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HomeMy WebLinkAbout38732-Z 'zrTZS:G OgUFfUI oG Town of Southold 7/28/2019 AQ y� P.O.Box 1179 y 53095 Main Rd Southold New York 11971 oy CERTIFICATE OF OCCUPANCY No: 40559 Date: _7/28/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 250 Wendy Dr, Laurel SCTM#: 473889 Sec/Block/Lot: 128.-5-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/11/2014 pursuant to which Building Permit No. 38732 dated 3/25/2014 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 Moncrief,Katherine&McKay,Matthew of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38732 PLUMBERS CERTIFICATION DATED 6/ 014 A rize i ature o�offoct TOWN OF SOUTHOLD �� Gy BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT-MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 38732 Date: 3/25/2014 Permission is hereby granted to: Gorecki, Maria & Black, Michael Joseph 246 Withers St Brooklyn, NY 11211 To: construct an accessory In-Ground Swimming Pool in the required rear yard. Fencing to be designed to meet NYS Code. At premises located at: 250 Wendy Dr, Laurel SCTM # 473889 Sec/Block/Lot# 128.-5-2 Pursuant to application dated 3/11/2014 and approved by the Building Inspector. To expire on 9/24/2015. 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 1 �' °i' ;-`;�• �% ; TOWN HALL 765-1802 `✓ I_.rjJj APPLICATION FOR CERTIFICATE OF OC 'ICPANdi�L 2 6 2019 This application must be filled in by typewriter or ink and submitted to the Building De ,_ejaltefollowing: 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: 256 Ve-i f� 97 t ` House No. T Street Hamlet Owner or Owners of Property C � (4 C-1(CP_ Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: F(chec Fee Submitted: $ \ V App ica Si atur pF SOUTH®lo Town Hall Annex Telephone(631)765-1802 54375 Main Road- CA �r Fax(631)765-9502 P.O.Box 1179 G �Q roper.riche rtCa)town.southoId.ny.us Southold,NY 11971-0959 ;IC®�yc®U® N'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: McKay Address: 250 Wendy Dr City: Laurel St: NY Zip: 11948 Budding Permit#: 38732 Section: 128 Block: 5 Lot: 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Cain-Borra Electric License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat gas Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 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 2 Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches El Twist Lock Exit Fixtures TVSS Other equipment: in ground swimming pool to include, bonding, 1-control panel, 1-GFCI circuit break 2-pool lights Notes: Inspector Signature: a ' ~ Date: June 16 2014 81-Cert Electrical Compliance Form As rsf s 0 i!S- NVI TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION IST ROUGH PLUMBING FOUNDATION 2ND INSULATION FRAMING / STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: D ATE INSPECTO rjv soti, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION IST ROUGH PLUMBING FOUNDATION 2ND 1"' ULATION FRAMING / STRAPPING [PI'FINAL lq�,DL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTMT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) CODE VIOLATION ] CAULKING REMARKS: & 45;vcc DATE — INSPECTOR—A l • � �O��OF SO(/ryOlo TOWN OF SOUTHOLD BUILDING DEPT. - 765-1802 INSPECTION, [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IAF [ ] FRAMING / STRAPPING [ ` [ ] FIREPLACE & CHIMNEY [ ] INSPECTION FIRE RESISTANT