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HomeMy WebLinkAbout48183-Z �OSUFF per` Town of Southold 6/17/2023 a P.O.Box 1179 0 o .� 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44212 Date: 6/7/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property.: 2000 Park Ave.,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-8-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/23/2022 pursuant to which Building Permit No. 48183 dated 8/17/2022 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. 6/17/2023 Corrected for Certificate of Occupancy only. The certificate is issued to HSA Holdings LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48h3 4/2023 PLUMBERS CERTIFICATION DATED I/ V A or ed i nature o�S,atFO�L 4r Town of Southold 6/7/2023 y� P.O.Box 1179 0 C* 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44133 Date: 6/7/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2000 Park Ave.,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-8-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/23/2022 pursuant to which Building Permit No. 48183 dated 8/17/2022 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 HSA Holdings LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48183 4/4/2023 PLUMBERS CERTIFICATION DATED 17 nAutze S ature �O�S�FF jQ XaoTOWN OF SOUTHOLD ay 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#: 48183 Date: 8/17/2022 Permission is hereby granted to: HSA Holdings LLC C/O Sean H. Peters 108 Remington Rd Manhasset, NY 11030 To: construct accessory in-ground swimming pool as applied for per DEC Non-Jurisdiction letter& Trustees approval. At premises located at: 2000 Park Ave., Mattituck SCTM #473889 Sec/Block/Lot# 123.-8-7 Pursuant to application dated 6/23/2022 and approved by the Building Inspector. To expire on 2/16/2024. Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $250.00 CO-SWIMMING POOL $50.00 Total: $300.00 Building Inspector pf SO!/T�QI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sea n.deviinl�D-town.southold.ny.us Southold,NY 11971-0959 QIyCOUffmN� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: HAS Holdings LLC Address: 2000 Park Ave city,Mattituck st: NY zip: 11952 Building Permit#: 4$1$3 Section: 123 Block: $ Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Modern Electric East Inc. License No: 4253ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 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 SwitchUC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Aqua Link, Pump 220GFI, 1 Light 120GFI, Heater Notes: Pool Inspector Signature: r Date: April 4, 2023 S.Devlin-Cert Electrical Compliance Form OF SOUTyO� # # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 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 m[ ] PRE C/O [ ] RENTAL REMARKS: ��-►i DATE �'I INSPECTOR -�-� FIELD INSPECTION REPORT DATE COMMENTS � b FOUNDATION(IST) .� Wy ------------------------------------ ilil '�1 C FOUNDATION (2ND) z � o g ROUGH FRAMING& Tt� PLUMBING �3 . r INSULATION PER N.Y. y STATE ENERGY CODE y FINAL T ADDITIONAL COMMENTS �o 0 (D - -1� v-q 'c V-e G C) ( _ o - z � S � r'� n e r r kznLu 1n b c- l N i AL, 0 �b -Eo -x> w5 y O z x x e r� b H Y 4 ' TOWN OF SOUTHOLD—BUILDING DEPARTMENT N 2 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Woy�o ap`yr . Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov 1 Date Received APPLICATION FOR BUILDING PERMIT Office Use Only PERMIT NO. �3,0, Building Inspector: Applications and forms must be filled out in their entirety.Incomplete. JUN 2 3 2022R applications will not be accepted. Where the Applicant is . not the owner,an Owner's Authorization form(Page 2)shall 6e completed.. , BUILDING DEP I- TOWN OF SOUTHOLD Date:6-20-22 OWNER(S)OF,PROPERTY: . Name:Sean Peters SCTM#1000-123-8-7 Project Address:2000 Park Avenue, Mattituck Phone#:917-292-0540„ Email:seanhp28@gmaii.com Mailing Address: 108 Remington Road, Manhasset, NY 11030 CONTACT PERSON: Name:Jeffrey Sands Mailing Address:6 Evergreen Lane, East Quogue, NY 11942 Phone#:631-375-5997 Email:jeff@jsa-ny.com DESIGN PROFESSIONAL INFORMATION: Name:Jeffrey Sands Architect Mailing Address:6 Evergreen Lane,-East Quogue, NY 11942 Phone#:631-375-5997 Email:Jeff@jsa-ny.com 'CONTRACTOR INFORMATION: Name:H & C One Corporation Mailing Address:8305 Cox Lane,,Unit 6, Cutchogue,.NY 11935 Phone#:6311-856-0066 Email:hconecorp@mail.com DESCRIPTION OF.PROPOSED,CONSTRUCTION El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: E Other Gunite Swimming Pool $50,000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ®Yes E]No 1 PROPERTY INFORMATION Existing use of property:Single family with accessory residence Intended use of property:Single family with Accessory residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property?