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Home My WebLink About33085-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32943 Date: 03/21/08 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 510 (HOUSE NO.) County Tax Map No. 473889 Section 100 HARBORVIEW AVE (STREET) Block L- MATTI TUCK (HAMLET) Lot 42 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore MAY 29, 2007 pursuant to which filed in this office dated Building Permit No. 33085-Z dated MAY 29, 2007 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to EFRAIN R & DONNA M LOZADA (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMERT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N-373078 12/11/95 N/A PLUMBERS CERTIFICATION DATED ~~~ uthorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I II 06' APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new nse: I. 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 I % 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: I. 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 Certiticate 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 tn accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: y... Old or Pre-existing Building: ~ (check one) Location of Property: 5/0 H A,e(l.,()K' \/1 F w Ij tJE House No. Street OwnerorOwnersofProperty:~V\(\tL M. 4- 6..(YCL,'V\ It Lo-za.do... ft1f11rlLlltK_ Hamlet Suffolk County Tax Map No 1000, Section L~~_ Block 0001 Lot 0'-12 Subdivision Filed Map. _ Applicant: Lot: . ../ Permit No. -:::'30)5) Date of Permit. Health Dept. Approval: ___ Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: x (check one) Fee Submitted: $ :) vO L-. \ k 739 s:s L()'G.3d.~Y:?; 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. 33085 Z Date MAY 29, 2007 Permission is hereby granted to: EFRAIN R & DONNA M LOZADA 510 HARBOR VIEW AVE MATTITUCK,NY 11952 for : CONSTRUCT AN IN-GROUND SWIMMING POOL wi FENCE TO CODE. THIS PERMIT REPLACES BP # 22407 at premises located at 510 HARBORVIEW AVE MATTITUCK County Tax Map No. 473889 Section 100 Block 0001 Lot No. 042 pursuant to application dated MAY 29, 2007 and approved by the Building Inspector to expire on NOVEMBER 29, 2008. Fee $ 150.00 " i.T7. ~~~ Authorized Signature ORIGINAL Rev. 5 I 8 I 0 2 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT 3308<.) (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 22407 Z Date..........{/dJ!!..~................... lti)<' P'""..~'-ywa:"~~~~~admm .........2~Q...;F1J!..4.r:4:;V....?!A?dd... ~, ..............Is;;~J..s........t:t.'?.g/;,......!:(.'I: /17 f' t to ........~.QIJI..s.f.~.Cdf.:......../.1./.II.........I..!!!.<If:.~/.lKL...~W..(/J:f.r1:1f'try ...1?Q.o....I..........4!...f.T~...t~.r.v.Ce......................~.~.d..-e.......ft............ .......A:.lJ!........8..(J..(!..e..S.....o.~y........-t;Q.......A..d..........GP.:::-.(......t..(~~.... .........~..&.}...I-:e.,......+~..;../7.............j)..4?..~l(/...N.~l..:.I!t:S........ ...........4:ff2.'!,t..e~..........~~}~...................................