HomeMy WebLinkAbout38071-Z Town of Southold Annex
yi1F�t ,� 10/10/2014
P.O.Box 1179
54375 Main Road
aF Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 37206 Date: 10/10/2014
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1020 Seawood Dr, Southold,
SCTM#: 473889 Sec/Block/Lot: 79.-8-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/24/2013 pursuant to which Building Permit No. 38071 dated 6/4/2013
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
ACCESSORY IN-GROUND SWIMMING POOL FENCED TO CODE AS APPLIED FOR PER NYS PETITION
#2014-0381
The certificate is issued to Meeker,Peter&Meeker,Alice
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38071 08-01-2013
PLUMBERS CERTIFICATION DATED
1
Au t S' ature
TOWN OF SOUTHOLD
�u
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#: 38071 Date: 6/4/2013
Permission is hereby granted to:
Meeker, Peter& Meeker, Alice
1020 Seawood Dr
Southold, NY 11971
To: Construction of an in-ground swimming g pool in the required rear yard as applied for.
At premises located at:
1020 Seawood Dr, Southold
SCTM # 473889
Sec/Block/Lot# 79.-8-8
Pursuant to application dated 5/24/2013 and approved by the Building Inspector.
To expire on 12/4/2014.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
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 from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%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
1. 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. /6 - 5 ( 'S
New Construction: Old or Pre-existing Buildin (check one)
Location of Property: Sea WoQjSO Ar'^l a
House No. 1 Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block 0 Lot
Subdivision Filed Map. Lot:
Permit No. �%�IS 01
( Date of Permit. (p I', Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: v (check one)
Fee Submitted: $
Applicant Signature
Y'�•='azo
FOlIrc Telephone 631 765-1802
Town Hall Annex O G,� P ( )
54375 Main Roadx Fax(631)765-9502
CD
P.O. Box 1179 •+p r
Southold, NY 11971-095901 �a�l roger.richert(a�town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Peter Meeker
Address: 1020 Seawood Dr City: Southold St: NY Zip: 11971
Building Permit* 38071 Section: 79 Block: 8 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: home owner DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1-30 A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect 11 Switches 11 Twist Lock Exit Fixtures TVSS
Other Equipment: in ground swimming pool to include, bonding, 1-GFCI circuit breaker, 1-chlorinator
Notes:
Inspector Signature: Date: Aug 1 2013
Electrical Certificate.xls
JAMES J. DEERKOSKI P.E.
260Deer Drive
Mattituck,NY 11952
(631) 774 7355
Date: May 15, 2014
To: Town of Southold Building Dept
Re: Meeker
1020 Seawood Dr.
Southold,NY 11971
To Whom It May Concern:
This letter certify that the installation of the swimming pool at the above mentioned
location has been built in conformance with the New York State Building Code, and is
constructed to the specifications of the submitted plans. Also all wall rebar has been
Installed correctly. Any questions feel free to call.
F NEW YO
DE /?/r CID Zq' * inc ely,
r z
Jam eerkoski P.E.
2iS'�O o p72 P�
pROFESs��
�j pr,; - 2
2n14
OF SOUlyolo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT ON
[ ] FOUNDATION 1 ST [ ] OUCH PLUMBING
[ ] FOUNDATION 2ND [ INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIO TION [ ] CAULKING
REMARKS:(fk)S <�,?
L_A�
T TZ) q:-, A' .
DATE INSPECTOR
raj//1 Of SOpryo�
co ,`
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSU TION
[ ]
FRAMING /STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
c4=Ae" Qp
DATE INSPECTOR
1 %0 A\
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION IST ROUGH PLBG.
FOUNDATION 2ND INSULATION
FRAMING /STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE -37 INSPECTOR
0411:4 m13 1 it 0 ' • '
ROUGH 11
PLUNMING
ENERGYINSUL ATION PER N.Y.
STATE • 1
IMA
LOW K,
• ADDrrioriAL coMTVtNTS
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1
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
' TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 Q Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
stew
n E od Permit
Examined ,20� � � ll�" v rm-Water Assessment Form
C c
Approved 20 '
to:
Disapproved a/c MAY 2 4 2013
Pho e:
Expiration 20 LDS.D
S HOLD
I Ing I Spector
APPLICATION FOR BUILDING PERMIT
Date 20
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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
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
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 for necessary inspections.
