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HomeMy WebLinkAbout47821-Z �suFfack Town of Southold 11/18/2022 y� P.O.Box 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43626 Date: 11/18/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2375 Sound Dr., Greenport SCTM#: 473889 Sec/Block/Lot: 33.-2-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/24/2022 pursuant to which Building Permit No. 47821 dated 5/17/2022 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 East End Assets LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47821 11/16/2022 PLUMBERS CERTIFICATION DATED Au hor' e Signature o�SUFFalt oTOWN OF SOUTHOLD BUILDING DEPARTMENT z` TOWN CLERK'S OFFICE "O • 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#: 47821 Date: 5/17/2022 Permission is hereby granted to: East End Assets LLC 1610 Westwood Ln Greenport, NY 11944 To: construct accessory in-ground swimming pool as applied for. At premises located at: 2375 Sound Dr., Greenport SCTM #473889 Sec/Block/Lot# 33.-2-22 Pursuant to application dated 1/24/2022 and approved by the Building Inspector. To expire on 11/16/2023. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 0-- Building Inspector oF so�ryQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.deviine-town.southold.ny.us Southold,NY 11971-0959 Q`yCOUn�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: East End Assets LLC Address: 2375 Sound Dr city,Greenport st: NY zip: 11944 Building Permit#: 47$21 Section: 33 Block: 2 Lot: 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Puccio Electric License No: 5201 ME 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 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 FixturesTime Clocks 1 Disconnect Switches 4'LED Exit Fixtures Pump 1 Other Equipment: Intermatic Pool Panel 4 Circuit/ 3 Used, 2 Lights 120GFI, Heater, Pump 220GFI Notes: Pool Inspector Signature: - Date: November 16, 2022 S. Devlin-Cert Electrical Compliance Form hO�aOF SOUIy�� �� ��� � ✓� � J � "' 1� �/ --- # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: �- 12 ql7l ri N Cz �d r beV DATE INSPECTOR # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SUL TION CAULKING [ ] FRAMING /STRAPPING FINAL [ ] FIREPLACE,& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] .FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATIO [ ] PRE C/O [ ] RENTAL 1 , REMARKS: 0 I¢ h vgf/ ' r vvt, i DATE a 3 l yo y INSPECTO q SOUIL(7 & / 2475 S O t#^J- -D, - # * TOWN 9F SOUTHOLD BUILDING DEPT. `ycourm, 631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION i [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O [ ] RENTAL REMARKS: r-� DATE INSPECTOR c.��' r' r r t� •. d'' �� ` � � �:• fir' > <a ICQ � � i^�^ ��X/•� r T l tom._ A;r ,r ti �' ; /,•�y'kl�� �(�Sf fA j� �l -'�'i`•:. kit •.�� � i y� .J•, A y�"!�Ljr;7, r ti!f��,1f y E�!'ti����Al�/,, �!�� ' IN ot `fl.n�a � lka� l�/�tE'�.f, !� �� ��`S�C�("`�.?�• 1:�.. . "� �'.'... .- � '� '"d� '�c;�r ! 