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Home My WebLink About26502-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27630 Date: 04/18/0 THIS CERTIFIES that the building ACCESSORY Location of Property: 7480 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 11 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 2000 pursuant to which Building Permit No. 26502-Z dated MAY 15, 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 AS APPLIED FOR. The certificate is issued to JAMES P BORLAND (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N-553121 03/13/01 PLUMBERS CERTIFICATION DATED N/A a, 7,� ,9.,,�- Authorized S'gnature 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. 26502 Z Date MAY 15, 2000 Permission is hereby granted to: JAMES P BORLAND 145 EAST 16TH ST APT 18L NEW YORK,NY 10003 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. at premises located at 7480 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 126 Block 0011 Lot No. 012 pursuant to application dated MAY 11, 2000 and approved by the Building Inspector. Fee $ 150 . 00 � d Authoriz d 'Signature ORIGINAL Rev. 2/19/98 P001 Form No. 6 %ILAderUJCt �ef SCert TOWN OF SOUTHOLD sS3�a1 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: 1. 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 - I 25\0 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ( ZS Date . �r.Q ! ` .�. . .�?2.�. .a 00. 1. . .. . . . . . . . . . New Construction. . . .PO Ll( . Old Or Pre-existing uilding. . . . . . . . . . . . . . . . . ` Location of Property. . -?.t � . PeCo f1 ; ! � �1 G`. _ . . . .. . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. C Y Y r� . .P. . .e)(b. r.k .1!1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .:'.?Fd. . . . .Block. . . . . . ` . . . . . . .Lot. . . . !.,& . . . . . . . . . . . . . Subdivision sn. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . filed Map. . . . . . . . . . . .Lot. . . . . . . .n. . . . . . . . . . . . . Permit No`�O. Q� . . . .Date. Of Permit.5r.-. . . .0 . . .Applicant. .Rci&f�ci . .?.c� : �.�.Ci-.c.s Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval-\1 Planning Board Approval. . . . . . . . . . . . . . I . . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . CA e. . . '.e.�5 . . Fee Submitted•-/$. �l S '.�C1. . . . . . . . . . . . . . . . . Qac 5q 3fS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CO a7(o�✓0 PPLICANT II Vf`1.t .11- GILCF. .i F.0 F1{ Itl. J\ C—...ail SOV F Cir , %,t VFDZ4- Town Han .Ubert J. Krupskl,President y� 33095 Main Road James King,Vios.Prnsident P.O.Bos 1179 Hoaxy Smith Southold,New York 11971 Artie Footer 188 Ken Poliwoda Telephone(616)766.1812 Fax(6I6)766-1823 BOA.= OF TOWN TRUSTEES TOWN OF SOUTHOLD February 14, 2000 Donald G. Feller, Architect 11725 Main Road Mattituck NY 11952 RE: JAMES BORLAND SCTM 4126-11-12 Dear Mr. Feller, The Southold Town Board of Trustees reviewed the survey dated and received in our office on February 8, 2000, and determined that the construction of a second floor balcony and a new deck to an existing house to be out of the Watland jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activity within 75 ' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Q Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. UOFIHLL FE ICER c,,NL:H I TEk: r 51i+253t 3�s � New York State Department of Environmental Conservation c Division of Environmental Parmita, Region One Suilding40'-SUNY,Stony Brook, New York 11780-2358 Phone:(518)444-0363 • FAX:(518)444-0360 Website:www.dee.state.ny.us J*A P.C" Carrfdubne LETTER OF NON.fiIIG_ DICTION-11DA WETLANDS February 24, 2000 James Borland At., 1-4738-02561/00001 7480 Peconic Bay Blvd. Borland Property Laurel,NY 11948 7480 Peconic Bay Blvd.,Laurel SCCM# 1000-126-11-12 Dear Applicant, Based on the information you have subtrnitted, the New York State