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HomeMy WebLinkAbout37815-Z $�yFppL,f. Town of Southold Annex 12/5/2013 o� cps P.O.Box 1179 54375 Main Road i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36641 Date: 12/5/2013 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 800 West Rd, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 110.-5-44 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/14/2013 pursuant to which Building Permit No. 37815 dated 2/15/2013 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 inground swimming pool with fence to code as applied for. The certificate is issued to Hopkins, Conrad&Hopkins,Deborah (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37815 5/28/13 PLUMBERS CERTIFICATION DATED c A Sign ture 'f"-'FFoch, Town of Southold Annex 12/5/2013 P.O.Box 1179 � x 54375 Main Road o Southold,New York 11971 � Sao CERTIFICATE OF OCCUPANCY No: 36642 Date: 12/5/2013 THIS CERTIFIES that the building HOT TUB Location of Property: 800 West Rd, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 110,544 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/14/2013 pursuant to which Building Permit No. 37815 dated 2/15/2013 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 hot tub as applied for. The certificate is issued to Hopkins,Conrad&Hopkins,Deborah (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37815 5/28/13 PLUMBERS CERTIFICATION DATED Aut hoAp Si Vnature FEotFc't�o TOWN OF SOUTHOLD moo BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 37815 Date: 2/15/2013 Permission is hereby granted to: Hopkins, Conrad & Hopkins, Deborah 25 N St James Garden City, NY 11530 To: Construction of an in-ground swimming pool and hot tub as applled for. At premises located at: 800 West Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 110.-5-44 Pursuant to application dated 2/14/2013 and approved by the Building Inspector. To expire on 8/17/2014. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 G Building Inspector Form No.6 y1f TOWN OF SOUTHOLD. `7 r 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 farm). 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 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 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. �'1.143 New Construction: Old or Pre-existing Building: (check one) Location of Property: _ � � koko House No. Street Hamlet Owner or Owners of Property:_ffi o 4634A-tf 1-k)Pr1i\(S Suffolk County Tax Map No 1000, Section I Block Lot Subdivision Filed Map. Lot: Permit No. n 3 71 S .Date of Permit. !�_� J Applicant:_ Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ������ Applicant Signature Town Hall Annex ct1FFOt,�c p ��� Telephone(631) 765-1802 54375 Main Road o Fax (631) 765-9502 rr, x P.O. Box 1179 •w� Southold, NY 11971-0959 AfjQ roger.richertCa)-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Hopkins Address: 800 West Rd City: Cutchogue St: NY Zip: 11935 Building Permit#: 37815 Section: 110 Block: 5 Lot: 44 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 X Addition Survey Attic Garage INVENTORY Service 1 ph Heat gas 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 3 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment: in ground swimming pool and hot tub to include, bonding, 1-pool light, 1-blower 4-GFCI circuit breakers,salt generator,pool cover circuit Notes: Inspector Signature: Date: May 28 2013 Electrical Certificate.xls OF SOUTyolo V 1 a_ a� TOWN OF SOUTHOLD BUILDING DEPT. 1 °1 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [S ELECTRICAL (FINAL) REMARKS: DATE / INSPECTOR Of SOUTyolo cOUNi'1,�`� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ON [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE ANSPECTOR �l� ��pf SOUIyo coUNT'1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �' INSPECTOR FIELD INSPE�ON REPORT DATE COMMENTS FOUNDAnON(1ST) ........... -- -------------- FOUNDATION(2ND) rn ROUGH FRAM[NG& y PLUMING INSUL•ATION PER N.Y. H STATE ENERGY CODE ' i Y 775 Al, I jig ✓'� Lsrl,� _ G C'-e-- FINAL Clo - r 1 L. ' r ADD TIONAL cOOENTS ,' ;t' �f e.2 z rn C 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. ­3 Check Septic Form N.Y.S.D.E.C. Trustees Examined /,20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: a1n spec D ICATION FOR BUILDING PERMIT Date s�o�.DEFT• 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, regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Sign e of applic r name,if a corporation) Az5 �t W/ L7�s� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises 00/1an a a-m 14wr/K's (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 'I`I ao-fa Z Plumbers License No. Electricians License No. X 40- M b Other Trade's License No. 1. Location of land on which roposed ork will be done: y Ko �� ►,� House Number a.. � Hamlets "� '" '` Street County Tax Map No. 1000 Section Block rjg,, Loot' Subdivision Filed Map No. -_U� " ' ` ''Lot.._. . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction;; a. Existing use and occupancy V&\Do Q. b. Intended use and occupancy. Q.QSwn�k &Imm i o, & l rjuc mom' mmt � l�s t� 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work y.�,miKa f¢l 1&- (Description) 4. Estimated Cost 2D OCa7 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 `7 Rear r7,p, Depth 2q Height Number of Stories Dimensions of same structure with alterations or additions: Front to Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 04 x W Rear Depth T/2- S Height Number of Stories 9. Size of lot: Front Rear )01 Depth 75D 1 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 9-40 12. Does proposed construction violate any zoning law, ordinance or regulation: No 13. Will lot be re-graded Will excess fill be removed from premises: YE NO �v�, I- IuufS 14. Names of Owner of premises&Nk-Aon k&-Vh1'-'Address kn lkt eo 'Cjic�gjr-Phone No. (off V3- 0(cor Name of Architect Inns � �ejlv Address & & /Ld &4rtk$3,4JPhone No `72`f-7JTP Name of Contractor'4x t, pp % Address Q20, & 2VA Phone No. -7W--71?(" iM.�I�,stez I l�J 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF NEW YORK) 11�� SS: COUNTY OF&Va IC ) Ably t- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (IaAc tdw� (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 12�'- day of 20!3 I � N tary Public ignature of 4ilicant WFIGARET A. KIDNEY Ndtery Public Stat"f New York No. 0 I K 160?11 11 Qualified in Suffolk County MY Commission Expires March 8, ID Town of Southold - Chapter 236 - Stormwater Management r �,� SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT NAME: Owner-Agent-Consultant-Contractor or Other(Circle One) Property OWNER-(It Different than Applicant) j LInIS Address: 1psj �..l.r 1CAWQ1/� Address: i Telephone#: O�_ Fax fl: Telephone Fax t E-Mail: OJJ E-Mail t Property Address: Brief Description of Construction Activity,Proposed Structural Bh ft Soil s C.T.M.k. 1.001) 1 I® 5 Stabalization BNA Project Scope and/or Sequence of Construction Activity Dbhkt section Bioek tat /N1 � (Provide AdMonal Pages as Needed) � N e of Contractor and/or Contact Persort Responsible for Implementation of SWPPP: -- C) dW CW xW I of kWND I r yu ror�aioS POOLS --- i L - ---- - -------- A --_ _ ddress: awl Qt �A e,2 ------ .