't,! t� �'���+��li�,� rr tt� •:-.:41���-�'a C'�� 'O t�.1 F r a �'iLi / _ �£,�.,�•^ 1 f�lP�!��.t��,+•.r'•.,t�•�3�4'v 1'?%� I. ,r 'F.��� F r w,. 'r ♦ \��y } as �f� ',T��'ail E +� 11r r7y1N) .! r:'•(� y • �( ` �' � �,•'Mr '. • .;'ti S�Ik,+1 ,� �.1 'I,f . .9 y�lnpl(rt1�, 7 . Zip 34— NN N;J13f WA — . t � 1 '. T its a; r d►,, 4 r. If IC}, F �rS�eW.. 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STATE ENERGY CODE 22ki- /2 r �e �u J { S m4- FINALVVe C-4q&[ -w ADDITIONAL COMr4ENTS o y r-i �l O Gj z y k� . d b H r x, TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone 631 765-1802 Fax 631 765-9502 httl2s://Nv«iv.soutlioldtoNvnny.gov Date Received BUILDINGAPPLICATION FOR For Office Use Only MAY 0 9 2022 PERMIT NO. Building Inspector: REDU BUILDING DEPT. ' TOWN OF SOUTHOLD Applications and forms must be filled out in their entirety. Incomplete ra.pplicatlbns will not be accepted: Where the ApPl giant is not the owner,-an,',. . OWher's Authorization=form(Page 2)shall be completed. Date: V67100 0p�Z owNIER(Sco: Rc � TY.: S Name:G �_ ��, G-L� SCTM# 1000-_?, _ ... , Project Address: _57OGP Phone#: 4 r' r' Email: � Z� a Mailing Address:��� OGCK cl X ,. o 0,4 _ ....... CONTACT.PERSON:, �= Name: Mailing Address: q .......... .. .C4o,o.... /?_, . " ✓,ems-.., a� . . _ l/ �P.� .,.. ..., , ,.. Phone#: r'r Email: P —. ��-e4.fir. 2..?., 6A.4A e— Oe,R—i ®ESIGN PRbFESSlC Nk,4i.INFORMATION., Name: Mailing Address: Phone#: Email: C'ONTRAGTOR iNFORPA"4Ti N. Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Other 0_0 Will the lot be re-graded? ❑Yes PAO Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property: OKG n V V`w m 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 o IF YES, PROVIDE A COPY. (hqck,.,0ox After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provlded,by Ctiaptar,236 df the:rnwn Code.APPLICATION l5 HEREBY MADE to the Building Department for3he,issuance of a Building permit pursuant to the"Building Zone,. Ordinance of the Town Iof SOuthold,`Suffolk;County,New York and'other epplicable,Laws,Ordinances.or Regulations;for the construction of buildings, , add&hs,alteratlons or,for removal or demolition as herein described,rThe applicant agrees to cotnplYwith all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors onpremises'and In buildiing(s)for necessary inspections.False'statements made herein are punishable as a Class A°misdemeanor pursuant to,Section ZIDA5 of the New York State Penal Law. Application Submitted By(print name): S ❑Authorized Agent L�Owner Application_:.,_�..,.�.. itte..,..�. .._. name): C-�.&j _� SE47�. ...GGA Signature of Applicant: Date: / STATE OF NEW YORK) SS: COUNTY OF S1)f& i IlLf dtjl being duly sworn, deposes and says that (s)he is the applicant (Name of in ' idual signing contract) above named, he is the 14�M e,&­ ✓�A`' 1-1,e_ (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of 1"1 aU , 20 � ota�Public RBCc aD oFERN®IARYPUs NO.01 D Vvc 306900 NEW YORf� PROPERTY THS IZATI QUALIFIED IN 6UFFOLK COUNTY (Where the applicant is not the owner) fVIMISSION EXPIRESJUNE,90,2QQ-6n\ I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 . F K . 