Department of Environmental Conservation has determined tbav The portion of the property landward of the seaward bulkhead constructed prior to 8/20177 as Mown on the survey prepared by Howard W, Young dated 117/76 is beyond the Article 25 Tidal Wetlands Land Use Regulations jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations(6NYCRR Part 66 1)no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any 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 necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project, Such precautions may include maintaining adequate work area between the tidal wetland jurMimional boundary and your project(i.e. a 15'to 20'wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that tlds tetter does not relieve you of the responsibility of obtaining any necessary permits or approvais from other agencies. Very truly yours, Ro r Evans Pe 't Administrator �ccXK/file L`"tI"i rI wco D.Fetter, Architect f`uw u� 0 OGIHLU Fn1 'IN l IEI.T �lo2 yg33s.,� t I CO New York State Department of Environmental Conservation � Division of Environmental Permits, Region One �� Build'iny 40'-SUNY,Stony Brook,Now York 11790-2356 a� yo Phone:1516)444-0365 - FAX: (518)444-0360 Website:www.dee.state.ny.us sOa P.Cent Convozslow TETTER OF NONJUR SDI 'LION—TIDAL WETLANDS February 24, 2000 James Borland Re: 1-4738-02561/00001 7480 Peconie Bay Blvd. Borland Property Laurel, NY 11948 7480 Peconic Bay,Blvd„ Laurel 5C1'M# 1000-126-11-12 Dear Applicant; Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that The portion of the property landward of the seaward bulkhead constructed prior to 8/20/77 as shown on the survey prepared by Howard W. Young dated 1/7/76 is beyond the Article 25 Tidal Wetlands Land Use Regulations jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 66 1)no permit is requued under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any 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 necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20'wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that Otis letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies, Very truly yours, Ro r Evans t S Pe •t Administrator cc;KK/file "it'aT$2900 D. Feiler, Architect �psUF �.fi Town Hail ,Ubert J.Krupaki,ProRident hyd ,Y, U3095 Main Road James King,Vio Prenident P.O.Box 1179 Henry Smith Southold,New York 11971 Axt Ken Telephone(616)765.1892 P Footer Ken Foliwnda 'Q,� � a� Fax(616)766.1623 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 14, 2000 Donald G. Feller, Architect 11725 Main Road Mattituck NY 11952 RE: JAMES BORLAND SCTM 6126-11-12 Dear Mr. Feller, The Southold Town Board of Trustees reviewed the survey dated and received in our office on February 8, 2000, and determined that the construction of a second floor balcony and a new deck to an existing house to be out of the Wetland jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activlty within 75' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Ksupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. 473889 126 • -11-12 OWNER : JAMES P BORLAND NUMBER# DATE TYPE CO # USE/DESCRIPTION qo/oo /00/00 PERMIT SINGLE FAMILY RESIDENCE '-"2644 /12/00 PERMIT ALTERATION 2650 /15/00 PERMIT ACCESSORY /00/00 /00 0/0o/00 O/DO/00 0/00/00 0/00/00 0/00/00 F1=More F7=Permit Detail F8=Co Detail F9=Preco F12=New Swis/Parcel F3=Exit I 1 3�s r � 111J��gUt �� td(� IrLIZAIIET11 A. NEVILLE /�� Gy Town [loll, 53006 htnirl Iland 'PAWN MIMI( q � P.U. Box 1170 rn 2 Southold, Naw York 11071 IIR(.i191'IIAtt U1T Vl'1'AI,9'I'A'I'IB'I'IC9 0 • I'nx (150) 705-IR23 MAIIIIIA(MOFFICER l��1 ��Ol11sl Telrhhauatrl0) 70C,.1P00 HIP.