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HomeMy WebLinkAbout36774-Z .r' � �Ff01kCpGd Town of Southold 2/4/2022 �a < P.O.Box 1179 CD co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42756 Date: 2/4/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 62445 CR 48, Greenport SCTM#: 473889 See/Block/Lot: 40.-1-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/12/2011 pursuant to which Building Permit No. 36774 dated 10/26/2011 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 Feinberg,Michael&Feinberg,Ellen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36774 5/9/2012 PLUMBERS CERTIFICATION DATED Au or zed Sh ature TOWN OF SOUTHOLD BUILDING ,DEPARTMENT y TOWN CLERK'S OFFICE o • SOUTHOLD y�cl �aov� , 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#: 36774 Date: 10/26/2011 Permission is hereby granted to: Feinberg, Michael & Feinberg, Ellen 18-14 Yale Rd Merrick, NY 11566 To: construct an inground swimming pool fenced to code At premiseslocated at: 62445 CR 48, Greenport SCTM # 473889 Sec/Block/Lot# 40.-1-6 Pursuant to application dated 10/13/2011 and approved by the Building Inspector. To expire on 4/26/2013. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Building Inspector SOUryo Town Hall Annex l0 Telephone(631)765-1802' 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 roger.richert(cD-town.southold.ny.us �c4UNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION. Issued To: Michael Feinberg Address: 62445 CR 48 City: Greenport, St: NY Zip: 11944 Building Permit#: 36774 Section: 40 Block: 1 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: USI Electric License No: 2740-me SITE DETAILS .. Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation. 2nd Floor Hot.Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID'Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke„Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 2 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clock's 1 Disconnect Switches Twist Lock Exit Fixtures TVSS 11 Other Equipment: in ground pool to include, bonding, 1 pool light, 2 G.FCI circuit breakers 1 control panel, 1 heat pump Notes: Inspector Signature: Date: May 9 2012 81-Cert Electrical Compliance Form.xls 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 IWlead. 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$15.00 Date. New Construction: / f Old or Pre-existing Building: ' (check one) Location of Property: �2 J 1�LJ �R�e� —T- House lHouse No. Street Hamlet Owner or Owners of Property: _ M 0- 6) PIYI V� Suffalk County Tax Map No 1000, Section 40 Block Lot Subdivision Filed Map. _Lot: Permit No. Date of Permit. Applicant.- Health pplicant:Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: AJ$ • ppl ca Signatu Of SO(/r�o� 3 � 77 � • Coum,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 ,INSPECTION , [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 0 =- Lq- Ok / DATE / °� INSPECTOR Of SO//% �ycOUMY,�c`� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLQG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING/STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: �'' `' �✓'t�c�l'il/�e- /� c1� �cL �� 96141 ti DATE INSPECTOR SOUjyo! TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] 1 UL ON [ ] FRAMING / STRAPPING [ F L .4,) [ ] FIREPLACE A CHIMNEY [ ] FIR TY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: r a n DATE INSPECTOR DECEHE Thomas D. Reilly P.E. OCT 12 2011 Consulting Engineer "For every house is built by someone,but the builder of II things is God" BLDG.Ngbrews 3:4 4 Bezel Lane Smithtown,N.Y.11787 Tel:(631)724-7888 Fax:(631)724-5740 ENGINEERING DEPARTMENT TOWN OF SOUTOLD 53095 MAIN ROAD P.O. BOX 1179 SOUTOLD, NY 11971 OCTOBER 4, 2011 TO WHOM IT MAY CONCERN, RE: MIKE FEINBERG 62445 MAIN ROAD (RT 48) GREENPORT, NY 11944 THIS IS TO CERTIFY THAT THE DESIGNED CONSTRUCTION OF A SWIMMING POOL ON THE SUBJECT PREMISES WILL NOT REQUIRE SPECIAL DRAINAGE FACILITIES. THE POOL IS CONSTRUCTED WITH A VINYL LINER AND THE