1@70TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 to Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov F Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® E' CE � VE PERMIT NO. Building Inspector: JAN 1 p 2022 ED BUILDING DEPT. Applications and forms must be filled out in their entirety. Incomplete TOWN OF SOUTHOLD applications will not be accepted. Where the Applicant is not the owner,'an' Owner's Authorization form(Page 2)shall be completed. Date: . ��99i�IEQ �S+j D'F IMF'ER : �( Name: �✓ v ti SCTM# 1000- Project Address: SQG. Phone#: Email: A7l�Yl Mailing Address: OtJ✓►C� �� d' e�v� (ll _ ..- . ___.. ._�- --- __---. CONTACT P SON: Name: Mailing Address: ' Phone#: 6 5--� f69 `7 Email: . � C�1 DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Po_ 1-s-O Phone#: (4 P� (�'i 1 \2D Email: DESCRIPTION OF PROPOSED CONSTRUCTION ew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project- ❑Other $ Will the lot be re-graded?)OZ El No Will excess fill be removed from premises? ❑Yes El No 1 PROPERTY INFORMATION 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. ❑ Check Box After Reading: The owner/contractor/design professional is respon's'ible for all drainage and storm1water issues as provided by Chapter 236 of the Town Code. 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,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(s)for necessaryinspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):�hv If���/� rr�fd� ` Authorized Agent ❑Owner Signature of Applicant: Da e: 2 /a STATE a STATE OF NEW YORK) SS: COU` D�\ ,NTY,O,F ) (� J n P - KIY)O(?—(9 ° 1 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the C�()Y-) V(-Ct C)� (Contractor,Agent, CorporatW Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of 122C: ,20_� / Notary Public PATRICIA C MOORE NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIMO4861668 B,9r9t ®a . ! �+:A�6iTF� II N Qualified in Suffolk County (Where the applicant.is not the owner) My Commission Expires June 16, I, ,7VV residing at 0,mw 4 c t do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner s Signature Date Print Owner's Name / 2 �8IT �DaaetANi�>~liEn IZ���'�T�1�1 (Where the Applicant is not the Owner) 0 G Q,/ G2S�/y� pUk residing at 2��5���44✓e (Print property owner's name) (Mailing Address) r do hereby authorize (34 ed - / (Agent) �G/r— to apply on my behalf to the Southold Building Department. /2 7 Z� (Owner's nature) (date) OLS 0(, rint Owner's Name) G DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD JUL 2�, n 21 - 54375 Main Road - PO Box 1179 ® `? auiLoir�o DEPT* Southold, New York 11.971-0959 ®411 ®? OF SOUV phone (631) 765-1802 -FAX (631) 765-9502 rogerrCa)southoldtownny.gov — sea nd(a southoldtownny gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required). Date: Company Name:_L0CCZ0 G Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: 