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HomeMy WebLinkAbout48725-Z �o�OS11FFO jt Town of Southold 8/19/2024 a P.O.Box 1179 0 o 53095 Main Rd y�jal �ao�. Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45465 Date: 8/19/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 4550 Deep Hole Dr.,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-17-2.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/12/2022 pursuant to which Building Permit No. 48725 dated 1/12/2023 was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory in-ground swimming pool fenced to code as applied for. The certificate is issued to Palminteri,Melchiore&Athena of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48725 6/28/2023 PLUMBERS CERTIFICATION DATED YJ4+A- Authf d ignature 41 O�Su �,co TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Ca o • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 48725 Date: 1/12/2023 Permission is hereby granted to: Palminteri, Melchiore 69-13 Manse St Forest Hills, NY 11375 To: construct accessory in-ground swimming pool as applied for. At premises located at: 4550 Deep Hole Dr., Mattituck SCTM #473889 Sec/Block/Lot# 115.-17-2.2 Pursuant to application dated 8/12/2022 and approved by the Building Inspector. To expire on 7/13/2024. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $300.00 Building nspector OF SOUr�QI � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ sean.devlin(aD-town.southold.ny.us Southold,NY 1 1 97 1-0959 Q�yOUNTV,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Melchiore Palminteri Address: 4550 Deep Hole Dr city:Mattituck st: NY zip: 11952 Building Permit* 48725 Section: 115 Block: 17 Lot: 2.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: MRJ Industries License No: 41853ME SITE DETAILS Office Use Only Residential Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 1 4'LED Exit Fixtures Sump Pump Other Equipment: Sub 12 Circuit/6 Used, Pump 220GFI, Autocover 120GFI, Chlorinator, Heater, 4 Lights 100W Trans. 120GFI Notes: Pool Inspector Signature: Date: June 28, 2023 S.Devlin-Cert Electrical Compliance Form OE SOUTyO� L46 72-5- L1'5 - 'Deep Ya/r # # TOWN OF SOUTHOLD BUILDING DEPT. cou 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 >,4DELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: o+a DATE / 2,!3INSPECTOR �� _ 1 � SOUT,��� # # TOWN OF SOUTHOLD BUILDING DEPT. �ycou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL Pk/ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: I r,&wftv jnv& krwlvvo, DATE INSPECTOR pE SOUTyo� 5b Li 55a Wo ea TOWN OF SOUTHOLD BUILDING DPT. couto, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) JWLECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: b DATE INSPECTOR OF SOUIy�� - v , TOWN OF SOUTHOLD BUILDING DEPT. o ,� 631-765-1802 INSPECTION '- ` [ ] FOUNDATION 1 ST/ RESAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ *'15'1NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION. [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ .] CODE VIOLATION [ ] PRE C/O. [ ]. RENTAL REMARKS: a0#—' 1AP-PAS ArZ le4a .. I 4p op I — mus� IA s a18 u 4poi I. A4u s r kkilr so a l a,e� h� stI-' c 1 ssg, to4ot" on in sr 49m { al�r DATE. INSPECTOR HM ENGINEERING P.C. P.O.BOX 914 EAST NORTHPORT,NY 11731 TEL:516-476-5392 AUG 12 2022 