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HomeMy WebLinkAbout22490-z r` FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23851 Date SEPTEMBER 5, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property PRIVATE ROAD OFF EAST END RD. FISHERS ISLAND,NY House No. Street Hamlet County Tax Map No. 1000 Section 5 Block 1 Lot 2 Subdivision Filed Map No. Lot No. ' conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 10, 1994 pursuant to which Building Permit No. 22490-Z dated NOVEMBER 25, 1994 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 IN REAR YARD WITH FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to WILLIAM C. SCOTT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-358100 - JULY 17, 1995 PLUMBERS CERTIFICATION DATED N/A Bu ding Ins ector 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) N® 22490 Z Date..~~'~ 19. ; Permission Is hereby gr .pyted ~ GO T,........,~t o...~... ra.L l%iG........ aa~.l 'OfcZ.......~! l~l'1F 4~ ~.,...r~r,.. ........~-rr~". e.................... at premises located at....* Q........ ;P0 County Tax Map No. 1000 Section ........3r.......... Block Lot No. pursuant to application dated !..,11.Q,............................., 19.. and approved by the Building Inspector. / Fee $.,©!I r~... / Building Inspector Rev. 6/30/80 t i v Y ~ Form No. 6 TOWN OF SOUTUOLD k BUILDING DEPARTMENT TOWN }TALL 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-0 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 Buildi.ne - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial .$15.00 Date 8-7-95 New Construction... XX...... Old Or Pre-existing Building Location of Property. Au.t,...Rozd,,O.ff East, End, Road,,.Fishers Islands N:Yr...... House No. Street Hamlet Cower or Owners of Property... Mr... A Mrs... A1.17,i Ain, SCOtt . . County Tax Map No 1000, Section... 5..........L'luck....?..,........ Lot . 0 Subdivision ....................................Filed Hap............ Lot...................... 22490 Permit No . . . . . . Date Of Permit. 1 . 1.- . 25 . -95 . . Applicant. Shoreline Pools,. I.nc . . . Health Dept. Approval ..........................Underwriters Approvol..N358100...... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.. e Submitted: $ 25.00 Christopher A. Corcoran, Shoreline Pools, Inc. C o d~ SS ( APFLTCANT SHORELINE POOLS, INC. P.O. BOX 216 • COS C013 CONNECTICUT 06867 • TELEPHONE AREA CODE (203) 869 1203 FAX: (203) 869 3732 SERVICE DIVISION 376 W EST AVENUE STAMFORD CT 06902 CT (203) 3571544 - FAX: (203) 965 7298 To Whom It May Concern: ; NOV 1 4 1994 BLDG. DEVT. TOWN OF SOt THQLtS y A . I hereby declare the following: 1. That I am the owner of the premises described as follows: Alr- Street City Town State Zone 2. That Shoreline Pools, Inc. is duly authorized for and on my behalf as the owner to execute an application for building, zoning, and health. permits to allow Shoreline to commence construction of a swimming pool at the above site. 3. That Shoreline Pools, Inc. is hereby designated as the owner's representative with whom all city departments may deal with in respect to the-work involved. 4. That I will install a proper fence to meet or exceed all town building codes as they pertain to the installation of an inground swimming pool. Date Owne " Wimesse LICENSE #:CT#508652 • Westchester County.