HomeMy WebLinkAbout44585-Z TOWN OF SOUTHOLD
� BUILDING DEPARTMENT
y 2 TOWN CLERK'S OFFICE
SOUTHOLD, NY
0
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#: 44585 Date: 1/10/2020
Permission is hereby granted to:
Hudgens, Thomas
95 Horatio St Apt.622
New York, NY 10014
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
6640 Skunk Ln
SCTM # 473889 (}� 'bu j J_�
Sec/Block/Lot# 104.-5-6.1
Pursuant to application dated 9/24/2019 and approved by the Building Inspector.
To expire on 7/11/2021.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Buillding Inspector
Form No-6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
location of all buildings, property lines, streets, and unusual natural or
1. Final survey of property with accurate
topographic features.
2. Final-Approval-from-H-ealth Dept.-of watersupply_and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters_
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% Ind.
5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9,1957) non-conforming uses,or buildings and"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. 9l/s,�/9 —
ew Construction- aA.;jpOld or Pre-existing Building: (check one)
Location of Property: Colos/o
House No. Street Hamlet
Owner or-Owners of Property: 72_VAAS 6,67U.5
Suffolk County Tax Map No 1000,Section /0V Block s Lot —
Subdivision C Filed Map. Lot:
Permit No. JDate of Permit. Applicant:
Health Dept.Approval: Underwriters Approval::
Planning Board Approval: /
Request for: Temporary/C,ertificate Final Certificate: (check one)
Fee Submitted: $ r/y
Applicant Signature
J
���a�7=S�4'ac'aa:�;x`e";fie"`m�. 3';�">; <7'�.„^'_�,^•++AA��� �y�'.
',..• "•,,`�,'• ,m'i`.e, •c:.,-� ..,,,!�'�.-�,.�� 'x�:s` Vie`\�'•��e�.;S�
mob
g bail f•"'.T': vx�SAlzx '`' p R a� •
'� `• � :t(Wtkkc�+}llte A{�pljsm}t,is:itn tF��tw��}' �.:�'•,�
IW
°"'3' "'u h� ♦♦_..�'i�y '.a :.<�^-"'<1...,,, f'w+°.:c px<("''x°�.yA / •y',
msii�irigit'lY"7
.4-A ri'..:,•.:=, 9�.':-`,:':itNt itatsg'qu4' aw'j.,;. ,.<'.ri
.�- �1�+�'i• 44��+�t(o�heXehyrititfiisi'i?,o-;:. t1rP x;`a'�`,,t.•t�`~.�°'�'°.: �V•�<;�A�
's.:.-*ee�i,d dE,,S�f.�'r;t, ';i„n ^f^` r�iF � ° ,<�, .5 '�' %>'.' j '•r,'
•�.w tib.'.,'� •s ta�� , .d"R.' .,A ai
S .�1�1"�t�'L�Y1t�i�4Tk�+,�Py�ktt'tYA30E3i.. .;&fit.
own-
e na�,':�:'y��" '•f°�acr":�.s<s�•°,`c':':v'.� �� �� fry-"� ,� °,�'-� z° '"fit.:
.; s',;7 :. Y.� •• �re--� =';-a:@;;ems::�si'
•, -' �C7�m6r S 6ign&titre}` y�,;,,�x,•�.: ,ep,?� < '� �' °3,°;'°" '
' sj„:aY:�. ;�j?Ti�tPWl7#tT�S Nfitit 'F`r�_,-+- ., .•;� '-'§��"�
511T
FIELD INSPECTION REPORT -DATECOMMENTS
to
FOUNDATION (IST)
H
----------------------------------
FOUNDATION (2ND)
p,
z
. � l
' H
V=
ROUGH FRAMING& I
PLUMBING --------------
' v
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
-a3 0o 0o 5 S
Z
�rn
1
No
x
. d
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans_
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Q Survey F�
Southoldtownny.gov PERMIT NO. SSS Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit^/
Examined 20_ASingle&Separate
Truss Identification Form
Storm-Water Assessment Form_
Contact:
Approved
Approved l 20 6V Mail to:
Disapproved a/c
Expiration 20
Buil i spector
1
SEP 2 4 2019 APPLICATION FOR BUILDING PERMIT
Date j / , 20
U7l,' `1f= a` �%' qq�, INSTRUCTIONS
'"ter .__ '.� .+, '�.,I'✓
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale.Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be required.
