HomeMy WebLinkAbout50985-Z ° TOWN OF SOUTHOLD
BUILDING DEPARTMENT
r 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#: 50985 Date: 7/25/2024
Permission is hereby granted to:
Halse JL III Se Pro Trt
38785 Main Rd
Orient, NY 11957
To: construct accessory in-ground swimming pool with spa as applied for.
At premises located at:
38785 Route 25, Orient
SCTM #473889
Sec/Block/Lot# 15.-8-1.3
Pursuant to application dated 6/6/2024 and approved by the Building Inspector..
To expire on 1/24/2026.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: $400.00
Building nspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
y, Telephone (631) 765-1802 Fax (631) 765-9502 littDs://www.southoldtowniiy,gov
i'04
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO.
�D � Building Inspector
Applications and forms must be filled out in their entirety. Incomplete n 0i 6 �ilaold
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: Z
OWNER(S)OF PROPERTY:
Nam SCTM# 1000-
u7i
Project Address:
..........
Phone#° LAS Email:
Mailing Address:'
CONTACT PERSON:
Name:
Mailing Address:
PhoneEmail:
I ,
DESIGN PPOFES AI.INFORMATION:
Name:
K
Mailing Address:
Phone : �i � ,
a:
i
eq
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑11Ne eStructure ❑ ddition ❑Alteration ❑Repair ❑Demolition $s M ted Co roject:
ill the lot be re-graded? ❑Yes t No Will excess fill be removed from premises? I Yes ❑No
A 46 XWy-r0JJkzP AOI-e�-
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated Are there any covena is and restrictions with respect to
this property? ❑Yes F YES, PROVIDE A COPY.
r
k Box After Reading: The owner/contractor/design professional is responsible for all drai g and storm water issues as provided by
6 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building Zone
of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
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(p ' name): J ❑Authorized ent. IPOwner
Signature of Applicant:' Date: 2 a�
STATE OF NEW YORK) �, °r1 ` '�
SS: r M' c �I '•,
COUNTY OF ) ;I'o' 1 . ` o "
CIS. C.0 t?.
:leZ
being duly sworn, deposes and sad t I Icant
(N' me of individual signing contract above named, 01
��tdIVIVl1�
(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
a otary 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.
Owner's Signature Date
Print Owner's Name
2
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LOT 65
p MAP OF ORIENT BY THE SEA, FILED
OCT.23, 1961 FILE NO. 3444
I WELL 150'+
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® = WELL
A = STAKE
= TEST HOLE
• = PIPE HOUSE -SLATE OR 01HER
F.F. EL. 16.7' SUITALE COVER CM
■ = MONUMENT TOPPER END PLUG LOC
EL. 13.7'
96 I.E. 10119 191—t--LO a
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CLEAN OUT
I.E. A ..� LE
® 6.3 11
90 1/4" PER FOOT MIN. PITCH 11.9'
PROPOSED NEW SEPTIC SYSTEM MIN. 4' DIA. PIPE
(3 BED HOUSE) CLASS 2400 PIPE OR EQUAL rnln �— ,e_ CL
1 — 1000 GAL PRECAST SEP77C TANK 1000 GAL.PRECAST
2 — 810 X 6' DEEP LEACHING POOLS SEP71C TANK
W77H X SAND COLLERS X ABOVE GROUND WATER
NO WELLS WITHIN 120' OF NOR7H ROAD HIGHEST EXPECTED
NO CESPOOLS WITHIN 150' BACKFILL MATERIAL TO BE
EXIS77NG SEP71C SYSTEM TO BE REMOVED OR FILLED IN TO
S.C.D.H.S SPEC/FICA770NS SEP77C SYSTEM
LOT NUMBERS REFER TO SUBDIVISION MAP 77SHER PROPERTY" FILED IN �IHE NOT TO SCALE
SUFFOLK COUNTY CLERK'S OFFICE ON JUNE 19, 2012 AS FILE NO. 11866.
ANY ALTERA710N OR ADD177ON TO THIS SURVEY IS A WOLA71ON OF SEC770N
7209OF 774E NEW YORK STATE EDUCA77ON LAW. EXCEPT AS PER SEC71ON
• ^^�,��,�` NOTES •
1 �%l• 10• 52' 10•, 1. NO SOIL SURCHARGE PERMITTED WITHIN4 FiET OF EXCAVATION AT THE SHALLOW END,OR 6 FEET OF EXCAVATION AT THE DEEP END.
