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HomeMy WebLinkAbout47785-Z Mir Town of Southold 2/3/2023 y� P.O.Box 1179 o CO" 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43815 Date: 2/3/2023 THIS CERTIFIES thatthe building IN GROUND POOL Location of Property: 1010 Bight Rd., Orient SCTM#: 473889 Sec/Block/Lot: 14.-2-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/1/2022 pursuant to which Building Permit No. 47785 dated 5/5/2022 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 1010 Bight Rd Orient LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47785 1/17/2023 PLUMBERS CERTIFICATION DATED ut oriecil Signature 0 1 �o�SUFF 4 o, TOWN OF SOUTHOLD ay BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • 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#: 47785 Date: 5/5/2022 Permission is hereby granted to: 1010 Bight Rd Orient LLC 1157 Willis Ave Ste LL3 Albertson, NY 11507 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1010 Bight Rd., Orient SCTM #473889 Sec/Block/Lot# 14.-2-20 Pursuant to application dated 4/1/2022 and approved by the Building Inspector. To expire on 11/4/2023. Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Buil ing Inspector pf SO!/T�,O �o �o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q sean.deviin(EL-)town.southold.ny.us Southold,NY 11971-0959 'Q a lyC0UNT1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 1010 Bight Rd Orient LLC _ Address: 1010 Bight Rd city:Orient st: NY zip: 11957 Building Permit#: 477$5 Section: 14 Block: 2 Lot: 20 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AxiOS Electric License No: 45299ME 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 2 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 Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Pump 220GFI, AutoCover 120GFI, Heater, Salt Generator, 100wTranny 120GFI Notes: Pool Inspector Signature: Date: January 17, 2023 S.Devlin-Cert Electrical Compliance Form t44Irg s 0 1 LI-7-7 �jS� -13 1 # # TOWN OF SOUTHOLD BUILD NG DEPT. IOU 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: salt DATE !3- INSPECTOR oF souTyO� ti-7? * # 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: cl, Qa�hp a i DATE a INSPECTOR ��✓ OF SOUlyOlo * TOWN OF SOUTHOLD BUILDING DEPT. couNn, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATIOWCAULKING [ ] 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: Y DATE 11,o INSPECTOR .,,, . � . � �ir. ♦ YL-'a 9 x �~- r' r �" ��.. - t./ s ��* w .'.� I, ,J�F j r f .nr_ / (!/ 4 �'�� r DI 1 � � -� . . --- � - fes. �- .°'{ t ( � � t '"�"�� �!' ,�^ � � � �.�}L: fry .e, s ! 'i �I', r .' ,, '.�,1` r ��� �! 2 t A T \ Y ' 4 jr �� y Ili 777 f 7 •�� � � �}'�� Ly`r �' �r,lel r� �� '1 f 5 •'LyJD N i * •:aria / �A }` 3 .Ir r a � 4 '� .. .1 e � .f. � ''' 'Ib• ,� .� # r + 1 � . ! � ..`. � � rl. w �. - . � ,J .j� .�,. f �- � �l i� i i r": �!y � �• ';d.ted b-~ � ',T <: ' �.#_ �� ;; _ �� �� ,, ,� .! s � �r tl L . ,� '.. •: �� � .. ., ,y ` �'• -� "� +',,�� 1 ' � `+ d e' �,��ai •"Y `! '��_`' ` �� !