CONSTRUCTION [ ] ANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE - 7/di�� INSPECTOR PLUMING �I IMUL ATIONSTATE ENERGY - CbDF, � e WK ri y rr w rr TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3" Z3,2, Check Septic Form N.Y.S.D.E.C. E(� Trustees Flood Permit Examined 3 �,20__L� Storm-Water Assessment Form 1 MAR 1 ontact: 1 Approved 3 ��20 201 Mail to: Disapproved a/c BLDG DEPT TOWN OF SOUTHOLD Phone: :!51(0 Expiration y20 yKa ml " Building Inspector APPLICATION FOR BUILDING PERMIT Date cl -`7`' , 20 !V INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations,for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code, housing code anregulaticln and to admit authorized inspectors on premises and building n for necessary inspections. CaWc., ' t co ENCLOSE I_ o c®®E �= t �'y k��"�'= ' u �- (Signature of applicant or name,if a corporation) : _:�:: T PON C:;Ii:FLETIORA Y sP ,g` a �' "° +t f _ BEFont"VJr�TER V ` a �' �_ _ _ °,; �' (Mailing address f applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, el lumber or builder AS NOTED Name of owner of premises �/ ic�� ,�t��/r"�% lr _Rv (As on the tax roll or latest de IFY BUILDING DEP If ap icant is a c•rp ration, si nat 2of duly authorized officer 765-1802 8 NO TO 4 PV Fr, F. !_LOWV,1rG N6PEL �,� 1. FOUNDATION- TVX) (Name and title of corporate office ) rz_ -' E' �� FOR FOU 1.,.r .'r, CFE I;nc mT RED CONCF, - �__ 2 ROUGH FRAMING,PLI_ , Builders License No. STRAPPING, ELEC T RICr, K;NC 3 INSULATION Plumbers License No. 4 FINAL-CONSTRUCTION F E'_E-,"ICAL Electricians License No. MUST BE COMPLETE FOR C 0 Other Trade's License No. ALL CONSTRUCTION SHALL MEET TN;_ REQUIREMENTS OF THE COD'S (_,"N EIN 1. Location of land on which. roposed work will be done: YORK STATE NOT RESPONSIBLE F R 6J.rt� G�i"� /4/-V. 6ESIGN OR CONSTRUCTION ERRORS House Number Street fHamlet County Tax Map No. 1000 Section 12 Block '5- RETrAN STI PAR WATER RUNOFF Subdivision Filed Map No. 4TZ6 -T-URSRMT TO CHARTER 236 OF THE TOWN CODE. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 'a. Existing use and occupancy b. Intended use and occupancy5/�,�y 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal I Demolition Other Work ,,;a'? (D sc ption) 4. Estimated_ Cost _�� ��j, • 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. �lq 7. Dimensions of existing structures, if any: Front ��• Rear �� Z Depth • Height- Number of Stories f / Dimensions of same structure with alterations or additions: Front /��' Rear �d 2 Depth Height 1AIlIq Number of Stories l 8. Dimensions of entire new construction: Fronts Rear / Depth Height /V Number of Stories t� 9. Size of lot: Front i J Rear -� Z 7 ' Depth 577 -510 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO ill excess fill be removed from premise9 YES_IZNO 14.Names of Owner of pro �/r� <3��1y� �/�ti� Phone No. �I�7'�� 3 w f9S5� Name of Architect Phone No S/E- a- Name of Contracto ,4C eE ' LOW". .,f,�IC e Addressc4ll) 4�Qlll� /,V�Phone No. 31&''Al - 3 / /Y-Y. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE R,�QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) CO TY OF/✓a�`J SS: f Ul) ,, 4, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing,contract)above named, 1) / A (SO is the I�C.S �cif C'►r A (�C- C_c+� C� tCO 1 � ) e!!c9 A!gent, 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 d 20 /(, / one otaryPublic "MyPtMe'StateofNOW YQ% Signature of Applicant NOAIYA8 iSii Qual'dted In Nassau Scott A. Russell ,��°su `�16 James A. Richter, R.A. SUPERVISOR 0 Michael M. Collins, P.E. SOUTHOLD TOWN HALL-P.O.Box 1179 (� 53095 Main Road-SOUTHOLD,NEW YORK 11971 Telephone#: (631)-765-1560 �� r Fax#: (631)-765-9015 MICHAEL.COLLINSOTOWN.SOUTHOLD.NY.US �'� JAMIE.RICHTER@TOWN.SOUTHOLD.NY.US Office of the Engineer Town of Southold STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET ( TO BE COMPLETED BY THE APPLICANT ) PLEASE NOTE.All Contact&Project Information Requested by this FORM is Nessary for a Complete Application. APPLICANT- (Property Owner,Design Professional,Agen,Contractor ther) PROPERTY OWNER (If Different from Applicant) NAME: _/_',_V(—NAME: "y �j�1y/��/�-i�,�.�'GvG �L�r/��f�� : ADDRESS. oZllU li.�r'///` ?rtiiy/1*5-a-iy ADDRESS- Telephone Number. S�ll� - �— // Telephone Number. Completed Applications can be picked up at the Engineering Department after being notified by the Department, or; it can be Mailed to the Applicant with the submission of a Self Addressed 8 5"x 11"Envelope&Appropriate Postage. DATE: Property Address / Location of Construction Work: S C T M *: 1000 /zf 5'- Z X4 //90'925r District Section Block Lot Required Documents for Stormwater Review: Copy of Complete Building Permit Application. Stormwater Management Control Plan. (2 Sets) Note: SMCP's are required whenever Grading or Excavations exceed 5,000 S.F,when New Impervious Surfaces are created,and/or when existing Roof Systems,Driveways, Patios or other Impervious Surfaces are Re-Surfaced. De Minimis Projects will NOT be Subject to the Submission of a SMCP During the Stormwater Review! Note: These Projects would be Limited to Interior Renovations,Replacement of exterior Doors&Windows,Deck Construction with Loose Fit Decking, Installation and/or Modification of Mechanical Systems or other similar Work. A Complete Description of the Scope of Work Proposed under the Building Permit Application. A Completed Sto at r Review ecklist. If No or NA are Indicated, Justification is Required. *** FOR G G DEPARTMENT USE ONLY **** v Reviewed By: Date: J r r Ap roved. A di nal Information Required: ®SUFFQ� CHAPTER 236 ST®RMWATER MANAGEMENT CONTROL PLAN CHECK LIST `n DATE: OZ— APPLICANT (Property Owner,Design Professional,,gent(Contractor Othei)®s � S C T M # 1000: 1y3 Telephone Number. Distract -Section Block Lot S M C P -Plan Requirements: The applicant must provide a Complete Explanation and/or validation of all Information Required by this Checklist if it has not been provided 1. A Site Plan drawn to scale Not Less that 60'to the inch MUST If You answered No or NA to any Item,Please Provide Justification Here] YES NO NA you If ou need additional room for explanations, Please Provide additional Pa show all of the following items: A p a. Location &Description of Property Boundaries V' b Total Site Acreage. c. Existing-Natural &Man Made Features within 500 EF of the Site Boundary as required by §236-17(C)(2) ®'VWD &_9rf' + /tWIG SOSL. o d. Test Hole Data Indicating Soil Chai acteristics&Depth to Ground Watei j* -tb 6ROUA10 WA e. Limits of Clearing&Area of Proposed Land Disturbance. 