HomeMy WebLinkAbout52937-Z QF�II�r 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#: 52937 Date: 05/01/2026
Permission is hereby granted to:
Jeremy Lamande
480 N Bayview Road Ext
Southold, NY 11971
To:
construct an accessory in-ground swimming pool as applied for.
Premises Located at:
480 N Bayview Road Ext, Southold, NY 11971
5CTM#78:9-41
Pursuant to application dated 04/21/2026 and approved by the Building Inspector.
To expire on 04/30/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400..00
Building Inspector
T [l " 8( I1THt LI --BUILDING DEPARTMENT
Al"N o
Tarn Hall Annex 54375 Main Road P. i�J►. Box 1179Southold,NY 11971-0959
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r Telephone (631) 765--1 02 Fax(631) 765-9502 � 4 .so li r
Date Received
APPLICATION
For office Use only
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PERMIT NO, Building Inspector':
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Applications 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: 4/15/202
OWNER(S)OF PROPERTY:
Name: v nsvn SCTM#1000-78.-9-41
Sara Le e
Project Address:480 North Bayview Road Extension
Phone#:917_751-5880 Email: aralmaher@gmail.com
Mailing Address:480 North Bay view Road Extension, Southold, NY 11971
CONTACT PERSON:
Name:Sara Levenson
MailingAddress:4 0 North Ba view Road Extension, Southold, NY 11971
S Bay
view
#:917-751-5880 Email:saralmaher@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Dina Ferraiuolo, PE
Mailing Address: 101 Garfield Place, Brooklyn, NY 11215
Phone#:917-998_306 0 Email:dinagdmfengineering.com
CON
TRACTOR
RACTO R INFOR
MATION:
Name: specht-Tacular Pools
Mailing Address: 255 Brookfield Avenue, center Moriches, NY 11934
Phone#: 631-596-3900 Email: Elkeb@specht-ta,cularpools.com
DESCRIPTION OF PROPOSED CONSTRUCTION
Addition FlAlteration F�Pe air ❑Demolition Estimated Cost of Project:
❑Neuv Structure ❑ p
67,000
❑other �"e"in round pool
Rig
Will the lot be re-graded?
Yes ❑NoWill excess fill be removed from premises? DYes A No
PROPERTY INFORMATION
Existing use of property:residential Intended use of property:residential
Existing
Zone or use district in which premises is situated-, Are there any covenants and restrictions with respect to
R_40 this property? FlYes ®No IF YES., PROVIDE A COPY.
R Check Box After Read i ng: The owner/contractor d esign professional is responsible for a I I d ra i nage 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 210.4S of the New York State Penal Law.
k,r +
Application Submitted By(print mp); AAuthorized Agent E]Owner
A
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
I r being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing C,,ntract)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
7 At AL*1,
day of 20 42.-
Notary Public
CHRISTINA DIANNE PARISE
PROPERTY OWNER AUTHORIZATION FN(ffTARY PURL1( STATE OF NEW YOR''
I Registration No.O1PA6415578
(Where the applicant is not the owner) Qualified in SU I gn,,j '' I
My Commission Expires 2
L
10, 1
I, „ Y'CJI. v re sid i ng at gcea,
do hereby authorize I ), to apply on
my behalf to theU, of Southold Building Department for approval as described herein.
e 0 of Southold
151 Owne,the
Date
Sara Levenson
Print Owner's Name
2
ley
143 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
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° Town Hall Annex - 54375 Main Road - PO Box 1179
ti
Southold, New York 11971-0959
,. ��� Telephone (631) 765-1802
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APPLICATION FOR ELECTRICAL INSPECTION
----------------------------------------------
ELECTRICIAN INFORMATION (All Information a uired) Date:
Company Name
[Electrician's Names ID
c ,
tref e
License No.: Elec. email. M
Elec. Phone No: I request an email copy of Cer lfic e, of Compliance
f��
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
Address:
Crass Street:
Phone No.: 1 - -- "
W
Bldg.Permlt#: email:
M
Tax Map District: 1000 Sections Block: Lot:................................