�' a� J i J 1 IL ' Ye o rt i n e t 4 f N re sF . t • IK + 8 t,qq 4 N. AW• 1 �.. s i r - - I 4yT p''. �� �_ �=� '�� .� —. r_ "�`, +4r _ - y" ���:•. _ -� _. .� .....,, � ,a � � ;., Lp r,,,,� � - ''"" ''RFs � �� 2 -"" y 10 f a . f a ' Theo Verios Adelphi Innovative Designs 99 Powerhouse Rd,Suite 101 Roslyn Heights, NY 11577 (C) 631-553-3312 (0) 516-621-0700 www.Adelphicontracting.com 1� FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION(1ST) cC� ------------------------------------ �1 C FOUNDATION (2ND) z 0 H ROUGH FRAMING& s ' p PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS !° ZT 3zo �Z �m O' i � � O Wz x d b H s a' TOWN,'OF SOUTHOLD—BUILDING DEPARTMENT T Town Hall-Annex 54375 Main Road P. ®. Box 1179 Southold;NY.11971-0959 Telephone(631) ?65=1802 Fax (631) 765-9502 haps:%/www.southoldtownny:g_o_v Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only E C El TE PERMIT No. Building Inspector: 40) - APR 0 .120'12 -lieationstand<form"s.must'befill.4'.b t`in`thei'centiretyIncomPlete:r` SPR Ate,; a` lcationsw+%ilhnot h'e'.'acce ted`.'uiM'F%ere,'the Applicarit`is not the'owner,;ariA :n BUILDING DEPT. !?p. - i TOWN OF SOUTH OLD - '.Ovunei'spAutFi®ri%afien fo"r`:'m Pa'e 2 shelf_be:completed: _ Date: =(-22 WIVER -- ~Name: eP1 r� S sCTM#_1000_ 14- Z_: 20 Project Address: Phone.#: (���'_ ?73� 2-15 Email: eU 1Z;�^:'�s%�=•= - ..=;yx-.rq- :-»-,r°;-�- '•:ntv - �lr`aE,PJ' 2 ",7� ':Y:-:->-r;1170 1..j,�0�Mailing Address: "': VT CT -/ r �O -_=- _ - - - - - - - -- Name: Mailing Address: . wk 2Sh WVeA NCO FY 1 N6 . Phone#: 3I-.7 ��719s Email:', QFFI �' }42�i10.�5 n--Y-rl .. - '% .r:c -'e:.� - X.'" rsF.- .t..a`4-: `=:.f' � - Ys;"-'.,� - - - ,•,;rte ^: 777y,. _ ':1,- - ., �I"GN'�PROFESSIO�IAL.INF,ORIVI ��� ,,..-., ,-,;� y,µ;,,`=:�,n,.� �.� • - .iDES Mailing Address:. k QL �y� -7 E -7, t iar Phone#: (�p3�-�Zr[ - a.,7q 0. Email: sty - RM' A - .CO3NTRi4�CT'O - - - - Mailing Address: qZq �1k 0 J �`7�ay- Phone#: �j3�-��y- `71�'s Email: oFp-IC-e Au1S, �JYa► - - - ."!,_ _ - -_ - - - -�i��:•j.4_Ci%,:-i j�: :.G'.`a` err;="-�,^�'.i;•,`b�:,��.c,i�r i'i_C t,. _ .f;. �-^x% _ - e t` �i��'Y'.:.r�.::1..r:.� _ -,ts✓vF':-.s_')'' .mow...«:.+b',.s...ws .........-a.ar—•�.� :-<`.• - - _ - - - 1❑New Structure R❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:Will the lot be re-graded? l�ZYes []No Will excess fill be removed from premises? ❑Yes El No �t)01_ k�Q ' 1 - ATION - PROPERTY = 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 XNo IF YES, PROVIDE A COPY. CI1eek Bdic After.Reading:;, he,owner/contractor/design professional,is-iesponsible:for all drainage_andstdrm-wateH"ues.as,provided by,h : Chapter 236 of the'.Town Code:'APPLICATION I$HEREBY MADE•to the Building Depart nent,for the•issuance of a Building Permit pursuant to'thc,Buildini Zone;� O�dinana_!vf the Town of Sodith Id,Suffolk,County,New York.and otfier applicable_Laws,;Ordinanees or Regulations for the,const(uction,of bwldmgs,,., x t "addftions,aitgrations.or,for removal,or demolition as herein described:The�applicant agrees to comp)y with all.appliwble lavas,'drdinanee's,building