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HomeMy WebLinkAbout46625-Z Xl�rc� Opo SUF¢�i'�coG Town of Southold 1/12/2023 o y` P.O.Box 1179 53095 Main Rd y�o apt; Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 43753 Date: 1/12/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1585 Long Creek Dr., Southold SCTM#: 473889 Sec/Block/Lot: 55.-7-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/19/2021 pursuant to which Building Permit No. 46625 dated 7/27/2021 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 gunite swimming pool with attachd spa, fenced to code as applied for. The certificate is issued to Chasen,Philip&Lia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46625 1/11/2023 PLUMBERS CERTIFICATION DATED Au or' e i nature o�SUFF01/r TOWN OF SOUTHOLD 000 BUILDING DEPARTMENT H x 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 #: 46625 Date: 7/27/2021 Permission is hereby granted to: Chasen, Philip 10 Sugar Toms Rdg East Norwich, NY 11732 To: Construct in-ground gunite swimming pool with attachd spa at existing single family dwelling as applied for and per Trustees #9872. At premises located at: 1585 Long Creek Dr., Southold SCTM #473889 Sec/Block/Lot# 55.-7-3 Pursuant to application dated 7/19/2021 and approved by the Building Inspector. To expire on 1/26/2023. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Building Inspector pF SOUTyo! 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �e sean.devlina-town.southold.nv.us Southold,NY 11971-0959 QlyCOUNT'I,�a BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Philip Chasen Address: 1585 Long Creek Dr city:Southold st: NY zip: 11971 Building Permit#: 46625 Section: 55 Block: 7 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Alan Hubbard Elec. License No: 4285ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub X 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 x4 220GFI, Blower220GFI, 4 Lights 30OW Tranny x2 220GFI, Heaters x2, Pentair Intellitouch, Auto Cover 120GFI Notes: Pool & Spa Inspector Signature: Date: January 11, 2023 S.Devlin-Cert Electrical Compliance Form T `' lF SOUTho # # TOWN" OF SOUTHOLD BUILDING DEPT. �o • �o `yco 765-1802 INSPECTION [FOUNDATION 1 ST ROUGH PLBG. [ ] FOUNDATIOW2ND r - �J [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)- [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 3 INSPECTOR rogso Volo H �(Oq� 15-65- Lo" 6",o, # # TOWN OF SOUTHOLD BUILDING DEPT. couffm 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 REMARKS:._ 7nao tqo--r- 6 oo 1, r All � �t � � �l M 1� -t-A-L C k 4-A)A/j5j,� . f DATE 124 INSPECTOR s 0 TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 INSPECTION FOUNDATION 1ST ROUGH PL13G. 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 INSPECTOR - * # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourm�F'` 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 [ ] ECTRICAL (ROUU2131 [ ] ELECTRICAL (FINAL) [ CODE VIOLATION [ ] PRE C/O [ ]' RENTAL REMARKS: DATE 'V-VV INSPECTOR ^ 2/ - � �/> # } TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/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 REMARKS: I f e7b DATE yy '?