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HomeMy WebLinkAbout48868-Z �O�gUEfOt,�coG Town of Southold 3/2/2024 P.O.Box 1179 0 m 53095 Main Rd �4,1 - Sao` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45020 Date: 3/2/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 6710 Soundview Ave, Southold SCTM#: 473889 See/Block/Lot: 59.-8-6.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/10/2023 pursuant to which Building Permit No. 48868 dated 2/7/2023 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: accesspru in ground swimming pool fenced to code as applied for.. The certificate is issued to Rosenbaum,Charles&Landman,Kimberly of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48868 9/26/2023 PLUMBERS CERTIFICATION DATED TAVizedoi ature' SUFeol,r o TOWN OF SOUTHOLD �y BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE SOUTHOLD, NY �lpla�- 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 #: 48868 Date: 2/7/2023 Permission is hereby granted to: Rosenbaum, Charles 608 President St Apt 4A Brooklyn, NY 11215 To: Construct in ground swimming pool to existing single family dwelling as applied for. At premises located at: 6710 Soundview Ave, Southold SCTM #473889 Sec/Block/Lot# 59.-8-6.2 Pursuant to,application dated 1/10/2023 and approved by the Building Inspector. To expire on 8/8/2024. Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Building Inspector pF SO�ryQlo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ Jamesh southoldtownny.gov Southold,NY 11971-0959 COIUNT`1,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Charles Rosenbaum Address: 6710 Soundview Ave city:Southold st: New York zip: 11971 Building Permit#: 48868 Section: 59 Block: 8 Lot: 6.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Hamptons Electric Electrician: David McMahon License No: ME-52855 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 1 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: 1 gas pool heater, 1 pool pump, 1 saly generator, 1 120v pool light 1 pool control Notes: POOL Inspector Signature: AS Date: September 26, 2023 6710 soundview ave OE SOUTyO� 1 �7�d 6 710 66u,nc-� TOWN OF SOUTHOLD BUILDING DEPT. co 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 [yZ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: ©d Ne.-e A AD �e, OR cmv�er5 o-F gotJ goj -Lil c yG ky oy�y►_eG iov\- pb a poo m o- DATE 7- 17 o?3 INSPECTO ' ofsouryO 03GI 6710 -GouAJu"ew 140%0- . # # TOWN OF SOUTHOLD BUILDING DEPT. 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: Poo C 17� ze-l/ DATE 9-0(ko'aD INSPECTOR OFSOpIyo� - # TOWN OF SOUTHOLD BUILDING DEPT. courm a 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] NSUL 10 CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/rO, [ ]- RENTAL REM R '06 �� !, l�� >A..)W Fy)W4r _ c �— DATE INSPECTOR ho�aOF SOUlyolo TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL- p� .A,- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 1� 11 . n - 1 , e�� �L Lw DATE O INSPECTOR toc 1--f-bov3 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) j crl% ------------------------------------ V1' FOUNDATION (2ND) 1-3 0 ROUGH FRAMING& y PLUMBING INSULATION PER N.Y-. STATE ENERGY CODE ale#- i Y FINAL l to lYIK 11 t ADDITIONAL CC MM NTS �:o L A, c(3 Z Z3 m �y O _ y x d b H 1bs It.t'�11 TOWN:OF SOUTHOLD—BUILDING DEPARTMENT f Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone 631 765-1802 Fax 631 765-9502 httL)s://www.soutlioldtownnv.c Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. / Building Inspector. ' JAN 10 2023 BUIWING DEFT "t `Applications,and fo'reis must be fill.ed,out in ikf dr.entirety:'Incorriplete.', 'MWNOFSOU'ffl ® .applcatio,ns willxnot`be accepted.'Where the,Applica'n$,'is riot,the owner;-anF `-. Owner's A6thorizatiori form(Page`2ys6h be.cornpletad: .. � Date: :'.OaA NER(S ®F.PROPE TY: Name: SCTM#1000- Project Address: Phone#: (, ©�� �.' ��.� EmailPk f, rv\ Mailing Address: CC1NTAC f.PERSON: ' g ' Name:. .. . -- Mailing Address: y Phone#: II 'k Email: 0]E51GN PROFESSIONALINFORMATION: i1 .Z Name: y Xv(I A'V 1 U R RA H 1,. Mailing Address: Phone# Email: ,COIUfiRACTOR.INFORMATION: ' ` Name: Mailing Address: Phone#: Email: D O ESCRIPTION F PROPOSED CO S U N SR UT El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: , ❑Other V ir,.Vr , i $ 71,6bt,ri Will the lot be re-graded? • Yes ❑No Will excess fill be removed from premises? ❑Yes'No 1 & YJ 3 � r Existing use of property: Intended vise of property: e.lzt^k Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? -]Yes E]No IF YES,PROVIDE A COPY. "W. "4;6. ',APJ` 1S.RCR6 Cif, brilinagce of the Touvtt oa;iui& ad&16 k4k iation;dr,16,, 6wlor 0 014i ;aa h or" ns r$�nrm ousMg tqde and retu 'S n1i, A 'C11 A" tal Pen I rbv . ..... I'C- 1 C— Application Submitted By(print name): /Authorized Agent Downer Signature of Applicant. STATE OF NEW YORK) SS: COUNTYOF_ being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the, (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 -044"�b ay of 2(03 Notary Public CONNIE D. BUNCH PROPERTY to AUTFIORIZXTION Notary Public,State of New York No.OIBU6185050 (Where the applicant is not the owner) Qualified in Suffolk County Commission Expires April 14,2 1, Charles Rosenbaum residing ift 608 President Street,Apt Brook lyn, 11215 do hereby authorize )A.4, ;.