(Signature of applicant or //��na ,if corporation)
0.�D)( 5�l lie vt,-�Y- w(o v (CkO
(Mailing address of applicant)
State whether applicP -11Jm,ex
is owner,lesseent,architect,engineer,general contractor,electrician,plumber or builder
t� �1_
Name of owner of premises r e4r l- 0 e e Ke V_
(As on the tax roll or latest deed)
If applica�t r�a co oratio attire of duly autt��Ized officer
1�2 oT. Me Y1,()lt� SK l
(Name and title of corporate officer)
Builders License No. 3
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of Sichproposed alL)(2001ork�vilredone: �SO ,4O1pll
House Number Street Hamlet
County Tax Map No. 1000 Section Block 005 Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of prem' es and intended use d occupancy of proposed construction:
a. Existing use and occupancy +fie rS€ VI&I S tAQ vtp e__
b. Intended use and occupancryun LA W f rn ryu nc� 7Qp I
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 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 2-00 t 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 Q
14.Names of Owner of premises M66Ve V_ Address 10.20�l°.QIr)67Zfone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
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 It
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.
18.Are there any covenants and restrictions with respect to this property?*YES NO V//
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF S0j r0 I k)
--Font A a a K K e r being duly sworn,deposes and says that(s)hc is the applicant
(Name of individual signing contract) ove named,
(S)He is the
(_
(Contractor,A t,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 t work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
(�o?4I dayof Hc,4 20j_�_
t�11 i u n Q 4 PATF40A COLA
Nota Public''Adw Si A lica t
'� NO-OI 006050992 Signature o PP
kfied in&Mk Count
Expires Won*It 20.0
n •�4 0'"j
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kXAL
STATE OF NEW YORK
DEPARTMENT OF STATE ,
ONE COMMERCE PLAZA SEP 2 9 2014
ANDREW M. CUOMO 99 WASHINGTON AVENUE CESAR A. PERALES
GOVERNOR ALBANY, NY 12231-0001 SECRETARY OF STATE i
STATE OF NEW YORK—DEPARTMENT OF STATE
In the Matter of the Petition of: DECISION
Peter Meeker
For a Variance to the New York State PETITION NO. 2014-0381
Uniform Fire Prevention and Building Code
Upon the application of Peter Meeker, filed pursuant to 19 NYCRR 1205 on July 18, 2014 and upon all
other papers in this matter, the Department makes the following determination:
NATURE OF GRIEVANCE AND RELIEF SOUGHT
The petition pertains to the installation of an in-ground swimming pool for a one-family dwelling, located at 1020
Seawood Drive, Town of Southold, County of Suffolk, State of New York.
The petitioner is seeking relief from:
19 NYCRR 1220, The Residential Code of New York State,(2010)Section AG105.3, part 8.2,which requires, in
part, that.. all gates shall be self-latching, with the latch handle located within the pool enclosure(i.e., on the pool
side of the enclosure)and at least 40 inches above grade. In addition if the latch handle is located less than 54
inches from the bottom of the gate, the latch handle shall be located at least 3 inches below the top of the gate. [
The Petitioner request permission to permit latch handles for two pedestrian gates as a part of a pool enclosure,
located 54 inches above the.bottom of the gate, to be located on the outside of the pool enclosure.
FINDINGS OF FACT
1. An in-ground swimming pool was installed at the subject premises. In doing so an enclosure was provided
around the pool with two pedestrian access gates.
2. The two pedestrian access gates swing outward from the pool and have latch handles that are located at least
54 inches above the bottom of the gate. However the latch handles have been located on the outside of the
gate.
3. The previous, 2003 and 2007, Residential Codes of New York State allowed the latch handle to be placed on
the outside of the pool enclosure as long as the handle was located a minimum of 54 inches above the bottom
of the gate. The current 2010 Residential Code of New York State requires that even if the latch handle is 54
inches above the bottom of the gate that it must be located on the pool side of the enclosure.
