HomeMy WebLinkAbout43488-Z �o�SdEFQdkCdGy Town of Southold 3/27/2019
g P P.O.Box 1179
0
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40281 Date: 3/27/2019
THIS CERTIFIES that the building ACCESSORY
Location of Property: 522 S Harbor Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 75.4-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/8/2019 pursuant to which Building Permit No. 43488 dated 2/19/2019
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
"AS BUILT"ACCESSORY ABOVE-GROUND SWIMMING POOL,FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Beinert,Michele
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43488 02-26-2019
PLUMBERS CERTIFICATION DATED
0
ho Signature
� S�fFu��co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
co TOWN CLERK'S OFFICE
o . 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#: 43488 Date: 2/19/2019
Permission is hereby granted to:
Beinert, Michele
47420 Route 25
Southold, NY 11971
To: legalize "as built" accessory swimming pool as applied for.
At premises located at:
522 S Harbor Rd., Southold
SCTM # 473889
Sec/Block/Lot# 75.-4-27
Pursuant to application dated 2/8/2019 and approved by the Building Inspector.
To expire on 8/20/2020.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO - SWIMMING POOL $50.00
Total: $550.00
Build g 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 new 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 Compliance 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 uses:
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 Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate 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
Dat
X New Construction: Old or Pre-existing Building:Buildin check on .
Location ofPro e `: soJUa&d, 2 (
House No. Street Hamlet
X Owner or Owners of Property:
)C Suffolk County Tax Map No 1000, Section U Block ' Lot oG T
Subdivision Filed Map. Lot:
Permit No. 0 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ `l
J
Applicant Signature
ApF SO(/��®!
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G
Southold,NY 11971-0959 ® ® �® roger.rich ert(W-town.south old.nV.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Michele Beinert
Address: 522 S Harbor Rd City: Southold St: New York Zip: 11971
Budding Permit#: 43488 Section: 75 Block 4 Lot* 27
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: Custom Lighting of Suffolk License No: 38893-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 • Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment:' "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes. Above ground pool with deck,salt generator
Inspector Signature: Date: February 26 2019
81-Cert Electrical Compliance Form As
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION -
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING /STRAPPING [ FINAL PJAI
sw 6rw4
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
V
DATE Y Yrb INSPECTOR''.
so
# TOWN OF SOUTHOLD BUILDING DEPT.
`yco 765-1802
-INSPECTION
[ ] FOUNDATION-1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ rULATI
NFRAMING /STRAPPING [ AL �'
[ ] FIREPLACE & CHIMNEY ( ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
00m ro
DATE INSPECTOR
t
FIELD INSPECTION REPORT DATE COMYMNTS
FOUNDATION(1ST)
____________________________________
'FOUNDATION (2ND)
• z
ROUGH FRAMING&
PLUMBING y t
INSULATION PER N.Y: y
STATE ENERGY CODE
W�
ilAm
FINAL
Ell-
ADDITIONAL COMMENTS
(50-00 rtc#013,�
iF-- t too, 01D cev X33 � r n °
z
d
_ ,H
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 PZ)Ql CUM}PRn� cc ,. 4 s is of Building Plans
TEL: (631) 765-1802 d2s�gi'1 Planning Board approval
FAX: (631) 765-95021 vey
South oldtownny.gov PERMIT NO. + Check
Septic Form
tees
C. .Application
Flood Permit
Examined p� 20 .� Single-&Separate
D )r-ass-identification Form
D -Sim i-Water Assessment Form
F E B - 8 2019 Contact:
Approved ,20Mail to• ✓ �( UI�� I��
Disapproved a/c BUMDOG?I 4 PT 0 �O
TOWN OF S OLD Phone: oZ
Expiration ,20 D /a I � -V—
Buil ' g pector
APPLICATION FOR BUILDING PERMIT
Date 1�1o�/ rn " -� , 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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
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
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 for necessary inspections. L 4101
(Sign (eof applican or name,if a corporation)
(Mailing address of applicant)
State whether applicant ' owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premisesC�L �I�
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Lotion of land on which proposeWrk will be
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premi es an intended use and occupancy of proposed construction:
a. Existing use and occupancy� MA d,�
b. Intended use and occupancy 1 podl
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fpe-, y
�'kk joJbe paid on filing this application)
5. If dwelling, number of dwelling units '-` umber'of'dwelling urirts 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 NOt-
13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Naive of Contractor Address Phone No.
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.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
, SS:
COUNTY OFS&I
Tb�nt Am being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(Contra or,Agent,Vorporate 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 t efore me this
day of rQ 2011--
acw Q�)I 1AA,
9
Notary Pub is , L. DWSignature of Applicant
OTARY PUBLIC,STATE OFF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2U_,;L-
t � .
