HomeMy WebLinkAbout41566-Z SufFOt,r� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o. . 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#: 41566 Date: 4/25/2017
Permission is hereby granted to:
Stadler, Joseph
385 Grissom Ln
PO BOX 1439
Southold, NY 11971
To: construct an in-ground swi ing of as pplied r.
At premises located at:
385 Grissom Ln, Southold
SCTM # 473889
Sec/Block/Lot# 78.-1-29
Pursuant to application dated 4/20/2017 and approved by the Building Inspector.
To expire on 10/25/2018.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspec or
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$15.00L� r
Date.
New Construction: V Old or Pre-existing Building: (check one)
Location of Property: el r 19 S 6 M L Ul yl
House No. Street Hamlet
Owner or Owners of Property: mmon I
cr -
�L Suffolk County Tax Map No 1000, Section -7b Block 1 Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: ^ _
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
Applicant Signature
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iL _ o' 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 2 Survey
SoutholdTown.NorthFork.net PERMIT NO. �(7�`� Check
Septic Form
N Y S.D.E.0
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved 20 Mail to-
Disapproved a/c
r
Phone: n
Expiration 20 W':�// Com' d^�
D Building Inspector
D PLICATION FOR BUILDING PERMIT
APR 19 2017 Date 720
INSTRUCTIONS
BUYWW,Qc 'MST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
s%QYW ® 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.
£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.
ture of applicant e,if a corporation)
(Mailing address of applicant)
State whether applicant is owner,les, e,agent,architect,engineer,general contractor,electrician,plumber or builder
A111A W r
Name of owner of premises
(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. s
Electricians License No.
Other Trade's License No. r
r
1. Log* fl o 'c��qp w rl bg done: l�o i �y��
CI
House Number Street (J Hamlet
let
County Tax Map No. 1000 Section W Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of re ' a5,auc� d�pGg any f rQpa��i c=*n
a Existing use and occupancy (( . '�( 4 M 7 Y�° 11 r
b. Intended use and occupancy v
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost '®0® Fee (Description)
(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.
k 7. Dimens�tld�It.h5t1'sting structures,if any:Front Rear Depth
Height Number of Stories
j
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front 13 Rear Depth
\f 2 1 (A
10.Date of Purchase V . -3P e of Former wne' O V 1 �I 9 4j ((''/
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO)C
13.Will lot be re-graded?YES NO Will excess
fill bemi�re((mmovedVfrom
('premises?
�YES
NO
14.Names of Owner of premiseq) r' (ddress'dGD a I �l om `PYione
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 REQUIi D.
b.Is this property within 300 feet of a tidal wetland?*YES NO
*IF YES,D.E.C.PERMITS MAY BE REQUIRED. Jr
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
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTYO
@G1 kirtVivu being duly sworn,deposes and says that(s)he is the applicant
(Name of individual sikaing contract)above lamed,
011 t 11111111////��
(S)He is the ����\ p1 E yqC�z�4
ontractor,Agent,Corporate Officer,etc.)
C9�'NO.01 HA6174215;��r
of said owner or owners,and is duly authorized to perform or,bave performed the said work and to make ac filUP OWUM11�l
that all statements contained in this application are true to the best of hiiknowledge and'belief;and that thesvorlt (iQLK COUNTY
performed in the manner set forth in the application filed therewith. COMM.EXP.
09-17-2019
Swor�to befo me this - sy� :�U B L%..-'•0
t0(� d y of / 20 4®BG4� O 1111N1N�y```\`
Notary Public Signature of Applicant
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Scott A. Russell
�0-�SiuF �00 STOIR IMWAT]E)R,
SUPERVISOR to AMIANA(G IENHEN T
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SOUTHOLD TOWN HALL-P.O.Box 1179 0
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
__--__--.._---...._-_-------------,DOE,S_-TH[IS---PROJIECT—"IIV®I;VIE--A-NY—OF—=—lEOLLOW NG7---- — = --
Yes No (CHECK ALL THAT APPLY)
®[ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑E�B. Excavation or fillip involving more than 200 cubic yards of material
- g g
❑E( within any parcel or any contiguous area.
C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
❑derosion hazard area.
E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
® F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
' If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department-withyouur Building Permit Application.
1000 Date:M
T
C. . . 'k:
APPLICANT: (Property Owner,Design Professional,Agent.Contractor,Other) S. D-trio
20 Lf—
NAME- aI Tm avU w
(P". Section Block Lot
FOR LLIILDING DEPAR"I:l.•tL'NT
Contact Information. � ; / 4
feic.ux,r�o�n.
Reviewed By: V '` f
Date:
Property Address / Location of Construction Work: —[!I — — — — — — — — — — — — — — —
t 9, Approved for proce��ing Building Permit
V Stormwater Management Control Plan Not Required.
p'I — — — — — — — — — — — — — — — — —
0
1111 ❑ Stormwater Manageinnent Control Plan iJ Required.
(Forward to Engineering Department for Review.)
FORM " SMCP-TOS MAY 2014
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PROPER T Y s��� 30 7 _ -
AT SOUTHOLD 6a 2�s{y 8.' d F® .
