HomeMy WebLinkAbout29334-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29405 Date: 04/30/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 400 ORIOLE DR SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 6 Lot 15 .11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25, 2003 pursuant to which
Building Permit No. 29334-Z dated APRIL 25, 2003
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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED
REAR YARD AS APPLIED FOR.
The certificate is issued to KATHLEEN 0 MCNAMARA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-467204 10/05/98
PLUMBERS CERTIFICATION DATED N/A
Authorized Signatu
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29334 Z Date APRIL 25, 2003
Permission is hereby granted to :
KATHLEEN 0 MCNAMARA
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. REPLACES BP 25124
at premises located at 400 ORIOLE DR SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 011
pursuant to application dated APRIL 25, 2003 and approved by the
Building Inspector to expire on OCTOBER 25, 2004 .
Fee $ 150 . 00
7
Authorized Signature
COPY
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25124 Z Date AUGUST 21, 1998
Permission is hereby granted to:
KATHLEEN O MCNAMARA
400 ORIOLE DRIVE
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AS APPLIED FOR.
at premises located at 400 ORIOLE DR SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 011
pursuant to application dated AUGUST 13 98 and approved by the
Building Inspector.
Fee $ 150 . 00
BuildinqVInspectdr
COPY
Rev. 2/19/98
r_
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$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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. V/.2 S�o
New Construction: Old or Pre-existing Building: (check one)
Location of Property: `Fd-c Or;,/,
House No. Street Hamlet
Owner or Owners of Property: k' 1 cA l, � .- --
Suffolk
Suffolk County Tax Map No 1000, Section S r Block G Lot
Subdivision Filed Map. Lot:
Permit No.7/�6_ Date of Permit. � 1 o_3 Applicant: —
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: y (check one)
Fee Submitted: $ S
3 7 , Applicant Signature
�v �a7yas
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '
1185077 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date OCTOBER 05,1998 Application No. on file 16879898/98 N 467204
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
CATHY MAC NAMARA, 400 ORIOLE DRIVE, SOUTHOLD, NY
in the following location; ® Basement ❑ lst Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on SEPTEMBER 29,1998 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. f
H.P.
1 1 1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.. AMT. H.P. NO.OF FEET AMT. WATTS
1 F 1 20 1 40
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 SW J/4W PER 0 OF CC.COND. NO.OF HIAEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
SWIMMING POOL-1
G.F.C.I.-1
*(SWIMMING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
environments it is advisable to
Crave frequent test/and or repairs
made by a qualified person.
lL L
<<< Continued on Page 2 >>>
GENERAL MANAGER
Per
This certificate must not be altered in any manner;return to the office of the Board if Incorrect.Inspectors may be Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2
1185077 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date OCTOBER 05,1998 Application No. on file 16879898/98 N 467204
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
CATHY MAC NAHARA, 400 ORIOLE DRIVE, SOUTHOLD, NY
in the following location• ® Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on S&T 'EMBER 29,1998 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENTI FLUORESCENT OTHER AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS
NO.OF FEET
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1/2W 1 0 SW 9 0 3W 3 0 4W PER 0 OF CC. G.
NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
ROSLAK ELECTRIC LTC.#3677- L
P.O.BOX 164
CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER
11
Per
This certificate must not be altered In any manner; return to the office of the Board If Incorrect.Inspectors may be Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH P BG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING ( FINAL
[ ] FIREPLACE & CHIMNEY
RE RKS
ak4;�t,�T
""z
a�
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLB
[ ] FOUNDATION 2ND [ ] 1 ATION
[ ] FRAMING [ FINAL
[ ] FIREPLAC C N
REMARKS:
(Z
DATE INSPECTO
f
0OMMENTS
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-OUNDATION ( 1st) cn
1N
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?OUNDATION ( 2nd )
2 .
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ROUGH FRAME & v
PLUMBING
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3.
INSULATION PER N . Y.
STATE ENERGY
CODE x
a
4 .
ry"
FINAL 442
ADDITIONAL COMMENTS : x
A
P2
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O V l5 OOARD OF HALT' .�. . . . .: . . . . .
FORM No. I 3 SETS QF PLANS •.... ... . . .... ..
TOWN OF SOUTIIOLD
AUG i UUTLDINO DEFARYIiENT CHECK A'.......••':•'•
'i'OWN HALL SLTFTIIC FORH . .. . .. . . . . . . . . . . . . .