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, or 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 for necessary inspections.
/?u,C UCC 5 1-73),
(Signature of applicant or name,if a corporation)
'fie. �x � Gu7�i�C�cc .✓y ii93�
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
V)7-
Name
JZName of owner of premises
(As on the tax roll or latest deed)
If applica is a corpo io , s'gnature of duly authorized officer
ame title of corporate officer) .
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
66YO ANW SKuAuK L/4AJ-1 61Z -3,4y .4 ve 1 e07cl-h)(7 1,6-
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot 6,
i
Subdivision Filed Map No. I Lot
i
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy_/ �7or2S- � gC-5,, _A,�C
b. Intended use and occupancy /67v)L r G�2
3. Nature of work(check which applicable): New Building Addition. Alteration
Repair Removal Demolition er Wor civ Czi2uu211� v.u.N�,u� �cx
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear 0(6 Depth_S''
Height /5 Number of Stories
I
Dimensions of same structure with alterations or additions: Frontil Rear
Depth Height Number of Stories a
8. Dimensions of entire new construction: Front Rear Depth g
Height Number of Stories ;
9. Size of lot: Front Rear /,�D� Depth /40
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated �E5r7� i —
i
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO >1
13. Will lot be re-graded? YES K NO Will excess fill be removed from premises?YES X NO
14. Names of Owner of premises T,s7u, s sh_my&—,QS Address 4;Gyo --,Ku uK- z_� Phone No.
Name of Architect Address Phone No
Name of ContractorGHr7Lg DceLs &n. Address Ro.3kw$ ecvcyl;64 Phone No.&31--735 - 2&6,5-
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO'
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NOlX'
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to,property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? *YES NOJ-�r
* IF YES, PROVIDE A COPY.
i
STATE OF NEW YORK)
S:
COUNTY O
I
e5U = /�jw� 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 knowledge and belief, and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn t fore me this
day of
MAD&Ote f New York ignature of Applicant
o.01 GL48 79505
Qualified in Suffolk County
Commission Expires Dec. 8, ��
�y1FFD1,t-�, BUILDING DEPARTMENT- Electrical Inspector
goy TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
4, 1 . � Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richertptown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.:
email:
Address:
a
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: �r.�►-s
Address: lee,
Cross Street:
Phone No.: 26c.
Bidg.Permit M email:
Tax Map District: (000 Section: /G y
Block: 6— Lot: C� l.
BRIEF DESCRIPTION OF WORK(Please Print Clearly) i,,us71A441;-;ivy/ l>>
- 2vvt1D � . VEL
Circle All That Apply: Final
Is job ready for inspection?: YES / NO Rough In
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A Meters. Old Meter#
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground-Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Forth As
Scott A. Russell °suFFQ/r STORIAWWA` IEW
SUPERVISOR _ IWA\1�A\(Gr)E��/l[IE1�7C'
SOirniOLDTOWN HA.I.L-P.O.Box 1179 Town of Southold
53095 Main Road-SOU HOLD,NEW YORK 11971 O� ,
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT)
DOES THIS PIaOJECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
F1[9/A" .-Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑ . Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
�E]/C'--. Site preparation on slopes which exceed 10 feet vertical rise to
/100 feet of horizontal distance.
�]0 D Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑Ej-'-E'-. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
El 000 square
[]�F. Installation of new or resurfaced i �a Stormwater Management
feet or more, unless prior approval g
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your protect.
If you answered YES to one or mole of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department wiff your Building Permit Application.
S.C.T.M. �`: 1000 Date
APPLICANT: (Property Owner,Design Professlonat Agent,Contractor.Other) DBirict
NAME: Lt n/7(Ji� pe-pe -i '-AP Section Block Lot
:Amyl
FOR BUILDING DEPARMTONLY
Contact Information C� �J 23yrt��mS
Reviewed By:
- - — — — — — — — — — Date: _
Property Address /Location of Constriction Work: — Approved for processing Building Permit.
E Stormwater Management Control Plan Not Required.
[r E1TGi t�� w 9ci /�93� Siormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM " SMCP-TOS MAY 2014
\
tit
� �o t
. .. •' �_. .. .,�., .__.... „� � ,.gib ._ ...�... ���.� ;_..-.....�....._.._ _.�.. It
10
4.
