO. I I Building Inspector: ,. X2AUG 3 0 202
Applications and forms must be filled out in their entirety.Incomplete Building Department
applications will not be accepted. Where the Applicant is not the owner,an Town of Southold
Owner's Authorization form(Page 2)shall be completed.
Date: CZ11
OWNER(S)OF PROPERTY:
OZ
Name( *,wa � I )� SCTM # 1000- � � 7 S'
� -
Project Address: I S —7eo O1C1S
Phone#: Email:
Mallin Address:g 9 �� hoc<
CONTACT PERSON:
Name:
-M
Mailing Address: 1' - KNu `
Phone# 4 Emai ;M_ f Y Y 1
DESIGN PROFESSIONAL INFORMATION:
Name; C� V) n(,
Mailing Address:
l S
Phone#: — I Email:
CONTRACTOR INFORMATION:
Name:
ELL3
Mailing Address:
j I nx
Phone#: s� Email: V
DESCRIPTIbN OF PROPOSED CONSTRUCTION
Other $ Project.
New Structure ❑Add''tion ❑Alteration ❑Repair ❑Demolition Estirn to Co of Pr1
Will the lot be re-graded? ❑Yes` o Will excess fill be removed from premises? ❑Yes 1P
o
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated Are there any covena is and restrictions with respect to
this property? ❑Yes IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractor/design professional is responsible for all dr nage 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 210AS of the New York State Penal Law.
)�W, 1, t
Application Submitted 13 (pr'' t name): ° ori2ed7enl Owner
Signature of Applic �," a [- I
STATE OF NEW YORK) ,�"�`"� It,
lill xr I*,��
SS:
COUNT OF •" ' ��
being duly sworn, depo-s arty (s Is the applicant
(Name of individual signing 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 this
_
Aqay of 4-,
!� a ,m.. �..
otarY Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
residing at
do hereby authorize -" to apply on
my alf to the Town of (Building Department foppproval as described herein.
D to
Owner's Signature 4 a
_
o
Print Owner's Name % ` � z
-7-7 1
_
S.C.T.M. NO. DISTRICT- 1000 SECTION: 79 BLOCK: 7 LOT(S):28
1;ogd�
LAND N/F OF
BEATRICE DAMICO
1
MON. S 61023'30" E MON. 398.02'
a, 4' C IVK FENCE ALONG UNE OCL MON.
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�y op GRAVEL PORCH GRAVEL "s:; AG e�+ :10.2':
F� N DRIVEWAY ::45.7'::: ::::::::::: DRIVEWAY '
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MON. �—
0.5'
4' CHAMLINK FENCE 0.3'N MON.
PIPE i 8' DEER FENCE ALONG UNE �ac�x�x �x 4 00.00'
g w
N 61023'30" W N\�3 02'5o��
LAND N/F OF LAND N/F OF
JUDITH ADAMSON ` JOHN RUMPLER
THE WATER SUPPLY, WELL4 DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS
AND OR DATA OBTAINED FROM OTHERS
U.P.g AREA: 40,818.31 SQ.FT. or 0.94 ACRES ELEVATION DATUM:
UNAUTHOR2ED AL7ERA77ON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF 1HE NEW YORK STATE EDUCARON LAW. COPIES OF 7HIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID 7RUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY 70 THE PERSON FOR WHOM 7HE SURVEY IS PREPARED AND ON HIS BEHALF TO 7HE 717LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS717U77ON
LISTED HEREON, AND 70 THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 7HE PROPERTY LINES TO THE S7RUC77/RES ARE FOR A SPECIFIC PURPOSE AND USE 7HEREFORE 7HEY ARE
NOT INTENDED 70 MONUMENT THE PROPERTY LINES OR 70 GUIDE 7HE EREC710N OF FENCES, ADD1710NAL S7RUC7URES OR AND 07HER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE S7RUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EWDENT ON 7HE PREMISES AT THE AME OF SURVEY
StJRVEY OR DESCRIBED PROPERTY CERTIFIED TO:GERARD CASE; CONSTANCE CASE;
MAP OR WELLS FARGO;
FILED: FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC;
SITUATED AT BAYVIEW
TOWN OR SOUTHOLD KROMIN M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK � I' Professional Land Surveying and Design Ji W P.O. Boz 153 Aquebogue, New York 11931