;us BLDG.OEPT a SOUTHOLD, N.Y. 11971
TOWN U TBI.: 765-1802 NOTIFY r `
CALL 12N --S.�¢OW. . . . . .
IxWOned / 19 9e MALI. TOr .... . . . . . . . . . . .................
/ • 199 �51ay�
AI><>rpvCd• :�J..... 8ennit No. ...
.............................
Disa[pewe<l VIC
....... ....................................
(Building Ina tor)
APPLICATION FOR BUILDING PERMIT y-
Date.....CI/L . . . ...19 •
INSTRUCTIONS
a, 'lihis application must be corpletely tilled in by typewriter or in ink and submitted to the Building Iuxpector wi
3 e •ta of plans,. accurate plot plan to scale. Fee according to sdladule. r" or public
b. Plot plan slwwiag location of lot and of buildings on premises, ir01"SO IlPPt�w p gram��ia� la Part of
aCr�eeCa or areae, and hiving a detailed descriptio: oR layout of property
%ust be Chis application.
c. 'live work covered by this application nary not be mxshmeneed b6f"11 issuonw of Wilding Permit.
d. Upon approval of this application, the Iluilding inspector wilt issue a building Sarmit to the applicant, Sud,
permit alsall be•kept on the premises available for inspection thrgoq)wut the work•
e. lb twildirg shall be occupied or used in chole or in part for any purposerilatevt6s until a Certificate of
Occupancy dhall have been granted by the Ikhilding Inspector.
APPi.ICNrT(N IS 1 TI REiiY tWX to the Building Department for the issuance of a liaildwa Fermlt pursuant to tic
8uildiag Zone Ordinance of Lire Town of Southold, Suffolk County, Neu+York, and other applicAble Lv+a, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or deaol�i,, �,Teein
described. Tha applicant agrees to comply with all applicable laws. Ordinances, building Inspections'
e, houin
regulations,ratd to admit authorized inspectors on premises and in building for necessary
Way :cs..
.. ,0..............
(Signature of applicant, or name, if a corporation)
(Hailing address of applicant)
State Gbetlwr applicant Is owner, lessee, agent, architect, a..inear,•Senegal contractor, electrician, pludher orIxjD1k
/ C1....yG ...../................................................
Name of euner of premises ............G:t J.�c•l[. .•..�•:.•• J::� °�n �B'�`�
(as on the tax Tall or latest deed) ��•�•� -°f aP.s► 5la
If a hlic is a co tur of duly autlwriml officer. 1 bW.
NOTIFY oxime D AT
7WIM f AM TO 4 FAA FOR THE
( and title of rporate off r) FOUSIMNOVdPO 1M
q i FOIN CARION • TWO REQUIRED
wilders License No. ..Z. .. Ei.�...f f.�`f
Z 110UOii iRAM00 O FLINYISiNG
& INSULAION
Planners License No. ... 4. FINAL - CONSTRUCTION MUST
Electricians License NO. � � �..`L•�• .� �-- SE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
Other TYade'a License No. .................... THE REQUIREMENTS OF THE N.Y.
1. Icxution of land on which proposed work will be done.................•..,.,4ATE,CONSTRMTION•&•EiVEIRf3Y•••
�/ y/� _ & CQD��-�ge�c O tB Ry
�(,�j....................�.T.Y OCC. .......tl:YJ:V .......:,....Q�i$I . Ot4M7 i PI.F A(.Rf�...
ilouse N.nber Street livslsrt / :
Ccxmty Tax Tbp (Naj.. low Section�.y.. ...... Black ......Sil....... Lot .....�J.:.�.J..
Subdiviaion ./TdA#e4QiC`.J7 ...G: s �.4�! �.... Filed Map No. ................ Tot ...............
(Nana)
2. State existing use and occupancy of premi a scvl intended use and o! propq}lad construction:
y� �.f�
J�'...wx �t7. /... Yrl` Xtra
a. PAdsCing-use and occupancy ......... ..aw ��i�f�ah �tit',i�tduD•••••
b. Intertilad use and occupancy ......... .:•.•� c..� .. 4i:ti1i01 �:.................
i. twore of work (dm*Vildt eppileable)i No building .......... Atklltion .... , Alteration
itaiintr ............ lleenrel ............. Demolition ,,........... Other itork �.WfLt'1A11a
!Description),
Lat•imsteel Cost ... ..w fee. . ............ ...... .` '....
