HomeMy WebLinkAbout52898-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52898 Date: 04/21/2026
Permission is hereby granted to:
Brandon J Stout
12960 Main Rd
Orient, NY 11939
To:
construct an accessory in-ground swimming pool as applied for. Swimming pool and pool equipment
must be located in the rear yard with minimum 10'setbacks to lot lines.
Premises Located at:
235 Cemetery Rd, East Marion, NY 11939
SCTM# 31.-10-6
Pursuant to application dated 04/09/2026 and approved by the Building Inspector.
To expire on 04/20/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swi r3r Pool $100.00
Total S400.00
uflding Inspector
X
fv � € TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Vti Telephone (631) 765-1802 Fax (631) 765-9502h :{Iw-,-v .southoldtownnv. ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
Inspector-
Applications . -n =
PERMIT NO. Building
and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:2/3/26
OWNER(S)OF PROPERTY:
Name: Branko and Samantha Jozic Stout SCTM# 1000-473889 31.-10-6
Project Address:235 Cemetery Road
Phone#:917-833-2098 Email:biscorp@yah00.com
Mailing Address:235 Cemetery Road East Marion, NY 11939
CONTACT PERSON:
Name:Branko Jozic and Samantha Jozic Stout
Mailing Address:235 Cemetery Road East Marion, NY 11939
Phone#:917-833-2098 Email:biscorp@yahoo.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Luke Pranzo Swim King Pools
Mailing Address:471 Route 25A Rocky Point, NY 11778
Phone#:631-902-1065 Email:luke@swimking.com
DESCRIPTION OF PROPOSED CONSTRUCTION
-
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
00therPOOI $49K
Will the lot be re-graded? ❑Yes JulNo Will excess fill be removed from premises? Yes ❑No
1
PROPERTY INFORMATION
Existing use of pro perty:Residential Intended use of property:ReSidential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
210 this property? ❑Yes No IF YES, PROVIDE A COPY.
R 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 Laws,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 building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print na Branko Jozic): ❑Authorized Agent OOwner
Signature of Applicant: Date: February 3, 2026
STATE OF NEW YORK)
SS:
COUNTY OF U-C—PO - )
Branco Jozic
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he i5 the
Owner
(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
day of by Cb-1 20 2-(o nLQ
Notary Public
-, 0%X11111111111, r—
PROPERTY OWNER AUTHORIZATION 4,;.•`
(Where the applicant is not the owner) ='Cr 'No.61VE6 24 {
SUFFclLK1COUN Y:
U residing at/ Q�
I, � ,GrJ
���111i1►ilii11 e �Nw
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described er in.
OwneOSlgnature Date
Print Owner's Name
2
jf
APP 0 0 AS NOTED
DA
FEE ; BY:
NOTIFY BUILDING DEPARTMENT AT
631-765-1802 8AM TO 4PM FOR THE OCCUPANCY
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE USE IS UNLAWFUL
2. ROUGH- FRAMING&PLUMBING -
3. INSULATION WITHOUT
4. FINAL-CONSTRUCTION MUST OF
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
COMPLY WrH ALL CODES 0-
NEW
A RK STATE&TOWN COD-
AS REQIJII --D AND NDIOF
TOVINBA
TC kk N' G 60
TC-,A
N.Y. DEC
IEC �
.
" - "
ENCLOSE POOL TO CODE
UPON COMPLETION
�1at IrtBEFORE "WATER"
5 t
I I -
NOTES
1 NO SOILSURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE SHALLOW END.ORb FEET OF EXCAVATONATTHE DEED END.
I 2 THLSPOOLhIEETSTHEREGJIREMEbM5 ANSI/AP5P/ICC-5"AMEKICANNATIONAL STANDARD FOR RESIDENTIAL INGROVND5W9MMING Ln
10 POOLS'ANDI9%BOCACODE-SECTION421 DIAING EQUIPMENT 15 NOT ALLOWED, C)
>. SWIMMING POOLSHALL BE COMPLETELY AND CONTINUOUSLY SURROUNDED WITH A BARRIERCONSMUCTED LAW REOVIREAIENTS OF
II!�III�I INN iMM 5ECnON R32BA_'I THROUGH R3MA_'9 OF THE NEW YORK STATE POIDEN DAL CODE(2025)AN V IN CONFORMITY WITH ALL SECTIONS CS.
OF THE SOUTHOLD TOWN CODE DWELLING WALLS)MAYSMVE AS PART OF THE POOL BARRIER AS PER SECTION R32BA2"AND
CONDITION(1)ARE MET.OPERABLE WINDOWS IN THE WALLIS)VSEDASA BARRIER SHALL HAVEA SELF LATCHING DEVICE.ACCESS GATES �J
SHALLCOMN.Y WITH SECTION RMB4.70FTHE NYS RESIDENTIAL CODE(2025)AND BESELFCLOSING.SELF LATCHING AND BE SECURELY L/S
LOCKEDWHEN POOLISNOTIN USE ORSUPEKVISED.ALL GATESARETO OPENAWAYFRON THE POOLAREA �'yI
ry, 4. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECTA TEMPORARYBARRIERAROVND THEEXCAVATION LAW'THECODEOFTHE 0
m tt \lliii TOWN OF SOUTHO.D. 0.
