HomeMy WebLinkAbout47813-Z �os%fF01WG Town of Southold 2/7/2023
y� P.O.Box 1179
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v' z 53095 Main Rd
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4;�1 � ' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43 823 Date: 2/7/2023
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 650 Pine Ave., Southold
SCTM#: 473889 Sec/Block/Lot: 77.-3-15.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/13/2022 pursuant to which Building Permit No. 47813 dated 5/16/2022
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 100 Pine Ave LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47813 2/1/2023
PLUMBERS CERTIFICATION DATED I/
Au or ed i ature
�o�su FFFF da k o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
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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#: 47813 Date: 5/16/2022
Permission is hereby granted to:
100 Pine Ave LLC
c/o Brian Reiss
3083 NW 30th Way
Boca Raton, FL 33431
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
650 Pine Ave., Southold
SCTM #473889
Sec/Block/Lot# 77.-3-15.2
Pursuant to application dated 4/13/2022 and approved by the Building Inspector.
To expire on 11/15/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
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Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviina-town.southold.ny.us
Southold,NY 11971-0959 QI�CDU�sw`�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: 100 Pine Ave LLC
Address: 650 Pine Ave city:Southold st: NY zip: 11971
Building Permit#: 47813 Section: 77 Block: 3 Lot: 15.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: KV Electric License No: 55844ME
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
Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump 11
Other Equipment: Pump 220GFI, 3 Lights 100W Tranny 120GFI, Salt Generator, Autocover 120GFI
Notes: POOL
Inspector Signature: Date: February 1, 2023
S.Devlin-Cert Electrical Compliance Form
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# * 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: e!
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DATE INSPECTOR .
OF SOUIyo� �44 ept t j
* # TOWN OF SOUTHOLD BUILDING DEPT.
�`ycOUtm N�' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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 [ ] RENTAL
REMARKS: Do-to,
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i'ourm, 631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULAT 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 INSPECTO
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* # TOWN OF SOUTHOLb OUILDING DEPT.
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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: ��
DATE �L ��J INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS ,
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FOUNDATION(1ST)
--------------------------------------
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FOUNDATION(2ND)
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ROUGH FRAMING&
PLUMBING y 1
INSULATION PER N.Y.
STATE ENERGY CODE C
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FINAL
ADDITIONAL COMMENTS
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AuthenMggnID:3CCAC08F-E6B4-EC11-997E-501AC586CB79
o�gUFF01p�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
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y: g Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 htWs://www.southoldtownny.go
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector: ® 1 3 20 G2
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Applications and forms must be filled out in their entirety..Incomplete BUILDING DEPT.
applications will not be accepted. Where the Applicant is not the owner,an -TOWN OF SOUTHOLD
Owner's Authorization form(Page 2)shall be completed.
Date:4/5/2022
OWNER(S)OF PROPERTY: .
Name: 10-0._P_in-e_Aven.ue__LLC____-- scTM#i000-77_3,1.5.2
Project Address:650 Pine Avenue, Southold, NY 11971
Phone#:91-7=446=40.30 Email:brianreiss07@gmail.com
Mailing Address:3.0..8.3_N_W_ __30th Wa _B.Oca_RatO.n_FL_33431
CONTACT PERSON:
la-ml-
Mailing Address:4.6.52.0_CO.unt- _Road 4.8._S.O.uthol.d.._NY 11.9.7_1
Phone#:6-31=7_6.5=5.81.5 Email ttm.ccar-th_ ..tmccarth_ _ maiLco .
DESIGN PROFESSIONAL INFORMATION:
Name:NA
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:McCarth_ _Mane .ement _Inc. _
Mailing Address:4.6.520_COunt _Road 48. _SOu.thol.d _NY 11.9.7_1_
Phone#:6.31-7.6.5-58.1.5___.______________ Email:tmccar_th. _..tmccar-th_. . mail.-co .
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
E Other 20X40 INGROUND POOL
Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? RYes ❑No
1
AuthentAgn ID:3CCAC08F-E6B4-EC11-997E-501AC586CB79
Y'
PROPERTY INFORMATION
Existing useof property: Intended use of property:Single Family Residence with swimming pool
- Vacant Land- ------ --
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R_40 this property? ❑Yes 1@1 No IF YES, PROVIDE A COPY.
8 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water 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 necessary inspections.False statements made herein are
punishable as a Class A•misdemeanor pursuant to Section 210AS of the New York State.Penal Law.
Application Submitted int name):Thomas J. McCarthy BAuthorized Agent ❑Owner
Signature of Applicant: k- Date:Date: 4`'71,;R a,
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Thom-as J. McCarthy being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Contractor
(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 t erewith.
