Loading...
HomeMy WebLinkAbout45607-Z �c��ylFDl��o Town of Southold 8/28/2021 P.O.Box 1179 0 C* z 53095 Main Rd 4,1 dao i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42308 Date: 8/28/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 500 Circle Dr,East Marion SCTM#: 473889 Sec/Block/Lot: 21.-3-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/8/2020 pursuant to which Building Permit No. 45607 dated 12/28/2020 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 5 Kingsgroup ILC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45607 5/4/2021 PLUMBERS CERTIFICATION DATED CNJ\ 011 Au ori ed7e tore x� TOWN OF SOUTHOLD sUFfocK X00`0 �P�y BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 45607 Date: 12/28/2020 Permission is hereby granted to: Mardikos James Irrev Trt 221 Brookfield Ave Staten Island, NY 10308 To: construct accessory in-ground swimming pool as applied for. At premises located at: 500 Circle Dr, East Marion SCTM # 473889 Sec/Block/Lot# 21.-3-18 Pursuant to application dated 12/8/2020 and approved by the Building Inspector. To expire on 6/29/2022. Fees: ELECTRIC $100.00 SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $400.00 BuW""q spector so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.deviin(aD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 5 Kingsgroup LLC Address: 500 Circl Dr city,East Marion st. NY zip. 11939 Building Permit#. 45607 Section 21 Block 3 Lot. 18 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor. DBA: Pro-Line Electric License No: 32279ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer 100W UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches 4'LED Exit Fixtures Pump 1 Other Equipment: Pump on 220GFI, Heater, 2 Lights on 100w Tranny Notes Pool Inspector Signature: s Date: May 4, 2021 c. S.Devlin-Cert Electrical Compliance Form As a0F 50U1y L -7 ot * # TOWN OF SOUTHOLD BUILDING DEPT: 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH): [ ] 'ELECTRICAL (FINAL) ] CODE VIOLATION [ ] PRE C/O REMARKS: 5e�3 �� Vol -ell DATE INSPECTOR --.,, G-- OF SOGIyOIo Li 56 -5� o-& Lir f # TOWN=OF OUTHOLD BUILDING DEPT. °��courme�' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG.- [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [IAELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: toa Ft JVA-t- AJ �e- r CA DATE INSPECTOR qf so 0 l , 'fo # # TOWN OF SOUTHOLD BUILDING DEPT. com765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATIO CAULKING - [ ] FRAMING /STRAPPING [ FINAL eptl� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] -ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: (wax rvc ti DATE INSPECTOR RAYDONER,ARCHITECT ARCHITECTURAL DESIGN INTERIOR DESIGN PLANNING&DEVELOPMENT RESIDENTIAL-COMMERCIAL-INDUSTRIAL 95 RICHMOND AVENUE S.AMITYVILLE,NEW YORK 11701 Phone/Fax:(631)691 1718 EMAIL:RDARCHITECT@YAHOO.COM May 14, 2021 Southold Budding Department 54375 Rte. 25 Southold,New York 11971 RE: CERTIFICATION of POOL RE BAR 500 Circle Drive,East Marion BUILDING PERMIT NO: 45607 To Whom it May Concern: This Letter is to,Certify that as per My Inspection All Re-bar was installed to the Wails and`Floor' of the In-ground Pool before the Pouring of Concrete. I Acknowledge that