� 1� INSPECTOR ivl►� �v� �nrnj� OF SOUIyO� TOWN OF SOUTHOLD BUILDING DEPT. co 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION/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: on DATE INSPECTO ho�a0F S00Tyo� q�f Z5000, l O VP # # TOWN OF SOUTHOLD BUILDING APT. `ycourm,��' 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: r��f ff-ce� A bane4z Y DATE INSPECTOR FOUNDATION (IST) • 1 • e e � . • NQA : • 1 1 INSULATION PER N.Y. = • • 1 AM UK& J �g MEN i Wj rILLI� _ •:il• .•i<�•�i•'• - :�- .•A io.>.``!d a'f"o:✓'•. .eTJ�•TSs.•,`'+:.. _ -.,;ad+ao�o5"'ry:•-- '1q„,.. �:" 4,f'1 r✓R/y;:.'- •"tl°q��f r/ri _ "a (/0 1R/Rv '��\vv 1 R/•,. �,�, li/�e^' gavvi ppp ,hh - ! �, lr'1.• - ,r'�11. _ ;;,rte,'. - � -'= ��s _ ,, - !P'm?ni I'nT+r vm[n:r.m.4.`•rr re s�'.,r.: na9'n. . rMr:r : ••.:v'���Al.".r�'?'.•To+'F,:"T;•'.' % \:l�'�:�,z�^+3�""'".,"'.+�'Tc�.?o.�y>�"�,"^??S'.,r.'?',�3Sn3Ja�::rJ-�,^c..�'i;7'.n:'.�T'.�/"e??x?2 ::""Y:.4T,..�,?,2�'�'R.....:..-�-,,..:5..,...l.L..-.-..,,�.6.e'";'.T�.T':S:Z.�X'^�..2°�.4�T,..�°;s'S41LTMaK'�•:..n?.'a�>....,�L:''a4 riff "'''"'e?7� .a..:.� BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK e ' PERMIT NO.-9872 DATE: APRIL 14,-2021 A €f ISSUED TO: PHILIP'&LIA CHASEN: = PROPERTY.A_DDRESS: :1585LONG CREEK DRIVE, SOUTHOLD n r . SCT.M# 1000-55-7-3 E:. . AUTHORIZATION Pursuant to the provisi6hs of Chapter 275 of'the Town Code,of''the ;Town of Southold::and in accordance with the Resolution of the Board of.Trustees adopted at the meeting'held on April 14,2021,and in . £' consideration of application fee in the sum of.$250.00 aid b Philip:& Lia Chasen and'sub subject to the Terms, ; � • PP � P Y. L. _ . J . and Conditions as stated in then" , the'Southold'Town Boafd of Trustees authorizes and permits,the' 4e following: Wetland Permit:to install a 16'x36' swimming pool with:an.864sq.ft. pool patio; 128 linear feet " as of pool enclosure fencing;:install-an 8 x14 shed setback 88.2 from tidal.wetlands and east.of. t ~� the swimming pool; and to install;an 8' diameter x4' deep pool d - ell with the condition to. ''. remove the PVC e,that is stickin out b the bank• and.as de icted on the site lap re ared b. :Suffolk Environmental Consultin Ine:,.dated January I1 .2021 and stam ed approved on k" Y g� rY � P PP April 14,202.1,: � . IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these presents to be:subscribed by a majority of the said Board as of the 14th day of April,2021. . . j, E. On CAx f Vis' i .rt _ � a �,�•",3i31.� ' Li _ �F S.iS,a'k?e7,:hu•' iifb7;_A._+_'•l?kfY�..u.u'�le`Sn.9X3`.uii$.^`.5�":.3.+ik:�gr,�xlri.`•.'•;7,Ssd3 w�j:CYgiau.3�.u`"l•.dFw7iiiL•:%34.::v eve.-u.,....uir;?i5f.4.Si�;u?x,3S�wfilr7�a.Le.x,7 65�5�'.Za`uieYuSi;r�1r%ih4+e.i2ii ..W.'..fYf5:u3,"3i�"" i :•r e9v, 1 ava a mat: >.;,er ftl:p- •y. 4� ftl;,.� +r ptl. ..,:;/r f�;tl - pAa f,,.:... �r ��, ;�4 Jd re ..l.:�al,++ ,!:�. .:.:,el•!•- __ ••,•ti:dJ.tl3^ '^•�:.:...%••..,.:P •4•'..•,A±.... .a or'� :4•.' TERMS AND CONDITIONS The Permittee Philip& Lia Chasen residing at 1585 Long Creek Drive, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith, President S®�/T� Town Hall Annex A. Nicholas Krupski,Vice President ® `{ .. �( 54375 Route 25 '` ?' "' P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 ®� C®UNT�,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1951 C Date:August 17, 2022 THIS CERTIFIES that the reconstructed deck(285 sfl 10.2'x 28 1'• patio(2,245 sfl• =pool fence(175 1 • -existing 75'3"x 16'3"retaining wall with