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HomeMy WebLinkAbout37429-Z i Town of Southold Annex 6/3/2013 P.O.Box 1179 3 { ' 54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36277 Date: 6/3/2013 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 450 Brigantine Dr, Southold, SCTM#: 473889 Sec/Block/Lot: 79.-4-42 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/27/2012 pursuant to which Building Permit No. 37429 dated 8/7/2012 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 fenced to code as applied for. The certificate is issued to McKenna,John&McKenna,Ethel (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37429 10/15/12 PLUMBERS CERTIFICATION DATED u oriz Sigil&ure �4�SUFDt TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oMI. 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#: 37429 Date: 8/7/2012 Permission is hereby granted to: McKenna, John & McKenna, Ethel 450 Brigantine Dr Southold, NY 11971 To: construct an In-Ground Swimming Pool, fenced to code as applied for At premises located at: 450 Brigantine Dr, Southold SCTM # 473889 Sec/Block/Lot# 79.4-42 Pursuant to application dated 7/27/2012 and approved by the Building Inspector. To expire on 2/6/2014. 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 sowerage-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%dead. 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,buiiding.andunusuaI 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 L. 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.. / l q 1 Z New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: _ AA) Suffolk County Tax Map No 1000, Section �701 Block Lot �Z Subdivision ale . Filed Map. 4&2- Lot:: o? Permit NQ. 7�/ v��J Date of Permit:'` � 17— Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: . `:Request for: Temporary.Certificate Final Certificate: (check one).; 'Fee Submitted: $ 50•�/�� plicant Signature:= oF so�ryol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q roger.riche rt(a-b-town.Southold.ny.us Southold,NY 11971-0959 o�yCoU BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: John McKenna Address: 450 Brigantine Dr City: Southold St: NY Zip: 11971 Building Permit#: 37429 Section: 79 Block: 4 Lot: 42 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Goodale Electrical Cont. License No: 783-e SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor 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 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt 2 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 Switches F1iTwist Lock Exit Fixtures TVSS Other Equipment: in ground swimming pool to include, bonding, 1-GFCI circuit breaker, 1-pool light Notes: Inspector Signature: Date: Oct 15 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ' . . . [, FOUNDATION 1ST [ ] 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: As� DATE INSPECTOR Of SO(/r�olo coulml 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 la INSPECTOR ' �Of SOUIy�� 3 7 couto, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] RO UPKPLBG. [ ] FOUNDATION 2ND WFINAL ULATION FRAMING /STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE J �3 INSPECTOR- 114�" �o��OF SOUTyo{o �o coum,�`�Q r' TOWN OF SOUTHOLD BUILDING .DEPT. ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE 4-3 INSPECTOR FIELD INSPECTION REPORT DAM COMMENTS uj A2 t4 FOUNDATION(1ST) -J) � FOUNDATION(ZND) - z . o a ROUGH FRAAnNCF& y PLUMBING Z INSULATION PER N.Y. H STATE ENERGY CODE . G O FINAL s ADDITIONAL COMMENTS '$a rl1 ,, c� �a t-r`� �� -� o Z z t l . rn 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 3 sets of Building Plans TEL: 765-1802 >. Survey PERMIT NO. 7 otg Check Septic Form N.Y.S.D.E.C. Trustees Examined ;2017.- Contact: Approved V7,20 1 2- Mail to: Disapproved a/c Phone: Building Inspector Q J U L 2 7 2012 PPLICATION FOR BUILDING PERMIT Date -7- `7 �� , 20 BLDG.DEPT. INSTRUCTIONS _ TOWN OF SOUTHOLD 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 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, a regulations, and to admit authorized inspectors on premises and in building for necessary inspections. OR iTIMMEDI A TELYn; a ,.,.. v r 'g F- o (Signa of applican o name,if a corporation) ENCLOSE r'<OOL,-TO CODE �„! �.� ��`�I��i� EM�R �UQON:COMPLETION I�T ��T CE f n a IZ1- ZS/}- �d�l atu BEFORE.!..'WATE(1". (Mailing address of applicant) OF OCCUPAINICf State whether Applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder • �h�'2 APPROVED AS NOTED Name of owner of premises � DATc�� 1 ox- Bp 3 7`f�29 (as on the tax roll or latest deed) FEE-23 0. BY If applicant is a corporation, signature of duly authorized officer NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: (Name and title of corporate officer) 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE Builders License No. 2. ROUGH-FRAMING,PLUMBING,- STRAPPING, ELECTRICAL 8 CAULKING Plumbers License No. 3. INSULATION 4. FINAL-CONSTRUCTION&ELECTRICAL Electricians License No. MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be done: House Number Street Hamlet""' Tax Ma No. 10 p County T p 00 Section -1 Block Subdivision ()ije Lg E L6hp No. (Name) INSPECTION REQUIRED PURSUANT TO CHAPTER 236 OF THE TOWN CODE. 2. State existing use and occupancy of premises and i tended use and occupancy of proposed construction: a. Existing use and occupancy C►fN�O _ b. Intended use and occupancy R_S►WATJ A1._ myhlnn PAX 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work_ ►.1m�,,, p (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 15 , Rear Depth Height Number of Stories 9. Size of lot: Front )CO Rear Depth 2_( 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: ko 13. Will lot be re-graded Pam- Will(" - excess fill be remove from premises NO YES � d O 14. Names of Owner o remisesi9Qnn�e 0►2 p �� H( ?nll/� Address &i—I rk1b Phone No. 765 JW5 Name of Architect omAs Address hone No _72-(t-7AU Name of Contractor• Address U t Zs,¢ Phone No. 7W-71ft" 14,1 u4e2, It-Coy 15. Is this property within,100 feet of a tidal wetland? *YES NO_ • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE RE/QUIRES 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 OF ) being duly sworn, deposes and says that(s)he is the applicant (Name.of.individual,signing,contract) above named, (S)He,:isithe-' ;,(Contractor, Agent, Corporate Officer, etc.) of said owner oz,.owners,'.arid'is-duly aiifhonzed to perform or have performed the said work and to make and file this application; that all statements;coiffaine'd in'this application are true to the best of his knowledge and belief; and that the work will be performed in themanner sett forthi'ti `tl, application filed therewith. }�'.;6',,�tJ".1�5 k4: Y�f.i; •�•j,'i lti4e•.. � ,•n. , Sworn to before..We thi 1 