HomeMy WebLinkAbout29322-Z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES IL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29322 Z Date AP L 22 , 2003
Permission is hereby granted to :
HARBORVIEW HOMES
1706 COUNTY RD 39 ITE 2
SOUTHAMPTON,NY 11 68
for
VOID VOID VOID
VOID VOID VOID
at premises located at 590 WESTPHALIA RD MATTITUCK
County Tax Map No. 473889 Sec ion 113 Block 0014 Lot No. 001
pursuant to application dat APRIL 21, 2003 and approved by the
Building Inspector to expi a on OCTOBER 22 , 2004 .
Fee $ 150 . 00
LL2
Au ed ature
r�
ORIGINAL
Rev. 5/8/02 '
o�,c,.g13FF0j1r 0
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Town Hull, 53095 blain Road � • � Fax(63 L) 765-9502
P.O. Box 1179 Telephone(631) 765-1802
Southold.Ne%% York 11971-0959jag I%-
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 9, 2003
Harborview Homes
1706 County Road 39, Suite 2
Southampton, NY 11968
To Whom It May Concern:
Your building permit (4298322Z, for construction of an in-ground swimming pool), at
your request, has been deemed null and void and is no longer open. You are not permitted
to construct a pool until you obtain the proper permit.
If you have any questions, please feet free to call this office at (631) 765-1802 between
the hours of 8:00 a.m. and 4:00 p.m.
Zl ours,d Sit re
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING,DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. � - Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 20 0,3 Contact:
Approved a;20 03 Mail to:
Disapproved a/c
Phone:
Expiration d ",20_pf
` Building Inspector
APPLICATION FOR BUILDING PERMIT
Date Li vZ r' , 20
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 waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws,Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations,and to admit
auto} "tp��tvrt etpr rnises and in building for necessary inspections.
ENCLOSES POOL TO CODE
UPON COMPLETION OCCUPANCY OR RE7Cc-Y PbocS -VC,
BEFORE"WATER" USE IS UNLAWFUL (Signature of applicant or name,if a corporation)
UNDERWRITERS CERTIFICAT WITHOUT CERTIFICATE��`
REQUIRED OF OCCUPANCY (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
APR 0 ED AS NOTED
DATE: B-P.
Name of owner of premises 4— CHAtS
(As on the tax roll or laI a E.DING DEPARTMENT AT
If appli -anA* corpo�r n, a duly thorized officer 765.1802 SAM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
ame an(f title of corporate offi r 1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
Builders License No. L Z ?7 Ff7 2. ROUGH - FRAMING & PLUMBMIG
Plumbers License No. 09 3. INSULATION
Electricians License No. S 1C L- �t� 4. BECOMPLETE FOR �•O•
- CONSTRUCTION MUST
Other Trade's License No. BE C
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
1. Location of land on which proposed v4ork will be do TAE. NOT RESPONSIBLE FOR
House Number Street Hamlet /
County Tax Map No. 1000 Section �/ Block y Lot /
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises an(jintended use and occupancy of proposed construction:
a. Existing use and occupancy t4el067-v7-7/1-r— `
b. Intended use and occupancy ��.CS,�! V6%,T?4-L (,t) 1 Za
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost /0 ,, Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-X
13. Will lot be re-graded? YES NO_Y, Will excess fill be removed from premises? YES NO
14. Names of Owner of premises 0 01C(A),4 Address )PA77-7 UZE C Phone No.
Name of Architect Address Phone No
Name of Contractor tV,& ( J 4?b 1-1 Address �,0977771m Phone No. O
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NOx
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale, with accurate foundation plan and distances to propar'ty`lines.
17. If elevation at any point on property is at 10 feet or below,must provide topograpiical data on survey`
STATE OF NEW YORK)
COUNTY OF /--,,-
being duly sworn, deposes and says that(s)he is the applicant
(Nai f individual sigf 4]TMTrft=t) b3ve named,
(S)He is the
!(Gantractor,Agent, Corporate Officer, etc.)
of said own&'or'bwners,and..,J§c*lyfauthorized to perform or have performed the said work and to make and file this application;
that all statements contained in t=his applicati@n are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the appl}cation filed therewith.