Scott A. Russell °Su s'7ro]R.M[WA\T]E]R.
\1�A�Gi]E 1ENT
SUPERVISOR � z I�vICA
SOUTHOLDTOWN HALL-P.O.Box 1179 Town of Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT)
DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
❑j@ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑® B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
[� E. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse..
[l[Dk F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes _
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
Ifu ans re of the above,please submit Two copies of a Stormwater Management Control Plan
completed Check List Form to a ']ding Department wit 1I�your Building Permit Application.
S.C.T.M. #: 1000 Date
, APPLICANT- (Property Owner,Design Professional Ag�,Contractor.Oth District
4 71- 2 zap
NAME: Section Block Lot
F U
5 UR�ny' "*�FOR BUILDING DEPARTMENT USE ONLY
Contac[Information �.A�(•—V��
Rslryhme Vum6n1
evlewed By:
Date:
Property Address/Location of Construction Work: — — — — — — — — — — — — — — —
_ Approved for processing Building Permit.
Q� l Stormwater Management Control Plan Not Required.
1 Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
o
FO �-# SMCCP-TOS MAY 2014
sl�iryo -
Town Hall Amex 41 l Telephone(631)765-1802
54375 Main Road �r 7 g
P.O.Box 1179 • O roger richeut oW(I1.)Z oltlQg
nyus
Souffiold,NY 11971-0959
BuaDING DEPARTMENT
TOWN OF SOUMOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: a l
Company Name: OP
Name:
License No.:
Address.
Phone No.: l Q
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: - Block: Ll- Lot: _
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection:
YES/ NO Rough In Final "
*Do-you need a Temp Certificate: YES! NO
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other � -
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information:
PAYMENT DUE WITH APPLICATION
�1
B241equest for Inspection Form v
C h
s Y
60,1
APPROVED AS NOTED
DATE: 1 q B.P.# 3
FEE: VRETAIN STORM WATER RUNOFF
BY. PURSUANT TO CHAPTER 236
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE OF THE TOWN CODE.
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3 INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEV. Additional
YORK STATE. NOT RESPONSIBLE FOF
DESIGN OR CONSTRUCTION ERRORS Certification
May Be Required.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
�cni Runl n TDWN ZBA
SWuni n TOWN PI ANNING BOARD
ELECTRICAL
S6W` ES INSPECTION REQUIRED
Poo( t n cloSarv—
OCCUPANC
Y OR mvj- comply f�
USE IS UNLAWFUL. ead�-
WITHOUT CERTIFICAT
OF OCCUPANCY
'me wgmw pmade p6r. T
N, --I
;i 10673464-4
C11
OV LP0 FOLUMPO
POOL ASSEMBLY AND INSTALLATION INSTRUC
THINK"SAFETY FIRST"
Safe and correct use of your new Doughboy pool means swimming and wading only. DO NOT!DIVE ORJUMPI
The above-ground pool is not designed for these activities!
INSTALLATION
Installation of a Doughb6y Oott`s.ri,�ftve'r'y-hard,buf big joL The job will be easier if two or three friends help Wihihd in'stall-kion.
Your poo warranty is`void sif ap(l assembly and installation instructions are not followed Y06011, 'RdAd'a'll
Follow all instructions exactly. Ybb' )o
instructions provided with accessories such,as filter,pump,skimmer,etc.prior to starting.
1 3-5 days for pool assembly and installation. Avoid windy days. Before you start,check to see that you haV6AhdcorrdcVhvmber
of parts. Use your Parts List,which is broken down by carton. Do not throw away any of the inspection slips.or cartons untilyourarvsure,,? -
you have all the parts. Your dealer will promptly rppi! F!Irts.
E-Ty missi �r�f x
_ - The warranty is void if eSi�aof tbe�oolJ any an may-be-madato-any-otthe-partg�-tThe--pool,-must--be--
assembled according to Doughboys!nstrmptions. You must be completely satisfied with the completed pool installation,whetherself4ristalled
or professionally installed,before proceeding with additional landscaping. 3t x T5Swl
CONTRACT INSTALLATION
Doughboy Recreational is in no way affiliated with any professional pool installer. Therefore,Doughboy can assuTppqresppr)§ �ify
for errors in installation by the homeowner or said professional installer. If you have the pool installed by others,please supe! ,;to beesure
they comply with proper installation techniques as shown.
