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HomeMy WebLinkAbout47988-Z %n- o�OSOF04 W Town of Southold 11/1/2023 a y� P.O.Box 1179 H �. 53095 Main Rd �ao�s� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44704 Date: 11/1/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 170 Homestead Way, Greenport SCTM#: 473889 Sec/Block/Lot: 40.-2-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/20/2022 pursuant to which Building Permit No. 47988 dated 6/23/2022 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 Cruz,Victor&Martinez,Elias of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47988 8/24/2023 PLUMBERS CERTIFICATION DATED y dpu�', Auth tizeVignature l,��oy TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • �g. 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#: 47988 Date: 6/23/2022 Permission is hereby granted to: Cruz, Victor 170 Homestead Way Greenport, NY 11944 To: Construct in-ground accessory swimming pool at existing single family dwelling as applied for. Maintain minimum 10 foot setback as required from rear and side property lines. At premises located at: 170 Homestead Way, Greenport SCTM # 473889 Sec/Block/Lot# 40.-2-17 Pursuant to application dated 5/20/2022 and approved by the Building Inspector. To expire on 12/23/2023. Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Building Inspector pF SOU�yo! 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(a-town.southold.ny.us Southold,NY 11971-0959 'Q • �O �y00UNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Victor Cruz Address: 170 Homestead Way city,Greenport st: NY zip: 11944 Building Permit* 479$$ Section: 40 Block: 2 Lot: 17 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Home Owner License No: 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 Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 2 4'LED Exit Fixtures 11 Sump Pump Other Equipment: 20 Circuit Panel /7 Used, Pump 220GFI, Heater 220, Timeclock, Salt Generator, 3 Lights Color Switch 50W Transformer 120GFI, Autocover w/ Keypad 120GFI Notes: Pool Inspector Signature: Date: August 24, 2023 S. Devlin-Cert Electrical Compliance Form OF SOOTyoFlo — # # TOWN'OF SOUTHO.LD BUILDING DEPT. `ycouffm 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 rl PRE C/O [ ] RENTAL REMARKS: e M A-t, DATE E/hAt INSPECTOR —s= OF SOUIyo # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING /STRAPPING [ 'FINAL P"(� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: (J iz - DATE ��(�- ��� INSPECTOR SSE R Mq V Uk SHERMAN ENGINEERING&CONSULTING 70 MAGNOLIA DUNES CIRCLE ST AUGUSTINE,FL 32080 631. 5i.3 72 i September 1, 2022 JUN 2 9 2023 Building Department T; ... Town of Southold P s 53095 Route 25 Southold, NY 11971 Re: Pool steel inspection; Permit#47988; Cruz 170 Homestead Way Greenport SCTM 1000-40-02-17 Building/Zoning Official, This certification is for the foundation steel installed at the above referenced property on or about August 26, 2022. The rebar was installed in substantial compliance with the approved design with #4 bars at 10" each way throughout the bottom and #4 bars at 10" horizontal and 5" vertical in the walls. All steel was spaced to be in the middle of the 8" concrete shell and 10" beam with appropriate laps and intersections tied in accordance with acceptable building practices. This certification is limited to the installed structures and does not include, nor does it address plumbing, electrical, site placement, or any other aspect of construction. Please contact me if you have questions or require clarification for this certification. Very truly o s Sherm E bring & Cons Iting, P.A. Mat ew Sher E. OF NEH,r 08358 RIFE S SIO�P CIVIL ENGINEERING DESIGN SITE PLANNING PERmr"ING FIELD INSPECTION REPORT TE COMMENTS FOUNDATION (IST) Q/tAn p(N►- ------------------------------------ C FOUNDATION (2ND) z J ' C cn yy ROUGH FRAMING& aP y PLUMBING J r INSULATION PER N.Y. y STATE ENERGY CODE -�- 610, FINAL l ADDITIONAL COMMENTS '7 • �-�-�z.