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44515-Z
�o�Og�FFOL o Town of Southold 1/28/2023 P.O.Box 1179 co 53095 Main Rd Gy�jOr �,ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43 800 Date: 1/28/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1140 Carrington Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-6-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/3/2019 pursuant to which Building Permit No. 44515 dated 12/12/2019 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 Green,Marcus&Shanker,Shobana of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44515 10/3/2022 PLUMBERS CERTIFICATION DATED A o izea Nignature TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 44515 Date: 12/12/2019 Permission is hereby granted to: Green, Marcus &Shanker, Shobana 163 Huntington St Brooklyn, NY 11231 To: construct an in-ground swimming pool as applied for. At premises located at: 1140 Carrington Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 111.-6-10 Pursuant to application dated 12/3/2019 and approved by the Building Inspector. To expire on 6/12/2021. Fees: SWIMMING POOLS -IN-GROUND FEN CLOSURE $250.00 CO - SWIMMIl POOL $50.00 Total: $300.00 uilding Inspecto Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses, or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 p Dat 1"-1311 New Construction: A Old or Pre-existing Building: (check one) Location of Proper t ��! 9 Chgm6o✓ A65 GV/C*6 C& House No. Street Hamlet Owner or Owners of Propert "/ GAS GJ � Suffolk County Tax Map No 1000, Section I Block LotV Subdivision Filed Map. Lot: Permit No. qq Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ \ c \v Appl t Signature Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) residing at Ca- (Print property owner's name) (Mailing Address) do hereby authorize � ' 4AWfise— -4-a ✓/ 1s (Agent) to apply on my behalf to the Southold Building Department. (Owner's Signature) (Date) MafcuS J , Grre.&-, (Print Owner's Name) OE SOUryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(C-town.southold.ny.us Southold,NY 11971-0959 Q a �yCOW T`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Marcus Green Address: 1140 Carrington Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 44515 section: 111 Block: 6 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Alan Hubbard Electric License No: 4285ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey X 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 Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 2 4'LED Exit Fixtures 11 Pump 11 Other Equipment: 50ASub Panel 24 Circuit/ 5 Used, Intermatic Pool Panel 8 Circuit/ 3 Used, Pump 220GFI, Ozone, Heater Notes: " AS BUILT NO VISUAL DEFECTS " POOL Inspector Signature: Date: October 3, 2022 S.Devlin-Cert Electrical Compliance Form � E x { 1 ell 14 le j 4•�- `�4` .A qtr � '• ; .••t =ors e• + � 11111111111�- T �/ i , • , .4 Ilwt' • _ � r 1 1 �, �` ~ `• � �r .T Ster f •f ,.�Mtt N _ , as � '• • �. . �• ,♦ i�V { ' •- :R-��� ` . V T���"'•.,..,-�_4�_ ter.. �;_- • _ .