�^/11 lj�V1t �JL__ M r �------ --------- A Teleph Fax q E-mail: Qr'f,q 6)P` J3l5..C11M ------ - I Name of Persons Responsible for In __stallallon A Meintenance of Erosion Control Practice: ----- ------- - ---- cw�sti»��_. Address: -------------------------------------------- Telephone ti. Fax# i ------------ E-Mail: =--- ' --------------------------------------------- Total Area of All ?r1 sld --___---_ ,-_-------_--------__ U 1 Total Area of Land gearing ((���r4 --------------- Project Parcels: and/or Ground Disturbance: I`51 1 s) --.---_------_------— (S.F./Audi) [Any ct Duration: Slart End -_-----„•- _-----_-- ipated) 3� Dafe: ] Dates 1 )� """""^""'-'^--�.- _.,_�• _ v 1 ) 1 ___-------`------- (N—ber�Dap) __—__— _- F • —...--------------------------- ` t this Project Disturbe five(5)or More Acres at ----------- One Time During the Proposed Development? Yes o -�----•------------------------------ r YES*Please AnSwertheFollowingl _------------_-------------------------------- ' Does the Applicant have a Qualified Inspector OnStaff To Conduct the Required Inspections? Yeess N]Does the SWPPP Indicate How Frequently the Site List the NAMES or description ofall Potentially Impacted Waterbodfes and/orWetlands: Inspections will Occur and for What Period of Time? Yes No Does-the SWPPP Adequately Identify All Temporary [� ------------ -'-------------------------- and/or Permanent Soil Stabalization Measures? Yes No "`- --------------------= d. Does the SWPPP Adequately Identify a Complete [� --- -------------•-------- -_.___ ______ __ Project Phasing Plan? Yes No Status or Impacted Wa)erbod e. Does the SWPPP Indicate Additional Site Specific [=] := v leg:TMOL 3o3(a)useea,Impaired...) t Practices that Will be Utilized to Protect Water Quality? Yes No i I • f. Has the Applicant Submitted a Completed DEC Notice � ---`--`--'-`---`-`--'---------�--------•---•------- �� LJ Type of Impacted Waterbody:leg.Lake,Creek,Bay,Pond,Sound,Freshwater Wetland_) Of Intent and SWPPP Acceptance Form for Review by the Town of Southold? Yes No i S'1 ATF,OF NEW YORK, COUNTY OF......1t a ....... .........SS ... - wm+as7�iat IAxLti��.. .........being duly sworn,deposes and says that he/she is the applicant for Pemrit, i ...............(Naive of individual st9nfn9 Doairnent)• ... And that he/she is the � I .................................. ........................................ .............................................................. (owner,Contractor.Agent.Corporate Officer,etm).. Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to I 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 rformed in the manner set forth in the application filed herewith. I Sworn to before me this; !!! 0— ��-- ...............................................day of....1.'L� IZ y 20.13 Notary Pubic_ ..........L,¢Q -...L ................... .......... (Signature of ri nt) SWPPP Assessment FORM: 03-1 . Notary Public-State-of New York No. 01 K16021111 -Qualified in Suffolk C u'nty.- My Commission Expires March 8i 20_ For Department Use Only; T.O.S. "SV61PPP" preparation - Chapter 236 Storm Water S.C.T.M.#: Pollution Prevention Plan PropertyAadreas: Review Checklist_ Checklist #11' lobo CIO ,� 14q Q D of Swtlon stook � 6 REQUIIRED PLAN INFO ATION AND IMPLEMENTATION DETAILS: (Does the SWPPP Adequately Provide for and/or trtdicatb the FolloWing:) ;YES,' NO i N.A EXpianatibn for NCO or N�q, Plan Sheet 1. Gra nape_ a cu a ons& ormwater BMPs Desi ne to contain a wo Inch Raln all On-Site. 2. Construction Phasing_Plan Indicatln� -------------=--•-______. uence of Pro osed Construction Activities. Location(pg.#/) I 3. GeneralLooaUonMa' •----___ --•P---------------------------_____----------•--- 'Dili -------------------------__ _._.. 