code, Housing code andrregulations and to admit authorized inspectors on premises and in buildings)for neeessary,inspections False staterrients made herein are w .punishable as a.Class A misdemeanor•pursuant,tosSection 210.45 of the New,York State,_Penal'Laar r Application Submitted By(print name): �.? I�-�r�oS 0Auth®rized Agent . Owner Signature of Applicant: Date: STATE OF NEW YORK) L SS: COUNTY OF J`I �_Vk-e_Z) being duly sworn, deposes and says.that(s)he is the applicant (Name of individual signing.contract).above named, (S)he is the © " (Contractor,Agent,Corporate.Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and-file this application;that all statements contained in this 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 ofAV1ft%_ MARGARE:f A: KIDNEY Nota ' Public Notary Public—State of New York No. 0l K1602 I 1 1 1 Qualified.in Suffolk County- PROPERTY OWNER AUTHORIZATION My Commission Expires March 8,2Q3. ; , '(Where the applicant is not the owner) 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 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box-1179 <. VS rn Southold, New York 11971-0959 �,�►o� pr r' Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a�southoldtownny qov seand(@_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 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: Address: 1010 la Cross Street: Phone No.: -7 —2--T FSI j Bldg.Permit#: 4 -7 -7s s email: Tax Map District: 1000 Section: Block: 6 Lot- BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 04 Square Footage: Circle All That Apply: Is job ready for inspection?. F—] YES NO ❑Rough In '°� Final Do you need a Temp Certificate?: F] YES NO Issued"On Temp Information: - (All information required) Service Size❑1 Ph❑.3.Ph Size: A ''Jt Meter - Old Meter# EJNew Service0 Fire ReconnectOFlood Reconnect❑Service'ReconnectQUnderground[]Overhead # Underground Laterals 1 2 H Frame. Pole Work done on Service?. ;< Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT # Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven WAD Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments 1 0' FLOWSCY5 � R I�L / II 4" VERTICAL FACE I I BEDDING DETAIL NOT TO SCALE / DRAINAGE AREA NO MORE THAN 1/4 ACRE PER 100 FEET 4.16.2. / OF STRAW BALE DIKE FOR SLOPES LESS THAN 257., ANGLE FIRST STAKE TOWARDS 18.1' PREVIOUSLY LAID BALE. r Sf \ f / SILT CE AND/OR 16.9' FLOW AY BALES,,AROUND LOT , --� S READ. SEE ETAIL p 1\\V 11//// / m 15.4' LOT 8 17.6' 18-�� � 'J � BOUND BALES PLACED / / = r- VACANT -� / �� �% W � . � ON CONTOUR, / N 87°31 X10" E \ \ 297.04 I 2 RE-BARS, STEEL PICKETS LQ-( 13 4.15.32' o M \ NO POS FE. 0.8E OR 2"X2" STAKES PLACED VACANT -�• r ' - . - . - . - . - . - . . _ . - . . - . - . - . - . . - - 1 1/2' TO 2' IN GROUND, U U \ 5,0' MIN, b _ DRIVE STAKES FLUSH WITH / 17.7' r- I TOP OF BALE, / _m ~ r M N 16.7' A'N N 0 ANCHORING DETAIL 0 ' 0 175.6' N❑T T❑ SCALE C:) 17.0' W O O ��oIN pRo A I RROUNDINGW AY w C ❑ NSTRUCTI ❑ N SPECIE / C* I . ' WIDE NEWAICATIDNS � AT GRADE N I / I 78.4' TO PATIO 