HomeMy WebLinkAbout50656-Z err
° TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
" 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 #: 50656 Date: 5/10/2024
Permission is hereby granted to:
Milov&Napolitano SupCare Tr
......... _ ........_................
..._ _.......... .....W.........
9 Lefferts PI #1
_........._._... ._ . _. _ ... ............ ......
Brooklyn wwNY 11238
To: construct accessory in-ground swimming pool as applied for. Pool equipment must be
located in the rear yard with minimum 10' setbacks to lot lines.
At premises located at:
905 Wildberry Ln, Southold
SCTM #473889
Sec/Block/Lot# 51.-3-12.13
Pursuant to application dated 3/28/2024wryµ and approved by the Building Inspector..
To expire on 11/9/2025.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: ___._._._...................... $400.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
lip
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 htt . / a �a���.�°oIdto llI_o
Date Received
APPLICATION FOR BUILDING PERMIT
e
w =e
For Office Use Only
PERMIT NO. `C Building Inspecton-, MAR 2 8 r 0 2
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: _5 -es �
OWNER(S)OF PROPERTY:
Name: C hrisfticn a [�icarvo d -6-16LnCCL SCTM# 1000- S -03 - Z .
Project Address: c105 wWbgvr Lane, 600_�H'3I8
Phone#: C-13 _ a CL4 - qJ-1 Email: m 1 IOv m \ l u"YYl
Mailing Address: tC( Le�-ertS Nit NJ \1l38
CONTACT PERSON:
Name: �A\ C bOceL 1aAoU
Mailing Address: c53 ®Y'M S��e \�� I L_V,0Y\!53t3C'\ WS CM 03CA
Phone#: ��3_L�pEfj _ �06,0 Email: 'fmc a2,cfMN\OBI 0 �- Lorn
DESIGN PROFESSIONAL INFORMATION:
Name: ,aSpx1 tS bolt)
Mailing Address: PO 60X 133► team, � \ CI 14
Phone#: 6 31 - 39L4- -78�� Email: man
CONTRACTOR INFORMATION:
Name: S ` o� .._. p\t)
Mailing Address: P3 i2px �an
Phone#: 3\ - 33u — 18 C(y Email: NVNd
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other OOL
Will the lot be re-graded? ❑IYes VNo Will excess fill be removed from premises? aes ONO
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
G3111C,
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. 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 : Authorized Agent ❑Owner
Pp Submitted B Y(print name)
Signature of Applicant: Date: 3lae5 lrZLA
STATE OF NEW YORK)
SS:
COUNTY OFF��� )
.T S-1112 being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 4c"
(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
95-N'day of M CLY Ch ,20_
ary Public
g'CM 0 µ YtdI C
a110fkR337
In SufllalliCou,
Sim res Pe ru' 2 2M PR PERTY OWNER
(Where the applicant is not the owner)
I, r residing at
do hereby authorize J c "c � � /of to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
r-. "
Print Owner's Name
2
SURVEY OF
LOT 7
MAP OF
WILDBERRY FIELDS
FILE Nm 10641 FILED JUNE 21.2001
SITUATE
vjE - O TOWN FTSOUITHOLD
TT�11 SUFFOLK COUNTY, NEW YORK
50�1v � S.C. TAX No. 1000-51-03-12.13
SCALE 1"=40'
JANUARY 5, 2022
FEBRUARY 10,2022 ADD TOPOGRAPHILAL SURVEY
AREA = 22,682 sq. ft.
0.521 ac.
4~�
aw +.
CERTIFIED TO:
FIRST AMERICAN TITLE INSURANCE COMPANY
BIANCA MILOV
CHRISTIAN NAPOLITANO
r°+1�
Vi^ ERE ARE NO CLEARING RESTRICTIONS ON THIS
PROPERTY.IT CAN BE IOOX CLEARED.
2. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1909 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:AU
EXISTING CONTOUR LINES ARE SHOWN THUS:X%-----XX
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LTORAL�nN fARD RESERVEBASEMENT
pCRICU
Nathan Taft Corwin III
�7?�DF lIR IffYI Yalt STIkIE
Land Surveyor
To BE A. �A.�OJ A� Socceacw To:Stanley J.Iml n,Jr.LS.
Jacopo A 1 g .LS.
go '' FY wx ova Pew T".Sa - &I.Plw- CmabuNan lyouk
"�'WIkI 'xc p wNax YµW
yy, imp"a°uuxwxrwMNaxx * PNONE(631)727-2090 Fax(631)727-1727
A�.PoN16p MGM ADDRESS
'A4Y64aN,CAI'NN'NM"A�TIWMx P+xA Nig OFFICES LOCATED R AT
I568 Muhl Rood YoA
P.O.Box 16
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Tiff ENRTENCE OF RIGHT DF WAYS JanemoN.NaW Yorx 11917 JamespoR.New 11947
AND/OP T64AIT0s OF RECORD.IF
ANY,xP41 9NaAEM Abff".Nm ODARANTEID. E-Mdl:NCOMn30ool.com
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N CIERTIFICATF OF
Y8111 Workers, GE
kK NYS WORKERS' CONIPE.NSX17ION INSURANCE COVERAGE
STATE Compensation
Board
_ Insured Detail
,a.Legal Name an ncidrcss"of (We street address Duly)'_jn
I I h1c,
�1 b.Blisl ness'relephone Nu mber of I its u red
14 rs Pat]) 631-324-7844
Su,,UL"qY I I go I
I)PA:Bills Pools,Bills Pools Scrvicc,Insons pools,jason I c-NYS Unemployment Insurance 1!',mp[oycl*
svrvicc and Bills Regisirution Number of Insured
Pool
Id.Federal Employerldendl]cation Number of Insured
or Social Security Number
113168202
Work Lqx� ion ol'Insured(OW11 rcq)tircdj(cQw,(,,jagc,iss'llecyiCalty
M A'clv)brk Sintc,i.e.o Wrap.j)p litylited to
d Z;.
It i-tit'it ling 11rool"O(cove'age
of the
3a,N
(Entity2.Same Being
i'�Listed as the Certificate field..) Me Of Insurance Carrier
'I'OWN OF Soun-iOLIJ BUILUINQ OEPAJU",\MNI Southern Insurance Company
54375 RT 25
PO BOX 1179 3b.Policy Number of entity listed In box"In":
SOUTHOLD,NY 11971
OWC1009126
3c.Policy effective period:
3/23/2023(o 3123/2024
3d,The Proprietor,Partners or Executive Officers are:
Included(Only check box if all Partners/officers included)
all excluded or certain Partners/officers excluded
This certifies that the insurance carrier indicated above in box"3 insures(lie bushness referenced above in box -------------
Workers'compensation
under the New York State Workers,Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the
INFORMATION PAGE Of the workers'Compensation Insurance Policy).The Insurallec Carrier or its licensed Agent Will send this Certificate of
insurance to the entity listed above as the certificate holder in box-"2".
The il'sance carriermttvt notify the above certificate ce" catc holder and the
11011flayurinent 0fprc,,tjrjaaj.j-or�jlilhin 30(lays Workers'C01"Pel'sulivill Board within10 dqjkv IF apolicy is canceled due to
-IF there fire reasons other than nonpayment ofprenrit(ins that cancel the policy or el
ficaleisvalldforoneyearl this
fl-o"''Ile coverage indicated oil ih/.v Ce,-ly1faje_ (These notices intry be seat by Pegiflarntail,)Otherwise,this Cerri clilaillate the insured
fnrin is approved by the insurance cm Pier or its licensed agent,01-Unj 0
and confers no rights upon tile certificate holder.This Certificate does
This corlificare is issued as a matter of information Only the Policy exPi"ati011(late listed in box 113C,,,1phichever is earlier;
or alter the covergo af
forded fforded by the Policy listed,nor does it confer any rights or responsibilities not amend,extend
policy. nsibilitics beyond tll0SC contained in the referenced
This certificate may be used as evidence of Workers'Compensation Contract of Insurance only while the underlying policy is effect,
Please Note:Upon cancellation of the workers'compensation Policy indicated on this form,if the business continues to be named on a permit,
-kers' In
license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'
Coll)Pcl1sa IIOH Coverage or other authorized proof that the business is complying With the mandatory coverage requirements of the New York
State Workers'Compensation Law.
