HomeMy WebLinkAbout28167-Z 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. 28167 Z Date MARCH 12 , 2002
Permission is hereby granted to:
MATHEW W HORL�4�wv
CUTCHOGUE 1 9115
for .
CONSTRUCTION OF AN ACCESSORY INGRO D SW M ` POOL IN THE
REQUIRED REAR YARD AS APPLIED FOR /
at premises located at 2245 FAI WAY DR CUTCHOGUE
County Tax Map No. 473889 Section 109 Block 0005 Lot No. 014 . 021
pursuant to application dated MARCH 11, 2002 and approved by the
Building Inspector.
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
BJ 1 L D1L JL I l a 1' 1 l� W t. J �—1` L�►�7 1—
Applicant/ / Date
Owners Name: �7 �� ���' �a-ki '' "f Reviewed:
Architect/ Daae
Engineer: �� Submitted:
SCTM _
District: 1.000 SectJon: c 13 lock: J Lot: ` c�
Project �J Subdivision
Location: ��C 7``� �-dL='�tv� c �Q"^ � me:
j--- VT�
S
in&le & separate Required + �
certification: (Yes/No)
Req. Req.
Zoning District: I Lo(size' c / Actual: I (Lot coverage — I'roposc l
(( Yard pont Yard Proposed: �I [S)d140 Proposed: �yi J [Rear Yard 3al _ Proposed
Project Description: �� J
AGENC ERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board;approval:
Town Planning Board approval:
Flood Plane Elevation M
Flood Zone: '
Dotes:
FIELD INSPECTION REPORT DATE COMMENTS
b
oC?
FOUNDATION(1ST)
67
------------------------------------
FOUNDATION(2ND) CA
ILI[ z
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7�
ROUGH FRAMING&
PLUMBING
r
INSULATION PER N.Y. y
STATE ENERGY CODE
C
FINAL
ILA
ADDITIONAL COMMENTS
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TOWN OF SO 01 � ,-(' BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPAR4 Y MAR , 12002
�� ? E Do you have or need the following,before applying?
TOWN HALL i�1 ' Board of Health
SOUTHOLD,NY 119 1 _ _ :, . . ._j 3 sets of Building Plans
TEL: 765-1802 Survey ✓
C-A-6 (0 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 3 //J— ,200 Contact:
Approved 3 /1 ,200.>- Mail to:
Disapproved a/c
Iz Li.S
Buildings
APPLICATION FOR BUILDING PERMIT
Date , 20
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 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 a Certificate of Occupancy
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Buylding 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.
OCCUPANCY OR (Signature of applicant or name,if a corporation)
USE IS UNLAWFUL
WITHOUT CERTIFICATE �`� �'"'�
(Mailing QCCUPAHCY (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician, plumber or.builder
k
Name of owner of premises T/�- AS NOS
(as on the tax roll or latest OiAt
If applicant is a corporation, ignature of duly authorized officer NOTIFY BUILDING DEPARTMENT AT s `
766.1802 9 AM TO 4 PM FOR THE
'TNarne and title of corporate officer) UNDERWRITERS CERTIFICATE ANG INSPECTIONS:
REQUIRED 1. FOUNDATION - TWO REQUIRED
Builders License No. i& Gln 7-1-1-T FOR POURED CONCRETE
A ROUGH - FRAMING A PLUMBING
a INSULATION
Plumbers License No. 4 FINAL - CONSTRUCTION MUST
"IMMEDIATELY" BE COMPLETE FOR C.O.
Electricians License No. ENGWSE PeOL TO CODE ALL CONSTRUCTION SHALL MEET
UPON COMPLETION THE REQUIREMENTS OF. E N.Y.
Other Trade's License No. BEFnRE�;•• STATE CONSTRUCTION A ENERGY
CODES. NOT RESPONSIBLE FOR
1. Location of land on which proposed work will be done: DESIGN OR CONSTRUCTION ERRORS
7i Zi t,' �i�l�Y
House Number Street Hamlet
County Tax Map No. 1000 Section /65 Block Lot %d/4 0..1/
Subdivisionx/4/ ;,,, r-,�z � . �,��� .,mac raj) Filed Map No. 1636, Lot
(Name)
� r
2. State existing use and.occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Aiuc
b. Intended use and occupancy�,c
3. Nature of work(check which applicable):New Building Ad ' ' n Alteration
Repair Removal Demolition er Wor -f/'tj� 7ozz
(Description)
4. Estimated CostFee o6
(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 ,3" Rear 7,41 ��" Depth
Height a20' 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
9. Size of lot: Front ?/S, -, y/ f Rear 6Depth ,9yz),a-D ,
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 regulation: iU 6
13. Will lot be re-graded y�6 Will excess fill be removed from premises: 61D NO
t
14. Names of Owner of premised-tj� w7iv�ivtAddressR wl''r' Phone No. :Z
Name of Architect AddressPhone No
Name of ContractoregZn Zgy,6 i,-7'2> Address 2v my- F Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES NO p( _
• IF YES, SOUTHOLD TOWN TRUSTEES 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.
