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HomeMy WebLinkAbout37862-Z ;egypPOt,�Ca Town of Southold Annex 7/9/2013 Gym P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36338 Date: 7/9/2013 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 840 Little Neck Rd, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 97.-7-26.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/7/2013 pursuant to which Building Permit No. 37862 dated 3/13/2013 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 Marks Jr,Robert&Marks,Karen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37862 5/28/13 PLUMBERS CERTIFICATION DATED oriz d Sign ure � 4 TOWN OF SOUTHOLD ��Q�SOFEot�� BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE p . , 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#: 37862 Date: 3/13/2013 Permission is hereby granted to: Marks Jr, Robert & Marks, Karen 840 Little Neck Rd Cutchogue, NY 11935 To: construct an inground Swimming Pool, fenced to code as applied for At premises located at: 840 Little Neck Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 97.-7-26.6 Pursuant to application dated 3/7/2013 and approved by the Building Inspector. To expire on 9/12/2014. 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 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$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. New Construction: Old or Pre-existing Building: ' (check one) Location of Property: LETS( ieCc kD House No. I Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section qr7 Block / Lot 21(o. 6 Subdivision pi! xcic es Filed Map. ?ooyk Lot: Permit No. 3-7 M- Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: >.,e� (check one) Fee Submitted: $ S ✓ pli it Signature Town Hall Annex ��p� o�� Telephone(631) 765-1802 54375 Main Road c Fax(631) 765-9502 co P.O. Box 1179 • Southold, NY 11971-0959 y�01 �a0� roper.richertCaD-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Marks Address: 840 Little Neck Rd City: Cutchogue St: NY Zip: 11935 Building Permit#: 37862 Section: 97 Block: 7 Lot: 26.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: USI Electric License No: 2740-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 1 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 Disconnect Switches 11 Twist Lock Exit Fixtures TVSS Other Equipment: in ground swimming pool to include, bonding, 1-pool light, 2-GFCI circuit breakers salt generator Notes: Inspector Signature: Y-0� Date: May 28 2013 Electrical Certificate.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 NSPECTION VXFOUNDAT!ION 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: DATE INSPECTOR SOplyolo n�� o�y00UNT1,�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE Z INSPECTOR pF SOUlyol �y00UNT1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL-(FINAL) REMARKS: (ao- DATE INSPECTOR i FIELD INSPECT'ON REPORT DATE OM R-NTS 1-4 FOUNDATION(IST) co -.........--_.•--------------------- FOUNDATION(2ND) -h • z y ROUGH FRAMING& y PLUMBING MUL•ATION PER N.Y. STATE ENERGY CODE . y FINAL ADDITIONAL COMMENTS CA o z 09 - 4- 0 Z E� 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. . Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 /3 Contact: Approved 20_0 Mail to: Disapproved a/c Phone: Building Inspector APPLICATION FOR BUILDING PERMIT 1 Date �,t[J 20 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 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 d regulations,and to admit authorized inspectors on premises and in building for necessary inspections. rN �r Q"" "1 1 �i i / (Sign a of applic or name,if a corporation) 10 LJ1 T F T4 I&a- MAR — 6� t i (Mailing address of applicant) State wh ther ee, gent, architect, engineer, general contra o� eleatrri'cjama° i i'1 or builder TOWN OF SOUTHOLD IC�l1� DAT � 3,).3 L]L B.P. #3!U , — Name of owner of premises FEE: BY (as on the tax roll or late WA IA 8 AM TO 4 PM FOR TI--,'_ FOLLOWING INSPECTIONS: If applicant is a corporation, signature of duly authorized officer 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE (Name and title of corporate officer) 2. ROUGH-FRAMING,PLUMBING, STRAPPING, ELECTRICAL&CAULKING '7 C�� _ 14 f Builders License No. T L 3. INSULATION4. FINAL-CONSTRUCTION &ELECTRIC, MUST BE COMPLETE FOR C.O. Plumbers License No. ALL CONSTRUCTION SHALL MEET THE ea p, ,pF. `�ELYII REQUIREMENTS OF THE CODES G' '< Electricians License No. �� 17' l� 8 "° � �° YORK STATE. NOT RESPCnSIB_'r. I k: ENCLOSE .� ET ON DESIGN OR CONSTRUCTION ERF,2jRS UPON COMPLETION Other Trade's License No. BED-GROE-'A'ATER" RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 1. Location of land on which proposed work will be done: F THE TOWN CODE. House Number Street ��larnigt; A 13PI OPA�Vl q //�� :flt4'1' :it;:'✓I �(.�:.o,3,r!'r; ...`}P!(t;'-T�fe �7 County Tax Map No. 1000 Section "P�] Block r] ho. Subdivision Mir- NeCIC 200¢- eS Filed Map No,- � 0,46�' LECT AL 2. State existing use and occupancy of premises and intended se and occupancy of proposed construction: a. Existing use and occupancy � �y iewo b. Intended use and occupancy keS !�Y ynftiJ RJJL 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work i n j&)tvo Viny(, �wjln~tq ac (Description) 4. Estimated Cost RMY 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 3#' Rear * Depth Z( 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 1 to Rear 3(o Depth u�12 a Height Number of Stories 9. Size of lot: Front 1270) Rear IYO' 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: ITO 13. Will lot be re-graded Pox ON Will excess fill be removed from premises: ts) NO pp� � � W3 44+1e Nea & 14. Names of Owner of premises f�Q4�i HkW Address 3 Y Phone No. Name of Architect` IMM b Q. 1W Pt; Address 2e.Lnl cSr+A-kMbne No 72EW Name of Contractor,�i`b�� Fw�s Address Q EA-ff 1- Phone No. 631- '7W-71f5 T Nl e2- Aa �"1 117U/ 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE R QUIRED 16. Provide survey,to scale,with accurate foundation plan and distances to property lines:#T 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF Lj C ('J►I,UL j &VJA f)S being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the � L 0y'C., (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 = ID day of 20 Not Public S15hature of A scant MARGARET A. KIDNEY Notary.Public-State of New York No. 01 K16021111 Qualified in Suffolk County My Commission Expires March 8,20_ r r Town of Southold - Chapter 236 - Stormwater Management � � 2 SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL FORMATION. (All Requested Information is Required for a Complete Application) APPLI Nr NAME: ow Agent-Consultant-ConirocWror Other Circle One I( ) Property OWNER:(if Different than Applicant) I o& T P Address: R40 1-t4keWxK.. ko C; d.-ilie, 16'r' JJg31­ Address: Telephone#:w31 �3�' g I ZQ Fax# Telephone#: Fax#: E-Mail: E-Mail Property Address 'Lt4�_- wcx KD cv�,'e �� Brief DesgiptMn of Consttuction Activity,Proposed Strucbu-d BW.%So S.C.T.M.