HomeMy WebLinkAbout37053-Z 7T.Zs•4�
ofFO(,f o Town of Southold Annex 9/11/2012
O cG P.O.Box 1179
$ 54375 Main Road
oy O�411�f Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35941 Date: 9/11/2012
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 3245 CAMP MINEOLA ROAD,MATTITUCK,
SCTM#: 473889 Sec/Block/Lot: 123.-6-12.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application.for Building Permit heretofore filed in this officed dated
3/2/2012 pursuant to which Building Permit No. 37053 dated 3/12/2012
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 inground swimming pool, fenced to code as applied for
The certificate is issued to MONA BOYD BROWNE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37053 8/30/12
PLUMBERS CERTIFICATION DATED
Autho d rature
�SUFFntK TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y a TOWN CLERK'S OFFICE
o . 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#: 37053 Date: 3/12/2012
Permission is hereby granted to:
MONA BOYD BROWNE
103 E. 86th STREET # 1A
NEW YORK, NY 10028-1058
To: construct an accessory inground swimming pool, fenced to code as applied for
At premises located at:
3245 CAMP MINEOLA ROAD, MATTITUCK
SCTM # 473889
Sec/Block/Lot# 123.-6-12.2
Pursuant to application dated 3/2/2012 and approved by the Building Inspector.
To expire on 9/8/2013.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
Form No.6
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 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 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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,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. 2/29/12
New Construction: X Old or Pre-existing Building: (check one)
Location ofPro Property. 3245 Cam.n Mineola Road, Mattituck, NY 11952
p
House No. Street Hamlet
Owner or Owners of Property: Mona Boyd Browne
Suffolk County Tax Map No 1000, Section 123 Block 6 Lot 12 . 2
Subdivision Filed Map. Lot:
Permit No. j Date of Permit. Applicant: James E . Fitzgerald, Jr . ,
gent
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ 50
Applicant S' ature
o��oF so�ryol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
roger.richert@town.southoId.ny.us
Southold,NY 11971-0959
o Vulj
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mona Browne
Address: 3245 Camp Mineola rd City: Mattituck St: NY Zip: 11952
Building Permit#: 37053 Section: 123 Block: 6 Lot: 12.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
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 gas Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 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 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect F1 Switches Twist Lock Exit Fixtures TVSS Lj
Other Equipment: in ground swimming pool to include, bonding, 2-pool lights, 2-GFCI circuit breaker:
pool cover motor
Notes:
Inspector Signature: Date: Aug 302012
81-Cert Electrical Compliance Form.xls
3
1 147
JL 4
C� - •
Oly00UMY,Nc�
TO11 -N OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: A�_.,J ,' .-c� � r
v
n .,�
/� -7
DATE °�� INSPECTOR
SO(/lyo f Cj C�
G Q �
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE �-7 �" INSPECTOR
Au
C2 -.�
pf SO(/l�olo
co
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: s
DATE INSPECTOR t
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION . .
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 1ATION
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
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STATE ENERGY+CODE. '
AUDITTONAL.CON4VMNTS .
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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) 765-9502 Survey
SoutholdTown.NorthForkxet PERMIT NO. �_ %OS Check
Septic Form
N.Y.S.D.E.C.
Trustees
q Flood Permit
Examined I ,20 Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:
Expiration 2,20J
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date February 29 , 2012 20
INSTRUCTIONS
a. This application MUST 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, re ations,and to admit
authorized inspectors on premises and in building for necessary inspections. ,J
C
9U �� a' _����VV�" - PROPER T PERMIT SERVIC ( g pp rn )
Si nature of a h a or nam ,if a o oration
H�.. - �.�.E
VA tl TIFF SAT Ct fthotWe,MY 11935-M17
{t€�w , � ®b p!R F� E V f,�T5tymL Mailing address of applicant)
� � t ENCLOSE COOL TO CODE XPPROVED AS NOTED
State whether applicant is owner, lessee,agent, arc ONA T neral con DA tor for � rician,plumber or builder
B.P. u_._ a
Agent RETAIN STORM WATER RUNOFF
PURSUAN I TO CHAPTER
r Nt.>i J'FY BUILb(N(3 TXPI`12.t'/ulENf AT
Name of owner of premises
Iona Loyd 8��I i OWN CODE. ; «02 F AN,, rr. Q p „d -
(As on the tax roll orlafest-deb'd) G INS ECT;,34S:
If applicant is a corporation, signature of du authorized officer 1- r0UN;)AT'`,,N - T ^jr = RrD
ply duly Y FOR P UPED ('0 N(",,L 1 L
2. ROUGH- Z,,rMINC: ='
(Name and title of corporate officer) STRAPPING. ELECTF,Gr_ "AULK N
3. INSULATION
Builders License No. 4. FINAL-CONSTRUCTI( _
k1UST BE
Plumbers License No. 'ONI C'=
k.Ll. C;: NSTRCICT1()N S1tU ,N1T',
Electricians License No.
