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HomeMy WebLinkAbout47313-Z Ek Town of Southold 7/28/2022 P.O.Box 1179 o - 53095 Main Rd 1'jfj� ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43293 Date: 7/28/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1255 Donna Dr.,Mattituck SCTM#: 473889 See/Block/Lot: 115.46-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/10/2021 pursuant to which Building Permit No. 47313 dated 1/10/2022 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 Urbank,John&Mary of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47313 5/16/2022 PLUMBERS CERTIFICATION DATED ut o ze Signature �ocuFFOik�,o TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y x 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#: 47313 Date: 1/10/2022 Permission is hereby granted to: Kelly, Michael 1255 Donna Dr Mattituck, NY 11952 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1255 Donna Dr., Mattituck SCTM #473889 Sec/Block/Lot# 115.-16-12 Pursuant to application dated 12/10/2021 and approved by the Building Inspector. To expire on 7/12/2023. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $300.00 B 'ding Inspector - 0f SOUj,�ol . 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a sean.deviinl-town.southold.ny.us Southold,NY 11971-0959 Q �ycOUNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: John Urbank Address: 1255 Donna Dr city:Mattituck st: NY zip: 11952 Building Permit* 47313 Section: 115 Block: 16 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: TRC Electric License No: 46689ME SITE DETAILS Office Use Only Residential X Indoor 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 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 Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: Intermatic Pool Panel 8 Circuit 3 Used, Pump 220GFI, Hayward Deckbox Transforme Hayward Salt Generator, Heater Notes: Pool Inspector Signature: Date: May 16, 2022 S.Devlin-Cert Electrical Compliance Form SOGIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. VV/ �o • �o 765-1802 INSPECTION . [ ] FOUNDATION 1 ST [ ] 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:. DATE S 6 INSPECTOR SOUT�olo TOWN OF SOUTHOLD BUILDING DEPT. co 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ rULATIOWCAULKING FRAMING /STRAPPING [ AL [ ] POLO- FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Jell 1 L-01 DATE 1 INSPECTOR FIELD:lNSPEC 'Ia T,T owm:.,: _ FOUNDATxON 1- T � �, y •:1 >A 1: FOUNDATION`:2ND.� ' c- r z y ROUGH F ..RA.MN . PLUNlB�NG: - . Itp INSULATIQN.MR N. STATE ENERGY CODE< �• : .':��n._:a:+w':~:��;•Vii:���,'.' 5' t.. MAL •��t• a ;.vitro};:•y_::.';.`:�:::.°:�+ ADDSr m , S< r S - y • ,t... C C�1 >s, b ° ,r i c•,d- T o4�g1SFFttlK�Q� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959 icy ae Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtowiiny.,-ov 'sr'szasi" , Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® (C 1� E (I�7 D n E PERMIT N0. ✓ Building Inspector: L� lEJ 21 f . DEC 1 0 2021 Applications'and forms`.must.be filledEout'iri their entirety.lncompl,ete.;;„ BU ::: :E:. :;'appliceti`o.'ns.will'not be`accep'ted_;Vilhere the Applicant is:not;the owner;an,. TOWN OFSOUFpT =wOwner's`Autiiorization for`rn_`(Page•21 shall'be com,pleted'.;;: y; Date: 71 OWNERS}®F PRfOPERTIf: N:a e:t �b� .,..lav•.V i ^ SCTM#1000- Physical Address: 1 55 ®•rA +k.lL Phone#i 4 K1 4� 05® -77(f-3- - 7 77`C .-7 Fg4J 4. 