HomeMy WebLinkAbout50115-Z p. , TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
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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 #: 50115 Date: 12/11/2023
Permission is hereby granted to:
Lewises Grace
.
....... _ _.... _ -......
PO BOX 877
Southold, NY 11971 _.. ww
To: Construct an accessory inground swimming pool to a single-family dwelling as applied
for. Pool and pool equipment must maintain a minimum side and rear yard setback of 5
feet.
At premises located at:
500 Arshamomaque Ave, Southold
SCTM #473889
Sec/Block/Lot# 66.-2-61
Pursuant to application dated 11/13/2023- and approved by the Building Inspector.
To expire on __.6/11/2025._..._
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: $400.00
Building Inspector
x 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 lett s://www.soutli ldtoym . o
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT N0. 50
I 1 5 Building Irrspesar:,�,�� ,
Applications and forms must be filled out in their entirety.Incomplete ��J
applications will not be accepted. Where the Applicant Is not the owner,an
Owners Authorization form(Page 2)shall be completed,
Date: - -
OWNER(S)OF PROPERTY:
Name:-ffi-3 Z o® B--, LL SCTM#1000- 2 _ (al
Project Address: e- 6 (2 l'i $ 1J m (�/� r� Aj 1( 571
Phone#: k'i 3" Email- Ctl)r,S Y1,4L,
Mailing Address: �230. .d (al
CONTACT PERSON:
Name: � LJ
Mailing Address: 13 =c) I C ,r
Phone#: . Email: l -7
DESIGN PROD SSIOIIIA1 INFORMATION:
Name: " n�
Mailing Address:
Phone#: S`^�� Ll 3Email: Q
CONTRACTOR INFORMATION:
Name:
Mailing Address: o- ) p-.V'J
Phone#: l� 1 r
DESCRIPTION OF PROPOSED CONSTRUCTION
e Structure ❑Addition ❑Alteration ❑Rea Estimated Co t of Pr
❑Other_ .,,..,,
Will the lot be re-graded? ❑Yes�1 _ Will excess fill be removed from premises? ❑Yes
1
PROPERTY INFORMATION
n
Existing use of property: VOC- T Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? OYes IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractorldesign professional Is responsible for all drainage and storm water issues as provided by
Cha ter 2;36 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.
Application Submitted By(p . Mme): �'^ � ' 'r L" ❑Authorized Agent Xwner
Signature of Applicant: .„ Date: O 1 I V I Z-oz-3
STATE OF NEW YORK
C
AROLINE r tt A THUR
f Ke
Public-State of Neer YorkSS: too.0tMA63B�i635"Ll
allfied In Suffo-lk CountYCOUNTY OF .�L// V k— ) mission Expires Dec 17,2026
T H I 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.)
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 #\/�i; 0 _ ^
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein,
.. .__Www .
Owner's Signature Date
Print Owner's Name
2
S.C.T. .# DISTRICT 1000 SECTION
66 BLOCK 2 LOT 61
#R-23-1234
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE
PERMIT FOR APPROVAL OF CONSTRUCTION FORA S
SINGLE FAMILY RESIDENCE AND
DWELLING
FFL 24.0 EFFLUENT FILTER TW-4 A HALF BATH/GARAGE
4"SDR 35
C.� E„ 5 GRADE 22.4 ITCH 1/8"/FT DATE 11/9/23
GRADE 22.
C
RADE• .S _
F
GRADE 5%MAX O. R,23-1234
IN'V20 DIST GRADE 22.3
APPROVED
INV20.8 4"SDR 35 INV20.5 INV20.2
PITCH 1/4"/FT
INV20.3 BOX TOTAL MAXIMUM BEDROOMS 4
NV20.1 EXPIRES THREE YEARS
4"SDR " 8ACHNG.DEEP FROM DATE OF APPROVAL
AN-400 PITCH 1/88"/FT LEACHING
PC�pL
EL 152 En Cil Cm
EL 15.2 C:::3 Co C
EL4.4
INVERTSHIG
w�lN1�`AF�'"Y` �INVERTSHEST EXPECT.GROUND WATER EL 1,0 Design Professional's Certification Required.
1. Submit P.E.or R.A. Certification For
Accessory building water line must be a minimum of 54 in.below grade The Installation and Construction of the Sewage Disposal System
Use Form WWM-073
Waterline's�rnlu�at 1e ins c �td the
kulf oI Cower w ale tMof Health ]y�Y
e�!W
Call (631)852-5754, 48 hours in�w
advance, to schedule inspection(s).