0 18.5, 1, BALES SHALL BE PLACED AT THE TOE OF A SLOPE OR ON THE CONTOUR AND IN A 3g 5' f- ROW WITH ENDS TIGHTLY ABUTTING THE ADJACENT BALES, I PROPOSED $ ui18.0 � 2, EACH BALE SHALL BE EMBEDDED IN THE SOIL A MINIMUM ❑F (4) NC HES,HES, AND 2 -STORY 5 BEDROOM '� �No PLACED S❑ THE BINDINGS ARE HORIZONTAL, Q FRAME DWELLING a LOT 9 50.0' 5.9 FF-..EL=19.0' 4 -� 3, BALES SHALL BE SECURELY ANCHORED IN PLACE BY EITHER TWO STAKES OR 02n FLOOR El =30.0' �' RE-BARS DRIVEN THROUGH THE BALE. THE FIRST STAKE IN EACH BALE SHALL • 14.4' RA SPACE EL=13.0' ��WE � � 91.6' `OC C�NNG FENCE DOOR 18.6'o BE DRIVEN TOWARD THE PREVIOUSLY LAID BALE AT AN ANGLE TO FORCE THE ' �- - W 50.0' -GAR EEL=17.0'16 2' 19.1' �- 5o BALES TOGETHER, STAKES SHALL BE DRIVEN FLUSH WITH THE BALE, I TEST I 439,2 ice` 4, INSPECTION SHALL BE FREQUENT AND REPAIR REPLACEMENT SHALL BE MADE HOLE 15.9' � FL � PROMPTLY AS NEEDED, I 5, BALES SHALL BE REMOVED WHEN THEY HAVE SERVED THEIR USEFULLNESS S❑ LOT 14 50� _ � �, _ ____________co '" � VACANT - -P-��P��� '��ll� N 06 AS NOT TO BLOCK OR IMPEDE STORM FLOW OR DRAINAGE, _ r--- ELECTRICAL LINE I GeeeM M ADAPTED FROM DETAILS PROVIDED BYI USDA - NRCS, W 1.7E NEW YORK STATE DEPARTMENT OF TRANSPORTATION, STRAW BALE TEST HOLE DATA N I 'R7 I \ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION, DIKE PRO SED DRAIN 2' d. \ NEW YORK STATE SOIL & WATER CONSERVATION COMMITTEE 15.5 7.9 0 BY: McDONALD GEOSCIENCE I 1 1 5 N O TEMPORARY CONSTRUCTION I ON w - ' O \ GENERAL NOTES JANUARY 8, 2021 ENTRANCE. SEE DETAIL w - '~ �-"'-- -� _ ll1 REMOVE TREES p 8 EVERGREEN T BE REMOVED R VII OF EVERGREEN 6) Q. \ 1.THE ENGINEERS CERTIFICATION APPLIES ONLY TO DEMONSTRATING THE DESIGNS CONFORMANCE To THE BUILDING CODE OF THE STATE OF NY. AS READ. FOR O r rr r r. -r. r- .-� rr- -• DARK BROWN LOAN OL Z DRIVEWAY. 410.7 "ll ,CYCY X6_.4 v ;> '"��" �'� �'<l :�'" o « C!� C .. o 0 0 0 4.1 O.4 N 2. ALL MATERIALS, ASSEMBLIES, CONSTRUCTION AND EQUIPTMENT IS TO BE IN ACCORDANCE WITH THE BUILDING CODE OF THE STATE OF NY N ` 19.4' FE. 0.4'S \ AND MANUFACTURER'S INSTRUCTIONS. BROWN SILT ML i ` FL 6'N 5 R 5 R 0.1 1W \ \ 3. VERIFY ALL DIMENSIONS BEFORE AND DURING CONSTRUCTION, NOTIFY ENGINEER OF DISCREPANCIES. DO NOT SCALE DRAWINGS. 3' rL14.05' - . _ . - . . - . - . . - . . - . - . . - . - . - . - . - . - . . - . - . - . - . . - . - . - . . - . - . - - . 19.2' 4. DEVIATION FROM THESE PLANS, UNAUTHORIZED DUPLICATION OR REUSE WILL NEGATE ENGINEERS CERTIFICATION AND IS A VIOLATION OF BROWN SILTY SAND SM ~ I T- U- �' FENCE FE. 0.9'E f- ` NYS LAW. DRAWINGS ARE THE COPYRIGHT OF THE ENGINEER. / HEDGE LINK5. THE . JQ�I (� V � 15_x' � � CHAIN � HAZARDOUSINMATE IALSTGASSESNSFUMES,OMOLDEANID/OR MYII_pPRESENCE, PREVENTION, REMOVAL OR HANDLING OF ASBESTOS, HAZARDOUS 5 "� I °° ~ S 8731 '10" W 15_5'J' 16_'�. FE. 4. 