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HomeMy WebLinkAbout49928-Z suF of i�. Town of Southold 11/27/2023 y P.O.Box 1179 o _ �. 53095 Main Rd y o�40 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44763 Date: 11/27/2023 THIS CERTIFIES that the building HOT TUB Location of Property: 1165 Shipyard Ln,East Marion SCTM#: 473889 See/Block/Lot: 38.4-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/30/2020 pursuant to which Building Permit No. 49928 dated 10/23/2023 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 hot tub as applied for. The certificate is issued to Kaul, Sandra of the-aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49928 11/8/2023 PLUMBERS CERTIFICATION DATED J A tho 'ze Si nature suFFot TOWN OF SOUTHOLD BUILDING DEPARTMENT Ir x a 4 Cull TOWNCLERK'S OFFICE 2 ' 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 #: 49928 Date: 10/23/2023 Permission is hereby granted to: Kaul, Sandra 1165 Shipyard Ln East Marion, NY 11939 To: replaces BP#45299 construct accessory hot tub as applied for. At premises located at: 1165 Shipyard Ln, East Marion SCTM # 473889 Sec/Block/Lot# 38.-1-12 Pursuant to application dated 7/30/2020 and approved by the Building Inspector. To expire on 4/23/2025. Fees: PERMIT RENEWAL $200.00 Total: $200.00 Building Inspector TOWN OF SOUTHOLD FFO4co �a �y BUILDING DEPARTMENT Ca TOWNCLERK'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#: 45299 Date: 10/7/2020 Permission is hereby granted to: Zoumas; loannis 2050 N Country Rd Wading River,NY 11792 To: construct accessory hot tubas.applied for. At premises located at: 1165:Shipyard:Ln, East Marion SCTM # 473889 Sec/Block/Lot# 38.-1-12 Pursuant to application dated 9/30/2020 and approved by the Building Inspector. To expire on 4/8/2022. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Bui ding Inspector 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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: I ( L 5- 7 k' ("f'j L-C�— hi) House No. V t et Hamlet Owner or Owners of Property: s Ck rIA C 5 4_ a V I Suffolk County Tax Map No 1000, Section 3 .8 Block 1 Lot Q Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: r / Request for: Temporary Certificate .Final Certificate: V (check one) Fee Submitted: $ 15 Applicant ftnVure 2020-09-14_094922_12.jpg 9/30/20,10:17 AM Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) 1, residing at to 5 J i-h Py;+r`--Q LA/UE (Print property owner's name) (Mailing Address) EA- f- Mfl;6co, U y 18 39 do hereby authorize (Agent) to apply on my behalf to the Southold Building Department. (Owner's-Signature) (D te) ;S_A.y\l0 K.A 'KA UL-- (Print Owner's Name) . https://mail.google.com/mail/u/O/ Page 1 of 1 pF SOUTyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 COU �^ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Sandra Kaul Address: 1165 Shipyard Ln city:East Marion st: NY zip: 11939 Building Permit#: 49928 Section: 38 Block: 1 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Yannucci Electrical Services License No: 50592ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub X Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Pump 220GFI, Salt Generator, Heater, Aqualink, 3 Lights 30OW Transformer 120GFI Waterbond Notes: Hot Tub Inspector Signature: Date: November 8, 2023 S.Devlin-Cert Electrical Compliance Form 4 �O� 41 6 OE SOUIyo * * TOWN OF SOUTHOLD BUILDING DEPT.& `ycou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: AiAd.