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HomeMy WebLinkAbout44870-Z �o�O��FEtGy Town of Southold 3/5/2022 P.O.Box 1179 CM 53095 Main Rd o4, �ap�F, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42890 Date: 3/5/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1300 Gin Ln., Southold SCTM#: 473889 Sec/Block/Lot: 88.-3-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/13/2020 pursuant to which Building Permit No. 44870 dated 6/15/2020 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 McKeever,Douglas&Jacqueline of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44870 12/15/2020 PLUMBERS CERTIFICATION DATED ut oriz d Nignature g k� TOWN OF SOUTHOLD �� BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • 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#: 44870 Date: 6/15/2020 Permission is hereby granted to: McKeever, Douglas 56 Roosevelt St Garden City, NY 11530 To: construct accessoryround swimming in-g g pool as applied for. At premises located at: 1300 Gin Ln., Southold SCTM # 473889 Sec/Block/Lot# 88.-3-15 Pursuant to application dated 5/13/2020 and approved by the Building Inspector. To expire on 12/15/2021. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 B 'I ' g Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and LOpre-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. �A �2A ab New Construction: Old or Pre-existing Building: (check one) Location of Property: ��)Do �� ��1 Lct nc House No. Street Hamlet Owner or Owners of Property: �� c,\14/Q S mc- 1%-cr--Vc-,,— Suffolk County Tax Map No 1000, Section` Block Lot Subdivision o� Filed Map. Lot: Permit No. Lf ® Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 1~2:6Ali I-�S7gnai re ry pF SOVlyol Town Hall Annex ~ � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Douglas Mc Keever Address: 1300 Gin Ln city:Southold st: NY zip: 11971 Building Permit#: 44$70 Section: $$ Block: 3 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Bethel Electrical Contr. License No: 40557ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 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 UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches 4'LED Exit Fixtures Pump 1 Other Equipment: Heater, Salt Generator, Pump on 220 GFCI Breaker, Pool Lights Notes: Pool Inspector Signature: Date: December 15, 2020 S.Devlin-Cert Electrical Compliance Form.xls t-e�e � o # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 IN=SPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ } FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) Tlly ELECTRICAL (FINAL�oo �s [ ] CODE VIOLATION [ ] PRE C/O REMARKS: �4 0 1W A a A o e` er � <O � . DATE INSPECTOR l/�r OF SOUIyo(o # # TOWN OF SOUTHOLD BUILDING DEPT. `yco 765-1802 :I-N=SPECTION [ ] FOUNDATION IST [. .] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL fm&� [ ] FIREPLACE'&"CHIMNEY [ ]" FIRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- [ ]° FIRE RESISTANT PENETRATION [ ] 'ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: xh-�, J 6VAi/oA DATE. 0 -w INSPECTOR Vol W'�1 FEB 2 5 2022Do bFt' BUILDING DEPT. TOWN OF SOUTHOLD 1+ Ir r 's a FERDD2 BUILDING DEPT. TOWN OF SOUTHOLD FIELD INSPECTION REPORT7 DATE COMMENTS FOUNDATION (1ST) ------------------------------------ FOUNDATION (2ND) m ROUGH FRAMING& PLUMBING y Q t� INSL:LATION PER N.Y. r— y STATE ENERGY CODE R IL Z 5 Uj FINAL DITIONAL COMMENTS � 240 bz - IaJ rn 0 x y x b tai b . r ., 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 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 -1A Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application at ;�..,.., Flood Permit Examined ,20 Single_: Single&Separate Truss Identification Form -� Storm-Water Assessment Form MAY 2020 Contact: Approved ils ,20;�b Mail to: Disapproved a/c Phone: Expiration ,204. Bui ing Inspector APPLICATION FOR BUILDING PERMIT Date , 20,;�o INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws, Ordinances or Regulations,for the construction of buildings, additions,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. zDz / p (Signature of applicant or name,if a corporation) V"ke4- 9k4cc e cd. (Mailing address of applicant) r-v l I\•-*LA State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises G L )-co cc ' (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. <::.5\- 4-1 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: � �..