ONNNNNOMM" Vill IF IN M
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
W� (e Pool
Sq ,;are Footage
Circle All That Apply:
Is job ready for inspection?: YES [:XNO Rough In E:1 Final
Do you need a Temp Certificate? YES NO Issued On
..................................
Temp Information: (All information required)
Service Size 1 Ph -1
L.J 3 Ph Size: A # Meters Old Meter#
[:]New Service❑Fire Reconnect F ]Flood Reconnect Oservice Reconnect Flunder round Doverhead
Underground Laterals LILL] LWJ2r I H Frame Pole Work done on Service? Y N
Additl''onal Information.:,
PAYMENT DUE WITH APPLICATION
7
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MAP OF BAYSIDE TERRACE
LOT 19
LOT IS
IN 26008130 E
194. 76
----------------
PROPOSED FENCE
(TYP)
Vi
z _ ,
— PROPOSED IN GROUND c4-
SWIMMING POOL. SEE Of DWG. NO. C-102.00 FOR INEF
POOL DETAILS E F
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0 C.4
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BOA 096014
R°FESSIoNP
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20.0' 16.0'
480 North Bayview Road Ext
SOUTHOLD, NY 11971
No. Revisions Date
O
0.0' MIN.
APPROXIMATE LOCATION OF
• PROPOSED EQUIPMENT PAD
ISSUED FOR:
Pool Site Plan Filing
M:
DATE:
April 15, 2026
DRAWING TITLE:
Site Plan
25* RIGHT OF WAY INGRESS AND EGRESS
UBER 5776 PAGE 424
DRAWING NO.:
S 23033 40 W 217. 57
C� i 01 woo
Private Road 21
LAND NOW OR FORMERLY OF NOSKEMCZ
25' RIGHT OF WAY INGRESS AND EGRESS PROJECT NO.: SARA
LIBER 5776 PAGE 427
DRAWN BY: DMF
SHEET 1 OF 2
NOTES
1 . NO SOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE SHALLOW END, OR 6 FEET OF
EXCAVATION AT THE DEEP END.
2. THIS POOL MEETS THE REQUIREMENTS OF ANSI/APSP/ICC-5 "AMERICAN NATIONAL STANDARD FOR
RESIDENTIAL INGROUND SWIMMING POOLS" AND 1998 BOCA CODE-SECTION 421 . DIVING EQUIPMENT IS
NOT ALLOWED.
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p i
�,�ys
3. SWIMMING POOL SHALL BE COMPLETELY AND CONTINUOUSLY SURROUNDED WITH A BARRIER CONSTRUCTED
IAW REQUIREMENTS OF SECTION R328.4.2. 1 THROUGH R328.4.2.9 OF THE NEW YORK STATE RESIDENTIAL
r <,
CODE (2025) AND IN CONFORMITY WITH ALL SECTIONS OF THE SOUTHOLD TOWN CODE. DWELLING ~ # n k# rr h '
WALL(S) MAY SERVE AS PART OF THE POOL BARRIER AS PER SECTION R328.4.2.8 AND CONDITION (7)
ARE MET. OPERABLE WINDOWS IN THE WALL(S) USED AS A BARRIER SHALL HAVE A SELF-LATCHING
DEVICE. ACCESS GATES SHALL COMPLY WITH SECTION R328.4.7 OF THE NYS RESIDENTIAL CODE (2025)
AND BE SELF-CLOSING, SELF-LATCHING AND BE SECURELY LOCKED WHEN POOL IS NOT IN USE OR
SUPERVISED. ALL GATES ARE TO OPEN AWAY FROM THE POOL AREA.
4. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECT A TEMPORARY BARRIER AROUND THE EXCAVATION SUCTION SUCTION
IAW THE CODE OF THE TOWN OF SOUTHOLD.
