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50359-Z
�SufFOl Town of Southold 8/7/2024 O P.O.Box 1179 0 o 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45445 Date: 8/7/2024 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 3170 Nassau Point Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.-12-18.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/11/2024 pursuant to which Building Permit No. 50359 dated 2/21/2024 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: raised patio addition with outdoor barbecue area and pergola addition to existing single-family dwelling as applied for The certificate is issued to 3170 Property LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50359 7/15/2024 PLUMBERS CERTIFICATION DATED 6/26/2024 tj Bri Klunder �\- ki Ank Au o 'ze 0 gnature SO Fat KzoG TOWN OF SOUTHOLD BUILDING DEPARTMENT x TOWN CLERK'S OFFICE "- • SOUTHOLD, NY BUILDING PERMIT l (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50359 Date: 2/21/2024 Permission is hereby granted to: 3170 Property LLC c/o Peter Mcglynn 3 Cedar PI Garden City, NY 11530 To: construct raised patio addition and pergola addition to existing single-family dwelling as applied for. At premises located at: 3170 Nassau Point Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 104.-12-18.5 Pursuant to application dated 1/12/2024 and approved by the Building Inspector. To expire on 8/22/2025. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,072.50 CO-ADDITION TO DWELLING $100.00 Total: $1,172.50 Building Inspector �O��pF SO!/r�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �1 �O Jamesh southoldtownny.aov ��enuo,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 3170 Property LLC Address: 3170 Nassau Point Road City: st: New York zip: Building Permit#: 50359 Section: 104 Block: 12 Lot: 18.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Advanced Electrical Sol Electrician: Paul Sanchez License No: ME-4899 SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool 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 6 Wall Fixtures 2 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 4'LED Exit Fixtures [I Sump Pump Other Equipment: 4 pin lights,12 led strip lights , 12 led up lights, 3 low voltage transformers Notes: LANDSCAPE LIGHTS/ OUTDOOR BBQ Inspector Signature: iLMUA& Date: July 15, 2WOq 3170 nassua pt .: Town Hall Annex Telephone(631)765-1802 54375 Main Road ((� x�31�6 2 P.O.Box 1179 •`. ® l�J E Southold,NY 11971-0959 AUG 5 2024 BUILDING DEPARTMENT TOWN OF SOUTHOLD Building f Southold t Town of Southo!=� CE:RT.IFICAT.L0N Date: Building Permit No. Owner: �. ,-v LL �� c Sc 0�� r-11 c q�y✓i Plea a grin Plumber: ._ . � 'G l.. ..� (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. �/ _ j A)EY U I I (Plumbers Signature) j Sworn to be e me this Q,� ! day of , 20Q-(], I Notary Public,,. Wl 1 a CHRISTINE LAWRENCE Notary Public-State of New York NO.OILA6301084 Qualified In Suffol County My Commission Expire n IV SobryO� — # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION . [ FOUNDATION 1 STII� ' [ ] 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 ww [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR oF souryolo # # TOWN OF SOUTHOLD BUILDING DEPT.. �`y�0UM1 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH'PLBG.- [ ] FOUNDATION 2ND [ ]�IULATIOWCAULKING . [ . ] 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: O < R,&?-v"cA 0'^� —51t4b VO d4 Q� i 0 9Q&i� nN f f DATE ,' .INSPECTOR SOUIyO� �(� 3 5 3 f 70 Na Asa u # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] 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: doorKciclen 11�e.cQ G-91 40 ha kl'� ©tJv ,e DATE INSPECTOR LANDSCAPE ARCHITECTURE 2024 11"J M9 U southo Brian J Mahoney Landscape Architecture, PC 8-D Moniebogue Lane Westhampton Beach, NY 11978 631-288-8900 July 8th, 2024 To: Town of Southold Building Department RE: 3170 Nassau Pt. Road, Permit no. 50359 To whom it may concern, The as-built piers/pedestals footings for the pergola meet the requirements of the codes of New York State and are greater than 36" below grade. Please let me know if you need any further information. BrifaJ Mahoney, PLA, ASLA • • - io Vt INk PMRPW- 1 _ :' r; �•�y .. �.w► _...__-- ., tit ' 2 } 4*8 Lo � ► �try ci o � Q � o f i ii e. T t 'x. w j cv ro o. 00 - cD _ m 71 3 x �F ar f , s �f�r r E' � R , r � I I I I I 4 Sa 3 S19 mass . t^'�. ?d• r FIELD INSPECTION REPORT DATE COMMENTS -5-a /Ze h hl,96k-s �/c.. olk-- p FOUNDATION (1ST) Gon �inaC ------------------------------------- FOUNDATION (2ND) c O O' ROUGH FRAMING& PLUMBING y .6 O u n � . c INSULATION PER N.Y. �f STATE ENERGY CODE P i . I)o I VOW ` S t FINAL Q fin W ADDITIONAL COMMENTS a��la� �,a t ��► a. 91 -155 e+ c0 a (t I W-71-J-4 ">okof � 100'a V-g-c. g*- 1 o"i78q O 7 1 2- A, $ • S •.ZC4 4ittlaral I Idurs I f GX l4r. r-00'1 td ecc V r X O C O x x v�d b H ;'o�gnfFoiK�oo TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 913 o� Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.izov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only E�1 PERMIT NO. ✓� Building Inspector: JAN 1 1 ?024 ty Applications andtforms mtast be filled out in their entireIncomplete ,apphcatioris_will not be accepted Where;the Applicant is not the owner-an ��''"`��d� �`�Y".` �', u ho''ri atiori`form Pa e 2 shall be`com leted 4s",, Date:01-11-24 OWNER(S)OF PROPERTY w Name:3170 Property LLC (Peter& Scott McGlynn) SCTM#1000-104-12-18.5 „ Project Address:3170 Nassau Point Road Phone#:303-949-5451 „peter@mcglynnadvisors.co.m Mailing Address:3 Cedar PL Garden.City, NY 11530-5926 ;CONTACT PERSON ` b k � Name:Brian J Mahoney Landscape Architecture PC w Mailing Address:8-D Monie.bog ue__Lane Westhampton Beach, NY 1.1978.