Loading...
HomeMy WebLinkAbout47314-Z o�SUEFO� t c Town of Southold 11/17/2022 a y� P.O.Box 1179 o - �' �. 53095 Main Rd ,roy�o� oo� , Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43613 Date: 11/17/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Properly: 945 Royalton Row,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-7-19.35 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. 47314 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 Marratime Cap LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47314 11/7/2022 PLUMBERS CERTIFICATION DATED Au razed i ature suFFQ�M� TOWN OF SOUTHOLD BUILDING DEPARTMENT a 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#: 47314 Date: 1/10/2022 Permission is hereby granted to: Marratime Cap LLC 71 15th Ave Sea Cliff, NY 11579 To: construct accessory in-ground swimming pool as applied for. At premises located at: 945 Royalton Row, Mattituck SCTM #473889 Sec/Block/Lot# 113.-7-19.35 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 Bui ding Inspector pF SO(/ryQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �e sean.devlin(Q-town.south old.ny.us Southold,NY 11971-0959 Q �yCOUNTI,N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Marratime Cap LLC Address: 945 Royalton Row city:Mattituck st: NY zip: 11952 Building Permit#: 47314 Section: 113 Block: 7 Lot: 19.35 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: ? License No: 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 1 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 FixtureTime Clocks Disconnect Switches 4'LED Exit Fixtures 0 Pump Ed Other Equipment: Intermatic Pool Panel 8 Circuit/ 3 Used, 1 Light 30OW Tranny 120GFI, Heater, Pump 220GFI, Salt Gene Notes: Pool Inspector Signature: Date: November 7, 2022 S. Devlin-Cert Electrical Compliance Form o�a050Glyo 731 � �o I ��d t/✓_ # # TOWN OF SOUTHOLD BUILDING DEPT. 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 EMARKS: C DATE Zo Al. INSPECTOR , OF SOUTyO� TOWN OF SOUTHO D BUILDING DEPT. Comm 631-765-1802 ANSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULA ON/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: DATE l INSPECTORY 1124,L Ll Cl Of SOUIyo l Li S —V , 11 �► # # TOWN OF SOUTHOLD-BUILDING EPT. 765-1802 ANSPECTION ., [ ] .FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND .. [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY- [ ] 'FIRE SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION :[ ] --FIRE.RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) r[ ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/ REMARKS: G� /\9.1 I�Jec�rl G -DATE l INSPECTOR FIELD SPE TI �A% Cd1VI'MEN�S ' 1�1 FOUNDATTON:':.iS O .F UNDAT ON':.2 I z ROUGH F G.