HomeMy WebLinkAbout49531-Z TOWN OF SOUTHOLD a\'`
� suffot �, BUILDING DEPARTMENT
cm <.E TOWN CLERK'S OFFICE
ca
oy • ¢ SOUTHOLD, NY
i 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#: 49531 Date: 7/31/2023
Permission is hereby granted to:
Peters , Jason
57128 Route 25
Southold, NY 11971
To: Construct in ground swimming pool at existing single family dwelling as applied for.
Maintain 15 foot setback to rear and side property lines from pool and equipment, as
required.
At premises located at:
57128 Route 25, Southold
SCTM #473889
Sec/Block/Lot# 63.-4-5.2
Pursuant to application dated 6/23/2023 and approved by the Building Inspector.
To expire on 1/29/2025.
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
MELD INSPECTION REPORT I DATE COMMENTS
�ro
FOUNDATION (1ST)
-------------------------------------
FOUNDATION (2ND)
C9�
z �
— o �
y n
p
ROUGH FRAMING& OCR y
PLUMBING
O
r
INSULATION PER N.Y.
STATE ENERGY CODE
V
G
FINAL
ADDITIONAL COMMENTS
O
`Z
m
� ro
�0
y
O
z
x
Z�
�x
d
H
o�su of c r�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502hLtps://www.southoldtowm.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ll
t_-S
PERMIT NO. Building Inspector: JUN 2 3 2023
Applications and forms must be filled out in their entirety.Incomplete -:<•; ;,--". r� : .x�
applications will not be accepted. Where the Applicant is not the owner,an R<"
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S) OF PROPERTY:
Name: SCTM # 1000=
Project Address: 6'7 1 of .cal A i5o 41 7 J,
Phone#: t�3�.�.Jn'1�-. Email:
Mailing Address:
PC,
CONTACT PERSON:
Name: JA60,* F&r,
Mailing Address:
Phone#: o�� - - - - Email:�e�� �.JJ��i.�►/� .<ai,�J�.�1`i
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: 771
Email:
CONTRACTOR INFORMATION:
Name: //
kack-
Mailing Address:
Phone#: /,,
�f�f q. . Ema i l: •�._ �.�`l'�11 ch
DESCRIPTION OF"PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair FIDemolition Estimated Cost of Project:
Other 630C $
T -
Will the lot be re-graded? ❑Yes *o Will excess fill be removed from premises?AYes ❑No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
- -- - e �(�� __- -
Zone or use district in which premises is situated: Are there any covens is and restrictions with respect to
this property? ❑YesNo IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The,owner/contractor/design professional is responsible for all drainage and storm water issues"as provided by
Chapter 236 of the Town Code. APPLICATIOMS 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 buildings)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(pri e): Authorized Agent Owner
Signature of Applicant: Date: /�✓ /�
STATE OF NEW YORK)
SS:
COUNTY OF )
`1�scoj ���0�s being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signingf contract)above named,
(S)he is the_�l�r'C� For-- -P�niL -'Q1
(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 , 20
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, �r l�-� �✓ �i residing at 6128 kJ ow.0 Ad
do hereby authorize 06A Fr ADC CQ to apply on
my beha the To of Southold Building Department for approval as described herein.
ner's Signature Date
Print Owner's Name
2
i
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
o ® Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
tp �
rogerr _southoldtownny.gov - seandC@-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: -e-ro 41 6 tc �p C
Electrician's Name: 6e mra Ll 91,vicoa
License No.: Hj5- d q05( Elec. email: e- d , H
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.: r
i
JOB SITE INFORMATION (All Information Required)
Name: j-v
Address: 1 0,I,,J
Cross Street:
Phone No.:
Bldg.Permit #: email:
Tax Map District: 1000 Section: Block: Lot: <
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Owd
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑ NO I❑Rough In ❑ Final
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 Reconnect❑Underground Eloverhead
# Underground Laterals R 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Scott A. Russell
�°'°sufk�� ST�O�][�I��l[��vA\T]E][�
SUPERVISOR MAN A\G]EIBW ENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 ��O Town of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
NAME: JoAsi� Date:
(Print)
2 '
(Signature)
Contact Information:
(G-�1ad 8 Telephone Number) � ���®��
J F� 0aY.o.r- , CJH
Property Address / Location of Construction Site:
7-la� M�►j.1 KGO S.C.T.M. #: 1000
11q-7 j District
l
Section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
❑ - Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit is Required !
❑ - Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Required !
❑ - Area of Disturbance is Greater than 1 Acre &Storm-water Runoff Discharges Directly
to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit
DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit.
❑ - Area of Disturbance is Greater than 1 Acre& Storm-water Runoff Flows Through Southold
Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S. Permit through the Southold Town Engineering Department
Prior to Issuance of a Building Permit.
Reviewed By: Date:
FC)R M # QMC'P-Tnq oe-tnhpr go i q
OCCUPANCY OR
APPROVED AS NOTED USE IS UNLAWFUL
DATE: ,3 �A B.P. s3 WITHOUT CERTIFICATE
FEE' 30'02 BY: OF OCCUPANCY
NOTIFY BUILDING DEPARTMENT AT
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
3. INSULATION COlJ1PL`f Wi-i'N";ALL"; Obb S`.OF
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O. f�EW YORIGv&A TOVIliV CODES
ALL CONSTRUCTION SHALL MEET THE AS REOUIfkf=0 ANv.t-: OITIONS OF
REQUIREMENTS OFTHE CODES OF NEW SDUTHOOTOWMA.