Sworn Afore me this A
—Oday of AV 20
N to Public
THOMAS J.McCARTHY
Notary Public,State of New York
` Qualified in Stffolk county PROPERTY OWNER AUTHORIZATION
Commission Expires Nov.23,: Where the applicant is not the owner)
,-Brian Reiss residing at 3083 NW 30th Way Boca
do hereby authorize Thomas J.• McCarthy to apply on
my OhalfAoAhe Town of Southold Building Department for approval as described herein.
8Y%Glh /�l°IS'S' 04/06/22
Owner's Signature Date
Brian Reiss
Print Owner's Name
2
o�g11FFOl,��o _ aILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
%%%Toall Annex- 54375 Main Road - PO Box 1179
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Southold, New York 11971-0959
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ow �No lephone (631) 765-1802 - FAX (631) 765-9502
' � NoF rogerr(cDsoutholdtownny.gov— seand(cD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 4/13/2022
Company Name: KV Electric, Inc.
Electrician's Name: Ken Vaughn
License No.: 55844 Elec. email:Kvelectricinc@gmail.com
Elec. Phone No: 631-724-4758 ❑I request an email copy of Certificate of Compliance
Elec. Address.: 405 Central Ave., Bohemia, NY 11716
JOB SITE INFORMATION (All Information Required)
Name: 100 Pine Avenue, LLC.
Address: 650 Pine Avenue, Southold, NY 11971
Cross Street: Birch Avenue
Phone No.: 917-446-4030
Bldg.Permit#: email:brianreiss07@gmail.com
Tax Map District: 1000 Section:77 Block: 3 Lot: 15.2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Construct a 20 X 40 inground pool
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 PhF—]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals D 1 2 F H Frame 0 Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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®Sq�fFQL11LDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
11 `Z To i _ fall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
��Lp�rss�j,,\,olelephone (631)765-1802 - FAX (631) 765-9502
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cO\N1 A rogerr(a_southoldtownny.gov � seand(a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4/13/2022
Company Name: KV Electric, Inc.
Electrician's Name: Ken Vaughn
License No.: 55844 Elec. email:Kvelectricinc@gmail.com
Elec. Phone No: 631-724-4758 ❑1 request an email copy of Certificate of Compliance
Elec. Address.: 405 Central Ave., Bohemia, NY 11716
JOB SITE INFORMATION (All Information Required)
Name: 100 Pine Avenue, LLC.
Address: 650 Pine Avenue, Southold, NY 11971
Cross Street: Birch Avenue
Phone No.: 917-446-4030
Bldg.Permit#: C/-2$/-j email: brianreiss07@gmail.com
Tax Map District: 1000 Section:77 Block: 3 Lot: 15.2
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Construct a 20-X 40 inground pool
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YESFV NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: 0 YES 0 NO Issued On
Temp Information: (All information required)
Service Size 1-11 PhF—]3 Ph Size: A # Meters Old Meter#
El New Service❑Fire Reconnect❑Flood Reconnect[]Service Reconnect❑Underground❑Overhead
# Underground Laterals Ell 02 H Frame Pole Work done-on Service? DY N
a
Additional Information:
PAYMENT DUE WITH APPLICATION �2
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WCARTHY MANAGEMENT, INC. LETTER TRANSMITTAL
46520 COUNTY ROAD 48
SOUTHOLD, NY 11971
' DATE ) ^ JOB NO.
(631) 765-5815 FAX (631) 765-5816 ATTENTION
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TO RE:
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�l�t�!I t�S of e r L ,
anefive- , w c 161.
AWE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order,- ❑
I
COPIESDATE NO. DESCRIPTION
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THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
If enclosures are not as noted,kindly notify us at once.