. ... .: .... !.......t. n),
(to be paid at Piling this application) 1
1! &%Iling, moilier of duelling unite ........ S t
, .... tiniter oC c1<+eldin unite an cavi fioo�, ........
1tga[nge, number of cafe ......................................
If bushsse, ccnroreial or miml'occupancy, specify naturo and extent of ands type of use......................
Dlamnnlans of existing structures, if enys Ihont............. :: Near ............... Depth
Il101t. .. .... .......... tknber of Stories
Dlnenslos of sora structure with alterations or'at h-tons, Front ............... Baer ...............
Depth .................... lleigtlt ............. Mmber of Stories ...............
1. Dhienslons of entire new constnutiont t ................ ttear ............... r)epth ....... ... ....
lieljjott ......................... Mn r of Stories .....................
�. Sim of lots Pro nt ........... ....... Roar .................... Dlapth ...............:....
In. IAnre of purdsse ........ ......... tiara of ranter Qaner ... n ........... .. .
11. las or use district in chitin prenieen are situated ...........d h1)�9t�!r n. ............. ........... . ..
12. Does proposed construction vi/o�la`te any zoning Im. ordinance or regulations ........I............
13. will lot be regraded t.....✓t!::........ Hill ewceen fill to removed from premises: Y� ti3
14. Names of Owner of premises .�9!&/?N-ti,/.d....... Address .SRILQ-74—A�1rM..Aj.. ...... 19ane No. .......... .
Kane of Ardultect ....................../J .............. Address .......4...................... I'luone No. ............
Name of Contractor .��y...: f"aU :1............ Adilress ..C.:1/f777A& l(. .......Phone No. ,2-7.tf..$P
15. in tide property within 300 feet of a tidal watlanxll * YES .......... N3 .. ...
*ir Yas, Sam=?am 1lm1Si1RSS mmrr ma m rmpir1iz.
PLOT DIAGRAM -
Locate clearly and diatinetly all buiidittge, tdtetbar existing or proposed, and indicate all set-beck dimensions
from property lines. Give street and block nunber or description according to deed, and show street name aril Indicate
%Astlsr Interior or corner lot.
"IMMEDIATELY"
ENCLOSE POOL TO CODE
cUPANU OR UPON COMPLETION
�j Y BEFORE "WATER"
0c
USE
IS UNLAWFUL
UNDERWRITERSERTIFICATE
REQOUIRUIR ED
I¢' ICA
ITHOUT CERT1F �
OF OCCUPANCY 01�4
0110A A 03YO111A
?'r3M'R;`.^.1G e7Ni4Jll11i Yilt'ON
srntlI t(#V4R*. OT MA tl 001`48'r
QQ��nlro.�A
UAIR0111i3 3.14• ,iWbNLIO1 t
.... �plyh,l� i�� O� .A..9 �..............baing duly sworn, deix>ses aml says Umt• he In the nopl.iralne
(Nato of hxllvlthint atR 411 Cy
above
Ile in ilia ... ..............., :.far•• ,..................
(0M1tr4ictor,.,c4au$rprpornte officer, etc.)
of said owner or oineias and 19M 'IauUarixed to perConn or have perrxurned the said work nix] W make oral file this
alqullcntim" tint kill etntanettEb ciA&Lnedl in Oils application are true to the beat of his knxvIedge nod lxilleN,, axl
tint the work will be performed In the manner set forth in the application filed therewith.
.Mnrn to hefure me thio -C}p
t .....duty of . 9...P.'....
J
Notary PublicPubl. ..• •• •• ••
OlteeNMdh►8ufloOf New (SI of Appl.tcnnt)
N0.01tiC472 fully r
UNDERWRITERS CERTIFICATE
REQUIRED (p
—� "IMMEDIATELY" Subdivision -IIMap of Yennecott Park"
ENCLOSE POOL TO CODE Suffolk County File No.5187
UPON COMPLETION Lot 51
BEFORE "WATER" Lot 52
LAWN I N.8805713011
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2 QUI a
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( ��
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,, _ � ,' a,�`"'Y$��.o � 11`�� . 't Area ='2483411s.f.
