HomeMy WebLinkAbout41337-Z Sa flF t& Town of Southold
7/30/2020
0
P.O.Box 1179
C* 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41302 Date: 7/30/2020
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 7540 Main Bayview Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 78.-7-48
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/19/2012 pursuant to which Building Permit No. 41337 dated 2/1/2017
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 Gould, Susan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41337 7/20/2018
PLUMBERS CERTIFICATION DATED
/ IVAu o e ature
SU �Kc TOWN OF SOUTHOLD
��oti° any BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy-• 4� 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#: 41337 Date: 2/1/2017
Permission is hereby granted to:
Zakarin, Gary
185 E 85 St Apt 35B
New York, NY 10028
To: Construct an inground swimming pool, fenced to code as applied for.
Replaces BP# 37665
At premises located at:
7540 Main Bayview Rd., Southold
SCTM # 473889
Sec/Block/Lot# 78.-7-48
Pursuant to application dated 2/1/2017 and approved by the Building Inspector.
To expire on 8/3/2018.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
Building Inspector
o�SUFFtoo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
s TOWN CLERK'S OFFICE
y • � ,fi SOUTHOLD, NY
o .
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 #: 37665 Date: 12/3/2012
Permission is hereby granted to:
Zakarin, Gary &Zakarin, Eileen
325 E 79th St
New York, NY 10075
To: construct an in round swimming g pool, fenced to code as applied for
At premises located at:
7540 Main Bayview Rd, Southold
SCTM # 473889
Sec/Block/Lot# 78.-7-48
Pursuant to application dated 11/20/2012 and approved by the Building Inspector.
To expire on 6/4/2014.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE V2 $250.00
CO - SWIMMING POOL �d,--VA--00
Total: $300.00
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines,streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy -New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00, Additions to accessory building$50.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00
\/ Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: -1 5qD MaLn y iP w aa �5 o-11-1 D I
House No. Street Hamlet
Owner or Owners of Property: \j la� r
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
pF SO!/r�,ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road cis Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 •� • �o roger.rich ert(a�town.southoId.ny.us
0.'�COUNrI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gary Zakarin
Address: 7540 Main Bayview Road city,Southold st: New York zip: 11971
Building Permit#: 41337 Section: 78 Block: 7 Lot: 48
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Beach Electric of Quogue License No: 4025-E
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks 1
Disconnect Switches Twist Lock F1 Exit Fixtures �] TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS"
Notes: Inground Swimming Pool to Include: Bonding, 1- Pool Light, 2- GFCI Circuit Breakers.
Inspector Signature: Date: July 20, 2018
0-Cert Electrical Compliance Formas
opF Sol/
�o� olo
o�'YOOUM'�?cam
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] DdSULATION
[ ] FRAMING / STRAPPING [VrFINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELEC RICAL (FINAL)
REMARKS: D Ilr
cin4& 6v�[L'
04, oL2 IS j 44 1 r
DATE INSPECTOR
SOUryo
H �O
cou
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND 9SULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: iii/
14
1
DATE INSPECTOR '
pF SOUIyo�
* # TOWN OF SOUTHOLD BUILDING DEPT.
°`ycourm,N�'' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR c
ql a0f SO(/ly
# TOWN OF SOUTHOLD BUILDING DEPT.
°`ycouHty e�' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LAT N
G S
FRAMING /STRAPPING G�
[ ] RAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
S JroY
DATE INSPECTOR
FIELDSPEQN REPORT DATE COMMENTS
'OUND�iON(18T)
L C\)
FOUNDATION(2ND) �
ROUGH FRAAIINQ& y
PLUAMING
y
INSUL•ATION PER N.Y.
STATE ENERGY COME
-k (P 'N4t iti t` 10 I's
17 wt 6
FINAL q• 4of 24►'�
St v�
1 -
N
ADDITIONAL COMMENTS
—�Na•P �� Q 'r Z
e
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 1 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 r Survey
SoutholdTown.NorthFork.net PERMIT NO. 7� lJ Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 20 � { Storm-Water Assessment Form
`I �lQ 1 9 2012 'r�
�n act:
Approved �� 20 U Mail to: i e &/�dl' &—
Disapproved a/c
BLDG DEPT.
Expiration L 20
TOWN OF SOUTHOLD Phone:
Bui din spector
APPLICATION FOR BUILDING PERMIT
Date 4) , 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws,Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances,building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building four flflnecessary inspections.