Other Trade's License No. a 2l STAV_ 146 P-�PEW51
1=U2
De51GN C72 CGti„��ON-.:�p��,s
1. Location of land on which proposed work will be done:
324S Camn rlineola Roacl, Matti tuck, NY 119S2 ELECTRICAL
a
House Number Street 'MOECTION REQUIRED
County Tax Map No. 1000 Section 1"3 Block 6 „-z ;s 4:ti.3 r: Lot 12 2
Subdivision
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:'
a. Existing use and occupancy SF
b. Intended use and occupancy SFT) with in-ground. n001
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work in-ground swimming pool
(Description)
4. Estimated Cost $1.0 3.10 0 O 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 Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot: Front 15 0 ' Rear 14 4 ' Depth 98 ,
10.Date of Purchase 1/1.0/12. Name of Former Owner
11. Zone or use district in which premises are situated R.-4.0
12.Does proposed construction violate any zoning law, ordinance or regulation? YES NO X
13.Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO
r4 a Bro ne 1_30 E 86th St NY 0028 NY 7h� 987-1437
14.Names 6?8wner of premisesAddress Pho e o.
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 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 X
* 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 wrth' spect to this property? * YES NO X
*IF YES,,PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OFF
James R v i R e'r a 1 dT 7 r being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signingcontract)above named,
(S)He is the A"a Pn t
.=,(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 to before me this 2_
day of 20
Notary Publi CA OL HYDELL *Signature of plicant
NOTARY PUBLIC-STATE OF NEW YORK
NO.01 HY6189695
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES 06/30/20_2
i
I
!
Town of Southold
1
z Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.0 T & THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN j
e on -Mi tT" -'bt- CERTIFIED BY A DESIGN PROFESSIONAL iN THE STATE OF NEW YORK t
l
!
SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No
a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Stoma-Water Run-Off
(Include Total Area of all Parcels located within /L�5-�� s Generated by a Two(2")Inch Rainfall on Site?
the Scope of Work for Proposed Construction) (This item will include all run-off created by site
i
b. What is the Total Area of Land Clearing • clearing and/or construction activities as well as all
and/or Ground Disturbance for the proposed 06 b 5.7� Site Improvements and the permanent creation of VIU
construction activity? impervious surfaces.)
(S.F./Acres) i
2 Does the Site Plan and/or Survey Show All Proposed
PROVIDE BRIEF PROJECT DESCRIPTION cPr w"Awsara pam as mx ml s
Drainage Structures indicating Size&Location?This
�^ . � Item shall include all Proposed Grade Changes and
l�D y5_I�U 0 f- (W-a ro ct 16b Siopes Controlling Surface Water Flow.
j r ��I $ Does the Site Planand/or Survey describe the erosion
cont /a
and sediment control radices that will be used to
control site erosion and storm water discharges. This
L J ev- (.. item mast be maintained.throughout the Entire
Construction Period. r'
4 Will this Project Require any Land Filling,Grading or l
Excavation where there is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards
of Material within any Parcel? i
5 Will this Application Require Land Disturbing Activities /
Encompassing an Area in Excess of Five Thousand ❑ —/
(5,000 S.F.)Square Feet of Ground Surface?
6 Is there a Natural Water Course Running through the
Site? Is this Project within the T ustees jurisdiction i
General Dec SWPPP Requirements: orwithin One Hundred(100')feet of a Wetland or F-1
Submission of a SWPPP is required for all Construction activities involving soil Beach?
disturbances of one(1)or more saes; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes /
are part of a latter common plan that will ultimately disturb ono or more acres of land; ywh(ch Exceed Fifteen(15)feet of Vertical Rise to ✓
including Consiniction activities involving soil disturbances of less than one(1)we where One Hundred(1001)of Horizontal Distance? a the DEC has determined that a SPDES permit is required for storm water discharges.