Hi N t Pu11��li . Signature f pplicant MAlRG�R6/ . KIDNEY Notary Public—State of New York No. 01'K16021111 Oualified in Suffolk County My Commission Expires March 8,20a It own of Southold - Chapter 236 - Stormwater Management z' 1 � SWPP.P - Storm Water Pollution Prevention Plan Assessm ent Form GN L INFORMATION: (All Requested Information is Required for a ro APPLICANT NAME-. Owner ent-Consu►tent-Conpactoror replete AppEc,'atlon) C n^ Other(Circle One) Property OWNM(If Different than I Addressrl '� � !'s �J Applicant) t Telephone0. Address: Fax#: 1 E-Maik Telephone 0 Fax k E-Mal: i I Property Address: 45,0 get ITCI�►C Vie. i =T.M.#: Brief Descipdon of GoJ1dtn1 on Activity;p l yse Strucdual BMPs,So�7 i Stabalizadon BW3,.:pi i*ct Scope and/or SBq*,,c :.tyonstrut B1 AtliV 9 i Dbfriet'..$eenOR 610Ci � ' 1preYke Addyony Pages m Nedkd) ' Narn of Contractor and/or Contact Person Responsible for keplementallon of sWpPP: Address: �Q'm / ------�--- - ------------------ TelephoneI # t2r I1 P 1176 ------��`K�=�--_1sx�,!_LA�_ f E-Mal: O 6� Fax `xf(�_O� / tG -_-__�Q� (�- .f(xJ�•Y� --- F f T - T_ �� l : Ct)m --- ----- - ------ rcir3��'---��t - Name of Peraods Responsible forinstallatlon ti bf Intenanee of ------ - - -Lao ----------------- - l I Prosion Control Practice: s- Address: --- -_ j,P - ---------- I , Fax Telephonefl: ------------- t I I E-Mail: ----------------- r Pr*a red LIs.: Total Area of Landgearing -^ --------------- ----------- Projei Parcels: - end/or Ground Disturbance: -------- „ (SF./Aces) _-_- i ProjeEtDurationt /� tS.F.rA—) . (Ant2pated) �V Start End __.•- - _. ----------..-. ,Date: Date: al�Z 912 _� _��_ _____ - - __ -------='Wiif this'Pepiect Disturbe five(5)or More Acres at - ^� -- ' Any Orie Tine,Duringthe Proposed Development? YD If YES;Please:A'nq' 4W..:the Followin I a. .::Does th'e Applicant:hade a qualified Inspector On - --' - ~r ___ ____` Staff Tb C ?onduct the Rgquired Inspections '-- b. Does the SWPPP indicate How Frequently-the Site :O List the.NAMES or description or I Iections_wtit Oacur:-nd for What Period of rime?. Yes No I y mpacted Wdte nsp rbadies and/or wetlands: a 't5oes the.8 1lI�PPP Adequately ldentifyAtl Temporary -- - an�br;Pefmahe)tt o-T;StabalizafionMeasupes? No --- ------ ---- -----` il_ bo" ttieSV1!F NPAd Y� "----------. ------------- -- ---------- No eguately Identify a'Comptete ---- --- 3... f VtJ�� ! I �Projetf f)asiQ9- h? Yes ------------ -------------- -L----- -- e' Does the 5II�PP'Indlpte Additional Site Specific ------ i f--t Staturof.Impacted We)erbody teg rh1DL,:3o3(d).Ltsted 1m51red_).,. i P�c�ti43hatfViUe ilG7izerl to`Protect Water Quality? YCeD No ! f H th ase Appllcaist Submitted e:Completed DEC Notice s afrintent oritSyPPP Acceptance Form for Review _ - --- f7 d T p (�7 TYPe of Impacted 1Naterbody deg.tyke,Creek,'9ay:ffifnd,EoiPfnd,Freshxrater:WeUan Y e Town bioutfiold? Yes ,4 i f S7)A'�F' Ff`Jii`Hfiyp __ .Cad -_. -___ --- f ; O .... ltiatx, ��h� 'j ,� /Name dfkttrnideal stgnGtg ppppt) /1 being duty sworn;deposes and says that he/she-is Q fie aP`Prcafih'And,that eh Perini FOvirner atyd/br representable of the Own ers on and dW ase . mtxa'e ofrrcer#eta) e gx;Own ajltho i ak�and it th s apts cahon,',that aB statcmeiits conla:-. Y. �tO one or have Peiforme 4 th`r said a tamed yn this applrca�on}are tree to the best of his fcnowtd'ge �ehef and ( i atw e� or e�ormi d.in the manner set forth m the a hcatlorl filedsherexnt�l. 4 r��h ,• i Sorir to,ffe�(�I, PP• ! day of. ` ...........................20�� 1. htoubt><r .s. .v.3 .._... (. -- %` ............................. 