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Home My WebLink About39823-Z 4:.�:z . �,OSUFF��'��. Town of Southold 7/11/2016 G � 'G� P.O.Box 1179 0 � �' S3095 Main ltd py,�o� �,�o��`� Southold, New York 11971 � CERTIFICATE OF OCCUPANCY No: 38380 Date: 7/6/2016 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 755 Stillwater Ave, Cutchogue SCTM#: 473889 SecBlock/Lot: 103.-1-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed 'an this office dated 6/1/2015 pursuant to which Building Permit No. 39823' dated 6/1/2015 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, FENCED TO CODE, AS APPLIED FOR The certificate is issued to Heffeman,Dennis&Heffernan, Suzanne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL EL�CTRICAL CERTIFICATE NO. 37688 OS-06-2013 PLUMBERS CERTIFICATION DATED � A rized Sign ure �5��,c TOWN OF SOUTHOLD ��o �� BUILDING DEPARTMENT y $ TOWN CLERK'S OFFICE o . r SOUTHOLD, NY �,�Ol � ��o�� 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#: 39823 Date: 6/1/2015 Permission is hereby granted to: Heffernan, Dennis & Heffernan, Suzanne PO BOX 464 Cutchogue, NY 11935 To: Construct an accessory InGround Swimming Pool fencec! to code as applied for: Replaces BP#37688 At premises located at: 755 Stillwater Ave, Cutchogue SCTM # 473889 Sec/Block/Lot# 103.-1-13 Pursuant to application dated 6/1/2015 and approved by the Building Inspector. To expire on 11/30/2016. Fees: � PERMIT RENEWAL $125.00 Total: $125.00 f � Buil in Inspector 4�SU¢l�,co TOWN OF SOUTHOLD �� BUILDING DEPARTIVIENT � a TOWfd CLERK'S OFFICE o . � SOUTHOLD, NY y'tlpl � �a�,y� �¢ 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#: 37688 Date: 12/12/2012 Permission is hereby granted to: Heffernan, Dennis & Heffernan, Suzanne PO BOX 464 Cutchogue, iVY 11935 � To: construct an accessory InGround Swimming Pool fenced to code as applied for , At premises located at: 755 Stillwater Ave, Cutchogue SCTM # 473889 Sec/Block/Lot# 103.-1-13 Pursuant to application dated 12/4/2012 and approved by the Building Inspector. To expire on 6/13/2014. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Building Inspector � ,,�/�u . �'� �.� � �� a��a Form R'o.G TOWN OF SOUTHOLD � 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: 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 comp(eted site plan requirements. B. For existing buildings(prior to Aprii 9, 1957)non-conforming uses,or buildings and"pre-existing" land uses: 1. Accurate survey of property showing all properiy lines, streets,buitding 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$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 $15.00 Date. J a. - ) � - / 7 New Construction: Old or Pre-existin Buildin g g: (check one) Location of Property: �,j5 �7jLL ,,q�.