Under Penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and(lint
the named insured has the coverage as depicted on this form.
Approved By: Malt Zender
(I'dai-ilanie of aadtorized repreacninlive
Approved By:
3/2312023
Title: Senior Vice President (Dale)
COMPLIES WITH:
2020 CODE SECTION 303.2.1-303.4 SWIMMING POOLS,' SPAS, SUCTION
AND HOT TUBS
SECTION R326 OF THE RESIDENTIAL CODE OF NEW YORK
SECTION 3109 OF THE BUILDING CODE OF NEW YORK
SECTION N1103.12 (R403.12) RESIDENTIAL POOLS AND LIGHT
PERMANENT RESIDENTIAL SPAS
SECTION 3109.3.1.2 - 3109.7.4 POOLS AND SPA GATES, ---------- — —
BARRIERS
SECTION G106 ENTRAPMENT PROTECTION
SECTION G107 ALARMS
SECTION E4201 E4312 ELECTRICAL CONNECTIONS FOR PUMP
POOLS
FILTER 18
SUNDECK
10 1/
ICOPINGI fPAVERSI
MORTAR
6'TILE ' J Ir------I B NC
[d
'4 O
0•
MARBLE OUST
13 & 14 STEEL REBAR (VE 4
12"DO
FOR DEP
EXCEEDING 5 FE a ,O RETURN -
BACKFILL TO ROI.GH
J3 & P4 STEEL RE GRADE 5'AROUND
HORIZCM POOL PERIMETER 44'
12" D.
4
12"TO 36"RADI
(VARIES) �•e•
3500 psi A a
con>RErE 0 45
j� . o•e
B" UMNJ
WALL SECTION
N.T.S.
11' 15' 10' 8'
NOTES:
SWIMING POOL TO BE EXCAVATED ONE FOOT OVER DESIGN SPECIFICATIONS AND
SOIL TO BE LEFT ON PROPERTY. SOIL TO BE STOCKPILED OR RUFF GRADED (AS
PER OWNER) ON THE DAY OF EXCAVATION ONLY UNLESS SOIL IS TO BE CARTED
AWAY.
SWIMING POOL STRUCTURE TO INCLUDE A MATT OF 3/8" STEEL REBAR TIED,
12" ON CENTER FOR WALLS AND FLOOR, 5" ON CENTER FOR ALL TRANSITION
BREAKS AND BOND BEAM.
THE POOL SHELL TO BE MADE OF 1-4 DRY GROUT GUNITE MIX SHOT INTO THE 0 N�I�V
STEEL CAGE AT A THICKNESS OF NO LESS THAN 12" ON THE TOP EDGE OF THE �Q` DE" �O
POOL (BOND BEAM) AND NO LESS THAN 8" ON THE WALLS AND FLOOR. :. .n'ko
INTERIOR FINISH OF POOL TO BE "PEBBLE TECH" DURABLE FINISH. COLORS AS �'� JASONS POOLS
PER OWNER. r ip:, E6
Lu
Lu
�Q �72 O �= FOCI TYPE 18 X 44 RECTANGLE REV. DATE DATE 3 27 24 N.T.S.