& P31 CP LUIVIB°�T,G• . JM INSULAT TQ1�T.PSR N:�r STATE E' N�RGY`COI?E` 1 9 1:Lo 1 777 LJ :� 1,51 rn N r' 0 l� V z++2• ro v fF 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 haps://www.southol.dtownny.P-,ov Date Received APPLICATION FOR BUILDING PERMIT (fin For Office Use Only PERMIT NO. Building Inspector: DEC BUILDING DEPT. Applications-and�.f,+arrris°must be.filled out in their entirety.:l omplete TOWN OF SOUTHOLD a,pplicatar►s itii{I not be accepted; .Where the Appiicarit,is'not'the'ovlrner�aii OWner's,A%khrrrixation form;(Page 2),shali he cotnp[etsd a; Date: CIWNER(S)'OE-PROPERTY: Name: M (tvrCi+trne C Ct d LLL SCTM#1000- — Project Addres >� c)Q Phone#: S��- q.q (o " a 3 Ste. Email: d �..g^mQrI • Corr- ..�......,...__., Mailing Address: -) .1 (�+�'' m��e�u e �ea 0 4� lil y -�CONTACT PERSON: Name: - .._............ ._..C.o✓i..S���h h� �cp r I�GL Uri � v�U ,/��C- r�1�..G�...._._.,.._......__._.. Mailing Address: I_3_1.^...._ co I;e_r1^w^oohQ_oCL:..........._...^___.." Phone#: S ( (,- 9 L((o r S Email: n„QK,.Ca✓0 o� r DESiGiN IPR(}FESSIONAL iNf RN1ATit31V: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION:'' ,F r N} Name: ,Mailing Address:......_�.',_L[ ® ..�' P�1C,.ly.G�...-..�:�E'_.�-�-...... .��_�.Y�.Q.�.....,.1�_._......_.._�-��.ti....�.._.............. Phone ' C� Email: Swe�n�5s p oIS rnaii'.Com .. # C .._.. .... 1 ® _ . .. . DESCRIPTION:OF.TROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition _ Estimated Cost of Project: Other _ -1 n Co 1-0 Lt-n CO wrl ortc,,.e,k wccllS $ 3`�� ( 0�0 Will the lot be re-graded? ❑Yes El No De- p- b�� Will excess fill be removed from premises? ❑Yes El No peep-e.��cl -1 1 r r�t'3�s� "�",?�," ,�.%� "''3:`. -i�°R�h:p ,_,a'•ti:+i:a r.'�,�. -:_s•;e, - ,',y.'?a_ - - sy�.....,....t.. ,,�� z. ..� i,. �'G:.err :r-:. ,xa .�;•� _ ,per,, ._.mk.,.,.t';.:,.,{-r, -,3:,�;*^'�`-.-.�zn.�,:-�:•�" k°xE td':''� _J.•''":ti`;,-x ,i'i ..1. ". .`:. +-?'.,TFC.... fig' .,,'(: A&st�.{. b'''s.-, r.., ns..,�;;<< `'u; y:°ZFCltir7z»rW'i7} y wi" •.,ism: a' �z � .,wt.:�.„;r '�t11 r.� }v'!. •a"`' r' �J"F.s^.., °,e;",t`: 4a' _c �4 v'"�:� 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 El No IF YES, PROVIDE A COPY. :¢=i^'a`'?».'.. ..it''��I_'-.;,j NS ,. .Y3;=;:'�t,':✓...;'•�^.:'�'.`.iYi«-v_.':s..Yt4:.'Y yJ'-n:"i-,...,-,.._<..a...:r -."<::�M.................... ..................... ......_.........-.......... ....,,...........,»,............,..,.,....-._............_............._...... F's .:�.x �r`.•'�,., I,�R-,°t' Q(� rA 'tRCn :v v fir, xs,.',..w •a-.pn r0 .<'�„� rn ib11.�'�01-Wid'aMd dim? F(17'aw8�8T D d 76fiegow- ; "� A CsmH Env llir o e 8;iiiliiNO e F - -�;. 3�l+_ .. ad me it:fo.ttielss ai ce',$:Bui dln PaeEnitpti►5ct .�s „�' - f•." '^. �o `.;,=- "__ ,.; ;.ts. -.fir- r.:.::.. em ,.. �'..°. ..,z;. ' ofdii : iithtiPcl Slit k"' ge '! ,rtt"a3s thra leaLa # i '��"' � �r,,, ,.�., � i�tle►il�tiOriG�S�hpre�t�tµStpSCK1b@ci.11it3�►pbc��0gt'�isttlCrit"tti(�,ijjvY,lth:3tl'�pp1bE i�Ws�t�r�i s�, t,�tiWetittiiic�tt r%Fiz�in �'4 � "� %d 'i. :e, �A. 8:, r �' '�- e �'t � �4.,m �', .:. -F*• s .n^ ,h<-.a',",-_;.,,.