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Home My WebLink About37912-Z Town of Southold Annex 5/22/2014 P.O.Box 1179 54375 Main Road + Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36938 Date: 5/22/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 225 Franklinville Rd., Laurel, SCTM#: 473889 Sec/Block/Lot: 125.-1-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/22/2013 pursuant to which Building Permit No. 37912 dated 4/4/2013 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: accessoryground swimming pool with fence as applied for per New York State Variance Petition#2014-0039. The certificate is issued to Robert Gerdts&Kathleen Kinsey (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37912 5/14/13 PLUMBERS CERTIFICATION DATED A ed gnature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37912 Date: 4/4/2013 Permission is hereby granted to: Gerdts, Robert & Kinsey, Kathleen PO BOX 184 Laurel, NY 11948 To: construct an accessory In-Ground Swimming Pool, fenced to code as applied for At premises located at: 225 Franklinville Rd, Laurel SCTM # 473889 Sec/Block/Lot# 125.-1-3 Pursuant to application dated 3/22/2013 and approved by the Building Inspector. To expire on 10/4/2014. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Building Inspector Form No.6 3 TOWN OF SOUTHOLD. ��1- -\ ( � BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ar 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 Compliatice'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 spmpleted 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. Certif cafe of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, 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. New Construction: ✓ Old or Pre-existing Building: (check one) Location of Property: FAA 04 Ke1 N-4 i LL.F R,�, L A u 2E L House No. Street Hamlet Owner or Owners of Property. Ro M67(LI ER-o i S t /�arNL�y:r`N /Z- Suffolk County Tax Map No 1000, Section / Z 5 Block Lot 3 Subdivision Filed Map. Lot: Permit No. 3 l 2- Date of Permit. �/ - 11 - 13 Applicant: Health Dept.Approval! Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ SO t►o Applicai Signature Town Hall Annex p� Telephone(631) 765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 Southold, NY 11971-0959 �9jp411 1 roper.richert(a_town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Gerdts Address: 225 Franklinville Rd City: Laurel St: NY Zip: 11948 Building Permit#: 37912 Section: 1255 Block: 1 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Elec-Tec Inc License No: 4814-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches F2 Twist Lock Exit Fixtures TVSS Other Equipment: in ground swimming pool to include, bonding, 1-pool light, 1-control panel 2-GFCI circuit breakers Notes: Inspector Signature: Date: May 14 2013 Electrical Certificate.xls oof4v SO(/T,y� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLEIG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ) FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) ( ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ' OF SOUI�{o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND ( ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE c' INSPECTOR' TOWN OF SOUTFIOLD BUILDING DEPT. 76S•1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �NATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ��/•/ /�-� /}£ /�c.a,r-t, DATE � 191112 INSPECTOR .SIJ FIELD INS.