HomeMy WebLinkAbout52918-Z � �d 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#: 52918 Date: 04/28/2026
Permission is hereby granted to:
Goed Intent LLC
58 South Path
Calverton, NY 11933
To:
construct an accessory in-ground swimming pool as applied for.
Premises Located at:
1135 Wildberry Ln, Southold, NY 11971
5CTM#51:3-12.15
Pursuant to application dated 04/20/2026 and approved by the Building Inspector.
To expire on 04/27/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total S400.00
Building Inspector
»'
TOWN OF SOUT'HOLD BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. C}. Box 1179 Southold, NY 11971-0959
b,°f Telephone (631) 765-1802 Fax (631) 7 5-95 02 lift '` w. o o v
" M 41y,
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only If
PERMIT NO Building Inspector: ma_A.
m
Applications and forms must he filled,,,out in them ent'rot r.�rtcor r i
ape p i i+ t c ns nrii l �t h accepted. wN wer+e h+ p l,ca�rrt is:na�t .owner,an
Owners Authorization f6r,en(ft s aid b6'c M 1'9to+d�
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Date. �-
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OWN ER(S)OF,P c PE r :
1 Nam SC TM #�.00o- �--• -- l
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Project Address: t
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Phone#:M t
Email:
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a"ling Address
..............................
CONTACT PERSON
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Mailing Add'ress. 14Z
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ailing Address- AO� oy�kt�l)Y�7�
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CONTRACTOR INFORMATION:
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Mail�ling Address,
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Phone
Email-.
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DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Ake ration ❑Repair. ❑demolition Esti�� � �e�d Cost o el
t er e -Lt, M,................. �f� L hlZa,� u iojD
$el,
611 the lot be re grade s, will excess fill removed from premises? ❑Yes No
.PF OPE TY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covena is and restrictions with respect to
this property? ❑Yes 4 IF YES, PROVIDE A COPY.
� ox After Reading. T'he Winer/tone c�r�"�h��r�err #+������r��s e6`0 �fi�►�a!�� and storm water Issuer as p�rvwv�id�d�ryr
r 2,3�6 of the Town Code. 'f�l ICJRl`lol�15,HEREBY' Atw o he Building'f� ►artrrrnent for the issuance of.a Building Permit pursuant to tl Buildintg zone
Ordinance of the Town of Southold,Suffolk,County,New York and her appl cable Laws,+ r+Jinwances or RegulationsJor the tons r+uMlon of buildings,
additlon4 alterations or for rem vaal or demolition as herein descriW.The.,ap'lic t agrees to comprlyr with;all a.pprlieable laws,ordIn n+ce,'buildm code,
housiM code and regulations and to admit authorized inspe;tors on preMisesand in���Idi�s}�F�ar r��essarr'in�perwta"�rins.Fail a stateme s made herein are
ptini h4ble as a Clams J i cci+ rn.e w c r pursuant to Senorn 210A of this Idev�r + t �ate, anal W+r.
of ephen Cubells
Application Submitted � e *
CAuthorized Agent ®Owner
Signature of p ii date: 4/13/2026
y�.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK
Stephen Cubells
°being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
i I She IS the
Owner� j
(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
13 Apri JIL
l 26 A0KLday of 20
otary Public ' err
STATE
�0 4 Glr�",NEWYO � :.
PROPERTY OWNER AUTHORIZATION
iif in Suffolk �1
(Where the applicant is not the owner) �
40
01DY6355279
1, residing at 41
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print owner's Name
2
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LOT NBUMBER 10
W OFMM (Oil MMSONS) SHOWN WMM FR41A 1HE STRU+IURIEs TO THE u
PROPERIY LINES ARE F'OR,.A SPECIFIC PUS AR AM USE AND THEREFORE E N lm
UT JOB No. 25--156 FILE No. WILDBERRY FIELDS
IWEWED T+0 GUME,THE ERECnCW CIF:FENCE% RETAININOt WALLS, POOLS, PAWS,
PWMNO'� "TO M �rrr �rRe�cnoN.