POOL WATER IS DESIGNED TO BE CONTINUOUSLY RECIRCULATED THROUGH THE FILTER AND REUSED FROM YEAR TO YEAR. THE DRAINAGE FROM THE FILTER BACKWASH IS NOMINAL AND WILL NOT INTERFERE WITH THE PUBLIC WATER SUPPLY, THE EXISTING SANITARY FACILITIES, NEIGHBORING PROPERTY, OR PUBLIC HIGHWAYS. VERY TRULY YOURS, ��oF NEW YO 5�P0 D. w 2S' -.043598 FIELD INSPECT107 REPORT DATE COMMENTS. FOUNDATION(IST) J � FOUNDATION(2ND) z 0 ROUGH FRAAlING& 1 y PLUMBING 6n INSULATION PER N.Y. H STATE ENERGY CODE rPot 0 -r FINAL 4 ADDITIONAL CO �l yr m ' 9 - 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 3 sets of Building Plans TEL:.765-1802 Survey P r=J h fnl Check ® Septic Form N.Y.S.D.E.C. Trustees Examined 0 20�� OCT 1 2011 Contact: Approved 11 n 20#_ Mail to: Disapproved a/c BLDG.DEPT. TOWN OF SOUTHOLD Phone: Building Inspector . 1 APPLICATION FOR BUILDING PERMIT • . Date J010,4 _, 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 a Certificate of Occupancy is issued by the Building Inspector. 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, d regulations, and to admit authorized inspectors on premises and in building for necessary inspections. cif �m p�"e�(� �/ �� r t1<- 1 t I,.6 t,+ate tl IMMEDIATELY e � � �:_, 'I_II'+� � I ENCLOSE-'POOL,Tq CODE ' (Signa f applic r name,if a corporation) UPON ",PL'ETt®N ° t `BEFORE-Rt" CERTIFICATE q;zq ��- �cllec �C � WATER" � � ' ��•��' OF O CU P A N Y (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer", general contractor, electrician,plumber or builder / APPROVED AS DOTED Name of owner of premises �'� l jq. erLkae (as on/the tax roll or latDATE B.P. it If applicant is-a corporation, signature of duly authorized officer FEE: BY - NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM rC 4 MIA FOR THE (Name and title of corporate officer) FOLLOWING INSPECT,ONS 1. FOUNDATION T'.N:? Rr. :UIRED Builders.License No. 3 o FOR POURED CONCrRE E 2. ROUGH-FRAMING.Pi Plumbers License No. STRAPPING. ELF`--11CAL & CAULKING 3. INSULATION Electricians License �� 4. FINAL-CONST "C f 1:7RICAL No. MUST BE COME" E; "' Other Trade's License No. ALL CONSTRUCTION -,Al-. '- 7HE REQUIREMENTS OF 'yF NEW YORK STATE. NOT RESPONSIBLE F(,R 1. Location of land on which pro osed Aork will done: D ON�{OR CONSTRU.CTIQN_RRQRS. + 61C' :i{ i�'• ':(x(74+9 l i House Number StreetHamlet i i Ui:Lrl; i 10flU00 ::ivNW2 County Taal Map No. 1000 Section Blocks.s rt3,.s'°rLotiq-' Subdivision EL ICA1 Map No. Lot (Name) INSPECTION REQUIRE® a e, -2. State existing use and occupancy of premises and in ended use and occupancy of proposed construction: a. Existing use and occupancy IVP/-,i& O b. Intended use and occupancy &194Az- I)hh MM i1. 3. Nature of work(check which applicable): New Building- Addition Alteration Repair Removal Demolition Other Work�g,RaxY3yiAyL 6m mInh- (Description) 4. Estimated Cost Fee T`(a (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 Dear Depth Height Number of Stories 8. Dimensions of entire new construction: Front (�() Rear Depth 3--'> 8 1 Height Number of Stories 9. Size of lot: Front "l2. Rear 12-0 Depth 4&Z r 4<i3 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: NO 13. Will lot be re-graded PoOt 5&e4 -Will excess fill be removed from premises: YES NO 14. Names of Owner qf remises ° Address(o2�fL/S /9Q/n g Phone No. J`76-k � Name of Architect I�OMA3 b ei li Address 14 &Zee- 4✓6►R 17*D�one No 63)-__, - R(ek Name of Contractor UL TI11 mbs Address 2I b-2\-A-- __Phone No. 15. Is this property within 100 feet of a tidal wetland? *YESNO : • IF.YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED' '�;' `= w, 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. STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (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 applidation are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth iri°tfiHpplication filed therewith. Sworn t before me thi _ day of X f A:"RJ fR, 4Signature lrcant Notary Public-State of New York No. 01 K16021111 Oualified in Suffolk County.. My commission Expires March 8,2011 i BOARD OF SOUTHOLD`TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.7618 DATE: AUGUST 24,2011 ISSUED TO: MIKE&ELLE°N.FEINBERG J Y PROPERTY ADDRESS: 62445 NORTH ROAD,GREENPORT t SCTM#40-1-6 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August N,2011,and in consideration of application fee in the sum of$250.00 paid by Mike&Ellen Feinberg and subject io the Terms and.Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permit's the following: Wetland Permit to construct a swimming pool landward of the existing dwelling and repair the existing beach stairs and wood deck at the top of the bank;with the condition that the pool drywell be relocated to the most landward side of the pool; and as depicted on the survey prepared.by Peconic Surveyors;P.C.,last dated August 23, 2011; and stamped approved on April 24,2011; and also as depicted on the site plan ;r prepared by Chorno Associates,last dated August 12,2011, and stamped approved on August 24,2011. IN WITNESS WHEREOF,the said Board of Trustees hereby cause's its Corporate Seal to be aBixed, and these presents to be subscribed bya majority of'the said Board as of this date. F9J V . w Dave Ber en Na 14,401111 WAS 1 019101WO, John M.Bredemeyer III,President O�*QF S�UjyOl Town Hall Annex Michael J.Domino,Vice-President O 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Telephone(631) 765-1892 Charles J.Sanders,Trustee Fax(631) 765-6641 �y�OUNtY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0992C' Date: June 13, 2014 THIS CERTIFIES that the construction of a swimming pool laridwafd of the existing dwelling; repair the existing beach stairs and wood deck at the top of the bank; replace the seaward end of damaged bluff stairs consisting of a 4'x12' set of steps leading to a 4'x6' Platform with 4'x9' steps to beach; with the condition the pool drywell be relocated to the most landward side of the pool: At 62445 North Road, GreenportNew York, Suffolk County Tax Map#40-1-6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 25,2011 pursuant to which Trustees Wetland Permit#7618 Dated August 24, 2011 and Amended on March 19, 2014 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a swimming pool landward of the existing dwelling,• repair the existing beach stairs and wood deck at the top of the bank;replace the seaward end of damaged bluff stairs consisting of a 4'x12' set of steps leading to a 4'x6' platform with 4'x9' steps to beach,• with the condition the pool dDvwell be relocated to the most landward side of the pool. The certificate is issued to MIKE &ELLEN FEINBERG owner of the aforesaid property. Authorized Signature Town of Southold Erosion, Sedimentation & Storm-Water Ryan-off ASSESSMENT pp FORM C' PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Ol 40 � STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN strct sec on roc Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? f 7 Will.this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within J 11 QL j2 � Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) .(S.F./Acres) (This item will include all run-off created by site / b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all �L and/or Ground Disturbance for the proposed POD Site Improvements and'the permanent creation of construction activity? 'impervious surfaces.) (S.F.I Acres) PROVIDE BRIEF PROJECTDESCRI]MON (PmvidaAddiVonalPages asNeeded) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location?This Item shall include all Proposed Grade Changes and OP-000560 . 2OX '0 I n2ROJMO Slopes Controlling Surface Water Flow. 3 Does the Site Pian and/or Survey describe the erosion U111�`l� �n,t mm1NG POOL and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand J (5,000,S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction D General DEC; SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving sol Beach? disturbances of one.