� �� s House No. Street Hamlet �wner or Owners of Property:_ '�j�ti�s i�,�y��,,�-,v Suffolk County Tax Map No 1000, Section /Cj3 Block_ � Lot / 3 Subdivision Filed Map. Lot: Permit No. �� lp �� Date of Permit. r� -��_/� Applicant: ' (� ��-�ij Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ �� G�' Appl�� s � Signature SUFFQI� Town Hall Annex ��0� coriy, Telephone(631)765-1802 54375 Main Road � s� o Fax(631) 765-9502 P.O. Box 1179 v • ,� Southold, NY 11971-0959 o'y��l �a0� roQer.richertCa�town.southold.nv.us � BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Heffernan Address: 755 Stillwater Ave City: Cutchogue St: NY Zip: 11935 Building Permit#: 37688 Section: , ��3 Block: 1 Lot: 13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: EIeC-TeC InC License No: 4814-171e 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 1 Ceiling Fixtures HID Fixtures Senrice 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel AJC Blower Range Recpt Fluorescent Fixture Pumps � Transformer Appiiances Dryer Recpt Emergency Fixtures Time Clocks � Disconnect SHntches 2 Twist Lock Exit Fixtures -TVSS otne�eq��Pme�t: in ground swimming pool to include, bonding,1-pool light, 2-GFCI circuit breakers pool control panel Notes: ( Inspector Signature: Date: May 6 2013 Electrical Certificate.xls � . . . � . ` ------- - - --- — ----- � -� �o��pP SO//lyolo ( � � � y O �O � � �'Y�OUNT'I,�c� � ��r TOVI/N OF SOIJTHOLD �UILDING DEPT. � 7C5-1�02 � 1 NSPECTION I l FOIDIVDi4TIOIV 1 ST [ ] ROUGH PLBC;. [ ] FOl1NDATION 2ND [ ] IN�ULATiON [ ] FRAIVIING /STR�#PPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE S�4FETY lN�PECYION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRIC�4L (ROUGH) [ �ECTRICAL (FINAL) I�EMARI(S: 1�,�l.�-� �� `�� DATE � � � � INSPECTOR ' ! - " ?�� _ .y -. � ��D � � . ho��F SOUTy�Io �__. . � � '� � . � • o � � - ��'��OUNTI,N� `� � � TOWN OF�SOUTHOLD BUILDING DEPT. � 765-1802 � �1 N�SPECTIO.N � � _� [ ] FOUNDATION-1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSU ION ' � , [ ] FRAMING / STRAPPING [ NAL . [ ] FIREPLACE � CNIMNEY ' - [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION. [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGFI) [ ] ELECTRICAL (FINAL) [ ] CODE VI TION [ ] CAULKING t � REMARKS. �c`11��'/�� '��/�� '�C�i�✓ �� G��,✓�� .�l� �� s� _�!G /'�J`� �'�' �-��' �J' �'��_ c,� � ` �J 3 ��' � � 'i ^C�'� � � C.T� - ( t��f�� -1 ( -I� �- � � �� S s� �-�-�— `� c��=��j� � . d� �- �� (�--,�, - . DATE �� INSPECTOR '�' . , � � !� � ' ' �`, ' ` � i-I FI�LD�ISP��C1N REPORT DATE CO1VIlI�NTS ' �� ' . • • �� '��?� � �'OITN,U�i�'IOlaI(1ST) , ��I� . �.� - -«�-------,-'----------------�-- � , , � � � F4UI�TDATI4N(2ND) - � � , • � � • � O • (� , ' � � � ROU�H FRE1Nl�TG& ' � y PLUMBING � . M � . . . . � �i • � � � � 1N�IILATIO�I PE1t N.i'. y STATE ENERGY CO�E � , • � Y . , • � . - Q e G� d ' . � • , , C �1 FI1�1AL , sADD�TIONAL COMMENT � � r �ce.� ' �/ � G�f � � ^ , � r� �(� � i � lJ �..J�lJ � l.� � L-��e �- b PG" �- ' � Z - I - I 5� � � re� �F�O � 7 F�� m � . . � . � � , � . !�-,.,�� '�� - . . � � � . 'o '� � . I �-0 • �� f . � � • , , • � � �y � � � . � � •V y r 'r � � � TOWN OF SOUTHOLI) BUILbING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? � TOWN I�ALL Board of Health SOUTHOLI), NY 11971 4 sets of Building Plans � TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey �/ SoutholdTown.NorthFork.net PERMIT NO. ,3 7�0�'� Check Septic Form ;` N.Y.S D.E.C. Trustees C.O.Application Flood Permrt Examined ��,20 �� Single&Separate Storm-Water Assessment Form Contact: