HomeMy WebLinkAbout53149-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#: 53149 Date: 07/27/2026
Permission is hereby granted to:
Mellas Fmly 2006 Irrv►Trt
PO BOX 1779
Southold, NY 11971
To:
Construct an inground swimming pool accessory to an existing single-family dwelling as applied for
Pool and pool equipment require a minimum setback of 10feet.
Premises Located at:
280 Clearview Ave, Southold, NY 11971
SCTM#70.-8-43
Pursuant to application dated 07/07/2026 and approved by the Building inspector.
To expire on 07/26/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total 400.00
Building Inspector
_ DEPARTMENT
, T[l 'V1T ��" (��CTT�-IC�LT.� .�IT�Lh►I�+�
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
` Telephone 631 7+65-1 02 Fax (631) 7 5-95 ►2_ l 'l -//www.southoldta �,,t i�v,,,,
t
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only &VON" 19
4q
PERMIT No. Building Inspector:
i
Applications and farms must be filled out in their entirety.Incomplete JUL 2026
applications will not be accepted. Where the Applicant is not the owner,an
Ownees Authorization form(Page 2)shall be completed. Buildingrown of ,a a en
''� '� 1�1
Date:June 29, 22E�
Scwutho
OWNER(S)OF PROPERTY: "low hhof"
m
Name. SCTM #1000-
Magdelen�l ormu �
Project Address:280 clear view Avenue Southold NY 11971
Phone#:7187550786 Email:nycgirl2l6@gmaii.com
Mailing Address:280 clearview Ave Southold NY 11971
CONTACT PERSON:
Name:I o
Mailing Address: A. .................................
Phone#: 4+
,.-. Email
DESIGN PROFESSIONAL INFORMATION:
,w. R
Name: ,.__ 2............... �`
n"CA
Mailing Address.-, Lo
Phone#: Email �11 I I
n4+7
CONTRACTOR INFORMATION:
Name:
via
Mailing Address41�
,
47
a
Phone#: . , Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
New structure ❑Addition C]Altra,ron° � Estimated C
alD
00- - I
❑Re lr ❑D►emolitior� Esti
t e r
vv --
ill the lot be re-graded? C]Yes No Will excess fill be removed from premises? Yes ❑No
1
------------
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenai S i,''ts andd, restrictims with respect to
I' V' f f , ' VOPY'.
this property? F-1Yes f F YES PROIDE A C
Aom�wwwowo ..................................
Check Box After Reading: The owner/contractor/design professional Is responsible for afl��and storm water issues as provided by
''pter 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
Ordlib,:anre of the Town of Southold,Suffolk,County,New York and other applicable Lawso.Ordinances or Regulations,,for the construction of buildings,
add Ions,alterations or for removal or demolition as herein descrlbed�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.
Kormusis
Application Submitted By(print n-mi , 0Authorized Agent Owner
F f/
Date: 6/29/26
A
0
Signature of Applicant:
(jAL1F1E1D IN a
S(jpr,�,0j.K CokjNTY
MOM,
STATE OF NEW YORK) CO NIA,
SS:
-.P U13
COUNTYOF P
01,F N
If ik,
uly sworn,deposes and says that (s)he is the applicant
...........ji,
(Name of incllzmt I si gning 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.
A
Sworn before me this
ay of
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
Magdelena Kormusis residi ng at 280 Clearview Avenue Southold NY 11971
do hereby authorize "to apply on
my behalf to he Town of Southold Building Department for approval as described herein.
6/29/2026
Owner's Signature Date
Magdelena Kormusis
Print Owner's Name
2
........... .............-.1......................... ---------------------
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• DATE SURVEYED-01/15/2026
400 No.S25-5970
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NOTES
I. No 50IL5URCHAPGE PERMITTED WITHIN 4 FEET OF EXCAVATIONATTHE SHALLOW END,OR6 FEET OF EXCAVATION AT THE DEEP END.
2• THIS POOL MEETS THE REQUIREMENTS OFANSI/APSP/ICC-5-AMERICANNATIONALSTANDARDFOP.RESIDENTIAL INGROUNDSWIMMING
10' 40' 10, POOL5'AND 1996 BOCA CODE-SECION 421.DIVING EQUIPMENT 15 NOT ALLOWED.
