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P LUM B I NG SCHEMATIC >WALL SECTION
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1. NO SPOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE SHALLOW ENP, OR 6 FEETOF EXCAVATION ATTHE DEEP END, v%
2. THIS POOL MEETS THE REQUIREMENTS OFAN51/N5PI 5 "AMERICAN NATIONAL STANDARD FOR RESIDENTIAL INGROUND SWIMMING Q
POOLS"AND1996 BOCA CODE-SECTION421. DIVING EQUIPMENT 15 NOTALLOWED
3. SWIMMING POOL SHALL BE COMPLETELY AND CONTINUOUSLY SVRROVNDED WITH A BARRIER CONSTRUCTED IAW REQUIREMENTS OF CL
SRAG105 OF THE RESI DENTAL CODE OF NYS (2010) AND IN CONFORMITY WITH ALL SECTIONS OF THE 50VTHOLD TOWN CODE ACCESS
GATES SHALL COMPLY WITH SECTION AG105,2 OF THE NYS RESI PENTIAL CODE AND BE SELF CLOSING AND SELF LATCHING AND OPEN AWAY
FROM THE POOLAREA. n OD
4. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECTA TEMPORARY BARRIERAROUND THE EXCAVATION IAW THE COPE OF THE ® r
TOWN OF SOUTHOLD.
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5. POOL MUST BE EQUIPPED WITH AN APPROVED POOL ALARM CAPABLE OF PETECTINGA CHILD ENTERING THE WATERAND SOVNDINGAN (' 2
AUDIBLE ALARM WHEN DETECTED THAT 15 AUDIBLE AT POOLSIDE AND ATANOTHER LOCATION ON THE PREMISES WHERE THE POOL15 a�
LOCATED. THE ALARM MUST BE INSTALLED, MAINTAINED AND L15ED IN ACCORDANCE WITH THE MANUFACTURERS INSTRUCTIONS. THE E Z
ALARM MUST MEETASTM F2208 'STANDARD SPECIFICATION FOR POOLALARMS. THE DEVICE MVSTOPEPATE INDEPENDENT (NOT 2 N c
ATTACHED TO OR DEPEN PENTON)OF PERSONS. c �
6.. POOLSUCTION FITTINGS (EXCEPT FOR SURFACE SKIMMERS) MU5TBE PROVIDED WITH A COVER THAT CON FORMS TO ASME/ANSI A112.19 BRA G.
ORA MINIMUM I2"x12"PPAIN GRATE ORA CHANNEL DRAIN SYSTEM. POOL CIRCULATION SYSTEM MUST BE EQUIPPED WITH
ATMOSPHERIC VACUUM RELIEF IN THE EVENT THE GRATE COVERS LOCATED WITHIN THE POOL BECOME MISSING OR BROKEN. SUCH
VACUUM RELIEF SYSTEMS SHALL CON FORM WITH ASME A112.19.17 OR BEA GRAVITY SYSTEM APPROVED BY THE TOWN OFSOUTHOLD.
POOLSHALL BE PROVIDED WITHA MINIMUM OF25UCTION FITTINGS OF THE ABOVE MENTIONED TYPE. THESUCTION FITTINGSSHALLBE
SEPARATED BY A MINIMUM OF 3' AN D MUST BE PIPED SUCH THAT WATER 15 DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A M
VACUUM RELIEF -PROTECTED LINE TO THE PUMP (OR PUMPS) VACUUM/ PRESSVRECLEANING PITTINGS SHALL BE IN AN ACCE551BLE a
POSITION, MINIMUM OF 6" AND NO GREATER THAN 12" BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BEAN ATTACHMENTTO
THE 5KIMMER/5KIMMER5, y
7. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF N FPA 70 (NEC) PRINCIPALLY ARTICLE 6I0AND THE NYS RESIDENTIAL V 0
CODE SECTION 4102 THROUGH 4106. ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIESAND BE PROTECTED v
BYAGROVNDFAVLTCVRRENTINTERRVPTER(GFCI) CVRRENTCARRYING ELECTRICAL CONDUCTORS EXCEPT FOR TH05EPROVIDING ,
POWER TO POOL LIGHTLNGAND POOL EQUIPMENT SHALL MEETTHE 5EPARATION REQUIREMENTS OF TABLE 641035. ALLMETAL
ENCLOSURES, FENCES OR RAILINGS NEAR OR ADIACENTTO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED DUE TO ej
CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROVN PED.
S. WATER SOURCE FILLING THE POOL SHALL BE EQVI PREP WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING COPE 608
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9. ALL PIPING IS DIAGRAMMATIC VNLESSOTHERWISE5TATED. Q a1
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10. WALKS IF PROVI PED SHALL BE NONSLIP AND SLOPE AWAY FROM POOLEDGE }; v
11. A MEANS OF EGRESS FOR DEEP AND SHALLOW ENDS MUST BE PROVIPED IAW ANSUNSPI-5 SECI ION 6.
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12. CONTRACTOR TO PLACE THE POOL IAW TOWN OF SOUTHOLD CODE SETBACKS,
93. ALL PRAI NAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBACT PROPERTY.
1S. THE DESIGN 15 BASED ON A DRAINAGE SOIL WITH, 10% SILT. GROVN D WATER SHALL NOT EXIST WITH IN THE EXCAVATION. IFGROUND
WATER EXISTS WITHIN 6'-0" FROM GRADE, DEWATERING FACILITIES WILL BE REQVIREP.