FILE i 220-41 SCALE.1"=30' DATE:APRIL 27, 2020 N.YS LISC. NO. 050882 PHONE (691)299-1689 FAX(691) 298-15813
1 -
NOTES
I. NO SOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE SHALLOW END,OR 6 FEETOF EXCAVATION AT THE DEEP END.
2. THIS POOL MEETS THE REQUIREMENTSOFANSI/APSP/ICC-5 AMERICAN NATIONAL STANDARD FOR RESIDENTIALINGROVNDSWIMMING N
10° 36' 10' POOLS'AND1996 BOCA CODE-5ECTION 421.DIVING EOVIPMENT15 NOTALLOWED. O
3. SWIMMING POOL SHALL BE COMPLETELY AND CONTINVOWLY SUPROVNDED WITH A BARRIER CONSTRUCTED LAW REQUIREMENTS OF
SECTION 8326.4.2.1 THROUGH 8326.4.2.6 OF THE NEW YORK STATE RESIDENTIAL CODE(2020)AND IN CONFORMITY WITH ALL SECTIONS <
OF THE TOWN OF SOUTHOLD CODE.DWELLING WALL(S)MAY SERVEAS PARTOF THE POOL BARRIER AS PER SECTION R326.4.2.8 AND
a CONDITION 0)ARE MET.OPERABLE WINDOWS IN THE WALL(S)V5ED AS A BARRIER SHALL HAVEA SELF LATCHING DEVICE.ACCESS GATES o125
514ALL COMPLY WITH SECTION 83:6.5.2 OF THE NYS RESIDENTIAL CODE(2020)AND BE SELF CLOSING,SELF LATCHINGAND BE SECURELY N
LOCKED WHEN POOL 15 NOT IN USE OR SUPERVISED,ALL GATES ARE TO OPEN AWAY FROM THE POOL AREA. J co
4. DURJNGCONSTRUCTION THE CONTRACTOR SHALL EPECTA TEMPORARY BARAIERAROVND THE EXCAVATION LAW THE COPE OF THE O
;.�•� g=o' TOWN OF SOUTHOLD. O I+:o A
CL >05. POOL MUST BE EQUIPPED WITH AN APPROVED POOLALARM CAPABLE OF DETECTING ENTRY INTO THE WATERANDSOUNDINGAN
AUDIBLE ALARM UPON DETECTION THAT 15 AUDI BLEAT POOLSIDEAND INSIDE THE DWEWNG.THEAARMMV57BEINSTALLED, V v
MAINTAINED AND USED IN ACCORDANCE WITH THE MANUFACTURERS INSTRUCTIONS.THE ALARM MUST MEETASTM F'?08 z <Z
'5TANDARDSPECIFICATION FOR POOLALARM5.THE DEVICE MUST OPERATE INDEPENDENT(NOTATTACHED TO OP.DEPENDENT ON)OF ry
PERSONS. C 0
6. POOL5VCTION FITTINGS(EXCEPT FOR SURFACE SKIMMERS)ML15T BE PROVIDED WITH A COVER THAT CONFORMS TOASMEIANSI < ��
A112.19.81A ORA MINIMUM 18'x23'DRAIN GRATE ORA CHANNEL DRAIN SYSTEM. POOL CIRCULATION SYSTEM ML15T BE EQUIPPED WITH e- v
ATMOSPHERIC VACUUM RELIEF IN THE EVENTTHE GRATE COVERS LOCATED WITHIN THE POOL BECOME MISSING OR BROKEN.SUCH N ^d
PLAN
RELIEF SYSTEMS SHALL CONFORM WITH ASME A112.19.17 OR BE A GRAVITY SYSTEM APPROVED BY THE TOWN OF SOUTHOLD.