#iY'a:'a„, N"�<'+�,�""�S r1 t t1 � a,^'?S,� x'�:E't AtK:.y✓Fs�^ $}�, ,���y.t,�,�N,"„N »yC�'}�{y ({�1F'�.�Sy✓{�_(i:+S ����'n�. .�r,/94tW w�•'^"fi�.- .t i,�.�� �)Y�'�,�-j',usN �- V�}�^j�(^�_�p����' •if�N{ �� °�}rlY'�iMIVfl�pr.(' :VEyIN .('GYWF���`�'.� �y��rt/� ”{ "t�''�' '.�`-"',J��" en�_ s'�;�.'�•i n's>:,�'�. »'..�Yl�f .,.��..v 'ya-:ir..4,^:S� a �... _<'�'�,.. �'. .+.3v�P�i�.Cf/YtF.M;.�i:.'.:i^--5�� F;.X.'.,c.e'T..r%"';;'? :x;{•E..£'�_ :.s r,2�%''�`�.n,.s�'..'�iF",,"`i,['�`.. Application Submitted By(print name): nG�f/� ❑Authorized Agent IfOwner Signature of Applicant: Date: STATE OF NEW YORK) COUNTY OF (V1hC�i noCLYl�h being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the t�Loleis (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 I . 20,;( Notary Public A``.,�yS ATE OR':. 1ZCb0rall Q410wSk1 NOTARY Notary Public,State of Now York PUBLIC �- No.PROPERTY OWNER AUTIi®RIZATI6l�I :� � Qualified in Suffolk County (Where the applicant is not the owner) ,,,W �� Commission Expires05/13/20,1e?—S residing at ,( /, 'e tme— /V /6-/ / do hereby authorize S Po, Uevyjee— to apply on my behalf to the w of Southold Building Department for approval as described herein. Zo-z-N Owner's Signature Date Print Owner's Name 2 10 ®��5�yi FOS -cfir, BUILDING DEPARTMENT- Electrica nspector TOWN OF SOUTHOLD x 2 ` Town Hall Annex- 54375 Main Road - PO Box 1179 o ® -, Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro-qerr(@-southoldtownny aov— sea nd0southoldtownny gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: ry c of C I-e.c- -v. C d a -), Electrician's Name: a.p-IL License No.: Ne--(4(.0 3D °I Elec. email: ,�JKd�teci-vac �9,na;I - Cav,�, Elec. Phone No:&31- 3 oy _ (o,�i--7 3 ERfrequest an email copy of Certificate of Compliance Elec. Address.: a.t plle� mun D 4eK L.e yW I Q -:1--sl an d JOB SITE INFORMATION (All Information Required) Name: AA A--K-Yc--4—t( M Ccf__ L6 C.. Address: Cross Street: 6 QD x Phone No.: BIdg.Permit I email: di�,Cdyvt Tax Map District: 1000 Section: 13 Block: Lot: 03� BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 0 Square Footage: Circle All That-Apply: Is job ready for inspection?: YES NU [Rough In Final Do you need a Temp Certificate?: Y E5❑NO Issued On Temp Information: (All information required) Service Size[1 PhF-13 Ph Size: A #Meters Old Meter# QNew ServioeQFire Reconnect[]Flood Reconnect[]Service Reconnect QUnderground averhead #Underground LateralsF-1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION ,�. o Cod\a\ HM ENGINEERING P.C. P.O.BOX 914 ® (C' E 9 W E EAST NORTHPORT,NY 11731 EC E9 TEL:516-476-5392 EMAIL:HMARNIKA@OPTONLINE.NET DEC 10 2021 TOWNING DEPT OF SOUTHOLD December 05, 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: Marrcon Development Corp. 945 Royalton Row Mattituck,N.Y. 11952 Lot#6 