'SYt7R /���� PP Assesf;ment FORM: C3,1? ( 9�Arrae6Apprcant):' I Ncary..Public State of New Yo�C Na.,0.[K1 .0?l l rl "fified it'r-Sutfolk County. My.Comrnissiof•Erie WMafch 8.i6j. . . I Thomas D. Reilly P.E. Consulting Engineer "For every house is built by someone,but the builder of all things is God" Hebrews 3:4 4 Bezel Lane Smithtown,N.Y.11787 Tel:(631)724-7888 Fax:(631)724-5740 fur ENGINEERING DEPARTMENT TOWN OF SOUTOLD 53095 MAIN ROAD P.O. BOX 1179 SOUTOLD, NY 11971 JULY 19, 2012 TO WHOM IT MAY CONCERN, RE: JOHN MCKENNA 450 BRIGANTINE DRIVE SOUTHOLD, NY 11971 THIS IS TO CERTIFY THAT THE DESIGNED CONSTRUCTION OF A SWIMMING POOL ON THE SUBJECT PREMISES WILL NOT REQUIRE SPECIAL DRAINAGE FACILITIES. THE POOL IS CONSTRUCTED WITH A VINYL LINER AND THE POOL WATER IS DESIGNED TO BE CONTINUOUSLY RECIRCULATED THROUGH THE FILTER AND REUSED FROM YEAR TO YEAR. THE DRAINAGE FROM THE FILTER BACKWASH IS NOMINAL AND WILL NOT INTERFERE WITH THE PUBLIC WATER SUPPLY, THE EXISTING SANITARY FACILITIES, NEIGHBORING PROPERTY, OR PUBLIC HIGHWAYS. VERY TRULY YOURS, l .-.� HOMAS D. RE-ILLY, P.E. ��s No, 0/�3��y���Ci�c9 AROFESSI�� T.O- 85 "SWppP" preparation - Chapter 236 ForDbpar"ent use only. Storm dIV ® ater Pollution Ptreven i s.c.Tna.#: P o . ��r ^.�., lion Plan r perty,oadres$, TJt7 �RI c�1�,NC Review Checklist Checklist # I- 10bo _ 2 Rl=Qu1RED PLAN 11 OR ATION AND IMPLEMENTATION DETAILS; �` s'6°" s'T Does the SWPPP Adequately Provide for and/or lndlcatb the FolloWin 1.^Dra na a cu a ons& ormwater BM Ps Das one to conta n a wo nch Ra nfall On-Site, 'YES; NO ;N.A.;Explanation for NO or N�, Plan Sheet 2. Construction Phasln Plan Indicatin -' ----____.. ------- �_________g 8:eguen_ of F posed Construction Activities. ------i ;��.� __ _t------ ------ Location fPg.#) _3. Gen6ralLoCaUonMap ----------_---_-•_-•___-- , ' 4,-DralaAge Site Plan Dawn to Scale at S 60' feet to the_Inch or tar er Indlcatin '"tea t._ a Lo tie Sn De crI tionofPr e!'a_L_1 � _--------- _ -_b SJ a Ft 3 -p. ---°?. 'Boundaries' --------��-----g the Followln _. Acreage` ------ j ----------- ------ -aC7,�r - --- --- c AiI Fsin - --- r ------- -- --. - g,.ht8turaland/orfNan:MadeFeatureso �e--------- ----;__� __ ------ d Test' 1 �___ i ______ --------- --- .-._. ,- n and within 50 f the Property Boundary [��i ++� ____ too a Datatitndlcating$oliharacteiltics&De to Seasonal Fi'I h Water Table _ ___ flot7 31�,dicaynro a Ih - --------------..__ _ .. r , Co ---P-----------g------ - ...... $ � 1t�.Efevations Min:2 _...._� SPclgiatte&;i:InjshPloo 1 _ -_ --------- _ ---------------- ----------- --- - _.. r E e+!aUons for Exists aPro 9 Lo {rgTI1T'p - ng ndProposedSiructures; ___ - ---------__.__.__ q --__ 1 _...•h o P o A dedAraas&i3o)ated frees wTtti a M'inlmum Dlmensfon of fs"Diamefe`r; --i©;�! "-" -'-- 11 onservatlont5rsilci olfgurve --------------------- ----------_4r ---- --____y ---------- _. 