.CAIN R OAD
DWELLING Wf PUBLIC WATER
75' Ln
o
a�
VACANT LOT 9
75 168.30' Ln
U.P.
LOT 21
L 22.3 0
VV
N 83020110 E -Al w W
CELLAR ENT• J
j I
DRY"'I z r.
(23.0) �
1 (23 0 �5
EL 23.5WELL
ZJ O
8 DIAx5 QEEP � A
W
27.8 1 12.0 J
_ 0
w .,..... ;PR 0 .��• LP
LOT 10
STY SfactISDEEP . P
C
PR OPC SEO o O FU NG 6" DB
ELEV. 22.3 POOL F 4 gE??ROOMS
WOOD STOOP.P FFL(24.0)` o ESP' .,
3x9 :' AN400 "
OL DR BROWN ,
LOAM 1, C.O. 4
ML
BROWN
X30,6
LT
3/ PATIO / (22.8) ( -
LOT 20 X2.5,)
PALE "OVERSIZED FOR POOL M„ , � 0
MR VACANT Dlr c D 2a tl Yry STE WATER0 40 VE PIPE `
FlNE rj�' N ELECTRIC AND AIR SUPtYFiOSE TO 04YTS
SP MED1UM TO 21 "9 '9 PROPOSED DRIVEWAY
COVERED „ ,. . . _
SAND "" GARAGE J
n IRt OUTDOOR 4. Baa
. .�k� � W
WELL/ KOCHE�N",
�i 6' r,W ,«r' u; ✓/QCs' (22.w EL 22.1 J
so
8" C #
21 -211 13AR
PLACF5
UNP15TUFPp
MTH
42
�1� MINIMUM
t
X 3OOOP51
F0ff ANP
DIA
FOA5
DRAIN (TYP-) 21, Poffom
13 i P\�QUIF�19 12, dye.
14' INCH�5
MAVI&
MIN NEW
5
FFIOM 50IT "000, 0
JIF
ONCP
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CHANCZ
WAS P�f& # 1
0
Y^A ztr
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07 91
COMPINAVON PUMP S1
5KIMMW,AN19 11
VACUUM IINS &UNf
WA51� FILM? CATC[f�
PUMP CILO[t %- IMP
FOO� P�AN VIM ACP,\055 CWrFP,, SIA OF HOMP\
H
1-2 MN
w'rJ'�ifo INLET
U
6 •
L4 MAMP
5 5SP p_noN&LAPIPTP MN MAN MAN
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0F110 ) PENN
t 111 11
51 a9 -6 -6FIFIN6 5CH�MATIC
POOL 5�CTION A-A STANDARD DETAILS— CONC WALL POOL
SCALE. PREPARED FOR:
16 � I DRAWN BY. cid '50LJ7-/l-511OPE POOL--'5
DAIE- REMSED: 0 fA-57-MAIN-'57-
PREPARED FOR: 5L-160 CON-,57-PUCT-/QN EA-"57-1-'5L-IP, NY
noo AVE
150UT� 11730
001LD' NY //91/ 631-277-9800 .
PREPARED BY: Pffpfo Enqlaoel-inj-'5clullon--, DRAWING NUMBER:
It is a violation of New York State law for any person, unless they are acting under /0 0aywood Lane 5IL160
I Oa)�nnrl NY 11-70f2 gL21!5_20 /6//
,the direction of a licensed professional engineer. to alter this drawing in any way,
G r
f
NOTES: 6. POOL MUST DE EQUIPPED WITH AN APPROVED POOL ALABt'1 GAPADLE OP DETECTING A CHILD FAITEPING THF WATER AND
1. NO 5P0/1-5URGHABGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE SHALLOW END,OR 6 FEET OF 1150UNDl1\I6 AN AUDlD1-E ALARM WHEN DETECTED THAT I5 AUDIDLE AT POOLSIDE AND IN51OF THE DWELLING WHERE THE POOL l5
EXGAVATIOIJ AT THF DEEP END. LOCATED. rHE ALARM/'1U-'57-Of INSTALLED,MAINTAINED AND USED IN AGCORDANCE WITH THE MNNUFACTURERS IN5TPUCT/ONS.