#: 1000 7 7 �,•(� ,�+'�� Stab lion BMPs,Project Scope and/or Sequence_ of Construction Activity Dbtrkt section OWN Lot }� Nam of Contractor andfor Contact Person Responsible for Implementation of swPpp: — D_--I K 3(�j iri va"� V J AV L' ' (Prande AddManal Pages as Needed) F dress: Z 'A 1q1 IlAt YJw ----^ M l — ephone# _ Fax# -- eQ�/{ --l_Si -ILI� lv�l- f 71�t 7W-01 ----------------- I �r (y �n c �[} ------ i rN rC)c2 Ae iJls(.S .e3/� — z`�---JD---- 1A erson Responsible for Installation a M&Ienance of Erosion Control Pradl --------^------- —^-------------- ----------- Address: f — --------- 1 i Address- ---------------------------- --------------- Telephone# Fax# ---- --fAll --- --------------___Total Area of Land Clearing 0� --------- ------cels: and/or Ground Disturbance: (SF-/Aver) 9. -"•--- Project Duration: Start '!!/] End "-' . (Anticipated)- .Date: .lyl'c� Date: _______________ ___-_----_ . I J . {Number d CalendarDays) J -�---.-__-._ ' Will this Project Disturbe five(5)or More Acres at --------`---------------------------------- Any One Time During the Proposed Development? YC� ----------------------- If YES:Please Answer the Following) a. Does the Applicant have a Qualified Inspector On Staff To Conduct the Required Inspections? Yes No b. Does the SWPPP Indicate How Frequently the Site List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No 0 0 ---------------------------- -------------------- c. Does-the SWPPP Adequately Identify All Temporary I and/or Permanent Sol Stabalization Measures? - Yes No ----------------------- _ d. Does the SWPPP Adequately Identify a Complete Project Phasing Plan? Yes No e. Does the SWPPP Indicate Additional Site SpecificStatus of Impacted Walerbody:(eg.TMDL,303(d)listed,impaired-) Practices that Will be Utilized to Protect Water Quality? Yes No ! f. Has the Applicant Submitted a Completed DEC Notice L� Type of Impacted Waterbody (eq.Lake,Creek,Bay,Pond,Sound,Freshwater Wetland_) Of Intent and SWPPP Acceptance Form for Review i by the Town of Southold? Yes No ------------------=----------- S']ATF.OF NEW YORK B, COU�N-THYOF.......W ...................SS That I l 0-6 I • .•••••••••......•••-.-....:..being duly sworn,deposes and says that he/she is the applicant for Permit, I (Name of individual signing Doatmenq . And that he/she is the ................................................ ........ (Owner.Contractor,Agent Co...................................................................................... i rparale Officer,etc) i Owner and/or representative of the 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 i that the work will be performed in the manner set forth in the application filed herewith. I Swom to before me this; I I ................. ...........................day of----PA&A..........................,2013 i Notary Public: ...." (Signature of Applicant) SWPPP Assessment FORM: 03-12 Not Public=State of New York N'o. 01 K16021 1 1 1 Qualified in Suffolk County My Commission Expires March 8,20 pain. T■O.rS■ ssS;�,�,PP" Preparation - For Dbpa,rtment Use Only; P Chapter 2-3C �® Storm Water Pollution Prevention Plan s,c.T,M.fj: Property Addre � ' Review Checklist Checklist # I lobo _U1 7 �lo•l� '°��`�^ DN at s®otlon Block �tJYQG Rta1UlRED PLirr LAN INFORMATION AND IMPLEMENTATION DETAILS; Does the SWPPp adequately Provide for and/or lhdicatb the Followfn ;YES; NO i N.A. EXplanatibh for NO or N.