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HomeMy WebLinkAbout42237-Z TOWN OF SOUTHOLD O IF BUILDING DEPARTMENT IF 5 • TOWN BUILDING PERMIT�ypPLIC;ATpO HALL Do you have or need the.foilowiotg•pa reel 1 SOIII��IIOLD„NY 11971 Sj TEL„(631)765-1802 Board of Health _ FAX: (631)765-9502 4 sets of Building Pl_ans___`` SontholdtowrtrryPlanning Board approval 'g0° PERMIT NO. � �� Survey_..... — -- Check — SepticForm �``,�'�------ N.Y.S.D.E.C��-._``_�—IT�-- ' -- — ExaminedTrustees w ^� C.O,A 20 pplicatiata _ �i �jj nn flood Permit -- t��t�U�� Single&Separate Truss Identification Form Storm-Water Assessment Form Approvedi 3 , f — — 20 ,a'j Contact: Disapproved a/c Mail to:ag0 D � Expiration aE _ _,,20 Phone: G5 7 5 Buildi � n actor APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 17�te_� a flt(s application MUST be completely filled in by typetvin — 20-- sets Of Watts accurate plot PEan to scale,Fee according to schedule. r'iter or in kand strbmi�tted to the Building Inspector With 4 h"Plot plan showing iocatPon of lot and of buildings on prerroses,relationship to,ad� n <tretas,triad wvater•yt,ays, cation C-The lvork Covered b pinig preny'Pses or public siree'ts rar• d.Upon approvaP o$ahs apphcatio) tile raY B ilding Inspector,vvtlP issue a Building,Permit shale Pte!epi on rhe prernises availabie for inspection t Ing I spet be itn r,willced before issuance cf,}3ni6ding Permit, e No bErildirig s)xa11 be occupied or used ti whole�hor art for an r g nit tra the apphcartt,SucPt a pyerrtaPa tile work, n ues a tvepirabeate a fOt°,cupancy. in f Ever baiddin* 1 puapose%vIl'g so ever untie the Building Inspector �` g Perm shall e>cpne if the work authorized Pias not corttruenced wi't'hin 12 s trance or Ptals�jft.r the Cal s atot been completed within I8 months fro,such date. If no zottin. erupt r n have been enacted In ilia irtTerrna the Building Inspector may authorize,in waiting,tyre extension Of g amendments or r theriregula('ons affectr"rig tlae adcPitrcanr six ntranilts.Thereafter,a new per°mr't shall be required. 1('F'L1CA7"!ON 1S HEREBY MADE to the Building De a trite perrrtRt torr art Buildr`r Coll g p rtment for the issuance of a,Building Permit pursuant to tlte; Ps.g„„uPariom,for the c'onstructr"crnOfbuildings�adiitionsror leratirsNew York,and ns, apphc tnr agrees to comply vviglt all applicable laws,ordinances alterations building code trevether molition acaNe hereaws,Ordinances or autPtur'oaecl irts'pcc0ors on premises and in building for rdinana or for retrieval or demolition as herein described.The ry ittspecticns'. housing code,and regulations,and to admit, lSinature of applicant or name,if acorporation) � State whether applicant is owner,lessee,agent,architect,engineer,general contractor,riaddress of applicant) �u}-Je,� electrician,plumber or builder Name of owner of premises OJ, (As on the If applicant is a corporation,signature of duly authori ed officerax