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Home My WebLink About37365-Z TOWN OF SOUTHOLD 41, d BUILDING DEPARTMENT TOWN CLERK'S OFFICE $ SOUTHOLD,NY 1,04 ,Fa, 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 37365 Date: 7/16/2012 Permission is hereby granted to: Higgins, L Patrick & Higgins, Jennifer 2 Kenilworth Dr Short Hills, NJ 07078 To: construct an inground swimming pool fenced to code as applied for ,ub d0 At premises located at: 410 Jackson St, New Suffolk SCTM # 473889 Sec/Block/Lot # 117.-10-3.3 ~!e uJ l # i 3 , 5 Pursuant to application dated 6/22/2012 and approved by the Building Inspector. To expire on 1/15/2014. Fees: SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 I,Cr Building Inspector Form No. 6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fiom Board of Fite Underwriters. 4. Swom statement from plumber certifying that the solder used in system contains less than 2110 of I% lead. . 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance,from architect or engineer responsible for the building. .6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2_ A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I . Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00- 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of.Occupancy - $:25 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: t/ Old or Pre-existing Building: (check one) - Location of Property: ~/D ^ Vb ~f ~.9z/6.c.,~ /1/!w fr~lo~/G House No. Street Hamlet Owner or Owners of Property Suffolk County Tax Map No 1000, Section Z17 Block / O Lot Subdivision Filed Map. Lot: Permit No.,373 (oS Date of Permit. 7 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submilted: I L t~ Applicant Signature r FIELD INSPECTION REPORT DATE COMMENTS lT' ro FOUNDATION (IST) ~l a FOUNDATION (2ND) C p . P ROUGH FRAMING & PLUMBING C~ -r el' INSULATION PER N. Y. H STATE ENERGY CODE c X 11 V u IT FINAL 5! Rio w ADDITIONAL COMMENTS ; NevJ La # s 3 , 5 er AS,zf S5 or'5 o-A~ c - 0.o 1 Z o z m z C TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? i TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 ? Survey www. northfork.net/Southold/ PERMIT NO. 3 6 S Check Septic Form N.Y.S.D.E.C. Trustees Examined I b , 20L Contact: Approved , 20_0_ Mail to: Disapproved arc Phone:Cp-3/ 711 ~CJ~ Expiration , 204+ uil tng nspector APPLICATION FOR BUILDING PERMIT Date -vz , 20Z- INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector{ issues a Certificate of Occupancy. ) f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of t7 issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, or alterations or for removal or demolition as herein described. The ap ' s, ordinances, building code, housing code, and regulations, and to admit aut rY iTc 9 a rerNisd b i di for necessary inspections. U t 1J U IMfifIEDIA attire of applicant or name, if a corporation) JUN 2 6 2012 Close ?GC c./.V UPON COMP E BEFORE. WA (Mailing address of applicant) BLDG. DEPT. 7 Sta a whether dtT,"lessee, age , architect, engineer, general contr ctor electplumber or builder In, Name of owner of premises .7/s ~/V F~c i2 /29>71 /LC 5 I y y" ~ItTll' A 4 FOR THE ( (As on the tax roll latest 4ce0oUNDATION - Zf a corporation, ature of m authorized officer FOR POURED CONC RRETE IRED (Name anaame tit ate otTi I ..AWFUL /Z'- ROUGH - FRAMING, PLUMBING, WITH( ` 1T CERT~F~CD1 fNSULATION, ELECTRICAL dCAULKING Builders License No. Plumbers License No. - 4. FINAL - CONSTRUCTION ' ~l I~lr MUST 6 ELECTRICAL Electricians License No. BE COMPLETE FOR C.O. Other Trade's License No. REALL CONSTRUCTION DIALL MEIFT 7K QUIRE S 1. Location of land on which proposed work will be done: YORK ST .J~FBK~TTCt Y. . ODES OF NEW t/ /o Al b~/ ~~cil,(~ 1r /vow - House Number Street Hamlet County Tax Map No. 1000 Section 7 Block 46 Lot J Subdivision Filed Map No. Lt (Name) ELECTRICAL INSPECTION PEOVIRED 2. Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy /Zfr~1i /~i~Nff< b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ? Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost //.(~,f'771 . ~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES_ NO-Will excess fill be removed from premises? YES NO 14. Names of Owner ofpremises/0/1«7~ /"-r Address'//O -TetiG/dw PhoneN('y2.5 ~7liiO.005~ Name of Architect Address Phone N Name ofContract o f3G.V~zLI_'r/NL Addres 7~Phone N4.G? z-0 -fll 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? •YES NO + IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? • YES_ NO- * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swom to b fore me this dayof X20 Notary Public j' gnature of Applicant CONNIE D. BUNCH Notary Public, State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14, 2 L1( 4, Ot 5o~/ y Town Hall Annex James F. King, President O T Ol ' 54375 Main Road Bob Ghoeio, Jr., Vice-President ti - P.O. Box 1179 Dave. Bergen *t Southold, New York 11971-0959 John Bredemeyer G Telephone (631) 765-1892 Michael J. Domino Fax (631) 766.6641 A- UNTI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 30, 2012 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11988 RE: JENNIFER A L. PATRICK HIGGINS 410 & 484 JACKSON STREET, NEW SUFFOLK SCTM# 117-10- .5 33 Dear Mr. Herrmann: The Southold Town Board of Trustees reviewed the survey prepared by John C. Ehlers Land Surveyor, last revised on May 15, 2012, and determined that the proposed construction of a swimming pool, pool patio, and pool house, is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal.Erosion Hazard Area, which may result from your project. Such precautions may include•maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. 2 If you have any further questions, please do not hesitate to call. Sincerely, a'r James F. King, President Board of Trustees JFK:eac New York State Department of Environmental Conservation Division of Environmental Permits, Region 1 SUNY @ Stony Brook 50 Orde Road, Stony Brook, NY 11790-3409 101111111110 Phone: (631) 444-0365• Fax: (631) 444-0360 Website: www.dec.nv.oov LETTER OF NO JURISDICTION May 30, 2012 Jennifer & L. Patrick Higgins 2 Kenilworth Drive Short Hills, NJ 07078 Re: Application #1.4738-04115/00001 410 & 484 Jackson Street, New Suffolk SCTM # 1000-117= 0-3.5 (formerly 3.3 &3.4) - 3'5 Dear Mr & Ms Higgins Based on the information you submitted, the Department of Environmental Conservation has determined that the portion of the parcel listed above which is located landward of the 18 foot contour as shown on the survey by John C. Ehlers, last revision dated May 15, 2012, is beyond Tidal Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required for any work landward of this contour line . Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional boundary and your project (i.e. a 15' wide construction area) or erecting a temporary fence, barrier, or hale bay bean. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. S cerel , levr m a n cc:BOH-TW Daputy Permit Administrator En Consultants file Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT NAME: Owner-Ayay,-Coaaatart-Contractaror(Mer (Ctrde One( Property OWNER: IN Different than Applicant) Address: Telephones * r% - "not' 1~/~ lO Tolephone Fax ak + . E-Mask J/z /t/i(~f!/!~~ NGriU •lOF-fit E -Mail: Properly Adrtrus: Brief Deempdon or Constua~oa Activity, Pro Pond slmclurd Pa, soul se.T.Ai.t. 700e _L /(J SebalirationBMPa,Project Scope -W"Sequence ofCon51mclanActmil, 000- trestles ttl.ra tAO,Ne Addemd Pysan NeMrE) NamewContraebrentYar COntea Parson Rnpenalbla ror 6ttpletcantetlon asWPPP; %vJ----- r t7L f'yuV Telephone p: Fax tl: _pte•~+t___L~!