3 Cross Street: a Phone No.: r- Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): CQJ I�( c r-',G ��d Square Footage: Circle All That Apply: Is job ready for inspection?: �ES ❑ 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# El New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame M Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION '72�71L IIS I �f�o DDJ v40lG DEPARTMENT- Electrical Inspector J i TOWN OF SOUTHOLD juU n HalI:.Annex - 54375 Main Road - PO Box 1179 + ® �E� Southold, New York 11971-0959 UiL 7!N'O The hone 631 765-1802 - FAX (631) 765-9502 rogerrpsoutholdtownny.gov - sea nd@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 1 Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: S� _ f Address: ) _ Cross Street: ' fd C) Phone No.: r- Bldg.Permit#: 14 SX a email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: ES [ NO [Rough In Final Do you need a Temp Certificate?: 1-1 'YES 7-NO. Issued On ' Temp Information: (All information required) Service Size[1 Ph[:]3 Ph Size: A # Meters Old.,Meter# F]New Service[:]Fire ReconnectOFlood Reconnect[-]Serv'ic' e ReconnectLIUnderground DOverhead # Underground Laterals 1 .. , 2 H Frame Pope Work'done'on Service? Y []N Additional Information: PAYMENT DUE WITH APPLICATION $f� a PERMIT # Address: Switches E Outlets t GFI's I Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments NYS 1 F New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE, NEW YORK 11747-3129 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) D D ^^^^^^ 455296491 MALONEY&MALONEY INC 108 WEST MONTAUK HIGHWAY PO BOX 1024 ~' HAMPTON BAYS NY 11946 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER M&M POOLS LLC TOWN OF SOUTHOLD PO BOX 1302 BUILDING DEPT HAMPTON BAYS NY 11946 54375 ROUTE 25 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12100482-5 568786 05/06/2021 TO 05/06/2022 9/29/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2100482-5, 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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:950247278 DATE(MM/DDNYYY) A`c>REP CERTIFICATE OF LIABILITY INSURANCE 09/29/2021 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jennifer McGroarty NAME: Maloney and Maloney Inc. PHONE (631)728-0400 FAX (631)728 0695 (A/C. /C No Ext): (AIC,No): 108 West Montauk Highway E-MAIL jennifer@malone -maloney.com ADDRESS: _ y P.O.BOX 1024 INSURER(S)AFFORDING COVERAGE NAIC# Hampton Bays NY 11946 INSURER A: Philadelphia Insurance Companies INSURED INSURER B: Merchants Preferred Insurance Company 12901 M&M Pools LLC INSURER c: NY State Insurance Fund PO Box 1302 INSURER D: INSURER E: Hampton Bays NY 11946 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2172712205 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 MAYBE 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 POLICY EFF POLICY EXP LTR INSD WVD POLICYNUMBER MM/DDNYYY MM/DD/YYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ °A 100,000 CLAIMS-MADE /� OCCUR