WWW.DOS.NY.GOV E-MAIL:INFO@DOS.NY.GOV
t
Petition No 2014-0381
Page 2
4. The provisions for barriers around swimming pools are to protect young children, less than 5 years of age,
according to the International Residential Code Commentary.
5. The 2006 Intemational Residential Code, on which the 2010 New York State Residential Code is based,
allows a latch that is 54 inches above the bottom of the gate to be located on the outside of the enclosure.
6. The commentary for the International Codes states that the"54 inch latch height requirement limits the
potential for small children to reach and activate the latch." If the latch is located lower than 54 inches then
the Code requires that the latch be located 3 inches below the gate on the inside of the enclosure.
7. Section 303.2, Part 8 ,of the current, 2010, Property Maintenance Code of New York State has retained the
language pertaining to pool latches that was in the previous Residential Codes of New York State and still
allows a latch that is located 54 inches above the gate to be located on the outside of the enclosure.
8. Based on the above findings, it is the assumption that the 54 inch height of the latch above the bottom of the
gate is adequate to protect the children that the Code has identified from reaching the latch and gaining
entrance to the swimming pool regardless on which side of the enclosure the latch is located.
CONCLUSIONS OF LAW
Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would be
unnecessary in light of the fact that the latches as configured will be a minimum of 54 inches above the bottom of
the gate and should be out of reach of the children that the Code provisions are trying to protect and would ensure
the%achievement of the Code's intended objectives more efficiently, effectively or economically such that granting a
variance would not substantially adversely affect the Uniform Code's provision for health, safety and security.
DETERMINATION
WHEREFORE IT IS DETERMINED that the application for a variance from 19 NYCRR Part 1220, Section
AG105.3, Part 8.2, to permit latch handles for pedestrian gates as a part of a pool enclosure, located 54 inches
above the bottom of the gates, to be located on the outside of the pool enclosure; be and is hereby PROPOSED
TO BE GRANTED with the following condition(s):
1. That the latch handles be located a minimum of 54 inches above the bottom of the pedestrian gates.
2. That the entire pool enclosure and pedestrian gates will be in compliance with all other applicable
provisions of Appendix G of the Residential Code of New York State including that the pedestrian gates
be free from obstructions and are easily able to self-close and latch.
Petition#2014-0381
Page 3
This DECISION is issued under 19 NYCRR 1205.6 unless obiected to by the petitioner in a writing received by the
Department, the decision shall become FINAL after fifteen days of receipt of the decision by the parties.
This decision is limited to the specific building and application before it, as contained within the petition, and
should not be interpreted to give implied approval of any general plans or specifications presented in support of this
application.
Rona E. Pieste , AIA, Director
Division of Building Standards an Codes.
DATE:
RAS: sg
WWW.DOS.NY.GOV E-MAIL:INFO@DOS.NY.GOV
NYS DEPARTMENT OF STATE
DIVISION OF CODE ENFORCEMENT AND ADMINISTRATION
Variance Attest List
Petition No: 2014-0381
The persons below are advised to TAKE NOTICE of the attached document. The attached
document pertains to a petition for relief related to code requirements. If there are any
questions,call(518)474-4073 and ask for the Variance Unit..Please refer to the petition
number in all related conversations or correspondence with us.