g POOL SHALL BE PROVIDED WITH A MINIMUM OF SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE.THE SUCTION FITTINGS SHALL BE
SEPARATED BYA MINIMUM OF3'AND MUST BE PIPED SUCH THAT WATER 15 DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A
NMI, SEPARATED
RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS) VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN AN ACCESSIBLE
POSITION,MINIMUM OF b'AND NO GREATER THAN 12"BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BEAN AITACHMEJTTO
THE SKIMMER/SKIMMERS.A REQUIRED POOLATM05PHERIC VACUUM RELIEF SYSTEM SHALL BE INSTALLED AS PER NYS RESIDENTIAL CODE
19.ANYLGOVERM EP5 R376ba(2020)AND IN ACCORDANCE WITH INC.VILLAGE CODE.
7. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC)PRINCIPALLYARTICLE 680 AND THE NYS
j RESIDENTIAL CODE SECTIONS 4201 THROUGH 4206.ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES AND
BE PROTECTED BYAGROUND FAULT CURRENT INTERRUPTER(GFCV CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE
PROVIDING POWER TO POOL LIGHTING AND POOL EQUI PMENT SHALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4203.5.ALL
2raa D TrnyY Z. METAL ENCL05VP ES,FENCES OP.RAILINGS NEAR OP,AD)ACENT TO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED GJ
DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED. V
Jr
S. WATER SOURCE FILLING THE POOL SHALL BE EQVIPPED WITH A BACKFLOW PROTECTION DEVICE IAW NY5 PLUMBING CODE 608.
'CS _
SECTION A 9. ALL PIPING 15 DIAGRAMMATIC UNLE55 OTHERWISE STATED. i
- --- - - w - � - - --
N.TS. 10. WALKS IF PROVIDED SHALL BE NONSLIP AND SLOPEAWAY FROM POOL EDGE.
p J }
I
WATER urTE TOP Of WALL 11. A MEANS OF EGRE55 FOR DEEP AND SHALLOW EN D5 MUST BE PROVIDED IAW AN51/AP5P/ICC-5 SECTION 6. LLJa
-� O
4, rd. 6' 1Z CONTRACTOR TO PLACE THE POOL LAW TOWN OF SOUT14OLD CODE SETBACKS. CL QJ O'moi+
an`O. f- oF^o 0
13, ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE 5VBJECTPROPERTY. `^
15. THE DE51GN 15 BASED ON A DRAINAGESOIL WITH<101,SILT.GROUND WATER SHALL NOT EXI5T WITHIN THE EXCAVATION. IFGROUND
WATER EXI5T5 WITHIN6'-0'FROM GRADE,DEWATERING FACILITIES WILL BE REQUIRED, O
16. ALL GAS AND OIL HEATERS(IF INSTALLED)FOR THE INGKOUND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY
SECTION B CONSERVATION ACT(NAECA)COMPLLANT. POOL HEATERS SHALL BE TESTED LAW ANSI 221.56 AND SHALL BE INSTALLED LAW
MANVFACTURER5 SPECIFICATIONS.OIL FIRED POOL HEATERS SHALL BE TESTED IAW U1726. POOL HEATERS SHALL BE LOCATED OP.