a 4' non-turf pathway seaward of retaining wall; establish and perpetually maintain the entire property seaward of pathwgy as a vegetated non-turf buffer; install 175' of fencing surrounding patio and on the retaining_wall; At 1585 Long Creek Drive, Southold; Suffolk County Tax Map#1000-55-7-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 14, 2021 pursuant to which Trustees Wetland Permit#10095 Dated March 16,2022 was issued and Amended on August 17, 2022 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the reconstructed deck(285 s 10.2'x 28 V; patio(2,245 sf)• - pool fence(175 11); -existing 75'3"x 16'3"retaining wall with a 4' non-turf pathway seaward of retaining wall; establish and perpetually maintain the entire property seaward of pathv,rgy as a cC ge'Wcd non-turf bufiei' irist8ii 175' of fencing surrounding patio and on the retaining wall. The certificate is issued to Philip&Lia Chasen owners of the aforesaid property. m Authorized Signature 3 NEW,YORK STATE DEPARTMENT OF,ENVIRONMENTAL CONSERVATION ' Division`..of:Environmental^Permits;`l2egion 1- $UNl!;.CS_tony Book;S;Oy-Circle,Road;;Stony Brook;NY 11790 P (631)444 0365 I F (631)444 0360,- - ww+ni'decnygov `3l Y, <t' L TE ' R' O: F.: , JUR°ISD�I�,TIO �'. AIS ,. a: W�a TL , ANDS,AC� , A;" ril:;', p^ ia=C s' l_4738�:04792=` 10.Su ar T' K �'rq er - E: - nl�orwic - h. 1`732 ;a. , �5 8 >G on ,:C�r_ eekD'r��' r-. . . Southold - Uear. . A . licant ..p I?.- s ,.4. - - - - • � i A Ui „ 4. S h,,.mfPrmuj.onyou, ave'subinitted=''`the:Ne: 'York: :" ; ' `` :`;' ;.,,ti .,.. .. , ..:. W •'fate;` epartment;ofEnvronmerital Conservation has deternairied` �,:.. ,: >,•:.:...: ;:_ :.4.<<...:.,..... :,,%,x:;,-::;a ; ... .-,; that the portion of the above referenced parcel located landwar8.,of th`e"elevation contour`labeled:"TOP OF BANK",,tivhich exceeds,ten feet abode mean sea aevel in :. ,, ele�atioi%.as,sliown'on the survey prepared by joln.T'1Vletzger,'last revised''3%1'/2021 is be and y, the jurisdiction of the Article 25 Tidal'.VVetlands Act:'Tlere£ore' n accordance w,itl the current Tidal:Wetlads T aril U :,,: ' i._:=_:i`:...._ se; Ogul'atioris is,( Part.6.6:1: „ < - ,);rio:�'ermzt:<>s�re •used"under:t Tidal Wet a' 1 rids'- c` A t.to conduct re "u` lafed.activ'iti'es.landwvard o g _ ontour :Cleck#'1.4=1.0 fo' ,.t. x::$20;0., has bee n'de tr . e o d.s s. ince. the-"e ' r is ' no'a' `lie• atony ee:4,., pp #� i`or:,'urisdret `)al�'determinaton" - r- _. Pe 1 ase'`: �' - be a` dv e is d lio` eves" W r t' 1-iat ri:o'c�� ...�._..,;.,. ,,,, r.„ ,ion, .sedtmentatign�'or°�disturb'ance;' aii �- o kind'itiay ;:, y take- 'lace.-seaward:of the;`t dal,wetlands';ur'..;d'::.-,:=.,,;;<..,..;;:,:_:>.;.:, =":'::' r; : ,.:: "' p w j , is ,fictional boundary, as indicated above;:without a Permit Tt is your responsibility to ensure that all necessary precautions are Q1140,prevent,,any sedimeritat>on or"otheralteration or disturliance to'.t d' or vegetation within Tidal Wetlands jurisdiction which niay..result fror'ri:yo -project Sucli:precautions:may include maintaining adequate work area between"the tidal'wetland�urisdictiorial bij oundary and:your project(i e:.a.t 5'`to 20':wide construction.,aiea) or erecting a temporary;fenee; barrier, or hay bale berm lis;letter:slial.Tremain'validunlesssitecoidit:ioris:elari T „g. Please,.be