0 UU�F .S' �✓ ,� ��}� f. Existing&Proposed Contours of the Site (Minimum 2'Intervals) 00® g Location of all existing&proposed structures, roads, driveways,sidewalks, drainage improvements& utilities. h. Spot Grades&Finish Floor Elevations for all existing& ��� /6 Y/ /1%", 1% GrJel proposed structures. I Location of proposed Swimming Pool and discharge ring 1. Location of proposed Soil Stockpile Area(s). k Location of proposed Construction Entrance/Staging Aiea(s) 6Zue '^ 1. Location of proposed concrete washout area(s) M. Location of all proposed erosion&sediment control measures 2 Stormwater Management Control Plan must include Calculations showing that the btormwater improvements are sized to capture,store,and int filtrate _1465 aazl- Gal on-site the run-off from all impervious surfaces generated by a two(2)inch rainfall/storm event 3. Details&Sectional Drawings for stormwater practices are required for approval Items requiring details shall include but not be limited to. a. Erosion&Sediment Controls. b. Construction Entrance&Site Access. c. Inlet Drainage Structures (eg catch basins,trench drains,etc) 0DfSI d Leaching Structures (e g infiltration banns,swaleb,etc) FORM # SWCP Check List-TOS JAN 2014 i i 1 of sQ�ry or a ' Tour Hall Annex > f Telephone(631)765-1802 --643-75-Main Road ,ax(631)765-gg5i P.O.Box 1179 G @ r0 er.dchert town.soutlloQt .n us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY- f � Date: Company Name: Name: Dnpi�� i License No.: Address: p ✓V>�h v� i :� v�// Phone No.: p 5'1 -93�-:3 l8 - , ;L2, 02.2,Y-Z d JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: -4 5D •— *Cross Street: *Phone No.: `7- 70 .3- 9�jP Permit No.: 3 ,? Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) f (Please Circle All That Apply) j Is job ready for inspection: YES NO Rough in *Do you need a Temp Certificate: YES Temp Information(It needed) - `Service Size: 1 Phase 3Phase 100 150 200 300 350 0 Just herr 214 *New Service: Re-connect Underground Number of Meters Change of Se ice DEPT. Additional Information: PAYMENT DUE WITH APPLICA ON , �� 1 F OUTHOLD .82-Request for Iraspecrlott Form b 1� i MICHAEL ANGELONE, P.E. LLC ENGINEERING SERVICES 4 POND PLACE • OYSTER BAY • NEW YORK 11771 • (516) 922-2024 January 27, 2014 Building Department Town of Southold 53095 Route 25 Southold, NY 11971 Re: McKay Residence 250 Wendy Drive Laurel, NY 11948 To Whom It May Concern: This is to certify that the drainage facilities to be used exclusively for the construction of a swimming pool at the above premises will not require draining. The pool water will be continuously re-circulated through the filter and will be reused from year to year. The drainage from the filter backwash is nominal and will not interfere with adjoining properties, the public water-supply, the existing sanitary facilities or public highways. of: NEW c�X_Arv� O Very tr I-;Yourgs� Micha I -lone,-`P.F�� 053676 V RoFESsl t� MICHAEL ANGELONE, P.E. LLC ENGINEERING SERVICES 4 POND PLACE • OYSTER BAY • NEW YORK 11771 • (516) 922-2024 January 27, 2014 Building Department Town of Southold 53095 Route 25 Southold, NY 11971 Re: McKay Residence 250 Wendy Drive Laurel, NY 11948 To Whom It May Concern: This is to certify that the site for the subject swimming pool has been reviewed. The design of the pool is based on free draining granular soil with a minimum of silt and with ground water at approximately six and one half feet below grade. The pool is designed to secure the public safety and welfare and assure the protection of persons and property affected. The contractor shall