#WO 2092-1-189 Rockland County #H-26.3442 - SHORELINE POOLS, INC. P.O. BOX 216 • COS COB CONNECTICUT 06807 • TELEPHONE AREA CODE (203) 869 1203 FAX: (203) 869 3732 SERVICE DIVISION 376 WEST AVENUE STAMFORD CT 06902 CT (203) 3571544 FAX: (203) 965 7298 November 10, 1994 Town Of Southold Building Department Town Hall Southold, N.Y. 11971 Attn: Mr. Fisher Dear Mr. Fisher: Enclosed please find my application and the supporting documentation for construction of a gunite inground swimming pool at the Scott residence on Fishers Island. We have built several pools on the Island most occurring in the early 1990's and are looking forward to commencing work on this project. As you know from your records the house is under construction and both the architect and Mr. Scott are expecting us to shotcrete the pool, backfill and extend the grades this year. Please call me at (203) 869-1203 if additional information is required. My Federal Express account # is 1175-6632-2 for your return mail convenience. Thanks again for your assistance and prompt attention. Respectfully, SHORELINE POOLS, INC. OLCL~_Iat t- Christopher A. Corcoran Regional Sales Manager CAC/us )I v ~S Q Enclosures NOV 1 41994 TOWN OSOUr HOLD LICENSEN:CTN506652 • Westchester County,NWC 2092-H89 Rockland CountykH-26-3442 ` s SHORELINE POOLS, INC. P.O. BOX 216 • COS COB CONNECTICUT 06807 • TELEPHONE AREA CODE (203) 869:1203 FAX: (203) 869 3732, SERVICE DIVISION 376 WEST AVENUE STAMFORD CT 06902 ` CT (203) 3571544 FAX: (203) 965 7298 August 30, 1995 Town of Southold Building Department P.O. Box 1179 Southold, N.Y. 11971 Attn: Mr. Tom Fisher RE: Scott Residence Fishers Island Permit #224904 Dear Mr. Fisher: Enclosed please find our check #1012 in the amount of $25.00 representing the Certificate of Occupancy fee. Thank you, in advance, for your assistance. Sincerely, SHORELINE POOLS, INC. ~04'az~ Denise L. Norton Office Manager DLN/us Enclosure LICENSE CT #608652 • Westchester County #WC 2092•H89' e,',Rockland poynty #H-26.3492 - lELD -111, EC:lu;i ~JUi,i COMMENTS ^v H t~ _ - - H V FOUNDATION (1st) a~A( D m h FOUNDATION (2nd) 2. z ROUGH FRAME & PLUMBING 3. n INSULATION PER N. Y. STATE ENERGY CODE 4. -J4 FINAL y ADDITIONAL COMMENTS: x ^o ' H H O m A S Cl~ I*I b • H i 08-03-1995 01:48PM FROM TO 12038693732 P.02 it Nr .tiy''"lt..• THE NEW YORK BOARD OF FIRE UNDERWRITERS F'AGF 2 BUREAU 00 ELECTRICITY ""rly~ 65 JOHN STREET. NEW YORK. NEW YORK tOO36 't JULY' 7 1995 Sid=tt``//afk ~ App(icationNo.onfie 86692594/94 N 3581no t9„.C161i2TIFIE3 THAT . • t a itUal u' rniitt ai described below and introduced 6 the applicitni tiamed on the above it Ration number In the remit" o 3 iSCOTT, `::EAt3-y :END-DRIVE, FISHF,RS ISLAND, N.Y. . Ilo'tEtnp (iACatidnj LJ Baiement u Iat fl. Ynd FY. OUT 3ecN.in flock Lot „ s^JULY ,;4'1995 kof(tf¢ittrtfhtd on and found to be In compliance with the National Electrical Cpde. R EE V ° R%TURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS kPlic(ES Ewitbio CANDESCENT FIINi¢FSCFNT OTHER wMT. K. W. AML. K. W. t,Jr, pµi, t, w, Ayi, n, y. A2 7iq NP•i.: W~ .t. FURNACE MOTORS PUTURE AP9tIANC! FEEDERS SPECIALREC'PT TiMECFOCKS eEtt UNtTHEATERS MULTI-OUTLET DIMMERS- HAfi u'ki1M, Olt' A P. 2.A4 it, F. AIAT.. NO. A. W.0. AMT. AMP. AMT, AMPS. TRANS. AMi. N. P. STSTEMS Aµi. wAtn NO.OF FEET a ~ ' :ertn 4 A i SdR91ftIRSCONNECT % ttD.Of S E It V I C E MITE! t NO- OF -3 CC7cCOND. Aw. GG. NO A. Z . A,X(w, C.At .rIWF. rvre, .a 7w l.1 3r sw 3.