5 297.04' E� I (� / LOTS 10 17.6 6. THE ENGINEER ASSUMES NO RESPONSIBILITY FOR CONSTRUCTION, MEANS METHODS, TECHNIQUES, SEQUENCES, PROCEDURES OR SAFETY v V) PRECAUTIONS AND PROGRAM IN CONNECTION WITH THE WORK. THE ENGINEER SHALL NOT BE RESPONSIBLE FOR ERRORS OR OMISSIONS OF wQ1 O / RESID/ENTIAL \ Q THE OWNER, CONTRACTOR OR SUB-CONTRACTORS. w w (� 7 / / \ 7. THESE PLANS ARE OF LIMITED SCOPE AND ARE INTENDED FOR USE BY EXPERIENCED OWNERS/BUILDERS FOR CONSTRUCTION ON OWNERS BROWN FINE TO COARSE O?i NIT Y SYSTEM PROPERTY WITH FINAL SPECIFICATIONS SELECTED BY THE OWNER. THE ENGINEER, NOT CONTRACTED TO CONTROL THE CONSTRUCTION SAND SW wo- I EXISTING PROCESS IS NOT RESPONSIBLE FOR ASSURING THE FINAL AS CONSTRUCTED BUILDING AND SITE; IS IN COMPLIANCE WITH ALL BUILDING CODES, \ LOCAL LAWS, REQUIREMENTS OR SUITABILITY FOR A PARTICULAR USE. THE ENGINEERS LIABILITY( TO OWNER OR ANY THIRD PARTY IS 1,_ (n I = / \ THEREFORE LIMITED ONLY TO THE FEE PAID FOR SERVICES RENDERED. 9.8 w i W 15.0 // / \ 8. USE OF THE DRAWINGS INDICATES BINDING ACCEPTANCE OF THE ABOVE CONDITIONS & ARE A PART OF AGREEMENT WITH THE ENGINEER 9. ELEVATIONS BASED ON NAVD (1988), USC & GS DATUM \ I 4 2.61E 198 81 10. METES & BOUNDS & TOPOGRAPHY FROM A SURVEY BY WARD BROOKS LS. DATED 2/11/21. TOPOGRAPHY 6/4/21. \ WATER IN BROWN FINEi M 11. NOT MORE THAN 1 ACRE DISTURBED. \ TO COARSE SAND SW �L13.37 '19 , OR N CO COMMENTS: WATER ENCOUNTERED 00 9.8' BELOW SURFACE m 0' \ a'n^I !I� a"SuFnaw 1111)Im M14. SANITARY CALCULATIONS: mmommT C" WE FLOW L' ' "` t° SEPTIC SYSTEM: '�-.•�• :I- R DESIGNED BY DILANDRO ANDREWS ENGINEERING. �- n �a".2€. .:'7. �'''` }' "�`'° "''•� '"�'="' '��"' ' �' LLU. Q i SEE APPROVED HEALTH DEPT. PLANS FOR SYSTEM DETAILS. ROOF DRAINAGE � --. v,�•,= � CALCULATIONS: ROOF DRAINS A. B. C D AREA: 4,500/4-1,125 4 VERTICAL rSQ. FT. EACH POOL SLOPE o� a` '` = RUNOFF=1 125 SQ. FT. x 1.0 x .17 = 192 CU. FT. FACE l `e - �� :j 3 b 10' DIA. RINGS = 68.4 CU. FT. PERSPECTIVE VIEW - BEDDING DETAIL `� REQD.. 192 CU. FT. / 68.4 - 3 L.F. (EACH POOL) `J APR 0 12022 b ' PROPOSED: 10' DIA. x 4' DEEP L.P. (EACH POOL ANGLE FIRST STAKE TOWARD z 36" MINIMUM 2 x 2 .F0 P40AMNOrCMWACT , BUILDING DEPT. PREVIOUSLY LAID BALE. ' FENCE POST 'lrsronrer[ND rmNvsr.rrnnr nrrnrn1narA Or SOUTH e�iLD TC�1�rRI ✓.°r.,^-�`r.',,�` rnrtorr4u�nlaecrvrR�srnvccancxroanavN�cr. FLOWS WOVEN WIRE FENCE NOTES: -� (s x s - 10110 WWF) 1. LOT AREA=41,405 sgft=.95 ACRE AN GELO S . NICOSIA , P * E * . . . '%".✓ . a ^` s: ? PLAN VIEW 2. DATUM=N.A.V.D (1988) FILTER CLOTH N 3. FIVE BEDROOM DWELLING Engineering & Design SLOP 4. FLOOR AREAS: 42 Hayward Avenue Mt. Sinai, NY 11766 f _ 1 ST = 2,512 sqft 631-928-2112 Fax 631 -928-2163 BOUND HAY BALES EMBED FILTER CLOTH PLACED ON CONTOUR MIN. 6" INTO GROUND z R 0 A D 2nd = 2,526 sqft " Approved: Zz Total Living = 5,038 sqft 1010 BIGHT R a 2 arSTOW'r'�'vnnarNNrsrArnorracrrpac r 2 RE-BARS: STEEL PICKETS OR "� ar --- . •, , _ /1/t nrLmre'I,u�nl�ear[rxsrwccanncrciana,vwwf: ... "`y Open to below= 778 sqft 2"x 2"STAKES 1.5'to 2' IN GROUND. NOTE: O DRIVE STAKES FLUSH WITH TOP OF MAXIMUM DRAINAGE AREA CROSS SECTION Garage = 867 sqft ORIENT LLC , HAY BALES. 