(AMP9 MANAOF,MF.NT OFFICER J�11 rimp,I)oNt OF INFORMATION OFFICER ()1ri 1C1 plr '1'Itl: OWN ULPHR TOWN OC SOU'T110LD APPLICATION roti PUBLIC ACCESS TO RECORDS INSTRUCTIUNS: Please complete Section I of this form and give to Town clef-It's V1 ce agency Freedonh of Information Officer) . Ofhe copy will be returned to you In response to your request, or as an Ithterhn response. SECT ION I . (Uepnriwent or U�Tcer, If knowh,tt that has the 11ormat on you are I-eques ng. ttECURD Y U WISII TO INSPECT: (b be the record sought. If possible, supply date, filet ie, map number, achy other pertinent Information, ) Co 0 ` S Slyrralure of Appli/cantC7, Printed Name: Address: S ��c� 0 /� (( �d , �0 / / 97/ Malliny Address (if diff//erent from above) : 'I clephoue Number: -76, sI J 9bc) bale. ( I APPROVED [ 1 APPROVED WITII/7UELA)Y�*�fi'� [ 1 DENtF-DA FEB 2 7 2ti01 ,.,,,mora 'ownClerk —�Iizn gel rA, Neville Date Freedom of Information Ofllcer " if delnyed or defiled see reverse side tar explanatloth. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001290 BUREAU OF ELECTRICITY r 40 FULTON STREET, NEW YORK, NY 10038 r OCTOBER 17 2000 11.1.03800100 N 539586 rL Date T Application No. on file L THIS CERTIFIES THAT only the electrical�e uipment as described below and introduced by the applicant Named on the above application number is in the premises of L JAMES 9OKLAIM, ``7))480 PECONIC BAY BOi1LEVARDt MATTITUCK. NY r in the following location; ❑ Basement ❑ let FL ❑ 2nd FL OUT Section Block Lot was examined on OCTOBER 10,2000 and found to be in compliance with the National Electrical Code. v r FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS r OUTLETS INCANDESCE FLUORESCENT I OTHER L 1 1 L r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECTT.1 TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET DIMMERS 6 SYSTEMS IL AMT, K.W. OIL N.P. GAS I H.P. AMT. NO. A.W.G. AMT. AMP. I AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS 6t L t 1 F 1 iso r SERVICE DISCONNECT O.OF S E R V I C E ER AMT. AMP. TYPE EQUMET 1P.11 1 0 2W T 0 3W 3 0 3W 3 0 4W NO.OpEQCeCOND. OF CC W. NO.OF HI-LEG OF HI EG NO.OF NEIITRAM OF NEUTRAL 4 r c F OTHER APPARATUS: G e E SWI194ING POOL-1 c GFC'I-1 c *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual c environments it is advisable to TTave frequent test/and or repairs mPer made by a qualified person. fL_..Cc< Continued on Page 2 >>> GENERAL MANAGER 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. r t COPY FOR BUILDING 0.?,:FTMEWT THS CCF"Y CF CCFTIFI0A7E MUST NOT CE ALTERED IN ANY MANNER- THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1601296 BUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK, NY 10038 Date Nn3BER 17 ,2000 Application No. on file 1111133860/06 N 539586 r THIS CERTIFIES THAT Ir. only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of r L JAMES BOKLAND, 7486 PECONIC BAY BOULEVARD, MATTITUCK, NY in the following location; ❑ Bose»vent ❑ lst Fl. ❑ 2nd FL OUT Section Block Lot e L OCTOBER 10,20M was examined an and found to be in compliance with the National Electrical Code. c r FIXTURE FIXTURES RANGES COOKING DECKS OVENS L DISH WASHERS EXHAUST FANS r OUTLETS RECEPTACLES SWITCHESINCANCIESCENT FLUORESCENT I OTHER AMT. K.W. AMT. K.W. I AMT. I K.W. I AMT, I K.W. AMT. H.P. C L r L r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALRECTT.1 TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET DIMMERS r SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AM. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS P L E L SERVICE DISCONNECT No.OF S E R V I C E r METER NO.OF CC GOND. A.W.G. A.W.G. A.W.G. L AMT. AMP. TYPE EQUIP. 1 0 RW 1 0 3W 3 e 3W 3 0 dW PER 0 OF CC.GOND. NO.OF HIAEG OF HIAEG NO.Of NEUTRALS OF NEUTRAL r V D L r OTHER APPARATUS: L n c r 4 n u n U n Y n u n _ u — - n u G C-CAT CO./DAVE CHESHIRE ELECTR LIC.