further advised that this letter does,not,releve you o#,tli'e:responsibility of.obtaining any riecessary,permits,or approvals froin other•agericies. S'incere'ly; Kevin'Kispert .Permit Administrator. KK/file cc: NYSDEC-MHP NEW YORK Department of STATE OP r' OPPOitNNRY :Environmental Conservation O�of fD1C fv . � \\q 15 ILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD ti 8 OCj Q 5 Z�2$own-Hall Annex - 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 of�o6�-,iuT-elephone (631) 765-1802 - FAX (631) 765-9502 �o roper.richertCa-).town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION _ .. _ . .........._._....---....---....._.......... ....... ... ..... . . .. .Date: .. REQUESTED'BY:�- _. _. _ ._._._ ._._. �. . _. Company Name: ,a, h uk-)bar n' C" ,-h-a c Name: Al a/) 141.-loh& k-d License No.: Lf Iq 975- "k:-,- email: AC bba_nd ya-4 g 6D00% C , Address: PD Aog 2,2,Vl tqU 1bQ A-JL 1 / 9-51 Phone No.: X31 (Q 9 l I '71 JOB SITE INFORMATION: (All Information Required) Name: Address: 1-otV & bL S0 J-Vb0 d Cross Street: Phone No.: 3[ q ` (o I oZ Bldg.Permit#: �&L ,:�5 email: Tax Map District: 1000 Section: 5S Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Pop(. A rJ,� 00-r- "TJ9 Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES "� Issued On Temp Information: (All information required). Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: (—off i-daN a:7,L�-!,Kaac_r ,(-pN PAYMENT DUE WITH APPLICATION Request for Inspection Fonn.xls \ \ �\ `©o �g11fFQL,�c V ILDING DEPARTMENT-�p Electrical Inspector TOWN OF SOUTHOLD ti OCA O 5 J�Jtown Hall Annex - 54375 Main Road - PO Box 1179 _ Southold, New York 11971-0959 f'' • ,;. ti�T-elephone (631) 765-1802 - FAX (631) 765-9502 TOWN OF roger.richert(atown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION .. . . ................. .._......_...._..._....... ...._.. .. ..... . . .. .Daae: .. ... _._. ._ . .. . REQUESTED'BY:._.. __. ..._. _. . ._._._ ._._. Company Name: �,� [I ub boxd Ele 0,4 ni' c ` Name: ao Rlt,1oj2a_ License No.: Z/a 95"7 email: h��,b�r�j t��4 Address: 00 ADAC. 2,2,Ll l Jflo /O A ) ! 1 ?,3 Phone No.: JOB SITE INFORMATION: (All Information Required) 'Name: k1 I Address: AF? Cross Street: Phone No.: 51�o p 3 cl 1(01 oZ BIdg.Permit.#: 6L a,� email: Tax Map District: 1000 Section: 5S Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) A/C-10 2,�6,AC>1r,/ �tTJL A�� Circle All .That Apply: Is job ready for inspection?:' YES / NO Rough In Final Do you need a Temp Certificate?: YES Issued On Temp Information: (All information required). Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: FOP, �iN ?` auv PAYMENT DUE WITH APPLICATION Request for Inspectionn-FormAs . 1O 1 PERMIT# Address: Switches Outlets G FI's Surface Sconces H H's:. U C Lts Fans; F"ridge HW . : :.._. . Exhaust Oven : /D Smokes, DW Mini. . CrbOn :.. ..__ ...,....__-- ._....._: .., . ....,...__.:.._..:..: Micro....._. _...... . _..... .......... G:enerator;. Combo..,...._.. ......,. :. .`Co'oktop _..._._... ....:..:_.. ........_ .:. :....transfer AC.. 