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Home My WebLink About26436-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27696 Date: 05/18/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 340 THERESA DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 13 Lot 22 Subdivision Filed Map No. Lot No_ conforms substantially to •the Application for Building Permit heretofore filed in this office dated MARCH 7, 2000 pursuant to which Building Permit No. 26436-Z dated APRIL 6, 2000 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 REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to VICTOR RUTKOWSKI,JR. & VICKI EDWARDS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-558074 05/10/01 PLUMBERS CERTIFICATION DATED N/A tho ized glignature 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. 26436 Z Date APRIL 6, 2000 Permission is hereby granted to: VICTOR RUTKOWSKI, JR. 340 THERESA DR MATTITUCK NY 11952 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. at premises located at 340 THERESA DR MATTITUCK County Tax Map No. 473889 Section 115 Block 0013 Lot No. 022 pursuant to application dated MARCH 7, 2000 and approved by the Building Inspector. Fee $ 150 . 00 Authori d Signalture ORIGINAL Rev. 2/19/98 r�) { n f �� Form No. 6 hI nt Ir TOWN OF SOUTHOLD qSIC� BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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: S. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features, 2. A properly completed application and a 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 - ' .254+1 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . Old Or Pre-existing Building. . . . . . . .. . . . . . . . . �J i Location of Property. ?? . . . . . . . . . . . . . .. . . . . 1At r�5'B .�T . . . . . . . . . . . �' � !•P.�?4 . . . . . . . House No. Street Hamlet vor . 4?� . . .�V:C�•`. . !^.� rO�. . . . . . . . . . . . . . . . . . . . . . . . Onwer or Owners of Property.v County Tax Map No 1000, (Section`. . . h.5. . . . . . .Block. . . .1.5. . . . . . . . .Lot. . . .2. ;3 . . . . . . . . . . . . . . . Subdivision. l ��//: °` `� y. NL �1o1G �YtL//!C��. . . . .Filed Map.92�4. . . . .Lot. . rs. . . . . . . . . . . . . . . . . Permit No.0 T%. . . . . . . .Date Of Permit.:/: . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . .. . . . . . . . . .. . . . . . . . . . . . .Underwriters Approval. . . .'. . .c . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . I . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cert' L . . . . . �7 _00 Fee Submitted: $. . . .I. . . . . . . . . . . . . . . . . . . . 59 yes' . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . APPLICANT THE NEW YORK BOARD -I OF FIRE UNDERWRITERS 'AM, F 11.85017 BUREAU OF ELECTRICITY' F 40 FULTON STREET, NEW YORK, NY 10030 Date M.AY 10,2C*1 Application No. on file +:F";�r1 Ar'2ii A2 558074 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 VICTOR, RUMOSY1 , 340 ` HE1E FSA DR CVP,', HAFY".MUCK, NY in the following location; ❑ Basement ❑ 1st FG ❑ 2nd 171. OUT Section Block Lot was examined on APRIL 30 F`00'1 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 I OTHER AMT. K.W. I AMT. I K.W. I AMT. I K.W. I AMT. I K.W. AMT. H.P. f YERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS M LTI-OUTETDIMMERS 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. WAITS SERVICE DISCONNECT NO.OF S E R . V - I C E METER NO.OF CC CONO. A.W.G. A.W.G. A.W.G AMT. AMP. TYPE EQUIP. 