6 THIS POOL MEETS THE REQUIREMENTS OFAN51/AP5P/ICC-5 AMERICAN NATIONAL5TANDARD FOR RESIDENTIAL INGROVND SWIMMING
POOLS'AND 1996 BOCA CODE-SECTION 421.DIVING EQUIPMENT 15 NOT ALLOWED. O
;v 3. SWIMMING POOL SHALL BECOMPLETELYAND CONTINUOUSLY SURROVN PEE)WITH ABARRIERCONSTRVCTED LAW REQUIREMENTSOF
SECTION R326.4.2.1 THROUGH R326.4.2.6 OF THE NEW YORK STATE RESIDENTIAL CODE(2020)AND IN CONFORMITY WITH ALL SECTIONS <
OF THE TOWN OF SOUTHOLD CODE.DWELLING WALL(5)MAY SERVE AS PART OF THE POOL BARRIER AS PER SECTION R326.42.8 AND
CONDITION(1)ARE MET.OPERABLE WINDOWS IN THE WALL(5)USED AS A BARRIER SHALL HAVE SELF LATCHING DEVICE.ACCESS GATES Sf
SHALL COMPLY WITH SECTION R326.52 OF THE"RESI DENTAL CODE(2020)AND BE SELF CLOSING,SELF LATCH INC;AND BE SECURELY
H2 m Hp A LOCKED WHEN POOL 15 NOT IN USE OR SUPERVISED.ALL CATES ARE TO OPEN AWAY FROM THE POOL AP EA. co
4. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECTATEMPORARY BARRIER AROUND THE EXCAVATION LAW THE CODE OFTHE O
TOWN OF SOUTHOLD. O O
5• POOL MUST BE EOVI PPED WITH AN APPROVED POOL ALAP M CAPABLE OF DETECT]NG ENTRY INTO THE WATER AND 50VN DING AN V 3
AUDIBLE ALARM UPON DETECTION THAT 15 AV DI BLEAT POOL51 DE AND INSIDE THE DWELLING.THE ALARM MUST BE INSTALLED, v
MAINTAINED AND USED IN ACCORDANCE WITH THE MANUFACTURERS INSTRUCTIONS.THEALARM MUST MEETASTM 1`2208 Z Q Z
'STANDARD SPECIFICATION FOP.POOLALARMS.THE DEVICE MUSTOPERATEINDEPEN DENT(NOTATTACHEDTOOR DEPENDENT ON)OF N
7 xg PERSONS. C v
SPA G a
6. POOL SUCTION FITTINGS(EXCEPT FOP,SURFACE SKIMMERS)MUST BE PROVIDED WITH A COVER THATCONFORMS TO ASME/ANSI 0
A112.19.SMORA MINIMUM I8'x23'DRAIN GRATE ORA CHANNEL DRAIN SYSTEM. POOL CIRCULATION SYSTEM MUST BE EQUIPPED WITH oo
74' ATMOSPHERIC VACUUM RELIEF IN THE EVENTTHE GRATE COVERS LOCATED WITHIN THE POOL BECOME M1551NGOR BROKEN.SUCH L/ld
VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME A112.19.17 OR BE A GRAVITY SYSTEM APPROVED BY TH E TOWN ORSOUTHOLD.
A POOL SHALL BE PROVIDED WITH A MINIMUM OF2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE.THE SVCTTON.FITTINGS SHALL BE
SEPARATED BYA MINIMUM OF 3'AND MUST BE PIPED SUCH THAT WATER IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A
PLAN VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS)VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN AN ACCESSIBLE
POSITION.MINIMUM OF 6'AND NO GREATER THAN 12'BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BE AN ATTACHMENTTO
N.TS. THE SKIMMER/SKIMMERS.A REQUIRED POOL ATMOSPHERIC VACUUM RELIEF SYSTEM SHALL BE INSTALLED AS PER NYS RESIDENTIAL CODE
R326.63(2020)AND IN ACCORDANCE WITH INC.VILLAGE CODE
7. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC)PRINCIPALLY ARTICLE 690 AND THE NYS
RESIDENTIALCODE SECTIONS 4201 THROUGH 4206.ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES AND
te,Y NYL COVERED STEPS BE PROTECTED BY A GROUND FAULT CURRENT INTERRUPTER(GFC0 CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE N
PROVIDING POWER TO POOL LIGHTING AND POOL EQUIPMENT 5HALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4203.5.ALL u
METAL ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED Ql
q DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELYGROUNDED.
Tn
B. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING CODE609.
2'T04'SAND BOTTOM �Y i
e 9. ALL PIPING 15 DIAGRAMMATIC UNLESS OTHERW15E STATED. �0 >1,'Qa.in
a
10. WALKS IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM POOL EDGE. a �In
5 ECTION A ii. A MEANS OF EGRESS FOR DEEP AND SHALLOW ENDS MVST BE PROVIDED IAW AN51/AP5P/ICC-5 SECTION 6. _ :�E Z
In
N.T.S. 12. CONTRACTOR TO PLACE THE POOL IAW TOWN OFSOVTHOLD CODESETBACKS.
S ^v
WATERLINE TOPOFWALL 13. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY. a.a ~ Nid
4' 8 4• 1 15. THE DESIGN IS BASED ON A DRAINAGE SOIL WITH<10:SILT.GROUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION.IFGROVND
K WATER EXISTS WITHIN 6'-O'FROM GRADE,DEWATERING FACILITIES WILL BE REQUIRED.