SSk
905 WILDBERRY LANE
SOUTHOLD, NEW YORK DRAWING NUMBER
1 OF 2
`ter
NOTES:
1. CONFORM WITH ANSI/APSP/ICC-5 SEC 6
2. NO SOIL DISCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION
3. POOL/SPA MUST BE SURROUNDED BY A CONTINUOUS BARRIER CONSTRUCTED IAW REQ.OF SEC 326.4.2.1-R326.4.2.6 OF THE NYS RESIDENTIAL CODE(2020)AND ALL SECTIONS OF THE SOUTHOLD CODE
4. WALLS MAY SERVE AS PART OF THE POOL/SPA BARRIER AS PER SEC 326.4.2.8 AND ALL WINDOWS HAVE A SELF LATCHING DEVICE
5. ACESS GATES SHALL COMPLY WITH SEC R326.5.2 OF THE NYS RESIDENTIAL CODE(2020)AND BE SELF CLOSING,SELF LATCHING AND BE SECURELY LOCKED WHEN POOUSPA IS NOT IN USE OR SUPERVISED. ALLL GATES ARE
TO OPEN AWAY FROM THE SPA AREA.
6. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECT A TEMPORARY BARRIER AROUND THE EXCAVATION IAW CODE OF THE TOWN OF SOUTHOLD.
7. POOUSPA MUST BE EQUIPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AND SOUNDING AN AUDIBLE ALARM WHEN DETECTED THAT IS AUDIBLE AT THE POOUSPA SIDE AND INSIDE
THE DWELLING.THE ALARM MUST BE INSTALLED,MAINTAINED AND USED IN ACCORDANCE WITH TEH MAUFACTURERS INSTRUCTIONS.THE ALARM MUST MEET_ASTM.F2208°STANDARD SPECIFICATION FOR POOL ALARMS".
THE DEVICE MUST OPERATE INDEPENDENT(NOT ATTACHED TO OR DEPENDENT ON)OF PERSONS.
8. POOUSPA SUCTION FITTINGS(EXCEPT FOR SURFACE SKIIMERS)MUST BE PROVIDED WITH A COVER THAT CONFORMS TO ASME/ANSI Al12.19.8M OR A MINIMUM 18"X23"DRAIN GRATE OR A CHANNEL DRAIN SYSTEM.POOUSPA
CIRCULATION SYSTEM MUST BE EQUIPTED WITH ATMOSPHERIC VACUUM RELEIF.SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME Al 12.19.17 OR BE A GRAVITY SYSTEM APPROVED BY THE TOWN OF SOUTHOLD.
POOUSPA SHALL BE PROVIDED WITH A MINIMUM OF 2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE.THE SUCTION FITTINGS SHALL BE SEPARATED BY A MINIMUM OF T AND MUST BE PIPED SUCH THAT WATER IS
DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS).VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN ACCESSIBLE POSITION,MINIMUM OF 6"AND NO
GREATER THAN 12"BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BE AN ATTACHMENT TO THE SKIMMER/SKIMMERS. A REQUIRED SPA ATMOSPHERIC VACUUM RELEIF SYSTEM SHALL BE INSTALLED AS PER NYS
RESIDENTIAL CODE R326.6.3(2020)AND IN ACCORDANCE TO TOWN CODE
9. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC),PRINCIPALLY ARTICLE 680 AND THE NYS RESIDENTIAL CODE SECTION 4102 THROUGH 4106.ALL ELECTRICAL DEVICES MUST BE APPROVED
BY UNDERWRITERS LABORATORIES AND BE PROTECTED BY A GOUND FAULT CURRENT INTERRUPER(GFCI).CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE PROVIDING POWER TO POOUSPA LIGHTING
AND SPA EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4203.5. ALL METAL ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE POOUSPA THAT MAY BECOME ELECTRICALLY CHARGED
DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED.
10. WATER SOURCE FILLING THE POOUSPA SHALL BE EQUIPPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING CODE 608.
11. ALL PIPING IS DIAGRAMMATIC UNLESS OTHERWISE STATED.
12. WALKS,IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM THE POOL/SPA EDGE.
13. A MEANS OF EGRESS FROM THE POOUSPA MUST BE PROVIDED IAW ANSUNSPI-5 SECTION 6.
14. CONTRACTOR TO PLACE THE POOUSPA IAW TOWN OF SOUTHOLD CODE SETBACKS.
15. ALL DRAINAGE FROM THE POOUSPA SHALL BE MAINTAINED ON THE SUBJECT PROPERTY.
16 THE DESIGN IS BASED ON A DRAINAGE SOIL WITH<10%SILT.GROUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION.IF GROUND WATER EXISTS WITHIN 60"FROM GRADE,DEWATERING FACILITIES WILL BE REQUIRED.