Gnxr uv3G,w S. POOL MUST BE EQUIPPED WITH AN APPROVED POOLALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AN D SOUN DING AN u
AVDIBLEALARM UPON DETECTION THAT IS AUDIBLE AT POOLSIDE AND INSIDE THE DWELLING THEALALMMUSTBEINSTALED,
9t MAINTAINED AND USED IN ACCORDANCE WITH THE MANUFAC URERS INSTRUCTIONS.THEALARM MUST MEETA5TM F2200 Z N Z
'STANDARD SPECIFICATION FOR POOL ALARMS THE DEVICE MUST OPERATE INDEPENDENT(NOT ATTACHED TO OR DEPENDENT ON)OF ][N
PERSONS.
6. POOL5PAWS UMI Fl23'PR IN EPT GRATE ORA FACE SKIMMERS)MUST BESTEM,PRONDEDW'OHACOVERTHAVSTBEE RMSTOAN51/APt4OSP ERIC y7"
A MINIhIVM 18'z23'DRAIN GRATE ORA CHANNEL DRAIN SYSTEh1,POOLGRCVLATION SYSTEM h1U5T BE EOVIPPED WITIi ATMIOSPHRIC uQ
VACUUM RELIEF IN THE EVENT THE GRATE COVERS LOCATED WITHIN THE POOL BECOME MI55ING 0R BROKEN SUCH VACVVM RELIEF
,.. 5Y51EM55HALLCONFORM WITH ASMEAII2.19.17ORBEAGRAVITYSYSTEM APPROVED BY[HE TOWN OF SOUTHOLD,.POOLSFwLBE
PLAN PROVIDED WITHAMW TI IBIUM OF2SVCOON F NC6OFTHEABDVEMENTIONED TYPE,THE SUCTION FITTINGS SHALL BE SEPARATED BYA
°""""""""""""" R MWIMVM OF3'AND MUSTBE PIPED SUCH THAT WATER IS DRAWN THROUGH THEM SIMVLTANEOVSLY THROUGH A VACUUM
NTS P,LLEF-PROTECTED LINETO THE PUMP COP,PUMPS)VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN AN ACCESSIBLE POSITION,
MINIXI OF6'AND NO GREATER THAN 12"BELOW THEM WIMVM OPERATIONAL WATER LEVEL OR BEAN ATTACHMENTTO THE
SKIMMERBKIMMERS A REQUIRED IDOL ATMOSPHEPIC VACUUM RELIEF SYSTEM SHALL BE INSTALLED AS PEP,NYS RESIDENTIAL CODE F-In
^m�atnp q;;','a"pparP+umxPm (202S)AN D IN ACCORDANCE W RH TOWN CODE
y
d". ALL ELECTRICAL WORKSHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC)PRINGPALLYA0.TICLE 6B0 AND THE NYS
•����^^•^M �µ ^^° ^W------- RESIDENTIAL CODE SECT1ON542.01 THROUGH 4209.ALL ELECTRICAL DEVICES MUST REAPPROVED BY UNDERWRITERS LABORATORIES AND
BE PROTECTED BYA GRCX/ND FAULT CURRENT INTERRUPTER.(GFCH CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE C+�
PROVIDING POWERTO POOL LIGHTING AND POOL EQUIPMENT SHALL MEET THE SEPARAT ON REQUIREMENTS OF E4203.ALL METAL
�w ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED DUE TO
armySaHo emrtaM .. ^�- CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED. """""
zzM1
�• 1'a^2ti:L: .�ttttmpppp.� B W'ATERSO/RCE FILLING THE POOL SHALL BE TOM PPED WITH A BACKROW'PROTECTION DEVICE IAW NYS PLUMBING CODE 609
SECTIONA 9. ALL PIPING IS DIAGRAMMATIC UNLE550THERWISE STATED, 0
N.T.S. 10. WALKS IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM POOL EDGE-
I+nrtRlin uF,r'wL RXnY4. H. A MEANSOF EGRESS FOR DEEP AND SHALLOW ENDS MVST BE PROVIDED IAWAN51/APSP/ICC-5 SECTION 6. o wear "CONTRACTORTOPIACETHEP001U1WTOWNOFSOVTFIOID CODE5LT61CKS. �• \" 'nd
S) 13 ALLDRAINAGE FROM THE POOLSHALL BE MAINTAINED ONTHE SUBJECT PROPERTY. o.