Approved /v 20� Mail to: Disapproved a/c � hon��(0�5 Expiration �oZ,2 � � r � �, � � Building Inspector Q � 4 �'�'� APPLICATION FOR BUILDING PERMIT �� Date /�� , 20 /Z B�o� oEPj• INSTRUCTIONS � ,��v p�SOUjHOLD —� is application MUST be completely filled in by typewriter or in inl<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 Perinit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be I<ept on the premises available for inspection throughout the work. e.No buildingshall be occupied or used in whole or in part for any purpose what so ever until tlle Building Inspector issues a Certificate of Occupancy. f. Eveiy 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 ofthe permit for an addition six months. Thereafte,r, a new permit shall be required. , APPLICATION IS HEREBY MADE to the Building De�artment for the issuance of a Building Permit pursuant to the Bwldi»g 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 oc for removal or demolition as herein described. Tlle aNplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on pcemises and in building for necessary inspections. �� . ea �� , v�.r 9 �� ' '?„��p�, G��7i� �u�LS L�� +�.,,��,T ��k r� a�s g (Signature of appl�cant or name, tf a corporation) E1�1�PON COMPLE�T(ONDE �?5�� a'�ta..,��r�� 9�� D X BEFORE WATE� �� z,�,� � � � , � ' , • �� Ar�,��'��e�.,��,�, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general cont��t�'i��er or builder '. �.��Z1�yc�1Z DATE /� a B.P #!3�7/� Name of owner of premises `� 15 d /�n�y �-� ,cc=;e,�v�rt1 FE T��' BUI'� D�ARTMENT AT (As on the tax roll or la��1c$��d)$ AN� TG 4 PM FO If applicant is a corporatio , si natur of duly authorized officer FOL�OWING INSPECTIONS. ��z�� 1. FOUNDATION-TWO REQUIRED ame and title of coi orate officer FOR POURED CONCRETE � ) 2 ROUGH=FRAMING,PLUMBING, Builders License No. ��/� ��,c� . STRAPPING, ELECTRICAL&CAULKING Plumbers License No. 3 INSULATIUN Electricians License No. ��„��'�� 4 FWAL-CONSTRUCTION &ELECTRICAL MUST BE COMPLETE FOR C 0. Other Trade's License No. ��(�"�'Q��, par�� ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW 1. Location of land on which proposed worlc will be done: YORK STATE. NOT RESPONSIBLE FOR ,�5� �T/LL 7L,-72 �.-�, � IA��ON J UCTION ERf20RS. House Number Street I��r�� STORM WATER RUNQFF ' PURSUANT 3� CHAPTER 236 County Tax Map No. 1000 Section /v � Blocl< / QF TH� TOWf1��D� Subdivision�-��,z,�,v � �,c�-3-�� Piled Map No. Lot ��u:.r75 �K) � . :; 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy� 5�,�.y �,2 ,zc��trC b. Intended use and occupancy/ .s��c-y fr� �.�sr��tic�- ��1�� n,-��.�,� �-�.v,c��u�tic� �wL 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition t ler Wor ;�-C,�zwn�,7 `5u„��„�,�� (Description) 4. Estimated Cost .