Loading...
HomeMy WebLinkAbout28037-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33549 Date: 02/17/09 THIS CERTIFIES that the building ACCESSORY Location of Property: 2975 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 71 Block 1 Lot 35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 18, 2002 pursuant to which Building Permit No_ 28037-Z dated JANUARY 25, 2002 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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ROBERT G & CAROL A BOHN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. N/A ELECTRICAL CERTIFICATE NO. 61868 04/17/02 PLUMBERS CERTIFICATION DATED N/A utho zed Signature Rev. 1/81 D Form No.6 TOWN OF SOUTHOLD FEB 17 2009 BUILDING DEPARTMENT TOWN HALL BLDG.DEPT. 765-1802 TOWN OF SOUTHOLD 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 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 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 Date. 7/1 New Construction: —Old or Pre-existing Building: (check one) i Location of Property: 2/cl 7 S Al 2I /3-/A yVI/GtAJ 5 House No. Street I Hamlet � Owner or Owners of Property: ^ 12` u- )?Up,4-/L% A,, Suffolk County Tax Map No 1000,, Section Block Lot Subdivision W P Filed Map. Lot: Permit No.--2-g Q Date of Permit. / 2- o r— Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Z� e- -)6S C Applicant Signature Electrical rnspection Certificate DAIR Electrical Inspection Service, Inc. Annlicatlon a 4/17/02 375 Dunton Avenue 61868 East Patchogue,New York 11772 (!31)286.6692 Issued to: RobertBohn Street: 2975 North Bayview Rd Village: Southold Zip.,11.971 Town:Southold Section: 71 Block: 1 Lot: 35 Introduced by: Hank's Electric Inc. (L) L/c.# 2675-E ecr irnmhaed and farad fa be ae cmm�naalas eyrlr Nx A6frara/EkctrNcn/CaAr ❑ Commercial F1 NV Detects W Pool ❑1st Floor ❑Indoor ❑Basement ❑ Hot Tub Sri Residential ❑ Det. Garage ❑Attic ❑2nd Floor ❑Outdoor ❑ Addition ❑Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 2 1 1 1 Dishwasher Washer/Amp Dryer/Amp Oven RongolAmp Garbage Disposal I Furnace Oil Gas Circulator Smoke Detector Bell Transformer Mater Amps Phase UG/OH Telephone Television Carbon Monoxide ❑, ❑ Other Equipment: Building Permit# lrmer(piao/pane/ �� Hugo S. Surdi President Rough Inspection: Inspectar: Ed ScVvelli Anal Inspedon: 0/16/02 Inspector: Ed Scavelli This certiftcdte must not be altered In any manner.InSpectors may be klentned try their uedentlals 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. 28037 Z Date JANUARY 25 , 2002 Permission is hereby granted to: ROBERT G & CAROL ANN BOHN PO BOX 55 PECONIC,NY 11958 for CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR WITH FLOOD PERMIT at premises located at 2975 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 071 Block 0001 Lot No. 035 pursuant to application dated JANUARY 18, 2002 and approved by the Building Inspector. Fee $ 250 . 00 ZAu -nature ORIGINAL Rev. 2/19/98 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ INAL [ ] FIREPLACE & CCH°�IMNEY REMARKS: CJS & W v DATE j- Y INSPECTOR J � Y FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION(1ST) -------------------------------------- FOUNDATION ----------------------------------FOUNDATION(2ND) — z 0 ROUGH FRAMING& s PLUMBING -- - 0-- INSULATION -INSULATION PER N.Y. G STATE ENERGY CODE -- - s FINAL - ADDITIONAL COMMENTS S O A ro C O z r y 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 DEC . .. . . . . . . . . . . . . . . . ... ... . . . . TEL: 765-1802 TRUSTEES . .j. . . CALL l�ninued..... ' MAIL TO:�JVS�j�KK�'IJP A-011 Approved......! �..., ,i! Permit No. B.Y.a..?. :.. /`Y�?�..�` /t�n.,,.J/�.f.5A. .J../.-7..-7.p� Disapproved a/c .................................. /�- .y.. /.V.' r.l� . . (Building Inspector) wy0yy� APPLICATION FOR BUILDING PERMIT .N ``-ffes�—yy��IIII ,QQ hh 2 2 2Date V l Ll 141 . ! , 2GU. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 promises 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 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 MAKE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Cxmty, New York, and other applicable Laws, Ordinancesor 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, ordinance ilding code, housing code, and regulations, and to admit authorized inspectors an premises and in buildi ror nece sary ' tions. Z ............ (Si tur of licant, or name, if a corporation) r .. . . Nyh (Mailing address of applicant) 1 ]1`1"79 State whether applicant is owner{,'lessee, agent, architect, engineer, general contractor, electrician, plumber or builder L.O:l=....................................................................................... Nameof owner of premise .. ... . ....4011..................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. / ......................................................... (Name and title of corporate!officer) Builders License Nl I. ....... Plumbers License No. ......................... Electricians License No.ci>&!..0.E..... Other Trade's License No. .! .......... I. Location of lard on which proposed work will be done.............................................................. 2...75....../.aY.:th... V. .�l�?.... -......... 1 -,.............. House Number Street / Block �HaCm�let County Tax Map No. 1000 Section ...d. L..... ..... ....(. Int ,,de,,l........ Subdivision ...................................... Filed Map No. ............... Int ............... (Name) 2. State existing use and occupancy o�f�'s/e�a and inten�dle/d� use 'and occupancy of proposed construction: a. Existing use and occupancy ...."'3:.l lq.�l.t.. r .r.n.J .I.Y.....1.i�s�.1�-d l�....... b. Intended use and occupancy ...... 1J..x.32....p rp� ... -�..... .�. 1.u.�•lX +D Cif . J. i-Aune ur worK lorecK which applicable): New 86i+djeg P.....!.. Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work ....................... .......... f'j oo�� (Description) 4. Estimated Cost .../...................... fee ............................. ................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ Number of dwelling units on each floor Ifgarage, number of cars ...................................... 6. If business, commercial or mind occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear Depth ............... ................. height ......................... Neer of Stories Dimensions of same structure with alterations or additions: Front ............... Depth Rear ............... P -••••---..•••....... Fleiglrt Number of Stories.................... ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. "eight ......................... Nuiber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Nae of Fonler Owner ........................................ 11. Zone or use district in which premises are situated ................................. �r....... ' :ewe•............... 12. Does proposed construction violate any zoning law, ordinance or regulation: .......... 13. Will lot be regraded .P�-5j�,{,�•, yam• W�il�l�ex�cess �ill�b(e�remcyv from premises: YES '��—Cp�/� 14. Nares of Owner of ses(/.1J.Y.�. ..!}.'�.'✓.L1..Ir..¢f'l�drf'sz+ .... ... r .. .. Phone No l ui 5 .. ... . pp I^ �p .... ¢.,.........-7 "are of Architect i. .r ..l`!lt��i .. Address rn�(+ X14. �,�k�.. Phaie /!I. (�,�M/ Nate of Contractor �,..I.] .. / ress�`4.�11•, ..1 �� .........P� No!4.7.b.lop 15. Is this property within 300 feet of a tidal wetland? * YES .......... ND ,,,•„ *IF YES, SOLMI LD MW MISIFE.S PM41T MAY RE MWIM. 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. SDVIR OF M1J Y(IIIC, SJ. FQIk.,...... Ns OJUNIY OF ... 2mi- ��//.......... '•:..oAtuF-tIr..........being duly sworn, deposes arl says that he is the applicant (Nave of indivil sig i.ng contract) above named, Ileis Nre .................Ce.6 11.Y1........................................... ....................... (Contractor, agent, corporate officer, etc.) of said wner 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 Fre this / ..........