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HomeMy WebLinkAbout42396-Z �Sl�� o �� cayr� Town of Southold 8/5/2019 P.O.Box 1179 V2 _ 53095 Main Rd 41 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40586 Date: 8/5/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2940 The Long Way, East Marion SCTM#: 473889 Sec/Block/Lot: 30.-2-115 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/8/2018 pursuant to which Building Permit No. 42396 dated 2/16/2018 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 Mark,Martin&Jendresky,Linda of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 18-51117 05-24-2018 PLUMBERS CERTIFICATION DATED %tA i 0 hoo Signature o�gUFFnt�coTOWN OF SOUTHOLD a� oy BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • 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#: 42396 Date: 2/16/2018 Permission is hereby granted to: Mark, Martin 1638 Park Ave New Hyde Park, NY 11040 To: construct an inground swimming pool as applied for. At premises located at: 2940 The Long Way, East Marion SCTM # 473889 Sec/Block/Lot# 30.-2-115 Pursuant to application dated 2/8/2018 and approved by the Building Inspector. To expire on 8/18/2019. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO IM G POOL $50.00 otal: $300.00 r r Building Inspector Form No.6 y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1, Final survey of property with accurate location of all buildings,property lines,streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I%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: Qq`t0 t�I e Wo �/�a V Cosy /4141'/1,10//, House No. ��}�i treet Hamlet Owner or Owners of Property: kr11'9/� � �IJGLI Suffolk County Tax Map No 1000, Section 30 Block 2- Lot !j Subdivision Filed Map. Lot: Permit No. 7i � Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ � 9 Appli ant Signature CONSENT TO INSPECTION the undersigned, do(es)hereby state--- Owner(s) tate:-Owner(s)Name(s) That the undersined is) (are)the owner(s) of the premises in the Town of Southold, located at5 ffi � which is shown and designated on the Suffil Co Tax Map as District 1000, Section Block ,Lot That the undersigned(has) (have)filed, or cause to be filed, an application in the Southold Town Building Inspetor' O ice fo th following: D n el. PC I That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application,including inspections to determine that said premises comply with all of the laws, ordinances,rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. Dated: la-1 1 �, (Print Name) (Signature) (Print Name) Certificate of Compliance ................................................................. ......................._.............. .......................................................... CERTIFIED ELECTRICAL INSPECTIONS, INC. 188 PARK AVENUE AMITYVILLE, NY 11701 P: (631) 598-5610 ....................................................... ............................................... ... ..................................................... .. CERTIFIES THAT Upon the application of Upon premises owned by T R C Electrical Corp/Tom Mark Martin Chalmers 2940 The Long Way 16 Vivian Lane East Marion, NY 11939 Lake Grove, NY 11755 Located at: 2940 The Long Way, East Marion, NY 11939 Application Number#: 18-51117 Certificate* 18-51117 Electrical License#: 46689-ME Section: Block: Lot: Building Permit M 42396 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: In Ground Pool A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 24th day of May 2018 Name QTY Pump Motor-20 Amp, 240V 1 Pool Light Fixture- 15 Amp, 120V 1 Pool Switch - 15 Amp, 120V 1 GFI Circuit Breaker-20 Amp, 120V 1 Time Clock-40 Amp, 240V 1 Pool Receptacle-20 Amp, 240V 1 Swimming Pool Bonding 1 GFI Receptacle- 15 Amp, 120 V 1 GFI Circuit Breaker-20 Amp, 240V 1 (�n Electrical Inspector: Anthony Giordano 0�j c............... SAY 3 0 2018 APPROVED0` 0 YTVG DWr- 'TO OF SOdJT�'[OLID This certificate is not valid unless raised seal is present. Certificate of Compliance ... ............ ................................................................ ....................................................................... CERTIFIED ELECTRICAL INSPECTIONS, INC. 188 PARK AVENUE AMITYVILLE, NY 11701 P: (631) 598-5610 . ....... ..... ........ .. . ........................................................................................................................ .... CERTIFIES THAT Upon the application of Upon premises owned by T R C Electrical Corp/Tom Mark Martin Chalmers 2940 The Long Way 16 Vivian Lane East Marion, NY 11939 Lake Grove, NY 11755 Located at: 2940 The Long Way, East Marion, NY 11939 Application Number#: 18-51117 Certificate#: 18-51117 Electrical License#: 46689-ME Section: Block: Lot: Building Permit#: 42396 Name QTY Pool Panel- 30 Amp, 240V, 3 Circuit 1 Electrical Inspector: Anthony Giordano APPROVEDB This certificate is not valid unless raised seal is present. MAY 3 0BLTJLDjN2�1� ,�E TOWW OF SO ;iD y� 50UT�o� # TOWN OF SOUTHOLD BUILDING DEPT. `ycou765-1802 INSPECTION- I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULA 60 ---- IOONJFRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR VA^ S - ����C� �O�aOF SOUIyo� TOWN OF SOUTHOL.D BUILDING DEPT. `ycou765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING /STRAPPING [ FINAL POS [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: [ hw %aA � go& G&A w wc, r-oC-e- aa, 4o Av Set V� P %J� DATE INSPECTOR IVA L G - FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) H -------------------------------------- LA FOUNDATION (2ND) �y O G� ROUGH FRAMING& t� PLUMBING H 1 INSULATION PER N.Y-. H STATE ENERGY CODE !ql lrw4f I q 5I - 9 6" . "- &(e" -16 S dtnit r xfi_ FINAL .le- ADDITIONAL COMMENTS - fVAL ©: 0 r' v d b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST 4'SUILDING DEPARTMENT Do you have or need the followmg,before applying? TOV*''N HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502L/� Survey k. SoutholdTown.NorthFornet PERMIT NO. Check Septic Form N Y.S.D E.C. Tmstees C.O.Application Flood Permit Examined 20 Single&Separate Stone-Water Assessment Form Contact: Q �}}� Approved �6 �001ghnisppector Mail V' Disapproved a/c Phone: Expiration 20 67 0/ D APPLICATION FOR BUILDING PERMIT E E B ® 8 2010 Date 20 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or,in ink and submitted to thW1Q a§P"Jj0LD 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. orke.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,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. �11" (Signature of applicant or name,ita corporation) -� WLbyD blk ;-judbon11 39 (Mailing a s of a lrcant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder (7VV�Ielp— Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of co orate officer Builders License No. ��� Plumbers License No. Electricians License No. M r- Other Trade's License No. 1. Location of land`on which proposed work will be done: ag 40 tly Lo 104 Ilya+i House Number Street Hamlet County Tax Map No. 1000 Section 3(7 Block 2 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended usd oc panc of p oposed construction: a. Existing use and occupancy b. Intended use and occupancy v 3. Nature of work(check which applicable):New Building Addition Alt t' n n Repair Removal Demolition Other WorkL Uf'Y.� f���C�i Y�''ll (Description) 4. Estimated Cost* ,3) /V� Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars_ 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories LLI aim, Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot:Front ) Rear Depth c L'P)10.Date of Purchase-l Name of Former Owner L;w I , &Q 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 4 Will excess fill be removed from premises?YES_NO%/�,q 1� 14.Names of Owner of premises AyrkA P ir Address o b D hone No. 5 a/� `O Name of Architect Address "J, one No Name of Contractor Address Ione No. ' c � , 15 a.Is this property within 100 feet of a tidal wetland or a freshw er etland?*YES / NO d *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. 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) SS: COUNTY O IA quzbeing duly sworn,deposes and says that(s)he is the applicant (Name of individual sigh pni�ng contract)above named, (S)He is the D U V (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 Swoo before me thi day f FQ? ,rmY-i%rou20V A - a , " I , -NANCI LAVOIE NOTARY 16 of New Yoot Not4 Public Qualified in Suffolk County ZSignatuk of Applicant No.11,11A6124900 Commission 150r66 Apdf 4aO4 Scott A. Russell ,��° � STO]KA�] WATIEIK SUPERVISOR a � MA\NA\G]EM]EIN'7C' SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 '�O � Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE AINY OF THE FOLLOWING. Yes No (CHECK ALL THAT APPLY) ❑[� A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑® B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑® C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. 