the Southold Building Department is relying on this Affidavit to issue a Final Certificate of Occupancy for the above onstruction. Sincerely, U�1 RCy Ray Doner, Architec . �����pND cc � .t�Xt d cP�T�0 024$��0�� OF N�`N FIELD'IIVSPEC IOIQ REPOkT' DATE ( �b FOUNDATION(1ST) ------------------------- FOUNDATION(2ND) • 1 ROUGH FRAMING& PLUMBING INSL7,,ATION PER N.Y. STATE ENERGY CODE• FINAL . i r 0 ' • t z gllffOtk� TOWN OF SOUTHOLD —BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 littps://www.soLithoIdtownny.gov 40 Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only U DEC� _ 0 D I� PERMIT NO. LK(P61Building Inspector: 'Applicatioriscand forms'must be,filled�out-in thei"r entirety.Iricomplete' ,~„- @ N ¢�{ >applications;wilhnot lie'accepted. Wheti;_the Applicant-is not t_t e=ovtirner, ='.Owner's Auttiotion'f6rm(Page 2 shdil'b6 completed: Date:11/16/20 OWNER S� OPROPE-RTYt - - - z Name:,, y CJ 1' ^LLC SCTM#1000-21-03-18 Physical Address a Phone#:917-892-3758 Email:mon -09�i7it@msn.com - Mailing Address:as abOVe `CONTACTPERSON• - Name:Adrian Konior Mailing Address:87 Sandy Ct ,Riverhead NY 11901 Phone#:646 413- 4604 Email:adkoninc@gmaii.com ,DESIGN PROFESSIONAL INFORfVIQTION: Name:Nathan Taft Corwin III Mailing Address:1586 Main Rd, Jamesport, NY 11947 Phone#:631 727- 2090 Email: ;CONTRACTOR INFORIVIATIO_ _ =`�= _ _ :r ' - _ _: - N: -`, = Name:Cubian Construction COrp_ _ Mailing Address:76 Gardner Ave,_ Hicksville, NY 11801 Phone#:516 439- 3670 Email:n/a =DE _610TIONV OF PROPOSED-CONSTRUCTION' ❑New Structure ❑Addition []Alteration ❑Repair ❑Demolition Estimated Cost of Project: ®Other 9unite pool 31'x 18' $30,000 Will the lot be re-graded? Dyes FrNo Will excess fill be removed from premises? ®Yes ❑No 1 - - PROPERTY INFORMATION _ Existing use of property:residentlal _. Intended use of property_residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. D Check_Box , ter Read ltig,-The owner/confractor/design professional is responsible for all drainage and storm water issues as provided 6y 'Chapter 236 of the Town Code:APPLICATION is HEREBY MADE to tWBuilding 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,alteratronecirfor removal or demolition as herein described.TNe applicant agrees to comply with all applicable laws,vrdinancgs,building code, _;, _housing code and regulations and to.admit authgnzed lnspgctors'onpremises and in-building(s)-for necessary inspection`s.False statements made herein are', punishable aia Class A misdemeanor pursuant to Section 210.45'of the New_York State Penal Law:= Application Submitted By(print name): ADMAN �--'oN102 Authorized Agent L(wner Signature of Applicant: C ,4(�` Date: /2 7 Z STATE OF NEW YORK) SS: COUNTY OFF Suffolk ) — 1/jr)al,,�I\j coyy I ole being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, OGS (S)he is the (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/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this '3—day of B� 2 020 _ 9� , , Notary Public PROPERTY OWNER AUTHORIZATION 7PUBLIC, Majewski (Where the applicant is not the owner) NOTARTATEOFNEW YORK Ro 01 MA6392440 Suffolk CountyCxpires 05/2812023 I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. 