❑Yes 8No IF YES,PROVIDE A COPY. IN 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 By(print name):Jeffrey Sands BAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: . COUNTY OF ) Jeffrey Sands being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (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 c:7—�day of Notary Public CHRISTOPHER.MONROE Notary Public-State of New York PROPERTY OWNER AUTHORIZATION NO.01'M06201290 p; (Where the applicant is not the owner) Qualified in Suffou2 My Commission Expire I, Sean Peters residing at 2000 Park Avenue, Mattituck do hereby authorize Jeffrey Sands to apply on my behalf to t Town o old Building Department for approval as described herein. �•l ce. a�. Owner's Signature Date Sean Peters Print Owner's Name 2 gg M;N? 1 4u 'S45.R 4_1 A its' ir' 1✓ fl IRS* BOARD OF SOUTHOLD TOWN TRUSTEES N SOUTHOLD,NEW YORK PERMIT NO. 10093 DATE: MARCH 16,2022 ISSUED TO: HSA HOLDINGS,LLC c/o SEAN PETERS,MEMBER PROPERTY ADDRESS: 2000 PARK AVENUE,MATTITUCK SCTM#: 1000-123-8-7 AUTHORIZATION Pursuant to the provisions 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 March 16.2022,and in consideration of application fee in the sum of$500.00 paid by HSA Holdings, LLC and subject to the Terms MNIV fi and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and pen-nits the following: g Wetland Permit to demolish and remove existing two-story, 1444s ft.single-family dwellin and brick patio; construct a two-story,2,578sq.ft.single-family dwelling with attached gara ge, with a 178sq.ft. covered front porch and a 520sq.ft.covered rear porch; construct a 15'x37' swimming pool(with saltwater filtration),and a 1,310sq.ft.grade-level masonry patio; install 43 high pool-enclosure fencing; remove and replace portion of existing driveway; remove existing V conventional septic system and install a new UA sanitary system; install a stormwater drainage I system;and for the existing+93 I.E wood bulkhead with 13' and 14.5'returns; 741.f•wood retaining wall; 43 11 wood groin; 141.£concrete groin;embankment stair,consisting of a 3.51 x 3.51 wood landing and 3.51 x 20'wood steps;3.51 x 8.51 wood walk; 31 x 101 wood steps to each;and 603 sf on-grade wood deck; and to establish and perpetually maintain a 10'wide non-turf buffer along the landward edge of the top of the bank;and as depicted on the site plan prepared by Jeffrey Sands Architect,dated July 19,2021,and stamped approved on March 16, 1 2022; and the s'urvey prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated March 15,2022 and stamped approved on March 16,2022. 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 16th day of March,2022. elk... . A411� C* ----------- 7 6. iR 11111q)0j Glenn Goldsmith,President ®� S®(/�� Town Hall Annex A.Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski J1 Southold,New York 11971 Liz Gillooly Elizabeth Peeples ® Telephone(631) 765-1892 � Fax(631) 765-6641 C®UNTf,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 2016C Date: April 2, 2023 THIS CERTIFIES that the demolition and removal of existing two-story, 1,444sq.ft.single-family dwelling and brick patio; construct a two-story,2 578sq ft single-family dwelling with attached garage with a 178sq ft covered front porch and a 520sq ft covered rear porch-,construct a 15'x37' swimming pool(with saltwater filtration) and a 13 1 Osq.ftgrade-level masonrypatio• install 4' high pool-enclosure fencing; remove and replace portion of existing driveway, remove existing conventional septics system and install a new I/A sanitary system,• install a stormwater drainage system; and for the existing+93 1.f. wood bulkhead with 13' and 14.5' returns,• 741 f wood retaining wall,• 43 11 wood groin; 141.f.concrete groin; embankment stair,consisting of a 3.5' x 3.5'wood landing and 3.5' x 20' wood steps;3.5'x 8.5' wood walk; 3'x 10',wood steps to