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
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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
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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.•`
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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
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CAST IRON INLET FRAME k COVER FLOCKHART 63518 TYPE 6840
LL FINISHED GRADE OR 6•THICK REINFORCED CONC. COVER
AKN�
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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
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
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FOR POURED CONCRETE
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2. ROUGH - FRAMIti^ & PLUMBING
! RETulnv RITURN j i 3. INSULATION
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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
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11- ENGINEER CONTROLLED INSPECTION REQUIRED
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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 >
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10-All DIMENSIONS GPJEN SKU BE CONSIDERED A MIN.CONTRACTOR 19(INCREASE
TO PROVIDE FOR DRAINS&COPING
11- ENGINEER CONTROLLED INSPECTION REQUIRED