0[3 E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑� F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tag Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT. (Property-Omer.Design Professional Agent.Contractor,Other) S.C.T.M. 1000 Date /� {� Dbntrict r ! NAME: I Y 1 ! ` 11 l0 I Z o Section Block Lo{ '�� FOR,BUILDING PAR ENT USE ONLY**** Contact Informat�oa Id b t Qdeph..Numbw Reviewed By: - - - - - - - - - - - - - - - - - - Dater Property Address/ Location of Construction Work. 0�(Apprmed — — — — — — — — — — — — — for processing Building Permit. ormwater Management Control Plan Not Required. F1Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 so�ryQl 0 Town Hall Annex 1 4 Telephone(631)765-1802 54375 Main Road y ax(631)765�-g5 P.O.Box 1179 G Q roger.richert(dax Southold,NY 11971-0959 BUIMING DEPARTN EW TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: ;f a- Name- License No.: - Address: 5 Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: /Mark *Address: �r '*Cross Street: *Phone No.: _ q Permit No.: Tax-Map District: 1006 Section: _ Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) , dedy--rc- r Dra 0Y) Nw {Please Circle All That Apply) *is job ready for inspection: YES /® Rough In Final *Do-you need a Temp Certificate: YES / NO Temp Information(If needed) *Service Size: 1 Phase 313hase 100 150 200-- 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION (-f�y -82-Request for Inspection Form �Q� /C> o�S�FfOt�-�oG BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 �dl Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richertcDtown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: 140;-4-S WI1P,.«tz:5 Date: Company Name: Name: License No.: N6'� t�G email: - -tLC 114126 044+ ( r Ca P Address: /� !s ��✓ GrC ��1'��rr�✓� �✓ i 7S�' Phone No.: 631- 61-18-75" JOB SITE INFORMATION: (All Information Required) Name: ,/�1� i'Lf Address: ,2. )® �-rpE ZoNG Cross Street: Phone No.: 5-16 _ S�f -I-/o/S Bldg.Permit#: /, 3 /C;16 email: Tax Map District: 1000 Section: 4 Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) ':r/-V ( x.U'01 �oo� Circle All That Apply: Is job ready for inspection?: YE / NO Rough In Final Do you need a Temp Certificate?: YES Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION SAY 1 1 2010 ��2�Re�ques�fo�l�tion Formas _ C� TOWN OF SOUTHOLD � SUFFOLK COUNTY DEPT OF LABOR, LICENSING&CONSUMER AFFAIRS HOME IMPROVEMENT CONTRACTOR LICPNSE nose - MICHAELJ DOMINICI This certifies that the mm"""— bearer is duly LONG ISLAND POOL&PATiO INc licensed by the County of Suffolk sn�Esdn 45707-H 01/22/2009 cw"n„+a WmIna+wm 01/01/2019 • TWntte.n.abu,evao�wmn»s,nrm.e�.,,ro.wnm.wmi.no,ucu,vs,ys CansunrrAftairnP —I- f- Yeens�do .tSluaaranusVm0ft Additlanal Susingse Nenwa cense Cry • PbCis b Spas/Certified PCCIs/spes Other Workers' CERTIFICATE OF INSURANCE COVERAGE Ate Compensation under the NYS DISABILITY AND PAID FAMILY Iy AVE BENEFITS LAW Board ART 1.To be com leted b Disability and Paid Familv Leave Benefits Carrier or Licensed Insurance Agent of that Carrier la.Legal Name and Address of Insured(Use street address only) lb.Business Telephone Number Of LONG ISLAND POOL&PATIO INC Insured ,543 MIDDLE COUNTRY ROAD lc.Federal Employer Identification CORAM,NY 11727 Number of Insured Or Work Location Of Insured(Only required If coverage Is specifically limited To certain locations In Social Security Number New York State,i.e.,a Wrap-Up Policy) 11-2590890 2;Name and Address of the Entity Requesting Proof 3a.Name of Insurance Carrier of Coverage(Entity Being Listed as the Certificate Holder) jTHE TOWN OF SOUTHOLD WESCO INSURANCE 53095 ROUTE 25 COMPANY ISOUTHOLD,NY 11971 3b.Policy Number of entity listed in box a "la. 0222285 3c.Policy effective period: 12/29/2017 to 12/31/2018 4.1 Policy provides the following benefits: ®A.Both disability and paid family leave benefits. ❑B.Disability benefits only. ❑C.Paid family'leave benefits only. 5.'Policy covers: { ®A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ,❑B.Only the following class or classes of employer's employees: I 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 and/or Paid Family Leave Benefits insurance coverage as described above. i Date Signed 12/29/2017 Bylld- c0. (signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 800-535-2711 Title Vice President - IIVIPORTANT: If Boxes 4A and 5A are 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 4B,4C or 513 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers' Compensation Board(Only if Boz 4C or 5B 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 and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (signature ofAuthorized NYS Workers'Compensation Board Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave 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 (9-17) p. 111 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WOREtRS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) l b.Business Telephone Number of Insured Long Island Pool& Patio Inc 631-698-4100 lc.NYS Unemployment Insurance Employer 543 Middle Country Rd. Coram NY 11727 Registration Number of Insured Work Location ofInsured(Only if coverage is specifically limited Id. Federal Employer Identification Number of Insured to certain location in New York State,i.e.a Wrap-Up Policy) or Social Security Number 11-2590890 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Twin City Fire Ins Co 3b. Policy Number of entity listed in box"la" 12 WEC RT2436 Town of Southold 53095 Route 25 3c. Policy effective period Southold, NY 11971 04/10/17—04/10/18 3d. The Proprietor,Partners or Executive Officers are ❑ included. (Only check box if all partnerslofficers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box `;" insures the business referenced above in box "la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. The Insurance Carrier will also no f the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for oneyear after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c';whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form, If the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. 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 the coverage as depicted on this form. Approved by: Brennan P. eg int n e of authorized representative or licensed agent of insurance carrier) Approved by: 03/29/2017 (Si ture) (Date) Title: Partner Telephone Number of authorized representative or licensed agent of insurance carrier:_631-669-3434 Please Note. Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb.state.ny.us Workers' Compensation Law �1 LONGI-7 OP ID:DO CERTIFICATE OF LIABILITY INSURANCE °A'�``"""'°�yYYY' 12/14/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 policy(les)must have ADDITIONAL INSURED provisions or 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 631-669-3434oNTACT Brennan P.Regan Regan Agency,Inc. 463 Deer Park Ave � N, ;631-669-3434 ,No 631-669-3035 Babylon,NY 11702 E-MAILD Brennan P.Regan A INSURERS AFFORDING COVERAGE NAIC li INSURER A:American Casualty Company 20427 INSURED Long Island Pool&Patio,Inc. 543 Middle Country Rd. INSURER 13,Twin Clty Fire Insurance Co. 28459 Coram,NY 11727 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR I TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICYnnrM EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY lumEACH OCCURRENCE 1,000,000 CLAIMS MADE OCCURY 5099218546 12/20/2017 12/20/2016 PRffAAG ETO RENTED(Ea occurrence) $ 100,000 MED EXP(Any one rson $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY❑JENT LOC 2,000,000 PRODUCTS-COMPIOPAGG $ OTHER: AUTOMOBILE LIABILITY EOMBtNED SINGLE LIMIT cold $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTONLY OS BODILY INJURY Per accident $ AUTOS AUQTNy�ED AUTOS ONLY AUTO ONLY PPReOacc IZ DAMAGE $ $ UMBRELLA LU1B OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS MADE AGGREGATE $ DED I I RETENTION$ B ANDELYNTONX PSTATUTE ER ER MPOS LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y/❑N 12 WEC RT2436 04/10/2017 04110/2016 E.L.EACH ACCIDENT 100,000 QnF�F„e oryJM%Wt EXCLUDED? N/A 100,000 ( f Nom) El DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 3 500,000 A Property Section 5099218546 12/20/2017 12/20/2018 DESCRIPMON OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe atteched If more space Is required) Certificate Holder Is additional insured. CERTIFICATE HOLDER CANCELLATION SOUTHOL 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD From: Manch Lange nanci3l @optonlme.net Subject: ®ate: February 5,2018 at 3:47 PM To: Nand Lange nanci3l @optonline.net > ,*"� ,}...�'i '�_. �`.s,�. �i=' ".Yti'n, :,�*�`"`a a •- r----�v`, ";qty^i.. ,.�'w°p,' hyli i •. 'n� "' � �',".:., .,. .x– .i � '-;;�, ',�.:'-'�;i;F$ .:fit`te.ry: ,, UFFOt1<,CCIUI}ijYDE OF'. 4. }. . = :' : t tcF_N8IN4 d "' 1Oi6R WCaOpN�lSI(1�MpESi�AgFfI1RS'}s.•�a';�? .t�.,�,:�' _.ar ;� �.•;� 'II kS ;L"R,. i;}�-�Y:�J %'�" .�s$.°.`""�"`k:x;��W'� -«.,.N$.'�" •,�uxb'.t..Y .* t ��}.'r "l ury. .s. a pap!'y{y�Lq ^�.` Rq['M[_{w1,.ilNUV1���' '•"..Y"' 'a.�. :y.:1 � p m i.. _ t`t.1 t r't$,i'tll .�,A''^k..N"` r.,f_:T`,R'C eLECT MS:•COFft� :c j W „�i,=* .;Cr,�p wf/''!.,'". •' �`;?4` C Sent from my iPhone ® New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE fte—v A A A A A 270918601 SCHAEFER AGENCY INC 201 EAST MAIN ST PO BOX 688 SMITHTOWN NY 11787 Scan to Validate POLICYHOLDER CERTIFICATE HOLDER TRC ELECTRIC CORP TOWN OF SOUTHOLD 16 VIVIAN LANE 53095 ROUTE 25 LAKE GROVE NY 11755 PO BOX 1179 { SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12219263-7 106840 07/09/2017 TO 07/09/2018 12/14/2017 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2219263-7, 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 YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WVM.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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 VALIDATION NUMBER:664650748 11-9A.1 BoWorkere CERTIFICATE OF INSURANCE COVERAGE a�rld4 UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la.Legal Name and Addressof Insured(Use street address only) 1b.Business Telephone N umber of Insured T.R.C. ELECTRIC CORP 631-648-7958 it"NYS Unemployment Insurance Employer Registration 16 VIVIAN LANE Number of Insured LAKE GROVE, NY 11755 1d.Federal Employer ldentlficatlon Number of Insured or social Sewrity N umber 270918601 FIN me and Address of the Entity requesting Proof of Coverage3a.Name of I nsuranos Carrier y being listed astheCertificateHolder) WN OF SOUTHOLD ShelterPoint Life Insurance company 53095 ROUTE 25 3b•Policy N umber of Entity listed in box Na": DBL342305 P.O. BOX 1179 3c Policy effective period: SOUTHOLD, NY 11971 07/09/2017 to 07/08/2018 4.Policy covers a. © All of the employer's employees eligible under the New York DlsabilltyBenefIts Law b.