beach,• and 603 sf on-grade wood deck;and to establish and perpetually maintain a 10'wide non-turf buffer along the landward edge of the top of the bank; At 2000 Park Avenue,Mattituck Suffolk County Tax Map#1000-123-8-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 1,2022 pursuant to which Trustees Wetland Permit#10093 Dated March 16,2022,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition and removal of existing two-story, 1,444sq.ft. single-family dwelling and brick patio; construct a two-story,2 578sa ft single-family dwelling with attached garage with a 178sq ft covered front porch and a 520sq.ft.covered rear porch;construct a 15'x37' swimming pool(with saltwater filtration) and a 1,3 1 0sqft grade-level masonry patio; install 4' high pool-enclosure fencing;remove and replace portion of existingLdriveway remove existing conventional septic Ustem and install a new I/A sanitary system, install a stormwater drainage system; and for the existing+93 11 wood bulkhead with 13' and 14.5' returns;741,f,wood retaining wall;43 11 wood groin; 141 f concrete groin; embankment stair, consisting of a 3.5'x 3.5' wood landing and 3.5' x 20' wood steps,• 3.5' x 8.5'wood walk,• 3'x 10' wood steps to beach; and 603 sf on-grade wood deck;and to establish and pgMetually maintain a 10' wide n6n-turf buffer along the landward edge of the top of the bank; The certificate is issued to HAS Holdings LLC c/o Sean Peters,Member owner of the aforesaid property. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL. CONSERVATION Division of Environmentai Permits.Region 1 SJNY S?:'y t3tc:..�0 C ^r-f2;:ac..S:c U-c.oii.NY 11/90 i':;631) !631j 444 0360 I r•. . • c LETTER OF NO JURISDICTION TIDAL WETLANDS ACT September 1, 2021 HSA Holdings LLC c/o Sean Peters, Member 108 Remington Road Manhasset, NY 11030 Re: Application #1-4738-04300/00005 HAS Holdings LLC Property — 2000 Park Avenue SCTM# 1000-123-8-7 Dear Applicant: Based on the information you submitted the Department of Environmental Conservation has determined that: The referenced property, landward of the functional bulkhead greater than 100 feet in length (as shown on the survey by Kenneth M. Woychuk, dated 2/25/2021) and was constructed before August 20, 1977 (as shown on the Tidal Wetland Map#708-538 and historic aerial imagery) is beyond Tidal Wetlands Act (Article 25) jurisdiction and no permit is required for work landward of this structure. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional boundary and your project (i.e. a 15' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, Laura F. Star Permit Administrator cc: Robert Herrmann, En-Consultants BMHP File JNEWYORK Department of Environmental oi•rou i uNn Conservation -b) OCT 2 7 202 BUILDING DEPARTMENT-Electrical Inspector EUILDm!�;rt: TOWN OF SOUTHOLD TO'VIi,0, _.0 C* Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 '1.jj�l �a0 Telephone (631) 765-1802 - FAX (631) 765-9502 41 rogerr _southoldtownny.gov — seand(ab-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 10/26/2022 Company Name: Modern Electric East, Inc. Electrician's Name: Bob Hough License No.: 34283 Elec. email:bobhough918@yahoo.com Elec. Phone No: 516-903-7149 01 request an email copy of Certificate of Compliance Elec. Address.: PO Box 321, Mattituck, NY 11952 JOB SITE INFORMATION (All Information Required) Name: Sean Peters Address: 2000 Park Ave, Mattituck, NY 11952 Cross Street: Marratooka Road Phone No.: 917-292-0540 Bldg.Permit#: 4i4f , If B 1 <6-3 email:seanhp28@gmail.com Tax Map District: 1000 Section: Block: , Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Wiring Swimming Pool j �,� �N' �ws�e�r• oA� -- AcQ oft /V[2-cel 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 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 F1 H Frame M Pole Work done on Service? 