5 t' R SON i.' E : N A �M Name: Moraw FjqxdWag SerAi !'i __,-�OGID-�J bc . Mailing Address: Sure Z,1Z„_ •__,., Phone#: LzvbDVM4NY11 Email:rn 4eu c `{)n �tln �r(JU+�l 1 CO (-ANI DESIGN PROFESSIONAL,INFORMATI®N:` Name: I , Mailing Address: , �� . fb �1 Phone#:51� _Ll”,�- GJ�/��. Email: n I- -CONTRACTOR INFORMATION:'. . Name.- Mailing ame:Mailing Address: Phone#: Email: x.31-.1s�. ! .. D'ESGRIPTION OF>PROPOSED'.CONSTRUGTIO.N' ' El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Wither Will the lot be re-graded? ❑Yes QP Will excess fill be removed from premises? Vfyes ❑No 1 ¢ �13 PROPERYY'INFORMAI 10'N"`f Existing use of property: Intended use of property: 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. . v: ' 1 -.. -n. �.. "t.:.... ': .-t v'.• r 1 •�•.,�••..:r.vim_ -, �'=`••4 eck BOX After heading The owner/contractor%design professional is responsible,for•all drainage and storm water'issues,as provided•by " chapter 236 of the-Towo Cade. APPGICATION�IS'HEREBY MADE'to the Building Department-forthe issuancevf a Building Permit pursuant to:the Building Zone; Ordmance.of the Town of Southold;§uffolk;.County,NeuGYoik a`nd other applicable Laws,Ordinances^or Regulations,for the'construction of'buildings,. ' addition"s,alterations or forremoval.or d-molition as herein described.The.applicant agrees to complV.With all applicable lavers,,ordinances;building code,.,,: housiriicwe and regulations"and to,adipd authoriied,inspectors on premises and in'buildmg(s)-fo".necessary inspections.False statements made herein;are k'= punishable as a Class A misdemeanorpursuant to,Section;210:45 of.the New York'$tate`Penallaw:' Application Submitted By(print name): []Authorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) S • COUNTY OFRuv- ) bi (Ancj U&P ';t being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the aa&n-� (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 a elief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of ,l..d'JeU Mb�&r ,20 2k fW Notary Public `'f oae�nafie Edith Kilicatslan Publi ,� a Notary c=State of New York PROPERTY OWNER A i ORIZ 41!QN (Where the applicant is not the owner) Qualified n. Suffolk County'" IVIy Commission expires 11 2 -77 residing at do hereby authorize ao E= ( •e "eh to apply on my behalf4o tRhold Building Department for approval as described herein. Qwner�s�-Si`n'atare�:`=► `Dat�- E33 2 � IQL UILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 crs: K Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-95,02 roc err(cDsoutholdtownny.gov — sea rid(aD_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 2, Company Name: i Electrician's Name: 0,tf?g- muggy License No.: 9I Elec. email: T9C ,/Z6 (P.I W4l rl..Get Elec. Phone No: -``Zy�$. [9I-request an email,copy of Certificate of'Compliance Elec. Address. .s JOB SITE INFORMATION (All Information Required) Name: T/K l< Address: f. �S c,,�11{O� (71Z- •/1, �T"u:e(� 1 f4 SZ .% Cross-Street: 3 Phone`fVo.•_.5�� —(� ,moo o -7-1 Bldg.Permit#: 3. 3- Tax Map District: 1000 Section: BI'ock: a Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): _ Square Footage. 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 73 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals D 1 2 7 H Frame Pole Work done on Service? D Y N Additional Information: PAYMENT DUE WITH APPLICATION � Cr1 Co T ls�� HM ENGINEERING P.C. P.O.Box 914 EAST NORTTEL:51i6--4476-5392PORT,NY 11731 DEC 1 0 2021 EMAIL:HMARNIKA@OPTONLINE.NET R P➢l)}.L+�,h=�'RCPT November 26, 2021 Town of Southold Building Department Town Hall Southold,N.Y. 11971 Dear Sir/Madam: This is to certify that the drainage facilities to be used exclusively for the construction of a swimming pool on the