~.......................................... at premises located at.............::r: /............. &8::.~. ,69..&.e. /.f. ':r2... .A:.~...,................ ................................................./??..d..d/..7..~q6....::....../1..(....y(.................... County Tax Map No. 1000 Secfton ......./.O'.Q..... Block ........../............ Lot No. .~~.......... pursuant to appllcafton dated ..................({:).~....L........ 19...c:J...f.... and approved by the Building Inspector. "/~6 ~ Fee $......................... Rev. 6/30/80 ~ ~---- -- }3 ozs z.. TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTlIUCTION [ ] ROUGH PLBG. [ ] INSULATION txf FINAL ~ : [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON REMARKS: _ ~ r~ . '~ ~ ~ ok.. y ~ E~tP6?~- ~~, (?--~ J-f. ~ 0 K DATE INSPECTOR ~~ - ---.----- -- --- -~ ------ )}O~5 :z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONST1UJCTlON [ ] FIRE RESISTANT PENETRATION REMARKS: f ~ ~ ~ ~\~V~F~;o~} DATE ()-~;-/ - 0 7 INSPECTOR ~~ J30~!o7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION 6>(FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ 't~ ~f:(~ F~~0 DATE ~ -II - 0 't' INSPECTOR ~~ ~ 07.c .1 . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1045095 I DatI' BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 DECEMBER 15,1995 Applica.ion No. anftl. 10807295/95 N 373078 THIS CERTIFIES THAT only the eleetrieol equip"umt.. dneribed beImo arwl introduced by tM applicant RClmecf on the above applkotion n..mher in the prem.. oj DONNA & EFRAIN LOZaDA, 510 HARBORVIEW AVENUE, HATTITUCK, N.Y. in .heIol/awinR location; [!] O"'.m.n. 0 ,.. Fl. 0 2nd Fl. OUT .......ion Block Lo. wcuexominf"don DECEMBER 1.1 t 1995 andfound to be in compliance with the National Electrical Code. FIXTURE OUTurS IPTAClIS SWITCHES FlXTUIES INCANDESCENT - flUORESCENT OTHER RANGES AMY. l.W. COOKING DECKS AMY. l.W. OVENS AMY. l.W. DISH WASHEIS EXHAUST FANS AMI. K. W, AMY. H. P. 7 7 9 3 4 AMT. l.W. Oil H.P. GAS NO. A. W. G. AMY. AMP. ANlT.' AMPS. au. UNIT HEATEIS MUt,TI.C)UnIT SYSTEMS TRANS. AMY. H. P. NO. OF FElT DIMMEIS DlYEIS FUINACE MOTOIS PUTUII APPLIANCE FEEDERS SPlCIAL IIC'" TIME CLOCKS H.P. AMT. AMY. WAns 2 AMT. AMP. NO. OF HI-lEG C A.W.G. af HHW E TYPE NO. Of' S E MITII IOUIP. IA'lW 1,13W 363W 3,#4W NO.OFPE~c..COND. I V A.W.G. OF ce. CONDo NO. OF NEUTRAlS A.W.G. Of NfUT1lAl SIlVia DISCONNECT 0'''' APPARATUS: SWIMMING POOL-l STORAGE SHED-l TIME CLOCKS 40 AMP-l G.F.C.I.-l PANELBOARDS.1-4 CIR. 60 G.F.C.I,-2 ....(SWIMHING POOL) This certificate covers compliance at the date of inspection only. Because of unusual <<< Continued on Page 2 >>> ~R~ o..ft" MAMMH ~_ Il_' '_!i'_' !_~ _' !_ '__'~....!:_!.~_~~ ~._,. ,. ... .!:_!- ... ,. ,. _! r'!:~~2_. . . . .. ,. .' . '" .\ 11l\ '. . .\ III .' " .. '" '" .. .