&' w P OF CC. COND. . Of NPtEO ca N-l!G NO. Ot NEUtU,tS O,. Ai of ARAtUS: - WALL KOBERTI E. LIC. #2455-E 'ALPINE AVE:.. V GENERAL AUNAOIR FISkW-'19LhNDr NY, 06390 1]. Per. ' S,jI~ifitdte must tot be ditered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by 'as . 08-03-1995 01:49PM FROM TO 12030693732 P.03 THE NEW YORK BOARD OF FIRE UNDERWRITERS : tRVREiAV OF ELEGTRIFITY F 85 JOHN STREET. NEW YORK, NEW YORK 10Q38 ~e.•i DOE# JULY 1.7,1995 ,Epplicoti.Nt No. on file 86692594/94 -:.9:~.:• 3581A0.;,;. gill, w "NR'q THIS CERTIFIES THAT - ^•*!;";C 6' " ".#l CZ only the electrical eyalpment aP deEcilbed heloro *Ad !nerodyoed by the applicant ilon"4?n the q)soce oppliepilon qumber fa,thp q(, i,- ...yar. r.... WILLIAM SCOTT, EAST END DRIVE, FISHERu ISLAND, N.Y. :":.:;it „•1; DIY. in the fullowinillusodont ? Elasetnent LJ iat Fl. ? Rnd Ft. OUT `Safi ry : ~ ,.t al L JULY 14 ,1995 ri NaFf rfRkP~1gC([fcR. F4d rsas ciamined on gEU{fon , .d (o . be in eomP[lance wffh fAe o t d.,; , t .e Mi It ZI 1: NXTURE FIXTURES RANGES 1000KINGDECKS ''.:OVEN DISHWASHERS leX 1 R' 0 TIETS ECEPTACEES SWITCHES iNCANOESCENi NVOeE3CEM oTNEa AMT- R. w: A T, t. W.: Xw: AM t.: 3 3 DRYERS _ FURNACE fAOTOIj$ WTURE APPl1AyCE POWER$ SPECtAtRECPT TIME CLOCKS Eeu UNIT 07110$ TSLyTI0UT4eT ; QV81lAE~5 ' AAtr R. w. dt P. WS N.F. AN•T. NO. W, G. AwT. Ana. :AMi. AW3. TRANS. eArt, a.p. it. .oYo"I 4 1 .fit no. op FEET 1 F SI y+MV .~d till SERV)CE DISCONNECT _ NO. Of S E _ R V 1 C31;; ' " ""i 1....;,9'(x.. METER NO. pP CC COND. A, Vr, a. 6 . 'A, W. u Ik= Anti. •eAV. r-s eQUIP. tltw 103w 363w 3.FAW PER% OF CG. NO. NO.Of'hl'IEF _ap' a ` OfM{~rf¢ 'rw1 OTHER APPARATUS: SlIIIUIING POOL-1 i:17°r5i C~-11~A. w;! ::yt~ " ~MI ' "(SSVa'iu`t.[NG POOL) This certificate :'.!.:~~+K,{1? covers Compliance at the date of , «11:. in:pet.r..ion only. Because of unusual. :'°t. ..'.a•'•~I:.f environments it is advisable to _ .%«Y;1' have Yrecpient test/and or repairs yt oracle by a qualified person. t~( <<< Continued on Page 2 . OW9ASFa44F1~ga: This certificate most not be, altered in any manner; retorn to the office of the Board if Incorrect. Inspectors''r'Aq-bie identified by:'iholPdcrC dtR OV10 94 10)26 203 288 3 75 P.2i2 pR' L»14Ab7.xm.,kw'~e"fi"evnre Elx' ,a ~yj4Lb~>Y~~ISSUE DATE (mM/4Olry i mcowCn " 1 lTe IS ISSYED AS A NA 0 RMATL N' ONLY. i D :FOL),IS, WYLIE & LANE INC CONFER9NO.RIGNTE UPON THE CERTIFICATE HOLDER. THUS CERTIPI IITE WES'NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED My, H1E T"035 WHITNEY AVE. POLICIES BELOW. fi HAMDEN, 'CT. COMPANIES, AFFORDING COVERAGE I t 06518 LcomP~AUY A AWMA CID 1YSURGD CaupmAw i SHORBLINE POOLS II C.* COMPANY C 2881'VALLEY ROAD LETTER . COS COB, C'1' ) uCO1AT7PAn~ p . , COMPANY E LLT7Ln 1 .ETb#kk?. I:S.:?...,. m»,TowxgoxY£T"5:::"..,.q.. •.~RYxS' J.IrYfl8A3,:1f'~ _ e. 