�, Plan Sheet I. G,a na�ge__ cu a ons& ormwater BMPs Desi ne to conta n a Two Inch Rainfall On-Site. ' ' _ - -------- - -------------___ ____ 2. Cortstructlon Phasing Plan Indicatln$ySegtienca of Pr�osed Construction Activities, Location 3. GeneralLoCatlonMap. ----------------.-•--•_--..__...___;C7'C�' -"-----'`-`-- �r _ ~_ ___ 4, Dralahge$ite:PlanOrawntoScaleat3 -- -- ------ ---------- --_- `�- -- ---- _____________ 60' feet to the Inch ar lar er indicattn the Followfn r L_1 -�----__9______._...9__�C�rli r ....._ a. Location:attd D9pcdptlon of Property Boundaries• -I � "-`-"'"" ------ b -- c Ali Existing,Na _ - - -- ^-- ---- -- _ _ _._, , . -------------- -------- r�' t0'__ --- --- total and/or Man Made Features on and wdhin 50'of the Pro t rt Bounda , , i - - d Test H61d Data lndfcaYing_Soli Chat cterisdcs&_De to P y ry ----------------- --• .- - e Contours fndlcaGn�:Pro a _P _ Seasohal Hlgh Water Table ----------___ _..._._- - > P rid'°Elevations�Mfn 2')t ----- _______ ---------_------- _..iDil f. Spot Grade&FlnlshFloorEleva o 9---------- ____---_----- _. .. --- -___^--- _-�----••-_-_ U ns;for Existln and Proposed Structures; g LOdEi or o Wpoded x6as&lsolaticffrees with a Min7mum hSoGose-rvaion vy 1-8-"-D-la.m._e_t.e_-r._' 5 Background infarmatloh about the Scope.of the Project,Location-$Descrl Pion of the Site, Proposed Chahges to�the Site and All Ezistl bevelo ment bn the site Including the Following.-� a.__Al1J rYJ rita . 1suJ-- ^ __ -__ __ _ _ ' o>�tsaya Q ----- - I I-- i RaJrw� I�4�� 5wvm_nlrrr'� l .... lttc In9 .lN[�;3s�f Landj�istulizanaa�?otal�$�9rva;.__;__._..._.._�C��fl,p I - ------ b. All Excavation,Filling,Stripping&Grading Proposed and Identified-as to depth,Volume , ,. r -�-" _^Na3tu6�ofN)OterialsInvol_ved;----- ----------------------_-" _ _ 1E4 c All f�reas R ulrtn Clearin and/or Grubbirr d. AIIAreas,WhereTo ollistobe e 'lr"----�--"---'- "--`-----------Ps Removed, ,Stockpiled and where Topsoil will uitlmately �L��l��beplac;ed Q ----------------- -- ----- "_�_-_ e. All Temporary&Permanent Ve etatlon to be Placed on Site; -' - y ----- f. All TemPorat�r&Permanent Storm Water Runoff BhAP Control'Maas res Pro osed ' "'�' - ------- -- 9• The atedPatfe _-------- �__._ ' r ----- ------ _-- � _u__..__P___ _. 10, ___ mofSutfaceDralna�'e$uf jFFiiods6f_Fi, Runoff-, r 1=I----------- ______________--- -`h. The LOCatlon of all f7oads,Ddue_ s Sidewalks patios,-`- mproveTnenls-rncluar-`I ern bra --- -�-_ Structu9 9Utilitles&Other__.___.; J ' . -----------_- _-_--- ------------_......... _. I e; - ryAccass&LonstructlonSta in Areas; �_J� ------_-__---- -- ___-- _ l=xlsfng ' inal ironfouis ana o7rp'o-iievntTons - ----------- -_, i=,,,Gti------------- --- 6. A Schedule of the Sequant:e for ttra Installation bf All Planned Soil Erosion,Sedimentation i O i O - ` &Stormwater Runoff Control Measures. --`- --`- , 7, Descri tion of Pollution Prevention Measures#hat w(II be im lamented' _ -- P -- imumEa---------------- _ ' '- ---- -- ------------- I ____ 8, A DescilptioD:.of the Minimum Erosion&Sediment Control Practices to be-Instaited ancUor-- _; ; ,. '--- - -- - m�rterttentedfor q[L(;FnstructionActty thatwlllresuit(nSallDlsturbance. �0'0� i _-_-�-- ----"- `------ _ _9. DescriptiorLof_Constrtfctls&Waste mateIs E^ - ---------_._._ I , , - -- - x ectedtobeStoredgo-Site. r r________________________________ 10. Tem bra ll P----------------------------��i©1 ---------- p . ly&Permanent Soli Stabilization Plan that meets the Current Version of the + r , ---- ---- __ _ New York:SW6 Storm Water Desh7n Manual Technical Standard. i 0 •__- ram, ____._-_..