-k - to apply on my behalf to the Town of Southold Building Department for approval as described herein. 1/7/2023 Signature Date Charles Rosenbaum Print Owner's Name 2 F j ®��SVFFO�,�c�Gy BUILDING DEPARTMENT- Electrical Inspector h TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 yfj O� Telephone (631) 765-1802 - FAX (631) 765-9502 Ol �O rogerr(@-southoldtownny.gov— seanda-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 7/111/2023 Company Name: Hamptons Electrical Contracting Corp Electrician's Name: David McMahon License No.: ME-52855 Elec. email:dmcmahonelec@gmail.com Elec. Phone No: 631-566-7195 ❑I request an email copy of Certificate of Compliance Elec. Address.: 3 Rutyna Cir Hampton Bays, NY11946 JOB SITE INFORMATION (All Information Required) Name: Charles Rosenbaum Address: 6710 Soundview Ave Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: , a BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): pool wiring 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# ❑NewServiceQFire ReconnectOFlood ReconnectOService Reconnect[]UndergroundFlOverhead #Underground Laterals 1 2 H Frame Pole Work done on Service? D Y N Additional Information: a l AYMENT DUE WITH APPLICATION JUL 1 3 2023 BURMING DEFT. Toe > ' -IF;"01,Ti._' .I R' G ')n 's Av 1 m l;n �r"y 'SAD• `` w ��� f d �p4 I�I a-3 � � e S e 1. Its 'fE9 a 1 a IIf f W t 0 Vt c ,; ! Ilo \, �•;,: � le SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES �Id� APPROVAL OF CONSTRUCTED WORKS FOR I' ASINGLE FAMILY RESIDENCE R 9SQ� Date "_ fonsns _ H S Ref No.- - - _ Ix-zf-foas The sewage disposai and water scpo{y taci:it,es at this location have beer.. II inspected andior certified by this Deaartrnent or other agencies and found @ 5 to be satisfactory FORA MAXIMUM OF a BEDROOMS. / !Ir % e a CRAIG KNEPPER,P.E.,CHIEF 9x &�� B orc J! Office o`:Wastewater Management � _ x �e 14 _ J ya NW ail. CIL W E62 R _ !ig rn 0 N !I GRAPHIC SCALE gT ry f m�°room to I �t17 ti APPROVED AS NOT D OCCUPANCY OR DAM'a- -a3 B,P# USE IS UNLAWFUL FEE "4 509.ODBY OUT CERTIFICATE NOTIFY BUILDING DEPARTMENT AT WITH 631-765-1802 8AM TO 4PM FOR THE OF OCCUPANCY FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE COMPLY"WITH:ALL:CODES OF REQUIREMENTS OFTHE CODE80F NEW NEW YORK STATE & TOWN-CODES YORK STATE. NOT RESPONSIBLE FOR AS RE:QUIRED..AND.COIVpITIO:NS.,OF DESIGN OR CONSTRUCTON ERRORS SOUTHOLUTOWN ZBA, SOUTHOLD TOWN PLANNINGBOARD SOUTHOLD'TQWN TRUSTEES "l MEDIATELY" N.Y.S.DEP EN&O$t POOL TO CODE UPON COMPLETION kPORE."WATER" RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. V6PW ro RWRW �i g q i YwaMFh � .$ 1•.ao£�;,Ar �• {j = 0 k`n.:A:�0Sao.:.T �4 x .£'a`£s;Ys,` j p 616 .6 x ,3 ' X 6'1. '!`��'i�'�i`rs��i�s ('�A.3�. �..d:S ..t:.'i .,,"d'i,'+ M,it,€�>':3fTit::E`l'S Y .�{'„•f'$��€i"��l 1 ?17 71 �iC���� i�g a } 3 ! " ' ID { J C Charles Rosenbaum December 31,2022 6710 Soundview Ave Southold, New York 11971 I L 'SIXi Below please find Contract to build approximate W X 3W Vinyl Swimming pool at above referenced address: Building Permit for Pool already in Place by client Excavation Dirt to stay on Site Rough Grade 6' around pool 10" X 4' Poured Concrete Walls 12" X 2" Bluestone thermal tread coping 1/8-inch foam between liner and walls Depth 3' Shallow, 8' Deep Liner (Owner's Choice from Stock) Stadium steps across shallow end of pool (Size of Steps to be discussed with client) Resting Bench in the Deep End across the pool for swimmers to sit on 2 Skimmers with separate plumbing lines and valves at system 3 Wall Returns 1 Main Drain - Interconnected to meet code All Underground Plumbing Lines to be 2" 100psi Poly Pipe All Above ground Plumbing lines to be 2" Sched. 