SUR F+OR
UNA MORIZSD A llll'ION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION LOT NUMBER 9
7209 OF THE NEW YOW STATE EDUCATION IAW.
MAP OF WILDBERRY FIELDS
GUAMIUM INUCA M HEIMM %MI,.L RUN ONLY 70 THE PEEN WHOM 7HE
§U�IS � °i O HIS a �T lU � , PAW. GOWWMENTAL SITUATED AT` SCUTHOLD
I,+f3EI+tCY-AM -NO I AN'0 T '°THE•ASSi "
UDONQ IN rrMON,GUAI M7M AM NOT TRANSFBME TO ADDITION&Wgn=ONs
as'sUl�sEouLwrrr OWNERS. "YAWN OF SOUTH 0 LD, S U FFO LK COUNTY, N.Y.
Es OF THIS � s OS NKM SE& SCALE 1" = 409 DATE 1--5--�2026
� e � � L� uwV�"`rr�►R OR
EN00SSW SM SK41. NOT BE CONSIDOUD.71) BE A VALID-TRUE COPY.
-FILED MAP No. 10541 DATE 6--21--2001
CERTIFIED ONLYT,70ll
e -l "
� TAX MAP No. 1000--51---3--12.15 DISK 202,E
f " mmv HA ROLD F. T RA NCHCN J R. P.C.
IWUP
" LAND S U RV EY O R
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0.0. BOX 615
ro . 1866 WADING RIVER—MANOR NOR D I M R . WADING NG RIVER,
I Oro
NEW YORE 1T792
�° " 0 � � � �� LIC. No. 048992
631�--9 9-�-4695
HA RO LD F. T R: ��_� N. LCC. No. 2115E
�INS
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NOTES
1. NO SOIL SURCHARGE PERMITTED WITHIN 4 FEETOFEXCAVATIONATTHE SHALLOW END,OR 6 FEETOF EXCAVATION ATTHE DEEP END.
2. THIS POOL MEETS THE REQUIREMENTS OF ANSVAPSP/ICC-5 AMERICAN NATIONAL STANDARD FORRESIDENTIALINGROVND SWIMMING 1n
1D• 3b' tD' POOIS'AND 1996 BOCA CODE-SECTION 421.DIVING EQUIPMENT 15 NOTALLOWED. O
3. SWIMMING POOL SHALL BE COMPLETELY AND CONTINUOUSLY SURROUNDED WITH A BARRIER CONSTRUCTED LAW REQUIREMENTS OF
b SECTION R32842.1 THROUGH R326A29 OF THE NEW YORK STATE RESIDENTIAL CODE(2025)AND IN CONFOILM17Y WITH ALL SECTIONS d
OF THE SOUTHOLD TOWN CODE DWELLING WALL(5)MAY SERVE AS PARTOFTHE POOL BARRIERAS PER SECTION R328.4.28 AND -M
CONDITION(1)ARE MET.OPERABLE WINDOWS IN THE WALLLS)USED ASA BARRIER SHALL HAVEA SELF LATCHING DEVICE ACCESS GATE cO
SHALL.COMPLY WITH SECTION ME1.4.7 OF THE NYS RESIDENTIALCODE(2025)AND BE SELFCLOSING.SELF LATCHING AND BE SECURELY vv11
LOCKED WHEN POOL 15 NOT IN ICE OR SUPERVISED.ALL GATESARE TO OPEN AWAY FROM THE POOLAREA.A . J
r�z
4. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECFA TEMPORARY BARRIER ARDUND THE EXCAVATION IAW THE CODE OFTHE O
s•-e• e•-0' TOWN OF SOUTHOLD. 0 y0
TOO Fvo 5. POOL MUST BE EQUIPPED WITH AN APPROVED POOLAIARM CAPABLE OF DETECTING ENTRY INTO THE WATERAND SOUNDING AN �J 3
AUJDIBLEALARM UPON DETECTION THATIS AUDIBLEAT POOLSIDEAND INSIDE THE DWELLING.THEALARM MUST BE INSTALLED, v
MAINTAINED AND USED IN ACCORDANCE WITH THE MANUFACTURERS INSTRUCTIONS.THE ALARM MVSTMEETASTM MOB Z QZ