-," � - .""��� 1` fin it 49 y •� w , ;`• +�` i �. . .. '' " V• � #r - •- pt'r'' a, a �1R._ ��'b � .. -:. 'int+.... r '�`� •. _ ��r :-r ' '�.�,"�,� t.,,..�� °' Y ` ' .-r'�� '.Z.M" _ • st - r� .�",,,q• � �'�+.•;•.fit«-•_ • j 4...• '' r„""►.+' .�• nr a. �j_ ,� iii^^^ i AP �� r ►f . 11.E kG, i; Pik ; IIt ,,, ,r .� J ''� � � ..7y ► �. r-.lam ~' '+ � � � rr►: � I . ....� f •,r •yrs �::.;`� :y ♦. '`A �� �r� r � •wig _, ' ,ltFwi 7 M t 11� ,.i r. • ' a - `1 r ■ � Ir.s r� �•r *wry-+��, l� ' �•�� �->!`��. ^r�A i� r ., -♦y�•• j „�• ��•;~.�T' •'l f �� fes- �''...a � •'r� 1 w;� ;r i 'W ,y; i-P+ ..f' - !ra,.� ^�"•: yl �• `�►�jS"r• �! � Al Q , .. -.,.-.. - r.«w.y.�'�r-.ice....w�.b...• �! [ _ ...-..-. _..s.±--'"�... .. Ste• ..---..+...r__ ......a.,_,_ -�. .—,�„_� ...-__.-._..t- rt. `j _ ,� �,. �� `�!'�,�,�.. w : ..� . ,may.-. -....,•.. _ � ' ►:�:.ia _ ,�.�a�' �Ct �'A- GL 3Xjw, yt v graI _ . _ 11 RM �� a � �;� ..._. .� j- � ..w�.,�.i 5� .... -.� �� 1. � '♦ ft�o s'' 4t I.�.r..� r„'^. !'.1" 'y �-'Y. :r+ ` . y �•ry `.ems ylrl � •'� � '� jr Rt r a h e S i ~ j ter. �• _ ��» �r � ,jw�`- ' . _ � •ti\ry 11 f .;i .: - FW— r _ .2/ i I 4, r •v. IL - ,. . � � ,,.,.,,,,z„,_,—•=...e..__ '�"""""'fir--..._ .,.� v • Jam•' .. �r�,"ar � _�'►.. n+P+ Axa"`"" � ., I 'Its, a ♦ ,/..� 1 i ir M de •-�---_ _......�.�_^-tom '������� 4. w _ice. '-*" �� �~ � -- �s• � -. � �• �� ♦�� lu dAif J of so yo 4 Li I �.d C,^Prl 9�n # # TOWN OF SOUTHOLD BUILDING DEP `ycou631-765-1802 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 �p ] PRE C/O [ ] RENTAL REMARKS: AS V270 ��, /� 1r - n� G N c l DATE INSPECTOR OF SOUTyolo Lq s i s r 'qa Carte, # # TOWN OF SOUTHOLD BUILDING DEPT. `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) �VELECTRICAL (FINAL) [ ] CODE VIOLATION PRE C/O ' [ ] RENTAL REMARKS: � I�A DATE O 2 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(1ST) -------------------------------------- FOUNDATION (2ND) � O ROUGH FRAMING& PLUMBING C� INSULATION PER N.Y. �y y STATE ENERGY CODE �^ � d AA "lJ --. n FINAL I 0 ADDITIONAL COMMENTS . IMAM 655 - So � SAW . N � Z rn z 2 L e-c- o z d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT I Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX: (631) 765-9502 \�\ \' Survey Southoldtownny.gov PERMIT NO. �J I J Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined Z ,20 . Single&-Separate Truss Identification Form Storm-Water Assessment Form fContact: Approved '20 Mail to: Disapproved a/c Phone: /� 36 f Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT DEC - 3 2019 �., , 20 l Q Date_ INSTRUCTIONS a. This applicati6ii'MUSTbe cbinpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months..Thereafter,a new permit shall be required. 