%MON REPORT DATE COMMENTS W FOUND,MON(1ST) 19J � • FOUNDATION(2ND) 'p t� ROUGH FP.AAMCF& PLUMBING Z r INSULATION PER N.Y. H STATE ENERGY CODE y C 0 ' FINAL ,/- .S - /3 ADDITIONAL COM YM.NTS n �h G u cam. c� 0 e 3d uiuo�� c - ' Q z b TOWN OF SdUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdlTown.NorthFork.net PERMIT NO. 37 Check t/ Septic Form N.Y.S.D.E.C. Trustees C.O. Application r` Flood Permit Examined 1/l 20 (3 Single& Separate Storm-Water Assessment Form Contact: Approved Approved 1,20 13 Mail to: Disapproved a/c hon Expiration 20 Building Inspector PLICATION FOR BUILDING PERMIT MAA 2 2 2013 L': Date ��/Zl) 120 �F�1 INSTRUCTIONS Thi a{� n ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 authorized inspectors on premises and in building for necessary inspections. ENCLGSE POOL TO CODE7-Le Pau)L ts L UPON COP�I'LETION 'aN& (Signature of applicant or name, if a corporation) BEFORE 1VATER" .' ,(Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, genpullTEF -,lectricit,4�r or builder FEEi-420-1 TiFY B .ILE 765-1802 6 AN t I .. PM FOR T i Name of owner of premises &/-of D5 O\MNG INSPL NS; (As on the tax roll dr reWN N - a KhUU1Kr If ap icant is a co o ation, s' nature f;,�duly authorized officer FOR POI IR RETE L 5 2.. ROUGH i P.. ame nd title of corporate officer) ISE;,GI v , Builders License No. lglsz�2 4F Plumbers License No. Electricians License No. V1 Other Trade's License No. , ,.. +r, , E pG �iRORS 1. Location of land of,w4i h proposed work,will be done: House Number Street Ha Cr 7,117A L Count Tax Ma No. 1000 Section r n County p 1 Z S Block � Lot _ v Subdivision`Z030U z4v&-Ep7S 61zcZ Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 9 �w�y yam, ,�fLt15L b. Intended use and occupancy 3. Nature of work (check which applicable): New Building AAd4iQn Alteration Repair Removal Demolition ther ZN- 1Zevr.)z>,,cJ�M.��.vf� (Description) 4. Estimated Cost-�jp,U�-Y�.�.y Fee ��,et) (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 - 10. / / Rear yo, Depth -3Z Height 2,o ' Number of Stories Z 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 /9 Rear f . 9 Depth 2!/Z- 10. /Z10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated '1Ze-5176-iy71,4-e-- 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES X NO Will excess fill be removed from premises? YES NO_X 14. Names of Owner ofpremisesqnxxr Addresszz:s-Fn�,,..,ru.��e Phone No. �9fi�-SU�7 Name of Architect Address L-,4"7-L17- Phone No Name of Contractor��K rxxc,Ls L-A, Address-pp 7&-�9 Phone No. 935'-261-S 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 NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NOX_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 4�0 4�Z (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. CAROL HYDELL NOTARY PUBLIC-STATE OF NEW YORK NO.01HY6189695 Sworn to bfore me this QUALIFIED IN SUFFOLK COUNTY' o Y da of 20 3 COMMISSION EXPIRES 06/30120,466 � NotP blit Si ature of Applicant ' I APR 2 2014 STATE OF NEW YORK DEPARTMENT OF STAT ONE COMMERCE PLAZ 99 WASHINGTON AVENU "" ANDREW M. CUOMO CESAR A. PERALES GOVERNOR ALBANY, NY 12231-0001 SECRETARY OF STATE In the Matter of the Petition of: DECISION PETE PONTERIO For a Variance to the New York State PETITION NO. 2014-0039 Uniform Fire Prevention & Building Code Upon the application of Pete Ponterio, filed pursuant to 19 NYCRR 1205 on January 27, 2013 and upon all other papers in this matter, the Department makes the following determination: NATURE OF GRIEVANCE AND RELIEF SOUGHT The petition pertains to the installation of an in-ground swimming pool for a one-family dwelling, located at 225 Franklinville Road, Laurel, Town of Southold, County of Suffolk, State of New York. Relief is requested from: 19 NYCRR Part 1220, Residential Code of New York State,(2010)Section AG105.3 section 8.2, which requires, in part, that all gates shall be self latching,with the latch handle located within the pool enclosure (i.e.,on the pool side of the enclosure)and at least 40 inches above grade. In addition if the latch handle is located less than 54 inches from the bottom of the gate, the latch handle shall be located at least 3 inches below the top of the gate. [The Petitioner request permission to permit latch handles for two pedestrian access gates as a part of a pool enclosure, located 54 inches above the bottom of the gate, to be located on the outside of the pool enclosure.] FINDINGS OF FACT 1. An in-ground swimming pool was installed at the subject premises. In doing so an enclosure was provided around the pool with a pedestrian access gates. 