0 Y DN Additional Information: PAYMENT DUE WITH APPLICATION D`2'lI2Z , flv e (o2Gt 8cl �� �f 3 182 BUILDING DEPARTMENT-Electrical Inspector COGyc TOWN OF SOUTHOLD C* Town Hall Annex- 54375 Main Road - PO Box 1179 o • a, Southold, New York 11971-0959 'yfj� ao� Telephone (631) 765-1802 - FAX (631) 765-9502 1� rogerr .southoldtownny.aov - seand(a�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 03/04/2023 Company Name: Modern Electric East, Inc. Electrician's Name: T. Rutkowski License No.: ME-4253 Elec. email:trut299@aol.com Elec. Phone No: 516-903-7151 El I request an email copy of Certificate of Compliance Elec. Address.: PO Box 321, Mattituck, NY 11952 JOB SITE INFORMATION (All Information Required) Name: Sean Peters Address: 2000 Park Avenue Cross Street: Bungolow Lane Phone No.: 631-445-4348 Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Wiring Swimming Pool Square Footage: Circle All That Apply: Is job ready for inspection?: YES❑ NO [--]Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES 0 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 Reconnect❑Underground❑Overhead # Underground Laterals 1 FJ2 R H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION I �roy� NYSIF New York State lnruranca Fund PC Box E6699,Albany,NY nysif.com CERTIFICATE OF WORKERS' COMPENSA T ION INSURANCE ado r,A A n r. 352654525 SPECIALIZED INSURANCE n SERVICES INC s 204 ROUTE 112 PATCHOGUE NY 11772 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER H & C ONE CORPORATION TOWN OF SOUTHOLD 8305 COX LN SEAN PETERS UNIT 6 200.0 PARK AVENUE CUTCHOGUE. NY 11935 RIVERHEAD 111Y 11901 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12473 019-4 1 891474 05/08/`022 TO 05/08/2023 5111/2D22 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2473019-4. 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:I/VUWW.NYSIF.COM/CERTICERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS 140T 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. PRESIDENT BAYRON CUESTAS VP MARIA MARTINEZ H&C ONE CORPORATION TWO PERSON CORP THIS CERTIFICATE IS ISSUED AS A NIATTER OF INFORNIA'IION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY "rHE POLICY. NEW YORK STATE/MSUR NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING DATE IrnrAJDDfYYYY �. CERTIFICATE OF LIABILITY INSURANCE slaerzo�2 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS 104AIVED,subject to the terms and conditions of the policy, certain policies may require an endorsernenL A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NArP:E: SPECIALIZED INSURAIPJCE & SERVICES .PHO145 -' - 63T=77E1-- A1CFtu 204 RIE. 112 5-I.MLs: SRUUSPECIAUZEDINSURANCE.COM APPRE PATC;tOGUE,NY 11772 -- _.. ---_-_. Auto-Home-Business-cycle-etc. _ ,_ IN$UR f_R APFDRIiiNG COVERAGE- —_ MAIC k INSURER A:ATLANTIC CASUALTY INSURANCE CO 4284G INSURED _ INSURER 0 H&C 'NE CORPORATION INSURER C 8305 COX LN UNIT 6 — ------ -' INSUREP.G CUTCHOGUE, NY 11935 -SURER E.._ INSURER£ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 7ii1S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAtIED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERMS OR CONDITION OF ANY CONTRACT OR OTHER DOCURAENT WITH RESPECT TO 4NHICH 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 PEEN REDUCED BY PAID CLAIMS. y I �1tiS9 POLICY -..... .-- -__ ._',--- —---- IMIT-----__..__.___-_ ,N$R ADDL�SUBR]LC6fi02i�E t'»-1 j P,OLIt:�E''?F � PflLICY ExP L TYPE OF INSURANCE � LIMITS TR ttl.ilUDD7YYYY h.,.1tODl1'YYY) COMLIFRCIAL+_'ENERAL LIABILITY I F�: OCGUR(it h10E 1,o00,000 _. 071205/0712023:— _ 2 ...+R100,000 ISES{F, c^chi _ _-- i I Fs%'D E I•ny crc:eaon 5 ...--- -------5 000 PERSC,'4AL 6 AUy IraJu_r+ -� 1,000 000, GE!,Y;AGGREGATE LWIT APUVF::PFR: GENERAL AGGREGATE -(i- 2,000,000 CxK:Y L- I J'r_t:I I__' LOC ; I PROLU CT'.rnt.lRx;r,.rc s ------__-. OC10.,uQQ AUTOMOBILE LIABILITY � I i 'C:?h1671•iE0 SINGLE LiNlff - - _jAPIY AU 10 t OW4:0 SCttEJULEU ] . I .. AJ ros CNLY �..-- i.117CS i ciQDILY'8:!URY rr'a•a:rn::^•tt) 5 iI7RFG I t:(ih-U;^R�'EG PRCPFk'r'.'D%.:AGE -- I AJ I'D$ONLY i AU I OS ON_Y ,>pti- -------- %-3_� I I i� i r r 3 111MERELLA LIAR C.CC1.R {C•.ACH DCGUP --`.... ) S•_P10E I EXCESS I.IAB CLAM-1-leAFIF ! 1 AGER=GA7E f t t`•cD I REI Ei.TION' ; I - - -- '- I J -----------•----- L'r'ORKERSCOMPENSATION , PEP- !UIH AND RA PLOY ERS'LIABILITY Y I H �.--.---_-..---- ANY F,2Ur'ii,ETi;ILP.�NiP1Ei2f'?aCUIIVE (�'i-+ t F•I. E:AC;H ACCOFNl $ !`I°FlG=i?r4AEM1ilR EXGLL'UC O^ I J N i A r-'-------'--'-- •-- (Mandatory In NH) i !_E.L_Ols2"SE'EA FMPLOYF.- i Il yr; da5r.rI:.)nndn.' �------_— Dr_vCiiIPTION a4 nPt:r:ATIONs t•ElutY I E.L.Cf;i£ASE-POL'CY LIMIT t f DE SCRIPT ION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additio.