STATE OF NEW YORK)
COUNTY OFA!_3%
U being duly sworn,deposes and says that(s)he is the applicant
(11M., �M y . ; ..4ove named,
OT MA I 90st-ZEIT
;S)He is the S;�Tt ► sr�
T . �01(W(,oWm' Mr„ Agent,Corporate Officer,etc.)
)f saidr'bv er dr'llwhM'" `440rifed to perform or have performed the said work and to make and file this application;
:hat all statements„contain M- Acation
Onare true to the best of his knowledge and belief, and that the work will be
�erfored iii te +y. filed therewith.
3
3wom io before
Notary Public Signature of Applicant
HELENlE D. HORNE
yry Public,State of New York
No.4951364
Qualified in Suffolk County
*fission Expires May 22, p e!T;
SURVEY OF LOT # 21
"MAP OF FAIRWAY FARM511 �—
F I LED FEB. 11, I q-74 A5 # 6056
51 TUATE: C-UTCHOGUE
TOWN OF 5OUTHOLD ,
SUFFOLK COUNTY, NY �, r
SURVEYED 04-20-98 '
SUFFOLK COUNTY TAX MAP
1000-109-5-14.021
CERTIFIED TO,
MATHEW HORMANN
MERYL HORMANN
SUFFOLK COUNTY NATIONAL BANK
GOMMONwEALTH LAND TITLE
IN5URANGE COMPANY
TITLE » 1098-1099
�T
,
S89 '12 ' 10"E 0 . 00 ' 1
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N LOT 25 J
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STONE DRIVE
d cnk„
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q LOT 24
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N89 '12 ' 10 "W 200 . 00 '
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LOT ??
NOTES,
■ MONUMENT FOUND GREEN NAY of �w ..r...r.r.nn.
:.:,'"::" 1
ret•,ren n n ,.+no. .ue-e,.roan t.
0 PIN FOUND g ya,r r.n. e.rn.er(vi^.,•'e
er•p•e fr•I,fMllee��r on�rtl.r•n rnrnr,:fl rnr
ree r.f
AREA = 43,682 5F OR 1.0 AGRES ner<.r.e n.r•en n., rnr,
r a erronr•a rn orr.rtl•nr..rr,rn••.. `
nr me Cner n amrr• r r y,...re aem•a
sr•r•..........n a vrerr.uenu
one swvrerf�r s•ie rfrr it m•r roof.nf 1,run en,r
I re rnr err.en r .rn•.w.rr rf v•vr•e.
O 'e r .nvn^e.o •�.,',ef^ri n ,'f�tl n•r rnn, ntl
140. _„/�- ri:nf a rr•n.• o,•�er•tlnr rem•, ms��r�(e:f
S�LAW s�
GRAPHIC SCALE I "= 40 ' --.--N Y I.IC. NO.
JOHN ( EFttER LAND SURVEYOR
6 EAST MAIN STREET
RIVEPHEAO. N.Y, 11901
369-9288 Fax .369-8287 REFERENCE 0 98-1)]55
• Mmi I _TC
i 13.8'Plain Ponek(08009) L
2-6'?6n Ponek(08-014) I
1.4'PI&Panel(08-016) E F ,r K
J L
1.90°Corner Set(08 020)
12-Econom 8roces(08.110) S I Z E A S c D I F G H J K L
8' 8' 8' 1-Steel Hordwore Kit(08-204)
20'x 40' 20' ♦0' i'�' 7'1' 1Y1' 1S'�' r 1' 6' M S'Y
1.20x40 Straight Coping 6'Rodivs(10.003) "nn o •o.wvra 10 all s'�' Ye• lY�' 15'x' r 4' �' r rr
'n Corner Set 10.004
roa Step o.rne
1.40'C ( )
opl y
6
$' 1•rmyl User(see options below)
i
r-a
$ AAA 6'Ste Remove 2-(08 009)8'ponek and `^
8• 1408-016)4'ponel. Insert 1-(01.006)6'seep
and 2-(08.013)7'ponels. ~ " •
8'Star Remove 1408.009)8'ponek and
6 4. )-(08-016)4'panel. Insert 1-(01-002)$'step
and 2408-014)6'panek.