#953-E 9286 SOUND AVE GENERAL MANAGER E K TTITUCK, NY, 11952 11 per E 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. E COPY Pi?R BLIILOIN; OEPARTI,I=NT 'HIS COPY OF CERTIFICATE MAST NOT Fr AITFv9Fn IN LMV nee KIKIMP THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 E 11351x47 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 i1AP.C'H 13,2001 r' .:<<".i N 5531'21 Date Application No. an file THIS CERTIFIES THAT �Le+ only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of 6 JAMF5 BDRLAND, 74SO PECONIC HAY BLVD. , LAUREL, NY in the jollowiag loeatio as nt El At Fl. ❑ 2nd FL OUT Section Block Lot �i, � 1 RR was examined on and found to be in compliance with the National Electrical Code.- 6 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCE FLUORESCENT I OTHER AMT. N.W. AMT. K.W. AMT. I N.W. AMT. I K.W. AMT. H,P, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RgC'PT.1 TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET DIMMERS SVSTEAI3 AMT. N.W. OIL X.P. 6A5 H.F, AMT. NO, A.W.G. AMT. AMP. AMi, AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E P METER NO.Of CC GOND. A.W.G. A.W.6. A.W.G. IF AMT. AMP. TYPE EQUIP. 1 0 RW 1 0 3W J 0 JW J 0<W PER 0 OF CC.GOND. NO.OF HI�LFG OF HI-LEG NO.OF NEUTRALS Of NEUTRAL [+ OTHER APPARATUS: It SWIMING POOL-•i R(SWIMING POLL! This certificate � covers compliance at the date of inspection only. Because of unusual environments at is advisable to have frequent testiand or repairs ;made by a qualified person. "NU VISUAL DEFECTS: "An electrical \\\ survey has been made of the exposed \ 4 < Continued on Page 2 »> t�,. GENERAL MANAGER g 8 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. 010 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. e r THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 X1135107 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 n i.LVCH 13,2e01 *!.;•:': /:`v. N 553121 Date ' Application No. on fife - y THIS CERTIFIES THAT v only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of u n JAMES BORLAND, 7480 PECIONIC BAY BLVD. , LAUREL, NY m to the following location• ❑ Basement ❑ Ist FI. ❑ 2nd Fl. ala i Section Block Lot n was examined on W(RCH P..7,2001 and found to be in compliance with the National Electrical Code.- I: M1 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS.B OUTLETS INCANDESCENT FLUORESCENT I OTHER AMT. N.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. tr� p5, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PLj TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET DIMMERS P SYSTEMS AMT. K.W. OIL X.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT, I WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.Of CC GOND. A.W.G. A.W.6. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 RW 1 0 SW S 0 SW s 0+w PFR• OF CC.COND. Na OF HIdEG OF HbLEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: electrical equipment in the premises indicated." "No obvious � unsatisfactory corditio:n was found. JAUM'3 1dURPFtY U11743653 ik� L LP.C.Kx 305 L.BUREL, ISY, 11918 GENERAL MANAGER 11 6 EPer P 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. 11 in Sill In 11101111 111111 to I'll lmi-mi 111 Sill PE�I'm COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS CATION [ ] FRAMING [l/]' FINAL [ ] FIREPILACE & CHIMNEY REMARKS: �� /�/ f ✓� s 3 so _ f ftl DATE INSPE OR .u,l, M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1J TION [ ] FRAMING [`' FINAL [ j FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � ✓15 �.✓c� c _ DATE_T INSPECTOR COMM FIELD INSPECTION REPORT ---DATE __-_-s_________ ____________NTSf _-___-_ -_---�---- S� iii --- -- — -- -- --- -- tv U' if FOUNDATION OST) It- II II Cjl FOUNDATION (2ND)------------------ -------------- ROUGA FRAME & �� ii `-- ------ — -- — — -- � � PLUMBINGif ir— tt_ _--JI - if ------------------- 1 INSULATION PER N. Y. If If if H STATE ENERGY CODE it n NI u nif�7 n ° r "1 5/ II II c. H 1it ----IIit 1� n —1 FINAL -----------------------u--------" ��'_- - �- -� -- -mss--- --_----ADDITI L COMMENTS: - c r O Arl y ri O z r �Z b H SIZE(FT A IB C D E