\ "\ . . . . r. Po< This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspedors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1045095 BUREAU OF ELECTRICITY r- 85 JOHN STREET. NEW YORK. NEW YORK 10038 Do.. DECEMBER 15,1995 Applicarion No. onJiI~ 10807295/95 .N 373078 THIS CERTIFIES THAT only the electrical equipment.. deKribed belo..., and introduced by tM opplieant named on the above applre.tion. number in dae premu- oj DONNA & EFRAIN WZODA, 510 HARBORVIEW AVENUE, MATTlTUCK, N.Y. in theJoUor.ringlocation; 00 BfJ3ement D "'tFt. D 2nd f'l. OUT Sf."I"tion Block Lot ..".. examined on DECEMBER 11 ,1995 and found to be in compliance with the National Electrical Code. IIXTun I FlXTUIES RANGlS COOKING DECKS OVENS DISH WASHEIS EXHAUST FANS OUTLlTS ICIPTACLlS SWITCHES INCANDESCENT F~UORESCENT OTHER NOT. !C.W. NOT. K.W. NOT. K.W. NOT. !C.W. NO'. H.P. DRVEIS FURNACE MOTOIS FUTURE APPLIANCE PlEOIIS SPECIAL REe'" TIME CLOCKS BlU UNIT HIATElS MUlTl-OUTlET DIMMERS TRANS. SYSTEMS NOT. K.W. on H. P. GAS H.P. NOT. NO. A.. W. G. NOT. NO'. NOT. AMPS. NOT. H.P. NO. OF FElT NO'. WATTS AIVIa DlSCONNICT NO. OF S E I V I C E MITI. NO. Of CC. COND. A..W.G. ....w.G. A.W.G. NOT. NOP. "'" IQUIP, '.l2W '.3W U3W 3,14W PER' Of ce. COND. NO. OF HI.lEG Of' HI.1.fG NO. OF NEUTRALS Of NEUTRAL OTHER APPARATUS: environments it is advisable to have frequent test/and or repairs made by a qualified person. - JOHN C. D'ARIES LIC.1t3910-E ~~~ 70 HAIGAT STREET DEER PARK, NY, 11729 a..RAl MANAGII 11 p" This certifkote must not be altered in any mannerj return to the oHic. of the Board if incorred. Inspectors may be identified by their credentials. . . " . . . . . . . . . . . . . . . . . .. '.'.' .". I. I. . . . . .' .. .' I.' .' I. rio' .. '. '.\ .. AI I. ., 'oil .' . .\ .. .\ I. .' .. .. .\hi COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. z- ~,::.~: " "'...' () I ,~. .'O:::!';"~ -:......... "'''~'. ~::: ' ..--. ~....,~ -l "'" :::l ~ ~ .. ~_.. t, I II II II II II ,~ I _ '\ ~ )--/1, f)"1 ro#. u:V_ tr-AAA) c..I/,//~ ~ ~~I/I ;;;. ~ UA-.8 I ~''''''' /'1..........__ .J\~:". :-JI 'FVt-e f ..... II IJlllfoA A'>''A' j -'~.:~ ./~,; /,/ d.--f-{ fJ7 r~ lA'h ~r.ufjl ,~,,':t. r>]J.k1/J y: "";11 ,/\()..U ~"O' , ~ :,'... V . . . 0, r) _'i1 r Vr::::;/ J' {.., ~ ~ ff);1- ~ tJ",-d, e.M~' k ~.~.~ . ,~ ~. . . , . ADDITIONAL COM~ENTS: :::l . ~Oncl1~ uJ! ,^,A!h\[)(';RS 1';), IIN-\! .. -.-.' ...C".,..--......... ---~'-;:." LD .i:.__,," .:.:""'.. .:..U:J .. II!),;-;-::: II " . . . '.~ - -. ""-..;.:.h.':".~......,.~_ ~".~" COKM[/1T:': 0 ........ .::~-.... "-_0- -. ," .. :1D,\TIO~ . (1st) ------ , , ...:::~:;~.:\1r.~~ . 0', IDATIorl (2nd ) ,. ". ~...:.::. '; ., , '. . .. .... 0 ;H FRAl-IE & - '. . . . . ," 1._.... . .'~ ~.,>~~;.~:.PLUHBING .~... . ......- . ....: .;< '.;;;:: ~~~..:~~:.::~-.?:.;: """'" . ',.... .= ;:::t,::.~. ._.' . - ..c:__..-.....,. --. ". .,~.-- "L:'TIOll PER N. Y. S1' A TE EIIERGY , CODE n;lA!. ..' ". -... t -. ~. . \,I\X. . h... ,,.Q . " . , . .' M X .." H '"' > .... H 0 - , , - . - - M "" . r- -I - . - - . , -- ... ~-. ~~:;-...-~'v:"I\."l.....~...:...... ,_, .I'-.:;;:;Sj,a:...............~,........ '.. ,. .. - "- ~ \\ . --::..