(SWPPP`s Shall meet the Minimum Requirements of the SPDES Gertend Permit 8 Will Driveways,Parking Areas onother impervious /
for Storm Water Discharges from Construction ac#tgt-Permit No.GP-040-001.) Surfaces be Sloped to Direct Storrs-Water Run-Off a
1.The SWPPP shall be prepared prior to the submittal of the NOI.The NO)shall be into and/or in the direction of a Town right-of-wa)R
submitted to the Department prior to the commencement of construction activity. /
2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material,
required,post-oonstnrction storm water managemant practices that will be used and/or Removal of Vegetation and/or the Construction of any
constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder
compliance with the terms and conditions of this patmit In addition,the SWPPP shall Area?rrdo item wilt Nor inelu&dw affi6silraon of D
Identify potential sources of pollution which may reasonably be expected to affect the 'h10 Nay ApfO71°t
quality of stone water discharges. NOTE: If Any Answer to Questions one through Nino Is Answered with a Check Mark
3.All SWPPPs that require the post-construrcton storm watar management practice in a Bar and the construction site dtaturhance is betevean 5,000 S.F.&1 Acre in area,
component shall be prepared by a qualified Design Professional Licensed In New York a Stonn-Wahe;Grading,Drainage&Erosion Control Plan to Required by the Torah of
that Is knowledgeable in the principles and practices of Stone Water Management Southold and Must be Submitted for Review Prior to Issuande of Any Building Permit
(NOTE: A Chedr Mark(.j)and/or Answer for each Question is Requin d for a Complete Appliwdon)
STATE OF NEW YORK,
COUNTY OF .............SS
lfiat .. � mg drily sworn,deposes and says that he/she is the applicant for Permit,
(Name ofindividuaf—%i ng" ) T"""
And that he/she is the ...... � .......................
............. .................................................
(owner.Contractor:Agent,Corporate Officereoc:j.
Owner and/or representative of the Oinner 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 herewith.
Sworn to before me this;
................�.......................... day of.... ..... .... ......... 120.1.2
NotaryPublic: ................... ...... ....... .. ......................... ..
(Signature of
FORM - O6/1 O NOTARY PUBLIC-STATE OF NEW YORK
NO.01 HY6189695
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES 06/30/20/2
SD�jlyo!
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road 6� QQ22 f
P.O.Box 1179 G Q fo Er.rlCheft ovdn SO[.II:015,n .us !
Southold,NY 11971-0959 �O
BLU DING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
� i Z
Company Name: e ►��,
Name: r - �-
1
License No.:
Address: . 1 8 I-05C) e, Sd dx� _ 11 '!
Phone No.: -] _ 4436 i .
JOBSITE fNFORMATION: (*indicates required information
*Name:
'`Address: `� � U � �'� .►�,,,�-, �� Y��,�� _ C�`t�U _
*Cross Street: �, �`�1 i R� k r r,,v 5
*Phone No..
Permit No.: - --
Tax-Map District: - 1000 Section: Block: �, Lot: O, s
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) W oaD
A
(Please Circle All That Apply) �, v
*Is job ready for inspection: NO Rough In YES!� F'
*Do-you need a Temp Certificate: �viV I 1 2012
. -
Temp Information(if needed) BLDG.DEPT.
*Service Size: 1 Phase 3Phase 100 150 200 300 350 TOWN OF SOUTHOLD
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
y-
AUi�1�1�C a �����.
B241equest for Inspection Form
Sa�ryo
Town Hall Annex 1 Telephone(631)765-1802
54375 Main Road N x(631)765 5Q2,
P.O.Box 1179 G Q roger.richertCcr aown.SOUt�016.ny.us
Southold,NY 11971-0959 ' 3 ��
�aUIV1`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.:
Address:
Phone-No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: J .Tn
*Address: w
*Cross Street:
*Phone No.:
Permit No.: p s3
Tax-Map District: 1000 Section: �,�.3._ Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) tn7 t rA r
en Oa
(Please Circle All-That Apply)
*Is job ready for inspection: YES / NO Rough In Final
*Do-you need a Temp Certificate: YES / NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82=Request for Inspection Form
103 East 86th Street, 1A
New York,NY 10028
March 13, 2012
Town of Southold
Attn: Buildings Department
P.O. Box 1179
Southold,NY 11971
To whom it may concern:
As per my conversation with Kimbell on 3/12/12, I have enclosed a$ 200.00 check for
the final payment for Permit# 37053 for 3245 Camp Mineola Road, Mattituck(in-ground
pool).