'AH Hood Service . Ve Amps Hd Used Speciate.. : _ Comments: U/ V 2Cl/ 1100, .015 e000 _. ._.; . pt P-4 :. ;_. .. � � �- U CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ACORO 04/21/2021 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAME: Customer Care Associate Acrisure, LLC d/b/a:Atlantic Agency pHC"o (631)244-7784 ;Avg No: 1469 Deer Park Avenue E-MAIL CS atlantica enc .com ADDRESS: @ g Y NORTH BABYLON, NY 11703 INSURERS AFFORDING COVERAGE NAIC9 INSURERA: Atlantic Casualty Ins Co 42846 INSURED INSURER B: PROGRESSIVE INS. CO. 24260 J &C CONTRACTING OF EAST HAMPTON INC INSURER C: PO BOX 2410 INSURER D: EAST HAMPTON, NY 11937 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00031157-1433928 REVISION NUMBER: 96 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDIY EFF POLICY EXP LTR YYY MMIDD/Yl'YY LIMITS A X COMMERCIAL GENERAL LIABILITY L068026550-0 06/28/2020 06/28/2021 EACH OCCURRENCE $ 1,000,000 R111CLAIMS-MADE OCCUR PREM SESOEa occTu ence$ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLI ES PER: GENERALAGGREGATE $ 2,000,000 X POLICY D PRO-JET LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 06727005-3 04/11/2021 04/11/2022 EaeBadeDtSINGLELIMIT $ ANY AUTO BODILY INJURY(Per person) $ 50.000 OWNED OS ONLY X SCHEDULED BODILY INJURY(Per accident) $AUTOS 100,000 HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ 26,000 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 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) MASONRY/CONCRETE/LANDSCAPE GARDENING/PLANTINGS EXCAVATION-CESSPOOLS/SEPTIC/SWIMMING POOL INSTALLATION,SERVICE AND REPAIR UNDERGROUND-Job:1585 Long Creek Road,Southold,NY 11971 -The Certificate of Insurance is issued subject to all policy terms,conditions,limitations,exclusions and language of the policy. 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. PO Box 1179 SOUTHOLD, NY 11971 AUTHORIZED REPRESENTATIVE VA1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by VA1 on April 21,2021 at 06:30PM i� NYSIF New York State Insurance Fund, 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0 .0 ^^^^^^ 202631042 J&C CONTRACTING OF EAST HAMPTON INC PO BOX 2410 EAST HAMPTON NY 11937 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER J&C CONTRACTING OF EAST HAMPTON TOWN OF SOUTHOLD INC P.0 BOX 1179 PO BOX 2410 SOUTHOLD NY 11971 EAST HAMPTON NY 11937 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11421663-4 456859 05/03/2021 TO 05/03/2022 4/21/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1421663-4, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. CARLOS E PEREZ(PRES)OF A ONE PERSON CORP J&C CONTRACTING OF EAST HAMPTON INC 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 30 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:827431496 U-26.3 NYSI F New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE D %--w ^AAAAA 202631042tiJ&C CONTRACTING OF EAST HAMPTON INC ❑� PO BOX 2410 EAST HAMPTON NY 11937 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER J&C CONTRACTING OF EAST HAMPTON TOWN OF SOUTHOLD INC P.O BOX 1179 PO BOX 2410 SOUTHOLD NY 11971 EAST HAMPTON NY 11937 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11421663-4 456858 05/03/2020 TO 05/03/2021 4/21/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1421663-4, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. CARLOS E PEREZ(PRES)OF A ONE PERSON CORP J&C CONTRACTING OF EAST HAMPTON INC 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 30 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTORJNSURANCE FUND UNDERWRITING VALIDATION NUMBER:426775560 U-26.3 NEW Workers' CERTIFICATE OF INSURANCE COVERAGE . YORK 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 J&C CONTRACTING OF EAST HAMPTON INC (516)885-0400 P O BOX 2410 EAST HAMPTON,NY 11937 1 c.