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 will be piped to a drywell located on the subject lot and will not interfere with the public water supply system, existing sanitary facilities, adjoining property owners, public highways or private roads. Sincerely, HM E gineering P.C. o' arnika, P.E. "I AC ' 7R1>0 C> ­ 1MtDD CERTIFICATE OF LIABILITRANDATE j(M Y INSU CE- 1113M/2O 1 F THIS CERTIFICATE IS ISSUED AS A MATTER OFANFORMATION ONLY 4WD CONFERS NO,RIGHTS UPON THE CERTIFICATE HOLDER.THIS ,CERTIFICATE DOES NOT AFFIRMATIVELY OR'NEGATIVELY AMEND, EXTEND ORA' ER THE COVERAGE AFFORDED BY THE'PQLICIES BELOW.- THIS.�CERTIFICATE OF IMURANCE'DOES NOT CONSTITUTE A CONTRACTLTBETWEEW THE ISSUING INSUREA(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT., If the certificate holder Is"an-ADDITiONAL INSURED,the ,0911r�Y(10)Must haVe ADDITIONAL INSURED provisions or W endorsed, If SUBROGATION IS WAIVED,subj6dt to the terms end"conditions of the policy,'certain P*90cies(RaY require 6n.endo'rserikenti A statement on this certificate does not-Confer rights to the certificate holdirlh 116q of'such endorsdrne_r1t(S_).,,,.,, PRODUCER, CONTAC LIM ins -NAM-q: ,DKM Insurance Agency Inc. PHla FAX One Rabro Drive,suite 11 21 14,FXXAI Na _hAf coi@dkn1ins:urance;po I M 91788 DOM Hauppauge,NY DING COVERAGE NAIC ATLANTIC CASUALTY INS CO INSURED INSURER A. SURER B, on inepta n-em 0 SWEENEY'S POOL SERVICE INC. 1740 CHURCH STREET INSURER C, HOLBROOK,NY'"I JNSURER - 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 DOC WTrH RESPECT To WHICH T1418 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE DOCUMENT AFFORDED BY THE POLICIES DESCRIBED" IS SUBJECT TO ALL,THE TERMS, EXCLUSIONS AND CONDITIONS OF,SUCH POLIC116.LIMITS SHOWN,mAy HAVE BEEN REDUCED BY PAID CLAIMS. INS Pt A DL WRA TYPE OF INSURANCE INSO MLI Exp POLICY N MBER IMMIDD I LIMITS COMMERMALGENERALLtABILffy Y Y' 0260003$7-0. '8/07/2021 8/07/2022 1,000,000 EACH OCCURRENCE CLAIMS-MADE OCCUR _MfAg� ..r. .sa $ 1,00000 MED EXP An one parson)_ 5,000 PERS6NAL&AIJV'MUOY $ GEN't AGGREGATE LIMIT APPLIES PER. _11-6091999 XI F D GENERALE S _ 2,00Qj00_0_ 4EPROCf LqC OTHER: L�2DUCTS:,�OMPIOPA�GG AUTOMOBILE LIABILITY —----- COMBINED SINqLE LIMIT I ANY AUTO Ea a OWNED SCHEDULE I D 130DILY INJURY(per p6mbnlS AUTO$ONLY AUTOS ,, BODILY INJURY'(Per wixfdont) $ HIRED NON-OWNED RsQs AUTOS ONLY AUTO$ONLY UMBRELLA LIAB OCCUR EXCESS ESS LIA13 ":CLAIMS-MADE EACH OCCURRENCE AGG BREGATE DED RETENTION S WORKERS COMPENSATION. =P RTI A�NQEMPLOYERS"IUABILITY [368620-1 ANY PROPR(ETOROARTNERIEX E.CUTIVE YIN 6t2212021 �12k622 B OFFICERIMEMBER EXCWDED? NIA E,L EACH ACCIDENT (MandAtory In NH) M N Oes,doactibe under., E.L DISEASE-EA DESCRIPTION OF OPERATIONS'below I E,L.,OfSEASF-POLICY LIMIT Oaf)Ono DESCRIPTION OF OPERATIONS'I LOCATIONS I VEHICLES(ACORD.1*1iA*MI0niI R6(naft Sehedulo,may b&o4acNd if mom upaco)o