GARY FISH✓
TOWN OF SOUTHOLD BLDG DEPT
53095 MAIN RD.
P.O.BOX 1179
SOUTHOLD, NY 11971
PETER MEEKER
1020 SEAWOOD DRIVE
SOUTHOLD, NY 11971
07/25/2014 Page 1 of 1
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3 sTelephone(63311))765-11802
owP.O.Box M DEPT ger.richert nsoaold nV us
51WJVOLD
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l�IT`h
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: '7 3D I
Company Name:
Name: per/
License No.:
Address: j
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
i
Permit No.:
Tax Map District: 1000 Section:s_ Block: _ Lot:
1
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
I�
(Please Circle All That Apply)
*Is job ready for inspection: YE / NO Rough In Final
*Do-you need a Temp Certificate: YES/ NO
Temp Information(if needed)
*Service Size: ha a 3Phase 100 15 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82=Request for Inspection Form
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)
APPU NAME: Owner• ant.Coneullent ontractor Other(Circle One) Property (a Ifferent than hoard)
r . e Y' .ee �e ,
AddJ!. Address: O Z t r. O
Telephone fk n Telephone J Fax 8:
E-Mall: V e E� .l O E-MON: V C.y. OIC t
Property Address: C .a.,,_„ J 1 0 Brief Demiption of Con mcdon Actift Nip StnXtnral BMPs,Soil
S.C.T.M./ 1000 O �/CJI.�� t/ Stabatization BMPN Project Soope and/or Sequence of Construction A Mv*
Obtrl0 2. 1 sleek Ler (N-We Addeo"Pepe er Needed)
i
Name of Contractor and/or Contact Person ttasponsible for Implementation of SWPPP:
_._ _fix ... W�_ . .. _...���.rn..►�n
Address:
Telephone M. Fax N: --i ._ ._W_- __ _ S ✓�J
E-Man: _.---------------------------------
......._.._-_.._ !.
--------"-----------------.------_.,...._.......,_...._.,,.. i.
Name of Persons Responsible for Installation 6 Maintenance of Erosion Control Praclicr.
--------------------------------------
Address-.
-•--._-----------------------------_,-a: -"-------------------------------------------
Telephone
--------------- ---_---,,._....,.___---Telephone N: Fax#
E-Mail: ---------- j
Total Area of AN Total Area of Land Clering
Prolectprcale: and/or Ground Disturbance: --------------.._.-----------.-------..-------
(S.F.
-- __(SF.I Aa..)
Project Duratton: start End
(Anticipated) Date: Data:
(wme.raCwnd.rdryq MM...___ _—.....-------_ _...,......_ __.._...—_._.._—•-
Will this Project Disturbs five(5)or More Acres at 0
Any One Time During the Propo*WDevelopmeltt? Yes No --•-•-•----------._.._..___._... _ .. __..__.-______-__...__
If YES:Pleas Answer the FollwMng! --.-
a. Does the Applicant have a Qualit)ed Inspector On Q Q
Staff To Conduct the Required Inspections? Yes No
b. Does the SWPPP Indicate How Frequently the Site Q List the NAMES o►deaeripti of all Potentially impacted Water6odlea and/or Wends:
Inspections will Occur and for What Period of Time? Yes No ,L
c. Does the SWPPP Adequately Identify All Temporary Q ___....__ ._____.._____.-_.___... _,.....,__....,..........._.__
and/or Permanent Soil Stabalization Measures? Yes No
d. Does the SWPPP Adequately identify a Complete
PhasingPlan? Yes No status of Impacted Waterbody:(eq.TMDL,sos(d)Listed,Impaired,-) _....:.............-........
I,
e. Does the SWPPP Indicate Additional Site Specific
Practices that Will be Utilized to Protect Water Quality? Yes No
i
.............I...................... .........._...._........_.........._.._...._....._.................._..._..... .... ......_...._._._. .
If. Has the Applicant Submitted a Completed DEC Notice Type of kopacted Waterbody:(eg.Lake.Crank,Day,Pond,sound,FreshwMerwawnd...)
Of Intent and SWPPP Acceptance Form for Review
bythe Town of Southold? Yes No _._.........._...._...._........................_................_....._........._................_....._........
STATE.OF NEW YORK c
COUNT .. . .......... ................SS
That I, t .......being y swom,deposes and says iluat lie/she is the applicant for Permit,
(Name of Individual signing Document)
Andthat he/she is the ....................................... ..............................................................
•( r,C«i' r,A9eiN Otlicr.etc:
Owner and/or representative of the Owner or Own .,and is du y au orized 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 know dge and belief;and
that the work will be performed in the manner set forth in the application filed herewith.
Swom to before me this;
Jy .day of...... ....�! ..,20..1.E
Notary Public: (�.Q..Q..C .................... ryq.�..5.„L�A.COLU .............. /......
e 4 NDIic .�8�i 1 (Signature of A Q
in Suffolk
SWPPP Assessment FORM. 03-12 a11Mla ZOIC
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LAND NOW OR FORMERLY
WAGHORN
AREA: 13,91 O S.F. — L,il-'i A
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.RT
CERTIFIED .TO.
