HomeMy WebLinkAbout37365-Z L' TOWN OF SOUTHOLD
�g�FfO(,f-cow
��o y BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
oy . 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#: 37365 Date: 7/16/2012
Permission is hereby granted to:
Higgins, L Patrick & Higgins, Jennifer
2 Kenilworth Dr
Short Hills, NJ 07078
To: construct an inground swimming pool fenced to code as applied for
b k 0
O
At premises located at:
410 Jackson St, New Suffolk
SCTM # 473889
Sec/Block/Lot# 117.-10-3.3 Ne,v.) off# i S 3 ,5
Pursuant to application dated 6/22/2012 and approved by the Building Inspector.
To expire on 1/15/2014.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
Form No.6
TOWN OF SOUTHOLD.
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For neiv building or new. -use:
1. Final survey of property with accurate-location of all buildings,property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used.in system contains less than 2/10 of 1% lead. .
5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate
of Code Compiiance'from architect or engineer responsible for the building..
.6: Submit Planning Board Approval of completed site plan requirements-
B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings-and"pre-existing"land'ases:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed-by the applicant. If a Certificate of Occuprancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees -
1. Certificaie of Occupancy-New dwelling$50.00, Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00, Accessory building$50.00, Additions.to accessory building$50.00,Businesses$50.00,
2. Certificate of Occupancy on Pre-existing Building- $100.00
3- Copy of Certificate of.Occupancy-$25
4. Updated Certificate of Occupancy- $50.00
. 5. Temporary Certificate of Occupancy -Residential $15-00,Commercial$15.00
Date.
New Construction: f/ Old or Pre-existing Building: (check one)
Location of Property: 411,0 - /kAl
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No•1000, Section 11-7 Block Lot
Subdivision Filed Map. Lot:
Permit NoJ 7 3 jo S Date of Permit. 7
-- - Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
*t5�
Applicaiit Signature
g
FIELD INSPEMON REPORT DATE COMMENTS
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FOUNDATION(1ST)
FOUNDATION(2ND)
• O
ROUGH FRA ZING& cn y
PLUMBING
CP
INSULATION PER N.Y. Co
STATE ENERGY CODE C
FINAL
$a D,A Uw ADDITIONAL COMMENTS
BY + �i e
W evJ Lo- i IS -3,5 P—r 4S4e SS or tS of -g cue. k Y7 )cA �
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
s TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:-(631)765-1802 Planning Board approval
FAX:(631)765-9502 Survey
www.northfork.net/Southold/ PERMIT NO. 3 73 6 S- Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined I ,20� Contact:
Approved 20_L�_ Mail to:
Disapproved a/c
PhoneZ"/ ZA3 09514�0
Expiration 20_[+'
aBAu i 1 tng Inspector
APPLICATION FOR BUILDING PERMIT
Date ,20,/ 4--
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans,accurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
c.The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of Cj
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
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,or alterations or for removal or demolition as herein described.The
app iennt ag s,ordinances,building code,housing code,and regulations,and to admit
aut] ;Me ctei o�e�� �d br i fdr necessary inspections.
lei
�CLOS E P°C' nature of applicant or name,if a corporation)
J U N 2 6 2012 �� �iv`�/ r �� A"
UPON COMPLE r� wjpla
'BEFORV--. . (Mailing address of applicant)
BLDG DEPT.
Sta a whether aRVAI �i raj lessee,age ,architect,engineer,general contr for electrici ,plumber or builder
Name of owner of premises ���/���c i2 �� >C7 M FOR THE
� mIF . (As.on lie";t i rA--: latest qqe(pOUNDATION-TWO REQUIRED
If cant is a corporation, ature of ul author`�zed officer FOR POURED CONCRETE
t I INLAWFUL 2. ROUGH-FRAMING,PLUMBING,
(Name and title of corporate offic r) p APPING,ELECTRICAL 6 CAULKING
Builders License No. I T J� C E RT I F I C/��►J WLATiON
Plumbers License No. 4. FINAL-CONSTRUCTION&ELECTRICAL
Electricians License No. ' ' �' � c MUST BE COMPLETE'FOR C.Q.
Other Trade's License No. ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS,OF THE CODES OF NEW
1. Location of land on which proposed work will be done: YORK STATE. T RESPONSIBLE FOR
�j/�i �l/ ��c/l ra�v 1� �yrw .�ESIFiI�TRLICTIo,
House Number Street Hamlet
County Tax Map No. 1000 Section /7 - Block /6 Lot S
Subdivision Filed Map No. L t
(Name) ELEC A • .