FI G AREAl CAP. DIVING BOARD A - .. _. • A INLET �LADOER . . .. -- - INLET FITTING AUTOMATIC SKIMMER UNDERWATER - e . - O LIGHT - F (OPTIONAL) UG A 8 MAIN DRAIN B 1r— PLAN O s r GENERAL NOTES rxr� TRF FACING WATER SECTION A—A THE DESIGN IS BASED ON A DRAINAGE SOIL WITH<lo% LINE SILT,GROUND WATER SHALL NOT EXIST WITHIN THE 4'*-'t i 1%WASTE FILTER LIMITS OF THE EXCAVATION,IF GROUND WATER EXISTS PUMP HAIR d LINT WITHIN T' BELOW GRADE SPECIAL DEWATERING ? FACILITIES WILL BE REQUIRED.WATER DISPOSAL IS 0 d'CATCHER SKIMMER LIMITED TO OWNER'S PROPERTY. B ----WATER LINE——--— ARS z NO SURCHARGE ALLOWED WITHIN 4'-0-OF SHALLOW 3X3 NDB CONT.BOND BEAM .'% w " 1%RETURN TO ENO AND B'-0'OF DEEP END. ALL AROUNDq MARBLE > INLET TIES Ir DC ,y'`3 DUST x 3. THE PNEUMATICALLY APPLIED CONCRETE(Gl)NITE) FINISH SHALL BEA I'A MIX WITHA MAXIMUMOF3%GALLONS OF M - MAIN DRAIN WATER PER SACK OF CEMENT. - 1-THICK - n A- REINFORCING STEEL SHALL BE INTERMEDIATE GRADE 1'k BILLET STEEL WITH A MINIMUM LAP OF 33 BAR i DIAMETERS. RADIUS VARIES SCHEMATIC PIPING ARRANGEMENT . 5. POOL WATER SUPPLY BYOWMER'S GAROE/1IIOSE POOI. Tb2t'SNNLLOW END TO BE KEPT FULL DURING FREEZING WEATHER,PUMP - UP ON DEEP END _ CAPACITY TO BE SUFFGIEAR TO EMPTY POOL IN - - 24IKIURs. I&STEEL REINFORCED POOL SPECIFICATION CONTRAcTOR: WALL SECTION OEM <r-B• >F-S« ""kskq al Rad�P dr wj A - .. B—�BHORIZ. 1r OC - B•OC - ---- VERT. 1r DG roG=? OWNER: �- .nes' FLOOR tr DC EACH WAY OR _ - MESH EOUNALENT 7�90 � " { L&tx i 1� s aa8 . 4435 y ), Ze Z• , 1 IN N C:4.CA4E - N � 1 z �1� . ..... v • � 3,x.6 F R• .�� eP � , �,..�� V 7 �•' ' o`' 1 � . x ALA Ack kk• �� 1 BOARD OF HEALTH . . . .... . . . . . . . . FORM NO. 1 3 SETS OF PLANS .. . .. ... . . . . . .. TOWN OF SOUTHOLD SURVEY .. . . . . . . .. . ........ . . . . . BUILDING DEPARTMENT CHECK ... .. . .. ... . . ... ... . . . . . . TOWN HAIL SEPTIC FORM . . .. . ... . .. . .. . .. . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.................. 19.... MAIL TO:. . .. . . . . -- ... . .. . . Approved.. C!S.........2W9 '.P Permit NO. ..X05�a. ................................ ................................ �n (Building Inspec '• .,` :Y APPLICATION FOR BUILDING PERMIT imr-m Date. . . . . . . . . . . . . . ... 19. . . INSTRIICTIONS is application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to sdiedule. b. Plot plan showing location of lot and of buildings an premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be dram on the diagram which is part o 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. Say- permit arpermit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in %bole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted) by the Building Inspector. APPLICURIN IS BERM MALE to the Building Depertmmt for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances*or Regulations, 4n f buildings, additions or alterations or for remval nor demolition, as herein described. " a comply with all applicable�Iaws, ordi s, ilding code, housing code, and regulatiouS '� .au rued tors on premises _ - mpg assay inspections. . ....................... TA TM3MTRM30 0e4,1<UtV19 v,11T,,.. S'gna of ican or name, if a corporation) 3"TRMMR # OTMA0CfRt. MWOMW O3A1 ....... ... .. . ........ ......................... UtY�A AXY - M(}ET M MrJC d (Mar ung applicant) 3TliP31i0�!03lNIKlR Rn� uctssuuzr, ti aAmt . w1+{}a State then Ii ant is gmgFg lessee, agent, architect, engineer, general contractor, electrician, plumber or buil con. Name o"3F 1.t ti 4. ®ices " :...`✓. '. ..... .��C"/�6f/!�............................................. Cas on the tax roll or latest deed) If appficant'is a corporation, signature of duly authorized officer. ....................................................... (Name and title of corporate officer) Builders License No. ..... 