install a 1 Y-inch minimum perforated weep line in at least six inches of gravel below the deep portion of the pool. The perforated line will permit the pumping of ground water during and after construction in the event the pool must be emptied. A dewatering pump shall be on site during construction and shall be capable of maintaining a dry excavation during the installation of the swimming pool. If you have a . _ =e tj . s, please do not hesitate to contact me. Thank you. OF NES Very truly�6ur�,EL ANG � 0 1 A o �� d 'tet, F Michae °f E �® 0536T5 ® SS4 pF SO(/��®C 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G ® Q Southold,NY 11971-0959 , a I C®UAM,� July 29, 2014 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mathew Mc 258 c St. Apt 2 7'5 �3�h k sf3 Broo n, Y 11217 NY 1y y Re: 250 Wendy Dr., Laurel gid 3 9 TO WHOM IT MAY CONCERN: The Fol/lowing Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: V Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 38732 — Swimming Pool SURVEYED FOR: KATHERINE BENNETT MONCRIEF & DUANE McKAY LOCATED AT: LAUREL,T/O SOUTHOLD,SUFF.CO.NY. LOT: IS DESCRIBED MAP OF: AS SHOWN S.C.T.M.# 1000-128-5-2 SCALE: 1"=30' b ' 5 L oOoO O,O Q�t as as 0 0� to Ah ay` R 5�p0 d``ds 'e0 Al a012 •h' 4 90VIA C B 1 Q ON 1�C 55 G � o�temems 0 ,O• �G Q CERTIFY TO: KATHERINE BENNETT MONCRIEF & DUANE MCKAY ;' °�� FIDELITY NATIONAL TITLE INSURANCE COMPANY =_ WELLS FARGO BANK,N.A. TITLE# F13-7404-91862-SUFF FILE#49202 WILLIAM R-SIMMONS 3RD.L.S.P.C. 128 CARLETON AVE,EAST ISLIP,NY 11730 PH 631-581-1688 FX 631-581-1691 DATE 91112013 1 SCALE:T X30- DRAWN BY.E S. �l SURVEYED FOR: KATHERINE BEN NETT MONCRIEF LOCATE® AT. LAUREL,T/O SOUTHOL®9SUFF.CO.NY. LOT. IS DESCRIBED MAP OF. AS SHOWN S.C.T.M.# 1000-128-5-2 SCALE. 1 "=30' • j0� ��V 4 'O� �a � aa� a� �\a�r 12PQr -10 � oa �• y CP p 5 -- ,� , G0 ��� roti o - wires N01 2 \�P\ moo a�� 2, �f ® � a Cema\�5 Q o• 10 o - s6 Q�'Go CERTIFY TO: KATHERINE BENNETT MONCRIEF & DUANE McKAV FIDELITY NATIONAL TITLE INSURANCE COMPANY WELLS FAROO BANK,N.A. •TITLE# F13-7404-91862-SUFF [r I LE# 49202 MLLIAM R.SIIViI1 ONS 3RD.L.S.P.C. 128 CARLETON AVE, EAST ISLIRNY,11730 PH 631-581-1688 FX 631-581-1691 JL DATE:9/11/20.13 SCALE:V=30' DRAWN BY:E.S. iJ� -_` r ------ .I . 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IIIIIIIIIIIIII�,I,I�I�JJ,I,IIUI,IIIi111111JJJ,�lllf111 ItI11JIIJII,I,I1�f11J,111.IJ,IIII��,I,111,�111JJ,1111J,�II,�III1JJ,llfll II�IIIIIIIJJ,fIJ�lll•IJ,I,IJIJJ,IJIIIJJJJIIJJJJJJJ,IIIJ,I,IIf((IIIJ,IJJJ,I,I,III,111,I,�I,I,I,IJ,IBJ,I,IJ,U.�I,IJ,I,IJJIIJ�II.USI.I,I,IJJJ,f1,�1,111J,1�IJJI,IJ,IJJJ,ICU,1,I,fI,11�lI�IJ,I,IJ,I,I,SIJ,1,111JJJJJ,I,�I,IJJ,�,f�,(I,�I,I,�IJJJ,CI�IIIIJ,IJ,I,IJIIII,IJJI,IIyJ,�llll..... ,;1 MIA � M SUFFOLK COUNTY DEPT OF LABOR, LICENSING&CONSUMER AFFAIRS MASTER ELECTRICIAN �;4 ruwE SEAN CAIN This certifies that the bearer is duly CAINW RA ELECTRIC licensed by the County of Suffolk 42963-ME os/25/200� ` c..m.v"' OMAY "WE 06/01/2015 STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier I a. Legal Name and Address of Insured (Use street address only) lb.Business Telephone Number of Insured AQUACADE POOL BUILDING, INC. 5164334311 200 LEVITTOWN PARKWAY lc.NYS Unemployment Insurance Employer Registration HICKSVILLE, NY 11801 Number of Insured 48-50909 1 d.Federal Employer Identification Number of Insured or Social Security Number 11-2839229 2. Name and Address of the Entity Requesting Proof of 3a.Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold 3b.Policy Number of entity listed in box"la": 53095 Route 25 Southold , NY 11971 M70717-002 3c.Policy effective period. 10/1/1998 to 1/27/2015 4.Policy covers: a. rX All of the employer's employees eligible under the New York Disability Benefits Law b. F' Only the following class or classes of the employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance cover a as described above. Date Signed 1/28/2014 By Signature of insurmi •c iri ict..i thur in:d rcpre%enta0ve or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212)355-4141 Title SUPERVISOR-DBUPOLICY SERVICES IMPORTANT: If box"4a"is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If box NY is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability Benefits Law. It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,20 Park Street,Albany,New York 12207. PART 2.To be completed by NYS Workers'Compensation Board(Only if box"4b"of Part 1 has been checked) State Of New York Workers'Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By (Signature of NYS Workers'CoinpensadonBoardEmployee) Telephone Number Title Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (5-06) AQUAC-1 ' OP ID:VM CERTIFICATE OF LIABILITY INSURANCE 7(MMIDDIYYYY) /28/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA71ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pol)cy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Bagatta Associates,Inc. NAME: 823 W Jericho Turnpike Ste 1A Arc All No E (AIC No). Smithtown, NY 11787 E-MAIL Bagatta Associates,Inc. INSURER(S)AFFORDING COVERAGE NAIC 9 INSURERA:Worcester Insurance Company 26182 INSURED Aquacade Pool Building Inc. INSURERB:TowerGroup Companies 44300 200 Levittown Parkway Hicksville, NY 11801 INSURER C: INSURER D: INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. AUL1L1UUbH POLICY EFF POLICY EXP LTR TYPE OF INSURANCE g POLICY NUMBER MMIDD MMMDNM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY MPA00000098157L 11/20/2013 11120/2014 DAMAGE ITFU PREMISES Eaoccurrence $ 100,000 CLAIMS-MADE Fx�OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 X Blanket Addtllns GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 B ANY AUTO CAC0004147 11/20/2013 11/20/2014 BODILY INJURY(Per person) $ ALL OWNED XSCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS PER ACCIDENT $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ 1,000,000 A X EXCESSLIAB CLAIMS-MADE CMB00000028190Q 11/20/2013 11/20/2014 AGGREGATE $ 1,000,000 DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVEE L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? F] NIA (Mandatory In NH) EL DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below — EL DISEASE-POLICY LIMIT $ A Property MPA00000098157L 11/20/2013 11/20/2014 Building 1,212,800 Ded. 500 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) As pertains to ansured's operations. CERTIFICATE HOLDER CANCELLATION SOUTHOD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 Southold, NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 199 CHURCH STREET,NEW YORK,N.Y. 10007-1100 Phone:(888)997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 112839229 INNOVATIVE RISK CONCEPTS,INC. 179 SOUTH MAPLE AVENUE RIDGEWOOD NJ 07450 POLICYHOLDER CERTIFICATE HOLDER AQUACADE POOL BUILDING INC TOWN OF SOUTHOLD 200 LEVITTOWN PARKWAY 53095 ROUTE 25 HICKSVILLE NY11801 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE Z 2154 872-2 964879 02/28/2012 TO 02/28/2015 1/28/2014 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO.2154 872-2 UNTIL 02/28/2015, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 02/28/2015 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/certtcertval.asp or by calling (888)875-5790 VALIDATION NUMBER:275608932 U-26.3 4 SIZE(FT.) A B C D E F G AREA(SQ.FT.) CAP.