�-z � C�r�' rte.c �el o � Oz SZ I o� z 2 otze c er r c eaC x b y X1`1 z x e r� b H �,�0�FFO(k��4 4X Vo,;, TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959 1�y�• op t+ Telephone(631) 765-1802 Fax(631) 765-9502 https://wWw.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 'C D d Building Inspector: I i LIAR 2 0 2022 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an FLS 4-2ZG LtZr ,6 Owner's Authorization form(Page 2)shall be completed. TO Date:January 27, 2021 OWNER(S)OF PROPERTY: Name:Victor M. Cruz SCTM#1000-40-2-17 Project Address: 170 Homestead Way, Greenport, NY 11944 Phone#:631-833-5774 Email: victorcruz6700@gmail.com Mailing Address:170 Homestead Way, Greenport, NY 11944 CONTACT PERSON: Name:Judy Card c/o Binder Pools, Inc. Mailing Address:PO Box 1960, Shelter Island,,NY 11964 Phone#:631-774-9429 Email:Judy@binderpools.com DESIGN PROFESSIONAL INFORMATION: Name:Binder Pools, Inc. Mailing Address:PO Box 1960, Shelter,Island, NY 11964 Phone#:631-749-2110 Email:Judy@binderpools.com CONTRACTOR INFORMATION: Name:Binder Pools, Inc Mailing Address:PO Box 1960, Shelter Island, NY 11964 Phone#:.631. -749-2110 Email:Judy@binderpools.com DESCRIPTION,OF PROPOSED CONSTRUCTION [--]New Structure [--]Addition- ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 20ther 16'x36'in-ground,gunite pool with 300 sq.ft.of Bluestone patio on cement $60,000.00 Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes ®NO 1 PROPERTY INFORMATION Existing use of property: residence Intended use of property:residence Zone or use district in which premises is situated: Are there any covenants a restrictions with respect to R-40 this property? ❑Yes o IF YES, PROVIDE A COPY. ® 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 210.45 of the New York State Penal Law. �nntame): Darrin Binder/Binder Pools, Inc. Application Submitted B ®Authorized Agent ❑Owner Signature of Appli Date: STATE OF NEW YORK) SS: COUNTY o F61 rro,-K ) :,,,r being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (__C),c -,•r (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 /1 day of L_ , 202/ Notali PUM THY S. CIGAR Notary Public, State of New York No. 52-8200218, Suffolk Counter PROPERTY OWNER AUTHORIZATION Commission Expires August 31, olf (Where the applicant is not the owner) I, Victor Cruz residing at 170 Homestead Way Greenport, NY do hereby authorize Darrin Binder/Binder POOIs, Inc. to apply on my behalf jo the Town of Southold Building Department for approval as described herein. Owner's S" nature Date Victor Cruz Print Owner's Name 2 UILDING DEPARTMENT- Electrical Inspector ,- Sof F Q' =V Gy'AUG 2 1 2023 TOWN OF SOUTHOLD a ` Town Hall Annex- 54375 Main Road - PO Box 1179 { N z VNGDEFT- Southold, New York 11971-0959 y C ' ' Telephone (631) 765-1802 - FAX (631) 765-9502 _ roaerr(cDsoutholdtownny.gov seandCaDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: — Z Company Name: d Electrician's Name: License No.: Elec. email: Elec. Phone No: (, 1 request an email copy of Certifi to of Compliance Elec. Address.: p JOB SITE INFORMATION (All Information Required) Name: Address: cu c s rcc•'t •- // Cross Street: .rvl o.3 re s Lit- Al