\"% House Number Street Hamlet County Tax Map No. 1000 Section ` 1 F.,$1`Qck '%{� :' ,�,<< „ J 'rAT(_) 'Lot L Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy1— K`1Ud�Gl 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work-eyy_ N, S6," •igN0 ND1 (Description) 4. Estimated Cost Fee I (To b'.paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units ion each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or'additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES,D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and'restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF G1L, being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the �c` - �� Tem P3- 1-b\S (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this J'�) _day of_���, 20 0�O ,&KL L _2000 SOUTHAftD Notary Public NOTARYPUBLIC,STATE OF NEW YORK Signature of Applicant Registration No.01S06372105 / Quafifted in Suffolk Courrty Commission Ex ires March 12,20 oS�FF � UILDING DEPARTMENT—Electrical Inspector Off' G D . TOWN OF SOUTHOLD �s y CD 2 UL 2 1 2Q� n Hall Annex- 54375 Main Road - PO Box 1.179 - Southo d, New:York 11,97.1-.0959, Telephone (631) 765-1802 FAX (631) 765-9502 UEP'P_ .... - 1y377,. (a�sou hold ownnV.gov "se`and(a�sout o.ldtownnV gav- --- APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (a,u Information Required) Date: Company Name: 9VTR,5L Ml_E4_1-R1 CAL_ CON 'I Na __t111> , Name: 1J714fL..�, License No.: - � e a- a Q-4���.- 1\-A 5- mail' , . .e Vic:. � N -VIA" -:,�' Address.: nc Li� o1 V 2 A t~Bn 11 . :. Phone NO.: �- _j JOB SITE INFORMATION (All,InformationRequired) Name: Address: _�?�. Cross Street: . Bh Gt it 0;. Phone No:: 0� . B`Idg P-ermit#: 4O fT r em�ll TaX Map District: 1000 Section: B Block Lot �... . . BRIEF DESCRIPTION OF WORK (Please Print Clearly) . ,�\A.A/A-; do rt Circle All That Apply: Is job ready for inspection?: YES -NO Rough. In Final Do you need a Temp Certificate?: . YES NO Issued On Temp Information: (All information required) Service Size 1 Ph .3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect.- Flood Reconnect - Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N . Additional Information: C: aw arA�tUll --' -A=YM-ENT -OUE-WITH-APPLIC�T-I:O .r -- rip o� Request for Inspection Form.xls Kl� y ) 1/\4 (f c � ack 6°SUFF(�k�G ST0�1R.1\�l WAXIER[. Scott A. Russell s�rP�� s®� W 4 MANAGEMENT >Y SOUTHOLD TOWN HALL-P.O.Box 1179 O 53095 Main Road-SOUTHOLD,NEW YORK 11971 �j7O� Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SKEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF TBE F01,I;D AIING: (CHECK ALL THAT APPLY) i Yes No ,;1 ❑ A. Clearing, grubbing, grading or stripping of land which affects more t than 5,000 square feet of ground surface. ❑ B. Excavation or filling involving more than 200 cubic yards of material / within any parcel or any contiguous area. F ,.;; ❑[� C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. j ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. i ❑ E. Site preparation within the one-hundred-year f loodplain as depicted '!j j on FIRM Map of any watercourse. - �( '! ❑❑46nstallation of new or resurfaced impervious surfaces of 1,000 square feet or more, unlessrior approval of a Stormwater Management P � AP g Control Plan was received by the Town and the proposal includes lH in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax-Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List,Form to the Building Department with your Building Permit Application. �. Date: APPLICANT: (Property Oester.Design Professional.,Agent,Contractor.Other) S.C.T.M. 1000 j District CC v 1� i wv, Section Block Lot ISI � FOR BUILDING DEPARTI✓IENT USE ONLY (i Reviewed By: t — — — — — — — — — — — — — !� 1, Date: ! Property Address/ Location of Construction Work: ' — — — — — — — — — — — — — — — — — it -� Approved for processing Building Permit. � nt--rr,, — Stormwater Management Control Plan Not Required. !i! Ill `^1"� C + �� �,vt � ; Stormwater Management Control Plan is Required. <<j Worward to Engineering Department for Rei ie%\,-J FORM SMCP_TOS MAY 2014 0v SO(/rg®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 aQ �yC®UNT i BUILDING DEPARTMENT January 24, 2022 TOWN OF SOUTHOLD McKeever, Douglas 56 Roosevelt St Garden City, NY 11530 RE :Relocate latch release handles (2), they need to be poolside of the barrier. ( Clear pictures submitted to the building inspector will satisfy this requirement. TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Survey with Health Department Approval. Plumbers Solder Certificate or Pex Affidavit Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval from Town Engineer Spray Foam Insulation certification from a NYS licensed architect or Engineer BUILDING PERMIT: 44870-Z In-ground Swimming Pool NYS I F New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE � D A A A A A A 112855800 SWIM TECH POOL SERVICES, INC 467 MILLER PLACE ROAD } MILLER PLACE NY 11764 . SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SWIM TECH POOL SERVICES, INC TOWN OF SOUTHOLD 467 MILLER PLACE ROAD 53095 MAIN STREET MILLER PLACE NY 11764 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE' 12406522-9 196662 12/19/2019 TO 12/19/2020 5/13/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2406522-9, 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. 