EMAIL:HMARNIKA@OPTONLINE.NET BUILDING DEPT TOWN OF SOUTH C"LVi August 09, 2022 Town of Southold Building Department Town Hall Southold,N.Y. 11971 Dear Sir/Madam: This is to certify that the drainage facilities to be used exclusively for the construction of a swimming pool on the premises of: Palminteri Residence 4550 Deephole Drive Mattituck,N.Y. 11952 will not require draining because the pool is constructed with a vinyl liner. The pool water will be continuously recirculated through the filter and will be reused from year to year. The drainage from the filter backwash will be piped to a drywell located on the subject lot and will not interfere with the public water supply system, existing sanitary facilities, adjoining property owners, public highways or private roads. Sincerely, HM E gineering P.C. if arnika,P.E. FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) y ------------------------------------ � C FOUNDATION (2ND) kA O H ROUGH FRAMING& H PLUMBING 1 r r INSULATION PER N.Y. 3 STATE ENERGY CODE /S•.Z POW lql1tlE2Xs 02 dmm.4e's oT l "t-0,.rA4(13 e s AS FINAL 'u$ 4 n i i'Z!t� o GL(1 s o Ae a(s SL OSQ COG an /%sije of 079� Gtil M. 8•l4 Ole- ki C•a. ADDITIONAL COMMENTS a.31a 316, a '4 to4olo.3 — . 0 r°e & S r 1 •�- «f v rLs lac-.e;4 b WH ti °z H x d b I.J L't ,�osufFoc �, 'o TOWN OF SOUTHOLD—BUILDING DEPARTMENT E y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy • o��j' Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: AUG 12 2922 ,.Applications`an"d forms`rnU'st:be.filled out ir-.th,eir".entirety:Incomplete;, BUILDING DEP�� TO'u�i6�15F.��t9T� ,'applications.vAI'not,be,accepted:'Wliereahe Applic"antis;not the,pwner,an tner's,Authoriiation_form<(Page 2)shall be completed Date:08/02/22 OWNER(S),OF PROPERTY:` Name:Athena Palminteri SCTM#1000-115-17-2, Project address:4550 Deep Hole Dr., Mattituck NY 11952 Phone#:(347) 239-0211 Email: Mailing address:4550 Deep, Hole Dr., Mattituck NY 11952 CONTACT PERSON: = Name:Athena Palminteri Mailing Address:4550 Deep.Hole Dr.,,Mattituck NY 11952 Phone#:(347) 239-0211 Email: DESIG N PROFESSIONAL INFORM ION:'.AT ;4: Name: Mailing Address: Phone#: Email: yt, CONTRACTOR-INFORM"ON Name:John Wysoczanski Mailing Address:Islandia Pools Ltd., 108 Fishel Ave., Riverhead NY 11901 Phone#:(631) 727-6312 Email:john@islandiapools.com D 10 ESGRIPT N R P.OF; OPOSED CONSTRUCTION: s� t ❑New Structure El Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other'-W*441�+nground vinyl swimming pool with propane heater $64,000.00 Will the lot be re-graded? DYes ❑No Will excess fill be removed from premises? ❑Yes ®No 1 ' .. "PRO PERTY.INFORMATION., Existing use of property:ReSidential Intended use of property:ReSldent)yalw.. Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes *No IF YES, PROVIDE A COPY. ❑,Check Box After Reading: The owner/contractor/design,professional,ls•responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE tathe,Bullding.Department for thelissuance of'a Building Permit pursuant to'the'•Building Zone Ordinance of the Town of Southold,Suffolk;County, York and other applicable Laws,Ordinarices or Regulations,for the construction of buildings, additions,alterations or for removal'or demolition as herein described:The applicant agrees to comply with.all applicable laws,ordinances,,building code, housing code and