~ --" (j :'~ ~:- ~ - ~ Me -- ~ ~ 0-.. () N ~ \..~ ~ ~ "' ~'l " --- ........... I , , ~ ...., I 10 <Xl ..' ~ ~ ' ')y( .....j..~.~ FORM NO.1 TOWN OF SqUTHOLD BUILDING DEPARTMENT TOWN HALL . \. SOUTHOLD. N.Y. 11971 L -;n:~!,;<<;,.~..!. TEL.: 765-180:! . Examined .'.~~c1.~ 19f/ -h. .Approved . . rtJ<< ~ r. . ., I/{permit No.o?:? Y.'<? 1.( r"'::i'--~C . ;\, ~ ~ j C ~S'~- (3D 0 ~ OCT 51994 Received. . . . . . 0 000,1900 . Disapproved alc ................ . . . . . . . .....................oO...oO....:::oO:..::.:::::~. ?... ~~ (Building Inspecto~ P ICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . 0 . . . . ., 19 . . . ". . 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 neces~~~V~~s .?.... . . . .. . . . '. . . . . . . (Signa of applicant, or nam ,. a corporation) . .'.2~~. ;:rN./)(~~.I..J.~. /4).. JdQq:~.k )r./, (Mailing address of applicant) I /7 .j~f- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......, .c?1rl:N.~~,."...............,.",".................................... 0............. . GF'/J..(+IN;e !a2.A--fJA Name of owner ofpremlses .... '.' . . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . . ' . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . (~s on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer: ;J~~ AS NOTJ.~1"1 DATE: BoP' # . . ' , . . . . , , , . ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FEE: /'.1'3.za BY: (Name and title of corporate officer) NOTIFY BUILDING DEPA :r Builder's License No, . ~ ~cf .~. . . . . . . : . . . . . .'. ~;~~h~~N~ ~~p~T;6~~: FOR THE 1 FOUND.^.nrm TWO REOUIRED Plumber's License No. .............'.......... rOR P( , ':J '.'Of"CiCc'TE ,: 8(YJ[::r '.<,', (.:f -'~~._U'!\lig!NG Electrician's License No. ....................... ::;;1 /' .t... r- :')IJ i"'I~';ST Other Trade's License No. ..................... ' () '!/',l_L MEET 1. Location of land on which proposed work will be done. ........'.......,..... :,"'- ,'. '. . . ,'. . . .. .'!~ . !~if. JoI. Y-. . . ~ F ~ " .' ';.: ',-': Rt ENERGY .:09........ .H.{}.I!-,-a.~, 0~ .~.,. fh!.~:........ .H.1fr.t. ?:'V\\~: ..:.~t-I;j..~~'~'" House Number Street Hamlet " " " lm qKHOfl.:> County Tax Map No. 1000 Section. . ./c? 9. . .. ... . ,'. Block....<3! ./... .. . ... Lot... ~.~. .. . ... . . . Subdivision .(j/"t:'?'.~9fJ. !JE'!~6-:f-:f.H;, .~/f.~~iled Map No. .....,........ Lot... ...t(.... .... . (Name) 2, State existing use and occupancy of premises and intenaed use and occupancy of proposed construction: a. Existing use and occupancy, . . . . . fd t;=:'$, J.b...~. ~~ . . . . . 0 . . . . . . . . . . . . . . . ' . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy .... I ),).0.4-A c) ~fJ. . . ...:s,c.w {fII{.~l;M0>-,. rpQ~ .l. . . . . . . . . . . . . 0 . . . .......... 3. Nature of work (check which applicable): New Building.......... Addition.......... A1teration.........r\ Repair .............. Removal . . . . . , . . . . . . .. Demolition .............. Other Work 1.tV. fS..1f:-.o.CJ ..J.O ::5 (;.llt..",-" N 0-- f' cKJ- C (Description) 4. Estimated Cost. . . 