��i�Uvv c,� Fee��,�v (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 ,�Z � Rear SZ � Depth �c� Height /� ' Number of Stories / Dimensions of same structure with alterations or additions� Front Rear - Depth Height Number of Stories - �t�C�Sry �'� na. 8. Dimensions of entire new construction: Front Rear � D`epth z�� Height Number of Stories f- . � 9. Size of lot: Front �UZ� � Rear /l�Z._�' Depth �Z� � 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated �.L3��Ti� 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO� 13. V1Ti11 :ot be re-graded? YES�NQ Will excess fill be reinoved froin preinises? YES�NO 14. Names of Owner of premises'�i�w�s�FF�xn.va-.c� Address�5��,u,�+-��z m�'hone No. ,�3y-- �z7� Name of Architect Address `�`�`� Phone No Name of Contractor�a+,�v� ��x;�-s �-� Address�o �c,x � Phone No.��3y-7(�� Ccr�C!-ltt�7GL� 15 a. Is this property within 100 feet of a tidal wetland or a fi•eshwater wetland? *YES NO X * 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 ,�C * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. s�,j., ,,. � . . f.-F. ' 17. If elevation at any point on property is at 10 feet or below, must provide topographical data;oir_s,Luvey.- _ 18. Are there any covenants and restrictions with respect to this property? �� YES NO,� * IF YES, PROVIDE A COPY. STATE OF NEW YORK) S: COUNTY OF �1�� _�� ,�� being duly sworn, deposes and says that(s)he is tlie applicant (Nam�bf individual signing contract) above named, (S)He is the � � ,y�-��-d ��✓-' � — (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said worfc and to malce and file this application; that all statements contained in this application are true to the best of his I<nowledge and belief; and that the work will be perfonned in the manner set forth in the application filed therew��R�L.GLEVV � FJotary Public,StaYe of Mew York Sworn efore me this � , ,�_ ] No.o1GL4879505 � _daX,of. �( � Qualified in Suffolk County�,R, I Commisston Escpires Dec.�,C�J M i „ ��, � � Notary Public�' � � -,� y �� Signature of Applicant � � . . - o��,o�SO�r�D - . � � �o � � Towa Hall Aanex f�f � Telephone(631)765-1802 , 543�5�R�d �n � roaer.riche��1)7 ' P.O.Bax 1179 � c� owm.sou�ioQ�.ny.us - _so�oia,NY 1 I971-0959 ' �� ►�� ,- ��, , . ' � � � BETII�I�IlVG DEPARTMENT . � � - TOWN OF�OUT�I4LD . - ` �►PPLtCATtON FOR ELECTRtCAL INSPECTION - �EQUESTED BY: ,��.� ��,,��vr��( i� � Date: �-}'a - � ' . Company Name:, ( .� , � Name: , , �� icense No.: � - �1� - , , Address: O`?� �i�S (�-� ��?,C�.` , 11 6 Phone No.: - ��,1 � O� , JOBSIT� INFORMATION: f*Indicates. required infofmation) _ _ � � *Mame: ��LI�G t�l(��e ��-�Cf�l'1 G�l� � : . - *Adcfress: � s - � � . - *�Cross Street: � _�(,� 1�1 i�� . - �� - , *Phone No.: _ - , _ � � - � - Permit No_. . � ' � -j 0 - - - � , Tax Map District: 1000 Section: �o . $Ivck:� Lot: � '�BRtEF DESCRIPTION OF WORK(Please�rint Cleariy) i n �� l�r_rr,�r� - �� - - - - - . , --- - - ; .� - - � - (Please Circle�i411 That Apply) � _ � . _ � *Is�job ready for inspection: � YES/ NO Rough-In � _ . Finai *Do you need a Temp Certificate: ' � YES!� _ � Temp�Informa�ion (If needed} • ' ' - � , - � � '`Service Size: 1'Phase 3Phase . 100 150 . 200 30a 350 � 400 Other ' , *(�iew Service: , Re-connect Underground Number o�Meters Change of Service Overhead . � Additional Informa�on: PAYMENT DUE WITtt APPLICATION . � � �� , -- - - � � � , P.�.