[] Only the following ciassorciassesof 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 coverage as described above. Date Signed 12/14/2017 By WJ I hf (Signature of Insurance carrier's authorized representative or N YS Licensed Insurance Agent of that Insuranos carrier) Telephone N umber 516-829-8100 Title Chief Executive Officer IM PORTA NT:If box"4a"is checked,and thisform issigned by the Insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this owrtlf icats is COM PLETE.M ail It directly to the certificate holder. If box"4b"Isdtedred,thlecetificate Is NOT COMPLETE for the purpaeesof Section 220,Subd.8 of the Disability Benefits Law. It must be mal led for completion to the Worker's Compensation Board,DB Plans Acceptance Unit,328 State Street,Schenectady,NY 12305. PART 2.To be completed by NYS Worker's Compensation Board(Only if box "4b" of Part 1 has been checked) State of New York Worker's Compensation Board According to information maintained by the NYS Worker's Compensation Board,the above-named employer hascomplied with the N YS Disability Berefitsi-aw with respect to all of hi&beremployee& Date Signed By (Signatureof NYS Worker's Compensation Board Employee) Telephone N umber Title Please Note:Only Insurance carriers licensed to write NYS D I sabl lity Benefits Insurance polities and N YS Licensed Insurance Agents of those insurance carriers are authorized to issue Form D B-120.1.1 nsurance brokers are NOT authorized to issue th Is form. D13-120.1(9-15) ACOR& CERTIFICATE,OF LIABILITY INSURANCE FDATE(MM/DDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 14/2017 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUT 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 olicypes)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of t e policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of uch endorsement(s). PRODUCER The Schaefer Agency,Inc. NAME: Charlene Ackerly 201 E.Main Street At PAHjoN . (631)979-7474 FA I AIC No: (631)979-7485 P.O.Box 688 ADDRESS: Charlene®schaeferagency.net Smithtown INSURER(S)AFFORDING COVERAGE NAIC N INSURED NY 11787 INSURERA: Merchants Mutual Insurance Co. T.R.C.Electric Corp INSURER 0: 16 Vivian Lane INSURER C: INSURER D: Lake Grove INSURER E: NY 11755 INSURERF: COVERAGES CERTIFICATE NUMBER: CL17126 3463 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE B EEN ISSUED TO THE INSURED NAMED ABOVE FORNTHE PO COY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF NY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE E EEN REDUCED BY PAID CLAIMS. TM LTR TYPE OF INSURANCE AM MR INSD WU13 POLICY NUMBE COMMERCIAL GENERAL LIABILITY MMIDDY NN22 LIMITS CLAIMS MADEOCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 500,000 A BOPI059298 MED EXP(Any one n) $ 15,000 09/16/2017 09/16/2018 pERSONALBADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPUES PER: NA JECT F LOC GENERALAGGREGATE $ 2,000,000 POLICY❑ OTHER- PRODUCTS-COMPIOPAGG $ 2,000,000 AUTOMOBILE LU►BILITY $ COMBIN D IN MI ANYAUTO Ee accldeM $ OWNED SCHEDULED BODILY INJURY(Per pamon) $ AUTOS ONLY AUTOS HIRED NON-0WNED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS ONLY P_ P RTTDAMAGE er aeddenti $ UMBRELLA Wig $ OCCUR EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ DED RETENTION S AGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERS'UABILITY PER OTH- ANY PROPRIETORIPARTNERIEXECUTIVE YIN STATUTE ER OFFICERIMEMBER EXCLUDED? ❑ NIA E L EACH ACCIDENT $ (Mandatory in NH) If yes,describe under E L DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.LDISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addltlonal Remark.Schad Ie,maybe attached If more space Is required) TOWN OF SOUTHOLD,Is named as additional insured with respects to the work ped Drmed by the above named insured if required by written contract and/or agreement,subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION 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 P.O.BOX 1179 AUTHOR17ED REPRESENTATIVE SOUTHOLD NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. 4CORD 25(2016103) The ACORD name and logo are registered marks of ACORD . -- LQCATED A7 1 ��' ►�''R�}� �� �4 .��o' �.e4�1 v$' e - i O� ' ,fir '�✓/�. � f4&dr' ��5�/®�C��"f? !✓f -` TWe �MWR 4401 1097V Aoof,4 cr 1497[1AIr,4ZA1 e4PA0o 1'1*4_/erfA0 1 of r Awe cte to r,o '�' •. AL ,� � �, . ` . • � � � � .. hie bei �� � onviagip '�►� A yr Ago�,�rry 4T OF MIALT"SOME • (µ,'c Itq • gly 416 - - a.••w ..1•-•�•••••• .�•...• �.•.••a 1••a r ;��.w�rr Mme. r\ rr�� •• . • V. .w ••a•••tU•r• r•••• 1 U.•a.lu}nr•na'n N.-� •• • • •.//►. •H••a. -• v . .LIw•a.- - �/�.wlr..r•••tea •n gra• ♦Y a♦ •• M• .►w- • a 1 s .*-A -• .•.y►- •Mr4••.7r.MM- ►.arl�+A�.r.../F•/.4 �++r•.4...4•�'�wf •.1 .d/ -Ir�� j� I 1 1 1 � I i';,;;"Ji fiD`d�1ATER RUNOFF 31)A,NT TO CHAPTER 236 G—r THE T OWN CODE* REQUIRED �t.INSPECTIDN E1F�I APPROVVAS NOTED n_ q ovit-EIN11- DATE��l B P.#i FEE:NOTIF�( BUILDINCa DE:PAAT 765-1802 8 Aivl TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ! , e D S 'rf`i,, -6 NEV,i �'�,�4 �"� c� to 1��1yNA BOARD D'r OCCUPANCY OFA s{ IS t ONLp, AUL 4a CERTIFICATE � CY O ae1MEDIoQQDE ENCLOSE PO UPON COMPLE71ON � BEFOR�; �ATER" i CONTRACT Date 1 3 7 tonglsland Hm. Phone r -111 543 Middle CountryRd- a Coram,NY 11727 Cell Phone n 0 631-698-4100 631-698-4111 fax E, ql--r-- �`� 1 - into L1PoolandPatio.com c, Between Long Island Pool and Patio Inc., hereinafter referred to as "Seller" and kk y S� "Buyer", residing at G li— citNY, Cross Street Size hape ),c Liner Style Ufaground ❑5 rend Hayward Cartridge Filter wit i , 'i Pump Depth: Comer Radius �{ o LDual Main Drain p D aW ater Purification c L, ! t f s D 0 l�' a 0 o_ !e El opes &Floats � mmercial Vacuum Set V�� �y���d- -17- _ Hr ,rd UA-ut&matic-Vacuum lTo-del# C,10 ❑Step Color: Size: r jn a-- a JJ q`� Ct,r►U c IA. 6: 'z, ❑S ep Jets ❑winless Steel Ladder g, rr- u ❑Gr 1 bn nnz 101- (TTnderwater Light: Type o. lvt"'L er S a: — 94;ujvde er i — Jc/- (Electrical Hookup: LVo-wer Control Center imer Includes 70'of wire.Additional wire at$6.00 per ft. r�,,�:_t,�a,�,lA- G r Meat Pump Model 1-1^/ ;��,re� r'61A i LAM Meat Pump Electric Feed(Includes 60'of wire) Additional wire at $7.95 per ft. ❑Saf O'asic Permits Filed (Toiwn Fees Paid by Cttstatner...Need check payable to Town) ❑Special Town Permit (Buyer to pay ALL costs) *Paver color included is "Standard" only. May be additional for Premium colors...Check paver catalog! *BUYER MUST FILE FOR CERTIFICATE OF OCCUPANCY* The SELLER agrees to supply the above materials and accessories.The SELLER also agrees to excavate and install the pool,rough grade a four(4) foot area around the pool and remove any excess fill.Note:Only one load of fill will be removed on Semi-Inground pools(Additional loads can be removed at S300.per 10 yards)After final payment for the pool,the SELLER will start the pool and instruct the BUYER as to its proper operation and will supply the BUYER with a written warranty,a copy of which is permanently displayed in the SELLER's showroom — ALL PAYMENTS ilf>IJST BE IN CASH OR CERTIFIED CHECK ONLY. For and in consideration of said materials and services to be provided by SELLER,BUYER agrees to pay SELLER the-s= of �. :A 4 1� •.4It �/e A DOLLARS ( $ � This contract c6ristitutes the entire agreement between the parties hereto and i of binding upon the SELLER unless the samie s accepted by an officer of Long Island Pool and Patio.This agreement constitutes the entire understanding between the parties and SELLER is not bound by any verbal agreements.NOTICE TO BUYER:Do not sign this agreement before you have read it in its entirety,front and back.The terms on the reverse side of this contract are included in this agreement and are part of this agreement the same as if they had been printed above.BUYER acknowledges receipt of a copy of this contract. "YOU THE BUYER,MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BU NESS AY4A7FTERE D TE OF THIS TRANSACTION." 'Total Price: S Proeress Payment Terms: I/rare react ds entb a coin cr Down Payment: S (7 Excavation: S 00 back,and agree to all terms and conditions as Balance: S 5 Pool Wall Install: S if'thi v were printed above my signature. Liner Install: S 600 L.S. Recommended By: Patio Material Delivery:S IDV— L.S. Suffolk County License#45707-H Pool Demonstration: S eco0 Rep. Nassau County License#H2806330000 lkuo 4Vtr .7000 Gov il�a1 CO3'h"o q ��o.� 32�073 ILTERED WATER RETURN NUMBER FI T R OF NOZZLES VARIES PER POOL SIZE Q 0] " COMPOSITE WALL POOL SYSTEM - - *THIS DRAWING REPRESENTS CUSTOMER SPECIFICATIONS K MMER - – 18' X 38' RECTANGLE - 90 DEG / 6"R _ - *YOUR SIGNATURE ACKNOWLEDGES ACCEPTANCE. I ___rPOOL-�_ DWG #: CM-7662 DATE: 10/11/2007 REV: - PAGE 2 OF 2 SIGN: DATE: DTRAINE N 3'-0'MIN O SPACI G STRAINE AREA(SgFt): 684 PERIMETER: 112' 1 EST.VOL(US Gal): 5130 V) 2^0(TYP) Z O F 1n o_ S W W 8'-011 3'-4" O ST-0601SCR(3PLCS) CG 720 CG 7Z0 CG 720 CG-720 CG 720 CG-720 CG-240 mz ST-9001CR(3PLCS) 4!