- , Phone#:631-288-8900 Email:brian@bdanjmahoney.com, belle@brianjmahoney.com : F DESIGNrPROFES510NAG-INFORMATION Name:Same Mailing Address: Phone#: Email: ;GONTRACTOR INFORMATION: Name:Mason: J Halloran Inc Plumber TBD Mailing Address:PO Box 308 Shoreham NY 11786 Phon I.e#:631-484-1214 halloraninc@gmaii.com Emal :' :DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolitio Estimated Cost of Project: D Other Outdoor kitchen with raised terrace&seat wall end of-1 61 a 71d J� $250k Will the lot be re-graded? ❑Yes IRNo Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION M b- Existing use of property:.Residence Intended use of property:Same ry Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R40' this property? []Yes 9 No IF YES PROVIDE A COPY. ' 1,,, 7: "'J_ k'B:'* Aft" tl-j�"i" 616 --,Or6f-isi d-std 1.19,,;Ch6c ok er R09 liig:;z,Thd'�bWnii/c6fiteict65�/ ilin 6 6661it',iiis'ooiis.ib-1.6,for�'611.'dOaih�ge:in f J nn'water issues as provided by 5,cha;A0_,-236 ofthe-Towh Code APPUCATIbk'!IS HEREBY MADE 16-the Building De'06rtMdnt1or1hb sivance of*Buildmg Permltipursuant,to the 16i dloig4one Ordinance of,the Towq of Southold irSuiio�ik;-6ou4ty,,New York and,othibr;eipoii' Ordinances or ;for the construction of buildings, 7 alterations,oT ition=as herein.describedy jjh,0 applicant agrees to�comply r'Wt hall ipp!i6ebldj a*�,brdln6�icq�;Ouiid: i j code; housing code and regulatioM and to:tftlt authorised liais!kmI-S- 0. b lle Application Submitted By(print name):Belle Mahoney ElAuthorized Agent 0Owner G� . . _..Signature--I of-Applicant: -Date':' 0'1--11 1-24' V- STATE OF NEW YORK) SS: COUNTY OF fLL,44�"L—j S P1r)I tt C_ 1 C- V-\b 2 e:' being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above name A, A — :(S)he-is the Agent (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of Ian LL 20 ( Notary Public DENISE HAMILTON NOTARY PUBLIC STATE OF NEW YORI� PROPERTY OWNER AUTHORIZATION SUFFOLK COUNTY LIC.#01HA6153762 (Where the applicant is not the owner) COMM. EXP. 10/16/2026 Peter H. McGlynn residing at 3 Cedar PL Garden City, NY 11530-5926 Belle Mahoney of Brian J Mahoney Landscape Architecture PC do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Digitally signed by Peter H. Peter H. McGlynn,!(Ng�Glynn 1/11/24 ,ej Pdte:2024.01.1114:42:45-05',00' Owner's Signature Date Peter H. McGlynn Print Owner's Name 2 Scott A. Russell (Foz/ � ST�O�][�I��l WATIEIK SUPERVISOR I��l[A NA\�GfIEI��I[]E1�T SOUTHOLD TOWN HALL-P.O.Box 1179 53095MainRoad-SOUTHOLD,NEWYORK 119M Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM lh lid ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT i; fi �I! ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) — — — — — — — — — — — — — — — — — — — — — — - - APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) Ij Belle Mahoney of Brian J Mahoney Landscape Architecture PC Date: 01-11-24 �!+ NAME: i 15ignamrcl �i l nimah'oney.com,Contact Infol Tl1at1011: belle@bria �bdana�Manjmahoneyxorn i ! Ili-glad 8 Telephnne Numbei) 631-288-8900 �i !I Property Address / Location of Construction Site: 3170 Nassau Point Road -S.C.T.M. #: 1000 District 104 12 18.5 I•. i Section Block Lot I; I I! I! TO BE COMPLETED BY SOUTHOLD-TOWN ENGINEERING DEPARTMENT - - - - - - - - - - - - - - - - - - - - - - - - - - — - - - - I!i l ❑ - Area of Disturbance is less than I Acre. No S.P.D.E.S. Permit is Required! Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Required ! i ii ❑ _ Area of Disturbance is Greater than I Acre &Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit I DIRECTLY From N.Y.S. D.E.C. Prior to-Issuance of a Building Permit. ❑ Area of Disturbance is Greater than l Acre & Storm=m�,ater Minoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN I . a S.P.D.E.S. Permit through the Southold Town Engineering Department Prior to Issuance of a Building Permit. ! . Date: +� +.i•. Reviewed By: I. F r)P M 4 CM(-P-Tr)C r)rtnhPr gn i(i I ece ; vC2o� � � IZl2 �� � ®�®OFfat/( oGy BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o _ Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 iameshO-southoldtownny.gov— seand0-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 06/19/24 Company Name: Advanced Electrical Solutions, Inc. Electrician's Name: Paul A. Sanchez License No.: ME-4899 Elec. email: paul4aes@optonline.net Elec. Phone No: 516-523-4573 ED I request an email copy of Certificate of Compliance Elec. Address.: 283 Howell Avenue, Riverhead NY 11901 JOB SITE INFORMATION (All Information Required) Name: 3170 Property LLC (Peter&Scott McGlynn) Address: 3170 Nassau Point Road (just to the south) Cross Street: Old Menhaden RD Phone No.: 303-949-5451 Bldg.Permit#: Permit#50359 email: peter@mcglynnadvisors.com Tax Map District: 1000 Section: 104 Block: 12 Lot: 18.5 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Landscape lighting Installation Wiring of outdoor kitchen Square Footage: Circle All That Apply: I l!S � 1S .Is job ready for inspection?: YES 0✓ NO ❑Rough If ❑ Final Do you need a Temp Certificate?: ❑ YES a NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame D Pole Work done on Service? E1Y N Additional Information: PAYMENT DUE WITH APPLICATION 11-7 ,�y a`� 100 0� Ir-C 10-7-7 o 1F le *$:. 5'0 3 Sal BUILDING DElectrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 . Southold, New York 11971-0959 �� ��p� t Telephone (631) 765-1802 - FAX (631) 765-9502 ` iameshCaDsoutholdtownny.gov- seandasoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 06/19/24 Company Name: Advanced Electrical Solutions, Inc. Electrician's Name: Paul A. Sanchez License No.: ME-4899 Elec. email: paul4aes@optonline.net Elec. Phone No: 516-523-4573 [Z]I request an email copy of Certificate of Compliance Elec. Address.: 283 Howell Avenue, Riverhead NY 11901 JOB SITE INFORMATION (All Information Required) Name: 3170 Property LLC(Peter&Scott McGlynn) Address: 3170 Nassau Point Road (just to the south) Cross Street: Old Menhaden RD Phone No.: 303-949-5451 Bldg.Permit#: Permit#50359 email: peter@mcglynnadvisors.com Tax Map District: 1000 Section: 104 Block: 12 Lot: 18.5 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Landscape lighting Installation Wiring of outdoor kitchen Square Footage: Circle All That Apply: I tic. -1 1 S Is job ready for inspection?: Z✓ YES 0✓ NO ❑Rough I ❑ Final Do you need a Temp Certificate?: ❑ YES 0✓ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# C ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Und erg round❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION I �y y�atiei 1 d0 0� r< c- -A-- 10-7-7a1+ PERMIT# Address: Switches Outlets GFI's " -� t Surface It Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments Al bU l j le f 5 12 1, lk-a V1 . Yt`,:?,a"+arn'",Pit'*' owns t. ao- r „n ..... ...