It
16. ALL GAS AND OIL HEATERS(IF INSTALLED)FOP THE I NGROVND 5WIMMI NG POOL SHALL BE NATIONAL APPLIANCE ENERGY
CONSERVATION ACT(NAECA)COMPLIANT. POOL HEATERS SHALL BE TESTED IAW ANSI Z21.56 AND SHALL BE INSTALLED IAW
MANUFACTURERS SPECIFICATIONS.OIL FIRED POOL HEATERS SHALL BE TESTED IAW VL726. POOL HEATERS SHALL BE LOCATED OR °
GVARDEDTOPROTECTAGAINST ACCIDENTAL CONTACT OF HOT SURFACES BYPERSONS.POOL HEATEP55HALLBEPROVIDEDWITH
TEMPERATURE AND PRESSURE-RELIEF VALVES. FOR HEATERS NOT PROVIDED WITH AN INTEGRAL BYPASS SYSTEM.A BYPASS LINE SHALL BE
---- -' ' ' INSTALLED FROM INLET TO OUTLET TO ADJUST WATER FLOWTHROVGH THE HEATER, POOL HEATERS SHALL BE PROVIDED WITH THE
FOLLOWING ENERGY CONSERVATION MEASURES: �': In
2'-2' 0. d
CHECK VALVE 16.1 AT LEAST ONE THERMOSTAT SHALL BE PROVIDED FOR EACH HEATING SYSTEM. °C
COPING AND WALKWAY 10• " O
FROM SICIMMEIL MOTHERS) 163 ALL POOL HEATERS SHALL BE EQUIPPED WITH ANON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE
PUMP GRADE OPERATION OFTHEH EATER WITHOUT ADIUSTINGTHE THERMOSTAT SETTINGANDTO ALLOW RESTARTINC WITHOUT RELIGHTING THE
rn #
f WATERUNE PILOT LIGHT. r. v
E •,�,.•;,•; 163 HEATED SWIMMING POOLS SHALL BE EQUIPPED WITH A POOL COVER(EXEMPTED FROM THIS REQUIREMENTAPE OUTDOOR POOLS
1bm�P�'-� !.'.
DERIVING 20%OF THE ENERGY FORHEATINGFROMRENEWABLESOVRCESASCOMPUTEDOVERANOPERATINGSEASON) m
DRYWELL UNDISTURBED FARTH 16A TIME CLOCKS SHALL BE INSTALLED 50 THE PUMP CAN BE SETTO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS AND CAN BE SET � a}� �
a500 PSI POURED CONC. a! TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER IN A CLEAN AND SANITARY CONDITION IAW APPLICABLE ¢
J SANITARYCODE'OFNEWYORKSTA7E. r e m m a R
uq yR i/8•RERAR J 7YP. �` W
O vlNriuNEa 17. THISDRAWING15FOPSTRUCTVRALSHELLONLY.ALL ACCESSORIES AND APPURTENANCES ARE DEFINED BY OTHERS. •_ 0 c o 4
2•TOVSAND a 18. BACKFILL WITH CLEAN EARTH,FREE OF ROOTS AND DEBRIS. DO NOTALLOW THE HEIGHT OF BACKFILL TO EXCEED THE HEIGHTOF THE W 'o o m 0
FILreR WATER IN THE POOL BY MORE THAN 8,OR THE WATER TO EXCEED BACKFILL BY MORE THAN 8' Cr
F
19. PLACE CONCRETE ON 5ANDY 70 LOAM SOIL. REMOVE ANY CLAY DEPOSITAND REPLACE W/COMPACTED CLEAN BACKFILL Q)
L o
TORErvRNs 20. THERE 15 NO MAIN DRAIN IN THI5 POOL.SUCTION FOR POOL WATER CIRCULATION 15 PROVIDED BYTHE SKI MMER5ONLY.TH15 MEETS C�
CHECK VALVE REQUIREMENTS OF TH E NYS RESIDENTIAL CODE-SECTION R326.5 FOR ENTRAPMENT PROTECTION.
PLUMBING SCHEMATIC 21. THE POOL WAS DESIGNED IAW THE FOLLOWING:
N.T5. WALL SECTION 21.1. THE NEWYORK STATE RESIDENTIAL CODE-SECTION R326(2020) b
_ 21.2. THE NEWYORK STATE ENERGY CONSERVATION CONSTRUCTION CODE-5ECTION R405JO C2020)
N.T.S. 21.3. THE NEWYORK STATE FUEL GAS CODE C2020)
21.4. THE NEWYORK STATE SANITARY CODE.
Z.5. ANSI/AP5PACC-55TANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS.
21.6. 80CAOODE-SECTION 421.
21.7. CODE OF THE TOWN OF SOUTHOLD. co r• I b rn1
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22. ALL BACKWASH TO BE SELF-CONTAINED ON-SITE. O t.
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