' 'i � O •' �' mu eStia s is a t+�Getlat of
! � �+ tQy •�'' S-•aian %�M,gt�tdr:ir.•YarGcC,x.�c►
j i � T�f V %•'l�tc
�; � .� .;'+.:r t •vrnrra irl••6 ac^s tt
� T tai rc.csaa it►�'tc+�it=iresn a�Glt rs+�
0.
'�, ••. �' 3 ,r�j�:ruf tsd rxe 1�t tstst:Y'tef�t•.a
� '. .,.�. 73.._J;!-�. _. ....._ . ... .. s;•r rr�+trm .'+rir.+er:rsl+esaru�rr
tar -sV RAW hv..wm drat
by x:lvrw;otc c4 ti a imeing Lrw&
r y t 2s,i.,+.,..�t%,C�q'rJ�!�m fL•^Q trit�eCsrxlr:0
:r Y.".4-k alr IOni O{Site
'•sa, '` �cr��n
• •k3 tr����//...�. }��c,,,,t :t'�"�,+'c: 4F C tom" }
V
Ar SFo catiosJ
•r••ry... ' AX. f
�r i,`. off'` �t t��.✓•e'1 f;'7 L7•�ee
TO 1,',:; r t>flt!=.C+'.`:''Y f.t!"',K` _ •-` L.; f��'+�. •.../4 {�J'�'!h'!.i A:,;':
,...• ... • � Hyl 6
r t•'1. �!�Ir`! .Cit.(Y9 f../ /fit/jy! + i anef, /0 • ` -le `_ +�'r'} r'i:t : .'P tf -2 •r
41'< •� Y��� �..Ljl'�.`{,J�.'� r.'1.11�� i r � ,►,�t�rt.�. t•fi j js"
.�' -�c: ,r:,f, c r _�2 '.�. t C '. :�G�' ✓' rr�.'.�'t 4 urs►.
to`
�'•� r .��`' '' �... �.�i7,7 .�:ie Yrs-�'.li.. '._
lfertca f'rt,�yv . � �ycl��� �/Yrje1 i -
P- r�Ir r-f ti�, `�. ._:i �.Y�,•'! .. . 1
79.6
ti �� 1 l- .o ati mr, ir.avtn�nn of
= 5
MrJl%com
ch:I:wi& 1: o. 11r. 3d:� CA tw.It {ice 11 t1 ?7W
:hay+Iten fes+:otlawtAasla+�ej
J� ? �_ f �t�sa$t�lanttabshci't�ora
qXW
OW9
40
i! ac r
l• � _
is
= 1.".`•-. ''t/F.At!_, 7� -�-� !/.f- �%1=a:.� J`G±Ski j�!!"' •'�" ` - �• :: '.. t_ -
...-. ,_-{'fib -- •� ,, J � • .
�/
:�f��''j j•'r,� �%[,i't.'t,- : �r��� f' •d V--��1'�(''wl t•� �'.'.i;if1 ,:may'f !+ !ter:. j-r�• �' •f
��- 7 t•f i f f i•$• 1- '�'J' � _ .�Gi :�at2 lea:?Got H LJgr.
.7�
ho
��L • �."'•�1 �i� �ti�r•��3� ��rjfit�'� 1 a.-e� � l t :s ti• jr `� A_'-"__.f ----- �� -
i
APPRO ED AS NOTED
DATE: / 6 _B.P.#
FEE: BY:
NOTIFY BUILDING DEPAR T AT RETAIN STORM WATER RUNOFF
765-1802, 8 AM TO 4 PM FOR THE PURSUANT TO CHAPTER 236
FOLLOWING INSPECTIONS: OF THE TOWN CODE.
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR CA.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL
INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
ouvin MIME. DIA TELY"
S G BOARD ,ENCLOSE POOL TO CODE;,
st.dN COMPLETION
80dTH6ffT&AI; USTEES BLFQRE
OCCUPANCY OR
USE IS UNLAWFUf
WITHOUT CERTIFIr� �.