___.._._____-_...1 , 1. General Site Plan andl^.onstructionDrawlntsfbrthePro,act _----_^-__^-V-M-4=r=iOi c- _______________12. Dimenslons matedal Seeolficatlons&tnstallatlon_DetaUsfor Al_Eroslon&Sediment Control Practices. i ; 1 /C - - - 13. Temporary Practices that wIII be Convefted to Permanent control Me ---__---- `-- `` -- - 14. Impiernen�ationS;Ed------a 1 ort_C asures. ---- -_-_,OrCI, T---------------------------------- ---------. n Tem ST l rosl - ----- MalntenanceSchedule toEristire9C-� nuous �- onVolPractice'orBMP,__-�--_^ ID��i��'________________________________________ -' - -_ onti &Effective Operation of Erasion& -'' ' '------------ SedlmentControlPractlares. �Lj�Ql�i --- --_-- - ___--- 16, Names'of Potential Surface Waters of the State of New York and/or MS4 that may be 'ImeactedbyDeveloement '_______ ________il�� r�r___-____________________________--_-- 17._DellnesUonofStormWat - ` - - -*-- - _ProjectConstruotlonSite.erControlP----29[rL8UtAgL11gseons_Ntlesfo_r_Eachpa'rtofthe __�� i 18. All other:Existing-DatathatDescribes - -_ - ~--------------------------------------- - Storm Water Runoff and/or Natural Drain `� ' _19.'Identlfit:allon of A!!Co fre ale Swales_ ,�,� r`-`- -- --- __ -- R ctor(s)%Sub-Cantraoior(S) Responsible.forInstalling,,Constructing,- 1' i j--�.kl►10_!S_ ---- ------------ --------- Ion -- Re alrin ,Re hictn fns ecUri and Maintainiri the Eros &Sediment Control Practices. (O i�i0I Storm Water*Mainagetineht Control Plan-Checklist ' �� C DEC "SWPPP" Preparation : . Chapter 236-19 For Department Use Only: Storm Water Pollution Prevention Plan S.C.T.M.#: Property Address: �)A J M L►41eiaece Review Checklist Checklist # 2 1000 �`'�`'" (Additional items to be included-wlth Checklist#1 when Article IIi is trigered:) otswst s.'aui ero�k i - REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: I , I t Plan Sheet Does.the SWPPP Ade'udtely Provide fot and/or Indicate the Following:) ,YES, NO r N.A.t Explanation for NO or N_A.Must be Approved by SMO (pg.#) I .. L .. I Location 1. Does the Plan in Icate and/or or show all Items Requ red by_"Checklist _ ---------------------------- ' ----------------- ---------___ 2. Does the Plan lndfcate and/or Show a Description of Each.Post-Construction Stormwater Management Practice? 3. Doesthe Slte Plan/Constroction Drawing(s)Indicate and/or Show the Location&Size df ,�I L�i --'`"'-""""•` "- '" " _ Each,Post Constructlon:Stormvvater Management Practice? i 4. Does the SIte,Blan/Construction Drawing(s)Indiese=and/or Show Mydrologio-&Hydraulic Analysts F_o-r Does - -ra thM Parena-Dgeemveelort tmsyeshtte Cm the Slte,?an/Construetlon Drawing(s)ITdtcatsand/or Provide a Comparison omparson leo fS?toorsm3- Devel-o•emnt3tormwater Runoff Conditions wi s? "- -' • - --------- and/or Show All Dimenslons,Materi - l-----------Q---- a -------------- --i i i }--------_�_-__--------------------------._............ 6. Does the:Sito PIah/Constroction Drawing�s)Indicate , , I r - Specifications&Installation Details for Each Post-Construction Stormwater Practice? 7. Doesahe Slte PlanlConstructlon l5rawing(s)Indicate a Maintenance Schedule Provided by , I r -----------•-•---•__.__. ... ... .._ . ._..._... the Cor Ilsdictor(s)to Ensure Continuous&Effective Operation,of Each Post-Construction StormwaterMana$ement Practice? ------------------------------------------ 8. Does atie Slte Plan/Construction Drawing(s)indicate and/or Show Maintenance Easements to Ensure Access to'-All Stormwater Management Practices at the Site for the Purpose of Inspection (� 0 and Repair.?