'Gk a"iff5n1: s rsaal, •bq^Y> KfM'+ .:yO R rx f `b' TY'~?2 # i IH6 IS IO CERTPY THAT THE POLC IM OF IN9UPANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR '111C PCWV;MRIOD BIDIQATED, NOTY0M OM11M ANY MOUEIF1,ENT. TERM OR CONDIT" OF ANY OONfMCr ON OTHER oocuurhfr WITH RF9PF.C1 f0 WNIA.H TNLS CERTPICATF UAY RE.. L TIED OR WAY PERTAIN, THE INSL AMA AFFORDED BY THE POLICIES DESCRIBED HEREIN IS eVSJE4T TO ALL TN TERMG, C(OWSIONS AND CONORIONB OF SUCH POW 19% LAMTO SHOWN MAY HAVE BEEN REDUCED BY PAfJ CLAMM TTPEOPINBURANOE POLIDYMUMGER CYEPFECTAIE I,IC EHPWATN) i •4. DASGIUmloorYH RATi(MM/001Vv) 1 UMIrB i aumnAL LIABILITY X. NIERCML GENERAL LIARLL C02 342 52 55CCA 02/01/94 1l/31/94 oaooucTe.coMPlOP yeo. It 2.,OCj O-L OD LAI45N000 ~OOOUR PCHNUN0.L I! ~.,0 Q Q~ WNERS4OON7RAOTOR•9PACT. j EAOH OOOURRLNOC f ;,0 L),OO _ F9tE0AUA0Elpeyaa(4p f 1 O..pn y: . Ntozvl!N as s !5' 00 $ AVMMOBILC'UAAILRT COIN BINEO GINGL[ f ANVnuro FJ23.425255CCA 02/01/94 12/31/94'""'T 1_Od,O, oO 't ALL.GWNSVAUT09 SOO ILT INJURY X'' s I fCNi0ULB0 AVY08 arpAraon) ! 'X: NWEU Atlfcrt " E eUUA.TI JyNT f X: NOM•?WNE04UT00 ryAraeel~in1' ! ~ GNiATR:CIABILRY P,OOPLn1TDAMAC[ F ' t PslaxcLI.NILRr escHOCeuRAENT a' 5, 0 ~0,-.00. 'X• UMDIWLLAFORM XS234252550CA 02/01/94 12/31/94A MOATS s p010 00 I ' OTHERTN4NUUBRi1.1AGORyi ..;~'-"""•",S " wi "e"'uY T`" ,h„, , i b,z LSE... Y ` .na.F,,;Y WOPYEwY.COAIPENGTION X S'faM'oNT LImIYS •`"+Ty: S".5", x.'I AND CH23425255CPB 02/01/94 12/31/94EACHAcGID[N1` aW laQy;00 I EMRLAYEAS'UAGILIP/ 019EASE.POLICYLIMIT IT 5tl0' 0o. DISEASE-EADHEMPo.OTLL s' 1010,00( ! OTHCn 1 : ' . OCpRIHKNOPOP,CRATIONLLDOATiONG/VONID{LdS/COW.RCNe i . j! .k,.,~ l ' ia4 SHODUI ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLEO.BEFORE IME MR.. & MRS. WILLIAM SCOTT 0(PAAT9ON CATE THEREOF, THE IOOUINO OOMPANY WILL ENDFAYORITO "FI6AERS ISLAND, NY I;3 MAa lU ILIB WRIf7FAlNO[Lti'fOIW-.CtJi11HY.ATE "LIED TO l~Hlff i LEFT, SUr PAIWRE TO MAL SUCH NOTIOC SI IALL UPWE NO OOLIOATATM OR „j uj LIABILITY aANYIONO UPON THE CUAO'ANT.f FNIS OH FIFJTO:'3' ,TryES I! 0 E9EMTATIVE Hj _ atiB.. I i , ....uc;un, Eu, s, » (d. 8TEPNEN LANE NOV 14 13L D" BLDG. DFF'1;' . „ TOWib OF SOUPti CHAMBERLIN & DEVORE 2033723525 P.01 i TRANS Ri IT TAI, 1 t j I j i I F i : To! L^.?TS.....T'n.~. . I.....,................... d LN I FROM: ...0-- =,.....i.r1V, i= . ..............J~.B...NO.i.....................................PROI.EC.T:............., ..I i CHAMBERLIN 8 DEVOiE 3 I il L.vnS rw PS Aa n, N.YpCYJ ONE F&LMODTTI ROAD P FAIRFIELD CT 064J0 1 20 3 3 7 2 1 4 7 7 W_E....T..AANS MI7 .......FOR...Y O,U................................~H... F.OLLO,.°[N.I..,!...... FAx 372 3525 I 5 Q MAIL Cl APPROVAL O SHOP DRAWINGS f~ SwMPLE j ? FEDERAL EXPRESS ? REVIEW COMMENT ? SPECIFICATIONS 9 O EXPRESS MAIL '@CUSE O PRINTS i I Sx'OTH ER ~ : 9 ~ '6k PAX O INFORMATION O CHANGE ORDER 1 I rl O Ol'IIER O OTHER Cl REYROODCIELES I I p D ES CR IF.............TION: .............'.c S..S•f 'ti. Nr.•.~.*.AX o....-,~.,-..~ 4 I a~ J: ,.:.a..l-1.......cs~Z. '4?......1~5.~7...H4.......,..17~c~..:.ic'xc..a.........hcXt~ R? . . , . .......:,.....I......................, i ..............y:.cx:a.i......:hn..:...... .C'yS..,R.1.a•:a,Pa......... .n.~1. G.... .C:+ . 6 i I i 4: e n i . ; . . f i 1 I ~ ! r9i r COFI.RB TO: . E OHRMBERLIN & DEVORE 2033723525 P.02 s I ~ i i 1 I i i 5 I , I f yyyy I I O i • ! Acc g p i ~ ~ FcY Use • • • • 1 99 k 4 ~ f4 I I 8 l • I . 1 I ~ i ' i A: loop CHRMHERLIN 8 DEVORE 2033723525 P.03 i ~ - i T R A N S T T A L ~ d I I i. j 4).......... ......fir. j.:...,, 1?c'............... . ,...,..G.t.r,y F-.. i 04 No• PRO ecT; J DA T J.............._...:...