«.. . .. .. ...... .... .. ... ... .: .....�:� :lip✓' .k . ........:.::: :s+ ' ... >sa� ,.xyx::cr:>::;>y•� :.H:' ':44:g `:Ja:a'.. ......:.....::.:. ..:::..:.::::i.• r n. :�b a.. 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', ,-'uif.-,-..7tr✓.-^�'lf'� ':" F,nH.cf-,g,�-^k�:,;>r'^�.,IFt'•:, ',+ ,.�::r,'c. .z.,< �`4;td;Fr• ,:z,<;€'. ,.,.n+ n;,'k.,r'n,w°':,yr"..t.,,tw^°fir, _4>'•„ x�,^.. �:t. .,r.t. „? ve, .x ',}:�';".*,'7'` ::q,�'.b,-,. :,?" .,.�µ, 2a)`!'+ ,�.r.,Nr,P:,.,?- v,: .:ti,,.fir^.r,..0 k •fir,, :.�';n.,-: �a,•'�e�''.: SY"i 5�'I, �r"�Q r ��n. ,fak'��d; 'k f I 'i. � �'FW` ,n4 �J F r't7"+,�� !'�'' 'i'"'.r '��1`rk�)d tJy ad f:y�>?,,a . - �.l.}' ,4, i '}- Ngyrnrk �a' ,f�'`��tir'tRdy kk 'F'! '4''.� ayx� p'ss`',,ry"a>r,r:rl"x �,a" r�r}",a'+ u"...<.a,'•ri".§..:, , A�v CERTIFICATE OF LIABILITY INSURANCE D01/08/20224 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 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 endorsements. PRODUCER CONTACT NAME VINCENT C DALEY ac°Nly Ext: I FAX C No): 869 CONNETQUOT AVENUE ADDRESS: ISLIP TERRACE,NY 11752 INSURER(S)AFFORDING COVERAGE NAIC# 631-277-7770 INSURER A: FARM FAMILY CASUALTY INS.CO. 13803 INSURED INSURER B: SHELTERPOINT 81434 J HALLORAN INC INSURERC: 4INVERNESS COURT INSURERD: WADING RIVER, NY 11792 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 128014 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 TYPE OF INSURANCE INSD SVWD POLICY NUMBER MMlUDY EFF IPOLDICDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 3152X1236 9/17/2023 9/17/2024 EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISS a occurrence) $ 100,000 MED EXP(Any one person) $ 5 000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑%COT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 3152C4833 5/18/2023 5/18/2024 (Eaacd ent) G $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ AUTOS [XI AUTOSULED BODILY INJURY(Per accident) $ X HIRED AUTOS X NAUTOS ON-OWNED (Per accident)IMAUE $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAS HCLAIMS-MADE AGGREGATE $ DED RETENTION$ r $ WORKERS COMPENSATION - A AND EMPLOYERS'LIABILITY YIN 3152W6773 3/20/2023 3/20/2024 ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER) EXCLUDED? (Men atorylnN E.LDISEASE-EAEMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 B NYS DISABILITY D545850 1/1/2019 INDEFINITE STATUTORY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 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 54375 MAIN ROAD ACCORDANCE WITH THE POLICY PROVISIONS. SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1 YORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name&Address-of Insured (use street address only) 1b. Business Telephone Number of Insured J. HALLORAN INC. 631-484-1212 4 INVERNESS COURT 1c. NYS Unemployment Insurance Employer Registration WADING RIVER, NY 11792 Number of Insured 1d.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.,a Wrap-lip Policy) 2. Name and Address ofEntity Requesting Proof of 3a. Name of Insurance Carrier Coverage FARM FAMILY INSURANCE (Entity Being Listed as the Certificate Holder) 3b. Policy Number of Entity Listed in Box"1a" TOWN OF SOUTHOLD 3152W6173 54375 MAIN ROAD 3c. Policy effective period SOUTHOLD, NY 11971 3/20/2023 to 3/20/2024 3d. The Proprietor, Partners or Executive Officers are o 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"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 is valid 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"3c",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,)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: Vincent C Daley (Print name of authorized representative or licensed agent of insurance carrier) SYNC� : Approved by: 1/8/2023 (Signature) (Date) Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 631-277-7770 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment.defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as Creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in.a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2(9-17) REVERSE e w . workers' TATE CERTIFICATE OF INSURANCE COVERAGE CIDk11'p@11Satlt)!'1 - 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 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured J.HALLORAN INC. 4 INVERNESS COURT WADING RIVER,NY 11792 1 c.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,Le.,Wrap-Up Policy) 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 54375 MAIN ROAD 3b.Policy Number of Entity Listed in Box"la" SOUTHOLD, NY 11971 DBL545850 3c.Policy effective period 01/01/2024 to 12/31/2024 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 as described above. ofDate Signed 1/8/2024 By 4441, (Signature of Insurance carrier's authorized representative or NYS Licensed 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 Box 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 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 DS-120.1.Insurance brokers are NOT authorized to Issue this form. DB-120.1 (12-21) �I�IIPmiii1a2ii0iiii1iiii(i1i2ifli2n1i)iilllel Additional Instructions for Form D13=120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1 a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law.The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage(Certificate)to the entity listed 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 cancelled 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 coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid 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 3c,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 NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits 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 Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits,shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand and twenty-one,the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first, two thousand eighteen,the payment of family leave benefits for all employees has been secured as provided by this article. 