required), CERTIFICATE HbLDER CANCELLATION Town Of 8buthold SHOULD ANY OF THE ABOVE DESC' 'POLICIES BE CA RIBED NCELLED BEFORE Z43'75 NY-25 THE EXPIRATION 'DATE THEREOF, NOTICE VaLL BE 6ELIVERED AN ,Southold, 'NY 11 19-711 ACCORDANCE WITH THE POLICY PROVISIONS. ,AUTHORIZED REPRESENTATIVE 0 Poo A. CORD 25(2016/63) The ACORD naine and logo are 01988!,201SACORD'CORPORATION. All rigots.reservid. registered Marks of,ACORD C C. ERTIFICATE OFINSURANCE COVERAGE PISABILITY AND PAID FAMILY LEA)19 BENEFITS LAW' PART I.Tolbe.completed by'Disabill.lt*;and Paid Family Leave,Benefits Carder Or Licensed linsurance.Agent of that Carrier Ia.Legal Name.&Address of insured(use street address only) SWEENEY'S,,POOL SERVICE�INC. 1b.Business Teleiphone.Wumber of—insured -' 631-431-0498 1740-CHURCH STREET HOLBROOK NY,11741 I c.Federal Employer Identification Number of Inquil .Work,Lboation of insured g;rjted to, or Social Security Number certain facaflons In New*rh Ste*i.o,.;t,<,z ,up pofty), 473890168 Name and�Addl E R ues. root of Coverage3a,Name of Insurance {Entity E am ty n 9 Listed r7 'Ing I r frit Being sted the Ce 'Cate Molder) Town of Southold shelterli Life Insurance Company 443761NY=25 3b.,Policy Number of Erifity'Lil Box"Ia!' .Southold, NY`11971 DSL47088 3c.1`0110y:effeci period 08108020 to 08107/2022 4. ii Pfl the1f6ilowitig benefits: ................................... r M A,Bath disability and paid'farmily'leave ben M,Miabllily benefits only. D'C.:PaW farril benefits only, 5. Policy cowers;" 91 A.All of the employer's employees eligible under the NYS Disability and Paid Fall Leave benefits Lava: E] B.,Only the frsiloWfng dliss or classes' ofemployer's employees; Under penalty 1:11''perjury, ........... certify' al I � I 1authorized representative orlicensed agent of the Insurance carrier iii 1 6q_v_e_a_nd_tF_ insured has NYS Disability and/or Paid Fiirrilly:LeaVe Benefits lnsurance:coverage,as described abqve. at the named batesigned. 1.1118120291 'By: t,at insurance carder) Telephone Number 516�82'9_8100 -Ndme'andTitle Richard White,,Chief.EXecutive Officer IMPORTANT: If ftxds 4A and 5A are checked.,and this farm is-sighed by the linsurance carrier's authorized representative or Ill Licensed'Insuren.0 Agent-of that car ,I rler,this certificate is'COMPLETE, IVIM it direct] ytdthe certificateholde'r. fB ox 4BAC or 5B is'thk*6d,this certificate is NbT COMPLETE fdrpqrpli S66ti6n 220,Subd.8.-of.the NYS: D,;ebij4jand Paid Family Leave Benefits Law, It roust-be mailed for Completion to the%orkiats'Cbryipenlisatt board Plans Acceptance Unit,.PO Box 5200,Binghamton NY 13902-5200. .99 ART 2.To be completed by th e NYS Workers'Compensation,Board(Only-If Box 4C or-So 011"part ifias 6eeri checked} 'State of NOW York Wgrkers";Corhoensation Board Acwrdihg to information maintained,by-the NYS Workers'.Compensation Boa NYS Disability rd,the abovt�mb employer hascompliedthe 40,ity and Paid F6mt L ly Leave Benefits Law with respect to all of his/her employees, Date Signed B (Signature of Authorized NYS W0rker&'Compensation Board r.p1_qye6)._ Telephone Number Name and Title ,Please 01�lhsumnceqa.