�RAEME BAKER SA ACT APPROVED DRAINS NOTE DRAWING CONFORMS TO ANSI/APSP-7 SUCTION ENTRAPMENT E CODES 4'-011 AvoIOAMAIN DRAIN PIPING SCHEMATIC co m a In nHze, CG-JZO (NOT TO SCALE) . � a CG-720 CODE COMPLIANCE NOTES: AIX IN ADDITION TO THE 2016 UNIFORM BUILDING CODE j H5 SUPPLEMENT,SECTION R326 REFERENCED AT THE Z BOTTOM OF THIS DRAWING,ALSO REFER TO- o 2015 INTERNATIONAL RESIDENTIAL CODES a SECTION N1103.10(R403.10)-POOLS AND Da 114 �� o PERMANENT SPA ENERGY CONSUMPTION (0 �lip S CG 600 SECTION N1103.10.1-HEATERS err j 's lila v 10'-011 CG-720L �0h SECTION N1103.10 2-TIME SWITCHES '-v era`s 1 ry SECTION N1103 10 3-COVERS t 0o 0 v 0 18'-011 M N sl P G a)U_ 14 H 7 Co CO CD sad is GENERAL NOTES: C'4q x5e CG 720 ALL WATER EITHER OVERFLOWING OR EMPTYING 4r_0 rl FROM THE POOL SHALL BE DISPOSED OF ON THE 5 OWNERS LAND,AND PLANS SUBMITTED SHALL co Wk gI SHOW PROVISIONS MADE FOR SUCH WATER FROM p° Xerg FLOWING ON THE LAND OF ANY ADJOINING I°1 0H ' PROPERTY OWNER OR INTO ANY ABUTTING e e S-CS-0297SP STREET. m !.NRN CG 720 �CG-720 C7720 CG-720 CG-480 CG-360 Fm ff s SUCTION OUTLETS SHALL BE DESIGNED AND t ;3r INSTALLED IN ACCORDANCE WITH ANSI/APSP-7. Iga 21 8 € � FUZION(2) BRACE t 381-011- T 4" 3'-4" 1 PROTECTIVE BARRIER NOTE: 1 1 DURING CONSTRUCTION OF THE POOL,A TEMPORARY BARRIER SHALL BE INSTALLED WITH 0 a 81-011 A MINIMUM HEIGHT OF 4'-0" UPON COMPLETION (� OF POOL INSTALLATION,OWNER SHALL INSTALL A t� 00--,a PERMANENT BARRIER,MINIMUM HEIGHT OF 4'-0", .— o WITHIN 90 DAYS. 0ZZ Z Y O Z _j m ENGINEER'S SEAL Q-� - aoz � Z 6'-0" 14'-0" 14'-0" ®F IV �/\ I= O zLn oo con maelsru¢ yu - M1 G y ®.� 0 U) N W0 IVDAIMER: DING BM MAY co f Trivector Mfg.Inc,minces only those representations which are stated In Its written warranty.Any other representations,statements,or contracts made by the dealer/contractor to the customer regarding any components produced by J / NO RESULT IN SERIOUS Tnvector Mfg.Inc,are attributable to the dealer/contactor o ly.The dealer or contractor who sells o Installs your pool is an Independant contractor and Is not an agentor employee ofTnvecbDr Mfg.Inc.The construction methodsO INJURY OR DEATH. �, Illustrated here are suggestions and apply only to normal ground conditions.There may be additional precautions and/or methods of construction.The responsibility is the contractor's.-A safety line,with buoys,Is to be permanently � _ atbched 1'-0"to the shallow side of the paint of first slope change.-Different methods and precautions may be dictated by various ground conditions.This Is to be determined by and Is the responsibility of the contractor who is not an ere K. Signage must be permanantly attached agent of the manufacturer of the component parts.-Installation Is to be done in accordance with all federal,state and local building codes,as well as A.N.S.I./N.S.P.I.suggested standards.-BOTTOM SPECIFICATIONS MUST MEET OR S +� EXCEED A.N S.I./N.S.P,I./A.P.S.P.RECOMMENDED STANDARDS-'NO DIVING'signage must be permanently attached to the entire perimeter of the pool.See instructions with signage.-IT Is RECOMMENDED TO NOT INSTALL R_a„y �(•® �52�• � IMM BY N/A around the perimeter of the pool. DIVING BOARDS AND/OR SLIDING EQUIPMENT ON RESIDENTIAL POOLS.If divEng boards and/or silding equipment is installed by the contractor,ouch dhdng boards and siiding equipment MUST BE INSTALLED ffwads CTC WITHIN THE GUIDELINES ESTABLISHED BY ANSI/HSPI/ABPA RECOMMENDED STANDTARDS,AND IN ACCORDANCE WITH ALL APPLICABLE STATE AND LOCAL CODES AND REGULATIONS. OFA S« -� SGH �..—� JANUARY 18.2018 AS NOTED ALL MANUFACTURED ITEMS AND CONSTRUCTION SHALL COMPLY WITH THE 2016 UNIFORM BUILDING CODE SUPPLEMENT,INCLUDING THE SPECIFICATIONS IN SECTION R326-SEE SHEET 2 OF 2 1 OF 2 SECTION R326.3-SWIMMING POOLS;SECTION R326.4-SPA&HOT TUBS,SECTION R326 5-BARRIER REQUIREMENTS,SECTION R326 6-ENTRAPMENT PROTECTION FOR SWIMMING POOL&SPA SUCTION OUTLETS;SECTION R326.7-SWIMMING POOL&SPA ALARMS SECTION 326 SWIMMING POOLS,SPAS,AND HOT TUBS c R326.1 GENERAL 2 Openings in the barrier shall not allow passage of a 4-inch-diameter 10.1.The ladder or steps shall be capable of being secured,locked or R326.8 STANDARDS R326.1 The provisions of this section shall control the design and (102 mm)sphere removed to prevent access,or A326.8.1 General r m co nstruction of swimming pools,spas and hot tubs installed in or on the lot of a one-or two-family dwelling 3.Solid barriers which do not have openings,such as a masonry or 10.2.The ladder or steps shall be surrounded by a bamer which meets the ANSI-American National Standards Institute stone wall,shall not contain indentations or protrusions except for requirements of R326 5 2,Items 1 through 9 When the ladder or steps are R326.3 SWIMMING POOLS normal construction tolerances and tooled masonry joints secured,locked or removed,any opening created shall not allow the ANSI/APSP 7-13-Standard for Suction Entrapment Avoidance in R326.3.1 In-ground pools.In-ground pools shall be designed and passage of a 4-inch-diameter(102 mm)sphere Swimming Pools,Wading Pools,Spas,Hot Tubs,and Catch Basins constructed in conformance with ANSI/NSPI-5 4 Where the barrier is composed of horizontal and vertical members (R326.6.1) and the distance between the tops of the horizontal members is less R326.5.4 Indoor Swimming Pool.Walls surrounding an indoor swimming 1n R326.3.2 Above-ground and on-ground pools.Above-ground and than 45 inches(1143 mm),the horizontal members shall be located on pool shall comply with Section R326 5 2,Item 9 ANSI/NSPI-3-99-Standard for Permanently Installed Residential Spas z o o rn on-ground pools shall be designed and constructed in conformance the swimming pool side of the fence.Spacing between vertical (R326 4.1) CL5 with ANSI/NSPI-4 members shall not exceed 1-3/4 inches(44 mm)in width Where there R326.5.5 Prohibited locations.Barriers shall be located to prohibit Q� X are decorative cutouts within vertical members,spacing within the permanent structures,equipment or similar objects from being used to ANSI/NSPI-4-99-Standard for Above-ground/On-ground Residential o R326.4 SPAS AND HOT TUBS cutouts shall not exceed 1-3/4 inches(44 mm)in width climb them. Swimming Pools (R326 3.2) R326.4.1 Permanently installed spas and hot tubs.Permanently installed spas and hot tubs shall be designed and constructed in 5.Where the bamer is composed of horizontal and vertical members R326.5.6 Barrier Exceptions.Spas or hot tubs with a safety cover which ANSI/NSPI-5-03-Standard for Residential In-ground Swimming Pools conformance with ANSI/NSPI-3 as listed in Section 326 8. and the distance between the tops of the horizontal members is 45 complies with ASTM F 1346 shall be exempt from the provisions of this (R326 3.1) inches(1143 mm)or more,spacing between vertical members shall not appendix. R326.4.2 Portable spas and hot tubs.Portable spas and hot tubs exceed 4 inches(102 mm) Where there are decorative cutouts within ANSI/NSPI-6-99-Standard for Residential Portable Spas shall be designed and constructed in conformance with ANSI/NSPI-6. vertical members,spacing within the cutouts shall not exceed 1-3/4 R326.6 ENTRAPMENT PROTECTION FOR SWIMMING POOL (R326.4.2) inches(44 mm)in width AND SPA SUCTION OUTLETS z° R326.5 BARRIER REQUIREMENTS R326.6.1 General.Suction outlets shall be designed to produce circulation ANSI/ASME A112.19.8M-(1987,R-1996)Suction Fittings for Use m R326.5.1 Application.The provisions of this section shall control the 6 Maximum mesh size for chain link fences shall be a 2-1/4-inch(57 throughout the pool or spa Single-outlet systems,such as automatic Swimming Pools,Wading Pools,Spas,Hot Tubs and Whirlpool Bathing C e design of barriers for residential swimming pools,spas and hot tubs. mm)square unless the fence has slats fastened at the top or the vacuum cleaner systems,or multiple suction outlets,whether isolated by Appliances (R326.6.2) hi These design controls are intended to provide protection against bottom which reduce the openings to not more than 1-3/4 inches(44 valves or otherwise,shall be protected against user entrapment > potential drownings and near-drownings by restricting access to mm). APSP-Association of Pool and Spa Professionals Z s� swimming pools,spas and hot tubs. R326.6.1.1 Compliance alternative.Suction outlets may be designed and �J - 7.Where the barrier is composed of diagonal members,such as a installed in accordance with ANSI/APSP-7 ANSI/APSP-7-13 Standard for Suction Entrapment Avoidance in Swimming o O R326.5.2 Temporary barriers.An outdoor swimming pool,including an lattice fence,the maximum opening formed by the diagonal members Pools,Wading Pools,Spas,Hot Tubs,&Catch Basins s k in-ground,above-ground or on-ground pool,hot tub or spa shall be shall not be more than 1-3/4 inches(44 mm) R326.6.2 Suction fittings.Pool and spa suction outlets shall have a cover (R326 6 1) ❑ surrounded by a temporary barrier during installation or construction that conforms to ANSI/ASME Al 12.19.8M,or an 18 inch'23 inch(457 mm u m C: , and shall remain in place until a permanent bamer in compliance with 8.Gates shall comply with the requirements of Section R326.5.2,Items by 584 mm)drain grate or larger,or an approved channel drain system. ASME-American Society of Mechanical Engineers ae Section R326.5 3 is provided 1 through 7,and with the following requirements, `r 10 R326.6.3 Atmospheric vacuum relief system required.Pool and spa ANSI/ASME A112 19.8 2007-Suction Fittings for Use in Swimming Pools, o CO Exceptions: 8 1.All gates shall be self-closing In addition,if the gate is a pedestrian single-or multiple-outlet circulation systems shall be equipped with Wading Pools,Spas,Hot Tubs,and Whidpool Bathing Appliances ❑o o 1 Above-ground or on-ground pools where the pool structure is the access gate,the gate shall open outward,away from the pool atmospheric vacuum relief should grate covers located therein become (R326 6 2) cxa gff8 bamer in compliance with R326 5.3. missing or broken.This cauum relief system shall include at least one at LL 2.Spas or hot tubs with a safety cover which complies with ASTM F 8 2.All gates shall be self-latching,with the latch handle located within approved or engineered method of the type specified herein,as follows: ASTM-ASTM International =1C) ��= n 1346 provided that such safety cover is in place during the penod