5. POOL MUST BE EQUIPPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING ENTRY INTO THE BENCH
WATER AND SOUNDING AN AUDIBLE ALARM UPON DETECTION THAT IS AUDIBLE AT POOLSIDE AND INSIDE HEATER
THE DWELLING. THE ALARM MUST BE INSTALLED, MAINTAINED AND USED IN ACCORDANCE WITH THE
MANUFACTURERS INSTRUCTIONS. THE ALARM MUST MEET ASTM F2208 "STANDARD SPECIFICATION FOR STEPS
POOL ALARMS." THE DEVICE MUST OPERATE INDEPENDENT (NOT ATTACHED TO OR DEPENDENT ON) OF
PERSONS. PROPOSED VINYL PUMP
CDSWIMMING POOL
6. POOL SUCTION FITTINGS (EXCEPT FOR SURFACE SKIMMERS) MUST BE PROVIDED WITH A COVER THAT CD z
CONFORMS TO ANSI/APSP/ICC 16 OR A. MINIMUM 18" X 23" DRAIN GRATE OR A 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 DUAL MAIN DRAINS WITH STRAINER
RELIEF SYSTEMS SHALL CONFORMI WITH ASME Al 12. 19. 17 OR BE A GRAVITY SYSTEM APPROVED BY THE (VGB SAFETY AFT APPROVED DRAINS)
TOWN OF SOUTHOLD. POOL SHALL 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 FILTER
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 RETURN T
RETURN
IN AN 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 RELIEF SYSTEM SHALL BE INSTALLED AS PER NYS RESIDENTIAL CODE R328 32.0'
(2025) AND IN ACCORDANCE WITH TOWN CODE.
7. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70 (NEC) PRINCIPALLY ARTICLE POOL PLAN
680 AND THE NYS RESIDENTIAL CODE SECTIONS 4201 THROUGH 4209. ALL ELECTRICAL DEVICES MUST SCALE: 1 "=5'
BE APPROVED BY UNDERWRITERS LABORATORIES AND BE PROTECTED BY A GROUND FAULT CURRENT
INTERRUPTER (GFCI) CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE PROVIDING POWER OF NEW
TO POOL LIGHTING, AND POOL EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF E4203. ALL P�� a\E FE
IT yo
METAL ENCLOSURES, FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY *c, P
BECOME ELECTRICALLY CHARGED DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY 32.0
GROUNDED.
_
8. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS m �
PLUMBING CODE 608. o �96014���t�,'�a
9. ALL PIPING IS DIAGRAMMATIC UNLESS OTHERWISE STATED. co Ess10
10. WALKS IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM POOL EDGE. In
11 . A MEANS OF EGRESS FOR DEEP AND SHALLOW ENDS MUST BE PROVIDED IAW ANSI/APSP/ICC-5 SECTION
6.
12. CONTRACTOR TO PLACE THE POOL IAW TOWN OF SOUTHOLD CODE SETBACKS. 11 .0' .5' 7.5' 4.0'
13. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY. POOL PROFILE
14. THE DESIGN IS BASED ON A DRAINAGE SOIL WITH < 10% SILT. GROUND WATER SHALL NOT EXIST WITHIN SCALE: 1 "=5' 480 North Bayview Road Ext
THE EXCAVATION. IF GROUND WATER EXISTS WITHIN 6'-0" FROM GRADE, DEWATERING FACILITIES WILL BE
SOUTHOLD, NY 11971
REQUIRED.
15. ALL GAS AND OIL HEATERS (IF I1\�STALLED) FOR THE INGROUND SWIMMING POOL SHALL BE NATIONAL No. Revisions Date
APPLIANCE ENERGY CONSERVATIOIN 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 SUJRFACES BY PERSONS. POOL HEATERS SHALL BE PROVIDED WITH
TEMPERATURE AND PRESSURE-RELIEF VALVES. FOR HEATERS NOT PROVIDED WITH AN INTEGRAL BYPASS
SYSTEM, A BYPASS LINE SHALL BE INSTALLED FROM INLET TO OUTLET TO ADJUST WATER FLOW THROUGH
THE HEATER. POOL HEATERS SHALL BE PROVIDED WITH THE FOLLOWING ENERGY CONSERVATION
MEASURES:
15. 1 . AT LEAST ONE THERMOSTAT SHALL BE PROVIDED FOR EACH HEATING SYSTEM.
