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HomeMy WebLinkAbout40736-Z 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 4 sets of Building Plans__...__. TEL: (631)765-1802 Planning Board approval__ FAX:(631)765-9502S""ey—, Southolffown.NorthFork.net PERMIT NO. � 0 `3-S/b� Check Septic Form_.. N.Y.S.D.E.C._...._ Trustees C.O.Application_ Flood Permit Examined '20 Single&Separate_,_._.. Storm-W ater Assessment Form_„ Contact: Approved_-. 20 Disapproved a-/c Phone: Expiration-.... 20a rn ns or MAY 2 4 2016 APPLICATION FOR BUILDING PERMIT Date--..—,20 W"INGD WL INSTRUCTIONS kation cation MUSTbe 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. In.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. ................................ (Signature of applicant or name,if a corporation) {Mailing address of—applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder ................... ..... Name of owner of premises (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 No Plumbers License No. Electricians License No. Other Trade's License No- Lr '66 5?5116-�- 1. Location of landon which proposed work will be done- e 6-7� 66104v Z House Number Street Hamlet —) County Tax Map No. 1000 SectionBlocl�� Lot Subdivision...... 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 ...................... b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addirtior Alteration Repair Removal Demolition Other Work 6G,r r 2,f6) (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. ............. 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 St66es' r ,; 8. Dimensions of entire new construction: Front —Rear Di lath 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 regulaiion?YES NO 13.Will lot be re-graded?YES_NO 2 —Will excess fill be removed from premises?YES f NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 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 NO_� IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF�Utf�\­' I being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)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. TRACY L.DWYER Sworn t 7 before me this NOTARY PUBLIC,STATE OF NEW YORK —110 day of' 20_L(p NO.01 DWM900 QUAL4FIED IN SU:FFOLKCOUNTY COMMISSION EXPIRES JUNE 30,21�� ly, ............................... ........... day PubIiV Signature ofAppli ni pry. icvnoo 738/ 91� Ga 5111 Cz d +r A 6 � \ a N ym rriE �v on z 'W try k 4 Aft - c w m A a p T 3 0 ncoo pk,i `a, mTmA � cppcnzm't� z��oma rT, cnzaXo oaaz—� ohm rn���mz 0 0 �pZoO -n Z m aSZzpy y-ib �cn�op_ O r-myy�0 °m'"H Ti ��+ y0 ���mpp �O S 2 oo � yNo mAZ NM, AO) C icy m = w '' mA r n a ro r-ay Z Z�Ta "mac o mho c�TymAa a�a w Z o o aA2 C) QD T boleti TaNi© �' Rpm Ap2��A [y< racy yaA g.'cYr Om�-Q m omv A° is,md ceny`ir� O f8'E4tg Azpm mom 2r AAyr y ay= Z pom A o m C �mm 3 yy� RmhGp o p v, O D O m � °a C' I 102" 1 I BEAM POOL BEAM WIDTH 2 1O?"BEAM I P ; ° a . • ' ° °. ° 14 ° WIDTH ° ° 1'-6" BENCH - 1' - 1' - 7' ' 6' •° I • ° (3)SAVI LED LIGHTS JITH 100'CORDS r � a LL I J - Q d O J • W Y 3' W co m o I � < LU AUTOFILL - I • - J (3)SURFACE SKIMMERS W/LEAF 1 . r CATCHER SKIMMER LID TO BE SQ. CUT (2)MAIN DRAINS WIHYDROSTATIC STONE TO MATCH TER ACE. PROVIDE ° RELIEF APPLY STD. INDUSTRY I 314"DRILLED HOLE AT ENTER OF LID I J LAYOUT MMIN.3'-0"SEPARATION FOR ACCESS. 6' I ° Al ° �ENCFF A 10111 BEAM s ° . , ° a � ° , . ° ° ° • ° ° .° . ' .. .° p f % • r ° a • 4 WIDTH — 4'-102" 42'-8$" 3 I — J 47'-1'BACK OF BEAM OVERALL Cl REVISIONS POOL & SPA - PLAN VIEW Scale: 318"=1'-0" FEMBROOKE FINE LANDSCAPES 47'-73"BACK OF BEAM OVERALL 58-B Old Country Rd Quogue,New York 11959 L61 00 (631) 909-2558 Voice CD _..__.._. Fax ti - - - TIT ' 1 � ---�---- `� ryan@pemrnclandscapes.com r - - -- - - -- - � ivNvw.pem; ookefnelandscapes.com t 3'-11" 2l, ' z HALL /� NN RESIDENCE ,- 5„ E PITCH STEPS 2675 Laurel Trail 8 58 TOP OF BEAM TO ��-- ---------------------------- -------- - GENERAL. NOTES: i 6' FLOOR(ROUGH) -� - --~---------------T- Laurel, New York 11948 1. ALL MECHANICAL EQUIPMENT LOCATED IN , DEEPEND SCTM# 1000-125-04-24.8 BASEMENT OF PAVILION. DISTANCE 100' L.F MAX. � SWIMOUT SCOPE 71 2. POOL AND SPA COPING, SPA STONE VENEER, DRAWING TITLE FILL REMOVAL, POOL AND EQUIPMENT BONDING AND WIRING, PROPANE GAS HOOKUP, AND `, "--'" POOL & SPA AUTOFILL WATERLINE PROVIDED BY PEMBROOKE. -------,\=j------------------------------- POOL --- ---------POOL COMPANY WILL PROVIDE ROUGH GRADE SPECS . j AFTERB�FGEKL�LL OF POOL PLUMBING AND � I 1,� � 1„ � 1�, 1 PLAN GUNITE 6' 6'-72 11-112 SLOPE 11 -112 10'-102" 3. PERMIT AND CERTIFICATES OF COMPLETION DATE: May 3, 2016 BY PEMBROOKE. SCALE: As Noted 4. POOL AND SPA WILL SHARE HEATER AND SECTION A'-A' PROJ. NO. 16-15 FILTRATION. SCALE : 3/8"=1'-0" DRAWN: RJ F' APPD: BD 5. POOL AND SPA AUTOMATION EQUIPMENT AND DRAWING NO. INSTALL BY PEMBROOKE. --- A-1 .01