Phone No.: 3/- 833 - 5- R 7- Bldg. Bldg.Permit#: 1/:57, 9 8-k email: VCfo�cruZ oGd ,nay Tax Map District: 1000 Section: y o Block: 2— Lot. / 7 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 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 02 0 H Frame L Pole Work done on Service? Y N Additional Information- PAYMENT DUE WITH APPLICATION / ' cEVE '- BUILDING DEPARTMENT- Electrical Inspector a`'AUG 2 1 2023 TOWN OF SOUTHOLD o� y� Town Hall Annex - 54375 Main Road - PO Box 1179 NtmD1NGT)EP - Southold, New York 11971-0959 aj Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr p(�southoldtownny qov seandCcDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: — Z Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No- 211 request an email copy of Certifi ate of Compliance Elec. Address.: p JOB SITE INFORMATION (All Information Required) Name: z ,� Address: u Alc14ZZ!lree'7 Cross Street: pyo o a s L i!• Al Phone No.: 3/- 8 3 3 - 5 _W_ Bldg.Permit #- email: ic;�otcruz cqn Tax Map District: 1000 Section: yo Block: 2-- Lot. / 7 BRIEF DESCRIPTION OF WORK, INCL/UDE SQUARE FOOTAGE (Please Print Clearly): G'anr�Q�f j�dQ/ a 9u �o�eo� T G 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 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground LateralsF-] 2 H Frame 0 Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION U,/ 4 � OCCUPANCY OR APPROVED AS NOT D USE IS UNLAWFUL DATE: •P.,# k WITHOUT CERTIFICF, FEE m.ODBY: 064— p/� NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST comply WITH ALL CODES OF, BE COMPLETE FOR C.O. NEW YORK STATE & TOWN CODES ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW AS REQUAND CONDITIONS OF IRE YORK STATE. NOT RESPONSIBLE FOR SOUTHOLD TOWN ZBA DESIGN OR CONSTRUCTION ERRORS. SOUTHOLDTOWN PLANNING80ARD SOUTHOLD TOWN,TRUSTEES N.Y.S.DEC "jt1111MED1ATELY" ENCLOSE POOL TO CODE UPON COMPLETION RETAIN STORM WATER RUNOFF BEFORE"WATER" pUr-,SUANT TO CII�'�r TES. 2•'35 717l k , 5'x18" bench with step r - z. P p j ' MAR 20 2022 � ) p Auto fill 8 ft. ► 2 skimmers 8 ft. 30„ 00 rcp M i -5 ft. co {-� 1 6 ft. :- 12 ft. 0 4 12 ft. ��� 6 ft. : 30" coping for 3 LED lights auto cover box 12" bluestone coping 3 returns 16'X36' Gunite Pool Binder Pools, Inc. Phone:631-749-2110 Designed by: With Auto Cover PO Box 1960 Judy Card Designed VICTOR CRUZ Shelter Island NY 11964 Fax: 631-749-3529 8/20/2021 for: G 1211x2" pool coping 5'x18" bench with step - Standard auto fill 30" r. top step (3) 12" steps 2 skimmers 36 ft. 8 ft. 8 ft. 2 main drains 7 ft. 22 ft. J 7 ft. IN 16' x 36' Gunite Poof Binder Pools, Inc. Designed by: With auto cover PO Box 1960 Phone:631-749-2110 Jud Card Designed Side view Shelter Island NY 11964 Fax: 631-749-3529 y g VICTOR CRUZ 8/20/2021 for: 10.5„ Coping Pavers Mortor 4" Compacted Sand 6" Tile 12" Bond Beam O • �" Marble Dust Concrete #4 rebar (4) #4 rebar 10" D.C. throughout cont. through verticals 5" o•c. where bond beam water depth exceeds 5' O 12" TO 36" Radius / / Compacted Soil O Minimum specifications; Shotcrete Gunite 4,000psi minimum / Grade 40 rebar (conf to ASTM A615) All work to be in compliance with ACI-318 min. thick " Grovel base `Sy W UNAUTHORIZED AtTENTION OR ADDRION TO IMS DRAWING AND RELATED DOCUMENTS IS A NOTATION OF SEC 7209 OF;SNE N.Y.S EDUCATON LAW y�FO a �835g� JOB#: binder` l�V,RM9 DATE' 4'29'22: Typ Pool '� SHE NGINEERING SCALE: AS NOTED Section ® &CONSULTING P.A. DRAWNG NUMBER CroSS S e c t i o n SECti ST AUGUSTINE,VENUE 2084 2 .