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,or 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 for necessary inspections. (Signature of applicant or name,if a corporation) ,oy &A.39 s ,moi -!X //96u (Mailing address of applicant) ' State wheth��plt is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises 1 efe-l/S 61e2r l (As on the tax roll or latest deed) If app lic nt is a corporation, signature of duly authorized officer YrC,E 1°OXXV6v7- Name and title of corporate officer) Builders License No.AbaoW Y&A07 — y Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: //`fin c��z�✓Gr7o�✓ �PO/�� GvT/fa(�✓E House Number Street //Hamlet Block County Tax Map No. 1000 Section �� Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy -S27V6ZC tZY-/ ,y11/r��✓ly b. Intended use and occupancy SavC,rcf F,�y, / �w���✓� 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 4yaqzr-1�MOV6 Aca-L. ,ay p (Description) 4. Estimated Cost F4ay Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories ? .:: t. _ 9. Size of lot: Front Rear Depth 10.Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO ✓ 13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises 10010 0( 6AW AddressHYP C9Rgdw6;w RD. Phone No.7/8. 71� AbV Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓ * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property? * YES NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the �GIENT (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn tQbefore me th' day of �20 g CEY L. DWYER Notary Pub i NOTARY PUBLIC,STATE OF NEW Y S' nature of Applicant NO.01DW6306900 QUALIFIED IN SUFFOLK COUN'T'Y. CQMMISSIQN EXPIRES JUNE 30,2La a. o�S�FFO(,t- O BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o FEB 1 1 202bwn Hall Annex - 54375 Main Road - PO Box 1179 C* Southold, New York 11971-0959 o4,- � Telephone (631) 765-1802 - FAX (631) 765-9502 ' :rogerr southoldtownny.gov - sea nd(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: HobhtgM 9er-zP--�cd9 L C'o sic rJ Name: 6 l6 Pu-bbo f- License No.: L/2.55--M (�F email: � �,ecQ�AcLs @ A 0 C, Cool Address: fob i3-o,< Yl 1U O e60 N31 Phone No.: X30 677 JOB SITE INFORMATION (All Information Required) Name: Mb (Y) el- cd S Address: b 0 A F-A; fc)[,J P6 fck C u+ck oU Cross Street: Phone No.: -7 f -7 (� Bldg.Permit#: email: Tax Map District: 1000 Section: f j Block: Lot: f O BRIEF DESCRIPTION OF WORK (Please Print Clearly) �'� 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 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: °r (L;tia pi::-- -1--Ai GIZ10 Vr✓T Pc-)�L es bt-e PAYMENT DUE WITH APPLICATION ClnspSctionReque m.xls l A o�-of F0t/r OG BUILDING DEPARTMENT- Electrical Inspector C TOWN OF SOUTHOLD � y F -B 1 1 %'Mwn Hall Annex - 54375 Main Road - PO Box 1179 o - Southold, New York 11971-0959 y p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cDsoutholdtownnV.gov - sea nd(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: AlAd NL)61-� L c Name: 8 //i 1u ��P-- License No.: L10 K5 email: kk+ AdPgds C- 1900 0001 Address: f0o �3c)?C Phone No.: ()73 1 67-7 JOB SITE INFORMATION (All Information Required) Name: wo ol iq iz Cu Cr C-e� Address: b C Ate; -f o[--J NA Co+c1NoqCdit Cross Street: Phone No.: ��1 7 (� Bldg.Permit #: qq S'( �' ����s /I Q,-Amd mai Tax Map District: 1000 Section: Block: Lot: 10 BRIEF DESCRIPTION OF WORK (Please Print Clearly) 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 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: EJ, C<— ti a ©,^ et.