--......,...,...,,....,...........,... L .j.. ^ G. . IAMRKREIN & DKVOKK Ixosc APK ARcNlracrs I I I ME FALMOUTH ROAD p d ,IRPIELD CT 06430 0 3 3 7 2 1 4 7 7 W.E,.,T_xnn.s.Mtr.;__................. FOR. Youa: 711E pol;,toWi 'c: ! d " Ax 373 3525 s C1 MAIL E3 APPROVAL ? SHOP DRAWING. S ; O SA PLES Q FEDERAL EXYRES9REVIEW COMMENT ? SPECIFICATIONS O EI ERA7URI! j ? EXPRESS MAIL 0 USE O PRINTS 0 O HER ' I FAX E3 INFORMATION 0 CHANGE ORDE Ij i O OTHER O -OTHER 0 REPRODUCIBLE • I ~1p q,~ 1.cr......:i,.........~.~ k...... ' I~,ESG,R1PTlON.i.....~... .r. i'.4''., ~-~IYU~• A Y.e....VJ.4". ~ c4...? @Q'. ...t ~4 • ...I 1..x..& r ? ceo..~ AY(......,..:~.:,.k. „ _j.. . .....i.........,...., .....i......i,........... ~.~..y 7 CHAMBER LIN & DEVORE 203372525 i P.04 i t - ~-a•} r. i-~t~i~ 1. ~ - i e i Ynr~- s - ! ' ' ~'d .••r. ~ .l?~~J` i. t~ Ids ~ 14; , f! ~ - r go" - F7v 'A. p~.:.. we.. s., is .~in~. 1~?.a~..... a. T ; . ors ~1n ~w . twr I,t . l nsjt!~ . Q ` .A 3 r -06 &v%. AA, Are 74 ..t, ~ ri 9~ .efP-41m,9"e.0-.'~ a_!? d i : _.~zgl?_ l~ , .l°19 - - I I 3 I ; .P..c.~ _.,~.._Dr~~..use......~rK.:_ ~ I 41.97" 3 I I ~ I is d I I I 1 i CHRMDERLIN 8 DEVORE 2033723525 P.05 I 3 II ' k g~ • I i ! i I i i ~ +o Y. YI Zj' f' ~a*rr.' ~I ~ ~ J ! p pQv JQ, U1 1/71 t , ul, ~ , g 14 i aT 35 IO`. tg ~•j O _ _ 29`_9' _ :'4 .4 ~ I ! ~ ~ . N 5~•~2 io ~ I i ~ I (G BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS tr i 4 1994 TOWN OF SOUTHOLD SURVEY . nw BUILDING DEPARTMENT CIIECK . TOWN HALL SEPTIC FORM BLDG.OFP"L SOUTHOLD, N.Y. 11971 1~WN0 SOU1110[D TEL.: 765-1802 NOT IFYI LY~7 p CALL .,~'~~RvO~eR~ Examined . ~l .02?~ 19 , 7 MA I L TO Approved 19~ Permit No,r . ~`G.~ ,/F4irl4~.90.... . Disapproved a/c lp~a 4'~tlPj~ Cr O(o8Q7 ~ing pector) 5ild(11c~ . . . . APPLICATION FOR BUILDING PERMIT n Date 0 -Aa 19w- INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 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-ins t, \Y,w (Signature of a plicant, or na e, a c oration) Z (Mailing address of applicant) ~P&Ft>-7 State whether applicant is owner, lessee ...~ag/e~nt chitect, engineer general contracto , electrician, plumber or builder. Name of owner of premises 5... WIL U A:~(.Y1 ...:JC (as on the tax roll or latest deed) If applicant 's a rporation, s' n ure of duly authorized officer. (Name and title of corporate officer) Builder's License No. .~4:.o(. p.A Plumber's License No. Electrician's License No. `'f 4efo aL,l - r_6tQ7 A-,F TDj Other Trade's License No . . . 1. Location of land on which proposed work will be done. ...6~1 Ct~ ..4~1 . . .............................................S~FEKS „1~~ LA rJ . House Number Street Hamlet County Tax Map No. 1000 Section ......!5 Block . 77 Lot 1. . Subdivision Filed Map No. Lot e (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .Rez~ tZ3.eN)C:-C..... b. Intended use and occupancy . R (p.~N T ...?V\) .f m4I.N.W ' `'7~ _ 'tiF+w•s*Stiaw++u'd+ivir ..v~~€es„u.:.i~.n., .,.t,~~,.p.?w.ie-+.si ++:::t. n .avn ..~b.i «.,u. ~.J.s...:~ s>;®;>.•:t3aat "-',wtauta+..<wrwt 3. Nature of work (check which a licable): New Building ` Addition , Alteration P~ Repair Removal , Demolition ...-.t-~....... , , . ther Work , . . TOOL n*)'' 71- 4. Estimated Cost .4 Fee , 54T , . 5. If dwelling, number of dwelling (to Ue paid on filing this application) g+ g units . . . . . . . Number of dwelling units on each floor . 