�C t�.day of / Notary Public ... �...,d.:... �[ . gna Appl.' Ni1REEN1 HAGEN (Siof Ix'M.42N I1"I�,..crnn:(IF sew POItl( p.1AOFILL IN SUFFOLK CCUUT REG.NO.O1E1 COMMISSIOR NEXH EX71HiS �I _TOWN OF SOUTHOLD PROPERTY RECORD CARD _ OWNER STREET 5 VILLAGE DIST. SUB. LOT D c7 . {'01 n FORMER OWNER N ` E ACR. cr�ua yLA64 ,. G�N�e FRSs.✓ . 06 S W TYPE OF BUILDING f..c1 RES. �D SEAS. may/ FARM COMM. CB,_ MICS. . Mkt. Value LAND IMP. TOTAL DATE REMARKS f2. -p .4-D V S Co/r��9c'- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK m■e■■e■■■ IN M ONE IMEEM Sell MUNI ■■■■■i�.�..■■eN�e■■ee■■■■ ■■■■■ale■�■MEN .I■■N■e■e■■e■■■ ■■■■eNee■■N■NN■■■e■■N ■■N■■■■■■■■■■■■■N■e■■■■■ ■■■N■■■m■■■■■N ■■m■■■■■MEN ■N : .. ■N■■■■■■■■■N■■■■■■■■N•■■■ ■■■■■■■■■■■■■■■■■ ■■■ . ■Nm■■ONE■■■■e■■■■■N 1' AD[TH T. TERRY 1 " Town Hall. 53095 Main Road = , _._ _ 'I'OVVN CLERKP.O. Rox 117r) t SuuUlald. Ncw fork 11 )71 RECI5rRAR OF VITAL STATISnCS Fax (516) 765.19'1 MARRIAGE OFFICER ATcicphunc (516) 76S-1801 RECOR)5 MANAGEMENT OFFICER :7fFREEDOM OF INFORMATION OFFICER 1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93) ] , and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93) ] . � -� IIILulI1 f[t — ';I TOWN OF SO J i HOLO o�h��� Southold Town Clerk August 25, 1993 f APPLICATION f<_ PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1GENERAL PROVISIONS (APPLICANT to read and situ): 1. No work may start until a permit is issued. 2- The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit it re-is-sued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable • inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY KKNONVLEDGE,TRUE AND ACCURATE. (APPLICANT'S SIGNATURE)-� Q j DATE——3b—,LQ SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICANTI /NAME ADDRESS TELEPHONE APPLICFjjQT /JL _7— BUILDER ENGINEER L p � ✓L t_-'nJC c� 7—y i N t �_t�—� PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. /LL;r/4 D FDP(93) r APPLICATION r PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE New Structure Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT Seo 6 6 6 6 B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) -'-L9 Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3: FLOODPLAIN DETERMINATI No(o e c raleted v CAL ADMINISTRATOR) TO 3c0 ,t0(_' The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application - review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3OF4 SECTION 4 ADDITIONAL INFORMATION REOUIRED (To he completed by LOCAL ADMINISTRATOR) The applicants must submit the documents checked below before the application can be processed: l7 A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. - \'11]Development plans,drawn to scale, and specifications,including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the fust floor,details of floodproof ng of utilities located below the first floor and details of enclosures below the fust floor. Also ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: SECTION 5 PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. O Is B. O Is not in conformance with provisions of Local Law #_, 19_ The permit is issued subject to the conditions attached to and made part of this permit. SIGNED DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. APPLICATION # PAGE40F4 APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest Boor, including basement in Coastal High Hazard Areal, bottomf lowest structural member of the lowest floor, excluding piling and columns) is: /�. �FT. NGVD (MSL). 2. Actual (As-Built) Elevation of Boodproofmg protection is Fr. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8: CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. d,`' 7 i— '✓ 16A -� y i c I l2-6 4 n PERMIT DATE �G �Ir-N6L✓J -F /tri y� OWNEYA NAME AND ADDRESS: CHECK ONE: O Lk L6zs YJ AJ 13 NEW BUILDING 5 -3— ❑ EXISTING BUILDING Ly!