10 2W11 0 3W 3 e 3W 3 0 4W pER 0 OF CC.GOND. NO.OF HIAEG OF H1:LFG NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ROSLAX EIEK.°PRICf' LIC,#36774 to . 1... L .. a0.;:OX 164 CITIVI-IOGM, IN, 1.1935--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. THE NEW YORK BOARD OF FIRE UNDERWRITERS 17,8x07'1 BUREAU OF ELECTRICITY r 40 FULTON STREET, NEW YORK, NY 10638 Date MAY 10,2001 Application No. on file ;J'-�.1""f'52"x j4?.,. N 558074. 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 VI:t:TOR R',1SBKOSM, 340 `l'HMESA DRIVE, NAMTUCK, RTS° in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. 01-R, Section Block Lot was examined on APRIL 30,20Oi and found to be in compliance with the National Electrical Code.. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEm FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS "BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEM AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. I AMT. I AMPS. TRANS.I AMT. I H. NO.OF FEET ANT WATTS 1 20 ' SERVICE DISCONNECT NO.OF S E R V 1 C E METER NO.OF CC GOND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W I tl JW J D JW J D 4W pER 0 OF CC.CON, NO.OF HIAEG OF HI-LEG NO.OF NEUTRAL$ OF NEUTRAL OTHER APPARATUS: SWIRiMING POOL I G.F.C..7.:-•1 "(SWIMTdING POOL) This certificate covers compliance at the date of inspection only. T3wause OI unusual envirormants it is advisable to - -have frequent test:/and or repairs matte by a qualified person. \ � L <<. Continued on Frage 2 >>> l\� GENERAL MANAGER EPer- 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. r p 1C yip �y y9 r0'!.,%P b�.dl' ��..Y1Pk�lY01D OFFICE OF BUILDING INSPECTOR TOWN HALL P.O. Box 1179 April 10, 2001 Chituk Pools, Ltd. P.O. BOX 9 Cutchogue, N.Y. 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file . XX The check is (not on file. ) $25 . 00 No Health Department Approval on file. No final inspection has been made . No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26436-Z (Rutkowski) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSU TION [ ] FRAMING [ FINAL ,,/�yy def [ ] FIREPLACE & CHIMNEY 0,- REMARKS:REMARKS: _ g✓,� � J p° 0 ,DATE f INSPECTOR - FIELD INSPECTION REPORT DATE COMMENTS =====aasaaaxxasaxa=aaxaaa�xaa==a=asxaaaaexxaaaaaa==aaaa aa=aaaxxaaaaa=asaaaaxaxaaaaaaaxaxaa II �� II II - Cr1 tyv II II FOUNDATION ( 1ST) II � IIS------�' - t33� FOUNDATION (2ND) -------------------------------------------------- -------- -------- ----- -------------- --------------------------------- n II � n o ROUGH FRAME & PLUMBING u _______=II n INSULATION PER N. Y. y S� STATE ENERGY II ii a CODE II ii -�-------------- ii til FINAL II it ==aaaaaaaxxaaxxaxaaaxxaaa�=a=aaaa a ---- x�===aa=a =_ �=xa-- - x= =aax==aa =xaxa O `� ADDITIONAL _ C C� — -- e ol H U H 1 z b b BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . ... . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . .. . . . . . . SOUTHOLD, N.Y, 11971 TEL: 765-1802 NOTIFY: Examuned. .. ...... ,�f4!`^' MAIL TO: . . . . . . . . . . .. . . .. . . . . o Approved ..... .. ..... 1 Permit No. db 3�l.iZ .................................. Disapproveda/c .................................. .................................. (Building Inspector) —7 2000 APPLICATION FOR BUILDING PERMIT Date. . . J�. 1'. . . . . .. ,av . INSTRUCTIONS a. 