STANDARD SPECIFICATION FOR PODLAIARM5.THE DEVICEMUSTOPERATE INDEPENDENT(NOTATTACHED TO OR DEDENDENTON)OF x F�c
PERSONS. v p
6. POOLSUCTION FlTTINGS(FXCEPT FORSVRFACE SKIMMERS)MVST BE PROVIDED WITH ACOVERTHATCONFORMSiD ANSI/APSP/ICC 16 OR >
c AMINIMUM I8'R23'DRAIN GRATEORA CHANNEL DRAIN SYSTEM.POOLCIRCVIATION SYSTEM MVSTBEEQUIPPED WITH ATMOSPHERIC ��
VACUUM RELIEF IN THE EVENTTHE GRATE COVERS LOCATED WITHIN THE POOL BECOME MISSING OR BROKEN.SVCHVACVUMRELIEF V�
SYSTEMS SHALL CONFORM WITH A5MEAII119.17OR BEA GRAVITYSYSTEM APPROVED BY THE TOWN OFSOVTHOLD.POOL SHALL BE
PLAN PROVIDED WITH A MINIMUM OF2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE THE SUCTION FITTINGS SHALL BE SEPARATED BYA
B MINIMUM OF3'AND ML57 BE PIPED SUCH THAT WATER 15 DRAWN THROUGH THEM 51MVLTANEOVSLY THROUGH A VACUUM
N.TS. RELIEF-PAOTECTED LINE TO THE PUMP(OP.PUMPS)VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN AN ACCE551BLE POSITION,
MINIMUM OF6'AND NO GREATER THAN 12'BELOW THE MINIMUM OPERATIONAL WATER LEVELOR BEAN ATTACHMENTTO THE
SKIMMER/SKIMMERS A REQUIRED POOLATMOSPHERIC VACUUM REUEFSYSTEM SHALL BE INSTALLEDAS PER NYS RESIDENTIAL CODE RM
�6•VINYICOYERED 51Ev1 (2025)AND IN ACCORDANCE WITH TOWN CODE
7. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEU PRINCIPALLY ARTICLE 680 AND THE NYS
RESIDENTIAL CODE SECTIONS 4201 THROUGH 4209.ALL ELECTRICAL DEVICE MUST REAPPROVED BY UNDERWRITERS LABORATORIES AND
BE PROTECTED BVAGROUND FAULTCURRENTINTERRUPTER(GF@CURRENTCAILA 0.ECTRICAL CONDUCTORS EXCEPT FORTHOSE
PROVIDING POWER TO POOL LIGHTING AND POOL EQUIPMENTSHALLMEETTHE SEPARATION REQUIREMENTS OF E4203.ALL METAL
ENCLOSURE,FENCES OR RAILINGS NEAR ORADJACENTTO THE SWIMMING POOL THATMAY BECOME ELECTRICALLY CHARGED DUE TO
2'TOl•SAND BOTTOM V
CONTACT WHli AN ELECTRICAL CIRCUIT SHALL BE EFFECi1VELYGROUNDED. J
J
8, WATER SOURCE FILLING THE POOL SHALL BE EQUIPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING CODE 608. u�
SECTION 9. ALL PIPING IS DIAGRAMMA71CVNLESSOTHERWI5ESTATED. 3�
N.T.S. 10. WALKS IF PROVIDED SHALL BE NONSLIPAND SLOPEAWAY FROM POOLEDGE
wATFR LINE TOP of Alw 11. A MEANS OF EGRESS FOR DEEP AND SHALLOW ENDS MUST BE PROVIDE[) AN5VAP5P/ICC-5 SECTION 6. 1/1 D IA v o
12, CONTRACTOR TO PLACE THE POOL IAW MAIN OF SOUTHOLD CODE SMACKS. AL Q Q M M O
13. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY. C �-
9
15. THE DESIGN 15 BASED ON A DRAINAGE SOIL WITH-10'SILT.GROUNDWATERSHALL NOT EXIST WITHIN THE EXCAVATION.IFGROUND
WATER E%ISTS NITHIN 6'-0'FRQN GRADE,DEWATERING FACILHIES WILL BE REQUIRED.