40 PVC Pipe Manifold at system will have 4-2" .Dandy Never lube valves and 2 -Sched 80 quick disconnect unions for ease of service 1 - Hayward 1.65 VS Filter Pump 1 - Hayward DE 4800 DE Filter (DE 3600 for 16 X 32 Pools 1 - Hayward Automatic In-Line Chlorinator (unless salt system or Mineral Pure is Chosen from options) Concrete Slab for Filter System to sit on 1 -400,000 BTU Electronic Ignition Propane Heater (teas Hook up by Others) 1 - Underwater Light- up to 400 Watts with 6' Conduit (Electric Hook-up by Others) 1 - Drywell to meet town Code 1 -Winter Safety Cover One Pool Guard Pool Side alarm with remote receiver Swimming Pool Pro Inc will install up to two Door Alarms, one with pass thru feature included in this proposal • 4 ' f •i "Price for the above 18' X 36 Vinyl Swimming Pool $71,000.00 Basic Options: Hayward Omni System to give Homeowner Swimming Pool Automation to smart phone Add $2,800.00 Onitial to accept Hayward Saltwater Generation System Add $3,000.00 9nitial to accept (dote: Electric and Gas to be done by others Payment Schedule: Pay# 1 $7,100.00 Due on Signing Pay# 2 $21,300.00 Due on Completion of Concrete Walls Pay# 3 $14,200.00 Due on Completion of Filter System Plumbing Pay# 4 $7,100.00 Due on Completion of Coping Pay# 5 $14,200.00 Due on Installation of Liner Pay# 6 $7,100.00 Due on Completion of Contract agree to the work stated above, materials and payment schedule of this contract Homeowner Signature Dated Swimming Pool Pro Inc. Representative Signature Dated Suffolk County Dept.of Labor,Licensing&Consumer Affairs j HOME IMPROVEMENT LICENSE Name MYKHAYLO ABRAMCHUK - Business Name ce't-fies that the 1 firer is duly licensed AQUA COASTAL INC :he County of suffok License Number.H-43470 Rosalie Drago Issued: 09/19/2007 Commissioner Expires: 09/01/2023 YORK Workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured AQUA COASTAL INC (631)697-1289 38 CARLETON AVE EAST ISLIP,NY 11730 1 c.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage Is specifically limited to Number certain locations In New York State,i.e.,a Wrap-Up Policy) 202506176 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State Insurance Fund(NYSIF) TOWN OF SOUTHOLD 54375 RTE 25 3b.Policy Number of Entity Listed in Box"1 a" P.O.BOX 1179 DBL 5408 58-9 SOUTHOLD,NY 11971 3c.Policy effective period 04/01/2022 to 04/01/2023 4.Policy provides the following benefits: ® A.Both disability and paid family leave benefits B.Disability benefits only C.Paid family leave benefits only 5.Policy covers: ® A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance /coverage �aass�described above. Date Signed 1/7/2023 By e-" (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent ofthat insurance carrier) Telephone Number (866)697-4332 Name and Title Kristin Markwica,Head of Disability Insurance Unit IMPORTANT: If Box 4A and 5A are checked,and this form is-signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 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 mailed for completion to the Workers'Compensation Board, DB Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13002-5200 PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carries are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) Certificate Number 716987 N Y S ' F New York state Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE V. m* 0 A A A A A 202506176 PROACTIVE BROKERAGE INC 926 SUNRISE HIGHWAY WEST BABYLON NY 11704 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER AQUA COASTAL INC TOWN OF SOUTHOLD P O BOX 226 54375 RTE 25 PO BOX 1179 ISLIP TERRACE NY 11752 SOUTHOLD NY 11971 c POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11415 789-5 677016 04101/2022 TO 04/01/2023 1/6/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1415 789-5, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WQRKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. MYKHAYLO ABRAMCHUK(PRES) OF ONE PERSON CORP AQUA COASTAL INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SU NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:617936934 U-26.3 , E(MM/DD/YYYY) A��® FDAT CERTIFICATE OF LIABILITY INSURANCE 1/6/2023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PROACTIVE BROKERAGE INC P"c°NE 631 482-1860 A//C No): 888 859 6466 926 Sunrise Highway AODRess• infoRproactivebro.com West Babylon, NY 11704 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Atlantic Casualty INSURED INSURER B: Progressive Insurance Aqua Coastal Inc. INSURER C: 38 CARLETON AVENUE -INSURER D: INSURER E: East Islip NY 11730 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICPOLICY NUMBER M POLICY EXP M/DDY EFF MMIDD LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DA AGE To_7RENTED CLAIMS-MADE X OCCUR PREM SES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A Y L036013818-5 7/30/2022 7/30/2023 PERSONAL&ADV INJURY $ 11000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑X JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ 100,000 OWNED SCHEDULED 03861607-4 7/22/2022 7/22/2023 BODILY INJURY(Per accident) $ 300 00O B AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ 60,000 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE (AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION ITH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The following are included as additional insured required by written contract subject to the terms and conditions of stated polices: Town of Southold CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 63096 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 D 01988-2016 AC RD CORIPORAfildN. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD �7[c� 500n�vteLj Cy� _ r s7 ol SUIL^!!;%'DFVA�Ti��Fi`�T- €ieCtric'ai inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ����;►®® ��8��,¢ Telephone (631) 765-1802 - FAX (631) 765-9502 roaerrCa_)south oldtownny.gov a seandnsoutholdtownny oov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 7/111/2023 Company Name: Hamptons Electrical Contracting Corp Electrician's Name: David McMahon License No.: ME-52855 Elec. email:dmcmahonelec@gmail.com Elec. Phone No: 631-566-7195 ❑1 request an email copy of Certificate of Compliance Elec.Address.: 3 Rutyna Cir Hampton Bays, NY11946 JOB SITE INFORMATION (All Information Required) Name: Charles Rosenbaum Address: 6710 Soundview Ave Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: ; BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): pool wiring Square Footage: Circle All That Apply: Is job ready for inspection?: Ft/1 YES❑NO Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size1-11 Ph❑3 Ph Size: A # Meters Old Meter# ❑New ServiceO Fire ReconnectOFlood ReconnectOService ReconnectE]Underground QOverhead #Underground Laterals 1 R2 D H Frame El Pole Work done on Service? Y FIN Additional Information: 4 %YMENT DUE WITH APPLICATION n JUL 1 3 2023 11�fl D fo�C(� 3 BUR.DING DEPT. �I ) I Poo / hva�er�C4s 1 Poaf � u�� 1 S�. If�en I Peel N y�t l 1�1�f onfso ! FEB U 3 2023 LD BUIWIIdb UtPI. T®WN OF soumni D Charles Rosenbaum December 31,2022 6710 Soundview Ave Southold, New York 11971 Below please find Contract to build approximatez 169 X 32' Vinyl Swimming pool at above referenced address: Swimming pool to be built in conformance to all New York State Swimming Pool codes and local building codes of Southold Pool construction to meet or exceed all APSP and the CBP Certified Building Professionals Standards Excavation Dirt to stay on Site Rough Grade 6' around pool 10" X 4' Poured Concrete Walls Rebar 3/8" Steel inside walls with Bonding steel on all 4 corners to meet Electrical Bonding Code for Swimming Pools 12" X 2" Bluestone thermal tread coping 1/8-inch foam between liner and walls Depth 3' Shallow, 616" Deep Liner (Owner's Choice from Stock) Triangle stadium steps in Shallow End corner as discussed with Client Love Bench in Deep End of Pool on same side as shallow end steps to keep Swim lane 2 Skimmers with separate plumbing lines and valves at system 3 Wall Returns 1 Main Drain - Interconnected to meet National and Local Building codes All Underground Plumbing Lines to be 2" 100psi Poly Pipe All Above ground Plumbing lines to be 2" Sched. 40 PVC Pipe Manifold at system will have 4-2" Jandy Never lube valves and 2 -Sched 80 quick disconnect unions for ease of service 1 - Hayward 1.65 VS Filter Pump 1 - Hayward DE 4800 DE Filter (DE 3600 for 16 X 32 Pools 1 - Hayward Automatic In-Line Chlorinator (unless salt system or Mineral Pure is Chosen from options) Concrete Slab for Filter System to sit on 1 -400,000 BTU Electronic Ignition Propane Heater (Gas Hook up by Others) 1 - Underwater Light- up to 400 Watts with 6'Conduit (Electric Hook-up by Others) 1 - Drywell to meet Southold Building Code 1 -Winter Safety Cover • L I�;, I� �� DUI �� - gLi D) One Pool Guard Pool Side alarm with remote receiver to meet Bullaod 0 3 2023� Buildier will install up to two Door Alarms, one with pass thru feature incluchid YW T contract to meet National and well as local building codes TOWNOFS OLD Price for the above 18' X 36 Vinyl Swimming Pool $755000.00 Basic Options: Hayward Omni System to give Homeowner Swimming Pool Automation to smart phone Hayward Saltwater Generation System Note: Electric and Gas to be done by Licensed professionals, Bonding to be inspected by electrical inspector and all Gas lines to be installed and proper inspections completed per code s Payment Schedule: Pay# 1 $85100.00 Due on Signing Pay # 2 $225300.00 Due on Completion of Concrete Walls Pay# 3 $155200.00 Due on Completion of Filter System Plumbing Pay# 4 $85100.00 Due on Completion of Coping Pay# 5 $145200.00 Due on Installation of Liner Pay# 6 $75100.00 Due on Completion of Contract 1 agree to the work stated above, materials and payment schedule of this contract Homeowner Signature Dated Swimming Pool Pro Inc. Representative Signature Dated GENERAL CONDITIONS: SEPTIC/TREATMENT CONSTRUCTION CRITERIA: W (D 1. INSTALLATION SHALL COMPLY WITH SUFFOLK COUNTY DEPARTMENT OF HEALTH 1.SEPTIC/TREATMENT 2.SEPTIC TANK&1/A.OWTS SHALL BE WATERTIGHT AND CONSTRUCTED OF SOUND U M SERVICES' REGULATIONS,STANDARDS,AND REQUIREMENTS,AND SHALL BE STRICTLY I NOT USED AND DURABLE MATERIALS THAT ARE NOT SUBJECT TO EXCESSIVE CORROSION OR SANITARY SYSTEM DESIGN: cc IN ACCORDANCE TO THE MANUFACTURER'S INSTRUCTIONS. 