'Ibis application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MATE 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, or alterations, or for removal or demolition, as herein described. The applicant agrees to c®pl a 1 applies laws, ordinances, building code, housing code, and regulations, and to admit authorized ' pectors on prmusea in building for necessary inspections. IMMEDIATELY"' /. 7 *'(Signature . gnatu . of app kart or mue,if a cS.� tion) ENCLOSE POOLTOCO (Signature of applicant, or nage, if a corporation) UPON COMPLETION WORE`WATW (Mailing address of applicant) State whether/applicant is r, lessee, architect, engineer, general contractor, electrician, plumber or builder .............u. c° ?141TG z ............................................................................./.�...........,.. Name of owner of premises „Irl(r°,YU,�••`.�C(JT/SUC;JpS�1KI..✓. l��L'!��• i2�5.......APPRM AS 1�1/I W`� '• (as o R JA�Nyn J deed) oA d0 C to If applicant is a corporation, Signa V�\� FEE I� �I NOTIFY O DEP M T A o � ' 765.1802 8 AM TO 4 PM FOR THE (Name and title of corporate office I� n PKAT' FOLLOWING INSPECTIONS: OF�F �� 1L FOUNDATION • TWO REQUIRED FOR POURED CONCRETE Builders License No. ,Al ....... 2 ROUGH . FRAMING & PLUMBING; I INSULATION Plumbers License No. ........................ 4. FINAL • CONSTRUCTION MUST Electricians License No. ............... � BE COMPLETE FOR C.O. *00 ALL CONSTRUCTION SHALL MEET Other Trade's License No. .................... THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION &•ENERGY 1. Location of land on which proposed work will be done.......................CODES:-NOT- RMPOWtBLE•FOR• ............I�C ri2� A ? ,pfg� CQPSTRUCTION ERRORS ..U.....................�./�.....�.,.................... r ....... ................... House Number Street Hamlet County Tax Map No. 1000 Section ...1l�......... Block ....IS........ Lot ..�3......... Subdivision —'1.E-. eK41t�/.�Gy.Y�flh414�•C�LsG Filed Map No. ....... Int .ff ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ✓. '�T. S ..lillX,�?.. ! ! ..1 •........................................ b. Intended use and occupancy J. NaUrre of work (check uhich app, .licable): New Building ......... AlC6rarion .......... Repair ............ Removal ............ Demolition ........... Other /r4?Y ?e�lk�P1F ?id:lN.+d:!L..7 Y�4 . .................(Description) 4. Estimated Cost ../{�iQl��.... ......... fee ... �> a Ud ................. (to be paid on filing this application) 5. If duelling, number of dwelling' units ............ umber of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, commercial or mil occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front...l O.Q�..... Rear .Z 4.42...... Depthp........ Height .../9 e................I. Number of Stories .. Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... limber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height .......................!,. limber of Stories ..................... 9. Size of lot: Front ....4.40.0.,#........ Rear ...V4,4............ Depth .../M4 t6,......... 10. Date of Purchase ..............II,,.,.,, Nacre of PoKmer Owner 11. Zone or use district in which premises are situated 'l��x �AL............................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .../--)�............... 