2. The pedestrian access gate swings outward from the pool and has a latch handle that is located at least 54 inches above the bottom of the gate. However the latch handle has been located on the outside of the gate. 3. The previous, 2003 and 2007, Residential Codes of New York State allowed the latch handle to be placed on the outside of the pool enclosure as long as the handle was located a minimum of 54 VWVW.DOS.NY.GOV E-MAIL:INFO(@DOS.NY.GOV Petition No. 2014-0039 Page 2 inches above the bottom of the gate.The current 2010 Residential Code of New York State requires that even if the latch handle is 54 inches above the bottom of the gate that it must be located on the pool side of the enclosure. 4. The provisions for barriers around swimming pools are to protect young children, less than 5 years of age, according to the Intemational Residential Code Commentary. 5. The 2006 International Residential Code, on which the 2010 New York State Residential Code is based, allows a latch that is 54 inches above the bottom of the gate to be located on the outside of the enclosure. 6. The commentary for the International Codes states that the"54 inch latch height requirement limits the potential for small children to reach and activate the latch." if the latch is located lower than 54 inches then the Code requires that the latch be located 3 inches below the gate on the inside of the enclosure. 7. Section 303.2, Part 8 ,of the current, 2010, Property Maintenance Code of New York State has retained the language about pool latches that was in the previous Residential Codes of New York State and still allows a latch that is located 54 inches above the gate to be located on the outside of the enclosure. 8. Based on the above findings, it is the assumption that the 54 inch height of the latch above the bottom of the gate is adequate to protect the children that the Code has identified from reaching the latch and gaining entrance to the swimming pool regardless on which side of the enclosure the latch is located. 9. On some gate configurations it may be possible to reverse the latch to be in compliance with the current Code requirements. However in this instance the enclosure and the gates would have to be completely reconfigured or replaced to reverse the latch. The Petitioner has stated that this would both physically and financially impractical. 10. The Petitioner has proposed that the pool enclosure and pedestrian gate will be in compliance with all other applicable provisions of Appendix G of the Residential Code of New York State. 11. The local code enforcement official has been consulted in this matter and does not object to the granting of a routine variance under the provisions of 19 NYCRR 1205. Petition No. 2014-0039 / Page 3 CONCLUSIONS OF LAW Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would be unnecessary in light of the fact that the latch as configured will be a minimum of 54 inches above the bottom of the gate and should be out of reach of the children that the Code provisions are trying to protect and would ensure the achievement of the Code's intended objectives more efficiently, effectively or economically such that granting a variance would not substantially adversely affect the Uniform Code's provision for health, safety and security. DETERMINATION WHEREFORE IT IS DETERMINED that the application for a variance from 19 NYCRR Part 1220, Section AG105.3 section 8.2, to permit a latch handle for a pedestrian access gate as a part of a pool enclosure, located 54 inches above the bottom of the gate, to be located on the outside of the pool enclosure; hereby PROPOSED TO BE GRANTED with the following conditions: 1. That the latch handle be located a minimum of 54 inches above the bottom of the pedestrian gate. 2. That the pool enclosure and pedestrian gate will be in compliance with all other applicable