+ 631.831.3872 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE I a. Legal Name and address of Insured(Use street address only) 1 b.Business Telephone Number of Insured 631-749-2110 Binder Pools,Inc. PO Box 1960 1c.NYS Unemployment Insurance Employer Registration Shelter Island,NY 11964 Number of Insured Work Location of Insured(Only required if coverage is specifically Id.Federal Employer Identification Number of Insured or limited to certain locations in New York State, i.e.a Wrap-Up Policy) Social Security Number 11-3368250 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) LIBERTY MUTUAL INSURANCE COMPANY TOWN OF SOUTHOLD 3b.Policy Number of entity listed in box"la": 54375 MAIN ROAD XWA60950488 PO BOX 1179 SOUTHOLD,NY 11971 3c. Policy effective period: 10/01/2021—10/01/2022 3d. The Proprietor,Partners or Executive Officers are: ❑ included. (Only check box if all partners/officers included) X1 all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "I a" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. The Insurance Carrier will also note the above certificate holder within 10 days IF a pol icy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment ofpremiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices maybe sent by regular mail.) Otherwise,this Certificate is valid for one year after thus form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c'; whichever is earlier. PleaseNote:Upon the cancellation of the workers'compensation 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 Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. 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 the coverage as depicted on this form. Approved by: AMADEN GAY AGENCIES,INC. (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 10/01/2021 (Signature) (Date) Title: VICE PRESIDENT Telephone Number of authorized representative or licensed agent of insurance carrier: 631-324-0041 Please Note: Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.web/statemy.us Client#:23825 BINDERPO DATE(MM/DDIYYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 09/30/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER —NC AATACT E: Kimberly L.Schuerlein Amaden Gay Agencies,Inc. ac°"N Ems,631 324.0041 ac N.): 6313240671 11 Gay Road E-MAIL ADDRESS: y' kschuerlein amadeng a com P.O.Box 5004 INSURERS AFFORDING COVERAGE NAIC# East Hampton, NY 11937 INSURER A:Valley Forge INSURED INSURER B:Continental Insurance Company Binder Pools Inc INSURER c:American Fire and Casualty Ins.Co. 24066 PO Box 1960 Ohio Security Insurance Company 24082 INSURER D: ty y Shelter Island, NY 11964 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 ADDLSUBR SUB POLICY NUMBER MMIDDY EFF N MIDDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY X X 5084911313 9/2512021 09125/2022 EACH OCCURRENCE $1,000,000 CLAIMS-MADE 51OCCUR PREMISES Ea occurrence $100,000 X PD Died:1,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY�JET CI LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY X X BAS60950488 5/29/2021 05/29/202 Ea accciidentsINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ X HIRED X NON-OWNED Per accident AUTOS ONLY AUTOS ONLY B X UMBRELLA LIABX OCCUR X X 5086496894 9/25/2021 09/25/202 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED I X RETENTION$10000 $ D WORKERS COMPENSATIONXWA60950488 0/01/2021 10/01/202 PER A LITE oTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $1,000,000 Y N 1 A OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,0009000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) **Workers Comp Information** ProprietorslPartners/Executive Officers/Members Excluded: Darrin Binder Certificate Holder is an additional insured as required by written contract. 