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 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 lop DIRECZOR;INSUI N_CE-EUND_UNOER-WRITING 'y�;__ _ VALIDATION NUMBER: 12838945 U-26.3 Client#:1095 SWIMP002 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 5/13/2020 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEA Cook Maran Cook Maran&Associates PHONE 631 324-1440 A/C No E,,): A!C No 40 Marcus Drive. E-MAILcertificates@cookmaran.com 3rd Floor ADDRESS: Melville,NY 11747 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Fire Insurance Company 19682 INSURED INSURER B SwimTech Pool Services,Inc. INSURER C: 467 Miller Place Rd INSURER D: Miller Place,NY 11764 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY 12UUNOZ8766 2/01/2020 02/01/2021 EEACMH��OECTCUR��RENCE $1,000,000 CLAIMS-MADE 7OCCUR PREMISES Eaoorcu rence $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ECT LOC PRODUCTS-COMP/OP AGG .$2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? r N/A (Mandatory In NH) E.L'DISEASE-EA EMPLOYEE $ If yes,descdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT Is DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Main Road PO Box 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2494745/M2348757 KPEAR FiLE neo. 20012 MAI N B AYVI VV MAP OF LOT 9 ON THE MAP OF ® BAY ,HAVEN AT SOUTHOLD ® FILE NO. 2910; FILED JAN. 22, 1959 SITUATE CNI � LOT 8 , SOUTHOLD S52005'50"E 152.93' TOWN OF SOUTHOLD, SUFFOLK COUNTY N.Y. L� CHAIN U.NK FENCE FE. O.L.N. AREA 15,363 SQ. FT. xFENCE FENC "'� P E ® DATE: MARCH S, 2010 SCALE: 1"=30' ® ® 15.1'E ® x o• 24.3 z® X4. V)14.2' FRAME SHED n v p GARAGE ai ASPHALT DRIVEWAY ®F x wa W 0� SHED 5.4'E. 72.9 2 O LLI ® a0 OF NEV1/ ® W xv 0 Q CONC. 4.0 .7' � LL- z r o �t,1.MURR� ® I� p MASONRY , 0=U �' t� z o o LOT 9 STOOP o w 5 I � X=1 LL. N ®® I C �U.1 \W 1 5 L SATOOP °s U (V 0_ dt WALK o O LL.® R x o Q Z 25' A �� 49753 JQ` ®< 28.3 �' s S� ;r e� x ® LAND 1 U z 00 (FENCE � C4 . 1� x2.7'N f� s ® Z I H' E GATE CHAIN LINK NCE FND. © i Q FND. x x x FE. 0.2'N PIPE Unauthorized alteration or addition to this survey N52005'50"W 154.34' Is a violation of Section 7209, sub—dMaton 2, of the LOT 10 Nen York State Education taw. P Y P g CERTIFIED TO: Co tes o4 this Sures Ma not bearing the land surveyor's inked or embossed seat shall not be considered to be a valid true copy. —DOUGLAS MCKEEVER Certifications Indicated hereon signify that this survey —ABSTRACTS INC. TITLE X12-81855 was prepared In accordance with the existing Code of PREPARED BY -FIDELITY NATIONAL TITLE INSURANCE COMPANY Practice for Land Surveys adopted by the New York —CITiMORTGAGE, INC. State Aseoclotion of Professional Land Surveyors. Said eer,UfleaUona shall run only to the person for whom S C H N E P F & M U R R E L L f P.C. the purvey was prepared,andager on his behalf In the title LAND SURVEYORS -� LAND PLANNERS company, governmental agency and lending Institution listed hereon, and to the successors and/or assignees 126 MAIN_ STREET of the tending Institution for the purpose of their TAX MAP DESIGNATION NUMBER mortgage to sold person(s) for whom this survey was SAYVILLE,. NEW YORK DISTRICT SECTION BLOCK LOT prepared. Certifications are not transferable to additional institutions or subsequent owners other than above 589-1322 1000 88 3 15 stated. I i AP ROVED AS NOTED ELECTRICAL DATE: S D B.P-# 7� INSPECTION REQUIRED FEE: , BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2: ROUGH- FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST ; ., BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THEMEbSE POOL TO CpDE, REQUIREMENTS OF THE CODES OF NEW ? ` lPON COMPLETION YORK STATE. NOT RESPONSIBLE FOR ^ FORE "WATER DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF S$k�IS A MffMT OMP ING BOARD SB D*4AUSTEES o �Y.S,-nor OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY E . RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. GENERAL NOTES 1,4nstall pool in accordance with approved site plan,local zoning and construction Z codes,particularly the 2020 New York State Residential Code Chapter 42-Swimming pools.. 