HomeMy WebLinkAbout51668-Z sour, 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#: 51668 Date: 02/21/2025
Permission is hereby granted to:
Fowler Family Trust
570 Sandy Hook Rd
Palm Harbor, FL 34683
To:
Construct inground,gunite swimming pool at single family dwelling as applied for.
Construction of house must commence prior to start of pool.
Premises Located at:
5697 Westphalia Rd, Mattituck, NY 11952
SCTM# 113.-12-8
Pursuant to application dated 01/23/2025 and approved by the Building Inspector,
To expire on 02/21/2027.
Contractors:
Required Inspections:
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
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1 1 971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 httus://www.southoldtowza y.g
Date Received
APPLICATION FOR BUILDING PERMIT
UFor Office Use Only La J
PERMIT NO. Building Inspector°
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: l z 3 ZlUz,j
OWNER(S)OF PROPERTY: /�
Name: OUL� DIP LL SCTM#1000 `�/
Project Address: 2- C� N LC P- rD M/T l 1 vCC- N I /I Z
Phone#: (1 ✓ _4 bQL-1
Email: ON 1 NCP C7 AY4/L. (-0"
Mailing Address: :F>-7 ftND T C T- P— I V C R H EA—D Ny fl f?v
CONTACT PERSON:
Name: M to 1\4 1 lc f-1 IF 05 U n
Mailing Address: e)-8 L-(-. 1 P 7U— / 01 U C G V E )v y �� RLy 2-
Phone#: o(�� "I Z-" J (58 Email; UN 1 TC&PS/L).CC)14
DESIGN PROFESSIONAL.INFORMATION:
Name: —T�t" S ,C)L-)/ l:P. 1/oH✓ PC,2T lv eql CL,PI 1V 6 F Co
Mailing Address: �( Illy — r— 1 1 J 1 17M
Phone#: Z 2 j Email: OffO �PR— TE7IVC I A)EUVW6,f VA4
CONTRACTOR INFORMATION:
Name: _ (-�r L-E 12 —K, 2 E L-1 JV C-) N C
Mailing Address: U /�L L '-'p (A) L T !:SLIP D,J y /(-7 q
Phone#.-IT�mm ... 0 L� Email O N t lv(—V G� 1414
DESCRIPTION OF PROPOSED CONSTRUCTION
ew Structure ❑Addition ❑Alteration I—IRepair FIDemolition Estimated Cost of Project:
❑Other Y � "teanook, �7 Ofl
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes NNo
1
PROPERTY INFORMATION
Existing use of property: es Lni► 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 ENO 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 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(pr' t nanne): ik!PP_iAnJ L c uorz ❑Authorized Agent 170wner
Signature of Applicant: (�l� Date:
Mon&&maje"f dd
STATE OF NEW YORK) NOTARY PUBUC.STATE OF NEW YORK
SS: RefoUllida No.OIMA6392440
COUNTY OF..,GI ^ C.) Qwlified in Suffolk COWRY
Couillujiliow�- Eicpim 05I28120P2-7
I` p_ c)N b(Z ®being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the C) IV- r
(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
22 day of._ I .v?..!.tcSz✓ _M2025
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
tl, __ ...., 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
i
Albert J. Krup ski, Jr. STORlMMA\ IER
SUPERVISOR - 1\\I[A\NA\G 1EM11EN F
SOUTHOLD TOWN HALL-P.O.Box 1179 y 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
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: N 1«A 5(_0 S C ( Date:
(Print) 1 Z S
Isra>x)
Contact Inform
ation:io ion: 14 0 rU— ►3 c A/ it i n/ A/
(G-Mail&Telephone Number9
Property Address / Location of Construction Site:
2 Cto X A/P01Ac Pe-cf S.C.T.M. #: 1000
District
Ira /2
Section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
0 - Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit is Required !
XProject 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 EnQineering Department
Prior to Issuance of a Building Permit.