of the enclosure(i.e,on the pool side of the enclosure)and at least 40 1 Stafety vacuum release system conforming to ASME A112 19 17;or c'i C) installation or construction of such hot tub or spa.The temporary inches(1016 mm)above grade In addition,if the latch handle is 2.An approved gravity drainage system. ASTM F 1346-91(1996)Performance Specification for Safety Covers and removal of a safety cover as required to facilitate the installation or located less than 54 inches(1372 mm)from the bottom of the gate,the Labeling Requirements for All Covers for Swimming Pools,Spas and Hot H1 construction of a hot tub or spa during periods when at least one person latch handle shall be located at least 3 inches(76 mm)below the top of Exception:Surface skimmers Tubs o M Mo cW R326.5.2,R326.5.3,R326 5.6;R326.7 1 0 m engaged in the installation or construction is present is permitted. the gate,and neither the gate nor the bamer shall have any opening ( ) o greater than 0 5 inch(12 7 mm)within 18 inches(457 mm)of the latch R326.6.4 Dual drain separation.Single or multiple circulation systems o 5 R326.5.2.1 Height The top of the temporary bamer shall be at least 48 handle. have a minimum of two suction outlets of the approved type A minimum ASTM F2208-2008-Standard Specification for Pool Alarms M~ s inches(1219 mm)above grade measured on the side of the bamer horizontal or vertical distance of 3 feet(914 mm)shall separate the outlets. (R326 7.1) which faces away from the swimming pool. 8 3.All gates shall be securely locked with a key,combination or other These suction outlets shall be piped so the water is drawn through them o, `g child proof lock sufficient to prevent access to the swimming pool simultaneously though a vacuum-relief-protected line to the pump or NSPI-National Spa and Pool Institute R326.5.2.2 Replacement by a permanent barrier.A temporary bamer through such gate when the swimming pool is not in use or supervised pumps gfin as g shall be replaced by a complying permanent bamerwithin either of the ANSI/NSPI-3-99-Standard for Permanently Installed Residential Spas a j." € following periods 9.Where a wall of a dwelling serves as part of the bamer,one of the R326.6.5 Pool cleaner fittings.Where provided,vacuum or pressure (R326 4.1) $ €5�� €1 1.90 days of the date of issuance of the building permit for the following conditions shall be met: cleaner fitting(s)shall be located in an accessible position(s)at least 6 installation or construction of the swimming pool,or inches(152 mm)and not more than 12 inches(305 mm)below the ANSI/NSPI-4-99-Standard for Above-ground/On-ground Residential 2.90 days of the date of commencement of the installation or 9 1 The pool shall be equipped with a powered safety cover in minimum operational water level or as an attachment to the skimmer(s) Swimming Pools construction of the swimming pool. compliance with ASTM F 1346;or (R326.3 2) 0 R326.7 SWIMMING POOL AND SPA ALARMS Q 17 Q R326.5.2.2.1 Replacement extension.Subject to the approval of the 9 2.Doors with direct access to the pool through that wall shall be R326.7.1 Applicability.A swimming pool or spa installed,constructed or ANSI/NSPI-5-03-Standard for Residential In-ground Swimming Pools 3: O IL Q code enforcement official,the time period for completion of the equipped with an alarm which produces an audible warning when the substantially modified after December 14,2006,shall be equipped with an (R326 31) p of n permanent bamer may be extended for good cause,including,but not door and/or its screen,if present,are opened.The alarm shall be listed approved pool alarm C� Q>-04 n limited to,adverse weather conditions delaying construction in accordance with UL 2017 The audible alarm shall activate within 7 Exceptions: ANSI/NSPI-6-99-Standard for Residential Portable Spas Z seconds and sound continuously for a minimum of 30 seconds after the 1 A hot tub or spa equipped with a safety cover which complies with ASTM (R326.4.2) Y 0 Z O Z R326.5.3 Permanent Barriers.An outdoor swimmingpool,including door and/or its screen,if resent,are opened and be capable of beim F1346 Q J _ r5a o z p 9 p P P 9 ENGINEER'S SEAL LL an in-ground,above-ground or on-ground pool,hot tub or spa shall be heard throughout the house during normal household activities.The 2.A swimming pool(other than a hot tub or spa)equipped with an UL-Underwriters Laboratories,Inc. _ LLJ Z W surrounded by a barrier which shall comply with the following. alarm shall automatically reset under all conditions The alarm system automatic power safety cover which complies with ASTM F1346. C) Z_J<< shall be equipped with a manual means,such as touch pad or switch, UL2017-2000-Standard for General-purpose ►yA!/, J g O 1 The top of the barrier shall beat least 48 inches(1219 mm)above to temporarily deactivate the alarm for a single opening.Deactivation Pool alarms shall comply with ASTM F2208,and shall be installed,used, Signaling Devices and Systems with Revisions !N G y O Q U)M grade measured on the side of the barrier which faces away from the shall last for not more than 15 seconds The deactivation switch(es) and maintained in accordance with the manufacturer's instructions and this through June 2004 ,r`i q swimming pool.The maximum vertical clearance between grade and shall be located at least 54 inches(1372 mm)above the threshold of section (R326 5.3) O Z u7 the bottom of the barrier shall be 2 inches(51 mm)measured on the the door,or N L1J O side of the barrier which faces away from the swimming pool Where R326.7.2 Multiple Alarms.A pool alarm must be capable of detecting 'The NSPI documents are available the top of the pool structure is above grade,such as an above-ground 9.3 Other means of protection,such as self-closing doors with entry into the water at any point on the surface of the swimming pool If through APSP r r pool,the bamer may be at ground level,such as the pool structure,or self-latching devices,shall be acceptable so long as the degree of necessary to provide detection capability at every point on the surface of 0 Lu mounted on top of the pool structure Where the bamer is mounted on protection afforded is not less than the protection afforded by Item 9 1 the swimming pool,more that one pool alarm shall be provided �,� a ae top of the pool structure,the maximum vertical clearance between the or 9.2 described above. S� 0 '� �� WAVN Or NIA top of the pool structure and the bottom of the bamer shall be 4 inches R326.7.3 Alarm Activation.Pool alarms shall activate upon detecting O 052 `� CTC (102 mm) 10 Where an above-ground pool structure is used as a bamer or where entry into the water and shall sound poolside and inside dwellling. �0 ESStOCHECKM BY SGH the barrier is mounted on top of the pool structure,and the means of JANUARY 18,2018 access is a ladder or steps- R326.7.4 Prohibited Alarms.The use of personal immersion alarms shall AS NOTED not be construed as compliance with this section r2 MANUALLY SECURING YOUR COVER 6602 IMPORTANT 7 , NEVER LEAVE POOL UNCOVERED WITHOUT ADULT SUPERVISION. TO PREVENT DROWNING HAZARD, THE AUTOMATIC COVER CAN BE CLOSED MANUALLY IF THE POOL COVER CONTROL SYSTEM BECOMES INCAPACITATED WHILE THE POOL COVER IS OPEN. -- -- - -- - - - - - - - - -- - - - - - -- - - - - - - - - - /h1POiPTA/YT/VOTE Motor Coupler •TheseinstrudionsaiefoiAUlOMAT/CPOOL CO!/ERS INC systems • C.91) 1 through 9foranAutoGuaidccYet systemhy Aut 1n cPoo/Covets;1117. •Comp/etesteps5thiough 9foianAutoGaardMinicoveisyste77 hyAutomaticPoo/Covers,/nc. Q° - - — — — — ——— — —— — — — — — — — — — ——— — — — — — — — — ' o m m Step 1 Turnoff power supply to cover system. Ste p2 Remove the lid or housing cover in order to access the mechanical components of the cover system.These are located on the right or left side of end of the pool where the cover rolls up. 0 / Stev3 Locate the motor coupler assembly which attached the motor to the � cover mechanism. Step4 Using a 9/16"wrench(socket wrench with extension works best), remove the two coupler bolts which hold the coupler together.This will eliminate resistance on the cover from the idle motor. Steps Locate the ropes and the reel they are wound onto. ANoGuard ,4utoGbard/Llini Stepd Pull the ropes upward incrementally,unwinding the reel,until the ropes are at their end Ste o7 Unfasten the ropes from both of the reels. ° Step With both ropes free from reel,establish a good grip in the same ° spot on each rope and pull.The covershould move. Ste p9 Use controlled movements, moving the cover a few feet on each pull,making sure to keep even tension on both ropes so the cover stays straight.Reset grip on the rope if necessary between pulls. I Please contact your pool coverservice company or call Automatic Pool Covers,Inc.Technical Support at(800)878-5789 if you need assistance with this procedure: • 1 ' • Check and clear obstructions(towels,ladders,sports equipment,toys,pool furniture,etc.). • Check to ensure swimmers are not in the pool/spa during opening and closing of the cover. • Check cover for water or debris(leaves,etc.)and remove with cover pump or pool brush. • Ensure thatyou are familiarwith all the safety instructions. • Remove the cover pump after pumping off water. COVEROPERATION 1TOUCH The indicator light mush illuminate BLUE,indicating power is applied to the cover system. OPENING THE COVER �FOdp �o • Remove the cover pump after pumping off water. 20 • Activate your controller,then type 4 digit code and press�. 0 • Press and hold the OPEN button 0 or 0. ® 0 • The indicator light will flash GREEN while the cover is moving. CD • When the cover is fully opened,the keypads electronics will stop the cover and the indicator will flash RED. 0 ®m • Release(K)or 0.The indicator light will turn a solid GREEN. 