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
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IMUL ATIONSTATE ENERGY -
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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'
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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'
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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.
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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
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.
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