�� �.
Reviewed By: �����"vC/� zzk Date:
FORM # SMCP-TOS December 2024
F\ C_c
WE TPHALIA AVENUE
UI
ZI 1
X I
U I I TEST BORING
^ 1 ayr 3a.Ca9�
ML SANDY SILT
I SP MIMED SAND W/GRAVEL
w 1 SP COURSE SAND W/GRAVEL
P w it 17. '
C
TEST BORING BY SHAWN M BARRON. M S
DATED SEPTEMBER 10. 2024
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I l N� «„ G1eRISTOPH4��DWRk1N a*�w
NOTES
RE
LOT AREA- 87.
D1988
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DESCRIBED & USER WIDE
E S MENT ACRES.
WEM,SOTP1�.Ltk
r 1 *30,00- W 411.Ka9" .. e SU E NVIROPNME�rA CONDITI COX ONS NECK ROAD, MaTT1TUCK.
e.w r ._.. am «. °.. ,...�.,. ' 0 a dha r .x A5 PART GE 366
6�l 1 _ .mT 1�Ns WERE NOT RNVEMATT UC
THE SURVEY THE LOCATION OF SUBSTDRFACE UTILITIES', IF
w.w - 1*." ED
. ARC UNKNOWN
9�4C r 6 1IHE PROPERTY IS. 'ZONED R-60 ACCORDING TO THE TOWN OF
....�. ~•rkrMt'.-,, ,,,.y«.... '"' " M1 "^ 7. PROPOSED DOINTERPRETATIOWEl11NG GRADING.HN AND DOES H01 CONS
NSNAGE OWN WEREON IS SUBJECT TO
TITUdt UT1lfT1EtiET ZONING
S BY
OTHERS.
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SHOWN ON THE MAPR
(TO 00074 NECK ROAD)
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Sheet No. l ,
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Pto)ect No.
VIEW: 74n7fA
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ONV
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ate OCCUPANCY OR-.'UPON COMPI, TION w,
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USE IS UNLAWFUL �, �`
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WITHOUT CERTIFICATE o,oRo�� s�o�
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�Q 10'-0" 11'-10" 10'-0"
CODE COMPLIANT BARRIER
SHALL BE REQUIRED FOR
o ,-------f-----------i ------------------ i-----------------i SWIMMING POOLS, SPAS O N
---------- ------------------ Lo
RET RN RET RN j I AND HOT TUBS - (AG105) ¢O rn
l i I i t APPROVED AS NOTED Z Y }
„ I I r/ WUZ
5-0 26-10 I DAT _B.P.# d Z Y
U
FEE BY: W XO
I I NOTIFY � ~BUILDING DEPARTMENT AT U
631-765-1802 8AM TO 4PM FOR THE rn a
I I I I FOLLOWING INSPECTIONS: ti
POOL I I 1. FOUNDATION-TWO REQUIRED
o I I DRAIN
°D _ I FOR POURED CONCRETE
I I I o 16'-0"x32'-O" I I
u, I 1 2. ROUGH-FRAMING&PLUMBING
r I I 1 I I 3. INSULATION
I I 4. FINAL-CONSTRUCTION MUST
1 i BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
I DRAIN 1 REQUIREMENTS OF THE CODES OF NEW
I I I I YORK STATE. NOT RESPONSIBLE FOR
N OR CONSTRUCTON ERRORS
ELECrF4rAL W �M
I I LIGHT LIGHT I I _.:u_. , .= ci o