7 p • To reduce risk of damage,release OPEN button priorto reaching the hard stops. O 0 0 • Press OX to turn off the controller,or let it rest for 10 seconds. CLOSING THE COVER A.Direction B.Indicator Light • Activate your controller,type in the 4 digit code then press(y) C.Number Keys D.Enter • Press and hold the CLOSE button (�D or Gi). E.Cancel/Exit • The indicator light will flash GREEN while the cover is moving. • When the cover is completely closed,the electronic torque limit feature will stop the cover.The indicator light will flash RED. • Release(�E)or&.The indicator light will turn a solid GREEN. • To reduce risk of damage,release priorto reaching the hard stops. • Press�to turn off the controller,or let it rest for 10 seconds. • Place cover pump on the spa cover and plug it into a G.F.C.I.electrical outlet. CHANGING YOUR CODE To change the default code set at the factory( 1002 03 ® )or to change the code afteryou have set a custom code: 1. Press and hold &)until RED light glows. 2. Enter new desired 4 digit code. 3. The RED light will turnoff when the new code has been accepted.The controller is ready for normal use. COVEROPERATION The keyswitch indicator light glows GREEN which denotes that power is applied to the coversystem. KEYSWITCH INDICATOR LIGHT MEANINGS ADULTSUPERVI510N REQUIRED when pool cover m open • Solid GREEN Light-System has power and is ready for operation • Flashing GREEN Light-System is moving • Flashing RED Light-Cover has stopped due to a strain on motor • Solid RED Light-Cover is completely opened or closed. oQ�� CZ0 PRIOR TO OPENING/CLOSING THE COVER • Be sure the keyswitch light is glowing GREEN,there is power to the cover system. ( • ) • (OPENING)Remove all water off the cover and remove the cover pump. • (CLOSING)Be sure all swimmers have exited the pool and that pool is empty. OPENINGICLOSING THE COVER • Insert key and turn it to the LEFTto OPEN cover or to the RIGHTto CLOSE the cover. • The light will blink GREEN and the cover will begin to move. A.Indicator Light B.Open • Keep constant pressure on the key during the OPEN/CLOSE procedure. C.Close D.Key • When the cover is completely OPENED/CLOSED,the indicator light will turn from GREEN to RED. • When the key is released,the light will turn GREEN again. NOTE: If the light begins to flash RED during the OPEN/CLOSE procedure,the cover has stopped due to a strain the on motor.Release key and troubleshoot.Clear any obstructions.After 10 seconds,system will reset and the light should glow GREEN.If flashing RED light continues,turn power off and back on to reset system.If RED light continues flashing,call for service. LIMITED WARRANTY MECHANICALAND ELECTRICAL Aotoina#cPoollovea,lnc.wairantsthe Wechanica/andflectiica/components to he free from defectsinmateria/orwotkmanship which cesu/tsin failure of the componentand/oia17inopeiahle CoveiSystem. MECHANICAL COMPONENTS TERMS AND CONDITIONS: The Mechanical Components Limited Warranty Period is ten(10)years or one-hundred-twenty(120)months from the shipment date of the Mechanical Components from Automatic Pool Covers,Inc.Automatic Pool Covers,Inc.will replace or repair the Mechanical Components and include return shipping costs from Automatic Pool Covers, Inc.during the Limited Warranty Period.The Mechanical Components Limited Warranty does not include pulleys,guides,lead edge gliders or custom items ELECTRICAL COMPONENTS TERMS AND CONDITIONS: The Electrical Components Limited Warranty Period is three(3)years or thirty-six(36)months from the shipment date of the Electrical Components from Automatic Pool Covers,Inc. Automatic Pool Covers,Inc.reserves the right to replace or repair the Electrical Components and include return shipping costs from Automatic Pool Covers, Inc.during the Limited Warranty Period. MECHANICALAND ELECTRICAL COMPONENTS LIMITED WARRANTY CONDITIONS: Components are treated as individual parts of the System,and they are each covered individually,notwholly.The Limited Warranty does not include any travel or labor costs for replacement or repair of warranted parts from Automatic Pool Covers,Inc.to the Pool Cover Dealer,Distributor or Pool Cover Owner. •The Limited Warranty does nottover shipping costs of Components to Automatic Pool Covers,Inc •The Limited Warranty does not cover incidental or consequential damages. •The Limited Warranty is notvalid if full payment has not been received by Automatic Pool Covers,Inc.in accordance with the original terms and conditions of sale prior to warranty claim. The Limited Warranty does not cover the following:Acts of God such as storm or flood,snow damage,operation of the Cover System with frozen water and/or in temperatures below forty(40)degrees Fahrenheit,inadequate pool water level,or due to user abuse,improper installation,improper chemical balance,or failure to comply completely with the Manufacturer's Installation and Owner's Manual guidance. All Limited Warranty Claims must be pre-authorized by Automatic Pool Covers,Inc.and Components are required to be returned to Automatic Pool Covers,Inc.forwarranty determination.Replacement Components will carry the balance of the original warranty. COVER FABRIC ' ,4utomaticPoo/Covers,/nc wairdnts the Covetfahtierfahric%mateiialfiee from defects due to excessive shrinkage ordeteiioiatiou wherehy the fahiicis unahle topieventa volume ofpoo/waterfro1npenetratingthiough the hott In ofthefahricoiwhichresul&inaninopeiahle CoveiSysftn The Cover Fabric Material Limited Warranty Period is five(5)years or sixty(60)months from the ship date of the Fabric from Automatic Pool Covers,Inc to the Pool Cover Dealer or Distributor Automatic Pool Covers,Inc.reserves the right to replace or repair the Fabric Material and include return shipping costs from Automatic Pool Covers, Inc during the first three(3)years or th irty-six(36)months of operation if defects in the Fabric are due to excessive shrinkage or deterioration of the Fabric where the Fabric is unable to prevent a volume of pool water from penetrating up through the bottom of the Fabric and which results in an inoperable Cover System. Automatic Pool Covers,Inc.will replace or repair the Fabric Material in the fourth(4th)through fifth(5th)year,or thirty-seventh(37th)month through the sixtieth (60th)month of the Warranty Period,on a replacement cost basis including return shipping costs from Automatic Pool Covers,Inc.The material replacement cost will be reduced by one-sixtieth(1/60th)per month for each remaining month of warranty.The automatic or manual pool Cover System must have been installed and operated in accordance with the Manufacturer's Installation and Owner's Manual in orderto qualify for a warranty claim. FABRIC LIMITED WARRANTY CONDITIONS: Vinyl,ropes and hybrid-webbing are treated as individual parts of the Fabric,while all are covered underthe Limited Warranty they are each covered individually,not wholly •The Limited Warranty does not include any travel or labor costs for replacement or repair of warranted parts from Automatic Pool Covers,Inc.to the Pool Cover Dealer, Distributoror Pool Cover Owner. •The Limited Warranty does not cover shipping costs to Automatic Pool Covers,Inc. •The Limited Warranty does not cover incidental or consequential damages. •The Limited Warranty is not valid if full payment has not been received by Automatic Pool Covers,Inc in accordance with the original terms and conditions of sale prior to warranty claim •The Limited Warranty does not cover the following:Acts of God such as storm or flood,snow damage,operation of the Cover System with frozen water and/or in temperatures below forty(40)degrees Fahrenheit,inadequate pool water level,or due to user abuse,improper installation,improper chemical balance,normal fading of fabric color,orfadure to comply completely with the Manufacturer's Installation and Owner's Manual guidance All Limited Warranty Claims must be pre-authorized by Automatic Pool Covers,Inc.and components are required to be returned to Automatic Pool Covers,Inc.for warranty determination If Fabric is replaced within the first 36 months,the replacement Fabric will carry the balance of the original warranty. Automatic Pool Covers,na 51y" ME Guide to Cover SafetyOperationand e ,a. h 5ts,.y,p'�As$`•':lpA ' '7.'Ji�taid' 7rv��-r-m ,w �."z by.. t, .... ,,� ^�..�'_^..-•--.. .tom •_.>,"$e -•� ;; �r X per•{. a�.'' 4a/.a•fT� Important Safety Instructions ..............................2 Care and Maintenance....................................2 Frequently Asked Questions ...............................3 Diagnostics and Service...................................3 System Glossary..........................................4 Prior to Opening or Closing Your Cover......................5 Cover Operation-PowerTouch..............................5 Cover Operation-Key Switch...............................6 Manually Securing a Cover ................................6 Limited Warranty.. ......................................7 System Information,Notes&History........................8 . _ ':•.: =i.*,"..',+.'°w:".'s'�, "".t",+:r"."_'r:+rF- .e"`A:r3"iS' ,�.',r. �s>4'.;+,ir;:;�w,•t c», m�-,Y +;Tcr,•,ss7 �y4'fi._i.L. 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'�t..+, i' �A r °s s;;.'��`.:S'• •`i:�r::'.'•r.�.. :,' � ��.. .:.�r.f 'i<:• ». .•;,G" +'ta}'v':J`t�'r "i-•a"`7;m 'a:.'^i�F{'£ S'-i .f .1 t''.. .,ifF.'-+,n ...re..r"`-�:Y\.Fiber �?.'.. '.�sx`.-ev...i.:.zi./:Gd-.at�3it.:ivv�'zr.�....n'4t-I.j:'s.....•.`..�«%�_.,_:•:.:S:S v.•_a.i'.Y'At'Y.:i..:�itiiaden."