11/26/20 Owner's Signature Date Print Owner's Name 2 BUILDING DEPARTMENT-Electrical Inspector ' TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 - Southold,-New York 11971-0959, Telephone (631) 765-1802 - FAX (631) 765-9502 rogerQsoutholdtownny.gov- seandPsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: l2 O Company_ Name: -7. - F,L- { Name: r 1'_I?_ �► P I L l k 5t 11 - License No.: "�j 2:Z-1 9 -H email:: I�)V F("C _ PR 0- L I w E - t. Address: 2:1 LDQMT V _ Phone No. 1 I- JOS,SITE't(VFORMATION (All Information Required) Name: t 1 - Address:—tion - - - X = 1 " -I?I.i0O - cross street: 4 0,U-_AV(= V Phone Nc_ Bld_d Permit#:, . Z7 i erriail: -��IVC tJ�� !v(h1 _Taic•M;a District: 1000" Section: _ _ _Rtock: L_ot: BRIEF DESCRIPTION OF WORK (Please Print Clearly}, A Circle AIV That ApPIY=` - Is job-r_#�dy for inspection?: YES 1 ILIO Rough In Final, Do you need a Ter p Certificate?: YES OIssued On 1Of7 Temp Infdrmation; (AII information required) . -Service'S 3 Ph Size:.2 da #'Meter's_ Ofd Meter# IV_ 14 . !e=e Fire Reconnect- Flood Reconnect-Ser,v'ice Reconnected ndergroun -Overhead #Underground Laterals 1 ` -2 Frame - Pale Work done on Service? Y Add itional-I nformatiow- E.3'' V M7 `` , )PAYMENT DUEWI..N APPLICATION ZYT Jr� DEC I ('b 2020 rip � Request for Inspection Fp n.?i�s _ 3`gs�..�..�.s�•'`��'r`w^x, PERMIT# Address: Switches Outlets Surface l Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer - --- -- - - - -- - - - - -- - - - - -- Smokes DW Service Carbon Micro Generator - 1 Combo Cooktop Transfer AC AH Mini Special: Comments- B tSa ICUAAM L • • i - 4 'NUE AQUAV�Ew AVE N SURVEY OF PROPERTY 0 i SITUATE m EAST MARION WELL vaGpNT ; m TOWN OF SOUTHOLD i o¢ SUFFOLK COUNTY, NEW YORK �E S.C. TAX No. 1000-21 -03-18 HOUSE r ;a SCALE 1 "=50' AUGUST 25, 2020 I ♦ NOVEMBER 20, 2020 REVISE PROPOSED HOUSE & LOCATE DEER FENCE A GEH% T 2C.N00'uON n WELL DECEMBER 9, 2020 FOUNDATION LOCATION cEssPoaL 0 ��IAD VAOAN o Ny SICOWpIS o r pL1y sIN �g ' E o C� TOTAL LOT AREA = 45,565 sq. ft. pWEIUNG � T. X50 1.046 ac. coNc MoN m CERTIFIED T0: r 5 KINGS GROUP LLC CESSPOOL O z LTJ ABSTRACTS, INCORPORATED 563-S-15060 FIRST AMERICAN TITLE INSURANCE COMPANY LLY Z f d�f HOUSE c I, N rl WELL =r OCESSPOOL r n 42 3 �g N ^� 10.0 b. CE 14.0E No.10.0 r,VO 5 l'Io �1�• N 1 HOUSE 18 0. i v 19.3 v 1 �i- p \ WELL r WELL x x f o NN MIA. \a'- TEST HOL �� PREPARED IN ACC,p�p y�E WTfH THE MINIMUM xo \ m srANDARD FORdri �`•7YT[D ERVEYS AS ESTABLISHED HOUSE csx Q 1 DPTED p FC UCN+ BE'18W flCORK D�TEO LAND 71 DC IY o 111 $. pit C C0 , O to 156631' DEED CESSPOOL O N a GSTtOBBS > !q 1;ENCE ig r r 1 r — CONC N/p/Fyy EwSPOOL UNKNOWN [Lr;� .S. Lic No 50467 Lticl E K VA ANTI &OESSP I TO THIUNAUTHSSURVEYIS AA VIOLATION OF D ALTERATION OR ON tl M SECTION 7209 OF THE NEW YORK STATE Nath"n -" orwin III II EDUCATION LAW T HOUSE f COPIES OF THIS SURVEY MAP NOT BEARING THE LAND L OR EMBOSSED SESURVEYOR'S L NOT BE OHALL INKED ECONSIDERED Lane! Surveyor TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY VACANT IS PREPARED,AND ON HIS BEHALF TO THE Successor To Stanley J. Isaksen, Jr L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno LS LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTI— Title Surveys — Subdivisions — Site Plans — Construction Layout TUTION CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P 0. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 50' MIN. STORMWATER MANAGEMENT NOTES SURVEY O F PROPERTY OR TO BE SUFFICIENT TO KEEP SEDIMENT ON SITE 1. ANY WORK OR DISTURBANCE, AND STORAGE OF CONSTRUCTION HAY I 38• HIGH POLE (MAX.) MATERIALS SHALL BE CONFINED TO THE LIMIT OF CLEARING SITUATE SILT FENCING STEEL STEEL OR WOOD POST AND/OR GROUND DISTURBANCE SHOWN ON THE APPROVED PLANS. a IFLOW 2. PRIOR TO THE COMMENCEMENT OF ANY CONSTRUCTION ACTIVITIES, EAST MARION ' A CONTINUOUS LINE OF SILT SCREEN (MAXIMUM OPENING OF m STEEL OR HOOD U.S. SIEVE #20) SHALL BE STAKED AT THE LIMIT OF CLEARING o i3 POST (TYPaEXTRA STRENGTH FILTER FARRI AND GROUND DISTURBANCE SHOWN ON THE APPROVED PLANS. TOWN O F S O U T H O L D REo'D. wmwuT WIRE MESH SUPPORT SUFFOLK COUNTY NEW YORK p y i THE SCREEN SHALL BE MAINTAINED, REPAIRED AND REPLACED AS Q _____ g ••• � ••• .rss.,. .•• to' MAX. O.C. SPACING OFTEN AS NECESSARY TO ENSURE PROPER FUNCTION, UNTIL ALL � ---------- ------------ :;=;x W/WIRE SUPPORT FENCE DISTURBED AREAS ARE PE NPERMANENTLY VEGETATED. SEDIMENTS C; ' s' MAX O.C.o.C. SPACING z' W/O WIRE SUPPORT FENCE TRAPPED BY THE SCREEN SHALL BE REMOVED AWAY FROM THE S.C. TAX No. 1000-21 -03-18 SSCREEN CREEN T AN APPROVED UPLAND LOCATION BEFORE THE SCALE 1 "=50' ,: .. a• x 6• TRENCH :,, ;:...�:. •;� �• 3. PRIOR TO THE COMMENCEMENT OF ANY CONSTRUCTION ACTIVITIES, AUGUST 25, 2020 W/COMPACTED BACKFILL '' � �'=:'•��-- A CONTINUOUS ROW OF STAKED STRAW OR HAY BALES SHALL r. 's '`<'•' BE STAKED END TO END AT THE BASE OF THE REQUIRED SILT HAY BALES AND/OR ��r",.�,•=;i.��.4:-: SILT FENCING �.:'�.•. SCREEN AT THE BASE OF THE REQUIRED SILT SCREEN. THE BALES = 565 sq. ft. TRENCH DETAIL :•.r::,,:•,,...'. •ATTACH FILTER KA9RIC SECURELY SHALL BE MAINTAINED, REPAIRED AND REPLACED AS OFTEN AS IS TOTAL LOT AREA 45 (NOT TO SCALE) TO UPSTREAM SIDE OF POST NECESSARY TO ENSURE PROPER FUNCTION, UNTIL ALL DISTURBED 1.046 ac. PLAN VIEW , AREAS ARE PERMANENTLY VEGETATED. THE AVERAGE USEFUL LIFE SILT waNca DETAns OF A BALE IS 3-4 MONTHS. SEDIMENTS TRAPPED BY THE BALES CERTIFIED TO: NOT TO SCALE SHALL BE REMOVED AWAY FROM THE BALES TO AN APPROVED 5 KINGS GROUP LLC UPLAND LOCATION BEFORE THE BALES THEMSELVES ARE REMOVED. ABSTRACTS, INCORPORATED 563-5-15060 Nc E 4. STRAW BALES SHALL BE RECESSED TWO TO FOUR INCHES INTO THE GROUND. FIRST AMERICAN TITLE INSURANCE COMPANY ROAD nogg: SILT FENCE SHALL BE PLACED PARALLEL SLOPE CONTOURS TO 5. SILT SCREEN SHALL BE RECESSED BY TRENCHING SIX INCHES INTO THE GROUND. MAXIMIZE PONDING EFFICIENCY. INSPECT'AND REPAIR SILT FENCE AFTER EACH STORM EVENT AND REMOVE SEDIMENT WHEN NECESSARY. REMOVED 6. LEADERS AND GUTTERS THAT EMPTY INTO DRYWELLS SHALL BE INSTALLED HAY BALES AND/OR NOTES, SEDIMENT SHALL BE DEPOSITED NOT ALLOW ED TO AN AREA THAT WILLO SILT FENCINGON THE PROPOSED RESIDENCE. OFF-SITE TRANSPORT. 1. ELEVATIONS ARE REFERENCED AN N. 1988 DATUM CONSTRUCTION EIlTRANCE BASE OF 7. ALL PROPOSED SWIMMING POOL DISCHARGES SHALL BE DIRECTED TO DRYWELLS. EXISTING CONTOUR LINES ARE SHOWNN TH THUS:----•,>nc---- COMPACTED 3/4 STONE BLEND B. PROPOSED DRIVEWAYS MUST BE CONSTRUCTED OF PERMEABLE MATERIALS OR N.Y.S. D.O.T.APPROVED R.C.A. 