HomeMy WebLinkAbout49852-Z mfr TOWN OF SOUTHOLD
BUILDING DEPARTMENT
r TOWN CLERK'S OFFICE
BPI 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 #: 49852 Date: 10/6/2023
Permission is hereby granted to:
530 Hiawathas LLC
112 Green St
South James ort, NY 11970
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
530 Hiawathas Path, Southold
SCTM # 473889
Sec/Block/Lot# 78.-3-27
Pursuant to application dated 9/21/2023 and approved by the Building Inspector.
To expire on 4/6/2025.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Taal: $300.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
P ) )
Telephone 631 765-1802 Fax 631 765-9502
Date Received
APIPLIcxrm FOR BUILDING PERMIT
For Office Use Only2:3),0 V, E,
PERMIT NO. I 4A Building Inspector:
SEP 21 20?...
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an lfl .11 illi
Owner's Authorization form(Page 2)shall be completed.
Date:September 21, 2023
OWNER(S)OF PROPERTY:
Name:530 hiawatha Ilc scTM#Z000-078.00-03.00-027.00
Project Address:530 hiawathas path, Southold, ny
Phone#:8456645696 Email:tandi1022@gmail.com
Mailing Address:p.O.box 162, SOUTH JAMESPORT, ny
CONTACT PERSON:
Name:burt dorfman
Mailing Address:p•O.box 162, SOUTH JAMESPORT, ny
Phone#:8456645696 Email:burtdorfman@gmall.com
DESIGN PROFESSIONAL INFORMATION:
Name:southampton engineering services, p..c.
Mailing Address:71 eisenhower drive
Phone#:631 478 8002 Email:
CONTRACTOR INFORMATION:
Name:530 Hiawatha Ilc
Mailing Address:530 Hiawatha Path, Southold, ny8456645696
Phone#: Email:tandil022@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Ei1 OtherPool $60000.00
Will the lot be re-graded? ❑Yes IRNo Will excess fill be removed from premises? Dyes 51 No
1
PROPERTY INFORMATION
Existing use of property:house under construction Intended use of property:single family w/pool
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
r40 this property? ❑Yes igNo IF YES, PROVIDE A COPY.
19-Check Box After Read illi g: 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.
Burt dorfman
Application Submitted By(print mime): @Authorized Agent ❑Owner
Signature of Applicant — Date:9/21/23
STATE OF NEW YORK)
S :
COUNTY OF �Ilry I)L--
burt dorfman
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
agent for owner
(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
day of �
Notary Public
wwwwwtwwaMn,,y
Nottr
.7M ` � Ni'York
No,010MMM
. w13. QUMW io Sam
(Where the applicant is not the owner) ''_< , ,,,ww" i);6
Beth Dubas 112 green street, SOUTH JAMESPORT
I, residing at
burt dorfman
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
a,A a�- 9/21/23
Owner's Signature Date
Beth Dubas, manager
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
" TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
" Southold, New York 11971-0959
*, Telephone (631) 765-1802 FAX (631) 765-9502
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: msn electric inc
Electrician's Name: turan akturk
License No.: me 51493 Elec. email msnelectric@gmail.com
Elec. Phone No: 6318825152 El I request an email copy of Certificate of Compliance
Elec. Address.: 74 blossom avenue, holtsvill`e,ny
JOB SITE INFORMATION (All Information Required)
Name: 530 hiawatha Ilc
Address: 530 Hiawatha Path
Cross Street: wabassa road
Phone No.: 8456645696
Bldg.Permit#: $ �L email:burtdorfman@gmail.com
Tax Map District: 1000 Section:78 Block: 3 Lot:27
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
electric work 16x36 swimming pool
Square Foota e:
Circle All That Apply:
Is job ready for inspection?: YES R NO Rough In Final
Do you need a Temp Certificate?: El YES Z NO Issued On
Temp Information: (All information required)
Service Size1 Ph�3 Ph Size: 200 A # Meters 1 Old Meter#
❑New service[:]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals ✓ 1 2 H Frame Pole Work done on Service? ✓' Y nN
Additional Information
PAYMENT DUE WITH APPLICATION
S.C.T.M. N0. DISTRICT: 1000 SECTION: 78 BLOCK: 3 LOT(S):27
SHEET 1 OF 2
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SEE SHEET 2 FOR SANITARY DETAILS W/PUBLICWATER
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PO BOX 57 70
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SIDE YARD: 15' MIN BROWN W✓PUBLdC MATER 9
REAR YARD: 50'MIN OL RR LOAM
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL WN
— DRAINAGE CALCULATIONS:
LOCA77ONS SHOWN ARE fROM F7ELD OBSERVATIONS SM LOAMY SAND
AND OR DATA OBTAINED FROM OTHERS 1.5' TPICAL SILT A) W PORCH-2216 sa.FT.