provisions of Appendix G of the Residential Code of New York State. This DECISION is issued under 19 NYCRR 1205.6. Unless objected to by the petitioner in writing received by the Department, the decision shalt become FINAL after fifteen days of receipt of the decision by the parties. This decision is limited to the specific building and application before it, as contained within the petition, and should not be interpreted to give implied approval of any general plans or specifications presented in support of this application. ;Ro6agidE. Piester A.I.A., Direc r Division of Building Standards nd Codes DATE: RAS: nc NYS DEPARTMENT OF STATE - i DIVISION OF CODE ENFORCEMENT AND ADMINISTRATIdN! APR 2 2014 Variance Attest List Petition No: 2014-0039 The persons below are advised to TAKE NOTICE of the attached document. The attached document pertains to a petition for relief related to code requirements. If there are any questions,call(518)4744073 and ask for the Variance Unit. Please refer to the petition number in all related conversations or correspondence with us. MICHAEL VERITY J TOWN OF SOUTHOLD BLDG DEPT 54375 MAIN ROAD SOUTHOLD, NY 11971 BOB GERDTS 225 FRANKLINVILLE ROAD LAUREL, NY 11948 PETE PONTERIO,PRES NORTH FORK FENCE P.O. BOX 1525 MATTITUCK, NY 11952 02/112014 Page 1 of 1 J Town Hall Annex � � Telephone(631)765-1802 54375 Main Roast ��,�u(631))7 �g P.O.Box 1179 rover•n--dw W_NK%6`$ ny.us SoWhoK NY 11971-09.59 /. g BUILDING DEPARTMENT TOWN OF SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ,c^c� Date: �rs Company Name: G9 Name: • i _ License No.: M GI� rddress: P ��v 6 hone No.: ( �c- O JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: t Y1 *Phone No.: Permit No.: Tax Map District: 9000 Section:_ Block: _ Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) t �� r�nmirl (Please Circle All That Apply) �jCs� onto *is-job ready for inspection: YES NO Rough in Final *Do you need a Temp Certificate: YES/9 Temp-Information (if needed} *Service Size: 1 Phase 3Phase 100 150 200 30Q 350 440 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form ° Town of Southold - Chapter 236 - Stormwater Management ,rte SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMAUON.- (All Requested Information is Required for a Complete Application) APPLICANT NAME: Owner-Agent-Consultant-Contractor or Other (Cade One) I Property OWNER:(It Different than Applies" L' / 7- C"X77 —P nAddress: Xq Aly //9 ? .4xKuna r9a 2R _A.�t & T ria R Fax#: Lo G 3Teletlona F E-Mai C-1 4_'A(co v5 E-Mail: Prrrperty Address: Brief Description of Construction Activity,Proposed Strucdaal BMPs,Soil s.C.T.M.#: 1000 / �- Stabali=on BMP3,Project Scope and/or Sequence of Corrstruction Activity ala_ s efbn sbek (Provide Addlaoral Papas as Needed) Name of Contractor and/or Contact Person Responsible for hnpkmentation of SWPPP: Ak-W A-5 4"ai, ' ---- - ------ `-------= ---Gkt Address: Telephone#.- Fax# --- E-Mail: -------------------- NameotPersonsRasponsiblofortrlatapatlondM;IntenaneeofEroslonControlPrad ---------iee: ----------------------------------- 1 j CAS 3UL.h ------------------------------------------ i Address: ------------------------------•-- Telephone P. Fax#: --------------------------- E-Marl: Total Area of AN Total Area of Land gearing -------- .--------------- ------------------ Projact Parcels: and/or Ground Disturbance: (S.F./Acres) (S.F./Acres) •— �. •• —•---___._— _. Project Duration: Start End (Anticipated) Date: / / Date: �� / -- ----------------------------------------- (Nuueerofcalerd rD"s) Will this Project Disturbe five(5)or More Acres at "- -- ---------------------'-- --- (--�-) -- Any One Time During the Proposed Development? Yes L.H f -- --------------------. If YES:Please Answer the Foitowingl a. Does the Applicant have a Qualified Inspector On ----- Staff To Conduct the Required Inspections? Yes s �No b. Does the SWPPP Indicate How Frequently the Site F—J = List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No --- I c. Does the SWPPP AdequateyIdentifyANTemporary ---------------------------------- and/or Permanent Soil Stabal'tzationMeasures? Yes No -•----- ---------------- d. Does the SWPPP Adequately Identify a Complete __.._...._._-_---_...