_-- -----------------------------________.__._ ' ' ' ' -- ----- --------- , I I ---------------------------------- Does9. the Site Plan/CoROaon Drawing(s)Indicate and/or Show Inspection and Maintenance -- .--- - Agreemerit(s) that are Blnding'on AU Subsequant Landowners? 10. For All Activities meeting the Threshold in 23e,1 g(B)(1),the SWPPP shall be Prepared&Signed i ,� By a Professional In the Principles and Practice's of.Stormwater i .Management&Treatment Who ,l�10, v i 1 Who Shall Ceril_N thatt he Design Meet the Requirements of ChaPter.236_______________;. ___ ---------------------------------. 1 f. Does the Plan Indicate and/or dentify All Potential Sources of Pollution which may affect the ;= -'`-----" -- --- Quality_oTBtormwaterDlscharnes? ____�_-___-_---_--___ IOI 12. Does the Plan Provide Documentation Supporting the DetennfnaUon of Approval with Regard to Historic Places or Archecloglcal Resources that Includes the Following:____________ --.1 I I r-------------------------------------------- ------- a. Information whether the stormwater discharge or land development activities would have an_effect on.a,property that Is listed or eligible-for listing or eligible for listing on the __ State_orNatlonalReglsterofPilsfgrlcPlaces� __ _ __ __ __ _ _ .___' ' ' __________________ b. The Results of Historic ResourcesS'_cree_nin DetenninaUonsthathavebaen0ond_uctedy iDi�i ~ ------`-"-"-"`-`--`--- """" -- - -- -- - ----- -- - - -- --� r I�lJ�r--------------------------------------------- ------ c. es on O assures Necessary to Avoid or Mlnlrrtlze Adverse Impacts on Places Listed,i 01�,�i or Ellglble for LlstingL,on the State or National Re Ister of Historic Places;and ' ' ' I --------- --- -- ------------- ---s-- ------ --------------i i i i----------------------------------------- - d. Where Adverse Effects May Occur,Any W�Itten Agreements in Place with the NYS Office - -"- of Parks,Recreation and Historic Places(OPRHP)or other Governmental Agency to 0 0 Mitigate Those Effects. ' .__..___.._3�..__------_-_••----.__-----•---_--_-_••--___- -7 I I r'......................................... 13. A Description of the Soll(s)Present at the Slte,Includtng an identification of the , , Hydraullc Solt G"rou ' ' ._-._.-r---------- =-----------------------------------------------J I I L--------------T-------------- 14. Identification of Any Elements of the Design that are not In Conformance with the- I I I ' -------------- - Design manual,Including Reasons for the Deviation or.Alternative Design and a Description of the Egulvalency_wlth_technlcal Standards._ 15. A Hydrologlc,and Hydraulic Malysls.for All,Structural Components of the I I ; -- - --------- ---�"- i Stormwater.Management.Control System. r�'O r r ..--- -------- ----- - -- ---'---•'---------'-------'--------^-"-_'_•-•' I I L._----------------'------------------.. 16. A Detailed Summary;with"Calculations,of the Ming CrlW that was Used to Design r�l41 L '--" ' ' -`"- All Pest-ConriuLcUon StoiowaterMana�arement Practices. T i i __— ��— �...