regulations and to admit authoriied inspectors on premises and in'building(s)for necessary'inspect'ions:False statements made herein are`- punishable as a and, pursuant to Section,210.45 of ttie�New•Y.,ork State Penal Law:" Application Submitted ( rint n e):Jo n Wysoczanski BAuthorized Agent ❑Owner Signature of Applicant: Date: 08/02/22 STATE OF NEW YORK) SS: COUNTY OF Suffolk ) John Wysoczanski being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is theContractor (Islandia Pools Ltd.) (Contractor,Agent,Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said or d to make and file this application;that all statements contained in this application are true to the best of his/ r no ledge and belief; and that the work will be performed in the manner set forth in the application file therewith Swo�before me this day of U ,202� Not ubli DAVID FREEBORNv�� ' Notary Public,State of New York,,; No.01FR6137963 _+', r PROPERTY OWNER AUTHORIZATION Qualified in Suffolk Coup{ i Commission Expires Dec.05,20�✓'` (Where the applicant is not the owner) t �.. -;,`-Ath�eria-Palm-i-nteri residing at 4550 Deep Hole Dr Mattituck NY 11952 Islandia Pools Ltd./John Wysoczanski do hereby authorize to apply on ehall f to the Town o Southold Building Department for approval as described herein. ° 08/04/22 Owner's Signature Date Athena Palminteri Print Owner's Name 2 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, �4'/" �n�q �o Lyn nY residing at 7 ssbP l� I (Print property owner's name) (Mailing ddress) N7T) L k- N`jL S.Z do hereby authorize, r.) (Agent) to apply on my behalf to the Southold Building Department. wner's Signature) (Date) (Print Owner's Name) BUILDING DEPARTMENT-Electrical Inspector oy� TOWN OF SOUTHOLD o Town Hall Annex- 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a�southoldtownny.gov - seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 3/23/2023 Company Name: MRJ Industries, LTD Electrician's Name: John Ferguson License No.: 41853-ME Elec_ . email:office@mrjindustries.com Elec. Phone No: 516-885-7914 01 request an email copy of Certificate of Compliance Elec. Address.: 98 E Montauk Highway, Hampton Bays, NY 11946 JOB SITE INFORMATION (All Information Required) Name: Palminteri Address: 4550 Deep Hole Drive, Mattituck, NY 11952 Cross Street: New Suffolk Avenue Phone No.: Bldg.Permit#: 48725 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): swimming pool Square Footage: Circle All That Apply: Is job ready for inspection?: YES❑NO Rough In Final Do you need a Temp Certificate?: n YES n NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service0 Fire Reconnect E]Flood ReconnectE]Service Reconnect[_]Underground QOverhead # Underground Laterals D 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Yt,&,* I ul�0103 0 E§ U nspe or BUILDING DEPARTMENT- Electrical I AU TOWN OF SOUTHOLD TD BU/(f) y TO N � $ Town Hall Annex - 54375 Main Road - PO Box 1��so"y�T� .,© Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(c�southoldtownny.gov — seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 08/01/22 Company Name: MRJ INDUSTRIES Name:John Ferguson License No.: L7 email: 3a Q _ �- Phone No: (347) 239-0211 ❑✓ I request an email copy o C rtlficate of Compliance Address.: 4550 Deep Hole Dr., Mattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: John Ferguson Address: 4550 Deep Hole Dr., Mattituck NY 11952 Cross Street: Phone No.: (347) 239-0211 Bldg.Permit#: email: Tax Map District: 1000 Section: 115 Block: 17 Lot: 2 BRIEF DESCRIPTION OF WORK (Please Print Clearly) wiring and bonding new pool construction wiring and bonding new pool construction wiring and bonding new pool construction Check All That Apply: Is job ready for inspection?: DYES ENO ❑Rough In ❑Final Do you need a Temp Certificate?: DYES ENO Issued On 08/01/22 Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 02 ❑H Frame'❑Pole Work done on Service? ❑Y ❑N Additional Information: a PAYMENT DUE WITH APPLICATION pavot al Electrical Inspection Form 2020.xlsx CIO, BUILDING DEPARTMENT- Electrical Inspector ®G TOWN OF SOUTHOLD c =` Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 oy,�o� �apl�•' Telephone (631) 765-1802 - FAX (631) 765-9502 ' ro.qerr@southoldtownny.gov - sea nd(a southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 3/23/2023 Company Name: MRJ Industries, LTD Electrician's Name: John Ferguson License No.: 41853-ME Elec. email:office@mrjindustries.com Elec. Phone No: 516-885-7914 211 request an email copy of Certificate of Compliance Elec. Address.: 98 E Montauk Highway, Hampton Bays, NY 11946 JOB SITE INFORMATION (All Information Required) Name: Palminteri L Address: 4550 Deep Hole Drive, Mattituck, NY 11952 Cross Street: New Suffolk Avenue Phone No.: BIdg.Permit#: 48725 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): swimming pool Square Footage: Circle All That Apply: Is job ready for inspection?. 0 YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect[]Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y MN Additional Information: PAYMENT DUE WITH APPLICATION �� - Lkv �� ,� w, D - - - — - SURF. CO. HXALTH OEM APPROVAL H.S. NO. OWHICR. ' N1 iIR-rl—P-f'.Lt<,4 iC , �J. '��. �1 a��:� The sewage disposal `end utter mpply .ret- Z.`9 ' 46.OZ1 facilities for this location have been tnspgcted by thi's department and found ARi.A: I.�,.%�S"� : ��¢, he satisfacto I'v` r1t9r Of g r -f r I pf . I R 1 1 C,,,&I. .. r i C_.). Iv wed in% All � - �J t� �t �, O7.40 A t J 2 y T �3 --�— PP ► , s r c ►t• N. 1 Z.z�I THIS SURVEY f5 A VIOLATION OF CTION 72D9 OF THE NSW YORK STAT1 UCATION LAW, I PIES OF THIS SURVEY MAP NOT HARING E LAND SURVEYOR'S INKED SEAL OR y i IOSSED SEAL SHALL NOT U CONSICERID + U A VALID TRUE COPY, 4 INDICATED-Ei:REONiHAII-RUN - Y TO THE AERSON FOR WHOM THE SURVEY ►WAUD, AND ON HIS kHALF TO THE ITEE COMPANY, GOVER14MENTAL AGENCY AND INSTITUTION LISTED HfR60N,,AND TfTLX THE ASSIGNEES OF THE LENDING INST1- • TION. GUARANTEES ARE NOT TRANSFERAILI ADDITIONAL IMTITUTION5 OR SUSSEQUENT WV40. tT'AM* AT 5,L)"v ed Q 'tg79 �oOMngCK MAN TUYL, If. C. - Traw;v o� �avrMor.,,©,1V.Y. /ems Ve.%q...- 07�_.K. . ME -H-3 sultv"OiNi.4Rt . N.Y, u if,04k Co i*Ix .' d rcJrtrxfr'clrt P Qf 3fi,11004� 11 1163 a/cxk I7�Fbe-0 Z`Z ZVFF. CO. DQT.Of HEALTH W1tVlCM fiTAErr T CW 11i7's�ft` a. FOR APPROVAL OF COHMMUCT IN ONL1f THU WATUR lsUPPLY AM SEWAGE f DATIK: DISP064L OVNTIMi FOR THM Itrol- a nd DENCX -WILL TO TH[ H. e. RIF. NO.: STANDA1ROi OF SUFFOLK CO. DEPT. OF HEALTH. SZRVMM. AMROVZD: . cs► f r AtIMICANT i 1A 1jlope, � Lq Av ,-5 ,4 "J Ito I j L ill ly io AP t : _ _ i I ' I i ' ^ i : • • I : i : i - i i ct, � I SM N.L'TY ,S►UFFOLK. B,,,t���►of v� y4��� S l OMSKI rj1r7 © 1:, .VIarchitecture,p.c. ,r f�+�'j f� P.O.BOX 1254 JAESPORT,NY 11947 PHONE(631)779-2832 FAX(631)779-2833 Proposed Site Plan for: Palminteri LANDSCAPE FABRIC Residence CLEAN TOPSOIL RETAIN WALL MASONRY N O - e BLOCK WALL BY NICOLOCK ° 'ALTA PRO'WALL' SYSTEM 3/4' GRAVEL PLACED =III—III—III ° Q 4550 Deep Hole Drive BEHIND WALL FOR DRAINAGE V�III I I IHEI �.