TOWN OF SOUTHOLD
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SUFFOLK COUNTY N. Y. C.6. N -' 386,83
zil
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SCALE 1" - 50' ® W
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APPROVED AS NOTED Co�,Vi 2l 'AFI.6 H ALL CODES OF
DATE- 'Z�' B.P.# NEW YORX' ST��,i-�.: °, TOWN CODES
AS REQUIRED AT�UVi L.1I s IUN3OF
FEE- BY:
NOTIF BUILDING DEPARTMENT AT w4 a n
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: _
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. rCPANCY OR
ALL CONSTRUCTION SHALL MEET THE ti
S OF THE CODES OF NEW
YORK REQUI STATE.r NOT RESPONSIBLE FOR USE IS UNLAWFUL
DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE
OF OCCUPANCY
ELECTFF,1a
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dal.
� �®IA� o CODE
ENO p( �OMP�TION
uS�Fc7RE
POOL SIZE with step A B C D E I F I G I H- 1 K I L I M I N I Gal C
POOL SIZE 16x38 16x42 16 38 3'-4" 8'-0" 14 14 6 4 4 8'-3" 4'-0" 7'-4" 13200
POOL SIZE VVITH STEP A B C D E F I G H K L M N GALLONS D
12X24 12X28 12'_0" 24'-0" 3'4" 6,-0" 6'-0" 8'-0" 6'-3" 4'0 4'.0" 4'3" 4'.0" 6'-3-118" 91050
16X24 16X28 16'-0" 24'-0" 3'-6" T-0" 6'-0" 8'-0" 6'-3" 4'-0" 4'-0" 8'-3" 4'-0" 6'3-118"__ __ 13,750
16x32 - .16X36 16'-0.' 32!-VI-T4" B'-0"- 8'-6" 13'-6" 6'41" 4'-0" -4'-0" -8'-3" -4'-0" --7'4"---- ----19"400--- f
1 SX36 1BX40 18'-0" 36'-0" T-4" 8'-0" 10'-6" 13'-6" 8'-3" 4'-0" 4'4" 10'-3" 4'-0" 7'4" 25,500
20X40 20X44 20'.0" 40'-0" 3'-4" 8--0" 12'-6" 13'.9-110'-3"1 4'_0" 4'-0" 12'4" 4'.0" 7'4" 32,000
16X34 16X38 16'-0" 34'_0" T-4" 8'-0" 10'-6" 13'-&'16' 4'-0" 4'-0" 8'-3" 4'-0" 7'4" 20,900 <....
25X50 25X54 25'-V'-50'-V' T.4" 8-6" 20'-6" 13'.&'112'-3" 4'-0" 4'-0" 17'-3" 4'0 T-75116" 58,750 \\\
30X60 30X64 30'.9'160'.0" 3'-4" 8-6" 20.0" 15'-0" 20'-3" 4'-6" 4'-6" 21'-3" 4'-6" 8'-2-318" 79,550
14X28 14X32 14'-0" 28'-0" 3'-4" 6'-0" 81-0" 12'-0" 4'3" 4'-0" 4'_0" 6'3" 4'-0" 6'.-3-1116" 12,100 Z '
13 X26 12X30 13 26 3-4 6-0 8-0" 10-0 41'-3" 4'-0 4'-0" 6'-3 4'-0' 6'3-1116" 11,600 pry1NG SOAND ¢ i< A
16X38 16X42 16 38 3'-4" S'-0" 14'-0" 14'-0" 6'-0" 4'-0" 4'-0" 8'-3" 4'-0" 7'�4" 22,000 //' \\` L
10.19{SIB'9FiF DRILLING 90R010
......
CONCRETE OR WOOD DECK UP TO ,
COPING TELT OTNE ZSL—e- ���M ••••••• suOlvJ \\
SLOPED AWAT FROM POOL PANEL PAD
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STEEL ANGLE EDS°-Ib�P EOLT.NIR N.T.S.
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I� IL UNDISTUJBED FJIRTHI 111=11 - v INTO UNDISTURBED ECRM THROUGH D'
13181-0_r1171It9Ii"II1171F_III� "CII111_ HOLES IN BOTTOM OF PANE. ypVm FILLER
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IL=III�IL=111�IL-JCCO II•_TIL-111=�1IIIII= To RELIEVE LoaR
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TYPICAL WALL SECTION AT "A” FRAME CARRIAGE MOLTS
H G T F E
rLOW,,m�,M CORNER CONNECTION DETAIL POOL SECTION
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A6 SOCUM AND OQvM A D ECPOVER �L
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Complies With:
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2016 NYS Uniform Code Supplement Sec R326 �1-
R326.3.3 in Ground Pools Shall Be in Conformance with ANS UNSPI-5 ip
R326.5 Barrier requirements:Temp Fence must be installed at time of O`
Pool construction,and Permanent fencing is the homeowners responsibility ES
R326.6 Entrapment Protection Installed
R326.7 Swimming Pool and Spa Alarms must be installed
------------- -------------
2015]FCC POOL TYPE: RECTANGLE F REV. SCALE: NTS
Sec R 403.10.2 Time switches or other control methods that can run
automatically turn off and on according toa preset schedule shall be JAMES DEERKOSKI, P.E.
installed for heaters and pump motors. Heaters and pump motors that DATE:
TYPICAL PANEL STIFFNER have built in time switches shall be in compliance with Sec R 403.10.2 260 DEER DRIVE
MATTITUK, NEW YORK 11952 DRAWING NUMBER
1 OF 1
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