(1)or more acres; including-disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a ommon plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to D including Constructistructs on activities involving soil disturbances of less thanone(1)acre where One Hundred(100')of Hod one the DEC has determined that a SPDES permit is required for storm water discharges. a. (SWPP.P's Shall meetthe Minimum Requirements of the SPDES General Permit 8 Will Driveways',Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-040-001.) Surfaces be Sloped to Direct Storm=Water Run-Off ✓ 1.The SWPPP shall be prepared prior to the submittal of the Not.The NOI shall;be Into and/or In the direction of a Town fight-of-Way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require-the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any l constructed to reduce the pollutants in stone water discharges and to assure Item Within the Town Right-of-Way o-r Road,Shoulder Ne compliance with the•terms and conditions of this permit.In addition,.the SWPPP shall Area?(This item will Nor Intrude the Instalatiun of orlyevi Identify potential sources of pollution which may reasonably be expected to affect the ay aprons.) quality of stone Water discharges. NOTE: If Any Answer to Questions One through Nineis Answered with a.Check Mark 3.All SWPPPs that require the post-constructlon storm water management practice in a Box and the construction site disturbance is between 5;000 S.F.&1 Acre In area, component shall be'prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Contro)Plan is Required by the Town of that is knowledgeable in.the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior tb Issuance of Any Building Permit. (NOTE A Check Mark(4)and/or Answer for each Question is Required fora Complete Application) STATE OF NEW YORK, l� �1VK• SS COUNTY OF.......... VRML: That I.......................... .........J..!-�W Q 5..............being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the .......................................... ....1..¢.7i!�� (tAvner,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 belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to befo a me this; ................... .. day of l.(:-11� ..................... ,201 J.. ....... .. .. . .. .. Notary Public: ....... Q . .. .... �y�r,/� /� /nt) ............................ 17V/1RE H�KIDNEY (Signature of FORM No. 01K160211 11 Qualified in Suffolk County;. My Commission Expires March 6,20LS ARTHUR EDWARDS POOL & SPA CENTRE 929 ROUTE 25Av ell2411 MILLER PLACE NY 11764 .516-744-7185 FAX-744-0174 BLDG.DEPT• TOWN OF SOUIHOLO APPLICATION FOR A SWIMMING POOL PERMIT: SOUTHOLD TOWN OF SOUTHOLD MAIN ROAD (P.O. BOX 1179) SOUTHOLD, NY 11971 (631) 765-1802 PAPERS ENCLOSED: [� APPLICATION FOR OUTDOOR POOL PERMIT [� EROSION SEDIMENTATION &WATER RUN ASSESSMENT FORM [+�] CERTIFICATE OF WORKER'S COMPENSATION CERTIFICATE OF LIABILITY INSURANCE [ SUFFOLK COUNTY LICENSE �--}- SUFFOLK COUNTY PLUMBER LICENSE [ SUFFOLK,COUNTY ELECTRICIAN LICENSE ,[ 4 SETS OF PLANS - (3 STAMPED) 3 SURVEYS APPLICATION FOR ELECTRICAL INSPECTION WITH $100 CHECK APPLICATION FOR CERTIFICATE OF OCCUPANCY [ ] C.O. [ ] TAX BILL [ ] $300.00 CHECK FOR PERMIT FEE *pF SOUjyol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 41% BUILDING DEPARTMENT TOWN OF SOUTHOLD August 26, 2013 Michael & Ellen Feinberg 18-14 Yale Rd Merrick, NY 11566 Re: 62445 CR 48, Greenport TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are (deeded To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (Contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411/84) 1 /Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 36774 — Swimming Pool OP ID:VM DATE(MMlDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 01/11/11 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(ies)must 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 631-864-1111 NNAMTECT Bagatta Associates,Inc. PHONE FAX 823 W Jericho Turnpike pike Ste 1A A/C No Ext): I A/C,No): Smithtown,NY 11787 E-MAILADDRESS: Bagatta Associates,Inc. PRODUCER