5. BagtcgroWndtrlfomiatlonaboutthe3 -- - - r r ' L ----------`-----`--"- r- Pro o ` ooAeafthePtoject,LopUon&DescrlpGonofth-Site, '� ------'__--_--- '-`-""" -- - _ P serl,Ch n estotheSlte. ----------------- $ _ and AJLExistirr bevel ment on the site Includin the Followiri ' 0 i i / - --------$----p-------------_ �_______ �_.r r r �C _ sQ_�9_JJMp_ 1/1IMt�1/� - a. All�Jfnp y$ aril£jltlrh,_10 J91a1L iaa pi lartdJ�[ ihanco�Total$jt$Argp;---_•-._...._ _ b. Alt ,��rO, -- - - -- _. Excavation,f111tng,Stripp(ng'&Grading Proposed and Identifred•as to depth,.Volume &+N$tuofiu{ t�rtatsjnvolvec);--- ------ ---- - ------ ��' c. Ail` + ------------ - _ _ __---, ' -- -.----------..._ .9rTs uMn 1`arin and/or Grubbltt d. All Pueas Yyhe�e Topsoil is to be Removed,Stockplted and where Topsoil will ultimately ba:: aced --- ------------- ---------- ---------- _i e. AIITe... ------------- ------ _ ' --.------------------ r71 . [a &Rsrmanent Ve etaUon to be Placed on 31te' ����!� f. Al _ ------------- - -------- _____ .pQrat I PermairentStomt tILQ --------------- ; �L7�CiZ(' --------- �. The.;Ahtici ated:Patte o __---~trolMeas resProposa_tl;-' --`, ------ ___ ------------- on - - fSutfaceDtalna�e.Durin -- - -82k --------- .... .. h. TFie;sccatli7nofa7lFoaas`,Drtvewa�isiSl7ewa7ks'Pat�os6S'trtictues UtfliU - ----- ------------ ---------------_.._ ..... ------ rmpr.,ovemegl"s'fncfuaGg�emporaryKc:a-s&t;o -`--`` --- - -------'- -- -- es&Other- - nstrticUon�taging Area _ --------- 1 -TFielstirigFhnal�ont"oursan�o� po� ievittlonsof�iesife-------5'----_--_ - i�'��C '---------- .-------------------`-------- --._..... . .._._.._.__. ------- - >3. the" ---- -- ..._..... .Sequence for the Installation of AIi Planned doll Eroslon,'Setiimentation &Stogy`.: _ _ �� ------ - ------ -.__------mwate_r_RunoffCor_rtrolMeasures_-------------- -----------------------____ r 7. DescrJpfon:of Pollution Prevention Measures that will be Im !s_mertted. - 8. A Desc' do of the MI imum Erosion&Sediment Control Ppiachces to be Installed andlor _ _i -- ©,'� - _ Im_p1drii6 tad for Each Construction Activit�that will result in Soll Disturbance. i 0 :LcZ1 i 9. Desch-: o cf ------ ------- PU-!L_Construction&Waste materiats.Expected to be Stored On-S`ite. -----""-'I 10. Temporary;&.Rerrnan9nt toll StabJlization Plan that meets ine Current Varsio'n of the ---' -`+ i `"'" New:yp .;gtg ;y Water Design Manual Teatinical Standard. - 11. Gene_ral:'. tI-. lanandConsrRenn_Drawln sfortheProect. _-^_______ ________ _ - 12.__DlrtienslonsMaferlal8gaottica_y_one&tnstallatlo^IJetallsfofAlEros ---'-- _`_'-- --^I )= 101_ -- ------------- _ 13, TemEorary Araettcas that will be Co_nveRed to P Ion&Sediment Control Practices i i 1 -----.-_ ""-'" -- - __• , 8 ermanent cost' ' _�!14. Imp1 menatlonScheduleforStagin Tem o ►olMeasures. ------- ce{©' -- -- _`-`--`---- -- "_"'_'."__ ,• _S E_ Y-__ on Cdn r2l Practice'or B'MP,- r� --- ------ 15. Mal�r tenance:Sch-6 U16 to Ensure - (� ------ - - - Sed)_cr ent:ControCBcactices. Continuous&Effective Operagon of Erosion& ---` ; i=' ------------- ----- i6. Nam......r-...._�__-_ ----------------------- ---- ------ -___ _.__es`of ? tei►ffai=$uifiaoe Waters of the State of New York and'/or MS4'that may be 17. Im�actedbyDeveloeijent ------ --- '' ---------------------------------- -- _ __ DeliriesUQn ofStomi'Vllater Control Plan Im lementaU - ---� i —' _ _ _ - w _Project CA{StruofJpn Site I? on ResecnsibiIittes fo Each part of the r r i ' - _ ___ _ __ 1 it3. AllothbrExtstln�DatathatDescrlbas - - _ _ -i�i0{'�f"`------------------------- -_ ---'_ --_.