11.ALL NON-CONCRETE TANK WALLS, FLOORS, ROOF AND ACCESS COVERS SHALL DECAY, Lb RESIST AN APPLIED FORCE OF 300 POUNDS PER SQUARE FOOT(PSF). A. ALL SEPTIC TANK& I/A OWTS MUST BE CERTIFIED AS WATERTIGHT BY VENT TERMINATION ED N Q RESIDENTIAL 2.THE INSTALLER MUST HOLD A CURRENT LIQUID WASTE LICENSE PURSUANT TO III. NON-CONCRETE PREFABRICATED SEPTIC TANK&I/A OWTS SHALL CONFORM TO MANUFACTURER USING EITHER VACUUM TESTING OR WATER TESTING METHODS. VENT PIPES$HALL EXTEND A MINIMUM OF 6 INCHES ABOVE THE ROOF #OF BEDROOMS: 4 CHAPTER 563 ARTICLE VII (SEPTIC INDUSTRY BUSINESSES)AND ENDORSEMENT J THE INTERNATIONAL ASSOCIATION OF PLUMBING AND MECHANICAL OFFICIALS I. VACUUM TESTING MUST PULL 4'OF MERCURY(HG), FOR 2 MINUTES WITH A LINE AND THE TOP OF THE VENT SHALL HAVE A MINIMUM HORIZONTAL CIA1_Q5 ~ ADVANCED TREATMENT UNIT: FUJI CEN 5 (INNOVATIVE AND ALTERNATIVE TREATMENT SYSTEM INSTALLER)THROUGH THE "AMERICAN NATIONAL STANDARD FOR PREFABRICATED SEPTIC TANKS"ANSI LOSS OF 10%OR LESS. SEPARATION OF 12 INCHES TO THE SLOPED PORTION OF THE ROOF. LU I/AOWTS CAPACITY REQUIRED: 440 GAL PER DAY,AS PER TABLE 3, SUFFOLK COUNTY DEPARTMENT OF LABOR, LICENSING AND CONSUMER AFFAIRS, Z1000-2007 AND ANY UPDATES THERETO. II. WATER TESTING: SEAL TANK;FILL TANK WITH WATER TO OUTLET INVERT NO HOUSE TRAP C") PURSUANT TO SUFFOLK COUNTY CODE§563-79(II)(J).THE DEPARTMENT OF LABOR,' IV. EACH SEPTIC TANK&I/A OWTS SHALL BE IDENTIFIED BY THE MANUFACTURER AND ELEVATION FOR 24 HOURS. REFILL THE TANK TO OUTLET INVERT AFTER 24-HOUR ( ) SCDHS RESIDENTIAL STANDARDS LICENSING,AND CONSUMER AFFAIRS MAINTAINSA LIST OF LIQUID WASTE LICENSE DISPLAY THE FOLLOWING INFORMATION PERMANENTLY MARKED AT THE INLET END OF PERIOD AND LET STAND FOR 10 HOURS.APPROVED IF WATER LEVEL IS HELD FOR 10 � o Q C? I/AOWTS CAPACITY DESIGNED: 500 GAL PER DAY HOLDERS. ) THE TANK: HOURS. POWER SUPPLY CONNECTED TO DEDICATEDIr ! 1. MANUFACTURER NAME OR LOGO B. ALL PENETRATIONS PIPES SHALL BE CONNECTED TO TANKS WITH A WATERTIGHT, 115 VOLT AC,SINGLE-PHASE,20 AMP CIRCUIT 3.ALL INSTALLED I/A OWTS ARE REQUIRED TO HAVE AN INITIAL 3-YEAR WARRANTY. 2. CAPACITY AND NUMBER OF OPENINGS SEALED FLEXIBLE JOINT AND THE PIPE GASKET SHALL BE FASTENED TO THE PIPE BREAKER ON HOUSE PANEL FOR PUMPS AND LL LEACHING SYSTEM : 3. MAXIMUM DESIGN LOAD WITH A STAINLESS STEEL RETRACTABLE CLAMP. _� 15 AMP CIRCUIT FOR CONTROLS. C0 LL REQUIRED: 300 SF SIDEWALL,AS PER TABLE 4 4.ALL INSTALLED I/A OWTS ARE REQUIRED TO HAVE ACTIVE O&M(OPERATION AND 4. THE DATE MANUFACTURED. PROVIDED:V DIA, 12'DEEP MAINTENANCE)AGREEMENTS BETWEEN THE PROPERTY OWNER AND SERVICE 3.THERE SHALL BE A MINIMUM ONE-FOOT AIR SPACE MEASURED FROM THE OUTLET i CONTROL PANEL PROVIDER. V ALL CAST-IRON AND HDPE COVERS SHALL BE SET AT FINISHED GRADE,BE INVERT TO THE BOTTOM OF THE TANK COVER. L_ LOCKING,TAMPER-RESISTANT,WATERTIGHT, INSECT-PROOF, FLAT, SKID-PROOF,AND _ I I BLOWER IN COVER ON PAD 5.SERVICE PROVIDERS MUST REPORT ALL 0&M ACTIVITIES TO SCDHS(SUFFOLK BE APPROVED FOR SEWAGE USE. 4.ACCESS TO EACH TANK OR COMPARTMENT OF THE TANK SHALL BE PROVIDED BY AN COUNTY DEPARTMENT OF HEALTH SERVICES). ; ' VIIE. IF A RISER COVER WEIGHS LESS THAN 60LBS A SECONDARY SAFETY LID OR ACCESS COVER WITH AN INSIDE DIMENSION OF AT LEAST 20 INCHES IN DIAMETER,AND 1 1 4"(2"MIN.)DIA.HDPE VENT W/CHARCOAL FILTER 18"MIN. IN COMPLIANCE WITi 5-111 AND 5-114B-7 OF CDHS RESIDENTIAL STANDARD 2016.ALL HOUSE I I ABOVE GRADE, 36 MIN.FROM ANY WINDOW OR DOOR, 6. COVENANTS MAY BE REQUIRED ON PROPERTIiS;WHERE I/A OwTS ARE INSTALLED DEVICE SHALL BE PROVIDED. OPENINGS SHALL MEET THE FOLLOWING REQUIREMENTS: I - - REQUIRING; SYSTEM REPLACEMENT IN EVENT OF FAILURE;O&M REQUIREMENT; A. OPENINGS SHALL BE PROVIDED OVERALL INLET AND OUTLET PIPES I I OPTIONAL WHEN NO HOUSE TRAP ACCESS TO DHS INSPECTION/SAMPLING ON QUARTERLY BASIS IF NEEDED; OTHER B. WHERE EXTENSIONS ARE REQUIRED,THEY SHALL BE WATERTIGHT I 4"WASTE CAST IRON WITHIN 2'FROM FOUNDATION REQUIREMENTS THAT SCDHS DEEMS NECESSARY.I C. SEPTIC TANK&VA OWTS MANUFACTURERS SHALL PROVIDE A LABEL OF I I j NONCORROSIVE MATERIAL IN PROMINENT LOCATION AT EACH ACCESS OPENING TO j WALL,CONTINUED TO CLASS 2400 OR SDR 35, (OR 7.PERFORMANCE STANDARDS FOR I/A OWTS TECHNOLOGIES: WARN"ENTRANCE INTO TANK MAYBE FATAL" EL.24.1'+/ SDR40)1/4"PER 12"SLOPE MIN. 'N I/A OWTS MUST MEET TREATED EFFLUENT CONCENTRATIONS FOR TOTAL NITROGEN I III 5.ADDITIONAL TANKWATERPROOFING I ) III I EL.23.4'+/- 12"RISER W/SECONDARY SAFETY DEVICE OF NINETEEN(19)MG/L OR LESS. ALL CONCRETE TANKS WILL HAVE THE FOLLOWING ADDITIONAL WATERPROOFING: EL.23.8'+/- ��� •01 ' WATERPROOF COATING ON THE EXTERIOR OF THE TANK(CONSEAL CS 55 OR EQ.) • I I I � SEPTIC TANK&I/A OWTS INSTALLATION STANDARDS: - 1,ALL APPLICABLE FECOMMENDATIONS PROVIDED BY THE MANUFACTURER SHALL BE ' NpF NNp-((\PEER : IMPLEMENTED. FUJI CEN 5 pN�(P �x(',� 2.THE SEPTIC TANK&I/A OWTS SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS u (ORgEN\N gEsPvs MI MAXIMUM(WITH A NIM M INCH3 CH THIC DIRECTION K(R MANU ACTUURER'SR COMM NDATION)BED OF PROP RLY LEVELED AND COMPACTED SAND(FREE FROM ROCKS)OR PEA GRAVEL. BACKFILL p�1`I SHALL BE PLACED AROUND THE SEPTIC TANK&I/A OWTS IN SUCH A MANNER AS TO 4 I ( LEACHING F y AVOID DAMAGE AND COMPACTED IN 6-INCH LIFTS. BACKFILL SHALL BE FREE OF LARGE STONES, STUMPS,AND CONSTRUCTION DEBRIS. I<'.