6q1 — 17Y . ................. Plumbers License No. ......................... Electricians License No. ..................... Omer Trade's License No. .................... 1. location of laud on %hich proposed work will be done............................................................ �71-1 �U %.Iee 61>ti"r ................................n2 ! ��lC`............. .............................. ....... .... House Naber Street //1et Canty Tax Map No. 1000 Section ..../ "-v j Block ................G � Int ... g D . G o .... Subdivision ...............,....................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and ocanp®cy .................................... .......................... . ..... b- Intended use and occupancy .......�Gl..... / L t 3. Nature of work (checkwhich applicable): New Building .......:!u Addition .... Alteration Repair ............ Removal ............. Demolition ............ other Work LtJI�? leu r� ............. (Descripti i. Estimated Cost ...... ..) ............ fee .............................................. (to be paid on filing this application) i. If dwelling, number of dwelling units ............ Number of dwelling units on each floor Ifgarage, number of cars ...................................... i. If business, commercial or mimed occupancy, specify nature and extent of each type of use...................... F. Dimensions of existing structures, if any- Front................ Rear ............... Depth ................. Height ......................... limber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Heigfht .................... Number of Stories ............... i- Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... 1, Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ II. Zone or use district in which premises are situated ....................................am. ................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ................ ...... 13. Will lot be regraded ..... > ..... Will em cess fill be removed from premises: ES NO 14. Names of Owner of premises`lP.-M f-S..j?Q Y�Lf1FUl�.... Address �v .. .}r. . %J ,,, Phone Nov�� ..... Name of Architect Address .............................. Phone No. ........... Name of Contractor ................................... Address ...............................Phone No. ........... 15. is this property within 300 feet of a tidal wetland? * YES ...., ... NO .......... *IF YES, SwrinD =a 1Ri1Slm PmaT MAY RE REQUIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions iom property lines. Give street and block number or description according to deed, and show street nares and indicate ,ihether interior or comer lot. "IMMEDIATELY" (� ENCLOSE POOL TO CODE OATS; h DD e# O BEFORE"WA UPON COMPLETION FEE: t�n NOTIFY /UILDING AT 766-1002 ! AM it 4 PM MR THE FOLLOVNNG IN8FWrA NR 1 FOUNOAT'WN - TWO WWRED UNDERWRITERS CERTIFICATE FOR POURED CONCKM: REQUIRED EO 2. ROUGH ' PRAMWG a PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST (� BE COMPLETE FOR C.O. OCCUPANCY OR ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. USE IS UNLAWFUL STATE CONSTRUCTION & ENERGY "!I HOOT CERTIFICATE DESIGN OROT RESPONSIBLE FOR CON TRUCTION ERRORS "'r °` ` ' F OCCUPANCY OIINIY of ....................... U N Ocz ............ .. ... � .-...�.`� . .............being duly sworn, deposes and says that he is the applicant Name of individual signing contract) bove named, I eisLhe ......C� WT. Rg.C.IC 12 ........ . ............................................................................ (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make ad file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the manner set forth in the application filed therewith. worn to before me this .......Z(........ ay �.. ........... Notary Public ...... . Lt . . ..... ........ . ........... igna of App t) NotarJOYCE.Staff lNow York No.4952246, Suffolk CountyTerm Expires,lune 12, Loc3f