* 114' �— ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #_, 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C/C(93) SURREY OF FROFERTY vA�Aur SITUATE: B,gY\/IEW TOWN OF SOUTHOLD ®.i SUFFOLK COUNTY, NY t' 34' A N1 28o (AgpH � R/SS S 7a .54 ' 174 SURVEYED 10-21-q7 AMENDED OI-21-q8 ON - 50 T 74 � SUFFOLK IGOUNOTY AX IMAP 06 , 1000 ORI OI 35 s ITERS CERTffIWE REQUIREU CERTIFIED TO: ROBERT G. 50HN Z ` ANN CAROL TICORT TLE GUARANTEE COMPANY - _- NOTES: 0 ■ DENOTES MONUMENT FOUND "IMMEDIATELY" 0Z ENCLOSE POOL TO CODE _ n C 2 O DENOTES PIPE FOUND UPON COMPLETION r 3�p 0 o ` `"' AREA = 24,456 S.F. OR 0.56 ACRES ""WATER" BEFORE �� - - QF�l�� �Y 3 O� O�QW ELEVATIONS SHOWN HEREON ARE rpt, P.AS NOTEDREFERENCED TO 0.5.6.5. Datum,roe toDATE. FEMA B. �L 11( N �� �\ J4o� MAPPERTY# B6103G0166 INIED ZO ENAE EL 8) tZSy BY: 0 P NOTIFY BUILDING DEPARTMENT AT ti _ CiJ 765.1802 9 AM TO 4 PM FOR THE O FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED 0 FOR POURED CONCRETE \ 2 ROUGH - FRAMING & PLUMBING S INSULATION 4 FINAL - CONSTRUCTION MUST � _ �`' BE COMPLETE FOR C.O. Gj ALL CONSTRUCTION SHALL MEET 1�6 THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY �� Qr f` �✓ CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS . co i� N c „25 ©C.. PANCY 0 �a , USE IS UNIA'ivTUL U WITH O CERTIFICTE _ = OF CUPANCY _ — - e JOHN C. FREERS LANG SURVEYOR N. Y.S. LIC. N0. 50202 —�--- 6 EAST MAIN STREET _ RIVERHEAO. N. Y. 11901 - - - _ 369-6288 Fax 369-6287 REFERENCE # 97-68E ♦ 1".le'.•'COWL BLOC+ PIER INTERLOCKED WIT"WA Q 1' +B� TREATED WOOD PRE CAST O� PL'1TE ANCHORED TO CONCRETEI _14_ 1� COPI CAST CONCRETE COPING 1 SKIMMERS � FF-- RETURNS-4 71.W h •'fr � a ♦ FILTER B � I I I SLOPE SLOPE O MS_3/" TO FL E II 8 BARS 111i I I .O I B FROM SKIMMERS RM TIES � FILTER onA PUMP V II 3TO — `+' FROM FILTER � TO RETURN$ROLLED WASTE � R 1 BETVEENFUNER' O -�- PIPING ARRANGEMENT `___� VINY� LINER Q LVYL­ COCRETE �1SIDE OR END 35001! /4% srua $TEP$ OPTIONAL PLAN I a :. .EUEN�{ POURED CONCRETE�'teINER SEE TYPICAL - :!�: :�•�••:'♦• I FIBERGLASS WALL SECTION •R7�iQ'�K .KI MOULDED -� 2- < SAND TION I PIECE m �e� a SECTION FORM TIE _..� 13 �.— B'-0•—+i 13• 2•- 4 SAND BOTTOM -� 24" MAX 3/g BARS OPTIONAL STEP SECTION B- B =�1i-- -- -- " -- TYPE 1. GRADET �•-7(co�Ft�F8E1.6 IT �N 6 1 ,6=0• G 'mom 3 STEPS P LAN e'. Ic' --•i CO.0 BLOCK wTYPICA L WALL �- SECTION A— A 2 4:0 ' i2 OPTIONALSTEP SIZE I A 9 C D *EFG AR CAP t60FNEW TYPE 2. FEET rtrt RRaoic� EAU g g6E 0 4NOTES__ 3 WALKS TO BE SMOOTH- NON SKID TYPE, SLOPED * O * CONTRACTOR_AWAY FROM POOLwA7EP DISPOSAL $HALL BE LIMITED TO OWNERS N r SHIN.—KING POOLS, INC. 16+ 32 16 32 6 8 4 312 16.900 PROPERTY TO SUIT LOCAL REGULATIONS '71".'._u i ROUTE 2$A 16• a 36 16 36 12 �80 12 4 4 $76 200N C HO 056106 �rV ROCKY POINT, NEW YORK 20•a 40' 20 40 IZ 12 6 6 BOO 24pp0 P'90FESSIONP� BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: I /Z3/02 DATE SUBMITTED: ;-3 APPLICANT NAME�opgrrr�u SCTM# DISTRICT: 1,000 SECTION: a1 BLOCK: I LOT: 367 STREET:Zl7-er, CITY. 4vrFlol b SUBDIV. NAME: N/ PROJECT DESCRIPTION: �s ESTIMATED PROJECT COST: t'_K ARCHITECT/ENGINEER: MICi�)S (IFIWIWONC,) FAST TRACK? kla SINGLE & SEPARATE CERTIFICATION-REQUIRED? WO NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83: ZONING DISTRICT: 12-�0 CONFORMING? 24,N sL. o REQ. LOT SIZE: °°" ACT. LOT SIZE: REQ. LOT COV.Z°7- ACT. LOT COV. REQ. FRONT ,r' PROP. FRONT r REQ SIDE ACT. SIDE ✓ REQ. REAR PROP. REAR ' a-a..ACK-3 a..t 1c�o�c k 5 — C�Gw %r WATER FRONT? Wo DESCRIPTION: PANEL #: /j�< FLOOD ZONE: E 8 APPROVALS REQUIRED SUFFOLK COUNTY HEALTH PT: YES or O, BED #): DTE: / / PERMIT#:R10- TOWN SEPTIC RECEIPT: Y o 1v Nl4 NEW YORK STATE DEC: P"-nEC 9/1/75 YES o SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YES OR NO '¢ EGRESS (18 H min.? 4 sq total) VENT (SQ. FT. 'x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BPzgo3 -Z/C/0 Z- 6 HAVE PRE CO'S : Y OR N BP -Z/C/o Z- m NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLR SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE COT( SF)- SF)= SFX $ =$ +$ +$ = $ 15`0