17 ALL GAS AND OIL WATER HEATERS(IF INSTALLED)FOR THE IN-GROUND POOUSPA SHALL BE NATIONAL APPLIANCE ENERGY CONSERVATION ACT(NAECA)COMPLIANT.POOUSPA HEATERS SHALL BE TESTED IAW ANSI Z21 6
AND SHALL BE INSTALLED IAW MANUFACTURERS SPECIFICATIONS.OIL FIRED POOUSPA HEATERS SHALL BE TESTED IAW UL726.POOUSPA HEATERS SHALL BE LOCATED OR GUARDED TO PROTECT AGAINST ACCIDENTAL
CONTACT OF HOT SURFACES BY PERSONS.POOUSPA HEATERS SHALL BE PROVIDED WITH TEMPERATURE AND PRESSURE-RELIEF VALVES.A BYPASS LINE SHALL BE INSTALLED FROM THE INLET TO OUTLET TO ADJUST
WATER FLOW THROUGH THE HATER.POOUSPA HEATERS SHALL BE PROVIDED WITH THE FOLLOWING ENERGY CONSERVATION MEASURES:
17.1 ALL POOUSPA HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE OPERATION OF THE HEATER WITHOUT ADJUSTING THE THERMOSTAT SETTING AND TO F NEW Y
ALLOW RESTARTING WITHOUT RELIGHTING THE PILOT LIGHT. AT LEAST ONE THERMOST-AL MUST BE PROVIDED FOR EACH HEATING SYSTEM.HEATED POOUSPAS SHALL BE EQUIPTED WITH A POOUSPA COVER.(EXEMPT DES-RA-
FROMTHIS ARE OUTDOOR POOLS)DERIVING 20%OF THE ENERGY FOR HEATING THE POOUSPA FROM RENEWABLE SOURCES OVER AN OPERATING SEASON. !� �a. Off,
17.2 TIME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS,AND CAN BE SET TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOUSPA WATER I
CLEAN AND SANITORY CONDITION IAW APPLCIABLE SANITORY CODE OF NEW YORK STATE.
18 BACKFILL WILL BE DONE WITH CLEAN EARTH FREE OF ROOTS AND DEBRIS. BACKFILL HEIGHT AND WATER LEVEL TO BE WITHIN 8"OF EACH OTHER. PLACE CONCRETE ON SANDY LOAM SOIL. CLAY TO BE REMOVED AND Cn2�'�O 07 502
REPLACED WITH SANDY LOAM. A� S 10r1P
19 THERE IS NO MAIN DRAIN IN THIS POOL/SPA. SUCTION FOR THE POOL SPA WATER CICULATION IS PROVIDED BY THE SKIMMERS ONLY. THIS MEETS REQUIREMENTS OF NYS CODE SEC 326.5
FOR ENTRAPMENT PROTECTION
20 THE POOUSPA WAS DESIGNED REFERENCES AS THE FOLLOWING:
20.1 THE RESIDENTIAL BUILDING CODE OF NEW YORK STATE(2020)SEC R326 Jasons Pools
20.2 THE ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE(2020)SEC R403.10 905 Wildberry Lane
20.3 THE FUEL GAS CODE OF NEW YORK STATE(2020)
Southold,NY
20.4 THE NEW YORK STATE SANITORY CODE.
20.5 ANSI/APSP/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS AND SPAS. POOL SPA NOTES F SCALE: NTS
20.6 BOCA CODE SECTION 421. JAMES DEERKOSKI, P.E.
20.7 CODE OF THE TOWN OF SOUTHOLD 260 DEER DRIVE DATE: 3/27/2024
MATTITUK, NEW YORK 11952 DRAWING NUMBER
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