INSPECTION PEOUIPLED
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy /171:w//f1_V1NCA__
b. Intended use and occupancy �Gw/v✓//Ylin/ �� �.�Or 7"7/i�
3. Nature of work(check which applicable):New Building ✓ Addition Alteration
Repair Removal Demolition Other Work
j (Description)
4. Estimated Cost h//��7,'79 ; � Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front Rear Depth
10.Date of Purchase Name of Former Owner
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO
13.Will lot be re-graded?YES_NO Will excess fill be removed from premises?YES_NO
14.Names of Owner of premisesA 1���1�//�-f Address:'/AO -4��a ly Phone N .t 7-5
Name of Architect Address Phone N6
Name of Contracto Address A Phone N4
fGvrl-"
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property.within 300 feet of a tidal wetland?*YES NO
*IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OFF
being duly swom,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 knowledge and belief,and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to b fore me this
21— day of 20 t!
Notary Public gnature of Applicant
CONNIE D. BUNCH
Notary Public,State of New York
No.01 BU6185050
Qualified in Suffolk County
Commission Expires April 14,9�t'o
oxc�
ur
James F,_King,President so Town Hall Annex
s 54375 Main Road
Bob Ghosio,.Jr.,Vice-President P.O.Box 1179
Dave Bergen Southold,New York 11971-0959
John Bredemeyer G..
I`. �O. Telephone(631)765-1892
MichaelJ.Domino. O Fax(631)765-6641
lyOWN,-
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
May 30; 2012
Robert E. Herrmann
En'-Consultants '
1319 North Sea Road
Southampton, NY 11968
RE: JENNIFER$L. PATRICK.HIGGINS
410 &484 JACK ON STREET, NEW SUFFOLK
SCTM# 1'17-1.05 .
3 3
Dear Mr. Herrmann:
The;Southold Town Board of Trustees reviewed the survey prepared by John C. Ehlers
Land Surveyor, last revised.on May 1.5., 2012, and determined that the proposed
construction of-a swimming pool, pool patio, and pool house,.is out of the Wetland
jurisdiction under Chapter 275 of the Town Wetland•Code and Chapter 111 of the Town
Code.
Therefore, in accordance with,the current.Wetlands Code(Chapter 215)and the
Coastal Erosion Hazard Area(Cha'pter 111):no permit is required. Please be advised,
however; that no construction, sedimentation, or disturbance of any kind may take place
seaward of the tidal-and/or-freshwater wetlands jurisdictional boundary or seaward of
the coastal erosion hazard area as indicated above, or within 100' landward from the
top of the bluff, without further authorization from the Southold Town Board of Trustees
Pursuant to Chapter,275 and/or Chapter 111 of the Town.Code. it is your responsibility
to ensure that all necessary precautions are taken to prevent any sedimentation or other
:alteration oe disturbance to the ground surface or vegetation within Tidal Wetlands
jurisdction.:and Coastal.Erosion Hazard Area, which may result from your project. Such
precautions may include'maintaining adequate work area between the tidal wetland
jurisdictional boundary and the coastal erosion hazard area and your project or erecting
a temporary fence;barrier, or hay bale berm.
This determination is not a determination from any other agency.
2
If you have any further questions, please do not hesitate to call.
Sincerely, ;
o?'
James R.King, resident
Board.of Trustees
JFKteac
New York State Department of Environmental
ronmental Conservation
Division of Environmental Permits,,Region I
SUNY @ Stony Brook
-50 Circle ROA, Stony,Prpok,NY 11790-3409
Phoridi (631)444-Q365-Fax: (631)444-0360
W.ObS ite:.wW .dec.nyq w OV
LETTER OFNO JURISDICTION
May 30, 2012
Jdnnifpr&.L. Patrick Higgins
2 Kenilworth Drive
Short Hills, NJ 0707.8
Re: Application #1--4738.04115100001
410.&-484 Jackson Street., Now Suffolk
SCTM'#4000-;117-40-3.5'tforrnerly"'3.3,&3.4)
Dear .'Mr&:Ms*-Higgins ins
Based on the information you submitted,the Department of Environmental
Conservation has determined that the portion of the parcel listed above which;is
located landward of the 18 foot contour as shown on the survey by John C.
Ehlers, last revision dated May 15, 2012, is beyond Tidal Wetlands Act(Article 25)
jurisdiction.
on. Therefore, in accordance with the current Tidal Wetlands Land Use
Regulatlons,(MYCRR Part,661) no permit is required for any work landward of this
contour line
Be advised, no construction, sedimentation, or disturbance ofany kind may take
place seaward.of the tidal:wetlands jurisdictional boundary., as indicated above, without
a permit. It is your responsibility to ensure that all precautions are taken to prevent any
sedimentation or disturbance within Article 25 jurisdiction which may result from your
project. Such precautions may include maintaining adequate work area between the
jurisdictional boundary and your project(i.e. a-15' wide construction area) or erecting a
temporary fence, barrier,.or hale bay berm.
This letter shall remain valid unless site conditions change.