roll or latest deed— —"" — — - - - ._ (Name and title of corporate officer) Builders License No. plumbers License No— Electricians License No. Other Trade's License No. I. Location of land on which ro o ed work will be done: Nouse Number Street t t-'�1�11n a C Hamlet �` �-- —�--- County Tax Map No. 1000 Section 1—Block._ Blctck '2 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 �& b 3. Nature of work(check which applicable):New Building ®Addition Alteration Repair ^Removal Demolition Other Work _. ...._._ 4. Estimated CostFee (Description) 1 ° (' be paid application) 5. If dwelling, number of dwelling units f 1 u on filing this 1 a�pf twelh'ig-uiitt rt Each floor If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each twee of use, 7. Dimensions of existing structures,if any:Frontr. _Rear . Depth Height Number of Stoned _ _ . 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 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 regulation?YES NO 13. Will lot be re-graded?YES_NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phoebe 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 I' 3 ,, ,..,TJ J L�p rGce t o t/C9- being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)Heisthe _ 04)y1e-,1 (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. Sworn tbefore me this day of ., MIT—. TRACEY L.DWYER 1ot�ary 1'ud�lsc TARP PUBLIC„STATE OF NEW NO.OIDW6306900 Signature of Applicant QUALIFIED IN SUFFOLK COUNTY�, COMMISSION EXPIRES JUNE 30,2bk NEF ONLY 1000-074=02-007 $1=C. SHO ,JOB 10424 m�rwm©s:�ax dam£3' bT 47'+70- /asm Fn oiP��b.E 40.I�I.xAC�Q'^7 ', �Z,m.np y0.9W X �w �e'a.,1L f0 F9Prt° °41 PSP is uS"5�a4 w '1`21+fina!za. a p�i°,w P_ .� O � 0 ^i_ryas i $'9Pi. Wei" R µetAL T` a +✓2 min a OHE6 tay P MAa 4'E ti O R FIFE OWN,0'7.6 N 62241361,f !, Ea 0`0a_S.E waym�e k \�I) l% 44.7.5 Pa ,5~aU� a P) LOT 47 as Z2Ma. ) Mn,Z to�0°"hq N2 >yma a tr m h b t1 w. .•FENCE!IO°W %ma e ,a9m m P) 4'E r ,� t I " 1FA. j 13"IpP C.D. 10-3{ JYURY ME OWL64'-3i F.FAME OEGAst6Fs 0 a�� c e e' P "� � m sig 2 , nl E_ C Maw � w oma a n !, 260°04 10000 m M a F.p61 �a i"rc $650-17'10"W 0= 5 Cl'S C`ll W w w z ; SOUND a " W. Z.._L._. PLAN VIEW AVE situated at Surveyed by , ,• 1 f $M rrH,JUNG°x 6JLLIS L,,)4TE,F ,U wN or r1a a G SUFFOLK COU- Y ��rrrf��:�l'onal sand�u�veyar NEW/ r"04K 1�0 MLt?FOR0 AVE. SCALE 1"-30' 0A7'bHOf3 F,N.Y• ment 475-3192 ,Survey rtified to: TA'OUD LOT NO3, SHOWN HEREON REFER TO MAP OF PECONIC HOMES SECTION TWD,FILED S FEDERAL CREDIT UNION NOV.28, 1967 AS NO.5001- NATIONAL TITLE /N5uA AlcE CO..OFN.r FY80: OCT0.6E'R 29,20q� SrRauo S+r0 ud SPA SPECIFICATIONS :�, r 1� 1 11 500 6,228 ;1 77 x 84 325** gallons lbs. / 230 volt, 50 amp ` 2.31 m v square Single phase GFCI �r x feet 1,893 2 825 2.54m I liters I dm kg. protectd circuit �� 717" x 8411 �� � � 500 ' 6,403 325"* i gallons lbs. 230 volt, 50 amp ' 2.31m square Single phase GFCI x feet 1,893 2,904 protected circuit 