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HomeMy WebLinkAbout37173-Z u��ottreo' Town of Southold Annex 6/3/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36278 Date: 6/3/2013 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1355 Cox Ln, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 96.-3-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/23/2012 pursuant to which Building Permit No. 37173 dated 4/27/2012 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 in ground swimming pool with fence to code as applied for. The certificate is issued to Kaufinan,Aaron&Kaufinan, Susan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37173 6/21/12 PLUMBERS CERTIFICATION DATED �"rized ignatu FO��COL TOWN OF SOUTHOLD �sUF BUILDING DEPARTMENT y TOWN CLERK'S OFFICE a . p SOUTHOLD, NY 4� 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 #: 37173 Date: 4/27/2012 Permission is hereby granted to: Kaufman, Aaron & Kaufman, Susan 1355 Cox Ln Cutchogue, NY 11935 To: construct an In-Ground Swimming Pool fenced to code At premises located at: 1355 Cox Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 96.-3-8 Pursuant to application dated 4/23/2012 and approved by the Building Inspector. To expire on 10/27/2013. 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 frorn Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi-om 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, 1057) 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$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. /Jov New Construction: Old or Pre-existing Building: (check one) Location of Property: I3 co or Lam, {aka "e House No. Street Hamlet Owner or Owners of Property: A/Vek )ea-')i, Suffolk County Tax Map No 1000, Section ®W 'Block 03, ft -Lot Qd a av Subdivision Filed Map. Lot: Pen-nit No. J7 73 Date of Permit. �' �7- 12. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature o�'oF so�ryol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 elm Q roger.richerf(aD-town.southold.ny.us Southold,NY 11971-0959 coUNT'1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Aaron Kaufman Address: 1355 Cox Lane City: Cutchogue St: NY Zip: 11935 Building Permit#: 37173 Section: 96 Block: 3 Lot: 8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: KS&S License No: 4568-me , 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 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: in ground swimming pool to include, bonding, 1-control panel, 1-GFCI circuit break Notes: Inspector Signature: Date: June 21 2012 81-Cert Electrical Compliance Form.xls -4 Solz yco TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ' [ OUNDATION 1ST [ ] ROUGH P`L13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: in l � DATE L INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 ANSPECTION '- [�Al�f OUNDATION 1ST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �� INSPECTOR G OF SOUj�,o`o cou j� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL ti [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) R ARKS: 1� DATE �� �� INSPECTOR OE SOUTy�Io Comm \� 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 INSPECTOR Soblyo � �- coUM'I,N �l TOWN OF SOUTHOLD BUILDING DEPT.f 765-1802 ��✓ � INSPECTION [ ] FOUNDATION 1ST [ ] ROUG LEIG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) R M K l s Q . DATE INSPECTOR 3 7173 �—. o��qf soulyo! o `ycourm TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I L [ ] FRAMING /STRAPPING [ FINA L✓ [ ] FIREPLACE & CHIMNEY [ ] FIRE S INSPECTION APOiNk [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 6� C/i 4 r DATE INSPECTOR i M:W :� 0 0 1 • i Y: ------------- • ! y iLi��_e ® i� �mil.-,�/ ice.` �.I"�� Lt �/�i,-�-•,!=�"�� . .a log ® , ` awl W- 01 • • r u 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 1� 971 '" %J 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey S,outholdTown.NorthFork.net PERMIT NO. a 7:? Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 120 �� Single&Separate Storm-Water Assessment Form Contact: Approved ql),7,20 Mail to: Disapproved a/c ��cl�f Phone: Expirat od APR 2 0 2012 Building Inspector AlPLICATION FOR BUILDING PERMIT BLDG.DEPT. TOWN OF SOUTHOLD Date , 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 plains, 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:' ct;. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall bekept 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 Pen-nit 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. OCCUPANCY OR °VIMEQVAT ELY11 k l p ,� �I (Signature of applicant or name,if a corporation) ENCLOSE-POOLTO CODE IS. c �n �BEOFOROEM WAT COMPLETION r416�6 ^1 Q 5� �. � � 1���TE _ _ (Mailing address of applicant) State whether applicant is owner, lessee,agent, architect, engineer, general colitiac�oP;'Vkecfrician pru�inber or builder 8II I y //6 P 7 l ,�14V k i- BY v Name of owner of premises Glrorl a tk��arl 73 UILDING DEFAR rMENT AT (As on the tax roll or 1 Rt. P, NSPECT[ONS If applicant is a corporation, signature of duly authorized officer 1 UATION-TVVU REL 'IRED FOR POURED CONCRETE (Name and title of co i orate officer) /� ROUGH-FRAMING.PLU:,181"NG. Builders License No. � ��N. Su�'- k Cow& 5Hw STRAPPING,ELECTRICAL&CAULKING INSULATION Plumbers License No. - .10AL 4. FINAL-CONSTRUCTION & ELECTRICAL Electricians License No. .A®,.,,�,, ;,;,�n �� � N��il� MUST BE COMPLETE FOR C 0. Other Trade's License No. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ORK STATE. NOT RESPONSIBLE FOR 1. Location of land on which proposed work will be done: ES TION ERRORS. 3 S Cc�X L U XyRA WATER RUNOFF House Number Street H R' UANT T" CHAPTER 2.36 TOWN CODE. County Tax Map No. 1000 Section 00 Block 63. 00 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 a 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (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 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 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 R IRED. 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 liiaes. .. ._ •, , . 4 _':.;.�� � .:'.. 17. If elevation at any point on property is at 10 feet or below, must provide topographical,data-on.curve_Cr 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 ) -r V being duly sworn, deposes and says that(s)he is the applicant (Name of i6di'v dual signing 66W'ract) above named, IliC�dS�i.�+:_f' CONNIE D.BUNCH (S)He is the `l`{' '.i;`' Notary Public,State of New York on 'r;;:Agent, Corporate Officer, etc.) Qualified in Suffolk County _)liprTC6IG�i- ;r"i.1E; Commission Expires April 14,2 � of said owner or owners, and is-,,dpjj,5IMM4MUdv10 perform or have performed the said work and to make and file this application; that all statements,cdntained iri-11 V�1122, 031'dArue to the best of his knowle ge and belief; and that the work will be performed in t1 a'-fti prier-set ff ffli�`l1l Af`iUi�'�, ` OR filed therewith. - S orn to before � day of 20 1v1-- Notary Public '~\ Signature of Applicant Town Hall Annex 1t: J Telephone(631)765-1802 54375 Main Road y (631)765 g5t�2 P.O.Box 1179 G @ roger.ridhertfa own.sout�io Q] ny us Southold,NY 11971-0959 COU BUILDING DEFARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: 5/4Lvf%o gr 5-7- j&0 Date: Company Name: Jam/ fs Peo j _— Name: 7 License No.: 41 AA E Address: c-o. _ ,rJ G 7. til �1(�cY1 UJ� 7f� Phone No.: /,�,,t — Q —� .C) S C , -- 75 j�0 JOBSITE INFORMATION: (*Indicates required information) *Name: 1414 e-o u�- MAC *Address: yTC1�O6- T .4rCross Street: *Phone No.: Permit No.: 17 Tax-Map District: - 1000 Section:. 01 Block: Lot: i *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 7- {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 IVo+, �5 .82=Request for Inspection Form Town of Southold - Chapter 236 - Stormwater Management o � SWPPP - Storm Water Pollution Prevention Pain Assessment Form GENERAL INFORMATION: A11 Requested Information is Required for a Complete Application) APPLICANT NAME: Owner-Agent-Consultan -Contracto or Other(Circle One) Properly OWNER:(If Different than Applicant) w aril .