5. SWIMMING POOL SHALL BE COMPLETELYAND CONTINUOUSLY SURROUNDED WITH A BARRIER CONSTRUCTED LAW REQUIREMENTS OF Q
b SECTION R326.4.2-1 THROUGH 9326.419 OF THE NEW YORK5TATE RERPENTiALCOPE(2025)AND IN CONFORMITY WITH ALL SECTIONS
OF THE SOUTHOLD TOWN CODE DWELLING WALL(S)MAY 5ERVE AS PART OF THE POOL BARRIER AS PER SECTION R328A.2.8 AND
b CONDITION(1)ARE MET.OPERABLE WINDOWS IN THE WALL(S)USED AS A BARRIER SHALL HAVE A SELF LATCHING DEVICE ACCE55 GATES oQf
SHALL COMPLY WITH SECTIONR328.4.7OFTHENYSRESIDENTIALCODE(2025)ANDBESELFCLOSING,SELFLATCHINGANDBESECURELY N
A LOCKED WHEN POOL IS NOT IN L15E OK5UPERVISED.ALL GATES ARE TO OPEN AWAY FROM THE POOL AREA. -j CO
4. DURING CONSTRUCnON THE CONTRACTOR SHALL ERECTA TEMPORARY BARRiERAROVND THE EXCAVATION LAW THE CODE OFTHE O
TOWN OF SOUTHOLD. �
IZ 0
H2O ' 5. POOL MUST BE EQUIPPED WITH AN APPROVED POOLALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AND SOUNDING AN V v
W
AUDIBLE ALARM UPON DETECTION THAT 15 AUDIBLE ATPOOLSIDE AND INSIDE THE DWENG.THE ALARM MUST BE INSTALLED, z QZ
MAINTAINEDAND USED IN ACCORDANCE WITH THE MANVFACTURERS INSTRUCTIONS.THEALARM MVSTMEETA5TM P-208 Ln
'STANDARD SPECIFICATION FOPOOLALARMS.THE DEVICE �/ ry
P,
PERSONS. C v a
° 6, POOL SUCTION FITTINGS(EXCEPT FOR SURFACE SKIMMERS)MUST BE PROVIDED WITH A COVER THAT CONFORMS TOANSI/APSP/ICC 16 OR
G A MINIMUM 18"x 3'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 RELIEF V1 It C9
PLAN SYSTEMS SHALL CONFORM WITH ASME A112.19.17 OR BEA GRAVITY5Y5TEM APPROVED BY THE TOWN OF SOUTHOLD. POOL5HALLBE
PROVI PEP WITH A MINIMUM OF2 SUCTION FrMNGSOF THE ABOVE MENTIONED TYPE.THE SUCTION FITTINGS SHALL BESEPARATEDBYA
g MINIMUM OF 3'AND MUST BE PIPED SUCH THAT WATER IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM
N.T.S. RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS)VACUUM/PRE55VRE CLEANING FITTINGS SHALL BE IN AN ACCF551BLE POSITION,
MINIMUM OF 6"AND NO GREATER THAN 12'BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BEAN ATTACHMENT TO THE
SKIMMER/SKIMMERS.A REQUIRED POOL ATMOSPHERIC VACUUM RELIEF SYSTEM SHALL BE INSTALLED AS PER NYS RESIDENTIAL CODE R328
is'VlnmCOVERED 5TEP5 (2025)AND IN ACCORDANCE WITH TOWN CODE
7. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC)PRINCIPALLYARTICLE680 AND THE NYS V
RESIDENTIAL CODE SECTIONS 42D1 THROUGH 4209.ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES AND u
BE PROTECTED BY A GROUND FAULT CURRENT INTERRUPTER(GFCU CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE
PROVIDING POWER TO POOL LIGHTINGAND POOL EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF E4203.ALL METAL -�
A ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED DUE TO N
2'TO Q'$AND BOTTOM ;, CONTACT WITH AN ELECTRICAL CIRCUITSHALL BE EFFECTIVELY GROUNDED. aJ
cz
R/
DEVICE LAW NYS PLUMBING CODE 608.
S. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPED WITH A BACKFLOW PROTECTION 3
v
SECTION A 9. ALL PIPING 15 DIAGRAMMATIC UNLESS OTHERWISE STATED. Q
N.T.S. 10. WALKS IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM POOL EDGE. 0 Z
WATER LINE TOP OF WALL 11. A MEANS OF EGRE55 FOR DEEP AND SHALLOW ENDS MUST BE PROVIDED LAW ANSI/APSP/ICC-5 SECTION 6. v w 0
p N V.r
12. CONTRACTOR TO PLACE THE POOL LAW TOWN OF SOUTHOLD CODE SETBACKS. b O -5
a CC) v0i
a
13. ALL DRAINAGE FROM THE POOL SHAM BE MAINTAINED ON TH E SUBJECT PROPERTY,
15. THE DESIGN 15 BASED ON A DRAINAGE SOIL WITH<10%SILT. GROUND WATER SHALL NOT EX15T WITHIN THE EXCAVATION. IFGROUND
WATER EX15TS WITHIN 6'-O"FROM GRADE,DEWATERING FACILITIES WILL BE REQUIRED. N
16, ALL GAS AND OIL HEATERS(IF INSTALLED)FOP,THE INGROUND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY .moo
CONSERVATION ACT(NAECA)COMPLIANT. POOL HEATERS SHALL BE TESTED LAW ANSI ZZ-56 AND SHALL BE INSTALLED LAW �
SECTION B MANUFACTURERS SPECIFICATIONS.OIL FIRED POOL HEATERS SHALL BE TESTED LAW V1-726. POOL HEATERS SHALL BE LOCATED OR
GUARDED TO PROTECT'AGAINSTACCIDENTAL CONTACTOF HOT SURFACES BY PERSONS POOL HEATERS SHALL BE PROVIDED WITH
N.T.5. TEMPERATVRE AND PRE55URE-RELIEF VALVES. FOR HEATERS NOT PROVIDED WITH AN INTEGRAL BYPASS SYSTEM.A BYPASS LINE SHALL BE e q
INSTALLED FROM INLET TO OUTLETTO ADJUST WATER FLOW THROUGH THE HEATER POOL HEATERS SHALL BE PROVIDED WITH THE V i
FOLLOWING ENERGY CONSERVATION MEASURES: Q.
2-2'
16.1 AT LEAST ONE THERMOSTAT SHALL BEPROVI DEL)FOP,EACH HEATING SYSTEM,
CHECK VALVE COPING AND WALKWAY
CBYOTHF.RS) 10' 162 ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE
FROM SKIMMER GRADE OPERATION OF TH E H EATER WITHOUT ADJUSTING TH E THERMOSTAT SETTING AND TO ALLOW RESTARTI NG WITHOUT RELIGHTING TH E y
PUMP WATERLINE PILOTLIGHT. CD m A
° a 16.3 HEATED SWIMMING POOLS SHALL BE EQUIPPED WITH A POOL COVER(EXEMPTED FROM THIS REQUI REMENTARE OUTDOOR POOLS v (D
TODISPOSAv vNINsrvRBEDEARTH p DERIVING 20%OF THE ENERGY FOP.HEATING FROM RENEWABLE SOURCESAS COMPUTED OVER AN OPERATING SEASON) o ni 0
DRYWEu 16A TIME CLOCKS SHALL BE INSTALLED 50 THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS AND CAN BE SET > >-c"o .a
/ TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER IN A CLEAN AND SANITARY CONDITION IAW APPLICABLE _ m o Sm
3/6"REBAR C2 TVP. '"% SANITARY CODE OF NEW PORK STATE. 32 Z m o � j
INVERTER O CONCRETE PSI vRED d 17. THI5DRAWING15 FOR 5TRVCRURAL SHELL ONLY.ALLACCE550RIES AND APPURTENANCES ARE DEFINED BYOTHER5. •� = E o H VALVE
VINYLUNER e•'ae
_ 18. BACKFILLWITHCLEANEARTH,FREEOFROOiSANDDEBRIS. DONOTALL.OWTHEHEIGHTOFBACKFILLTOEXCEEDTHEHEIGHTOFTHE W c 0.2 0 p
FILTER YTO4'S4ND ��. `• _ _ WATER IN THE POOL BY MORE THAN B",OR THE WATER TO EXCEED BACKFILL BY MORE THAN 8"
G d _
o I-
R IF.,
LL -� 19. PLACE CONCRETE ON SANDY TO LOAM SOIL REMOVE ANY CLAY DEPOSIT AND REPLACE W/COMPACTED CLEAN BACKFILL. L. A,
TO RENRNS 20. THERE 15 NO MAIN DRAIN IN THIS POOL SUCTION FOR POOL WATER CIRCULATION 15 PROVIDED BY THE SKIMMERS ONLY.THIS MEETS V
/ REQUIREMENTS OF THE NYS RESIDENTIAL CODE-SECTION R3285.1 FOR ENTRAPMENT PROTECTION. [aQ .
CHECK VALVE
PLUMBING SCHEMATIC 21 iHEPOOLWASDESIGNEDLAWTHEFOLLOWING, .,:J c' 7H
N.T.S. WALL SECTION '-1.1• THE NEWYORKSTATERESIDENTIAL CODE-SECTION P328(-'025) tO�;
21.2. THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE-SECTION R404.9(2025) ' /ram:
N.T.S. Z3. THE NEW YORK STATE FUEL GAS CODE(2025)
21.4. THE NEW YORK STATE SANITARY CODE.
215. AN51/APSP/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS. ' CJ ul;'fy�4tL P JL
21b. BOCA CODE-SECTION 421. li41
21.7. CODE OF TH E TOWN OF SOUTHOLD.
�9 �•f
ALL BACKWASH TO BE SELF-CONTAINED ON-SITE. '\