� ��,�� 82 Fiequest for lnspedion Form � /`/�� , � � i o,°�� I � � Town of Southold - Chapter 236 - Stormwater Management _ � �O�" SWPPP - Stor ' W � �1 � m ater Pollut�on Prevention Plan Assessment Form � I GENERAL INFO�ZMATION: (All Requested Information is Required for a Complete Application) ; � APPUCANTNAME; Ownec-Agent-Co�uIqM-ContractororOther(Circle0ne) PropertyOWNER:(IfDifferentthanApplfcaat) , �' ,�1-�7��Pcrc�LS l�-f� �t�t�tulS i-4��F��vva�l3 �" ��`�3� C+rfe� �s � ��9 3S � Address: S� y 9 '%� �(J LG/9�'i S � Telephone • Fax •3� �y�� Telephon • y g,�, Fax#: i �J/ E-Mal: E-Mail: � Property Address: Brief Descripdon of ConaIIuction Activity,Anposed Struchual BMPs,So�1 i 7/t-LGv✓t�IC � / s Stabalization SMPs,Project Scope and/or Sequence of Cons�uction A.ctivity i � S.C.7 M.#: �000 �j' '3� �_ i Dish14 Setlmn Bleek Lot • IP�ovide Addtinnal Pages as Needetl) Nama of Contractor andlor Co�taet Person Responsi6le for Implementation of SWPpP: � ��( �p� � � i _��u_..7.r��_✓_�__3___.__N___a�!�______ , .c�'e�c�u�t�..��_�'7'_�4-_._.��_✓2�'Y�%L-_------ � Address: - ' � t �__...._�.'--� ___.__...,._..__.......__.____ 7elephone#: Fax#: " - -- ---- i , i __,.__„._______..._______...,_____.._____�_.,.�_..,__�_ i E-Mal: I --------------------------..'..______.__,.___.____ i• Name of Persons Responsible tor Installation$6laintenance of Erosion Conttol Practice: � � � .- -^------------------------^^__..._____.__,_....___.. � I Address: ` ' ____----------------'-----_______...m__..�_....____ � I i Teiephone#: Fax tl: � E-MaiL• � ' _.,------------------�----_______..__...,_..._.,.___ � � i TolalAreaofAil TolafAreaofLandClearing ""'-`-`-__________._______________,_______.w___ , ' Pro�eciParcels• �i(L��F andlorGroundDisturbance �.�� _________________________--_-•-____,_._________ ; ; (S F 1 Aaes) (S F/Aaas} t � ProjectDuralion: StaR End ....„..___.._..____...�.__..,_---_______.__..�_.__..._.,_. _.---- � (Mhapated) ,� Date: l�/o/� Date: J Z /� �. � ; : ._.__._____�___...__.________..._.. .__.._..__..—__—'._ � (Numhar of CatendarOeysJ i WillthisProjectDisturbefive(5)orMoreAcresat � ��y��- � -� -- - �----__.___.____�____ _ � Any�neTimeDuringtheProposedDevelopmentT Yes � ---________.. _.__�________. _.. ._�.�_____________ ; I(YES:PIeaseAnswettheFollowingl ....___M..,...__..............___.__. _ ___,.__r___�_.______ I ' a. Does the Applicant have a Qualified Inspector On Q Q , I Staff To Conduct the Requlred Inspections? Yes No � ' b. Does the SWPPP fndicate How Frequently the Site � � List the NAMES or descriplion of all Potentialiy Impacted Water6odies andlor Wetlands: � i Inspections will Occur and for ilVhat Period of Time 7 Yes No � ; c. DoesfheSWPPPAdequatelyldentifyAl(Temporary �] Q .�'��`_____________-------_--_-------------_ I andlorPermanentSoilStabalizaffonMeasures? Yes No "'�-�-"-�"`----�`---�-"-"'��Y.._.__,..,.___._________ ; d DoestheSWPPPAdequatelyldentifyaComplefe Q Q '-'-""" ----'--�---�-`��- ----v-�---�-�--� �- �---------- j Project Phasing Plan? � Yes NO StaWs ot 1mpaUed Waterbody:(eg.TMDt„303(dj Listed,impaired._) � e. Does the SWPPP Indicate Addtional Stte Specific � � � Practices that Will be Utilized to Protect Water Quality? Yes No � " � f. Has the Appiicant Submitted a Completed DEC Notice Type of Impaoted Water6ody:(¢g.Lake,Creek,Bay.Pand,so��a,freshwater Welland_) I � Of Intent and SWPRP Acceptance Form for Review � Q by the Town of Southold? 