1313-120.1 (12-21)Reverse YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured WALPOLE OUTDOORS LLC 255 PATRIOT PL FOXBOROUGH,MA 02035-5101 1c.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 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) American Casualty Company of Reading,Pennsylvania Ron&Connie McGlynn 3b,Policy Number of Entity Listed in Box"1 a" 3170 Nassau Point Rd Cutchogue,NY 11935 WC 7 40450594 3c.Policy effective period 10/15/2023 to 10/15/2024 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) 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 is valid 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"3c",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,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: Kathy Galloway (Print name of Ctfhod i"d representative or licensed agent of insurance carrier) Approved by: 01/12/2024 „`i,� �i ,�r�` (Signature)� (Date) Title: Policy Support Specialist Telephone Number of authorized representative or licensed agent of insurance carrier: (407)804-7148 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-106.2(9-17) www.wcb.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2(9-17) REVERSE NEw Workers' CERTIFICATE OF INSURANCE COVERAGE VOL 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 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured WALPOLE OUTDOORS,LLC 781-349-4911 255 PATRIOT PLACE FOXBOROUGH, MA 02035 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) 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 Ron & Connie McGlynn 3170 Nassau Point Rd 3b.Policy Number of Entity Listed in Box"I a" Cutchogue, NY 11935 DBL572986 3c.Policy effective period 01/01/2024 to 12/31/2024 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. 17 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. 9 Date Signed 1/11/2024 By wid hf (Signature of insurance carrier's authorized representative or NYS Licensed 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 413,4C or 513 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 48,4C or 58 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-12a 1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-21) IIIIIIPIIIIIIIIIIIIIIIIIIIIIIII(IIIIIIIIIIIIIIIIIIIIIIII Additional Instructions for Form DB-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1 a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage(Certificate)to the entity listed 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 cancelled 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 coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid 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 3c,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 NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits 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 Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January.first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. D13-120.1 (12-21)Reverse DATE(MMIDDIYYYY) ACORV CERTIFICATE OF LIABILITY INSURANCE 1/11/2024 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 endorsements . PRODUCER NAAMME: Claire Purser Marsh&McLennan Agency LLC PHONE FAX 8144 Walnut Hill Lane, 16th Floor Ex • 972-770-1401 A/C No): Dallas TX 75231 ADDRESS: Claire. urser marshmma.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Continental Insurance Company 35289 INSURED WALPOHOLDI INSURER B:American Casualty Company of Reading PA 20427 Walpole Outdoors LLC 255 Patriot Place INSURER C Foxborough, MA 02035 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:331484794 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 SUER POLICY NUMBER MMIDD POLICY EFF MMII)DY EXP LIMITS LC LTR A X COMMERCIAL GENERAL LIABILITY 7040450627 10/16/2023 10/15/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO CLAIMS-MADE 7 OCCUR PREMISES Ea occurrence) $200,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑JET T LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 7040450630 10/15/2023 10/15/2024 OMBINEDtSINGLE LIMIT $1,000,000 (Ea accen X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB OCCUR 7040450613 10/15/2023 10/15/2024 EACH OCCURRENCE $10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I X I RETENTION$ $ B WORKERS COMPENSATION 7040450594 10/15/2023 10/1512024 X AND EMPLOYERS'LIABILITY STATUTE ERH ANYPROPRIETORIPARTNERIEXECUTIVE YN N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Additional Insured form#CNA75101XX edition 01/15 applies to the General Liability policy. Waiver of subrogation form #CNA75101XX edition 01/15 applies to the General Liability policy. Primary&Non-Contributory form #CNA75101XX edition 01/15 applies to the General Liability policy. Additional Insured form#CNA7152XX edition 10/12 applies to the Automobile Liability policy. Waiver of subrogation form#9-23186-B edition 12/10 edition applies to the Automobile Liability policy: Primary and Non-Contributory form#CNA7152XX edition 10/12 applies to the Automobile Liability policy. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ron&Connie McGlynn 3170 Nassau Point Rd AUTHORIZED REPRESENTATIVE Cutchogue NY 11935 �1°fir ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:WALPOHOLDI _ LOC#: AC40RV ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Marsh&McLennan Agency LLC Walpole Outdoors LLC 255 Patriot Place POLICY NUMBER Foxborough,MA 02035 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of subrogation form#WC000313 edition 04/84 applies to the Workers Compensation policy. The General Liability policy includes a blanket additional insured endorsement to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The General Liability policy contains a blanket waiver of subrogation endorsement that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The General Liability policy contains a Primary and Non-Contributory endorsement that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The Automobile Liability policy contains language that provides additional insured status to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The Automobile liability policy includes waiver of subrogation wording that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The Worker's Compensation policy includes a waiver of subrogation endorsement that may apply only when there is a written contract between the named Insured and the certificate holder that requires such wording. Excess Liability is follow form pursuant to form#CNA75504XX 03/15 edition date. ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Suffolk Co�i�1y R�Pt of.., . • i#CQasum�art AffAlis ,4 oti� they a �A EST sci-N . `Name :ROp�?T F1AY S .Bih0m,-0".*i o This cr1,f fttsac khe •Nattsole Outdquts.C.L aearer.is duly. sn s ,y tt( CounlY�f uaik L1c..Ons0 Ncttnber:Nll- i3a43 Rosati®:ticaga tssuad Q6t.1:172D2� Gorxirr�issk?�?g{ Wes; ��(�1/2t324.' SURVEY OF LOT 171 & P/O LOT 172 AMENDED MAP X OF NASSAU POINT OWNED BY NASSAU POINT PROPERTIES, INC. FILE No.156 FILED AUGUST 16.1922 SITUATED AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-104-12-18.5 SCALE 1"=30' FEBRUARY 19, 2003 APRIL 29.2003 ADDED PROPOSE➢POOL PATIOS k FENCE JULY 29,,2 ENDER CONSTRUCTION004 FlW SURVEY DUNE 10.20DA ADDED FENCE 17.3 DUNE 21.2004 ADDITIONAL FENCE LOCATION LOT - AREA=46,302.10 sq. f1. NVSTBER RARRIS (T0 nE LI l) 1.109 ac. A OANIEL FRO,rNR 15 sxonN 0.... s l.f s ON 1DIox su®NdOx WP or pPOPDOT w EOMAxNIxO�DOA�dl xw°E m L�,1oeIRPDVED!T TxE ronx Of 2 TPs PROpCPTY R O,TIN:.-AD 2o-O USC Di9Tw. P/O LOT 172 y m 1;10°p0 g9 js pry F ✓aues x��onr cARSE D ° n 170.00' T,—, A, N 87'54'20" E gO ,PPD: 1 P 1. i 1 RY 'yp•°L�e nar sroaoc m+c� ,ova _ P 1 O7 172 �fi� drymo. �.4�PP _ -� R" x° a' �LFI CERTIFIED TO: m r w F/ 1 PTa P•p ��° *•° �• ZIZZI FAMILY, LLC. >� 4s'Z y _ I sg0L1eps °° k it §- °� Yo _ zwu4 sV � _ •oopp6u 70 on X vl y0T 171 °tga ` -ED cs 1I 1; 7.4 Ie z , ID 1 a I y 1vd ZE r 9 as#s .E%SSOC ttW.TE AEn MR,YrAT[uY0 ,.� 5 78'36'20 y0T 17O ��ON wr IE x N.Y.S.Li,NO.49669 A C{ U a � uN.umarago ulDunox aR Ancman z smEcnox =„m J seph A. Ingegno a., Dx1unON Un. ;ter f Land Surveyor TIIeOC VALID 101E�.DE r.OxsDE® —, Tlla,w xDurt°xwEnv seuu xux OW.Y m 11.PDfsbx fOR MPY ra sOAVLY 7RIP 3xrv°ye-5°Dolrisans-Sit,Plain- fnrsfrucDpn Lay°ul FILE: ,PID vE Ns rffwv m nc tmE coupANr.wvmxuwrAE ACDAv Axo m ra/s�O<�1���p�' PHONE(fi31)727-2090 FDA(631)727-1727 ox.OfRIF1rAn9xs aAC NOT IpNARAAHE IWUNG -- mn OFFICES LOCATED AL THE MITTN4 OF FOW15 Op WAY 322 ROANOKE AVENUE P.O.Bm 19}I "'INOT sNmvxAAP[IIIDTOOUAP IF ID�HEAD,N.Yax 11901 fllnmeo0.Nn Y°N,11901- M 3-O88G --------------------- ---------------- V "_____________ a N a m -- - CUT CMU BLOCK AS NEEDED TO ACHEIVE s o w 58.8 PROPER DIMENSIONS e 3 + PENNSYLVANIA w w 6o.a2' 24' DRAINAGE WALLSTONE TO - _, — 60.3 c SCUPPER ENSURE MATCH EXISTING v ADEQUATE PIERS AT PERGOLA - o BRICK PITCH AWAY -- -- Z TERRACE -1_ d FROM TERRACE DRAINAGE a 3" c - 3" (+/-)4%SLOPE SCUPPER 60.03' 60.02' i - — °�—9• EXISTING 'OVERHANG, BRICK TERRACE ' 1 TOP SLOPE 59.90' rs. i AS SHOWN N' `l 0��1(91 BOTTOM SLOPE SB.90' s9.m � I— — B3. ADD SMALL MASONRY WEEP HOLES — 60.05'(CROWN SLIGHTLY) FLUSH WITH TOP OF SLAB EVERY 5' — ON CENTER THROUGHOUT WALL — O60.07 CONSTRUCTION PDN�SEO *� 6024' PENNSYLVANIA WALLSTONE TO P°t MATCH EXISTING PIERS AT PERGOLA 6 2.0 Pot O f �a + WALL SCUPPER DETAIL WALL SCUPPER DETAIL ARCHITECTUFiAL SECTION VIEW, SCALE 1"=1'-0" ELEVATION VIEW, SCALE 1"=1'-0- SLOPE IN LAWN 61/ra3 61.�B'B.SRl ( �O1�b�� �B070M ' I LJ V V.J z Isosr as.�� 4 i ReEldence _ Woo : � 3 �+ 68 C' . ;W <m TOP i 1 - - � ing SLOPE 60.09' 60.02' 6024' 60.0 5 0 0�M ¢ S@aS °mum i 159.50' A� 3Y�� Y' `--.• — —�—— 160.20' 3 RISERS Q6• 64.29'TW se I I I HEW _ SCUPPER 3 H 10-3 =ag o ______ DRAINAGE 61.70' 61.70' 61.70' t- o"^" k ❑ �g -- PIPES TO 1 ' A HISCUPPERS IN I 5 I DRYWELL 63.79'TW SCUPPERSONRY WALL, gg4osa (TYP') a 61.68' siwr SEE DETAIL a0 5936' N W m25' llco ' EXISTING w.w. enco o 64.72' SILL COUNTER ± 61.96' TYPICAL 61.81 61.82' "V• _ I ) Egli a sv sz � m m o - " ` = — +58.1 - " + 58.3 o a s v DRAINAGE + it ' + 6 .3 - �. `,PIPESTO 61.70' SCUPPER 61.70' SCUPPER 61.70' A _ ^..� v\ DRYIh!LL FOR , _ I 00 .SINK --68 _--�- - =- ------- --------- -- ------- _-------- - _ ---- - ---- ----------- r ll \� O )I�r/ w¢� ga `ADD SCUPPERS IN MASONRY __ Z It WALL ASSHQ_WN,SEE DETAIL 1 '` , � �_ �j�LJ:-�J _ _" .