112 ACRE / 100LINEARfEET Front Covered Porch = 135 sqft �P r' ✓��-�- `� ANCHORING DETAIL Rear 1st Floor Porches = 729 sqft 1010 BIGHT RD., ORIENTS SECTION DETAIL 2nd Floor Decks - 389 sqft q I'r, •¢: .. . ,; ' " ` STRAW BALE DIKE DETAILS TEMPORARY CONSTRUCTION ENTRANCE EROSION CONTROL PLAN ' ' SILT FENCE DETAILS 5. PROPOSED SANITARY SYSTEM: A SCALE:NTS b�.ALE.NrB SCALE:arS TO BE DESIGNED SCTM# 1000-14-2-20 7. SCTM# 1000-14-2-20 A MOVEDUHO SE LOCATIOON 10/%/21 Designed b : ASN raven b . GK Job No.: Rev.: Sheet: REVISIONS cale: 1 "=20' Date: 9 /1 21-110 A 1 Of 1 ARTHUR EDWARDS POOL & SPA CENTRE 929 ROUTE 25A MILLER PLACE, NY. 11764 516-744-7185 FAX-744-0174 APPLICATION FORA SWIMMING POOL PERMIT: SOUTHOLD TOWN OF SOUTHOLD : = MAIN ROAD (P.O.- BOX 1179) :. SOUTHOLD, NY 11971 (631) 765-1802 PAPERS ENCLOSED: Ij APPLICATION FOR OUTDOOR POOL.PERMIT CERTIFICATE.OF WORKER'S COMPENSATION [� CERTIFICATE OF LIABILITY INSURANCE [ CERTIFICATE OF.DBL INSURANCE SUFFOLK COUNTY LICENSE 4 SETS OF STAMPED PLANS [� 3 SURVEYS with FILTER LOCATION [�Q C.O. [ l TAX BILL ] $400.00 CHECK FOR PERMIT FEE M .................. I I t li WiT, 51., Mm Ag all)ClUvIlZRAGO 114 v I a W lk72- M. ------- ATE(MMMWffM ACoO O® CERTIFICATE OF LIABILITY INSURANCE D1212212021 12/22/2021 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 pollcy(lea)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,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 endorsemen a. PRODUCER W. Matthew Ruperto Liberty Risk Management,Inc. PHONE We (631)5694M3 FAX No: 631 5695636 2333 Route 112 =Lm: matthewl0lbertyrIsLorg Medford,NY 11763 INSURER(S)AFFORDING COVERAGE NAc+ INSURERA: NIP/Greenwich INsuRED Arthur J.Edwards Mason Contracting Company Inc. NS : URER e: I DBA Arthur J.Edwards Pool&Spa Centre INSURER 929 Route 25A INSURERD:D: Miller Place,NY 11764 INSURERS: INSURER F COVERAGES CERTIFICATE NUMBER: 000000054323810 REVISION NUMBER: 23 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. INSRTYPE OF INSURANCE SUBR POLICY NUMBER POLICY EFF POLR:Y EXP LIMRa LTR A X COMMERCIAL GENERAL LIABILITY NPC-1004300-01 01/01/2022 01/01/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Fx-�OCCUR PRE ES Ea oe renes $ 300,000 MED EXP one n $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEMLAGGREGATE LIMIT APPLIES PEP: GENERAL AGGREGATE $ 2,000.000 POLICY PRO- F LOC PRODUCTS. $ 2,060,000 JECT $ OTHER: COMBINED SINGLE LIMB $ AUTOMOBILE LUIBILITY Ea acddi ANY AUTO BODILY INJURY(Par Perm) $ OWNEDSCHEDULED BODILY INJURY(Par accident) $ AUTOS ONLY AUTOS P� GE $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA UAB HOCCUR EACH OCCURRENCE $ EXCESS LIM CLAIMS-MADE AGGREGATE $ S DED I I RETENTION WORKERS COMPENSATION STATl1TE OERTM AND EMPLOYERS'LUIBILr1YEL EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE YMIA OFF1 nIMEMty M EXCLUDED? EL DISEASE-EAEMPLO S ( deaalbee EL DISEASE-POLICY LIMIT S DESCRIPTIONuOF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(&CORD 101,AddIdonal Ramarb Sdmkdo,may be atneW N mon apace is required) Town of Southold is included as an Additional Insured,ATIMA,as requrled by written contract,subject to policy terms, conditions,and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Southold THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town Hall P.O.Box 728 AUTHORED REPRESENTATIVE Southold,NY 11971 MJR 1988-2015 A ORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Printed by MJR on 12/22/2021 at 01:26PM Workers' CERTIFICATE OF INSURANCE COVERAGE STATE 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 ARTHUR J EDWARDS MASON CONTRACTING COMPANY INC 929 ROUTE 25A 6317440174 MILLER PLACE,.NY 11764 10.Federal Employer Identification Number of Insured Work Location of Insured(only required if covemge is speciBcaW limited to or Social Security Number certain kicatlons in New York State,i.e.,Wisp-Up Policy) 11-2377925 2.Name and Address of Entity Requesting.Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold PO Box 728 3b.Policy Number of Entity Listed In Box"I a• Southold, NY 11971 Z06874-000 3c.-Polley effective period 7/1/2020 to 6/9/2022 4. Policy provides the following benefits: ❑X A.Both disability and paid family leave benefits. M B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: ❑X A.All of the employers employees eligible under the NYS Disability and Paid Family Leave Benefits Law. M B.Only the following class or classes of employers employees: Under penalty of perjury,l 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 desc d above. Date Signed 6/10/2021 By W!§eA- 044s(ait (signature of Insurance tattlers authoriz d representative or NYS Licensed Insurance Agetrt of that Insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBUPOLICY SERVICES 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 Pare 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 tamers are authorized to Issue Form DB-120.1. Insurance brokers are NOT authorized to Issue this form. DB420.1 (1047) IIIII'1B11018210'I1 �I�I(I10III1I7)III�I� Additional Instructions for Form 1313-120.1 By signing this form,the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in box"1 a"for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law.The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices my be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in Box 3c,whichever is earlier This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Disability and/or Paid Family Leave Benefits contract of insurance only while the underlying policy is in effect. Please Note:Upon the cancellation of the disability and/or paid family leave benefits policy indicated on this form,If the business continues to be named on a permit,license or contract Issued by a certificate holder,the business must provide that certificate holder with a new Certificate of NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business Is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department,board,commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits,shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand and twenty-one,the payment of family leave benefits for all employees has been secured as provided by this article.Nothing herein,however,shall be construed as creating any liability on the part of such state or municipal department,board,commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department,board,commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract,shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand eighteen,the payment of family leave benefits for all employees has been secured as provided by this article. 