1'es No __ _ . � ! - ---____----------------------------------------- I I STA'I'F.OF NF.W YORK, - � ; ; � COUIVI'Y OF....�-•.... . . . .........SS � { ' � i . _ I '1'hat I,....��...-.!.:'-4.......��'n.��..............being duly swom,deposes and says that lie/she is die applicanl for Permit, ame of individual signin9 Dacumenl) - And that he/she is the - � ..........`_`.4.tf.�.��:c:�.`�................................................................................................................ i (Owner,Contractor,Agent,Corporate Otiicer,etc.) � Owner and/or represenlative of the Ow�er or Owners,and is duly authorized to perforrn or have perfom�ecl the said work and to � make and file thi's application;that all statements contained in this application are hve to the best of his knowledge and belief;u�d � that the�vork will be performed in the manner set fortl�in the application filed herewith. ; ' Swom to o e me this; � �' � ...------•.............. •--••--••-•••----day of....---•-•r. . _..._ ..._..•• •••- •-,2 ....v , Notary Publj .--•--. ..... . .�.............. .... ........ . .. ...... .. . . .cr:. .. .. . . . ._................ . ' (Signa ure of AppSqni) � � SWPPPAssessment : ��NgwYo�t � ` � � iVo4ary u ic, � ° i4o.01 GL4��9505 . I. Qualified in Suffolk Count�-,,,, � , , 4�aszarni�sian Faepir�s C1ec.6� GU � � � ��` � Date �0 � / " File# ��-- ��7 TOWN OF SOUTHOtD COMPLaITtT REFERRAL FORM Location of Complaint: �� /GCI.�/�¢�'� �X SCTM # 143,"/�/�j Property Owner:�.peUN/S �,��F�2�VA'N ! Phone � Address:��j�( �rpy C G�v� OU y �/��-'� NATURE OF COMPLA�T: , /�oSSi�'L� �sv� T'o B�. — � tJS �c. �a �� _ �ti�� - . -- . � — U.��/� t�S Liv �: � �. ACTION TAKEN: � L�� va r�`�r� �� r�,�� l�,��, ��m�-��-T�� . o� ��/y � 3 1 Z� 3n Ptf-� . Optionat: / Complafnant: �'�Ua��p�� gy Phone� Mai1 In Person • Address Phone: r � Report Taken By: Date Date Referred to Code Enforcement: . CODE ENFORCEME�IT REPOI�T = � � , SITE INSPECTION REPORT/DATE: �° y 1� d�S � �t � "� ''.�"�; , ' � �R�� oPE�u�� j h�.'. '��,,. , ,,�i4-� r��✓C�R G�2�4�� e�o � �'��s�i¢g! ,rUo C.�,�..9 S� ACTION/DATE: ��.�r /D/7 /3- t��. p��ri�i� �� ..e�vc� Gv�-s CL�s� o�� - a � -, � ��IU�tS ��-�oU7�-� 3�b�� , � ��OF SO(/l,�,o 2�� T/�GW�� . �tJ7L' ��'v� � • �o aw- ` ��ourm,��' TOWN OF �OUTHOLD BUILDING DEPT. � , 765-1�02 1NSI�EC'ri0111 [ ] F UNDATION 1 ST [ ] RO H PLBG. � [ ] FOIJ ATION D � [ ] INSUL TI � [ ] FFBAMIN / RAPPING [ ] FINA [ ] FIREP C 8� CHIMNEY [ ] FI SA ETY INSPEGI'iOfV [ ] FIR ESISTAN CONSTRUCTION FIRE RESIS NT PENETRATION [ ] ELECTRICAL ( OUG;H) [ ] ELECTRICAL (FIIVAL) - REMARKS: �OL �7�J-5 �l' � �' ��//,'I�'�.�T�G � �"�u�Go,��.1� � l fi� �.��.� '/�� e� T�� o � ' ��S �6�v�� G /��or�, �4L S �GL ��, D o r N �� / ;/ DATE l � � INSPECTOR I�. �'�U . �� '�� 1;,k-: . , Y'. - •;-- ., --- ----- - A�Ai?OM OR ADDITIQtli V ' `�------- � _ ,� � ! /'� �( ' a A Y�OlATlGN Of � �..._"'_"""- - ---- -- - • _ _..... _�_...__.__._,_ t'W � b��!!W YORIf STATE � _ , ;� � �—._�..-_ --- � ��t�►vr. 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' - . . � • ' . , � - - -- �- -._�.�__-__.__..