4, Dralanpe Site Plan Drawn to Scale at S 80' feet to the Inch or lar er Indtcatin the Followin r - a. Lot Uon` L_1_------------�------g----- �M�L '- ---------- ar►o D_e§grlpUon of Property Boundaries ---9-_ 0�©� --- --------------- b SJteAcreage` - -__a--=------- ---------- - --- --- _ c AIIExIsting,Na _ - ---- ---------------------- ---------------- ---- --- �QL- -_ _ total and/or_Man Made Features on and within 50 of the Property Bounda t I: I "' w� - __ _ d Test Hole Oata Indicatin _Sol)Charaatgrlstics,&_Depth to Seasonal Huh Water Table•,ry ©''�' - - - ' e. GontoursIndlcaUri Pro e - - - ---- p r-.ElevatlonsjMln 2'); - _ ---------- _i. Spot Grade&t:Inlsh Flooc Elevatlolls;for Existing and Proposed Structures; --i -'- _-'-----_-_-_'_-_-_-__-_-_-_-_- ---_-- - --- -- g• Loea((on o WoodedAreas h &lsolatedfrees wTUi a Mln1 7n 1rR&sron of 181'Diameter; 867I onserva tlon_UTsfrtefSolrsunrey. --------------- --- ---__.._ ._ .. . - 5. Background;lnformatlon•about the Scope of the Protect,Logtion Description of the Site, Proposed Changes to the Slte and AIJ EXistin D@vel0 ment tin the site Includln the Following at AUJo�gcQyaroad4llttcludln9?ot�lEkeasiLand�l�hlrhanco TstalB1Sa9rgs---____. - b. All Excavation,Filling,Stripping&Grading Proposed and Identified-as to depth,Volume - �i�i��"- -- - `_& N$tt:4 f tu)_aterials lnvoived• - -------- c. All _2iy ulrin ----- ------------------------------- ' ' __ __Qq- „gClearin and/orGtvbbin _ ----- --- ' _________ ______ d• All Areas:;:Where Topsoil is to b9 Removed,Stockpiled and where Topaoll will ultimately I �'' ---------------------- All -- _--�� !� _..._.__ SPlacedi--- ��� ----------------- - . _ ----------------------------- I -- ......... _ e. Tent bra &Permanent Ve etaUon to be Placed on Slte; -- - _-- -p- ------- --------- ----------- AN f. Tdm die &PermanentStonn --"'---- --- ---- -------I I -- -__ Q__, Water Runoff BhAP Control Meas [es Pro osed r - _._._�,_ TheAhtldeatedFattemofStitfa-------r--------------4_ _ � �--------------------------------------- - _oe Dralrnage DurinPe[lods of Peak Runoff P`-``--' -� i f ThelocaUorio>a11F os�s,Drlvewayis,Sidewalks,Pats-os,Structures,Utilities Bother -`I=I r--------------------------------------_ -__....... ---------- ---- I . --------------------- M1 Improvements;fn' aGg emporary Access& ns$tictlon Staging Areas';-"'- - ;O,p [ Jr' T-The�xlsffng - )na�lronfoursanaorSpot e'vetTonsottfieslfe-----re ------_-._.__ ---------=-------------------------------M1 - ------ ------ "' '0'��-------------------=------- A Schedule of the S®quince for the Installation of All Pianned Soll Erasion,Sedimentation &Stormwater Rungff Control Measures, ....___---_---------------- ----------------------_ iDi�l ' --- ------ - - 7. Descriptlori_of Pollution Prevention Measures that will be Implerrmertte_d. -----"'-- •- ' ---- ^-^ I ------- 8. ADescrl UonoftheMinimumErosion&SedimentControlPracUcestobelnstalledand%r--'^i�I - j— p. ... .- ' Im�lem_ented for Each Construction bA that wlll result in Soll Disturbance. - 9. Descrf Uo of Con ------------ ------------------------=- _ - - P_rl_____strttcUJt&Waste materials ftop2led_to be Stared On-Site. _ I _ I I 10. Temp'ovary,&PermanBntSol1St'ablllzatlon Plan that meetstheCtirrentVerslonofthe _"-"i�i©; r---------_________________________ -- L------------- _New.York.:State,Storrn Water Desl n Manual Te_chnlcal Standard. - 11. Genital_SitePlariandConstructlonDrawlri Ti „cLsfor--- Jett_ _ __ _ 12._Dlmenslons Matedal S ee Qcattons&tnstallatlon Datalls for Al Erosion&Sedirnent Control Practices-� I �I 143. TernEoraryPratticest_�FretwtllbeCorwer'tedt ---ntcantrol a -- ----------- ICIIDI ,r T----- -----_ __...._ p�ementaUon:Sch oPermane Measures.' _i ILA.j ____-`--_-_ 1 . Im I eduleforSta In Te- ________r01G7; r---------------------- -- .. _-- 9_@___�raryErosionControlPractl- - ---- --- - --------------------------- --- 15. Maintenance Schedule tg Ensure Continuous&Effective operation of Erasion& ---1�' I f"a -`_ - ------ I -------------------------------------- Sediment Control Pracams. 