ARTHU-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED ArthurJ Edward.s Mason INSURERA:Worcester Insurance Company 26182 Contracting Co Inc DBA Arthur INSURER B: Edwards Pool&Spa Center INSURER C: 929 Route 25A . Miller Place,NY 11764 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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. INSR AD B POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I S POLICY NUMBER MM/DD/YYYY MMlDDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED___ A X COMMERCIAL GENERAL LIABILITY MPA0000003BB01 H 01!01!11 01!01!12 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 X BLANKET ADDITIONA GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMIT APPLIESPER: - PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY(Per person) $ ALL AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ H IRED AUTOS (Per accident) NON-OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLEFi $ RETENTION $ WORKERS COMPENSATION WC STATU- 0TH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS I I ER ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? F-1N!A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION 0000000 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. Town Hall P.O. BOX 728 AUTHORIZED REPRESENTATIVE Southold, NY 19971 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a. Legal Name and Address of Insured (Ilse street address only) 1 b. Business Telephone Number of Insured Arthur J. Edwards Mason (631) 744-4455 Contracting Company Inc. 1c. NYS Unemployment Insurance Employer Registration 929 Route 25A Number of Insured Miller Place, NY 11764-2700 24- 10871 1d. Federal Employer Identification Number of Insured or Social Security Number 11 -2377925 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage (Entity Being Listed as the Certificate Holder) The Guardian Life Insurance Company of America Town of Southold 3b. Policy Number of entity listed in box"1a": Town Hall, PO Box 728 00984424-0000 Southold, NY 11971 3c. Policy effective period: 07/01/1986 to 06/30/2012 4. Policy Covers: a. ® All of the employer's employees eligible under the New York Disability Benefits Law b. ❑ Only the following class or classes of 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:07/07/2011 By: %Ului W A W Stuart J.Shaw, FSA, MAAA Telephone Number: 1-888-278-4542 Title: Vice President,Group Insurance IMPORTANT: If box"4a"is 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"is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability Benefits Law.It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit, 20 Park Street,Albany,New York 12207. PART 2. To be completed by NYS Workers' Compensation Board (Only if box"4b"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 Benefits Law with respect to all of his/her employees. Date Signed: By: (Signature of NYS Workers'Compensation Board Employee) Telephone Number: Title: Please Note:Only insurance carriers licensed to write NYS disability 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 (5/06) Additional Instructions for Form DB-120.1 By signing this form, the insurance carrier identified in box "3" on this form is certifying that it is insuring the business referenced in box "l a"for disability benefits under the New York State Disability Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in box "2". This Certificate is valid for the earlier.of one year after this form-is approved by the insurance carrier or its licensed agent, or the policy expiration date listed in box"3c". Please Note: Upon the cancellation of the disability benefits 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 NYS Disability Benefits Coverage -or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability Benefits Law. DISABILITY BENEFITS LAW §220.Subd.8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b) The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article, and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all.employees has been secured as provided by