2. THIS POOL MEETS THE RFOUIREMENTS OF AN51/NSPI-5"AMERICAN NATIONAL STANDARD FOR RESIDENTIAL THE ALARM MUST MEET A5TM F2206"STANDARD SPECIFICATION FOR POOL ALARMS. THE DEVICE MUST OPERATE
ING80UND SWIMMING POOLS"AND 1996 DOGA GODS-SECTION 421. DNIN6 EQUIPMENT l5 NOT PERMITTED. INDEPENDENT(NOT ATTACHED TO OR DEPENDENT ONS OF PERSONS.MULTIPLE ALARMS MAY DE REOUIBED TO ADEQUATELY
3. ALL ELEGTRIGAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC),P8/NCIPALLY ARTICLE 680. PROTECT CERTAIN D POOLS
SHAPE
ALL POOL ELEGTRICAL EOUIPMENT 5HAL1-DE PROTECTED DY A UL LISTED GFCI. 7. WATER SOURCE FILL/N6 THE POOL SHALL DE EQUIPPED WITH A OACKFLOW PROTECTION DEVICE,
4. DURING THF INSTALLATION OR CONSTRUCTION OF THF SWIMMING POOL,THE POOL MUST DF ENTIRELY 8. A MEANS OP EGBFSS FOR DEEP AND SHALLOW EP1D5 MUST DE PROVIDED IAW NJ5//NSPI-5 SECTION 6.
ENCLOSED DY A TEMPORARY DARRIFR.THE TEMPOPA8)'OA88/E8 MAY DE A TEMPORARY FENCE,A PERMANENT 9• CONTRACTOR SHALL PLACE THE POOL ON THE LOT IAW TOWN OF-'50077/101-D CODE, ALL REOUIRED SETDAGKS AND MAXIMUM
FENCE,THE WALL OF A PERMANENT STRUCTURE,ANY OTHER STBUCTUPE,OR ANY COMOINATION OF T005E. GOVERA6E5 SHALL DF MMA7-1C Uiff N
,yOWEVER,THE TEMPORARY DARRIER MUST: 10. ALL PIP1N615 DIAGRAMMATIC UNLESS OTHERWISE STATED. ALL PIPING TO DF POLYETHYLENE,
4.1. DF AT LEAST FOUR R FEET HIGH 11. WALKS,IF PROVIDED SHALL DE NONSLIP AND SLOPE AWAY FROM POOL EDGE.
42, PREVENT ACCESS TO THE 5WIMMIN6 POOL DY AN(PERSON NOT INSTALLING OR CON5TPUCTING THE 12. ALL A FROM THE POOL SHALL DF MAINTAINED ON THF SUDJEGT PROPERTY.
POOL 13. POOLL-AREiffAli 5 9ZSOFT,PERIMETER 84'VOLUME II,000 GALLONS.
43. DARRlER I5 PROVIDED 14, THE DESIGN/5 DASED ON A DRAINAGE 50/1-W/TH.IOX 511-7-AND A55Ul7ED DEAPING CAPACITY OF 2,000/75F. GROUND WATER
REMAIPJ IN PI-ACE UNTIL A PEP.MANE NT POOL SHALL NOT EX15T WITHIN THE EXCAVATION. IF 6ROUND WATER EXISTS WITHIN 6'0"FROM 6RADE,SPECIAL DEWATERING FAGILJTIES
4.4, DF REPLACED DY A PERMANENT POOL POOL-
WITHIN EITHER:
4,41. 90 DAYS OF THF DATE OF 155UANGE OF THF OUILDING PERMIT FOR THE INSTALLATION OR WILL DE BON FI/T D.