-lal Rome rks;Scheduto,maybe all ached It more space N required) REPAODELING,CARPENTRY,DRY WALL, ROOFING.S)DING INSTALLATION . TILE,STONE,k4AR9LE.IlAOSAIC OR TERP.AZO WORK CERTICA.TE HOLDER IS ADDITIONAL INSURED AS PER WRITTEN CONTRACT OR AGREEMENT CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOL D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SLAIN PETERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2000 PARK AVENUE RIVERHEAD. NY 11901 AUTHORIZED REPRESENTATIVE tt;4QAA_�n9R 6r:!'117f1 f'(1RPf1AAT'Il1AI All .:..R�...�.o.,..,I,.r .4' C 1,4t,�y H&C&C ONE CORP CONSTRUCTION 8305 Cox LN #6 Cutchogue, NY 11935 Office- 631 856 0066 Cell- 631. 953 1386 liconecorp@i-na.ii.com .Insurance information; General Liability Policy Number L068026874 05/07/2022- 05/07/2023 Worker' Compensation NYS1F Policy Number 12473019-4 05/08/2022- 05/08/2023 Suffolk County .License HI-62286 Expires 05/01/202' �:l 1 S.C.T.M.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 uw.n w Nxe Wr Or —PARK AVEN , 1 v 1 / 1 1 4 in�Y•ror4'• � � � � O 1 � }1 i�,,.;.rr 1 � � 1 l 1 1 1 1 / 1 1 1 1 1 ; 1 1 1} rm• ► 1 1 APPROVED BY 1} D © 1 BOARD OF TRUSTEES } I 1 TOWN OF SOUTHOLD DALE AfARaF A6 zotY I _ 4C } IL 1 1 IL N M.'mo �4 pbc'a ei v. —H.0' •'��a'�•',N C•�\ II IOEW SrN L.x IAS --.I-, 1 SP ShND r I � 1 L I I 0 2+ m 00 xDrArn baro"° as —J �i "d 1 —17, NOY.20,2010 �x FEw WA3810700182H ycooHuO GoDsa E ARFR02.80537 SO.Ff.or 0.98 ACRES aeneuvnme NAM88 ® M� �aarmn.uP...rra.wmrw.emxrn.wA:m�M Qvrr. uaWu.moa�uaeyY a Irw �( .oar xavwlrs.mene mmmm a xwraaua.uc wr owrr®uuaswuwuruma.l a a�n nr Nx vR,ryr e su -DESMSED PROPERTY f2R011E0 HSA HOU NNOS LLC �' M xmii•w+� rJ• GRA =TTT1fUCK y�Y S 005011UNW. T(BNN61'D y FOYCIIOR utm sunvRYTRa PIJC REVISED 03-1S-22 e SViFOU(COUNtt,NEW MRK PmfallovLL I.v/Wnglo2+vA De+lry M IGrd ftMl.PSA OMWI6 AYa fEs94yl ru 1221-25—1'-. —FEB 25,2021 h PArava(�la•I-�ruNm IY®tr�IWl a q gnpq xrx wa nv.maw i NOTE: LOCATIONS OF EXISTING SANITARY AND SANTARY PLAN DERIVED FROM SURVEY BY 2 WELLS PER WOYCHUK SURVEY. PERMIT KENNETH M.WOYCHUK LAND SURVEYING PLLC,PO ��• i PROPERTY AND NEIGHBORS WERE INITIALLY BOK 153,AWEBOGUE NY z/2s/zort 3 a y I DESIGNED BY ED ARMUS ENGINEERING o iI j DEVELOPED IN THE 1950'S p LaZc 2Q '1 �U m 0,1 ¢O ~p U ,I WO at: _N ! pW __-_____ O y G AJ 'Ip 2 �Z� (� QQw =a50 w°' 3 j 2�o Who pw�p c\11RE:1n Ur, vwQz a' p o No additional imported a r w s C) I a w vwl fill required. o � X p -9, 0 1 ati? az Il j app, I mew =3 ,� I{z z i I------ -------------- Io o'`L't1AIN LINK FENCE° S 1 1 o13'00"E CHAIN LINK FENCE "y{ 577.72'uz p q WE EVERGREEN HE GE ALONG LINE 1 1 �rii A�v4f Of D •l• I RIP®A oTEA 9]fYQ W = L\ t ��a1p• �Q r��tn� LIE 'J LbL7 � - ­2VERH_-�,D W V PI 3 ___ RES h e �'- G• n C m_ ----' ma`k�: _ U �,I O eF,Ps�LO 1J egg ': W .J � 0 � 31.4 I •'\ - �vp :I m rn d 2 2C j I M.SZ,S o0ps iv F lam' -e 100�z a o ry f 2'- �'1--�- W na Mp O- 21,\ titi 11013'0 "W ` HEDGE ALONG LINE 621.53 moc HEDGE ALONG LINE p o � r \fit 1. 7 N 88°32'10"W aNp 4' Q chi o'< jj ¢ QW O y ij O W O m fi O j y O j Q r'---- O p 0 -7 oMARRATOOKAz 4z s'm �= tnK p� oI Oz� 24Q oo�Z ROAD 3 w w� =m o;�p' io aW =h .c5zp c'� WQ�� SroiQ� �a f (VO>_ �'p �� '4 Uyw� WAu 3k W� fn 2 lr\j 0 2 O Q O p rte._-'�6J•'w O O '•' -�'�'r Q 0 1EFFREY SANDS 4 I+:r -w.1 2 AR cCHN'La'a.•w�a ELLX.19.4 oc Lau EAu%�A��n aiv.�.I sx 890XN m PETERS RESIDENCE SP SNZ TOWN CF SOUTHOLD 2000 PARK AVENUE LOT COVERAGE (BDRDABLE AREA 42,603.37 S.F.) DRY WELL VOIUAIES FOR 2'RAINFALL NATTITUCK -.__. NEW YORK ROOFED AREA=1858 SF. n.a EXISTING LOT COVERAGE DATA PROPOSED LOT COVERAGE DATA 2 STY.DWELLING W/COVERED STOOP:1444 S.F. EXISTING SECONDARY DWELLING TO REMAIN:865 S.F. RAINFAH VOLUME WAIEA 1 1/7 STY.DWELLING W/COVERCD PORCHES:913 S.F. EXISTING DETACHED GARAGE TO REMAIN:408 S.F. f2/(12/1•)) 4858 SF m 810 Cr SITEPLAN DETACHED GARAGE:408 S.F. PROPOSED DWELLING WITH GARAGE:2578 S.F. LEACHING RING VOLUME APPROVED BY Ipy,a0.talo 17 -- PROPOSED FRONT COVERED PORCH: 176 S.F. TOR 8'DAA 0.0.. I'DEPTH BOARD OF I RUSTEES y,.ppyyy cd5R1+¢ TOTAL:2765 S.F.cr 6.5x PROPOSED REAR COM-RED PORCH:520 S.F. PI•7.33'-2•1/4•1'=4224 Cr TOWN OF SOUTHOLD PROPOSED SWAMW,NG POOL 555 S.F. REQUIRED DEPTH OF 8'DIA.RINGS- nn.m.o.w NAVD08 ----- TOTAL:5150 s.F o.12x BID CF/4221 CF/FT..19.2 Fr DAYE nAFUF LG z4n- C E 1 V E �'L•.aa i-is-z9zt DEPM OF RINGS PROWDED=5 FT "'^FEB-I M S.C.T.M.