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage is specifically limited to Number certain locations in New York State,i.e.,a Wrap-Up Policy) 202631042 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State Insurance Fund(NYSIF) TOWN OF SOUTHOLD P.o BOX 1179 3b.Policy Number of Entity Listed in Box"l a" SOUTHOLD,NY 11971 DBL 6761 12-7 3c.Policy effective period 06/02/2020 to 06/02/2022 4.Policy provides the following benefits: ® A.Both disability and paid family leave benefits ❑ B.Disability benefits only ❑ C.Paid family leave benefits only 5.Policy covers: ® A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 4/21/2021 By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (866)697-4332 Name and Title Melissa Jensen,Director of Disability Insurance Unit IMPORTANT: If Box 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 46,4C 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, DB Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200 PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers' Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DS-120.1 (10-17) Certificate Number 640016 Additional Instructions for Form D13-120.1 By signing this form,the insurance carrier identified in box"T'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 Worker's 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 may 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. D13-120.1 (10-17)Reverse 11L sunolk County Dept of Labor, Licensing&Consumer Affair. HOME IMPROVEMENT LICENSE Name CARLOS E PEREZ Business Name This certifies that the bearer is duly licensed INC J g C CONTRACTING OF EAST HAMPTON by the County of suffolk License Number:HI-60520 Rosalie Drago Issued: 5/10/2018 Commissioner Expires: 5/1/2022 sThis license is the_propertyofSuffolk County Department of Labor,Licensing&Consumer Affair W- W Possession of this license does not guarantee its validity. Additional Business Name Y License Category H26-Pools and Spas/Certified i i I 1 a Suffolk Environmental Consulting, Inc. Newman Village • Suite E • 2310 Main Street PO Box 2003 • Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED July 151h, 2021 Building Department Town of Southold P.O. Box 1179 Southold, NY 11971 RE: CHASEN Property—Proposed Swimming Pool and Spa Situate: 1585 Long Creek Drive • Southold, NY • 11971 SCTM#: 1000—055—07—03 To whom it may concern, This Firm represents the owner of the above referenced property, who is seeking your regulatory approval to construct a swimming pool thereon. Consequently, a building permit is hereby requested. Enclosed herewith please find the following application materials; 1. Building Permit Application, signed and notarized, (one [1] original); 2. Contractors Certificate of Liability Insurance, (one [1] copy); 3. Contractors Certificate of Workers Compensation Insurance, (one [1] copy); 4. Contractors Certificate of Disability Benefits Compensation Insurance, (one [1] copy); 5. Contractors Suffolk County Home Improvement License, (one [1] copy); 6. Site Plan prepared by SUFFOLK ENVIRONMENTAL CONSULTING, INC. last dated July 151h, 2021, (four [4] prints); 7. Survey