HomeMy WebLinkAbout52048-Z �O��pFSQpryO`o 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#: 52048 Date: 06/30/2025
Permission is hereby granted to:
Anna Bajlak
1995 Ruth Rd
Mattituck, NY 119520917
To:
Construct in ground swimming pool at existing single family dwelling as applied for.
Maintain minimum 10 foot setback to side and rear property lines as required.
Premises Located at:
1995 Ruth Rd, Mattituck, NY 11952
SCTM# 106.-7-7
Pursuant to application dated 05/28/2025 and approved by the Building Inspector.
To expire on 06/30/2027.
Contractors: 0 LIT_ G Ll. I
Required Inspections: I
Fees:
-7 7A
CO Swimming Pool $100.00
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
t 400.00
N Building Inspector
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST) i
cn
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FOUNDATION (2ND)
7_
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ROUGH FRAMING &
7
INSULATION PER N. Y.
STATE ENERGY CODE _._..--- ----
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1
FINAL -
ADDITIONAL C MMENTS
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osuFwc,r��� TOWN-OF SO;UTHOLD BUILDING DEPARTMENT
s Town Hall.Annex 54375 Main"Road P::O.Box 1179:"Southold,NY 11971 0959.
oy�o ate` ' Telephone(Q 1) 765-1802 Fax(631) 7654502 https://www.sotitholdtoWiiny.go
., .. ..
Date Received
APPLICATIORFOR BUILDING PERMIT
For office Use Oniy;>,
ab MAY 2 8 :2025
PERMIT NO. .Building Ins ector:•
p .
.Applications and:form.s.mustbe filled out In their entirety.Insompiete.. Building f1e�arEment,
applications:will not,be.accepted. Where the Appiicant is not.the owner,an Of SOU(thold
Tovvra
-Owner's Authorization form(Page 2)shall be'cort)pleted
Date. '.
OWNE
Ii(S)OF PROPERTY
,:.
Name :vfr SCTM#1000 13wa
a`... ..". d�lr7 JD'Co 7.
Project Address
Phone#: _ cJ/.� .39 �.3C� Email � me���rc�ea,clV�a cv,r►
Mailing Address
CONTACT PERSON
Name. r
e,r7iE .r Ch, k.
Mailing Address ` IUDk Ccthos
V
Phone#: Ema%I ch �uK�o onlsnC net
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DESIGN PROFESSIONAL INFORMATION.
Name'
Mailing Address
Phone#: Email
CONTRACTOR'INFORMATION
_
�-
. . . Name:
MailingAddeess �v �ox9r,.Cv �nv9''`e� NS`' 3S
Email CF,� K'Phone# z�n( l-te n e 4
73S/^ 7Cof�S g
DESCRIPTION OF.PROFOSED CONSTRUCTION
El New Structure';❑Addition ❑Alteration;_ []Repair ❑Demolition Estimated Cost of Project
IOther
U U
Will thelot.be re-graded?'Byes-ON'6 Will excess fill be.removed from premises?, 4es ❑No
PROPERTY INFORMATION
Existing use of property:1-5}, rr Intended use of prorty:
LJ
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
,Z�ill'47 C,1 this property? ❑Yes ONo 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 taws,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 buildings)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section ZWAS of the New York State Penal Law.
Application Submitted By t int name): ��Jt. 1 Tv MAuthorized Agent ❑Owner
Signature of Applicant: BUNCH Date: �/Z g/z�
ry Public, late of New York
N0.01BU6185050
STATE OF NEW YORK) Qualified in Suffolk County
SS: Commisslon Expires April 14,2 aa,
COUNTY OF )
being duly sworn,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/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
C 0 ' day of � ' f 201-)S—
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, / �/ residing at 1q9 �
do hereby authorize � � aO0�� to"apply on
my behalf to the Town of Southold Building Department for approval as described herein.
�k a
Ow er's Signature Date
PrinV Owner's Name
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DATE: FEB. 13, 2025
JOB .NO:2025-034
Survey for:
CI~RTIFIED TO:
KENNETH McGORRY KENNETH MCGORRY &
MART MCGORRY cCORRY
FIRST AMERl0-AtJ.TtT INSURANCE
CROSS"GQW7 °MORTGAGE;LIC�iSAO
AtA/A71MA »
,• Lot 7, Sunset Knolls, Section 2
Jh
MaGttituck
Town of
l Southold
Suffolk County, New York
S.C.T.M.: 1000-106.00-07.00--007.000
DAVID H. FOX, L:S. P-C N.Y.S.L.S. #50234
FOX LLD SURVEYING
64 SUNSET AVENUE
WESTHAMPTON BEACH, N.Y. 11978 SCALE:1'=30'
(631) 288-0022
NOTES:
[1111%,AIJ-.HDRIZED ALTERATION OR ADDITION TO TH:S SURviY
4T0LAT1ON OrSECT*V. 72C5 O TH: NEW YCgX SAWSGC
C<`I0N LAW. C7PcS C; THIS SURVEY MAP NOT 3EAW.NG1. AREA = 21.866 S.F.