this article. DB-120.1 (5/06) Reverse This certificate is an original. State of\Tew York Worker's Compensation Board CERTIFICATE OF PARTICIPATION IN WORKER'S COMPENSATION GROUP SELF INSURANCE Ia.Legal Name and Address of Business Participating In Group ld.Business Telephone Number of Business Referenced in"la". Self-Insurance(Use Street Address Only) Arthur J. Edwards Mason Contractor, Inc. (631)744-7185 DBA:Arthur Edwards Pool&Spa Centre 929 Route 25 A le.NYS Unemployment Insurance Employer Registration Number of Business Miller Place, NY 11764 Registered in Box"la". lb.Effective Date of Membership in the Group 4/24/2002 24108715 Issue Date 7/11/2011 Expiration Date 7/10/2012 If.Federal Employer Identification Number of Business Referenced in Box lc.The Proprietor,Partners,or Executive Officers are ® Included.(Only check if all partners/officers inluded. 112377925 ❑ All excluded or certain partners/officers excluded. 2.Name and Address of the Entity Requesting Proof of Coverage 3.Name and Address of Group Self Insurer. (Entity Being Listed as Certificate Holder). Town of Southold Special Trades, Contracting And Construction Trust Town Hall 6250 South Bay Road PO Box 728 Syracuse, NY 13039 Southold, NY 11971 Policy:W521504 This certifies that the business referenced above in box"1 a" is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law as a participating member of the Group Self-Insurer listed above in box"3" and Participation in such group self-insurance is still in force.The Group Self-Insurer's Administrator will send this Certificate of Participation to the entity listed above as the certificate holder in box"2". The Group Self-insurer's Administrator will notify the above certificate holder within 10 days IF the membership of the Participant listed in box"la"is terminated. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for a maximum of one year from the date certified by the group self-insurer.'. If this certificate is no longer valid according to the above guidelines and the business referenced in box "1 a"continues to be named on a permit, license or contract issued by the certificate holder, the business must provide the certificate holder either with a new certificate or other authorized proof 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 of the Group Self-insurer referenced above and that the business referenced in box"la"has the coverage as depicted on this form. Certified By: David France rint name of authorized representative of the Group Self-insurer) Certified By: 7/11/2011 (Signature) (Date) Title: Trust Admi rotor Telephone Number: (315)699-8475 GSI-105.2 (2-02) Worker's Compensation Law Worker's Compensation Law Section 57 Restriction on issue of permits and the entering into-contracts unless compensation is secured. 1. The head of a state or municipal department; board, commission or office authorized or required by law to. issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory.to the chair,that compensation for all employees has been secured as provided by this chapter.Nothing herein, however, shall be construed as creating any liabilfty'on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Please Note:This Certificate is valid only through the policy dates indicated above, OR a maximum of one year after this fornn.is approved by the authorized representatives of the Group Self-insurer.At the expiration of those dates, if the business continues to be named on a permit or contract issued by the above government entity,the business must provide that government entity with a new Certificate. 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VETERANS . :1 MEMORIAL HIGHWAY * HAUPPAUGE NEW YORK 11788 nt ` DATE ISSUED: 5/1/80 No - % - s SUFFOLK COUNTY - - Master Electrician License - This is to certifyth that ----- ------- ----._ ---------------EDWARD-S REIFF --- -------—------ --- ' ----------- � �--_-. F' doing business as UNDERGROUND SPECIALTIES INC having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws, rules and regulations of `'j• the County of Suffolk, State of "- New York. =�• a� SUFFOLK COUNTY DEPARTMENT Additional Businesses e OF CONSUMER AF'Fi41R9-a' ~ ' �a MA.BTER ti ' ELECTRICIAN ,y s EDWARD S REIFF a' , i ThiUIVDEFlGRpUlUp:Si'ECtAI.i'IES(CdC _ s certifies that the � _I t/��•� } bearer is duly licensed by the County of Swffolk u,�ro,er.