� ELee,�---T- c, cy�<� DATE INSPECTOR FIELD INSPECTION REPORT` DATE GOMIV1ENTS FOUNDATION(1ST). ----------------- FOUNDATION(ZND) ; ROUGH FRAMING& PLUMBING = H ... INSULATION PER N..Y. y STATE ENERGY CODE - FINAL' , • I. :=a3 P r -e.,� a `ate:C• 1.b.5?, m o. TOWN OF SOUTHOLD BUILDING PERMIT APPLICAM BUILDING DEPARTMENT Do you have or need the tollZv TOWN HALL Board of Health I SOUTHOLD,NY 11971 4 sets of Building! la s TEL:(631)765-1802 Planning Board app I FAX:(631)765-9502 Survey SEP 0 2�2� •Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. j UMNG UE�'. Trustees C.O.Application Flood Permit Examined 20A Single&Separate Truss Identification Form Storm-Water Assessment Form f) J6 Contact: 1 Approved `' 20 Mail to PC- �j `� Disapproved a/c f%r V-,J e, Phone: SC1cl 65�CI �7Gk� Expiration 20 But din ector APPLICATION FOR BUILDING PERMIT Date SQ,�� ,20� INSTRUCTIONS a.This application MUST be completely 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 cod and regulations,and to admit authorized inspectors on premises and in building for necessary inspection (Sifature of applicant or name,if a corporation) (Mailing address of applicant) State whetiAr apQplicant ii ow r:I s e� e,went,architect,engineer,general contractor,electrician,plumber or builder J `7 U Name of owner of premises S ev, a (As on the tax roll or latest deed) If ap li"ant a corpor ton,signature of duly thorized officer (KdAe and title of corpora'— ) Builders License No. �} l� Plumbers License No. Electricians License No. 0" Other Trade's License No: 1. Locatiolt•�of and on which pro gsed�wlo ill b�done:P House Number Street Hamlet County Tax Map No. 1000 Section 7;q Block I Lot Subdivigiori Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and o e pu ancy of proposed construction: a,r Fxisting.use and occupancy 2 �i!! (�.,Q1� ��5� b. Intended use and occupancy 130 jlr 3 c •Nature"o work(check which applicable):New Building Addition Alteratio �—� Repair' !' Removal Demolition Other Work aC�4%C) — o i 'F5'/ Q (Description) 4. Estimated Cost Ito � 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 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 LI 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 prem}se&5a�" E-O'A Address Phone No. Name of ArchitectZ6,15 i' S1M8S n Address f�) one No 6 3 -09'8 11 Name of Contractor dress P%39x;624 C. hone No. 63( SNR 6S.1 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 B�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) SS: COUNTY ORE) d'�W� /vlp�y �f• ��F'�l•`7 `� e, being duly sworn,deposes and says that(s)he is the applicant (Name of individ al sig ing con)ract)above n�, (S)He is the U" (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 to before me thi 4-L,-day of 202-0— 1 Notary Public Signatur Ap cant TRACEY L. DYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2041%�)_ 1 J \ ,`. - �g�fFO(,� O BUILDING DEPARTMENT- Electrical-Inspector TOWN OF SOUTHOL6*iz_� } JUN 16 2021 o Town Hall Annex- 54375 Main Road= Q Box 1179 �+ Southold, New York 11971-095,9 yQper' Telephone (631) 765-1802 - F`i4X :h rogerr(aDsoutholdtownny.gov -:- sean southoldtownny.gov APPLICATION FOR ELECTRICAL..INSPECTION;-,!,—.' ELECTRICIAN INFORMATION (All Information Required) Date:'.6/1/21 Company Name:Yannucci Electrical Services Inc. Name: V a_qC,c,., ,,,.h, c_ ` License No.: 50592-ME email:Vinny@YesElectricalinc.com Phone No: 631-258-7324 Ell regruesfan email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (Al[Information Required) Name: �,c,v 1 Address: gL Kc,,r�6­, Cross Street: Main Rd. Phone No.: 631-258-7324.;; BIdg.Permit email: Vinny@YesElectricaline.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK.(Please Print Clearly) Swimming Pool and Spa a Swim Check AII That Apply: Is_job ready for inspection?: ❑YES ❑✓ NO ❑Rough In. ❑✓ Final Do you need a Temp Certificate?: ❑YES ❑✓ NO Issued On 6/1/21. Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals Ell ❑2 ❑H Frame❑Pale Work done on Service? ❑Y ❑N Additional Information: Swimming Pool and Spa Swimming Pool and Spa Swimming Pool and Spa PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx 00 , (" IV ���Suf '�� 5TO�R I��IWAXIE]k Scott A. Russell � SUPERVISOR - MANAG]El\ IENT SOUTHOLD TOWN HALL-P.O.Box 1179 v' 53095 Main Road-SOUTHOLD,NEW YORK 11971 ° Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE APaT`;<' ©1~ THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) 0Q A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑Q B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑b C. Site preparation on Slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑Cff D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑JR E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. �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:4' 4.\A�m perty Owner.Design Pro Iona[,Agent,pc-" rntractor,Other) S.C.T.M. 1000 Date: _ District NAME: C. � [C r. Section Block Lot FOR BUILDING DEPAR'rMEN'r USE ONLY**** Contact information: ITelepiaM NumGcr! � Reviewed By: - - - - - - - -Date Property Address/Location of Construction Work: — — — — - - — — 6S ��1 �� ❑ Approved for processing Building Permit. Q T 7Pf n`y nn Stormwater Management Control Plan Not Required. '�^ '" 1 1 let v, Stormwater Management Control Plan is Required. (Forward to Engineering Department-for Review.) FORM # SMCP-TOS MAY 2014 ,' _ IIII'lI I,N`I 1,•1'1 qll l: iY.\II 1:1� , . I N 530 31'35" E 16748' t . I. PIP£ `✓ I � rJ % Q— V 00 0 0.0 t, V -0 0' o "n o J, LP124 ST 16 i 0 j \LP2. / n I —°7 0 O . X$ z O a. tly � ; ��. al rf IIr r : TJ. I I 419 031'3.5,,, W 1-6 7. 5-- MOW ,OI,O1yd,SITE LAR i SCALE:t"_. 20' mevr:nr•rb,m,lRnl, \rnnRl ' _ f X. I t AS:-BUILT LEGEND SANITARY 'DISTANCES PROPEM LINE ER CORNERS..OF .BUILDING 0 F 11 E%ISTMC:CONTOUR ' PROJECT g LOCATION `h,4 E%IS*G"SEP11C'W* A B EaISTMG.SANITARY LEACHING POOL _ 5T .35.5'' 17.5' - ' E%ISTMG SANITARY PIPE LP t 42.5' 25.5' ROOF DRAINAGE PIPE '-y I i"roRK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured 631-996-4687 Palricks Pools Inc PO Box 3024 East Ouogue NY 11942 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 262929943 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Wesco Insurance.Co Town of Southold 54375 Main Rd 3b.Policy Number of Entity Listed in Box"l a" PO Box 1179. WWC3465462 SouthoidNY 11971 3c.Policy effective period 0511312020 to 05/1312021 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box hall partners/of Reece included) XQ 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"1 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"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate ismaiid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box 13c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon 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,1 certify that 1 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: Nicholas Zulkofske (Print name of authorized representative or licensed agent of insurance carrier) Approved by: -7 17!/ ZV (signatur (Date) i Title:Authorized Agent Telephone Number of authorized representative or licensed agent of insurance carrier. 