OF OCCUPANCY
C
POUSUE
POOL SIZE WM STEP A B C 0 E F G H K L M N GALLONS D
12X24 12XZ8 12'-0° 24'-0" 3'-0" 6'-0" 6'-0' 8'-0" 6'-3" 4'A" 4'-0° 4'3" 4-4r 6'-3.16" 9,050
16XZ4 16X28 16'-0" 24'-0" 3'•6" 7'-0" 6'-0° 8'-0°; 6'3" 4'-0" 4'-W 8'3" 4'-0° 6'..118°. 13;760
16tt32 16X36 16'-0" 32'-0" 3'-4" 8'-0" 8'-6. 13'-6" 6'•3" 4'-0" 4'-0" 8'3" 4'-0" 7'4" 19,500
18X36 18X40 18'-0" 36`-0" 34° 8'-0" 10'-6° 13'-6" 8'3" 4'-0° 4'-0" 10'3" 4'-0° T-4" 26,500 �. ����' i7`(
20X40 20X44 20'-0" 40'-0" 3'4" 8'.0" 1Z'-6° 13'-6° 10'3" '4'-0" 4'-0° 12'3" 4'4° 7'-4' 32;000 `
16X34 16X38 16'-0" 34'-O" 3'3° 8=0" 10.6° 1 '-6. 6'3" 4'-0" 4'4° 8'3" 4'-0° 7'-4° 20,900 ",�,
X50 25X54 25'-0" 50'-0" 3'-4° 6-b" 20:6" 13'-6° 12'-3" 4'-0" 4' t7'3" 4'-0" T 7.5116" 58,750
30 30X64 30'-0" 60'-0" 3'-4" 8-6" 20'-0" 15'-0° ZO'3" 4'-6" 4'-6" 21'3" 4'-6° 8'-23f8° 79,550
14M 14X32 14'-0" 28'-0" 3`-4" 6'-0" 8'4" 12'-r 4'3" 4'-0° 4'4r V-71 41 6'3-1A6" 12,100
13 X26 12X30 13 26 3'-4" '-0" 81.40" 10'-0° 41-3 4'-0" 414" 6'3" 4'-0" 6'-3-1116" 11.600 ��
orvcLcaoiylo � a i<� A L
16X38 16X42 16 38 3'-4° 8'-0" i4'-0" 14'-0" 6'-0" To 4'-0" 8'-3" 4'-0° T4" 22,000
ID.&DOW Das ORLLM&CRIamWMIZED Ir O=
CO MAST@ OP D "
1020102010 v=v
1 ToTmIEO6v 1'1LCRUM SLUM ' ` .
COPM an.,,.�.,
SLOPED AMY Nno M POR ra/ei — —
_ LOSSSTIFFINOR 0121,10=
•• fn'Renaoaenu.ROD
r LOM MUD uLs
tl TTP. mcal COaTda . g • / N K
RUy
"PA1e°"Df' film W"rAML DIVING BOARD —"'4 •
area AHMS eia:aar•ftL Nor,at MASKM -
STAM B
MUND DIM 0 POOL PLAN
f az FT OHM
m •
i. CLO'Lan tIm ae)wOROM RODRO DSUNDISTURBED EARN MUMNmom IN BOMM OR*AIDCraaC aeTo lauff Loma
TYPICAL WALL SECTION AT "A" FRAME
kLZ,
H T G F E
r L Slow w
CORNER CONNECTION DETAIL POOL SECTION
w s/MIm.
B60BD TarS•mlian —
------- ----T T--- ---------
1
I
Complies With: ff
r
•2016 NYS Uniform Code Supplement Sec 8326
R32633 in Ground Pools Shall Be in Conformance with ANSIINSPI-5 �.o 072
R326.5 Barrier requirements:Temp Fence must be installed at time of 'QO
Pool construction,and Permanent fencing is the homeowners responsibility
R326.6 Entrapment Protection Installed
--------------` '------- ----- R326.7 Swimming Pool and Spa Alarms must be installed
• POOL TYPE:RECTANGLE REV. SCALE: NTS
2015 MCC JAMES DEERKOSKI, P.E.
Sec R 403.10.2 Time switches or other control methods that can run DATE:
TYPICAL PANEL STI FFN ER automatically tom off and on according toa preset schedule shall be 260 DEER DRIVE
installed for heaters and pump motors. Heaters and pump motors that DRAWING NUMBER
have built in time switches shall be in compliance with Sec R 403.10.2 MATTITUK, NEW YORK 11952
• 1 OF 1