I I COMPLY WITH ALL CODES OF SKI MER----------------SKI MER i I NEW YORK STATE&TOWN CODES Q Q) Z'-
cj
L——— — —— ——————————————J d z Z
-------- AS REQUIRED AND CONDITIONS OF w W
l J l J
_________ r- r----------------J W Y
rbl SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARDo w N
1 10'-0" 19'-10" 2'-0" SOUTHOLD TOWNTRUSTEES o a��
31'-10" H.Y.S.DEC o ¢m
'°p SOUTHOLD HPC RETAIN STORM WATER RUNO
SCHD PURSUANT TO CHAPTER 236 Q F
�F THE TOWN CODE,
z
POOL NOTES:
1. ALL GUNITE SHALL HAVE A MINIMUM 28 DAY STRENGTH OF 4,500 PSL
2. STEEL REINFORCEMENT SHALL BE GRADE 60 CONFORMING TO ASTM A615
3. WELDED WIRE FABRIC REINFORCEMENT SHALL BE COLD DRAWN CONFORMING TO ASI 185
4. ALL WORK SHALL BE IN ACCORDANCE WITH THE LATEST ACI CODE
1 POOL PLAN 5. LEGS OF REBAR ACCESSORIES SHALL BE PLASTIC TIPPED. ALL SNAPTIES AND WALL
PENETRATIONS SHALL BE CLEANED AND GROUT REPAIRED TO PREVENT CORROSION
SCALE = 1'-0" 6. ALL DIMENSIONS GIVEN SHALL BE CONSIDERED A MINIMUM. CONTRACTOR MAY INCREASE SHEET:
4 TO PROVIDE FOR DRAINS AND COPING
7. ENGINEER CONTROLLED INSPECTION REQUIRED
91_.
�0 10'-0" 11'-10" 10'-0" pF NEW YO
r j� Ps A' o
TOP OF WATER
® m
u
� /X '°9OFESS pia
POOL
\\\i/ 16'-0"x32'-O"
/AA/A �/ /A/A/AA/AA/AA/AA/AA/AA/AA/AA/AA/AA/AA/AA/AA/AAi
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POOL NOTES:
1. ALL GUNITE SHALL HAVE A MINIMUM 28 DAY STRENGTH OF 4,500 PSL W W
2. STEEL REINFORCEMENT SHALL BE GRADE 60 CONFORMING TO ASTM A615 C)3. WELDED WIRE Y }.
4. AL FABRIC REINFORCEMENT L WORK SHALL BE IN ACCORDANCE WITH THE LATEST AC DRAWN CONFORMING TO ASI 185 Z
ODE IZ W
5. LEGS OF REBAR ACCESSORIES SHALL BE PLASTIC TIPPED. ALL SNAPTIES AND WALL 0 ZPENETRATIONS SHALL U
1 SECTION - A 6. ALL DIMENSIONS GIIVENBSHALLANED BE CONSID RANDOEDTA MINIIMUM.RED CONTRACTO TOR MAY INCREASE � O
TO PROVIDE FOR DRAINS AND COPING U
SCALE =4' = 1'-0" 7. ENGINEER CONTROLLED INSPEC11ON REQUIRED cV Q
rn �
17'-8"
10" 16'-0" 10.1
12"COPING TOP OF WATER 12" COPING
SAND OR\//\\/\ - % /%/\\/\ SAND OR
CLEAN FILL\�/%�/%/%/%/ 5x5 TILE 5x5 TILEp�4. CLEAN FILL
10"x10" P.C. \i//j�\\//\\ ' #4 REBAR #4 REBAR FOR /�\%/\\%/\\/ 10"x10" P.C. O
\j\ FOR WIDTH /\\�\\�\\
BEAM \//\\�/\\//\ OF POOL WIDTH OF POOL i j�//�// BEAM 1- o
#4 REBAR @ 12"O.C. W
#4 ��j//�%\\\�
-' Z
zREBAR POOL @ 12"O.C. WO 0 MARBLE 16 -0 x32 -0, W DUST o 7" GUNITE 0- W
o ¢CD
z
/i\ DRAIN '\// —
STONE OR SAND BASE STONE OR SAND BASE��/� ; \\j/\�/\y
/
/\\//
j\\/
//\j/
SHEET:
2 SECTION - B Z
SCALE _ 8" = 1'-0"