-; I POOL CN i \ 12'DEEP X I I I 8 DIA V Es OD p8, ('jO pE r/ eN e Lu CM nl Pp,R R K •v �,E 2gO.�j e � , � w � I: . ; ' --',` I I •.�.. ' ^1 Ar D , - ' �r \ \ GROUND ELEVA-ION 24' _j �Z Cn J I o 1 - p:15 DER Q 'CFLE i w w Q co w I. N . c W P s MEN, R I �,P� - ��E \ � r r SC �2 BROWN CLAYEY SAND go ? m O w ? I' w •_ P� STORMWATER STORAGE CALCULATIONS - - - - \ ` ROOF AREA:1,379 SF(UPPER ROOF),1,167 SF(LOWER ROOF) CL - , REDDISH BROWN CLAYEY I 'Zo E\ ED3E OFP.ONDAS LOCATED `\ STORAGE REQUIRED AT UPPER ROOF(COEFF.=1):1,379 SF X2'X 17121:230 CUFT 111 NOTE: DO NOT PUMP TANK WHEN SOILS ARE SATURATED `L ,1'y • ' O Z M _ I BY OKRSHORES INC.ON (1)PRECAST DRYW ELL 8'DIA.X 6'EFF.DEPTH PROVIDES 252 CUFT OF STORAGE - - - - - 1,.,, (�"E AUGUST 9.pp \ STORAGE REQUIRED AT LOWER ROOF(COEFF=1):1,157 SF X 2"X T/12""193 CUFT Ir, t • tlJ - , S/ ) / \ ` \ (1)PRECAST DRYWELL B'DIA.XS'EFF.DEPTH PROVIDES 210 CUFT OF STORAGE CL . _ .. BROWN SANDY CLAY 0 5 10 FT z ' ; M O � 1 vv� POOL AREA(FUTURE):5125E - - - 20 - - - �'- - ---- - -- - __ � I. �... `1 `STORAGE REQUIRED(COEFF.e1):512SF X 2°X 1712"a 85 CUFT - - i� \ '•� P \ (1)PRECAST DRYW ELL V DIA.X T EFF.DEPTH PROVIDES 128 CUFT OF STORAGE I ' EL 2 -SC _ 22 BROWN CLAYEY SAND SECTION DIAGRAM HIGHEST PERVIOUS DRIVEWAY AREA:581 SF(AT STREET),3,232 SF(AT HOUSE) - 3/16" 11.011 EXPECTED�TER - W1 ,STORAGE EOURD AT HOUSE)PRECAST GALLEY DRYWELL(COEFF3=A}1293 SF X 2'X1712-21 CU of STORAGE GROUNDW01 1� MEN WATER IN BROWN CLAYEY SANDJ� (1)PRECAST DRYWELL 8'DIA.XB'EFF.DEPTH PROVIDES 252CUFTOF STORAGE SCREPLACE SOIL WITH CLEAN SAND '?wWETLAN BOUNDARY EL.3.0'R(£DMAP GROSS FLOOR AREA39' AND GRAVEL ABOVE EXISTING SP MINIMUM GROSS FLOOR AREA ALLOWE FOR 1-STORY RES.(R-80):85Q �� \ PROPOSEDI-STORY GROSS FLOORARA: 1,773SF OR SW SOIL LAYER(MIN VDEEP) o \ \ \ TPROPOSED OTAL FINISHED BASEMENT FLooRAREA:1,773sF SWWATER IN BROWN FINE TO COARSE --39'BELOW GRADE 6 \ CURRENTFRESHUNEATEETlAND3 SAND 80UNDARI'AS DEUNEATEO BY ORNE AT STREET by \ \ �U �' \ SUFFOUCENYIRONMEMAL MAXIMUM LOT COVERAGEALLOWED(R-80-20%):21,598 SF CONSULTING,INC.ONJLUY15,'e015 PROPOSED LOT COVERAGE:T,030 SF(I10US£,DECK,DRNEWAY,P00�,HOTPRECAST DRYWELL \ \ `. ,4'XfiX33'EFF.DEPTH y \ ` ` - �' a DISTURBED AREA CALCULATION45CURRENT 50 BUFFER LOT AREA(100%):107,997 SF nJ AREA OF NON-DISTURBANCE(24.9%):26,940 SF TEST HOLE FROM FILED MAP DATE 5/18/2001 LOT AREA OF 2015 WETLANDS(24.4%): 26,303SF LOTAREA OF 15%SLOPES(0.6%):637SF � Q 9 LOT AREA EXCLUDING2015WET(ANDSANDIS%SLOPES(74.9%):80,L159SFHIGHEST EXPECTED GROUNDWATER ELEVATION 3.0'BASED ON EXISTING DRMEWAYTO REMAIN IN ORDER r - � y0ATO PRESERVE IXISTINGTREES ALONG USGS GROUNDWATER CONDITIONS ON LI. ENTRANCE OF COMMON PROPERTY LINE. .�' \ \+'ITHE LANDWARD EDGE OF NON-DSTURBANCE UNE(50 (BETWEEN TAX LOT tOJ059E6.1862) \ rV # � (ANDWAf70f WETtANOs)WIIL BE DELINEATED WITH ERHERTEST HOLE DATA 1• 1`Or W . A8OPOSED SPLIT RAIL FENCE TONEWALL OR BOULOEFTS(WRHNONATOIVE PIAMIN BALL Nbs ,� / OWITH RBOUDERST &LOWITHE NATURAL FLOTRATIONIN WALLN.T.S. WATER ANDSM4LLANIMALS THAT INHASIT�IISM�€AEOF �LAINDSBOUNDAR(7""' FlIENEW 100SETBACK LINEBASDON 2015 FLAGGING00 NOFDAVID LANDMAN NSTALLSILTFENCEFORTHE VACANT �'DEVELOPED DT ATION OOFTHEFRUCTION AT G G { �' 0 NOF FN°1 \ \ "° G WILLIAM DOUGHERTYWETLANDS.NOARYANDTHE P{ah 1`0 USES PUBLIC WATER UNEOFNON-DISTURBANCE R IE4LIE OF PION" INCOMINGDRNEAT HOUSE WATER UNEFPRECAST ORYWEL, FROM ST8'DA X 0 EFF.DEFTH _ 7Tt/ r jJ{kp'dAEJ'Yo.1•tr�1�.5:1+�5].�&U�.Sj.A�M ��`d Zr_ LOWERROOFCONTROL PANEL. hb• PRECASTDRYWELN PROPoseu BLOWER IN COVER ON PAD 718OIAX5•EFF.DEFT\ a ' ' �0. 12 GRAVELL)RIVE 5'MINELE(TRICALAND , ti\ X �- _OMMUNCATION .�z S1 �JR.� FUJI `�eo VENT ELE12'DEE VDIA LP', DUI^F'OE.X COUId7Y DGPAC�3'M'~NT OF E'�GIILT}i�SE1�YiCC6 IrFOOTPRNT 1 STORY HOUSE �'ANRINTISE)SLAB ORY14O 17.8' ' PERMIT' FOR AppnOVAL OF CONSTRUCTION FAIR A T.O.FNSH FLOOR 24'•1' 'MIN ' / SINGLE FM,411:1 RESI'\ENCE {�NLY AREA FOR LP FUTURENEW 100 SETBACK LINEBASED ON 23I5 FLAGGING OAKEXPANSION° UPPER ROOF PRECAST DRYWELL' DECKBDAXBEFF.DEFTH / 1`" 4'•t �e � R��PX7JACUITO� D �✓3 7 I:PkI 11 OF iJr!nf^� P�AO � p�VtY IL�t�,1n�+�4»�rl` � �^'�:L M1 tw�I�L�3•J�,lt'[��i+.iiLry7e+, p fD� b1 ' 1V y Ab D �\ 18«OK , Elv�PIRES T['TREE EARS C�1�'.C'M DA E O A.PPROtdl` LEST Nk� POWER SUPPLY CONNECTED TO18'-0"DEDICATED 115 VOLT AC,SINGLE- C.to C•SITE PLAN BASED ON SURVEY OF PROPERTY 1 1 1 15'X2e'PDOL / PHASE,20 AMP CIRCUIT BREAKER ��+ p1r +� Al et'r�AT SOUTHOLD,TOWN OF SOUTHOLD ' ' ON HOUSE MAINu � +I>,�m CIS s CERTFcna� -�..u,!r a SUFFOLK COUNTY, NY 1 1 1 sz.al(1 'In�� , 0 SUBMI.i 'T P.E. OR R.A• eCER. TIRCA ON 1000-059.00-01.00-006.002 ` POOLPFECALL 30•oAK ,BY PECONIC SURVEYORS, NYS LIC NO 49618 aFF. {perf� p, ry p!p ��a A y� 9 Q9 (�^tp1 1 8DAXDEPTH , �j ' = wd ®4`1T I ld d:��h wdpd.