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Home My WebLink About51336-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 40� 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#: 51336 Date: 10/30/2024 Permission is hereby granted to: Christopher Peterson 40 Huntington St Apt 2D Brooklyn, NY 11231 To: construct accessory hot tub as applied for. Premises Located at: 850 E Gillette Dr, East Marion, NY 11939 SCTM# 38.-3-9.3 Pursuant to application dated 09/17/2024 and approved by the Building Inspector. To expire on 10/30/2026. Contractors: Required Inspections: FOOTING/REBAR, ELECTRICAL- ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL, Fees: SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $300.00 CO Accessory $100.00 Total $400.00 ui ing Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 httos://ivww. gp1h2 dtgnMR . y Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. ` J Building Inspector: r 024 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant`is not the owner,an D771P. Owners Authorization form(Page 2)shall be completed. . .i_v..)�w. Date:8/26/24 OWNER(S)OF PROPERTY: Name: SCTM #1000-38-3-0.3 Christopher Peterson & Kerlann Barry Project Address: 850 East Gillette Drive, East Marion, NY 11939 Phone#:646-241-7180 Email:christopher.peterson@arnoldporter.com Mailing Address: 40 Huntington Street, Apt 2D, Brooklyn, NY 11231 CONTACT PERSON: Name: Jennifer Del Vaglio (East End Pool King) Mailing Address: PO box 369, PeconiC, NY 11958 Phone#:631-734-7600 l�EmalI-Liennifer@eastendpoolking.com DESIGN PROFESSIONAL INFORMATION: Name:N/A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Eastern End Pools, LLC DBA East End Pool King, LLC Mailing Address:PO box 369, Peconic, NY 11958 Phone#:631-734-7600 IE11-:jennifer@eastendpoolking.com DESCRIPTION OF PROPOSED CONSTRUCTION ONew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑other 8x8 in ground spa $48,000 Will the lot be re-graded? ❑Yes RiNo Will excess fill be removed from premises? $�:-s No 1 PROPERTY INFORMATION Existing use of property: Single dwelling Intended use of property: Single dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R_40 this property? ❑Yes MNo 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. APPLICATION 15 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 Submitted By(print name ` BAuthori d Age t ❑ tier Signature of Applicant: Date: (A CONNIE D. BUNCH Pulic,State of STATE OF NEW YORK) Notary Nob 01SU6185050 New York SS: Qualified in Suffolk County COUNTY OF ) Commission Expires April 14,2 Oa J 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 (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 / ` lday of CP�p-k- LL-� , 20 �"�! /1 i Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Christopher Peterson residing at 850 East Gillette Drive, East Marion, NY I, East End Pool King and/or Jennifer Del Vaglio do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Christopher P. Dgdallrsgnedb Chri5tophe�P. 0/27/� Pelersoq O4 Peterson DOW 2W4„06 27'13:46:53-04'00' Owner's Signature Date Christopher Peterson Print Owner's Name 2 DATE(MMIDDNYYY) ACCORa CERTIFICATE OF LIABILITY INSURANCE 11/17/2023 THIS CERTIFICATE IS 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 policy(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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Barbara Dammers NAME°.. Roy H ReeveAgency,Inc. PHONE (631)298-4700 No. (631)298-3850 Y _(AIC No Ext PO Box 54 E-""� bdarnrners[r. royreeve,com ADDRESS: 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC# Mattituck NY 11952 INSURER A: Transportation Insurance Co 20494 INSURED INSURER B: Continental Insurance Co. 35289 Eastern End Pools LLC,DBA:East End Pool King INSURER C: Continental Casualty Company 20443 PO BOX 369 INSURER D: INSURER E: Peconlc NY 11958 INSURER F i COVERAGES CERTIFICATE NUMBER: CL23111720048 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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. I TR Y`EXP TYPE OF INSURANCE INSD yyyp POLICY NUMBER MMIpDIYYYY MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX_1 OCCUR PEdEOwffiI'SES,'EnNCcurrenca, 100,000 X1 Contractual Liability MED EXP(Any one person) $ 15,000 A Y Y 6080837145 11/15/2023 