�arsllct �nle NYS bill and ' 'I'a" r`a"'3 r 0, 1�3uta a canters am *n d'0 to issue F d"DB-12r?I Insura lcye�brokrrq isre NO�57'�a'3 *n& authorized am r 1DBR120.9.(1I)-17) SII 110111 1 D13-129-J. '(10717.) CONTRACTORS SPECIAL POLICY DECLARATIONS PAGE Renewal Declaration UTICA FIRST INSURANCE COMPANY CONSTITUTED IN OHIO AS UTICA FIRST INSURANCE COMPANY(MUTUAL) Direct Billed -Insured Home Office-5981 Airport Road,Oriskany NY 13424 Mail Address-P.O.Box 851,Utica,NY 13503-0851 Policy Number: ART 5129110 02 Renewal of Number: NAMED INSURED AND MAILING ADDRESS (Nc u ry s�iato',ZpCodo nY'� Agent 2260000 GROUND ELECTRIC NORTHEAST AGENCIES INC PAUL CLARK DBA 8209 IBM DR BLDG 102, STE 100 21 RAYMOND AVE CHARLOTTE, NC 28262 MIDDLE ISLAND NY 11953 POLICY PERIOD:12:01 A.M.Standard Time at the Location of Designated Premises. 05/17/21 _ 05/17/22 From To Item Prot. Rate Cons't Description and Location Number Class Groupof Property Covered 1 PR 04 F Description: ELECTRIC WORK-NO BUR Location: 21 RAYMOND AVE MIDDLE ISLAND, NY 11953 County: SUFFOLK AGREEMENT In return for your payment of the required premium,we provide the insurance described in this policy. LIABILITY INSURANCE COVERAGE LIMITS ANNUAL PREMIUM Each Occurrence limit $ 1,000,000 /per occurrence Medical Payment Limit $ 5,000 /per person General Aggregate Limit (other than Products/Completed Work) $ 2,000,000 Aggregate Limit (Products/Corripleted Work) $ 2,000,000 Fire Legal Liability $ 50,000 /per occurrence Personal and Advertising Injury $ 1,000,000 /per occurrence Property Damage Deductible $ 1000 Included PROPERTY INSURANCE COVERAGE DEDUCTIBLE LIMIT AUTOMATIC REPLACEMENT ACV PROTECTIVE ANNUAL INCREASE% COST DEVICES PREMIUM Building Business Personal Property Loss of Income Business Personal Property- Off Premises _ FORMS AND ENDORSEMENTS SEE FORMS INVENTORY PAGE ANNUAL FORM NUMBER DESCRIPTION PREMIUM BAI-1 Blanket Additional Insured (Contractors) Included $150 Minimum Retained Premium ANNUAL Name and Address SUB TOTAL $ 982.00 of Mortgagee: NYS Fire Feet $ 0.00 POLICY TOTAL $ 982.00 �t c Our Authorized Representative Countersignature Date 03/16/21 INSURED COPY APOEC(01 18) ?- - m ......� m , ON H l5 �.r,�, i OZ Z'. '00� 3o ♦ / I / o —HESIOENCE - W Y x Lo Ln O � � ♦,„ ,.\//� � �'�nc�+c sfla.cr� ' •:�.���.vov mn�,��mrco aw.o ow.a.xo cwcs.a.r ov s.a ♦ ....�,�..m..�. oaa.m�.wEs,wo�o�c�sem,�.