� _ 0 Z a ` I ��_I�� 58.4T--Ii it (--"1r1 Gates__ - _1 — i�( \`�/ / w Z 60 59 a d 2 CY) ro 62 i o 0 >- I r 3 >: w z 65 64 6 w z czi 66 , i i I I — Neighbors house CIRCLE GARDEN &PATH z0 Oz w T.P. all Skimmia to Front North property line, comer �' = Q m C. l et mulch Re-arrange nge Halcyon Hosta *ALL NEW PL " i e z z - o � ANTINGS AND TRANSPLANTS TO BE c I Q Co F �\ Add (12) Plumbago LAID OUT ON SITE N �L m z N U DER SUPERVISION OF Z 59 Add (12) Guacamole Hosta (' ';) cc, m @)a = I WON , �, \\ Add (12) Leucothoe A. ,,_ Q o co to X \ Add (9) Japanese Andromeda Dorothy wyckoff -� oo w - Add (12) Sweet Box LANDSCAPE ARCHITECT m C if \\ \\ Add (4) Climbing Hydrangea Vine on T&G fence ` olly ADD (5) FLATS OF 4"IMPATIENS UJI r / / \ if / ' ` ` ♦ 60 n Z / \�\ \`\ X \�`� TRELLIS GARDEN Z U ' i / l ' i i ` ` ``. �� • Remove Ostrich &Sensitive ferns < a' `\ \ `\\ `� TP all Skimmia to front -I < /' Ext� Mixed Border: /� \` \� \` � �� • Replace with (20) Jap. Painted fern FRONT NORTH PROPERTY LINE /g `\ `\\ • Shear Green Giant Arborvitae • T.P.'D Skimmia, qty. (15) 1 Dayl, \\ \� • Reset mulch • T.P.'D PIERIS, t 9 P Dayl'Iles V.I.F. , � `� �, � `\ 61 q Y• ( 1 \ Prune jap maple 63 • r i Wood poste, Propane Add Leucothoe F. (20) D�----_ \ \ \ electric-meter __--equipment ` tanks ` 2 i • Add Bottle Brush Buckeye 8 � ,\ � X� Y O�� I 18 Ln.ft.of 5' Ht.T&G fence '� ---- \\\ ��` \\\ \\ \` i ADD (1) CLIMBING HYDRANGEA VINE �, f ..r w/soundproofing - 1� n.ft.of 5' Ht. REMOVE`\ T&G ence\ (9) Ext'g Leyland 63 , \ - _ ` I (3) T.P.'D Spi a from rear I � \ ` _------- (2) Ext'g �\ \ 2� Ln.ft. of 6' Ht. \ \� ------ - Ext'g Cherry \ ` \ 8 \� \\ T4G fence `\ Cypress 61 i r i i Magnolia,''~ ,Y_ �� I \ 9! `\ ` I i 62 -,; ,.' / i \\ N 87°54'20"E \ I1 \\\ `�\ \ r l �/ / -----____ I\ ►i�I �___Ext' osta variegated/----_ - ► n -variegated w/ferns ji 4 rear \Ir/f!✓ �JI - , I + + + + + o + ZEC +O Drn mi, FAIt9 Ext'g Electric Meter 7 w ' __ der Ext'g ostrchand Ext'gNorway---- _ brick work Hydran eas Jap. MpleSkimmia sensitive fersg Ext'�/Oak -------- oP Spruce M z_-- - Add (3) ELLIE STEVENS HOLLY IN PLACE OF - _ - O \ \ I r Wrap Pachysandra I , �a 1` oo O� CHERRY TO SCREEN + + -r� + + + + DE-VINE / I w w w �T L + around side w w w\``\ - // L` / 4 Ext'g Tree/Hydrangisks PROPERTY LINE ,' I w w w w SPRUCE &Obelisks 4�1 - w -----_ w w w w w w O j/, �S/�3 * c3 _ I + �'' Ext'g Plantings in Raised Bed: ; i ❑ Add (8) 12"-]8" DE-VINE Ext'g Norw Add&Durwood trbe + Perennials: ' I R&R Walpole, Add low Boxwoods and Jap. + SPRUCE Spruce - / / ' r ❑Pot ® I \\ZlExt' + Cryptome,ria/ f -Bluebeard ('White Surprise') Urn Ext'g g wall in Bluestone in Pachysandra in front of Z /' -Catnip i r Ilex variegated place of rotting wood existing boxwoods + ¢ a LL a ��a =� / -Dianthus i I Hosta on bottom of fence _ ,gE14(OVE DEAD W z oUj -Garden Phlox (pink&white) I i ® 1 (1) HICKS YEW Ext'g - -----__--- --- -_ BRANCHES AND CLEA J W o o J a Q I i I Boxwoods UP CRYPTOMERIIAS ,-' F 0 a w z -Pincushion i I -Purple Vervain i i I + a a~W C i I Ext'g dwarf mounding + ® ,�r>w o= p RQF� []-Russian Sage �U" i i I Boxwood hedge g Ext'g White Pine /�i /�/ �,i J<<¢g m 10 1 1 I (Trim tight and tidy) + 'g� Y 1/ ~ a �-0 i i I Urn I + Ext orwa z w w 3 P / , r O i i Spruce ,ADD (9) 3'-4' ,/ 3 opt o Pot I ❑ �� ®'� ,' RHODODENDRONS o d y W W° •PDt 6n ❑J__ '--___-_ REMOVE �' ----� � / '/ , // AREA TO DERSTORY c~¢i o W a~o m= POtO - Ext q Blue REMOVE %/ \ Y'� ' / H I /` i /� w a o w w o W 6 W w LL Proposed wall configuration w/ Spruce � ' / Z a a o r i p � Ext'g Blue / ,�' �► �' °' I i a w Z J a� /Add well lights per John �larze_ I i Bluestone ca �' ` r ' N g�' a + I p , \ AtIaS I Ext'g S r I i - j ❑ Consider re-leveling Maintain upper level of wall i + / 0 / g I - brick work i a, . ' , , 0 2 3 0 t= ore r ► Ext g Blue ► a l ' , / Z,� a u� Ju)Siper I,' Residence _ -Belgian block curb to �\ % �\\ Atlas '/��� 0 y,' /�, / , =Z�a Z i l� I ___-- wmu match o e side i ' / w w a w l ® i ( Pot ,- pposlt- \\ i� '� d /' / 3 0 Q M z 0- Ext'g Pine / r ❑ I POtO �`�_ \` '. /. +,' / I , �/ 3 aX o<o / (3) Ext'g Spirea w/ (2) white Scaevola _ ,' ,� F o 0 3 J<Q FC i , �i I , �� "g o o=i /' + TWOZ ADD ZELKOVA TREE i � ------ T.P.MIDDLE '� I / ,Boxwood w/ w ® / r I TP (3) SPIREA TO NORTH PROPERTY LINE �' ( ) g i T.P. (9) Pieris TO FRONT o w Uj Ext'g Pine / , 0 I BOXWOOD NORTH I a / Pot i I ADD (20) GERMANDER FOR , NORTH PROP. LINE / ,' / Pachysandr g: Ir W Ln I TO ACCOMMODATE/ ' ' 0 r-w - / BORDER, PLANT HERBS BEHIND ' / i underplanti gs s o w ® / I ,' Masonry pier NEW DRIVE WIDTH �, �,o W z o i Ext' Piney ; WALLED GARDEN Ext'g Ilex ,' Ext'g Pieris j. Roll lawn down to meet �' I / ,'� ~ z Q LL o g / To be laid out by L.A.and i I 'Nellie R.Stevens' �' 'Katsura' new curb '� '' z ;LL W a Q ' I I (Trim tight and tidy) + ,I I ' z o woven into ext'g plantir�gs- I , , W in P w W=_ Replace Pieris _- a o / I I w 9 Butterfly Bush ' I� / SHRUBS, \� i I ,, Ext'g Ext'g / O Y - i (3j Bv'tterfly Bush �\ i I Hydrangea Boxwood '� _ / � ,'� o N Pot � ) g \\ I I hedge �---- - , p ry 3 English Shrub Rose Bred ` I w/Vinca N m Q m o By David Austin (Obelisks) \ i -� underplantings _ Ext'g dwarf mounding Boxwood hedge , Y ' o PERENNIALS `\ i i — ', (Trim tight and tidy) DE-VINE CEDAR T.P.WONT-MOST , 0 14' �,' (10) Ice Plant `\ i Pot VIBURNIUM TOWARDS n T.B.D. ' 9 Purple Corleflower--_ ` i I I PROPERTY LINE ' ' r ' ( ) p \\ i I REMOVE Wing of hedge Add (40) MALE FERN _ INCREASE LAWN _ _ r (6) Whjte Laura \ I AREA, REDUCE BED i r / I AS UNDERP1ANTt1�G _ Ext g r / (7) PYienomenal Lavender `\ i �� REMOVE(8) _ (10) Pincushion Flower i i DID (1) NIKKO HYDRANGEA TO MATCH EXISTING _ - -- g g , \ (12) Purpletop Vervain `\ \ �;,'_; - __ _ --Ext' Wei el � -�� \ r�' • ` Cedar ,' � S � �, �, o / ------------------------- \ - (3) Ext'g Lagerstroemia __ ► I I * I,- ". a) m m z r� i ,' lollipop' `\\ `\\ --- ---- "" .