PREMISES Ea occurrence $ X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 A Y PHPK2305830 07/23/2021 07/23/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY �PRO ❑ 2,000,000 JECT LOC PRODUCTS-COMPlOPAGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ B OUTOS ONLY AUTOS SCHEDULED ACAPI076370 07/23/2021 07/23/2022 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION X PER STATUTE ORH AND EMPLOYERS'LIABILITY Y/N l,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ C OFFICER/MEMBER EXCLUDED? N/A 12100 482-5 05/06/2021 05/06/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 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. 54375 MAIN ROAD PO BOX 1179 AUTHORIZED REPRESENTATIVE SOUTHOLD NY 11971 _ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD !� SURVEY OF ® LOT 77 OQ 0vc MAYO 9 MAP OF 202 EASTERN SHORES BUILp� r SECTION TWO TOI/VNOFSOU7 j 1' FILE No. 4426 FILED AUGUST 10, 1965 SITUA TE �G�►P ��� GREENPORT TOWN OF SOUTHOLD lip �Ile, yo° 38.5 , SUFFOLK COUNTY, NEW YORK P omoo, S.C. TAX No. 1000-33-02-22 0 Lr SCALE 1 =40 G e a �. MARCH 5, 2021 di'�evc X03 Fria TEST HOLE DATA AUGUST 25, 2021 FOUNDATION LOCATON Q e�, TEST o MARCH 14, 2022 LOCATE WALLS use ,0 ;.��•' . HOLE+3Z3 � c °cm (TEST HOLE DUG BY NATHAN T. CORWIN 111 L.S. ON MARCH 5, 2021) APRIL 21, 2022 ADD PROP. DRIVEWAY & POOL a c�6�� \\'�4 S o� EL 37.3' 0, AREA = 14,464 sq. ft. Ao' 11i O v 0.332 ac. 9 0 •• W TOP SOIL b. .3 O \\ j ��EaQOp� SILT LOAM (ML) �CQTEa �i c� E 01�Fp 3.0' 1. ELEVATIONS ARE REFERENCED TO N.A V.D. 1988 DATUM % a C,(���0� R000F�� EXISTING ELEVATIONS ARE SHOWN THUS: XX.X v` `3 Gpa�10p Leo• to c 9S r'1f�� *00' DRAINAGE SYSTEM CALCULATIONS: MIXED SAND WITH GRAVEL (SP) IT a �_ ROOF AREA: 2,020 sq. H. Oo 2,020 sq. ft. X 0.17 = 344 cu. ft. �y r P S j��P ,►�, at;. 344 cu. ff. / 42.2 = 8.2 vertical ff. of 8' dia. leaching pool required Q�OQ, / � �► FOR" G� PROVIDE (2) 8' dia. X 5' high STORM DRAIN POOLS ryo 1b EL 20.3'1 1 17' DRIVEWAY AREA 1: 370 sq. ft. 370 sq. ft. X0.17 = 63 cu. H. N-e63 cu. ft. / 42.2 = 1.5 vertical ft. of 8' dia. leaching pool required 0 i `�" .. . ' ....... �� LL 3'e 33.7' PROVIDE (1) 8' dia. X 4' high STORM DRAIN POOL (t`� :.... .:::::::::::::. .CS`a••"`'""`+`'�.'• r SLY+ HIGHEST EXPECTED GROUND WATER DRIVEWAY AREA 2: 800 a ft. j'S5• \ r .....;Q�i!iq '::,:: i iii°' o TEST WELL No. Ic.c 4108;407 73601 c 1678 . q• �` 800 sq. ft. X 0.17 = 63 cu. ft. m t \ 0 136 cu. ft. 42.2 = 3.2 vertical ff. of 8' dia. leachingpool required O n o 0 11\ o.:::::::::... �` •� \ Q9 Q� �',� 37.5 y PROVIDE (1) 8' dia. X 4' high STORM DRAIN POOL G`rQ O '� O Q� C04 PROPOSED 8' DIA. X 5' DEEP DRYWELLS CONNECTED TO i ) GUTTERS & LEADERS FOR ROOF RUN—OFF ` PROPOSED 8' DIA. X 4' DEEP DRYWELL WITH OPEN GRATE %C'`) !a FOR DRIVEWAY RUN-OFF ` 'OO, Joao �9 LOT COVERAGE 35.5 Vt� 5 6 O DESCRIPTION AREA X LAT COVERAGE J� LO G PREPARED IN ACCORDANCEVEYS t`S MINIMUM Y1 p'(� STANDARDS FOR TiiLEsSURVEYS A4.,ES7ABLISREO 10r".90 V1 HOUSE & PORCH 2,020 •q. rt. u.0r. BY THE LIALS.AND APPROI(EDIAND.ADOPTED QV FOR SUCH USE,BY THEl:NEW YORK CAN 0 4 PROPOSED POOL 800 sq. H. 5.5Y TITLE ASS0 y. a TD TOTAL 2,820 ■q. ft. ia.s% �� �•Q _�C i N:Y.S.