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 (z-B'DA,3'DEPTH EA) /1 O O 42,603.37 SQ.FT. or 0.98 ACRES [/�� d 3 NOTE: LOCATIONS OF EXISTING SANITARY AND SANITARY PLAN DERIVFD FROM SURVEY BY WELLS PER WOYCHUK SURVEY. PER KENNETH M.WOYCHUK LAND SURVEYING PLLC,PO �l, BOX 153,AOUEBOGUE,NY 2/25/2021 W J o PROPERTY AND NEIGHBORS WERE INITIALLY CI0." r DE9[7!m BY ED APo1U5 ENGINEERING o DEVELOPED IN THE 1950'S 3 � to � by to L8 i g¢�i w w �¢i� ti =o i kq0 2 k I o3 Q XW ( a•-2- ¢2 20 2 LATS yQ0 O •I ��� y 3�h u4ja O0O Nth -Z '(`) Q " 0 No additional/imported • ��3 r €a a C> f a Lu 1n fill required. y C, x x8 o IQ-J o� c:) 'I o iz o2 i � _ I mm A��I I Ln O �O �O O r n o J ® N ® d AIN.LINK FENCE 2 S 11 13 00 E -1 CHAIN LINK FENCE J577.72'h FEN yj EVERGREEN HE GE ALONG UNE m �z • • • •�� ow cK i•_•_ ._. 3- I�rW aevtiN yo a tFT✓ I B •�• •r• i NE Do WAIEA4ANQ �•�� i e !\ i 'x OVERHEAD WIRES ----(, f" ^`•P° !3 �.v I g It 3 Q 06�`el0 J�d� 3 �F :: 1 a ¢� � : 6:amo>o.I mm ^•' I s gG 2 � .a)� Q � �•e .... o� i 6 �m m v � _ __ I i 'H.SZ,SS�S. 100�> a `` 51 20Z J SONRE � (. 211 \ HEDGE ALONG LINE 6ZI.S3' 1 HEDGE ALO G LINE o op r2\ tiry 11°d3'0 "W rcW L 1. 7 N88"32'70"W ox BC Ln C, z y a Q mr� pp-CC w oo w= c2 Q .}i 1 W MARRATOOKA =j m 4 W Wp 2 TV�i� �K' CDS 02~ =1i2 Q3" �W 3 xaU� 2� � O 20 Zw 2y c.7 p� •` _,ECAs'o ROAD w cD2O k WW yW2 20 o aIEPFR)'Y SANDS Q � a W 2 ARCHITECT TUN.16.4 RE UO a 0- ' —LD' uc.c_r dxeixava � DttOaN —aD PAM PETERS aMa RESIDENCE SP ARD TOWN OF SOUTHOLD - 2000 PARK AVENUE COT COVERAGE (BUILDABLE AREA 42,607.]7£F.) DRY WELL VOLUMES FOR 2'PANFALL NATRT NEW YORK K ROOFED AREA-4858 S.F. EXISTING LOT COVERAGE DATA PROPOSED LOT COVERAGE DATA 2 STY.DWELLING W/COVERED STOOP:1444 IF. EXISTING SECONDARY DWELLING TO RFAWN:865 S.F. RAINFALL VOLUME_ OpD 1 1/2 STY.DWELLING W/COVERED PORCHES.91J S.F. EXISTING DETACHED GARAGE TD REMAIN:408 S.F. [2"1(12'11 2/(12/1)3•4858 SF=810 OF SITULAN DETACHED GARAGE:408 S.F. PROPOSED DWELLING WITH GARAGE:2578 S.F. LEACHING RING VOLUME APPROVED BY 1AH.60.6626 17 PROPOSED FRONT COVERED PORCH:178 S.F. FOR 8'Dol O.D.•V DEPTH 110ARDOF1RUMES IkaokAD aLpstaTrt TOTAL•2765 S.F..5.52 PROPOSED REAR COVERED PORCH:520 S.F. PI•7.77"2•1/4•1'-42.24 OF TOWN OF SOUTHOLD PROPOSED S AIMING POOL 555 S.F. REQUIRED DEPTH OF 8'DIA.RINGS= �,,,,,,,,•„NAYDBa JE TOTOTAL-5150£F.or 122 810 CF/42.24 CF/FT-19.2 F7CDEPTH OF RINGS PROADED e 6 FTFFB —� S.C.T.M.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 (z-s'cA It J'DEPTH Ea) 42,603.37 SQ.FT. or 0.96 ACRES S.C.T.M.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 0 LAND N/F OF LAND N/F OF MARK & JEFFERY WADE ANTHONY STUBELEK SCTM# 1000- 123-2--34 SUP# 1000- 123--2--35 DWELLING a WE'-L W/WELL WATER � DWELLING i W/WELL WATER I / i WELL EXISTING WATER MAIN o. PARK AVENUE 12o 100 N §V5710011 E 66.251,,,_ PROPOSED WATER VOCE of PAWEgl MON. U•P. 2° SERVICE TAP, VAULT AND 1plz 823.00 0.2*Wq j , SERVICE LINE TO HOUSE r c� m to O , rnN Q "E� ST(D C11 SEPTIC SYSTEM 1� t; 11U) - *WELL 31.7' PROPOSED WATER 22 >:2 :�: ':. ... &INE CONNECTION OVERED EXISTING DWELLING, •:`. ::ST OP . NO IMPROVEMENTS :` i�2""SIY- ". Z 0 FRAME DWEWNG Z 'OVERED Z EXISTING WELL TO BE 14'9 STOOP o DISCONNECTED TO HOUSE �1 AND USED FOR IRRIGATION PA o USE ONLY o F� 19. w :cAriiice O �2.4' �� _ CT u1A111N� CiNG I EXP '10' 0114 EL 1 .6 LEACHING POOLS AND i LP s• MON. DISTRIBUTION BOX iSTRISUTiON aox LP 5 00 2 � Z PROPOSED 516-BEDROOM HYDRO ACTION NWELL MODELAN600 TREATMENT UNIT, REMOTE I� -n � CONTROL PANEL, (1) DISTRIBUTION BOX Q AND (2) LEACHING POOLS LAND N/F OF LAND N/F OF TREATMENT PETER & BARBARA SWAHN CUBBON FAMILY TRUST UNIT �N SCTM# 1000--123-8-8.3 SCTM# 1000-123-8-6 U.P o' 01 0 1Q M OVERHEAD WIRES DRY WELL VOLUMES FOR 2" RAINFALL CONTROL PANEL AND REMOTE AIR _ s - m - DWELLING "U. . Z q u, DWELLING W/PUBLIC WATER ROOFED AREA = 4858 S.r F. PUMP ON PAD WITH ENCLOSURE N Pm ^ -3 cr m N J W/WELL WATER 50, RAINFALL VOLUME _ n 100' [2"/(12"/1')] * 4858 SF = 810 CF r-+ rt (Dw�sl LEACHING RING VOLUME Ul J m o FOR 8' DIA. O.D. x 1DEPTH W ' $ 01 .5 P PI * 7.33"'2 * 1/4 * 1' 42.24 CF ';. z?9,.;::::: :; REQUIRED DEPTH OF 8' DIA. RINGS PORTION OF EXISTING ::::;:; te :; 810 CF19.2 FT CF FT 42.24 `" / / EXISTING SANITARYK ,.,::.::> '""JkSPHALT DRIVEWAY TO BE DEPTH OF RINGS PROVIDED = SFT TO BE ABANDONED 0(L, . : C.. .:::.. . ::. ' EMOLISHED & REMOVED ( 2 — 8' DIA. x 3' DEPTH EA. ) :.' .; 2.00 zo ..