-) --T-- G4Z' VrV pbc-)L. PAYMENT DUE WITH APPLICATION Request or Inspection F rm.xls PERMIT# Address: Switches Outlets GFI's 1 Surface) Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator .,Combo Cektop Transfer AC. AH Mini Special: Comments: C Vo. !Z_0Z _f t-A CA, �. IrA u ir Scott A. Russell ��°su p ST0JKI��J WA\T]E K SUPERVISOR AMIANA\G]EA41ENT SOUTHOLD TOWN HALL-P.O.Box 1179 O 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑[�A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑[f B. Excavation or filling involving more than 200 cubic yards of material ❑[� within any parcel or any contiguous area. C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑[]'/E. Site preparation within the one-hundred-year floodplain as depicted 'on FIRM Map of any watercourse. F. [2/F Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date: District NAME: �/%T�Y `�"!�/�� �l��.S tP, 0 * Section Block Lot FOR BUILDING DEPARTIl�IENT USE Contact Information _�/ Y/ � ! ✓v 'rrlrplianr 1�'umArr) Reviewed By: — — — — — — — — — — — — — — — — — — Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — G4��7&� ❑ Approved for processing Building Permit. — Stormwater Management Control Plan Not Required. C'�Ilb6 ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 T1s SURVEY OF PROPERTY N AT NASSAU POINT TOWN OF SO UTHOLD SUFFOLK COUNTY, NY 1000-111-06-10 SCALE.- 1=40 APRIL 29, 2010 NOVEMBER 13, 2019 P/O LOT 362 I NOVEMBER 21, 2019 (PROPOSED POOL) — JUNE 10, 2021 (POOL FINAL) i251.00 CMF -- U1 NgS 11,00 �! CMF P/0 LOT 362 - —\ I 0/iR1 - UIG PROP. N POOL COMPLIANT CMF D GUY WIRE TPNK, POOL " s CNNNUNK FF _ D'tp / 0 EQUIPMENT _ i Q -X DAX X GATE '_.. -- OQ LOT 364 )xryW/ ANG- ,� �ED� \ S E P 1 4 2021 x" BLOCK s�irc covER - LOT 363 N O 4 a0 .P" WAIL SaWkR SONE pOOL :c S'- 126.9' ? h p x i PAnO. 4 ? ��`j y7� (�.j'Ir 2Z81..4!'' .DNpE0GY0 47 CCNG> A• �. ®W `PoDC OMPUMT ELL aRCEFENCE - i BUILDING DEPT. NO. TOWN OF[®TR$Y® T GATE A,( OH k IRREGULAR N N rySE ,SpHAL7 0 CURVE ' 2.2' L 47 0' 0 ON 250A or+ ` 0M X�-0f O BRICK OH Ole WALK 3 30 WOOD WAIT KEY IRREG I*AR� \� e STONE WALL 57f ON W000 WAIL H yp,�ENT CURVE Q® ==REBAR ®63.24Of " �N475500STONEWALL WELL ' oN4AG A. go GUGN A = STAKE ";� WIREGARR WELL Ap' ® = TEST HOLE • = PIPE ON .•- P ■ = MONUMENT = WETLAND FLAG .;$: j 10, = U7ILITY POLE - '-,j _,•"a ' LOT NUMBERS REFER TO MAP OF SEC77ON D NASSAU POINT CLUB PROPER77E5 INC" 6 BLED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON MAY 7, 1926 AS RLE NO. 806. S. LIC. NO. 49618 ANY ALTERAT70M OR ADD17ION TO THIS SURVEY IS A V70LA770N OF SECHON 7209 OF AREA= 37,521 SO FT. TO TIE LINES ECONIC oRS, P.C. THE NEW YORK STATE EDUCA77ON LAW. EXCEPT AS PER SEC71ON''7209—SUBDIVISION 2. (631) 765-5020 FAX (631) 765-1797 ALL CER77RCA77ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR.THE IMPRESSED SEAL OF THE SURVEYOR WHOSE . . 