�..�,��,__.- - - �- -- , POOL DIMENSIONS. � ' OOL 81 A B C D E F U H K L M N3 ID(24 17-0� �4�-0� �-4• �-0•6�-0•8�-0•6��3• ,-O� �-0�4�3• �-0� 9p50 15x11 15'-0' 21'-0° '-4°5'-G' 1'-I" II'-4" 4'-8" '-0 l'-0' 2'-2" '-0° IO,JN � � IbX37 I6'-0• 32�-0• �-4, �-0•8�$• �3�-6•6�3• •-0• �-0n 8��3� �-0" 19��50 \ � ' � IBX36 IH�-P• %-0• �-4• �-O"10'-6°13�-6•8�_3 �-O" �-0"10'-3 '-0" 75SG0 � � � i 20X40 YO'-0`40'-O° '-4"B'-0 YY-6° 13'-b'10'-3" '-0' '-0°1Y3' '-0' 32,000 � � ' � i � 16X34 I6�0°3i-0" �-4° �-Oo 10-Go�3�-6•b�_3• �-O• -0"B'�° -0 10.900 � � i � 7S)f50 25�-Ou •-O" •-4"B'-6°27-6'13'�d°IY3• �-0• �-O•P�•_3• �O• 5B�150 � � i � r . 30X60 O�-0• �-0" �-4"9�da" �-O"�5•-0" O�_3•4�-b•4�-b°t�'-3`4'-6" 19550 � . � i ' 14X7B 14'-0° ZB�C" �-4" �C"8�-0• �7�-O"4�-3• �-0• �-0°b'-3' '-0° @,100 r� — CTIO � � � i . � � � � � � � � � � • � � _ _ � DIVI G BOARD � � ,� Q� A _ ' � � � � s,1� � � � � � � I � � �', � � 1'LONG WELDS ON . I CTIO � i • � \ SIOE OF PANEL � WELOEDTOPBBOTTOM � i � � ASSHOWNANDCOVER -------------r-rr--------- ---- � � � OVER WELDS WITH � \ � � ALUMINUM COATINO + FILTER I � � \ � � I , � i � , � � I � i f . � � - � � PUMP 6 _I �_ — �_ — — —�SqMMER � MOTOR SUCTION I B I I ,' POOL PLAN . , � � , � , _ . � - � � _________�___1 1 1_________ ____ D , � ,,�'aiJS ��.a#: F•�-i:�k�.. TYP PANEL S�IFFNER " �� `Y�� ,��,.�: � ;;,•...^, • MIN.2"THICK VERMICUUTE �';�� '"; �,�� j:,,;;��, � �� AGGREGATE TAMPERED ,,� ```• �'. i`}�' � ,.� z..>;,.�i��, � 5 :' ;�..,.x ';ti•,;. �,��;r;��;;� i: 1632XSI8'SELF DRILLING SCREWS � �'�:, -r,�,a r'. SPACED @ 12'O.0 ' , e : �^ - t CONCRETE OR WOOD DECK UP TO � COPIN6 BYOTHERS ��r� �,•�~*� SLOPE�AWAY FROM POOI PANEL — — H G *�•��0 •��"�'M1 b,�3� �`� • STIFFENER(BEYONOJ ALUMINUM COPING F E �'� S; -�4^�w' �`� LONGS7EELANGLE ' ' �""Y�� - — � °° ,-LONGWELD SECTIONS �� ' ��s / � w/TYP ALl1MINUMCOATING �� ,�� \� 0 20 m�VINYL LINER ' - r.anY::!",ts� \:e'FRAME BASE�/ STEEL WALL PANEL O � i 3/8'-16x1'BOLT,NUT,(2)WASHERS , C ' STEELANGLE DRNE STAi(E D 0 MOUND WITH 3 CU FT CONCRETE 2•THICK YERMICUIITE AGGREGATE MIX SHOR7 HARD 601TOM 5I16'DU1.CARRJAGE BOLTS STEEL o w/WASHER 8 NUT � � ANGLE RUBBFR FULCRUM TOP CORNER P� &�RTICAL FILLER G 8 ARO � 3I8'REINFORCING ROD - 1-1 M W K L M 'N1=111=111 II-111=111=11�III=111=111=1=111=III=111=111=IIt=111= ` 1 =111�11=1 111-111=111�11=_III�11=111 11=111�1_I=111�11=111= '�� b �� `' 9=1II_III 11=111=III=III=111=I11=111= -1f1=111-IIHII_III? �I�=IIII I ��IfI��11=��11-IIIi��E��III I_�III�11=J�11= �8'LONG STEEL REINFORCING ROD CURVED FILLER �'•° 1-7/• �•° ��=� UNDIS7UtiBED EAR71i I II—II - - �NTO UNDISTURBED FFRTH THROUGH TO RELIEVE LINER � �.o '_p � _ HOLES{N BOT{'OM OF PANEL DIVING BOARD 'll-III I-III`III=f{I= Bol.7ED w15/1E DIA ��=1 1=��11=111�11=111�11'=III ��=J��= CARRIAGE BOLTS ;�III I II��I Ili��llll_I III��III��III��II��III�IIII�IIIIII-' - N.T.S. �11-111=111-111=_I II-111-111-111=III-III_II I—' ��'� POOL TYPE: RECTAGLE REV. SCALE N.T.S. TYPICAL WALL SECTION AT �A' FRAME CORNER CONNECTION DET�41L POOLCOMPLIESWITHANSI514,APENDIXG JAMESDEERKOSKI,P.E. DATE DESIGN IS ACCEPTABLE FOR 260 DEER PATH DRAWING NUMBER ALL CQMMON SOIL CONDfCIONS MATT►TUCK,NEW YORK 1195� 4.