OCCUPA
9
96tl7eM,EDIATE6Yoi �S I a (Signature of applican or name,if a corporation)
ENCLOSE POOL TO CODE- � ���
UPON COMPLETfOId 'ITHODUT CERT IFI T ® I� OX I-13 CP -- - OX ,U
`'BEFORE,"WATE.7 (Mailin address of a hcant
OF �� UI NO"s� �° APPROV A Vf ) I laL42—
State whether applicant is owner, lessee, agent, architect, engineer, general contra to , electrician p or builder
iDATE 2— B P
Aaw–r
�i� Poo 1 Scrui C.—
Name of owner of premises Irk, NOTIFY BUILDING DEP RTI�ENT AT
G�ly� I 765-1802 8 AM TO 4 PM FOR THE
(As on the tax roll&ghtQM T�S
If applicant is a orporation, signa f duly q*orized fficer �. FOUNDAT®N-TWO REQUIRED
r FOR POURED CONCRETE
r(AVV2. ROUGH-FRAMING,PLUMBING,
(Name and title of corporate officer) STRAPPING, ELECTRICAL&CAULKING
1 -l co g g 3. INSULATION
Builders License No. 4. FINAL-CONSTRUCTION &ELECTRICAL
Plumbers License No. MUST BE COMPLETE FOR C.O.
Electricians License - - � � ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
Other Trade's License No. > > 'R` PORK STATE, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
1. Location of land on which oposed work will b done:
ISL40 Nimn t5a%,.1yicW ' 1-�oarl. SDUAbOIOL
House Number Street Harr> TAIN STORM WATE 9A1 r%nmr-476
FF
PURSUA�T TO CHAPCounty Tax Map No. 1000 Section Block
Subdivision Filed Map No. o '
2. State existing use and occupancy of premises and intended se and occupancy of proposed construction:
a. Existing use and occupancy re-S 1 d ,-h a_
b. Intended use and occupancy S' X L' Q
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other WorkS W 1 rn M I n q RX=
(De ption)
4. Estimated Cost 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
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
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO 10
13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO_g,,
14. Names of Owner of premises 7-oLKIrt 0 Address 3Q 5 E 7 9+41 Phone No. C1 I 1 dS 14 133(10
Name of Architect Address r IQ C- to-'��Phone No
Name of Contractor CrjM_)arA SiLlhMay" Address il90 Avziu 1-73b Phone No. (P31-US3Al L86
&_Q " AqI
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE 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 OF SO %I
&y-A &u Inn mo,,r being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is thef N:' l
(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.
SwoNQ,before me th'KIMM
f►'1 day of 20
MALLORY C LESCENSe
NOTARY UBLIC
tart'Public -STATE OF RtW YORK Signature of Applicant
No. O1 LE6266195
Qualified in Suffolk County
My Commission Expires July 23, 2016
J
Town of Southold - Chapter 236 - Stormwater Management
w
sol SWPPP - Storm Water Pollution Prevention Plan Assessment Form
GENERAL INFORMATION: (All Requested Information is Required for a Complete Application)
APPLICANT NAME: Owner-Agent Consultant-Contractor orQthe (Circle one) Property OWNER: Different then Applicant)
G-dvialnd � P ri� gaol�vl S �_ r l�VZ� I
Address: uX � S� �l✓ Address: j 7SLJ'C7 tl a c b .. o 0 Q
Telephone#: (051-653 Fax#:�-a1`US3 a� Telephone'N-1 r,-5a,f—qm(p Fax#*
E-Mail: lf1J'� iX.� E-MaEI: I J "J/
om
Property Address: Brief Description of Construction Activity,Proposed Structural BMPs,Soil
S.C.T.M.#: Stabalization BMPs,Project Scope and/or Sequence of Construction Activity
1000 (Provide Additional Pages as Needed)
Dlsfrie! Setlion Slotk Lo! �
NseofContractorandlorContaot ersonrisponsiblef>orlmplementationofSWPPP: �� � l --� �J_—_---^,_--�.
11AeAt ( 'L. 00 v
AddID e�
ii
l3cp 1lfl e
7e ee#:(92 I l,j/ Fax#-(031-(96-3
1/ 6 V 9 �CL ,..� I
C �._�� �.,_t/.►... G ._ ___^__
E-Mail:-
---------------------------------------------
Name
— _-.-_..,_Name of Persons Responsible for Installation&Maintenance of Erosion Control Practice:
---------------------------------------------
Address:
Telephone#: Fax M.