` N1O�I Matthew McGreen ` Mattituck, NY 11952 II I E I I-- 1- , t °' � 1� SCTM# 1000-115-17-2.2 —I I I=1 I —I I I—. ' w � �a ASPHALT DRwY. SEAL 3/41 GRAVEL PLACED I I I—I 11=1 11=I I I �y S88 41 E 129.20' Z BEHIND WALL FOR DRAINAGE =III—III—I z� Q I C I-- I I=III —I I —I I—_11 A PIPE PIPE III—III=I I —I __ �Fr h S.F. PAVER 1, o —III—III=III=11 °F_ I I I—I I I—I 11=1 I I— _ °""E PATIO 3�.9' ttl.7' (Ac��✓ �i ��fts �� —III—III=III—III ° • Zf>.4' �: III—III—III=1 I I - III, III-III, III, I - 1.0 Qo <.. .1 h �t .. M C9 COMPACTED RCA BASE FOR "�f N- -4 NIGH .u= WALL SYSTEM A ?` RETAINING WALL. U' 23 ,p• N SEE DETAIL THIS 2 TYPICAL RETAINING WALL DETAIL Scale: 1/2' = 1'-0" 7. i• "' ' !•'+ti::: �� Copyright 2023.STROMSIQ architecture, $' S.F. PAVER righhts rcscrvcd.The Arch rM reserves the ri�t to "�! ! eproduce this des(gn in its entirety or any portion W o N ONG U. rd PATIO O thereof.Unauthorized alteration of rhea documents is a 0 violation of the New York State Education Law.These ASPHALT DRWY. r• draw ngs and specifications are an instrument of service and are the Property of the Archtect.These drawings _+ and spediicatio are not to be used on any other ti �.3• O a Project,e¢cept by written permission of the Architect. 1<7 9' O r PROJE -r NO. 23-AR034 M, 6X • MON. N 0 SCALE As Noted DATE 10/06/2023 DRAWN BY RS CHECKED BY RS • / N88 4100p W 132.26' '-2" NIGH TITLE RETAINING WALL. SHEET Site THIS c Proposed N/01F Kevin Olemch 4' Site Plan . s c SHEET I PROPOSED SITE PLAN Scale: I^ = 30'-0" SP-I SP- I DATE(MM/DDIYYYY) ACC)o® CERTIFICATE OF LIABILITY INSURANCE 02/11/2022 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). CONTACT Commercial Su Ort PRODUCER NAME: Edgewood Partners Insurance Center PHONE (866) 414-7475 FAAIC No:(631) 390-9700 40 Marcus Drive 3rd Floor lAIC_y�Ext): E-MAIL ADDRESS:_ msmcertscm@ePicbrokers.com Melville NY 11747 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:RARTFORD FIRE & CASUALTY GROUP 00914 INSURED -INSURER B:Technology Insurance Com an , In 42376 Islandia Pools Ltd. INSURER C 108 Fishel Avenue INSURERD: - Riverhead NY 11901 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER:Cert ID 316 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 ADD�L SUB- POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE Ng p POLICY NUMBER MM/DD/YYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE r� OCCUR I 12UUNOZ9731 04/25/2021 04/25/2022 PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRO- PlOPAGG $ 2,000,000 POLICY J LOC ECT i I $ OTHER: COMBINED SINGLE LIMIT AU70MOBILE LIABILITY i $ 1,000,000 Ea accident A ANY AUTO 112UENOZ9729 04/25/2021 04/25/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS PROPERTY DAMAGE X HIRED i X NON-OWNED Per accident $ AUTOS ONLY AUTOS ONLY A XI UMBRELLA LIAB X OCCUR 12HHUOZ9730 04/25/2021 04/25/2022 EACH OCCURRENCE $ 1,000,000 1I EXCESS LIAB �` _1 CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 PER OTH- WORKERS COMPENSATION B TWC3961844 04/25/2021 09/25/2022 STATUTE ER AND E-MPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? 