`... M�.:. DWELLING OP I'L. >::: . +...::......:..... PROPOSED LOT COVERAGE DATA W/WELL WATER :. :. yes.i :: ....................:: : : -n EXISTING SECONDARY DWELLING TO REMAIN: 865 S.F. 130 sA K�NTS '- :f•':a:`•: ::: :::•:: F$`�$�': / Z INTO�OLISE EXISTING DETACHED GARAGE TO REMAIN: 408 S.F. WAST[STACK •�,•;:;:;:�;: ;:;�;::: ;:;:;_„• PROPOSED DWELLING WITH GARAGE: 2578 S.F. ° :.:• R PROPOSED FRONT COVERED PORCH: 178 S.F. CLEAN OUT ::::::: ►;;:•:;;.;•:: :. :•:.:::::::•::is;::;::::• m PROPOSED REAR COVERED PORCH: 520 S.F. BASEMENT 2• :: : .: ;...::: t PROPOSED SWIMMING POOL: 555 S.F. `'! 15.0 TOTAL: 5150 S.F. or 1270 ELEV. 19.4 1 o :: l / OL DR BROWN 1 Q a pT ,3 �(Dw� LOAM L.P ” a r .N\ t n ,- '•' TOWN OF SOUTNOLD 16.0 LOT COVERAGEeRowN 1 QµpF•g Ps O r N Oxo (BUILDABLE AREA 42,603.37 S.F.) SM LAYEY SAN0 EXISTING 2-STY DWELLING s BRICK PATIO AND SANITARY 2 STY. DWELLING W/COVERED STOOP: 1444 S.F. 6.0Cnim 1 1/2 STY. DWELLING WICOVERED PORCHES: 913 S.F. r PATIO N r TO BE DEMOLISHED & DETACHED GARAGE: 408 S.F. PALE TOTAL: 2765 S.F. or 6.5% BROWN — _.._ � --� v ® � Z REMOVED FINESP SAND S � P � / � I I r Yr rl- L �- Mo s / W°° I tk ZON 0 30 60 90 ( e WELL_ � „ £�.00A a) NO WATER I �. ` ZONE (£ 17' EXISTING WELL TO REMAIN ''o'j NOV. 20, 2020 AND USED FOR IRRIGATION McDONALD GEOSCIENCE FEMA MAP#36103C0482H USE ONLY ,� /k �•��a K 2 P AREA:42,603.37 SQ.FT. or 0.98 ACRES ELEVA"ON DATVY, NAVD88 !1° w x °66.5 UNAUTHORIZED ALMRA770N OR ADDITION TO THIS SURVEY IS A WOLAIION OF SECTION 7209 OF THE NEW YORK STATE EDUCA770M LAW. COPIES OF THIS SURVEY \ MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN 0 CO Q0 2� CSO O� ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77ME COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONN � C 6 V y O LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS717U77ON, GUARANTEES ARE NOT TRANSFERABLE. ®7 (� THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE 7HEREFORE THEY ARE F �, _ STEPS NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC71ON OF FENCES, ADD117ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 774E PREMISES AT THE 77ME OF SURVEY G • O oDo V SURVEY OF-DESCRIBED PROPERTY CERTIFIED T0: HSA HOLDINGS LLC tk MAP OF: FILED: � o SITUATED AT:MATTITUCK U TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC REVISED 06-01-22 SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 774E WATER SUPPLY WELLS„ ORriYELLS AND CESSPOOL 1`!r LOCA77ONS SHOWN ARE FROM Fl£LD OBSERVATIONS FILE #221-25 SCALE:1"=30' DATE:FEB 25, 2021 N.Y.S. USC. NO. 050,682 PHONE (831)298-1688 PAX (631) 298-1588 AND OR DATA OBTAINED FROM 67HERS. SWIMMING POOL BARRIER REQUIREMENTS The barrier must completely surround the swimming pool and must obstruct access to the swimming pool. AP R VEDAS NOTED The barrier must be at least 4 feet (48 inches) high. �\ DATE: _- B.P.# SKIMMER SKIMMER AUTOFILL SKIMMER 3 d A building wall can form part of the required barrier. NOTIFY UN,, �" ..•w However, where a wall of a dwellingserves as art of 0 0 0 o NOTIFY BUILDIr;,.; . ,_'r,';Th�ENT AT p _ 765-1802 8 AM TC ':" FOR THE RETAIN STORM WATER RUNOFF the barrier, at least one of the following requirements — — — — — — — — — — — — — — — — — — — —1 FOLLOWING INSPEC i 10NS: PURSUANT TO CHAPTER 236 b must be satisfied: 1. FOUNDATION - Tn'JO REQUIRED OF THE TOWN CODE, the�ool must be equipped with a powered safety SIWOUT ( FOR POURED CONCRETE cover 6'-0" 2. ROUGH - FRA ;:1,'G £, PLUMBING all doors with direct access to the pool through that 3. INSULATION wall must be equipped with an alarm or other means I� 4. FINAL - CON'Yi f. CGIoll MUST BE COMPLETE: � of protection, such as self-closing doors with DUAL AN11VORTEX VGB COMPLIANT MAIN ALL CONSTRUCTI:,�, ;-,ALL MEET THE self-latching devices, which are approved by the " REQUIREMENTS OF THE CODES OF NEW governingbody DRAINS. PLUMBING TIED WITH T YORK STATE, NOT RESPONSIBLE FOR In the case of an above-ground pool, the pool DESIGN OR CONSTRUCTION ERRORS. structure itself can serve as a art of the required o P q barrier, provided that the pool structure is sufficiently COMPLY WITH ALL CODES OF rigid to obstruct access to the pool. However, where NEW YORK STATE & TOWN CODES an above-ground pool structure is used as a barrier AS REQUIRED AND CJfyDITIONS OF or where the barrier is mounted on top of the pool structure, and the means of access is a ladder or steps, then: i'-o"Iv-0" 6'-0" - , I w d r!NANNING BOARD the ladder or steps shall be capable of being secured, 37'-0" - ___ SO!j'HOLD TCWN TRUSTEES locked or removed to prevent access, or the ladder or N. .