prepared by PECONIC SURVEYORS, P.C. last dated March 1St 2021, (one [1] print); 8. Board of Trustees Tidal Wetland Permit, issued on April 141h, 2021, (one [1] copy) and; 9. NYSDEC Letter of Non-Jurisdiction, issued on April 16th, 2021, (one [1] copy). Thank you for your time and consideration regarding this matter, should you have any questions or concerns pertaining to this application or it's contents, please feel free to contact this Office at any time. Yours Truly, Robert W. Anderson C.c. P. Chasen L. Chasen SURVEY OF PRD.PERT Y . . . . . SO UTHOLD : : -...I.­........,\1......:.........–......�. N . . . AT . �TDWN 0 . ,�'OUTHOLD . .. SUFFOLK COUNTY N. . _ _ ... . . . . . 1000-55. 0.7 03 . . x SCALE: 1 =30'' . . . +. . . . . . . . - Y:5, 1987 . .. . .. FEBRUAR . I. . Y 5,: :1987 . . . . . . . . . .. .. . . . . . . . . . . . . Y 31..' 2020. . : . . . . . . . . . . . T 18, '2020 (10'. CONTOUR) - . . . . H 1,. 2021. (PROPOSED. POOL).. . MARC . .. V . .. : Vii. . .. . . . .. .. .. . /j'. , , I. . i% . . : . . . . . . . ;i- . WOO / W sTE D j. Ps #L ie c1' L . . . . . . . . . . . . . . . . E DWA N LIN OT C0�1/ER . WOOD RAMP. /. ,� � �/., . . . / . m._. .. ARA .LAN . RD'.OF,WE7IA dS. E . . / / .. o ' . . . . . . . . . I I . .37,460.SQ.FT. FEN END. . . . . . _ 7 2'W / /. . . EXISTING_ . ... •FEN.COR. �, .. os'w HOUSE. &.'PORCH.. . . .2380 sq.ft . . . . . i . WLF'. . . . . . . . . /. 2 . i . W000 WALK.; GAZEBO. 120 sq,ft. . I% //.1 i . . # SHEDS _ 144 sq.'ft.'' . . / 'i DECK: 436 in I '11 J� / 3380 'sq.ft:. LANDWARD EDGE, OFTIDAL.WETLANDS J / . '. . /. . . . 3380 37;460 9.0%. : AS: DETERMINED: 'BY: SUFFOLK : ��/',_/ - �� (D : .. . . ENVIRONMENTAL CONSULTING, 'INC. // ,../ . i . . (A.: . . . . .. i . -------- . ON :JULY.21„ '2020. s: . . . . . ��, LOT: 8: . . . . -. . . . I . . . . . . . . . . / . . . . . . . . . . . . . i. L��� J`. PROPOSED i.�. . / . COVERED . . . . . . . 0 3' . P° HOUSE k PORCH. . 2380 s ft. . . . . OJ SWING Q . . . .51 �!/ . ,le . . . . . . .�/ . . POOL . . 720 sq.ft. 6 . �j.: �. . . . . . . .' . . 05 . �' . �ti. Aj �� . . POOL:SHED 112 ;sq.ft.; �� ep3�. PROPOSED .GAZEBO . . 120 'sq.ft.: i• / OF p' AT GRADE.PA710 y / pM:�.� s. �y�:FRoeosED . .. SHEDS 1.44 sq.ft. . . epi/e. .10 CONTOUR PROPOSED SHED DECK 436 sq ft. . . �. FEN. AROUND . ' POOL COMPLIANT b 9 .' . -'. . - . .', . . . . 4212. S ft. a GAR 6T' DEN.BEDS 2. . . Q. LF' pF FENCE . . j %37;460 11.2.2 If �pQ. X o� 4212 . .i. SHED 0.5'E: 3d j /ap. __�- . ; . �. 8 . FEN.END. ,3. X� /X . - . PROP 0SE0 A\x�T . . . ✓. o P. SpA j STEP 1.4'W N:: . SHEDS / �O� ' DW X' STONE / . . 2ND FLR. . , . VERQDE . . . �� . . . . . J. 1 1 . . .. .. Z' ?. 0 CK . 1 I. 1�� i ARBOR'OVER 'DECK. 'PROPOSED' . - - . . . . . j' SHED 3'.3':E. GAZEBO AVERS' p�GK 11 I1 i)�Ii i.1�' -PROPANE : POOL . . . .DRYWELL . . gyp. , . /.: s�� : TANK. . . . . ' . . . . . ' O. : SAUNA _b9 . . . . AC . AC . - . . . . . : . . . /` . : /-,-* . v J . : Q :UNITS . . . . . . - / / FEN. . 9 2 .S> :• FR• . . v; FEN.COR:. . . . . . . . . . �O .. .. N /' AROUND. 3�•. : No�SE 3•TW FE .COR; . . . . . 2�''- 0 7'W . . - . . . . .. . � POND ��2 3 . . . .. .. GE cn: . 31.0' ' �, 18.3 OS D. �. 