�ca,ta.h Address: Address: Telephone#: 3 Fax#: y/ O Telephone#:/3 J Fax E-Mail: J E-Mail: fJ t Property Address: 13>C/C Cox C/A C""t i- Brief Description of Construction Activity,Proposed Structural BMPs,Soil ET.M.#: 1000 (r�(2y c' Stabalization BMPs,Project Scope and/or Sequence of Construction Activity DisWct Section 9 Lot (Provide Additional Pages as Needed) Name of Contractor and/or Contact Person Responsible for Implementation of SWPPP: O Address: Telephone#: / Fax#: _ E-Mail --�� - `t -- Name of Persons Responsible for Installation&Maintenance of Erosion Cont __ _ol Practice: _ Address: ! '�P - F-- .��✓l Telephone#: &r Fax E-Mail: --------------------------------------------- Total Area of All Total Area of Land Clearing ----------------------------------------------- Project Parcels: and/or Ground Disturbance: i (S.F./Arxes) (S.F./Acres) "__._____________...____....__.....___.....,........._........•..__...__ i Project Duration: Start End -----------------------------.______.__"_.______ (Anticipated) Date: Date. (Number of Calendar Days) _-"""'""-_- Will this Project Disturbe five(5)or More Acres at Q ------"`-- "- -'"'- i Any One Time During the Proposed Development? Yes No ---------------------------------------__-_--- , If YES:Please Answer the Following[ _______________________________________^_-- t a. Does the Applicant have a Qualified Inspector On Q Staff To Conduct the Required Inspections? Yes No b. Does the SWPPP Indicate How Frequently the Site u = List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No _ ; ------- --------------------------------- c. Does the SWPPP Adequately Identify All Temporary = Q -'--' I and/or Permanent Soil Stabalization Measures? Yes No ---'-- - -------------- d. Does the SWPPP Adequately Identify a Complete = ----- - __________------------------------------ Project Phasing Plan? � No Status of Impacted Waterbody:(eg.TMDL 303(d)Listed,Impaired.„) e. Does the SWPPP Indicate Additional Site Specific r—� -----------0 Practices that Will be Utilized to Protect Water Quality? 'Yes' o i f. Has the Applicant Submitted a Completed DEC Notice O O Type of Impacted Wat dy:leg.Lake,Creek,Bay,Pond,Sound,Freshwater Wetland...) Of Intent and SWPPP Acceptance Form for Review by the Town of Southold? Yes No -----NA OF NEW YOM LL COUNTY OF v ................SS Notary Public,State of New York No.01 BU6185050 L O/ That I, being duly sworn,deposes and�a rsl es in olk oucntPlo'r�Permi� LV ................................................................................ (Name of individual signing Document) Andthat he/she is the .................................................................................................................................................................... (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perfo or have performed the said work and to make and file this application;that all statements contained in this application are true the best of his knowledge and b ;and that the work will be performed in the manner set forth in the application filed here Sworn to before me this; a 0!-Q ..........................day of... .......... ....................... ,20 Notary Public: ... ... .. .. .!' P...... (Signature of Applicant) SWPPP Assessment FORM: 03-12 d°5°`FQ. TOS "SWPPP" Preparation - Chapter 236 Article 11 - Storm Water Management = Storm Water Pollution Prevention Plan Review Checklist �°1 �� Checklist # 1 REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: i € i i Plan Sheet Does the SWPPP Adequately Provide for and/or Indicate the Following:) €YES€ NO €N.A. planation for NO or N_A. (pg.#) ( 4 Y 9�) € € Location 1. Drainage Calculations&Stormwater BMPs Designed to contain a Two Inch Rainfall On-Site. € -2.mm Construction Phasing Plan Indicating Sequence of Proposed Construction Activities.