Please note that this letter does not relieve you of the responsibility of obtaining
any necessary permits or approvals from other agencies or local municipalities.
S cerel
s s
c erman
U4
cc:BOH-TW Deputy Permit Administrator
En Consultants
file
ear Town of Southold - Chapter 236 - Stormwater Management
s SWPPP - Storm Water Pollution Prevention Plan Assessment Form
GENERAL INFORMATION: (All Requested Information is Required for a Complete Application)
APPLICANT NAME: owner-A en -Consultant-Conti actor or Other(Circle One) Pro !perty OWNER(If Different than Applicant) i
Address:
elle i�`
Telephone# ,_ G C� Fax# t Telephone# Fax JvZx
E-Mail: •C110 /t E-Mail:
Property Address: yid y�✓y ���J ,J� /V j ve Brief Description of Construction Activity,ty,Proposed Structural BMPs,Soft
S.C.T.M.#: 1000 r r r /fj StabaliraAon BMPs,Project Scope and/or Sequence of Construction Activity
DlsWd section Block Lot (Provide AMfflmal Pages as Needed)
Name of Contractor and/or Contact Person Responsible for Implementation of SWPPP: _ �(ft—r,t}�G,���J " �,�,� j
- -------------�``�------ -----------
Address:
Telephone#
:,i
E-Mail: ----------- /
Name of Persons Responsible for Installation b McIntenance of Erosion Control Practice:
Address ~�� `� �/® 7t / ✓/� /�C(��J!F/
__ - -- ------------
e ephone# ., Fax#
E-Mail:
--------------------------------_--_-
Total Area ofAll _.____________________________ ___
Total Area of Land Clearing f'fj� ----------
Project Parcels: and/or Ground Disturbance: !�y(J
(SY./Aces) -_.-_.__..._......,_________.._---------_
Project Duration: r� Start End ---------------------
(Anticipated) -
. /-� .Date: Date: _`".--------------_,-
- .___..---------------------------- 1 .
(Number of Calendar Days/ _--_—.-_—____
i
Will this Project Disturbe five(5)or More Acres at ] ----------------------------------------------
Any One Time During the Proposed Development? Yes ►� ---•---__-_..---------------------------------
If YES:Please Answer the Followin I __...____..-_-------_, --_-_-__.--__-__ ---_-
a. Does the Applicant have a Qualified Inspector On - -- i
Staff To Conduct the R. quired Inspections? Yes �NNo
b. Does the SWPPP Indicate HOW Frequently the Site O O List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands:
Inspections will Occur and for What Period of Time? Yes No
c. Does-the SWPPP Adequately ldentify All Temporary Q ------------------------------------------------
and/or Permanent Soil Stabalization Measures? Yes No ----------------- i
d. Does the SWPPP Adequately Identify a Complete Q ----------- --•---____.__
Project Phasing Plan? Yes No l
e. Does the SWPPP Indicate Additional Site Specific u f "l Status of Impacted Wat¢rbody:leg.IMDL,303(d)Listed,Impaired...) I'
Practices that Will be Utilized to Protect Water Quality? Yes No
f. Has the Applicant Submitted a Completed DEC Notice - - ---'-`----- -
Of Intent and SWPPP Acceptance Form for Review �� ( , Type of Impacted Waterbody:(eq.Lake,Creek,Bay,Pond,sound,Freshwater Wetland-)
by the Town of Southold? Yes Not
STATF OF NEW YORK, Notary Public,state of New York
COUNTY OF.......... .............................SS No.016U6185050
ry Qual61ed in Suffolk Col. a O/(o
I
being duly sworn,deposes an " cThat I.......................................... ................................... " Q81Is � 1lidailtafor�ermit, !
(Name of individual signing Document)
And that he/she is the
I
(Owner, traeCor. gent,Corporate Officer,etc.) j
Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to f
make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and ! j
that the work will be performed in the manner set forth in the application filed herewith.
Sworn to before me this;
J ;
......................... .. ...............day of..n 11�r V�" .....---•...................,20.1."�L'
i� .
Notary Public: ................. ............
i
(Signature of Applicant)
SWPPP Assessment FORM: 03-12
SURVEY OF PROPERTY
51TUATE: NEW 5UFFOLK N
TOWN: 5OUTHOLD
5UFFOLK COUNTY, NY
W E SURVEYED FEBRUARY 22, 200-1
GERTIFIGATION REVISED JULY 26, 2007
REVISED OGT. 18, 200-T
PROPOSED POOL MAY 15, 2012
PROPOSED POOL REVISION JUNE 20, 2012ol
SUFFOLK GOUNTY T # p Ra°q�v
1000 - 117 - 10 -
SURVEYED FOR:
L. PATRIGK H1661N5
JENNIFER J. 1-11661N5
COMMONWEALTH LAND TITLE
IN5URANGE COMPANY
4
DRAINAGE 5YSTEM GALGULATION5: --"-------" 2'
POOL HOUSE ROOF AREA: 540 sq. ft.