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,250 GALLONS. FILL TO 18'MIN. ABOVE EXISTING OR IF PAVED, BE EQUIPPED WITH DRAINAGE SUFFICIENT TO PREVENT RUNOFF 1 TANK; e' DIA. x 4' LIQUID DEPTH GRADE TO ALLOW FOR DRAINAGE FROM BEING DISCHARGED ONTO THE ROAD OR OFF-SITE. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 9. ALL AREAS OF SOIL DISTURBANCE RESULTING FROM THIS PROJECT SHALL BE 1 POOL; 8' DIA. X 12' DEEP CROSS SECTION SEEDED WITH AN APPROPRIATE PERENNIAL GRASS, AND MULCHED WITH STRAW TEMPORARY CONSTRUCTION ENTRANCE IMMEDIATELY UPON COMPLETION OF THE PROJECT, WITHIN TWO (2) DAYS OF PROPOSED 50X. FUTURE EXPANSION POOL FINAL GRADING, OR BY THE EXPIRATION DATE OF THE BUILDING PERMIT, ® PROPOSED 8' DIA. X 12' DEEP LEACHING POOL (NOT TO SCALE) WHICHEVER IS FIRST. MULCH SHALL BE MAINTAINED UNTIL A SUITABLE VEGETATIVE COVER IS ESTABLISHED. IF SEEDING IS IMPRACTICAL DUE TO ® PROPOSED 1,250 GALLON SEPTIC TANK TIME OF YEAR, TEMPORARY MULCH SHALL BE APPLIED AND FINAL SEEDING PERFORMED AS SOON AS WEATHER CONDITIONS FAVOR GERMINATION 3. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD AND GROWTH. OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 10. SUITABLE VEGETATIVE COVER IS DEFINED AS A MINIMUM OF 85Y AREA 4. PROPOSED LOT COVERAGE = 2,764 sq, ft. or GAA OF LOT AREA VEGETATIVE COVER WITH CONTIGUOUS UNVEGETATED AREAS NO LARGER (INCLUDING HOUSE, PORCH, LANDING, BALCONY, CELLAR ENTRANCE AND POOL) THAN 1 SQUARE FOOT IN SIZE. 11. ALL CONSTRUCTION ACCESS WAYS SHALL BE RAISED SUFFICIENTLY AT THEIR DRAINAGE SYSTEM CALCULATIONS: SITE ACCESS LOCATIONS WITH THE EXISTING ROADS, TO PREVENT RUNOFF ft aq. . DRIVEWAY AREA: 970 . OF WATER, SILTS AND SEDIMENTS FROM BEING DIRECTED OR DISCHARGED ONTO 970 sq. ft. X 00 1.5 cu. it. THE ROAD. A NON-LOAM BASE MATERIAL, SUCH AS CRUSHED STONE, GRAVEL, 165 cu. ft. / 42.2 = 3.9 vertical ft. of 8' dia. leaching pool required OR RECYCLED CONCRETE BASE, SHALL BE PLACED ACROSS THE DRIVEWAY OR E PROVIDE (1) e' dia. X 4' high STORM DRAIN POOLS CONSTRUCTION ACCESS WAY AT THE ACCESS POINT ALONG THE ROAD. i\�(J ROOF AREA: 1,965 sq. ft. 1.TI17 AVE 334 cu. 42.2= 7.93 verticaltft. of 8' d1a. leaching UAVIEv, �" / g pool required AQ, n°, PROVIDE (1) 8' dia. X 10' high STORM DRAIN POOLS O PROPOSED B' DIA. X 4' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: PROPOSED 8' DIA. X 6' DEEP DRYWELL FOR DRIVEWAY RUN-OFF ARE SHOWN THUS: ° ♦WELL VPCWT NOTES, / o \ TO BE USED WHERE TOPSOIL IS NECESSARY FOR 1. AREA CHOSEN FOR STOCKPILING OPERATIONS REGRADING do VEGETATING DISTURBED AREAS. o � SHALL BE DRY AND STABLE. ' •,h o TEMPORARY STOCKPILE STABILIZATION MEASURES INCLUDE I-E VEGETATIVE COVER, MULCH, NONVEGETATIVE COVER, AND 2. MAXIMUM SLOPE OF STOCKPILE SHALL BE 2:1. z 3. UPON COMPLETION OF SOIL STOCKPILING, EACH 1 PERIPHERAL SEDIMENT TRAPPING BARRIERS. THE HOUSE � / " PERPHPILE SHALL BE SURROUNDED WITH EITHER SILT / STABILIZATION MEASURE(S) SELECTED SHOULD BE FENCING OR STRAW BALES, THEN STABILIZED WITH APPROPRIATE FOR THE TIME OF YEAR, SITE CONDITIONS, VEGETATION OR COVERED. eN, / ? ,,ALL AND REQUIRED PERIOD OF USE. ••CI CESSPOOL O Imo\ \\ �� /N / STABILIZE ENTIRE PILE 2 SLOPE OR LESS 1 W .41 TEST HOLE DATA _,.Ny�A/I, HS I JB_\\VAw \\ \\ / N / I WITH VEGETATION OR COVER W W W 1 amu""- (TEST HOLE DUG BY McDONAI GEOSCIENCE ON AUGUST 25, 2020) A1.fi f \ \\ O / ' 41.5' 0. TB�� \ \ �Jy / O / /wpb r-I W Y W W W W W DARK BROWN LOAM OL L s emis ' -1,--E-_ _ \ \ .'i" o - C uY / 1954 T-` \ \LY ----` 40-- �� \\ \\ / / M i W W W W W W W W W W W BROWN SILTY SAND ML /CESSPOOL O BROWN SILTY SAND SM STRAW BALES OR SILT FENCE SOIL STOCKPILE 30' (NOT TO SCALE) �j• ���-�� \ ��� 'E BROWN FINE TO MEDIUM SAND SP HIGHEST EXPECTED GROUND ATER ' HOUSE �, z / SOIL CKPILE..r �_� ------...............20.5' TEST WELL No. uses 41 o7aoonzoaaol c_ 72782.1 WELLI \ \ o EL 4.5' 37' I / ` 1-1, I OCESSPOOL NO WATER ENCOUNTERED \ / 3 It .01 ry04 5 . HousE3". 5NC '':: ::''IDA '::�iF'i:':'i1' O / .... .a/•:. \ ♦WELL Val - SO ...... ' '� A' \ 7-. IN ACCORDANCE WITH THE MINIMUM TEST ro W \ STANDARDS FOR TITLE SURVEYS AS ESTABLISHED HOUSE �^U` / \\ i Y�\\\\ � BY THE I NAPPROVED FOR SUCHUSE BYTHENEW YORK STATE LAND � \\ I -71 \i TrrLE ASSOCIATION.•` C1- \ CESSPOOL O % / 1556.1 ' o N TYPICAL STORMWATER UNIT �\ Q / E N off% DEEPTEMPORARY TM (TOPS TO BE TRAFFIC BEARING) t t' �\ N j7•19�5 a /,�� 10' x 1 WASHY T PITHEE�G (NOT TO SCALE) 10 MREPOLYETHNE TRENCH DRAINGRATE OVER ( f ) CAST IRON INLET FRAME k COVER FLOCKHART 63518 TYPE 6840 LL FINISHED GRADE OR 6•THICK REINFORCED CONC. COVER AKN� N/O�gBRRT� � OoL8•TRAFFIC BEAFING SLAB (max.) 1R k yUCJL1.8 8• VAS CE55 -PIPE FROM ROOF GUTTERS �`'4 ,,e'° N.Y.S. Lic. No. 50467 HOUSE UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF CRUSHED 3/4• - 1-1/2' STONE SECTION 7209 OF THE NEW YORK STATE VACNathan Tait Corwin b ALL AROUND EDUCATION LAW. S LA S LEACHING RINGS COPIES OF THIS SURVEY MAP NOT BEARING 10 REINFORCED PRECAST CONC. THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor 3'-E' 4000 PSI O 28 DAYS 3._0. EMBOSSED SEAL SHALL NOT BE CONSIDERED (min) 4. (min.) TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Stanley Successor To: Sley J. Isaksen, Jr. L.S. bA. In e E LENDING INSTITUTION LISTED HEREON, AND p g gno L.S. TO THE ASSIGNEES OF THE LENDING INS - Title Surveys - Subdivisions - Site Plans - Construction Layout INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Y y GROUND WATER PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jannesport, New York 11947 Jamesport, New York 11947 40-218 YOareRwic workers'Compensation CERTIFICATE OF INSURANCE COVERAGEw Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name 8 Address of Insured(use street address only) ib.Business Telephone Number of Insured CUBIAS CONSTRUCTION CORP 516-439-3670 76 GARDNER AVENUE HICKSVILLE,NY 11801 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required d coverage is specifically limited to or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) 114786049 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town Of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Po Box 1179 DBL605178 SOuthhold,NY 11971 3c.Policy effective period 12/18/2019 to 12/17/2021 4. 