S.C.T.M. NO. DISTRICT: 1000 SECTION: 77 BLOCK: 3 LOT(S): 15.2
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BUILDING DEPT. ib N�2°ZS'30„yr, CIV
TOWN OF SOUTHOLD `y
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THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL yl cK�RY ^ 0 0
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS o"�
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AOIACRES
UNAU7HOR�AL7ERAAON ORADD1AOM TOTHIS SURVEY IS A NOLA710N OF SEC77ON 7209 OF THE NEW YORK STA7E EDUCA77ON LAW. COPIES OF THIS SURVEY Z N72ozS3D W
MAP NOT BEARING 7H£LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VALID 7RUE COPY. GUARANTEES INDICA7D HEREON SHALL RUN
ONLY 70 771£PERSON FOR WHOM 7HE SURVEY IS PREPARED AND ON HIS BEHALF 70 THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777U77ON iy
LIS7ED HEREON, AND TO 7HE ASSIGNEES OF THE LENDING INSATUAON, GUARANTEES ARE NOT 7RANSFERABLE. o
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO 7HE S7RUC7URES ARE FOR A SPECIFIC PURPOSE AND USE 7HEREFORE THEY ARE n
NOTIN7ENDD TO MONUMENT 7HE PROPERTY LINES OR 70 GUIDE THE ERECAON OF FENCES ADD177ONAL S77?UC77)RES OR AND OTHER IMPROVEMENTS EASEMEN7S ~
AND/OR SUBSURFACE S7RUCYURES RECORDED OR UNRECORDED ARE NOT GUARAN7ED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 7HE AME OF SURVEY
SURVEY OF. DESCRIBED PROPERTY CERTIFIED TO: 100 PINE AVE LLC; ISO.00,
MAP OF:
FILED:
SITUATED At SOUTHOLD
Town OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Hoz 153 Aquebogue, New York 11931
FILE #222-03 SCALE 1"=30' DATE: FEB. 02, 2022 N.Y.S. USC NO. 050882 PHONE (631)298-1588 VAX(631) 298-1588
4
APPROVED AS NOTED
DATE: B.P.# LEL
FEBY: RETAIN STORM WATER RUNOFF
NOTIFY BUILDING DEPARTMENT AT . PURSUANT TO CHAPTER 236
765- 02:_ 8 AM TO L PM FOR THE OF THE TOWN CODE.
FOLLOWING INSPECTIONS:
1. FOUNDATION.- TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH -,FRAMING & PLUMBING
1 INSULATION
4. FINAL -. CONSTRUCTION MUST
BE COMPLETE FO;. ";.0.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW ELECTRICAL.
YORK STATE. NOT RESPONSIBLE FOR INSPECTION REQUIRED
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
ENCLOSE FOOL TOMCOD#"
LITHO!D TOWN PL4NNI BOARD :.E',:Uf?ON COMPL' I;0
r' > EFOR -01
-
S HOLD TOWN TR EES x-
AI V e nEe
OGCUP, y TOR
USE IS UNLAWFUL
WITHOUT CERTIFICA7'
OF OCCUPANCY
rte=
ECEUVE
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—
BUILDING DEPT. DIVING BARD SPECIFICATI❑NS
TOWN OF MAX. LENGTH DIVING BOARD :8'
40' JUMP .BOARD 6'
t
OF DIVING BOARD
.'WATERLINE
EP
4' 8I DNIMUMR DEPTH
20' SLOPE) TYPE II 4'-0'
8' 12' 4' DEEP END SLOPE
A—FRAME DETAIL_ DECK SUPPORT DETAIL
SHWT
6'
4, �rwW
StACE
R6'TYPICAL P PANEL
MANDATORY ROPE AND (4) PLACES /
FLOAT 12 INCHES FROM
SLOPE CHANGE STAKE
DRAM
FINISHED FINISHED PANEL MM �RAL MACE CAN BE FAMENU To ar
e' 3'-4• 13'-6'HEIGHT NOTESi MU W m USE a
DEPTH DEPTH mon, asTAuAT�,
1) THIS IS A TYPE II POOL. DEPTH AND SHAPE OF"POOL
'MEETS MINIMUM 'STANDARDS, OF THE INTERNATIONAL
RESIDENTIAL CODE 2000 AG103A 64NSI/NSPI-5 1-995) AND
BOCA 1996 'FOR RESIDENTIAL 'USE. WITH DIVING BOARD.
2 INCHES SAND 2) ALL A-FRAME BRACES WILL 'BE MOUNDED WITH
❑R VERMICULITE A MINIMUM OF (1) CUBIC 'FOOT ❑F CONCRETE; DR' A
6' POURED' CONTINUO US ,CONCRETE PERIMETER COLLAR.
4'
13,L
' 14' 14' 3) MAXIMUM DIVING'BOARD LENGTH IS 8 FEET.
4) 'NO DIVING' LABELS MUST BE INSTALLED AROUND
WARNING! SHALLOW END OF POOL.
[ALL
IMMING POOLS ARE DANGEROUS WHEN USED IMPROPERLY:
NSULT YOUR; DEALER FOR,'SAFETY INFORMATION ON THE I N T E R P Q Q L
FE USE OF ;SWIMMING POOLS. IT IS THE .RESPONSIBILITY AREA, 800 SO, FT,
TOWN OFFICIALS, BUILDERS AND HOMEOWNERS TO FOLLOW PERIMETER: 120FT,
SAFETY RECOMMENDATIONS OF N.S.P.I., ALL LOCAL VOLUMEi 30,500 GALS 20' X 40' RECTANGLE WITH 6' RDINANCES AND-EQUIPMENT MANUFACTURERS, CORNERS & 8' FIBERGLASS STEP
DATEi 02/03/03 SCALEi NONE
DRAWN BYE T.F. ACADREFisDRT2040