„ Esteps shall be surrounded by a barrier Yc D r,� when the ladder or steps are secured, locked or — — — —2 THI K STONE COPING ELEV 19_75— — — _ COPING _ removed, any opening created shall not allow the passage of a 4-inch-diameter sphere. POOL PLAN )CCUPANCY OR ELECTRICAL Barriers shall be located so as to prohibit permanent 11SPECTION REQUIRED structures, equipment or similar objects from being JSE IS UNLAWFUL used to climb the barriers. •NITHOUT CERTIFICAT - SWIMMING POOL ENTRAPMENT PROTECTION 10" 6-0" 2" THICK STONE COPING ELEV 19.75' )F OCCUPANCY Suction outlets must be designed to produce circulation throughout the pool or spa Single outlet systems, such as automatic vacuum cleaner O 0 MARBLE systems, or other such multiple suction outlets whether LED DUST POOL AUTOFILL FINISH POOL isolated b valves or otherwise must be protected against . .� •d 1 M � D LIGHTING LIGHTING o 1 user entrapment g 4°-' TAY` '`-• — T,_=;.�� _} co Suction Fittings: All pool and spa suction outlets (except '1` surface skimmers) must be provided with: a cover that conforms with reference standard �. . . 4, ANSI/ASME A112.19.8 Suction Fittings for Use in #4 REBAR :: ` i' i' Swimming Pools, Wading Pools, Spas, Hot Tubs, and 12"OC EACH Whirlpool Bathtub Appliances, or WAY a drain grate that is 18 inches x 23 inches or larger, or WASTE TO DRYWELL PNEUMATICALLY APPLIED CONCRETE an approved channel drain system MINIMUM 3000PSI AT 28 DAYS EQUIPMENT LIST: Atmospheric vacuum relief system required: All pool and FROM ALL PIPING 2" SCHED 40 PVC spa single- or multiple-outlet circulation systems must ,, be equipped with atmospheric vacuum relief should grate POOL SECTION PUMP: HA WARD VS SUPER PUMP SP2603VSP covers located in the pool become missing or broken HEATER: RAYPACK 406A SAND HEATER The vacuum relief system needs to include at least one POOL FILTER FILTER:PENTAIR CLEAN AND CLEAR CARTRIDGE FILTER �n �!,l ( ; of the following two approved or engineered methods: PUMP AUTOR LL:1 „ f Safety vacuum release system conforming to ASME RETURN TO POOL NOTES: POOL SHALL MEET POOL BARRIER DEEP HEA1 RETURNS:2 JUN 2 3 911199 - A112.19.17; or FROM REQUIREMENTS AS STATED IN SECTION AG105 NYS WALL RETURNS:6 BUILDING Dr=IPS: An approved gravity drainage system POOL BARRIER REQUIREMENTS DEEP END DRAINS:2 TO'" `'�' OF SOTU``�'''�' Dual drain separation: Single or multiple pump circulation EQUIPMENT SCHEMATIC DR1 " systems must have: SKIMMERS: 3 SWIMMING POOL ALARM REQUIREMENTS at least two of the roved MASONRY SHALL BE DESIGNED IN ACCORDANCE Pp type of suction outlets, and WITH PROVISIONS OF SECTION R606 OF THE 2020 capable of detecting a person entering the water at any point on a minimum horizontal or vertical distance of 3 feet NYS RESIDENTIAL CODE OR IN ACCORDANCE WITH the surface of the pool and giving an audible alarm between the outlets, and PROVISIONS OF ACI 530/ASCE 5/TMS402 to provide detection capability at every point on the surface of a the suction outlets piped so that water is drawn through swimming pool, it may be necessary to install more than one them simultaneously through a vacuum-relief-protected 1 1" GALV pool alarm line to the pump or pumps STEEL PIPE is audible poolside and at another location on the premises where Pool cleaner fittings: Where provided, vacuum or pressure 406K BTU HEATER the swimming pool is located cleaner fittings shall be located in accessible positions at 2" STAB RISER 2" STAB RISE is not an alarm device which is located on a person, or which is least 6 inches and not more than 12 inches below the 2" P.E. PIPE dependent on a device located on a person for its proper minimum operational water level, or operation as an attachment to the skimmers meets ASTM F2208 PROPANE GAS RISER SCHEMATIC TANK OR N.G SEAL �J'I"""'-�- ARCHITECT PROJECT DRAWING TITLE SCALE ��- � DATE PETERS 1/4 —1 -011 5-13-2022 / t•, `''� •' `�•/"N JEFFREY SANDS DRAWWG NUMBER GUNITE ARCHITECT RESIDENCE SWIMMING POOLSWIMMING 6EVERGREENLANE Pmo 100 EAST QUOGUE, NY 11942 PHONE 631.375.5997 2000 PARK AVENUE MATTITUCK POOL DETAILS ' FAX 631.576.8916 NEW YORK