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. E] B.Only the following class or classes of 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 and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 10/6/2020 By (�W, hf (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: 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 413,4C 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 Box 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 of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and 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. � n DB-120.1 (10-17) >II III��DIllllllllllllllll1lf II(IIII[I�IIfIIQII��� N Y S ' F New York State Insurance Fund 8 CORPORATE CENTER DR,2ND FLR,MELVILLE,NEW YORK 11747-3166 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE O D AAAA^A 461989045 NORTH FRANKLIN BROKERAGE . 13 NORTH FRANKLIN STREET HEMPSTEAD NY 11550 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER CUBIAS CONSTRUCTION CORP TOWN OF SOUTHOLD 76 GARDNER AVE 53095 ROUTE 25 HICKSVILLE NY 11801 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE H2462 539-4 656200 01/24/2020 TO 01/24/2021 10/6/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2462 539-4, 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://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT NOEMI LOPEZ TORRES CUBIAS CONSTRUCTION CORP ONE PERSON CORPORATION 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:190125258 U-26.3 ®R®rM CERTIFICATE OF LIABILITY INSURANCE DATE /DD/ 10/3030/202020 PRODUCER 516-564-5656 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NORTH FRANKLIN BROKERAGE INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13 N FRANKLIN ST HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HEMPSTEAD, NY 11550 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA AMERICAN EUROPEAN INSURANCE CUBIAS CONSTRUCTION CORP INSURER B: 76 GARDNER AVE INSURERC: HICKSVILLE, NY 11801 INSURERD INSURER E. COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' DD' CY EFFECTIVE POLICY EXPIRATION LTR NS D 0 SU POLI POLICYNUMBER ATE DD D EMM DD LIMITS GENERALLIABILITY EACH OCCURRENCE $1,000,000 A n7CLAIMSMADE MERCIALGENERALLIABILITY DAMA ETOR NTED PREMISES Eaoccurence S100,000 ❑✓ OCCUR MED EXP(Anyone person) $5,000 SKP2007842 10 10/21/20 10/21/21 PERSONAL&ADV INJURY S1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OPAGG S2,000,000 ✓ POLICY PRO- D C LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea acadent) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Peraccident) 71 PROPERTY DAMAGE S (Per accident) GARAGELIABILITY AUTO ONLY-EA ACCIDENT S 1 ANY AUTO OTHER THAN EAACC S AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S 5 DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION ANDTOCYLATU OTR EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? Ifyes,describe under EL DISEASE-EA EMPLOYEE S SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS According to policy terms and conditions certificate issued for proof of coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Southold DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30DAYS WRITTEN 53095 Route 25 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL PO 'lox 1179 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Sothold, NY 11971 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 /I Buz • 0 re ENCLOSE POOL TO CODe y -,., ,!)PON COIUJPLETIO,N o N r�rBEORE "WATER° N APPRO ED AS NOTED z 0 DATE: R.P.