�..,�n moo.,c ODsoxs�rnon_�ss f n�covw,cax nvsw - ,� —o ' ws s+oxn '204974 60 .,-L-6.002 i, r I� �i CAST IRON FRAME & COVER IF UNDER PAVED AREA FINISHED GRADE 8' MIN, - 12' MAX. 24• x NOTES: BRICK LEVELING COURSE ��MIN a �' CONCRETE COVER 1. UNSUITABLE MATERIAL SHALL BE REMOVED UNDER LEACHING POOL UNTIL PRECAST CONC. COLLAR 27' 6' MINIMUMS PENETRATION INTO VIRGIN STRATA SAND AND GRAVEL AND AS REQUIRED MAX BACKFILLED WITH SAND AND GRAVEL TO BOTTOM OF BASIN. PRECAST 2. AS AN ALTERNATIVE TO THE DOME TOP, A FLAT SLAB CAN BE REINF. CONC. SUBSTITUTED WITH APPROVAL OF THE ENGINEER. DOME 4'0 PVC 3. LOCATION OF DRAINAGE POOL TO BE DETERMINED BY OTHERS. �Ej MIN. S PER FOOT ® ® ® ®0 4. ALL DRAINAGE PIPES MUST BE PROVIDED WITH A MINIMUM 2'-0" COVER. INVER ® ® ®❑ NON-SHRINK ® ®0 5. COLLAR IS NOT REQUIRED WHEN RATEABLE MATERIAL EXISTS FOR GROUT FULL DEPTH. ®0 3- MIN. SAND 6. THE MATERIAL USED FOR COLLARING SHALL BE COMPRISED OF SAND AND GRAVEL AND GRAVEL CONTAINING LESS THAN FIFTEEN (15) PERCENT FINE SAND, a. COLLAR (TYP) N SILT AND CLAY. SILT AND CLAY FRACTIONS ARE NOT TO EXCEED (5) ALL AROUND ti PERCENT. PRECAST REINF. CONC. LEACHING ~ RINGS f, W - H W w W ;r 8' DIAMETER ¢o 5 W v a DRYWELL CALCULATION: �.aw BACKWASH FROM POOL 70 GPM @ 5 MIN. = 350 GAL. (47 CF) DRYWELL CAPACITY = 1,263 GAL. (168.8 CF) '4:0'':: •w "R :o•:••''i z 6' MIN. PENETRATION iu o INTO VIRGIN STRATA GROUND WATER oe OF SAND L GRAVEL — I DRAINAGE POOL DETAIL NOT TO SCALE I EC EHE DEC 1 0 2021 PREPARED- F,OR: BUILDING DEPT. MARRCON DEVELOPMENT C P. TOWN OF SOUTHOLD 945 ROYALTON R W 41D TITU&. N.Y 11952 #6 6 _ HM ENGINEERING, P.C. DATE: 1210612021 NOTE: d / _ SCALE: NOT TO SCALE THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF HM ENGINEERING P.C..UNAUTHORIZED ! � / Z� SHEET: 1 OF 1 ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS ARE A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE ` P.O.BOX 914,EAST NORTHPORT,NY 11731 EDUCATION LAW.INFRINGEMENTS WILL BE PROSECUTED. H RAISED SEAL�AND BLUE SIGNATURE Tel:(516)476-5392 Fax:(631)980-7671 Email:hmarnika@optonline.net DRYWELL DETAIL I APPROVED AS NOTED RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 DATE: xD B.P.# OF THE TOWN CODE. FEE: - • 1 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 ELECTRICAL 3. INSULATION INSPECTION REQUIRED 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF V SING BOARD ENCLOSE POOL TO CODE :.0, bN COMPLETION SQUTHO USTEES " BGFORE"!NATER" Ply OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICV OF OCCUPANCY i I POOL NOTES: 1.POOL AND PROPERTY TO CONFORM TO 2020 NYS UNIFORM FIRE PREVENTION AND BUILDING FILTER PUMP TRACK FOR CODE,TOWN OF SOUTHOLD CODE AND 2017 NATIONAL ELECTRIC CODE. VINYL LINER 2.POOL SHALL CONFORM TO ANSI/APSP/ICC 5 STANDARDS R326.3.1, RETURN SKIMMER 3.SECTION R326.7 POOL ALARM REQUIRED. (TYP.) ( ') VINYL LINER „ 4.POOL SHALL COMPLY WITH BARRIER REQUIREMENTS SECTION R326.4. 10" 5.POOL SHALL COMPLY WITH 2020 ENERGY CONSERVATION CONSTRUCTION CODE OF NYS 3,500 PSI SECTION R403.10: FOAM PADDING n POOLS AND PERMANENT SPA ENERGY CONSUMPTION(MANDATORY). CONCRETE SECTION R403,10.1 HEATERS SECTION R403.10.2 TIME SWITCHES PROPOSED VINYL SECTION R403.10.3 COVERS I I SWIMMING POOL 6.REBAk SHALL BE 3"MIN.CLEAR TO EARTH. 