FILLET
$ 8 Q 8' 8' CORNERS �• CM
r vw*wctoon
C� O ... •r
• • t
o• eMe-
Reploce 4.8'pbin ponek(08-009)with: +
1.8'skimmer (08-011) PANELS
r e(IT•W-
2-8'inlet ponek(08-0)0)
1-8'fight panel(OS-012)
8'Steel Step(side)Remove
H-6:(03-605-CS),(03-605-LS),(03-605-RSI 24 -09p
$ 1.8:(03-205-CS),(03-205-LS),(03-205-RS) 08 30 19)8'steel stop,Insert
514:(03.305-CS),(03-305-1S),(03-305-RS) 1408-013)1'panel,1408.167)
45•x1'filler panel and
6 6
7 NSPI TYPE III 1-(08-168)4'filler pone!.
• . 1.0 0-083)steel step coping
set and 1-(10-085)coping
Q„' corner set required.See pogo 1.
$ ADP' $ 6 8'Steel Step(end)Remove
2-(08-009)8'panels and
1•(08-016)4'pone!. Insert
1-(08301)8'stet'step,
6' 6' 7 2•(08-167)45ex]'filler ponek,
2-(08.015)5'panels and
TOPAZ STERLING STONETITE 2-(08.210)economy braces.
$ $ $ $ 8 (03-'05) (03205) (03305) 1-(10083)steel step roping set
and 2(10-085)coping corner
NON DIVING LINERS sets required. Set page 1. AI,•� to '•+N,b I•P7 b w M h-Ley p c4,.V re.J•i rw..
H•6(03-643) 1-8(03-243) 514(03-343) d'""'�'°x' °d'°'' ---N
T7
• Tws�ocna*r.s ro• uuste.v["PCV s aa• Por.wana roo".w—s1a suxtm.;rvL
' rw►•.,w.,o^ir►„s.-.p.,.�towy-�_+— .%d+..,.--%, rt wAnq N 4" M (211)432.47,1
W
�v An,fr•gstNl.otn ow—r-,o co...a+t r.od. F R Q IV T 1 = r?
'Dia k given to 90 int 0(corners. TM^' W""'O^'CO'^O�-"" ''O^O^O lee°d°'°
9 (� a h d.o4�csv«v a.t.cv.aw POOLS M•rtwo wr.,.
Ms.44 s.gpnt•d mwv,rr,r.ttor,do,dt(«c•s•d.r.t.ol Dent '►vo'd'9 0�.•wtrdt
p.od.,c.d b/IW►on y►.b,�ab4<.+.d.dr;cwoct«o'h t1.e
- K d--g Soordt a slde+"a b.:,t.E.,.1,ivs.pxlt oI•c+• FRN-005
uyl= •, r- b 0.0: d.o+�o ca.t.oc+o..!w sit o++stop pa+'pcd n v�rdq.'.!f"
cTr•s.tk fy n.onAoctvrr't rtMx+wt o'd M No•ter+d <rn.«w vel n c•ot v aq.,.d�«d hv1 T16 cm+.vc••an
t A! W%m d +s,ons on'w•.^i tu•vvaa a el pooh I sal b ho+e.t.tvty.bw•�q copx'P/d 2000►S f , Exo•dar J.ot•to 7'lo,pr!wn poo+or y --d M•wti t>*•n,m—wcdotd+v to,%ONq `�Oe'd'e' .+.•cd•wwa.d+,v+on o�.d wdr awed u n tn1J t t
2 Locoh by d Dad a 4 a'o!sn turo.rd+tp rt.o dt vdr bot.d c x elt ord amp.d d dw o�Awa pools rot+.6• ohc�co,c u^•. n• `�"" y
Spa pard co-d••a.t rit.,�mq oddto+d pnco/vn and/a 20 X 40
S lend a.as . wdt+e n/ ..oar,,motend A d o�v i27t:°�,ie,a 711 Etv ly-r snud+d c.,-,ca T6 mvo,-b.y �.cor►o�, , 5 RECTANGLE 6" RADIUS
COn/Ww1 t"S.Poet tretw{.00�3•e,tw•
IN-GROUND SWIMMING POOL WILL BE CONSTRUCTED OF STEEL WALLS SUPPORTING A
VINYL LINER THAT WILL HOLD APPROXIMATLY 35,000 GALLONS OF WATER.
FENCE WILL BE CHAIN LINK CONSTRUCTION,4' HIGH WITH SELF CLOSING GATES THAT
WILL MEET TOWN CODES.