-....___•-__ --- - -- Project Phasing Plan? Yes No -- --- i e. Does the SWPPP Indicate Additional Site Specific Q Status or Imparted Waterbody:(eg.TMDL,303(d)Listed,Impaired.-) f Practices that Will be Utilized to Protect Water Quality? Yes No i f. Has the Applicant Submitted a Completed DEC Notice Of Intent and SWPPP Acceptance Form for ReviewType of Impacted Waterbody leg,Lake,Creek,Bay,Pond,Sound Freshwater Wetland_) by the Town of Southold? Yes No 51 ATE OF NF,W YORK, COUNTYOF...........................................SS That I, � . ......... ••••• •T ...................being duly sworn,deposes and says that he/she is the applicant for Permit, {Nettle of individu��!)pp,rne�j I And that he/she is the ................. .t.. T{J( ..�owner. Agent,Corporate Officer,ere.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to I 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 herewith. j Sworn to before me thiL___day l ......................... f. ....... ....... .... . ..........20.1..3 Notary Public ` ... ...................... ... AROLHYDELI ( afore of Appricant) SWPPP Assessment FORM: 03-12 NOTARY PUBLIC-STATE—Or YORK NO.01 HYS189695 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES 06/30/26 .4 Sc -F0� X04 , ��re' t.„�E 159,9 f �--A-0�� f formerly COO 00 Of ## % now0 6 %ap F /� 0.4 7:3ILA O QAppaE � �r * c1 o � 1 Ar � F��`° � �' $4 S 1 113 -4 o 50 A ;1 t V1 �j I,y 1� IsEµCE „pQQ W' REVISIONS Yout O oA $•T� 400 OSTRANDER AI Ute 2 ALDEN W.YOUNG OfBOOIONAL tl4%INttR AND � y `�+!S•�O . O MLAND CumvtY I Y OR. N.Y.O.LIC. N4, txo• r SURVEY FOR: /{ YNAUTHOA�tCO ALTCRAT pN 011 AOOITh>i/ TQ °Z9 O/,Q THIS KMVKY IN A VIOLATION Of SECTION ROBE RT H VERDTS 0 A 7209 Of THE NEW YOM!TATE EOUCATION , LAW. MCOPIES Of TNis SURVEY NAP NOT SEAMING POOL DIMENSIONS. 3 A 1 B C 1 D 1 E I F G I N K I L M 0X24 IY 74`-0• -416'-01&'-0"0'-0"i'-3" '-0 4'-3" '-0" !1790 15x21 W-0' 2T-0" '-•f 'i' Y-P II'-4' 4'$ -0 -0"'r 'O' 10!00 IiX32 K'-0 3Y '� t'4" (3'i"i-3• -0 6'- '-0 M,J1190 / 'i"W-3 '-0 =3 '-0 25100 / I 2OX40 '-0" '-0 '-< Q'f" W-6, '-3' •-0 R•-3 '-0 31000 t6x34 K 34' -4 '-0 IDs•ri'-i'i'-3" '-0 '-0 O'-3" '-0 20!00 25X50 15'-0" '-0" 'j •4 'i"ri'i 12'-3" '-0 '-0 fT 3" 'O 96.190 _ 30X60 O '-4 '!r" '-0 'i 'i"21'3" '-6 TlyJO / .� i'-3' '-0 Q100 I DIVII IG BOARD A / I I r LONG wEClos ON \ SIDE OF V404EL. WELDED TOP&BOTTaY / \ ASSHOWNANDCON61 - -------- --- -T T T-- -- - - -- - -- - OVER VAIM V ITM / ALUMINUM COATING I I I OR -L.* SKIMMER SUCTION 1 8 1 1 • 1 . . POOH. PLAN 1 I C - 1 1- TYP. PANEL STIFFNER �. MIKE'THK:I(VERMICULITE /V6113REGATE TAMPERED 10.12X5/8•SELF ORXI NG SCRElN6 SPACED 812.'ckr- CONCRETE OR WOOD DECK UP Ito SLOPED AWAY FARO Mmy P OTHERS) —�- — — ALvlawakcaPwG - H G F E -•;r# - ,��-t STIFFENER MEVOIID) LONG STEEL ANGLE 1 I"L 1wfT�YNP.`AIIUINOi NUMCOATING SE.- IONS - I I 0 20 mL%IK%%LINER . PANEL FRAME BASE/ 0 STEEL 1110" - 318--10aP BOLT.NUT.(2)WASHERS IC STEEL ANGLE [RIVE STAGE D 0 MOUND WITH: _ a CU.FT.CONCRETE SHORT z THKX"*StMICUUTE AGGREGATE MIX 4/1S•DIA CARRIAGE SOUS ` STEEL O HARD�'DM w/WASHER 8 NUT ANGLE Now RUBBER FULCRUM PAD 6Q111FILE 0 3A!'REINFORCING ROD I all" K L M 1=111 - Ing=al�l�l-f n-nr- ,�A: �= Jr LOM STEEL REINFORCING ROD a(IRVED FBLER 1-1 ISM -"I_11 '-I-I"-1= - = MITO1/ ED EARTH THROUGH - ISO 1JI�iTtNiBEOEARTH I ISI HOLES TaRELIEVELINER n-u fi--arx-111. ' X18' DNIN6 BOARD SII- �II�IES#� I TL- CAIIiti1I1GE BOLTS Yln _ TiNII�IIgo �l k M.T.S. IIIoIN11 NI-NI=q1=11-g1�11=111_ f TIME: RECTAGLE I REV. SCALE N.T.S. TYPICAL WALL SECTION AT 'A' FRAME CORINER CONNECTS DETAIL �O1-COIIIlI LES wmI ANS1514,APENDO(G JAMES DEERKOSKI,P.E. DATE DESM IS ACCEPTABLE FOR 26D DEER PATH DRAWING NUMBER ALL.GAMMON SOL CONDITIONS MATTITUCK,NEW YORK 11952 OF