` - - - > -- - J `\ - - --------- ----- --- \ _ j� Natchez'w/Vinca _ ��\ ► �\ \ a� a) [2 a, ------ ---- --------- - _ , I - ,, 3 lu ` Ext'�M 1ra / under_plantings'" Ext'g Hibiscus ► \ ,' �� - ��' ' �' L ° ° ' - - - - ANNUALS \ + o cn U o 0 o a 12 Heliotrope `\ - -- \-; i 'Edith�f3 _g ( ) p l Mailbox , (15) Edging Lobelia \ ,, � )K\I I,�- [- I\ � _ -_ - _ i � � l i�1 f Gates rruc- _ L - L 1'L_\ >^ -� --J �, �� RESET MULCH LE VEL ► r (,3)txt' o ' (10J Mealy Cup Sage \` - -, �. \ L - + I + I g I (15) NEW GUINEA IMPATIENS �`\ --- J - ` -=� `- ' ( 9 _ ' _\ - ; �,__ i Ext' Pitch ; Wburnum 9 ,'Lxt'g (1 ,fxt'g WHITE, PLANT IN CLUSTERS, , _ ( ADD '2) GERMANDER FOR LP 1 ► a \\ In Spruce �B xwood NOT ROW) \\\\ BORDER, PLANT HERBS BEHIND � _---'" l-� + �®_- _ -' /,E�xn'JWhite _ / � MI�P�, --- ---------------- r� \ x EpYrg Norway 306.50' ,' _ -----� _ ® '� Ext'g Pinch - --------------------------- -- - = --' --------------------------------- < _ Pine TRANSPLANT ALL ,' ` ► + _+ ---- - - Ext'g Pitch ® �� RESET MULCH LEVEL + - i '� 54 53 1 DOGWOODS, (2) TO REMOVE (7) �\` i + _ �_____�\ ---- �` ;� -_,,� Pine ELEVATE CANOPY Q Y ON EXT'G SPRUCE W O BACK HILL, 3 TO BE Ext'g Wei ela r ---- ► ' �--' i Add (1) FASTIGIATE Existing Edge of Plantings,TYP. _T Ext'� , (3) Ext'g U 0 O z _______ --------/ r \ / SHIFTED IN LINE W/ ---------------------------- \\ �,�- �� �\ __`�_ ,�___ Norway Spruce ' -- ------------ _ _ Rhododendron W I-_ Q / / WHI ;E PINE TO SCREEN ___ _-NEW-t�tAt2-P1=R L.A. ► I � \ `- =s'---- -O --- Ext'g White Pine � z / Ext'g Mixed Border: I _ __- -_r ,- / , , PROPERTY LINE ® -- W / Panicle Hydrangeas / I ,-' � � i + I - "" -- '' i • Mopheo Hydrangea / i \� -- .' ,�_ - i ® O W • Goatsbe�ard i Ext'g White Pine �- a- / W Q , • Mixed,ferns , I 1 � �- Ext'g White FRONT SOUTH PROPERTY LINE z � V / Skip Laurel ; ' �' Q Pine Ext'g Pitch Pine z < Ur (n � ArroYivwoodViburnum � � � .' � _ � Pack out understory trees w/: 0 /� �� � � �r = (4) Ext'g White (8) American Holly � W0 z (10) Jap.Andromeda (Dorothy Wyckoff) Ur z = Q �'r Add 12 CAKLEAF Pine (8) Leatherleaf Viburnum U J COMPLY U o !- r i T.P. (3) HIBISCUS ROSE /' HYDRANGEAS NEW PORK STq ALL CODES OF OF SHARONAWAY E&TOWN CODES ) p' y ti (TBD Ja Pachysandra r r FROM GATE AREA TO �� AP R VED AS NOTED AS REQUIRED AND CO DITIONS OF U rr i i i SUNNIER AREA '� Add (3) NELLIESTEVENS HOLLY M 59 � � i � , ACROSS FROM POOL RETAIN STORM WATER RUNOFF DATE- e•P S0111HOL0 OWN ZBA ' r FEESOUTHO TOWN PLANNING BOARD 60 i I 55 PURSUANT TO CHAPTER 236 NOT FY BUILDING ING DEPARTM lD TOWN TRUSTEES OF THE TOWN CODE. ENTAT 631-765-1802 8AM TO 4PM FOR THE N. .DEC All extcrier il:"':' `in FOLLOWING INSPECTIONS: XHPC Installed, repincc ld or 1. FOUNDATION-TWO REQUIRED �� repaired shall co ,dorm FOR POURED CONCRETE to Chapter 172. 2• ROUGH-FRAMING a PLUMBING 3. INSULATION of the Town Code 4. FINAL-CONSTRUCTION MUST 0 10' 20' BE COMPLETE FOR C.O. OCCUPANCY OIL ALL CONSTRUCTION SHALL MEET THE USE IS UNLAWFUL NORTHLml mO ELECTRICAL REQUIREMENTS OFTHE CODES OF NEW 1/� 11113120 YORK STATE. NOT R b l�/ITHQUI "r" 02024 BRIAN J.MAHONEY LANDSCAPE ARCHITECTURE P.C. DESIGN OR CONSTRUCTON ERRORS OF OCCUPANCY McGlynn Residence Plant & Specification List, 10/11 /2023 00 o 00 Z w QUANTITY BOTANICAL COMMON SIZE Special Instructions z o a ° Q m Trees zQFow 6 llex x 'Nellie R. Stevens' Nelli Stevens American Holly 8'-10' (r m z a CO 8 I lex opaca American Holly 8'-10' m ?o NCn 1 Oxydendrum arboreum Sourwood Tree 2.5"-3" Cal. ( g or larger)) m " a 1 Pinus strobus 'Fastigiata' Fastigiate White Pine 10'-12' W w 1 Zelkova serrata 'Green Vase' Green Vase Zelkova 6" Cal. Q U U � w F_ n _ Z U a-- <,( Shrubs 8 Aesculus parviflora Bottlebrush Buckeye B&B . 12 Buddleia x 'pugster blue' Pugster Blue Butterfly Bush 1 Gal. " ' 2 Buxus sempervirens American Boxwood 36 Drive Entry 8 Buxus sempervirens American Boxwood 12"-18" East side Garage 1 Hydrangea macrophylla 'Nikko Blue' Nikko Blue Hydrangea 7 Gal. 12 Hydrangea quercifolia 'Alice' Alice Oakleaf Hydrangea B&B 12 I lex crenata 'Hoogendorn' Hoogendorn Jap. Holly 3 Gal. 12 Leucothoe axillaris Coastal Doghobble 3 Gal. P����SEC 20 Leucothoe fontenesiana Doghobble 3 Gal. 0 19 Pieris japonic a 'Dorothy Wycoff' Dorothy Wycoff Pieris 36"-42" o 11EM z 9 Rhododendron x 'English Roseum' Eng. Roseum Rhododendron 3'-4' 0 3 Rosa 'Olivia Rose Austin' Olivia English Shrub Rose Bare Root 12 Sarcoccoca Sweet Box 1 Gal. 5703 S 1 Taxus x media 'Hicksii' Hick's Yew 5-6 8 Viburnum rhytidophllum Leatherleaf Viburnum B&B O 0 Z Z F 21 <Wg,W< ao2 Q-- ,pOW¢Q Pere nnia Is/Vine s/Groundcovers, etc , a w Z a<6 20 Athyrium niponicum 'Pictum' Japanese Painted Fern 1 Gal. }>W.o Z Z,Z 12 Ceratostigma plumbaginoides Blue Plumbago 3 Qt. w¢Q�,a> F��a J m 10 Delosperma cooperi Purple Ice Plant 1 Gal. ~o~ Z Z Z JH_-O 3zaWw3F" 40 Dryopteris filix-mas Male Fern 1 Gal. 2 S E~J o z, I-h-=QJ W paF'OW�J 9 Echinacea purpurea Purple Coneflow er 1 Gal. W a~} Uw=a000x �LLO¢w W ti 6 Guara lindheimeri White Guara 1 Gal. w W Q o W W HWaZQ�o 12 Hosta 'Guacamole' Guacamole Hosta 2 Gal. Y o 0 X 0 Z X 2 F_U 0og0=oo 5 Hydrangea petiolaris Climbing Hydrangea 3 Gal. 3�W Q 6 Z,, W W,W QWLL 7 Lav endula x intermedia 'Phenomenal' Phenomenal Lavender 1 Gal. ?=Z ow w=" F-wwa�w QOJXOZN 50 (Flats 100) Pachysandra terminalis Japanese Pachysandra Flats J'n a C__j aa'J LL Z<Z o WZ 10 Scabiosa atropurperea Pincushion Flower 1 Gal. 0 5 o 2 F W.o 52 Teucrium chamadrys Wall Germander 2 Gal. o W W 0 F.��aJWw gi��wv~—ia 12 Verbena bonariensis 'Lollipop' Lollipop Purpletop Vervain 3 Qt. OFw o- :0~°=~� �Z,o� �w c�,~m O 6 Z X T I ZF--LL0 (7F�UQ W F E<,5M J8 m P W J Q w Annuals7 �Z)0co<a__7 T_ Z 12 Heliotropium (by others) Heliotrope (by others) 4" (by others) _ o 90 Impatiens haw keri (by others) White New Guinea Impatien 4" (by others) N m Q m N 15 Lobelia erinus (by others) Edging Lobelia (by others) 4" (by others) o 10 Salvia farinaceae (by others) Mealy cup sage (by others) 4" (by others) Removals, Transplants, Tree Work De-vine Spruces, Cedar, etc. as needed m Elevate canopy on existing spruce South of drive entry m m z U C 9 U Re-arrange Halcyon Hostas by brick circle w/ L.Architect on site 0 cn U O 0 0 (L Remove 15 existing weigelia along South property line Remove 2 existing Cherry trees near back pergola Remove dead branches from cryptomeria along road and clean these trees up Remove existing Blue Atlas Cedar in front lawn Remove existing Blue Spruce in front lawn Remove Ostrich and Sensitive Ferns along portions of North property line Remove wing of boxwood hedge near bilco door W Q Reset mulch levels as needed throughout beds on property, see plan Z O J Transplant +/- 15 Skimmia throughout property to front North property