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Home My WebLink About50243-Z ' TOWN OF SOUTHOLD BUILDING DEPARTMENT °" TOWN CLERK'S OFFICE , SOUTHOLD, NY tp w�O 4 i DMI, . 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 #: 50243 Date: 1/23/2024 Permission is hereby granted to: Mecca John 130 E 18th St Apt 16G New York NY 10003 To: construct accessory in-ground swimming pool as applied for. Pool equipment must be located in the rear yard with minimum 15' setbacks to lot lines. At premises located at: 40100 Route 25, Peconic SCTM # 473889 Sec/Block/Lot# 86.4-1.5 Pursuant to application dated 12/13/2023 and approved by the Building Inspector.. To expire on 7/24/2025. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00 CO-ALTERATION TO DWELLING $100.00 Total: $400.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 r" Telephone (631) 765-1802 Fax(631) 765-9502 lett ://wwwn out ioldtoNynn .go J Date Received APPLICATION FOR BUILDING PERMIT -- -1 9 For Office Use Only PERMIT NO. 56X3 Building lnsrectar. 14 , N Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. ' ' Date:11/1/2023 OWNER(S)OF PROPERTY: Name:John Mecca TSCTM # 1000- 84 I s Project Address:40100 Main Road, Peconic Phone#:516.551 .0750 I Email:john.mecca@gmail.com Mailing Address:40100 Main Road, Peconic 11958 CONTACT PERSON: Name:John Mecca Mailing Address:40100 Main Road, Peconic Phone#: Email:john.mecca@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:n/A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: MailingAddress:BlUe Pools Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION []NewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑OtherPOOI Build $85000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? FM#Yes El No 1 PROPERTY INFORMATION Existing use of property:lawn Intended use of property;pool Zone or use district in which premises is situated:. Are there any covenants and restrictions with respect to residential this property? ❑Yes ONO IF YES, PROVIDE A COPY. W Check BoxAfter Reading* 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. Application Submitted By(print name): CQ �1`s @Authorized Agent []Owner Signature of Applicant: Date: CONNIE D. BUNCH Notary Public,State of New York STATE OF NEW YORK) No. 01BU6185050 Qualified in Suffolk County COUNTY OF SS: Commission Expires April 14,29� ) 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 J day of 1i r �L 20 a1�l' Notary Public RIZATION (Where the applicant is not the owner) I, residing at John Mecca 40100 Main Road Blue Pools do hereby authorize to apply on my behalf"to the Town of Southold Building Department for approval as described herein. Owner's SignatuN Date John Mecca Print Owner's Name 2 NYS I F Now Watt State 6nmurmrwv lFuredPO Box 66599,Albany.NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A N A 852877545 POZO 8 COHEN INSURANCE AGENCY INC 04, 21 98-15 ROOSEVELT AVE CORONA NY 11368 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATEHOLDER BLUE POOLS&SPA LLC TOWN OF SOUTHOLD PO BOX 1792 53095 ROUTE 25 SHELTER ISLAND NY 11964 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIODDATE 12525137-2 27023 10/06/2023 TO 10/0612024 12/5f2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2525137-2, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:IIWWW.NYSIF.COWCERTICERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 30 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY, NEW YORK STAT SUR NCE FUND DIRECTOR,IN'SURANCE FUND UNDERWRITING VALIDATION NUMBER:462358302 U-26.3 wasti .. l PATE{NIA,DfYYYYI A C4C>R1J CERTIFICATE OF LIABILITY INSURANCE 12M-5.120023 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies►must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rl hts to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Jenny PU%O I oio-Cohen Insurance 71X-639-7729 FAX I -7289 a PHONE 9815 ROOSE%'EI:I'A%'E MAIL N 1 le CORON:% NV 1136X NAlcr INSURER(S1 AFFORDING COVERAGE INSURER A 'Third Coast Insurance Coninalw LAID3 INSURED INSURER 8: The State Insurance Fund 36102 BLUE POOLS& SPA. LLC INsuRERc: ShelterPoint 81434 PO BOX 1792 SHELTER IS NY 11964 u�sUREI q INSURER E IN.SU'RER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VOTH RESPECT TO V.HIGH TIIIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE-BEEN REDUCED BY PAID CLAIMS .. ....POLWYE..F•F POLICA'EACP..