15. THEDESIGN IS BASED ON A DPAAINAGE SOIL WITH�10%SILT.GROUND WATERSHALL NOT EXIST WITHIN THE EXCAVATION.IFGROUND
"'ATER EXISTS WITHIN 6'-O'FROM GRADE,DEWAIERING FACILITIES WILL BE REQUIRED
.... 16 ALL GAS AND OIL HEATERS(IF INSTALLED)FORTH E INGROUND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY O
SECTION B CONSERVATION ACT(NAECA)COMPLIANT.POOL,HEATERS SHALL BE TESTED IAW AN51 Z2156AND SHALL BE INSTALLED LAW
MANUFACTUKEMSPECIFICATIONS.OIL FIRED POOL HEATERS SHALL BE TESTED LAW VL726.POOL HEATERS SHALL BE LOCATED OR
N T.S GUARDEDTO PROTECTAGAINSTACGDENTAL CONTACTOF HOT SURFACES BY PERSONS..POOL HEATERSSHALLBE PROVIDED WITH
TEMPERATURE AND PRESSURE-RELIEF VALVES.FOR HEATERS NOT PROM DED WITH AN INTEGRAL BYPASS SYSTEM.A BYPA55 UNE SHALL BE
INSTALLED FROM INLET TO OUTLET TO ADJUST WATER FLOW THROUGH THE HEATER,POOL H EATERS SHALL BE PROVIDED WITH THE
FOLLOWING ENERGY CONSERVATION MEA51/RE5 h
a
art'(K a+a'tau y„dy k,nrv.P'1u"nuUsw'wM+m rt^n._ 16,1 AL LPOO HE TERS SHALL
BE EQUIPPED
LL BE PROVIDED A CN-OFF
HEATING UNTIE. °eli
161 ALL POOLHEATERS EQUIPPTADJUSIN IXHE THERMOSTTCHAT
MOUNTED FORE TO ALLOW5TOALLOW SHUTTING OFF THE
bwmYP NSIJaInIEF PILO LION OFTHE HEATER WITHOVTADJV$TNG THE iHERMOSTATSE7TINGAND TO ALLOW RESTARTING WITHOUT RELIGHTING THE #'
nTFZDI+"^titi �m PILOT DSWI C
:A 163 HEATED SWIMMING POOLS SHALL BE EOVIPPED WITH POOL COVFR(EXEM PIED FROM THIS RCf7lAREMENTARE OUTDOOR POOLS
DERIVING 20%OFTHE ENERGY FOR HEATING FROM REN EWA Bt.E SOURCES AS COMPVTED OVER AN OPERATING SEASON) (D
"' wmdY:X➢Px r'.km&0*fMa°Wx-- . 164 TIME a OCKS SHALL BE INSTALLED SO THE PUMP CAN BESETTO RUN DVRINGOFF-PEAK ELECTRICAL DEMAND PERIODSAND CAN BESET
PSI v Brn NC°--. TORUN THE MINIMUM TIME NECESSAKYTO MAINTAIN THE POOLWATERIN A CLEAN AND SANITARY CONDITION IAWAPPLIABLE
I¢b�X)Tm SANITARY CODE OF NEW YORKSTATE
d"Y LM 1 Y m
4✓ 17. TIi6 DRAWING IS FORSTRI/CTVRALSHELL ONLY.ALLACCESSCIRIESANDAPPVRTFNANCES ARE DEFINED BY OTHERS =
19, BACKFILL WITH CLEAN EARTH,FREEOFROOTSANDDEBRIS.DO NOTALLOW THE HEIGHT OF BACKFILL TO EXCEED THE HEIGHT OF THE W
WATER IN THE POOL BY MORETHAN fN,ORTHEWATERTO EXCEED BACKFILL BY MORE THAN B" F ,C
19. PLACE CONCRETE ON SANDY TO LOAM SOIL REMOVE ANY CLAY DEPOSITAND REPLACE W/COMPACTED CLEAN BACKFILL
V n,
,„„"^" »wpLcxyM1aXnT 2D..THERE IS NO MAIN DRAIN IN THIS POOL SUCTION FOR POOL WATER CIRCULATION IS PROVIDED BY THE SKIMMERS ONLY.THISMEEfS C1
REQUIREMENTS OF THE NYS RESIDENTIAL CODE-SECTION R32R Si FOR ENTFLAPMENT PROTECTION
PLUMBING SCHEMATIC J u
,m^,.,,•-••�W ZI. THE POOL.WAS DESIGNED IAW TLIE FOLLOWING:
N.T.S. WALL SECTION 21.1. THE NEWYORK STATE RESIDENTIAL CODE-SECTION RSN(2025)
212 T14ENEWYORK STATE ENERGY CONSERVATION CONSTRUCTION CODE-SECTION R4049(2025)
213 THE NEWYORK STATE FUEL GAS COPE(2025)
214. THENEWYOKK STATE SAN NARY CODE
215 ANSI/AP5P/ICC-5TTANDARD FOR READENIIALIN-GROVNDS'MMMWG POOL$ F'k"xDe,.„„" "�
21,6 BOCA CODE-SECTION 421.
21.7,CODE OF THE TOWN OFSOVTHOLP.
A R7 A
22. ALL BACKWASH TO BE SELF-CONTAINED ON-SITE W
UNNAMED STREET(RIGHT OF WAY)
220.00'
a EX. SHED
0
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fl0•t,W.1V111 wnwrax a
tl$I111LY DII!l1N, � ,�
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ll// gc ^t p
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_220.00'