line, see plan W O- (— Transplant 1 boxwood near drive entry away from drive edge, see plan 0 Z w Z Transplant 1 viburnum near drive entry towards property line, see plan W Z Transplant 3 existing spirea from rear patio bed to North property line W W Transplant 3 rose of sharon hibiscus from South border by gate to South border across from pool Z Q Transplant 9 pieris from front of house to front North property line >_ Q p C) Transplant all 5 dogwoods by existing patio, 3 in same area, 2 to back border/lawn U Z U 0 Trim / prune existing Japanese maple in fenced garden on North of house Q o Z Trim / shear existing arborvitae in fenced garden on North of house M U —j Trim existing boxwood hedges tight and tidy along front of house driveway Trim existing Nelli Stevens Holly at front of house to be tight and tidy Miscellaneous Expand lawn and reduce bed size South of driveway after removal of weigelia, planting of new understory trees I rrigation Mulch Decompaction, rough grade, topsoil, fine grade ■ ©2024 BRIAN J.MAHONEY LANDSCAPE ARCHITECTURE P.C. CID rl- a' 20 60 59 0 } z 6 2 61 i it O 0 w U Q 2 Ea 63 I I I 00' r � zo � z � 0C) 64 i I i ' 11 -- Neighbors house z Q U a � ' '�/ ♦ ♦`sue° \\ � Z � Co Co ,p \ m _ QN I p m @)Q 59 m �r � d I , W (OPTION)ADD(18 Lrll ADD(15 Ln.Ft.)5' L U 5'TONGUE AND GROOVE TONGUE AND �� i i !'l i �`� �� ♦ � � FENCE TO Hlp�POOL GROOVE FENCE TO < � X♦ EQUIPMENT HIDE PROPANE TANKS 61 63 �/"" 077 Wood post Wk o Propane ,\ 62 p ` ` tanks ` elecfric-meter -- -eq ipment \'� X♦ ' ' i ' / ' i ( _ ♦ �� �� ` CONSIDER LOW STACKED BLUESTONE WALL TO REPLACE i ADD(27 Ln.Ft.)6'TONGUE ROTTED SECTION OF FENCE, i AND GROOVE FENCE `� 63 _ ' 61 E +/- 18"TALL, FENCE CUT I � ko /' r ,� i `� ------ ♦ ap �� �\ UNIFORMLY ACROSS BOTTOM �� 62,,\ N 87054'20"E ` — — — — — ' — — ' i GN\TEC r i l' i �� -------------- --------- IRE-LEVEL/REPAIR \ ,/ f Q�' 0�� Oy PATH AS NEEDED ( Electric Meter ' c� ? v OPot `�\ O Urn _ - i I f "' C' Z Pot - -- --- -- _ ---- � � I PROPOSED CONDUIT LOCATION I w�w rain o // // ��S/o4Fo] * c� W ' O RE-LEVEL //' , i w w w w w w --W------_w_�- w w w w w / r EXISTING / I i BRICK POOL i I - - __- � ,�' o 0 z z l o TERRACE !' ❑ z' ¢o z ¢wILLw¢ ❑Pot I -_ ,,,� ' �/� / ' � , � 0¢W F� Urn I _ / ' / U0C)=i<a-wz �waaS2 waaNZ} i l i RE-LEVEL EXISTING �' �' /� g°°~ o 9 BRICK TERRACE I j /'' 1/ /� /'� a= a / / r I ' Urn I ¢oFw~mw vw=ao = 1 / ) I I i/ /' / I /' ' �LL-UwSLL / I Pot 12 PERSON,-138"TABLE ❑ /'' /� ' // w E¢o t W z (UMBRELLA HOLES MAY j O Pot ❑ - _-' �// /'/ I / // / / �oz 6 g N a L NEED TO BE ADDED AFTER I PotO __— -- ,' ,� /' // Y U)o m�0 Fr PURCHASE, ENSURE THAT I /' 3 �/ ' ,� // a 0 g o=0 o r i r THE TABLE CHOICE IS i /�' ,' a / / �o W¢W z°° / I REMOVE PORTION , / a , / w w m w Q w LL COMPATIBLE WITH THIS) I ❑ OF EXISTING W LL' w a w �= a ! I Residence AND REBUILD-As 0 )r REMOVE THIS TUUCI OCEANMASTER I Pat _ SHOWN)N BLUE , Q� , w z 0=z¢z r SECTION OF POOL / �Oo �¢ r , CLASSIC 6.5'SQ i PotO ,''��'' \`\\\`�--, WALL NOT TO /'�/ // �/ // o�o�g=o TERRACE AS SHOWN UMBRELLAS I -� X /' ' i z W 8 w"~~ "OMC6.5SQ-ML" i EXCEED 4 HT. , / , , o M wX a.o o W w r GFCI (34.2"CLEARANCE) iUR /'�/// ------- // /'/ ,/�/ /' �,'�/ s LL w w _ - PROPOSED CONDUIT LOCATION /' ,PROPOSED �/ , / Lo o o o O Pot i I ' CONDUIT LOCATION W z° ,� , / o�zxo STACKED STONE i i �,' ,�' / i ,'' 8 W<L SEATWALLS W/PIERS I I ,' EXPAND DRIVE AND �� % / m l,�a W=w o TO MATCH EXISTING ' , '-- BELGIAN BLOCK ,'/ �' I ,'' PROPOSED TERRACE TO - 3(0¢U~w~ z / I ,' APRON TO 14'WIDE '/ BE BRICK, MATCH / _- / / - - I AS SHOWN IN BLUE / / ,'� o � N EXISTING / / o m Q m o UTILITIES REQUIRED i 1 /' �/ N FOR OUTDOOR KITCHEN: I I - CONDUITS TO OUTDOOR KITCHEN, -ELECTRIC ' I i EXACT LOCATIONS TBD � o Pot �� -WATER I I -GAS -SINK DRAINAGE PROPOSED -SEE OUTDOOR KITCHEN I I I Pot CONDUIT LOCATION DETAIL r m SEE UTILITY I i )' �' i / ,� m 3 a' m PLAN FOR I' I ��, O / �' �' , �' = m io 0 \`SLIGHTING � � ------------------- ---------- ------''�- \J _ � ` i� ____- � / SPECIFICATIONS --------------------- - /� O JJ pq Mailbox 10 TUUCI OCEANMASTER C SSIC 5.5'SQ UMBRELLAS''OMC5.5SQ-ML" `J _� -_ - Gate_s _ --__- _ -�, ��� / ____-- o 1 1 r 45.2 CLEARANCE WITH T UCI STAINLESS STEEL M1 FLUS14MOUNT `; J'' �' 11 -A 1 r ) �� 1 l_ _ - ) _ ( " ) ��_- _- JJ� 11,— r ' ANCHORS MO'UNTED IN COUNTERTOP AS DISCUSSED L / EXP r I TUUCI OCEANMASTER MAX REMOVE CLASSIC CANTILEVER EXISTING WALL r \ "OMXCL13.OSQ"WITH TUUCI AND TERRACE - � / _ 306.50 J,�' Q Y -- ------------- ,' IN-GROU-N65ECURtTY�1fOUNT;---------ASS�IOWt�t---------------- ---------------__ ---- ---- t �- 54' S3- Q SEE INSTALLATION ADD FLAGSTONE _ , - U PATH, EXACT PATH __ __--------- - � z INSTRUCTIONS ON TUUCI LOCATION TO BE -___--------- Q r I 1 WEBSITE ------ - W �- J r r I ___ LAID-OUT-ON SITE ---------- _,' Z W ----------------------- r � I ________ WITH LANDSCAPE ---- ii i -------- -- ARCHITECT I,, ,___----___-------- ---` — /'//',,,' L11 O z � I _ z CO (� Cn z CO Q r / Z V Q r r , 1 - i M U r I r 59 ! 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J ��adm , SLOPE ' 60.24'B.S. �op�aa 59.09' ' a o Utn Lwz Residence _ _--_-----_-_ I co ¢}z m TOP ' __- -- w¢¢ 3m I pow=c�oZ SLOPE ' Pot ,_ ' Z Z 60.09' 60.02' 60.24' 6 O. 0 g o o i ODU�wii� I ¢orw~mw I ' �0 LL, U- UW=ap 2 U, ' 59.50' �ovg<aa 58.80' I j �/' Y�oFvo� COPIN ; I C B / �ZLLwaw °050 0p 3 U W Q�Z U 60.20' 3 RISERS @ 6" 60.40'SL z LL U wo a 0 ww-w¢w2 60.24' 3:0 I I gv,axoaa 64.29' TW i ~oogWa (TYP.) i o'o0�wo ZU. V F- Fx-F ----------- -- - - SCUPPER -W I ,61.6 H _aWgJ 58.40' L - --- -- - - - >w w DRAINAGE 61.70' 61.70' 61.70' W o P LL --------------- PIPES TO ~°Z_¢ LL o 1 I I AD SCUPPERS IN 1 z w_ a<w - DRYWELL 63.79 TW Z IL Z w a p TYP. i w SCUPPER 62 2s' IA®SONRY WALL, w ¢o LL w J a �Mr-wm¢w \ ( ) �/ aDc�awxx O 61.68' T.W. I SEE DETAIL a. 3�¢N~�~ z ` 58.56' a I O 60.25' 61.42' ' CO 04 r EXISTING W.W. 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