„ LTR INSR TMpE OF INSURANCE POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY EACH 01--C nJRENCE S 1.000,(11111 1' N GLSIS•I'C(10492X723 11112'312023 11112412024 DAIIn,_E L,uu.TE''' 5(1.(111(1 Cl Olins r.utuL _\ I u[:::�.!R F1.Ii�ES.E,, $ A --- FALL'LXP Ayr ori 5.000 PER; NAL&AD,J Neu%ev S 1.111100.011110 GFTJL AG�RCGAiC LIM I APPU"S PER .UENLKAL A,L:W:L ATL $ 2,0011.11110 �..''.... P Ju PR.) I.IIU0,111111 !LCI - P�tiJCUCT l;Ch1PUc'Ar� S f,THFR S r_gl.IE!GJEJ S YaLF l �1IT AUTOMOBILE LIABILITY S.L a m-�_�Ic�d! ANY AUTO H!'OILY IN!JRV;P,•,LM'rx,n! S .............. (SINNED ,L`.., - , ILUULCU BC;iJILY IFJJL H'i;Pr'icc•]m 1 $ .. AI,TC: •C-Nl-Y AUTOS • H REC1 N`,N r*ROPERIY Cnl,lA.�c $ OPdNEU) ,., ALT C,i Ii!a 4 AW CS ONLY tpv.a.c dr•,: , UMBRELLALIAB rEACH OCCUR;<ENCE $ EXCESS ILIAD ...... !;A9P.t�,d"A DI �,,. h'.sREc;ATF LILGr Re1EN`ll"00 S WORKERSCOMPENSATNIN N 425251372 1(110612023 111.111612024 X r ..11JTE ..�,r ti LI B AND EMPLOYERS' ABILITY Y A N " A`J3'F'Rr:PR,ETnF[.PAR 7 NE R C KEr clT lb'L "' E: FA::H Ar l JFFJ- $ 1(111 t111,i1 _.' WA „e .�. ,.,_. .._ ,rIf.FF'.`,IF.F•'Pc�F'a.l l!flcC1' 1 IManaalory In NM) ..-” E_ olsLns-L rA n.1PLrJrLL*s 100.011110 ".A,,, 5011.11110 t ,a�T9Iw.J+tNa! ,Ir^$44 r4dtSrJ'+t"I,thJ r I'PI,X.A$L I°,r,L ..r brill $ C Disability N N i D672840 08111112023 11713112024 i DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES {ACORD 101,Additional Remarks Schedule mar be attached it more space Is requhedl Additional Insured: I-ON'.N OF SOUTHOLD 53095 ROI-FE 25, PO BOX 1179 SOUTIIOULD \x,11971 CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 ROUTE 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 1179 ACCORDANCE WITH THE POLICY PROVISIONS. SOUTHOLD NY 11971 AUTHORIZED REPRESENTATIVE Cs:!1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD } is f lag w - � rai�gc • � � p , •y gam:. •..�._._-iM.s, �.�.� _.- -- �w� •fir � - •. •�. 1 A41 _� �� . � < • tel. aft�a � 3i�j; ,)�j T"TPEP WILY OWMING # .. ONLY as OF endth's and/or +d to be szd ateRt ` ;•Y . r z - o CD 43'-8" O N0 Jon, 42'-0" Jon z 01 CD I I m N 16'-0" 13'-0' ol z 0. 31-00 3: RETURN RETURN V)0 0 0< 7-: BENCH ENCH 5'-0* 5-0- c 37'-0" z C) 00 cl:f LO < m (5 ~ 0 Z C:) C) a_ z 0 goo m C:�al P 0 0 L w E Q 0 18' DRAIN 1-0 f-O CD SKI MER SKIMMER 13'-0" 16'-0" 13'-0" Jon, 42'-0- ion, C, z 0 0 POOL NOTES Ld 1-ALL WHITE SHALL HAVE A UK 28 DAY SHHGHT OF 4,500 PSL 2-STEEL REDFORCEMEW SHALL.BE ME 60 CONFORNING TO ASIM A615 3-WELDED WIRE FABRIC RENFORCEUENT M E COW DRAWN CONFORUING TO 0 185 P 0 0 L P L A N 7-ALL WORK SHALL HE IN ACCORDW WITH THE LATEST ACI CODE 8-LEGS OF RON ACCESSORIES ZU BE PLASTIC WED ALL SNAPM AND WALL PENEWTIONS 9-SHALL BE CLEANED&GROUT REPAUG TO PRELUDE COW" > Ld 10-ALL DIMENSIONS GM SHALL BE MGM A MIN.CONTRACTOR MAY INCREASE TO PROVIDE FOR UM&CM 11-ENGINEER CONTROLLED DGVM REQUIRED 12-CONWOR TO PROVIDE POOL FENCE AS PER LATEST NVS BUILDING CODE O Z 0" 13'-0" 16'-0" 13'-0" 10" c\j 0 TOP OF WATER x.i / I \ O O \\ \ '`' M \` Z N POOL Q m \ 18'-0" X 40'-0' cq 57 •• ::: ... ,. .: :.; \' '\,"�; `�' `� j' '�j� ;� Z El ,/ :t.• \ / Z O SECTION AG) o00 Ld SCALE : 1 /4 " = 1' - 0" f � Z 19'-8" Q --1 ci r-: O uj C) O Q al 0 O C.) Z 10" 18'-O" 10" a 0 12" COPING 12" COPING SAND OR �� SAND OR // / � CLEAN FILL \\\/, 5X5 TILE 5X5 TILE---- \\\\- CLEAN FILL \ I TOP OF WATER r / / " „ 10" X 10" P.C. /� `.� #4 REBAR FOR #4 REBAR FOR : \ \ 0 X 10 P.C. BEAM //\a �; WIDTH OF POOL WIDTH OF POOL I: , \ BEAM \� #4 REBAR ® 12" #4 REBAR ® 12" \/ O.C. P 0 0 L O.C. )1 // 18'-0" X 36'-0" o \� EACH WAY 1 EACH WAY \/ 8" GUNITE 8" GUNITE �\ MARBLE DUST MARBLE DUST /\ \//\ MAIN DRAIN X/ ` - STONE OR y�.. ,. `\�\ STONE OR SAND BASE //� _ • /\///\///\ SAND BASE w /\ z POOL NOTES 1-ALL GUNITE SHAH HAVE A MIN.28 DAY STRENGHT OF 45M PSI. w 2-SIR REINFORCEMENT SHALL BE GRADE 60 CONFORMING TO ASIM A615 � 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 RON ACCESSORIES SHALL BE PLASTIC TIPPED.ALL SNAPTIES AND WALL B S E C T 1 0 N B PENETRATIONS 9—SHALL BE CLEANED&GROUT REPAIRED TO PRELUDE OORROSION 10—U DIMENSIONS GIVEN SHALL BE CONSIDERED A MIN.CONTRACTOR MAY INCREASE SCALE : 3 /8 " = 1' — On TO PROVIDE FOR DRAINS do COPING w 11—ENGINEER CONTROLLED INSPECTION REQUIRED Of 12—CONTRACTOR TO PROVIDE POOL FENCE AS PER LATEST N1S BUILDING CODE AND LOCAL CODES