„�y,'faZ:n'3:v:.n"✓ _ CIA J 4 Ca 10 1411 11114 1 WARNING DO NOT ATTEMPTTO CONNECT, OR DISCONNECT,THE CONTROL UNIT OR MOTOR HARNESS WHILE SUPPLY POWER IS ON. DOING SO CAN IRREVERSIBLY°DAMAGE CONTROLLER AND COVER MOTOR,AND POTENTIALLY CAUSE SERIOUS INJURY OR DEATH. READ AND FOLLOW ALL INSTRUCTIONS WARNING:To reduce the risk of injury,do not permit children to use this product unless they are closely supervised at all times. • Whenever possible,cover should only be operated by an adult or pool owner. • Keep children away from cover. Children or objects cannot be seen under the cover. • Do not walk on the cover except for emergency purposes only. • Keep the pump on the cover and set up for proper use whenever the cover is closed. • Always keep water pumped off of the cover to avoid drowning risk. • Keep all electrical cords and submersible pump away from the swimming area while swimming. • Check cover for deterioration. • Do not close the cover until all swimmers and toys are out of the pool/spa. • Never leave your cover partially opened. Entrapment is possible. SAVE THESE INSTRUCTIONS CARE AND MAINTENANCE SUBMERSIBLE PUMP • Pump must be plugged into a G.F.C.I.protected outlet only. • Inspect the pump periodically for wear. Frayed cords may allow water into the housing causing malfunction.Keep the pump clear of debris. COVER • Ensure that all debris and water is routinely removed. • Your cover should not be operated in temperatures below 40°F. • Your cover should not be operated if the water level is below the skimmer.This will cause the cover to strain and potentially damage the system. • When winterizing,the water level should be NO LOWERTHAN 1"-2"below the skimmer. The cover has slack to accommodate this winter level. • Ladders,(if applicable)must be removed or hinged so they can be raised before the cover is closed. • When adding chemicals,the cover should remain open for at least two hours to allow chemicals to disburse. Concentration of chemical and chemical gases in the water might cause premature aging of the fabric.Be sure to maintain supervision any time the cover is open. VINYL FABRIC • When the fabric begins to show wear due to chemicals,age,heat and sun,it will become brittle and may compromise the safety aspect of the fabric.When the fabric reaches this point,it should be replaced. Contact your dealer at this time. • Inspect for holes in fabric. The fabric can easily be patched. Call for service or a patch kit. • Inspect the webbing(the material that runs in the tracks). If the stitching begins to tear orfray,the strength of the cover may be compromised. • Open your cover at least once a week during the swimming season to allow the water to breathe.Maintain supervision anytime the cover is open. TRACKS • Inspect the screws that secure the deck/coping(if applicable). If they become loose,tighten the screws with a screwdriver. • Spray water into the track channel two times peryear to remove potential debris buildup.(Spring and Autumn). MECHANISM • The mechanism is designed to be maintenance free;however,the recessed box the cover rolls into should be cleaned out at least once per year. Leaves and debris from inside the box can be"picked up"by the fabric and deposited into yourwater. • A system maintenance,should be performed by a trained service technicians either annually or bi-annually. This service typically includes cleaning out the recessed box,an overall tune up of the system and a complete safety check. , • When installed properly,the recessed box will allow water to drain. Water in the'recessed box may cause undue wear, additional drainage may be needed if this problem arises. • Turn power off to the system off while the pool is closed for the season. FREQUENTLY 1 QUESTIONS 1. Can I walk on the cover? Although you can,we recommend you only walk on the cover in an emergency. 2. There seems to be a lot of slack in the cover,is it too big? The fabric is manufactured to include extra material. The fabric may appear wrinkled or oversized but that is normal and they may smooth out. 3. Can the cover be opened/closed manually? Yes,it can. Please refer to the"Manually Securing Your Cover"section of this manual,or contact your pool cover service company. 4. If I drain'my pool/spa or if the water leaks out,should I close the cover? No!Closing the cover when the water level is any more than 6"below the skimmer could cause damage to the system. The system is designed for the level of the water to support the cover. 5. The cover is opening/closing crooked,what should I do? If the cover opens or closes more than 2"off in normal position,then an adjustment is needed.This should be accomplished by a trained technician. Please contact your pool cover service company. 6. Should I leave the cover pump on the cover at all times? The cover pump should be left on when the cover is closed.The only exception is during severe winter conditions. If it is too cold to melt the ice and snow on the cover,pull the pump off and place it in a warm area. Place the pump back on when the ice begins melting. 7. Sometimes I hear a"popping noise"when I open/close the cover...is that normal? This noise is caused when the ropes pass through the different pulleys and onto the rope reel. This is normal and not an indication of trouble. DIAGNOSTICS AN1 SERVICE 1. The cover does not open/close when I activate the controller. • Check wire connections. 2. Water appears on my cover when it has not rained in days •Your cover may have a hole and needs to be patched. Please contact your pool cover service company for a patch kit to easily fix the problem. 3. The cover stops half way closed/opened. •The tracks might have dirt or debris inside. Clean the tracks out with water. •The ropes could be tangled,around the rope reel. Lift the lid,if the rope appear to be tangled,call for service or carefully attempt to untangle ropes. •There is too much water or an obstruction.Pump the water off the cover.If problem continues,the torque may need to be adjusted. 4. The controller indicator light is blinking red. •This means the cover has stopped under stress. There might be too much water on the cover. The cover could be running crooked or there could be an object blocking the cover. Remove the water or blocking object. If red light continues to blink,call for service. •Torque level is too low. Contact Automatic Pool Covers,Inc.technical support at(800)878-5789,or your local service provider. 5. The cover is completely open and will not close. •If the green indicator light is NOT on,you do not have power to the system. Check your electrical service,or make sure that your code is correct. 6. Submersible cover pump is not pumping off the water. •The automatic shut-off may be malfunctioning. Check your pump-owner's manual for troubleshooting tips. 7. My controller does not light up. •Check for power. •Make sure that your code is correct/Pomgflouch0171 SYSTEM GLOSSARY To help understand the different components of automatic pool cover systems,this illustration shows the major components of the system and their function.This is basic layout,your system may vary slightly. O S000 '�p Sp0 0 z m c� + 5 6 coo O V 0 X O O 0 POWERTOUCHT'TOUCH PAD CONTROLLERt 0 TRACK-what the rope and cover/webbing run inside ©KEYSWITCH CONTROLLERt PULLEY CASTING-where the rope turns around at the far end © MOTOR-drives the system QD ROPE-connected to cover;runs inside the track 0 MECHANISM END-the end that has the motor ®GLIDER&BRACKETf-connects the rope to the lead edge ©TUBE-what the cover rolls up on ® LEAD EDGE§-the front edge of the pool cover 0 POLYMER BOX(alternately wood or concrete)-holds unit 0 CARRIAGE&BRACKET$-connects the rope to the lead edge 0 OPPOSITE END-non-motor end ®WEBBING-section of material connected to the edge of the cover 0 ROPE GUIDE-transitions the rope from the track to the reel COVER-the vinyl that protects the pool tYoursystem has one kind of controllerorthe other $Yoursystem has one type of bracket orthe other §Your Lead Edge may be square or round TRACK-There are different styles of Automatic Pool Covers tracks: O TOP TRACK-mounted to the surface of the pool decking Q FLUSH TRACK-recessed in the surface of the pool decking 0 UNDERTRACK-mounted under the pool decking(2&3 channel) 0 0 1 1 ' • Check and clear obstructions(towels,ladders,sports equipment,toys,pool furniture,etc.). • Check to ensure swimmers are not in the pool/spa during opening and closing of the cover. • Check coverfor water or debris(leaves,etc.)and remove with cover pump or pool brush. • Ensure thatyou are familiar with all the safety instructions. • Remove the cover pump after pumping off water. COVEROPERATION 1TOUCH The indicator light mush illuminate BLUE,indicating power is applied to the cover system. OPENING THE COVER �FOdp OOo • Remove the cover pump after pumping off water. • Activate your controller,then type 4 digit code and press 0 0 0 • Press and hold the OPEN button 0 or(4). ® 0 • The indicator light will flash GREEN while the cover is moving. • When the cover is fully opened,the keypads electronics will stop the cover and the indicator will flash RED. ® 0 • Release i�or(4). The indicator light will turn a solid GREEN. OO • To reduce risk of damage,release OPEN button prior to reaching the hard stops. O 0 • Press®to turnoff the controller,or let it rest for 10 seconds. CLOSING THE COVER A.Direction B.Indicator Light • Activate your controller,type in the 4 digit code then press 0 C.Number Keys D.Enter • Press and hold the CLOSE button (�D or 0. E.Cancel/Exit • The indicator light will flash GREEN while the cover is moving. • When the cover is completely closed,the electronic torque limit feature will stop the cover. The indicator light will flash RED. • Release(�Dor(4). The indicator lightwill turn a solid GREEN. • To reduce risk of damage,release priorto reaching the hard stops. • Press(�X to turn off the controller,or let it rest for 10 seconds. • Place cover pump on the spa cover and plug it into a G.F.C.I.electrical outlet. CHANGING YOUR CODE To change the default code set at the factory( 1(�(�2 (�3 ®)or to change the code after you have seta custom code: 1. Press and hold 12)until RED light glows. 