�L1c. o. 50467 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY S A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. Nathan Taft-Corwin III COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S'NOT E OR Land Surveyor EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. - CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THEPERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen,Jr. LS. TITLE COMPANY.GOVERNMENTAL AGENCY AND Joseph A Ingegno LS, LENDING INSMUTION LISTED HEREON,AND TO THE ASSIGNEESOF THE LENDING INSn- Title Surveys-SubdWslons - Site Plans - Construction Layout TUTION.CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-2090 Fax (631)727-1727 AND/OR CASEMENTS OF RECORD, IF THE EXISTENCE RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS • T ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 a . La 10" 10" NOTES 40• 1 L 1, NO SOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE SHALLOW END,OR 6 FEET OF EXCAVATION AT THE DEEP FIND. J B 2. THIS POOL MEETS THE REQUIREMENTS OF AN5I/AP5P/ICC-5"AMERICAN NATIONAL STANDARD FOR RESIDENTIAL INGROVND SWIMMING O POOLS'AND 1996 BOCA CODE-SECTION 421.DIVING EQUIPMENT IS NOTALLOWED. O 0 3. SWIMMING POOL SHALL BE COMPLETELY AND CONTINUOUSLY SURROUNDED WITH A BARRIER CONSTRUCTED IAW REQUIREMENTS OF SECTION 8326.4.2.1 THROVGH R326.4.2.6 OF THE NEW YORK STATE RESIDENTIAL CODE(2020)AND IN CONFORMITI'WITH ALL SECTIONS D' a OF THE SOUTHOLD TOWN CODE.DWELLING WALL(5)MAY SERVE AS PART OF THE POOL BARRIER AS PER SECTION 8326.4.2.8 AND CONDITION(1)ARE MET.OPERABLE WINDOWS IN THE WALLO)USED ASA BARRIER SHALL HAVE A SELF LATCHING DEVICE.ACCESS GATES A PROVED AS NOTED SHALL COMPLY WITH SECTION R326.5.2 OF THE NYS RESIDENTIAL CODE(2020)AND BE SELF CLOSING,SELF LATCHING AND BE SECURELY Z LOCKED WHEN POOL 15 NOT IN USE OR SUPERVISED.ALL GATES ARE TO OPEN AWAY FROM THE POOL AREA. DATE: P.# 3-6 0° - 4. DUPING CONSTRVCTIONTHE CONTRACTORSHALLERECT ATEMPORARYBARRIERAROVNDTHEEXCAVATIONIAW THE COPE OFTHIE A H2O H2O ° TOWN OFSOUTHOLD. N xx /x, Z FEE: U�(J `r��Y; 5. POOL MUST BE EQUIPPED WITH AN APPROVED POOL ALARM CAPABLE OF DEFECTING ENTRY INTO THE WATER ANP SOUNDING AN AUDIBLE ALARM UPON DETECTION THAT 15 AUDIBLE AT POOLSDE AND INSIDE THE DWELLING. THE ALARM MUST LBEINSTALLED, NOTIFY UILDING C)EPARTMENT AT MAINTAINEDAND USED IN ACCORDANCE WITH THE MANUFACTURERS INSTRUCTIONS.THEALAIRM MV5TMEEFASTM M208 O 765-1802 8AM TO 4 PM FOR THE "STANDARD5PECIFICATIONFORPOOLALARMS THE DEVICE MUST OPERATEINDEPENDENT(NOT/41TACHEDTOOP,DEPENDENTON)OF O _ a PERSON5. C) rOLLCl/tiF G INSPECTIONS: 6. POOLSUC71CNFITTINGS(EXC-PTFOP,SURFACE SKIMMERS)MUSFBEPROVIDEDWITH ACOVERTHATCONFORM5TOASME/ANSI O O O 1 .FOUN ATION - TWO REQUIRED A112.19.SM 02A MINIMUM 18'x 23"DRAIN GRATE ORA CHANNEL DRAIN SYSTEM. POOL CIRCULATION