m
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IS UNLAWIUL
ILIT CERTIEIGA o E
Lot 9
w yn
(
"CCUPANUI _
cov'E
61
550 Sy9'
N
�+' 2 PW �
E
�. rWa'OE 2_0o N
2ii v, b G SA S N
v JJ (JI
S –.JY r.1eL
\\vs.
t `0 \
�- MAIN
4 WATER
R'350
O
�g � O^�Q
P
ISA ot
ORIVE ` A9od
a=
SURVEY FOR
KATHLEEN. O. MC NAMARA
LOT NO.8, "HIGHPOINT MEADOWS,SECTION TWO,"
AT SOUTHOLD DATE APR 16, 1992
TOWN OF SOUTHOLD SCALE- I"= 50'
SUFFOLK COUNTY, NEW YORK NO 92- 0306
.00YUTMp1u ED ALTERATION OR ADDITION TO THIS CERTIFIED T `'� - fW
SURVEY 6 A VIOLATION OF SECTION 7209 OF THE r
NEW YORK STATE EDUCATION LAW KATHLEE 0. �H1GIA1`A O
COPIES OF THIS "VEY NOT KARNG THE LAND TICOR T L ANTEu, `r
SUR VEYORS INKED SEAL OR EMGOSSED SEAL SMALL BRIDGE AM LOQ K
NOT GE CONSIDERED TO N A VALID TRUE COPY p
A GUARANTEES INDICATED MEREON SMALL RUN ONLY TO
HEALTH DEPARTMENT-DATA FOR APPROVAL. TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND ON HIS NHALF TO THE TITLE COMPANY,GOVERN-
MEANEST WATER SAIN—MI * III SOURCE OF WATER NNWITE __PUSIIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
■ KWF CO TAX W► OMT 1000 SCC TION_55[IDCK 6 LOT IS_II HEREON, AND TO THE ASSIWMEES OF THE LENDING
N TMERE AM MD DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERAGLE
NTSE
INSTITUTIONS OR S
USOUE
OTM[N TM AM THOSE SHOWN HEREON TO ADDITIONAL O 4$$9a
OWNERS
R THE WATER NIPILY AND SENNINSTANDARDS
pf/W1L SYSTEM FOR THIS EPA TMENEMCE R DISTANCES SHOWN HEREON FROM PROPERTY LINES O SURV
WILL COMNMT14 SE TO THE STAMOARO/ 0/ THE SUFFOLK COUNTY DEPARTMENT TOEKIS71MG STRUCTURES MC FOR A SPECIFIC D f
OF LICAI SONICCf. PURPOSE AND ARE NOT TO SE USED TO ESTABLISH
AI►LICANT• PROPERTY LINES OR FOR THE ERECTION OF FENCES
ADDRESS
TEL YOUNG a YOUNG �RH�" w YORK
E
NOTE: p -STAKE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MARAS,1990 AS FILE NO. 8911. AND LAND SURVEYOR N Y.S LICENSE NO 12845
HOWARD W YOUNG, LAND SURVEYOR
o NTW LOCATXNQ WELL(W),SER IC TAMK(STIBCESWPOOLS(CP)MOWN M"CM N.Y S. LICENSE NO 45893
ARE PROM FIELD OBNRIMTIONS AID OR DATA OITAIM[D FROM OTHERS
BRANDIS 6 SONS IHC.
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48804,U.S.A. 218.432.8731
-- r -- r i- .._. - ... ____... DRAWING NUMBER
L SCALA DR AyYN BY
Y $ T (OP 0211) ( /1 N 1 < A KW
T1-0- ,-+__-- I -,- -- - f( ,..._ _. $TL00-1 '"�'� w.p�tyV�p BY
NER ISET �(IO / 0/1
L RECTANGLE-777
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THIS BROCHURE IS FOR ILLUSTRATIVE PURPOSES ONLY
1L j I r [(t _ 1 The manufacturer makes only those representations which are stated in r,
its'written warranty.Any other representations,atetemanta,or contracts
- ( — made by the dealer and or the contractor to the customer regarding any
f— materials produced by the manufacturer aro attributable to the dealer and/'
— ! I or the contractor only,The dealer or contractor who Calls or Installs your
r ---+— -- _-. . pool is an independent contractor and not an agent or employee of the -�
I manufacturer.The construction methods illustrated are suggestions and
apply only to normal ground conditions.There may be additional precau-
tionsand/or methods of construalon.'The responsibility is
thecontractors.