LOCAL CODES
Check to see if building peN1W(6hu tJ 10 e aran es are
quirid (for example-National BOCA Code requir',M,tI)e, 9,1
Obey all safety codes for fencing aqq SII p', codes'
I
of six feet from the property line Aliiinimum of t6n"'feet gom the
�y pn
SPECIAL CARE
Doughboy pools are designed to exceed industry recommended safety factors. However, special care b"UstjN tak6W1With'c&fain
installation procedures that the installer performs and controls. VI"*,
1) Framework must be level-Referring to Installation Cautions",six pool installations illustrate imprope tneth,bdgbVfhstaHad'h,or
errors during the leveling of the grou d,(Step 2)or positioning of the patio blocks(Step 10). The entire pool
ground. An out-of-level conditio ` "I rdduce str th pWucture and/or deformities in the wall that c8i2d ciauswl, Immi fAildri.
in e.,
'pl" - -`thd,safW%cf6r3
2) Wall joint andU'oint Where',the wall jAff%dther. Damage to the wall joint or piece reZcd*s
and can result in a we installatidn.'"Pbllow instructions using extreme care.
3) Cove-The cove keeps the liner from creeping out from under the pool wall. Follow ,-1,instrubt161id1o'ft-I6ttg-�. DWI 9h6W-dW&I
substitute materials. Do not use materials that will shift. Improperly installed pools can rupture, allowing thousands'pf gall6ha, atbefo
'S, Iq t-"Pcil
rush out and cause extensive property damage and personal injury.
4Set up pwl on soil surface.For approved Below-Grade Installation Instructions,see your Doughboy
Doughboys are n
pools are not de4gnpQq,0,e installed -belowfburied)using these Instructions but must be i�WdfibtIbn,wlt'h
the Below-grade lnstallatipn,,!�'g. dogs. Outside,ground§'r ban collapse the pool wall. '6', lv�.. J4
i6ifuse,of8"x,, x 16"cdncref6 blocks(Steps 5-8)-to reinforce the side supporl�iis'd 6ritital ki�uct&hl
5) External Support-The egcy0op
detail which cannot be varied om instruction. Thes6 blocks and the firm undisturbed soil around them become the load'Wafirig-c-din' din- h
ents
for the forces on the pool sides. DO NOT substitute other building materials for the concrete blocks.
HOW TO USE THESE INSTRUCTIONS A
These installation instructions are used in conjunction with your pool parts list for id6 W "Art§',ds�iwbodd 16 In'• -
each step. Your pool can be excavated for a deep swimming area if the liner carton is labeled Mr�' jllpoar?5,MiLidiodridbIJ16'!
(see Step 3). 02 X U t V )t�V, T'Fx
W
-4,
PRELIMINARY PLANNING'cs I r-Ore
lme az
IMPORTANT: Before beginning your pool installation,take a few ft
minutes to consider the following points:
1. Check wall clearances to allow enough working area
for your pool install4tion.
J&"r
2. Check for easernW9..'
3. Avoid trees and roots ido"ifdt'allow leaves-to fall into
the pool. XAW 0;„fie it 1l,,- A
4. Avoid overhead power lines.
5. Avoid underground piping and cables.
6. Keep sprinklers away from pool sides.
7. Select a pool site that allows for the proper super-
vision of swimmerzas.welikas-viewing children ne�'.'
the Pool. 1%
8. Position the pump and filter near convenient
electrical outlets.
9. Avoid overhanging eaves to prevent water and
debris runoff from your roof. 13. Treat the ground inside the pool area with a non-
10. Allow 12 inches,of-,undisturbed soil around your pool petroleum based fungicide(ayailable at-garden supply
- ,(dleararibie radius)' " _ �1,'shops);;,This may help prevent fungus stains on the
1 V-Nd`66dden slopes within 61,feet of your pool. •1_q JS
any abrasive area such-as 14r:!,,bbhsuIt your Doughboy pool dealer,
12. -D¬ install your pool on" 14.�66riot'install liner on nut grassfi-r-Bermuda grass.
concrete,asphalt,peat moss,tar paper,gravel,wood, See your dealer for special instructions.
top of grass or on soil which has recently undergone 15. Rid pool area of burrowing pests and insects such as
petroleum based chemical treatments. gophers and termites.
16. Avoid windy days during installation.
Page 1 17. Have 2 or 3 helpers to assist you during pool assembly.
32 ' X 16 '
2468 sa 49" ml 2C
"Moo
s.
POOL
RADIUS
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16, CENTER
A B LINE
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16 16
STRING
LINT
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SIDE
SUPPORTS RTS `SUPP RT
CLEARANCE
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MICH BEINERT RESIDENCE
TA K MAP 1-000-754-27
522 HARBOR ROAD
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POOL DIAGRAM
CREATED BY JOYCE GRIGONIS
COMPLETED NOVEMBER 16,2018
USING SURVEY TEMPLATE
FROM RODERICK VAN TUYL
DATED AUGUST 1,1989
SCALE:1'-20'