# V r 0" 32'-0" FEE: •�` �� r w z NOTIFY BUILDING 'ARTMENT AT Q < Lj s'-D" 8'-0" 765-1802 ' 8 AM TO 4 PM FOR THE c/) 0 0 FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE -- -- - - - - - - - - - - - -- -- - - - - - - 2. ROUGH - FRAMIti^ & PLUMBING ! RETulnv RITURN j i 3. INSULATION i j I i 4. FINAL - CONSY '- 7N MUST BE COMPLETE f - i ALL CONSTRUCT,'-', S-r LL MEET THE cl) 4ID REQUIREMENTS OF THE CODES OF NEW UJ z zz i I YORK STATE. NOT RESPONSIBLE FOR -IDS, i I I i I DESIGN OR CONSTRUCTION ERRORS. p �- Lu i� 00L w0 O I0'-0" X 32'-0" j COMPLY WITH ALL CODE Fo Q z DRAIN I I NEW YORK STATE & TOWN @DIM W 0 e I e AS REQUIRED AND CONDIT! 8'-ID" `r I 12'-ID" 12'-0" � 0) i 5 �1�1 0/iLF'1D DRAIN i j ! B�i� U� E$ > cy N N.Y.S.DEC �' rn N N I I I i I E a Wz^ UJ La co 'RETAIN STORM WATER RUOFF Corq W Z) M M I r PURSUANT TO CH PTE 2 ako F THE TOWN CO E. E a� MLn LIGHT LIGHT LIGHT ELECTRICAL y NE VV y U' W rla►-rrteR sKlrlrlr=R ! i IN P CTION REQUIRED o ----- - --- -- --- - -- --- - -- - --- - - - -- -- -- - -- - -- - -- - -- --- --- I. fJ - -- -- - - - -- - -- -- - -- - - -- -� co2N Cn LJJ c,7 Z - Q 4--011 4--011 8-ID V-01, 4'-011 41-011 2 pROoF0 99 ESS�O �P�. U) z OCCUPANCY OR o _D POOL NOTES w USE IS UNLAWFUL - i-ALL GUNGE SfIALL HAVE A MIN.28 DAY STRENGHT OF 4,500 PSI. 2- STEEL REINFORCEMENT SNAIL BE GRADE 60 CONFORMING TO ASTM A615 WITHOUT CERTIFICATE WELDED EE REINFORCEMENT EINF RCE ENT SHALL BE COLD WITH THE LATEST ACDRAWN CONFORMING TO AST 185 a OF OCCUPANCY DE 8- LEGS OF REBAR ACCESSORIES SHALL BE PLASTIC TIPPED ALL SNAPRES AND WALL 5 G A L F: I 4 I' •0 PENE'RATIONS 9-SHALL BE CLEANED&GROUT REPAIRED TO PRELUDE CORROSION > 10-ALL OIONS GPV.N SHALL BE CONSIDERED A MIN CONTRACTOR MAY INCREASE cr MENS + TO PROVIDE FOR DPAANS&COPING 11- ENGINEER CONTROLLED INSPECTION REQUIRED /j O z 12'-0" Of c\j 0 9� TOP OF WATE LL c\j LLJ 0 o POOL m a ;- IS'-O" X 32'-0° m B @ w z 2 co L � Q U) o 0 rn C� m O Z LLJ (JD Lu c- (-) ¢ Z O U � � 10" 10 l o Uo Z d o W U 12" COPING 12" COPING SANDOR - - - ------------------ -- - ------------ ---------- ----- - SAND OR o' CLEAN FILL 5X5 TILE 5X5 TILE CLEAN FILL L TOP OF WATER Q) N 10" X 10" PC. ¢4 REBAR FOR 04 REBAR FOR I � 10" X 101,P.C. � U � BEAM WIDTH OF POOL WIDTH OF POOL BEAM F NEIN a } M M �• 04 REBAR 0 12" O.C. `+ 9 " 1 O Y W Z N N 4 REBAR 12 O.C. �G- - MARBLE DUST ® ® L I• �Q` �N D LE �•� °/' � W o N N MARBLE DUST- � p % _ . IS'-0" X 32'-0" " Q I 'jam o V z o�-+ 41 {tet N > w =mow � a � (y —l" GUNITE �o " -�=,;; w a� -� 7 GUNITE •tf L !•�'� Z (Q LO a f� /599() ,,� y, ((/�"5 9 9() 0 ESSVo�P STONE OR SAND BASE MAIN DRAIN STONE OR SAN AS Q DB E o 4 z 0 POOL NOTES w 1-Ali GUNITE SHALL HAVE A MIN.28 DAY STRENGHT OF 4,500 PSI. 2- STEEL FENFORCEN64T SHALL BE GRADE 60 CONFORMING TO ASTM A615 SEC T I ® 11 11 3- WM WIRE FABRIC REINFORCEMENT SHALL BE COLD DRAPIN CONFORMING TO AST 185 7-All WORK SHAT BE IN ACCORDANCE'WITH THE LATEST ACI CODE 8- LEGS OF REBAR ACCESSORIES SHALL BE PLASTIC TIPPED.ALL SNAPTIES AND'WALL S C ALE:3/8° = I' -V PENETRATIONS 9- SHALL BE CLEANED&GROUT REPAIRED TO PRELUDE CORROSION > LLJ 10-All DIMENSIONS GPJEN SKU BE CONSIDERED A MIN.CONTRACTOR 19(INCREASE TO PROVIDE FOR DRAINS&COPING 11- ENGINEER CONTROLLED INSPECTION REQUIRED