139-120.1 (10-17)Reverse NYSIF _ 199 CHURCH STREET,NEW YORK,N.Y."10007-1100 New York State Insurance Fund : ny81f C0111 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE n n n n n 112377925 : km CEVITT-FUIRST ASSOCIATES_LTD 520 WHITE PLAINS ROAD,2ND FL TARRYTOWN NY 10591 SCAN TO VALIDATE C - - AND-SUBS RIBE POLICYHOLDER CERTIFICATE HOLDER - ARTHUR J EDWARDS MASON. TOWN OF SOUTHOLD CONTRACTING COMPANY INC P.O.BOX 728 . 929 RTE 25A SOUTHOLD NY 11971 MILLER PLACE NY 11764 POLICY NUMBER CERTIFICATE NUMBER -POLICY PERIOD . DATE G 2438 491-9, 633479 06/29/2021: TO :06/29/2022 00 6/202 1 THIS"IS TO CERTIFY THAT THE.POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE'INSURANCE FUND UNDER POLICY NO. 24.38 491=9,-COVERING THE ENTIRE OBLIGATION'OF:THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEWYORK WORKERS',COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEWYORK,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:HWWW.NYSIF.COMlCERTI 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.-TEAS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE' . AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND-. " DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 391287892 �' I®101110 000000000�42 em06111111 Form WC MT NOPM Version 3(0829/2019)[WC Policy-243849191 - U-26.3 eo f APPROVED AS NOT DATE: `g.P.# (Y FEE:3- BY: NOTIFY BUILDING DEPARTMENT AT 765-1802- 8 AM TO 4 PM FOR THE RETAIN STORM WATER RUNOFF FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED PURSUANT TO CHAPTER 236 FOR POURED CONCRETE OF THE TOWN CODE. .2. ROUGH - FRAMING & PLUMBING 3. INSULATION 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. ELECTRICAL INSPECTION REQUIRED COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF _ SCI I I�TDWN 7RA ----Q,GJft?Xr0WWP1A-M BOARD Sol l TRUSTEES inAMUNATi`c,1.Y�� ENCLOSE POOL T,0..b0 UPON COMPLEX ,.. OCCUPI4NCY OR USES (,$ ,UNLAWFUL WITHOUT CERTI,FICA- OFC-CCUPANCY 7mbx Or H Akwrkwm To Fftw: From. F9tr Amp Ti To Rlurr ���4 PAkd'Wbl Fomp Plan A ( ' Piping.. Arrangement w. 0 plow42". OF IF Section •B—B 3 p H 10 Section A—A � " T cal Wall Section ` � i FS'SIONP- SIZE A B. .'C -"D E . -F: G . H ' AREA CAP FEET FT FT FT_ FT FT: FT FT: FT SQ.FT GAL. 14X20 * 14 20 8 ..8- 2 2 2 8 280 9,500 � � 1010 6i }\ Rd Addrem POOL A SPA CENTRE. 16'X 36 16 36.112 14' 6 .4'. .4 8 576 ` 21,600 .. PERMACRETE WALL SYSTEMCft aRl�i1� 18.X36 18. 36.11 12, 14, 6. : 4 S. 8. 648 124,300 929 Route- 26A Miller. Place NY. 11764 slate (631) 744=7185 FAX (631). 744--017,4' 24 X 44 24 44 18 14 8 4 8 10 798 35000.'. SuffolkLicense #443617,HI Nassau License #HI74450000 24 X 48 .24 48 20 16 8 4 6 , 10 . 900 38,300 ..