13. Will lot be regradedS.J.......... Will excess fill be removed from premises: YES M. Names of Owner of premises U949. ........ Address 4 ?Q.Tl1z,.M!fT .! .. Phone No. Name of Architect .............'',....................... Address .............................. Phare No. ....... Name of Contractor .Qt(l.?uj r yac�5.../r?->........ Address A. 4'x.9��c�!�'� ....Phone No. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ... .... *IF YES, SOUIBUM MM TRDSIEB,S PMHT MAY BE WJVRED. PLOT DIAGRAM locate clearly and distinctlyll buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. N 7Y 306,00T1004 R0,124 00MAM iRU'""iu 03YON 2A 03=11#11A S ' 'A S : 'r l C M`��.g'ytmY #Ii2 '�ti h�9 e 19'T^if 7�` n•�' IIIb J'1�gy� yOU1 3U 3 f4++ bbb ( b7 S V v} .................. 1=01"and says that he is the applicant (Nannie of rndivii�lualtr ith cmotmis C, a "9'3..19 1 ws `i,.,A v v� Iced' I' ........... .. byt ................ ' !J icer.. �41R11 4r7W�iN ...... ..... Yl"M .l_i�'H' a)y[INT* ' ,Mlf'l r�rporete officer, etc. "W04% Of chid to perform or have performed Uhe said work and to make and file this appl^i'e'ationj f'lha`et:dl} dIAIaimFn'6A c6n24hed in this application are true to the best of his knowledge and belief; and that=-the w6ikV'ilbl l pe'rfo'rm d,in tl'' •manner set forth in the application filed therewith. me Sworn to ...o0.days E ... Notary Pub .. ...J .. .. . N�CottppIRE L LE II, NstarYPublic,State OfNew'iYork (Signature of• Applicant) CommlQual ied in Suffolk Cou y Expires Dec.8, THERESA DRI VF IIE= 284.41' S 02' 40' 40" W 110.0'/P F 9 O�. ^ V 0 O � J 19 ti W K LI a Q � V j ¢ CpvC 2J 1' O 1 J6.8' 2.0' 27 9 �. GARAGE I STORY l o WOOD h 41 LOT 19 ��^xi FRAME LOT 17 RESIDENCE C, C a o r0cp PA o ' :o 2,e t.F '1'i fiVG�t' NUVX W Ik'X36' S�„l�rr,Hi G� ^j UJL N rn 7' N O FD N 02' 40' 40",' 110 p' No.o t N/F ZALESKI N/F, BECKER FA4# 4256 SURVEYED 1 JULY, 1999 FILED JAN. 28, 1965 SCALE 1"=JO' TM 1000-115-1J- o1a SURVEY OF r AREA= 20,070.0 SF OR LOT 18 0.460 ACRES IN MAP OF DEEP HOLE CREEK EST A TES Guarantees Indicated here on sholl run SITUATE only to the person for whom the is prepared, aSulvor nd on hh behalf to the MATTITUCK, TOWN OF SOUTHOLD title "Pony, Govermental Agency, SUFFOLK COUNTY, N. Y. lending institution, if listed hereon and to the assignetees Or* of the sferolending laf a . SURVEYED FOR VICTOR RUTKOWSKI Guarantees on not Mars+ferable to additional Institutions or wbsequenf Owners, VICKI EDWARDS GUARANTEED TO ncmn.i.zed alteration or addition to tWURVEYED BY VICTOR RUTKOWSKI survey is a violation of Section 7209 of VICKI EDWARDS the New York State Education Low. STANLEY J. ( KSEN, JR. COMMONWEALTH LAND T77LE INS. CO. P.O. B0X"'All)Ji I, FLATBUSH FEDERAL SAVINGS & LOAN ASSOC. t TOWN OF SOUTHOLD NEW SQ$7d 1i L, /VII ' 11956 516 Copies of this survey map not bearing the Land Surveyors embossed seal shah not be considered to be a valid true LICEN C�'LQ P R. YOR may. NYS, ��'��UAc�D jta�l l lMi AXq BOOL 401'4L L 1(�,t559'uG�L>3D OF�7��L c J✓16�5 5iJ't�IZYi A lJi UYL L/itJE/2 4� l LJ/GL Y'��CE /�/LL ��_ �CLU57�UCY� pF GfVi4i.0 LV6l//� r-I� JI/�N. /�aJ/>H 6L L7= �rJS 1AJ 4i4>0-5 7— �,)//-L �l�GY 7oc JA1 Lr e�1L'� ' L log' 1 B —f y I-- n —�1 —D 11-8'Plain Panels(08-009) L 2-5'Plain Panels(08-015) It �i �- 1-4'Plain Panels(08-018) E F G H J N J 1-2'Plain Panel(08-018) 1-900 Corner Set(08-020) SIZE A I B I C D E I F I G I H I J F K I L 4 8 8' $ 8' 12-Economy Braces(08-210) 1-Steel Hardware Nit(08-204) 18'x 36' 18' 36' 8' 3'4" 12' 14' S'6" 4'6" 4'6" 9 4'8" xsnTrvEo-xoxolvnm 5 1-18x36 Straight Coping Set 6"Radius(10-002) roas oa oenox le' 2'Y 8- 1-90a Coping Corner Set(10-004) TYPICAL CORNER 1-Vinyl Liner(see options below) ,._,. Ani 8 �0� 6'Step-Remove 2408-009)8'panels and 8' 1408-018)2'panel. lnserl 1-(01-000 6'step ,X," Cs and 2408-014)6'panels. 