16. Names of Pote3iittal Surface Waters of the State of New York and/or MS4 that maybe Imeactedb_yDeveloement ------� i ,�r-------------------------------------- 17._Dellneatlon of:Stohn.WaterControl Plan Im I _ _ -'-' - - _ProjectClonstruoUonSlte, eementtgrQFjseonsl6iltUesforEachpartofthe _ I I i i'------------ ______________ l 18. All other -- __ ___-i�'C7'lr------------------------------ --------.. .-_---- r F�clsUng Data that Desbrlbe_s Storm Waterl�unoff and/or Natural Dr-- a ----. - ' I - -- ------ r _ 19. 1denUUcaUonof411..CogtMctor(s)/Sufi-ComragfoM Responslble.fotlnstallin --�+14-�- ____--- _�--_- - ---- ---- - Re alrin ;Re Iscln '!ns ecUn and Matntalnln the Erosion&Sediment Contro Pra••ctices9 i 0 i�i 0� ,[--' / - -- '-'--~St oyrm Water'Maagerrne>ht Control Plae•Checklist#7 ' -^ �. DEC "SWPPP" Preparation : .Chapter 23.6-19 For Department Use Only: Storm Water Pollution Prevention Plan S.C.T.M.M PropettyAddress: �30 Review Checklist Checklist # 2 1000 ' (Additional Items to be included'with Checklist 41 when Article III is trtgered.) 07tfld $'°u°e Boor REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: r i r r Plan Sheet Does the SWPPP Ade'u4tel Provide for and/or.Indicate the Following:) ,YES, NO ,N.A.)Explanation for NO or!LA.Must be Approved by SMO y 9 � .. 1 .. r Location(pg.#) 1. Does the Plan Inclicateandlor show all Items Requ re' y_'Chocktist__1"_n this Packet? _ _ r r 2. boos the Plan indicate and/or Show a Description of Each Post-Construction Martadement Practice? i l�i L`�i i. 3. Does'ahe Slte'Plan/Constructlon Drawings)Indicate and/or Show the Location&Size of 1 1 Each Post Constructlon:Stonnwater Managament_Practice? !_1 4. Does the Site;Flan/Construction grawing(s)Indicate.and/or Show Hydrologic&Hydraulic Analysis;= _ For All$fracture/Components of,ft Stormwater Mana�emerMSystem for Applicable Storms? r -- ------- ---- ------ , , r ----------------------^----------__ 5. Does the SitePlan/Construction Drawings)indicate and/or Provide a Gomparlson of?ost- �- DevelopMent_Stormwater Runoff Conditlons with Pre-Development Conditlons? 6. Does°theSito Plan/Construction Drawingss)7 indicate and/or Show All Dfinenslans,Material Specifleatlons&Installation Details for Each Post-Cof7structlon Stormwater Practice? 7, Does the Site PIan/Cortstruction Drawing(s)Indicate a Maintenance Schedule Provided by the'Constractor(s)to Ensure Continuous&Effective Operation of Each Post-Construction ;�;[�; Stormwater Management Practice? 8. Does, he Site:Plan]Constructlon Drewing(s)Indicate and/or Show Maintenance Easements to Ensure Access to-All Stotmwater Management Practices at the Site for the Purpose of Inspection 0 and Repair?___ , , --___-^- _.. ----------------------------------------------'--_-, 1 1 r----------------------------- 9. Does the Site PIan/Constnrotion Drawing(s)Indicate and/or Show Inspection and Maintenance - Agreemant(s) that are Binding-on All Subsequent Landowners? 0 0 t I r _____--_------------------------------- -------9____-eWrW------.J O1�1 '------ 10. For All Activities meeting the Threshold In 236,19(B)(1),the SWPPP shall be Prepared&Signed � � `- By a Professional in the Principles and Practices of.StormwataY Marta emeht&Treatment Who 1 Who Shall Certly thatt he Dasign_Meab the Regulremenls of Chaptar236___ __-_______- -- ---------- 1 1 , r-------------------------------------11. Does the Plan Indicate and/or Identify All Potential Sources of Pollution which may affect the 1 , r r ---_'- -_- "--- QualltyofStormwaterDischarnes? _____-----------------------a���i 1 ___ ------- ------ --------------------------- 12. Does the Plan Provide Documentation Supporting the Determination of Approval with Regard i r 1 --' --- --_to Historic Places or Archeoloolcal Resources that Includes the FollowlM..........