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS `;SOUTHOLD TOWN PLANNINHOARD
SOUTHOLD TOWN TRUSTEES
N.Y.S.DEC
"IMMEDIATELY'!'
ERU26FF
EI�OLOSE POOL TO CODE RETAIN STORM WATE 3
UPON comp
LETION pURSOANT TO CHAPT
'B FC3REtc��VIIATER° OF THE TOWN CODE
c �Ylaid W,
_
pe
I KIWA
9700 Main Road
Mattituck,NY 11952
, 1 - Office:631-298-4014
Info@NortliForkPoolCare.com
.6708
- . Pool Walls are 10"thick at a height of 48"(Four Feet)
:r- - Walls are formed and poured with 350,0 PSI Gravel Mix Concrete
#3 Rebar is placed inside the wall. Horizontally(doubled) at the top and
bottom of the wall. Also,vertically every four feet at maximum.
A sand bottom is installed for pool floor. A vinyl liner is installed on top
ii of sand and concrete.
® a
(? i
l
/ , a
PageIofI
0 0-567
MAIN
(2�9
-� 0)
z 1
Z m
O
C
z
00
Q7 *;0 c I
0 ra i (� cyfy C� ( pan
rm a I
m I' t
z X �I m �l
t
.I
11
.I
+
I
-.I I
a) I
N 'I
1
fd. I
men.
z z
W 0
a•I cn
C -rl
O ;a n 0
D
� M
A O
rn rnQ
ZE
F mrn
~•C
C
z J
U'+
+
-V I,
� `I TEST HOLE:
rt. I by McDonald Geosclence
7 - 24 - 2000
� 11
r. 41 0
C ;I Brown silty loam OL
O21
1
� Brown silty Bond SM
1
fd, ,l
Q
man,
m IN Pole brown fine to
CD I' coarse sand SW
Ft
m{2 5.5) 1 N.54'S3'5Q"E 145.57' (21 2)
c� z •r 1
pWj t, 1
C>7 water Ln
� O G � �servrce tv W
C�
Z { i 01 17'
ZOPAVE
o
373 rA
1d. L BASE mon. DRIVEWAY 1
G4.3'
Cr w
f11 covered
-4 Z
r z ,.
rC C) g• o a O
rn �
X rn 2 5T , .CD 4 „o' 42 1' < NOTE
N �a rAi LOCATION OF WATER MAINS AND
A
rn cesaspoe► z m ADJOINERS WATER SUPPLY PJY
-q x OTHERS AND ARE NOT GUARANTEED
Id, Poe.
man. r
\ N ELEVATIONS ARE FROM THE SEWAGE WORKS
' STUDIES FIVE EASTERN TOWNS SUFFOLK COUNTY
AMAP FF - 38 11 - 6—r-20,00
Ld Iixlstence Of r1c,ft c3 xrr.�'�•� •�. :' ''. : '1�1^7�'C5
10 50 Ar 6f)record, If any, n0%4.
'l. 4-9.2001 FINAL SURVEY, SET REAR STK
V Qaa I 11-21-2000 FOUNDATION LOCATED
pip
0 y Xg 9-16-2000 SHOW PROF WATER SERVICE SOT Aa�EA = a0,99� sq•ft
SET pip ION A" toa E In'$Itlo+1°) OtlAt!AN-iTr. jq'LVCniJ7 t.'cn tLN .JOB NO 00.2 53 FILE NO 6 57 D
- { 2 dat .il I! rr:i!I Gtfin TI!' y s.44t rti,i <hY i0 it•G ft—%"t
5 ,8) STK �+�w� '-n1"S iU r+il i 'Urtpli r^ Y.•iTA 1%. ! .:_Y IS ri' SURVEYED FOR JOHN?IRMA MUTTER
6fc."iF1 1+IR• r;u'rC, ••, •;; 'S .+tr iQ
.r- A•,'f TI'_f"'f'.LSTB 1• '.��' C•l1'7 .�. i.:►"'V' I
".f .r T,. �, • i, .1, • •• had 1-
C •r.-..•, t r�1, •l: • 1' , r. .rr 'r.,aj irk
V1
�'T ' 'l
tO '• •' - ,vt SITUATED AT SOUTHOLD
N . Y TOWN OF SOUTHOLD, SUFFOLK COUNTY, NY.
OIYD 1 .., 1 .•'r. :rl.l -^�1 rc,. SCALE 1" = d0' DATE 7-12-2000
40 rW R,yC.RCr �5/,S {24,1) FILED MAP NO DATE
C A WO ¢' fd GUARANTEED ONLY TO 7AX MAP NO 1000-53.4-52
ISC/C (REF ONLY) DISK 221
D 00WgRp Mon. RMA hl 7TER HAROLD F. TRANCHON JR. P.C.
h14TE•R THE SUFFOLK COUNTY NATIONAL BANK LAND SURVEYOR
1866 WADING RIVER—MANOR RD. WADING RIVER.
�r „4 F 1� - NEW YORK. 1 1792
N Y LIC NO. 048992 516-929-4695
HAROLD F. TRANCHON JR. PENN LIC. NO. 21115-E
Hu M07911