GONSTRUGTION OF THE SHIMMING POOL;OR 15. SUGT.iON I=ITTIN65 FOR USF!N SWIMMING POOLS SHALL COMPLY WITH REFERENCE STANDARD ASME/AN51 A112.19.8,SEE
4.42. 90 DAYS OF THF DATE OF COMMENCEMENT Pool-;
OF THE INSTALLATION OR GONSTBUGTION OF THE 8F5/DENTIAL CODE OF NEW YORK STATE 8326.6. POOL SUCTION FITTINGS(EXCEPT FOR 5URFAGE SKIMMERS MUST DE
PROVIDED WITH A COVER THAT CONFORMS TO ASME/ANSI A112.19.8 OR A MINIMUM 12"X 12"DRAIN 6RATE, POOL CIRCULATION
SWIMMING POOL. 5Y57-FM MUST DE FOUIPPED W17W AN A771105PHERIG VACUUM RFLIEF IN THE EVENT THE GRATE COVERS LOCATED WITHIN THE
5. SWIMMING POOL SHALL OE COMPLETELY AND CONTINUOUSLY 5URROUNDED WITH A DARK/ER THAT COMPLIES POOL OEGOME I'll-'5_51N6 OR DROKEN• SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH A5ME A112.19.17 OR DF A 6RAVITY
WITH THF FOLLOWING: 5Y577EM APPT:OVFD OY THE LOCAL JUR15DICTION, POOL SHALL DE PROVIDED W1771 A MINIMUM OF 2 SUCTION FIT7-/NGS OF THE
5.1. THE TOP OF THE DAPPOP SHALL DE AT LEA5T 4811JGHE5 AOOVE 6RADE A5 MEASURED FROM THE ADOVE MENTIONED TYPE,THE SUCTION FITTINGS SHALL DF SEPARATED DY A MINIMUM OF 3'AND.r1U57-DF PIPED SUCH THAT
OUTSIDE OF THE FENCE. WATER I5 DRAWN THROUGH THEM 5111ULTANEOU51-Y THROUGH A VACUUM RELIEF-PROTEGTFD LINE TO THF PUMP COR PUMPS)-
5.Z. MAXIMUM VERTICAL GLEARAN'CE FROM 68ADE TO THE 007-7-OM OF THE FENCE/5 2"AS MEASURED ON VACUUM/PRF'5-'5JBE GLEANING FITTINGS SHALL DE IN AN ACCE5S1191-E PO51TION, MINIMUM OF G-"AND NO GREATER THEN 12"
THE OUT50F OF THE FENCE, OELOW THE MINIMUM OPERATIONAL WATER LEVEL OR DE AN ATTACHMENT TO THE SKIMMFR/SKlMME85.
53. OPENINGS IN THF OA88IER SHALL NOT ALLOW THE PASSAGE OF A 4"SPHERE. 16. ALL 6A5 AND OIL WATER HEATER-5 CIF INSTALLED)FOR THE/N-GROUND SWIMMING POOL SHALL DE NATIONAL APPLIANCE
5.4. 50L/D OAR81ER5 WITHOUT OPENINGS(SUCH A5 MA50NRY OR STONE)SHALL NOT CONTAIN ANY ENERGY CONSEPVATION ACT(NAECN COMPLIANT POOL 11FATER5 SHALL DE TESTED IAW AN-51 Z2-1.56 AND SHALL DE/1�5TALLED
INDEN7-ATION5 08 PROTRU510N5 THAT COULD ACT AS A FOOTHOLD EXCEPT FOR NORMAL IAW MANUFACTURERS SPECIFICATIONS. OIL FIRED POOL HEATERS SHALL DF TESTED IAW UL-726. POOL HEATERS SHALL DE
CON5778UC770N TOLERANCES AND TOOLED MASONRY JOINTS. LOCATED OR GUARDED TD PROTECT AGAINST ACCIDENTAL CONTACT OF HOT SURFAGE5 DY PERSONS. POOL HEATERS SHALL
5.5. WHEN THE OAPPIER l5 COMPOSED OF HORIZONTAL AND VERTICAL MEMOER5 AND THE DISTANCE DE P80V0ED WITH TFMPEPATURF AND PRESSURE-RELIEF VALVES, FOR HEATERS NOT PROVIDED WITH AN INTE68AL DYPA55
OETWEEN THE TOPS OF THE HORIZONTAL 1,jEMDER5 15 LES5 THAN 45"THE HORIZONTAL I IEMDERS
SHALL DE ON THE INSIDE(POOL 51DE�. SYSTEM,A DYPA55 UNF SHALL DE INSTALLED FROM INLET TO OUTLET TO ADJUST WATER FLOW THROUGH THF HEATER. POOL
5.6. 5PACING DETWEEN VERTICAL MENDERS SHALL NOT EXCEED 1-3/4"IN WIDTH. WHERE DECOPATIVE HEATERS SHALL DE PROVIDED WITH THE FOLLOWING ENERGY GONSFRVATlON MEASURES:
CUTOUTS EX15T THF GUTOUT5 SHALL NOT EXCEED 1-3/4"IN WIDTH. 16.1 ALL POOL HEATERS SHALL DE EOUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY AGCES5 TO ALLOW SHUTTING OFF
5.7. MAKIMUM MESH SIZE FOR GRAIN LINK FENCES SHALL DE 2-I/4"50UA8F UNLESS THE FENCE HA5 THE OPERATION OF THE HEATER WITHOUT ADJUSTING THE THFRM05TAT SETTING AND TO ALLOW P.FSTARTING WITHOUT
SLATS. 162
Tt7E PILOT U6HT.