11/15/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'IL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2A00,000 POLICY .PE CT 71 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER'.: AUTOMOBILE LIABILITY COMAINEDSNNGk.E"LIMIT $ 1,000,000 Ea aceFdrerni ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 6080837159 11/15/2023 11/15/2024 BODILY INJURY(Per accldent) $ AUTOS ONLY 'AUTOS - HIRED NON-OWNED MrIERTYDAMME, $ AUTOS ONLY AUTOS ONLY JParacc'Ideru) UMBRELLA LIAB =0CCUR EAOH pCCURRENCE $ EXCESS LIAB E AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION STATUTE ERH AND EMPLOYERS'LIABILITY YIN 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ C OFFICER/MEMBER EXCLUDED? NIA 6080837162 11/15I2023 11I15/2024 1,000,000 (Mandatory in NH) E,L.,DISEASE-EA EMPLOYEE $ If yes,describe under 1000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ' ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is included as additional insured under General Liability as per the terms and conditions of form#CNA75079XX-Blanket Additional Insured with Products-Completed Operations Coverage Endorsement, Form CNA74705NY-Contractors GL Extension Endorsement,NY includes waiver of subrogation&primary&non-contributory coverages as required by written contract or agreement. Additional insured under the business auto is included under Form#CNA63359XX-Auto Contractors Extended Coverage Endorsement-Business Auto Plus. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 t ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1 E i [F 1 t I E DRIVE EAST GILLET , w NPdVY 831dM - - EDGE OF PAVEMENT 100.04, 74.38' , S 26"36'30" E CGoii tea= o ito >- �.' II-0) (n a Soul 13.4 �t >- Uri w v # 00 o I IIY Q 6 C] J ht 1( 41 t C14 N U U IN m 9 04 O � y ;mod II 10 W10LIs Q q o • IX :•.2 .3'' ' k I -------------- I z CD a I ,a a ao x 4' P T IRE FENCE -1aw 0 Ln Pt I I LU $ W ri- ch LU 4' POST/WIRE FENCE R IV 25°Q8'S0" W 100. 0' 30 m u EDGE OF PAVEMENTGILLETE DRIVE ' Uco fib or o a a o w z wQ o gin Z Li S Cl O a 61= 8 Ssi��/_`,I L ♦ 3 1 L V _ _ _ —_ _ _ _ _ _ All P2'PC' ✓✓V L! F / \ PVC, r \ —— —————————i COPMG _ • i r-----_--- I MORTAR ` t WI MER SKiNLMER 6•nLE BAND � �'(�=>) � I 1 L I t (WATER) s`•°v'? O ° O �.)1` "I`!33ii 1 1 7' D =.'•il'_:_= i \ ) I vl of MARBLEDUST-+ D ._3, ., _ I'= lj A. 1145TEEL 0.EBAR __i 1 _I_ -- ® �1Yoc jijlfj�` :=`.7ii{!iI� Y t r 0 0 o I It G Lu DRYWELL f t III�v L. _ T _ J '-I t ton B45TEELREBAR "s==`� I,1•._-:_. 1 i'- . (NORQONTAL) -+> `� i r FILTER&PUMP t. 12'CC _ RETURN RETURN �+ 12°TD 36•RAOIU3 �, aD'-�!SS�1PpOt�150)Ll� .I j O N ) ° •- -=i11L'•vF=y il'f _w i ---- -- -------------------- / t' 3500 psi D a liyi;y!:4`-; 11= Ir 1; I -oo CONCRETE !I 8'MIN.) OCJ•G�>D'•o D 1+F�i�'i;� lf lii l = :ft�fpii't----:4:i_•ij \ ALLPIPINGTO BE _ijhi�r;`,�Iji�Il=: rWC L`�" r'.- NOTES: SW.MING FOOL TO BE EXCAVATED ONE FOOTOVER DESIGNSPEOFICATIONSAND SOILTO BE LEFT ON PROPERTI SOIL TO BE STOCKPILED OR RUFF GRADED(AS PER OWNER)ON THE DAY OF EXCAVATION ONLY UNLESS SOIL IS TO BE CARTED _ AWAY, SWIM!NG FOOL STRUCTURE TO INCLUDE A MATT OF 318'STEEL REBAR TIED, 1. CENTER FOR WALLS AND FLOOR,6.ON CENTER FOR ALL TRANSITION BAEAKSAND BOND BEAM. THE POOL SHELL TO BE MADE Or 14 DRY GROUT GUNRE MIX SHOT INTO THE p STEELCAGE-ATKaNESS OF NO LESS THAN 12'ON THE TOP EDGE OF THE POOL(BOND BEAM)AND NO LESS THAN 12'ON THE WALLS AND FLOOR. INTERIOR FINISH OF POOL TO BE'PEBBLE TECH, DURABLEFINGH.COLORS AS PER OWNER. yryp m $� T Ll Z + ztozLo u� pN 0 co 12' lz• 7'e• u• 12" 12° 0 m F=..r.. to Q toav'v° 4)R;AEBAR(TYR) Q _ •e D'�'A @ 7.1/2" CONNECTTO a. -4 +I' II)WORYWELL BAC[FLOW i-`T; - b 4 �•° �> FLTER HAIR&LINT ° lam/\ d �' d �°�d s PUMP CATCHER /1 d �O s d �1 d "• O WATERLINE��MFoacE�'cUNLTED D . .lo;y A `0° FLOOR REINFORCED WITH DRAY DRAWN BY:'3F D' 4 0 4 d d d> 114 REBAR AT 12.00 EACH WAY(YR) 0'4 D'a D•a - D.P ,b.P D. A D.•P' b-° D.'P' D .'p b.4P D•D D .P D P fl'�Y •9 2 21 w y 7�Z//G�G3 -�'a hj rD _ 1 .i.,l..l •y;__ +- ,I :'4 1 .1!. - - n• _ 2'RETURN MAIN ._..�, .-i.'s•`.�,>.l .,�..L �,..`1.�.;. �._k.__... _i. _ e...;_L.y.- �N TO INLET SCALE: SEE PLAN 2'PIPE SHEET NO: COMPLIES WITH: SECTION R326 OF THE 2020 NYS RESIDENTIAL CODE 1SP'fNew— SECTION N1103.12(R403.12)RESIDENTIAL POOLS AND o PERMANENT RESIDENTIAL SPAS • A- 1 SECTION R326.4 BARRIERS �t� SECTION R326.5-R326.6.5 ENTRAPMENT AVOIDENCE -