11. , If garage, number of cars 6, If business, commercial or mixed occupancy, spe~yinature ald extent of each type of use „ X10 r...~..h 7. Dimensions of existing structures,lif any: Front R Rear . , Depth .~'.~1,ii. Height Number of Stories 1NGt2ovnJ Dimensions of same structure with alterations or additions: Front . . Rear . Depth . , I, Height t t Number of Stories ,f. i t . (-I 8. Dimensions of entire new constru tion: Front . , 6 X~ . Rear ...............Depth 3.~9.. 'M. On(?. Height , , Number of Stories .1 t~~ t bJ1~. I , , , , , promises Rear ,tr, . Depth ..p~0L7 ( . 10 , , . 11.. Date Zone o of or Purchase uedistrict t.ict in which , • • • • • • • Name of Former Owner . . . • , . , . 12. Does r construction violate are situated 9r 4'b . . . . proposed di e'any zoning law, ordinance or regulation: 1-41 13, Will lot be regraded , , , , , , , , , , , Will excess fill be removed from premises: Yes No 14. Name of Owner of premisesm~ .14(I lt). ° Address .~~NEp .l$tHr`1f? , Phone No. W... 7.1 Name of Architect ~IAIJFi r=Vo~ Address Phone No. Name of Contractor `?~~w1~q PW $ t ~C, Address "6 5 VA Phone No.h L5. Is this ~roeSrtSouthold Too feet of a tidal wetland? *Yes ..!7T 0 *lY ~n Trustees Permit may be required. PLOT DIAGRAM f Locate clearly and distinctly all 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. I I - I I • I ~I I CClN NECTI atv T- ,TATE OF S .S11 :OUNTY OF ++~z .sxuP...~ .~.>rzA^? ~ C • • . , being duly sworn, deposes and says that he is the applicant hove (Name of individual signing Contract) named. I~ I e is the / .&e-. z-j:r . ~ 4!!~!CYtA~il~?(L . ~G?~~ EU!.J~~ ..~13.~ . 10.(-.) . . (Contractor, agent, corporate officer, etc.) F said owner or owners, and is duly authorized to perform or have perfonned the said work and to make and file this >plication; that all statements contained in this application are tru(~ to the best of his knowledge and belief; and that the ork will be performed in the manner set, forth in the application filed therewith. morn to beforre)) me this . ........day of ...N~~ 19 otary Pub ' i r. IkPE77,0.., . County (Signature My COnimiselon Exa, Dec. 914 1999 I!, of applicant) HEM 7N 2' Wv SPA vVN x SPA + Foa 6 aYo4. AIR "Secs uYoPo A,aSeo-"-----' S blq, ~tu ChCWCAL ceEDE ;«ICN cR sm .r,sm 2HP A~coM,~T IC- ~ y~ P~ mP Z"pai uR pmL cp Wd SW MME0. R Pool ~ ~-GAT ?URN utE7+:Rn1 .:?"RelaM1w 'T~SPA ryy~ SPA SEPAPMT'ION tPNY, FCP C4) a+u-pia Alp ~Ets wo--~v~aTts'R' ~ ole FILCe 11 lj _#Z iaLTION L~ FaoAn~-__.- TIa.+ NA LN 6c- } 2H9 Y'Om ` Zua:ngH taus, PLV L 2 H P PO MP A ~-wls Irn.c. i' o .A~ N`(DRQ TNfrP DRQ TNE0. PPY SPA ~x r+aht A~-1 C P D D L -n//JI ta6r FILTER SCHEMATIC r~i!r~nagsief u~aetss At sTeps . 'SvJ1M-o~T Pil"IC! VANE LapMTS` Q )w IlOU. FETAN lU' ]RINNq PLAN WATER LINE 6' ILE SPa~WA.y ~ o i N o o Y CONCRETE WALL REM, W/ -CONCRETE WALL REINF. W/ V3 BARS 12' O,C. HORIZ. 6 VERT daVLRI~ WHERE'Nnd~anLptH iS CONCRETE N4__~ SECTION A3 HARS LESS 1HAN 5'-tlj 6 6' n.C, IS MORE WAFER LIN_ r1l TILE -1V SCALE, I = I•=C. Q SEE DETAIL-'A' OOLfoco ~?ATELY" OOL N 6 r ' 00L.ro CODE MI WALL ENpSE P LE EMpLgMN U pON COMPX gEFOHE"WATER C7pING StLhJL Q)113 BARS I N, C R L's HE t. stdNE 15IyiU~ --+1 2, MIN, Ise °~-s 6rMIIJ, 0 2 i.. _ _ IUN n'I~AX. a0_C ++++1111 SECTION W-AA' o H3 b(O'S 12'0,C HURIZ,---- 3'biwR, P, VEh I . I UR HUDL DEPTH', P rr 51-0' MIN. 2' Llk LCSS, I2.0,C, HUkJZ, MAX, t. 6'U'L AV rUR PLUL DEP [ Wi MURE THAN 5'-U' trplcaL pdoL BEAM NU TG SCA C VP , k[[CR 1A[LCS, CINCULIN~~110 a e I L HI[ L CCS DERISJAIlD ALL biHCll M1V RC? CRU1PHtHT 0.ECi R1CALtT N PplM(S)~ HATE f]), IW. BC NANIfiA[1Ut[pp API RIIVC? 