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 54375 Main Road ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971 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 #S69403/M69375 KLH - vo K Workers' Compensation CERTIFICATE OF INSURA14CE COVERAGE 15TATE Hoard NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrie Ia.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured BINDER POOLS INC 631-749-2110 PO BOX 1960 SHELTER ISLAND,NY 11964 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 113368250 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold P O Box 1 179 3b.Policy Number of Entity Listed in Box"1a" Southold, NY 11971 DBL397420 3c.Policy effective period 01/01/2022 to 12/31/2022 4. Policy provides the following benefits: 0 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 1/5/2022 _ By w4a 4- (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that Insurance carrier) Telephone Number 516-829-8100 Narne and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board (Only if Box 413,4C or 5B have 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(Article 9 of the Workers'Compensation Law)with respect to all of their 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. UB_120.1 (12-21) 111IIIIP°1°°1°1°1°°1°1°{���n��11°11e°111111 L4 YK f f t Survey for: J +9, "Eastern Shores, ,Section 2" 2\ S6 JUL 4 2020 At -G. Greenport .� �,_ B I G IPS • Town of vp Southold � oIL g8 1yppp' �� Suffolk County, NewYork 'J111VjLq2 S.C.T.M.: 1000-040.00-02.0 09t, 0�� e, O. - o a 30 0 30�` r S•°y , ^`n SCALE-1"=30' " V CD �9t Sg �.V-' OA Z� NOTES: .p2 \ = _ (!� 1. AREA = 20,250 S.F. 0 2. ■= MONUMENT FOUND, = PIPE FOUND. @,s�� `� ;• , yr, VOIL 3. SUBDIVISION MAP "EASTERN SHORES, SECTION 2" � ' N FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AUG. 10, 1965 AS FILE NO. 4426. i CD \ r O JUN. 10, 2020 FINAL%RVEv SEP. 05, 2019 FOIRmmw LocooN JUL 24, 2019 RESTAKE FOR CONSTRUCTION MAY 09, 2019 REmovED PRoPosm Ym NOV. 01, 2018 sTAKE FOR cmmucnm \\ r , AUG. 05, 2015 STAKE FDR cousTRucnoN Slog \ 6Z 5 Vs AUG. 04, 2015 AMENDED cERnFicAnDN 0A FEB. 27, 2015 WDICAM DRAINAGE DATE: JAN. 29, 2013 JOB NO:2013-041 eR�s ®a CERTIFIED TO: EV BRYAN VILLANTI \\\ a FIDELITY NATIONAL TITLE INSURNANCE `9 O COMPANY . N G' ori 15®o qF �- ,�� a tu CW 0 LU to LU `` = EL i VIP �� _ Q, �` DAVID H. FOX; LS�`R°&-T�.Y.S.LS. X50234 c 'FO% LAND SURVEYING �►o <71 7� 13.4 � WESTHAM64 SUNSET AVENUE g d PTON BEACH, N.Y. 11978 (V (631) 288-0022 its UNAUTHORREO ALTERATION OR ADDITION TO THIS SURVEY O IS A VIOLATION OFSECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY NAP NOT BEARING - w 7HE LAND SURVEYOR'S 24KED SEAL OR EMBOSSED SEAL i ppp SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY • CERTIFTCATiON INDICATED HEREON SHALL RUN Olv`LY TO THE - PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON .AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS DWG: 2013-041 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a. Legal Name and address of Insured(Use street address only) lb.Business Telephone Number of Insured 631-749-2110 Binder Pools,Inc. PO Box 1960 lc.NYS Unemployment Insurance Employer Registration Shelter Island,NY 11964 Number of Insured Work Location of Insured(Only required if coverage is specifically Id.Federal Employer Identification Number of Insured or limited to certain locations in New York State, i.e.a Wrap-Up Policy) Social Security Number 11-3368250 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) LIBERTY MUTUAL