SYSTEM MUST BE EQUIPPED WITH FOR OURED CONCRETE ATMOSPHERIC VACUUM RELIEF IN THE EVENT rHEGRATE COVERS LOCATED WITHIN THE POOL BEcCOMEMISSING OIRBROKEN. SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME A112.19.17 OR BEA GRAVITY SYSTEM APPROVED BY THE TOWN OF SOUTHOLD. V 2. ROU G - FRAMING & PLUMBING PLAN POOL SHALL 3E PROVIDED WITH A MINIMUM CF 2 SUCTION FMINGS OF THE ABOVE MEN11ONED ITYPE. THE SUCTION FITTINGS SHALL BE SEPARATED BY A MINIMUM OF 3'AND MUST BE PIPED SUCH THAT WATER 15 DRAWN THROUGH TH EM SIMULTANEOUSLY THROUGH AQj rtJ 3. INSUL �TION N.T.S. VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS) VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN!AN ACCE:551BLE 4. FINAL - CONSTRUCTION MUST VINYL COVERED POSITION,MINIMUM OF 6"AN1)NOGREATER.THAN 12"BELOW THEMINIMUM OPERATIONAL WATER LEVEL ORBEANATTACHMENITTO v CONCRETE STEPS THE SKIMMER/SKIMM ERS.A REQVI RED POOL ATM05PH ERIC VACUUM RELI EF SYSTEM SHALL BE INSTfALLED AS PER NYS REST DENTIAL CODE Q[ BE CC MPLETE 3=. C 0. � i° R326.6.3(2020)AND IN ACCORDANCE WITH TOWN CODE. U ALL CON 3TRUCTIODN: SPALL MEET THE ^ 7. ALL ELECTRICAL WORK SHALL COM PLY WITH THEREQUIREMENTSOFNFPA 70(NEC)PRI NCI PALLY ARTICLE 680 ANDTHENYS J REQUIR �1ENTS OF THE CODES OF NEW - RESIDENTAL CODE 5ECTIONS 4201THROUGH 4206.ALL ELECTRICAL DEVICES MUST BEAPPROVED BYUNDERWRITER5LABORATORIES,AND R YORK S TE. NOT RESPONSIBLE FOR 2"T04SANDBOTTOM BE POTECTEDBYAGROUNDFAULTCURRENTNTERRVPTER(GFC0CURRENTCARRYINGELECTRIC�ALCONDVCTORS;EXCEPT FOR TH05E -� PROVIDING POWER TO POOL LIGHTING AND POOL EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4203.5.ALL v Ul Ul DESIGN R CONSTRUCTION ERRORS. DU TO CON ACT WITH ANAL EN CLOSURES,FE N SI ECRILI NGS N EAR CALCIR UT SHA LDL BEE FECTIVELYGROVND DI MMI NG POOLTHATM4YBECOMEELECIFRICALLYCHARGED SECTION A 8. WATER SOURCE FILLING THE FOOL 5HALL BE EQUIPPED WITH A BACKFLOW PROTECTION DEVICE IAW NY5 PLUMBING CODE 608. ti '"I j } N.T.5. 9. ALL PIPING IS DIAGRAMMATIC UN LE55 OTH ERWI 5 E STATE D. O L J i2l Z CO LY WITH ALL CODES OFTOP OF WALL � -a-t WATERLINE 10. WALKS IF PROVIDED SHALL BENONSLIPAND SLOPEAWAY FROM POOL EDGE. a4i L1J O o NEW Y RK STATE & TOWN CODES 4, 12' 4, t m 11. A MEANS OF EGRESS FOR DEEP AND SHALLOW ENDS MUST BE PROVIDED IAW ANSVAPSP/ICC-5 SECTION 6. s ii v Ln v AS RE IRED AND CONDITIONS OF /,�J' B/j�1Jn � 12. CONTRACTOR TO PLACE THE POOL IAW TOWN OF SOUTHOLD CODE SMACKS. d a Q L muni C l%/rv9Y -��(a1�I17AA 1 �'�'���� 13. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY. - /- be- SGu?' ! T0* RldAPIM BOARD 15. THE DESIGN IS BASED ON A DRAINAGE SOIL WI-H(10%SILT. GROUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION. IFGROU'ND N �.r ../�1 /t �/� WATER EXISTS WITHIN 6'-0"FROM GRADE,DEWATERING FACILITTIES WILL BE REQUIRED. 