16. ALL GAS AND OIL HEATERS(IF INSTALLED)FOR THE INGROVND SWIMMING POOL SHALL BE NATIONALAPPLIANCE ENERGY
SECTION B CONSERVATION ACT(NAECA)COMPLIANT.POOL HEATERS SHALL BE TESTED IAWANSI Z21.56 AND SHALL BE INSTALLED IAW (\ _
MANUFACTURERS SPECIFICATIONS.OILFIRED POOL HEATERS SHALL BE TESTED IAW VL726.POOL HEATERS SHALL BE LOCATED OR \Xv
N.TS. GUARDED TO PRO TECTAGAINSTACCIDFNTALCONTACTOFHOT5VRFACEBYPEPMNS.POOL HEATERS SHALL BE PROVIDED WITH
TEMPERATURE AND PRESSURE-RELIEF VALVES.FOR HEATERS NOT PROVIDED WITH AN INTEGRAL BYPASS SYSTEM.ABYPA55UNESHALLBE
INSTALLED FROM INLET TO OURETTOADJU ST WATER FLOW THROUGH THE HEATER POOL HEATERS SHALL BE PROVIDED WITH THE
FOLLOWING ENERGY CONSERVATION MEASURES,
CH a
EOcvuvE 16.7 AT THERMOSTATSHALL BE PROVIDED FOR EACH HEATINGSVSTEM.
fAY
C,OTHEVP wuRWAY 1O'2,-2• 162 ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFFTHE , • 7
RUMP FROM T O, WATER.
GRADE OPERATIONOFTHE HEATER WITHOUTADJVSTING THE THERMOSTATSETH ELI NG AND TO ALLOW RESTARTING WITHOUTRGHTINGTHE Q� \
WATER. uE PILOT LIGHT. fC H
165 HEATED SWIMMING POOLS SHALL BE EQUI PPED WITH A POOL COVER(EXEMPTED FROMTHIS REQVIREMENTAREOUTDOOR POOLS
TDDR DTWS� VND1 m TM �� - DERIVING 201 OF THE ENERGY FOR HEATING FROM RENEWABLE SOURCES AS COMPUTED OVER AN O PERATING SEASON) igm a
16.4 CLOCKS SHALL CLO SHALL BE INSTALLED 50 THE PUMP CAN BESEFTO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODSAND CAN BESET
�. TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER IN A CLEAN AND SANITARY CONDITION IAWAPPLICABLE ¢ $
s/s•RERM rye' SANITARY CODE OF NEW YORK STATE.
O C Z m® m
VAtvE� 3.'•DD PB POURED • • g r7
mNam 17. THIS DRAWING 15 FOR STRUCTURAL SHELL ONLY.ALLACCESSONES AND APPURTENANCES ARE DEFINED BY OTHERS. =E c
V IJNER !� o o
rroa•vwD 18. BACKFILL WITH CLEAN EARTH,FREE OF ROOTS AND DEBRIS.DO NOTALLOW THE HEIGHTOF BACKFILL TO EXCEED THE HEIGHTOF THE W ?
M m WATER IN THE POOL BY MORE THAN B',OR THE WATER TO EXCEED BACKFlLL BY MORE THAN e'
Q w
19. PLACE CONCRETE ON SANDY TO LOAM SOIL REMOVEANY CLAY DEPOSITAND REPLACE W/COMPACTED CLEAN BACKFILL d
L
TO RETDRNI 20.THERE 15 NO MAIN DRAIN IN THIS POOL SUCTION FOR POOL WATER CIRCULATION 15 PROVIDED BY THE SKIMMERS ONLY.THIS MEETS C�
REQUIREMENTS OF THE NYS RESIDENTIAL CODE-SECTION P328.5.1 FOR ENTRAPMENT PROTECTION. �Q
aaxvuvB � V
PLUMBING SCHEMATIC 21. THE POOL WAS DESIGNED IAW THE FOLLOWING:
N.r.s. WALL SECTION 21.1. THE NEW YORK STATE RESIDENTIAL CODE-SECTION RM(2D25) � Ni
212 THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE-SECTION R404.9(2025)
N.T.S. 21.3. TIHE NEW YORKSTAIE FUEL GAS CODE(2025) o`.
21.4. THE NEW YORK STATESANITARY CODE J
21.S. ANSUAPSP/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS.
21.6. BOCA CODE-SECTION 421. {
co
21.7. CODE OF THE TOWN OF SOUTHOLD.
22. ALL BACKWASH TO BE SELF-CONTAINED ON-SIT V m E
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