2. Enter new desired 4 digit code. 3. The RED light will turnoff when the new code has been accepted.The controller is ready for normal use. The keyswitch indicator light glows GREEN which denotes that power is applied to the cover system. KEYSWITCH INDICATOR LIGHT MEANINGS ADULTSUPERVISIONREQUIRED when pool cover is open • Solid GREEN Light-System has power and is readyfor operation Q • Flashing GREEN Light-System is moving • Flashing RED Light-Cover has stopped due to a strain on motor 0 • Solid RED Light-Cover is completely opened or closed. 0 oe�`' C"04 0 PRIOR TO OPENING/CLOSING THE COVER O • Be sure the keyswitch light is glowing GREEN,there is power to the cover system. • (OPENING)Remove all water off the cover and remove the cover pump. • (CLOSING)Be sure all swimmers have exited the pool and that pool is empty. OPENING/CLOSING THE COVER 0 • Insert key and turn it to the LEFTto OPEN cover orto the RIGHTto CLOSE the cover. • The light will blink GREEN and the coverwill begin to move. A.Indicator Light B.Open • Keep constant pressure on the key during the OPEN/CLOSE procedure. C.Close D.Key - • When the cover is completely OPENED/CLOSED,the indicator light will turn from GREEN to RED. • When the key is released,the light will turn GREEN again. NOTE: If the light begins to flash RED during the OPEN/CLOSE procedure,the cover has stopped due to a strain the on motor.Release key and troubleshoot.Clear any obstructions.After 10 seconds,system will reset and the light should glow GREEN.If flashing RED light continues,turn power off and back on to reset system.If RED light continues flashing,call for service. MANUALLY SECURING ' COVER 40 IMPORTANT 40 NEVER LEAVE POOL UNCOVERED WITHOUT ADULT SUPERVISION. TO PREVENT A DROWNING HAZARD, THE AUTOMATIC COVER CAN BE CLOSED MANUALLY IF THE POOL COVER CONTROL SYSTEM BECOMES INCAPACITATED WHILE THE POOL COVER IS OPEN. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /tiIPORTANTNOPE Motor Coupler •Thesei)7structioflsaieforAUTON47/CPO01 COYfR.S,AC,systems 1 •Comp/etesteps 1 through.0 fol', uardcoveisystein by Autoln cPoo/Covem,,blc. :,.D.. •Comp/etesteps5throughRAoranAutoGuaidillioicoversystem hyAutomaticPoo/COMS,,/nc. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - e o a Step 1 Turn off power supply to cover system. Step Remove the lid or housing cover in order to access the mechanical components of the cover system.These are located on the right or left side of end of the pool where the cover rolls up. 0 /Step3 Locate the motor coupler assembly which attached the motor to the � cover mechanism. Step4 Using a 9/16"wrench (socket wrench with extension works best), remove the two coupler bolts which hold the coupler together.This will eliminate resistance on the coverfrom the idle motor. Steps Locate the ropes and the reel they are wound onto. AU 67k1,?d AUtOGUa/dM%/1% Step Pull the ropes upward incrementally,unwinding the reel,until the ropes are at their end Step? Unfasten the ropes from both of the reels. ° 1 Step9 With both ropes free from reel,establish a good grip in the same ° spot on each rope and pull.The cover should move. Step9 Use controlled movements, moving the cover a few feet on each pull,making sure to keep even tension on both ropes so the cover stays straight.Reset grip on the rope if necessary between pulls. Please contact your pool coverservice company or call Automatic Pool Covers,Inc.Technical Support at(800)878-5789 if you need assistance with this procedure. MECHANICAL AND ELECTRICAL AutomatWPoo/COMr,,AM WWWRntsthe IVechanica/andE/ediica/componentstohefleefrom defertsinmateria/ol olkmanship whichies IsIllfai/uieof the companentand/aianiflopeiah/e Comel-System. MECHANICAL COMPONENTS TERMS AND CONDITIONS: The Mechanical Components Limited Warranty Period is ten(10)years or one-hundred-twenty(120)months from the shipment date of the Mechanical Components from Automatic Pool Covers,Inc.Automatic Pool Covers,Inc.will replace or repair the Mechanical Components and include return shipping costs from Automatic Pool Covers, Inc.during the Limited Warranty Period.The Mechanical Components Limited Warranty does not include pulleys,guides,lead edge gliders or custom items. ELECTRICAL COMPONENTS TERMS AND CONDITIONS: The Electrical Components Limited Warranty Period is three(3)years or thirty-six(36)months from the shipment date of the Electrical Components from Automatic Pool Covers,Inc. Automatic Pool Covers,Inc.reserves the right to replace or repair the Electrical Components and include return shipping costs from Automatic Pool Covers, Inc.during the Limited Warranty Period. MECHANICAL AND ELECTRICAL COMPONENTS LIMITED WARRANTY CONDITIONS: Components are treated as individual parts of the System,and they are each covered individually,not wholly.The Limited Warranty does not include any travel or labor costs for replacement or repair of warranted parts from Automatic Pool Covers,Inc to the Pool Cover Dealer,Distributor or Pool Cover Owner. •The Limited Warranty does not cover shipping costs of Components to Automatic Pool Covers,Inc. •The Limited Warranty does not cover incidental or consequential damages. •The Limited Warranty is not valid if full payment has not been received by Automatic Pool Covers,Inc in accordance with the original terms and conditions of sale prior to warranty claim The Limited Warranty does not cover the following.Acts of God such as storm or flood,snow damage,operation of the Cover System with frozen water and/or in temperatures below forty(40)degrees Fahrenheit,inadequate pool water level,or due to user abuse,improper installation,improper chemical balance,or failure to comply completely with the Manufacturer's Installation and Owner's Manual guidance. All Limited Warranty Claims must be pre-authorized by Automatic Pool Covers,Inc.and Components are required to be returned to Automatic Pool Covers,Inc.for warranty determination.Replacement Components will carry the balance of the original warranty. COVER FABRIC .4No1na#cPaa/Cove1s,/nc,cvaiiants the Covetfahiicrfahiic'%materia/fiee from defects due to excessimeshiinkage otdeteiiocatioo Wheiehythe Fahiicis unah/e topieveata volume afpoolwateifiompenetratiogthrough thehottom ofthefahiico,-whichiesu/tsinafliaopeiah/e CoveiSystem. The Cover Fabric Material Limited Warranty Period is five(5)years or sixty(60)months from the ship date of the Fabric from Automatic Pool Covers,Inc to the Pool Cover Dealer or Distributor.Automatic Pool Covers,Inc.reserves the right to replace or repairthe Fabric Matenal and include return shipping costs from Automatic Pool Covers, Inc during the first three(3)years orthirty-six(36)months of operation if defects in the Fabric are due to excessive shrinkage or deterioration of the Fabrncwhere the Fabric is unable to prevent a volume of pool waterfrom penetrating up through the bottom of the Fabric and which results in an inoperable Cover System. Automatic Pool Covers,Inc.will replace or repair the Fabric Material in the fourth(4th)through fifth(5th)year,or thirty-seventh(37th)month through the sixtieth (60th)month of the Warranty Period,on a replacement cost basis including return shipping costs from Automatic Pool Covers,Inc.The material replacement cost will be reduced by one-sixtieth(1/60th)per month for each remaining month of warranty.The automatic or manual pool Cover System must have been installed and operated in accordance with the Manufacturer's Installation and Owner's Manual in orderto qualifyfor a warranty claim. FABRIC LIMITED WARRANTY CONDITIONS: Vinyl,ropes and hybrid-webbing are treated as individual parts of the Fabric,while all are covered under the Limited Warranty they are each covered individually,not wholly. •The Limited Warranty does not include any travel or labor costs for replacement or repair of warranted parts from Automatic Pool Covers,Inc.to the Pool Cover Dealer, Distributor or Pool Cover Owner. •The Limited Warranty does not cover shipping costs to Automatic Pool Covers,Inc. •The Limited Warranty does not cover incidental or consequential damages. •The Limited Warranty is not valid if full payment has not been received by Automatic Pool Covers,Inc.in accordance with the original terms and conditions of sale prior to warranty claim. •The Limited Warranty does not cover the following:Acts of God such as storm or flood,snow damage,operation of the Cover System with frozen water and/or in temperatures below forty(40)degrees Fahrenheit,inadequate pool water level,or due to user abuse,improper installation,improper chemical balance,normal fading of Fabric color,or failure to comply completely with the Manufacturer's Installation and Owner's Manual guidance. All Limited Warranty Claims must be pre-authorized by Automatic Pool Covers,Inc.and components are required to be returned to Automatic Pool Covers,Inc.forwarranty determination.If Fabric is replaced within the first 36 months,the replacement Fabric will carry the balance of the original warranty 1 ' ► 1 1 1 ' 12' System Type: ❑THREE-SIXTY-FIVE' ❑AutoGuard ❑AutoGuard Mini ❑Manual Guard Controller Type: ❑PowerTouch'"Touch Pad ❑AutoGuard'Key Switch TrackType: ❑Top Track ❑UnderTrack ❑Flush Mount ---------------------- System Serial Number: P/aceSeiia/Number Date of Manufacture: Stickerf/eie ------------------------- Installer: Date Installed: Service Company: Phone#: Service History/Notes: ;Automatic Pool Covers,nc. WMME �� 1 DO.0010(03/16) WWw.APC Mig.com• (80Oj 878 5789 _ __