1230 TRAVELER STREET 10-128 SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 SURVEY OF - PROPERT Y N AT NA SSA U POINT TO WN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-111-06-10 SCALE: 1'=40 APRIL 29, 2010 NOVEMBER 13, 2019 P/0 LOT 362 I NOVEMBER 21, 2019 (PROPOSED POOL) 251.00' CMF -- co - o CMF P/0 LOT 362 rn °H CMF GUY r (p WIRE r �O CLF X �X yl �CPROPOSED POOL PROPOSED POOL w D�� LOT 364' 7.1- EQUIPMENT AREA X kj BLOCK SEOPNiCiC COVER p�t0 o LOT 363 WALL OUT. SHOWER N c' AD. PROPOSED POOL COMPLIANT/^� Jo k 15.0 COMPLIANT FENCE `, g •� ' 24.4' W000 CONC' A4,,. c 3 WELL 28,4• DECK A 0 PROPOSED GATE 2 N CONC. CMF OH I IRREGULAR I k CURVE N O 2.2. . ' H ` a °H BRICK QH WALK KEY 75' t ♦ STONE WALL gni QO WOOD WALL OD WALL IRREGULAR CURVE Z N OF pP`�EM 0 = REBARCBGE ® - WFLL N4T55'00"W °NMF' OH STONE WALL plo - - 63.24' R;� NGT STAKE ®wai CPRR� = TEST HOLE �r r t•L Iv vl- • = PIPE °N i 3r, r �r ■ = MONUMENT :.. " 'd9C: i=�24 = WETLAND FLAG cCL = U77UTY POLE / LOT NUMBERS REFER 70 'MAP OF SECAON D NASSAU POINT CLUB PROPERTIES, INC.' l FLED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON MAY 7. 1926 AS RLE NO. 806. -�••, N. .S LIC. NO. 49618 ANY AL7ERA77ON OR ADD1770M TO THIS SURVEY IS A WOLA770M OF SECTION 7209 OF AREA= 37,621 SO FT. TO TIE LINES ECO76SNSURVEYORS, FAX P.C. 771E NEW YORK STATE' EDUCATION LAW. EXCEPT AS PER SEC77ON 7209-SUBDIVISION 2. ( � ) 765-1797 ALL CER77RC47IONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY/F P.O. BOX 909 SAID MAP OR COPIES BEAR 7HE IMPRESSED SEAL OF 7HE SURVEYOR WHOSE 1230 TRA VELER STREET p SIGNA7URE APPEARS HEREON. SOUTHOLD, N.Y. 11971 10-128 _12 V Client#:8098 PELIP001 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYY1() 12/(MM/DD 9 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTCook Maran&Associates NAME:ME: Cook Maran&Associates PHONE 631 390-9700 F 461 Panti o Rd E E-MAIL... Ext): A/c,No: 631 390-9790 9 ADDRESS: certificatesC�cookmaran.com East Hampton,NY 11937-2647 631324-1440 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Fire Insurance Company 19682 INSURED Pelican Pools Inc. INSURER B:Hartford Casualty Insurance Company 29424 INSURER C:Rochdale Insurance Co. 12491 509 County Rd 39 INSURER D: Southampton,NY 11968 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MNWDY E� POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 12UUNOZ8284 8/15/2019 08115/2020 pEAACCHpOEC7CpURRENCE $1,000,000 CLAIMS-MADE 51 OCCUR PREMISES(Ea occccurrence) $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY FX�JECT F LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 12UUNOZ8284 8/15/2019 08/15/202 EO eel aEan SINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X AUTOS ONLY X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY Per accident B X UMBRELLA LIAB X OCCUR 12HHUOZ8285 8/15/2019 08115/2020 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED I X I RETENTION$10,000 $ C WORKERS COMPENSATION KWC1147876 1/01/2019 11/01/2020 X PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? Y N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2247690/M2200079 CCUMM lllr 11111111111111111 1 11111/1111/111//I 11111 11 111/, 111111/l//1/I Y• \` 77•776,7777� C I 5- -a-m Suffalk -County -Depa'-r- tm- ent 0 er AN _rs VETERANS MEMORI AL HIGHWAY HAUPPAUGE, NEW YORK. 11788 DATE ISSUED: -5/7/2009 No. 46201-H SUFFOLK COUNTY Home Improvement Contractor License This is to certify that JAMES M OBRIEN doing business as PELICAN POOLS INC z having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws, rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. _7 License Category o NOT VALID WITHOUT Additional Busunesses Pools/Spas DEPARTMENTAL SEAL AND A CURRENT CONSUMER AFFAIRS ID CARD C"issioneT:7 LiiC Wr_. "WIWg"4 "-M 01- T POOL NOTES: 1.POOL AND PROPERTY TO CONFORM TO 2017 NYS UNIFORM CODE,THE 2015 IRC,2 nd PRINTING,AS AMENDED BY THE 2017 NYS UNIFORM CODE FILTER PUMP STAIRS SHALL BE ""MEDIATELY" NSERVATION CONST UCTIONCODE,TOWN OFSOUTHOSUPPLEMENT,2017 SUPPLEMENTTO THE LIDCODE AND YS ENERGY �14 NATIONAL SKIMMER OF NON—SUP ENCLOSE POOL TO CODE ELECTRIC CODE. ( ') DESIGN UPON COMPLETION 2•POOL SHALL CONFORM TO ANSI/NSPI STANDARDS R326.3.1. Pool DECK TO 12 7fodm%&M 3.SECTION R326.7 POOL ALARM REQUIRED. �POOL a2X MIN. BEFOREVEL 3" 4.ENTRAPMENT PROTECTION REQUIRED SECTION R326.6. CUOPLLNOSEPoTOP OF S.POOL SHALL COMPLY WITH BARRIER REQUIREMENTS SECTION R326.5. 6.POOL SHALL COMPLY WITH INTERNATIONAL ENERGY CONSERVATION a CODE SECTION R403.16: (3) p4 BARS ' ,'i:• 6" FROST PROOF TILE BAND CONTINUOU GRADE ;; POOLS AND PERMANENT SPA ENERGY CONSUMPTION(MANDATORY): RETURN SWIMuM PQOL BEAM ALL AROUND--4r.• �:; •,. SECTION R403.10.1 HEATERS MAFELE DUET T�Ol1T 110ki TIES 12D.C. y• ' PNEUMATICALLY APPLIED CONCRETE SECTION R403.10.2 TIME SWITCHES 3.0 '" SECTION R403.10.3 COVERS (MIN.) 720 18' r3 BARS o 12- O.C. 7.THE DESIGN IS BASED ON A DRAINAGE SOIL WITH<10%SILT.GROUND VERTICAL WATER SHALL NOT EXIST WITHIN LIMITS OF THE EXCAVATION.IF GROUND DUAL MAIN DRAINS WITH DIRECTIONAL INLET 2.5' WATER EXISTS WITHIN 6'BELOW GRADE SPECIAL DEWATERING FACILITIES STRAINER (VGB SAFETY WALL THICKNESS .•, '• WILL BE REQUIRED.WATER DISPOSAL IS LIMITED TO OWNER'S PROPERTY. ACT APPROVED DRAINS) VARIES e" TO 8" ;A 8. 8.NO SURCHARGE ALLOWED WITHIN 4'OF SHALLOW END AND 6'OF DEEP BENCH 6 (MIN') �' MARBLE DUST FINISH END. RADIUS VARIES 9, THE PNEUMATICALLY APPLIED CONCRETE(GUNITE)SHALL BE 4,000 PSI @ ''} 1' RADIUS ROUNDED CORNERS 28 DAYS. y3 BARS 0 e" D.C. IN '• r''`•' 10.REINFORCING STEEL SHALL BE INTERMEDIATE GRADE BILLET STEEL WITH RADIUS AND VERTICAL '{ 551' (MAX.) ADIUS ROUNDED' WHEN WALL HEIGHT �'�' '• CORNERS (DEEP END) A MINIMUM LAP OF 30 BAR DIAMETERS. EXCEEDS 5' Y;' ' ' 11.REBAR SHALL BE 3"MIN.CLEAR TO EARTH: 3 BARS - 12. ON (ALTERNATE BARS) `• CENTER EACH WAY 12.POOL WATER SUPPLY BY OWNERS GARDEN HOSE.POOL TO BE KEPT • (FLS) FULL DURING FREEZING WEATHER.PUMP CAPACITY TO BE SUFFICIENT TO k�NOFF POOL PLAN ':;; EMPTY POOL IN 24 HOURS. NOTES: RrTAI�� S GRA NOT TO SCALE. "....