��1�8E 31dTi1dl'�DATED OCT.2,2013,WITH REVISIONS THROUGH ' , Ds / =u_ a0�AUGUST 19,2020 AND UPDATED PLAN DATED 9/6/2022 BY 1 ' For,,( [tq,(LAr'�SRO'�"AL. SE " a° �! 'I•.aDHD ARCHITECTURE+ INTERIOR DESIGN - 0�"�,u� � ��J� � �WETLANDS BUFFER:08/09/2017 ' % `OPROJECT: NO. Descri tionWETLAND FLAGS:08/19/2020 , pc � Innovative and Alternative OnsiteP Date ABBREVIATIONS:LOT NUMBERS REFER TO"MINOR SUBDIVISION FOR 1 1 / 0 �R Wastewater Treatment System DOROSKI FAMILY LIMITED PARTNERSHIP"FILED IN THE ' 1 `� 4� & AND (I/A OWTS) Soundview OFFICE OF SUFFOLK COUNTY CLERK AS MAP NO. 11497 ) y okc� @ ATPERSPECTIVE VIEWB.C. BOTTOM OF CURB studio a/b architects AREA:107,997 SF-81,694 SF EXCLUDING 2015 WETLANDS l � � BW BOTTOM OF WALL 80,059 SF EXCLUDING 15%SLOPES 1 P�� CONC. CONCRETE " 651 West Main StreetZONING:R-80 ' ' C.O. CLEAN OUT 36 MINIMUM 2 x 2 Riverhead NY 11901 I 6f\R- aDB DISTRIBUTION BOX FENCE POST 1t�5,1•jktS M• �'�LELEVATIONS AND CONTOUR LINES ARE REFERENCED TO , ' E or ELEC. ELECTRIC 631591 2426 � eFVACANT 6313231426THE FIVE EASTERN TOWNS TOPOGRAPHIC MAPS 1 ' ' NOF ELEV.or EL. ELEVATION glynis@studioabarchitects.comFOR navd'88 EQUIVALENT SUBTRACT 1' WOVEN WIRE FENCE� TREIBER FARMS LLC G GAS (6x6 - 10/10 WWF)HDPE HIGH-DENSITY mailing address: ? ,,�POLYETHYLENE I/A OWTS NNVATIVE AND OriBt NY 1957ox 444 0 20 40 60 FT _FILTER CLOTH g� ALTERNATIVE ONSITE ``P1F`NWASTEWATER TREATMENT NoSYSTEMINV. INVERT LG LEACHING GALLEYGENERAL NOTEer LP LEACHING POOLO"I MAX. MAXIMUM EMBED FILTER CLOTHI/A OWfS La out 1. BEFORE ANY EXECUTION,VERIFY ON SITE, IF APPLICABLE: MIN. MINIMUM MIN. 6" INTOGROUND Charles Rosenbaum YGRADE ELEVATIONS AT THE HOUSE WHERE THE WASTE MAIN PENETRATES. GRADE ELEVATIONS WHERE EACH UNIT WILL BE INSTALLED. N.T.S. NOT TO SCALE ZHOUSE WASTE LINE:MAIN LOCATIONS AND INVERT ELEVATIONS. `�� PROP. PROPOSED 4" Project number 21220 -ANY UNDERGROUND UTILITIES, INFRASTRUCTURES,AND/OR STRUCTURES REQ. REQUIRED 6 -ANY TREES WHICH MAY AFFECT TO THE I/A OWTS INSTALLATION SCDHS SUFFOLK COUNTY DEPARTMENT OF Date 10/10/2022 a2. GARBAGE DISPOSAL UNITS SHALL NOT BE USED WITH A I/A OWTS. HEALTH SERVICES3, TANKS SHOULD NOT BE PUMPED WHEN GROUNDWATER IS HIGH OR FLOOD ST SEPTIC TANK SECTION DETAIL Drawn by GBCONDITIONS EXIST. T.O. TOP OF P P rtY P coSITE PLAN T.C. TOP OF CURB roe Tax Ma #: Checked by HA Cd 11 _ ,( TW TOP OF WALL 3 Stormwater Silt Fence Detaiils Southold 1000-059.00-01.00-006.002 N0 1 - 40-0 W WATER . . . site street address:6710 Soundview Ave, Scale WITH Southold, NY 11971 AS indicated o 2-1/2"VENTILATION SCUM BAFFLE B OCT 12 ?022 PIPE RECIRCULATION FUJI CLEAN CONTROL PANEL OFFS flEACr CONNECTION - co 7'-10 3/4" �F� 2'- 101/4" 2'-7 1/2" 2'_'0 3/4" AIR LIFT PUMP PVC WELDED 6FT LONG WIRE INSTALLED ON WOODEN POST Cp Flq/ N �SEliVjC CONNECTION 8 1/8" TIFOt!£ fe 16 Tk-L0 Control Panel Wiring Diagram p. 7_-'WA �QMEs SERVICE RECEPTACLE a� �--_--_.-.-_---_- ---__---_- DISINFECTION MANUFACTURER '� (iT _ CYLINDER Q Q Q s Q Qi ITPI (OPTIONAL) TANK WALL PROVIDED _ _ PROTECTION COVER e I-l- r----t---r----1--------- -� C� CONNECTION M HARDWIRED PLASTIC LANDSCAPE STONE 4"INLET PIPE - 4"OUTLET PIPE ADAPTER o ® FROM BY ZABEL ENVIRONMENTAL,OR EQ. CLASS 2400 _ CLASS 2400 OR 7 1/8" POWER _ r http://zabelzone.com/ i ` o- i OR SDR 35 q SDR 35 314"PVC CONDUIT SUPPLY a ;•dn" N LI JA AIR LINE F I20YR ! ! ! ± 1/4"PER 12" o 1/8"PER12" STABLE BASE I oanllxcra�lt SLOPE MIN ' SLOPE MIN 1/2"AIR BUTYL SEALANT MAC 80R PLAN VIEW I NOT TO MOVE BY FROST ACTION ( ALARM FLOAT ! INTAKE PRESSED AROUND: 3/,---,A TO FUJI UNDERGROUND AIR LINE - I -- i b I ry T'lftF FLOAT I I EFFLUENT" PERIMETER OF E TO CEN 5 UNIT �""" — --�-- �`" AIR LIFT CEN FLEXIBLE 3/4"AIR LINE:3/4"PVC CONDUIT i INLET BAFFLE - O © THREADS o _ UNIT - INSTALL PUMP 44 3/8" Q 43/� Y4"FLEXIBLE IRRIGATION LINE, 100 PSI MAX, I I SECONDARY MAY ALSO BE USED FOR THE AIRLINE I p SAFETY RECIRCULATION PIPE FLOW BAFFLE 1/2"AIR INTAKE I CD108 TEST, HDRMAL, SILENCE B AIR INTAKE CONNECTION DETAIL MAC 80R ELEVATION VIEWS MAC 80R BLOWER DETAIL - ,�„ z is T DEVICE,TYP. (CLEANING 3/4 AIR LINE TO BE AERATOR A FLOW OPENING(TYP.) N.T.S. � A'��„ I OPENING) CONNECTED ENO CIRCUIT BREAKER T H�e LUG O O I LINE TO BE IN I FLOAT SENSOR CONTROL CONNECTION PLAN VIEW MIN.6"DEEP 45 ITT TD s I :r AHIIT TRENCH � - IT NOTES: PSII2 I 20"INSULATED COVER — 24"INSULATED COVER INSTALL SECONDARY L r Nam CHAMBER VOLUME VOLUME(GAL) BLOWER SPECIFICATIONS P�Sst>RE � ON INSULATED 12"RISER