0 i.0 So I^ USTEES SECTION B Q J ' ��Y�• {� C`� 16. ALLGASANDOILHEATERS(IFINSTALLED)FORTHEINGROVND5WIMMINGPOOL SHALL BENATIONAL APPLIANCE ENERGY �n N.T.S. CONSERVATION ACT(NAECA)COMPLIANT. POOL HEATERS SHALL BE TESTED IAW AN517-21.56 AN D SHALL BE INSTALLED IAW MANUFACTURERS SPECIFICATIONS. OIL FIRED POOL HEATERS SHALL BE TESTED IAW VV26. POOL HEATERS SHALL BE LOCATED OR GUARDED TO PROTECT AGAI NST ACCI DENTAL CONTACT OF HOT SURFACES BY PERSONS. POOL HEATERS SHALL BE PROVIDED WITH TEMPERATURE AND PRESSURE-RELIEF VALVES. FOR HEATERS NOT PROVIDED WITH AN INTEGRAL BYPASS SYSTEM. A BYPASS LINE SHALL BE t` 2-2 INSTALLED FROM INLET TO OUTLET TO ADJVSTWATER FLOW THROUGH THE HEATER. POOL HEATERS SHALL BE PROVIDED WITH THE a 00 CHECK VALVE COPING AND WALKWAY 101, FOLLOWING ENERGY CONSERVATION MEASURES: p (BYOTHERS) PUMP FROM SKIMMER WATERLINE GRADE 16.1 AT LEAST ONE THERMOSTAT SHALL BE PROVIDED FOR EACHHEA�TINGSYSTEM. = n N a S 16.2 ALL POOL HEATERS SHALL BE=QUIPPED WITH AN ON-OFF SWITCH MOUNTED FOUR EASY ACCE55 TO ALLOW SHUTTING OFF THE TO DI ~- OPERATION OFTHEHEATER,WITHOUT ADJUSIINGTHE THERMOSTATSETTINGAND TOALLOWRESTARTINGWITHOU R.ELIGHTING7HE •� �Yco rl? �9,__DOWELL U4BIDEARTH PILOT LIGHT �} � 163 HEATED SWIMMING POOLS SHALL BE EQUIPPED WITH A POOL COVER(EXEMPTED FROM THI5 REQU'IREMENTARE OUFDOOR POOLS c � �� / 3EDCONC a; DERIVING 20OFTHEENERCFOR HEATINGFltOMREN EWABLESOURCES A5COMPUTED OVER Ah OPERATING5EA�50N) L y e ENCLOSE '0 co DHVERTERJ 3YP. a 16ATIMECLOCKSSHALLBEINSTALLED50THEPUMPCANBESETTO2VNDURINGOFF-PEAK ELECTRICAL DEMAND PEPIODSANDCANBE:SET gZcco ;,f;,r ' VALVE O TO RUN THEMINIMVM TIME NECE55ARY TO MAINTAIN THE POOL WATER INA CLEAN AND SANITARY CONDITION IAW APPLICABLE 3 m (D n'.,;I,PON MPLETION VINYL = E i`-q-; u „ SANITARY CODE OF NEW YORK STATE. L' o o y IS. FOE WATER .= a W a 2FILTER 17. THIS DRAWING I5 FOR STRUCTURAL SHELLONL'I. ALL ACCESSORIES AND APPURTENANCES AREDEIFINEDBYOTHERS `� Y T _j O o18. BACKFILLWITHCLEANEARTH,FREEOFROOTSANDDEBRI5. DO NOT ALLOW THE HEIGHT OF BACKFILL TO EXCEEDIFHEHEIGHTOFTIHEWATER IN THE POOL BY MORE THAN 8", ORTHEWATERTOEXCEEDBACKFILLBYMORETHANB" LTORETURN$ �19. PLACE CONCRETE ON SANDY 70 LOAM SOIL. REMOVE ANY CLAY DEP05ITANP REPLACE W/COMPACTED CLEAN BACKFILL.CHECKVALVE VREBAR®3'O.0 PLUMBING SCHEMATIC (NOT5HOWN) 20. THERE 15 NO MAIN DRAIN IN THIS POOL.SUCTION FOR POOL WATER CIRCULATION 15 PROVIDED BY THE SKIMMERS ONLY.THIS MEETS U REQUIKEMENTSOFTHE NY5 RESIDENTIAL COPE-SEC11ON R3265 FOP,ENTPAPM ENT PROTECTION. ` OF NE� ®CC PINY OR N.T.S. WALL SECTION 21. THE POOL WAS DESIGNED IAW THE FOLLOWING: T/ y USEUNLAWFUL N.T.S. 21.1. THE NEWYORKSTATERE51P-NTIALCODE-SECT10NR326(2020) pQ� � � �9S 21.2. THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE-5ECTIONI R403.10(2020) I _L WITHUT CERTIFICA , ELECTRICAL 21.3. THE NEW YORK STATE SANITGAS YCOCODE(2020) VF1 21.4. THE NEW YORK STATE SANITARY CODE. RETAIN STORM WATER RUNOFF 21.5. AN51/APSPiICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS. INSPECTION REQUIRED m " 21.6. BOCA CODE-SECTION 421. /I OF CUPANCY PURSUANT TO CHAPTER 236 21.7. CODE OF THE TOWN OF SOUTHOLD. SI ,Ate Z 22. ALL BACKWASH TO BE SELF-CONTAINED ON-SITE. OF THE TOWN CODE. �O �8847 5 oFESSVI