-- --- - 0;�€ --_ __ _-- __________________ --a©' t--_-.__---------------------------------- _3. General Location Map---_-_ _-- _ _ _ - _ _ _ __ _ € €�€�€ -'�"--" _4._Plan Drawn to Scale of not less than Sixty{60'Ifeetto the Inch Indicating the FollowingT [ _� T a�,_ cation and Description of_P_ropedyBoundaries;---------------------------.�0��€ b._Site Acreage; ____ _ _ €=€0€ € ___--------------------------------------------------------- --Co' ____________________.______________ ___________ ___c. All Existing Natural and/or Man Made Features on and within 500'ofthe Prooerty rdary; 0 (� ��_�_�___ _ - -_________________________ ___________ _d. Test Hole Data Indicating Soil Characteristics&D_epth to Seasonal High Water Table;_-- ���0�� � __ - ,� -__ _______ --T e_-Contours Indicating Property Elevations(Min.2');__-_- _--�-- __1=110€[ ��"-_____- --'-______ _ ___________ f. Spot Grade&Finish Floor Elevations for Existing and Proposed Strictures;'- __- - €�€�'� M g Location of Wooded Areas 8 Isolated Trees with a Minimum Dimension --- S_oil_�onserva_t€on district_oiiurv_ -_ -_ " `- - -"-- `"""" €0€0€ €,,�� 'I E �, -- ------------_ -_-_-_-._._-__----_--------_-------- 5. Background Information about the Scope-of the Project,Location&Description of the Site,�T =i __ _Proposed Changes to the Site and All Existing Development on the site Including the Following._ € € _ _ _ _ _ Ali_Im.provements lncluding Total.Area of Land Disturbance&total Site ftg;-__---_-_--i�i�i - € - .__ _ __ _ _ b. All Excavation,Filling,Stripping&Grading Proposed and Identified as to depth,Volume € I & Nature of Materials Involved: _.... J_-_--_-----_.,._--.--...,..-..--................-._._--------_..... _ c. _All Areas Requiring ClearingandlorGrubbing ---------------------------- 0€0€ _ d. All Areas Where Topsoil is to be Removed,Stockpiled and where Topsoil will ultimately -�r--__/_/___._.__; _m be place- --- _ ____ _ ____ _ _ __ ___ __ _-- '�'30�€ �D SOIL ��_^_�'��!_w�l!b [� U_ CnSwve e� All Temporary&Permanent Vegetation to be Placed on Site; ��___ - -______ 0� _________________-___-------------------- - cy��� -- f.�All Temporary&Permanent Storm Water Runoff BMP Control Measures Proposed;- €(�i 0€ € `� C( -g _The Anticipated Pattern of Surface brainage During Periods of Peak Runoff^ -- € r -`--_ _ _______________._..__. __________ ____________ _ h The Location of all Roads,Driveways,Sidewalks,Patio's,Structures,Utilities 8#Other- i _____________________________________ _-_-_------ �/EQ 'mm Improvements,Including temporary Access&Construction Staging_Areas; _ _ �0 i�i � ` _ -_----_--_ € �ii ____ ___________________________________________------- -------------------- & �1 'The Existing&final Contours and o�SpotBlevations othe site. �� -- - - -'- €0€Di 6.�A Schedule ofthe Sequence for the Installation of All Planned Soil Erosion,Sedimentation T-�� # __ _Stormwater Runoff Measures. __ _ _ _ ~- --_ - -----------------. € 7.�Description of Pollution Prevention Measures that will be Imolemented_________________���O1r "� --'-'---'-_--`-�'_______________________________________ 8.-A Description of the Minimum Erosion&Sediment Control Practices to be Installed and/or 0 Implemented for Each Construction Activity_thatwill result in Soil Disturbance.___-________€ € € _ 9._Desgi tion of Construction&Waste materials Expected to be Stored On Site I� s r ________________ ( _ ►�€ �� - 10. Temporary&Permanent Soil Stabilization Plan that meets the Current Version of the _N_ew York State Storm Water_Design Manual Technical Standard. i # i�-� _ -- ----------------------- € a r-__--____-------__-_--_-_----___---_-_-_ -_----__--_ �11._General Site Plan and Construction Drawings for the Prolect�_�- ----_--- -_T^T-�--€�€Di Ti M^_Dimensions, aterial SQecifications 8i Installation Details for Al Erosion&Sediment Control Practices I. 13. Tern ore Practices that will be Converted to Permanent control Measures ; r ' �______ __n!