(GAL.) FILLSPOUT AS REQUIRED 14 40 10 20 10 3.5 4 560 15,750 INLE INLE LADDE UTOMATIC SKIMME A g A UNDERWATER LIGHT F (OPTIONAL) MAIN DRAIN WITH HYDROSTATIC VALVE AND A COLLECTOR TUBE IN GRAVEL BASE G POOL PLAN r" C + D E u a u 3" u u u WATER LINE SECTION A-A F FILTE (3)#3 BARS CONT.BOND B ji X 6"TILE FACIN 11/2"WASTE Pui 1HAIR&LINT STAINER ALL AROUND,TIES 12"O.C. AUTO SKIMME WATER LIN 11/2"RETURN L POOL MAX.VERTICAL TO INLET TO FILTER #3BARS DIM.IS 3'0" MAIN DRAIN WITH HYDROSTATIC ° VALVE AND COLLECTOR TUBE IN pp, GRAVEL BASE ®F N E PNEUMATICALLY APPLIED- CONCRETE ANG�Q,' O SCHEMATIC PLUMBING ARRANGEMENT V � a MARBLE DUST FINIS GENERAL NOTES: e d 1.THE DESIGN IS BASED ON A DRAINAGE SOIL WITH<10%SILT.GROUND WATER SHALL NOT EXIST WITHIN THE LIMITS OF THE EXCAVATION.IF n "® GROUND WATER EXISTS WITHIN 6'0"BELOW GRADE,SPECIAL DEWATERING THICKNESS OF WALL VARIES FACILITIES WILL BE REQUIRED.WATER DISPOSAL IS LIMITED TO OWNER'S Qi cE ioa 6'TO 8"MINIMUM a (r PROPERTY. ro O RADIUS VARIES X5367 u #4STEEL REINFORCED 2 OFF DEEP FENNpGE ALLOWED WHITHIN 4'0"OF SHALLOW END AND 6'0" ®A�� B a DEPTH <5.1 >s'0" 3.THE PNEUMATICALLY APPLIED CONCRETE(GUNITE)SHALL BE A 1:4 MIX FESS1® WITH A MAXIMUM OF 31/2 GALLONS OF WATER PER SACK OF CEMENT. MCKAY REST°EIV-E a � HOR¢ tz•'o.c. 1z'•o.c 4.REINFORCING STEEL SHALL BE INTERMEDIATE GRADE BILLET STEEL o mV 0 VERT. 12"0.C. s"o.c. WITH A MINIMUM LAP OF 30 BAR DIA. 250 WENDY DRIVE 5.POOL WATER SUPPLY BY OWNER'S GARDEN HOSE OR FILL SPOUT AS FLOOR 12'o c EACH WAY OR REQUIRED TO BE KEPT FULL DURING FREEZING WEATHER PUMP CAPACITY LAUREL, NY 11948 MESH EQUNLENT TO BE SUFFICIENT TO EMPTY POOL IN 24 HRS. TYPICAL WALL SECTION TYPICAL DETAIL - DIFFUSION WELL BACKWASH FROM POOL 70 GPM @ 10 MIN.=700 GAL. CAPACITY - 1200 GALLONS MINIMUM FINAL GRADE COVE 2a' MIN• "H"UP TO 4'........... "D"=24"MIN. is IS V TO T MAX....."D"=30"MIN. 4"DIA.PIPE � I W/TIGHT JOINTS NOTE:DESIGN RATE IS 1/2 I MIN,SLOPE 1/8"PER FT THAT OF THE UNDERLYING SAND&GRAVEL STRATA 25'MAX. 4'0 I I , EFFECTIVE DEPTH OF NEW NON-RATEABLE SOIL I � PSL ANG, 0 --3'MIN. 3'MIN. O`I' �s �p 24"MIN. 6'0 DIAMETER--I GROUNDWATER ��`® 053676 *COLLAR MATERIA SS% 6'MIN.(PENETRATION) RATEABLE SOIL NOTES UNDERLYING SAND&GRAVEL STRATA M c KAY RESIDENCE * 1.COLLAR IS NOT REQUIRED WHEN RATEABLE MATERIAL EXISTS FOR FULL DEPTH. 250 WE N DY DRIVE 2.THE MATERIAL USED FOR COLLARING SHALL BE COMPRISED OF SAND&GRAVEL SILT&CLAY FRACTIONS ARE NOT TO EXCEED FIVE(61%)PERC PERCENT. FINE SAND. LAUREL, NY 11948 - I , .'All doors shall be self-closing, self- latchingand fence to have self-closing, self-latching gates to comply with NYS 99 PY Code AG105. r I I � i4z ?- J .E Idt oeov iq�. Al 100,4 4 A/ s. L ! � I l , i/ l.�tGa C O : , t _ r �__ .__..�� _.._-_...;: _ _ .,.E=�-- •�t..-___ _ _ l w I I , .. Y. \ V --4 �r I I I r: a _+CCS .P t WIt NO 1 N �v� 104 rOw�►RT A _ AC , _ SC _ l LE 1 DATE Z --' L.