10• PROP E . . . . . . . . �n . . . . . . . . . A. 3• ­ ' : EQU PMENT . . - Z� . . . / / . . . Z�` PORCHO. . . . . . . . . w o . . . , . _ / pA. R:Wp�K. o A . . ` .. / .. '.51.5' B8.CURB '0 . x� . . . . . . . . . . . . / . . : fi`x. ;- : L.S. - . . . . . '. �'. .p.: . . �`. N.. G FEN.COR. . . . m; . _ 2.9'W . . - , . . . r : . .FEN.END. . . . 02 3.7'E , . mom. ?A- . n . G. . . . . . . . . . . .. . ..N,. c% $ :. m. G : .�, - . . . . . O Cn . . - . . . . . . . . 9-� LIGHT . . . . . . . . . . . . . . . . . . . . . . . . . LIGHTS POST Ui1LITY' f', ., POST �: BOX. . KEY. . 00. , . . x.40 51 . . . . . . • = REBAR. . . N .c . ee cvRa: . . . . d . . // �j . . . . . . . . ® WELL : 7Y . . . . . . V CMF; . X50„w . . . A. STAKE $75'38 pR� . . . . GG . . . 6G . . . . . .19 = TEST HOLE'. .: . . . . . . A,G Gg . ,v • =.PIPE . 1.�. . . : ■ .: .= MONIIMEN.T . . . . . . . WETLAND ,FLAG . . . - CQ.i = UTILITY (POLE. . . . . . ELEVA770NS REFERENCED 'TO:NGVD 29 CERTIFIED TO;; P��pF.M�yy ro : LOT�NUMBERS REFER rO;"SUBDIVISION MAP OF LONG POND ESTATES:– : PHILIP 'C HAS EN. t . E SEC' ONE” FILED IN THE SUFFOLK.COUNTY CLERK'S OFFICE'ON DECEMBER. ILlk C.HASEN I . . . 27,: 1985:AS FILE NO., 8037... . -. . . . . . , . . . : stE . . . ANY AL7FRA710N OR ADD/770NTO.THIS.SURVEY IS:A- V1OLA770N. OF N. .S 'LIC NO: 49618 SEC77ON 7209 OF' THE NEW.YORK STA-TE'.EDUCA77ON LAW. .EXCEPT. P Q :C..` :. AS PER SEC77ON .7209=SUBDIVISION 2' ALL-CER.71RCA,77ONS HEREON (6 '�i 631) 765-1797 : ' 'ARE VALID.FOR.7HIS MAP. AND.COPIES. THEREOF: ONLY IF SAID MAP. : AREA= :38,242 SO. .'FT . OR COPIES BEAR THE.IMPRESSED SEAL' OF THE SURVEYOR',WHOSE _ . TO TIE LINE P.O. . .. SIGNATURE :APPEARS'HEREON.'— 1230 T. . . EET � . ry . . .. THOLD,.. N. Y 11'971 8/�-132. SOU y /Poa� APPROVED AS NOTED OCCUPANCY OR DATE: B.P.# USE IS UNLAWFUL ev FEE: OD BY: WITHOUT CERTIFICATE NOTIFY BUILDING DEPARTMENT AT 765-1802: 8 A TO 4 P FOR THE OF OCCUPANCY FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION ,MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE COMPLY WITH ALL Cn::;t S OF REQUIREMENTS OF THE CODES OF NEW NEW YORK STATE & 7'1'v",1� CODES YORK STATE. NOT RESPONSIBLE FOR AS REQUIRED AND C' �41DITIONS OF DESIGN OR CONSTRUCTION ERRORS. ,,- SOUTHO('__ ;N ZDA - SOUTHO'," *OWN PLANNING BOARD SOUTHOLD-"",'AIN TRUSTEES N.Y.S.DEC ';IMMED_IATELT' ENt,L;OSE PMOL TO CODE UPON'COMPLETION ;$IdFORE:"WATER" RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. e.>sc>catau,a�rm+��Quia�v AERIAL VIEW Scale: 1"=5' ELEVATION VIEW PROPOSED STONE PATIO Scale:1"=5' GRADE VAwE 0`-'-AUTO SKIMMERS N0.3 FIN ED GRADE REBAR 0 "10 2rFf 12.0"o/c DRAIN ® 'Pew - � LIGHT SECTIONAL DR-A.V,,TNG � Scale: 1"=I' Ak N DRAIX a y x W WATER r.Lv'>; NOTES: 3.0° • All gunite to have a minimum strength of 4000 PSI. -43 REBAR 1 I Q`c Steel rebar be grade 60 conforming to ASTM A- � ,. . 615. • All work to be in accordance with ACI code. PROPOSED STONE PATIO All Dimensions to be considered minimum. • All finishes, details and materials to be reviewed _- by owner prior to construction. • Coping material to be determined • Underwater finish to be determined • Water filtration system and water type to be determined CHASEN Property - Proposed Swimming Pool SCTM#: 1000 - 055 - 07 - 03 Situate: 1585 Long Creek Drive • Southold, NY 11971 Drawn by: R.W.A. Suffolk Environmental Consulting, I Date: 07-15-2021 ,��of N£yy yam?oaN F'gARy�`0� Scale: As Noted P.O. Box 2003 •Bridgehampton, NY 11932 Notes: (631) 537 - 5160 � ` Fp � 6021A fESS100-