__ ) . Storm Water F2unoff and/or Natural Dr---—e Swales_ _ 19. ldentM - c;3tlon bfAll Cortractor(s)%Sub-ContrpcloT(g).Respon§ible.foT.Installing,Constructing, i - 7,_-, ^-~ Re alrlri',Re leeln .. ���i.rtr-=----------------------- --- --------- Ins`actin and Malntalnin the Ero'slon&.Sediment Control Practices. i0,0,0� ,-�tjUt (�i./ storm Water'Mnnagairnet�t Control Play Checklist#1 : 03-7.2 �`��---Ce�,Q-y__ _ ---------•- • 16 UZ' 4 nDEC "SWPPP"* Preparation : Chapter 236-19 For Department Use Only:Storm Water Pollution Prevention Plan s.c.T.N1.#: Property Address: lg5V )fit gtybr� N. Review Checklist Checklist # 2 ::� (Additional Items to be Included-with Checklist# 1 when Article III is trigered.) Okw t s.cuon Block REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: 1 1 , 1 Doea.the SWPPP Ade'uately Provide for and/or Indicate the Following:) YES i NO i N.A., Explanation for NO or ILA.Must be Approved by$MO Plan Sheet 1 Does e Plan indicate an or Show a Items equ re' C ec ist 1" n this Pac et? - -----------------------y--------------_____ 2 Does the..tan Indicate and/or Show a Description of Each Post-Construction Stormwater i � `- '` "-" "" -- - Marta errant Practice? ,1� __-:-6 _.--------- ------------- -------.. ... h 1, i ---- ------ 3 DnQs the Sa Plan(Construction Drawings)indicate aid/orShow the Location te Size.of - EachtPost irons�tructlon Stomiwater Management Rractiee;?,... ,[ t�,[ , - __ 4 DOQs tba Site Man/ onstructlon Drawings)Indicate and/orShovY.HydroiQgic•&Hydraulic Analysis I� (�'I I --``-`""'--'-- --------- -- --- - ForAlt 3tnictyYa�CorTipohents flfUre BtormwateManagenentSysiem forgpplicable Storms? 1 5 Does lire Slte plan/Canstnistlon Drawring(s)Indicate and/or Provide a Comparison of Post- , 1 `---'-^`" - Developmert5torrmvater Runoff Conditions with Pre-Development Conditions? - ----------- - - - -------- 2ntC^-bons? -----•-- I I I 6. Do'es Ute Site PJbnlCcpstructlon Drawings)Indicate and/or Show All Dimensions,Material SlDa-&_a tlons&Installation Detalis for Each Post-Constructlon Stormwater Practice? i Qi i _ - ----------------------------------------- _I 1 1------ 7 Does ilia Site P�ErrlConstructlon Drawings)Indicate a Maintenance Schedule Provided by 1 1 1 '`-""" ------- -----------------.-. the Zdfis.raetor(s)to.Ensure Continuous&Effective Operation of Each Post-Construction Stormwatel_Mapa errant Practice 7 Ensure AC Does ate PIartJCpnstruction Drawing(s)Indicate and/or Show Maintenance Easements to • ' ' ' ' --``-"-```- -"""'--------- -- •- 8 Uae 'ce and to'A)I stormwater Management Practices at the Site for the Purpose of Inspection --- ----- N i tr:? 1 1 9,• Does.the::Slte.Plan/Construction Drawings)Indicate and/or Show Inspection and Waiintenance � --`-`-` -"' '-"-------------------- Agreements) that are Btnding-on All Subsequent Landowners? � i Q 1 ' I�1 1 10. For, vi 9 the Threshold In 236,19(8)(1),the SWPPP shall be Prepared&Signed i ----`---"--'""-`---- By a Professlonal In the Principles and Practices of.Stonnwater Management&Treatment Who Who Shall.Certifjr thatt he Desl n Meets.the Re utrernents of Cha ter 236. 11. Does tle.'Plan Indicate and/or Identify All Potential Sources of Pollution which may affect the I -"`--`-'--""-- ----------------------- ---•---- Quallt of.stormwater Discha es? ,d,0,ad ------- -------------------------------------------------------� 1 1 ---------- __ 1 . Does the i?len,Provide Documentation Supporting the Determination of Approval with Regard 1 1`� ----------------------------- ------- to Historic Places or Archeological Resources that Includes the Foliowin ------------ oa------------------------- ------------ ------------------------------------------------- discharge --i 1 1 ra. Infarisiation whether the stormwater or land development activities would have , --- ar�asffsct.on a property that is listed or eligible for listing or eligible for listing on the ' 'C]'I�' Stteo�NatlQnal Rgglster of Wisforic Places........................ ___i 1 1 ___ b_ Tha_Resultsof:HistoriCResourcesScreeningeterminaUonth_athavebeenConducted �l�i(�i _______-"-`-"'-'--"-`---- -- ----------• --- -- r-- -- - - - - - - - c. Deser(ptlon.Of Measures Necessary to Avoid or Mlnlmlze Adverse Impacts on Places Listed,i i i,-�(1� --7--`---------`--`--------------------•-- or Ell�ible for Ustin on the State or National Re islet of Historic Places,and '0'�' l - - d. Wha�e Adverse:Effects May Occur,Any Written Agreements in Place with the NYS Office �� -____. of Parks,Recreation and Historic Places(OPRHP)or other Governmental Agency to i i 0 i L_tLJ' Mluga,fe Those Effects. ' ------------------------------------ ---`----------------i i i --------------------- 13. ADescriptionofthe.Soli(s)PresentattheSite,IncludtngantdentificaUonofthe --^-----------------•-- � .__...._._ i draullc doll Group L •---- ---------- - -----------------------------------------------J 1 1 --------------------------------^_'----- - 14. Identification of Any Elements of the Design that are not In Conformahce with the i i i -- ------' Deslgn,rti8rival,,,:I.nCluding Reasons for the Deviation or.Alternative Design and a Description of the Egulvalency^withtechnlcal Standards. 1. 15. A Hydrologic:andHyd sul(cAnalysisforAll Structural Components of the -- ----r----^ ���!`------------------------------------------- 1 ^ StormwaterManaigemeritControlS-r m___ ________ y_-T- Di i i 16. A OQta►led Surrvrtary,Kilth C,atculaUori$,of the Sizing Criteria that was Used to'Dosign 1 ,`-"""-"" All Post-Cons{ivcUon 8tor�nwater Manageement Practices. r L�W )1 ^-- _- +- 17. An Operatfions aril Mintenance PJatl that ln+rluda inspection end Maintenance 7 `-'--'-""-- -- ---- _-___. I� h 1 1 1 1 Schedules.and Action'to insure Coritantiops and,Effective•Operayon of Each Post Constrirction 3torrri Water.mana ement Pr'dctica:' ": .' i i i i Storm Water Mateagelrnent Control Plan Checklist#2 s 03-72. � o Town Hall Annex Telephone(631)765-1802 54375 Main Road ,,aaxx(631 5t�2 P.O.Box 1179 roger.ddhert iown-0go U nY us Southold,NY 11971-0959 BUILDING DEFARTMENt TOWN OF SOUMOLD APPLICATION FOR ELECT RICAL INSPECTION REQUESTED BY. 1 Date: Company Name, � Name: License No.: ZIP3 rr Address: 90 7ve JV Phone No.: ? . W JOBSITE INFORMATION: (*Indicates required information) *Name: 0C *Address: r . maw e- Cross Street: T *Phone No_: Y- Permit No.: Tax-Map District: 1000 Section:. Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) D r / 113lease Circle All at Apply) *Is job ready for inspection: ( E NO Rough In Final *Do-you need a Temp Certificate: YES 1,146 _ Temp Informa-tion(If needed) *Service Size: 1 Phase .313hase 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 - �t c, .8241equest for Inspection Form 9 �� Town Hall Annex 3� Telephone(631)7651802 54,375 Main Road ?�- P.O..Box 1179 tQ (631)765 5Q2, ro er.ncherR n:soutfio .n .us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUT-HOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ®ate: Company Name: 5.