631-941-4113 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-106.2.Insurance brokers are hM authorized to issue it. C-106.2(9-17) www.web.ny.gov i i � I DATE Ac CERTIFICATE OF LIABILITY INSURANCE 1071`1312020 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 j 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 be endorsed. If SUBROGATION IS WAIVED, subject to . the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer-rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Brookhaven Agency,Inc. PHONE(Air N� 631 941-4113 Fax Noll(631 941-4405 100 Oakland Ave,Ste 1 ADDRESS*" certificates brookhavena enc .com Port Jefferson,NY 11777 INSURERISI AFFORDING COVERAGENAIC d INSURER •'Philadel hia Indemnity Insurance Co. INSURED INSURERB.WeSCO Insurance Co. Patrick's Pools,Inc .Merchants Mutual Insurance Co. PO BOX 3024 INSURER D East Quogue,NY 11942 INSURER F: INSURER P• COVERAGES CERTIFICATEtUMBER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE DL UB VjVn POLICY NUMBER POLICY EFF POLICY 3. yY LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,00 A CLAIMS MADE ❑OCCUR DAMAGE TO RENTED 1 OO OOO `-X X PHPK2103005 02128/2020 02/28/2021 MED EXP one $6 000 PERSONAL&ADV INJURY 1'000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 X POLICY \ P ❑PRO- ❑LOC PRODUCTS•COMP/OP AGGs2,000,000 $ . AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S600,000 (SR accidentl C X ANYAUTO 60DILY INJURY(Perperson) S ALL OWNED SCHEDULED X X CAP9267113 07112/2020 07/12/2021 BODILY INJURY(Per accident) S AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTYDAMAGE AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ L QED RETI EXCESS LIAR CLAIMS-MADE AGGREGATE S $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS LINBILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y` E.L.EACH ACCIDENT $10O 000 B. OFFICERIMEMBER EXCLUDED? YY NIA W WC3466462 05113/2020 06/13/2021 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 100,000 ON u NnderPERATIONS I E.L.DISEASE-POLICY LIMIT S 600,000 B DESCRIPTION OF OPERATIONS I LOCATIONS.!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Town of Southold is included as additional insured CERTIFICATE HOLDER CANCELLATION i Town of Southold SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCEI I DBEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 64376 Main Rd. ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE <CC> i ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD " I LEGEND _ -- PROPERTY LINE KA U L RESIDENCE MAIN ROPD S'R' 1 ]65 Shipyard Lane 25 PROPOSED 4"SDR 35 East Marion, New York DRAIN PIPE �o © EXISTING TREE TO REMAIN b N/O/F CLAIRE M. DOWLING&I (DEVELOPED/PUBLIC WATER) APPROVED AS NOTED DATE: I W . FEE._„_:6 BY: t x NOTIFY BUILDING "E`'ARTMENT AT marshal) poetzel 765-1802 8AM TO 4,%M FOR THE LANDSCAPE ARCHITECTURE FOLLOWING INSPECT(,INS: 1. FOUNDATION - TVA^ REQUIRED PROPOSED PROPOSED x FOR POURED CGS.,'?_ E 5175 Route 48 PLANTER FREESTANDING I 2. ROUGH - FRAM::"„` ''LUMBING Mattituck,NY 11952 53°31'35"E 167.48' STONE WALL x 3. INSULATION 4. FINAL - CONSTRUL-, MUST phone: (631) 209-2410 BE COMPLETE F�,} fax: (631)315-5000 ALL CONSTRUCTION SHALL x U' email: mail@mplastudio.com MEET THE Z CA) PROPOSED 4'H.WIRE MESH NYS x REQUIREMENTS OF THE CODES OF NEW o POOL CODE COMPLIANT FENCE PROPOSEDDEEP WATER BASIN YORK STATE, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. SURVEYOR: �') PROPOSED 4'H. x W in PROPOSED PLANTER cn WOOD NYS POOL CODE L.K. McClean Associates, P.C. COMPLIANT GATE+FENCE 437 S Country Rd,x COMPLY WITH ALL CODES OF Brookhaven, NY 11719 EXISTING TREE EXISTING \ PROPOSED WATER CHANNEL NEW YORK STATE & TOWN CODE Office: (631) 286-8668 TO REMAIN(TYP.) EGRESS WINDOW(TYP.) DW , -SPA 12"DEEP AS REQUIRED AND CONDITIONS O 8'-9" I ARCHITECT: --- - PROPOSED 13'-9"X 4'-4"SPA (SEE DETAIL 2+3) Robert James Higgins Architect 50 Hidden Acres Path PROPOSED �Iv L 'G BOAR Wading River, NY 11792 1 T ) II W U I VN I EES/ � I FREESTANDING Office: (631 208-3351 7 EXISTING cn x STONE WALL L I LP WINDOW WELL(TYP.) I W ST I ._,_, PROPOSED ° Q ON-GRADE o x EXISTING PATIO W I OCCUPANCY OR v' SEPTIC _ SYSTEM rn ^"I Q TEST HOLE USE IS UNLAWFUL { x ELECTRICAL ENCLOSE POOL TO CODE =- I INSPECTION REQUIRED WITHOUT CERTIFICATI �B�FOROE 1NATER'N Q z W LP OF OCCUPANCY w \ x n>a PORCH ILL �I T W I EXISTING 4'-0 x RETAIN STORM WATER RUNOh 2 o EXISTING STOOP I w WATER METER PURSUANT TO CHAPTER 236 v, EXISTING WATER I OE THE TOWN CODE. SITE DATA: LINE(TYP.) PR 0 D x _ -- zisTirvG ` • RESIDENCE 15'x OOL SCTM# 1000-38-1-12 ' -- WALKWAY (PEPIMIT)E i Lot Area: 16,749 SF (or.385 acres) (SUFFOLK COUNTY DEVELOPMENT RIGHTS) Zone: R-40 I (UNDEVELOPED) I I x EXISTING GRAVEL DRIVEWAY TO BE USED FOR I NOTES: I CONSTRUCTION ACCESS x 1. Existing conditions based on survey o prepared by L.K. McClean Associates, P.C. _ a i dated 7/17/2018. 2. This drawing is for the purpose of obtaining permits only. NOT FOR I CONSTRUCTION. O PROPOSED ❑ EXISTING I 3. Unauthorizedplan alteration of this Ian is a EXISTING OVERHEAD / GRAVEL PAD -U.1 00—" - \_PROP. \�— x violation of NYS Education Law. DW ELECTRICAL(TYP.) �———————————————— r� 4"SDR35 DRAIN PIPE \_PROPOSED 8'W.X 4'D. i o PROPOSED POOL EQUIP. DW 1 (SEE POOL BACKLWI)SH DRYWELL CONCRETE PAD 0 EXISTING I REVISIONS PROPOSED 4'H. DRYWELL(TYP.) WOOD NYS POOL CODE ` PROPOSED 4'H.WIRE MESH NYS o x DATE DESCRIPTION COMPLIANT GATE+FENCE POOL CODE COMPLIANT FENCE q = / x S 530 3 F35"W 167.50' x I x I N/O/F x WALTER SOSNOWSKI& PATRICIA SOSNOWSKI I x s e a l EXISTING UTILITY I I (DEVELOPED/PUBLIC WATER) I POLE DSCA PRECAST CONCRETE ar/ DOME SDR 35 PVC 1 INLET PIPE ' SY SEE PLAN FOR GRADEt'= " PIPE SIZE TOP OF DRYWELL S �02 71 2-0 (SEE PLAN FOR T'9j O MAX ELEVATION) 6"X 6"TILE FACING F OF NE4y EXISTING SDR 35 PVC BACKFILL 3'-0"MINIMUM GRADE OVERFLOW PIPE ❑ ❑ ❑ -- AROUND DRYWELL WITH #4 STEEL REINFOFCED WATER LINE 23.23' BROWN LOAM (OL) SEE PLAN FOR ❑ ❑ ❑ ❑ 1 4"-1 "'MEDIUM COARSE DEPTH <5'-0 >5'-0 TITLE: 1' 22.23' PIPE SIZE . 3„ � SAND/GRAVEL •-.•a •: :; • . ❑ ❑ ❑ ❑ HORIZ. Wb.c. ITO.C. BROWN SILTY SAND (SM) ❑ ❑ PRECAST CONCRETE j STORM DRAIN RING ° v VERT. 19b.c. 5'O.C. J SEE PLAN FOR DEPTH 3' 20.23' 1 ❑ ❑ ❑ ❑ ❑ i_ NOTES: FLOOR 10 o.c. EACH WAY P v SPA PERMIT ; J ❑ ❑ ❑ W PATIO WATERLINE PATIO !/ BROWN FINE TO COARSE ❑ ❑ 0 ❑ ❑ 4'-0'MINIMUM PENETRATION INTO RATEABLE SOIL. (3)#4 BARS CONT. :� X o SITE PLAN ;. SAND W/ 10% GRAVEL(SM) Q ❑ ❑ ❑ ❑ ❑ 25'-0"MAXIMUM DEPTH BELOW GRADE BOND BEAM ALL 4 13'-9" - --- AROUNDTIES ITo.c. 2 g' � - 17.23' 2'-0"MINIMUM ABOVE GROUND WATER #4BARS O 2 PNEUMAICALLY MARBLE DUST FINISH SEE TYPICAL GUNITE M MIN SEE PLAN FOR WIDTH T-O"MAXIMUM ACCESSCHIMNEY(IF NECESSARY) APPLIED CONCRETE c POOL WALL SECTION PALE BROWN SAND (SW) GROUND WATER LINE RADIUS VARIES 6"TO 24" DETAIL+STEEL a NON-RATEABLE SOIL THICKNE'.S OF WALL C-O" DRYWELL TO BE INSTALLED AS PER STATE AND VARIES 6TO T MIN. �� ON SHALLOW END SCHEDULE MIN LOCAL CODES �: a 25"AND UP ON DEEP END 0 cJ 1 17' 6.23' a •. CLEAN MEDIUM SAND AND GRAVEL-RATEABLE SOIL �z COARSE FILL 2.80' (HIGHEST EXPECTED GROUNEWATER) Scale 1"=10'-0" TEST HOLE BY MCDONALD GEOSCIENCE - JULY 11, 2018 DRYWELL 9pe! CAL GUNITE SPA WALL SECTION PROPILE DRAWN BY: (NO WATER ENCOUNTERED) 0,PRECASICON.CREIE 20S�A A.FOX TEST HOLE Section Not to Scale tion Not to Scale Section SCALE:1/4"=F-0" CHECKED FOX Not S P 2 N.T.S. DATE:2020.09.30 REVISED: SHEET 1 OF 1