15.2. 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 RESETTING THE PILOT LIGHT.
15.3. HEATED SWIMMING POOLS SHALL BE EQUIPPED WITH A POOL COVER (EXEMPTED FROM THIS COPING AND WALKWAY
REQUIREMENT ARE OUTDOOR POOLS DERIVING 60% OF THE ENERGY FOR HEATING FROM RENEWABLE BY OTHERS RADE
( ) ISSUED FOR:
SOURCES AS COMPUTED OVEIR AN OPERATING SEASON). FILTER
15.4. TIME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK 2" TO WASTE PUMP HEATER Pool Site Plan Filing
ELECTRICAL DEMAND PERIODS AND CAN BE SET TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN WATER LINE
THE POOL WATER IN A CLEAN AND SANITARY CONDITION IAW APPLICABLE SANITARY CODE OF NEW - -
YORK STATE. '
AND APPURTENANCES ARE DEFINED °. 2-2„ -III:-1 I t^ DATE:
16. THIS DRAWING IS FOR STRUCTURAL SHELL ONLY. ALL ACCESSORIES AUTO
BY S. 10" � (-=I � I=� SKIMMER
17. BACKFILL RWITH CLEAN EARTH, FREE OF ROOTS AND DEBRIS. DO NOT ALLOW THE HEIGHT OF BACKFILL TO >1III:=I PENTAIR AUTOMATION, April 15, 2026
EXCEED THE HEIGHT OF THE WATER IN THE POOL BY MORE THAN 8", OR THE WATER TO EXCEED LED LIGHTS, FILTRATION, Pool
_ 140k ELECTRIC HEATER
BACKFILL BY MORE THAN 8".
3,500 PSI POURED a III:T
18. PLACE CONCRETE ON SANDY TO LOAM SOIL. REMOVE ANY CLAY DEPOSIT AND REPLACE W/ COMPACTED CONCRETE O I (-
BACK TO DRAWING TITLE:
CLEAN
19. THERE BACKFILL.MAIN DRAIN IN THIS POOL. SUCTION FOR POOL WATER CIRCULATION IS PROVIDED BY THE 3/8" REBAR (TYP) POOL
a a ° _
S NO
(�I
SKIMMERS ONLY. THIS MEETS REQUIREMENTS OF THE NYS RESIDENTIAL CODE VINYL LINER SECTION R328.5. 1 FOR ( I= OPTIONAL DUAL MAIN Notes and Details
ENTRAPMENT PROTECTION. 2" TO 4" SAND a I DRAIN WITH HYDROSTATIC
20. THE POOL WAS DESIGNED IAW THE FOLLOWING: > ° VALVE AND COLLECTOR
TUBE IN GRAVEL BASE
20. 1 . THE NEW YORK STATE RESIDENTIAL CODE - SECTION R328 (2025) PIPING SCHEMATIC
20.2. THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE - SECTION R404.9 (2025)
20.3. THE NEW YORK STATE FUEL GAS CODE (2025)
20.4. THE NEW YORK STATE SANITARY CODE
�!� ( �`�� ��� -� (-� UNIDISTURBED EARTH DRAWING NO.:
20.5. ANSI/APSP/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS VERTICAL 3/8"
20.6. BOCA CODE - SECTION 421 REBAR T 3' O.C.
(NOT SHOWN) WALL DETAIL
20.7. CODE OF THE TOWN OF SOUTHOLD SCALE: N.T.S. C� l 02000
21 . ALL BACKWASH TO BE SELF-CONITAINED ON-SITE.
PROJECT NO.: SARA
DRAWN BY: DMF
SHEET 2 OF 2