5' 8'Step-Remove 2-(08-009)8'panels and Z' 1-(08-018)T ponel. Insert 1-(01-002)B'step \ and 2-(08-015)5'panels. FILLETrCrD 4 8' 8 $ CORNERS \ ( s•vEXwauTc M SEND Replace 4-8'plain panels(08-009)with: 61 >ux 1-8'skimmer panel(08-011) PANELS ;e 2-8'inlet panels(08.010) 6 OEPTN YIX, 1-8'light panel(08-012) •. , 8'Steel Step(end)Remove 4' nH-6:(03-604-CS2-(08-009)8'punelnd 1 1-8:(03-204-(S),(03-204-LS),(03-204-RS) 1-(08-018)2'panel. Insert a 8 8 S-14:(03-304-CS),(03-304-LS),(03-304-RS) 450813gller01)epnelsand elfil) 2408-016)4'panel. 5 (j NSPI TYPE 11 1-(10.083)steel step loping set - •• and 2-00-085)coping tamer set required. See Pagel. /7 * r�I . 8'Steel Step(side)Remove Q� 8 6 2-(08-009)8'panel. Insert 1408-301)8'steel step, 1408-013)T panel,1-(08-167) 45°x1'filler panel and d E� 1-(08-168)4"ponel. 7 51-(10-083)steel step coping set Dad 1410-085)coping tamer TOPAZ STERLING STONETITE set required.See page 1. 4 8 8 8 8 (03-604) (03-204) (03-304) NON DIVING LINERS a� D ".sX� ==2b ��=� p mf s Pd 6y PAT is damd w n H-6(03-642) 1-8(03-242) S-14(03-342) , DIS DAUDW IS FOR RIUSMWE PUMSES ONLY FORT WAYNE POOLS®,Mi SUMPTER D -1.1.1 RIVE, • FWP mokmmH dorsa roonsoommm whirl ae smNdmmwnnen FT WAYNE,IN 46M USA (219)4324731 "Diagonals iven to 90°point of corners. hew di dimensions comPH rth the Nmoml$a orPo ° Anrcor camach mod"! " wroImnWns,i,,,Wd mmmum nadAdr;F«moidim.d e « ny mme.ials POOt_S ouwno Yu.ne GENERAL . .N NOTES IFdrim,boad> sldesorcbbaemdwilFr lhesepool pleax Pmd'Xed by AlT ore olhibumbbmrha dealer/<onm«mrany The anwalhs-mA«Nmrem,mA,r.oand1h.Mli«ml &Rod deoleror<,n„aa,r „ne«msaaryourFig rdr Andes FRN-004 ).All w:Timl dimensbm an Lan lirw ewmsi«n.mdl I.Sod bhora minimum bean a aF 3000 P.3.F. 3.Excwonon shall beTb � mCorondismtonaaem«empbyesoF AVPs ThemnnnXnon Pods rg p«iry re«.an pa al an around. in,nbreemini smrdords prl«wlnewllrng diving boards« rn�ellwds�numatdhommo,ugym swdepPlyonl'iC.1 C.,. ^^e 18'X36' 2.lomloi afpodmbost 6'oboe wmourding hllwds U«lerbowoFponelson min well slidesonlhCsepool. Formfpopoomwnoss mmermn NSR mIn" gromd cwdtnaos There envy be addrvonalp«owions 4 londel•.ation 4eackfill..slhnon-expan.lwmarenal Av« ,d atndrw�VAm22316.703/83800e31Eisenhowar me0ndsoF«nwr<monTheiesps 6.Igodncormoxmh 1�5 RECTANGLE6"RADIUS C011i tors,FENT w.YNE voosSO,INC. BUILDING PERMIT R VI CHECK LIST Applicant/ '�iC.+o+' I� k°WS�t `7'e + Date Owners Name: V i'c.K i ':;AAJard-S Reviewed: Architect/ Date Engineer: Submitted: 3--2-OU SCTM #: i District: 1.000 Section: l 15 Block: 3 Lot: Project M Subdivision Location: 3, Io Th e,'e S a 1!),A Name: Single&separate Required certification: (Yes/No) 1 Req. q R L• 00 Zoning District: [Lot size: 00 Actual: /0.0 (Lot coverage roposed: 0 Req Req. �f Rey. [Front Yard Proposed: [Side Yard /�•' Proposed: 1 (Rear Yard Proposed: ] Project Description: AGENCY PERMITS Permit REQUIRED REQUIRED FOR��EW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees / Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: - "'