3, 64$ S.F. 18' TO#4 REBAR °' 7.LOCATION OF PROPOSED SWIMMING POOL AND POOL EQUIPMENT BY OTHERS AND SHALL P, MIDDLE ° ° 4.2" COMPLY WITH ALL LOCAL ZONING REQUIREMENTS. (MIN.h I I & BOT. 8.ALL DRAIN COVERS TO MEET ALL REQUIREMENTS OF THE VIRGINIA GRAEME BAKER(VGB)POOL DUAL MAIN DRAINS WITH a• ° AND SPA SAFETY ACT. STRAINER (VGB SAFETY ° 9.SLOPE PATIO SURFACE 1/4"PER FOOTAWAY FROM POOL. I I ACT APPROVED DRAINS) 10.BACKFILL MATERIAL TO BE FREE DRAINING GRANULAR MATERIAL(NO CLAY OR LARGE ROCKS). 11.SUCTION OUTLETS SHALL BE DESIGNED AND INSTALLED IN ACCORDANCE WITH ANS I/APSP/ICC STEPS 7. 12.ENTRAPMENT PROTECTION REQUIRED SECTION R326.5. °. 13.POOL WALLS ARE NOT DESIGNED FOR SURCHARGE LOADS EXERTED BY WHEEL LOADS WITHIN ° SIX(6)FEET OF POOL WALL FROM CONSTRUCTION EQUIPMENT OR ANY OTHER LOADING CONDITION IMPOSED ON THE POOL STRUCTURE BY EXISTING OR PROPOSED ADJACENT STRUCTURES. 14.NO DIVING EQUIPMENT PERMITTED, 36' TYPICAL WALL DETAIL 15.CONTRACTOR SHALL VERIFY SOIL BEARING LOADS PRIOR TO INSTALLATION OF POOL. SCALE: 3 4" = V-0" 16.CONTRACTOR SHALL VERIFY SOIL BEARING LOADS PRIOR TO INSTALLATION OF POOL. 17.THIS PLAN IS FOR CONSTRUCTION ON PROPERTY AT 945 ROYALTON ROW,MATTITUCK,N.Y. 11952 ONLY. FOOL PLA{ _ NOTES: 18.REINFORCING STEEL SHALL BE INTERMEDIATE GRADE BILLET STEEL WITH A MINIMUM LAP OF NOTE: 30 BAR DIAMETERS. NOT TO SCALE 1.W S SHALL BEAR UNDISTURBED SOIL 2.ALL CONCRETE SHALL BE PLACED A MONOLITHIC POUR, 19.HM ENGINEERING,P.C.SHALL NOT BE RESPONSIBLE FOR CONSTRUCTION MEANS;METHODS, THIS IS A NON-DIVING POOL, TECHNIQUES OR 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 PLAN. 3'-4" CONCRETE WALL ® C U _6-0 _ 1��THIS SHEET)SEE DEC i o 2021 rr 1 1/2" TO WASTE UNDISTURBED HAIR $t LINT STRAINER BUILDING DEPT. EARTH (TYP.) PUMP TOWN OF SOUTHOLD 3' 6' 8' 19' FILTER _ AUTO SKIMMER 3" COMPACTED SAND POOL 20OL PR®E111 BACK TO POOL NOT TO SCALE GENERAL NOTE: PREPARED+FOR: ALL MAN U FACTU RED.ITEMS AND CONSTRUCTION SHALL COMPLY WITH THE 2020 2 MAIN DRAINS WITH MARRCON DEVELOPMENT C RP. HYDROSTATIC VALVE RESIDENTIAL CODE OF NYS,INCLUDING THE SPECIFICATIONS IN SECTION R326• SCHEMATIC PIPING ARRANGF,�ENT AND COLLECTOR TUBE 945 ROYALTON RONOT TO SCALE IN GRAVEL BASE MA TITUCK, N.Y. 1952 LO #6 0 DATE: 1210512021 NOTE: �,/UT"RAISED / HM ENGINEERING P.C. SCALE: AS SHOWN THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF HM ENGINEERING P.C.. `i 2�� / '�i` F SHEET: 1 OF 1 UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS AREA VIOLATION OF SECTION 7209 OF THE ` P.O.BOX 914,FIST NORTHPOR: NY 11731 NEW YORK STATE EDUCATION LAW INFRINGEMENTS WILL BE PROSECUTED. Tel:(516)476-5392 Fax:(631)980-7671 Email:hmarnika@optbnline.net RESIDENTIAL CONCRETE V ID WIT SEAL AND VINYL LINER POOL PLAN II