1'M j AN? yVINH~NO Pol Sto ND SHALL 11 VIA[ AIlu tY ~PtE OF NC4}r~O? TV nNBUND[? Ir A LLICON~~CSpp CLCCiRICIAd YID ALCtlNLgqNCE VI~N 1JE NbGt _iNINGEHI kC7UIk.7N k ] 11C NAMJI AC 111kL11, WV[NHIHG LpGL C C AICAL ~OpG MN MM?A-1110 WAtlf?IAL CLC[l A1C& 1GG~One N,[l, it31 o1~1ON. Uktk L 1^L MODL SH4 I. E Vikf AN? tAtluNDtE IN likilk~ AtGtowtt VI1N iC shorcllno pools Inc, ICPA-10 A D fNL Auwtlb LOCAL LUCtPit AL Ctl 1 ELCIRICAL)) gqIQUIMEW AND I ttkfAQL SN L~tplt I11 b IT UHbLAVkI1GS t BB VALLEY ROAD COSC7h 00NN. bB801 202-959-12,33 ~RNFN4%INtC Cr. bsL?LLitl ICtlNOR TWt CLN1pA CAA'~ tl kCC1A11A1 OHUtl t `'O~s ^b' 05fi3fig G ~ SWIMMING POOL DETAILS ""'Rt1t CTLINDLN Si RL4GTN SIUrI(L. tE A NIHf1kM GC SDDS hiltl MiG CD GAT], RLllAtlRLINO S1ECL SHALL AC URADE AM nROFES510NFOR I b, 14LNDIIICLN IUS NU} RCVIEVED tUj,TLRl A~[ tbHb iIM, A. SS wtto N 5 11 SC RLA K. NC CNCINE[N SNAIL It INDCIWIkIL~ AhA1NS} ALL DArNaEk Bu OSEPH F. RISCLI MR •MR'S l`1~l ~/at`' ~~--c~-T 4151Nb 1`90H SUISLR/ACE CDNDI11bN1, FnA ex CONSULTING ENGINEER F454EAS ISLArJp REW YORK L the nOl92R NAS Rbt RtVICVtD zbNlAV CkIT[[NIIlA AHb hGHITTINO tiVl, N[DNIRCNCHI; AND SHALL IN [HN!hfp AbA711ST AL DAHAGCS WSW NEW AnH IR1V-CONNLIAN,[ Vl}H zuNPNO AN? FkRHi7Ttllb A~PUIRCRERt; NEW YORK LIC.# 056366 A 1 SITE c e / ~Llzq$~TH ~¢aND~~WB 'g Y 4,0 909, 'G 400. . GRAPHIC, SCALE IN FEET - lp~A-I ?I p` i 1.0G,4TI QN MAP , VO F.F. FIRST FLOOR ELEV. ELEVATION N!F NOH OR FORMERLY -------36-------- EXI5TIN6 CONTOURS 3f PROPOSED CONTOURS -0? TEST HOLE - / / DRIVE 32.0 PROPOSED INVERT ELEVATIONS. 3 TYP. TYPICAL AM EXISTIN& STONEWALL - MAMe 0 N H ,ry NOTM, i ' U. I; COORDINATEDISTANOES ARE MEASURED, FROM-U:6.'COAST. ANb 6S ODETIC SURVEY *AN5ULATION 6TAF,ION "WT END 29. z 2. SITE IS IN THE TOWN OF,5OUTHOLD; COUNTY OF , SUFFOLK, TAX MAP IOOO, SECTION 009; EILOCK I, cn' LOT 2. w 5. 517E 15'•TOy~D~E SERVICED BY MUNICIPLE HATER AND ON SITE 5EM&E DISPOSAL SYST$M IN COMPLIANCE WITH THE h REGdAREMENTS'OF THE SUFFOLK COUNTY DEPAKRew or HEALTH. - ti/ 4. SITE 19 IN R-120 ZONE 5. TOTAL AREA: 1.94 t ACRES- 6. OWNER: Wllllam G. Scott ' t~ cr 140 East 45th St. 35th,Flr i m 2 New York, NY, 1001'1 ~g ' wsr x*/uU / / '4 (212)867-5420 zo r ry~ z ~I ppoo 1. BASE FOR LEVELS: N6VO 19241. ~rn+ o Er / is7p / 0' 1 50%E~FMU~ r I IP NECESSARY / r RET NI YVLL / 2 ~~j Jt A G' fill mAP uo c, ~ J, q ~ u/ J SURVEY MAP, OF PROPERTY, TO BE CONVEYMP TO STOW L. J WILLIAM c. SCOTT, BLOCK 1 - LOT 10, PIGHER$ JSI. W, LMAMM or NEW YORK, SCALE: P = 40 PT., CHANDLER', PALMER t r . EOF rt P OF NF1.yr KINeS, APRIL 22, 1981. c~ PPDV`li. g c, SPPD li. ST9 G~~ r l n ~~i p _ O , 1 1 o ^noN .~N 4, 0 0"6? , / / 5 89°12'08" W 114.01' T ~2s ^ OaB54 5177 PLAN FOR POOL 'PekhI1T / \s '7'Z 30 13. 0 0 30 eeNra+w,MUC \ \ Qp6 GRAPHIC SCALE IN FEET SCALE INS~PEET AILLIAY ce 5jg*C OTT' / r~ EfA'V. I6 8' l 'qV/p ev° I A ?E v~ mt 1~5LrOGK "T - LOT 10 ASH FISHERS 15LANP, NSW YORK - 1000 6N. 9li~IG ThNK MC :(b FOR 6AGKI'H.