7IN/A E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIP i ION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 1 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. Town of Southold 53095 Main Road AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Page I of i 4 �P R i/E®AS NOTE DATE: 0�3 B.P.# `7 FEE: D� BY: RETAIN STORM WATER RUNOFF NOTIFY BUILDING DEPARTMENT AT PURSUANT TO CHAPTER 236 765-1802 8 Afv1 TO 4 PfJf FOR THE OF THE TOWN CODE. FOLLOWING,INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE .2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE F':) rl.0. ALL CONSTRUCTI"')n' .;HALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL COMPLY WITH ALL CODES OF 'NSPECTION REQUIRED NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF ,v- ING BOARD a T a I�STEES t '11MMEC IATr=L NCLOSE POOL TO CODE ; ,L UFON COMPLETION )CCUPANCY OR AE-181' tNLAWFUL `NITHOUT CERTIFICA T CF=OC74U:PANCY 1' -Y POOL NOTES: 1.POOL AND PROPERTY TO CONFORM,TO 2020 NYS UNIFORM FIRE PREVENTION PUMP TRACK FOR AND BUILDING CODE,TOWN OF SOUTHOLD CODE�AND 2017 NATIONAL ELECTRIC FILTER. CODE.; SKIMMER VINYL LINER 2.POOL SHALL CONFORM TO ANSI/APSP/ICC 5 STANDARDS R326.3.1. RETURN 3.SECTION R326.7_POOL ALARM REQUIRED. ( :) (TYP. of 2) VINYL LINER � 4.POOLSHALLCOMPLY WITH BARRIER REQUIREMENTS SECTION R326.4. S.POOL SHALL COMPLY WITH 2020 ENERGY CONSERVATION CONSTRUCTION CODE FOAM PADDING 3,500 PSI OF NYS SECTION R403.10: CONCRETE POOLS AND:PERMANENT SPA ENERGY CONSUMPTION(MANDATORY). SECTION,R403.10.1 HEATERS — ° SECTION, R403110.2 TIME,SWITCHES_ PROPOSED VINYL SECTION R4l)3.10:3 COVERS SWIMMING ,POOL 6.REBARSHALLBE3".MIN..CLEAR TOEARTH. I I #4 REBAR. TOP t a' ' o° ,► 7.LOCATION OF PROPOSED SWIMMING'POOL AND POOL'EQUIPMENT BY OTHERS 648 S.F. , g I 1g & BOTTOM 42 AND"$HALLGOMPLY;WITH ALLLOCAL•ZONING.REQUIREMENTS.. {MIN.) I 8.ALL DRAIN COVERS TO. REQUIREMENTS OF THE VIRGINIA GRAEME DUAL MAIN DRAINS WITH $TRAINER ,(VGB SAFETY BAKER(VGB);POOLAND SPA SAFETY ACT., ACT APPROVED :DRAINS) 9.SLOPE,PATIO.SURFACEI/4"PERFOOT,AWAY FROM POOL J-- 10.,BACKFILLMATE_RIALTO BE FREE DRAINING GRANULAR MATERIAL(NO CLAY OR / STEPS c LARGE'ROCKS). 11.SUCTION OUTLETS SHALL BE DESIGNED AND INSTALLED IN ACCORDANCE WITH � � a ANSI/APSP/ICC 7. ' 1 12:ENTRAPMENT PROTECTION REQUIRED SECTION.R326.5. 13.CONTRACTOR SHALL VERIFY SOIL BEARING LOADS PR16RTo INSTALLATION OF POOL. 12.5" 14.'THIS.PLAN IS FOR CONSTRUCTION ON PROPERTV AT 4550'DEEPHOLE DRIVE, 36' MATTI DUCK;N.Y.11952 ONLY.' �kiP1 r�AL_� DE•TAIL iS.NO'DIVING EQUIPMENT PERMITTED. 16 REINFORCING STEEL•SHALL 9t INTERMEDIATE GRADE BILLET STEEL WITH A SCALE: 3/4" 1 0'�.,; MINIIVIUM LAP OF 30.BARPIAMETERS, POOL .PLA NOTE' -17rP00LWAL1.LS;ARE NOT;DESIGNED,FOR;SURCHARGE:LOADS;EXERTED.BXWHEEL. N?.; r„ T ,IS ISANQN-DIVING POOL LOADS•WIT,HIN SIX,(6),FEET;ORPOOL WALL,FRO.M CONSTRUCTION,EQUIPMENT'OR NOTES: NOT'TO SOAlk ANY OTHER.LOADING-CONDITION'IMP.OSED ON THEiP00L STRUCTURE�BY EXISTING, 1.WALLS SHALL BEAR„ON UNDISTURBED SOIL 2.ALL CONCRETE SHALL BE PLACED'AS A MONOLITHIC POUR, OR,PROPOSED,,ADJAGI NT STRUCTURES,,IF:SITE.CONDITIONt.bi'0 ERfROM•THIS PLAN,IT IS THE RESPONSIBILITY OF'THE,CONTRACTORTO CONTACT HM ENGINEERING,'P.C: BEFORE ANY_CON0AUCTIONI SEGINS.' ;. . 