LAr:O SURVEYOR'S iNKEO SEAL OR EMBOSSED SEALALL vcT eE CONSIDEREQ To ee pA��VnL10 TRUZ CC3lSY• 2. i= MONUMENT F0UND. A = STAKE FOUND-SS�(vAClana` .. SUREv5'�aRCp�ua AKD' 'His ' Si�BJ►1g �L1N JIA.4.P "S.t,F�td5£T IfNAL15, SEC77G1A1n0L�Excac':.NsT tjTICNN LISSTEe XREC�E".AND"� 4 FILED IN THE OFFICE OF THE CLERK OF SUFFOLK
,SS:CNEES O" ;NE LENDING.LUSVWTION. CERT�GrTIWt r
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APPROVED AS NOTED OCCUPANCY OR
DATE440101J B.P 0 O USE IS UNLAWFUL
FEE��BY: WITHOUT CERTIFICATE
DEPARTMENTAT
6 OT765-g8028AM TO 4PM FOR THE OCC UPANCY
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE COMPLY WITH ALL CODES OF
REQUIREMENTS OFTHE CODES OF NEW NEW YORK STATE&TOWN CODES
YORK STATE. NOT RESPONSIBLE FOR AS REQUIRED ND CONDITIONS OF
DESIGN OR CONSTRUCTON ERRORS SOUTNOtDTOWN ZIA
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UPON.COMPLETION`.:
BEFORE WATER. .
RETAIN STORM WATER RUNOFF .
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
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2020 Code Section 303.21'-303A Swimming Pools,Spas and Hot Tubs OFESS��
Section•R326 of the-Resideritial Code of New York i
---__------ :�_____________ Section3109oftheBail ding Code oflVewYork
{ Section N1103-12(R403.12)Residential Pools and Permanent Residential Spas POOL ME:I�gl;TMOLE . REV. SCALE: ;NTS:
Section 31093.12-3.109 7 4 Pools and Spas Gates,Barriers JAES® RK®SKf'P.E. _
Section G106 Entrapment Protection .. f
TYPICAL P • EL$*19MER 'Section G107 alarms 160 DEER DRIVE ®ATE:
Section•E42b1—E4312 FJecteical Connections for'Pools
MATi'ITUK,NEW YORK 11952 DRAWING NUMBER
OF 1
NOTES:
1. DIVING BOARD TO CONFORM WITH ANSI/APSP/ICC-5 SEC 6
2. NO SOIL DISCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION
3. POOL MUST BE SURROUNDED BY A CONTINUOUS BARRIER CONSTRUCTED IAW REQ.OF SEC 326.4.2.1-R326.4.2.6 OF THE NYS RESIDENTIAL CODE(2020)AND ALL SECTIONS OF THE SOUTHOLD CODE
4. WALLS MAY SERVE AS PART OF THE POOL BARRIER AS PER SEC 326.4.2.8 AND ALL WINDOWS HAVE A SELF LATCHING DEVICE
5. ACESS GATES SHALL COMPLY WITH SEC R326.5.2 OF THE NYS RESIDENTIAL CODE(2020)AND BE SELF CLOSING,SELF LATCHING AND BE SECURELY LOCKED WHEN POOL IS NOT IN USE OR SUPERVISED. ALLL GATES ARE
TO OPEN AWAY FROM THE POOL AREA.
6. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECT A TEMPORARY BARRIER AROUND THE EXCAVATION IAW CODE OF THE TOWN OF SOUTHOLD.
7. POOL MUST BE EQUIPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AND SOUNDING AN AUDIBLE ALARM WHEN DETECTED THAT IS AUDIBLE AT THE POOLSIDE AND INSIDE THE
DWELLING.THE ALARM MUST BE INSTALLED,MAINTAINED AND USED IN ACCORDANCE WITH TEH MAUFACTURERS INSTRUCTIONS.THE ALARM MUST MEET ASTM F2208"STANDARD SPECIFICATION FOR POOL ALARMS".THE
DEVICE MUST OPERATE INDEPENDENT(NOT ATTACHED TO OR DEPENDENT ON)OF PERSONS.
8. POOL SUCTION FITTINGS(EXCEPT FOR SURFACE SKIIMERS)MUST BE PROVIDED WITH A COVER THAT CONFORMS TO ASME/ANSI Al12.19.8M OR A MINIMUM 18"X23"DRAIN GRATE OR A CHANNEL DRAIN SYSTEM.POOL
CIRCULATION SYSTEM MUST BE EQUIPTED WITH ATMOSPHERIC VACUUM RELEIF.SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME Al 12.19.17 OR BE A GRAVITY SYSTEM APPROVED BY THE TOWN OF
SOUTHOLD. POOL SALL BE PROVIDED WITH A MINIMUM OF 2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE.THE SUCTION FITTINGS SHALL BE SEPARATED BY A MINIMUM OF 3'AND MUST BE PIPED SUCH THAT WATER
IS-DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS).VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN ACCESSIBLE POSITION,MINIMUM OF 6"AND
NO GREATER THAN 12"BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BE AN ATTACHMENT TO THE SKIMMER/SKIMMERS. A REQUIRED POOL ATMOSPHERIC VACUUM RELEIF SYSTEM SHALL BE INSTALLED AS PER
NYS RESIDENTIAL CODE R326.6.3(2020)AND IN ACCORDANCE TO TOW CODE
9. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC),PRINCIPALLY ARTICLE 680 AND THE NYS RESIDENTIAL CODE SECTION 4102 THROUGH 4106.ALL ELECTRICAL DEVICES MUST BE
APPROVED BY UNDERWRITERS LABORATORIES AND BE PROTECTED BY A GOUND FAULT CURRENT INTERRUPER(GFCI).CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE PROVIDING POWER TO POOL
LIGHTING AND POOL EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4203.5. ALL METAL ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY BECOME
ELECTRICALLY CHARGED DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED.
10. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING CODE 608.
11. ALL PIPING IS DIAGRAMMATIC UNLESS OTHERWISE STATED.
12. WALKS, IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM THE POOL EDGE.
13. A MEANS OF EGRESS FROM DEEP AND SHALLOW ENDS MUST BE PROVIDED IAW ANSUNSPI-5 SECTION 6.
14. CONTRACTOR TO PLACE THE POOL IAW TOWN OF SOUTHOLD CODE SETBACKS.
15. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY.
16 THE DESIGN IS BASED ON A DRAINAGE SOIL WITH<10%SILT.GROUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION. IF GROUND WATER EXISTS WITHIN 60"FROM GRADE,DEWATERING FACILITIES WILL BE
REQUIRED.
17 ALL GAS AND OIL WATER HEATERS(IF INSTALLED)FOR THE IN-GROUND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY CONSERVATION ACT(NAECA)COMPLIANT.POOL HEATERS SHALL BE TESTED IAW ANSI
Z21.56 AND SHALL BE INSTALLED IAW MANUFACTURERS SPECIFICATIONS.OIL FIRED POOL HEATERS SHALL BE TESTED IAW UL726.POOL HEATERS SHALL BE LOCATED OR GUARDED TO PROTECT AGAINST ACCIDENTAL
CONTACT OF HOT SURFACES BY PERSONS.POOL HEATERS SHALL BE PROVIDED WITH TEMPERATURE AND PRESSURE-RELIEF VALVES.A BYPASS LINE SHALL BE INSTALLED FROM THE INLET TO OUTLET TO ADJUST WATER
FLOW THROUGH THE HATER.POOL HEATERS SHALL BE PROVIDED WITH THE FOLLOWING ENERGY CONSERVATION MEASURES:
17.1 ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE OPERATION OF THE HEATER WITHOUT ADJUSTING THE THERMOSTAT SETTING AND TO
ALLOW RESTARTING WITHOUT RELIGHTING THE PILOT LIGHT. AT LEAST ONE THERMOSTAL MUST BE PROVIDED FOR EACH HEATING SYSTEM.HEATED SWIMMING POOLS SHALL BE EQUIPTED WITH A POOL COVER.(exempt
FROM THIS ARE OUTDOOR POOLD)DERIVING 20%OF THE ENERGY FOR HEATING THE POOL FROM RENEWABLE SOURCES OVER AN OPERATING SEASON.
17.2 TIME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS,AND CAN BE SET TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER IN A
CLEAN AND SANITORY CONDITION IAW APPLCIABLE SANITORY CODE OF NEW YORK STATE.
18 BACKFILL WILL BE DONE WITH CLEAN EARTH FREE OF ROOTS AND DEBRIS. BACKFILL HEIGHT AND WATER LEVEL TO BE WITHIN 8"OF EACH OTHER. PLACE CONCRETE ON SANDY LOAM SOIL. CLAY TO BE REMOVED AND
REPLACED WITH SANDY LOAM.
19 THERE ARE MAIN DRAINS IN THIS POOL.THERE ARE TWO APPROVED SUCTION OUTLETS WITH A MINIMUM OF T OF SEPARATION. THE SUCTION OUTLETS ARE PIPED SO THAT WATER IS
DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM-RELEIF-PROTECTED LINE TO THE PUMP.COMPLIES WITH ENTRAPMENT PROTECTION AS PER CODE.
20 THE POOL WAS DESIGNED REFERENCES AS THE FOLLOWING:
20.1 THE RESIDENTIAL BUILDING CODE OF NEW YORK STATE(2020)SEC R326 O E141 1
20.2 THE ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE(2020)SEC R403.10
20.3 THE FUEL GAS CODE OF NEW YORK STATE(2020)
20.4 THE NEW YORK STATE SANITORY CODE.
20.5 ANSI/APSP/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS. POOL NOTES SCALE: NTS
20.6 BOCA CODE SECTION 421. OAy° ,0 2� P JAMES DEERKOSKI, P.E.
20.7 CODE OF THE TOWN OF SOUTHOLD ROfiESSt 260 DEER DRIVE DATE: 10/2/2020
MATTITUK, NEW YORK 11952 DRAWING NUMBER
2 OF 2
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