~N ANN d ~oLyN M~kohN i REVISIONS -VISIONS CHANDLER, PALMER As KING DATE DESCRIPTli DESCRIPTION it /2-5f SAL n Amhltects, Engineers and surveyors JO\T\ONS RFvISIeNY 110 WA40WAY NE1WIM M OFiO ?W-N?J~07 FM 203-000-7101 I am familiar with the standards for approval and construction of eubsw^faae sowage disposal systems - for single famlly residence and will abide N the conditions set forth therein and on the permit to construct. . 'GATE:, WovF1-r"lt 8, I° .}.'IE'EE M! 8, I41°T4 ' SCALE: 1"=30' APPLICANT 30' SHEET 1' OF 1 IF 1 ~ SITE xe \ we I G a r QU \ a 400 200 0 400 e ~~ls GRAPHIC SCALE IN FEET ' U l5~ 89 1.0CATION MAP cs n F r 4. H 9 / / n / F.F. FIRST FLOOR ELEV. ELEVATION I N/F NOW OR FORMERLY --------56-------- EX15TINO CONTOURS i .,v PROP05E:D CONTOURS by AlL TE5T HOLE 320 PROPOSED INVERT ELEVATIONS TYP. TYPICAL m~ I a' x. nw EXISTINS STONE WALL / I Qr Prao=osev soo Csl --U_vfs~ 0 i I PeOPhrE T~WK r ~ `~O`~.~ 9AIFD .ndlE46wOMG~ / / aw frrPJ / ~ rylf I U 1. COORDINATE DISTANCES ARE MEASURED FROM US COA5T i AND GEODETIC 5'JRVEY TRIANG.ILATION 5TATION 'EA5T END 2'. Z 2. SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF f SUFFOLK, TAX MAP 1000, 5EOT10N 005, BLOCK 1, l LOT 2. . f W 5 SITE 15 TO BE SERVICED BY MUNICIPLE WATER AND ON 517E SEWAGE D15FO5AL 5Y5TEM~~~INy COMPLIANCE WITH THE REOJIREMENT5 OF THE STrFOL.K COIMTY DEPARTtTZNT OF HEALTH C~ 1 4. 517E 15 IN R-120 ZONE ~J 5. TOTAL AREA: IA4 t ACRES, bN"- ~ ~ p 6 OWNER William G. Scott 140 East 45th 5t. 35th Fir Ncw York, NY IOOPI (D91/-? T-P1 (212)B6'I-5420 1 HSTONE (5 OETAIU ryry t, \/(ice 4• 1. EA5E FOR LEVELS NGVD 192-1. z I p "IMMEDWTELY" PR.JP' L.iO , • I ' a NNC~nBe~~oOMnma~~~ncoyDB UPON COMPLETION KAP RE'FL aSCFZ BEFORE WYATER" % 4 0 l: iLG4 - fp 714 u SURVEY MAP, OF PROPERTY, TO BE CONVEYED TO (pry WILLIAM C. 5COTT, BLOCK 7 - LOT 10, NSHER5 ISLAND, v IirEo.~ 2 'J "cJj? ,o.; p:1591'f p1 U, iN Tv~ ppppi AIOV 1994 NEW YORK, SCALE: I" = aO FT., CHANDLER, PALMER KING, APRIL 22, 1991 Q OF TON/N,_..__p~g0 -TOWN LUG D~ OT n~±P9 plf--' ub!P•!Gi JEI'.4RTV1. JT. AT d 8¢;;!' n;.h TO 4 wA FOR THE clytYi;NM::f, Ih"iPECTO'V0 C~ I lr!l//~ `~"~Tp / U ~MIN,4 H~6H FSwcE Hr6H FewcE 1, rCii ,'Ul'b~TNf1IJ - `tEt]IUIREU 0 ,v V M1 ft+C14iREOGON0rETCRETE 5175 PLAN / ~ 5 b9°12'08" W 11401' ? PCY'JGf i . nFe N11NC, & PLUMBING FOR POOL PERMIT a~ 15COUPP"Pscy OR & G:!! ,@i 16TUL Q, r-NnIFaL CONSTRUCTION musir FR CJ). '1MMEDWI ~Ci~le`~'9f~Gw71- AI,R'C,6NSTRUCTIIO SHALL MEET IMMEDIATELY' OCCUPANCY BICLpl POOLTO CODE sTFE TAC REQUIREMENTS OF THE N.Y. aew~ nnrsK % "o hvr~ - UPON CCMMJ UPON COMPLETION E CONSTRUCTION & ENERGY STAT / rLP 6 T7 / ~ b ~ BEFORE "WA: / e~ev la~.z ~ BEFORE'WATER" CCrOES. NOT RESPONSIBLE FOR ,H 4PHiC SULE IN r,FB.ICGN OR CONSTRUCTION ERRORS PRIG Srn_L IN FEET NILL IA4 5 OTT BLOCK '7 - LOT 10 1 ~cs~ J 1D ti, ~ /rai~s;o~ roar. e~Kw~vs~ UNDERRIll CERTIFICATE P15HER5 15LAND, NEW YORK 1O°°! v nl~j i, v~ K REQUIRED ,~K 1 REVISlOWS Rt VISIONS s CHANDLER. PALMER Ac KING DATE DESCR DESCRIPTION W-10 E S 1 Architects, Engineers o,d Surveyors ' 1f0 !PU/Dw1v NORMp( tT 0~1f0 ffi~Mp-1Y> FIS 14~b+s]e' I I am forhIllor with the standa,ds for approval and constroctlon, of svbsurfaoe sewage disposa: systems for single fomlly residence and will ablde N the condltfons set forth therein and or the permit to LOnSt~ULt. D/TE; IJoveY.6C-e G JnV~Y.6Ee I 1 APPLICANT tiHEEi 1 GP 1 1 OF 1