_!'L _l E - Mon. i~ Nine or Persona Responsible for Installation 8 M4lnhnanea of Erosion Contra Praetlce: !'Clu-4?.F/---------------- Telephom,F / FaxR -Mail: E Tdal AreaaM Taal Area of Land Cleamq / Pro)xl Parcels: soda Ground DlsNrbaas: .sxaul Project notation: Ste rt End (AnUcIpaled) .Dale: Date: Will this Project Disturbs two (5) or More Acres at r1-~Y~I Any One Time During the Proposed Development? Yes No If YES: Please Answer the Follows I a. Does the Applicant have a Qualified Inspector On Q Staff To Conduct the Required Inspections ? Yes No b- Does the SW PPP Indicate How Frequently the Site = Q List the NAMES or description of all Potentially Impacted WaMbodlea andlorweeand,c Inspections will Occur and for What Period of Time 7 Yes No c. Does the SWPPP Adequately Identify All Temporary r-1 Q and/or Permanent Sol? Stabaliation Measures? Yes No ; d. Does the SWPPP Adequately Identify a Complete Project Phasing Plan? Yes NO Staus elease t.d Wu. e. Does the SWPPP Indicate Additional Site Specific = Q rbedr: (eg. TMOL, ao>,a) Lleted, enpalrad._) Practices that Will be utilized to protect Water Quality ? Yes No j I. Has the Applicant Submitted a Completed DEC Notice - - " ' Of Intent and SW PPP Acceptance Form for Review Q O TYPa of hngsted Walerbodr (eg Laxe, Cmlc sry, Pont) sound, FresMnterWetland_.) by the Town of Southold ? Yes No - - i SI ATF. OF NFW YORK, Notary Public, State of New York COUNTY OF J... ~i...1 SS No. O1 BU6185050 Qualified in Suffolk Ca=nter O (Q That I, .M70Aii:'.Y.... rraACw AZ4.4. being drily sworn, deposes an"9Rr fi§Fif/sF wri*9>;Ip! . i a / pane atnaw apMla tia;.nem) dalrt:forpermit, I And that he/she is the ..~flYT74RFlT (Otwler•~f gcd. Capaab Glficer:ebi ~Owner and/or representative of the 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 knowledge and belief; and j that the work will be performed in the manner set forth in the application filed herewith ; Swom to before me this; . f Ll.......... 20-1.' Notary Public:..._.! p 6-7 C......_ (siy,anxo a Appacant) ' SWPPP Assessment FORM: 03-12 15URVEY OF PROPERTY 51TUATE: NEW SUFFOLK N TOWN: SOUTHOLD SUFFOLK COUNTY, NY w E SURVEYED FEBRUARY 22,2001 GERTIFIGATION REVISED -JULY 2b, 200-7 REVISED OCT. 18, 2001 PROPOSED POOL MAY I5, 2012 S PROPOSED POOL REVISION JUNE 20, 2012 SUFFOLK COUNTY T 1000-11.7 10- SURVEYED FOR: i L. PATRIGK HIG61N5 r •w~ JENNIFER 9 COMMONWE EALTH LTH LAND TITLE I ~ r° x•~•, ~ IN5URANGE COMPANY DRAINA6E 5Y5TEM GALGULATION5: I - 'wa a ~s• II POOL HOUSE ROOF AREA: 540 sq. ft. ;4 Q 540 s0.. ft. X 0.17 - 91.8 u. ft. i 91.8 cu. ft. / 422 = 2.115 vertical ft. of b'dia. leaching Pool required c PROPOSED POOL PATIO - 5,112 S.F. P 31125a.ft.X0.1T=529 cu. ft. w. ft. / 42.2 = 12536 vertical ft. of 8' dla. II leaching Pool required - o YO I o III PROVIDE X 12 STORM DRAIN POOL - TO CONTAiN Wain- IN POOL OL HOUSE ROOF RUNOFF, b~ m W c PROP05ED POOL PATIO AID WINTER RUMP DOWN J ?lu _ m POOL FILTER IS CARTRIDGE TYPE WITH NO BACK WASH ~ W F aaa A _ O 0 ~Q ZI) i i°': IIN A J I x Z Ez .~Q Pj~ ~ L W pW N OLL 2 .y a w.LL o o- PAT to J Q €W - ~ c U OOL 1 O P. " NM*43110"w FR°b PRA 61BX a 'f-' - 23.E Dkj /~1 u4rnvrf~ PROP. DW b M f ~O wr o o I O z o a O J LL J OQ N ;x e ;W Z Q j I D , JUN 2 2 201 d BLDG. DEPT. 10WN DF SDUTHDLD - _ _ ~O o (*e ~'I4 j , N 6 ^r I I 93 NOTES: 8l~ {p ¦ MONUMENT FOUND ilk Area = 10645G S. F. Area = 2.4531 6w-a:i ELEVATIONS REF. N 6",V '2q DATUM r FLOOD ZONE Y w MAP NUMBER 3603~N5G0E50FEMA FIRM r PROPERTY ZONE R 40 JOHN C. EHLERS LAND SURVEYOR EXISTING DRIVEWAY TO BE REMOVED 6 EAST MAIN STREET N.Y.S. UC. NO. 502W GRAPHIC SCALE I"=60' RIVEREEAD,N.Y.11901 369-M Fax 369-M REF.C:\U8=V0hnUkopb=W10'/107-117 Proposed PooLpro M Oe' nLA.P.C.. TA's lsN dAmi M nLA. P.C.. AMm miMmaES hnorm M wMmen' ME wen otlier we Ea metle ofwMMUttlMniBen al LA. P.C.. TYFI GAL FOOL WALL/SEAM DETAIL GUNITE NOTES 1. ALL GUNITE SHALL HAVE A MINIMUM STRENGTH OF 4,000 P51. 2. STEEL REBAR SHALL BE GRADE 60 CONFORMING TO ASTM A-615 5. ALL WORK TO BE IN ACCORDANCE WITH LATEST AGI CODE. 4. MINIMUM REBAR OVERLAP TO BE 40 IO" BAR DIAMETERS. 5. ALL DIMENSIONS SHALL BE CONSIDERED MINIMUM. + 'I-#4 } 1 ROD5 12 RADIUS VARIES i FROM 12 " TO 56" " GUNITE POOL WALL, TYP. - #4 BARS ® 6" O.G., VERT. - #5 BAR5 ® 12" O.G., HORIZ. OOL FINISH TO BE DETERMINED i i i RACHELLYNCH 4pNO5Cgp 2" MIN. CLEARANG P3 NRAft h Jt9L C a ~ SWIMMING POOLS & SPAS Site M pll %e L ecAMN si OpBB51. 'f • ,yJ OG mm F NEWS BenlopnMip $bWp4b Ap om Sub 311 NLVM She SubB Smidwom.w11pM S D s 6 = „ 153)ffi8348W" (831) 2 /7 QMQ TIMOTHY A. BUMPH R.L.A. MM.x n,.~.~e In iliw*Wnion.m N.Y.S. LIC. NO. 552 SHEET : RS-1