`r- Alec-r rc Ic Name: License No.: 21740 He Address: )22 i,UAAS><. 90 k„113 pq P;%one;No.: 1o31- 5y0yc� JOBS'ITE INFORMATION: (*Indicates. required information) *Name:_ low tom& 164 Address: *CrOSS:Street: Perrnit No.: �� � Tax Map:District: 1000 Section. 7= Block: Lot:4_ *BRIEF DESCRIPTION OF WORK (Please Print Cleady). t . (1Iease;Circle All That Apply} *Isob,ready for inspection: YES / O Rough In Fina l *D youneed a Temp Certificate: YES / N0' Temp Ih orm`ation (If needed} *Service S12e: 1 Phase 3Phase 100 150 200 300- 3-0 400 Other *New Sell/1ce. Re-connect Underground Number-of Mmers Change of Seruiee Overhead w. Additional Information: PAYMENT DUE WITH APPLICATION 82'Request for Inspection Form s1FF'Ot.�fC CO HEALTf•1 pE?T APF'R-OV'At SINGLE F=AMILY D'VV ..LLING ONLY SUE`FOLR GOb7N1'Y HEALTH DEPARTMM2 _~^ u D. MY ��a7 �.� :�' w '`• � �� Tyre. sewage disposal and Water e�aplp a . t r A: e facilities for this loaatio. ,ave been `• �_. _.. inspected by this department and found "—` _ � STAT'£[NEf�T OF IiV:TENT to be satisfactory. �, Fti, ` THE WATER SUPPLY ANb SEVUAE`D1' POSAL . SYSTEMlS FQR Tl.7* . RESIDENCE WILL Chief of (3e .era1 Engineering `���y`4,� ' '.r:.' _t Services _ CC3Nt—R J . TO THt8 STANQ —PDS OF . THE ,.�'v°a�' ''- ;. i :� ' 'r' SUF* l.K CO D:fiP O'1+ 1-FALTH:SE Vi f Es. IXPPI.ICA`NT COUNTY ' P1=F' ' OJT; FEALTH COMSTRUD t4N aNLY DA, /� 1 ?S E_ �/ iS�1Jf=QLK O TAX MAP DES F C IGI;ATIQN * 3 t \' DtST SE BLOCK PCL. dW '? -,,.! .C:.r }�• I I 7 ( b I Fj `�,\ t�3. u*' - `+•.4g.1✓•.� ` t OWNERS ADf D�IZ�tbSrGyS�. - ll ' i�LU•� 23 3 ; - �> � ELC �E571OEMt = •'� 10 I 1-7 i JLl , I l I I ;� t i E .� DE ED S'l MP - -' •V. ` �. �C.}�-> �+�{ .iCIO•0 I \ `t` nautnonzet!atteranon or addition , .,- ,^•{ i � ! , � 4othls:aurvey is a Vrol8ban of _. = e ` l t dacsfiCni�aw the New Yark orat .� I Cps"of thl�atuvey mep trot boanttd gurt veyoS hilted seal or ,r? ( ambasaetl s sa1 shah riot t.cansId ered c _.•4. t✓ ; f�."L•f r t_ a \ lj} to be a valid true ropy t ; Guar nteag indt�sttad.wttereost'shal!run [af only to th9 person furhan theisurvev is prePre and on his behalf to ihs title coihPe !,•0o!+ manfal agarmy and 1 tendin ht�fCutiort listed hereon erfd' to the;ss±ghees.of tho.leni7ing tnsti- tutian:GUsr9ntoes a(e nor.transEe'atils _ ► owners �'2K1- '' GSc� add,+onai,hs4,tutions or sub'segt ent W. --- R. r_x I 15 � rn. L1� p5E»J '' S>; >EYf�RS CEEIPOR t',` 1+1 YORiC TMEDYNE POST A B r Skimmer Rotuma Aluminum E To Fitter From Filter �����/)(Filter&Pump iTo Waota-eJ --To Rotuma (Dry Well Optinal) Railed Wall Foa Plan A. Piping Arrangement Wall Section i Vinyl Liner /4 Rebar 0,�FOF 42 -I 5 MPS D. � l Section B—B P7, �t 3500 P.S.I. Concrete 2'Son M �.rAN Section A—A Typical Wall Section SIZE A B' C D E F G H AREA CAP, FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. Purchase ARTHUR,EDWARDS 15x30 15 30 8 12 6 4 4 7 450 16,000 POOL:&SPA CENTRE Address ' 16'x36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600 r • , PERMACRETE ..WALL SYSTEM citysate 18x36 18 38 12 14 B 4 5 8 648 24,300 929 Route 25A Milker Puce NY ;11764 ( ' ) 20'x40' 20' 40' 16' 14' 6' 4' 6' 8' 800 30,000 (631) 744, 7185 jrAX :.(631) .744'-0CZip Dodo P13ane 24'x44' 24' 44' 10' 14' 8' A' 6' 10' 798 30,000 Suffolk .License, #4436-11I :• . 24'x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30000 Nassau License` #HI744�0000`