� °""a"i"d ' 05!0111980 r- 2741-ME !Director ��"��" 1 �' (/rauea 1�.gWicflip! 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', r'�,t !,;l„ �'S"Y.. s ,i.`fir:r ,'.,v.,, w.r `�S' v N �'�i• ,l, G' ,�i'i. rF!�.,•,, �” �, x3 ''� ,.r .x' A.Yiit, r r'r&5 r,a.�A f .l"�•t �'rj. t �' ✓—�- �� 1 ~�rh�'�,'f��.,�,-:'� �? •f\� k"'� I• -e`'�:'l ��1'X�� it r/h./�A`'��a y'�l i�X STREET ADDRESS. 62445 NORTH ROAD SCDHS Ref.# RIO-10-0044 ®� h SURVEY OF PROPERTY � NEAR CREENPORT � � '' � TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-40-01-06 SCALE: 1 A=40' b /'`eP / DEC. 23, 2002 / p23, 20e73(rdvislons) /tom Feb /2, 2003 (rFYS�dnS Sepf. 24, 2010 (certification) OCT. 26, 2010 (REV(SIONS) �• / / o p JUNE 29, 2011 (proposed hse.) �4. 7 A_ 6t JULY 1, 20111 (addlllons) / *VOD JULY 12 201E (REVISlO STAIRS / / �� �� AUG. l�, 2011 f POOL STK.I / / 0� �Q�`0 �O ,: J�� AUG. 22, 2011(revis(on) AUG. 23, 2011 (re vision) OCT. 27 2oil(slar7s).; MARCH �2; 2012 (poo! forms) dL o �� 44 ! f/ c x RAIN RUNOFF CAL CULA TIONS J HOUSE - 3125 sq.& `ti O2 / l :Nesa1 & OJT ® SM cu.ft. G) I�P.P1P.$ YF j F`Y�LY1t7 �. S s3` n q.6, §EPT/C SYSTEM (4 BEDROOMS) / '1000 GAL. PRECAST SEPTC TANK - 9 _ 1- 8'0 x 12' DEEP,-LEACHING POOL t�` �O EXISTING `f' &Vsn a 6' 755' 8'8' v 13 6' 1513' 136' 9� DECK EL 3 r B l REPAIRER S 6 PLATFORMS TO r — EL 3 -40, BEACH STAIRS EL — '(NO SCALE) - EwsrwG ro I �o•o • EMSTPIG"GRADE _ BE REPLACED f A� 0 TW OF'BAW HAZARP LAE_ I AN Q4 / Arlo f DECK STAIR PLAN OpQ� 1,2Q (NO SCALE) 0 0 �QA st. Er s1 s ." ,• . , S� r COASTAL- EROSION HAZARD LINE FROM 9 ode( 1 • COASTAL EROSION HAZARD AREA MAP Photo 53-591-83 CERTIFIED TO:- 3 O=3•_LAM STK F• MICHAEL FEINBERG f S!,P TO B6 REUOVEO NOT SHOWN HEREON ELLEN H. FEINBERG FIDELITY NATIONAL TITLE INSURANCE COMPANY z ! am familiar with .the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE f DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by_the conditions set forth therein and on the permit to construct.- g AREA=51,942 S�� ` ��� 0 1 The location of wells and cesspools shown hereon are TO TIE UN �X from field observations and or from data obtained from others. kh .°� � =, ANY AL7ERA7101V OR ADDITION TO THIS SURVEY IS A 140LA7ION ((1` '� OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. D l�� EXCEPT AS PER SECTION 7209–SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF f SAID ASAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR MAR 2 2 2012 C ° ,s 18 WHOSE SIGNATURE APPEARS HEREON. r ECONIC 3 EYORS, •� U�.``� Contour lines are referenced to the Five Eastern Towns (631) 765-5020 FAX (6JI) 765-1797 Topographic Maps (N.G.V.D.) BLDG.DE T. P.O. BOX 909 TOWN OF sou f HOLD 1230 TRA VELER STREET ®=MONUMENT SOUTHOLD, N.Y. 11971 02-354 a ' A— B_ SWmmem Returns I B /Aluminum E F—I BL To Filter From FIN ����)(Filter& Pump To Waste-)J( -To Returns (Dry Well Optinoo Rolled Wall Foam- Plan A Piping Arrangerner*t Wall Section Wry! Un /4 Rebar 42" Section B—BYORk . Y San 3500 PS.I. Concrete o O, CO O -.. t t�i1 z 0 Typical Wall Section s No.o \oa Section ' A—A iecon E�PROFESS SIZE A B C D E F G H AREA CAP. FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. Purchase 16x32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000 r r r rPOOL&SPA CENTRE 16'x36' 16 36 12 14 6 4 4 8 576 21,600 PERMACRETE WALL SYSTEM �t 18'x36' 18 36 12 14 6 4 5 8 648 24,300 929 Route 25A Miller Place NY 11764 � ) 20'x40' 20' - 40' 16' 14' 6'. 4' 6' 8' 800 30,000 (631) 744-7185 FAX (631) 744-0174OIIe Zip gad 24'x44' 24' 44' 18' 14' 8' 4' 6' 10' 798 30,000 Suffolk License #4436—HI 24'x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30,000 Nassau License #HI74450000