N.TS GUARDED TO PROTECTAGAIN5TACCIDENTAL CONTACT OF H0T5VRFACE5 BY PERSONS.POOL HEATERS SHALL BE PROVIDED WITH
TEMPERATURE AND PRESSURE=RELIEF VALVES. FOR HEATERS NOT PROVIDED WITH AN INTEGRAL BYPASS SYSTEM.A BYPA55 UNE SHALL BE ■
INSTALLED FROM INLET TO OVTLETTOADJUST WATER FLOW THROUGH THE HEATER POOL HEATERS SHALL BE PROVIDED WITH THE
FOLLOWING ENERGY CONSERVATION MFA5URE5:
2.2° o. h
CHEO VALVE COMIGANDWALOVAY so' 16.1 ATLEAST ONE THERMOSTATSHALLBEPROVIDED FOIL EACH HEATING SYSTEM, 0
0
0
TEYOTFERS) 16.2 ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASYACCE55 I()ALLOW 5HVTTING OFF THE C
�yy FROMSfURMER GRADE OPERATIONOFTHEHEATERWITHOVTADJU511NGTHETHEPMOSTATSETTINGANDTOALL.OWRESTARTINGWITHOUTRELIGHTINGTHE C rn
v.ATERu[!E s. PILOT LIGHT. �� .. y
16.3 HEATED SWIMMING POOLS SHALL BE EQUIPPED WITH A POOL COVER(EXEMPTED FROM THIS REQVIREMENTARE OUTDOOR POOLS
ro DERLVING 20q OF THE ENERGY FOR HEATING FROM RENEWABLE SOURCES A5 COMPUTED OVER AN OPERATING SEASON)
rrw.�€t FARTti 16.4 TIME CLOCKS SHALL BE INSTALLED 50 THE PUMP CAN BESET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS AND CAN BESET >}
TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER INA CLEAN AND SANITAKYCONDMON JAW APPLICABLE
;was Pu vo r�corrc a ¢ 3 o ;3
O ` SANLTARYCODEOFNEW YORKSTATE. _ m co n m
VALVE
TIB'
lTER LE&SIL 21 TP.
■� :2 z p fl
vrmurtER - 17. TH15DRAWING 15FOIL 5TRVCTURAL5HELLONLY.ALL ACCESSORIES AND APPURTENANCES ARE DEFINED BY OTHERS. = E 0 3
n
YTOr SAtdD 18. BACKFILL WITHEA
CLEAN EARTH,FREE OF ROOTS AND DEBRIS. DO NOT ALLOW THE HEIGHT OF BACKFILL TO EXCEED THE HEIGHTOF THE W !go m�_
FILM - - - WATER IN THE POOL BY MORE THAN S-OR THE WATER TO EXCEED BACKFILL BY MORE THAN 8"
19. PLACE CONCRETE ON SANDY TO LOAM SOIL REMOVE ANY CLAY DEPOSITANDREPLACE W/COMPACTED CLEAN BACKFILL
L.
a
TO RETvaNs 20. THERE 15 NO MAIN DRAIN IN TH15 POOL SUCTION FOR POOL WATER CIRCULATION 15 PROVIDED BY THE 5KIMMERS ONLY.THIS MEETS 0 3
CHECK VALVE
REQUIREMENTS OF THE NYS RESIDENTIAL CODE-SECTION R326.5 FOR ENTRAPMENT PROTECTION,
PLUMBING SCHEMATIC Z. THE POOL WAS DESIGNED IAW THE FOLLOWING: U
N-T-5. WALL SECTION 21,1. THE NEW YORK STATE RESIDENTIAL CODE-SECTION R326(2020) of NF
Z.2. THE NEW YORKSTATE ENERCYCONSERVATION CONSTRUCTION CODE-SECTION 8403.10(2020) OQ�`� IHO s
N.T.S. Z3. THE NEW YORK STATE FUEL GAS CODE(2020) V
21,4. TH E N EW YORK STATE SANITARY CODE,
21.5. AN51/AP5P/ICC-5 STANDARD FOR RESIDENTIAL IN-GROVND SWIMMING POOLS.
21.6. BOCA CODE-SECTION 421. co �
21.7. CODE OF TH E TOWN OF SOUTHOLD.
21 ALL BACKWASH TO BE SELF-CONTAINED ON-SITE (►, I. ?�
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