____-______....---------------------------------------_'Dim€ ____.______________ ___________________________ ____ 14. Implementation Schedule for Staging Temporarx Erosion Control Practice 'Oj�� € ---____-��� 15. Maintenance Schedule to Ensure Continuous&Effective Operation of Erosion& € € € Sediment Control Practices. € ______________-------_____---_________ __,_________�_ _______________________________ ________ __ Names of Potential Surface Waters of the State of New York and/or MS4 that may be ��------------------�---------------------------_-_--__ II Impacted by Development. _ _________________ _________________________________________€ € s -----.-__--_____-_-._--__-__--__--______ -_--_-----_ 17._Delineation of Storm Water Control Plan Implementation Reseonsibili-- for ----- of the-- �iO _--,_-__-_--_-_µ-_-------------------- ----------- _ Project Con_struc_tion Site. -__ _ ___ __- ___ __�_�_ __ __ _ ___ _€ € 18.�All other Existin Data that Describes Storm Water Runoff and/or Natural Drainage Swales. y € € r______________ - ______ ____________ ___________ _ _q_____ _____________________________ _________ a i i"_ _ ____ _ _ __--__---_--__ __--_---_-_ 19._Identification of All Contractors)/Sub-Contractors) Responsible for Installing,Constructing, / Repairing,Replacing,Inspecting and Maintaining the Erosion&Sediment Control Practices. `—'€�—'i�i (�i.�/ 0a I � Storm Water Management Control Plan Checklist# 1 : 03-12 OWNER'S AUTHORIZATION STATE OF NEW YORK ) Iss: COUNTY OF SUFFOLK i ,) being duly sworn,depose and say,that I reside at IJ �� I ! Qhat I am the owner(or an officer of the corporation,which is i the owner)of the premis s describeZCm this application,and hereby authorize _ ove �'�� � whose mailing address is 0 , M�l�• �D ,� Ny 106 to make the foregoing application and to appear on my behalf before the s ac witth reference to this ToW tJ o a0N.alcsti application. I hereby agree to allow my agent,whose name and address appear. ove, o act on my behalf. A � r i to before me his day of _,20 "gn, ure of O ner N tary Public EUGE L.DANERI Notary Public,State of New York No.30-4915998 Qualified in Nassau Countyn_ .My Commission Expires December 1,!� . ., ER.: . • ;•��. •, ' � - } . - �r�,±j ti.r� �`•:7 a���i sus A U cu .C�401-ue- Ail 46. tj M' ' - :• _ SC - � f�!,�` yr- n��,a` I in .Yi p : NOV 2 3 r: E zg IMF TIEi— rAX M k 0 D 5iGNATiON'- INSED LAN ;r•iN!�AtV��'" .,nN'a:,'�,vs.cK ec9N.":f.6ic*.. _ _ .. - _' •. - _� LifA UN► k LINT 7"N' CATCM WASH GENERAL NOTES SKIMMER 1. THE DESIGN IS BASED ON A DRAINAGE SOIL WITH <70% SILT. GROUND WATER SHALL NOT EXIST WITHIN THE LIMITS OF THE EXCAVATION. IF GROUNO WATER EXISTS WITHIN 6'-0" BELOW GRADE SPECIAL DEWATERING FACILITIES WILL BE REQUIRED.WATER DISPOSAL IS LIMITED TO OWNERS PROPERTY. 2. NO SURCHARGE ALLOWED WITHIN 4'-0" OF SHALLOW END AND 6'-0" OF DEEP END. NBET DUN 3. THE PNEUMATICALLY APPLIED CONCRETE (GUNITE) SHALL BE A 1-4 MIX WITH A MAXIMUM OF 3.5 GALLONS OF WATER PER SACK OF WITH CEMENT. VALVE Amc 4. REINFORCING STEEL SHALL BE INTERMEDIATE GRADE BILLET STEEL WITH A MINIMUM LAP OF 30 BAR DIAMETERS. SCHEMATIC PLUMBING 5. POOL WATER SUPPLY BY OWNERS GARDEN HOSE. POOL TO BE KEPT FULL DURING FREEZING WEATHER. PUMP CAPACITY TO BE SUFFICIENT TO EMPTY POOL IN 24 HOURS. 6. MAIN DRAINS IF NECESSARY TO BE 3'APART. 7. ALL PLUMBING TO BE COMPLETED IN 2" DIAMETER PVC. LADDER AUIp1ATOC AlCll UKN4LT P11II �� FiRNO 4 .. —I • ,�••. (3)/3 BARS CONT. f` AROUNO BOND BEAM }}} TIES 12'O.C. 1rlr /3 BARS • 'F MARBLE DUST FINISH GRAIN Wrtx NYDRCSTAIIf:VALVE AND •B r�l RC W A PNEUMATICALLY APPLIED TUNE M � POOLDEPM�41'-W' CONCRETE ROM Im.0.Im.0. FLOOR t7 BOTH WAYS S�C"�D "•`C�"�JJJ...,,, RAN �•` ! THICKNESS OF WALL VARIES FROM 6"TO 8' I e TYPICAL POOL SECTION os YAM PAN e oil Svumms' ON ow END s' TYPICAL WALL SECTION �` Fho� � W��dts 514 West End Avenue Suite 7B New York, NY 10024 P M G A r c h i t e c t s peterg@pmgarchitects.com