SURVEY a
PETER MEEKER LOT 1 .
ALICE MEEKERMAP OF
CHASE MANHATTAN BANK
SUNRISE ABSTRACT CORP. SEAWOOD ACRE`
EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED SITUATE UATE A I
ARF NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT BAYVIEW
OCCUPANCY OR
-1 UP 12 11111 AlAAW IL
WITHOUT CERTIFICATE .
SUCTIONS OF OCCUPANCY sanding Wire connected to all
hardware
WASTE FILTER HAIR&
PUMP SKIMMER
— 30'
I 2' Rigid PLUM10ing WATER LINE
IMMEDIATELY,• y 2"RETURN TO INLET
ENCLOSE POOL TO CODE Main �� —
8' UPON COMPLETION Drains O
BEFORE"WATER" I
RETURN RETURN FILTER PIPING SCHEMATIC
1.
ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA70(NEC),PRINCIPALLY
5' ARTICLE 680.ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES
1 1i AND BE PROTECTED BY A GROUND FAULT CURRENT INTERCEPTORS
11' 8' 11' PUMP �—
L
MOTOR ------ 22
' 11� I HORIZONTAL 4/8" 2 POOL MUST BE EQUIPPED WITH AN APPROVED POOL ALARM CAPABLE DETECTING A CHILD
I — REBAR 4 PLACES ENTERING THE WATER AND SOUNDING AN ALARM AUDIABLE AT POOLSIDE AND AT ANOTHER
LOCATION ON THE PREMISES WHERE THE POOL IS LOCATED.THE ALARM MUST BE INSTALLED,
UNDISTURBED EARTH MAINTAINED AND USED IN ACCORDANCE WITH MANUFACTIRER'S INSTRUCTIONS.THE ALARM
48„ MUST MEET ASTM F2208'STANDARD SPECIFICATION FOR POOL ALARMS'.THE DEVICE MUST
4'
LOPERATE INDEPENDENT(NOT ATTACHED TO OR DEPENDENT ON)OF PERSON.
CON i-'L_Y V.rI-H ,ALL COD Ih*LI E CONC.MIN.3500 P51
NEW yORK STA-1--r- & TOWN ODES F VERTICAL S/ "REBAR
AS REQUIRED r, PLACED 3" /88" 3.: WATER SOURCE FILLING THE POOL SHALL BE EQUIPPED WITH A BACKFLOW PROTECTION
SYSTEM.
APPROVED AS NOTED 4'
RD WALL CROSS SECTION q_ ALL PIPING IS DIAGRAMMATIC UNLESS OTHERWISE STATED.ALL PIPING TO BE POLYETHELYNE.
DATE: B.P.# �! � ,. _:C NTS
<.�
7 -5 �-8' � i_�' � r_ 5. POOL SHALL BE GREATER THAN 10 MEASURED HORIZONTALLY FROM ALL OVERHEAD WIRING.
FEE: BY: ,, _ c -
� POOL DESIGN INCLUDING DRAINS WILL MEET ALL 2010 CODES.
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQU!RED Pool Complies With ANSI 514,2010 RCNYS,
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING Appendix G,Design in Acceptable for ALL The Pool Man Meeker
3. INSULATION COMMON SOIL CONDITIONS
4. FINAL - CONSTRUCTION MUST PO Box 521 1020 Seawood Dr.
BE COMPLETE FOR C.O. . ENTRAP EN R Center Moriches, NY 11934 Southold, NY
ALL CONSTRUCTION SHAD. MFS I�� '�
REQUIREMENTS OF THE CODES OF NE COMPLIAN E W ;9 �O.Q�
YORK STATE. NOT RESPONSIBLE FOR � � s
POOL TYPE: Rectangle REV SCALE: NTS
DESIGN OR CONSTRUCTION ERRORS. ��" * W JAMES DEERKOSKI, P.E.
;F;
nivI1VG BOARD r— Z DATE: 5/16/2013
260 DEER DRIVE
MATTITUK, NEW YORK 11952 DRAWING NUMBER
0 1 OF 1
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.