premises of: Urbank Residence 1255 Donna Drive Mattituck,N.Y. 11952 will not require draining because the pool is constructed with a vinyl liner. The pool water will be continuously recirculated through the filter and will be 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 or public highways. Sincerely, YHMEineering P.C-7, arnika P.E. S-1 uffolk County, , Dept, of, Labor, Lite nsing & Consumer Aftirs HOME IMPROVEMENT U E SE Name !! I H El J DOMIN[Gl ness xNat te T17 iS& certifies that the ��arer, is +d�u�1� : , Iioen�sed LONG 1I�JJ : P�= �� & PATIO INC the Cou=rty .of sufWk icenseNurm'-ber, : H-4- 707, Rosalie Dzra o Issued.- 0110 COMM, -- iss—iGner gxptre 01 /01'12N3 LONGI-7 OP ID: EI AcoR�° CERTIFICATE ®F LIABILITY INSURANCE DATE(MM/DD/YYYY) �� 12/03/2020 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(les)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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER 631-669-3434 CNAORCT Brennan P.Regan Regan Agency,Inc. PHONE 631-669-3434 FAX 631-669-3035 463 Deer Park Ave (,c,No,Ext): (AJC' No Babylon,NY 11702 ED AI ES Regan Agency,Inc. SO INSURERS AFFORDING COVERAGE NAIC# INSURER A:American Casualty Company 20427 INSUR D INSURER B:State Insurance Fund 36102 Long FfVand Pool 8 Patio,Inc. 543 Middle Country Rd. INSURER C: Coram,NY 11727 INSURER D 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 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 TYPE OF INSURANCE DDL SUBR POLICY NUMBER POLICY EFF POLICY EXPDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY1,000,000 EACH OCCURRENCE CLAIMS-MADE X OCCUR 5099218546 1212012020 12/2012021 DAMAGE TO RENTED 10Q000 X E IS ESIE occurrence) S MED EXP(Any oneperson) $ 15'000 PERSONAL&ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2'000,000 X POLICY❑%Gof F�LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: $ AUTOMOBILE LIABILITY CO a.c en SINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTO? ED BODILY INJURY Per accident $ AUTOS ONLY LAUTOS ONLY rRorr a c,,gt AMAGE S UM13RELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ B WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE E ANY PROPRIETORfPARTNER/EXECUTIVE YIN 12439791-1 04110/2020 04/10/2021 E.L.EACH ACCIDENT $ 100'000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 100'000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Property Section 5099218546 12/20/2020 12120/2021 BPP 150,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate Holder is additional insured. CERTIFICATE HOLDER CANCELLATION SOUTHOL 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. 53095 Route 25 Southold,NY 11971 AUTHORIZED REPRESENTATIVE - OF)I ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF New York state Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE CA A^^^A^ 112590890REGAN AGENCY INC 463 DEER PARK AVENUEff BABYLON NY 11702 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POOL&PATIO INC TOWN OF SOUTHOLD 543 MIDDLE COUNTRY RD 54375 MAIN RD CORAM NY 11727 SOUTHOLD NY 11791 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12439791-1 190110 04/10/2021 TO 04/10/2022 11/23/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2439791-1, 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 MICHAEL DOMINICI LONG ISLAND POOL&PATIO INC (ONE PERSON CORP) 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 STAT SUR NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:384507745 U-26.3 NEW workers' CERTIFICATE OF INSURANCE COVERAGE YORK Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured LONG ISLAND