5.8. WHERE THE DA88IFR l5 COMPOSED OF DIAGONAL MENDERS CSUGH A5 A LATTICE FENCE)THF MAXIMUM 162 HEATED�W/11MING POOLS SHALL OE EQUIPPED WITH A POOL COVER(EXEMPTED FROM THIS REOUIREMENT ARE OUTDOOR
OPENING FORMED DY THE DIAGONALS SHALL DE l-3/4" POOLS DFRI✓ING 2OX OF THE ENERGY FOR HEA7-1N6 FROM RENEWADLE 50URGE5,A5 COMPUTED OVER AN OPERATING
SEA
5.9, GATES SHLAL COMPLY WITH THE CONSTRUCTION REOUIREMFNT5 A5 AOOVE. IN ADDITION.-5.9.1. ALL GATES SHALL DE SELF CLOSING AND OPEN OUTWARD(AWAY)FROM THE POOL. 163 TIME ME
CLOCKS SHALL DF INSTALLED 50 THF PUMP CAN DF SET TO PUN DUPING OFF-PEAK ELECTRICAL DEMAND PERIODS,
5,92• AND CAN DE ALL GATES SHALL DF SELF LATCHING WITH THF LATCH HANDLE LOCATED ON THE POOL 5/DF OF SET TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THF POOL WATER IN A GLEAN AND SANITARY CONDITION lAW
ENCLOSURE AND AT LEAh57-40/NGHFS ADOVE GRADE, IF THE LATCH HANDLE ID LOCATED LESS APPUOOE SANfiARY GODS OF NEW YORK STATE.
THAN 541NCHE5 FROM THE OOr7-OM OF THE GATE,THE LATCH 5HALL DE LOCATED AT LEAST 3" l7. THEE FPOOL WA5 DES/6NED/AW THE FOLLOW/N6.
DELOW THE TOP OF THE GATE AND NEITHER THF GATE NOR THF DA881ER SHALL HAVE ANY OPENING 17.1 2020 RESIDENTIAL GODS OF NFW YORK STATE.
68FATFR THAN 0.5 INCHES WITHIN l8"OF THF LATCH HANDLE. 17.2 ANSI/NSPI-5 STANDARD FOR 8E51DFNTlAL IN-GROUND SWIMMING POOLS
5,93• ALL GATES SHALL DF SECURELY LOCKED W1771A KEY OR COMOINATION OR OTHER CHILD PROOF LOCK 173 CODE OF THE TOWN OF 50UT101-D
5UFFIGIENT TO PPEVFPIT ACCESS TO THE POOL 7-11RU SUCH GATE WHEN THF POOL I5 NOT IN USE
OR SUPERVISED.
5.10. WHEN THE WALL OR WALLS OF A DWELLING FORM PART OF THE DARRIER THE BEOUlBEMFNTS OF 8326.421
rHl.'U 8326.42.6 AJPPLY IN ADDITION TO ONE OF FOLLOWING CONDITION-5 OF 8326.4.2.8.SHALL DF MET: F N E
5.10.0.1. DOORS WfiH DlBFGT ACCESS TO THE POOL SHALL DE ALARMED. SPECIFICArlONS ARE PER �� W y STANDARD DETAILS- C 0 N C WALL POOL
8326.4,2.8/.a)AND `AER J'q �'9
S.IO.OZ. WINDOWS A5 SPEGIFIFD IN 8326.42.81,b)AND y COQ � SCALE: DRAWN BY: Cid PREPARED FOR:
5.10.03. WHEN THE DWELL11\16 15 WHOLLY CONTAINED WITHIN THE POOL DARRIER ALARMS SHALL DE * CO 0 * DATE 8//6/2023 REHSED: 0 50UT1151-t01�f POOLS
PROVIDED PER 8326.42.8 l.c>OR -a m 75 EA- Mt�IN 57-.
510.1. OT11E8 APPROVED MEANS OF PROTECTION PER 8326.4,2.8 2. 0 '< W PREPARED FOR: 51-160 GON5T1'UGTION EA-157-/SLIP, NY 11730
y = 500 AP-'5t AMOMA0Uff AVE, G31-277-9800
0791
S UThOLD NY 11971
N �� PREPARED BY: Pfpro L'-ngineerinq 5olu1ion5 DRAYMNG NUMBER:
It is a violation of New York State law for any person, unless they are acting under the AR�FESSIONP /0 Maywood Lane 51-160
direction of a licensed professional engineer, to alter this drawing in any way. Oawmd NY I= -�L21 f-290 1611 PAGE 2 OF 2