16, ALL GAS AND OIL HEATERS (IF INSTALLED) FOR THE IINGROVND SWIMMING POOLSHALL BE NATIONALAPPLIANCE ENERGY
CONSERVATIONACT(NAECA) COMPLIANT. POOL H EATERS SHALL DETESTED LAW ANSI Z,21.56 AND SHALL BE INSTALLED IAW
MAN VFACTUREK5 SPECT FICATIONS. OIL FIRED POOL HEATERS SHALL BE TESTED IAW VV26.POOL HEATERS SHALL BE LOCATED OR
GUARDED TO PROTECT AGAIN5TACCI DENTAL CONTACT OF HOT SURFACES BY PERSONS, POOL HEATERS SHALL BE PROVIDED WITH
TEMPERATURE AND PRESSURE -RELIEF VALVES. FOR H EATERS NOT PROVI DED WITH AN INTEGRAL BYPASS SYSTEM, ABYPA55UNESHALLBE
INSTALLED FROM INLETTO OVTLETTO ADIUST WATER FLOW THROUGH THE HEATER POOL HEATERS SHALL BE PROVIDED WITH THE
FOLLOWING ENERGY CONSERVATION MEASURES;
16.9. ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASYACCE55 TO ALLOW SHUTTING OFF THE
OPERATION OF THE HEATER W ITHOUT AP/ VSTING THE THERMOSTAT SETTING AND TO ALLOW RESTARTING WITHOUT RELIGHTING THE
PILOT LIGHT.
16.2. HEATED SWIMMING POOLS SHALL BE EQUIPPED WITH A POOL COVER (EXEMPTED FROM THIS REQUIREMENTAKEOUTDOOR POOLS
DERIVING 20% OF THE ENERGY FOR HEATING FROM RENEWABLE SOURCES AS COMPUTED OVER AN OPERATING SEASON) 4 r r N
16.3 TIME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS AND CAN BESET
TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER IN ACLEAN AND SANITARY CONDITION IAW APPLICABLE
SANITARY CODE OF NEW YORK STATE.
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17. THIS DRAWING 15 FOR STRUCTURAL SH ELL ONLY, ALL ACCESSORIES AND APPURTENANCES ARE DEFINED BYOTHERS. Ld F2
18 BACKFILL WITH CLEAN EARTH, FREEOF ROOTSAND DEBRIS. DO NOTALLOW THE HEIGHTOF BACKFILLTO EXCEEDTHE HEIGHTOFTHE N aoo
WATER IN THE POOL BY MORE THAN B", OR THE WATER TO EXCEED BACKFILL BY MORE THAN H" h
19. PLACE CONCRETE ON SANDY TO LOAM SOIL REMOVE ANY CLAY PEPOSIT AND COMPACT CLEAN BACKFI LL �,wp
21. THERE 15 NO MAIN DRAIN IN THIS POOL SUCTION FOR POOL WATER CIRCULATION IS PROVIDE) BY'l HE 51
REQVIREMENTSOF RC- SECTION AG106 FOR ENTRAPMENTPROTECTION - f I
22. THE POOL WAS DESIGNED IAW THE FOLLOWING:
221. THE BUILDING COPE OF NEW YORK STATE(2010)
222, THE ENERGY CONSERVATION CON5TRVCTION CODE OF NEWYORK STATE (2010)
223. THE FUEL GAS COPE OF NEW YORK STATE(2010)
224. THE RE51DENTIAL CODE OF NEW YORK STATE(2010)
225 THE NEW YORK STATE SANITARY CODE.
226. AN51/N5PI-5 STAN PARD FOR RE5IDENTIALIN-GROUND5WIMMINGPOOL5
22,7 BOCA CODE -SECTION 421
228, CODE OF THE TOWN OF SOUTHOLD.
MEETS
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TOWN OF SOUTHOLD
1 11NG TZTANTT11E,'NT
TO" HALL
SOUTHOLD,WY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
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Board of Hz?.Itk
Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O. Application_
Flood Permit
Single & Sepwate_
Storm -Water Assessment Form
Contact:
Mailtb,,WJN1 K10,04 A --J
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Date
— W4 —,20/b
INSTRUCTIONS U
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.
(Signi re
0 applicant or name, if a corporation)
(Mailing addressf applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builch:
Name of owner of premises 2-ef-, 0 ID
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No-
Sther Trade's License No.
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MEMI
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County Tax Map No. 1000 Section ()2-1 Block 63 Lot -7.4
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2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Buildin&kddition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost I C, I
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
(To be paid on filing this application)
'Number of dwelling units on each floor
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 Dep6t
Height Number of Stories
9. Size of lot: Front —Rear Depth
10. Date of Purchase Name of Former Owner
'V
12. Does proposed construction violate any zoning law, ordinance or regulation? YES INC\ 1_7
13. Will lot be re -graded? NOY Will excess fill be removed from premises? YES' NO
-7
14. Names of Owner of preinises�.L�f V �Cftf '!�LO� A d d r e s s Phone No �4)1_11 2� -3-- !E�7wr
Name of Architect
Addres-s-7,734-�J4Z-77 �,__�hone No
Address 4�71 –Rtc PhoneNo_
Name of Contractor
PI__ Nq 117-V
15 a. Is this property within 100 feet of a tidal wetland or a freshwater
IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS
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.
18. Are there any covenants and restrictions with respect to this property? * YES NOXX
IF YES, PROVIDE A COPY.
SS:
COUNTYOF
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V being duly sworn, deposes and says that (s)he is the applicant
(Name of in ividualsigning contract) above named,
(S)He is the LnkrVV_V1'_
{ion actor, Agent, Corporate Officer, etc.)
of said owner or ownersv&,,;Lv_"j_ 7f,
A"17�3_ I'LI& tN��Ilvm
that all statements contained in this application are true to the best of his nowe... and belief, and that the work will be
rverformed in the manner set forth in the application filed therewith.
Swom to before me this
4-
_41 day of
NotarY Public