540 scl,.ft.X 0.11 = q1.8 cu.ft.
c1lb cu. ft./422 = 2.115 vertical ft.of 8'dia.
leaching pool required _
PROPOSED POOL PATIO = 3,112 S.F.
5,112 sq.ft.X 0.11 = 529 cu.ft.
529 cu.ft./422 = 12.556 vertical ft.of S' dia. ;
J
J
leaching pool required e I —
o oQ
PROVIDE(2) 5'dia.X 12'STORM DRAIN POOL
TO CONTAIN POOL HOUSE ROOF RUNOFF, LW
PROPOSED POOL PATIO AND WINTER PUMP DOWN
POOL FILTER 15 GARTRID(5E TYPE WITH NO BAGK WASH --- ------- �W
vaub AIL 03�
� Z Q
loa• _O _Ib•d ,
6 11I
cN TT
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Cwtiw r'ROP,
Io IL �x 4LHs b
Stone a' F'�•°
o Q ai? - or . Abo away
05
ZQW ILij 22' JrO' rm a F*+.te o3E
Q v P. ooL;
Q °."lodit� EP.
N83
PRO PROP.g X 8 _ -31_'4- 23 MP V1r
DW HOT-r;"Ug f •e�lY --
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DW l9
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JUN 2 2 2012 a -
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TOWN OF SOUTHOLD ----- q;
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NOTES: '� mlAes „� G•NE
��� yy`o
■ MONUMENT FOUND ""+ 1k✓Lthofizetl altero[km a—tlon to a 5tmvey
be�ir,g°Ilcensed Iwd s„rveyor's ee°I Is°
violatbn of section l bn],of the
Nen Yorko,k Slate tot,EA:catbn Lan.'
Area = 106,85q 5. F. - 'Only copses f—the orlc)inal tt,� °y
Area = 2453 + �a k�a Flu an ai9l of ar tn�land�,..eye,
d seal Shull be consld f t la be valid true
copses•
ELEVATIONS REF. N6VD '2a DATUM ` Q �efLlfica bm. tad hereon s19r 1 that tl is
�� p t,-gay�s prepare—dd N accafda a nllh the ex-
O
FLOOD ZONE REFERENGES FEMA FIRMand an hls be n11 to�e tllle°om,s. er
MAP NUMBER 36103G0501 6 °' tl a
tuns a-e not van9lefablB t0 aaditloml MstlWllons
PROPERTY ZONE R 40 JOHN C. EHLERS LAND SURVEYOR
EXI5TIN6 DRIVEWAY TO BE REMOVED
6 EAST MAIN STREET N.Y.S.I.IC.N0.50202
6RAPHIG SGALE 111=60' RIVERHEAD,N.Y.11901 369-8288 Fax 369-8287
REF.C:\UsersVohnMDropboa\07107107-117 Proposed PooLpro
Copyright by Arai s Design L.A.,P.C..This drawing is the property of Arai s Design L.A.,P.C..And may not be made known,be copied,or be manipulated,ar any other use be made of without the written permission of Ara's Desi n LA.,P.0..
7YF I CAL POOL WNALL/5EAM D TA I L
GUN I TE NOTES
1. ALL GUN I TE SHALL HAVE A MINIMUM
5TREN&TH OF 4,000 PSI.
2. STEEL REBAR SHALL BE GRADE 60
CONFORMING TO A5TM A-615
3. ALL WORK TO BE IN ACCORDANCE
WITH LATEST AG 1 CODE.
4. MINIMUM REBAR OVERLAP TO BE 40 loll
BAR DIAMETERS.
5. ALL DIMENSIONS SHALL BE
CON51 DERED MINIMUM. 1-'-T '7-#4 II
1 RODS 12
211
RADIUS VAR I E5 l
FROM 12" TO 36" 8" &UNITE POOL WALL, TYP.
- #4 BARS 0 6" O.G., VERT.
- #3 BARS ® 12" O.G., HORIZ.
-POOL FINISH TO BE DETERMINED
511 —+ —~ —♦ r RAC.HEL LYNCH
NDSCq �✓� _
2 11 MIN. CLEARANG �Fi�ay ARAI MypF�9,p �o✓ \-.ter --•,�,_,_'""a
SWIMMING POOLS.&SPAS
Landscape Architects
d'T,gT Dooe52 0�'E' , Site Planners
DevelAgawam
ent Studio
Agawam Studio
38 Nugent Street Suite B
Southampton,NY 11968
(fi31)283-1131
I� ffi ts4 II s. (s31)ze3-ssn(fax)TIMOTHY A. nMFH R.L.A. �ms�;s (631)283-6677(facom
N.Y.S. LIG. NO. 852 SHEET ; RS-1