Sworn,tb bfore me this 3
- l S 7�
day6f
Notary Public SignAre of Applic
CLAIRE L.GLEW
Notary public,State of New York
No.01 GL 9505
Qualified in Suffolk Cou t
Commission Expires Dec.8, Q
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•BILF MATERIALS
—T C I f
13-8'Plain Panels(08-009) L
2-6'Plain Panel 4) f 71
1-4'Plain Panel(08-0108-01 6)
1-900 Comer Set(08-020) LE F G H J K J
8' 8, 8- $' 12-Economy Braces(08-210) SIZE A I B I C I D I E FT G 1 H I J k_1 L
I-Steel Hardware Kit(08-204) 20'x 401 21Y 1 40' 1 8'6" 1 3'4" 13'6" 1-15'!' 7' 4' 6' E' S'2"
1-20x40 Straight Coping 6"Radius(10-003) ' ' ' " ' " ' ' ' ' 7'
Ej 1-90 Coping Comer Set(10-004)
$' 1-Vio liner(see options below) TYPICAL CORNER ASSEMBLY ADJUSTABLE BRACE
* STEP OPTIONS
ERGLASS
z °-
p �_®� _�• ANGLE CLIP
$ aqA 6'Step-Remove 2-(08-009)8'panels and NUT
$' 1-(08-016)4'panel. Insert 1-(01-006)6'step
and 2-(08-013)7'panels. ""�L °
8'Step-Remove 2408-009)8'panels and �Eu'
6� 4• 1-(08-016)4'panel. Insert 1-(01-002)8'step
and 2408-014)6'paneh. `
Q FILLET
8 $- $ $� $' STEEL PANEL CORNERS ® • •e
OPTIONS
• •.
I z•VERYICIILITE
Replace 4-8'plain panels(08-009)with: OR SAND d� •tT�NE
1$'skimmer panel(08-011) PANELS
2-8'inlet panels(08-010) e,oEPTN MIN.
1-8'light panel(08-012) •. •
8'Steel Step(side)Remove
H-6:(03-605-CS),(03-605-LS),(03-605-RS) 2-(08-009)8'panels. Insert
er $� 1-8:(03-205-3),(03-205-LS),(03-205-RS) 1-(08-45 xl301)8'steel step,
S-14:(03-305-CS),(03-305-LS),(03-305-RS) 1-(08-013)filler1'panel,l{08-167)
6 6� 1-(08-168)445*xl'filler P fit eand rn panel.
VINYL LINER 7 NSPI TYPE 111 Pa
•, 1-(10-083)steel step coping
* set and 1-(10-085)coping
n corner set required.See page 1.
8 per' $� P7'
6� 8'Steel Step(end)Remove
2-(08-009)8'panels and
1-(08-016)4'panel. Insert
1-(08-301)8'steel step,
6' 2{08-167)45°x 1'filler panels,
2-(08-015)5'panels and
TOPAZ STERLING STONEifRE 2-(08-210)economy braes.
$ $ $ S $ (03 605) (03 205) (03 305) 1-(10-083)steel step coping set
and 2(10085)coping comer••
NON DIVING LINERS seas required. See page 1. Attanlion Dsakr. B is your responsI liy ro see flhaf the so
_fey package provided by FNP is
H-6(03-643) 1-8(03-243) S-14(03-343) delivered ro pool owner and Ihot the NO GIVING warning lobds are pnF;RN-005
.
ADDITIONAL • -
TM DOL�1mENT IS FOR ILLUSTRA71VE PURPOSES ONLY. FART WAYNE POOSUFR!'1ER DRIVE,
FWP mdaes ody Bose represenkstions which ore staled m ill"Ren R WAYK 11146804 432-8731
F f20NTl=f2
*Diagonals given to 900 point of corners. ntme dig dimensions com*r�dw National Sha and Pool `�o,tractore,"°"er aye,ds POOLS DRAWING NUMBER
IrafiNh slrggmbd minimum srorhdords for residarhlial pods. Pied by FWP ars ounUoubh to dM dealer/controdor o*the
NOTESGENERAL NOTES EXCAVATION IF diving bawds«sl des ar.ro be load with arms pools Pksase deals,w Contractor who sells or Wd d6 your Pod a on independent consult IFNI monufaMrers inslnKfions and Lha National Spa&Pod a„agent w employee of FWP The construction1.AE vertical dimensions are From liner exWsions on all pooh. 1.Sail to have minimum bearing capady of 2000 P.S.F. 3.&co`ofion shall be 2'larger Ilan pool all around. InsfifuWs minimum standards prior to installing diving boards w nwllhods illustrated here ars su�g�w�and apply any ro normal own nTu s2.lncafe top of pod of least 6'above srxrouhding Fill voids under bas•of panels and kunp well. slides an Thme pools. Fw information concern NSPI minimum grcord mditam.'h—may bo addition-procoutions md/or - ZO3 eksvafiorh4.Backfill with nonwponua material. As Ala m dria�Vonal S f 4 703/88-0 8311 Ei�h� m eYnods of C ,hsa f . 1M5 RERANGLIUS
COPTRI•NT 1993,FORT WAYNE POOLED,INC.