Please contact me at 212-444-2168 if you have further questions. Thank you.
Sincerely,
Mona Boyd Browne
Encl.
D EC UE
MA R 14 2012
BLDG. DEPT.
TOWN OF SOUTHOLD
Proper-T Permit Services P.O. Box 617, Cutchogue NY 11935
Phone: 631-734-5800 jefitzge@suffolk.fib.ny.us Fax: 631-734-7463
MEMORANDUM
DATE: 3/14/12
TO: Building Department
FROM: Jim Fitzgerald
SUBJECT: Mona Browne; 3245 Camp Mineola Rd; Swimming Pool Applica-
tion
Contractor: Imperial Gunite Corp.
81 Commercial Avenue
Oakdale,NY 11769
631-244-0073
Suffolk County License Number: 12582-HI
MAR 1 4 2012 y
BLDG.DEPT.
TOVVIN OF SOUTHOLD
Date Z/-
File #
TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM
Location of Complaint: 30jf5 ea h,,4M, Cat A.�� /hATr SCTM #%23. -G -/a.A
Property Owner: ffi an a 8 20lJOAU E Phone 2-l2- - 143
Address: n ;F , 55�o qh 14 / A Uo-d, R) V
NATURE OF COMPLAINT:
4a� a-(7�
ACTION TAKEN:
Optional:
Complainant: By Phone Mail In Person_
Address Phone:
Report Taken By: Date
Date Referred to Code Enforcement:
---------------------------------------------------------------------------------------------------------------------
CODE ENFORCEMENT REPORT
SITE INSPECTION REPORT/DATE:
ACTION/DATE:
SURVEY OF PROPERTY
d ° ..d.°°.• d e a, (PRIVATE RIGHT OF WAY)
° °•a ;' °.; °. - SITUATE
d ° y °.
°° . °. . a° a. . • a.' .. . . . . ° ° .. .° �/IAT'�I'T'UCK
a S 89009'00" E , o . 100.00' ° a °
EDGE OF PAVE TOWN OF S O U T H O L D
d ° STONE
° .. COLUMN ° FIRE
WELL CONC. MON. S U F F O L K COUNTY, NEW Y O R K
0 o FENCE ° PLASTIC FENCE FENCE
Z ° ,zZ 0.4'S. 0.4'E. 0.4'S. D.6'w. S.C. TAX No. 1 000- 123-06- 1 2.2
o Z �, SCALE 1 "=20'
o JANUARY 6, 2012
W > 0
�° � `}��o FEBRUARY 21 , 2012 REVISE PROPOSED POOL
W ° • . yam . I a W
A�� ` AREA = 14.516 sq. ft.
op W
0.333 ac.
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d IO 1'1
VO
.• d A.
CER TIFIED TO:
FIDELITY NATIONAL TITLE INSURANCE COMPANY
EXI5TING SHED b MONA BOYD BROWNE
t—r{ da• TO BE REt"IOVED
PRO� �i
L EQUI )NT t-
c~j
„ m
�1 Q
Z ✓-v PROPOSE O
a < m o, Q `�" p DRYWELLzo �� rn �` POOL PU
rn
5C*? —EXISTING CONC. PATIO
• ° v o & SCREENED PORCH PREPARED IN ACCORDANCE WITH THE MINIMUM
40.6' TO BE REMOVED STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
d— __— BY THE L.I.A.L.S. AND APPROVED AND ADOPTED
4 • � ° OVERHEAD WIRES FOR SUCH USE BY THE NEW YORK STATE LAND
TITLE ASSOCIATION.