7~q. . . . . . . . . . . . . . . . . . . . . . . . . . . Fee 9. 10. II. 12. 13. 14. (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. ,.. ~... . ... ~. .... ... . ......... . . .. . V" . ... . .. .. ...... Size oflot: Front. . . . ;L~O. . . . . . . . . . '',I)' Rear....:.::;4 P:O. . . . . . . . . .. qAt!J. .. .r..'iQ. .. . . . ',~;'Ii . . . . Date of Purchase . .A().~. .22-. ./'1':].... .'... ..NameofFormerOwner tV. .U3IlJ./7Jfl-:t-?'!' M~.fY'i/.)....... Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . :;r . . . . . . , . . . . . . . . . . . . . . . . . . . Does proposed construction violate any zoning law, ordinance or regulation: .. /Y.9. . . . . . . . . . . . . . . . . . . . . . . . . . Will lot be regraded ................ 'Ll' '/. . . . . . . . Will excess fWe~..we2.Lrom premises: Yes No Name of Owner of premises ~ F./Y../I.rN .,f-,'. . .o:4'.IlIl.M.ddress ~~ ~ '~F'~: Phone No. :!il./.Y.-: .V;~$8 ... . . Name of Architect. -I'/..J:.,fJ.:J. .1.,/.lr:tt;'k-:-....... A~dress7.~:k,~.1ts'.~-?tNVI"'''J.Phone No. ............... Name of Contractor ~ ~~.A--tt-..-~.cl.(:5. . . . . . . . . . Address"~1'. . '!'. . . : . . .1f~~"f!lOne No.-<f:"d? ;P, ...".{"3 t~.G ., J3 c-N e-,,-< ""/ ""1 PLOT DIAGRAM 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. STATE OF NEW YORK, SS COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . ~.FR AI!,!. . . ~. . /..0. kAi1J~. . . . . . . . . . . '. .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. N~l.:,:-< () W iJ~ He is the. . . . . . . . . .. .................................",.......................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .. . 5~ O~ 't"Ju, . . . . . . . . . . , . . . . . . . . . . . . .day of. . . . . . . . . . . . . . . . . . . . ., 19-:1. ~ ~ ~--'VFFo(K,. ".. k~..... ...\...... County ~/ . /1/) ~ If DAViD LEONARD. U Z-0, /\ .~^-- OlAr:"', . ::: :'~ cf N~w Yor~ ' N. ,_, ...... ,1....................,..; .......... N.. cL.. o,Y.5349 IS' f c_ , ;,Sw:i~!kCoUnIY q \ 19nature 0, ~ ~om[lII".''-'ll E;.;';I;~~ April 4.19, l.!IL rlLrER ... ...............,. 5UCTIi1N IlET'V PUl,iP" MOrO,(! SKIMMER - SOCTION L /~ /< y/t.~ ~ "'~-9 "SiD /" /,.1' "f- pOl. ~ --. ! I A J " p' '-..... p PLAN VIEW OF POOL J!1 Ft ~ LHL.. J -I" '" ..t~6, HEX Hb. 80Lr ~ ~ (I) ;t"'-A r WASNF AZ ""~P._ "t.dNII( ;~"(/HINIZI!'P C(Urrll"'. OYE.e WI"?f'.$ ALUM. COPINtIi ~ .J ,- J-/~...,. ~e;. HEX I1'D. BOLT; HEX Nvr ~(;)t:iA7" W't4:r,."e-~:r (II) ~ 'lo(JN. STCEJ.....AMliLF, Q "A"F"If#AMc ~ If...' R ",i;F6'JWE 8ASE-s;n ALTERNATE o RIM LOCK COPING STe'EL ~L6 ~/t'I :srAI<C \!!) MOt/lIP WTT1ICONClrnr J1QA~H",,"If.,.,rU" TN""" I ..rr , \ , \ , \ r........r ,.,...... _. ,..... \ 1.6..""" ,...u.... A,. , ~. ,....,.,r. ~,S' I . f7J... .A~UIlf. COPING. VINyL LINEIl. o (z. .., ,.-.) STEEL PAN~ L ~ (14~...) , -- I lID TYPIC~L ;~,.. F&<9MF .; B.,IfSE" ~=-LcJ 2"S,*,NO BorrtlM. rA/ItIP~O' I RtJt.LED LONGITUDINAL SECTION I TiM "601 SUi ~1fLVM. 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