__ 1 l�r 01 r --i 1 1 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_or National Register of Whkrlc Places __ b_ ThaResultsofHlstorlcResourcesScrsenin1Deteryn1 gUo-nsth_athavebee_nConductedi iDiDi r~`__________-______________`"--- ----' -- --______ c. Description of Measures Necessary to Avoid or Minimize Adverse Impacts on Places Listed, /l�1 i.—,4I ------------------�-- --- or Eli,9lble for Ustin,Ec on the State or National Realster of Historic Places;and _ ;. i ✓ i__________ --------- ----� ------ d. ' _-_--- =_ Where Adverse Effects May Occtir,Any Wrltteri Agreements In Place with the NYS Ofrice ' '' ' of Parks,Recreation and Historic Places(OPRHP)or otherGovemmehtal Agency to Mltl ate Those Effects. 13. A Description of the Soll(s)Present at the Site,Including an Identification of the , , , , -- "-"- H draullcSollG•rou . ____________ - '----�-------- Any iamWnW-------------------------•_-"----------__-.-J 1 r L--------- .14. Identltication of Any Elements of the Design that are not In Conformahce with the ---`_--"'"`-__"` Design manual,Including Reasons for the Deviation or.Alternative Design and a Description of the Egulvalenc- wIttt_terhntcal Standards._ i i i i -------- ---------------------------------. 1 .. ------------------------ 15. A Hydrologic and Hydraulic Analysis for All Structural Components of the , r 1 r ------^-----'-'-' - StormwaterNlanagement_Control System____________ '�'�' ' •-------- ---- " - ----'------------"_.___a , , '----------------------------- 16. A Detailed,Summary,with'Calculations,of the Slzing Crlterlathatwas Usad to Design 41�r '------ --"------ ---AIIPost-ConstructionStortnwatar_ManegementPractices------------------ -ry i i i -.- id --§L r__ _ ---^- 1- .r r i7. An Opats-- and Maintenance Pli nYhaf Includes Inspection and Maintenance -'"'-------- I 1 Schedules,and Action to Enstrre.Contlntious and Effective Operatlon of Each l� 'Post Construction Storm Water management Practice. Storm Water Matnagenvdint Control Plan Cheakllst#2: 03-12 00 C� Hof soar � _V o� �o � Town Hall Annex J Telephone(631)765-1802 54375 Main Road (631)765-g5 P.O.Box 1179 , 0 roger.dchertt�tOwn.southoldaagg .nM.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: ei) &PF License. No.: 2 rf1 �e Address: )Z� 17i1cASx Ra ����5 P Phone No.: 1o31- 5�1y-dyl�D JOBSITE INFORMATION: (*Indicates. required information) *Name:. (.�rilf A �l 1 �In15 *Address: ISMolu fa" *Cross-Street: ) xoe4 Ave- *Phone No.: Permit No.: Tax Map District: 1000 Section: Stock: Lot: _ *BRIEF DESCRIPTION OF WORK(Please Print Clearly) �P-0 fay"s3 (Please Circle All That Apply) *Is.job ready for inspection: YE / NO Rough In Final *Do you need a Temp Certificate: YES O 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 �sn J% 10 T OF S®UTH®L® PROPERTY RECORD CAR®�. a OWNER STREET �'fi"'-� VILLAGE DIST. SUB. LOT Co n rad Debom FORMER O NER N '', E / ACR. <J'a Ica (r�<� s Vtit/er "�IC�IaC�/ ��. d �1✓. A 2 :5c-c 4 S A j 4 U-C, S W TYPE OF BUILDING VvG'17" �dd � � 1-t �YU►�Cc RES..; SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE. REMARKS ' 'Or O062.� rsc}- Ufa d. ,�rlS�rSCd ' 4-d�l, i so o so o 0100 z 0 7 a P �>2(oq dunt, m aa� 0�f:S00 0 0 !i'S�CC� �� O ��5S wet I. C9 b 3 31 - a e #32-755 it c�IDG—Lia�Pr���7 iv-, L.L- 4Dpis AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowl.and DEPTH HousejPP ott 9}HtHfA-B• Tota I DOCK • . ■NONE EEEEEEEEEEEEEEEEEEEE■ ti,�.� : OEONE ONE M■ c 7 MEMOw h I P J,,,,+ti l41 WA r3fj ■■■■ MEN MOEN SON No MEN MOEN mom .MEMO No ON ME NNE EMMWAM mom EEMEMMI®9JMMMO■OEME■OEOEEMO MINIM mom son mom MMM MM MMMMMMM�O�4�M.IEMEM MMM®'o®r�1EME�/I�� EME�MMc� • 111 k ■��� `° ° ■EEO ME ■iMEMEONE y EEo� EE�EEEEE�EEEEmom �iEMEMEEM .'