• ,.• •. 13.LOCATION OF PROPOSED SWIMMING POOLAND POOL EQUIPMENT BY 1e THIS IS A NON-DIVING POOL. l }'��0 GH,' 'T�R 23 OTHERS AND SHALL COMPLY WITH ALL LOCAL ZONING REQUIREMENTS. GURS ��� 2.ALL PIPING SHOWN IS FOR SCHEMATIC PURPOSES ONLY. CODE• 8 5" 14.ALL DRAIN COVERS TO MEET ALL REQUIREMENTS OF THE VIRGINIA E j0��n GRAEME BAKER(VGB)POOL AND SPA SAFETY ACT. BULLNOSE COPING T8"SLAB O► 1� 15. NO DIVING EQUIPMENT PERMITTED. (TY'-) TYPICAL WALL SECTION 16,SLOPE PATIO SURFACE 1/4"PER FOOT AWAY FROM POOL. LADDER INLETPROVIDE SEALING 17. THIS PLAN IS FOR CONSTRUCTION ON PROPERTY AT 1140 CARRINGTON SKIMMER (1YP,) AT DECK/ COPING NOT TO SCALE ROAD,CUTCHOGUE,N.Y.11935 ONLY: WATER LEVEL � �, \1j°c e 18.HM ENGINEERING,P.C.SHALL NOT BE RESPONSIBLE FOR CONSTRUCTION �. APPROVED S I•I` TED MEANS,METHODS,.TECHNIQUES OR PROCEDURES UTILIZED BY THE CONTRACTOR,NOR FOR THE SAFETY OF THE PUBLIC OR CONTRACTOR'S O O DATE: 2• •1-1 g P # EMPLOYEES,OR FOR THE FAILURE OF THE CONTRACTOR TO CARRY OUT THE 3.5' GRADE BEAM WORK IN ACCORDANCE WITH THIS PLAN. UNDERWATER-/ 8.0' (TYP.) FEE LIGHT (OPTIONAL) NOTIFY SUILDIi: ;`? ,R i.+ENT A 8" THICK 765-1802 8 AM TO 4 PP,,j FOR THE CONCRETE (TYP.) FOLLOWING INSPECTIONS: _ 1 1/2" TO WASTE �� 1. FOUNDATION - TWO REQUIRED HAIR do LINT STRAINER 0.5' 0.5' . PUMP FOR 1 OURED CG+'+t•HETE AUTO SKIMMER 2 MAIN DRAINS WITH r Cr"XIVI PLY TH ALL CODES OF 2. ROUGH - FRAC;FRAMING & PLuf�4t3 HYDROSTATIC VALVE AND E�� DES 3. INSULATION COLLECTOR TUBE IN NEW YORK I %ASMQ 4 FINAL _ CON CONSTRUCTION 1�r�UST GRAVEL BASE DUAL MAIN DRAIN WITH AS RL�?DIR BE COMPLETE FOR C.O. Pool HYDROSTATIC VALVE AND FOOL SECTION ACK To COLLECTOR zu8 IN SOUTHOLDTOWNZBA ALL CONSTRUCTION SHALL MEET THIopL f,GRAveL`EtASE'� NOT TO SCALE — :I E-b A 3 a g SOUTHOLD TOWN P BOARD REQUIREMENTS OF THE CODES OF NEW ^r a I � YORK STATE. NOT RESPONSIBLE FOR ���f9 �� SOUTH0LDT0 RUSTEES PREPARED FOR: DESIGN OR CONSTRUCTION ERRORS. SCHEMATIC PIPING AND. ---- GREEN RESIDENCE WATER TREATMENT DETAIL ¢ F° d6I g�nUnU � �� 0�� y STRUCTURAL NOTE: y�(.S.DNOT TO SCALE c. CONTRACTOR SHALL VERIFY IN-SITU SOILS AND SOIL BEARING CAPACITY PRI , 1140 CARRINGTON ROAO F QCCU PAi C POOL.A QUALIFIED GEOTECHNICAL ENGINEER SHOULD BE CONSULTED AND THEIR RECOMMENDATIO CUTCHOGUE, Y. 119 FOLLOWED.GROUND WATER SHALL NOT EXIST WITHIN LIMITS OF EXCAVATION.A SOIL BORING WAS NOT PROVIDED. DATE: 11/25/2019 HM ENGINEERING, P.C. SCALE: AS SHOWN NOTE: THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARETHE PROPERTY OF HM ENGINEERING / / Gj SHEET: 1 OF 1 P.C..UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS ARE A VIOLATION OF [`/ 1 I 3 CHERRYWOOD DRIVE EAST NORTHPORT,NY 11731 SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.INFRINGEMENTS WILL BE PROSECUTED. v/DwrrITSED SEAL AND BLUE SIGNATURE SWIMMING (516)476-5392 Fax:(631)980-7671 www.hmarnika@optonline.net RESIDENTIAL GUNITE SWIMMING POOL PLAN