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'"`.:�NPROPOSED INGROUND..POOL•::;';
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N.Y.S. Lic. No. 50467
FOUND PIPE FRONT HO UNE
OP05ED POOL FENCE FOUND ��
• 0.3'E. PIPE UNAUTHORIZED ALTERATION OR ADDITION �
FENCE
p \(�/ 9 7�5 8' TO THIS SURVEY IS A VIOLATION OF Nathan Corwin I I I
S 870 27'00» " n p�, (J SECTION 72LA OF THE NEW YORK STATE
° J�""Y� EDUCATION LAW. Land Surveyor
•' COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
N/0/F EMBOSSED SEAL SHALL NOT BE CONSIDERED
ANNA HOMMEL TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S.
ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S.
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
— - - 31 21
(1)THIS DESIGNI5 BASED ONA DRAINAGE P E 51 GN DATA
SOIL WITHLE55 THAN 10%SILT.
GROUNDWATER SHALL NOT EXIST WITHIN __ FILTER TYPE: CARTRIDGE
THE LIMITS OF THEEXCAVATION. IF NO 13ACKWA5H REQUIRED
GROUND WA TER DOES EXIST WITHIN SIX j TURNOVER RATE --12 HK5
FEET BELOW GRADE,SPECIAL
DEWAT.ERINGFACILITIES WILL BE PUMP CAPACITY--100GPM
REQUIRED. WATER DISP05AL 15 LIMITED FILTER RATE--SSGPM%5QFT
TO THE_OWNER'5I-KOPERTY. AREA: 300 SQ.FT.
f 7 h, ram. l 1 J FILTER
(2)NOSURCHARGE WILL BEALLOWED
WI7'HIN4FEET01=6HALLOWENDAND6
FEET FROM DEEPEND.
C3 THE PNEUMATICYAPPLIED
ONCRETE,(GUNITE),SHALL BEA MINIMUM ` ' �I r rt 'IR �"� L.O.A
W.O.A.
M/XOF1.5WITHAMAXIMUMOF3.5 �� ` '� {�s� 7�
GALLONS OFPOTABLE WATER PER 98 3 ,�Ir�t �`
LB5OFCEMENr FREE AREA :�sa,ft.
(4) RE/NFORCEMENTSTEEL SHALL BE VOLUME:❑ 12,000ga1s.
INTERMEDIATEGRADEBILLETSTEEL WITH WATER DEPTH: 3.5'TO
AMINIMUMLAPOF30BARDIAMETERS. AVERAGE DEPTH: $5'EI
(5) POOL WATER 5UPPLYBYOWNER5
GARDEN HOSE,FILL SPOUT OR AUTOMATIC
FEEDER. v \
(6) PUMPCAPACITYI5 TOBESUFFICIENT / \
TO EMPTY POOL IN24 HOURS. POOL 15 TO This p ool conforms to the latest v
BE KEPT FULL DURING FREEZING
WEATHER N.Y. and Riverhead Town safety
(7) OUTDOOR POOL5 SHOULD BE F;" H .� i n mandates.Namely:
PROTECTED BYA FENCE, WALL OR
BUILDINGINACCORDANCETOTHEN.Y.S. with in hous
1 One"Aqua Guard"di ital Poo
alarm_
BUILDING CODE. � _ k , L
r y 1
(6) INSTALLATION 15 TO BE DONE IN ti '
ACCORDANCE WITHALL FEDERAL,STATE " - ` 1
AND LOCAL BUILDING COPE5 AS WELL AS
N5F15U66E57`ED 5TANDAKP5()
LOCATION OFOVERHEAD W1RE5 TO MEET
REQUIREMENTS OFN,Y.S.BOARD OF FIRE T• _ —��
UNDERWRI7'ER5
HORIZONTAL STEEL 3
REINFORCEMENTS
12"ON TER
s HAIR
F I I Ili §r 1 90-9/2"BEAM ~ i I 6 Irtr LINT T P
6"SLATE TILE r I Ea ❑
,� i
WATERLINElu „' {'it'li f' '�' y ar, y. •. flGfh�lEK "
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a ►e ��iur�l���;, yC���i�l _. EiATE �_
T
PUMP p_ _-im'ulioullar u�iili
ter- � *''g°} ��✓
VER ICAL STEEL � PODS IN ❑ '
(Z4,
, BOND BEAM
HOT WATER TO TOP R
�'�` �" 1=TtJRR7
REINFORCEMENTS, FI r
12"ON CENTER<
I �'�7 Z- 'UNITE 6"ON CENTER>5' i i � HOT WATER TO DEEP KETUKN5
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