SCREf7J SECTION 22'P6% m I66367.85 +C'30le REOIIIRED
(3) 8 DIA x X DEEP DRYWELL=398&PROVIDED
AREA:27„353.13 SQ.FT. or 0.63 ACRES ETFVAnaw DA7L/Ar.• BROWN sEOTExnLL FABRIC-
SP SAND SUPPORT POM
UNAU7HOR1ZED AL7ERA77ON OR ADD/n0W 70 THIS SURVEY IS A NOLA77ON OF SECTION 7209 OF THE NEW YDRK STA n:EDUCATION LAW. COPIES OF THIS SURVEY & WODD OR METAL
,MAP NOT 9EAMNC THE LAND SURyIEI'OR'r EUROSSED 5rAt SHALL NOT W CONSIDORED 70 BE A VAUD TRUECOPY.. GUARANTEES INDICATED HEREaV 59iALI RUN GRAVEL ��R��
ONLY 7O THE F SON FOR VMOM THE SURICY IS PREPARED AND ON HNS BEIIALF TO THE TITLE COMPANY 00VER'NMEN7AL AGENCY.AND LENDING INS'nTUnON 5'
057E,D H i EOk AND TO THE ASSIGNEES OF THE L,EN NG INSTITUTION, Gr"CIARANTEES ARE NOT TRANSF AB.F. PALE EXCAVATED AND
THE OFFSETS OR DIMENSIONS SHOWY HEREON FROM THE PROPERTY LINES TO 7HE STRU07URE$ARE FOR A SPEORTC PURPOSE'AND USE THEREFORE' THEY ARE SW SAND BAMMLLED TRENCH
NOT INTENDED TO MONUMENT 7HE PROF'wTY ONES OR TO GUIDE'THE ERECTIOV OF FENCES„ ADDTMAL SIRU'C71AWS OR AND 07HER IMPROVEMEN7S EASEMEN'7S 12'WATER EL 1.0 ,--EwmNc cRauND
AND/OR SUBSURFACE S7RUMRES RECORDED OR UtiRECORDED ARE NOT GUARANTEED UNLESS PHYMCALLY EVIDENT ON THE PRE1dSES AT THE TIME OF SURVEY WATER IN HIGHEST E7(P, EL 2.0 _
SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: 530 HIAWATHA LLC' SW PALE
MAP OR SAND
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LATER AT:SOUTHOLD — 17'JUNE 2, 2022
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JWN OF:SOUTHOLD K. WOYCHUK LS
E SUFFOLK COUNTY, NEW YORK KENNETH IAC WOYCHUK LAND SURMdNG, P11C
Professional Land Surveying and Design
�/ot P.O. Boz 169 Aquebogue, New York 11991 REVISED 09-22_22
FILE #22-2-76 SCALE: 1"=30' DATE: JUNE 5, 2022 N.YS, L/SC. No. 050882PHONE (631)2W-1611111 FAX (631) 298-15M REVISED DECK/CELLAR ENT. 06-23-22
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POOL NOTES w
1-ALL GUNITE SHALL HAVE MIN,28 DAY STRENGHT OF 4,500 PSI.
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/�A *� 2-STEEL REINFORCEMENT SHALL BE GRADE 60 CONFORMING TO ASTM A615
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1 I 0 0 L I L N 3-WELDEDW IRE FABRIC REINFORCEMENT SHALL BE COLD DRAM CONFORMING TO AST 185
7-ALL WORK SHALL BE IN ACCORDANCE WITH THE LATEST ACI CODE
SCALE:1/4" = p.0" 8-LEGS OF REBAR ACCESSORIES SHALL BE PLASTIC TIPPED.ALL SNAPTIES AND WALL
PENETRATIONS 9-SHALL BE CLEANED&GROUT REPAIRED TO PRELUDE CORROSION >
I 0-ALL DIMENSIONS GIVEN SHALL BE CONSIDERED A MI N.CONTRACTOR MAY INCREASE
TO PROVIDE FOR DRAINS&COPING
11-ENGINEER CONTROLLED INSPECTION REQUIRED
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TOx 1011 PL. P OF WATER 5X5 TILE .. \��. \ GLEAN FILL •L
BEAM ;;\ �\ :•I a� REBAR FOR 04 MBAR FOR 1�'% %/� 10" X 10" P.G. lu
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EACH WAY 0 EACH WAY ��% Lu o D N v
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8" GUNITE as 8" GUNITE %�/ E W~~ u
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MAIN DRAIN /.`'"i' f— — w
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POOL NOTES
1-ALL GUNITE SHALL HAVE A MIN.28 DAY STRENGHT OF 4,500 PSI.
2-STEEL REINFORCEMENT SHALL BE GRADE 60 CONFORMING TO ASTM A615
2 S E c T I O N 3-WELDED WIRE FABRIC REINFORCEMENT SHALL BE COLD DRAWN CONFORMING TO AST 185
7-ALL WORK SHALL BE IN ACCORDANCE WITH THE LATEST ACI CODE
8-LEGS OF REBAR ACCESSORIES SHALL BE PLASTIC TIPPED.ALL SNAPTIES AND WALL
PENETRATIONSB-SHALL BE CLEANED BGROUT REPAIRED TOPRELUDE CORROSION w
10-ALL DIMENSIONS GIVEN SHALL BE CONSIDERED A MIN.CONTRACTOR MAY INCREASE w
TO PROVIDE FOR DRAINS&COPING
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