INSURANCE COMPANY TOWN OF SOUTHOLD 3b.Policy Number of entity listed in box"1a": 54375 MAIN ROAD XWA60950488 PO BOX 1179 SOUTHOLD,NY 11971 3c. Policy effective period: 10/01/2021-10/01/2022 3d. The Proprietor,Partners or Executive Officers are: ❑ included. (Only check box if all partners/officers included) X❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. The Insurance Carrier will also note the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices maybe sent by regular mail.) Otlterwise,this Certificate is valid for one year after this forst is approved by Ilse insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c'; whichever is earlier. Please Note:Upon the cancellation of the workers'compensation 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 Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. 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 the coverage as depicted on this form. Approved by: AMADEN GAY AGENCIES,INC. (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 10/01/2021 (Signature) (Date) Title: VICE PRESIDENT Telephone Number of authorized representative or licensed agent of insurance carrier: 631-324-0041 Please Note: Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb/state.ny.us Client#:23825 BINDERPO ACORD,. CERTIFICATE OF LIABILITY INSURANCE DAT DIYYYY) 09//30/230/2021 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(ies)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 NAME:C Kimberly L.Schuerlein Amaden Gay Agencies,Inc. PHONE 631 324-0041 FAXAJC Na; 6313240671 11 Gay Road EIaa Ext P.O.Box 5004 ADDRESS: kschuerlein@amadengay.com East Hampton, NY 11937 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Valley Forge INSURED INSURER B:Continental Insurance Company Binder Pools Inc INSURER C:American Fire and Casualty Ins.Co. 24066 PO Box 1960 Ohio Security Insurance Company 24082 Shelter Island, NY 11964 INSURER D: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INR WVD POLICY NUMBER MMIDD MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY X X 5084911313 9/25/2021 0912512022 EEACCHq OCCURRENCE $1 GOO OOO CLAIMS-MADE 51OCCUR PREMISES Ea occurrence $100,000 X PD Ded:1,000 MED EXP Any one person $15,000 PERSONAL$ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY X X BAS60950488 5/29/2021 05/29/202 (Eaac SINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS X AUTOS ONLY X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY Per eccidant $ B X UMBRELLA LIAB X OCCUR X X 5086496894 9/25/2021 09/25/2022 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000.000 DED I X RETENTION$10000 $ `+ WORKERS COMPENSATION XWA60950488 0/01/2021 10/01/202 PTR OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? I Y1 N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1000,000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) **Workers Comp Information** Proprietors/Partners/Executive Officers/Members Excluded: Darrin Binder Certificate Holder Is an additional insured as required by written contract. 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 54375 Main Road ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S69403/M69375 KLH NEW Workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that Carrie Ia.Legal Name&Address of Insured(use street address only) ib.Business Telephone Number of Insured BINDER POOLS INC 631-749-2110 PO BOX 1960 SHELTER ISLAND,NY 11964 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage Is specifically limited to or Social Security Number certain locations in New York State,I.e.,Wrap-Up Policy) 113368250 