ON INSULATED 12"RISER SAFETY DEVICE,TYP. 24"INSULATED COVER 1 SEDIMENTATION CHAMBER 277 MODEL: MAC 80R BRANCH CIRCUIT PROTECTION,OVERLOAD awlrcN s (24"MAX.)BY TUF-TITE, (24"MAX.) BY TUF-TITE, DISINFECTION ON INSULATED 12"RISER 2 ANAEROBIC FILTRATION CHAMBER 278 AIR FLOW: 2.8 CFM PROTECTION AND MAIN DISCONNECT OR EQ. OR EQ. CYLINDER _ (24"MAX.)BY TUF-TITE, NORMAL PRESSURE:2.2 PSI PROVIDED BY OTHERS,AND MUST BE TBt LTIts 3 AEROBIC CONTACT FILTRATION CHAMBER 127 FSIIs TBI POWER: 120V/1.0A/60Hz SIZED ACCORDING TO PUMP/MOTOR • a 8 a XI 5 DISINFECTION CHAMBER 4 OUTLET CONNECTION:3/4 INCH R x2 (OPTIONAL) OR EQ. 4 STORAGE CHAMBER 63 MANUFACTURING SPECIFICATIONS. _ (5 AtARN fLDAt 9EMCUN TOTAL VOLUME 749 WEIGHT: 11 LBS POWER CONSUMPTION: 55 W EXTERNAL COMPONENTS(COMPRESSOR FLOW OPENING AND/OR PUMPS,AS APPLICABLE),co POWER CABLE: 6 FEET SYSTEM SPECIFICATIONS MODEL: FUJI SEN-5 PROVIDED BY OTHERS AND MUST BE U.L. APPROVED THERMALLY PROTECTED CB120 4"INLET PIPE - N ANAEROBIC MEDIA PP/PE FILLING RATE 32/o PUMPS INSTALLATION/OPERATION& oM HWL BOARD TYPE ° MAINTENANCE NOTES: -T -_____„� CONTACT MEDIA 111 BOARD TYPE AEROBIC MEDIA PVC/PP/PE FILLING s , d WATERTIGHT - r - RATE 16% - INSTALL BLOWER ON STABLE RA TEMPERATURE RATING OF FIELD CIRCUIT ESSUR BRREWU SEALED WL WL AEROBIC MEDIA PP/PE FILLING RATE 57% BASE,SUCH AS CONCRETE OR INSTALLED CONDUCTORS MUST BEAT FLEXIBLE JOINT ® BLOWER 2.8 CFM CONDENSING UNIT PAD(BY LEAST LE DEG. F. 60 DEG.C. FASTENED TO TANK FRP DNERSITECH www.diversitech.com ( ) OR EQ. ENSURE ADEQUATE A THE PIPE W/ - © ® PIPING PVC/PP/PE VENTILATION AND PROTECT STAINLESS STL - - ACCESS COVERS PLASTIC TERMINAL STRIPS AND GROUND LUG USE ! o ® RECIRCULATION COPPER CONDUCTORS ONLY. aERMraa RETRACTABLE "' >` � � DISINFECTANT OPTIONAL CHLORINE TABLETS AGAINST SUNLIGHT. I• CLAMP,TYP. c� ® N ASSEMBLY ( ) - MAINTENANCE REQUIRES A CONNECT GROUND LUG IN PANEL TO A TRAINED TECHNICIAN. NOTE AFTER LEVELING THE TANK, FILL THE - FOR MAXIMUM EFFICIENCY, SECURE EARTH GROUND © © SEDIMENTATION TANK(#1)WITH FRESH WATER TO INSPECT AND CLEAN INTERNAL AIR CB120 TPI FILTER ONCE EVERY MONTHS DASHED LINE PRESENTS FIELD WIRING p�-o-____V0 _T --_---_-_ ' AEROBIC MEDIA THE LOW WATER LINE. - REPLACE DIAPHRAGM/VALVE s �_^-^ ASSEMBLY ONCE EVERY 12 CIRCUIT MMKER Po,a FUMT AERATION ASSEMBLY MONTHS ° (NOTE: A DAMAGED DIAPHRAGM WILL TRIGGER THE P -„ i ►u+R SECTION A-A VIEW 4 TO 6"SAND AND GRAVEL BED - AUTOMATIC-STOP FUNCTION). SECTION BB VIEW FIELD WIRING 1/4"TO 1/2"COMPACTED, LEVEL - CONTROL PANEL 0 1 2 FT TO WITHIN 1/8" CEN ' 1 FUJI CEN DETAILS - �)_ TIRIII ELECCAL DIAGRAM - FUJI 1/2-1 - 1 0 1 N.T.S. MALE THREADED SLATE OR OTHER MALE THREADED MALE THREADED ADAPTER AND CAP SUITABLE COVER ADAPTER AND CAP ,"""" ADAPTER AND CAP ¢. VA VA A In W ' �� SEWER PIPj DOUBLE SIDED ' 45 DEG. ELBOWS - WYE 30 DEG ELB 60 DEG WYE OR EQ D448-040 OR EQ. ALTERNATE A: FOR BENDS ALTERNATE B1:FOR USE WITH ALTERNATE 132: FOR USE WITH BLDG.EXTENSION/CONNECTION BLDG.EXTENSION/CONNECTION W/DOUBLE SIDED SWEEP CLEAN OUT DETAIL FOR AREAS NOT SUBJECT TO VEHICULAR TRAFFIC 3 CLEANOUT DETAILS N.T.S. BACKFILL MATERIAL TO BE: iv CLEAN SAND AND z CONCRETE COVER GRAVEL g o I - d d �, _ 20"MIN. ® ® ®6pp{y ° 6'THICK PRECAST ® ®` • ,p f dl , INLET �� IMPERVIOUS SOIL CONCRETE MIN.4"DIA. '" ;, Q ® ® ':d — PRECAST PROJECT: NO. -Description Innovative and Alternative Onsite p Date APPROVED °, �d. ® ®al ° ` <:` — CAPCONCRETE FINISHED GRADE PIPE 6V : I PITCHED 1/8" ® ® , Wastewater Treatment System PER 12"MIN. I -$' :4 R ® ® ® - (I/A ` d � � N '; OWTS) Soundview `3'-0"MIN.. I r ® ® studio a/b architects El El ®® ®�{ "` - p Pitch 1/4'Per Foot,Min. 20 ` West ® 651 Main Street, ' GRAVEL FILL & Riverhead, NY 11901 'EQ 4l ` INLET:4"Daameter I ® // I 631 591 2402 �� M. ti• ® ® ® °s Class 2400 Pipe 631 3231426 G^�y��S a o 6' a', ® ®� 4 b l 6 MIN. I ® �— 8'DIA.PRECAST g y 9 PENETRATION c �co p° LEACHING ® ®� ° :° o I CONCRETE LEACHING I nis�studioabarchitects.com E ' SECTIONS INTO A VIRGIN RING,TYP. F f r ®��I ad.' e'o STRATA OF I I / i_ mailing address: ® ®�I s s 4 ° SAND AND - 4 , aA o g e ° o, a GRAVEL =I I II I I PO BoxNY 11957 ��`�o 021S�4'�Q�t a p. ZA I'l f `� � f'•f�=�8' 0"-' �`�-'=� "-� IF MIN. PENETRATION IS 1 I'IIII_ NOT AVAILABLE, — I W11I I II I I ih EXCAVATE AND — CLEAN sAND s GRAVEL. _ — - — - — - - ^- - - REPLACE SOILW/ �-- - ----- -- _ - - _ � Owner: HIGHEST RECORDED HIGH CLEAN SAND AND GROUNDWATER GRAVEL, — - - _ - - — ELEVATION 3.0' TO REACH TO SP OR GROUNDWATER Charles Rosenbaum I/A O VV 1 S Details 0 2 4 FT SW SOIL,WHICH DEPTH (Project number IS MORE THAN 6' 21220 -39'BELOW GRADE 0 2 4 FT (Date 10/10/2022 E Drawn 4 LEACHING POOL DETAILS StOrmwater DW Detall property Tax Map#: tCheckedyby GB00 ,. 1000-059.00-01.00-006.002 HA 04 site street address: C. 02 � 6710 Soundview Ave. Southold, NY 11971 Scale As indicated