18;;HM ENGINEERING;',P..C.,"SHALL,NOT;IiE;;RESP,ONSIBI :FOR,CONSTRUCTION MEANS,METHODS,TECHNIQUES,OR RRO ibORES'U,T,IL'IZED BY.-THE CONTRACTOR, 3'-4" CONCRETE.'WALL NOR,FOR,tHE-SAFETY OF THE;RU BI IC OR;,CONTRA„CTOR'S'EMPLOYEES;OR`FOR;THE L3" (SEE'SECTION FAILURE OF THECONTRACTOR TO CARRY OUT THE•WORK IN ACCORDANCE WITH , THIS SHEET) THIS"PLAN. ;. 1 1,/2" TO WASTE UNDISTURBED EARTH (TYP_) HAIR & LINT STRAINER 2 PUMP, {4. �_W 14' 1 ' FILTER =— AUTO SKIMMER 3"•COMPACTED SAND P00L PROFILE Pool NOT TO SCALE' BACK TO POOL GENERAL NOTE: ALL MANUFACTURED ITEMS AND CONSTRUCTION SHALL COMPLY WITH THE 2020 , 2 MAIN DRAINS RESIDENTIAL CODEbF NYS,INCLUDING THE SPECIFICATIONS IN SECTION R326, PREPARED FOR: a s(;HEMATIC PIPING ARRANGEMENT TM�HYORosrAnc VALVE,AND.. ;; ® L �� IC II 1�/ I� PALMINTERI RESIDENCE NOT To SCALE COLLECTOR,TUBE 4559 DEEPHOL `I A E IN GRAVEL' BASE JAN 12 2023LD M ITUCK, . 119 01-06-2023 REVISED POOL SIZE FROM 20'X 40'TO 18'X 36' DATE:, 081081202. NOTE: -�p��B'UnnIttLnnDFFIN��GnnDEPnnT HM ENGINEERING, P.C. SCALE: AS SHOWN THESE PLANS AREA TRIP AIW MATE AND ARE THE PROPERTY OF HM ENGINEERING P.C.. SHEET; 1'OF 1 UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS ARE A VIOLATION OF SECTION 7209 OF THE (� ! �j 3 P.O.BOX 914 EAST NORTHPORT,NY 11731 NEW YORK STATE EDUCATION LAW.INFRINGEMENTS WILL BE PROSECUTED. Tel:(516)476-5392 Fax:(631)980-7671 Email:hmarnika@optonline.net RESIDENTIAL'CONCRETE V ID WIT, UT RAISED SEALA D BLUE SIGNATURE VINYL.LINER POOL PLAN d I r I • i I N N SURVEY OF PROPERTY NEW ,�'UFFOL.K A VE AT MATTITUCK TOWN OF SO UTIIOLD SUFFOLK COUNTY; N. Y. M 1000 115 17-2,2 N SCALE: 16 30' DECEMBER 20, 2010 NOVEMBER 10, 2022 (PROP. POOL &.POOL FENCE) o. DECEMBER 06, 2022 (PROPOSED LOT COVERAGE) N/O/F Matthew McGreen . C ! BB CURB ASPHALT DRWY. Z� S8804110 "E 129.20' c FE COR CLF FE CDR S 5.8'W 3.4 PIPE O PIPE � -� FE END U in r—X X x x I 0.T Ewe x �� EXISTING CLF O 2 N CQ? CP COVERS 2'DIA 26.4' ASSUMED 8'D1A. _a IE ? O BELSOO iVGRADE x (A O SEPTIC a ' i O a M cn VENT Q r i Ix 4 BLUESTONE O LLI Z \ W STOOP _¢ x U) 0! 32.5 N O O JWA�R }oPROPOSEDUTIUlY OL END __ T a�- POOL ! Ux O m_ 0.8 VY POLE `•-'_` 35T 4 6.i' ZLOT GOVERA&E �w >: % ° . rz ASPHALT DRWY. �, TOTAL LOT AREA a 13,086 SQ.FT, 00 See PROPOSED W x EXI5TINC2 HOU5E. 1867 5Q.FT. O Oyw w 18.0' ORYMML N6W Y PROP05EC) POOL = 645 5Q.FT. ^I =' 22.3' O V : O� MEr , � ` ,tali O J• ZQ TOTAL COVERAGE= 2515 5Q.FT. I�ti Z PROPOSED ExsnHc N CLF FE CO �1 x ���QV CLE END N 2.5.W ,,•I p co 2515 13056 = 0.192 192X [� CMF L X t X X x J , a PROPOSED N88'41'00"W ca rE 3.o' 132:2( CD-) = UTILITY POLE «� ti R►O.0'S�1 ® = WELL / �i� LASED f.A� I "C� O = WA7ER VALVE N/01,F Kevin Cleroch = TEST HOLE l , N.Y.S. LIC. NO. 051132-01 ■ = MONUMENT Rik °` V,\Y C ��' U _ N.Y S LIC. NO. 49618 ANY ALTE'RA710N OR ADD17ION TO THIS SURVEY IS A VIOLA710N ` JJ I !� CONIC SUJVVEYORS, P.C. OF SEC710N 7209OF THE NEW YORK STATE EDUCATION LAW. JAN 0 5 2023 ( 31) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER7IFICATIONS 4 30 ACRES .0. BOX 909 HEREON ARE VALID, FOR THIS MAP AND COPIES THEREOF ONLY IF AREA = 13 086 SO. FT. OT 0. BUILpINGOE SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ' �WNOFSOU P SOUTFIO30 AV EL Y. 1197E ER T 110-246 ! WHOSE SIGNATURE APPEARS HEREON. THOLD