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Halder) ShelterPoint Life Insurance Company Town of Southold P O Box 1179 3b.Policy Number of Entity Listed in Box"1a" Southold, NY 11971 DBL397420 3c.Policy effective period 01/01/2022 to 12/31/2022 4. Policy provides the following benefits: 0 A.Both disability and paid family leave benefits. B.Disability benefits only. F] C.Paid family leave benefits only. 5. Policy covers: Q 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 1/5/2022 By "U/ UIf (Signature of Insurance carrier's authorized representative or NYS IJcensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board (only If sox 4B,4C or 5B have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has compiled with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their 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-120.9.Insurance brokers are NOT authorized to Issue this form. o113.120.11 (12-21) �IIIIIPiiiiiiiiiiiiuiiuiiiiii�i�miniiiiiie°BILI !q f rLRt:J L u ' • LL l°7 � !O S 3X �e Survey for: 17 D ' U V� BRYAN VILLANTI L �9, Eastern Shores, Section 2" �VX S JUL 14 2420 At %Q1%I °, Greenport BEING DEPT. Town of T arn-r!'n® Southold 4 �o� S$ 15o po' � Suffolk County, NewYork %Itl)V � \ , S.C.T.M.: 1000-040.00-02.O'A30 Q. N0. •� 30 C � 4 l I_ ,rl � � .{�NST' �d�lN.•., ',. t+ ps_ SCALE.1"=30' • ,10��, ; �o� $9 r~ "r to 2 NOTES: �. O� 90 O p 2. ■= MONUMENT FOUND, • = PIPE FOUND. \01L 3. SUBDIVISION MAP "EASTERN SHORES, SECTION 2" w 66L ' t N FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AUG. 10, 1965 AS FILE NO. 4426. JUN. 10, 2020 FINAL mmu SEP. 05, 2019 FmmAym LoCAnaU JUL 24, 2019 wmAn FDR conmucTWN 1 \g �„ �,. MAY 09, 2019 REMovED PRom m vm.l. �s �- NOV. 01 2018 sTmE FOR cDNsTm=(N ` s AUG. 05, 2015 sum FOR cmmucT= � � , 615 W AUG. 04, 2015 MEN=MEN=cERnFlcAnoN 2.s -s- ; 8FEB. 27, 2015 ammmm DRAINAGE DATE: JAN. 29, 2013 JOB N0:2013--041 eA�spror s a CERTIFIED T0: ® cry BRYAN VILLANTI /1 �� y FIDELITY NATIONAL TITLE INSURNANCE v �`� � 0�' COMPANY F N OO ��i'� hyo• H .1% 10 H I'm 0+ % Q ll dE LU t. - $023 DAVID H. FOX, L . . Y.S.LS. #50234 LAND SURVEYING \A o� d X 64 SUNSET AVENUE 4¢� �? • WESTHAMPTON BEACH, N.Y. 11978 Ix ..r _ �1:0 (631) 288-0022 Q cy UNAUTHORCED ALTERAMON OR AMMON To THIS SURVEY ar7 Is w V101AnoN oF�cnoN? OF THE NEW YORK STATE w EDUCATION IALV COPIES OF THIS$JRVEY NAP NOT BEARING THE LAND SURVEYOR'S WNED SEAL OR EMBOSSED SEAL ppp SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERiIFICAnON INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE GLE COAPANY.GOVERNMENTAL AGENCY AND LENWNG INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENWNG IN"TUTON CERnFICAMONS - ARE NOT TRANSFERABLE TO AODMONAL WSIUTUTIONS OR SUBSEQUENT OWNERS DWG: 2013-041 OCCUPANCY OR APPROVED AS NOT USE IS UNLAWFUL DATE: 3-�,A-P.1r WITHOUT CERTIFICATE FEE: Y: OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3.. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. CtDMpLy WI-FH ALL CODES Or ALL CONSTRUCTION SHALL MEET THE NEW YORK FATE & TOWN CODES REQUIREMENTS OF THE CODES OF NEWAS REQUI p AND CONDITIONS OF YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN ZBA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC EN����Q1A'TE. COs P,VA Y UPON CQMPLEOo ODE BEFORE PLE`-r/ RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. ML " 5'x18" bench with step 30" r. top step w/ r AV l 0 26PI2 (3) 12 steps Auto fill 2 skimmers AL 30" ' M _ I �- 5 ft.. i i7 ft�� �*---6 ft. �� 12 ft. 12 ft. X4-6 ft. �I 30" coping for 3 LED lights 12" bluestone auto cover box coping 3 returns 