POOL&PATIO INC 543 MIDDLE COUNTRY ROAD CORAM,NY 11727 1 c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 112590890 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box 1 a" 54375 Main Rd. DBL575672 Southold, NY 11791 3c.Policy effective period 01/01/2020 to 12/31/2021 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: 0 A.All of the employee's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 10/7/2020 By ViaU (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit,PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) 111°°°1°°11°°1°1°�1°�!�°�!°!�!°1111111 Ars�= Note: ALL SUBSURFACE STRUCTURES; UNAUTHORIZED ALTERATION OR ADDITION eaWATER SUPPLY, SANITARY SYSTEMS, TO THIS SURVEY IS A VIOLATION OF rt�aul a M riC�6r Al DRAINAGE, DRYV✓ELLS AND UTILITIES, SECTION 7209 OF THE NEW YORK STATE C20,020 sq.1 6e carfale SEPT. 2021 SHOWN ARE FROM FIELD OBSERVATIONS EDUCATION LAW.AND OR DATA OBTAINED FROM OTHERS. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR 0.46 acres 21\00NM DRIVE THE EXISTENCE OF RIGHTS OF WAY EMBOSSED SEAL SHALL NOT BE CONSIDERED AND/OR EASEMENTS OF RECORD IF TO BE A VALID TRUE COPY. ANY, NOT SHOWN ARE NOT GUARANTEED. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Premises known as: TITLE COMPANY, GOVERNMENTAL AGENCY AND 1 1255 Donne Drive LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. GUARANTEES ARE NOT TRANSFERABLE. LOT 63 "—� LOT 55 IN OF DEEP ROLE CREEK ESTATES FILED JANUARY 28, 1955 FILE NO. 4256 1,lAP OF DEEP ROLE CREEK ESTATES concrete +log ry "LED JANUARY 28, 1965 17L NO. 4256 monument ��® %�126911y' 7 S/ L _ 0 00' ° I _ o fence fence car. stockade fence - -��0.71E ® 0.2S v fence car.f ® 1 a6'S 0.1{1 chain(1k fence 403 o o IseU /fence car. Z$D' a 0.81E tonding r It steps a STORY a Nz �. FRAME ` LOT 62 asphalt vafk RFSIDEIYCF � nda d CT/+P OF DEEP HOLECRE ESTATES deck FILED JANUARY 40.3' 1.1 4.7' f � � . 4256 ASNALT 06 LOT 56 DRIVEWAY N garage � DFCK '� y W OF LEEP RALE CREEK ESTATES \ 0. 9 211' 0 ® FLED JANUARY 28, 1965 FILE N0. 4256 r Planter I asphalt walk ' steps e I a a concrete -_ p rs I frame ret Wall 1 a monument — 121' p<anier ponds - _ o sled 182.001 fence a'aad terca 1 ' V ychain nk v J 0.174 o fence car. fence's meet ,ry®11'�Q 1 0.7s o.4 s N9719L j/1/ fe,.e end 0.7)V 0.65 LOT 69 1,IAP OF DEEP HOLE CREEK ESTATES "LED JANUARY 28, 1965 FILE N0. 4256 Cti OF NFL'v CD 1%O1 T0 �O .s 4c�866 r iVtD S� z5UrV1^Vy Of Lot 62 MAP OF DEEP HOLE CREEL( ESTATES F1LEO JANUARY 28, 1965 FILE NO. 4256 situate at attituck LAND SURVEYI_NGTown ' of Southold Nii�Bt�oville@aol.com _ � ��.��� � �� � ��y, N e w York TITLE MORTGAGE SURVEYS TOPOGRAPHIC SURVEI a x Map #1000- 115- 16-12 '(S SITE PLANS Scale 1 99— 30' September 9, 202 John Minto, L.S. Jacqueline Marie Minto, L.S. GRAPHIC SCALE LICENSED PROFESSIONAL LAND SURVEYOR LICENSED PROFESSIONAL LAND SURVEYOR NEW YORK STATE LIC. NO. 49856 NEW YORK STATE LIC. NO. 5108 30 0 15 30 60 120 Phone: (631) 724•-4832 ' P.O. Box 1408 Smithtown, N.Y. 11787 ( IN FEET ) 1 inch = 30 ft: 7APPR VED AS NOT D 3 DATE: B.P.# /� FEE: ' BY: NOTIFY BUILDING DEPARTMENT AT 765-1802- 8 AM TO 4 PM FOR THE RETAIN STORM WATER RUNOFF FOLLOWING INSPECTIONS: PURSUANT TO CHAPTER 236 1. FOUNDATION - TWO REQUIRED OF THE TOWN CODE, FOR POURED,CONCRETE 2. ROUGH FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRU(';ION MUST BE COMPLETE - :.0. ALL CONSTRUCTI,:,i, &HIALL MEET THE ELECTRICAL REQUIREMENTS OF T HE CODES OF NEW iNSPECTION REQUIRED YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF J� ENCLOSE POOL TO,CODE: D TOWN P G BOARD :UPON COMPLET'llop D TOWN TRUSTEES BEFORE "WATER OCCUPANCY Ok USS IS UNLAWFUL WITHOUT CERTIFIC/ )F OCCUPANCY Q NOTES: 1.POOL AND PROPERTY TO CONFORM TO 2020 NYS UNIFORM FIRE PREVENTION AND BUILDING CODE,TOWN OF CONTINUOUS CONCRETE SOUTHOLD CODE AND 2017 NATIONAL ELECTRIC CODE. BRACE COLLAR (ENTIRE 2.POOL SHALL CONFORM TO ANSI/APSP/ICC 5 STANDARDS R326.3.1. (m'.) PERIMETER) SEE DETAIL BENCH/ 3.SECTION R326.7 POOL ALARM REQUIRED. THIS SHEET SWIM—OUT 4.ENTRAPMENT PROTECTION REQUIRED SECTION R326.5. 