E-Mail:
Total Area of All Total Area of land Clearing -----------------------------------
Project Parcels: andlorGroundDisturbance, ,__—_____
is
F.I Aries) (S.F./Acres)
ProjectDuration: StartEnd —�--.------.------.--______-._—_.._____--------..___--
(Anticipated) Date: Date:
(Number crCWwdaroays) -----------------------
Will
....,.—_Will this Project Disturbe five(5)or More Acres at Q -'�-'-� -v� ------ "-`---- .____.----_-_
Any One Time During the Proposed Development 7 Yes No -----------------------------------------------
IfYES:Please AnswertheFollowingl _. m ,_ ,,,. ,. --------- _,..--- ----------
a. Does the Applicant have a Qualified Inspector On Q Q
Staff To Conduct the Required Inspections? Yes No
b. Does the SWPPP Indicate How Frequently the Site O = List the NAMES ordeseription of all Potentially Impacted Waterbodtes andlor Wetlands:
Inspections will Occur and for What Period of Time? Yes No
c. Does the SWPPP Adequately Identify All Temporary Q =
and/or Permanent Soil Stabalization Measures? Yes No ____,_______________.,_
d. Does the SWPPP Adequately Identify a Complete 0 = ""'------___.._'----------
--------------____________
Project Phasing Plan? Yes No Status of Impacted Waterbody:(eq.TMDt.,303(d)Listed,Impalred_)
e. Does the SWPPP Indicate Additional Site Specific
Practices that Will be Utilized to Protect Water Quality? Yes No
f. Has the Applicant Submitted a Completed DEC Notice Type of Impacted Waterbody:leg.Lake,Creek,Bay,Pond,Sound,FreshwaterWetiand.)
Of Intent and SWPPP Acceptance Form for Review r__1 Q
by the Town of Southold? Yes No
NFW
S1'ATF.O'F�COUNIY OF......... 11 .......SS
That I,...."- W.o d........ .� U ......being duly sworn,deposes and says that lie/she is the applicant for Permit,
(Name of individual signing Document)
Andthat he/she is the ................................ .........� � .....................................................................................:..................
(Owner,Contractor,Agent Corporate Officer,etc.)
Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to
make and file this application;that all statements contained in this application are true to the best of his knowledge and b 'ef;and
that the work will be performed in the manner set forth in the application filed herewith.
Sworn to re me this; kv
.......................... ....... .. d ............AtIIFYY C LE
SKI
Notary Publi .. ........ /�NOTARY..P.11k11C-STATE. !N ......... ...............................
No. OILE626 95 (signal eofAppGcant)
SWPPP Assessment FORM: P3112 ®uolitied in Suffolk County
My Commission Expires July-23, 2016
Town Hall Annex,:; �,;,�. ;, Telephone(631)765-1802
54375 Main Road
_. • A 01(631)raQeGrlche o[d.
ny l!s_
Southold;MY ftVf,- 959
- I.
BUI W.WG DEPART ffM
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
[Address:
QUESTED BY:
L Lo -s S,�r lmc� Date: �- Z
mpany Name:
i
me: l
i.
ense No,: s
one No.: a 23t Cv5 3�
,JOBSITE INFORMATION: (*Indicates required information)
*Name: Oi G. L I
*Address: 4v t ( v
t 11
*Cross Street:
*Phone No.: C ( I s7[ 4
Permit No.:
Tax-Map District: 1000- Section: 9 Block: ® -7 Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES/ O Rough In Final
*Do you need a Temp Certificate: YES 7 NO
Temp Information(if needed)
*Service Size:" 1 Phase 3Phase 100 950 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service . Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
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Southampton Town LicenseReviewBoard
•
116 HAMPTON ROAD SOUTHAMPTON,NY 11968
fi> 1. L990089 DATE r�
ISSUED: 12012
Home Improvement License
4' This is to certify that Edward W Summar Jr. w•, i �:
doing businessPool
�' .c� •t it
�_ • Yhaving furnished the requirements set forth in accordance with and subject to the provisions of the applicable regulations rules and •
on,
n _a
censed to conduct business under the provisions of the Home Improvement
Contractors Law, Chapter 143.
THIS LICENSE EXPIRES April 11,2013
ANTHONY WITALIA,JR.
Chairman License Review Board
! •
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New York State Insurance Fund
Workers'Compensation&Disability Benefits Specialists Since 1914
8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129
Phone:(631)756-4300
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
NA A^A A 113390743
SUN BRITE POOL SERVICE INC
PO BOX 1736
EAST QUOGUE NY 11942
POLICYHOLDER CERTIFICATE HOLDER
SUN BRITE POOL SERVICE INC TOWN OF SOUTHOLD
PO BOX 1736 53095 RTE 25
EAST QUOGUE NY 11942 P O BOX 1179
SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE
11452742-8 276279 04/24/2012 TO 04/24/2013 11/8/2012
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 1452 742-8 UNTIL 04/24/2013, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER
FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 04/24/2013 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE,
10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE.
NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW
YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
EDWARD SUMMER(PRESIDENT)OF
SUN BRITE POOL SERVICE INC
(ONE OF ONE)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
This certificate can be validated on our web site at https://www.nysif.com/cert/certval.asp or by calling (888)875-5790
VALIDATION NUMBER:279289901
tai
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P I
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Construction—Maintenance—Marble Dusting—Masonry—Renovations-Saltwater Pools
Pool Package: $22.295.00
- Excavation- Backfill&Rough grade 5' around pool
- Pool- 18'x 40' Rectangle Poured concrete walls
- Extrusion -Top mount
- Liner- 20 Mil
- Coping- 2"x12"Thermal bluestone treads
- Padding- '/a"Wall foam
- Plumbing- 2"Schedule 40 rigid pipe w/ schedule 80 unions &valves
- (1) Step -9' Vinyl overlay corner step
- (2) Skimmers - Hayward 2"
- (2)Returns - Hayward wall fitting
- (1) Vac Sweep - Hayward wall fitting
- (2)Main Drains - Hayward 2"equipped with VGB covers
- (1) Equipment Pad-4"poured concrete
- (1) Filter- System 3 cartridge filter
- (1) Pump - Pentair 3.0 HP pump w/SVRS +VS ($200.00 LIPA rebate available)
- (1) Hayward automatic chlorinator
- (1) Drywell - Cultec 415 gallon
- (1) Ladder- 3 tread stainless steel
(1) Light-400 Watt(Includes I5'of V pvc conduit and 50'cord,($12 95 per additional ft)
(1) Vac Kit-Rope &floats, vac pole, hose, net,brush, vac head&test kit
www.sun-br ools.com
P.O. Box 1736—East Quogue,NY 11942
Office: 631-653-8788—Fax: 631-653-8915
Southold Town Building Department
�gOFfU(K�o P.O.Box 1179 Permit#: 37665
4 G
y 53095 Main Rd
Cm
Southold,New York 11971 Permit Date: 12/3/2012
(631)765-1802 Expiration Date: 6/4/2014
Parcel ID: 78.-7-48
BUILDING PERMIT RENEWAL LETTER
Dated: 5/13/2015
Applicant: Sun-Brite Pool Services
Location: 7540 Main Bayview Rd, Southold
Work Description: IN GROUND POOL
construct an inground swimming pool, fenced to code as applied for
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Zakarin, Gary&Zakarin, Eileen
Address: 325 E 79th St
New York,NY 10075
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
P.O.Box 1179 Permit#: 37665
53095 Main Rd
Co
• Southold,New York 11971 Permit Date: 12/3/2012
yfjQlao�. (631)765-1802 Expiration Date: 6/4/2014
Parcel ID: 78.-7-48
BUILDING PERMIT RENEWAL LETTER
Dated: 1/9/2017
Applicant: Sun-Brite Pool Services
Location: 7540 Main Bayview Rd, Southold
Work Description: IN GROUND POOL
construct an inground swimming pool, fenced to code as applied for
A FEE OF $125.00 IS REQUIRED TO RENEW TRIS BUILDING PERMIT.
Owner: Zakarin, Gary&Zakarin, Eileen
Address: 325 E 79th St
New York,NY 10075
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
OF SO!/p�ol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road y 4W Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 '®
COUNTY,N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 28, 2018
Gary Zakarin
185. E 85 St Apt 35B
New York NY 10028
Re: 7540 Main Bayview Rd, Southold
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
NOTE:7PeTmmit=isrequiredrfor'th e=hot}tub-befdtd C of-'O can be=issued.
Electrical Underwriters Certificate
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 411/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Manning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 41337 —Swimming Pool
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SITUATE Mh,°�' h 120.43'
BAYVIEW, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.- °9•
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PREPARED FOR: GARY ZAKARIN " W000FRA�1E o o coNc POLE
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534900'Fy / Q AREA = 25,920 S.F.
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GUARANTEES INDICATED HERE ON SHALL RUN
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777ZE COMPANY, GOVERNMENTAL AGENCY, SURVEYED BY
LENDING ASSIGNEES
IF LISTED HEREON, AND STANLEY J. ISAKSEN, JR.
TO THE ASSIGNEESEES OF THE LENDING INSATUDON. 2`?p0
i GUARANTEESR£ OT ANo"
TRANSFERABLE >b P.O. BOX 294
AD0I710NAL INS777U77ONS OOWNERS.R SUBSEQUENT 6
692' NEW Slf FOLK. N.Y. 11956
\ UNAUTHORIZED AL 77ON OF E 770V 7 0 TO THIS 6 31 —7" 4-5835
SURVEY IS A V10CA710N OF SECTION 7209 OF /
THE NEW YORK STATE EDUCATION LAW.
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COP/ES OF 7N1S SURVEY MAP NOT BEARING •
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PMOL AND PROPERTY 'IO OO[Q-Ml Tb N.Y. STATE RESIDENTIAL UTI'RAPMEW PR(YT'ECTION REQUIRED
CODE APPaUIX G 2010 EDITION SECTION G107
POOL TO Oa*X)P-- 'Iri NNSI/NSPI STAI`>DARL6 AL:103. 1 (POOL ALARM REQUIRED