-- —�� T�—r— 1i�— —���— ----------------------- -- _ ---------------------------------- __ 17. An OperatToris and Maintenance Plan that Includes Inspection and Maintenance - " " " " Schedules,and Action to Ensure Continuous and.Effective Operation of Each i O j O j[jA I Post-Constructlon Storm Water mananament Practice. I I r r Storm Water Management Control Plan Checklist#2 � <o Town Hall Annex 41 Telephone(631)765-1802 54375 Main Road y (631)765- 5Q P.O.Box 1179 G roger.richert(w own.soutfl'01 .ny.us Southold,NY 11971-0959Q a0 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: J 13 Company Name: M .7. Elam ic- Name: �A ��► License No.: 2 V Ne Address: 1 Z� �vL/15Y i �a uJ�s P Phone No.: (�31- 54-DyOD. JOBSITE INFORMATION: (*Indicates. required information) *Name: *Address: ills�12C� �o *Cross Street: *Phone No.: Wq-$1 A Permit No.: Tax Map District: 1000 Section: L17 Block: t7' Lot: 2(o. (o *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 11),4R3jti3 Vinyc, SVJiMM19j P)JL (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 ARTHUR EDWARDS POOL & SPA CENTRE 929 ROUTE 25A MILLER PLACE, NY 11764 516-744-7185 FAX-744-0174 APPLICATION FOR A SWIMMING POOL PERMIT: SOUTHOLD TOWN OF SOUTHOLD MAIN ROAD (P.O. BOX 1179) SOUTHOLD, NY 11971 (631) 765-1802 PAPERS ENCLOSED: APPLICATION FOR OUTDOOR POOL PERMIT EROSION SEDIMENTATION &WATER RUN ASSESSMENT FORM CERTIFICATE OF WORKER'S COMPENSATION [� CERTIFICATE OF LIABILITY INSURANCE SUFFOLK COUNTY LICENSE SUFFOLK COUNTY PLUMBER LICENSE SUFFOLK COUNTY ELECTRICIAN LICENSE 4 SETS OF PLANS - (3 STAMPED) 3 SURVEYS APPLICATION FOR ELECTRICAL INSPECTION WITH $100 CHECK APPLICATION FOR CERTIFICATE OF OCCUPANCY [O C.O. 0 TAX BILL yQ $300.00 CHECK FOR PERMIT FEE Young & Young, Land Survayors - 400 Ustrunder Avenue, Riverhead, New York 11901 616-727-2303 b��� I Dam i 10 Alden H. You"#, RE & L.S. (1008-fU94) Noword W. Young, Land Survoyor Oi111 i Thomas C. Wotporl. Professionid N* naer Kenneth F. Abruzzo. Land Surveyor ° John Schnurr. land Surveyor CIO4I1�jnrrfiM� �ynrylRp '�ti # 5 2 t VA 4 tus 5� �� i ~�pKµ•S °�� � Pp 9 lilt o IF sa. �' b � NOTES: 131 L4Q, �.' ►� Q 1. m r. MONUMENT FOUND a Ace° �� P 2. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OFie N X ' �2 ,� Q i SUFFOLK COUNTY ON NOV. 30. 1973 AS FILE NO. 6043. pa6 285 0 +�`" � SURVEY FOR: �s o RICHARD ,B. SMITH & DONNA NM. SMITH in v o 575'5�2 LOT NO. 6, LITTLE NECK PROPERTIES if 0 °k At: EAST CUTCHOGUE Town of: SOUTHOLD ° c� o Suffolk County, New YorkN rr � Yg Suff. Co. Tox Map: I1000 97 7 26.6 t 19 DIsIdd Station mock let CERTIFIED TO: As RICHARD B. SMITH ]�O DONNA M. SM174 `A BRIDGEHAMPTON NATIONAL BANK 0 COMMONWEALTH LAND 11TLE INSURANCE COMPANY (L-237704) Gh� r !x?�( DATE :SEPT. 23. 1997C� (/ SCALE :1"-50' fib' ' JOB NO. :97-0633 SHEET NO. -1 OF 1 "970633.DWG" O o -- — - A B Skimmers Returns B B /Aluminum E �l To Filter From filter Filter& Pump To West TO Returns (Dry Well Optinal) Rolled Wall Foam Plan A Piping Arrangement Wall Section Vinyl Une �#4 Rebor 42"Section B—R L 2"Sand— /,,-3500 P.S.I. Concrete , 'xv Typical Wall Section r, �� Section A—A �r Ain° D4;5��Q SIZE A B C D E F G H AREA CAP. FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. Purchase 12:x30' 12' 30' 8' 12' 6' 4' 4' 4' 360 16,000 ARTHUR EDWARDS POOL&SPA CENTRE Address 16'x36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600 PERMACRETE WALL SYSTEM 18'x36' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,300 929 Route 25A Miller. Place NY 11764 t/ct state 20'x40' 20' 40' 16' 14' 6' 4' 6' 8' 800 30,000 (631) 744-7185 FAX (631) 744-0174 Phone Zbe 24'x44' 24' 44' 18' 14' 8' 4' 6' 10' 798 30,000 Suffolk License #4436—HI coda 24'x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30,000 Nassau License -#HI74450000