- ON :.. ■ IMEEEMEE�I�IEMMM�MEME�mom EMM■ S. ■MMMEEEEWHIM EEEEMEMEMEEEMEN ■■E�EEEM�EEEEEMEEMEEM Now EEEEEMMEEE■ r ' Interior Finish Ext. Walls EEE ® DormerA sr - 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 j] 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 C�J C.O. [ TAX BILL �(`J $300.00 CHECK FOR PERMIT FEE A B Skimmers Returns B Aluminum / To Filter From Filte Filter&Pump To Waste./ Returns (Dry Well Optinal) Rolled Wall Foe Plan A Piping Arrangement 1 Wall Section ■L Vinyl Una G �#4 Reber 42" Section B—B z.San 3500 P.S.I.Concrete _ 10" ?. Section A—A Typical Wall Section ` Sri SIZE A B C D E F G H AREA CAP. FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. Purahnse 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 18'x36' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,300 PERMACRETE WALL SYSTEM city it Smote 929 Route 25A Miller. Place NY 11764 20'x4o' 20' 40' 16' 14' 6' 4' 6' 8' 800 30,000 (631) 744-7185 ' FAX (631) 744-0174 phone Zip code 24'x44' 24' 44' 18' 14' 8' 4' 6' 10' 798 30,000 Suffolk License #4436—HI 9x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30,000 Nassau License .#HI74450000 BY SPECIFICATIONS s PLAN SCALE: 1/Z'=1'-0' •W'L X W'W X 34' DEEP •WATER VOLUME - 4001 GAL ' - •SEATS S ADULTS •SOFA CONTOUR : ®w�OPAIE 41/4' DEEP 'LOUNGE-CONTOUR RECESSED •SLIP RESISTANT STEPS t BOTTOM SPILLWAY •SHIP HEIGHT 420 LBS.t W/_CRATE Q Co r �J_ - 4--ICI LUCITE XL —► CORO FOAM - ,iZS ACRYLIC an N w F00711ELL _ NG OR EQUAL ' RI=INFORG STRESS POINTS.inj 3k Cl lu EXTERIOR- _ 1/4' NOM.THK 0 STEP Z . - = FIBERCsLASS = 1=18ERCsLASS COATING 30/10 GLASS U TO RESIN MIX �'. STEP I OR EQUAL TYR WALL. SECTION Top STEP _SKIMMER NOT TO SCALE FACE '1 114' ® I ACRYLIC CONTROL) J FINISH 3/4' �E OF 10' 10' one 5�P - T? = AS NOTED rh -a j� �^ 3/4 SECTION — AA SCALE: 1l2'=I'-0' �A 0. 04>595 c� ® C J =. ! ACRII.IC �OFESSIONI . _ ow�wu+oNLUM'- a - FNISH SECTION — BB rJ5 \ S1PV MODEL N O. —5�5 SCALE: SITUATE: OUTGHOGUE APPROVED �S �4���D TO1NN: SOUTHOLD ! N SUFFOLK COUNTY, NY DATE: J� �B.P.# � SURVEYED: OCTOBER 25, 200(o F FOUNDATION LOCATION MARCH 28, 200-1 NOT FY BUILDINQ DEPARTMENT ATIle SUFFOLK COUNTY TAX # 765-1802 8AM TO 4_PM FOR THE -� 1000 - 110 - 5 - 44 FOLLOWING INSPECTIONS: _ 1. FOUNDATION - TWO REQIIIRE[7 CERTEFMDTO: S0O FOR POURED CONCRETE r g OF 2. ROUGH - FRAP�AING & PLUMBING 3. INSULATION. GG��.�� -\�•• • ,,,��+J 4. FINAL - COP�S1"RJCTIUN PJfUST �0?R �, ` �D�stigP�N\NGS�P�Z ALB CONOSTRUCTIONMPLETE O 'SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW • YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. of�°GPyy�ay OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE 15 OF OCCUPANCY pjqgprzcTmm,\4 au IMMEDIATELY" ti' o o ENCLOSE POOL TO=CODE, 9^3� UPON COMPLETION 9� y BEFORE VATER" Di a5l �j Q Tr► 9 ti S �yl- • O�, V'r � b N Q� • gl 5p.� \(00 0� NOTES: a MONUMENT FOUND AREA = 31,518 S.F. OR 0.8613 ACRES t tl-M—tlon oa.ntla tl *v Xtl..York Stole Ee•r tlan Lm..• EXI5TIN6 HOUSE TO BE REMOVED ^Y mo-ketl..IN a tlMtUrtll of FM IoiG eweyotb .raptly eeol ernn be tltleeletlrea to ae valid We PROPERTY ZONE R-40 new com olrro il�ior•tawtly,�p�a PROPOSED HOUSE FOOTPRINT 2,300 S.F. OR 6.1% COVERAGE old St 'k fmi�°a'tl°��P oreefla al toad 5wsyde,SOb cu'tilkotlom Mall nl aigg W ule person rc'.alael tro ervey h P'4+�'tltl. aw a hle FLOOD ZONE X �Wh° ten oo1 the trtNl.go d !rtl �sw ta mt .gM ocro—vearu oddItlaai fn ,r k,eervel— ELEVATIONS REFERENCE SUFFOLK COUNTY TOPO MAPS JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE I"= 40' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.\\Compagserver\pros\06\06-246 for stakingpro