2.54m ' liters kg. . ..71911 X 7151v / 450 �� 5,503 325** gallons lbs. 230 volt, 50 amp 2.36m square Single phase GFCI t x feet 1,703 2,496 2.26m protected circuit liters kg. p ! C 71311 x 71]11 �JJ ��7J 365 4 325** �� gallons lbs. 230 volt, 50 amp 2.20m square Single phase GFCI 1 u „ x ' feet 382 ��; 2,136 protected circuit 2.20m liters �, � kg. � 71311 x 71311 ,i �� 400 f 5 175 / 150 230 volt, 50 am / P 2.20m � 11�, ��, square 1 ; gallons r; lbs. x � � ,� feet � � � 1�514 � 2,347 � ��i zrt Ja, � ,1 Single phase GFCI 2.20m liters kg. ��' �� protected circuit �A � '% �� �, l �r x 71911 68" i, 120 ' 355 a 4,724 ( , 230 volt 50 amp 2.03m square , gallons ; (9 lbs. i ,�� ' Single phase G FC x l feet 1,344, 2143 � / r 1% 2.36m �i r i/ liters ( J' kgs '` protected circuit m, � i( 0�✓� r k r r�r✓ f/�'�/!l�/kf fl� f 115 volt, 20 amp 61211 x 7131' ni� ;��r�°"�, 325 "/ ;� 4,199 �,"'� ��'�1 Dedicated GFCI Cl � ��/fif� 7,"Il �I, ifrr`� �/r�f 7� ����f r r��f I !;N / 90 � / protected circuit gallons /rrr ��'/a lbs. r r r,rri square /� ! 1.88m �; or D�� / J �fl i A /�Di rrr ri il(� 9Wr,� %r% feet r 1 230 1� ,', i 1 905 ltr „r! l�,r x � r6�r l'�. I � �ru; I�r. e �l � �"f ���f�//%Fr �ri'1 ��nr/�„ , ;�/,l, 230 VOIt, 50 amp 2.21 m ��,� ��,�/ ,y litres � rti/�, k 1 �� �ry�l�r� lft�i� f Y rr / �l ir, ��� �" �f ��11� ����r1����� g• Ir�� /� f�� Slllgle phase GF�'il //�i Y,�✓�;l��;rYr// /� //iiy; f� f/r//ie�, �l��i/!� protected CIfCUIt /ro/rirlr �� ii//rix/ire �//„�Nr rori/;off Nl/' 1/w/ a,w' Ii�hy, iyi�ii rrri rn l(P��i„%"P!/r%a; ��/iii i�%✓�lr!i�,�/f /%. �%/ o�r� ,�6,, �%er��;�,�//�i/yrr. rid%!��1��/;. %/�!�l�/r�r/!�< 115 volt, 20 amp '�, ",ru s,� �� f�/j/ /G /��f� r r�//�,✓ r ru�IF if c/, �////i /,r/�'./r%o%. i 1 11 I 11 /,/f1l (;, / arra ' l Dedicated GFCI F fa lf4 �' 2,852 ,Y`/� a 5 5 X 7 0 r�,/ c��+���� ail„rii9 ��, 225 r��/i l/���� u/n1/`�� �Pl�„�%,, „/ 90 ;f I protected circuit Mdefti, �l 1.65m �'t�,�/ „/ gallons ,,,fib „� lbs ”; ,� square ��; r;;l �'r; /r�;� ” ' or r �jm%r, P�(Jrrli//ir/��f �F r YY ll/ r rr� x %' ', /�// feet 852m rrry„� , 1 294 230 volt 50 am ##���55 , /i I� r r � �rrr/i�/%%//r ' Y�'r/Orf����1 i 1 P %i ”"' 2.13m /r r//fir jl i .�J/�/ //r�%�J I�treJ '%%� /�r k lr/� r/ %t`. // ��, 4 g. , fir,2 Single phase GFC protected circuit m CAUTION:Watldns Manufacturing Corporation suggests a structural engineer or contractor be consulted before the spa is placed on an elevated deck 41l1TC.TL...-CII...J.....:..L.a^.....1 11.....,1.....:..L.V..t♦L.............J...J....+L... —9♦L... ..................--.-- —;..L.1..i�7C IL,—. r r�dN rtY Vs� I� WHAT OUR CUSTOMERS ARE SAYING ABOUT SOVEREIGN Average Rating: 4-6/5 from 285 reviews Write A Review (Http.11www.hotspring.com /hot tub- owners/rate- your-spa) Third Spa Purchase What A Surprise "The features and the ease of maintenance are "I cannot count the hours of enjoyment it's great. 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