16'X36' Gun ite Pool Binder Pools, Inc. Phone:631-749-2110 Designed by: With Auto Cover PO Box 1960 Judy Card Designed VICTOR CRUZ Shelter Island NY 11964 Fax: 631-749-3529 8!20/2021 for: L 1211x2" pool coping 'x13" Bench with step Standard auto fill 30" r. top step (3) 1211steps 2 skimmers 36 ft. 8 F8 ft. 0) 2 main drains 7 ft. 22 ft. 7 ft. 16' x 36' Gunite Pool Binder Pools, Inc. Phone:631-749-2110 Designed by: With auto cover PO Box 1960 Judy Card Designed VICTOR CRUZ Side view Shelter Island NY 11964 Fax: 631-749-3529 8/20/2021 for: 10.5„ Coping Rovers Mortar _ 4" Compacted Sand 6" Tile --� 12" Bond Beam O #" Marble Dust Concrete #4 rebor (4') #4 rebar 10" o.c. throughout cont. through verticals 5" o.c. where bond beam water depth exceeds 5' O 12" TO 36" Radius / Compacted Soil O / O f Minimum specifications; Shotcrete Gunite 4,000psi minimum i O / Grade 40 rebar (conf to ASTM A615) All work to be in compliance with ACI-318 ---4•" min. thick N/N yap ' Gravel bas'e' ase Sy W UNAUTHORIZED AlTFJu.T10N OR ADDIAON TO NIS DRAIYlNC AND RELATED DCCUUEIViS 15 A VlOUl109 OF SEC. 1209 OF THE NY.S EDUCAIlON lAlY y�Fop �835b" JOB#: binder S ' RAf4 DATE` 4'29'22 T P O O SHE ENGINEERING SCALE: AS NOTED yp ® ® &CONSULTING P.A. 14 DRAWING NUMBER NUE C r O S S Section � ��C F STAUGUNEL�E,FL 32064 y v 631.831.3872 B I N D E R P O O L S Name: Victor Cruz Date: January 27, 2021 Pool Address: 170 Homestead Way, Greenport,NY Pool Size: 16'x36', 3.5'-6' depth _Swimming Pool/Spa Contract Proposal Pool Includes: • 8"shell, 10"beam • 300 ft. electrical conduit(electric by others) • %"rebar(14"centers, 5"verticals) • (2)Main Drains. • rough grading • white or gray marble dust finish • Long porcelain tile 6"x 24" • Pre-fab cement equipment slabs • high grade 2"solid PVC plumbing • 2 skimmers • StaRite Modular Media Filter • (3)returns • Pentair Variable Speed Pump • Stairs as per plan • Pentair'Chlorinator • Individual Suction Lines • plans and permits • Jandy never lube valves and unions • Letro standard autofill • (3) 12vLED Lights Additional Features Included: Payment Schedule: CoverStar auto cover$12,000.00 Deposit upon signing: 40% 12"Bluestone coping$3,000.00 Shell Installed: 40% 4'x8'Dry well $1,000.00 Back-fill: 10% 400k HD Heater(Jandy or StaRite)$3,500.00 Ready for finish: 5% AquaSeal pool shell sealant$500.00 Start up: 5% Fill to remain on site Pentair IChlor40 with IntelliChem Salt/pH Maintenance System$2,500.00 (3)Loads of water$1,800.00 allowance Pentair Intelliconnect$500.00 *Total Price: $609000.00 (Friend/family discount) *Does not include electrical contracting,waterline plumbing it needed,fencing,tree removal,sand or stone due to poor soil conditions,forming over 18 propane tank/installation,final survey,winter safety cover, thermal heat barrier,or finished grade. Additional Options: 300 Sq. ft.bluestone patio set on cement pad$7,500.00 While we will do our best to protect the existing environment, Binder Pools is not responsible for any damage to driveways, sidewalks,patios, sprinklers, septic systems, water wells, lighting, lawns or plantings. We are not responsible for obtaining certificates of occupancy. I agree that this contract, including the General Terms and Conditions Contract and the White and Colored Pool Interior Finish Agreement,which I have read and to which I agree, constitutes the entire agreement'relating to said sale,and I have received a true copy thereof. Agreed: Date: P.O.Box 1960 -30 S.Cartwright Road• Shelter Island,NewYork 11964 • 631.749.2110 • Fax 631.749.3529 Email: heybinder@optonline.net