2.Locate patio,pool,pool equipment and fencing as specified on approved plot plan. ww Install all products in strict conformance with manufacturer's instructions. All warning 36'-0" POOL DECK QPa` o labels to be permanently affixed. 3/8"0" BOLT WITH NUT a w m Q; o..,_ & 2 WASHERS a- •`- z 3.Install pool in free draining subgrade. Backfill with clean select granular fill. t} Q o MIN. 6" THICK - \\ (7 PER JOINT REO'D.) x w o z 4.Water treatment plant to conform to the following minimums specification. Pum to i /\/ o o a P g p p \ / CONCRETE COLLAR I ' /\\//\\ WALL - STEEL 14 CA. w ¢ m rn tum I volume in 18 hours. Filter to pass no more than5gpm/sf. I skimmer. \ REO'D. AT BASE OF > /\/\/ w 2oz. G235 0 0 i o / / / ( ) o $.Provide potable water supply in pool area. _ _ _ _ _ WALL PANELS GALVANIZING _ o 6,Provide dedicated electric circuits of capacity sufficient to service water treatment I DRIVE RODS THROUGHM 4 � %%2YBOLT r z HOLES IN PANELS 10" //\//\ W/NUT m g plant. All electric in pool area to be protected by ground fault interrupt. Install all I I INTO UNDISTURBED \\�\\ w electric in accordance with the N.E.0&local requirements.There shall be no o verhead EARTH I \ REINF. electric lines within 10'of the pool I o 2"SAND OR VERM. //\// / / ROD 7.Slope deck 14"per foot away from pool. All concrete to be 3,500 psi,5-7%air - - - T - — - - - — CONC. /\\ W z entrained unless otherwise noted. I I UNDISTURBED EARTH-� SUPPORT u� Q $.Install a temporary 4'high construction barrier about the pool during its installation. BRACE TIE -SUPPORT MAY BE J BOLTED TO THE ANGLE v J Maintain such barrier until a permanent barrier is in lace. I BACKFILL SHALL BE FREE-DRAINING CLEAR SUPPORT " P P IN ANY OF THE J GRANULAR MATERIAL SUCH AS SAND, TRACE O 9.Install erosion controls prior to the start of construction as required and specified � _ _ _ _ _ � CLAY OR TRACE SILT � PRE-PUNCHED HOLES z � 11 hereon.Maintain such controls during construction. / TYPICAL LINER INSTALLATION DETAIL TYPICAL WALL BRACE ASSEMBLY O 10.The permanent barrier about the pool area shall comply with local ordinance,the 0- � f v, Residential Code of NYS Part X,Appendix G-Swimming Pools,Spas and Hot Tubs %"x1" BOLT W/NUT & CONCRETE DECK REO'D. > Section 105.3 and conform to the following minimum specifications. 2 WASHERS CORNER BRACKET r a.The top of the barrier shall be at least 48 inches(1219 mm)above grade measured (TYP. 14 EA. CORNER) U m o z on the side of the barrier which faces away from the swimming pool. The maximum — b12-14x1" SELF DRILLING RIM-LOCK COPING Q o 3: vertical clearance between grade and the bottom of the barrier shall be 2 inches(51 FASTENER(18" O.C.) EXTRUDED ALUMINUM a u) z mm)measured on the side of the barrier which faces away from the swimming pool. VINYL LINER (HUNG) z Qo Q z Where the top of the pool structure is above grade,such as an aboveground pool,the PLASTIC CORNER barrier may be at ground level,such as the pool structure,or mounted on top of the INSERT pool structure. Where the barrier is mounted on to of the pool structure,the RADIUS CORNER P P P POOL PLAN COPING POOL WALL PANEL ` i4 maximum vertical clearance between the top of the pool structure and the bottom of TYPICAL CORNER 'DETAIL RIM-LOCK COPING DETAIL TAC, _ \ the barrier shall be 4 inches. b. Openings in the barrier shall not allow passage of a 4-inch-diameter(102 mm) CIO sphere. c.Solid barriers which do not have openings,such as a masonry or stone wall,shall Ff ids ;{vll not contain indentations or protrusions except for normal construction tolerances and NALL DETAILS I, tooled masonryjoints. NON—DIVING POOL pp - d.Maximum mesh size for chain link fences shall be a 2.25-inch(57 mm)square USE OF DIVING EQUIPMENT IS PROHIBITED unless the fence is provided with slats fastened at the top or the bottom which reduce SCALE: NONE FQ 7 J \ the openings to not,more than 1.75 inches(44 mm). A n 1��Q a e. Gates in the barrier shall be self closing,self latching and be secured with a key or _ combination lock or other approved child proof mechanism. Pedestrian gates shall w o open away from the pool. Where the self latching mechanism is less than 54 inches HEIGHT OF WATER z o a z v above the bottom of the gate the latching mechanism shall be on the pool side of the o 3 w w o o o 3 z-mom . o barrier and the gate and barrier shall have no opening greater than 2'within 18"of the z z N w w 5 w?