5. POOLSHALL COMPLY WITH BARRIER REQUIREMENTS SECTION R326.4. • 6.POOL SHALL COMPLY WITH 2020 ENERGY CONSERVATION CONSTRUCTION CODE OF NYS SECTION R403.10: . ` ;Y ` �r:'' .• . POOLS AND PERMANENT SPA ENERGY CONSUMPTION(MANDATORY). SECTION R403.10.1 HEATERS SECTION R403.10.2 TIME SWITCHES I SECTION R403.10.3 COVERS " 7.SLOPE PATIO SURFACE 1/4"PER FOOT(MIN.)AWAY FROM POOL. 8.LOCATION OF PROPOSED SWIMMING POOL AND POOL EQUIPMENT BY OTHERS.LOCATION TO COMPLY WITH 4x 8' LOCAL ZONING REQUIREMENTS. STEP ® � �— I 9.BACKFILL MATERIAL TO BE FREE DRAINING GRANULAR MATERIAL(NO CLAY OR LARGE ROCKS). 16' $1AflMMING PCOL I I .' 10.FILL POOL WITH WATER PRIOR TO BACKFILLING. S.F. 11.POOLTO,REMAIN PERMANENTLY FILLED. •..; 12.ALL DRAIN COVERS TO MEET ALL REQUIREMENTS OF THE VIRGINIA GRAEME BAKER(VGB)POOLAND SPA I SAFETY ACT. 13. NO DIVING EQUIPMENT PERMITTED. 14.CONTRACTOR SHALL VERIFY SOIL BEARING LOADS PRIOR TO INSTALLATION OF POOL. 15.THIS PLAN IS FOR CONSTRUCTION.ON PROPERTY AT 1255 DONNA DRIVE,MATTITUCK,N.Y.11952 ONLY. 16. HM ENGINEERING,P.C.SHALL NOT BE RESPONSIBLE FOR CONSTRUCTION MEANS,METHODS,TECHNIQUES OR 32' PROCEDURES UTILIZED BY THE CONTRACTOR,NOR FOR THE SAFETY OF THE PUBLIC OR CONTRACTOR'S EMPLOYEES,OR FOR THE FAILURE OF THE CONTRACTOR TO CARRY OUT THE WORK IN ACCORDANCE WITH THIS 36' PLAN. 17.-SUCTION OUTLETS SHALL BE DESIGNED AND INSTALLED IN ACCORDANCE WITH ANSI/APSP/ICC 7. 18. NO SURCHARGE ALLOWED WITHIN W OF SHALLOW END AND V OF DEEP END. NOTE: NOT TO SCALE THIS IS A NON-DIVING POOL. FILTER BRACE (FILL 6' ;Ump� CAVITY VAIN GRAVEL AGGREGATE OR CONCRETE) 3'_4" VIEW ACROSS CENTERLINE OF HOPPER 2"0 (�) SKIMMER 3 OVAL MAIN DRAIN WITH _� p VINYL UNER T1 ��� 3.0' STRAINER (VGB, _ 2' SAND BOTTOM, (MIN.) SAFETY.ACI', _ 3-4" HIGH TAMPED & ROLLED APPROVED DRAINS) O FIBER REINFORCED 15' 8' 6' 3' SWIMMING POOL COMPOSITE PANEL 0 ° 8" X 36' jar CONTINUOUS CONCRETE COLI.M POOL MOW DRIVE STAKE r ;�<;; ';,' O (F?JTIRE PERIMETER) NOT TO SCALE FILTERED WATER ;t '`, ' RETURN, NUMBER OF NOZZLES VARIES PER POOL SIZE MAIN DRAIN PIPING SCNEMAIIC LEVELING BASE UNDISTURBED GENERAL NOTE: EARTH ALL MANUFACTURED ITEMS AND CONSTRUCTION SHALL COMPLY WITH THE 2020 NOT TO SCALE RESIDENTIAL CODE OF NYS,INCLUDING THE SPECIFICATIONS IN SECTION R326. NOTE: WALL SEQ )QN AND BRACE, )5TEM DRAWING CONFORMS TO ANSI/APSP-7 SUCTION NOT TO SCALE ENTRAPMENT AVOIDANCE CODES. NOTE: BACKFILL MATERIAL TO BE SAND,GRAVEL OR OTHER NON-EXPANSIVE MATERIAL. PREPARED FOR: ®EC 1 0 221 URBANK RESIDENCE 1255 DONNA DRIV EPT TOwim OF S'OJ-L�OLD fi JA (TUCK, N.Y 11952 . L„ L DATE: 11!26/2021 NOTE: l HIM ENGINEERING, P.C. SCALE: AS SHOWN. THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF HM ENGINEERING P.C,UNAUTHORIZED ` ! f C,6 �/ P.O.BOX 914,EAST NORTHPORT,NY 11731 SHEET: 1 OF 1 ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS AREA VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Tei:(516)476-5392 Fax:(631)980-7671 Email:hmarnika@optonline.net RESIDENTIAL SWIMMING EDUCATION LAW.INFRINGEMENTS WILL BE PROSECUTED. UT RAISED SEAL AND BLUE SIGNATURE POOL PLAN